Unit 2 practice exam Nsg 101
The nurse is caring for a client diagnosed with a rare genetic disorder. Which domain of informatics would the nurse use to gather information about this condition to provide good quality client care?
Clinical health care informatics
A nurse administers intravenous (IV) therapy to the wrong client. What possible legal complications might the nurse face in such situation?
Malpractice
A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give?
A nurse's documentation is the evidence of care that a client receives." The nurse should note down assessments and significant changes in the client's health." "Nurses should always document the primary healthcare providers' responses whenever they are contacted."
Which professional organizations work towards identifying nursing informatics competencies?
American Medical Informatics Association (AMIA) Health Information Management Systems Society (HIMSS) Technology and Informatics Guiding Education Reform (TIGER) initiative
Which nursing assessment questions assess the faith, belief, fellowship, and community aspect of a client's spirituality? Select all that apply.
What gives meaning to your life?" "What is your source of power, hope, and belief during difficult times?" "In what way do your beliefs help or strengthen you for coping with illness?"
Litigation resulting from improper restraint use is a common nursing legal issue. A nursing student is listing points related to the use of restraints. Which factor needs correction? .
Restraints can be used anytime without a written order from the healthcare provider.
Which clients are ideal candidates for interpreter service in order to prevent contributing health disparities? Select all that apply.
A non-English-speaking client in the emergency department A Spanish-speaking client ready to be discharged from the facility An Indian American who does not speak the language used at the facility
A multigravida of Asian descent weighs 104 lb (47.2 kg), having gained 14 pounds (6.4 kg) during the pregnancy. On her second postpartum day, the client is withdrawn and eating very little from the meals provided. Which intervention is most important for the nurse to implement? Report these findings to the healthcare provider. Encourage the family to bring in special foods preferred in their culture. Order a high-protein milkshake to supplement between meals. Call the dietitian to work with client to plan high calorie meals for the client to eat
Encourage the family to bring in special foods preferred in their culture.
What legal complications might a nurse face for using a restraint without a legal warrant on a client?
The nurse may be charged with false imprisonment
In order to prolong a hospitalization stay, the nurse documents in a client's electronic health record (EHR) that there are no signs of recovery. However, in reality, the client appears to be cured of the illness. What legal implication does the nurse's action have?
The nurse may be charged with libel
What is the goal of Healthy People 2020?
To eliminate health disparities related to race, ethnicity, and socioeconomic status
What is the role of cognitive science in health informatics?
To provide a structure for analysis of complex human performance in technology-based settings
The nurse is interested in obtaining information about the medical and genomic data of the people in a U.S. state to conduct a research study on the predictive health of the population. Which domain of informatics should the nurse refer to?
Translational bioinformatics refers to the type of informatics that would help the nurse to use biomedical and genomic data of a large group of individuals to assess the predictive, preventive, or proactive health of the population. Thus the nurse should use translational bioinformatics to perform research on the predictive health of the people in the state. Clinical health care informatics includes the development of approaches for clients and their families who wish to use information and communications technology support to improve their health status. Clinical research informatics focuses on the application of informatics to gather new information about health and disease. Public health informatics focuses on the use of informatics to improve the general health of the population.
In what order should a nurse follow steps of risk management to identify potential hazards and to eliminate them before harm occurs?
Identifying possible risks Analyzing the possible risks Acting to reduce the risks Evaluating the steps taken
The nurse is advised to join a community health center that mainly caters to Latino clients. Which skills should the nurse develop to help reduce health disparities? Select all that apply.
Learning to speak basic medical Spanish Learning about the health literacy rate of the community Incorporating the health beliefs of the community in any nursing care plans Learning about and respecting unique beliefs and values prevalent among the group
A client with a mental illness in the emergency unit needs to undergo an emergency surgery. What would be the nurse's first course of action to prevent any legal complications?
Obtain consent from a person legally authorized to give it on the client's behalf, if available.
Which nursing action is not likely to cause legal issues?
Refraining from leaving the client during a staffing shortage
The nurse is creating a health promotion series for a local community. Which conditions should the nurse include in the program because they are current leading causes of death in the United States? Select all that apply.
Stroke Cancer Diabetes
A nurse teaches a parent about appropriate play for an 8-month-old infant. Which of the parent's suggestions indicate that the teaching has been understood? Select all that apply. textured book Modeling clay Stuffed animal Play telephone Hanging mobile
textured book, Stuffed animal, Hanging mobile
When assessing a client who is receiving palliative care, which question regarding spiritual health is most appropriate?
"What is your source of spiritual strength during hard times?"
While teaching a parents' group about acute otitis media, the nurse includes the fact that among infants and children acute otitis media is an infection commonly caused by what? A virus Bacteria A fungus Rickettsia
Bacteria
The unlicensed assistive personnel (UAP) assigned to the 7:00 AM shift has not been coming to work until 8:00 AM. Nursing care is delayed, and assignments are started late. What is the most effective action by the charge nurse/team leader?
Document the information and discuss it with the UAP.
What key points should the nurse keep in mind about the legal implications of nursing practice?
Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.
Which nursing action during a psychosocial assessment of a transgender client may contribute to health disparities?
Insisting on using the name listed on the client's driver's license