Mastery Level quizzes ch. 1, 2, 3, 5, 11
The clinic nurse is obtaining demographic data from a client. The client states, "Why do you need to know what my ethnicity is?" How should the nurse respond?
"Collecting this information allows us to develop a personalized plan of care to meet your needs."
The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education?
"Culture cannot be influenced, and you are born with your culture."
The nurse is caring for a client who ascribes to the theory of animism. When attempting to explain this theory to other staff members, the nurse should state:
"Everything in nature is alive with invisible forces."
A nurse is immunizing children against measles. This is an example of what level of preventive care?
Primary
A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock?
"I am very stressed now because I do not understand how things work on this unit."
A pregnant client at 10 weeks' gestation is receiving education by the nurse about the importance of abstaining from alcohol while pregnant. What statement made by the client demonstrates an understanding of the education provided?
"I should abstain from alcohol to prevent the development of a fetal alcohol spectrum disorder."
The nurse is attempting to provide anticipatory guidance for the parents of an 18-month-old child. Which statement would be best for the nurse to make?
"Keep all medications in a locked cabinet."
A nurse is demonstrating ethnocentrism. Which statement would reflect this concept?
"My Russian heritage is superior to all others."
A nurse is admitting a client to the unit. Which cultural question is most appropriate?
"What are your dietary needs and preferences?"
The nurse cares for a client who is a member of a different culture from the nurse's. Which question is most important for the nurse to ask to assess the client's beliefs about treatment?
"What are your expectations about being in the hospital?"
A client has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset, and now the client wants to leave. What is the most culturally appropriate response by the charge nurse?
"Would you feel more comfortable with your family with you?"
The nurse's community outreach class is giving a presentation on seat belts and child safety seats at the local firehouse every weekend in October. Which level of health promotion is this an example of?
Primary
What is the definition of wellness?
An active state of being healthy
A client has had a total knee replacement and is receiving care that includes learning to walk with a walker. What level of prevention is most applicable to this client?
Tertiary prevention
Which model is most useful in examining the cause of disease in an individual, based upon external factors?
The Agent-Host-Environment Model
A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of?
A minority
Which scenario is using a prospective payment plan to reimburse for services?
An older adult client is admitted to the hospital and treated for pneumonia. The hospital is reimbursed based on a predetermined fixed price.
The nurse is providing care to several clients on a medical-surgical unit. For which client's plan of care should the nurse include information regarding extended care?
An older adult client who fell at home and required a hip replacement
A nurse researcher ensures that a research subject's privacy is protected by which method? Select all that apply.
Anonymity Confidentiality
A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of:
Erikson.
Research is included as an essential component of nursing by which of the following organizations? (Select all that apply.)
ANA International Council of Nurses Nursing specialty organizations
A client comes to the emergency room complaining of abdominal pain, fever, chills, and nausea. Upon further examination the client is diagnosed with appendicitis. What type of illness does the nurse identify this client to have?
Acute
The first nursing journal owned, operated, and published by nurses was:
American Journal of Nursing
A community health nurse has been visiting a diabetic client whose morning fasting glucose levels are constantly elevated. Upon further assessment, the nurse determines that the client's spouse does not understand how to prepare meals following the prescribed diabetic diet. Using Dorothea Orem's Self-Care Theory, how can the nurse help meet the needs of this client?
Arrange an evaluation appointment with a dietitian.
When talking with a client, the nurse notes that the client keeps backing up. What would be the most appropriate response?
Ask the client about personal space preferences.
The nurse admits a client to the critical care unit to rule out a myocardial infarction. The client has several family members in the waiting room. Which nursing action is most appropriate?
Assess the client's beliefs about family support during hospitalization.
Which nursing intervention is an example of tertiary preventive care?
Assisting with speech therapy a client with a traumatic brain injury
Which nursing activity reflects care given on the tertiary level of healthcare delivery?
Assisting with transplant surgery
The American Nurses Association's Commission on Nursing Education developed guidelines for the investigative function of nurses at different educational levels. Which guideline is for a nurse with an associate degree?
Assists in collection of data within an established, structured format
Which scenario is an example of cultural competence in nursing?
Attending a conference for cultural diversity
Meeting which type of needs is essential for physiological health and survival?
Basic human needs
Which are factors that impact how a client defines health? Select all that apply.
Family Culture Community Society
A nurse develops the following foreground question using the PICOT format in preparation for a research study: "In overweight clients, how do chromium supplements compared to no supplements help with weight loss?" Which part of the question reflects the intervention?
Chromium supplements
A nurse is conducting a cultural assessment of a client. Which person would the nurse identify as the expert?
