EAQS HESI prep november
(issues in nursing) A nursing student is listing risk factors that affect the health and wellness of a client. Which risk factors listed by the nursing student are accurate? **Select all that apply** a- lifestyle b- environment c- spiritual factors d- emotional factors e- genetic and physiological factors
A,B,E a- lifestyle b- environment e- genetic and physiological factors RATIONALE: NOT C OR D because----Spiritual and emotional factors are INTERNAL variables that influence health, health beliefs, and practices
(issues in nursing) How would the student nurse describe a quasi-intentional tort occurring during the practice of nursing a- it is a willful act violating a client's rights b- it is a civil wrong made against a person or property c- it is an act that lacks intent but involves volitional action d- it is an unintentional act that includes negligence and malpractice
C- it is an act that lacks intent but involves volitional action (QUASI-INTENTIONAL TORT) RATIONALE: (A) An INTENTIONAL TORT is a willful act that violates another's rights. This includes assault, battery, and false imprisonment (B) A TORT is a civil wrong made against a person or property (D) An UNINTENTIONAL TORT involves negligence and malpractice
(issues in nursing) Which antipyretic medication may cause Reye syndrome in children? a- Aspirin (Anacin) b- Naproxen (Aleve) c- Ibuprofen (Advil) d- Dantrolene (Dantrium)
a- Aspirin (Anacin) RATIONALE: Aspirin increases the risk of swelling in the brain and liver, which are the main symptoms of Reye Syndrome in children. Therefore, aspirin is not recommended in children NOTE: Dantrolene does not induce swelling in the brain or liver, BUT it decreases calcium levels during malignant hyperthermia conditions
(issues in nursing) A primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client's disorder. The primary healthcare provider decides to try an experimental treatment. The nurse ensures that the client has understood the implications of the new treatment plan thoroughly and then signs the client's consent form as a witness. Which basic healthcare ethic does the nurse follow in this situation? a- Justice b- Autonomy c- Beneficence d- Nonmaleficence
b- Autonomy RATIONALE: AUTONOMY refers to the commitment to include clients in decisions about all aspects of care as a way of acknowledging and protecting their independence - In the given situation, the nurse ensures that the client has thoroughly understood the new treatment plan before gaining written consent. This ensures that the client is involved int eh decision making process appropriately NOT A,C,D: JUSTICE refers to fairness - The given situation does not deal with fairness BENEFICIENCE refers to taking positive actions to help others - This involves keeping the interests of the client before self-interest NONMALEFICIENCE is the avoidance of harm or hurt - Weighing the pros and cons of the new treatment plan would involve nonmaleficience
(issues in nursing) A nurse is helping a client to maintain and regain health, manage his or her disease and symptoms, and attain a maximal level of function and independence through the healing process. What role is the nurse playing? a- Manager b- Advocate c- Caregiver d- Communicator
c- Caregiver RATIONALE: As a CAREGIVER.... (See defn in the question) As a client's ADVOCATE, the nurse protects the client's human and legal rights and provides assistance in asserting these rights if the need arises As a COMMUNICATOR, the nurse learns about the client's strengths and weaknesses and his/her needs through effective communication As a MANAGER....
(issues in nursing) A client dies in the hospital 2 hours after being admitted. Who has the authority to decide if a post-mortem should be conducted? a- Surviving spouse b- Nursing manager c- Medical examiner d- Primary healthcare provider
c- Medical examiner RATIONALE: - If a pt dies within 24 hours of being admitted to the hospital, the ME has the right to decide whether a post-mortem should be conducted - If the client's death does not need to be reviewed by the ME and the client has NOT requested an autopsy in writing, the surviving spouse may request a post-mortem NOT A!
(issues in nursing) What does a nurse understand by the term regulatory law as applied to nursing practice? a- Regulatory law provides fair and equitable treatment when civil wrongs or violations occur b- Regulatory law describes and defines the legal boundaries of the nursing practice within each state c- Regulatory law reflects the decisions made by administrative bodies such as the State Boards of Nursing d- Regulatory law results from judicial decisions made in courts based on the judgments of individual legal cases
c- Regulatory law reflects the decisions made by administrative bodies such as the State Boards of Nursing RATIONALE: Regulatory law (aka administrative law) reflects the decisions made by administrative bodies such as the state boards of nursing when they set down the rules and regulations NOT ANSWER: - Civil laws protect the rights of individuals within society and provide for fair treatment in case civil wrongs or violations take place **Nurse Practice Acts are responsible for describing and defining the legal boundaries of the nursing practice within each state - Common law is based on judicial decisions made in courts when individual legal cases are decided
(issues in nursing) A nurse is caring for a client with renal failure. The client wants to go back home but the family members want the client to undergo a kidney transplant. The nurse gives details about the possible threats and benefits of the surgery to the family and informs them that the client wants to stay home. What role does the nurse play here? a- educator b- manager c- caregiver d- advocate
d- advocate RATIONALE: In this scenario, the nurse plays the role of an ADVOCATE by protecting the client's human and legal rights & by providing assistance in asserting these rights NOT EDUCATOR - as an educator, the nurse explains concepts and facts about health and the reason for routine care activities, demonstrates procedures, and evaluates the client's progress in learning