Health Care Delivery and Diversity/LGBTQ/Communication

A critical nursing concept that a nurse uses with every client that allows the nurse to identify habits of health and wellness and the effects of illness and injury is A) assessment. B) collaboration. C) teaching and learning. D) advocacy.

A

A female client, from a male-dominated culture, is being discharged after a lengthy hospitalization. Which action by the nurse prior to providing discharge instructions is appropriate? A) Assess who the decision maker is in the family. B) Ensure that the healthcare provider gives the instructions. C) Make sure instructions are understood by the client. D) Ask the client when the best time for teaching would be.

A

Which situation indicates a conflict in morality? A) The nurse provides a terminally ill client a meal that includes foods that should be avoided but were requested. B) The nurse provides the mother of a dying neonate a cup of coffee in the intensive care unit. C) The nurse provides over-the-counter pain relievers to the daughter of a client because of a headache. D) The nurse purchases the daily newspaper for a client who does not have any money but will when his wife comes to visit.

A

An occupational health nurse for a large corporation is planning programs to address health problems identified in the Healthy People 2020 report. Which programs should the nurse include for the company employees at the worksite? Select all that apply. A) A blood disorder and blood safety education program B) A seminar about the components of wellness C) A cultural competence program related to LGBT health D) An informational program about genomics E) An education program about the importance of sleep health

A,B,C,E

An experienced nurse is delivering a presentation to a group of nursing students about the importance of collaboration in the healthcare environment. The nurse wants to use evidence from the literature to support her argument. Which of the following are documented benefits of collaboration that the nurse should discuss in her presentation? Select all that apply. A) Improved client outcomes B) Reduction in duplication of healthcare services C) Increased overall cost of healthcare services D) Decreased client morbidity and mortality E) Higher level of job satisfaction

A,B,D,E

WHO definition of health

a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity

A home health nurse is precepting a new nurse during a routine wound care visit. The new nurse is assessing the client's wound and notes that it is showing signs and symptoms of infection. The client's spouse asks the new nurse how the wound looks. The new nurse responds by stating, "It looks fine," but the new nurse's face indicates a different story. When evaluating the new nurse, the preceptor should note a need to work on which aspect of communication? A) Credibility B) Congruence C) Timing D) Clarity and brevity

B

A nurse educator is talking to a student about how to deal with an ethical dilemma in practice. Which does the nurse educator explain to the student as important regarding actions during an ethical dilemma? A) Examining all conflicts in the situation B) Investigating all aspects of the situation C) Relying on nursing judgment D) Making a decision based on the policy of the agency

B

A nurse is teaching a couples' class at a local community center about building positive relationships. Today's session is on learning skills to be open-minded and respectful to those with opposing opinions. Based on this data, on which component of wellness is the nurse focusing this session? A) Physical B) Social C) Environment D) Emotional

B

A nurse is volunteering time in a local free clinic that provides care to the underinsured population. By volunteering time to work in the clinic, this nurse is demonstrating which professional value? A) Human dignity B) Social justice C) Integrity D) Autonomy

B

Culture

Beliefs, customs, and traditions of a specific group of people.

A client comes to the clinic and is found to have a sexually transmitted infection (STI). The client states to the nurse, "Promise you won't tell anyone about my condition." According to the Health Insurance Portability and Accountability Act (HIPAA) of 1996, which action must the nurse take? A) Honor the client's wishes. B) Respect the client's privacy and confidentiality. C) Communicate only necessary information. D) Not disclose any information to anyone.

C

A young adolescent client is in the hospital preparing for major surgery for the removal of a tumor on the kidney. The client's mother tells the nurse that she doesn't want her child to receive narcotics for postoperative pain. What is the nurse's best response? A) "Okay, I'll tell the healthcare provider not to order any. Are you sure you want to do this?" B) "The pain will be severe. Why don't we ask your child about this?" C) "Your child's pain will be severe after the surgery. Can you tell me why you feel this way?" D) "You do not have a choice of medication. Decisions involving pain relief are up to the healthcare providers."

