Chapter 11 quiz

A home health client requires intravenous (IV) antibiotics every 4 hours. The client's spouse asks to be taught how to administer the medication. Which nursing response is indicated? "Since the medication is IV. it must be given by a nurse." "It will be better if a medication aide comes by to give the medication." "Let me teach you how to give this medication." We will need special permission from the company for you to give the medication."

"Let me teach you how to give this medication."

Which client at a health care facility requires immediate medical attention from a nurse? client with fever client with bleeding client with a cataract client with tonsillitis

client with bleeding

Which statement made by an older adult would suggest to the nurse that the client is facing barriers when trying to access community-based services? "My physicians know what they are doing; they use the latest technology." "I gladly use my monthly pension to purchase my medications." The business hours for the health facility are the same as that of my part-time job.' "My condition seems to be deteriorating, so I am going to do the surgery."

"The business hours for the health facility are the same as that of my part-time job."

The nurse was made aware that the older client's cats are left alone at home. Which statement by the nurse would indicate that the nurse is sensitive to the client's general well-being? We have already made arrangement for your friend to care for your cats." "I would suggest that you become more concerned about getting better." "Animals are forbidden at this institution; we cannot keep them." "Aren't you too old to be caring for so many cats?"

"We have already made arrangement for your friend to care for your cats."

A client tells the nurse, "I am leaving and you can't stop me. This place is terrible, and I can't stay another minute." What is the best response by the nurse? "If you think you can find another hospital that will treat you better, then I suggest you go there." You can't leave until the doctor sees you." "I will get the forms for you to sign so that you can leave." What can I do to make your stay more pleasant? Please give me the opportunity to see if I can help you."

"What can I do to make your stay more pleasant? Please give me the opportunity to see if I can help you."

Which statement by an older adult indicates to the nurse that this client is fearful that being admitted will take away his independence? Why all the fuss? I would do much better at home. It is just a little cough." I am longing to see my children. Could someone ask them to visit me? "I gladly use my monthly pension to purchase my medications." "The treatment is no good. I want to go home."

'Why all the fuss? I would do much better at home. It is just a little

A nurse observes behaviors from a client that indicate anxiety. How can the nurse determine how much anxiety the client is feeling? Tell the client to take deep breaths. Ask the client what medications the client is taking for anxiety. Ask what the client does to help deal with an anxiety attack. Ask the client to rate the anxiety on a scale from 0-10.

Ask the client to rate the anxiety on a scale from 0-10

A nurse observes behaviors from a client that indicate anxiety. How can the nurse determine how much anxiety the client is feeling? Tell the client to take deep breaths. Ask the client what medications the client is taking for anxiety. Ask what the client does to help deal with an anxiety attack. Ask the client to rate the anxiety on a scale from 0-10.

Ask the client to rate the anxiety on a scale from 0-10.

Which client at a health care facility requires immediate medical attention from a nurse? client with fever client with bleeding client with a cataract client with tonsillitis

Client with bleeding

A nurse has admitted a new client to the hospital unit and completed a comprehensive assessment. After the nurse has collected these data, what should the nurse do next? Teach the client about the reasons for admission Determine the best course of medical treatment Ensure that necessary safety equipment is present at the bedside Create a plan of nursing care.

Create a plan of nursing care.

In anticipation of discharge, a nurse is teaching the daughter of an older adult client how to change the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective?

Demonstrate and explain the procedure and then have the daughter perform it.

In anticipation of discharge, a nurse is teaching the daughter of an older adult client how to change the dressing on the client's venous ulcer. Which teaching strategy is most likely to be effective. Demonstrate and explain the procedure and then have the daughter perform it. Use mutimedia strategy that combines annimation with narration. Explain the procedure clearly and slowly while providing multiple opportunities for the daughter to ask questions. Provide explicit written and verbal instructions and ask the daughter to explain back to the nurse how to perform the procedure.

Demonstrate and explain the procedure and then have the daughter perform it.

After a period of initial recovery, a client who experienced a stroke is being transferred from the acute neurological unit to a rehabilitative unit of the same hospital. What are the neurological nurse's responsibilities during the transfer? Select all that apply. Ensure the client and the client's family are made aware of the transfer. Complete a written summary of the client's current health status. Remain with the client on the rehabilitative unit for four to six hours after the transfer. Liaise with a nurse on the rehabilitative unit to arrange a time for the transfer. Teach the client's family how to transport the client to the new unit.