Client
A nurse working for a home health agency is scheduled to evaluate a client with worsening heart failure to determine whether the client is a candidate for the new "Hospital at Home" program. Which statement accurately reflects an outcome for this program?
Clients in the "Hospital at Home" program have been found to require shorter lengths of stay than when admitted to the acute care setting.
A new nurse is considering getting a job in either an acute care setting or a home care setting. Which statement about these care settings is most accurate?
Clients play a large role in helping themselves in the home care setting.
During the course of any given day of work in the acute care setting, the nurse may need to perform which roles? Select all that apply.
Communicator Counselor Teacher
Which is the main focus of care for a school nurse?
Community care
The home health nurse is conducting the health history interview with a client who does not speak the dominant language. What would be the best action made by the nurse?
Conduct the health history utilizing a telephonic interpreter (over-the-phone translation).
A nurse is planning a health fair in the community to highlight promotion and prevention of the leading cause of death in the United States. Which disease process should the nurse address?
Coronary artery disease
A client believes that the illness is caused by an imbalance of yin and yang. The nurse states, "You can call it whatever you believe, but you have a metabolic disorder." What is this nurse demonstrating?
Cultural blindness
A staff nurse meets with the charge nurse and is reporting that all the new nurses are leaving messes on the unit. The staff nurse states, "These youngsters think they can waltz in here and get our jobs." What is this nurse demonstrating?
Cultural conflict
A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse?
Culture shock
The emergency department nurse is caring for a client injured in a motor vehicle collision. The client recently immigrated to the country. The nurse should implement interventions aimed at addressing which issue?
Culture shock
Upon moving to another country, a college student is very confused by many local customs. He is especially bothered by the custom of men and women eating in separate areas and it makes him angry and resentful of the new culture. What are the feelings experienced by this student?
Culture shock
What are common sources of stress in family members due to a hospitalization of a family member? Select all that apply.
Decrease in social interactions Economic problems Alterations in roles Alterations in lifestyle
The nurse is caring for a client who does not speak the dominant language. In order to facilitate unencumbered communication with the client, the nurse will take which action(s)? Select all that apply.
Determine in which language the client communicates effectively. Schedule a certified interpreter when collecting client health history. Review facility policy on communication with clients who do not speak the dominant language.
The new nursing graduate is concerned about some of the critical changes that will be occurring in nursing. What changes does the nurse anticipate will impact nursing care
Difficulty for nurses to remain current in a rapidly changing medical and technology environment
A client's spouse has asked that the client be cared for exclusively by female nurses. How should the nurse incorporate this request into the care plan?
Document the request and make all reasonable efforts to honor it
The growth in home health care is largely attributed to which factor?
Early discharge of clients from the hospital setting
What is the best nursing intervention to promote health in a client at risk for heart disease?
Emphasizing a client's strengths to encourage weight loss
Which action should the nurse implement when working with a medically homeless client?
Encourage client to utilize the free health care clinic.
A nurse is providing care to a client who has limited understanding of the dominant language. Which strategy is best for the nurse to use to ensure that the client obtains the needed health information?
Enlist the services of a qualified language interpreter
Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor?
Environmental risk factor
A client tells the nurse that the only thing that helps the client sleep is a glass of warm milk. The nurse caring for the client insists that this cultural practice is a myth and tries to convince the client that reading a book would be better. What is the nurse demonstrating?
Ethnocentrism
A nurse is caring for a client with end-stage liver failure. Which healthcare agency should the nurse recommend for continuity of care?
Extended care
The registered nurse is performing a nutritional assessment to ensure that the client's diet is optimal for wound healing. The nurse's intervention can be traced back to which key contributor to nursing?
Florence Nightingale
The goals of health care reform include which?
Focusing on cost containment with improved access and quality of services for everyone
A nursing theorist examines a hospital environment by studying each ward and how it works individually, and then relates this information to the hospital as a whole working entity. This is an example of the use of which theory?
General systems theory
Which theory emphasizes the relationships between the whole and the parts, and describes how parts function and behave?
General systems theory
When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by the client's personal expectations in relation to health and illness. The nurse is demonstrating an understanding of which health model?
Health belief model
Which definition of health is the best?
Health is a state of complete well-being
A hospitalized client with advanced metastatic lung cancer states, "I want to go home. I don't have much time left. I want to be with my family." Which type of care referral by the nurse is most appropriate?
Hospice
Which is the acute care setting for people who are too ill to care for themselves at home, are severely injured, or require surgery?
Hospitals
The nurse is caring for a client from another culture who is diagnosed with lung cancer. Which nursing action best demonstrates culturally sensitive care?
