EAQ _ Unit 2

D. Implementation

Which component of the nursing process includes tasks that can be delegated? A. Planning B. Evaluation C. Assessment D. Implementation

D. "My child should keep as far from the curb as possible when in the street"

Which parental statement indicates the need for further education related to bicycle safety for the school-aged client? A. "My child should ride with the traffic" B. "My child should walk the bicycle through crosswalks" C. "My child should use hand signals in advance of stopping" D. "My child should keep as far from the curb as possible when in the street"

B. "I fear my house may be broken into and I might lose my things"

Which situation would the nurse address to meet the safety and security needs of the client according to Maslow's hierarchy of needs? A. "Because my teeth hurt when I eat, I drink fruit juices and prefer a liquid diet" B. "I fear my house may be broken into and I might lose my things" C. "My blood pressure level keeps on fluctuating, although I take medications regularly" D. "Ever since my family members came to know about my problem, they are trying to avoid me."

B. Which activity would the nurse perform under the practice of implementation after learning about the standards of nursing practice? Select all that apply. One, some, or all responses may be correct.

A. Developing strategies for patient care B. Educating patients for health awareness C. Analyzing the assessment data for diagnosis D. Using therapeutic procedures for patient care E. Providing consultation to enhance patient care

D. Psychosocial development

The nurse finds that a child has developed the qualities of independence, self-control, and self-governance. Which type of development would the nurse anticipate in the toddler? A. Social Development B. Spiritual Development C. Biological Development D. Psychosocial Development

C. "Nontraditional approaches to health care can be beneficial"

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 stuff to their family members." Which response by the primary nurse is correct? A. "Hospital policies should put a stop to this" B. "Everyone should conform to the prevailing culture" C. "Nontraditional approaches to health care can be beneficial" D. "You are right because the alternative medicine may have a negative effect on people's health"

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

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? A. Read about all of the cultural groups in the local population B. Treat all of the clients the same, regardless of their cultural background C. Increase self-awareness of cultural identity, cultural knowledge, and potential biases D. Attempt to remain culturally neutral while treating clients of a different culture

A. "Which type of food do you usually eat at home?"

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

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

The nurse manager works on a unit 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? A. Assign articles about various cultures so the nurses may become more knowledgeable B. Relocate the nurses to units where they will not have to provide care for clients from a variety of cultures C. Rotate the nurses' assignments so they have an equal opportunity to provide care for clients from other cultures D. Plan a workshop offering opportunities to learn about the cultures the nurses might encounter while at work

B. "I should assume that the family is involved"

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? A. "I should motivate the client's interest in learning" B. "I should assume that the family is involved" C. "I should identify the client's willingness to learn" D. "I should give information about how to perform skills within the home"

B. Sequence different tasks

Which action by the nurse leader signifies the implementation phase of the nursing process as it related to client teaching? A. Establish expectations B. Sequence different tasks C. Compare progress with the plan D. Assess the needed performance level

A. Self-worth B. Achievement

Which basic human need belongs to the fourth level of Maslow's hierarchy of needs? Select all that apply. One, some, or all responses may be correct. A. Self-worth B. Achievement C. Security needs D. Belonging needs E. Self-actualization

A. The child is unable to feed themself B. The child is unable to climb the stairs

Which behavior of a 3-year-old child indicates delayed development? Select all that apply. One, some, or all responses may be correct. A. The child is unable to feed themself B. The child is unable to climb the stairs C. The child is unable to name the colors D. The child is unable to count when asked E. The child is unable to tie their shoes

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

Which example mentioned by the nurse belongs to the fifth level of Maslow's hierarchy of needs? Select all that apply. One, some, or all responses may be correct. A. "A client wishes to become the best swimmer in the whole world" B. "A client tells the nurse that he or she has the urge to urinate every 10 minutes" C. "A client feels like a failure for not being able to complete college education" D. "A client tells the nurse that he or she wishes to become a successful engineer despite having dyslexia" E. "A client who is bedridden requests a physical therapist consultation to achieve maximum mobility"

