Issues in Nursing
10. A nursing student is asked to identify the practices and beliefs of the amish society.
Answer: - Many choose not to have health insurance - They believe that health is a gift from god - They use both traditional and alternative health care, such as healers, herbs, and massage - Funeral are conducted in the home without a eulogy, flower decoration, or any other display. Casket are plain and simple, without adornment.
Clucosemine
Amino acids that assist with synthesis of cartilage
8. An antihypertensive medication has been prescribed for a client with hypertension. The client tells the nurse that she would like to take an herbal substance to help lower her blood pressure. The nurse should
Answer 2--- Advice the client to discuss the use of an herbal substances with the health care provider (HCP) Rationale: Although herbal substances may have some beneficial effect not all herbs are safe to use. Client who are being treated with conventional medication therapy should be advised to avoid herbal substances with similar pharmacological effects, because the combination may lead to an excessive reaction or unknown interaction effect. Therefore the nurse would advice the client to discuss the use of the herbal substance with HCP
2. A nurse is preparing to assist a jewish client with eating lunch. A kosher meal is delivered to the client. Which nursing action is appropriate when assisting the client with the meal.
Answer 4--- asking the client to unwrap the utensils and allowing the client to prepare the meal for eating Rationale: Kosher meals arrive on paper plates and with plastic utensil sealed. Health care provider should not unwrap the utensils or transfer the food to another serving dish. Although the nurse my want to be helpful by assisting the client with the meal, the only appropriate option is 4.
20. An older women is brought to the Emergency Department. When caring for the client, the nurse notes old ad new ecchymotic areas on both of the clients arms and buttocks. The nurse asks the client how the bruises were sustained. The client , although reluctant(unwilling), tells the nurse in confidence that her daughter frequently hits her if she gets in the way. Which of the following is the appropriate nursing response?
Answer: 1---"I have a legal obligation to report this type of abuse" Rationale: Confidential issues are not to be discussed with nonmusical personnel or with the clients family or friends without clients permission. Clients should be assured that information is kept confidential unless it places the nurse under a legal obligation. The nurse must report situation related to child, older adults abuse and other types of abuse depending on state laws; gunshot wounds; stabbing; and certain infectious disease.
15. A nurse enters a clients room and notes that the clients lawyer is present and that the client is preparing a living will. The living will requires that the clients signature be witnessed, and the client ask the nurse to witness the signature. Which of the following is the appropriate nursing action?
Answer: 1---Decline to sign the will Rationale: Living will are required to be in writing and signed by the client. The client signature either must be witnessed by specified individual or notarized. Many states prohibit any employee from being a witness, including a nurse in a facility in which the client is receiving care.
7. A nurse consults with a dietitian regarding the dietary preference of an Asian-American client. Which of the following foods would the nurse likely include in the diet plan.
Answer: 1---Rice Rationale: Asian-American food preference include raw fish, Rice, and soy sauce
5. A nurse is assisting with collecting data from an African-American client admitted to the ambulatory care unit who is scheduled for hernia repair. Which of the following information about the client is of least priority during the data collection
Answer: 2--- Psychosocial Rationale: The psychosocial data is the least priority during the initial admission data collection. In the African-American culture, it is considered intrusive to ask personal questions during the initial contact or meeting
16. A nurse enters a clients room and finds the client lying on the floor. The nurse calls the registered nurse, who checks the clients and then call the nursing supervisor and the health care provider to inform them of the occurrence(incident). The nurse completes the incident report, understanding that it allows for the analysis of adverse client event through.
Answer: 2---A method of promoting quality care and risk management Rationale: Proper documentation of unusual occurrence, incidents, accidents and nursing actions taken as a results of the occurrence are internal to the institutions or agency. Documentation on the incident report allows the nurse and the administration to review the quality of care and determine any potential risk present.
4. The client ask the student nurse about various herbal therapies available for the treatment of insomnia. The student could provide information about which of the following?
Answer: 2---Valerian Rationale: Valerian has been used to treat insomnia. Hyper-activity, and stress. It has also beed used to treat nervous disorder such as anxiety and restlessness.
19. A nurse lawyer provides an education session to the nursing staff regarding clients rights. A nurse ask the lawyer to describe an example that may relate to invasion of client privacy. A nursing action that indicates a violating of this right is.
Answer: 3--- Taking a photographs of the client without consent. Rationale: Invasion of privacy takes place when an individuals private affairs are intruded on unreasonably. Threatening to place a client in restraints constitutes assault. Performing a a surgical procedure without consent is an example of battery. Not allowing a client to leave the hospital constitute false imprisonment
3. A nurse is caring for a group of client who are taking herbal medications at home. Which of the following clients should be instructed not to take herbal medication.
