Nursing: Semester 1 Lecture Exam 6

erythromycin eye ointment for newborns to prevent certain sexually dz...this is an example of primary or secondary prevention

primary

A family is talking with a nurse because one family member is experiencing a chronic illness. The family asks the nurse how they should cope with their changing roles. What is the nurse's best response? "Don't worry about the role changes; everyone will know what to do." "I know you are worried about this, so you should talk with the physician." "The family should discuss the changing roles and what is needed for everyone." "As the nurse, I can decide about the role changes and what would be best for the family."

"The family should discuss the changing roles and what is needed for everyone." RATIONALE: The nurse should encourage the family to discuss the changes and what everyone needs and wants with this new situation. This approach will allow every family member to recognize their own needs in addition to the changing needs of the family. Everyone may not know what to do, so answer A is incorrect. Talking to the physician is fine, but he or she will not take on the role of problem solver for the family. The nurse does not have the right to decide for the family; decisions about role changes have to be made by the family members.

Match the following 1.Actual loss 2. Perceived loss 3.Anticipatory loss 4. Situational loss 5. Maturational loss A. process of disengaging before that actual loss or death occurs B. can no longer feel, hear, or know a person or object C. Includes normally expected life changes across the lifespan D.defined by the person experiencing loss and less obvious to others E.Sudden unpredictable external loss

1.--> B 2.-->D 3.-->A 4.--> E 5.--> C

( Giddens) Palliative interventions can: ( select all that apply) A. slow disease progression B. maximize the benefits of treatment C. only be used at the last 6 months of life D. prolong life

A. slow disease progression B. maximize the benefits of treatment D. prolong life

Risk factors for sensory perception select all that apply A. Congenital conditions B. Adverse reaction due to medication C. adolescents D. Acute injury/chronic medical conditions: E. Lifestyles choices

A. Congenital conditions B. Adverse reaction due to medication D. Acute injury/chronic medical conditions: E. Lifestyles choices

What is a living will? ( passport) A. It is a legal document that allows registered nurses to offer special skills to the public. B. It is an order that directs primary healthcare providers to refrain from reviving clients. C. It is a written document that directs treatment according to the client's wishes, in case of a terminal illness or condition. D. It is a legal document that designates a person or persons chosen by a client to make health care decisions on his/her behalf.

A living will is a written document that directs treatment on the basis of the client's wishes if he/she has a terminal illness or condition. A license allows registered nurses to offer the special skills to the public. A 'do not resuscitate' (DNR) order prevents primary healthcare providers from reviving clients or performing cardiopulmonary resuscitation (CPR). A durable power of attorney is a legal document that designates a person or persons chosen by a client to healthcare decisions on his/her behalf when the client is unable to do so.

Which of the following is an example of a medical malpractice tort liability? A patient is informed of all known side effects of a medication and voluntarily takes the medication. The patient experiences an adverse effect from a medication prescribed by a physician. A nurse follows the standard of care for initiating an intravenous line, but the patient's vein bursts, causing a hematoma and the need for minor surgery to evacuate the fluid. A surgeon does not complete the postprocedure count process, and a sponge is retained in the patient's abdominal cavity. The Department of Justice fines an organization for releasing protected health information to a pharmaceutical company without individual patient consent.

A surgeon does not complete the postprocedure count process, and a sponge is retained in the patient's abdominal cavity. RATIONALE : For tort liability to attach, four elements must be satisfied: duty, breach, causation, and harm. An adverse effect experienced by a patient who was informed of all known side effects of a medication, is prescribed the medication, and voluntarily takes the medication is an adverse event, not a tort liability. When a nurse follows the standard of care for initiating an intravenous line, but the patient's vein bursts, this is an adverse event and not a tort liability. Releasing protected health information to a pharmaceutical company without individual patient consent is regulated by federal law enforcement; it is considered employer liability and may be considered to be criminal if proven to be purposeful and egregious.

The nurse is obtaining a sexual history of a 28-year-old woman. Which of the following questions is most useful in determining the patient's sexual orientation and risk factors? A. Have you had sex with men, women, or both? B. Do you prefer to have sex with men or women? C. How many partners have you had? D. Are you heterosexual, homosexual, or bisexual?

A. Have you had sex with men, women, or both?

low income, inadequate prenatal care, younger than 15 or older than 35, marital status, location, race/ethnicity are all example of what type of factors that affect reproduction ? A. sociodemographic B. environmental C. psychosocial D. biophysical

A. sociodemographic

Which nursing interventions are likely to help the patient to cope by addressing the mediators of stress? (Select all that apply.) A. "A divorce, while stressful, can be the beginning of a new, better phase of life." B. "You said you used to jog; getting back to aerobic exercise could be helpful." C. "Journaling gives one more awareness of how experiences have affected them." D. "Perhaps a short-term loan from your father will make your layoff less stressful." E. "Slowing your breathing by counting to three between breaths will calm you." F. "I have found a support group for newly divorced persons in your neighborhood."

A. "A divorce, while stressful, can be the beginning of a new, better phase of life." C. "Journaling gives one more awareness of how experiences have affected them." D. "Perhaps a short-term loan from your father will make your layoff less stressful." F. "I have found a support group for newly divorced persons in your neighborhood." Stress mediators are factors that can help persons cope by influencing how they perceive and respond to stressors; they include personality, social support, perceptions, and culture. Suggesting that a divorce may have positive as well as negative aspects helps the patient to alter his perceptions of the stressor. Journaling increases self-awareness regarding how life experiences may have shaped how one perceives and responds to stress (or how one's personality affects how one responds to stressors). A loan could help the patient perceive a layoff differently by reducing the financial pressures that accompany it. Participation in support groups is an excellent way to expand one's support network relative to specific issues. However, neither aerobic exercise nor breathing-control exercises, while helpful in other ways, affect stress mediators.

Teen pregnancy rates are highest among which ethnicity group? A. African Americans B. Caucasians C. Hispanics D. Asians

A. African Americans Teen pregnancy rates among black women have decreased, but they still remain higher than those of other ethnicities and are more than twice the teenage pregnancy rate of white, non-Hispanic teens.

What are the medical concerns in adolescent pregnancies? Select all that apply. A. Anemia B. Fetal obesity C. Poor maternal weight gain D. Pregnancy-induced diabetes E. Pregnancy-induced hypertension

A. Anemia C. Poor maternal weight gain E. Pregnancy-induced hypertension

(powerpoints) Which interrelated concepts overlaps with stress? ( select all that apply) A. Anxiety B. Coping C. Reproduction D. Gas exchange E. Pain F. Palliative Care G. Caregiving

A. Anxiety B. Coping Note: coping was not on our objective sheet

A registered nurse is educating a nursing student on the various classifications of torts. What acts are classified as intentional torts in nursing practice? (Select all that apply.) A. Battery B. Assault C. Negligence D. Malpractice E. False Imprisonment

A. Battery B. Assault E. False Imprisonment Intentional torts include battery, assault, and false imprisonment. Unintentional torts include negligence and malpractice.

A diabetic patient who is hospitalized asks the nurse what factors are associated with increased blood glucose while in the hospital? Which response(s) by the nurse are appropriate? (Select all that apply.) A. Blood sugar may be higher in the hospital due to the increased bed rest. B. Stressors such as illness cause the release of hormones that increase blood sugar. C. Increased blood sugar occurs because the kidneys are not able to metabolize glucose as well during stressful times. D. A patient's diet is different here in the hospital than at home, and that is the most likely because of the increased glucose level. E. Medications such as steroids may increase glucose levels.

A. Blood sugar may be higher in the hospital due to the increased bed rest. B. Stressors such as illness cause the release of hormones that increase blood sugar. E. Medications such as steroids may increase glucose levels.

