3410 Final Exam

The nurse is discussing care safety with the mother of a 6-year-old child. The child's mother questions the need for the use of special car seats for her child. What information can be provided to her?

"At the age of 6 your child should be using a booster seat."

An adult child accompanies an older adult client to the clinic and states, "I am not sure what is going on with my parent but I think it is depression." What questions should the nurse ask the client to determine if he or she is depressed? Select all that apply.

"Can you tell me what your sleep patterns are?" "Have you had any changes in weight recently such as a gain or loss?" "Have you lost interest in things you previously found pleasurable?"

The nurse is assessing a 15-year-old who was involved in a fight at school. Which client statements would the nurse see as evidence that this child is delayed in Erickson's developmental stages? Select all that apply.

"I do not trust anyone." "I am not good at anything." "I really don't have many friends, nobody likes me."

Which statement made by the nurse providing care to a group of clients indicates that the nurse requires further education regarding negligence?

"I don't need to assess distal pulses on a client after a femoral arteriography."

An older adult client comes to the health center reporting difficulty sleeping. Which statement by the client would the nurse need to address?

"I find myself napping on and off throughout the day."

A nurse is conducting an education session about appropriate measures to promote sleep with an older adult who is experiencing frequent awakenings at night and then awakening early in the morning. The nurse determines that the education was successful when the client states:

"I need to try and go to bed and get up at the same time each night."

The poison control nurse receives a call from the parent of a 2-year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response?

"Is your child breathing at this time?"

A 4-year-old client was admitted for treatment of severe pneumonia. The parents report that the child has been toilet-trained for 2 years, but the client has been incontinent of urine and stool twice since admission. How should the nurse explain this to the parents?

"Many children regress in their developmental stages when serious sick."

Which statement shows that the nurse does not practice ageism?

"Neither intelligence nor personally normally decline because of aging."

A nurse is teaching an older adult client's family about the causes of mental impairment. The nurse sees that the teaching has been effective when the family says which of the following?

"Sundowning is a common problem of dementia."

A client being discharged from the hospital asks the nurse, "When I go visit my family out of state, should I take my living will with me, or do I need a new one for that state?" Which is the most appropriate response by the nurse?

"Take it with you. It is recognized universally in the United States."

Which statement by the nurse is an example of deception?

"This injection of procaine will feel like a little pinch."

A nursing student is studying depression in older adults. Faculty members knows the student has mastered the information when she states which of the following?

"Treatment of depression includes counseling."

The nurse has provided a family with education related to car seat safety for a 9-month-old infant. Which statement indicates an understanding of the teaching?

"We place our infant in a rear-facing car seat in the back seat of the car."

Which statement(s) by a nurse to a charge nurse indicates that the nurse requires further training? Select all that apply.

"When I sign the consent form as a witness, I am saying that the person knows all the risks and benefits of the procedure." "I must make sure I give the client all necessary information about the procedure before I have the client sign the consent form." "When a client is having surgery, it is my responsibility to get the consent."

A famous actor with bipolar disorder has been admitted in the mental health unit for treatment. A well known news outlet has offered the nurse several thousand dollars to provide information or a picture of the client. The nurse knows that is it their professional duty and legal responsibility to uphold privacy and confidentiality. For each of the behaviors exhibited by the nurse, specify whether the behavior upholds the principle of privacy or confidentiality. 1. Sharing client information only to the caregivers directly assigned to client care 2. Keeping the door closed while conducting physical assessment 3. Obtaining the client's permission before allowing a student nurse to assist with care 4. Logging off the electronic health record after documenting assessment information 5. Asking the client to sign a medical release form before providing information to the health insurance company

1. confidentiality 2. privacy 3. privacy 4. confidentiality 5. confidentiality

A nurse is reviewing the medical records of several children who come to the health center for care. When applying Piaget's theory, which child would the nurse anticipate as being able to think abstractly and use deductive reasoning?

13-year-old

The community health nurse is talking with 4 clients. Who does the nurse identify that would be the most benefit from teaching about alcohol and drug use?

19-year-old male college student majoring in physics

Unintentional injuries are a major cause of disability and death in the United Sates. For adults, where do unintentional injuries fall on the list of leading causes of death?

5th

The nurse is providing safety teaching to the family of an older adult client. Which finding in the client's home will the nurse teach the family to address?

A hair dryer is placed next to the sink

Which is an example of an unintentional tort?

A nurse gives the client a medication, and the client has an adverse reaction to it

Which scenario is an example of certification?

A nurse who demonstrates advanced expertise in a content area of nursing through special testing

An adolescent confides in the school nurse that the adolescent is arguing daily with her mother and often wonders whether her mother loves her. The school nurse recognizes that the student faces which of the following risk factors for altered family health?

A psychosocial risk factor

Licensure

A specialized form credentialing based on laws passed by a state legislature A legal document that permits a person to offer to the public skills and knowledge in a particular jurisdiction, where such practice would otherwise be unlawful without a license

A nurse is working in a pediatric clinic. The parent has brought in the 2-year-old toddler for a well-child checkup. The parent asks what the common health problems are common for this age. The nurse's correct reply includes which of the following?

Accidents

Malpractice

Act of negligence as applied to a professional person such as a physician, nurse, or dentist

Integrity

Acting in accordance with an appropriate code of ethics and accepted standards of practice

The nurse is explaining the expected developmental tasks of a typical family with adolescents. Which of the following would be incorrect for the nurse to include?

Adjustment to retirement

The nurse is caring for a client who has been repetitively pulling at IV lines and the urinary catheter. After other methods of diverting the client's behaviors fail, the health care provider orders chemical restraints. Which treatment does the nurse anticipate?

Administration of an antipsychotic agent to alter the client's behavior

A legal document that states a client's health-related wishes, such as a preference for pain management if the client becomes terminally ill, and also allows the client's adult child to direct the client's care, is:

An advance directive

Sentinel events

An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof

One of the greatest causes of death in the United States and Canada is colon cancer. The nurse instructs the community on which of the following factors?

Annual screening after the age of 50

A client has frequent readmissions for fall-related injuries. Which is the most appropriate intervention by the nurse?