A. Nursing diagnoses involve the client when possible D. Nursing diagnoses involve the sorting of health problems within the nursing domain E. Nursing diagnoses involve clinical judgment about the client's response to health problems

Which feature distinguishes nursing diagnosis form medical diagnoses? Select all that apply. One, some, or all responses may be correct. A. Nursing diagnoses involve the client when possible B. Nursing diagnoses are based on results of diagnostic tests and procedures C. Nursing diagnoses are the identification of a disease condition in the client D. Nursing diagnoses involve the sorting of health problems within the nursing domain E. Nursing diagnoses involve clinical judgment about the client's response to health problems

A. Store matches and lighters out of reach B. Install childproof safety locks on cabinets C. Ensure the use of safety equipment when riding bicycles D. Provide constant supervision around pools and during bath time E. Identify and address any potential sources of lead in the child's environment

Which information regarding development safety risks for toddlers would the nurse include in a parent education session? Select all that apply. One, some, or all responses may be correct. A. Store matches and lighters out of reach B. Install childproof safety locks on cabinets C. Ensure the use of safety equipment when riding bicycles D. Provide constant supervision around pools and during bath time E. Identify and address any potential sources of lead in the child's environment

B. Looking at all the situations objectively E. Using several criteria to determine the effectiveness of a nursing intervention

Which nursing action(s) reflect(s) the evaluation phase of the critical thinking process? Select all that apply. One, some, or all responses may be correct. A. Collecting all the data in order B. Looking at all the situations objectively C. Supporting the findings and drawing conclusions D. Being open-minded to information about a client E. Using several criteria to determine the effectiveness of a nursing intervention

A. Encouraging the client to exercise daily B. Setting goals for the client to reduce weight C. Arranging for the client to meet a spiritual advisor

Which nursing intervention is an example of the nurse as a caregiver? A. Encouraging the client to exercise daily. B. Setting goals for the client to reduce weight C. Arranging for the client to meet a spiritual advisor D. Evaluating the client's understanding of prescribed diet E. Demonstrating the procedure to self-administer insulin injection

C. Center for Medicare and Medical Services (CMS)

Which organization assists in establishing policies related to Medicare and Medicaid payment for meaningful use of electronic health records (EHRs)? A. National Institute of Health (NIH) B. American Medical Informatics Association (AMIA) C. Center for Medicare and Medicaid Services (CMS) D. Health Information Management System Society (HIMSS)

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

Which scenario would contribute to health disparities? A. An English-speaking critical care nurse assesses a Hispanic client in a coma B. An English-speaking nurse plans the nursing procedures for a black Latino client C. An English-speaking nurse provides discharge instructions to an English-speaking client who is hard of hearing D. An English-speaking nurse conducts an admission interview of a Puerto Rican immigrant with limited knowledge of English

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

Which scenario would the nurse label as the "input" component of the nursing process? Select all that apply. One, some, or all responses may be correct. A. The nurse checks the client's health history for allergy to iodine before inserting a urinary catheter B. The nurse finds the client's urine has the presence of blood after the urinary catheter is removed C. The nurse checks for whether the client has. a history of substance abuse before administering nasal medications D. The nurse finds the client's skin color changed to bluish purple after applying cold therapy to reduce swelling E. Before placing an internal fecal catheter, the nurse checks the client's medical records for any rectal surgery within the past year

A. "The nurse notices that the client's chest pain has decreased after giving a back massage" B. "The caregiver says the client's body temperature has decreased after administering the prescribed medication" E. "The nurse finds the client has developed breathing issues after administering a medication through the central venous access device"

Which scenario would the nursing consider an example of the feedback component of the nursing process? Select all that apply. One, some, or all responses may be correct. A. "The nurse notices that the client's pain has decreased after giving a back massage" B. "The caregiver says the client's body temperature has decreased after administering the prescribed medication" C. "The registered nurse instructs the nursing assistive personnel to use a shower chair to give a bath to a client with activity intolerance" D. "The nursing supervisor asks the nurse to keep the side rails of the bed up when providing care for an older adult who has a history of falls" E. "The nurse finds the client has developed breathing issues after administering a medication through the central venous access device"

