Med Surg I- Exam 1 Honan review questions

Which is a sign of approaching death?

O b) Irregular breathing patterns

A type of comprehensive care for clients whose disease is not responsive to cure is

Oa) palliative care.

Which term is used to describe the

a) Bereavement

A client with a brain tumor recently stopped radiation and chemotherapy for treatment of the cancer. The client recently reported dry mouth. Which intervention by the hospice nurse demonstrates that the nurse understands treatment measures for dry mouth?

b) Provide gentle oral care after each meal.

Which statement is true regarding population demographics?

b) The culturally diverse population is increasing.

An advanced practice registered nurse (APRN) specializing in adult-gerontology has accepted a new position in a different state. Which governing body does the APRN need to consuit to verify prescriptive authority the new state?

b) The new state's boards of nursing

In spite of administering the prescribed pain medication, a dying client is still experiencing dyspnea due to fear and anxiety. Which nursing intervention should the nurse use to potentiate the effects of pain medication and help reduce the dyspnea?

b) Use imagery, humor, and progressive relaxation

Which action by the nurse demonstrates an effective method to assess the client and the client's family's ability to cope with end-of-life interventions?

Remaining silent, allowing the client and family to respond after asking a question related to end-of-life care

Which is an example of a behavior that facilitates health?

Self-monitoring for signs and symptoms of illness

A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. The nurse should identify which of the following variables as modifiable? Select all that apply. Smoking on social occasions BMI of 28 Alopecia Trisomy 21 History of reflux

Smoking on social occasions BMI 28 History of reflux***

A registered nurse is providing care to several clients on the unit. Which task would be appropriate for the nurse to delegate nursing assistant?

obtaining a client's vital signs

The client tells the doctor that he and his family have accepted the terminal diagnosis of pancreatic cancer. The client further explains that he is interested in being comfortable and that he no longer wishes to fight the cancer. This approach to end-of-life care is known as

palliative care.

Which is an element of nursing as defined by the American Nurses Association?

O c) Alleviating suffering by diagnosing and treating human responses to health problems

Which statement is a misconception about chronic disease?

Ob) Chronic illnesses cannot be prevented.

A 54-year-old client on a fixed income has had an electrocardiogram (ECG) as part of an annual physical examination. The physician notes an abnormal Q wave on an otherwise unremarkable ECG. What legislation supports the focus on chronic disease prevention, health promotion, and quality, affordable health care for everyone?

Patient Protection and Affordable Care Act

A nursing student observes the home care nurse provide education to a client with congestive heart failure (CHF). The nurse teaches the client how to read food labels and calculate sodium content. The nursing student recognizes that the home care nurse is aware of which basic principle of patient education

Patient instruction related to self-care activities promotes patient independence

Which item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the client's needs?

History of present illness

A nurse in the healthcare clinic is evaluating the level of wellness for clients using the illness wellness continue a tool. The nurse should identify which of the following clients as being at the center of the continuum? A college student who has influenza An elder adult who has a new diagnosis of type two diabetes A new mother who has a urinary tract infection A young client who has a long history of well controlled rheumatoid arthritis

A young client who has a long history of well controlled rheumatoid arthritis

Which is also known as a proxy directive?

Durable power of attorney for health care

Which factor refers to a client's experiential readiness to learn?

Educational history and life experience

A nurse is caring for a client who has a new diagnosis of type 2 medication. diabetes mellitus and reports difficulty swallowing following the diet and remembering to take the prescribed medication. Which of the following actions should the nurse take to promote client compliance? (Select all that apply.) Ask dietitian to assist with meal planning. Contact the client support system. Assess for age related cognitive awareness. Encourage the use of daily medication dispenser Provide educational materials for home use

Ask the dietitian to assist with meal planning. Encourage the use of a daily medication dispenser. Contact support system. Provide educational materials for home use.

Which is an example of a direct measurement technique used to evaluate the teaching-learning process?

Behavioral observation

Which of these roles would be considered an expanded nursing role?

Certified nurse practitioner (CNP)

Glaser and Strauss (1965) identified four "awareness contexts." Which awareness context occurs when the client is unaware of their terminal state, whereas others are aware?

