Fundamentals Hesi 5
4
A nursing student is listing examples of active and passive health promotion strategies. Which strategy is an example of a passive health promotion strategy? 1 Weight-reduction program 2 Smoking-cessation program 3 Drug abuse prevention strategy 4 Fluoridation of municipal drinking water
1
A nursing student is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the nursing student include family planning? 1 Primary care 2 Continuing care 3 Restorative care 4 Secondary Acute care
1,2,3
A nursing student lists examples of health promotion activities. Which examples are accurate? Select all that apply 1 Good nutrition 2 Regular exercise 3 Weight reduction 4 Immunization against measles 5 Education about stress management
2
What necessary information should the nurse remember regarding assisted suicide, according to American Nurses Association (ANA) (2008)? 1 Nurses may have an open attitude toward the client's end of life. 2 Nurses' participation in assisted suicide may violate the code of ethics. 3 Nurses may listen to the client's expressions of fear and to attempt to control the client's pain. 4 Nurses can participate in assisted suicide only if the individual could make an oral and written request.
2
According to the Institute of Medicine (IOM) competencies for the 21st century, what task should the nurse perform when working in interdisciplinary teams? 1 Advocate for disease prevention and health promotion. 2 Integrate care to ensure that care is continuous and reliable. 3 Measure quality in relation to structure, process, and outcomes. 4 Use information technology to communicate, manage knowledge, reduce error, and support decision-making
4
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? 1 Restraints can be used when less restrictive interventions are not successful. 2 Restraints can be used when all other alternatives have been tried and exhausted. 3 Restraints can be used only to ensure the physical safety of the resident or other residents. 4 Restraints can be used anytime without a written order from the healthcare provider
3
How would the student nurse describe a quasi-intentional tort occurring during the practice of nursing? 1 It is a willful act violating a client's rights. 2 It is a civil wrong made against a person or property. 3 It is an act that lacks intent but involves volitional action. 4 It is an unintentional act that includes negligence and malpractice
2
The nurse should understand the effects of internal and external variables to plan and deliver individualized care. Which variable is an internal variable? 1 Family practices 2 Emotional factors 3 Cultural background 4 Socioeconomic factors
1,2,4
What are the elements of discovery of a lawsuit? Select all that apply 1 Experts 2 Medical records 3 Proof of negligence 4 The depositions of witnesses 5 Petition-elements of the claim
3
What is a living will? 1 It is a legal document that allows registered nurses to offer special skills to the public. 2 It is an order that directs primary healthcare providers to refrain from reviving clients. 3 It is a written document that directs treatment according to the client's wishes, in case of a terminal illness or condition. 4 It is a legal document that designates a person or persons chosen by a client to make health care decisions on his/her behalf
3
A nurse is hired to work in a healthcare facility that has a completely computer-based client information system. The nurse in charge knows that the newly hired nurse is knowledgeable about this system when the nurse says what? 1 "More medication errors are made when this system is used." 2 "It is disappointing that nurses are not allowed to use this system." 3 "Client information is immediately available when this system is used." 4 "I will have less time to provide direct care to my clients with this system."
2
A nurse is recalling common terms that are used in health ethics. What does beneficence in health ethics refer to? 1 Beneficence refers to the agreement to keep promises. 2 Beneficence refers to taking positive actions to help others. 3 Beneficence refers to the ability to answer for one's actions. 4 Beneficence refers to avoiding harming or hurting an individual.
3
A nurse speaking in support of the best interest of a vulnerable client reflects which nursing duty? 1 Caring 2 Veracity 3 Advocacy 4 Confidentiality
2
A nurse who promotes freedom of choice for clients in decision-making best supports which principle? 1 Justice 2 Autonomy 3 Beneficence 4 Paternalism
1
A pharmacy technician arrives on the nursing unit to deliver opioids and, following hospital protocol, asks the nurse to receive the medications. The nurse is assisting a confused and unsteady client back to the client's room. How should the nurse respond to the technician? 1 "I can't receive them right now. Please wait a few minutes or come back." 2 "Please leave the medications and sign-out sheet in a location where I can see them." 3 "Please bring them to me and I will be sure to put them away in a couple of minutes." 4 "I can't receive them right now. Please give them to the unlicensed healthcare worker.
4
A registered nurse is explaining the Quality and Safety Education for Nurses (QSEN) competencies to a nursing student. What information should the nurse provide about the competency teamwork and collaboration? 1 "A nurse should be able to use information and technology to communicate, manage knowledge, mitigate errors, and support decision-making." 2 "A nurse should be able to understand that the client is the source of control and full partner when providing compassionate and coordinated care." 3 "A nurse should be able to implement improvement methods to design and test changes in order to improve the quality and safety of the healthcare system." 4 "A nurse should be able to work effectively within nursing and interprofessional teams by promoting open communication and shared decision-making to provide client care."
