SOS Exam 1 Adult Shi
What statement will the nurse include when teaching about the OASIS?
"Results are used to improve overall quality improvement efforts."
According to the 2013 OASIS data study, which client would be at greatest risk for re-hospitalization?
Male client who requires assistance to ambulate
The nurse provides care to residents of an assisted living facility. For which reason will the nurse discuss health promotion programs for the residents with the facility manager?
Maximize resident independence.
The nurse is completing passive range-of-motion exercises with a client recovering from an acute illness. A muscle spasm occurs in the client's left arm while exercising it. Which action will the nurse take?
Move the joint slowly to the point of resistance and apply gentle pressure.
Which scenario does the nurse recognize as a role of the community-oriented nurse?
Nurse working a booth at a health fair performing blood pressure and glucose screenings
Which element is least likely to be a characteristic of an expected outcome of a nursing intervention?
Nurse-centered
A client is being discharged home after a hemorrhagic stroke. To which discipline should the nurse case manager make a referral to improve the client's ability to perform activities of daily living?
Occupational therapy
The nurse is developing a health-promotion program at a company in which many employees are women in their 20s and 30s. For this population, the nurse plans to include information about
Parenting issues
Which phase of the nursing process encompasses the establishment of expected outcomes?
Planning
An urban, community-based nurse is looking for community resources for a client who has complex rehabilitation needs and several comorbid, chronic health conditions. Where is the best place for the nurse to search for appropriate resources?
A community directory
The nurse is planning health promotion teaching for an older adult client with heart disease. Which goals will the nurse tailor education towards for this client
Achieve maximum health potential Choose actions that support a healthy lifestyle
In which situation is the nurse providing appropriate discharge planning?
Assessing the client's support system at home during the admission assessment
A nurse is reviewing the medical record of a client to determine his eligibility for home care services. Which of the following would alert the nurse to a potential problem in this area
Client attends social groups at a senior center three times a week.
A home care nurse is assessing a client's need for home visits. Which of the following would the nurse use as the primary determinant for future visits?
Client's current health status
The nurse is starting a new position with a home health agency. Which population most frequently uses home care services?
Clients who are older adults and FRAIL
Which factor refers to a client's experiential readiness to learn?
Educational History and Life Experiences
What are some examples of adherence to treatment?
Maintaining a healthy diet Self-monitoring for signs and symptoms of illness Taking prescribed medications Increasing daily activities
Which step of the nursing process determines whether the client understands the health teaching that is provided?
Evaluation
A client with a spinal cord injury is prescribed to be transferred out of bed to a chair. Which action will the nurse take to prepare the client to be in a seated position?
Gradually raise the head of the bed to 90 degrees.
A nurse is evaluating education provided to various clients being discharged to home. The nurse assesses that client most likely to be nonadherent with treatment is the one who
Has tuberculosis and is taking multiple antitubercular medications
Which health promotion model does the nurse identify is the reason some people choose actions to foster health and others refuse to participate?
Health Belief Model
A nurse working in the community is involved in secondary prevention. Which activity would most likely apply?
Health screening for diabetes risk
Which item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the client's needs?
History of present illness
A nurse is working as part of a team developing a community-based care program for the local homeless population
Homeless people often have no or insufficient health insurance. Health problems are often related to a person's living situation. Ill homeless people often deteriorate more rapidly than those who are not homeless.
What is the end-result of value-based purchasing implementation in the health care system?
Hospitals are paid for providing best practices. Clients are discharged from acute care facilities in the early stages of recovery.
A nurse is working as an occupational health nurse at a local factory. With which activity would the nurse least likely be involved?
Providing case management services for the employees
A nurse is preparing teaching for a client with an auditory perceptual disorder. Which educational strategy will be most effective?
Repeat and reinforce words frequently.
The nurse is preparing to teach a client about a newly prescribed medication. The client lacks insurance. The medication costs approximately $100 per month. The client states, "I can't afford it." The nurse assesses a variable to successful education and health promotion for this client based on the Health Belief Model is
Resources
A 27-year-old client is a regular smoker, has diabetes, and has been diagnosed with hypertension. The client says it is cumbersome and time consuming to visit the doctor regularly just for a blood pressure check. Which aspect of teaching would the nurse use with this client?
Suggest the client purchase a self-monitoring cuff
The nurse is caring for a patient who is to be discharged from the acute care facility to a rehabilitation unit after having a stroke. What type of prevention is this considered to be?
Tertiary
A nurse is planning discharge instructions for a client from another culture. What does the nurse understand about the relationship of values and beliefs and the client's readiness to learn?
The client will be less likely to accept health education unless values and beliefs are respected
When providing discharge instructions, the nurse recognizes that which client is most likely to comply with the therapeutic treatment regimen?
The client with pneumonia who requires 1 week of oral antibiotics
Which patients most frequently require home health services?
The frail and elderly who need skilled care
Based on the nurse's knowledge of nonadherence to therapeutic regimens, which nurse needs to place extra emphasis on adherence to the treatment plan?
The nurse planning to teach adults aged 65 about congestive heart failure management
Which statement corresponds with an action the nurse might take when providing home health care?
The nurse uses a blood pressure cuff as a tourniquet to assist in locating a vein during a venipuncture.
Transitioning to home health care
The nurse, a guest in the home, needs the client's permission to visit. The nurse has minimal control over the health practices of the client visited. Infection control is as important in the home as in the acute care facility.
When does the termination stage of the Transtheoretical Model of Change occurs?
The person has the ability to resist relapse back to unhealthy behavior
what can the nurse determine will decrease the readmission rate of hospitalizations?
The shift of resources to the community
A public health nurse administers influenza vaccines to a group of individuals during a community vaccination clinic. Why is this action considered primary prevention?
The vaccination focuses on health promotion and prevention of illness.
What is the purpose of early discharge planning as explained to a client?
To ensure you have the resources you need when you leave
A male client recovering from a stroke is receiving anticoagulant therapy. Which item will the nurse instruct the client to use for self-care?
electric razor
The nurse is transitioning to a home health setting. What factor has resulted in a shift in the health care delivery setting?
growing number of elderly clients
Primary prevention foci
self-care promotion prevention of illness continuity of care collaboration with health care providers
Paper barrier
universal precautions
A group of nursing students are preparing for a class presentation that describes community-based nursing. Which of the following would they most likely include?
Practice on all the three levels of preventive care
The nurse is providing a community education program about sexually transmitted infections for a group of 13- to 16-year-olds. What type of prevention is the nurse targeting?
Primary prevention
What is the focus of community-based nursing practice?
Promoting and maintaining population health and preventing and minimizing disease progress Community health nurses focus on community needs as well as the needs of individual patients.
Which tools do case managers commonly rely on to plan and coordinate client care?
clinical pathways, practice guidelines, and standards of care
What does the nurse describe as a key component of community-based care?
Improving quality of life
What is a diagnosis related to health education?
Ineffective health maintenance
What should the school nurse working in the elementary school setting be aware is one of the most frequent health care problems to affect this population?
Infections
The nurse is caring for a 33-year-old male client. Which clinical screening should the client have, based on his age?
Lipid panel
In what situation will the nurse find that cultural competence is particularly important?
When members of the community share a heritage that is unfamiliar to the nurse
Which of the nursing responsibilities outlined by the American Nurses Association is the nurse fulfilling?
administering medications, wound care, and numerous other personal interventions