Nursing Exam 2

A family of six has a child with special needs who requires quite a bit of time, attention, and care. They are caring for the child at home but do need relief from time to time. What type of care would they need? 1. Respite care 2. Direct care agency 3. Indirect service agency 4. Volunteer organization

1

There is a difference between a population and a vulnerable population. What are the characteristics of a vulnerable population? Select all that apply. 1. Limited economic resources 2. Unlimited social resources 3. Unlimited economic resources 4. Extremes in age 5. Health insurance 6. Chronic diseases

1,4,6

Clinical practice theories are instrumental in day-to-day nursing practice. Which are examples of theoretical practice? Select all that apply. 1. Hospice nurse working with a newly widowed client 2. Educating a client on diabetic care and insulin injection 3. Ensuring slip-resistant shower pads are in place for a client at risk for falls 4. Nurse manager office clean and clutter free 5. Basing the care plan for a 2-year-old client on the autonomy versus shame and doubt stage

1,5

A graduate nurse from an Associate's degree in nursing (ADN) program asks the nurse manager what the expectations are for ADN nurses in research. What responsibility should the nurse manager include in the explanation? 1. Identifying problems in practice 2. Conducting research to ensure quality care 3. Disseminating research findings through publications 4. Critiquing research in order to apply findings to clinical practice

1

A nurse educates a group of school-age children about the effects of smoking of the body. Which best describes this nurse's activities? 1. Primary 2. Secondary 3. Tertiary 4. Occupational

1

A nurse has started a new job working in family health and understands that the overall economic climate can be a major challenge. What family unit is most at risk for this challenge? 1. Single-parent families 2. A pregnant teenager who lives at home with her parents 3. Families who have adequate health insurance 4. A family member who is living with HIV

1

Applying one's knowledge in performing a comprehensive assessment is an example of which skill? 1. Clinical judgment 2. Critical thinking 3. Problem-solving 4. Functional nursing

1

Going beyond administering medication and direct care to treat the client as a whole is considered which type of theory-based intervention? 1. Holistic nursing care 2. Honoring personhood 3. Transpersonal caring moments 4. Personal presence

1

In evaluating the Omaha System, what domain has the highest priority? 1. Hearing, oral health, pain, respiration, and communicable conditions 2. Income, sanitation, residence, and workplace 3. Role change, interpersonal relationships, abuse, parenting, and grief 4. Nutrition, prescribed medications, sleep/rest, and family planning

1

The nurse enters the room of a client who is tearful and holding a rosary. The client states he or she has been given a terminal diagnosis. In addition to sitting down with the client to talk, what is the best intervention for the nurse to implement first? 1. Ask the client if he or she would like the chaplain to visit. 2. Inform the client he or she will be kept in the nurse's prayers. 3. Provide the client some privacy and allow him or her to grieve alone. 4. Implement a care plan for the client related to grieving a terminal diagnosis.

1

The nurse is interviewing a client who has moved from Russia to the United States and has assimilated into American culture. Which statement is the best example of this process? 1. The client consumes a typical American diet. 2. The client celebrates both Russian and American holidays. 3. The client refuses to learn the language of the new country. 4. The client chooses to become a citizen of the United States.

1

Treating others fairly, regardless of race, age, citizenship, economic status, disability, or sexual orientation is an integral component of nursing and is referred to as which value? 1. Social justice 2. Integrity 3. Human dignity 4. Altruism

1

What is the family theory that focuses on outcomes rather than processes? 1. Structural-functional theory 2. General systems theory 3. Family interactional theory 4. Developmental theory

1

What is the main focus of a public health nurse? 1. The community as a whole 2. Governmental policies and public health education 3. Families and individuals of a common demographic 4. Groups of individuals and their effect on the community

1

Which is a description of nurses being able to apply standards of ethical conduct to professional practice and participate in ethical decision making? 1. Ethical agency 2. Moral judgement 3. Whistleblowing 4. Ethical distress

1

Which is an appropriate statement for the nurse to use when documenting a client's ethnicity? 1. The client is Bosnian. 2. The client is Caucasian. 3. The client is Buddhist. 4. The client practices Orthodox Judaism.

