Issues in Nursing
What role is the nurse expected to have in a community-based nursing practice if there is a sudden spread of malaria? Educator Collaborator Epidemiologist Client advocate
Epidemiologist
Which ethical principle is violated when the nurse forgets to give a painkiller to a patient as promised? Justice Fidelity Veracity Nonmaleficence
Fidelity
A nurse working in a Catholic hospital discourages patients from using contraceptives per hospital policy. Which category of ethics is the nurse following? Societal ethics Research ethics Professional ethics Organizational ethics
Organizational ethics
When might a nurse be charged with client abandonment? If a nurse refuses to accept an assignment If a nurse walks out when staffing is inadequate If a client suffers an injury due to the nurse's inattention If a nurse makes a written protest to the nursing administrators
If a nurse walks out when staffing is inadequate
What information should the nurse provide when explaining the benefits of illness prevention activities to a client? "These activities aim to teach people how to care for their own health." "These activities enable people to maintain or enhance their health levels." "These activities help protect clients from actual or potential health threats." "These activities encourage people to reach an optimal state of physical, mental, and social well-being."
"These activities help protect clients from actual or potential health threats."
Which statements are appropriate for a nursing instructor to include when teaching a group of students about high-quality health care? High-quality health care is expensive. High-quality health care is competent. High-quality health care meets the patient's needs. High-quality health care meets an established care standard. High-quality health care involves the minimal use of hospital resources.
High-quality health care is competent. High-quality health care meets the patient's needs. High-quality health care meets an established care standard.
Why should organizations promote transparency in health care? Transparency helps in creating effective insurance policies. Transparency helps determine whether drugs are being diverted. Transparency facilitates recruitment of competent team members. Transparency allows continuous feedback for improving patient outcomes.
Nursing Outcomes Classification Nursing Interventions Classification
The nurse should understand the effects of internal and external variables to plan and deliver individualized care. Which variable is an example of an external variable? Spiritual factors Developmental issues Socioeconomic factors Perception of functioning
Socioeconomic factors
A registered nurse is explaining Benner's five levels of proficiency that a nurse needs to go through to acquire and develop generalist or specialized nursing skills. Which statement should the registered nurse include in the teaching plan regarding the proficient stage? "He or she should be in the same clinical position for 2 to 3 years." "He or she should have had some level of experience with the situation." "He or she should be able to zero in on the problem and focus on managing care." "He or she should have more than 2 to 3 years of experience in the same clinical position."
"He or she should have more than 2 to 3 years of experience in the same clinical position."
A nurse who is working on a medical-surgical unit receives a phone call requesting information about a client who has undergone surgery. What is the best response by the nurse? "That client is not on our unit. Thank you for calling." "The new privacy laws prevent me from providing any client information over the phone." "The client has requested that no information be given out. You'll need to call the client directly." "It is against the hospital's policy to provide you with any information."
"It is against the hospital's policy to provide you with any information.
A student nurse requests the registered nurse explain the characteristics of the primary nursing care delivery model. What explanation should the registered nurse provide? "There is lateral communication from nurse to nurse and caregiver to caregiver." "Team members provide direct client care under the supervision of the registered nurse (RN). "The team leader develops client care plans, coordinates care among team members, and provides care requiring complex nursing skills." "There is hierarchical communication from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members."
"There is lateral communication from nurse to nurse and caregiver to caregiver."
A nursing student is listing the five stages of proficiency that a nurse needs to pass through according to Benner et al (2010). Which statements indicate that a nurse is in the expert stage? "The nurse can focus on managing care rather than paying attention to managing and performing skills." "The nurse can assess an entire situation and can gladly transfer knowledge gained from previous experiences to a situation." "The nurse can be a talented practitioner who has the capability of anticipating nursing care and establishing long-term goals." "The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse."
"The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse."
A client with cancer is undergoing treatment in a hospital. The nurse finds the orders from the primary healthcare provider inappropriate. Clarification from the healthcare provider does not resolve the nurse's doubts. Who should the nurse contact and inform next? Risk manager Nursing student Supervising nurse Nurse administrator
Supervising nurse
A client with terminal pancreatic cancer says, "I am suffering so much because there are evil spirits in my body." Which religion might the nurse expect the client to practice? Islam Judaism Buddhism Christianity
Buddhism
A nurse is discussing various scenarios involving healthcare settings and services with other team members. Which scenario mentioned by the nurse is an example of continuing care? Caring for a client with Parkinson's disease who requires day care service Explaining to the family member the risks and benefits of screening for cancer Teaching a couple about the proper use of contraceptives and promotion of sexual health Teaching a teenager about the importance of eating nutritious foods to prevent health issues
Caring for a client with Parkinson's disease who requires day care service
Which action by a home care nurse would be considered an act of euthanasia? Implementing a "do not resuscitate" order in the home health setting. Abiding by the decision of a living will signed by the client's family. Encouraging a client to consult an attorney to document and assign a power of attorney. Knowing that a dying client is overmedicating and not acting on this information.
Knowing that a dying client is overmedicating and not acting on this information.
What is the role of cognitive science in health informatics? To use computer application for creating, describing, and transforming health information To understand how culture and social changes in an organization affect information technology To provide a structure for analysis of complex human performance in technology-based settings To use statistics and mathematical applications for storing and retrieving health care information
To provide a structure for analysis of complex human performance in technology-based settings
A nursing student is listing the points that need to be remembered regarding the United Network for Organ Sharing (UNOS) program. Which point listed by the nursing student is accurate? "The United Network for Organ Sharing (UNOS) has a contract with the federal government." "The United Network for Organ Sharing (UNOS) protects the donor's estate from liability for injury or damage." "The United Network for Organ Sharing (UNOS) gives priority to international clients who need organs on an urgent basis." "The United Network for Organ Sharing (UNOS) provides civil and criminal immunity to the hospital and the primary healthcare provider."
"The United Network for Organ Sharing (UNOS) has a contract with the federal government."
What professional responsibility does the nurse display as a client's advocate? The nurse protects the client's human and legal rights and provides assistance in asserting said rights. The nurse actively collaborates with other healthcare professionals to follow the best treatment plan for a client. The nurse explains concepts and facts about health, describes the reason for routine care activities, and demonstrates procedures. The nurse establishes an environment for collaborative client-centered care to provide safe, quality care with positive client outcomes.
The nurse protects the client's human and legal rights and provides assistance in asserting said rights.
What points should the nurse remember when caring for a client who has a history of suicide attempts? The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The client may be detained for 21 days if a judge grants an involuntary detention. The primary health care facility will be responsible for failing to provide adequate supervision. The nurse should file paperwork with the court within 96 hours of the client's admission to the facility.