Arrange for a skilled home care assessment

A 25-year-old client is a college graduate and is married with one child. During a wellness visit the client confides, "I just feel like something is missing from my life. Maybe I need to make a career change." How would the nurse familiar with Levenson and associates' theory of development interpret this statement?

As a normal finding for a client at this stage of development

The nurse overhears an older adult client's son talking to her in a very aggressive and violent way. When the nurse walks into the room, the son changes and speaks kindly to his mother and the health care providers. What should the nurse do about this observation?

Ask to examine the client alone in order to speak to her privately

While walking down the hall, a nurse manager overhears a staff member telling a client, "If you don't stay in this chair and stop wandering, I'm going to tie you to it." The nurse manager pulls the staff member aside and discusses what was said. The nurse manager intervenes because the staff member's statement is which type of tort?

Assault

The nurse is caring for an older adult client who states the need to use the restroom. Which safety intervention must the nurse perform first?

Assess the need for assistance with ambulation

A client admitted to a mental health unit has exhibited physical behavior that put the client and others at risk. The nurse applies 4 point restraints on the client without obtaining a physician's order or the client's consent. The nurse is at risk of being accused of which action?

Battery

A client with end-stage renal disease decides against further treatment and requests a "Do Not Resuscitate" (DNR) order. The DNR status is part of the change-of-shift report. The client stops breathing and a nurse begins CPR. The family is upset and makes a complaint to the charge nurse. The charge nurse appropriately identifies that nurse has committed:

Battery

The nurse is evaluating a 42-year-old client who says that he is feeling stressed. Which of the following does the nurse know that could be the cause of stress for this age group?

Being caught in the sandwich generation

An alert, older adult has been deemed to be in imminent danger of harm to self and is being held on the mental health unit for 72 hours. The client begins to scream and demand they be discharged now. The nurse informs the client that if they do not stop screaming, they will be given a sedative and placed on restraints. Legally, the nurse may be charged with _____________ because of _______________

Blank 1: assault Blank 2: verbally threatening to administer a sedative

A gerontologic nurse practitioner has a large client population with heart disease problems. This nurse practitioner is aware that heart disease is the leading cause of death in the aging adult. What is the cause of this trend?

Blood vessels lose their elasticity with age

The nurse is providing care to a client who had orthopedic surgery. The nurse has medicated the client for pain. However, the client reports that the pain is unrelieved. The nurse takes no further action regarding assessment and intervention for the client's pain. The nurse does not notify the surgeon regarding the client's pain. The nurse's failure to take further action represents which element of liability in this case?

Breach of duty

A community is defined as a social group that may or may not share common geographic boundaries yet interact because of

Common interests

Chronic Illness and effects on patient and family

Creates stress for the patient and family because of possible lifelong alterations in roles or lifestyle, frequent hospitalizations, economic problems, and decreased social interactions among family members

Felony

Crime punishable by imprisonment in a state or federal penitentiary for more than 1 year Crime of greater offense than a misdemeanor

The nurse is caring for an older adult client who reports an inability to sleep. Which medication on the client's medication administration record may be contributing tot he client's sleep disturbance?

Diphenhydramine hydrochloride

A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow?

Document the client's claims and the events surrounding the alleged incident

The nurse is providing care to a client whose condition has progressively declined. The nurse assesses and makes appropriate interventions as well as notifies the health care provider. Despite the nurse's efforts, the client expires. What element of liability has the nurse demonstrated?

Duty

In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing action would most likely be covered by these laws?

Emergency care for a choking victim in a restaurant

Gould viewed the middle years as a time adults increase their feelings of self-satisfaction, value their spouse as a companion, and become more concerned with health. Which nursing action best facilitates this process?

Encouraging a client to have regular checkups

Which developmental theorist created the psychosocial theory of development?

Erikson

An older adult client is becoming progressively confused due to Alzheimer's disease. The family can no longer manage the client at home due to wandering. Which of the following living arrangements could the nurse recommend?

Extended-care facility

Never events

Extremely rare medical errors that should never happen to a patient

What are the two factors that drive growth and development?

Genetics and environment

A nurse is searching the internet for information about the theorists associated with moral development. The search reveals several theorists. Which result would the nurse identify as being associated with women and morality?

Gilligan

When educating families on fire safety, it is important to:

Have a meeting place outside the home

Mrs. Jimenez, age 79, became a widow earlier this year and now resides alone in the house that she and her husband shared for 30 years. Her children have encourage her to move, but she expresses a desire to remain in her home, despite some slight mobility challenges. The nurse who provides occasional home healthcare for Mrs. Jimenez should first propose which of the following?

Home modification

What teaching will the community city health nurse include for parents of toddlers?

Household cleaners must be kept out of reach

ISBARR

Introduction Situation Background Assessment Recommendation Read back

A client has a prescription for amoxicillin 500 mg P.O. every 8 hours. The nurse administers the medication via the intravenous route. Based on the nurse's action, the client develops complications and has an increased length of stay. The client files a lawsuit against the facility and the nurse. Which legal action has the nurse's attorney identified that meets the criteria for the client's lawsuit?

Malpractice

While caring for an infant, the nurse hears another child screaming in the next room and rushes there, forgetting to put the side rails up on the infant's crib. The nurse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse's action, which tort is the nurse liable for?

Malpractice

Tertiary preventative care examples

Medication Medical therapy Surgical treatment Rehabilitation PT OT Job training

A school nurse is providing information to a group of older adults during Fire Prevention Week. Which statement is correct regarding fires in the home?

Most people who die in house fires die of smoke inhalation rather than burns

Which level of health care provider may make the decision to apply physical restraints to a client?

Nurse practitioner

Which statement about laws governing the distribution of controlled substances is true?

Nurses are responsible for adhering to specific documentation about controlled substances

Slander

Oral defamation of character

The nurse is teaching the caregiver of an adolescent child about safety. Which teaching will the nurse include?

Peer pressure causes children of this age to take risks

A nurse is of the Catholic faith and votes pro-life. This nurse is considered to have:

Personal values

A nurse caring for older adults in a long-term care facility is teaching a novice nurse characteristic behaviors of older adults. Which statement is not considered ageism?

Personality is not changed by chronologic aging

The nurse is preparing to talk to a local community group regarding chronic illness. The nurse informs the group that both external and internal factors influence a person's health. When discussing the fact that the male client has a higher chance of developing lung cancer due to his gender, which dimension is the nurse referring to?