Answer: 3---A 10-years old female client with a urinary tract infection Rationale: Children should not be given herbal therapies, especially in the home and without professional supervision
12. A license Practical Nurse (LPN) enters a clients room and finds the client sitting on the floor. The LPN calls the registered nurse who checks the client thoroughly and then assists the client back into bed. The LPN completes an incident report and the nursing supervisor and health care provider (HCP) are notified of the incident. Which of the following is the next nursing action regarding the incident
Answer: 3---Document a complete entry in the clients record concerning the incident. Rationale: The incident report is confidential and privileged information, and should not be copied, placed in the chart, or have any reference made to it in the clients record. The incident report is not a substitute for a complete entry in the clients record concerning the incident.
6. A nurse is planning to reinforce nutritions instruction to an african-american client. when developing the plan. The nurse is aware that a common dietary practice if clients with african american heritage is to eat.
Answer: 3---Fried Food Rationale: African-American food preference include chicken, pork, greens, rice and fried foods. Asian American eat raw fish, rice, and soy sauce. Hispanic American prefer beans, fried foods, Spicy foods, chili and carbonated beverages. EUROPEAN AMERICAN prefers carbohydrates and red meat
11. Which of the following is recommended guidelines for safe computerized charting?
Answer: 3---Report accidental deletions from the computerized file to the nursing manager or supervisor. Rationale: After any inadvertent deletions of permanent computerized records, the nurse should type an explanation into the computer file with the date, time, and his or her initials. The nurse should also contact the nursing manager or supervisor with a written explanation of the situations.
13. An unconscious client who is bleeding profusely(Large amount) is brought to the emergency department after a serious accident. Surgery is required immediately to save the clients life. With regard to informed consent for the surgical procedure, which of the following is the best action?
Answer: 4 ---Transport the client to the operating room department immediately as required by the health care provider Without containing an informed consent Rationale: Generally there are only two instance in which the informed consent of an adult client is not needed. One instance is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second instance is when the client waives the right to give informed consent.
18. A client has died, and a nurse asks a family member about the funeral arrangement. The family member refuse to discuss the issue. The nurse appropriate action is to:
Answer: 4--- Remain with the family member without discussing funeral arrangement. Rationale: The family member is exhibiting the first stage of grief (Denial), and the nurse should remain with the family member.
17. A nurse observes that a client received pain medication 1 hour ago from another nurse but the client still has severe pain. The nurse has previously observed this same occurrence. On the basis of the nurse practice act, the observing nurse plans to do which of the following.
Answer: 4--- Report the information to a nursing supervisor Rationale: Nurse practice acts require reporting the suspicion of impaired nurses. The state board of nursing has jurisdiction over the practice of nursing and may develop plans for treatment and supervision. This suspicion needs to be reported to the nursing
9. A hispanic-American brings her child to the clinic for an examination. Which of the following is most important when gathering data about the child?
Answer: 4--- Touching the child during the examination Rationale: In the Hispanic American culture, eye behavior is significant. It is believe the "Bad/evil eye can be given to a child if a person looks at and admires a child without touching the child. Therefore, touching the child during the examinations very important. Although avoiding eye contact indicates respect and attentiveness, this is not the most important intervention. Avoiding speaking to the child and using body language only are not therapeutic interventions
14. A nurse arrives at work and is told to report (Float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the children. The nurse has never worked in the pediatric unit. Which of the following is the appropriate nursing action.
Answer: 4--- report to the pediatric unit and identify task that can be safely performed Rationale: Floating is an acceptable legal practice used by hospitals to solve their understaffing problems. Legally nurse cannot refuse to float unless a union contract guarantees that the nurse can only work in a specified area or the nurse can prove a lack of knowledge for the performance of assigned tasks. When faces with this situations, the nurse should identify potential areas of harm to the client.
1. A client is diagnosed with cancer and is told that surgery followed by chemotherapy will be necessary. The client states to the nurse, "I have read a lot about complementary therapies. Do you think that I should try any? The nurse responds by making which appropriate statement?
Answer: 4---There are many different forms of complementary therapies. Lets talk about these therapies. Rationale: Complementary (Alternatives) therapies include a wide variety of treatment modalities that are used in addition to conventional treatment to treat a disease or illness. These therapies complement conventional treatment, but they should be approved by the persons healthcare provider to ensure that the treatment does not interact with prescribed therapy. Although the health care provider should approve the use of a complimentary therapy and although some of these therapies can interact with the prescribed treatment plan.
Kosher
JEWISH FOOD
Garlic
Used as an antioxidant and to lower cholesterol level
What is Valerian
Valerian is a flowering plant, the root of which is dried and used as an herbal remedy. Valerian has been used in alternative medicine as a possibly effective aid in treating sleep problems (insomnia).
Ecchymotic
a discoloration of the skin resulting from bleeding underneath, typically caused by bruising