C

Physical activity and exercise improve the functioning of many body systems. Exercise improves what normal body function of the gastrointestinal system? A) Use of fatty acids B) Insulin responsiveness C) Peristalsis D) Metabolic rate

C

The nurse is assessing a 24-year-old woman who recently found out she is pregnant. Which factor would the nurse identify as the most likely source of a barrier to health promotion in this client? A) Age of the client B) Presence of the client's mother during the appointment C) Pregnancy occurred as a result of rape D) First pregnancy (primigravida)

C

A nurse is caring for a client with glossitis secondary to nutritional deficiencies. Based on this data, which is the priority focus of this client's care? A) Upper lip B) Upper teeth C) Uvula D) Tongue

D

A nurse is teaching a client about a dressing change that should be done three times per day. The client is from a culture that is "present oriented." Based on this data, at which times should the nurse tell the client to perform the dressing changes? A) At whatever times the client selects, as long as they are 8 hours apart B) At 9 a.m., 3 p.m., and 9 p.m. C) At whatever times the client selects, as long as the dressing is changed three times each day D) After breakfast, lunch, and dinner

D

ICE

Impact on ADLS Coping strategies Emotional response

LEARN

Listen to patients perception of problem Explain your perception of problem and treatment (Dr.) Acknowledge/discuss differences and similarities between perceptions Review ordered treatments while remembering patients culture Negotiate an agreement between 2 perceptions

OLDCART

Onset Location Duration Characteristics Aggravating factors Relieving factors Treatment

Core Organizers

Patient Centered Care Teamwork and Collaboration Evidence-based practice Quality Improvement Safety Informatics Professional Identity

Information exchange

Planned communication, but decision-making is unilateral

SBAR

Situation Background Assessment Recommendation

SHARE

Standardize critical content Hardwire within your system Allow opportunity to ask your questions Reinforce quality and measurement Educate and coach

cultural relativism

fosters awareness and appreciation of cultural differences, reject's assumption of superiority of one's own culture

Subculture

group within a culture whose beliefs distinct from dominant culture

Illness

highly personal state in which all functioning is diminished

Aggressive communicators

humiliates, dominates, controls, embarrasses focused on own needs, impatient when their needs not met

Goals of collaboration

improve patient outcomes, key component of nursing

Remission

improvement or absence of signs of disease

Benefits of collaboration

increase # of patient outcomes decrease # of safety issues less morbidity and mortality rates

Chronic Illness

lasts on an extended period

teritiary prevention

lessen the impact of ongoing illness/injury

Gender

many meds. only tested on WHITE MALES heart attack ex: male=chest pains women=fatigue/radiated pain

Coordination and consultation

midrange levels of collaboration with the goal of maximizing efficiency in the use of resources

Ethnic group

people with common heritage/common characteristics

Exacerbation

period in chronic illness when the symptoms of the disease reappear

cultural pluralism

perspective that appreciates another group for being different

Health

presence/absence of disease

SBAR purpose

provides a framework for safe, efficient communication, between members of healthcare team

present-oriented cultures

regard current experiences as most important, many don't want preventative health care measures

past oriented cultures

regard previous experiences and events as most important, value tradition

LGBTQ barriers

reluctance to disclose sexual identity insufficient # of providers competent in dealing with LGBTQ issues health insurance issues no social support unhealthy coping behaviors

Primary prevention

services focus on health promotion/illness prevention

Acute Illness

severe symptoms for a SHORT duration

LGBTQ Disparities

societal stigma, discrimination, denial of civil and human rights (TRANSGENDER AT GREATEST RISK)

Nightingale definition of health

state of well-being and using every power the individual posses at the fullest

Social Justice

the defense of human dignity by ensuring that essential human needs are met and that essential human rights are protected for all people

external locus of control

the perception that chance or outside forces beyond your personal control determine your fate, not in control of their own health

internal locus of control

the perception that you control your own fate more likely to be healthy

Collaboration

two or more people working towards a common goal

Co-management and referral

upper levels of collaboration; providers retain responsibility and accountability for their own aspects of care