(powerpoints) Select all the primary preventions for stress A. Counseling B. Holmes life events scale C. Ways of coping checklist D. Maintenance of positive relationships E. Wellness and health education programs

A. Counseling D. Maintenance of positive relationships E. Wellness and health education programs Primary Prevention • Stress management and reduction techniques • Counseling • Maintenance of positive relationships • Family, friends, social networks, and others • Maintenance of optimal health • Wellness programs • Health education

Which are examples of advanced directives A. DRN form B. health care proxy C. organ donation form D. form that coordinates the distribution of your assets E. Living will

A. DRN form B. health care proxy C. organ donation form E. Living will

A nurse is assessing a menopausal female and discussing sexuality. Which statement is accurate regarding physiological effects of menopause on sexual health? A. Decreased lubrication is frequently cited as the cause for sexual problems. B. Women who have undergone hysterectomy no longer desire to be sexually active. C. Hot flashes are often bothersome and lead to decreased sexual interest. D. Women taking hormone replacement therapy may not experience climax during sex.

A. Decreased lubrication is frequently cited as the cause for sexual problems.

The nurse should document which physiologic stressor after performing a screening assessment on a patient? A. Dementia B. Caregiving of parent C. Divorce D. Death of friend

A. Dementia

If hearing, vision, taste, smell, or touch is impaired what is a possible result? (select all that apply) A. Depression B. Weight changes C. improved communication skills D. learning disabiltiy

A. Depression B. Weight changes D. learning disabiltiy These senses provide the basis for social interactions, communication, and learning

The nurse, surveying the assisted living facility regarding safety features for patients with sensory deficits, notes that accommodations that are most appropriate are A. Fire and smoke alarms with both sound and flashing lights B. Colorful throw rugs to designate the purpose of various rooms C. Alarms on all exit doors D. Steps painted with dark colors

A. Fire and smoke alarms with both sound and flashing lights Sound and flashing lights for alarms are helpful for both visual and auditory deficits. Throw rugs, though colorful, present a mobility hazard. Exit door alarms are not required for sensory deficits but are more essential for patients with cognitive impairments. Steps painted with dark colors are a hazard to the elderly because their depth perception may be impaired.

how one views gender as masculine or feminine socially derived from experiences with family, friends, society A. Gender Identify B. Sexual identity

A. Gender Identify

(powerpoints) Select all that apply for palliative care: (select all that apply) A. Important to have a holistic approach B. is only needed for patients at end of life C. goal is for the patient to live as comfortably and fully D. Is only geared towards the elderly

A. Important to have a holistic approach C. goal is for the patient to live as comfortably -needed across the lifespan -(Giddens) palliative care was originally associated with end-of-life care or when curative treatments were no longer beneficial, effective, or desirable. However, in its current conceptualization, palliative care cures what illnesses can be cured, and it alleviates or relieves the symptoms of the disease or its associated treatment

A new nurse needs further teaching when stating a valid consent involves which action? A. It must be presented to the patient by a nurse. B. The consent includes information about the risks and benefits of the procedure. C. The patient must have the capacity to give consent. D. The patient must voluntarily give consent.

A. It must be presented to the patient by a nurse. The person presenting the informed consent document must be the provider performing the procedure. To be valid, information for consent must be given by the provider who will be performing the procedure and includes information about the risks and benefits of the procedure. The patient must voluntarily give consent.

is the failure to use reasonably prudent care in the same or similar circumstances A. Negligence B. False imprisonment C. Defamation D. Libel

A. Negligence Negligence is the failure to use reasonably prudent care in the same or similar circumstances. Also referred to as malpractice, negligence is the most common tort holding nurses, physicians, and other health care providers liable to patients for damages. There are four elements that must be satisfied to establish liability: duty, breach, injury, and causation (Giddens)

A nursing student is recalling the definition of Nurse Practice Acts. What do the Nurse Practice Acts do? A. Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. B. Nurse Practice Acts reflect the knowledge and skills possessed by nurses practicing in their profession. C. Nurse Practice Acts are legal requirements that describe the minimum acceptable nursing care. D. Nurse Practice Acts protect individuals from losing their health insurance when changing jobs by providing portability.

A. Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. The Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. They help to distinguish between nursing and medical practice and establish education and licensure requirements for nurses. Standards of care reflect the knowledge and skills possessed by nurses who are active practitioners in their profession. Standards of care are legal requirements that define the minimum acceptable nursing care. The Health Insurance Portability and Accountability Act (HIPAA) protects individuals from losing their health insurance when changing jobs by providing portability.

Factors that affect how caregivers react and respond to the challenges of caregiving depends on? (select all that apply) A. Perception of the experience B. Ability to cope and coping resources C. How ill the patient is D. Individual's expectations and culture

A. Perception of the experience B. Ability to cope and coping resources D. Individual's expectations and culture

A client who has always been active is diagnosed with atherosclerosis and hypertension. The client is interested in measures that will help promote and maintain health. Which recommendation by the nurse will help the client maintain blood vessel patency? A. Practice relaxation techniques. B. Lead a more sedentary lifestyle. C. Limit cardiovascular exercise. D. Increase saturated fats in the diet.

A. Practice relaxation techniques. Research has shown that decreasing stress will slow the rate of atherosclerotic development. Exercise is thought to decrease atherosclerosis and the formation of lipid plaques. Saturated fats in the diet are contraindicated because they increase the risk for atherosclerosis.

The ability to receive and interpret stimuli has nursing implications that are a priority in what human need? A. Safety. B. Socialization. C. Nutrition. D. Mobility.

A. Safety. Safety is the highest priority of the needs listed. Socialization is affected by deficits. Nutrition concerns can be experienced but not at the same level as basic safety concerns. Mobility may lead to safety concerns when one is having decreased sensory input.

Who determined that the cause of fever in women after delivery was infection due to inadequate hand washing A. Semmelweis B.Nightingale C. Cochrane D. Pasteur

A. Semmelweis Semmelweis→ determined that the cause of fever in women after delivery was infection due to inadequate hand washing Nightingale→ decreased infection rates during the Crimean War with infection control practices Cochrane→ used randomized, controlled trials to incorporate more evidence into the medical profession

(Giddens) Why might referrals to palliative care be delayed in the pediatric population for be delay? ( select all that apply) A. Some nurses and practitioners do not feel comfortable communicating with parents regarding palliative care B. Parents may feel guilty about "giving up" on the hope for a cure for their child C. Parents do no bring their children in as regularly as needed D. Children do not need palliative care

A. Some nurses and practitioners do not feel comfortable communicating with parents regarding palliative care B. Parents may feel guilty about "giving up" on the hope for a cure for their child In the pediatric population, obtaining early referrals for palliative care can be a challenging process. Some nurses and practitioners in pediatrics do not feel comfortable communicating with parents regarding palliative care initial referral and services. Parents may still have the misconception that palliative care is their last resource and they feel guilty about "giving up" on the hope for a cure for their child. Therefore, it is important to improve communication with patients, families, and health care providers to increase their understanding of palliative care and its services.

