HESI FUNDAMENTALS ISSUES IN NURSING

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Which scenario mentioned by the nurse is an example of continuing care

Caring for a client with Parkinson's disease who requires day care wervice

Which role does the nurse play when helping clients identify and clarify health problems and choose appropriate courses of action to solve those problems?

Counselor

The nurse recognizes that the root cause analysis tool will be useful in which case

Death due to nosocomial infection

Which phrase describes the purpose of a health care proxy or durable power of attorney for health care

Designates a person or persons to make health care decisions on behalf of the client

Which nursing behavior is an intentional tort

Divulging private info about a clients health status to the media

Which example illustrates health promotion activities

Good nutrition regular exercise

Which statement is accurate regarding a high reliability organization

Has a low incidence of adverse events

The nurse concludes that a client with a body temp of 98.6 is experiencing which condition

Normothermia

Which nursing action establishes the nurse as a caregiver for a client in spiritual distress

Provides therapeutic treatment to the client

Which communication technique is a part of therapeutic communication

Providing relevant info to the client

The waiting area of a health care facility displays a pink triangle. Which view does this signify

The health care facility welcomes LGBTQ+ clients

Which scenario is an example of restorative care

Visiting a private residence to perform maggot aided debridement therapy of a clients wound

Which ethical principles govern the nurses behavior when making difficult decisions about a clients care at the point of care

Clinical ethics

Which component is a subset of clinical health care informatics?

Nursing informatics

Which explanation does the nurse use to describe the term "regulatory law" as applied to nursing practice

Reflects the decisions made by admin bodies such as state boards of nursing

Which action is the professional nurses legal responsibility regarding child abuse

Report any suspected abuse to local law enforcement authorities

Which act allows the client to donate organs?

Uniform anatomical gift act

Which nursing action illustrates the QSEN competency called informatics

Use information and tech to communicate, manage knowledge, mitigate error, and support decision-making

Which act protects a person who is HIV positive

Americans with disabilities act

Which action would the nurse take to comply with the ethic of nonmaleficence in the health care setting

Focus on doing no harm

Which objective would the nurse understand about the secondary level of prevention

Focused on individuals who are in the early stage of their illnesssess

Which antipyretic medication may cause Reye syndrome in children

Aspirin

Which member of the inter professional team is appropriate for the nurse to ask for support in informing and consoling the family of a terminally ill client who has died

Social worker

Which statement indicates that the nurse is in the advanced beginner stage of Benner

Identifies the basic principles of nursing care through careful observation

Which external barriers can prevent a nursing professional from making morally correct actions?

Inadequate staffing lack of assertiveness poor relationships with colleagues

To meet criteria of ethical practice, which action would the nurse who witnessed the spouse of a client fall take?

Initiate an agency incident report

Which objective describe the purpose of public health laws

Advocating for the rights of people regulating health care and health care financing ensuring professional accountability for the care provided

Why would organizations promote transparency in health care

Allows continuous feedback for improving client outcomes

When would a medical examiner decide whether a postmortem exam needs to be conducted

Death within 24 hours of admission to the hospital

The nurse asks a UAP to provide an ice pack to a client. Which nursing function does this represent.

Delegation

WHICH TYPE OF HEALTH INFO TECH WOULD THE NURSE ACCESS TO OBTAIN HEALTH DATA FOR RESEARCH PURPOSES FOR ALL INDIVIDUALS AT A MULTISPECIALTY HOSPITAL

EHR

Who is the appropriate authority to provide consent for an unemancipated pediatric client about to undergo a medical procedure

Either of the child's parents

Which strategy is an example of a passive health promotion

Fluoridation of municipal drinking water

Which phrase describes the meaning of the term in-service education

Helps the nurse achieve an organizations required competencies

Which statement made by the nurse requires correction when discussing RN licensure in the US with peers

Passing the nclex exam indicates maximal knowledge base for safe nursing practice

Which terminology system would the nurse use to enter nursing diagnoses, interventions, and outcomes in EHR

Perioperative nursing data set

Identify factors associated with an increased incidence of abuse within a family

Pregnancy drug abuse sexual orientation

Which purpose describes the failure mode effective analysis?

Prevent medical errors in the hospital

Which info is accurate regarding exemplary professional practice according to the revised magnet model

Strong professional practice is established and accomplishments of the practice are demonstrated

According to Avedis Donabedian, which finding is the most important validation of quality and effectiveness of health care in a hospital

The client outcomes achieved by the care provided

Which represents a significant shift in US health policy in recent years

There is a focus on better managing clients with multiple chronic conditions

Which point listed by the nursing student is accurate regarding the loss of a clients medication records

There is an assumption that the care provided to the client was negligent

Which legal defense is important for the nurse to develop

Accountability

Which explanation describes a living will

A written document that directs treatment according to the clients wishes, in case of a terminal illness or condition

Which point requires correction regarding the use of restraints

A written order for restraints is not required

Which teaching point is appropriate for the nurse to include in the education of the ethical principal of nonmaleficence to a group of nursing students?

Act in ways to prevent harm to clients

Which is the most independently functioning nurse

Advanced practice registered nurse

Which tort involves intentional touching without the clients consent?