Handoff communication

verbal/written exchange of information that includes nurse and everyone involved with patient care

Communication process

1. Sender 2. Message 3. Channel 4. Receiver 5. Response

A novice nurse is working in a busy emergency department of a hospital situated in a culturally diverse area of the city. Which should the nurse do when providing culturally competent care? A) Acquire the underlying background knowledge necessary that will provide these clients with the best possible healthcare. B) Treat everyone who comes to the emergency department seeking care as having the same needs. C) Assume that working in this emergency department will be the same as in other care contexts the nurse has encountered. D) Base the standard of care on the needs and attitudes of the dominant cultural group in the area.

A

A nurse is explaining the need to obtain laboratory tests on a client who has an infection and is of a cultural group different from the nurse's. During the interview, the client avoids eye contact and refrains from answering questions for long periods of time. Which does this behavior indicate to the nurse? A) In this client's culture, direct eye contact may show disrespect. B) The nurse should come back at a different time when the client is feeling more communicative. C) The nurse should have another nurse finish the interview who might be more culturally aware of this group's customs. D) Leave the room and come back after having learned more about this particular culture.

A

A nurse is providing care to a client who is scheduled for a colonoscopy. The client requires a bowel prep prior to the diagnostic test. Which approach should the nurse use to facilitate the client's understanding of the procedure? A) Use layman's terms to explain the procedure, then ask the client to describe the procedure in her own words B) Use medical terminology when explaining the procedure to the client to ensure maximum accuracy and clarity C) Focus on intonation when describing the procedure to the client D) Speak slowly and loudly when providing client teaching about the procedure

A

A nurse is working with a number of clients at a free clinic. Which client population is at the highest risk for low levels of healthcare? A) Undocumented immigrants B) Men who have protected sex with men C) Men who have sex with women D) Teenagers

A

Nurse leaders in a local hospital created a neurotrauma (NT) unit healthcare team focused on improving outcomes for stroke clients. This team includes acute care nurses, physicians, other care partners (e.g., physical therapists, social workers, case managers, dietitians), and representatives from the NT outpatient clinic. The team is led by a physician who makes treatment decisions based on the treatment plans developed by individual team members who each communicate with the clients, asking the same or similar questions to obtain data needed for the treatment plan. Which type of communication and action is represented in this scenario? A) Parallel communication B) Parallel functioning C) Information exchange D) Coordination and consultation E) Co-management and referral

A

The nurse is caring for a client who received analgesic medication via central line to treat pain associated with cancer. After reassessing the client's response, which section of the PIE record will the nurse use when documenting the client's care? A) Evaluation B) Progress notes C) Problem D) Intervention

A

The nurse is caring for a client who was admitted to the emergency department with abdominal pain. The client speaks very little English and requires an emergency appendectomy. The nurse has enlisted the hospital interpreter to explain the procedure and help with informed consent. When the interpreter arrives, which action by the nurse is appropriate? A) Ask the interpreter to translate as closely as possible. B) Ask the client's family to be included in the interpreting process and exchange of information. C) Direct questions to the interpreter and not the client. D) Request that the interpreter use the same dialect as the client to promote understanding.

A

A nurse is interviewing a client at a clinic near a shelter for the homeless. Understanding the lack of resources this client has available, which should the nurse assess during the intake phase of the health history? Select all that apply. A) Social support available B) Access to medication C) Access to nutritious meals D) Number of times married E) Any personal resources

A,B,C,E

The nurse is sitting in on a meeting for clients on a behavioral health unit. Which of the following characteristics of the group indicate that the group is functioning effectively? Select all that apply. A) The expertise of group members is being used. B) The group atmosphere is positive. C) Members feel satisfied with their participation. D) The group listens to the ideas of certain group members. E) The discussion focuses on all issues brought by group members.

