Subtopic Issues in Nursing in Fundamentals of Nursing Evolve Adaptive Quizzing
A nurse is recalling the various levels of preventive care to promote health, wellness, and to prevent illness. Which scenario is a perfect example of primary prevention? 1 An infant receives rotavirus vaccination in the hospital setting. 2 An adult in the early stages of Parkinson's disease is advised to perform adequate exercise. 3 An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. 4 An older adult with Parkinson's disease is administered carbidopa-levodopa to slow the progression of the disease.
1 An infant receives rotavirus vaccination in the hospital setting. Primary prevention consists of all health promotion efforts and wellness education activities. An infant receiving the rotavirus vaccination is an example of primary prevention. An adult in the early stages of Parkinson's disease is advised to perform adequate exercises; this is an example of secondary prevention. An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. This is an example of tertiary prevention. An older adult with Parkinson's disease is administered carbidopa-levodopa to slow the progression of the disease. This is an example of secondary prevention.
A nursing student is listing modifiable risk factors that affect client physical health and wellness. Which risk factors listed by the nursing student are accurate? Select all that apply. 1 Lifestyle 2 Environment 3 Aging factors 4 Sex or gender 5 Genetic factors
1 Lifestyle 2 Environment Lifestyle and the environment are evidence-based modifiable factors that affect client physical health and wellness. Aging, sex, and genetic factors are all considered non-modifiable risk factors. Although gender reassignment can be considered a modification, it has not shown to be a modifiable risk factor for client physical health and wellness.
A nursing student is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the nursing student include family planning? 1 Primary care 2 Continuing care 3 Restorative care 4 Secondary Acute care
1 Primary care The nursing student should include family planning under primary care. Family planning is not a part of continuing care, restorative care or secondary acute care healthcare services.
A nurse educates a client about the role played by an individual in taking responsibility for health and wellness and its impact. What instructions should the nurse give? Select all that apply. 1 "An individual should use passive strategies for health promotion." 2 "An individual should know that lifestyle choices affect his or her quality of life and well-being." 3 "An individual should take responsibility of health and wellness by making proper lifestyle choices." 4 "An individual should realize that illness prevention has a positive economic impact on his or her life." 5 "An individual should understand that it is enough to make positive lifestyle choices in order to prevent illness."
2 "An individual should know that lifestyle choices affect his or her quality of life and well-being." 3 "An individual should take responsibility of health and wellness by making proper lifestyle choices." 4 "An individual should realize that illness prevention has a positive economic impact on his or her life." A client should understand that making appropriate lifestyle choices can affect his or her quality of life and well-being. An individual should take responsibility for his or her health and wellness by making proper lifestyle choices. The client should also realize that illness prevention has a positive economic impact by decreasing health care costs. Passive health promotion strategies enable people to benefit from the activities of others. These strategies do not require the involvement of the clients. The client should understand that making positive lifestyle choices and discarding negative lifestyle choices contribute to illness prevention.
What does a nurse understand by the Quality and Safety Education for Nurses (QSEN) competency called informatics? 1 A nurse should ensure that the risk of harm to clients and healthcare workers is decreased by improving professional performance. 2 A nurse should use information and technology to communicate, manage knowledge, mitigate error, and support decision-making. 3 A nurse should integrate best current evidence with clinical expertise and client preferences and values to deliver quality health care. 4 A nurse should use data to monitor the outcomes of health care processes and implement improvement methods to design and test changes to improve quality of health care.
2 A nurse should use information and technology to communicate, manage knowledge, mitigate error, and support decision-making. According to informatics, a nurse should use information and technology to communicate, manage knowledge, mitigate errors, and support decision-making. According to the Quality and Safety Education for Nurses (QSEN) competency called safety, a nurse should ensure that the risk of harm to clients and healthcare workers is decreased by improving professional performance. The QSEN competency called evidence-based practice states that a nurse should integrate best current evidence with clinical expertise along with client preferences and values to deliver quality healthcare. The QSEN competency called quality improvement states that a nurse should use data to monitor the outcomes of healthcare processes and implement improvement methods to design and test changes to improve quality of health care.
What services do community health centers provide in preventive and primary care services? Select all that apply. 1 Day care 2 Health screenings 3 Physical assessments 4 Disease management 5 Acute and chronic care management
2 Health screenings 3 Physical assessments 4 Disease management Health screenings, physical assessments, and disease management services are provided by community health centers in preventive and primary care services. Day care and acute and chronic care management services are provided by nurse-managed clinics.
