NUR3010-CHAPTER 1- PrepU Quizzes
Which tool is often used by case managers?
Standards of care
A nurse working in a community-based health center is engaged in teaching a client about her medications. The nurse is acting as which of the following?
Practitioner
The nurse is assisting with the development of a program to administer flu shots to a group of senior citizens. What type of prevention does this program reflect?
Primary prevention
The nurse is practicing in a community-based setting. What outcomes may be achieved by the nurse's community interventions? (Select all that apply.)
Promote wellness. Reduce the spread of disease. Improve the health status of the community.
The statements below reflect interventions to address a person's needs. Arrange each need based on Maslow's hierarchy from most basic to highest level.
Providing nasogastric tube feedings Explaining a new procedure Referring a patient to a cancer support group Encouraging a patient to start a hobby that he or she has always wanted to try
According to Maslow, which category of needs represents the most basic on the hierarchy?
Physiologic needs
Which element would be included as a goal of case management?
Appropriateness of services
Which is not an important reason that nurses utilize research in nursing practice?
Financial obligation
A client is experiencing anorexia related to the adverse effects of cancer treatment. Using Maslow's hierarchy, the nurse identifies this as a reflection of which need?
Physiologic needs
After teaching nursing students about the health-illness continuum, the instructor determines that teaching was successful when the students state which of the following?
"A person can be both healthy and ill at the same time."
A home care nurse is preparing a presentation for a group of nursing students about the area of practice. Which statement would the nurse most likely include when describing this practice area?
"Home care nurses need to have high-level assessment skills."
A nurse is interested in obtaining additional education to become a nurse practitioner and is reviewing various course programs. Which of the following would the nurse expect to find?
Provision of a broad range of direct care to clients
A nurse is describing her role as a home care nurse to students. A student asks, "Why do you need such high-level assessment and clinical decision-making skills in this practice?" Which response by the nurse would be most appropriate?
"No other health care professionals are around to confirm my observations."
A student nurse observes a nurse case manager coordinating discharge for a patient diagnosed with congestive heart failure (CHF). Which statement made by the patient indicates to the student that the patient understands the role of the case manager?
"The nurse case manager contacted my insurance company and has arranged for the home health nurse and physical therapist to visit me as soon as I get home."
Which statement by the nurse shows an understanding of the focus of the quality assurance programs developed in the 1980s?
"The quality assurance programs focus on processes used to provide care and improving those processes."
What statement by the nurse shows an understanding of the ultimate goal of Healthy People 2020?
"The ultimate goal is that they provide an overall action plan to improve health and quality of life."
The World Health Organization defines health as:
"a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity."
Which patient age group makes up the fastest growing segments of the population?
85 years of age and older
What is the primary focus of the nurse advocacy role in managing a clinical pathway?
A patient's progress toward desired outcomes
Which of the following best describes the health-illness continuum?
A person may be considered neither completely healthy or completely ill.
Although nurse practice acts may vary state by state, all recognize several basic principles supporting the legal parameters for all registered nurses. Select the activity that falls under the scope of nursing practice.
Appraising and enhancing an individual's health-seeking perspective
Which is a goal of case management?
Appropriateness of services
A patient who adheres to the dietary laws of Judaism is in traction and confined to bed. The patient needs assistance with the evening meal of chicken, rice, beans, a roll, and a carton of milk. Which nursing approach is most representative of promoting wellness?
Ask whether the patient would like to make any substitutions in the foods and fluids received.
A client is experiencing social isolation. Using Maslow's hierarchy of needs, identify the level that would correspond to this need?
Belongingness and affection
A nurse working in the intensive care unit refers to the Institute for Healthcare Improvement (IHI) Ventilator Bundle before planning patient care. The nurse realizes nursing interventions outlined in the bundle will improve clients' outcomes. Which statement best describes how nursing interventions established by the IHI should be included in each bundle?
Best practices derived from valid and reliable research studies guided nursing interventions being added to the IHI bundles
The nurse is providing care for a patient in the hospital scheduled for discharge in the morning. The patient will require further services after discharge since recovery is not complete. What can the nurse do to ensure quality care delivery for this patient?
Contact the case manager for coordination of care prior to discharge of the patient.
Which of the following would least likely impact health care delivery and nursing?
Decline in genetic focus
A nursing instructor is describing to a class the various roles that nurses assume. The instructor determines that teaching has been effective when the students identify which of the following as the focus of the nursing researcher role?
Establishment of a scientific basis for action
A group of students is reviewing the phenomena as the focus of nursing care and research identified by the American Nurses Association. The group demonstrates the need for additional review when they identify which of the following as a phenomenon?
Ethical actions
A nursing student is preparing for a class presentation addressing the collaborative practice model. Which of the following would the student expect to include?
Participation in decision making that is shared by all involved
After teaching a group of students about health, wellness and illness, a nursing instructor determines that additional instruction is necessary when the students identify which of the following as a component of wellness?
Feeling together about one part of life
The National Center for Health Statistics uses data from healthcare agencies to issue quarterly and annual reports on performance related to goals for improving the health of the U.S. population. Which initiative is targeted with improving the health of all Americans?