A,B,C

A nurse identifies the seven components of wellness as a useful tool in assessing health. Which are some of the components of wellness? Select all that apply. A) Physical B) Environmental C) Emotional D) Financial E) Spiritual

A,B,C,E

The nurse is caring for a 34-year-old client who is about to be discharged from the hospital. The client asks the nurse for suggestions on how to improve the quality of sleep in order to wake feeling refreshed in the morning. After reviewing the client's medical history, which suggestions by the nurse are appropriate? Select all that apply. A) Limiting the use of alcohol to early in the evening B) Having a cup of tea before bed in order to enhance relaxation C) Adjusting the room temperature to a comfortable level for sleep D) Changing the time of aerobic exercise to 1 hour prior to sleep E) Limiting cigarette smoking before bedtime

A,C,E

A community health nurse is educating a group of clients on the difference between illness and disease. Which statements are appropriate for the nurse to include in the educational session? Select all that apply. A) "An individual can have a disease and not feel ill." B) "Illness is synonymous with disease." C) "Illness is an alteration in body function, where disease is highly subjective." D) "An individual can feel ill without disease." E) "Illness and disease are never related to one another."

A,D

While teaching a class on health status, the nurse educator reviews internal variables that affect health status. Which internal variables are appropriate for the nurse to include in the class? Select all that apply. A) Gender B) Diet C) Exercise regimen D) Developmental level E) Age

A,D,E

A nurse is preparing a workshop on the topics that are new to Healthy People 2020. Which of the topic areas should the nurse plan to address? Select all that apply. A) Adolescent Health B) Genomics C) Lesbian, Gay, Bisexual, and Transgender Health D) Mental Health and Mental Disorders E) Healthcare-Associated Infections

A.B.C.E

ADPIE

Assessment Diagnosis Planning Implementation Evaluation

A client, learning that her baby has died in utero, is planning to carry the baby until natural delivery because abortion is against her religion. Which is the client demonstrating based on this data? A) Fear of retribution B) Morals C) A healthy decision D) Sound judgment

B

A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health professionals are involved in the client's care, and the scene is chaotic. The client's parents are extremely anxious and want to know what is happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting? A) To allow for each specialty to practice independently B) To share and evaluate information for care planning and implementation, and to prevent priority conflicts, redundancy, and omissions in care C) To allow the primary healthcare provider to make all decisions regarding the client's care D) To prevent the client's parents from trying to change the plan of care

B

After conducting a physical assessment for an adult client, the nurse discusses the assessment with a coworker and states that the client's beliefs and actions regarding common health practices are unfamiliar to her. Based on this data, which action by the nurse is the most appropriate? A) Repeat the assessment later in the day. B) Determine the culture with which the client identifies. C) Write a nursing diagnosis to address the unfamiliar beliefs and actions. D) Communicate the findings to the healthcare team.

B

For many clients, health promotion requires nursing assessment of and implementation of changes in A) culture. B) lifestyle. C) spiritual beliefs. D) socioeconomic status.

B

The nurse caring for an adult client from another country notices that the client consults with her mother on all healthcare decisions. What action by the nurse is the most culturally competent? A) Ask the client why the parent is being consulted for every decision. B) Accept the behavior of the client and family member. C) Ask the client's mother to leave the room to provide the client with more privacy. D) Confront the client's mother to state the importance of the client making her own decisions.

B

The nurse is admitting a client to an inpatient psychiatric unit. The client is speaking wildly and is obviously very agitated. Which action by the nurse would be appropriate to calm the client? A) Placing the client in a private room, away from others B) Speaking to the client in a soft, calm tone C) Administering a prn medication to sedate the client D) Using short sentences when talking to the client

B

The nurse is caring for a client in the intensive care unit (ICU) who was in a motor vehicle crash. The healthcare provider asks the nurse to extubate the client because there is no communication between the brain and body due to a cervical fracture. The family agrees with the decision of the healthcare provider, but the nurse is uncomfortable pulling the tube. Which is the reason the nurse is experiencing difficulty with this task? A) An ethical conflict B) Personal values C) Legal issues D) Cultural values

