EAQ's Unit 2

The nursing student is learning how to educate a client who is having trouble adapting to a new illness. Which statement made by the nursing student indicates the need for further education? -"I should motivate the client's interest in learning." -"I should assume that the family is involved." -I should identify the client's willingness to learn." -"I should give information about how to perform skills within the home."

"I should assume that the family is involved."

Which activity would the nurse perform under the practice of implementation after learning about the standards of nursing practice? -Developing strategies for patient care -Educating patients for health awareness -Analyzing the assessment data for diagnosis -Using therapeutic procedures for patient care -Providing consultation to enhance patient care

-Educating patients for health awareness -Using therapeutic procedures for patient care -Providing consultation to enhance patient care

Which statement by the student nurse indicates an understanding of caring for clients of various cultures? -The focus is on understanding the traditions, beliefs, and values of the client's nature. - Care would be provided strictly on the basis of the traditions, beliefs, and values of the client's community -Generalized education and information would be provided to clients belonging to a different community. - I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures

-The focus is on understanding the traditions, beliefs, and values of the client's nature. - I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures

Which nursing intervention is an example of the nurse as a caregiver? - encouraging the client to exercise daily -setting goals for the client to reduce weight -arranging for the client to meet a spiritual advisor -evaluating the client's understanding of a prescribed diet -demonstrating the procedure to self-administer insulin injection

-encouraging the client to exercise daily -setting goals for the client to reduce weight -arranging for the meet a spiritual advisor

which topic will the nurse include when educating adolescents about injury prevention? -suicide -depression -seat belt use -contraception -firearm safety

-suicide -seatbelt use -firearm safety

In which order would the nurse arrange the human needs of Maslow's hierarchy?

1. Physiological 2. Safety 3. Social 4. Esteem 5. Self-actualization

Which step in the nursing process would involve promoting a safe environment for the client?

Implementation

The nurse finds that a child has developed the qualities of independents, self control, and self governance. Which type of development would the nurse anticipate in the toddler?

Psychosocial development

The nurse starts a new job and recognizes that the client population is very diverse. Which action will help the nurse provide culturally competent care? - Read about all of the cultural groups in the local population - Treat all of the clients the same, regardless of their cultural background - Increase self-awareness of cultural identity, cultural knowledge, and potential biases - Attempt to remain culturally neutral while treating clients of a different culture

Increase self-awareness of cultural identity, cultural knowledge, and potential biases

A registered nurse notices that the insertion site of a client receiving intravenous medication is swollen. The nurse takes appropriate measures to treat the area and takes a photo of the insertion site and saves it in the client's electronic health record. Which QSEN competency is the nurse following?

Informatics

When the health care facility uses cardiac telemetry for a client, which QSEN competency would this intervention adhere?

Informatics

Which results are the benefits of providing culturally competent care? -Increased client safety -Limits number of visitors -Reduced health disparities -Increased client satisfaction -Ensures adequate interpreters

-Increased client safety -Reduced health disparities -Increased client satisfaction

Which parental statement would the nurse recognize as indicating a need for further education about the importance of play in the development of their preschool age child? - Playing helps the child socialize with others - Pretend play helps children learn to understand others - Playing is important because it helps the child release frustration - We should eliminate all television, electronic games, and computer programs" - If the child fantasizes about imaginary playmates, we should bring him or her back to reality

- We should eliminate all television, electronic games, and computer programs" - If the child fantasizes about imaginary playmates, we should bring him or her back to reality

Which example mentioned by the nurse belongs to the fifth level of Maslow's hierarchy of needs? -A client wishes to become the best swimmer in the whole world -A client tells the nurse that he or she has the urge to urinate every ten minutes -A client feels like a failure for not being able to complete college education -A client tells the nurse that he or she wishes to become a successful engineer despite having dyslexia -A client who is bedridden requests a physical therapist consultation to achieve maximum mobility

-A client wishes to become the best swimmer in the whole world -A client tells the nurse that he or she wishes to become a successful engineer despite having dyslexia -A client who is bedridden requests a physical therapist consultation to achieve maximum mobility