A. Contact an interpreter provided by the hospital

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? A. Contact an interpreter provided by the hospital B. Contact the client's family member to translate for the client C. Communicate with the client using Spanish phrases the nurse learned in a college course D. Communicate with the client with the use of a hospital approved dictionary

B. Informatics

A registered nurse notices that the insertion site of a client receiving intravenous medication is swollen. The nurse takes the 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 Quality and Safety Education for Nurses (QSEN) competency is the nurse following? A. Safety B. Informatics C. Patient-centered care D. Teamwork and collaboration

A. Delegation

The nurse asks an unlicensed assistive personnel (UAP) to provide an ice pack to a client. Which nursing function does this represent? A. Delegation B. Implementation C. Case management D. Interprofessional teamwork

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

The nurse caring for a client postsurgery takes necessary steps to achieve quality client care. Which nursing action satisfies the Quality and Safety Education for Nurses (QSEN) competency called informatics? Select all that apply. One, some, or all responses may be correct. A. Washing the hands before handling the client's incision site B. Implementing a new method of monitoring the client's incision site for infection C. Documenting the electronic health record (EHR) after performing wound debridement D. Locking the electronic health record (EHR) after every entrance of necessary information E. Using a computer-assisted instruction (CAI) program to provide better quality of care to the client

C. Observe the mother feeding the infant

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? A. Develop a basic teaching plan B. Ask the mother if she understands C. Observe the mother feeding the infant D. Determine the mother's readiness to learn

C. "I should use the television for language and knowledge development"

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

B. Assessment

The nurse is explaining the nursing process to a student nurse. Which step of the nursing process would include interpretation of data collected about the client? A. Evaluation B. Assessment C. Implementation D. Diagnosis

C. Assessment

The nurse is interviewing a client for admission to the hospital. Which phase of the nursing process is being used in this situation? A. Planning B. Evaluation C. Assessment D. Diagnosis

D. Implementation

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? A. Planning B. Evaluation C. Assessment D. Implementation

C. Electronic medical record (EMR)

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 clients data? A. Personal health record (PHR) B. Electronic health record (EHR) C. Electronic medical record (EMR) D. Regional Health Information Organization (RHIO) health record

A. Validation

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? A. Validation B. Assessment C. Interpretation D. Documentation

B. Complains of sleeplessness due to pain postsurgery

Which situation would the nurse address first according to Maslow's hierarchy? A. Has history of being injured from sudden falls B. Complains of sleeplessness due to pain postsurgery C. Reports that they feel lonely and socially isolated D. Conveys to the nurse that they want to become the manager of the company

D. Cultural competence

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? A. Cultural diversity B. Cultural sensitivity C. Cultural imposition D. Cultural competence

B. Informatics

When the health care facility uses cardiac telemetry for a client, to which Quality and Safety Education for Nurses (QSEN) competency would this intervention adhere? A. Safety B. Informatics C. Patient-centered care D. Evidence-based practice

A. Ethnocentrism

When the nurse labeled an African-American client as a drug abuser for requesting pain medication, which behavior did the nurse demonstrate? A. Ethnocentrism B. Multiculturism C. Cultural encounter D. Cultural imposition

C. Patient-centered care

Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with when asking a client from another country about health care traditions? A. Safety B. Informatics C. Patient-centered care D. Teamwork and collaboration

B. Safety

Which consideration would the nurse emphasize to the parent of a toddler-age client when selecting toys? A. Cost B. Safety C. Creativity D. Appropriateness

B. Sequence of steps used to meet the client's needs

Which definition is correct to explain the nursing process? A. Procedures used to implement client care B. Sequence of steps used to meet the client's needs C. Activities employed to identify a client's problem D. Mechanisms applied to determine nursing goals for the client

A. Perform a nutritional assessment

Which is the first action of the nurse when a parent expresses concern about a child's diet? A. Perform a nutritional assessment B. Provide a referral for a nutritionist C. Encourage the parent to decrease juice intake D. Speak to the provider about ordering blood tests