The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The primary health care facility will be responsible for failing to provide adequate supervision.
A nurse is recalling the various levels of preventive care to promote health, wellness, and to prevent illness. Which scenario is a perfect example of primary prevention? An infant receives rotavirus vaccination in the hospital setting. An adult in the early stages of Parkinson's disease is advised to perform adequate exercise. An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. An older adult with Parkinson's disease is administered carbidopa-levodopa to slow the progression of the disease.
An infant receives rotavirus vaccination in the hospital setting.
A registered nurse is educating a nursing student on the various classifications of torts. What acts are classified as intentional torts in nursing practice? Battery Assault Negligence Malpractice False Imprisonment
Battery Assault False Imprisonment Intentional torts include battery, assault, and false imprisonment. Unintentional torts include negligence and malpractice.
A registered nurse is explaining the importance of capitation to a nursing student. What information should the nurse provide? Capitation is used to review the quality, quantity, and cost of hospital care. Capitation influences the way healthcare providers deliver care in all types of settings. Capitation means that primary healthcare providers are paid a fixed amount per client of a health care plan. Capitation identifies and eliminates the overuse of diagnostic and treatment services ordered by primary healthcare providers for Medicare. Capitation aims to build a payment plan for select diagnoses or surgical procedures that consists of the best standards of care at the lowest cost.
Capitation influences the way healthcare providers deliver care in all types of settings. Capitation means that primary healthcare providers are paid a fixed amount per client of a health care plan. Capitation aims to build a payment plan for select diagnoses or surgical procedures that consists of the best standards of care at the lowest cost.
The nurse needs to collect health care data for all employees at a multi-specialty hospital for research purposes. Which type of health information technology would the nurse access to obtain the needed information? Electronic health record (EHR) Electronic medical record (EMR) Clinical information systems (CIS) Regional Health Information Organization health record (RHIO)
Electronic health records are the official health records of an individual, which can be exchanged between facilities and health care agencies. Electronic medical records are primarily prepared and maintained within a healthcare provider's facility; they are not shared between facilities. Clinical information systems consist of the information technology that provides the best tools for achieving quality outcomes for clients. The RHIO health record is an individual health record which can be exchanged among providers across geographic areas
A nursing student is recalling the definition of Nurse Practice Acts. What do the Nurse Practice Acts do? Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. Nurse Practice Acts reflect the knowledge and skills possessed by nurses practicing in their profession. Nurse Practice Acts are legal requirements that describe the minimum acceptable nursing care. Nurse Practice Acts protect individuals from losing their health insurance when changing jobs by providing portability.
Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state.
Which terminology system should the nurse use to enter nursing diagnoses, interventions, and outcomes in electronic health records? Omaha system Perioperative Nursing Data Set (PNDS) Nursing Interventions Classification (NIC) North American Nursing Diagnosis Association (NANDA) International
Perioperative Nursing Data Set (PNDS) The nurse should use clear a coding scheme while recording data in electronic health records because it helps to prevent confusion and ambiguity. The PNDS provides codes for nursing diagnoses, interventions, and outcomes of treatment. The Omaha system provides codes for problem classification, intervention, and a problem rating scale for outcomes. NIC provides codes only for interventions. NANDA International provides codes only for nursing diagnoses.
A patient with a right-sided brain tumor had a surgery performed on the left side of the brain. The patient is presently in a coma. Which actions should the hospital take according to the Leapfrog Group's policy? Refer the patient to another hospital. Report the event to The Joint Commission. Perform a failure mode effective analysis (FMEA). Apologize to the family and caregivers of the patient. Agree to pay all costs related to the condition of the patient.
Report the event to The Joint Commission. Apologize to the family and caregivers of the patient. Agree to pay all costs related to the condition of the patient.
A student nurse is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the student nurse include sports medicine? Primary care Tertiary care Preventive care Restorative care
Restorative care
A student nurse is listing different scenarios that comply with basic healthcare ethics. Which scenarios mentioned by the student nurse relate to the healthcare ethic of fidelity? "A nurse monitors a client after providing nonpharmacological measures to relieve anxiety due to hospitalization." "A nurse notes that the pain relief measures provided to that client have been ineffective. The nurse formulates a different plan of care." "A nurse ensures that the client understands the risks and benefits of an experimental treatment before signing the appropriate consent form." "A nurse carefully evaluates the advantages and disadvantages of the client's plan of care to ensure that the risks do not outweigh the benefits." "A nurse is caring for a client who refuses to be touched by people of certain skin color. The nurse continues providing care since other colleagues refuse to attend to the client."
"A nurse monitors a client after providing nonpharmacological measures to relieve anxiety due to hospitalization." "A nurse notes that the pain relief measures provided to that client have been ineffective. The nurse formulates a different plan of care." "A nurse is caring for a client who refuses to be touched by people of certain skin color. The nurse continues providing care since other colleagues refuse to attend to the client."
Which patients are ideal candidates for interpreter service in order to prevent contributing health disparities? <p>Which patients are ideal candidates for interpreter service in order to prevent contributing health disparities? </p> An English-speaking patient with a speech disorder An African American patient with a hearing impairment A non-English-speaking patient in the emergency department A Spanish-speaking patient ready to be discharged from the facility An Indian American who does not speak the language used at the facility
A non-English-speaking patient in the emergency department A Spanish-speaking patient ready to be discharged from the facility An Indian American who does not speak the language used at the facility
A client says, "None of the medications will work on me because I am away from my holy land." What course of action should the nurse take to comply with teamwork and collaboration competency according to the Quality and Safety Education for Nurses (QSEN)? Provide care to the client with respect to his or her diversity, values and beliefs Approach the agency chaplain to discuss the spiritual needs of the client Conduct thorough research on the effect of emotional distress on the client's health Use the flow chart data to provide the best care and monitor the outcome of care processes
Approach the agency chaplain to discuss the spiritual needs of the client
Which antipyretic medication may cause Reye syndrome in children? Aspirin (Anacin) Naproxen (Aleve) Ibuprofen (Advil) Dantrolene (Dantrium)
Aspirin (Anacin)
A nurse who promotes freedom of choice for clients in decision-making best supports which principle? Justice Autonomy Beneficence Paternalism
Autonomy
A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, "I will not discuss any client's illness with you. Are you concerned about it?" This response is based on the nurse's knowledge that to discuss a client's condition with someone not directly involved with that client is an example of what? Libel Negligence Breach of confidentiality Defamation of character
Breach of confidentiality
A nursing student lists the preventive and primary care services available in schools, primary healthcare provider's offices, occupational health clinics, community health centers, and nursing centers. Which service provided by these centers is most expensive? Running errands Health education Disease management Routine physical examinations
Disease management
The nurse is preparing to insert an intravenous catheter in a thin, emaciated patient who is scheduled to begin intravenous fluid therapy. Which interventions should the nurse follow to provide high-quality care? Insert an 18 gauge IV catheter Change the intravenous line every 7 days Flush the intravenous line with normal saline Insert the intravenous catheter in the patient's femur Stop the insertion procedure when there is a break in technique
Flush the intravenous line with normal saline Stop the insertion procedure when there is a break in technique
While visiting the hospital, the spouse of a client slips and falls on a recently washed floor in the hallway leading to the client's room. To meet the criteria of ethical practice, what action should the nurse who witnessed the occurrence take Initiate an agency incident report. Report the fall to the state (provincial) health department. Write a brief description of the incident to be kept by the nurse manager. Determine that no documentation is needed because the visitor is not a client in the hospital.