Incorporating the client's need for daily prayer into the nursing care plan.
A nurse observes that the past five clients referred from a community clinic have been treated for drug and/or alcohol overdose. Based on this information, the nurse assumes that the clinic specializes in the treatment of substance use. This is an example of what type of reasoning?
Inductive reasoning
A nurse educator is discussing the role of nursing based on the American Nurses Association
It is the role of nursing to provide a caring relationship that facilitates health and wellness
For the nurse to become a nurse practitioner, what is the minimal degree the nurse will need to acquire?
Master's
A nurse is reviewing nursing theory for usefulness in a home healthcare setting. Which is the appropriate application of Dorothea Orem's Self-Care Model in a home healthcare setting?
Match the client's self-care needs with appropriate supportive interventions.
The nurse understands that a diagnostic-related group is one of the reimbursement strategies in a prospective payment system. The diagnostic-related group is a part of which health care system?
Medicare
The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan?
Monitoring airway clearance.
A nurse is planning to conduct a nursing research study and is seeking federal funding. Which institution would be most helpful for the nurse to contact regarding acquiring funding?
National Institute of Nursing Research
Which theory describes, explains, predicts, and controls outcomes in nursing practice?
Nursing theory
Then nurse is providing flu shots to older adult clients at a nurse-managed wellness center. This is an example of which aim of nursing?
Preventing illness
A group of nurses is planning to investigate the effectiveness of turning immobilized stroke clients more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which element will the "O" in the team's PICO question refer to?
Preventing skin breakdown
A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice?
Racism
Which nursing intervention would be most appropriate for a new mother that calls the nursery for help with breastfeeding?
Refer the mother for a home care visit.
Who provides care in the primary nursing model?
Registered nurses
The nurse is certified in providing Therapeutic Touch and is preparing to initiate this for a client. What activity should the nurse perform first?
Requesting the client's permission to touch the body
A nurse is providing care to a client recently admitted to the health care facility for treatment of an infection. The client experienced a traumatic brain injury several months ago that resulted in paralysis of both lower extremities and difficulty swallowing and speaking. The client's spouse is the primary caregiver. The client's spouse says to the nurse, "It's been really tough this last month caring for my spouse. Even though I have an aide who comes in to help for a couple of hours a week, I'm just spent, physically
Respite care
The nurse overhears a colleague state, "All people from that client's country are rude." What is the appropriate nursing response?
Respond by saying, "Stereotypes keep us from accepting others as unique individuals."
The client is admitted with a gastrointestinal bleed. The physician ordered a colonoscopy. Which level of care encompasses this procedure?
Secondary
Consultation and diagnostic tests are included in which level of health care?
Secondary care
A mammogram represents which level of prevention?
Secondary prevention
A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value?
Skin color
Which lifestyle factor is associated with an increased risk for chronic diseases?
Smoking
Which needs are being met when a nurse recommends a senior citizen community center for an older client who is living alone?
Sociocultural needs
A newly hired young nurse overheard the charge nurse talking with an older nurse on the unit. The charge nurse said, "All these young nurses think they can come in late and leave early." What cultural factor can the new nurse assess from this conversation?
Stereotyping
The nurse caring for several clients on a surgical unit notes that one of the clients is Muslim. The nurse decides to remove all pork from the client's meal tray prior to delivering it to the room. What best describes the nurse's action?
Stereotyping
A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness?
Symptoms are not experienced.
The nurse is caring for a client with a diagnosis of heart failure. This admission is the client's third admission within 90 days. The nurse educates the client with the goal of preventing readmission. Which nursing activity for this client would represent tertiary level prevention?
Teaching about adhering to a low-sodium diet
A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?
Tertiary
The registered nurse communicates with the physical therapist that a client is now on strict bed rest due to bradycardia. Which statement best explains the standard exemplified by the nurse?
The RN coordinates care delivery.
The younger nurses on a unit, who seem to adapt easily to the new technology presented, are perceived as threatening by two nurses who have worked on the unit for years. The older nurses begin to ridicule the younger nurses, saying, "You might be able to work a computer, but we know how to provide real care." How should the charge nurse respond?
The charge nurse should discuss the concept of cultural conflict and help both parties see their respective value to the unit.
The nurse is caring for several clients of different cultures. Which client situation would the nurse recognize as the client with highest risk of culture shock?
The client from Ethiopia states, "All these machines attached to me scare me and I need to get them off."
A client with chronic obstructive pulmonary disease (COPD) is admitted to the hospital for the second time in 2 months with wheezing, dyspnea, and use of accessory muscles when breathing. Which type of situation does the nurse identify is occurring with this client?