B

The nurse is providing care to an older adult client who was recently diagnosed with early osteoporosis. Which intervention is most appropriate for the nurse to implement with this client? A) Providing the client with assisted range of motion exercising twice daily B) Instituting an exercise plan that includes weight-bearing activities C) Protecting the client's bones with strict bedrest D) Increasing the amount of calcium in the client's diet

B

The nurse is providing teaching related to health promotion for a group of older adults. Several individuals describe their current health status. Which client is most in need of additional information related to health promotion? A) A client who states that her daughter takes her to all of her medical appointments B) A client who states she was recently diagnosed with Parkinson disease C) A client who states that she walks five times a week at the community center to help prevent osteoporosis D) A client who states that her husband has been suffering from hypertension for the past 12 years

B

The portion of the tooth that wears away, allowing dental decay, is the A) pulp cavity. B) enamel. C) gingiva. D) root.

B

What are the four steps of the SBAR communication technique? A) Scenario, Basics, Analysis, and Reaction B) Situation, Background, Assessment, and Recommendation C) Scenario, Background, Analysis, and Recommendation D) Situation, Basics, Assessment, and Reaction

B

Which of the following is a primary barrier to effective nurse-physician collaboration that has persisted over time? A) The view among the general population that nurses' contributions to client care are less important to health and well-being than physicians' contributions B) Nurses' and physicians' perceptions of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings C) A general lack of education among health professionals about the ways in which nurse—physician collaboration improves healthcare quality D) A lack of published evidence regarding the effectiveness of collaborative efforts among and between nurses and physicians E) A lack of support at the federal level for efforts to improve healthcare among the general population through increased nurse-physician-client collaboration

B

Which statement accurately describes the purpose of the American Nurse's Association's Code of Ethics for Nurses? A) It serves as a statement of nurses' personal values and standards. B) It serves as the profession's nonnegotiable ethical standard. C) It serves as an announcement of nurses' commitment to the profession. D) It serves as a standard protocol for performing nursing procedures.

B

Which nursing intervention exemplifies the nurse working in a health promotion role? Select all that apply. A) Administering a prescribed antibiotic B) Reinforcing desirable changes to the client's lifestyle C) Administering vaccines to a well child D) Administering an inhaler to a client with asthma E) Obtaining a blood glucose sample on a client with hypoglycemia

B,C

A nurse is providing wellness teaching to a client who is interested in beginning an exercise program to reduce certain health risks. The nurse determines that the client understands the teaching when the client selects which health risks that can be reduced by regular exercise? Select all that apply. A) Liver disease B) Type 2 diabetes C) Cardiovascular disease D) Falling E) Renal disease

B,C,D

What are some of the rights clients have when receiving care within a healthcare system? Select all that apply. A) Clients have the right to be given information only in English. B) Clients have the right to refuse care. C) Clients have the right to know when something goes wrong with their care. D) Clients have the right to care that is free from discrimination. E) Clients have the right to know the titles, but not necessarily the names, of their caregivers.

B,C,D

A nurse working in an assisted living facility is preparing an educational program regarding ageism for the colleagues on the unit. Which statements reflect ageism? Select all that apply. A) "If the client is competent to make decisions, I should not go to other members of the family for care decisions." B) "The elderly are just lazy, and that is why they need help with activities of daily living." C) "All elderly people are sickly." D) "Addressing an elderly client as 'Honey' or 'Sweetie' is disrespectful." E) "The elderly are less likely to recover from illness."

B,C,E

A nurse is providing care for a client who has vocal cord damage and wants to implement strategies that will promote communication with this client. Which interventions would be appropriate? Select all that apply. A) Facing the client when speaking B) Having pen and paper on hand for the client C) Making sure that the language spoken is the client's dominant language D) Using a picture board to facilitate communication E) Employing an interpreter

B,D

The nurse is caring for a client who has chosen to discontinue hemodialysis. The client's family, however, is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement regarding the current situation? A) "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die." B) "I need to try to help the family understand the client's decision so they can work through this situation together." C) "This client is of sound mind and is capable of making independent decisions regarding healthcare. It really is the client's decision to make." D) "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death."