Initiate an agency incident report.
An octogenarian client tells the nurse, "Please do not give me dietary instructions post-surgery. I've had several surgeries in my lifetime and I know what to eat." Which variable influences the client's health beliefs and practices? Emotional factors Socioeconomic factors Intellectual background Perception of functioning
Intellectual background
A nursing student is listing the key points that need to be remembered to maintain health and wellness of the client. Which key points listed by the nursing student are accurately stated? "Internal and external variables are considered when planning care for the client." "The health belief model considers the relationship between a person's health beliefs and health behaviors." "The health promotion model highlights factors that increase individual well-being and self-actualization." "Holistic therapies are used by nurses only for pregnancy and pregnancy-related issues to help clients deal with the pain." "The American Nurses Association (ANA) emphasizes identifying a client's individual needs, prioritizing the needs, and encouraging the client's self-actualization."
Internal and external variables are considered when planning care for the client." "The health belief model considers the relationship between a person's health beliefs and health behaviors." "The health promotion model highlights factors that increase individual well-being and self-actualization."
How does the International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients? <p>How does the International Classification of Nursing Practice (ICNP) help nurses deliver effective care to clients?</p> It gives information about medications and their side effects. It provides information about various cultural practices and beliefs. It provides vocabulary to include nursing data in computerized information systems. It helps the nurse to conduct biosurveillance and gives information on various diseases.
It provides vocabulary to include nursing data in computerized information systems.
Who are the members of the panel that identifies new National Patient Safety Goals? Nurses Lawyers Pharmacists Risk managers Computer science specialists
Nurses Pharmacists Risk managers
A client with a mental illness in the emergency unit needs to undergo an emergency surgery. What would be the nurse's first course of action to prevent any legal complications? Wait for a court order to intervene on the client's behalf. Obtain consent from a person legally authorized to give it on the client's behalf, if available. Obtain a court order to state that the client is incompetent to decide for himself or herself. Request that the primary healthcare provider start the procedure without the client's consent.
Obtain consent from a person legally authorized to give it on the client's behalf, if available The nurse should ideally try to obtain consent from a person legally authorized to give it on the client's behalf in case of an emergency situation. Clients with mental illnesses have the right to refuse treatment until a court has legally determined that they are incompetent to decide for themselves. However, in case of emergency situations, healthcare providers should not wait for a court order. In case healthcare providers are unable to obtain consent, the primary healthcare provider can start with the procedure to save the client's life. In such circumstances the law accepts that the client would wish to be treated.
A client tells the nurse, "I need help planning an exercise regimen to help manage my weight." Which stage of health behavior change does this reflect? Action Preparation Contemplation Precontemplation
Preparation
A community nurse takes the initiative to vaccinate people against diseases. What kind of health care service is this? Continuing care Preventive care Restorative care Secondary acute care
Preventive care
The nurse recalls that which disease in patients includes the short period of evident decline disease trajectory? Heart failure Renal cancer Disabling stroke Alzheimer disease
Renal cancer
What is the professional nurse's legal responsibility regarding child abuse Honor the request of the parents not to report the suspected abuse. Report any suspected abuse to local law enforcement authorities. Return the child to the legal parent even if he or she is suspected of abuse. Provide the parents with a copy of the child's medical record.
Report any suspected abuse to local law enforcement authorities.
Which tasks should a nurse perform in order to comply with public health laws? Report cases of communicable diseases Report incidences of domestic violence Provide emergency assistance at an accident scene Notify the primary healthcare provider of any client-related problems Ensure that clients in a community have received necessary immunizations
Report cases of communicable diseases Report incidences of domestic violence Ensure that clients in a community have received necessary immunizations
Which nursing action is legally required? Providing health teaching regarding family planning Offering first aid at the scene of an automobile collision Reporting incidents of suspected child abuse to the appropriate authorities Administering resuscitative measures to an unconscious child pulled from a swimming pool
Reporting incidents of suspected child abuse to the appropriate authorities
Litigation resulting from improper restraint use is a common nursing legal issue. A nursing student is listing points related to the use of restraints. Which factor needs correction? Restraints can be used when less restrictive interventions are not successful. Restraints can be used when all other alternatives have been tried and exhausted. Restraints can be used only to ensure the physical safety of the resident or other residents. Restraints can be used anytime without a written order from the healthcare provider.
Restraints can be used anytime without a written order from the healthcare provider.
What are the signs and symptoms observed in the human body with a decrease in body temperature? Shivering Profuse sweating Flushed appearance Dilation of blood vessels Contraction of blood vessels
Shivering Contraction of blood vessels
The registered nurse observes a new graduate nurse caring for patients on a geriatric unit and concludes that the new graduate is providing patient-centered care. Which action by the new graduate led to the registered nurse's conclusion? The new graduate maintains eye contact with the patients. The new graduate spends more time with patients who have few visitors. The new graduate provides food according to the patients' preferences. The new graduate avoids holding the patients' hands while interacting with them.
The new graduate provides food according to the patients' preferences.
A registered nurse is teaching a nursing student about the nurse's professional roles and responsibilities. When does the nurse play the role of an educator? "A client requests the nurse to pray with him or her for quick recovery and the nurse complies with the request." "A client is unable to sleep due to back pain. The nurse provides a back massage, which helps the client to fall asleep." "A client with dementia refuses to take baths and loudly protests. The nurse consoles the client and provides the bath later." "A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."
"A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications."
A registered nurse is educating a client about the three levels of prevention through different scenarios. Which scenario mentioned by the nurse is an example of secondary prevention? "A nurse educates a young couple regarding sex and sexually transmitted infections." "A nurse collaborates with a dietician to help prepare a healthy nutritional plan for a client." "A nurse arranges for a client's rehabilitation to help in gaining maximum limb function after amputation." "A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility."
"A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility."