What is the professional nurse's legal responsibility regarding child abuse? 1 Honor the request of the parents not to report the suspected abuse. 2 Report any suspected abuse to local law enforcement authorities. 3 Return the child to the legal parent even if he or she is suspected of abuse. 4 Provide the parents with a copy of the child's medical record.
2 Report any suspected abuse to local law enforcement authorities. Nurses and primary healthcare providers are legally responsible for reporting suspected or actual abuse. Child protective services may obtain a court order to grant temporary guardianship if it is found that the child is in immediate danger. The other answer options do not fulfil the nurse's duty to report suspected child abuse.
A registered nurse is teaching a nursing student about the standards of nursing practice. How would the nursing student define assessment? 1 Assessment is the process of coordinating care delivery. 2 Assessment is the process of analyzing assessment data to determine diagnoses or issues. 3 Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation. 4 Assessment is the process where a registered nurse provides consultation to influence an identified plan, enhances the abilities of other caregivers, and effects change.
3 Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation. Assessment is the process of collection of comprehensive data pertinent to the client's health and/or situation. Coordination of care refers to delivering care to the client. Diagnosis refers to analyzing the assessment data to determine the diagnoses or issues. Consultation is the process where a registered nurse discusses with other healthcare providers to influence the identified plan, enhance the abilities of other caregivers, and effect change.
A nurse is helping a client to maintain and regain health, manage his or her disease and symptoms, and attain a maximal level of function and independence through the healing process. What role is the nurse playing? 1 Manager 2 Advocate 3 Caregiver 4 Communicator
3 Caregiver As a caregiver, a nurse helps clients maintain and regain health, manage diseases and symptoms, and attain a maximal level of function and independence through the healing process. As a manager, the nurse coordinates the activities of members of the nursing staff in delivering nursing care and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency. As a client's advocate, the nurse protects the client's human and legal rights and provides assistance in asserting these rights if the need arises. As a communicator, the nurse learns about a client's strengths and weaknesses and his or her needs through effective communication.
The nurse is preparing to insert an intravenous catheter in a thin, emaciated client who is scheduled to begin intravenous fluid therapy. Which interventions should the nurse follow to provide high-quality care? Select all that apply. 1 Insert an 18 gauge IV catheter 2 Change the intravenous line every 7 days 3 Flush the intravenous line with normal saline 4 Insert the intravenous catheter in the client's femur 5 Stop the insertion procedure when there is a break in technique
3 Flush the intravenous line with normal saline 5 Stop the insertion procedure when there is a break in technique The nurse should flush the IV line with normal saline to maintain patency. The nurse should stop the insertion procedure when there is a break in technique. This intervention helps prevent catheter-related bloodstream infections and provides high-quality care to the client. An 18-gauge needle is not an appropriate size needle to insert in a thin, emaciated client; it would cause unnecessary trauma and a high risk of phlebitis. The nurse should change the intravenous line every 72 to 96 hours to prevent the risk of infection. The nurse should avoid inserting the catheter in the client's femur because it increases the risk of bloodborne infections.
A terminally ill client has died in the hospital and it is time to inform the client's family members. The nurse is unsure how to console the family members. Which member of the interprofessional team is appropriate for the nurse to ask for support in informing and consoling the family? 1 Primary health care provider 2 Pharmacist 3 Social worker 4 Occupational therapist
3 Social worker The social worker on the interprofessional team helps the family members prepare for the client's death and also during the grief and bereavement process. Therefore, the nurse involves the social worker in consoling the family members in this situation. The primary health care provider and pharmacist may not be involved in consoling the family members after the client's death, nor may the occupational therapist be involved at this stage.
The waiting area of a health care facility displays a pink triangle. What does this signify? 1 The waiting area is for females. 2 The waiting area is for pediatric clients. 3 The health care facility welcomes transwomen. 4 The health care facility welcomes lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients.
4 The health care facility welcomes lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) clients. A waiting room in a health care facility marked with a pink triangle indicates that the health care facility is in a safe place for LGBTQ clients, and they can expect respectful and knowledgeable quality care. Other symbols might be used to represent areas that are meant for female and pediatric clients. There are no widely used symbols to designate transwomen-specific health care facilities.