Battery

Which example represents a type of private indemnity health insurance

Blue cross blue shield association

Which principal describes the rationale for not discussing a clients condition with another individual not directly involved in clients care

Breach of confidentiality

Which organization assists in establishing policies related to Medicare and Medicaid payment for meaningful use of electronic health records?

Center for Medicare and Medicaid services

Which statement demonstrates understanding of a computer based client information system

Client info is immediately available when this system is used

The nurse is caring for a child whose parents refuse a life saving surgery for the child, stating that surgeries are against their belief system. Which step would the nurse take first to resolve this ethical dilemma

Obtain info from the child the parents health care workers and other sources

A client decides to have hospice care rather than an extensive surgical procedure. Which ethical principle does the clients behavior illustrate

Autonomy

Which basic health care ethic does the nurse follow when signing the clients consent form as a witness

Autonomy

Which statement best describes the mission of a community hospital?

To provide general medical and surgical services

Which acts are classified as intentional torts in nursing practice

Battery assault false imprisonment

How would the student nurse describe a quasi-intentional tort occurring during the practice of nursing

An act that lacks intent but involves volitional action

Which scenario is a perfect example of primary prevention

An infant receives the rotavirus vaccine in the hospital setting

Which statement accurately describes primary prevention

Applied to clients who are physically and emotionally healthy

In which instances can an adult give consent for a minors medical treatment?

As the guardian for a ward as the parent of an unemancipated minor as an adult for the treatment of their minor brother or sister

The nurse needs to obtain consent for the. Medical treatment of a child whose parent is a mini or. Which appropriate step would the nurse take to obtain consent

As the minor to give consent

Which examples mentioned by the nursing student regarding quai-intentional torts need correction

Assault battery malpractice

Which way can the nurse prevent being named in a lawsuit

Attend professional development programs

Which action is appropriate for the registered nurse regarding assisted suicide?

Nurses participation in assisted suicide violates the code of ethics

According to quality and safety education for nurses, which phrase defines patient-centered care?

Understanding that the client is the source of control when providing care

Which information is appropriate to include in education about sentinel events

Undesirable and largely avoidable

Which QSEN competency does integrating correct research with clinical experience and client preference comply with

Evidence based practice

Which components are elects of discovery in a lawsuit

Experts medical records deposition of witnesses

Which example describes an intentional tort

False imprisonment

Which initial action would be the nurse manager take upon hearing two nurses discussing a client who has AIDS in a hall filled with visitors

Have a conference with the nurses and talk about the need for confidentiality

Which statement accurately describes a health care policy as it relates to health care economics

It provides overarching goals and helps in setting priorities and values for the distribution of health resources

Which legal principle is applied when the nurse fails to act in a reasonable prudent manner

Malpractice

Which possible legal complication might the nurse face in a situation in which IV therapy was admired to the wrong client

Malpractice

Who has the authority to decide if a postmortem will be conducted if a client dies 2 hours after being admitted to the hospital

Medical examiner

Which dietary need would the nurse and the nutritionist consider when planning meals for a client who practices the Russian orthodox faith

No meat on Wednesday and fridays

Which nurse participates in the development of nursing policies and procedures

Nurse educator

Who would the nurse use as an interpreter to explain a consent form for a foreign-language speaking client who needs to undergo chemotherapy

Official interpreter

Which scenario mentioned by the registered nurse is considered secondary acute care

Prepares a client who has suffered from repeated cerebral attacks for a CT scan

Under which health care services pyramid level would the nursing student include family planning

Primary care

How are profits used in a for profit health care organization

Profits are paid out to shareholders

Which explanation regarding the term "just culture" is accurate?

Promoting open discussion whenever error occurs without fear of recrimination

Which nursing action is legally required

Reporting incidents of suspected child abuse to the appropriate authorities

Under which type of health care services would the student nurse include sports medicine?

Restorative

Which purpose does block and parish nursing serve in preventative and primary care services

Services are provided to older clients or those who are unable to leave their homes

Which action by the student nurse may inhibit clients from disclosing personal information?

Sharing clients data with family members

Which signs and symptoms are observed in the human body with a decrease in body temperature?

Shivering and Contraction of Blood Vessels

Which situation accurately describes hospice care?

System of family centered care that allows clients to remain at home in comfort while easing the pains of terminal illness

Which description does beneficence in health ethics refer to?

Taking positive actions to help others

Which person receives the highest priority for giving consent to perform an autopsy in cases where a medical examiner review is not needed

The client in writing before death

Which action would the nurse take to minimize ambiguity and confusion when entering a clients data in the Electronic health record?

Use consistent, codified terminology

Which explanation is the rationale for performing sponge, needle, and instrument counts in the operating room

The nurse is responsible for performing sponge and instrument counts as a part of routine surgical standards

The registered nurse is educating nursing student about the process of resolving an ethical dilemma. Which info would the nurse provide regarding negotiation of outcomes

The nurse would provide a personal point of view

Which point listed about the UNOS program is accurate

The org has a contract with the federal government

Which definition of assault would the nurse include in teaching a group of parents about child abuse

Threat to do bodily harm to another person


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