The client is having an exacerbation of the COPD.
In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?
The client may have a very different understanding of health promotion.
A nurse is providing care for clients in a long-term care facility. What should be the central focus of this care?
The client receiving the care
A client is seeking care at the local clinic. The nurse is completing a cultural assessment. Which scenario would demonstrate cultural assimilation?
The client's child learned the dominant language as a second language
Which nurse is demonstrating a type of nursing whose roots go back to the ancient Greek times when temples were the center of nursing care?
The nurse conducting a blood pressure screening at a local church
Chronic illness may be characterized by periods of remission. Remission is best defined as:
The presence of a disease with the absence of symptoms.
Which definition best describes acute illness?
The rapid onset of symptoms lasting a relatively short time
Which statement best explains the importance of theoretic frameworks?
Theoretic frameworks advance nursing knowledge and practice.
What have the models of health promotion and illness prevention been used for?
To help health care providers understand health-related behaviors.
The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?
To restore health
A novice nurse is sharing a newly published research article which outlines a different approach in preventing a wound infection after surgery with a colleague and states the nurse is going to try this new method. Which is the best response from the colleague?
Wait until the method is analyzed to ensure it will be appropriate for their clients.
The nurse in a free clinic caring for clients uses the Health Belief Model, which is based on three components. What is the main focus for this model?
What people believe to be true about their health
The need for university-based nursing education programs was brought to light during which important historical time?
World War II
A nurse is preparing to conduct a research study and uses the PICO format to develop the foreground question which is: "In adults, does reducing salt intake, compared to no change in salt intake, lower blood pressure?" The nurse identifies the "P" as:
adults.
When admitting an adolescent to the hospital, the nurse anticipates that the client will respond to questions about the client's health beliefs based primarily on the client's:
age and developmental stage.
A client has a Staphylococcus infection in a decubitus ulcer. In this case, Staphylococcus is the:
agent.
A nurse is considering relocating to another state to practice nursing. Which is the most appropriate action by the nurse to ensure ability to practice in the new state?
applying for a reciprocal license in the new state
The nurse is preparing the discharge plan for a new mother and her newborn son. Which new teaching should the nurse ensure is included after noting the family is Jewish?
care following the scheduled circumcision
To be an effective change agent for wellness, the nurse must:
consume a healthy diet.
The Nursing Agenda for Health Care Reform (American Nurses Association [ANA]) identifies the recipients of health care. This reform's main focus is on:
health promotion.
When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:
ethnic identity.
When reviewing the chart of an older adult client, the nurse notes that the client identifies as Japanese. The nurse realizes the client is referring to which ancestral and cultural factor?
ethnicity
When an American client states, "I only want an American doctor," the client is expressing:
ethnocentrism.
The nurse is admitting a client who practices the Jewish faith to the acute care unit and calls the dietary department to order a kosher dietary tray without consulting the client about food preferences. Which behavior is the nurse demonstrating when performing this action?
generalization
An older adult client who has been hospitalized due to a stroke is about to be discharged from a rehabilitation center where the client had to relearn how to perform activities of daily living, including feeding and dressing. The client has often voiced a desire to be as active as possible. The client now expresses a strong desire to go home. The nurse recognizes that these statements made by the client indicate that the client is:
giving up the dependent role.
Persistent gaps between the health status of minorities and non-minorities are defined as:
health disparities.
What type(s) of services are provided in primary health care? Select all that apply.
health risk screenings administration of immunizations to children and adults education related to sexually transmitted infections
Nurses are socialized into the:
healthcare culture.
The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as:
high-level wellness.
In the role of entrepreneur, the nurse's primary responsibility is:
managing a health-related business.
A nurse who admitted a client and performed the necessary admission tasks, notes the comments from the night shift nurse and updates the client's nursing care plan. Which type of nursing care is this facility utilizing?
primary nursing
Which is an example of tertiary health promotion?
rehabilitation
A nurse is working with a culturally diverse group of clients. The nurse understands that cultural norms:
require an individualized approach by the nurse.
Evidence-based care emphasizes decision making based on the best available evidence and:
use of outcome studies to guide decisions.
An older adult patient has been recently diagnosed with vascular dementia. Because the client lives alone and has poorly controlled hypertension, the client has begun to receive home healthcare. This new aspect of the client's care is characteristic of which stage of illness?
Assuming a dependent role
A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My nutritionist told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what?
Authoritative knowledge
Which behavior by the nurse is stereotyping?
Avoiding older adult clients because their care is time consuming