3
A registered nurse is teaching an economically challenged client about different healthcare plans. Which healthcare plan is the most expensive? 1 Medicaid 2 Medicare 3 Long-term care insurance (LTC) 4 Managed care organization (MCO)
4
According to the Institute of Medicine (IOM) competencies for the 21st century, what task should the nurse perform when using evidence-based practice? 1 Share decision making and management. 2 Cooperate, collaborate, and communicate. 3 Practice using basic safety design principles. 4 Participate in research activities when possible
1
Which nurse participates in the development of nursing policies and procedures? 1 Nurse educator 2 Clinical nurse specialist 3 Certified nurse-midwife 4 Certified registered nurse anesthetist
3
Which nursing action is not likely to cause legal issues? 1 Using restraints on a non-cooperative client 2 Refraining from reporting suspected child abuse 3 Refraining from leaving the client during a staffing shortage 4 Allowing nursing assistive personnel (NAP) to administer medications
1
What purpose does block and parish nursing serve in preventive and primary care services? 1 Block and parish nursing provides services to older clients or those who are unable to leave their homes. 2 Block and parish nursing provides primary care to a specific client population that lives in a specific community. 3 Block and parish nursing provides nursing services with a focus on health promotion and education as well as on chronic disease. 4 Block and parish nursing provides services aimed at increasing worker productivity, decreasing absenteeism, and reducing the use of expensive medical care.
2,4,5
What are the important points to be considered when imparting practical knowledge to nursing students about preventing complications in the hospital? Select all that apply 1 Nursing students are not accountable if a client is harmed. 2 Nursing students should never be assigned any tasks they are unprepared for. 3 Nursing students are employees of the hospital and may act as witnesses to consent forms. 4 Nursing students can work as nursing assistants or nurse's aides when not attending classes. 5 Nursing students should notify the nursing supervisor in case they are delegated tasks they are not prepared for
4
Which of the following legal defenses are the most important for a nurse to develop? 1 Dedication 2 Certification 3 Assertiveness 4 Accountability
4
A nursing student is recalling the order of priority for giving consent to perform an autopsy in cases where a medical examiner review is not needed. Which person receives the highest priority for giving consent? 1 Surviving child 2 Surviving parent 3 Surviving spouse 4 The client in writing before death
3
A nurse is explaining the Mental Health Parity Act of 1996 to a client's family member. Which explanation provided by the nurse is accurate? 1 It is a broad civil rights statute that protects the rights of people with physical or mental disabilities. 2 It protects an organ donor's estate from liability for injury or damage that results from the use of the gift. 3 It prevents health plans from placing less generous lifetime or annual limits on mental health coverage. 4 It requires health care institutions to provide written information to clients concerning their rights under state law to make decisions.
2
A nursing student is evaluating statements regarding the five levels of proficiency set forth by Benner. Which statement indicates that a nurse is in the advanced beginner stage? 1 The nurse is learning about the profession through a specific set of rules and procedures. 2 The nurse is able to identify the basic principles of nursing care through careful observation. 3 The nurse is able to understand the organization and specific care required by certain clients. 4 The nurse is able to assess the entire situation and transfer knowledge gained from multiple previous experiences
5,4,1,2,3
A nursing student is examining the health services pyramid. Keeping in mind that care services begin at the bottom of this pyramid, in which order should care services be arranged? Incorrect 1. Primary health care 2. Secondary health care 3. Tertiary health care 4. Clinical preventive services 5. Population-based health care services
1
A nursing student is listing the points that need to be remembered regarding the United Network for Organ Sharing (UNOS) program. Which point listed by the nursing student is accurate? 1 "The United Network for Organ Sharing (UNOS) has a contract with the federal government." 2 "The United Network for Organ Sharing (UNOS) protects the donor's estate from liability for injury or damage." 3 "The United Network for Organ Sharing (UNOS) gives priority to international clients who need organs on an urgent basis." 4 "The United Network for Organ Sharing (UNOS) provides civil and criminal immunity to the hospital and the primary healthcare provider."
1
A nursing student is recalling the definition of Nurse Practice Acts. What do the Nurse Practice Acts do? 1 Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. 2 Nurse Practice Acts reflect the knowledge and skills possessed by nurses practicing in their profession. 3 Nurse Practice Acts are legal requirements that describe the minimum acceptable nursing care. 4 Nurse Practice Acts protect individuals from losing their health insurance when changing jobs by providing portability
1
According to Quality and Safety Education (QSEN), what is patient-centered care? 1 Understanding that the client is the source of control when providing care 2 Functioning effectively within nursing and interprofessional teams to deliver quality care 3 Using data to evaluate outcomes of care processes and designing methods to improve health care 4 Minimizing the risk of harm to clients and health care workers through improved professional performance