A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give? "A nurse's documentation is the evidence of care that a client receives." "Nurses' notes should not be given to attorneys in the event of a lawsuit." "The nurse should note down assessments and significant changes in the client's health." "In case an occurrence report is filed, nurses should enter the information the client's charts." "Nurses should always document the primary healthcare providers' responses whenever they are contacted."
"A nurse's documentation is the evidence of care that a client receives." "The nurse should note down assessments and significant changes in the client's health." "Nurses should always document the primary healthcare providers' responses whenever they are contacted."
A nurse understands that the effects of different variables on a client's health beliefs and practices can help healthcare providers to plan and deliver individualized care. Which statement made by the client should the nurse consider as an influence of the client's intellectual background on his or her health beliefs? "Don't include seafood or ham in my diet because it is against my beliefs." "Don't include eggs in my diet because eggs contribute to excess body heat." "I do not smoke or drink because these intoxicants are major sins." "I am not taking any of my prescribed medications because I recently lost my job."
"Don't include eggs in my diet because eggs contribute to excess body heat."
A nurse caring for a client prioritizes nursing actions based on Maslow's hierarchy of needs. Which statement made by the client meets the love and belonging need? "I do not like the way I look, speak, or act." "I dream of becoming the richest person in the world." "I hardly speak to my children because they live in different countries." "I want to go back home because I am afraid of the tests you are performing."
"I hardly speak to my children because they live in different countries."
A nurse instructs a client who eats a lot of candy to stop eating sweets in order to avoid high blood sugar levels. What reaction might the nurse expect if the client is in the contemplation stage "That will never happen. I've been eating candy for a long time." "I've been avoiding candy but can't help myself when I see it at the store." "I've been able to cut down on how much candy I eat for the last 8 months." "I understand that candy isn't good for my health, but I can't stay away from it."
"I understand that candy isn't good for my health, but I can't stay away from it."
A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped drinking as much." What stage of health behavior change has the client reached?
Action stage
The nurse is caring for a client with breast cancer who is receiving chemotherapy. Which action performed by the nurse is in accordance with the rules of the Centers for Medicare & Medicaid Services (CMS)? Checks the prescription before administering medications to the client Refers the client to support systems and provides financial assistance Teaches safety measures to the client in order to prevent the risk of infection Enters symptoms and treatment provided to the client in the electronic health record (EHR)
Enters symptoms and treatment provided to the client in the electronic health record (EHR)
A client is admitted into the mental health unit involuntarily. What course of action should the nurse take in order to prevent legal complications? Document that the client is a danger to himself or herself and others Keep the client under supervision to prevent suicide attempts File with the court within 96 hours of the client's initial detention Detain the client for psychiatric treatment for no longer than 21 days
File with the court within 96 hours of the client's initial detention
The nurse is presenting information about hyperthermia to a group of nursing students. Which activities put a client at risk for this condition? Snowmobiling Skiing in the winter Hiking Alaskan mountains Performing strenuous activity in high humidity
Performing strenuous activity in high humidity
What are the best ways for a nurse to be protected legally? Ensure that a therapeutic relationship with all clients has been established. Provide care within the parameters of the state or provinces standards for nursing practice. Carry at least $100,000 worth of liability insurance. Document consistently and objectively. Clearly document a client's nonadherence to the medical regimen.
Provide care within the parameters of the state or provinces standards for nursing practice. Document consistently and objectively. Clearly document a client's nonadherence to the medical regimen.
A registered nurse is explaining the term "just culture" to the student nurse. Which explanation provided by the registered nurse is accurate? <p>A registered nurse is explaining the term "just culture" to the student nurse. Which explanation provided by the registered nurse is accurate?</p> "It refers to the agreement to keep promises." "It refers to taking positive actions to help others." "It refers to the ability to answer for one's actions." "It refers to promoting open discussion whenever error occurs without fear of recrimination."
"It refers to promoting open discussion whenever error occurs without fear of recrimination.
A nurse is following the guidelines for high-quality documentation and reporting. Which guideline followed by the nurse while documenting factual records indicates a need for additional training? "The client seems restless." "The client states, 'I am worried.'" "The client's pulse rate is 90 beats/min." "The client has a body temperature of 39° C (102.2° F)."
"The client seems restless."
A nursing student is listing the nursing manager's role in the hospital setting. Which roles listed by the nursing student are accurate? "The nursing manager coordinates the activities of the nursing staff in delivering nursing care." "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." "The nursing manager investigates ways to improve nursing care and further define and expand the scope of the nursing practice." "The nursing manager provides independent care to women during a normal pregnancy, labor, and delivery, and also provides care for the newborn." "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."
"The nursing manager coordinates the activities of the nursing staff in delivering nursing care." "The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff." "The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes."
he nurse is collecting case reports that can be analyzed using the failure mode effective analysis (FMEA) tool. Which case files should the nurse collect? A patient is in a coma due to severe hemolytic transfusion reaction. A patient with depression committed suicide by falling off the terrace of the hospital. A patient had a retained foreign body left during surgery which was removed immediately. A patient who was in wheelchair was rescued from falling in the corridor of the hospital. A patient developed a urinary tract infection after 4 days of continuous catheterization.
A patient had a retained foreign body left during surgery which was removed immediately. A patient who was in wheelchair was rescued from falling in the corridor of the hospital. A patient developed a urinary tract infection after 4 days of continuous catheterization.
What are the purposes of public health laws? Advocating for the rights of people Prohibiting the purchase or sale of organs Regulating health care and healthcare financing Ensuring professional accountability for the care provided Encouraging healthcare professionals to assist in emergencies
Advocating for the rights of people Regulating health care and healthcare financing Ensuring professional accountability for the care provided
Through which organization can a registered nurse apply for certification as an informatics nurse? National Institutes of Health American Medical Informatics American Nurses Credentialing Center Office of the National Coordinator for Health IT
American Nurses Credentialing Center
A nurse is caring for a client with pain after surgery. The nurse takes the blood pressure and pulse rate of the client and asks the client to rate the level of pain on the pain scale. Which standard of practice does the nurse perform?
Assessment
What purpose does a community health center serve in preventive and primary care services? Community health centers are outpatient clinics that provide primary care to a specific population. Community health centers aim to increase worker productivity, decrease absenteeism, and reduce the use of costly medical care. Community health centers emphasize program management, interdisciplinary collaboration, and community health principles. Community health centers include a complete program designed for health promotion and accident or illness prevention in the workplace.
Community health centers are outpatient clinics that provide primary care to a specific population.