Ensure the client and the client's family are made aware of the transfer. Complete a written summary of the client's current health status. Liaise with a nurse on the rehabilitative unit to arrange a time for the transfer.

Nurses who assist clients to deal holistically with their health care needs at the end of their lives work primarily in which health care delivery system? acute care primary care rehabilitation hospice

Hospice

The nurse is caring for a client who states, "My health care provider says I am doing well and can go home today. I do not wish to wait here any longer so I am leaving now." The nurse notes that the health care provider has not yet written an order for the client's discharge. What is the nurse's best response? Inform the client he or she is not permitted to leave until an order has been written. Notify the health care provider and document the situation in the client record. Contact hospital security and provide a description of the client. Notify the client's next of kin that the client has decided to leave the hospital prematurely.

Notify the health care provider and document the situation in the client

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning? Providing client education Assessing the client's needs and identifying problems Developing goals with the client Making home health care referrals

Providing client education

In preparation for discharge, the nurse is reviewing information related to new dietary guidelines with the client. This is an example of which step in discharge planning?

Providing client education

The nurse is administering medication to a patient and notices that the client's identification bracelet is missing. What should the nurse do? Ask the client why the client removed the bracelet. Call the charge nurse. Replace the bracelet as soon as possible. Nothing, as the client is well known to the nurse.

Replace the bracelet as soon as possible.

What does the nurse recognize as indications of anxiety? Select all that apply.

Restlessness Talking excessively Irritability

The nurse is caring for a client newly diagnosed with diabetes mellitus. Which is an appropriate element of discharge planning for the nurse to use? Teach the client about prescribed medications and how to monitor blood sugars. Prepare the client for subsequent hospital admissions. Create a complete plan for the client and inform them of what has been decided. Provide a plan that addresses all the client's current problems.

Teach the client about prescribed medications and how to monitor blood sugars.

Which is the best example of a nurse providing continuity of care? The nurse collaborating with other members of the health care team in caring for a The nurse accompanying the physician on rounds The nurse taking detailed notes on how each client wants to continue care The nurse attending an appointment with the client in some place other than where the nurse works

The nurse collaborating with other members of the health care team in caring for a client

The nurse is talking with a client suffering from anxiety reported as a 7 on a scale from 0 to 10. How should the nurse speak with the client when exchanging information? Use a soft voice, short sentences, and clear messages. Speak loudly and clearly so that the client can hear the information. Don't talk to the client at this time. Wait until the client can listen. Touch and let the client know you are speaking to the client.

Use a soft voice, short sentences, and clear

Why is it important for the nurse to maintain a physical arm's length distance from the client experiencing anxiety? Anxiety will incite the client to cause physical harm to the nurse. Anxiety can interfere with a client's ability to concentrate. When standing too close, anxiety may increase the client's discomfort. Anxiety can cause the client to be insecure

When standing too close, anxiety may increase the client's discomfort.

Which statement by an older adult indicates to the nurse that this client is fearful that being admitted will take away his independence? "I am longing to see my children. Could someone ask them to visit me?" Why all the fuss? I would do much better at home. It is just a little cough." "The treatment is no good. I want to go home." "I gladly use my monthly pension to purchase my medications."

Why all the fuss? I would do much better at home. It is just a little cough."

After a period of initial recovery, a client who experienced a stroke is being transferred from the acute neurological unit to a rehabilitative unit of the same hospital. What are the neurological nurse's responsibilities during the transfer (select all that apply) a) liase with a nurse on the rehabilitative unit to arrange a time for the transfer b) complete a written summary of the client's current health state c) teach the client's family how to transport the client to the new unit d) remain with the client on the rehabilitative unit for four to six hours after the transfer e) ensure the client and the client's family are made aware of the transfer

a) liase with a nurse on the rehabilitative unit to arrange a time for the transfer b) complete a written summary of the client's current health state e) ensure the client and the client's family are made aware of the transfer