Select all that correct statements about evidence: A. Supports or or disproves the efficacy of treatment, use of a diagnostic tool, transmission of a disease B. provides proof of the usefulness of an intervention C. cannot show the expected trajectory of a disease D. shows a link between environmental insults and illness

A. Supports or or disproves the efficacy of treatment, use of a diagnostic tool, transmission of a disease B. provides proof of the usefulness of an intervention D. shows a link between environmental insults and illness

Which of the following would be a violation of the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986? A. The hospital emergency room physician suspects that a patient is not competent in making decisions for his post-care treatment. The physician does not complete a competency evaluation prior to transfer for a non-emergent treatment and allows the patient with suspected incompetence to sign the consent for transfer. B. After providing a medical screening examination, the patient's attending physician determines that transfer for a psychiatric service is necessary and not provided by the hospital. The attending seeks consent from the competent surrogate decision maker for the patient prior to transfer. C. The patient's attending physician determines the patient to be in stable condition after completing the medical screening examination and stabilizing the patient. The patient's condition would deteriorate without a life-saving procedure not available at the hospital. The physician explains the risks of staying at the hospital and the risks of the transfer to the patient's power of attorney. Informed consent is received from the patient's power of attorney for the transfer. D. The hospital does not contract with the patient's insurance company. The emergency room physician completes a medical screening examination and stabilizes the patient for discharge. The patient financial services department informs the patient of insurance status after discharge and arranges for payment options.

A. The hospital emergency room physician suspects that a patient is not competent in making decisions for his post-care treatment. The physician does not complete a competency evaluation prior to transfer for a non-emergent treatment and allows the patient with suspected incompetence to sign the consent for transfer. The physician who allows the patient with suspected incompetence to sign the consent for transfer did not complete the medical screening examination. EMTALA required that any hospital that operated an emergency department and received Medicare funds provide an appropriate screening examination to anyone who presented and stabilize any emergency medical condition prior to transfer to another facility.

responsible for shaping and defining many health care quality and safety standards A. Tort law B. Administrative Law C. Statutory (legislative) Law D. Constitutional law-

A. Tort law

Which of the following would be an appropriate question when obtaining a hx from a patient with stress (select all that apply) A. What do you think triggers your stress? B. Any significant current or past medical hx? C. How do you normally cope with you stress ? D. How much weight have you gained since your stress started

A. What do you think triggers your stress? B. Any significant current or past medical hx? C. How do you normally cope with you stress ? History: • past and current state of health. ( acute or chronic illness can impact health) • Ask about past or current conditions associated with stress. ...aka: Ask patient what triggers stressors and how they typically cope with stressors

evidence should be (select all that apply) A. able to be replicated B. reliable C. valid D. only quantitative data

A. able to be replicated, B. reliable C. valid

A client who consented to electroconvulsive therapy (ECT) is being prepared for the second session. The client tells the nurse, "I've decided that I don't want this treatment." The nurse states, "It's too late to stop the treatment now". What is the nurse demonstrating ? A. act of battery B. proper health care laws C. coercion D. slander

A. act of battery

Performing a procedure without patient consent could constitute ________ even if the procedure was done competently and the outcome was good. A. battery

A. battery

(powerpoints) The full reaction of stress is determined by ( select all that apply) A. duration B. spirituality C. severity D. resources E. coping skills

A. duration C. severity D. resources E. coping skills

What are four elements that must be satisfied to establish liability (select 4) A. duty B. breach C. illness D. injury E. causation

A. duty B. breach D. injury E. causation

(powerpoints) Clinical findings for a patient with stress? ( select all that apply) A. fatigue B. edema C. pain D. SOB

A. fatigue C. pain D. SOB (Sarah's notes) Acute Phase - signs of stress may include: elevated heart rate, irregular heart rate, elevated BP, increased respiratory rate and depth, excessive sweating, dilated pupils, and muscle tension

(power points) which 2 medications can cause sensory hearing loss (ototoxicity) ? A. gentamicin B. metoprolol C. lisinopril D. vancomycin

A. gentamicin D. vancomycin

(scope of health care laws/Giddens ) The process of creating health care law is through (select all that apply) A. legislation B. litigation C. a linear process D. regulation by government agencies.

A. legislation B. litigation D. regulation by government agencies. They represent an interwoven process that fosters a continuing evolution in health care

Which physiologic changes may occur during the first trimester of pregnancy? Select all that apply. A.Fatigue B. Increased libido C.Morning sickness D. Breast enlargement E. Braxton Hicks contractions

A.Fatigue C.Morning sickness D. Breast enlargement

formation and development of germ cells, oocytes, and spermatocyte A.Gametogenesis B. Glycolysis C. Maturation D. Osteogenesis

A.Gametogenesis

Summarize evidence from multiple studies. It combines the statistical results of numerous randomized controlled trials and analyzes that evidence A.Meta-analysis B. Primary literature C. Quantitative research D. Systematic Reviews

A.Meta-analysis

(giddens) ethnography, phenomenology, grounded theory, and case reports are all examples of A.Qualitative research B. Primary literature C. Quantitative research D. Secondary research

A.Qualitative research

focuses on a person's experience and uses analysis of textual, or nonnumeric, data, such as interviews, surveys, or questionnaires A.Qualitative research B. Primary literature C. Quantitative research D. Secondary research

A.Qualitative research

Which situation does not cover nurses who respond to a mass casualty incident (MCI) for malpractice or negligent lawsuits under the Good Samaritan Act? A.Terrorist act B. Neighborhood fire C. Roadside car accident D. High school sporting even

A.Terrorist act When terrorist acts occur, nurses are often required to go to an assigned site to offer aid. When this occurs, the nurse is not covered from malpractice or negligent lawsuits. Nurses who respond to injuries that occur in a neighborhood fire, roadside car accident, or a high school sporting event are covered under the Good Samaritan Act.

Who is at risk for stress ( select all that apply) A. 78 y.o patient with alzheimer B. 60 y.o pt with rheumatoid arthritis C. 27 y.o who is getting married tomorrow D. 35 y.o homeless man E. 19 y.o American studying abroad in Spain F. 20 y.o female who is unable to read G. 45 y.o ER nurse

ALL ARE AT RISK Individual risk factors : Impaired cognitions Chronic health conditions including mental health issues Multiple significant life changes Socioeconomic status (e.g., poor, homeless) Caregiver Individual in a foreign country—especially with language/cultural barrier Illiteracy

The nurse is performing an assessment of a client's reproductive system. Which action should the nurse take? Maintain friendly demeanor with the client during assessment Ask about sexual practices at the beginning of assessment Ask about menstrual history at the beginning of assessment Maintain gender-specific terms while questioning during assessment

Ask about menstrual history at the beginning of assessment It is necessary to gather health information as part of an assessment of the reproductive system. The nurse should always start the questioning with minimally sensitive information such as menstrual history. This will help the client adjust gradually. The nurse should maintain a professional demeanor while assessing or taking a reproductive health history. Sensitive information, such as client's sexual practices, should be asked after basic and less-sensitive topics. The nurse should make use of gender-neutral terms while questioning the client regarding their sexual partners.

The nurse is obtaining the health history of a woman who is visiting the prenatal clinic for the first time. She states that she is 5 months pregnant. Which positive sign of pregnancy should the nurse evaluate in this client? Quickening Enlarged abdomen Cervical color change Audible fetal heartbeat

Audible fetal heartbeat The presence of the fetal heartbeat is a positive sign of pregnancy. The feeling of movement is a presumptive sign of pregnancy. An enlarged abdomen is a probable sign of pregnancy. The bluish color of the cervix (Chadwick sign) is caused by pelvic congestion and edema; it is a probable sign of pregnancy.

At what age does screening with the snellens chart begin A. infancy B. 3 yrs C. 6 yrs D. 16 yrs

B. 3 yrs....after that occur at all well check ups

is a situation in which a lay individual provides direct care to another individual with a health‐related condition A. Parenting B. Caregiver C. Advocate D. Provider

B. Caregiver

Restraining patients and then ignoring their cries for help or needs for repositioning, toileting, or other care would be considered breaking which law A. Tort B. Criminal C. Constitutional D. Statutory (Legislative)

B. Criminal

The nurse is working with a couple in the infertility clinic. Which of the following should the nurse include in the teaching plan? A. Keep track of the number of times they have sex. B. Determine the estimated time of ovulation. C. Determine the time of menstruation. D. Avoid intercourse before the appointments.

