intro to nursing final exam part 2

The nurse is learning about health literacy. Which of the following demonstrates a correct understanding of health literacy?

"Health literacy is the ability to obtain, communicate, and understand basic health information."

A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager is appropriate?

"The Good Samaritan laws require the nurse to render the level of care expected by a competent, prudent nurse in a similar situation."

Competent

2-3 years of experience, can prioritize task more quickly and accurately

A nurse is teaching a class about the novice-to-expert model for nursing competence to a group of nurses. A nurse who has some experience but still requires clinical support is in which stage of competence?

Advanced beginner

A nurse in the emergency department (ED) is preparing to teach a newly licensed nurse about the Emergency Medical Treatment and Labor Act (EMTALA). Which of the following information should the nurse include?

Clients must receive a medical screening evaluation (MSE).

EMTALA

Emergency Medical Treatment and Active Labor Act- prevent "patient dumping", so individuals who come to Emergency Department are required to check patients with medical screening examination and treatment till stable

I-SBARR

Introductions, Situation, Background, Assessment, Recommendation, Readback- is a standardized communication tool to establish uniform delivery of information form one provider to another during transfer of care

Expert

can draw on extensive experience and knowledge and rely on intuition in complex situations

Secondary

consists of early screening to detect a disease process before it progresses to cause symptoms or complications in the client (screen test- blood pressure)

Primary

focus on decreasing risk for development of medical conditions by changing behaviors or minimize exposures (vaccines, no drugs)

Tertiary

focuses on controlling the chronic effects of health issue that has already occurred and on restoring the individual to optimal functioning (self-care education- cancer, diabetes, arthritis)

Quaternary

focuses on protecting clients from excessive use of medical interventions that can cause more harm than good (medical tests, meds)

advanced beginner

little experience, need supervision still, can recognize patterns and recurrent situations

Rehabilitation after a heart attack

tertiary

The nurse is caring for a client who is participating in physical therapy after the amputation of the left lower extremity

tertiary

Quantitative research

use numerical data to evaluate outcomes (numbers, counts, measures collected and analyzed using statistics)

Qualitative nursing research is valuable in that it

Studies phenomena that are difficult to quantify such as feelings or emotions

A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (I-SBSR-R) on a client. Which of the following information should be included in the situation component?

The client is currently experiencing pain

Qualitative research

seeks to increase understanding, describe, explore, or illuminate value-laden issues in health care

Health Literacy

ability to process and comprehend basic health information that is necessary for the client to make appropriate health care decisions

Autonomy

make independent nursing decisions based on own professional judgement and scope of practice (implement care plans without direct order)

Proficient

more than 2-3 years of experience, understand bigger picture and desired outcome of situation

Novice

nursing students with no previous experience

A nurse is teaching a smoking cessation class

primary

Wearing helmets and seatbelts while riding in a Utility Task Vehicle (UTV)

primary

Good Samaritan Law

protecting nurse as long as you maintain scope of practice from being held responsible for harm

Withholding medications that are considered to do more harm than help to a client

quaternary

Scoliosis screenings for middle school children

secondary

The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. She is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. What level of preventive care is this patient receiving? Secondary

secondary