Physical dimension

Advocacy

Protection and support of another's rights

An older adult client with an unsteady gait has been experiencing urinary urgency after being diagnosed with a urinary tract infection. What is the nurse's best action for reducing the client's risk of falls?

Provide a bedside commode and ensure adequate lighting

A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take?

Pull the fire alarm lever

An older client is admitted to the hospital with a fractured hip. The client suddenly develops acute onset of confusion and hallucinations. Which action should the nurse implement first?

Reduce distressing environmental stimuli to maximize client safety

The nurse is providing discharge teaching to the family of an older adult client. Which teaching will the nurse include to decrease the risk of electric shock?

Refrain from using extension cords

The nurse is seeing a male client 6 years of age in the clinic. As the nurse is measuring height and weight for the client, his mother comments on how coordinated he is becoming. The nurse knows that this increase in coordination is which of the following?

Related to development

The home care nurse is visiting an older adult client in the home to assess a leg wound and change the dressings. The nurse is aware that the client receives money monthly but there is no food in the house, no adequate heat, and the client sates, "My sister takes my check and cashes it every month." What is the correct action by the nurse?

Report the incident to social service informating them the client has no food or heat

Parents giving money to a child for receiving an exemplary report from school is an example of which type of value transmission?

Rewarding

The nurse has completed a comprehensive assessment of a client who has been admitted to the hospital experiencing acute withdrawal from alcohol. What nursing diagnosis would provide the clearest justification for the use of physical restraints during this client's care?

Risk for Injury Related to Agitation

The nurse is creating a plan of care for the older adult who has multiple medications and a difficult time reading medication labels due to poor eyesight. What is the most appropriate nursing diagnosis to include in this client's plan of care?

Risk for Poisoning related to poor eyesight and the inability to read medication labels

A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse has revealed the information to the physiotherapist. With what legal action could the nurse be charged?

Slander

In a report, the night nurse tells the incoming nurse that one client with dementia has sundowning syndrome. Which of the following nurse diagnoses would be most appropriate for this client?

Sleep deprivation

A public health nurse is participating in a health fair that is being held at a local community center. The nurse should encourage adult participants to completely eliminate which of the following from their diet and lifestyle?

Smoking

The nurse is performing an assessment on an older adult. From which data does the deduce that the client is at high risk for falls in the home? Select all that apply.

Take furosemide daily Admits to drinking wine throughout the evening Has hx of diabetic neuropathy

The nurse is caring for an 80-year-old client who was admitted to the hospital in a confused and dehydrated state. After the client got out of bed and fell, the restraints were applied. She began to fight and was rapidly becoming exhausted. She has black-and-blue marks on her wrists from the restraints. What would be the most appropriate nursing intervention for this client?

Take the restraints off, stay with her, and talk gently to her

Health Promotion

The behavior of a person who is motivated by a personal desire to increase well-being and health potential

Which of the following assessment findings of a male client age 77 years should signal the nurse to a potentially pathologic findings, rather than a normal age-related change?

The client is oriented to person and place but is unsure of the month

Legal safeguards are in place in the nursing practice to protect the nurse form exposure to legal risks as well as to protect the client from harm What is an example(s) of legal safeguards for the nurse? Select all that apply.

The nurse confirms informed consent was give by the client to perform a procedure The nurse educates the client about what to expect during the hospital stay The nurse documents all client care in a timely manner

A family brings the client to the emergency department in an unconscious state with a head injury. The client requires surgery to remove a blood clot. What would be the appropriate nursing intervention in keeping with the policy of informed consent prior to a surgical procedure?

The nurse confirms that the client's family has signed the consent form

While at a coworker's house, a nurse discusses with the coworker a client whom the nurse suspects of physically abusing the client's child. The next day, the client is moved to another nursing unit after a surgical procedure and comes under the care of the coworker, who is also a nurse. The coworker confronts the client about the alleged physical abuse. The client is shocked and angered by the accusation and denies it categorically. What would be the charge if the client were to file a suit?

The nurse could be charged with slander

A nurse is filing a safety even report for an older adult client who tripped and fell when getting out of bed. Which action exemplifies an accurate step of this process?

The nurse details the client's response and the examination and treatment of the client after the incident

After reporting to work for a night shift, the nurse learns that the unit is understaffed because two RNs called out sick. As a result, each nurse on the unit must provide care for 4 acute clients in addition to the nurse's regular clients. Which statement is true for this nurse when working in understaffed circumstances?

The nurse is legally held to the sam standards of care as when staffing levels are normal

A nurse is completing an intake assessment. The nurse notes that an older adult male client appears to have bruises in varying stages of healing. Which action by the nurse indicates an understanding of her responsibilities?

The nurse should question he client about the source of bruises

A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filing of a safety event report?

The nurse should record the incident in the client's medical record and fill out a safety event report separately

Which action would cause a charge nurse to have concerns about a nurse's moral agency?

The nurse was seen at a grocery store after calling in sick

A client newly diagnosed with CHF has a prescription for digoxin. The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 bpm. Which action by the nurse demonstrates adherence to the standards of nursing care?

The nurse withhold the medication and notifies the health care practitioner

Accreditation

The process by which an educational program is evaluated and then recognized as having met certain standards

A nurse was injured when a client with Alzheimer disease struck the nurse on the side of the head during a transfer. The nurse has completed an incident report. Which statement about an incident report is most accurate?

The report provide a detailed and objective account of the circumstances before, during, and after the event

Which statement is true regarding Friedman's theory of family-centered nursing care?

The role of the family is essential in every level of nursing practice

A student nurse is assisting an older client to ambulate following hip replacement surgery when the client falls and reinsures hip. Who is potentially responsible for the injury to this client?

The student nurse, the nurse instructor, and the hospital

Non-modifiable risk factors

Things that cannot be changed, such as family hx of cancer

Modifiable risk factors

Thinks a person can change, such as quitting smoking

During a well-child visit, the nurse observes a 3-year-old girl who climbs up into her father's lap and says, "I am going to marry you when I grow up, Daddy." What determination does the nurse make about this observation?

This child is experiencing the Electra complex which is normal at this age

A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an incident report. What is the purpose of an incident report?

