RON Prep U questions

Which setting has been the traditional site for the nursing work force?

Inpatient units

The nurse is making an initial home visit to assess a patient for home health services. Which patients most frequently require home health services?

The frail and elderly who need skilled care

What statement does the nurse determine is a medical diagnosis rather than a nursing diagnosis?

Fever of unknown origin

Which of the following is a growing population of those who are homeless?

The homeless population includes growing numbers of women with children and elderly people.

A nurse in a hospice facility cares for clients with terminal illnesses and witnesses a great deal of pain and emotional distress. Which factor that affects healthcare ethics determines how the nurse must respond when a client asks for help in ending his or her suffering?

legislative and judicial decisions

An elderly client who enjoyed watercolor painting when young has recently indicated a desire to begin painting again. According to Maslow's theories on human needs, the client would express this interest because:

lower level needs are being met, so the client is motivated to creative expression.

Which of the following is the least likely to be a criterion of an expected outcome of a nursing intervention?

nurse centered- (Expected outcomes of the nursing interventions must be stated in terms of patient behaviors and must be realistic and measurable. )

Which of the following corresponds with home health care?

The nurse has to learn to improvise when providing care.

"What is wrong with me? Everyone is treating me like I am dying." Which of the following replies by the nurse allows the nurse to maintain integrity while providing care for the patient?

"You feel like people are treating you like you are dying?" Explanation: By using the therapeutic communication, technique of restating the nurse demonstrates listening and validates the patients concerns allowing the nurse to maintain integrity.

A client, 50 years old, is admitted for treatment of a gastric tumor. The client asks the nurse, "Do you think I have cancer?" Which response by the nurse would be most therapeutic?

"You sound concerned about what the physicians will tell you."

A nurse who is considering the possibility of becoming involved in home care asks a home care nurse about the characteristics needed for this practice area. Which of the following would the home care nurse be least likely to include?

A nurse working in home care needs to be comfortable with the minimal control that he or she has over the lifestyle, living situation, and health practices of the clients being served.

When prioritizing a client's care plan based on Maslow's hierarchy of needs, the nurse's first priority would be:

Administering pain medication

The physician has recommended surgical implantation of a feeding tube. The client's family has a legal document outlining the client's wishes in regard to measures such as this. What is this document?

Advanced directive

When would be the best time to begin discharge planning for a patient who will require assistance in the home after leaving the acute care facility?

At the time of the patient's admission to the hospital

Which of the following ethical principles is related to the duty to do good?

Beneficence is the duty to do good and the active promotion of benevolent acts. Autonomy refers to self-rule.

The nurse is caring for a client in the intensive care unit that is on life support measures. The family members are opposed in their decision to take the client off of life support. What option does the nurse discuss with the nurse manager?

Contact the ethics committee for their input.

The nurse obtains a client's oral temperature reading of 36.8°C. How should the nurse proceed?

Document the client's temperature result as obtained. The normal oral temperature can vary from 36.6°C to 37.3°C.

the charge nurse is making assignments for a group of clients on a medical unit. When reviewing the acuity of the clients, the charge nurse assigns the RN to the clients with higher acuity levels. Why would the charge nurse assign the RN to the patient's with a higher acuity?

Generally, higher acuity requires a greater need for highly skilled care.

Which of the following best exemplifies the assessment phase of the nursing process?

Has a pulse rate of 88 bpm

A nurse is working as part of a team developing a community-based care program for the local homeless population. Which of the following would be important to keep in mind when developing the program? Select all that apply.

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.

A client with newly diagnosed diabetes requests information about how to give an injection. The nurse will use which communication technique for this client?

Informing about the proper injection technique

Which of the following is a true statement about critical thinking according to Alfaro-LeFevre (2010)?

It is guided by professional standards and codes of ethics.

Which of the following are nursing interventions related to a patient with breast cancer for a nurse working in a community-based setting and a hospital-based nurse? Select all that apply.

Patient education-- Promotion of positive body image-- Intravenous (IV) therapy-- Incision care

A client in an acute care facility is assigned a case manager to oversee and coordinate care. What important function does a case manager have?

Provide early, thorough discharge planning.

Which of the follow situations would require the nurse to use critical thinking and decision-making skills in providing genetics-related nursing care?