1

Which would be considered a personal value? 1. Making honesty a priority 2. Believing that all men are liars 3. Claiming that praying before bed is vital 4. Stating that handwashing before meals is important

1

While working in a local clinic 3 days per week, a nurse recognizes that there is a rise in teen pregnancy. On days off, the nurse works with teachers and schools to develop programs that will help keep pregnant teens in school and also increase awareness of teen pregnancy. What type of nursing is this? 1. Community-oriented 2. Client advocate 3. Counseling 4. Educator

1

A registered nurse (RN) is developing a plan of care for a client admitted with pneumonia. Which tasks can the RN delegate to the nursing assistive personnel (NAP)? Select all that apply. 1. Bathing the client 2. Shaving the client 3. Providing oral care 4. Administering lubricating eye drops 5. Performing a sterile dressing change

1,2,3

What are considered components of a community? Select all that apply. 1. Structure 2. Status 3. Process 4. Culture 5. Resources 6. Vulnerability

1,2,3

Which are critical aspects of informed consent? Select all that apply. 1. Right to not be harmed 2. Right to full disclosure 3. Right to self-determination 4. Right to be compensated for time 5. Right to knowledge of placebo group

1,2,3

Which are primary purposes of nursing care? Select all that apply. 1. Health promotion 2. Illness prevention 3. End-of-life care 4. Family planning 5. Medication planning

1,2,3

Which circumstances would qualify a client for a move into an independent living center? Select all that apply. 1. The client must be over the age of 55. 2. The client must be autonomous in all activities of daily living. 3. The client must have a desire to live with other senior citizens. 4. The client must need assistance with medication administration. 5. The client must need continued physical and occupational therapies after an injury.

1,2,3

Healthy People 2020 provides 12 major health indicators to measure the health of a community. Select all that apply. 1. Access to health services 2. Mental health 3. Tobacco use 4. Injury and violence 5. Adolescent pregnancy rates 6. Immunization rate

1,2,3,4

What leading factors does Healthy People 2020 identify for measuring the health of communities in the United States? Select all that apply. 1. Physical activity 2. Mental health 3. BMI 4. Access to health care 5. Vulnerability 6. Quality of health care

1,2,3,4

What requirements must be met in order for home health services to be reimbursed by Medicare? Select all that apply. 1. The client needs a skilled service. 2. The agency needs to be approved by Medicare. 3. The client is homebound. 4. The client requires intermittent nursing care. 5. The client requires homemaker services. 6. The care must be authorized by a physician.

1,2,3,4,6

Which factors have led to a change in family living structures in the United States? Select All That Apply. 1. Aging population 2. Higher divorce rates 3. Socioeconomic factors 4. Lower life expectancies 5. Older age at first marriage 6. Decreased number of children

1,2,3,5

The health-care team is determining discharge plans for a client admitted after involvement in a motor vehicle accident. The client requires intravenous antibiotics as well as physical and occupational therapy and wants to receive these services in the home. Which factors determine if this is appropriate? Select all that apply. 1. The presence of help in the client's home 2. The coverage provided by the client's insurance carrier 3. The complexity of the care required by the client 4. The availability of a home health-care agency to provide the required services 5. The ability of the client to be transported to and from health-care provider appointments

1,2,4

Which recommendations to redesign the health-care system does the American Nurses Association's Healthcare System Reform Agenda include? Select all that apply. 1. Shift the priority from illness care to health promotion. 2. Establish health policies that support safe, effective, patient-centered care. 3. Establish a dual-payer system for financing healthcare. 4. Provide universal access to essential health-care services for all citizens and residents. 5. Shift health-care law-making from the federal government to the state governments.

1,2,4

Why might a client use folk healers instead of traditional medicine? Select All That Apply. 1. Folk healers share the client's values and beliefs. 2. Folk healers visit the sick in the home. 3. Folk healers may charge more money. 4. Folk healers speak the same language. 5. Folk healers are harder to find when needed.

1,2,4

Lipson and Meleis suggest a minimal cultural assessment that includes what information? Select all that apply. 1. Native language spoken 2. Where client was raised 3. Where client is employed 4. Nonverbal communication style 5. Social supports in a new country 6. What transportation the client has

1,2,4,5

Which factors usually prevent nurses from providing spiritual care to clients? Select All That Apply. 1. Lack of time 2. Lack of privacy 3. Low-tech care 4. Economic constraints 5. Lack of nursing expertise

1,2,4,5

A new community nurse is learning about nursing roles. What are the roles of a community health nurse? Select all that apply. 1. Advocate 2. Educator 3. Lobbyist 4. Case Manager 5. Counselor 6. Collaborator

1,2,4,5,6

What should the nurse keep in mind when learning about cultures? Select All That Apply. 1. Culture is universal and dynamic. 2. Cultural beliefs contribute to individuality. 3. Culture exists only in nonmaterial possessions. 4. Culture is passed down throughout generations. 5. Culture consists of common beliefs and practices. 6. Cultural assumptions and habits are unconscious.