B. Determine the estimated time of ovulation.

All of the following are true about primary evidence EXECPT: A. Uses quantitative research B. Generated by using original research C. uses qualitative research D. uses mixed design research

B. Generated by using original research Generated FROM original research

What attributes are common to all caregivers? (select all that apply) A. Alleviate patients anxiety B. Give and/or assist with activities of daily living C.Provide emotional and social support D. Manage and coordinate health care services

B. Give and/or assist with activities of daily living C.Provide emotional and social support D. Manage and coordinate health care services

the collection of laws that have a direct impact on the delivery of health care or on the relationships among those in the business of health care or between the providers and recipients of health care A. Caregiver law B. Health care law C. State Provider law D. Evidence Law

B. Health care law

(powerpoints) Select all the secondary preventions for stress A. Counseling B. Holmes life events scale C. Ways of coping checklist D. Maintenance of positive relationships E. Wellness and health education programs

B. Holmes life events scale C. Ways of coping checklist

** Which statement by the patient requires further education on cervical CA screening A. I should start screening at 21 and if results are normal and I remain asymptomatic I only need to come in every 3 years B. I received the HPV vaccination so screening is no longer required for me C. It is not expect to have HPV screening done at age 21-29 D. Because my total hysterectomy was done due to cervical cancer I should still have screenings done

B. I received the HPV vaccination so screening is no longer required for me All women should begin cervical cancer testing (screening) at age 21. Women aged 21 to 29, should have a Pap test every 3 years. HPV testing should not be used for screening in this age group (it may be used as a part of follow-up for an abnormal Pap test). Beginning at age 30, the preferred way to screen is with a Pap test combined with an HPV test every 5 years or to have pap smear done every 3 years Women who have had a total hysterectomy (removal of the uterus and cervix) should stop screening (such as Pap tests and HPV tests), unless the hysterectomy was done as a treatment for cervical pre-cancer (or cancer). Women of any age should NOT be screened every year by any screening method. Women who have been vaccinated against HPV should still follow these guidelines.

(Varcarolis text) is a legal term that means the patient has been provided with basic information regarding risks, benefits, and alternatives of treatment A. Advanced directive B. Informed consent C. Hospital policy D. Patient self determination act

B. Informed consent

What necessary information should the nurse remember regarding assisted suicide, according to American Nurses Association (ANA) (2008)? A. Nurses may have an open attitude toward the client's end of life. B. Nurses' participation in assisted suicide may violate the code of ethics. C. Nurses may listen to the client's expressions of fear and to attempt to control the client's pain. D. Nurses can participate in assisted suicide only if the individual could make an oral and written request.

B. Nurses' participation in assisted suicide may violate the code of ethics.

What is the professional nurse's legal responsibility regarding child abuse? A. Honor the request of the parents not to report the suspected abuse. B. Report any suspected abuse to local law enforcement authorities. C. Return the child to the legal parent even if he or she is suspected of abuse. D. Provide the parents with a copy of the child's medical record.

B. Report any suspected abuse to local law enforcement authorities. Nurses and primary healthcare providers are legally responsible for reporting suspected or actual abuse. Child protective services may obtain a court order to grant temporary guardianship if it is found that the child is in immediate danger. The other answer options do not fulfil the nurse's duty to report suspected child abuse.

Nursing diagnoses for patients with sensory perceptual variances might include (Select all that apply): A. Knowledge deficit for nutrition. B. Risk for injury. C. Impaired mobility. D. Altered nutrition that is less than the body requirements. E. Decreased cardiac output.

B. Risk for injury. C. Impaired mobility. D. Altered nutrition that is less than the body requirements. Taste and smell deficits may lead to lack of appetite and decreased intake, but there is no supportive evidence that there is a knowledge deficit regarding nutrition with sensory impairments. Multiple sensory deficits can contribute to injury, and visual, auditory, and tactile changes can lead to injury. Likewise, mobility may be impaired by both tactile and visual changes. Decreased cardiac output does not directly stem from sensory variance

(powerpoints)What would the priorities of a patient receiving comfort care be? ( select all that apply) A. Safety B. Social C. Spiritual D. Physical

B. Social C. Spiritual D. Physical Comfort care refers to the care of the dying and emphasizes the relief of discomfort rather than curing the dz. Given at the active phase of dying. Physical, social, and spiritual are the first priority.

Although sexual activity is considered a normative process, some individuals place themselves at increased risk for negative consequences related to this process. Which nonsexual behavior is likely to increase risk-taking activities? A. Having multiple sexual partners B. Using alcohol, marijuana, or illicit substances C. Having gay, lesbian, or bisexual partners D. Refraining from safe-sex practices such as condom use

B. Using alcohol, marijuana, or illicit substances

A nurse protecting a patient's right to consent to a procedure is represented in which of the following answers? A. Finding that the informed consent document is not with the chart, the nurse gives the patient another consent document to sign before the procedure. B. When the nurse finds that the informed consent document is not yet complete, she holds the patient's pre-procedure narcotics until the physician can obtain patient consent. C. The nurse finds that the consent form is unsigned in the chart and waits until after the procedure to get the document signed. D. Knowing the patient is not competent to sign a consent form, the nurse asks the friend who came with the patient to sign it.

B. When the nurse finds that the informed consent document is not yet complete, she holds the patient's pre-procedure narcotics until the physician can obtain patient consent. o be valid, information for consent must be given prior to the procedure by the provider who will be performing the procedure and the information given must include a description of the procedure, a description of the risks and benefits of the procedure, and a discussion of any alternatives to the proposed procedure. Consent by the patient must be voluntarily given, and the person who consents must have the capacity to consent. Capacity can be determined by the health care provider and may be affected by drugs or the current or underlying medical condition. If the patient is unable to give consent directly, he or she may designate a person who can give consent on his or her behalf. If such a person is not designated by the patient, most states provide a statutory solution or a law that lists "statutory surrogates."

industrial pollution, radiation, chemical exposure, bacterial and viral infections, drugs, and stress are all example of what type of factors that affect reproduction ? A. sociodemographic B. environmental C. psychosocial D. biophysical

B. environmental

Ability to recognize objects, perform purposeful eye movement, and color recognition typically occurs A. third trimester B. infancy C. toddler stage D. adolescent stage

B. infancy Although the eyes are physically developed by the eighth month in utero, making the fetus capable of opening its eyes, the development of gross visual ability to recognize objects, perform purposeful eye movement, and color recognition primarily occurs during the first year of life. The 1-year-old typically has developed 20/50 vision or is able to see at 20 feet what an individual with normal vision can see at approximately 50 feet.

Antineoplastics ( ex Vincristine) are likely to cause A. complete taste loss B. numbness and tingling C. vision loss D. hearing loss

B. numbness and tingling

A patient voices an understanding of instructions about furosemide (Lasix) when he states A. "I will report any blurred vision." B. "I expect that this will cause me to have increased sensitivity to saltiness." C. "If I notice ringing in my ears, I will call the doctor." D. "I know that I need to monitor my feet for possible skin changes."

C. "If I notice ringing in my ears, I will call the doctor." One of the side effects of furosemide is ringing in the ears (tinnitus). Furosemide does not cause changes in vision, in taste regarding saltiness, or in sensation of the skin.