Providing fertility counseling to a young family with a 2-year-old child with cystic fibrosis

Telling the truth (veracity) is one of the basic principles of North American culture. Three ethical dilemmas in clinical practice can directly conflict with this principle. Choose the three from the list below.

Revealing a diagnosis to people other than the client with the diagnosis Using placebos Not revealing a diagnosis to a client

Which of the following situations describes the accurate order of activities when making a home visit?

Review agency policies regarding visits, ask permission to enter home, perform hand hygiene, and document care provided.

Which of the following nursing actions is appropriate for the home care nurse to do?

Teaching pursed lip breathing to a client diagnosed with chronic obstructive pulmonary disease (COPD)

In which of the following situations is the nurse providing tertiary prevention?

Teaching rehabilitation exercises to a postoperative mastectomy patient

A home care nurse is planning to visit a 60-year-old client diagnosed with heart failure for the first time. Which of the following would be most appropriate for the nurse to do?

Telephone the client to obtain permission to visit.

The nurse knows it is important to individualize prewritten interventions to promote optimal effectiveness for each client. Actions of nurses should be based on established standards. What is the name of the organization that is a standardized classification system of nursing interventions?

The NIC is a standardized classification of nursing treatments (interventions) that includes independent and collaborative interventions.

After making the initial home visit, a nurse develops a plan of care for a client with diabetes. As part of the plan of care, the nurse identifies the nursing diagnosis "deficient knowledge related to daily insulin administration for diabetic self-care." Which outcome would be most appropriate?

The client will demonstrate independence in daily insulin self-administration.

A client is confused about advance directives and asks the nurse to explain them. What information will the nurse include in client teaching about advance directives? Select all that apply.

They provide information about client wishes for health care situations. They may contain a living will.

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?

To be eligible for home care services, a client must be acutely ill, homebound, and in need of skilled nursing services. Attending social activities at a senior center three times a week suggests that the client may not be homebound.

A client has just returned to the unit following abdominal surgery and is in significant pain. According to the nursing process, how frequently will the nurse perform assessments on this client?

as often as needed

The nurse prepares to administer medication to the patient. The patient states, "I would prefer not to take that medication until I speak with my physician." The nurse honors the patient's desire to make decisions, following which common ethical principle?

autonomy--The principle of autonomy entails the right of patients to receive adequate and accurate information so that they have the ability to make a choice free from external constraints.

Prioritizing client care is an ongoing process within the art of nursing. Abraham Maslow proposed five levels of need and grouped them according to significance. Which client need is of primary importance?

breathing easily

Which tools do case managers commonly rely on to plan and coordinate client care?

clinical pathways, practice guidelines, and standards of care

A nursing instructor is lecturing on ethics. To start the lecture, the instructor asks which issues students believe to be most common for nurses today. The students would choose which of the following? Choose all that apply.

confidentiality, use of restraints, trust, refusing care, and end-of-life concerns

Which type of nursing diagnosis is a clinical judgment of a client's motivation and behavior to increase his or her well-being?

health promotion

The nurse is developing a plan of care for a patient. What is the end result of data analysis during the assessment process?

identification of actual or potential health problems

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

Which communication technique is helpful in health teaching about relevant aspects of a patient's well-being and self-care?

informing

Patient health education provided by the nurse

is an independent function of nursing practice.

When a nurse can legally order the primary interventions to achieve a goal, which part of the nursing process is being developed?

nursing diagnosis

The nurse is providing a community education program about sexually transmitted infections for a group of 13- to 16-year-olds at the local YMCA. What type of prevention is the nurse targeting?

primary prevention

Which of the following is the highest level of human need according to Maslow (1968)?

self actualization

The nurse is preparing to organize a community prescription drop-off program. Anticipating the need for increased security, the nurse alerts the local police to drop-off locations and schedule. Which critical thinking traits from Alfaro-LeFevre (2009) is the nurse demonstrating?

proactiveness

Which of the following therapeutic communication techniques may occur during the planning stage, when the patient is presented with alternative ideas for consideration relative to problem solving?

suggesting

A longterm care facility's newest client refuses to attend group activities or social events offered by the facility. Which level of Maslow's hierarchy do social events address?

third: love and belonging needs

A client has been admitted to the hospital with a large sacral pressure ulcer. The physician orders the wound care protocol to be performed twice a day. What would be a statement on the plan of care that would address the implementation phase of the nursing process for this patient?

turn the client every two hours