Healthy People 2020
The definition of nursing has evolved over time since Florence Nightingale first attempted, in 1859, to explain nursing's scope of practice. In 2003, the American Nurses' Association, in its Social Policy Statement, included which of the following activities as a significant role of nursing?
Identifying human responses to illness
Which is an important role for a nurse in the health care delivery system?
Identifying patient needs and working with patients to address them
A 75-year-old client had surgery for a hip fracture yesterday. The client is under stress as a result of pain, sleep deprivation, and the hospital environment. The nurse caring for the client implements a proactive approach to pain management. Pain-management plans include communicating frequently to establish an acceptable pain rating, conducting hourly pain assessments, and evaluating the client's pain control hourly. In addition to improved patient outcomes, how else might the hospital benefit from the nurse's actions?
Improved Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores
The Healthy People 2020 initiative targets the improvement of health for all. In addition to eliminating health disparities, what are the broad goals of this plan?
Increasing the quality and length of a healthy life
A nurse asks a client with chronic obstructive pulmonary disease (COPD) to breathe in slowly through the nose, taking in a normal breath. Then she asks the client to pucker his lips as if preparing to whistle. Finally, she asks him to exhale slowly and gently through the puckered lips. The nurse recognizes that teaching the client pursed-lip breathing helps the client relax and gain control of dyspnea, reducing feelings of panic. Which of the ANA tenets characteristic of all nursing practice is the nurse demonstrating? Select all that apply.
Individualized nursing practice Care Use of the nursing process
The nurse educator is planning a teaching session for nursing students related to the treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse competency is the nurse educator demonstrating?
Interdisciplinary teamwork
A group of nursing students are reviewing the various types of advanced practice nurses. The students demonstrate the need for additional review when they identify which of the following as an advanced practice nurse?
Nurse manager
Students are reviewing information about community health nursing. The students demonstrate understanding of the term "community-oriented nursing practice" by describing it as which of the following?
Nursing interventions that can promote wellness, reduce illness spread, and improve the health status of groups
A nurse, working in a health clinic, treats a variety of conditions on a daily basis. One disorder that is rapidly increasing and is the leading cause of secondary morbidity is:
Obesity
A nurse is preparing a presentation for a local community group addressing the influences on health care delivery. Which of the following would the nurse include in presentation when describing disease patterns?
Obesity along with conditions associated with it has become a major health concern.
Future healthcare policy in the United States will be significantly affected by a population that is:
aging and becoming more culturally diverse.
A 54-year-old client on a fixed income has had an electrocardiogram (ECG) as part of an annual physical examination. What legislation supports the focus on chronic disease prevention, health promotion, and quality, affordable health care for everyone?
Patient Protection and Affordable Care Act
Nursing students are reviewing the roles that a nurse may assume. The students demonstrate understanding of the information when they identify which of the following as characteristic of the research role?
Replicating findings to further the science of nursing
Which of the following delineates actions that are legally permitted for a particular profession based on specific educational qualifications
Scope of practice
The nurse working in the clinic has had several incidences of positive chlamydia cultures return in women with pelvic pain. The nurse understands that early diagnosis and treatment are essential measures in which to reduce contagion and limit the complications related to this infection. What type of prevention will the nurse use when these infections are treated?
Secondary prevention
According to Maslow's hierarchy of human needs, which of the following is the highest level of need(s)?
Self-actualization
When applying Maslow's hierarchy of needs to patient care, the nurse determines that the patient has reached the ultimate goal indicating integrated human functioning and health when which level is met?
Self-actualization.
An acute care nurse practitioner planning care for a client with rheumatoid arthritis reviews treatment guidelines developed by the American Nurses' Association (ANA). Which ANA document is the nurse accessing?
Standards of Professional Performance
A local college is having a career-day seminar for student nurses. Booths from various agencies and facilities have been set up. One of the students approaches the booth of a home care agency and asks the nurse there about what is required to become a home care nurse. Which of the following would the nurse incorporate into the response?
Strong clinical decision-making skills
A group of students are reviewing information on the roles of a nurse. The students demonstrate understanding of the information when they identify which activity as associated with the nurse's role as a leader?
Supervision of unlicensed assistive personnel
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 hospital, the family observes members of the health care team washing their hands upon entering and leaving the room. By implementing recommended hand hygiene measures, which organization's goals is the health care team supporting?
The Joint Commission
A client comes to the clinic and reports being ill for several weeks but does not have insurance and has delayed care. What does the nurse understand about the overall healthcare reform goals that will address issues such as this client?
The goal of healthcare reform is to provide affordable healthcare to more citizens.
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 consult to verify prescriptive authority in the new state?
The new state's boards of nursing
Changes in population demographics over the next 40 years will significantly affect the delivery of health care services. Select the one change that will have the most impact on the practice of nursing.
The number of adults over age 65 will double in size.
A nurse is a member of which entity within the larger healthcare environment?
healthcare team
Which strategy would a nurse likely discuss with a client as part of health promotion?
making positive dietary changes