At what age does reduced sense of smells typically begin ? A. 45 B. 50 C. 60 D. 70

C. 60

The nurse is creating the plan of care for a patient who was recently hospitalized for the treatment of anxiety and depression related to a diagnosis of cervical cancer 1 month ago. In planning tertiary prevention strategies for this patient, the nurse knows to add which tertiary interventions to the patient's plan of care: A. Counseling B. Screening for stress-related diseases C. A rehabilitation program focused on stress management D. A daily exercise program

C. A rehabilitation program focused on stress management In planning tertiary prevention care for a patient undergoing treatment related to stress, the nurse knows that including recommendations for a rehabilitation program focused on stress management is part of creating tertiary care. The purpose of tertiary care is focused on prevention and rehabilitation of the patient. Option A is incorrect. Counseling is a primary prevention strategy focused on health promotion and protection. Option B is incorrect; screening for stress-related diseases is part of secondary prevention, which focuses on early diagnosis and screening of diseases. Option D is incorrect. Planning a daily exercise program is part of secondary prevention strategies, which focuses on early diagnosis and treatment.

Which of the following is an example of a medical malpractice tort liability? A. A patient is informed of all known side effects of a medication and voluntarily takes the medication. The patient experiences an adverse effect from a medication prescribed by a physician. B. A nurse follows the standard of care for initiating an intravenous line, but the patient's vein bursts, causing a hematoma and the need for minor surgery to evacuate the fluid. C. A surgeon does not complete the postprocedure count process, and a sponge is retained in the patient's abdominal cavity. D. The Department of Justice fines an organization for releasing protected health information to a pharmaceutical company without individual patient consent

C. A surgeon does not complete the postprocedure count process, and a sponge is retained in the patient's abdominal cavity. For tort liability to attach, four elements must be satisfied: duty, breach, causation, and harm. An adverse effect experienced by a patient who was informed of all known side effects of a medication, is prescribed the medication, and voluntarily takes the medication is an adverse event, not a tort liability. When a nurse follows the standard of care for initiating an intravenous line, but the patient's vein bursts, this is an adverse event and not a tort liability. Releasing protected health information to a pharmaceutical company without individual patient consent is regulated by federal law enforcement; it is considered employer liability and may be considered to be criminal if proven to be purposeful and egregious.

Patient X is tearful during examination and explains that she just lost her job. Under which scope of stress does this patient fall under A. No stress B. Moderate stress C. Challenging stress D. Threatening stress

C. Challenging stress Challenging: experience is perceived as manageable but requires mobilization of resources; is not harmful, and equilibrium is maintained. Examples: exams, family, having an earthquack, losing a home or job

Used randomized, controlled trials to incorporate more evidence into the medical profession A. Semmelweis B.Nightingale C. Cochrane D. Pasteur

C. Cochrane

Which law creates the necessary authority to draft federal health care laws A. Tort B. Criminal C. Constitutional D. Statutory (Legislative)

C. Constitutional example: Roe v. Wade which forbid states from criminalizing or banning 1st trimester abortions

Despite the importance of sexual health to overall well-being, many nurses and patients are uncomfortable discussing issues related to sexuality. It is for this reason that the nurse must include questions regarding a sexual health history as part of a comprehensive health assessment. A 15-year-old female patient has come to the office for her annual physical and first pelvic examination. In this situation, which nursing action is most important? A. Encourage the patient to ask questions about sexuality. B. Screen for possible abuse. C. Excuse the parent. D. Ensure the patient that all information will be kept confidential.

C. Excuse the parent.

In order to fully understand the concept of sexuality, it is necessary to become familiar with the terms used when discussing this topic. Which term best describes how one views oneself as masculine or feminine? A. Sexual identity B. Sexual orientation C. Gender identity D. Sexual behavior

C. Gender identity

How would the student nurse describe a quasi-intentional tort occurring during the practice of nursing? A. It is a willful act violating a client's rights. B. It is a civil wrong made against a person or property. C. It is an act that lacks intent but involves volitional action. D. It is an unintentional act that includes negligence and malpractice.

C. It is an act that lacks intent but involves volitional action. A quasi-intentional tort lacks intent but involves volitional actions such as invasion of privacy and defamation of character. An intentional tort is a willful act that violates another's rights. This includes assault, battery, and false imprisonment. An unintentional tort involves negligence and malpractice.

holistic approach to care that focuses on the physical, emotional, social, cultural, and spiritual needs of both the patient and his or her family members across the illness trajectory A. Caregiving B. Comfort Care C. Palliative Care D. Preventive Care

C. Palliative Care

Older adults lose elasticity/flexibility of the lens making it hard to to focus on objects up close. This is known as A.Myopia B. Hyperopia C. Presbyopia D. Accommodation

C. Presbyopia

The students were interviewed and agreed the new teaching method was more helpful ..this is an example of A. Quantitative research B. Meta-analyses C. Qualitative research D. Mixed-design research

C. Qualitative research

"focused on the testing of a hypothesis through objective observation and validation." A.Qualitative research B. Primary literature C. Quantitative research D. Secondary research

C. Quantitative research

**( in class powerpoints/discussion) Loss of a pet, Loss of a job, Divorce, Moving/loss of community are all examples of A. unresolved grief B. complicated grief C. disenfranchised grief D. simple grief

C. disenfranchised grief Grief that persons experience when they incur a loss that is not or cannot be openly acknowledged, socially sanctioned or publicly mourned

refers to an internal or external event or demand of life experienced by the individual that is perceived and appraised for scope and meaning on a continuum to determine whether resources and abilities for management are available, exceeded, or exhausted A. Sensory perception B. Reproduction C. Stress D. Palliative Care

C. Stress

A nurse is teaching staff members about the legal terminology used in child abuse. What definition of battery should the nurse include in the teaching? A. Maligning a person's character while threatening to do bodily harm B. A legal wrong committed by one person against property of another C. The application of force to another person without lawful justification D. Behaving in a way that a reasonable person with the same education would not

C. The application of force to another person without lawful justification

A 17-year-old female patient tells the nurse that she believes she was born the wrong gender and feels like she is a male inside. The nurse knows that this statement indicates which sexual orientation: A. The patient is a lesbian. B. The patient is questioning her sexuality. C. The patient is transgender. D. The patient is bisexual.

C. The patient is transgender.

All except the following are contributing to the escalating need for family caregivers A. aging population B. people are living longer C. divorce rates have increased D. health care system is overwhelmed.

C. divorce rates have increased The population is aging. Longevity is increased. Those with chronic diseases are living longer and have increasingly complex health care needs. The formal health care system is overwhelmed.

smoking, excessive caffeine intake, alcohol consumption, drug abuse, spousal abuse, and addictive lifestyles are all example of what type of factors that affect reproduction ? A. sociodemographic B. environmental C. psychosocial D. biophysical

C. psychosocial

(powerpoints) Many chemotherapy agents, antihypertensive, and diuretics can affect A. hearing B. smell C. taste D. touch

C. taste

The daughter of a patient with Alzheimer's disease shares with the nurse that lately she is having difficulty keeping up with her mother and finds that she is easily irritated and loses her temper. Which of the following is the most likely cause of this change in behavior? - Compromised family adjustment - Caregiver role strain - Ineffective coping - Anxiety

Caregiver role strain RATIONALE Caregiver role strain is common and is due to the emotional and physical tasks of caregiving, which can become overwhelming. Compromised family adjustment is not a nursing diagnosis. There is not enough information in the question to determine if there is ineffective coping. Anxiety is caused by caregiver role strain in this scenario.

Mr. Walker is caring for his ailing wife, who was diagnosed with a terminal illness. Mr. Walker is talking with a nurse, and he states, "I miss my old life. I don't see any of my friends any more. Caring for my wife is much more difficult than I thought. I want things to be the way they used to be." The nurse realizes that Mr. Walker is experiencing which emotional strain? Caregiver stress Remorse over being healthy Anger that his children are not helping Grief over losing his friends

Caregiver stress RATIONALE: Mr. Walker is showing signs of caregiver stress because he expresses that he wants his situation to change. He is not remorseful about being healthy. No children are mentioned in the question. He has not lost his friends; he just does not see them any more.