1,2,4,5,6

A community nurse is conducting a family assessment. The family assessment includes what data? Select all that apply. 1. Family composition 2. Family history with a genogram 3. Reviewing financial reports 4. Family weaknesses 5. Abuse and/or violence 6. Health beliefs, values, and behaviors

1,2,5,6

The Omaha interventions taxonomy provides four categories in community-oriented nursing practice. What are they? Select all that apply. 1. Health teaching, guidance, and counseling 2. Treatments and procedures 3. Community risk control for violence 4. Community risk control for lead exposure 5. Case management 6. Surveillance

1,2,5,6

A parish nurse is planning a health fair at her church. Which activities are considered secondary prevention? Select all that apply. 1. Providing blood pressure screening 2. Providing blood glucose screening 3. Educating individuals about the Zika virus 4. Providing educational materials for physical exercise routines 5. Providing dietary guidelines for clients with diabetes 6. Reconciling medications for the elderly

1,2,6

A new nurse is learning about the three perspectives of family nursing. What do these perspectives include? Select all that apply. 1. Family as the context of care 2. Family as an interactional unit 3. Family as the unit of care 4. Family as a system 5. Family as a developmental process 6. Family with maladaptive coping mechanisms

1,3,4

A registered nurse notices an increase in the unit of injuries related to anticoagulation therapy in elderly clients and wishes to conduct research. The nurse chooses a qualitative research design. What will be the characteristics of this design? Select all that apply. 1. Data is derived from interviews and observations. 2. Data is objective and analyzed with statistical methods. 3. Data is gained from using small numbers of participants. 4. Data is obtained from the researcher's workplace or home setting. 5. Data is numerical and obtained through using questionnaires.

1,3,4

The home health nurse visits a client who is bedridden after a stroke and notices the client is quiet and withdrawn when the caregiver enters the room. What would the nurse assess for in the caregiver to support a nursing diagnosis of caregiver role strain? Select All That Apply. 1. Apathy 2. Neglect 3. Aggression 4. Depression 5. Physical injuries

1,3,4

A client who speaks limited English comes to the emergency room with abdominal pain. Which questions would be most appropriate to ask the client first? Select All That Apply. 1. "What languages do you speak?" 2. "Can you tell your family member where the pain is?" 3. "Are you comfortable speaking English?" 4. "Who should I speak with about decisions regarding your health-care needs?" 5. "Are you comfortable with using an interpreter?"

1,3,5

Which questions are examples of bioethics considerations? Select all that apply. 1. Should a client be allowed to die? 2. Should a nurse practice outside of scope? 3. Should a nurse question an order? 4. Should a nurse sign with "RN" behind her name? 5. Should a client be told about a medical error?

1,3,5

A community health nurse is coordinating a blood pressure clinic at the local mall. What level of prevention is the nurse conducting? 1. Primary 2. Secondary 3. Tertiary 4. Community-oriented nursing

2

A community health nurse is performing an assessment after a natural disaster. What is the priority intervention during this assessment? 1. Setting up a free immunization clinic 2. Teaching clients about how to boil water for safe consumption 3. Providing compassionate care to victims and their families 4. Calling a state office to see if her malpractice insurance will cover her license during a disaster

2

A new school nurse is going through orientation and learning about her responsibilities in the health office. Which activity is secondary prevention? 1. Administering a medication to a student with asthma 2. Performing vision and hearing screenings 3. Teaching students and teachers how to properly wash their hands 4. Assisting a student to manage an insulin pump

2

Due to the growth of various populations, the United States is expected to become what type of nation by 2044? 1. Mostly non-Hispanic Whites 2. Majority-minority 3. Mostly Asians 4. Mostly from the MENA region

2

Teaching a class on smoking cessation is what type of nursing intervention? 1. Primary 2.Secondary 3.Tertiary 4. Occupational

2

There are various insurance companies that pay for health-care services. What is unique about Medicaid? 1. Medicaid is insurance for clients who are 65 years and older. 2. Medicaid is insurance that is jointly sponsored by the federal and state governments. 3. Medicaid is private insurance. 4. Medicaid is funded by self-payments by clients.