Closed awareness

Which program focuses on processes used to provide care?

Continuous quality improvement (CQJ)

Which is a primary task of nursing research?

Contributing to the scientific base of nursing practice

A nurse is caring for a client who was just informed of a new diagnosis of breast cancer. The nurse evaluates the clients response which of the following statements by the client reflects a lack of understanding of an illness perspective? I have no family history of breast cancer. I need a second opinion there is no lump. I am glad we live in a city in your several hospitals. I will schedule surgery next week over the holidays.

I need a second opinion there is no lump

Which is an important role for a nurse in the health care delivery system?

Identifying patient needs and working with patients to address them

For individuals known to be dying by virtue of age and/or diagnosis, which sign indicates approaching death?

Increased restlessness

During a teaching session with a client with a new walker, the nurse provides frequent reinforcement to the client to get up from a chair that has arms by holding the top of the chair arm with one hand. Once standing and stable, the client can grasp either the other side of the walker or both sides of the walker. The nurse knows that this educational strategy is most effective with which type of disability?

Input disability

When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Change?

Maintenance

Which phase of the process of patient teaching ends when the strategies have been completed and when the client's responses to the actions have been recorded?

c) Evaluation

A nurse with 20 years experience attends a hospital-required training session and learns a new bibliography of peer-reviewed articles related to NG tube placement. The nurse recognizes the change in procedure developed from which method? method for assessing nasogastric (NG) tube placement.

c) Evidence-based practice

When a client who has successfully completed a smoking cessation program removes ashtrays from their home and takes a short walk after work instead of joining the usual group of coworkers at the local hangout, which stage of the Transtheoretical Model of Change is the patient portraying?

c) Maintenance

Chapter A nurse is discussing the need for a client to increase activity level and eat a heart-healthy diet. The client tells the nurse, "l eat just fine and I'm not that fond of exercising." The nurse would identify this client at which stage of change?

c) Precontemplation

According to Maslow's hierarchy of human needs, which of the following is the highest level of need(s)?

c) Self-actualization

In which phase of the trajectory model of chronic illness are symptoms under control and managed?

c) Stable

Which of these statements best defines the term culture?

c) The learned patterns of behavior, beliefs, and values that can be attributed to a particular group of people

Which action would be incorporated in a teaching strategy for a hearing-impaired client?

c) Use of slow, directed, and deliberate speech

Through which action does the nurse demonstrate the step of the nursing process that determines whether the client understands the health teaching that is provided?

c) Watching a return demonstration of insulin administration from a client newly diagnosed with diabetes

The nurse is planning a health education program for a group of high school students regarding the dangers of texting and driving. Which action by the nurse illustrates the nurse's understanding of health education as primary nursing responsibility?

c)The nurse gathers evidenced-based information related to texting and driving and coordinates the education with the school nurse.

The physician is attending to a 72-year-old client with a malignant brain tumor. Family members report that the client rarely sleeps and frequently reports seeing things that are not real. Which intervention is an appropriate request for the hospice nurse to suggest to the physician?

d) Add haloperidol to the client's treatment plan.

Which management function involves a team effort to achieve patient care outcomes?

d) Collaboration

A client diagnosed with a terminal illness appoints her oldest son as the authorized individual to make medical decisions on her behalf when she is no longer able to speak for herself. Which proxy directive is the patient using?

d) Durable power of attorney for health care

Which term is used to describe the personal feelings that accompany an anticipated or actual loss? d)

d) Grief

Which phase of the nursing process encompasses the establishment of expected outcomes?

d) Planning

A client has been admitted in the emergency care unit with conditions of respiratory distress and pneumonia. The client's condition worsens and requires mechanical ventilation. While visiting this client in the care hospital, the family observes members of the health care team washing their hands upon entering and leaving the room. By implementing recommended hand hyglene measures, which organtization's goals is the health care team supporting?

d) The Joint Commission

Based on the nurse's knowledge of nonadherence to therapeutic regimens, which nurse needs to place extra emphasis on adherence to the treatment plan?

d) The nurse planning to teach adults aged 65 about congestive heart failure management

Which phase in the trajectory model of chronic illness is characterized by the reactivation of an illness in remission?

d) Unstable

A type of nursing that includes individualized care provided by the same nurse throughout the period of care is defined as

d) primary nursing.