Which nursing behavior is an intentional tort? Miscounting gauze pads during a client's surgery Causing a burn when applying a wet dressing to a client's extremity Divulging private information about a client's health status to the media Failing to monitor a client's blood pressure before administering an antihypertensive
Divulging private information about a client's health status to the media
A client says "Do not cut the thread on my wrist before sending me for surgery because the thread is a blessing from God." Which internal variable influences the client's health belief in this scenario Spiritual factors Emotional factors Developmental stage factors Intellectual background factor
Emotional factors
The nurse is advised to join a community health center that mainly caters to Latino patients. Which skills should the nurse develop to help reduce health disparities? Learning to speak basic medical Spanish Updating clinical supplies at the health care facility Learning about the health literacy rate of the community Incorporating the health beliefs of the community in any nursing care plans Learning about and respecting unique beliefs and values prevalent among the group
Learning to speak basic medical Spanish Learning about the health literacy rate of the community Incorporating the health beliefs of the community in any nursing care plans Learning about and respecting unique beliefs and values prevalent among the group
A nurse caring for a client prioritizes nursing actions on the basis of Maslow's hierarchy of needs. Which activities should the nurse perform to meet the client's safety and security needs? Providing a cold bath to reduce the client's body temperature Positioning the bed in a low position and keeping the side rails up Monitoring vital signs, such as blood pressure to decrease the risk of falls Observing a client who has suicidal tendencies to prevent adverse incidents Collaborating with family members to provide emotional support for the client post-surgery
Positioning the bed in a low position and keeping the side rails up Monitoring vital signs, such as blood pressure to decrease the risk of falls Observing a client who has suicidal tendencies to prevent adverse incidents
A nursing student is listing the guidelines to be followed to make the referral process successful. Which step listed by the nursing student needs correction Making the referral as soon as possible Including the referral discipline in the client's treatment plan Involving the client and family members in the referral process Refraining from giving the referral care provider information about the client in advance
Refraining from giving the referral care provider information about the client in advance
Question 49 A nursing student is noting the characteristics of the secondary level of prevention. What points should the nursing student note? Secondary prevention activities are aimed at health promotion. Secondary prevention focuses on individuals with health problems and illnesses. Secondary prevention activities are directed at diagnosis and prompt interventions. Secondary prevention helps in minimizing the effects of long-term disease and disability. Secondary prevention includes screening techniques and treating diseases at early stages.
Secondary prevention focuses on individuals with health problems and illnesses. Secondary prevention activities are directed at diagnosis and prompt interventions. Secondary prevention includes screening techniques and treating diseases at early stages.
A nurse notes that a famous client has received an incorrect dose of medication due to the malfunction of the intravenous (IV) device, but does not inform the primary healthcare provider. Instead the nurse tells a colleague that the medication could not be given due to the client's inappropriate behavior. The nurse then updates media personnel about the client's health status. What legal charges may be brought up against the nurse? Libel Assault Slander Malpractice Invasion of privacy
Slander Malpractice Invasion of privacy
A nurse signs as a witness to informed consent provided by the client. What does the signature of the nurse imply? That the client's signature is authentic That the client has given consent voluntarily That the client appears to be competent to give consent That the client cannot refuse treatment after its initiation That the client has received a proper explanation of procedures from the nurse
That the client's signature is authentic That the client has given consent voluntarily That the client appears to be competent to give consent
A nurse is working in a hospital that receives most of its payment from Medicare and Medicaid services. In the annual assessment of The Joint Commission, the hospital had not met all the standards set forth in the Centers of Medicare and Medicaid Services. Which action does the nurse expect to be taken? The Centers of Medicare and Medicaid Services will stop paying the hospital. The hospital will lose its accreditation given by The Joint Commission. The Joint Commission would conduct an unannounced follow-up survey in the hospital. The Centers of Medicare and Medicaid Services will conduct a follow-up survey in the hospital.
The Joint Commission would conduct an unannounced follow-up survey in the hospital.
In order to provide ideal therapeutic communication to patients, a health care facility provides interpreter services. Which statement regarding an interpreter is correct? Interpreters can be relatives or friends of the patient as well. The interpreter should be able to make literal, word-for-word translations. The interpreter should be able to interpret not only the language but also the culture. The interpreter should be available as long as the health care provider is caring for the patient.
The interpreter should be able to interpret not only the language but also the culture.
According to Avedis Donabedian, which is the most important validator of quality and effectiveness of health care in a hospital? The number of patients admitted in a hospital The values and goals presented by the hospital The number of health care workers in the hospital The patient outcomes achieved by the care provided
The patient outcomes achieved by the care provided
According to Quality and Safety Education (QSEN), what is patient-centered care? Understanding that the client is the source of control when providing care Functioning effectively within nursing and interprofessional teams to deliver quality care Using data to evaluate outcomes of care processes and designing methods to improve health care Minimizing the risk of harm to clients and health care workers through improved professional performance
Understanding that the client is the source of control when providing care
What activities should the nurse consider to be a part of the tertiary level of preventive care? Using a sheltered colony Providing selective placement Using environmental sanitation Providing work therapy in hospitals Preventing complications and sequelae
Using a sheltered colony Providing selective placement Providing work therapy in hospitals
What does a nurse understand by the quality improvement competency, according to Quality and Safety Education (QSEN)? Using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making Integrating best current evidence with clinical expertise along with client and family preferences and values for the delivery of quality healthcare Functioning effectively within nursing and interprofessional teams by fostering open communication, mutual respect, and shared decision making to achieve quality client care Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
When compared with their non-Hispanic white counterparts, which factors contribute to the health disparities Hispanic older adults face? Value differences Language barrier Lack of health care facility Inadequate health insurance Poor diet and nutrition
Value differences Language barrier Lack of health care facility Inadequate health insurance
What services do nurse-managed clinics provide in preventive and primary care services? Crisis intervention Wellness counseling Health risk appraisal Employment readiness Communicable disease control
Wellness counseling Health risk appraisal Employment readiness
What are the characteristics of an adverse hospital event? It may also result in death at times. It may cause minimal harm to the patient. It is caused by human or hospital system error. It is caused by severe variation in the standard of care. Its cause can be analyzed using the root cause analysis tool.
t may cause minimal harm to the patient. It is caused by human or hospital system error.
A nursing student is listing the primary characteristics that establish nursing as a profession. Which statement made by the student needs correction? "Nursing has a code of ethics for practice." "Nursing has a theoretical body of knowledge." "Nurses are simply required to perform specific tasks." "Nurses have autonomy in decision-making and practice."
"Nurses are simply required to perform specific tasks."
A registered nurse is educating a student nurse regarding the role of value clarification in the resolution of ethical dilemmas. What information should the nurse provide? "Value clarification involves tolerating differences of opinions." "Value clarification involves reinforcing or challenging family values." "Value clarification involves accepting strong values by individuals as facts." "Value clarification involves relating values to facts when dealing with ethical issues."