C

The nurse is caring for a client who just had abdominal surgery. The client's nonverbal cues indicate pain, but the client denies the need for the pain medication prescribed by the healthcare provider. The nurse recognizes that this client is from a culture that feels it is inappropriate to complain about pain. Which action by the nurse is appropriate? A) Seek out a family member to convince the client to take the medication. B) Consult with the healthcare provider about providing pain medication without the client's knowledge. C) Offer the pain medication to the client again, stating that providing comfort is the nurse's most important responsibility. D) Allow the client to suffer in silence.

C

The nurse is caring for an older adult client in a long-term care facility. Which behavior by the nurse conveys physical attending when communicating with this client? A) Facilitating and taking action when needed B) Maintaining a proper social distance when speaking with the client C) Leaning toward the client during conversation D) Being concrete about actions that need to be taken during client care

C

The nurse is discussing follow-up care with a client who is being discharged. The client and his family cross their arms and state angrily that the care team's suggestions are not acceptable. Which response by the nurse is appropriate? A) "We will leave you alone to discuss your options." B) "We only want what's best for you." C) "Let's discuss other options that might work well for you and your family." D) "Perhaps you did not understand the recommendations."

C

The nurse is preparing for the discharge of a client who will require physical therapy (PT) for rehabilitation following a total knee replacement. After reading the healthcare provider's order for PT, what should the nurse do next? A) Set up outpatient appointments for the client with the hospital's PT department B) Call home health and schedule a therapist to visit the client's home for PT C) Inform the client about the settings in which PT may occur and have the client choose the venue D) Teach the client's family the exercises that will be included in the client's PT regimen

C

The nurse is providing care for a client who is about to be discharged. The nurse is discussing the discharge orders with the client's primary healthcare provider. Which statement by the nurse is an appropriate example of using assertive communication? A) "Can we talk about this client prior to discharge?" B) "That new medication you prescribed for the client is ineffective." C) "I am worried about the client's blood pressure. It remains high even with the new medication." D) "Excuse me, Doctor, I think you need to do something about the client's blood pressure."

C

The nurse managers in a community hospital have been charged with reviewing the job descriptions of unlicensed assistive personnel (UAP), and they have questions about the delegation of certain client care activities to UAP by nurses. To which group, organization, or individual would the committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAP? A) The hospital's Chief Nursing Officer B) The hospital's Chief Executive Officer C) The state board of nursing D) The American Nurses Association

C

The nurse notices that a client, who is from another country, appears uncomfortable when the nurse asks to look at the client's abdominal incision from a recent surgery. Which nursing action is the most culturally competent? A) Close the client's curtain to maintain privacy. B) Ask the client to explain why she is uncomfortable. C) Explain the reason for the intervention using lay terms. D) Wait until the next assessment time to observe the incision.

C

Use of flow sheets would be most appropriate during which phase of the nursing process? A) Evaluation B) Diagnosis C) Implementation D) Planning

C

When talking to a client about sleep patterns, one of the most important interventions the nurse can suggest for clients who are having difficulty sleeping is to A) eat a small snack before bedtime. B) take an over-the-counter sleep aid such as melatonin. C) set a routine time to go to bed and a routine time to get out of bed. D) do a calming activity in bed before trying to sleep, such as reading a book.