The nurse caring for client post surgery takes necessary steps to achieve equality client care. Which nursing action satisfies the QSEN competency called informatics? -Washing the hands before handling the client's incision site -Implementing a new method of monitoring the client's incision site for infection -Documenting in the EHR after performing wound debridement -Locking the EHR after every entrance of necessary information -Using a computer-assisted instruction (CAI) program to provide better quality of care to the client

-Documenting in the EHR after performing wound debridement -Locking the EHR after every entrance of necessary information -Using a computer-assisted instruction (CAI) program to provide better quality of care to the client

Which feature distinguishes nursing diagnoses from medical diagnoses? -Nursing diagnoses involve the client when possible -Nursing diagnoses are based on results of diagnostic tests and procedures -Nursing diagnoses are the identification of a disease condition in the client -Nursing diagnoses involve the sorting of health problems within the nursing domain -Nursing diagnoses involve clinical judgement about the client's response to health problems

-Nursing diagnoses involve the client when possible -Nursing diagnoses involve the sorting of health problems within the nursing domain -Nursing diagnoses involve clinical judgement about the client's response to health problems

Which social development tasks would the nurse anticipate when assessing a toddler age client during a health maintenance visit? -Seperation -Parallel play -Irreversibility -Individuation -Temper tantrums

-Separation -Individuation

Which action by the nurse leader signifies the implementation phase of the nursing process as it relates to client teaching? -Establishing expectations -Sequence different tasks -Compare progress with the plan -Assess the needed performance level

-Sequence different tasks

Which behavior of a 3 year old child indicates delayed development? -The child is unable to feed themself -The child is unable to climb the stairs -The child is unable to name the colors -The child is unable to count when asked -The child is unable to tie their shoes

-The child is unable to feed themself -The child is unable to climb the stairs

Which scenario would the nurse label as the input component of the nursing process? -The nurse checks the client's health history for allergy to iodine before inserting a urinary catheter -The nurse finds the client's urine has the presence of blood after removal -The nurse checks for whether the client has a history of substance abuse before administering nasal medication -Before placing an internal fecal catheter, the nurse checks the client's medical records for any rectal surgery within the past year

-The nurse checks the client's health history for allergy to iodine before inserting a urinary catheter -The nurse checks for whether the client has a history of substance abuse before administering nasal medication -Before placing an internal fecal catheter, the nurse checks the client's medical records for any rectal surgery within the past year

The nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says: "It is the nurses' responsibility to discourage these people from bringing all that alternative medicine study to their family members." Which response by the primary nurse is correct?

"Nontraditional approaches to health care can be beneficial"

Which scenario would contribute to health disparities? -An English speaking critical care nurse assesses a Hispanic client in a coma -An English speaking nurse plans the nurse procedures for a black Latino client -An English speaking nurse conducts an admission interview of a Puerto Rican immigrant with limited knowledge of English

An English speaking nurse conducts an admission interview of a Puerto Rican immigrant with limited knowledge of English

Who would the nurse use as an interpreter to explain a consent form for a foreign-language speaking client who needs to undergo chemotherapy?

An official interpreter

Which organization assists in establishing policies related to Medicare and Medicaid payment for meaningful use of EHR?

Center for Medicare and Medicaid Services (CMS)

The nurse is explaining the nursing process to a student nurse? Which step of the nursing process would include the interpretation of data collected about the client?

Assessment

The nurse is interviewing a client for admission to the hospital. Which phase of the nursing process is being used in situation?

Assessment

When the nurse labeled an african-american client as a drug abuser for requesting pain medication, which behavior did the nurse demonstrate?

Ethnocentrism

Which situation would the nurse address first according to Maslow's hierarchy of needs? -Has history of being injured from sudden falls -Complains of sleeplessness due to pain post surgery -Reports that they feel lonely and socially isolated

Complains of sleeplessness due to pain post surgery

A Spanish-speaking client is being cared for by English-speaking nursing staff. Which communication technique would be correct for the nurse to use when discussing health care decisions with the client?

Contact an interpreter by the hospital

When teaching the staff about how the health care provider strives to work effectively within the cultural context of a client, which cultural principle is the nurse leader explaining?