"Value clarification involves tolerating differences of opinions."
A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction? <p>A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction?</p> An ethical issue occurs if it is perplexing and if it is not easy to think logically or make a decision. An ethical issue occurs if it is not possible to resolve solely through a review of scientific data. An ethical issue occurs if the problem aims at the greatest good for the greatest number of people. An ethical issue occurs if the answer to the problem has a profound relevance for areas of human concern.
An ethical issue occurs if the problem aims at the greatest good for the greatest number of people.
Which action of a nursing student regarding The Joint Commission recommendations for creating a safe, welcoming environment for lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients needs revision? Posting a patient's bill of rights and nondiscrimination policies visibly Arranging exclusive waiting rooms for LGBTQ patients and their families Providing information on special health care concerns for LGBTQ patients Avoiding assumptions about any patient's sexual orientation and gender identity
Arranging exclusive waiting rooms for LGBTQ patients and their families As per the recommendation of The Joint Commission, the nursing student should make all waiting rooms inclusive of LGBTQ patients and families, not special separate ones. This can be done by posting Safe Zone, rainbow, or pink triangle signs. As a best practice for patient safety and quality care, the nursing student should post the patient's bill of rights and nondiscrimination policies in a visible place. The nursing student should have adequate information on special health care concerns for LGBTQ patients and provide the same whenever required. The nursing student should never make assumptions about a patient's sexual orientation and gender identity.
The nursing manager reviews patient case studies to create a report that identifies medical errors that occurred in the hospital during the previous two years. Which case study would the nursing manager identify as a sentinel event?
Case study 4
What important points should the nurse keep in mind when witnessing consent forms? Confirm that the client's signature is authentic. Ensure that the client has given the consent voluntarily. Refrain from asking the student nurse to witness consent forms. Instruct the family member to assist if the client denies understanding of the procedure. Check if the client's caregiver has understood the procedures written in the consent form.
Confirm that the client's signature is authentic. Ensure that the client has given the consent voluntarily. Refrain from asking the student nurse to witness consent forms.
A nurse manager in charge of a unit overhears two nurses in a hall filled with visitors discussing a client on the unit who has AIDS. What should be the nurse manager's initial action? Place an incident report in each nurse's personnel record. Note the situation and intervene if it happens again. Inform the nurse who is in the role of supervisor for the shift. Have a conference with the nurses and talk about the need for confidentiality.
Have a conference with the nurses and talk about the need for confidentiality.
Twenty-four hours after a cesarean birth, a client elects to sign herself and her baby out of the hospital. Staff members are unable to contact her primary healthcare provider. The client arrives at the nursery and asks that her infant be given to her to take home. What is the most appropriate nursing action? Give the infant to the client and instruct her regarding the infant's care. Explain to the client that she can leave, but her infant must remain in the hospital. Emphasize to the client that the infant is a minor and legally must remain until prescriptions are received. Tell the client that hospital policy prevents the staff from releasing the infant until ready for discharge.
Give the infant to the client and instruct her regarding the infant's care.
Which act protects a person who is HIV positive? The National Organ Transplant Act The Americans with Disabilities Act (ADA) The Patient Self-Determination Act (PSDA) The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
The Americans with Disabilities Act (ADA)
When assessing a client, the nurse notices that he or she has reached the action stage of health behavior change. What should the nurse expect to be the client's reaction after providing suggestions for change? The client's previous habits may prevent taking action related to new behaviors. The client believes that the advantages outweigh the disadvantages of behavior change. The client accepts information as he or she is developing stronger beliefs in the value of change. The client is not interested in information about the behavior and may be defensive when confronted with it.
The client's previous habits may prevent taking action related to new behaviors.
Which belief of a nurse may have a negative effect on health services for minority patients? The mind, body, and spirit are distinct entities. The focus of an assessment should be on culture rather than race for children of multiracial, multicultural, and multiheritage marriages. Chinese patients may believe that disease is caused by fluctuations in opposing forces, the yin-yang energies. When taking a patient history, the nurse should record the patient's race according to how he or she self-identifies.
The mind, body, and spirit are distinct entities
A nursing student is evaluating statements regarding the five levels of proficiency set forth by Benner. Which statement indicates that a nurse is in the advanced beginner stage? The nurse is learning about the profession through a specific set of rules and procedures. The nurse is able to identify the basic principles of nursing care through careful observation. The nurse is able to understand the organization and specific care required by certain clients. The nurse is able to assess the entire situation and transfer knowledge gained from multiple previous experiences.
The nurse is able to identify the basic principles of nursing care through careful observation.
A registered nurse is teaching a nursing student about Healthcare Effectiveness Data and Information Set (HEDIS). Which point mentioned by the student post-teaching needs correction? "Healthcare Effectiveness Data and Information Set (HEDIS) is relied upon by health plans throughout the United States as a quality measure." "Healthcare Effectiveness Data and Information Set (HEDIS) is the database of choice for the Centers for Medicare and Medicaid Services (CMS)." "Healthcare Effectiveness Data and Information Set (HEDIS) conducts surveys via a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago." "Healthcare Effectiveness Data and Information Set (HEDIS) was created by the National Committee for Quality Assurance (NCQA) to collect data to measure the quality of care and services provided by different health plans."
"Healthcare Effectiveness Data and Information Set (HEDIS) conducts surveys via a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago."
A registered nurse is educating a nursing student about issues related to short staffing. What information should the nurse provide? "Nurses should refrain from walking out when faced with a short staffing problem." "Written protests relieve the nurses of responsibility if a client is injured due to inattention." "There is no likelihood of legal problems if enough nurses are not available to provide competent care." "Nurses should inform their supervisors when they are assigned to care for more clients than is reasonable." "Written protests should be submitted to nursing administrators if unreasonable assignments are given to nurses."
"Nurses should refrain from walking out when faced with a short staffing problem." "Nurses should inform their supervisors when they are assigned to care for more clients than is reasonable." "Written protests should be submitted to nursing administrators if unreasonable assignments are given to nurses."
A nurse prioritizes client care using Maslow's hierarchy of needs. Which situation should the nurse address first according to Maslow's hierarchy? A client has a history of getting injured due to sudden falls. A client complains of sleeplessness due to pain post-surgery. A client complains that he/she feels lonely and socially isolated from others. A client conveys to the nurse that he/she wants to become the manager of the company.
A client complains of sleeplessness due to pain post-surgery.