To evaluate the quality of care provided and assess the potential risks for injury to the client

Professional regulations and laws that govern nursing practice are in place for which reason?

To protect the safety of the public

Erikson's stages

Trust vs mistrust (infant) Autonomy vs shame and doubt (toddler) Initiative vs guilt (preschool) Industry vs inferiority (school-aged children) Identity vs role confusion (adolescence) Intimacy vs isolation (young adulthood) Generativity vs stagnation (middle adulthood) Ego integrity vs despair (later adulthood)

A nurse is teaching parents about internet safety for children. Which action(s) is a recommended guideline for internet use? Select all that apply.

Use filtering software to block objectionable information Investigate any public chat rooms used by the children Be alert for downloaded files with suffixes that indicate images or pictures

Certifications

Validates specialty knowledge, experience, and clinical judgment; involves special testing

Primary preventative care examples

Weight loss Diet Exercise Smoking cessation Reduced alcohol consumption Avoidance of illicit drugs Farm safety Seat belts and child Safety needs Immunization Water treatment Safer sex practices Effective parenting

Ethical distress

When you know the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action

A nurse is presenting a workshop for a group of young women. Part of the workshop focuses on the moral development of women. The nurse integrates information about Gilligan's theory into the presentation, describing the various levels that a woman goes through as morality develops. When describing level 1, the nurse would focus on which area?

Woman's own needs

Tort

Wrong committed by a person against another person or that person's property

Remission

the temporary, partial, or complete disappearance of the symptoms of a disease without having achieved a cure

An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor?

Battery

Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty competence through what process?

Certification

Ethic committee

Chief functions include education, policy making, case review and consultation, quality, and some cases research

A nurse is educating parents of preschoolers on appropriate safety measures for this age group. What might be a focus of the education plan?

Childproofing the house

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?

Chronic illness

Why are health promotion and illness prevention a key responsibility of nurses?

Chronic illnesses are the leading health problem in the world

The older adult client is moving to another apartment. The nurse should encourage the client's family to take which action to reduce the older adult's risk of falling in the new home?

Clear clutter in the walkways of the new home

The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included int his initiative? Select all that apply.

Client-centered care Teamwork and collaboration Quality improvement (QI)

A confused client is pulling at the IV line. When considering alternatives to restraints, which nursing intervention would be used first?

Conceal IV tubing with gauze wrap

The school nurse is preparing a presentation about safety promotion for middle school-aged students. Which topic will the nurse plan to include?

Consistently using seat belts

When describing the older adult's risk for infection, which aspect would the nurse most likely address? Select all that apply.

Decline in humoral immunity Lowered antibody responses Inadequate nutrition

An older adult tells the nurse, "I just don't seem to have an appetite and food just doesn't taste as good as it used to." The nurse understand that which factor may be playing a role in this client's lack of appetite? Select all that apply.

Decreased number of taste buds Decreased saliva production

An older adult client enjoys good overall health, but has just been diagnosed with pneumonia and has begun receiving an IV antibiotic. Shortly after being administered the first dose, the client pulled out his IV line and is now attempting to scale his bed rails. Which of the following phenomena most likely underlies this change in the client's cognition

Delirium

What term is used to describe various disorders that progressively affect cognitive function?

Dementia

A 78-year-old woman is status post right hip fracture after a fall. She has stopped going to her church over the past few months. She has also asked her neighbor to help her and do her gardening, an activity she previously loved. The client tells the nurse "I just don't enjoy gardening like I used to. I am always worried about falling." What would most concern the nurse regarding the client?

Depression

A nurse is reading a journal article about mood disorders in the older adult population. Which information about these conditions would the nurse expect to find? Select all that apply.

Depression is often misdiagnosed Symptoms often mimic those of other chronic comorbidities of the older adult Suicide is the most serous consequence of depression

A nurse is preparing to medicate an older adult client with an opioid analgesic. Which information will the nurse obtain first to decide about administering the medication?

Determining if the client is able to communicate pain verbally or nonverbally

A student is assisting the school nurse with a health fair at a middle school. The student nurse assesses the students' heights and weights as they file through the station, observing that there is a large variation in physical size and emotional maturity. Which of the following factors may affect emotional growth of children? Choose all that apply.

Development of trust Praise for doing well Loving caregivers

A nurse is caring for an older adult client in a long term care facility. The resident is reminiscing about his life and his achievements. The nurse understands the client is in which of the following stages of Erik Erikson's Psychosocial Development theory?

Ego integrity

Acute illness and effects on family and patient

Emotional distress Psychological disturbances Altered family roles and functions

A health care provider orders extremity restraints for a confused client who is at risk for injury by pulling out her central venous catheter. What is the nurse's most appropriate action when carrying out this order?

Ensure that two fingers can be inserted between the restraint and the client's extremity

Which of these is not a factor in the Agent-Host-Environment Model of health and illness, as developed by Leavell and Clark (1965)?

Evil spirit

The school nurse is providing education on poisoning risks to adolescent students. Which topic does the nurse include in the teaching?

Experimentation with drugs and inhalants

Which are factors that impact how a client defines health? Select all that apply.

Family Culture Community Society

A client went missing from a long-term care facility and an emergency code was called. After a search of 1 hour, the client was discovered in a utility room that should have been inaccessible. When responding to this event, staff should:

Fill out an incident report, with the goal of preventing a similar event in the future

Types of emergency preparedness plans

Fire and burn safety Electrical safety Preventing poisoning Preventing falls and other injuries Firearm safety Preventing asphyxiation or choking

The middle adult is sometimes called the "sandwich generation." According to Erikson, the developmental task of the middle adult is what?

Generativity versus stagnation

The nurse is assigned to care for a client age 87 years admitted to the medical unit for CHF. It is the 4th hospital day, and the response to treatment has been good. The client is no longer short of breath and the lung sounds are clearing. There is still a diet restriction of decreased sodium and fluids are limited to no more than 1000mL per day. The nurse is preparing the client aft family for discharge. The nurse's discharge education , in order to promote the older client's health, will include which instructions? Select all that apply.

Gradually increase activities as tolerated Do not use the salt shaker at meals Increased stress may interfere with recovery

Which definition of health is the best?