Cultural competence

The nurse asks an unlicensed assistive personnel to provide an ice pack to a client. Which nursing function does this represent?

Delegation

The nurse working in a cardiac center is preparing to enter client data using health information technology. The nurse needs to refer to these data during subsequent follow-up client visits. Which type of record would the nurse use to enter the client's data?

EMR

Which level of Maslow's hierarchy of needs would the nurse need to follow for a client brought to the emergency department with sever breathing difficulty?

First level

Which parental statement would the nurse recognize as indicating that a child is at risk of muscle injury from overuse? - I make my child exercise 2 hours per day - I advise my child to walk with their back straight - I give my child a glass of whole cow's milk every day - I encourage my child to sleep 10 to 12 hours per night

I make my child exercise 2 hours per day

The nurse is educating a parent about language and pyschosocial development in toddlers. Which statement made by the parent indicates a need for further teaching? - I should allow my child to feed themself - I should provided graded independence to my child - I should use the television for language and knowledge development - I should keep interacting with my child to foster language development

I should use the television for language and knowledge developmen

Which step in the research process is similar to the assessment step of the nursing process?

Identifying the problem

The nurse is performing nursing care therapies and including the client as an active participant in the care. Which step in the nursing process is involved in this situation?

Implementation

Which component of the nursing process includes tasks that can be delegated?

Implementation

Which nursing-sensitive indicator would the nurse manager use to evaluate the process of nursing care? -Client falls -Pressure ulcers -Nurse job satisfaction -Supply of nursing staff

Nurse job satisfaction

The nurse teaches a new mother how to position her newborn during feedings. Which is the best way to evaluate if the teaching is effective?

Observe the mother feeding the infant

Which needs would the nurse address using Maslow's hierarchy of needs when caring for an emancipated minor reporting improper nutrition?

Physiological

The nurse manager works on a nut where the nursing staff members are uncomfortable providing care for clients from cultures different from their own. Which action would the nurse manager take to address this problem? -Relocate the nurses to units where they will not have to provide care for clients from a variety of cultures -Assign articles about various cultures so the nurses may become more knowledgeable -Plan a workshop offering opportunities to learn about the cultures the nurse might encounter while at work.

Plan a workshop offering opportunities to learn about the cultures the nurse might encounter while at work.

Which consideration would the nurse emphasize to the parent of a toddler age client when selecting toys?

Safety

Which defintion is correct to explain the nursing process? -Produces used to implement client care -Sequence of steps used to meet client's needs -Activities employed to identify a client's problem -Mechanisms applied to determine nursing goals for the client

Sequence of steps used to meet client's needs

Which major gross motor development skills would the nurse expect to see demonstrated during a teach session with a parent of a 12 month old child?

walking alone

What is the feedback component in the nursing process?

The outcome reflected by the client's responses to nursing interventions

The nurse, providing care for a client whose forehead feels warm to the touch, uses a thermometer to obtain the client's temperature. Which action is the nurse taking?

Validation

Which nurse statement reflects positive cultural sensitivity to help reduce potential health disparities? -Which type of food do you usually eat at home? -You need to ask your family to bring food of your choice -The hospital staff will not be able to cook food with your requirements

Which type of food do you usually eat at home?

Which information regarding developmental safety risks for toddlers would the nurse include in a parent education session? -Store matches and lighters out of reach -Install childproof safety locks on cabinets -Ensure the use of safety equipment when riding bicycles -Provide constant supervision around pools and during bath time Identify and address any potential sources of lead in the child's environment

all of the above

Which parental statement indicates the need for further education related to bicycle safety for the school aged client? - my child should ride with the traffic - my child should walk the bicycle through crosswalks - my child should use hand signals in advance of stopping - my child should keep as far from the curb as possible

my child should keep as far from the curb as possible

Which QSEN competency does the nurse comply with when asking a client from another country about health care traditions?

patient-centered care

Which is the first action of the nurse when a parent expresses concern about a child's diet?

perform a nutritional assessment

Which basic human need belongs to the fourth level of Maslow's hierarchy of needs? -Self worth -Achievement -Security needs -Belonging needs -Self actualization

self worth acheivement