A client enters the hospital with physician orders for a surgical procedure. The client entering the hospital goes through what process? admission medical authorization discharge planning minimum data set

admission

A client has been admitted to the nursing unit of a health care facility following a head injury. Which department will take care of the payment details? nursing department diagnostic department outpatient department admitting department

admitting department

When should the nurse ideally begin planning discharge for a client who has been admitted to the hospital with uncontrolled diabetes mellitus? three days after admission prior to the family picking the client up two days prior to discharge at the time of admission

at the time of admission

With the changing population of health care consumers it has become necessary for nurses to work more closely with other nurses (e.g., acute care nurses collaborating with public health and home health nurses). What nursing function has increased in importance because Of this. becoming assertive discharge planning family-centered care health promotion

discharge planning

The findings of an audit revealed that 40% of medical errors are attributed to inadequate medication reconciliation. Which finding would indicate to the nurse that there is evidence of inadequate medication reconciliation? failure of the nurse to verify the client's current medication inadequate storage of the client's medication by the nurse the nurse sending home the client's current medication obtaining the medications that the client is on

failure of the nurse to verify the client's current medication

The findings of an audit revealed that 40% of medical errors are attributed to inadequate medication reconciliation. Which finding would indicate to the nurse that there is evidence of inadequate medication reconciliation? failure of the nurse to verify the client's current medication inadequate storage of the client's medication by the nurse the nurse sending home the client's current medication obtaining the medications that the client is on

failure of the nurse to verify the client's current medication

client was newly diagnosed with essential hypertension. Which information should the nurse record in the client's health record under family history? drug sensitivity to penicillin grandparents dying from high blood pressure right fracture femur 2 years ago admitted with measles as a child

grandparents dying from high blood pressure

What common reactions might a client experience when being admitted to the hospital? Select all that apply. loneliness decreased privacy violence anxiety loss of identity

loneliness decreased privacy anxiety loss of identity

A nurse is caring for a client involved in an accident. The client informs the nurse about wanting to leave the facility immediately after first aid, although the health care provider has prescribed tests and not given permission for discharge. Which nursing action is the priority at this time? obtaining the client's signature on a dated release form preparing the client for discharge from the facility providing written discharge instructions completing all discharge procedures

obtaining the client's signature on a dated release form

Prior to the discharge of a client who is recovering from a stroke from an acute care facility, the nursing case manager has the nursing staff, client, client's family, physical therapist, and home health nurse meet. The most likely purpose of this meeting is to: provide client education. evaluate the effectiveness of the hospitalization. determine hospital-based services needed by the client. prepare the client for home care.

prepare the client for home care.

Public health nursing is the branch of nursing that... provides primary care to individuals. assesses individuals for community care. administrators care for a defined geographic community. provides health care for the community.

provides health care for the community.

Public health nursing is the branch of nursing that: administers care for a defined geographic community. provides health care for the community. assesses individuals for community care. provides primary care to individuals.

provides health care for the community.

The nurse understands that planning for discharge actually begins at admission to the facility. The purpose of discharge planning is best described as: decreasing stress for client and family members. providing continuity of care that is goal directed. ensuring client safety and health maintenance. promoting less dependence on others.

providing continuity of care that is goal directed.

Which client outcome is an indication to the nurse that conducting discharge planning is effective? shorter hospital stay increased readmissions increased cost of hospital care difficulty of transition between hospital and the next level of care

shorter hospital stay

The licensed practical nurse (LP) is admitting a client to the medical-surgical unit. What part of the admission process is the responsibility of the registered nurse (RN)? the admission assessment assisting the client to bed obtaining vital signs obtaining data

the admission assessment

The licensed practical nurse (LPN) is admitting a client to the medical-surgical unit. What part of the admission process is the responsibility of the registered nurse (RN)? obtaining data assisting the client to bed obtaining vital signs the admission assessment

the admission assessment

The lidensed practical nurse (LP) is admitting a client to the medical-surgical unit. What part of the admission process is the responsibility of the registered nurse (RN)? obtaining data assisting the client to bed obtaining vital signs the admission assessment

the admission assessment

A mother of two children has been diagnosed with terminal breast cancer and will be requiring assistance with her own care as well as the care of her children. When planning the client's discharge, the nurse interprets this change in role functioning as: negotiation. facilitation. transition. coordination.

transition.

The licensed practical nurse is collecting data about a client who has been admitted to the hospital with pneumonia. When is the initial plan of care developed? after the client has been in the facility for 24 hours within 24 hours of the client's admission prior to the client's discharge after the third-party payor approves the client's admission to the facility

within 24 hours of the client's admission