Health is a state of complete well-being

A community health nurse arranges for a dentist to teach local children in the school district how to properly brush their teeth. Which goal will the nurse set for this event?

Health promotion

A nurse is caring for a 46-year-old male client who is being treated for depression following the death of his spouse. Which action best facilitates the accomplishment of a developmental task of this middle adult?

Helping him to see the value of guiding has children to become responsible adults

A student nurse is assisting the school nurse with a health fair at a middle school. The student nurse assesses the students' height and weight as they file through her station, where she observes that there is a large variation in physical size and emotional maturity. Which of the following factors may affect physical growth of children? Choose all that apply.

Heredity Prenatal nutrition Physical activity

Risk factors for LGBT community

Higher prevalence of STIs Increased tobacco and drug use Increased risk for depression or mental health diagnosis Experience bullying Contemplating suicide Obesity Intimate partner violence Increased health issues Homelessness

A near miss has taken place on medical unit in which a client nearly received a unit of packed red blood cells of an incompatible blood type. In the following up to this event, which action should be prioritized?

Identifying systemic factors on the unit that may have contributed to the event

One of the leading causes of death in the United States is drowning. How can the nurse assist in lowering this statistic?

Implement drowning prevention strategies

Factors that lead to medical errors

Incorrect or incomplete transfer of mediation information Improper technique Incorrect route Giving a drug that is deteriorated

The parents of a 4-year-old girl bring the child to the clinic for the first time. During the assessment, the nurse asks the parents about any religious beliefs. The parents tell the nurse that they are Christian. The mother says, "We take her to church with us. She's really well-behaved. She even tries to imitate what we do, standing, kneeling, folding her hands, and such." The nurse interprets this behavior as reflecting which stage of faith development?

Intuitive-projective faith

An HIV-positive client discovers that the client's name is published in a research report on HIV care prepared by the client's nurse. The client is hurt and files a lawsuit agains the nurse. Which offense has the nurse committed?

Invasion of privacy

When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of:

Invasion of privacy

While riding in the elevator, a nurse discusses the HIV-positive status of a client with other colleagues. The nurse's action reflects:

Invasion of privacy

A resident of a nursing home keeps trying to get out of bed to use the bathroom, despite having a urinary catheter in place. Which intervention will best preserve this client's safety and could be used as an alternative to restraints?

Investigate the possibility of discontinuing his or her catheter

Which is true of the Occupational Safety and Health Act?

It helps to reduce workforce injuries and illness in the workplace

The school nurse is teaching growth and development in a health class. What should the nurse teach the students about development?

It is the process of ongoing change

The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of:

Justice

Fidelity

Keeping promises and commitments made to others

A nurse is providing care to an older adult client. The client has been alert and independent with ambulation but now is exhibiting some confusion along with being unsteady when getting out of bed and walking. The nurse fails to report and document this change in status. No safety measures are taken and the client falls while getting out of bed to use the bathroom and fractures a hip. The client is experiencing significant pain from the fractured hip and requires surgery to repair the fracture. The nurse is sued for malpractice. Which action reflects the element of causation in this case?

Lack of safety measures implemented with status change

A nurse is working with young adults and assessing their moral development. The nurse relates which of the following theorists who developed the Theory of Moral Development?

Lawrence Kohlberg

A nurse is describing the developmental phase identified by Roger Gould. Place the phases listed below in the proper order (from first to last) as to how the nurse would describe them. Mid-life decade Getting into the adult world Leaving the parents' world Stability and acceptance Questioning and reexamination Reconciliation and mellowing

Leaving the parents' world Getting into the adult world Questioning and reexamination Mid-life decade Reconciliation and mellowing Stability and acceptance

A client informs the nurse that the client wants to discontinue treatment and go home. Later, the nurse finds the client dressed to leave. Which action should the nurse take in this situation?

Let the client go after signing a document stating that the client is going AMA

The nurse is counseling a woman who states: "I'm never going to find a husband; every time I start dating I end up getting hurt. I'm not even going to try anymore." This woman is in what stage of Carol Gilligan's theory of moral development?

Level 1 - selfishness

The nurse is reminiscing with a 72-year-old client with early onset dementia while providing care in a long-term care facility. How does the nurse implement this form of therapy to maximize the therapeutic value?

Listen to the client's stories and ask questions to facilitate ego integrity and provide companionship

Which action most clearly demonstrates a nurse's commitment to social justice?

Lobbying for an expansion of healthcare resources and benefits to those in poverty

The nurse is providing prenatal education for a group of pregnant adolescents. The nurse talks about substance use during pregnancy and relates that use to which possible newborn consequences? Select all that apply.

Low birth weight Premature birth Congenital anomalies

The nurse practitioner is examining a 55-year-old female client. Which of the following findings would be uncommon for this age group?

Lower extremity pulses are weak

The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?

Monitoring airway clearance

A nurse working in a critical care unit has experienced personal tragedy, extreme shortage of staff in the work environment, and health issues. The nurse has overcome much of these hardships and is now mentoring other nurses in similar situations. What behavior is this nurse demonstrating?

Moral resillience

A nurse knows that the expression "Do not cause harm" refers to which ethical principle?

Nonmaleficence

A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to prevent the client from pulling out of the endotracheal tube, what is the most appropriate action of the nurse?

Obtain a medical order

A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which intervention should the nurse implement to ensure electrical safety?

Obtain a three-prong grounded plug adapter

As a nursing student is visiting a day care to observe growth and development in action. The nursing student completes assessments on infants and toddlers who are learning to walk, talk, and control elimination. According to Freud, in what developmental stage are they?

Oral;anal

A healthy 52-year-old client asks the nurse what she can do to maintain her health. Which of the following does the nurse recommend?

Perform self-examination of the skin every month

Negligence

Performing an act that a reasonably prudent person under similar circumstances would not do, or failing to perform an act that a reasonably prudent person under similar circumstances would do

A client in a long-term care facility has become increasingly unsteady. The nurses are worries that the client will climb out of bed and fall. Which measure would be a priority recommendation for this client?

Placing the client in a bed with a bed alarm

The nurse is caring for a young child in the hospital who is being discharged home with their grandparent. During the risk assessment, the nurse identifies that the grandparent has one other adult living at the home to help with the child, because the grandparent has CHF and diabetes. During the assessment, the grandparent admits that the financial situation is poor and they cannot afford to buy child cabinet locks to safety-proof the house. The child is at highest risk for which safety concern?