The nurse manger is hosting an educational event about how best to support patients with Alzheimer's disease and their caregivers. Which of the following signs of caregiver role strain will the nurse manager teach as one of the signs of role strain? - Asking for help from family members - Skipping visiting the patient two nights a week to be home with family - Crying after a visit with the patient - Caregivers who isolate themselves from others

Caregivers who isolate themselves from others RATIONALE Isolation is one of the first signs of caregiver role strain. Options A, B, and C are all healthy outlets and will prevent caregiver role strain.

A nurse is talking with a woman who is caring for her elderly father. The woman states that she has very little time for herself or any of the activities she used to enjoy. The nurse is using which of the following processes to assess the situation? Understanding the father's wishes Cognitive ability of appraisal Diagnosing the father's health Understanding the woman's wishes

Cognitive ability of appraisal RAITONALE: The cognitive ability of appraisal allows the nurse to assess the woman's feelings and her ability to care for her father. Understanding the woman's or the father's wishes is good, but it is not a process of appraisal of the situation. Diagnosing the father's health is outside of the nursing realm.

A nurse is providing education to a community group about hospice. The nurse clarifies that the primary goal of hospice is help clients do what? A. Have the option of assisted suicide B. Remain comfortable until the end of life C. Explore the newest treatments for their form of cancer D. Release family members from participating in care

Correct Answer: B Hospice care attempts to break the cycle of fear and pain; care focuses on keeping the client as comfortable and high functioning as possible. Hospice care is provided after all treatments have failed; this care is provided during terminal stages of illness.

Which of the following is the conglomerate of morals, values, beliefs, norms, and meanings that a group of people share and communicate from one generation to the next? Language Religion Culture Customs

Culture RATIONALE : Culture is a blend of everything an individual experiences throughout the life span. Norms, values, beliefs, meanings, and morals are shared and taught to young persons. As an individual grows, he or she reflects on the teachings and molds them to fit his or her personal development.

The nurse is teaching a family about sensory alterations. The nurse needs to provide additional teaching if a family member states A. "I am going to wear earplugs when I mow the lawn." B. "If I stop smoking, I might enjoy eating more!" C. "So grandpa's stroke is why he thinks his left arm and leg aren't there any more." D. "My cousin has autism, and I am going to hug him more so he understands how much I care."

D. "My cousin has autism, and I am going to hug him more so he understands how much I care." Rationale Autistic individuals tend to have touch disturbances, and hugging would be overwhelming for them. Earplugs can help prevent hearing deficits due to exposure to loud noises. Ceasing smoking may result in the return of both increased taste and smell sensations. A cerebrovascular accident (CVA), or stroke, may cause changes in perception of the body, including not being aware of one side of body.

A client exhibits physical symptoms in response to stress. What nursing intervention may help the client reduce the use of physical symptoms as a response to stress? A. Limiting discussions about the problem B. Providing information regarding medical care C. Teaching the client how to eliminate stress at home D. Assisting the client in developing new coping mechanisms

D. Assisting the client in developing new coping mechanisms Until the client learns new ways of coping with anxiety, this pattern of behavior will continue. Learning new ways to operate will break the pattern. Limiting discussion will avoid the problem. Providing information about medical care will reinforce the sick role. A certain amount of stress is present in everyday family situations; the elimination of stress is impossible.

A patient has begun smoking again and drinks six alcoholic beverages per day since experiencing the loss of his job. The nurse recognizes that the patient is exhibiting symptoms of which type of stress? A. Psychological B. Emotional C. Physiological D. Behavioral

D. Behavioral

offers an argument about what led an author to conduct a study or report on a clinical topic A.Meta-analysis B. Primary literature C. Systematic Reviews D. Literature review

D. Literature review

Which of the following statements is true regarding The Joint Commission's authority relating to health care organizations? A. The Joint Commission standards have the same effect as law, and organizations can be fined by The Joint Commission for noncompliance. B. The Joint Commission regulations have no effect on the legal process in health care. C. The Joint Commission serves as an advisor to the federal government in establishing fines related to noncompliance. D. The Joint Commission regulations may be seen as having the effect of law because they accredit organizations to bill Medicare and the standards are frequently used in malpractice cases

D. The Joint Commission regulations may be seen as having the effect of law because they accredit organizations to bill Medicare and the standards are frequently used in malpractice cases The Joint Commission standards do not have the same effect as law; however, they are often utilized as best practice standards in a malpractice case against which negligence is measured. The Joint Commission does not establish fines for noncompliance.

Patient X is tearful during examination and explains that his gambling problem has lead him to loss all of his belongings and he now has no money to eat or a place to live. His friends and family have abandoned him as well. Under which scope of stress does this patient fall under A. No stress B. Moderate stress C. Challenging stress D. Threatening stress

D. Threatening stress

Which of the following is not a primary prevention for sensation: A.Safety goggles B. Earplugs C. Helmets D. glaucoma screening E. erythromycin eye ointment for newborns F. Proper oral hygiene

D. glaucoma screening

The nurse is teaching health promotion to a group of college students. Which of the following should be included in the talk? Arrange to include otoscopic examinations for all patients. Administer influenza immunizations to all students at the clinic. Discuss the importance of limiting exposure to amplified music. Perform tympanometry on all patients between the ages of 18 to 24.

Discuss the importance of limiting exposure to amplified music. The nurse should discuss the effect of amplified music on hearing with young adults and discourage listening to very amplified music, especially for prolonged periods. Tympanometry measures the ability of the eardrum to vibrate and would not help prevent future hearing loss. Although students are at risk for the influenza virus, being vaccinated does not help prevent future hearing loss. Otoscopic examinations are not necessary for all patients.

(Giddens) True or False All patients are eligible for the hospice Medicare benefit

False

True or False All evidence is quality evidence

False

Client pregnant, has 7 year old twins and has a 5 yr. old, what is gravida and para

Gavida III, para III

Client pregnant w/twins, has 5 yr. old, what is gravida and para

Gravida II, para I (Gravida refers to a woman who is pregnant. Parity means # of births after 20 wks gestation.)

The nurse is reviewing the health history from of a 69-year-old. Which finding would alert the nurse that there is a problem that needs referral to the health care provider? My eyes are dry now. It is hard for me to see at night. My vision is blurry when I read. I can't see as far over to the side.

I can't see as far over to the side. A decrease in peripheral vision could indicate glaucoma and will need to be followed by the primary care provider. The other patient statements indicate visual problems considered to be a normal part of aging.

A new nurse needs further teaching when stating a valid consent involves which action? It must be presented to the patient by a nurse. The consent includes information about the risks and benefits of the procedure. The patient must have the capacity to give consent. The patient must voluntarily give consent.

It must be presented to the patient by a nurse. RATIONALE: The person presenting the informed consent document must be the provider performing the procedure. To be valid, information for consent must be given by the provider who will be performing the procedure and includes information about the risks and benefits of the procedure. The patient must voluntarily give consent.

A client visits the prenatal clinic because her menstrual period is late. Her last period was April 5. Testing confirms that she is pregnant. According to Nägele's rule, what date should the nurse provide as the expected date of birth (EDB)? January 5 January 12 January 19 January 26

January 12 Using Nägele's rule, subtract 3 months and add 7 days from the client's last menstrual period.

Which visual system assessment technique provides a magnified view of the retina and optic nerve head? a. Keratometry b. Ophthalmoscopy c. Visual acuity testing d. Confrontation visual filed test

Ophthalmoscopy Ophthalmoscopy provides a magnified view of the retina and optic nerve head. Keratometry measures corneal curvature. Visual acuity testing determines distance and near vision acuity. The confrontation visual field test determines if a client has a full field of vision without obvious scotomas.