The nurse educator is planning a team session for nursing students related to the treatment and management of just stational diabetes. The nurse educator arranges for a dietitian, pharmacist, and a physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating?

Interdisciplinary teamwork

Which statement provides accurate information related to chronic illness? a) Chronic conditions do not result from injury. b) Most people with chronic conditions do not consider themselves sick or ill. c) Most chronic conditions are easily controlled. d) Most people with chronic conditions take on a sick role identity.

Most people with chronic conditions do not consider themselves sick or ill.

According to Maslow, which category of needs represents the most basic on the hierarchy?

Physiologic needs

A client is declared to have a terminal illness. What intervention will a nurse perform related to the final decision of a dying client?

Respect the client's and family members choices.

Medicare and Medicaid hospice benefit criteria allow clients with a life expectancy of 6 months or less to be admitted to hospice. However, the median length of stay in a hospice program is just 21.3 days. explains the underuse of hospice services?

a) Clients and families view palliative care as giving up

A nursing student overhears a patient talking with a rehabilitation nurse. the patient states I plan to recover from my stroke to my best ability I know I will always have some limitations; however I will not let the limitations slow me down. which descriptor of health does the patient exemplify with this statement?

The concept of a health-illness continuum.

During unplanned, spontaneous moments, dying clients usually discuss fears that should not ignore or rush. What is the nurse's best response in such situations?

a c)The nurse can communicate interest and a willingness to listen by sitting down, leaning forward in the client's direction, and making direct eye contact.

A nurse is preparing an in-service education program for a group of nurses involved in health education. When describing the connection between health teaching and health promotion, which information would the nurse most likely include?

a) Both are linked by the common goal of achieving high-level wellness

Which is an advantage of primary nursing?

a) Ensures a consistent caregiver who provides holistic care

Which step of the nursing process determines whether the client understands the health teaching that is provided?

a) Evaluation

Nonadherence to therapeutic regimens is a significant problem, especially in the elderly population. Nonadherence can lead to which outcome?

a) Increased cost of treatment

A weight-loss and exercise program is recommended for a client with type 2 diabetes. When teaching the client about lifestyle changes, what type of assessment would the nurse prioritize?

a) Individual cultural assessment

The school nurse informs the mother of a second-grade student that lice were found in the child's hair. The mother explains to the nurse that she has another child to pick up and cannot stay to receive education related to the treatment of lice at this time. The mother reassures the nurse that she will "look up treatment options on the Internet and take care of the child." What would be the best action of the school nurse in this situation?

a) Provide the mother with a list of credible websites related to the treatment of lice

Which program focuses on focuses on individual incidents or errors and mininimal expectations?

a) Quality assurance (QA)

A 42-year-old client displays symptoms that indicate a risk for developing hypertension. Which immediate measures would the nurse recommend?

a) Routine screening and follow-up appointments

The termination stage of the Transtheoretical Model of Change begins when which action occurs?

a) The person has the ability to resist relapsing back to unhealthy behavior

Health education of a client by the nurse

a) is an independent function of nursing practice.

Which statement by the client indicates the client's experiential readiness to learn?

b) "Do you have a video about my disease? I don't like to read."

A client with a terminal illness has feelings of rage toward the nurse. According to Kubler-Ross, the client is in which stage of dying?

b) Anger

Chapter The family members of a dying client are finding it difficult to verbalize their feelings for and show tenderness to the client. Which nursing interventions should a nurse perform in such a situation?

b) Encourage the family members to express their feelings and listen to them in their frank communication.

Which is a true statement regarding characteristics of chronic conditions? a) Managing chronic conditions is becoming less costly. b) Managing chronic conditions must be a collaborative process. c) Living with chronic illness means living with certainty. d) Few ethical issues arise in the care of people with chronic conditions.

b) Managing chronic conditions must be a collaborative process.

Which term is used to describe the

b) Mourning

The World Health Organization defines health as:

c) "a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity."

Which is a true statement regarding hospice care?

c) Clients have a life expectancy of 6 months or less.