A. First level

Which level of Maslow's hierarchy of needs would the nurse need to follow for a client brought to the emergency department with severe breathing difficulty? A. First level B. Second level C. Third level D. Fourth level

A. Walking alone

Which major gross development skills would the nurse expect to see demonstrated during a teaching session with a parent of a 12-month old child? A. Walking alone B. Drawing a stick figure person C. Showing interest in cooperative play D. Beginning to develop object permanence

A. Psychological

Which needs would the nurse address using Maslow's hierarchy of needs when caring for an emancipated minor reporting improper nutrition? A. Physiological B. Self-actualization C. Safety and security D. Love and belonging

C. Nurse job satisfaction

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

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

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-aged child? Select all that apply. One, some, or all responses may be correct. A. "Playing helps the child socialize with others" B. "Pretend play helps children learn to understand others" C. "Playing is important because it helps the child release frustration" D. "We should eliminate all television, electronic games, and computer programs" E. "If the child fantasizes about imaginary playmates, we should bring him or her back to reality"

A. "I make my child exercise 2 hours per day"

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

A. Increased client safety C. Reduced health disparities D. Increased client satisfaction

Which results are the benefits of providing culturally competent care? Select all that apply. One, some, or all responses may be correct. A. Increased client safety B. Limits number of visitors C. Reduced health disparities D. Increased client satisfaction E. Ensures adequate interpreters

B. Has multiple fainting episodes due to lack of proper nutrition

Which situation will the nurse address first on priority basis of Maslow's hierarchy of needs? A. Feels like is leading a worthless life B. Has multiple fainting episodes due to lack of proper nutrition C. Shows signs of lack of interest in carrying out social interaction D. Conveys to the nurse that is estranged from all family members

A. Separation D. Individuation

Which social development tasks would the nurse anticipate when assessing a toddler-age client during a health maintenance visit? Select all that apply. One, some, or all responses may be correct. A. Separation B. Parallel play C. Irreversibility D. Individuation E. Temper tantrums

C. "I hardly speak to my children because they live in different countries"

Which statement made by the client illustrates the love and belonging need based on Maslow's hierarchy of needs? A. "I do not like the way I look, speak, or act" B. "I dream becoming the richest person in the world" C. "I hardly speak to my children because they live in different countries" D. "I want to go back home because I am afraid of the tests you are performing"

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

Which statements by the student nurse indicate an understanding of caring for clients of various cultures? Select all that apply. One, some, or all responses may be correct. A. "The focus is on understanding the traditions, beliefs, and values of the client's culture" B. "Care would be provided strictly on the basis of the traditions, beliefs, and values of the client's community" C. "Generalizing education and information would be provided to clients belonging to a different community" D. "The cultural background of the client has no effect on health, wellness, and illness" E. "I will be aware of my own cultural background and beliefs when attending to clients who belong to different cultures"

D. Identifying the problem

Which step in the research process is similar to the assessment step of the nursing process? A. Analyzing the results B. Conducting the study C. Developing hypothesis D. Identifying the problem

C. Assessment

Which step of the nursing process involves the nurse interviewing a client about a current health problem and obtaining the client's vital signs? A. Planning B. Diagnosis C. Assessment D. Implementation

A. Planning

Which step of the nursing process is directly affect if the nurse does not make a nursing diagnosis? A. Planning B. Evaluation C. Assessment D. Implementation

D. Implementation

Which step of the nursing process would involve promoting a safe environment for the client? A. Planning B. Diagnosis C. Assessment D. Implementation

A. Suicide C. Seat belt use E. Firearm safety

Which topic will the nurse include when educating adolescents about injury prevention? Select all that apply. One, some, or all responses may be correct. A. Suicide B. Depression C. Seat belt use D. Contraception E. Firearm safety

A. An official interpreter

Who would the nurse use as an interpreter to explain a consent form for a foreign-language speaking client who needs to undergo chemotherapy? A. An official interpreter B. Another nurse who has a similar language C. Client's family friend who speaks the client's language D. Client's caregiver who speaks the same language as the client