Healthcare Delivery System
A nurse in the emergency department is treating a child who has bruises. The nurse suspects child abuse, but the provider disagrees and discharges the client. Which of the following actions should the nurse take?
Report the suspected abuse to law enforcement.
A home health nurse is interviewing the adult child of a client who has Alzheimer's disease. The child is the client's sole caregiver and reports feeling fatigued and overwhelmed. Which of the following referrals should the nurse make for the caregiver?
Respite care
A home health nurse is visiting an older adult client with severe dementia. The client's son, who serves as her primary caregiver, reports being "exhausted" from working part-time and caring for his mother at home. Which of the following options should the nurse suggest to the caregiver?
Respite care
A home health nurse is caring for a client who asks about the purpose of a living will. Which of the following statements should the nurse include in the teaching?
"It allows the client to express personal wishes regarding healthcare decisions."
A nurse is planning care for a client following a coronary arterial bypass graft procedure. The nurse places a referral for a case manager to visit the client. Which of the following pieces of information should the nurse share with the client about the role of a case manager?
"The case manager will coordinate and plan your care while you recover from your surgery."
A nurse in an emergency department is caring for 4 clients. Which of the following findings requires the nurse to act as a mandatory reporter?
A child who was left unsupervised for several hours at home and is being treated for a fractured leg.
A health care facility's leadership team is implementing a new computerized charting system. When preparing for the implementation date, which of the following actions should the nurse manager take first?
Collect the staff members' input about planning and implementing the change.
When admitting a client to the medical unit, the nurse asks him if he has advanced directives. The client states, "I have a document with me that names someone who can make healthcare decisions for me if I am not able." The nurse should identify that he is referring to which of the following documents?
Durable power of attorney document
A home health nurse is assessing a client who has advanced dementia and whose caretaker recently passed away. The client is not violent or suicidal. For which of the following settings should the nurse make a referral for this client?
Long-term care nursing center
A nurse is caring for a client who had a stroke and requires assistance performing ADLS. The nurse should collaborate with which of the following members of the interprofessional care team?
Occupational therapist
A nurse is preparing to attend a care plan conference for a client who has severe burns. Which of the following criteria should the nurse identify as part of an effective conference?
Other health care professionals are in attendance at the conference.
An occupational health nurse is teaching a group of clients about work environment risks. Which of the following actions is the nurse performing?
Primary prevention
A nurse is tracking the outcomes of clients on the unit who have received postoperative pain management. This activity demonstrates which of the following competencies of the Quality and Safety Education for Nurses (QSEN) initiative?
Quality improvement
A nurse is caring for a client who is a local public official. A newspaper reporter repeatedly phones the unit seeking information and states, "The public has a right to know the health status of elected officials." Which of the following actions should the nurse take?
Refer all media inquiries to the nursing supervisor.
A nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the waiting area. Which of the following actions should the nurse take?
Speak to the nurse immediately in private.
A nurse on the medical unit is caring for a client who has been coughing intermittently during meals, attempting to clear her throat repeatedly, and only eating a small portion of each meal. The nurse should recommend of a referral to which of the following members of the interprofessional team to evaluate the client for dysphagia?
Speech-language pathologist
A charge nurse is observing a group of newly licensed nurses. Which of the following actions should the charge nurse report to the nurse manager as a violation of HIPAA?
Talking about clients with other nurses in the cafeteria.
A nurse is performing a community assessment in a rural setting. Which of the following types of health care is most likely to be absent in this setting?
Tertiary care
A nurse is teaching a group of unit nurses about the Health Insurance Portability Accountability Act (HIPAA). Which of the following pieces of information should the nurse include in the teaching?
The Security Rule provides a uniform level of security to protect client records.
A nurse is providing teaching about a living will for a client who has end-stage breast cancer. Which of the following pieces of information should the nurse include in the teaching?
The client has a right to change the living will at any time.