Poisoning related to medications in unlocked cabinets

Kholberg's stages

Preconventional stage 1: punishment and obedience Preconventional stage 2: Instrumental-relativist Conventional stage 3: interpersonal concordance Conventional stage 4: law and order Postconventional stage 5: social contract Postconventional stage 6: universal ethical principle

A mother, 13 years of age, delivers a low-birth weight neonate. The neonate is transferred to the NICU. The mother reports receiving occasional prenatal care and has a hx of excessive alcohol consumption. The growth and development of this neonate has been influenced by which of the following?

Prenatal factors

Primordial preventative care

Preventing the the development of risk factors for disease

Secondary preventative care examples

Screenings (BP, cholesterol, glaucoma, HIV, skin cancer) Pap smears Mammograms Testicular examinations Family counseling

Autonomy

Self determination; being independent and self-governing

Maslow's Hierarchy of Needs (top to bottom)

Self-actualization Self-esteem Love and belonging Safety and security Physiologic

Newborns are capable of activities such as grasping objects displaying basic reflexes. To which of the following of Piaget's cognitive developmental stages do the newborns belong?

Sensorimotor

A nurse is observing a child pick up a rattler and shake it to hear a sound. The nurse understands that the child is considered to be in which of the following Piaget's Cognitive Development stages?

Sensorimotor stage

A nurse is working at a community clinic that serves mostly families with young children. What would be a priority intervention for clients in the developments?

Setting up parenting classes

According to Freud, which of the following influences is the primary force that drives an individual's development?

Sexuality

A nurse is providing care to an older adult client who was just diagnosed with cancer. The client together with the immediate family discuss their preferences with the health care providers involved. The health care providers offer their clinical recommendations about possible treatments. Ultimate, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type?

Shared

A father asks the nurse who is caring for his 13-year-old daughter why his daughter could be performing poorly in school lately, and why she is distancing herself from friends and family. Which of these nurse consider as the priority risk?

She may be the victim of cyber-bullying

The nurse is assessing the communication style of the client. Communication is an example of which dimension of the individual?

Sociocultural dimension

What would be an example of the nurse practicing fidelity? The nurse:

Stays with a client during death as promised

A nurse assesses the effect of the environment and nutrition on clients visiting a walk-in clinic in a low-income community. Which statements accurately describe these effects? Select all that apply.

Substance use by a pregnant woman increases the risk of congenital anomalies in the developing fetus Use of alcohol and drugs is more prevalent in adolescents who have poor family relationships An increased incidence of adolescent pregnancy can be linked to substance use by adolescents

An older adult is admitted to the health care facility with a diagnosis of depression. The nurse would be especially alert for:

Suicidal thoughts

The nurse is teaching the caregiver of a 8-month-old infant about safety. Which teaching will the nurse include?

Supervise your child on the changing table

A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempt to file a lawsuit. Which statement is true regarding how the Good Samaritan law applies to this case?

The Good Samaritan law will provide legal immunity to the nurse

What governing body has the authority to revoke or suspend a nurse's license?

The State Board of Nurse Examiners

A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case?

The agency's risk manager

A nurse is preparing a presentation for a group of older adults about health promotion. Which statistic would the nurse need to keep in mind about this group?

The group experiencing the largest growth is those 85 years of age and older

A client is being prepared for an elective surgical procedure and the consent form has not been signed. Who should the nurse have obtain consent for the procedure?

The health care provider performing the surgical procedure

A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure injury on the coccyx, an even that the Centers for Medicare & Medicaid Services (CMS) has identified as a "never event." The nurse should recognize what implications of this CMS designation?

The hospital must bear any costs including for treating the client's injury

A physician is called to see a client with angina. During the visit the physician advises the nurse to decrease the dosage of atenolol to 12.5 mg. However, because the physician is late for another visit, the physician requests that the nurse write down the order for the physician. What should be the appropriate nursing action in this situation?

The nurse should ask the physician to come back and write the order

A client is unhappy with the health care provided and informs the nurse that the client is leaving the facility. The client has not been discharged by the physician. The nurse finds that the client has dressed and is ready to go. What should the nurse's action be in this situation?

The nurse should call and inform the nursing supervisor of the situation

Which is a characteristic of the care-based approach to bioethics?

The promotion of the dignity and respect of clients as people

Conscientious objection

The refusal to participate in certain types of treatment and care based on the fact that these activities violate the nurse's personal and professional ethical beliefs and standards

A nurse is preparing to implement an order for the use of restraints to ensure a client safety. Which statement accurately describes a guideline to follow?

Time-limit the use of restraints and release the client from the restraint as soon as he or she is no longer a risk to self or others

Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report?

To improve quality of care

The poison control nurse receives a call from the caregiver of a young school-age child who may have ingested a poisonous substance. Which is the priority response by the nurse?

"Check breathing and heart rate"

A nurse is providing anticipatory guidance to the parents of a 2 1/2 year old girl. To foster the development of autonomy, which instruction would the nurse include?

"Encourage the child to dress herself."

A nurse is planing education on self-administration of insulin to the client and the client's family members. The client asks the nurse why the family members are also included in the teaching. What should the nurse's response be?

"Family members are equally involved in planning and implementation of care."

While a client admitted to the medical-surgical unit is in the radiology department a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. Which response by the nurse would be most appropriate, both legally and professionally?

"I cannot give you that information due to client confidentiality."

Which statements made by a nurse would indicate to a nurse manager that the nurse requires further training? Select all that apply.

"If I make a mistake, I will not tell anyone." "I will have the supervisor fill out the incident report when I make an error."

A nurse has been named in a malpractice lawsuit. Prior to taking the nurse's deposition, the attorney explains that the case will be governed by common law. Which question by the nurse is indicated?

"Will this case be precedent setting?"

A nurse arrives at the home of an older adult client. The agency was called because a neighbor noticed that the client was home alone. The nurse finds the client alone in the living room. When asked about the client's daughter who lives there and has been caring for her, the client says, "She went on vacation for about a month. She'll be back soon." Further assessment reveals that there are no other family members or services currently involved. The nurse would identify this situation as:

Abandonment

An occupational health nurse overhears an employee talking to his manager about a coworker 65 years of age. What would the nurse be concerned about when she hears the employee state "he should retire and make way for some new blood"?