A hospitalized client experiences a fall after climbing over the bed's side rails. Upon reviewing the client's medical record, the nurse discovers that restraints had been prescribed but were not in place at the time of the fall. What information should the nurse include in the follow-up incident report? A statement that the nursing staff was not at fault because the client initiated the accident A listing of facts related to the incident as witnessed by the nurse The name of the nurse who was responsible for implementing the restraints The potential reasons why the restraints were not in place at the time of the fall
A listing of facts related to the incident as witnessed by the nurse
A nurse notes that a client with dementia refuses to eat. Instead of informing the primary healthcare provider, the nurse threatens to force-feed the client, and proceeds to apply restraints in order to do so. What legal charges may be brought up against the nurse? Libel Assault Malpractice Invasion of privacy False imprisonment
Assault Malpractice False imprisonment
A nurse is teaching a group of parents about child abuse. What definition of assault should the nurse include in the teaching plan? Assault is a threat to do bodily harm to another person. Assault is a legal wrong committed by one person against the property of another. Assault is a legal wrong committed against the public that is punishable by federal law. Assault is the application of force to another person without lawful justification.
Assault is a threat to do bodily harm to another person.
A nurse working in an emergency department is concerned about a recent increase in malpractice claims against nurses. What is the best way for the nurse to prevent being named in a lawsuit? Write vague incident reports. Transfer to another department. Attend professional development programs Carry malpractice insurance.
Attend professional development program
A parent objects to the child's getting vaccinated because she believes that vaccinations can cause autism. However, a nurse gives the child the vaccination injection against the wishes of the mother. What legal charge may be brought against the nurse? Assault Battery Invasion of privacy False imprisonment
Battery
Which statement captures the essence of feminist ethics accurately? Feminist ethicists propose that the value of something is determined by its usefulness. Feminist ethicists propose that the greatest good for the greatest number of people is the right action. Feminist ethicists propose that an action is right or wrong based on its "right-making characteristics." Feminist ethicists propose that the natural human urge to be influenced by relationships is a positive value.
Feminist ethicists propose that the natural human urge to be influenced by relationships is a positive value.
A patient with rheumatoid arthritis of the knee has undergone knee replacement surgery. What actions by the nurse and other members of the health care team help to provide efficient patient care? Provide financial assistance to the patient. Follow interventions to reduce hospital stay. Encourage the patient to use herbal therapy. Provide cost-effective treatment to the patient. Help the patient in making health care decisions.
Follow interventions to reduce hospital stay. Provide cost-effective treatment to the patient.
A client dies during surgery, and the family members ask that the hospital not conduct autopsy examinations. Which religion might the nurse expect this family to practice? Islam Hinduism Buddhism Christianity
Islam
A nurse administers intravenous (IV) therapy to the wrong client. What possible legal complications might the nurse face in such situation? Assault Battery Malpractice False imprisonment
Malpractice If a nurse administers IV therapy to a wrong client, the nurse may face the charge of malpractice. Assault is any action that places the client or the nurse in fear of a harmful or offensive contact without consent. Battery is any intentional touching without consent. False imprisonment occurs with unjustified restraint of a person without legal warrant.
The waiting area of a health care facility displays a pink triangle. What does this signify? The waiting area is for females. The waiting area is for pediatric patients. The health care facility welcomes transwomen. The health care facility welcomes lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients.
The health care facility welcomes lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) patients.
In what instances can a minor give consent for himself or herself for medical treatment? The minor can give consent for his or her siblings. The minor can give consent for any venereal disease. The minor can give consent if he or she is lawfully married. The minor can give consent for a drug or substance abuse. The minor can give consent for an abortion.
The minor can give consent for any venereal disease. The minor can give consent if he or she is lawfully married. The minor can give consent for a drug or substance abuse.
The nurse is providing care in a multi-specialty hospital. Which nursing action is indicative of a failure to provide equitable care to patients? The nurse treats all males and female patients alike. The nurse maintains direct eye contact while talking to patients. The nurse provides preferential treatment to patients from low economic status. The nurse asks a female nurse to attend to the patient according to the patient's wishes.
The nurse provides preferential treatment to patients from low economic status.
During an initial survey in a health care facility, members of The Joint Commission (TJC) find that the facility does not follow regulations for seclusion set by TJC. What will be the possible consequence of this negligence by the health care facility? The organization has to pay a large-dollar-amount to TJC. The organization cannot provide treatment to psychiatric patients. The organization will receive a condition-level deficiency certificate. The organization will not receive funding from Medicaid and Medicare.
The organization will receive a condition-level deficiency certificate.
What would be the consequences if a health care organization follows the guidelines of transparency and allows the free flow of information? The potential for errors would be increased. The number of malpractice suits would not be affected. The patients would be able to make informed decisions. The number of patients visiting the hospital would increase.
The patients would be able to make informed decisions.
What represents a significant shift in U.S. health policy in recent years? Palliative care is now being offered to children and adults. End-of-life care is no longer covered by insurance companies. Terminal patients now have standardized support for ending their lives. There is a focus on better managing patients with multiple chronic conditions.
There is a focus on better managing patients with multiple chronic conditions.
The nurse is entering a client's data in the electronic health record. What action should the nurse take to minimize ambiguity and confusion? Use consistent, codified terminology. Record the data in the client's presence. Enter the data in the client's native language. Upload scanned copies of the client's records.
Use consistent, codified terminology.
A nursing student is listing key points about ethics and values. Which point listed by the nurse indicates a need for more education? "A nurse's point of view offers a unique voice in the resolution of ethical dilemmas." "Professional nursing promotes accountability, responsibility, advocacy, and confidentiality." "The American Nurses Association (ANA) code of ethics ensures that the code remains constant." "Standards ethics in healthcare consist of autonomy, beneficence, nonmaleficence, justice, and fidelity."
"The American Nurses Association (ANA) code of ethics ensures that the code remains constant." The American Nurses Association (ANA) code of ethics reviews and revises the code regularly to reflect changes in practice. The basic principles of the ANA code (such as responsibility, accountability, advocacy, and confidentiality) remain constant. A nurse's point of view offers a unique voice in the resolution of ethical dilemmas by including knowledge based upon clinical and psychosocial observations. Professional nursing promotes accountability, responsibility, advocacy, and confidentiality. Standards ethics in healthcare consist of autonomy, beneficence, nonmaleficence, justice, and fidelity.
A cognitively impaired client's family member requests that the nurse list the benefits of using a respite care service. What information should the nurse provide about respite care services? "They are offered at home, in a day care setting, or in a health care institution that provides overnight care." "They include services like laundry, assistance with meals and personal care, 24-hour oversight, and housekeeping." "A group of residents live together, but each resident has his or her own room and shares dining and social activity areas." "Medicare health care plans do not cover this service, and Medicaid has strict requirements for services and eligibility." "It is a service that provides short-term relief or "time off" for people providing home care to an ill, disabled, or frail older adult."