2

What did Purnell define culture as? 1. A unique way we view the world by what luggage we carry around in life 2. The totality of socially transmitted behaviors, arts, beliefs, values, customs, and other characteristics of a population of people that guides their worldview and decision making 3. The learned, shared, and transmitted knowledge of values and beliefs of a specific group that are transmitted from generation to generation 4. The integrated pattern of thoughts, communications, actions, customs, beliefs, values, and institutions associated with racial, ethnic, religious, spiritual, biological, geographical, and sociological qualities

2

A nurse educator is planning a program for new graduate nurses regarding various religions. Which aspects of Judaism does the nurse educator include? Select all that apply. 1. Sacred writings of scripture are from the bible. 2. The Sabbath is celebrated from sunset on Friday to sunset on Saturday. 3. Passover is celebrated in either March or April. 4. A rabbi is consulted for spiritual or dietary questions. 5. Foods must be kosher for some Jews. 6. Blood transfusions are never allowed.

2,3,4,5

Which concepts must be present in nursing theories? Select all that apply. 1. Caring 2. Health 3. Person 4. Nursing 5. Phenomenon 6. Environment

2,3,4,5,6

here are differences between how nursing care is delivered in the hospital and in the home setting. What is unique to providing care in the home? Select all that apply. 1. The environment is well controlled. 2. The client is in control if care will be delivered. 3. The nurse is responsible for making assessments and deciding when to advise the primary care provider of client changes. 4. The nurse must have all supplies available ahead of time. 5. There is quick access to a team of health-care providers. 6. The nurse must be able to distinguish between skilled and homemaker services.

2,3,4,6

Which statements describe theories? Select all that apply. 1. Theories are synonymous with assumptions. 2. Theories help find meaning in our experiences. 3. A theory organizes thinking around an idea. 4. Theories are facts based on observations of behaviors or outcomes. 5. Theories assist in the development of ideas or insight into work performed.

2,3,5

A client is concerned about the cost of ongoing treatment and has asked about treatments that may be more affordable. What resources and information can the nurse provide to this client? Select all that apply. 1. Education on collective bargaining 2. Listing of nurse practitioners who can provide equal care 3. Directions on how to utilize telehealth nursing 4. Information on complementary and alternative medicine (CAM) 5. Eligibility criteria for Medicaid

2,4,5

A registered nurse (RN) is interviewing for a new staff position at a hospital and asks about staffing and client assignments. The interviewer explains nurses work in a functional nursing role. Which statement best explains this approach? 1. RNs provide all care to only one client during the shift. 2. RNs provide care to high-acuity clients and work with nursing assistants. 3. RNs provide care to a group of clients and develop a plan of care for all clients. 4. RNs provide compartmentalized care, perform complex treatments, and are in charge.

3

According to general systems theory, which element is part of the suprasystem? 1. Mother 2. Daughter 3. Community 4. Decision maker

3

Home health nurses utilize various methods to collect clinical and demographic information on their clients. Which system is required for all Medicare clients? 1. The Omaha Problem Classification System 2. The NANDA-International taxonomy 3. The OASIS form 4. The Omaha interventions taxonomy

3

There are three levels of nursing interventions in a community health model. What level is most appropriate for the role of collaborator? 1. Primary 2. Secondary 3. Tertiary 4. Empowerment

3

Which theory used by the nurse caring for a family would focus on the roles of each family member? 1. Developmental theory 2. General systems theory 3. Family interactional theory 4. Structural-functional theory

3

The nurse is caring for a client who is married with two children ages 3 and 5. The client has sustained a work-related injury that is likely to impact the family unit. According to family developmental theory, which tasks will this family need to master? Select All That Apply. 1. Being involved in the community 2. Supporting school-related activities 3. Setting up play dates for the children 4. Coping with decreased parental energy 5. Exploring options for career development

3,4

A new school health nurse is working in a diverse school district. The nurse is interested in learning how to become a more culturally competent nurse for spiritual care needs of students and staff. What is one of the most important actions the nurse can do? 1. Learn about all the religions and cultures in the school by taking a college course. 2. Make sure all students and staff follow the school lunch policy, 3. Treat all students and staff the same, regardless of various cultures or religions. 4. Self-reflect on spiritual needs of self and be sensitive in communicating about spiritual issues of others.

4

The nurse is learning about community health concepts. What statement by the nurse correctly expresses the correct concept of an aggregate? 1. "An aggregate is group of people who share a common language, rituals, and customs." 2. "An aggregate is a group of people who live in a certain geographic location or are of a particular race." 3. "An aggregate is a group of people who are at risk for adverse health outcomes." 4. "An aggregate is a group of individuals with at least one shared characteristic, either personal or environmental."

4

PICOT

PICOT represents Population/client, Intervention/indicator, Comparator/control, Outcome, and Time. Therefore, the correct order of components is alcoholic adults, family support, no family support, decreased relapse, and over 6 to 12 months.