On a routine prenatal visit, what is the sign or symptom that a healthy primigravida at 20 weeks' gestation will most likely report for the first time? Quickening Palpitations Pedal edema Vaginal spotting

Quickening

What does a nurse understand by the term regulatory law as applied to nursing practice? a. Regulatory law provides fair and equitable treatment when civil wrongs or violations occur. b. Regulatory law describes and defines the legal boundaries of the nursing practice within each state. c. Regulatory law reflects the decisions made by administrative bodies such as the State Boards of Nursing. d. Regulatory law results from judicial decisions made in courts based on the judgments of individual legal cases.

Regulatory law reflects the decisions made by administrative bodies such as the State Boards of Nursing.

To assess the functioning of the trigeminal and facial nerves (cranial nerves V and VII), the nurse should: Shine a light into the patient's pupil. Check for unilateral eyelid drooping. Touch a cotton wisp strand to the cornea. Have the patient read a magazine or book.

Shine a light into the patient's pupil. The trigeminal and facial nerves are responsible for the corneal reflex. The optic nerve is tested by having the patient read a Snellen chart or a newspaper. Assessment of pupil response to light and ptosis are used to check function of the oculomotor nerve.

A nursing student is having test anxiety regarding an upcoming test. The test anxiety is considered to be which of the following: - Role strain - Ineffective coping - Normal - Stressor

Stressor RATIONALE Stress related to test anxiety is considered a stressor. Role strain is associated with caring for individuals who have chronic health needs. Anxiety related to test taking is normal and is not considered an ineffective coping mechanism.

(powerpoints) True or False Stress can have positive effects?

TRUE It can have both positive and negative effects Positive stress is known as Eustress Unhealthy stress is knonwn as allostasis

A stress-laden patient has elected to learn deep breathing as a means of reducing stress. Rank the following statements in the order in which the nurse should give information when teaching this technique. "Focus on your breathing; repeat the exercise for 2 to 5 minutes." "With each breath, pay attention to muscular sensations that accompany abdominal expansion." "Hold the breath for 3 seconds." "Find a comfortable position. Relax the shoulders and chest; let the body relax."

The Correct Order Is: "Find a comfortable position. Relax the shoulders and chest; let the body relax." "Take a deep breath through the nose, expanding the abdomen." "Hold the breath for 3 seconds." "Exhale slowly through the nose, telling the body to relax." "With each breath, pay attention to muscular sensations that accompany abdominal expansion." "Focus on your breathing; repeat the exercise for 2 to 5 minutes."

Which of the following statements is true regarding The Joint Commission's authority relating to health care organizations? The Joint Commission standards have the same effect as law, and organizations can be fined by The Joint Commission for noncompliance. The Joint Commission regulations have no effect on the legal process in health care. The Joint Commission serves as an advisor to the federal government in establishing fines related to noncompliance. The Joint Commission regulations may be seen as having the effect of law because they accredit organizations to bill Medicare and the standards are frequently used in malpractice cases.

The Joint Commission regulations may be seen as having the effect of law because they accredit organizations to bill Medicare and the standards are frequently used in malpractice cases. RATIONALE : The Joint Commission standards do not have the same effect as law; however, they are often utilized as best practice standards in a malpractice case against which negligence is measured. The Joint Commission does not establish fines for noncompliance.

True or False : the nurse in a rural setting might be held accountable to a different standard of care than the nurse in an urban, tertiary care setting

True (giddens )

(Varcarolis text) Which statement made by the nurse concerning ethics demonstrates the best understanding of the concept? a. "It isn't right to deny someone healthcare because they can't pay for it." b. "I never discuss my patient's refusal of treatment." c. "The hospital needs to buy more respirators so we always have one available." d. "Not all ICU patients have the right to unbiased attention from the staff."

a. "It isn't right to deny someone healthcare because they can't pay for it."

(Varcarolis text) Which situations demonstrate liable behavior on the part of the staff? Select all that apply. a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient b. Leaving a patient with suicidal thoughts alone in the bathroom to shower c. Promising to restrain a patient who stole from another patient on the unit d. Reassuring a patient with paranoia that his antipsychotic medication was not tampered with e. Placing a patient who has repeatedly threatened to assault staff in seclusion

a. Forgetting to obtain consent for electroconvulsive therapy for a cognitively impaired patient b. Leaving a patient with suicidal thoughts alone in the bathroom to shower c. Promising to restrain a patient who stole from another patient on the unit

(Varcarolis text) Based on Maslow's hierarchy of needs, physiological needs for a restrained patient include: (Select all that apply) a. Private toileting, oral hydration b. Checking the tightness of the restraints c. Therapeutic communication d. Maintaining a patent airway

a. Private toileting, oral hydration b. Checking the tightness of the restraints d. Maintaining a patent airway

is whatever the experiencing person says it is, existing whenever he says it does a. pain b. sensory perception c. evidence d. reproduction

a. pain

one of the most common undesirable side effects of medication a. visual disturbance b. odor disturbance c. hearing disturbance d. sensation disturbance

a. visual disturbance ( blurred vision, pupils constriction, dry eyes)

A nursing instructor and a student nurse are talking about caregivers and their role in the caring process. The instructor reminds the student that caregivers experience many emotions and face many obstacles as they care for someone, including Select all that apply. - financial prosperity. - anxiety. - denial. - social isolation. - euphoria. - understanding of the disease.

anxiety denial social isolation RATIONALE: The caregiver experiences emotions such as anxiety and denial of the disease process and faces obstacles such as social isolation when caring for someone else. Financial prosperity is usually not occurring; quite the opposite is likely because a caregiver may be drained of his or her savings. A caregiver does not feel euphoria, because the caregiver is not happy about the situation. The caregiver may not understand the disease process and may not know what to expect as he or she assumes the caregiver role.

The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which statement, if made by the student nurse, indicates that teaching was successful? a. "The nursing process is a scientific-based method of diagnosing the patient's health care problems." b. "The nursing process is a problem-solving tool used to identify and treat patients' health care needs." c. "The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans." d. "The nursing process is used primarily to explain nursing interventions to other health care professionals."

b. "The nursing process is a problem-solving tool used to identify and treat patients' health care needs." the nursing process is a problem-solving approach to the identification and treatment of patients' problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care, not to establish nursing theory or explain nursing interventions to other health care professionals.

(Varcarolis text) Implied consent occurs when no verbal or written agreement takes place prior to a caregiver delivering treatment. Which of the following examples represents implied consent? a. The mother of an unconscious patient saying okay to surgery b. Care given to a heroin overdose victim c. Immobilizing a patient who has refused to take medication d. Signing general intake paperwork with specific parameters

b. Care given to a heroin overdose victim

(Varcarolis text) How can a newly hired nurse best attain information concerning the state's mental health laws and statutes? a. Discuss the issue with the facility's compliance officer b. Conduct an internet search using the keywords "mental + health + statutes + (your state)" c. Consult the American Nurses Association's (ANA) Code of Ethics for Nurses d. Review the facility's latest edition of the policies manual

b. Conduct an internet search using the keywords "mental + health + statutes + (your state)

An unemancipated pediatric client is to undergo a medical procedure. Who is the appropriate authority to provide consent? a. The court b. Either of the child's parents c. One of the child's grandparents d. The parent who holds legal custody

b. Either of the child's parents For unemancipated pediatric clients, the parents are required to provide consent. Either parent may do so. The court intervenes in situations where the parents refuse to allow a child to undergo treatment. A grandparent may provide consent only if the situation is an emergency and the parents are not present. If the parents are divorced, a parent with legal custody of the child may provide consent.