"They are offered at home, in a day care setting, or in a health care institution that provides overnight care." "Medicare health care plans do not cover this service, and Medicaid has strict requirements for services and eligibility." "It is a service that provides short-term relief or "time off" for people providing home care to an ill, disabled, or frail older adult."
A nurse and a nutritionist are discussing the needs of a client who practices the Russian Orthodox faith. What should the nurse and the nutritionist consider when planning meals for this client? The client avoids pork and shellfish. The client avoids blood-containing food. The client follows a strict vegetarian diet. The client does not eat meat on Wednesdays and Fridays.
The client does not eat meat on Wednesdays and Fridays.
A nursing student is examining different scenarios to understand Quality and Safety Education for Nurses (QSEN) competencies. Which scenarios are examples of the QSEN competency called quality improvement? A nurse studies old medical cases about clients with Alzheimer's disease before formulating the care plan for a client. A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices. A nurse demonstrates the method of using electronic health records to assure a client about confidentiality of the records. A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.
A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices. A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.
A nurse is caring for a client who has been admitted to a healthcare facility for the treatment of sinus disorders. The nurse discovers that the client is a cocaine addict. What task followed by the nurse is the best way to deal with the situation? Teach the client about safe medication storage and the danger of polypharmacy. Educate the client about his or her correct body mechanics and promote stress management. Assess the client's drug intake and ensure that the individual does not leave the healthcare facility. Assist with adequate personal hygiene, nutrition, and hydration and provide emotional support to the family.
Assess the client's drug intake and ensure that the individual does not leave the healthcare facility.
A registered nurse is teaching a nursing student about the standards of nursing practice. How would the nursing student define assessment? Assessment is the process of coordinating care delivery. Assessment is the process of analyzing assessment data to determine diagnoses or issues. Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation. Assessment is the process where a registered nurse provides consultation to influence an identified plan, enhances the abilities of other caregivers, and effects change.
Assessment is the process of collecting comprehensive data pertinent to the client's health and/or situation.
While entering data for a client in the electronic health record (EHR), the nurse uses North American Nursing Diagnosis Association (NANDA) International terminology to document which part of the nursing process? Planning Diagnosis Outcomes Interventions
Diagnosis
What key points should the nurse keep in mind about the legal implications of nursing practice? Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. Ensure that all incident and occurrence reports are filed only for errors that have caused injury to the client. Ensure that the client has given consent to any surgery or therapy voluntarily or involuntarily. Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.
Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. Ensure that the primary healthcare providers' orders are followed unless they appear to be incorrect or inappropriate. Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.
A nurse uses flow charts to determine the usefulness of bed-monitoring devices for checking on dementia clients. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with? Safety Informatics Quality improvement Patient-Centered care
Quality improvement
A nurse is reviewing the key responsibilities of a primary healthcare provider for obtaining consent from a client before performing a medical procedure. Which key responsibilities have been accurately stated? "The client receives a complete explanation of the procedure or treatment." "The client knows that he or she cannot refuse the treatment after the procedure has begun." "The client receives an explanation of alternative therapies and the risks of doing nothing." "The client knows that he or she has the right to refuse treatment which may lead to a discontinuation of other supportive care." "The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort." Confident
The client receives a complete explanation of the procedure or treatment." "The client receives an explanation of alternative therapies and the risks of doing nothing." "The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort."
A registered nurse is educating a nursing student about the similarities and differences between the deontological and utilitarianism systems of ethics. What information should the nurse provide? The difference between utilitarianism and deontology is the focus on outcomes. Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome. Utilitarianism and deontology are closely related to the ethics of care because both ideologies promote a philosophy that focuses on understanding relationships. Both utilitarianism and deontology look into the nature of relationships and propose that the natural urge to be influenced by relationships is a positive value.
The difference between utilitarianism and deontology is the focus on outcomes. Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome.
While performing the discharge assessment of a patient who has undergone abdominal surgery, the nurse finds that the patient exhibits good health and is able to perform activities without assistance. Which nursing action during the discharge indicates failure to promote appropriate continuity of care? The nurse asks the patient to get a chest X-ray in one week. The nurse asks the patient to schedule a follow-up visit once in two weeks. The nurse asks the patient to perform breathing exercises on a regular basis. The nurse asks the patient to follow the dietary recommendations made by the dietitian.
The nurse asks the patient to get a chest X-ray in one week.
The nurse is interacting with a postpartum patient who has undergone vaginal delivery. The nurse finds that the patient believes that she has received high-quality care in the health care facility according to Meade. Which patient response supports the nurse's conclusion? The patient is happy that she had no postpartum complications. The patient thanks the nurse for providing extraordinary service. The patient thanks the nurse for discharging her within 72 hours after delivery. The patient promises to follow all the suggestions given by the primary healthcare provider.
The patient thanks the nurse for providing extraordinary service.
A 3-year-old child with eczema of the face and arms has disregarded the nurse's warnings to "stop scratching, or else!" The nurse finds the toddler scratching so intensely that the arms are bleeding. The nurse then ties the toddler's arms to the crib sides, saying, "I'm going to teach you one way or another." How should the nurse's behavior be interpreted? These actions can be construed as assault and battery. The problem was resolved with forethought and accountability. Skin must be protected, and the actions taken were by a reasonably prudent nurse. The nurse had tried to reason with the toddler and expected understanding and cooperation.
These actions can be construed as assault and battery.
The Surgeon General used the data from the 2000 census classification system to identify disparities in mental health care along racial-ethnic lines. What is the secondary use of this data? To provide culturally relevant care to the required ethnic group To identify all racial and ethnic groups in the United States To determine why there are disparities in the United States To determine when and how the health care needs of the ethnic populations are being met
To determine when and how the health care needs of the ethnic populations are being met
Which terms might the nurse use to describe a patient who was born a man but lives as a woman? Transvestite He-she Transgender Transwoman Transgendered Transman
Transgender Transwoman A patient who was born as a man but lives as a woman can be referred to as transgender or a transwoman. The nurse should also respect and use any other terminology the patient prefers. The terms "transvestite" and "he-she" are insensitive and offensive. The term "transgendered" is outdated; using the suffix "-ed" is inappropriate. A patient who was born as a woman but lives as a man can be referred to as a transman.
A registered nurse is teaching a nursing student about the importance of values in nursing practice. Which information provided by the registered nurse is appropriate? "People may consider strong values as opinions." "Evaluate a client's values and beliefs in terms of your own values." "Values vary among clients and develop and change over time." "The values that an individual holds reflect cultural and social influences." "To discuss differences in opinions and values, the nurse should be clear about his or her own values."
Values vary among clients and develop and change over time." "The values that an individual holds reflect cultural and social influences." "To discuss differences in opinions and values, the nurse should be clear about his or her own values."