Ageism

Which are professional values that the nurse should incorporate into practice?

Altruism Autonomy Human dignity Social justice

The nurse manager is using voluntary standards as a guideline for developing policies on the unit. What voluntary standards are available for the nurse to use? Select all that apply.

American Nurses Associate Standards of Practice Professional standards for certification of individual nurses in general practice Process of certification

What is the definition of wellness?

An active state of being healthy

A nurse threatens to retain a verbally abusive client if the abuse continues. Which legal tort has the nurse committed?

Assault

A school-age child is admitted to the emergency room with a possible concussion following a collision when playing football. After the collision, the parents state that he was "knocked out" for a few minutes before recognizing his surroundings. What is the priority assessment when the nurse first sees the client?

Assessment of vital signs and respiratory status

According to Havighurst, learning behaviors are based upon developmental tasks. In assessing an adult client, the nurse is aware that a common developmental task of middle adulthood includes:

Assisting children to become responsible adults

Purpose of Healthy People 2030

Attain healthy, thriving lives and well-being free of preventable disease, disability, injury, and premature death

A home care nurse provides health education to parents regarding the care of their toddler. Which precaution should the nurse suggest the parents take to protect the toddler from drowning?

Avoid unattended baths for the toddler

A pregnant client at 10 weeks' gestation is receiving education by the nurse about the importance of abstaining from alcohol while pregnant. What statement made by the client demonstrates an understanding of the education provided?

"I should abstain from alcohol to prevent the development of a fetal alcohol spectrum disorder."

A nurse is assessing a family with adolescents. The family consists of a father, mother, a 13-year-old son, a 14-year-old son from a previous marriage, and a 16-year-old daughter. Which statement by the parents would lead the nurse to suspect a potential risk factor for altered health with this family?

"Our 16-year-old just seems to butt heads with us at every turn."

A community-based nurse acts as a case manager for a small town about 60 minutes from a major healthcare center. What is the most important factor of community-based nursing for this nurse to be knowledgable about?

Community resources available to clients

Which nursing diagnosis is the priority according to Maslow's hierarchy of basic needs?

Constipation related to decreased mobility

Which example most accurately depicts the ethical principle of autonomy?

Describing a surgery to a client before the consent is signed

Nurses who value client advocacy follow what guideline?

They give priority to the good of the individual client rather than to the good society in general

When caring for a client who has just been diagnosed with a chronic illness, the nurse understands the importance of promoting health by highlighting which concept?

Focus on what is possible

The nurse is aware that basic client needs must be met before a client can focus on higher ones. According to Maslow's hierarchy of human needs, which example would be the highest priority for a client after physiologic needs have been met?

Grab bars are installed in a client bathroom to facilitate safe showering

Which is the most accurate definition of health?

Health is a state of complete physical, mental, and social well-being

A client comes to the health center for a routine visit. During the visit, the client tells the nurse, "I'm motivated to do things now to make sure I'm the healthiest I can be." When planning this client's care, the nurse should focus on which area?

Health promotion

The nurse is addressing primary prevention with a group of college students. Which promotional statement by the nurse would be the best example of a developmentally appropriate discussion?

Use of condoms can help prevent sexually transmitted infections and unwanted pregnancy

What is the term for the beliefs held by the individual about what matters?

Values

The nurse in a free clinic caring for clients uses the Health Belief model, which is based on three components. What is the main focus for this model?

What people believe to be true about their health

A nurse reports to the charge nurse that a client medication due at 9 am was omitted. Which principle is the nurse demonstrating?

Integrity

Ethical distress is:

Knowing the correct action but being unable to perform it due to constraints

A nurse is providing care to a client who if feeling lonely and isolated. In an effort to develop a trusting nurse-client relationship, the nurse exhibits a caring attitude, ensures the client's privacy, and spends time with the client to promote therapeutic communication. The nurse is meeting which category of client needs?

Love and belonging

The community environment affects the well-being of the individual and the family. Which is the health responsibility of the family?

Maintain a healthy lifestyle

A nurse who is infected with human immunodeficiency virus (HIV) accidentally gets a cut while deriding a wound, exposing the client to possible HIV infection. Failure of the nurse to report this incident violates which ethical principles? Select all that apply.

Nonmaleficence Veracity Fidelity

A nurse is reading a journal article about families and they typical structures commonly seen. The nurse demonstrates understanding of the article by identifying which type as a family structure? Select all that apply.

Nuclear Single Adult Blended Extended

A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness?

symptoms are not experienced

A nurse at a local homeless shelter is evaluating a new arrival at 10 pm, a client wearing disheveled clothes. The client reports looking for a place to sleep due to being exhausted. The client further reports living under a bridge since losing a job 6 months ago and being hungry. The nurse should perform which actions to address the client's physiological needs? Select all that apply.

Offer the client a sandwich because the cafeteria is closed Show the client to a room so the client can sleep

What is likely to have the greatest influence on an adolescent's formation of values during this developmental stage?

Peers

A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief?

Personal moral

During the nurse's admission interview the client says, "I don't get too much rest because I am in nursing school and work full-time to support myself and my kids." The nurse classifies this statement as an issue at which level of Maslow's basic needs?

Physiologic

What level of prevention is represented by educating a group of clients on carseat safety?

Primary prevention

A nurse is providing care for client who experienced a stroke? Which nursing intervention reflects the tertiary level of prevention?

Provide care transmission at discharge for speech therapy

Which is an example of tertiary health promotion?

Rehabilitation

A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing?

Safety and security

The nurse assists a postoperative client with ambulation. The nurse recognizes that assisting the client when performing this skill meets which of Maslow's basic human needs?

Safety and security

Consultation and diagnostic tests are included in which level of health care?

Secondary care

Which basic needs area of Maslow's hierarchy of human needs is met when the nurse arranges for the client's clergy to visit after visiting hours?

Self-actualization needs

A nurse assists the client in the development of a healthy lifestyle. the adoption of these lifestyle changes in the client's life is considered:

Self-care

The nurse is caring for an adolescent who has just lost a leg in a motor vehicle accident. Which human need would the nurse most likely need to address?

