EXTRA med surge prepu's Test 1

An example of evidence-based practice would be: a. Shower baths are given to nursing home residents weekly so that total skin assessments can be performed. b.. Hospitalized patients are assisted out of bed to the chair for 60 minutes, twice daily, to promote increased gastrointestinal transit time. c. Morning insulin coverage for hospitalized patients is given at 6:45 AM so report can be given before breakfast trays arrive. d. Patients on bed rest are turned every 2 hours to prevent the formation of bedsores.

D

A current trend in health education that significantly influences nursing practice is: a. Increased emphasis on patient involvement in their own care. b. Improved distribution of health information materials. c. Increased numbers of health care providers. d. Increased emphasis on the diversity of patient needs.

A

The Healthy People 2020 initiative targets the improvement of health for all. In addition to eliminating health disparities, what are the broad goals of this plan? A. Increasing the quality and length of a healthy life B. Increasing technological innovations C. Applying a systematic approach to health improvement D. Preventing treatable problems

A

The nurse is providing information to a client about the safe use of a newly prescribed medication. The first question the nurse should ask is A. Is the client ready to learn? B. How do I evaluate client learning? C. What is the expected outcome? D. What teaching aids do I need?

A

The nurse is teaching a client with diabetes how to perform checks of blood glucose level. To optimize learning, it is best for the nurse to A. Have the client return demonstrate. B. Provide written instructions. C.Demonstrate to the client. D. Verbally tell the client.

A

Which step of the nursing process determines whether the client understands the health teaching that is provided? A. Evaluation B. Implementation C. Assessment D. Planning

A

A community health nurse is well aware that taking responsibility for oneself is the key to successful health promotion. Which of the following actions by the nurse's patients best demonstrates self-responsibility and health promotion? A. A woman reluctantly agrees to have her infant immunized. B. A woman takes action to quit smoking cigarettes. C. A man questions his pharmacist when having a prescription refilled. D. A man seeks care because of an apparent cognitive decline.

B

n many situations, measurement of which of the following is the most accurate measurement technique to identify changes in patient behavior? A. Use of checklists B. Direct observation of behavior C. Anecdotal notes D. Use of rating scales

B

A recommended approach to planning health teaching is applying the trans-theoretical model, which considers the stages of behavioral change. The stage in which the patient engages in calorie counting to reduce weight is called: A. Contemplation B. Maintenance C. Action D. Preparation

C

Choose the nursing statement that would best reflect the final component of the "Ask-Tell-Ask-Close" technique of communication and demonstration. A. "Here are the written directions for changing your dressings." B. "Do you understand how to take your blood pressure?" C. "Can you repeat for me the information I just reviewed about weighing food portions?" D. "Is this a good time for me to show you how to irrigate your colostomy?"

C

Health education of a client by the nurse A. must be approved by the physician. B. requires a physician's order. C. is an independent function of nursing practice. D. must focus on wellness issues.

C

The nurse is planning to teach a 75-year-old patient about administering his medication. How can the nurse best enhance the patient's ability to learn? A. Excluding family members from the session B. Using color-coded materials C. Providing links to websites that contain information related to the medication D. Making the information relevant to the patient's condition

D

The nurse is preparing discharge teaching for a patient diagnosed with urinary retention secondary to multiple sclerosis. The nurse will teach the patient to self-catheterize at home upon discharge. What teaching method is most effective for this patient? a. Providing the most up-to-date information available b. Building on previous information c. Alleviating the patient's guilt associated with not knowing appropriate self-care d. Determining the patient's readiness to learn new information

D

What nursing action involves modifying a teaching program if a learner is not experientially ready? A. Notifying the physician that the patient will not yet be eligible for discharge B. Postponing a teaching session with a patient until pain has subsided C. Contacting family members to assist in goal development to help stimulate motivation D. Changing the wording in a teaching pamphlet so that a patient with a fourth-grade reading level can understand it

D

Which factor is a leading health indicator used to measure the health of the nation? A. Cultural awareness B. Intelligence C. Religion d. Overweight and obesity

D

he home health nurse reviews a medication administration calendar with an elderly patient. In order to consider sensory changes that occur with aging, how should the nurse proceed? A. Highlight or shade important dates and times with contrasting colors. B. Use several different colors to emphasize special dates. C. Type out the information on the computer. D. Print directions in large, bold type, preferably using black ink.

D

A health care provider asked a nurse to teach a patient how to self-administer subcutaneous insulin. After collecting her assessment data and drafting her plan, the nurse selected the teaching strategy that research has indicated has the highest chance of reinforcing knowledge. Which of the following strategies did the nurse select? a. Asking the patient to hold the syringe and insulin while viewing a slide show about the process b. Assisting the patient to perform the skill in a simulated setting c. Showing the equipment and explaining the procedure d. Providing reading materials with illustrations of how to perform the injection

b

According to the American Academy of Family Physicians, prostate examination on adult males should be done at what interval? A. Monthly B. Yearly C. As needed D. Every 6 months

b

The nurse develops a program of increased ambulation for a patient with an orthopedic disorder. This is an example of what component of the nursing process? a. Evaluation b. Implementation c. Planning d. Assessment

c

The termination stage of the Transtheoretical Model of Change begins when which action occurs? a. The person is not thinking about making a change b. The person takes steps to operationalize the plan of action c. The person has the ability to resist relapsing back to unhealthy behavior d. The person constructs a plan to change behavior

c

A nurse is planning discharge instructions for a client from another culture. What does the nurse understand about the relationship of values and beliefs and the client's readiness to learn? a. The client will likely accept health education, but will take longer to learn. b.The client will be less likely to accept health education unless the nurse and client share values and beliefs. c. The client will likely accept health education regardless of values and beliefs. d. The client will be less likely to accept health education unless values and beliefs are respected.

d

When a person works to prevent relapse and to sustain the gains made from actions taken, he or she is in which stage of the Transtheoretical Model of Change? A. Action B. Contemplative C.Termination D.Maintenance

d

The nurse is revising a client's plan of care. What is an example of an expected client outcome? A. The client will buy a pair of reading glasses to help with reading. B. The client's blood pressure will be stable. C. The client will have the ability to climb a flight of stairs without experiencing difficulty in breathing. D. The client will accept the option of attending church on weekdays.

C

A nurse is planning a health education program for a group of high school students regarding the dangers of texting and driving. Which action by the nurse illustrates the understanding of health education as a primary nursing responsibility? A. After consulting the literature and preparing the educational program, the nurse contacts the school's medical director for approval of the planned educational program. B. The nurse obtains the name of the school's medical director and obtains a health care provider's order to conduct the education program. C. The nurse prepares a permission slip for all students to have signed by their parents, allowing the student to participate in the educational program. D. The nurse gathers evidenced-based information related to texting and driving and coordinates the education with the school.

D

A nursing student observes the home care nurse provide education to a client with congestive heart failure (CHF). The nurse teaches the client how to read food labels and calculate sodium content. The nursing student recognizes that the home care nurse is aware of which basic principle of patient education? A. Patients are required to learn about their therapeutic nutritional regimen B. The home care nurse has a physician order to teach a 2-g sodium diet C. The home care nurse is providing hospital discharge instructions D. Patient instruction related to self-care activities promotes patient independence

D