C

A home healthcare nurse is planning care for an older adult client. Which interdisciplinary program would best support the needs of an older adult client within the community? Select all that apply. A) Assertive community treatment (ACT) B) YMCA C) Programs of All-Inclusive Care for the Elderly (PACE) D) Outpatient clinic E) Meals on Wheels

C,D

Non-verbal communication

Communicating without the use of words what is actually going on

A nursing instructor is discussing moral principles with a group of students. Which comment made by a student nurse indicates the need for further instruction? A) "A client choosing not to have a needed blood transfusion is an example of autonomy." B) "An example of veracity would be if a client asks her nurse if she is going to die and the nurse feels obligated to explain to the client that she is dying." C) "If a client asks the nurse to please come right back, and the nurse tells the client he will be back in just a couple of minutes, then that would be an example of fidelity." D) "A home health nurse carefully planning his or her day to assure each client gets an adequate amount of time is an example of beneficence."

D

During a sexual history, the client states, "I have always felt like a man trapped in a woman's body." The nurse should recognize that the client may identify as what? A) Bisexual B) Heterosexual C) Homosexual D) Transgender

D

Handoff communication, or the transfer of data during transitions in care, includes an opportunity to ask questions, clarify, and confirm the information being passed between sender and receiver. What is the main objective for ensuring effective communication during a client handoff? A) To avoid lawsuits B) To make sure all documentation is complete C) To facilitate quality improvement D) To ensure client safety

D

The novice nurse working in an inner-city hospital that serves a diverse client population states, "I want to learn everything possible about all of the clients." Which response by the seasoned nurse is appropriate? A) "I will give you a great book that describes all of the critical factors." B) "You should always be nonjudgmental." C) "This will come with time as you get to know clients and then encounter problems." D) "You need to first understand who you are."

D

The nurse administers morphine to a client after surgery to help manage pain even though morphine has a risk of creating dependence and addiction. What ethical principle does the nurse apply in this situation when planning care? A) Veracity B) Justice C) Autonomy D) Beneficence

D

The nurse conducts teaching for a client recently diagnosed with type 2 diabetes mellitus. At the conclusion of the session, which client statement indicates that teaching has been effective? A) "I will take medication for a week for this acute illness." B) "I will have to take insulin for this disease every day for the rest of my life." C) "This chronic disease will become worse and lead to death." D) "I will have to make dietary changes to manage this chronic disease."

D

The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do? A) Teach the client about nutrition and joint exercises. B) Ask the client about the reasons for this goal. C) Tell the client that activity limitations are inevitable with rheumatoid arthritis. D) Provide referrals to other professionals who can help the client meet this goal.

D

The nurse is evaluating the following goal: Client will select low-fat foods from a list by the end of the month. The client, who has different beliefs about food, has not been able to achieve this goal. Which action by the nurse is appropriate? A) Extend the time frame and give the client a longer period to achieve the goal. B) Select a different goal. C) Make sure that the client understands the importance of the goal. D) Modify the plan of care to be consistent with the client's beliefs regarding food.

D

Which of the following statements is true with regard to human sexuality? A) The term "intersex" is used to describe individuals whose gender identity and/or gender expression differs from the gender they were assigned at birth. B) Members of the medical and psychological professions believe that all transgender individuals are affected by gender dysphoria. C) Today, the terms "transgender" and "transsexual" are typically used interchangeably. D) Transgender individuals are at increased risk for violence, discrimination, poverty, and limited access to healthcare.

D

Components of well-being

Environment Occupational Intellectual Spiritual Physical Emotional Social

cultural competence

ability to apply the knowledge and skills needed to provide high-quality, evidence-based care to clients of diverse backgrounds

Disease

alteration in body function that reduces/shortens life span

Wellness

an overall state of well-being or total health

Communication

any means of exchanging info., feelings between individuals

Diversity

array of differences among people

SHARE goal

assist health care organization with process of passing necessary and critical info. about patients from one caregiver to the next

Passive communicators

believe their own feelings aren't important focuses on needs of others, deny themselves any sort of power

Parallel functioning

communication may be more coordinated, but each professional has separate interventions and a separate plan of care

Assertive communicators

declare and affirm their opinions respect the rights of others stand up for themselves most productive communication with others "I" statements

Secondary prevention

diagnosis and treatment

Parallel Communication

each professional communicates with the client independently and asks the same or similar questions