Self-esteem needs

A client with persistent nausea is diagnosed with somatization. What is the appropriate nursing action when the client reports nausea?

Sit with the client and ask them about their feelings

The nurse is caring for ancient with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?

Teaching about adhering to a low-sodium diet

A client continues to complain a pain despite receiving medication. The family states, "In our culture it is acceptable to complain out loud." What would be the best response by the nurse?

Tell me more about your cultural beliefs

A nurse refers an HIV-positive client to a local support. This is an example of what level of preventive care?

Tertiary

Which nursing intervention is an example of tertiary preventive care?

Assisting with speech therapy a client with a traumatic brain injury

A client diagnosed with cancer has met with the oncologist and is now weighting whether to undergo chemotherapy or radiation for treatment. This client is demonstrating which ethical principle in making this decision?

Autonomy

What ethical principle is related to the idea of self-determination?

Autonomy

Which ethical principle refers to the obligation to do good?

Beneficence

An older adult was just diagnosed with stage 4 pancreatic cancer. The client states, "I am so overwhelmed and I feel like everyone has already decided that I need to be put in hospice care." The nurse upholds the principle of autonomy by ______________ and ________________

Blank 1: offering to answer questions the client may have about care and treatment options Blank 2: providing the client with the information needed to obtain a second opinion

A nurse is assessing a family and identifying where the family is in the family life cycle. During this assessment, the nurse applies Duvall's theory. Which theory forms the basics for Duvall's theory?

Erikson's theory of psychosocial development

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when reflecting on the decision-making process and the role it will play in making future decisions?

Evaluating

The nurse practitioner is discussing health promotion with a group of senior nursing students. What would be the best example of secondary health promotion?

Family counseling

The nurse in the adolescent in-patient psychiatric unit is interviewing the family of a 16-year-old client admitted for depression and threatened suicide. What assessment information is most essential for the nurse in determining the affective and coping function of the family?

Family patterns of communication

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics?

Fidelity

The nurse is admitting a 38-year-old client to the oncology unit who religious background is different from the nurse's own. The nurse is assessing how the client's religion may affect the client's health care needs. Which question by the nurse is the best way to consider the client's religious practices in the plan of care?

"What can we do to help you meet any religious needs you may have?"

A nurse's friend states, "I admire you so much. I would love to be a nurse, but I don't think I have the courage." Which response will the nurse make?

"you can work on being more courageous as you learn to be a nurse."

A home health nurse is visiting a family after the recent death of their matriarch. The nurse observes that the family is dressed in black, all of the mirrors are covered, and that the immediate family is sitting on square wooden boxes instead of chairs. The nurse asks what is happening, and is told, "We are Jewish, and the family is 'Sitting Shiva'." This family is fulfilling which family function?

Affective and coping functions

To practice ethically, the nurse should avoid:

Allowing the nurse's own personal judgement to guide practice

When providing care to a client, the nurse prioritizes the client's needs. When intervention would the nurse employ to meet the client's physiologic needs? Select all that apply.

Assessing the client's skin color Weighing the client Promoting a high-fiber diet

Which theory of ethics prioritizes the nurse's relationship with clients and the nurse's character in the practice of ethical nursing?

Care-based ethics

A nurse is providing care for a client with cancer. The client's spouse requests that the client not be told that the client is terminal. The nurse complies with the request. The nurse's action is a breach of which ethical principle?

Fidelity

A nurse is providing care to a client and is preparing the client for breakfast. The nurse assists the client out of bed to the chair and then helps the client open the items on the breakfast tray. The client begins to eat breakfast. The nurse tells the client, "I'll be back in about 10 minutes to check on you. In the meantime, here is your call light in case you need me." About 10 minutes later, the nurse returns to check on the client

Fidelity

A nurse is working with a single-parent family. When planning the care for this family, which need should the nurse anticipate as being a priority concern?

Financial concerns

A parent of a 17-year-old high school student is allowing the child to decide which college the child will attend. When the child requests direction from the parent in making this decision, the parent responds by stating, "You will need to make this decision on your own." What type of value transmission is the parent displaying?

Laissez-faire

What are some examples of health self-care behaviors everyone should adopt? Select all that apply.

Sleeping 7-8 hours each night Eating regular healthy meals Maintaining an ideal body weight

The nurse should identify the need for further teaching when the client with diabetes who is taking daily insulin and follows a strict diet makes which statement?

"I cannot possibly ever be considered as healthy"

A client tells the nurse that the client does not want to have a painful procedure. By respecting and supporting the client's right to make decisions, the nurse is demonstrating:

Advocacy

Which word is best described as protection and support of another's rights?

Advocacy

A nurse volunteers to serve on the hospital ethics committee. Which action should the nurse expect to take as a member of the ethics committee?

Assist in decision making based on the client's best interests

A client says, "I live in a small community on the northwest side of the city." Why does the nurse consider it significant that the client reports living a community rather than a neighborhood?

Community indicates people who share similar characteristics

A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address?

Coronary artery disease

Which community characteristics affect the health of individuals? Select all that apply.

Education programs Communication facilities Transportation services Recreation programs

An adolescent client reports having diarrhea before every test in school. The nurse recognizes that this client needs to focus on which dimension of health?

Emotional dimension

A nurse is developing a plan of care for a client to meet the client's self actualization needs. The nurse would focus on which areas as most important?

Emphasizing the client's strengths

A nurse is caring for an older adult who has cancer and is experiencing complications requiring a revision of the plan of care. The nurse sits down with the client and the family and discusses their preferences while sharing the nurse's own judgments based on the nurse's expertise. Which type of health decision making does this represent?

Shared decision making

Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family?

Socialization

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host-Environment Model

A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client?

The client is having an exacerbation of the COPD

The nurse is conducting a family assessment of a traditional family. Which assessment data cue describes the socioeconomic status of the family?

The father is an engineer and the mother is an elementary school teacher

The home health nurse is making an initial assessment visit to a family that consists of two parents and twin 3-year-old boys. During the interview, the nurse is most concerned if the client makes which statement?

The father states, "I don't discuss money matters with my wife because I don't want her to worry."

Which traits are examples of virtues that can exemplify character and conduct as a professional nurse? Select all that apply.

Trustworthiness Humility Compassion