Which of the following physiologic responses would one expect in an individual that is stressed? (Select all that apply.) a. Decreased water retention b. Increased heart rate and blood pressure, and cardiac output c. Increased bronchial dilation d. Decreased pupil dilation e. Increased blood glucose f. Decreased protein synthesis

b. Increased heart rate and blood pressure, and cardiac output c. Increased bronchial dilation e. Increased blood glucose

After abdominal surgery a client suddenly reports numbness in the right leg and a "funny feeling" in the toes. What should the nurse do first? a. Tell the client to drink more fluids. b. Instruct the client to remain in bed. c. Gently rub the client's legs for circulation. d. Tell the client about the dangers of prolonged bed rest.

b. Instruct the client to remain in bed Localized sensory changes may indicate nerve damage, impaired circulation, or thrombophlebitis. Activity should be limited. Bed rest is indicated to prevent the possibility of further damage. Symptoms indicate a possible problem with thrombus formation. While fluids may be helpful to prevent hemoconcentration and the resulting risk of thrombus formation, fluids should be held in case a surgical procedure or diagnostic test is performed that requires the client to refrain from oral intake. Rubbing or massaging the legs is contraindicated because of possible dislodging of a thrombus if present

Chronic stress may lead to: a. Hypoglycemia b. Loss of homeostasis c. Positive psychological manifestations d. Positive social manifestations

b. Loss of homeostasis

What are the important points to be considered when imparting practical knowledge to nursing students about preventing complications in the hospital? Select all that apply. a. Nursing students are not accountable if a client is harmed. b. Nursing students should never be assigned any tasks they are unprepared for. c. Nursing students are employees of the hospital and may act as witnesses to consent forms. d. Nursing students can work as nursing assistants or nurse's aides when not attending classes. e. Nursing students should notify the nursing supervisor in case they are delegated tasks they are not prepared for.

b. Nursing students should never be assigned d. Nursing students can work as nursing assistants or nurse's aides when not attending classes. e. Nursing students should notify the nursing supervisor in case they are delegated tasks they are not prepared for. Nursing students should never be assigned to perform tasks for which they are unprepared. A nursing student can work as a nursing assistant or a nurse's aide when not attending classes. In case anyone instructs a nursing student to perform a task that he or she is unprepared for, the nursing supervisor should be notified as soon as possible. A nursing student is indeed accountable if a client is harmed. A nursing student is not an employee of the hospital and he or she cannot act as a witness to consent forms because these forms are legal documents.

Which of these statements about pregnancy in the adolescent population are true? Select all that apply. a. Infants of teen mothers are at risk of delivering babies late. b. Pregnant adolescents often seek out less prenatal care. c. Adolescent mothers need competent day care for their infants. d. Infants of adolescent mothers are at increased risk for prematurity. e. Fetuses of adolescent mothers are at higher risk for chromosomal defects

b. Pregnant adolescents often seek out less prenatal care. c. Adolescent mothers need competent day care for their infants. d. Infants of adolescent mothers are at increased risk for prematurity. Pregnant adolescents are less likely to seek out prenatal care. Adolescent mothers need competent day care for their infants. Infants born to adolescent mothers are more likely to be premature than are infants born to adult mothers. Infants born to teen mothers are at risk of being born prematurely. Pregnancies in older mothers are at greater risk for chromosomal defects.

the ability to receive sensory input and, through various physiological processes in the body, translate the stimulus or data into meaningful information a. pain b. sensory perception c. evidence d. reproduction

b. sensory perception

(Varcarolis text) When considering facility admissions for mental healthcare, what characteristic is unique to a voluntary admission? a. The patient poses no substantial threat to themselves or to others b. The patient has the right to seek legal counsel c. A request in writing is required before admission d. A mental illness has been previously diagnosed

c. A request in writing is required before admission

The information in a patient's chart may legally be. a. copied by students for use in school reports or case studies. b. provided to lawyer or insurers without the patient's permission. c. shared with other health care providers at the patient's request. d. withheld from the patient, because it is the property of the doctor or agency

c. shared with other health care providers at the patient's request.

gustatory system refers to a. hearing b. vision c. taste d. smell e. touch

c. taste

(Varcarolis text) A nurse makes a post on a social media page about his peer taking care of a patient with a crime-related gunshot wound in the emergency department. He does not use the name of the patient. The nurse: a. Has not violated confidentiality laws because he did not use the patient's name. b. Cannot be held liable for violating confidentiality laws because he was not the primary nurse for the patient. c. Has violated confidentiality laws and can be held liable. d. Cannot be held liable because postings on a social media site are excluded from confidentiality laws.

c. Has violated confidentiality laws and can be held liable.

When should a medical examiner decide whether a postmortem examination should be conducted? a. When a client dies under normal circumstances b. When a client dies after 48 hours of admission to the hospital c. When a client dies within 24 hours of admission to the hospital d. When the client gives a written consent to perform autopsy before death

c. When a client dies within 24 hours of admission to the hospital If a client dies within 24 hours of admission to the hospital, the medical examiner is required to decide whether a postmortem examination should be conducted. If a client dies under suspicious circumstances, the medical examiner decides whether a postmortem examination is necessary. The medical examiner does not make the decision regarding postmortem examination if the client dies after 48 hours of being admitted to the hospital. A client may give a written consent before death to perform an autopsy. Such instances are not subject to the review of the medical examiner.

A student nurse who is not yet licensed a. may not perform nursing actions until she has passed the licensing examination. b. is not responsible for her actions as a student under the state licensing law. c. may perform nursing actions only under the supervision of a licensed person. d. must apply for a temporary student nurse permit to practice as a student.

c. may perform nursing actions only under the supervision of a licensed person. By most state laws, nursing students may perform nursing actions before they are licensed but only under the supervision of a licensed nurse. The student is responsible for his or her own actions; however, the supervising nurse may also be responsible, depending on the situation. No special permit is required to practice as a student in an approved school of nursing.

The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients. Which statement, if made by the nurse, would be the most accurate? a. "Inferences from clinical research studies are used as a guide." b. "Patient care is based on clinical judgment, experience, and traditions." c. "Data are evaluated to show that the patient outcomes are consistently met." The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for patients. Which statement, if made by the nurse, would be the most accurate? a. "Inferences from clinical research studies are used as a guide." b. "Patient care is based on clinical judgment, experience, and traditions." c. "Data are evaluated to show that the patient outcomes are consistently met." d. "Recommendations are based on research, clinical expertise, and patient preferences."

d. "Recommendations are based on research, clinical expertise, and patient preferences." Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician expertise. Clinical judgment based on the nurse's clinical experience is part of EBP, but clinical decision making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes is important, but interventions should be based on research from randomized control studies with a large number of subjects.

A client who expected to use the Lamaze technique throughout labor has an emergency cesarean birth. Two days later the client is found crying and tells the nurse that she is extremely disappointed because a cesarean birth was necessary. She asks the nurse why this happened to her. The nurse answers based upon which physiologic response? a. The client's feelings will pass once she has bonded with her newborn. b.The client is probably suffering from postpartum depression and needs special care. c. An emergency cesarean birth affects a woman's self-concept, and the client's statement reflects this. d. An emergency cesarean birth is traumatic psychologically because of the loss of the expected birth experience. The client's response is appropriate to the situation; she is in the "Why me?" stage of the grieving process as she grieves over the loss of her anticipated birth experience. The client's feelings are unrelated to bonding. The client's statement is not indicative of depression. Self-concept is not specifically affected, although feelings of inadequacy are commonly expressed throughout the grieving process.

d. An emergency cesarean birth is traumatic psychologically because of the loss of the expected birth experience. The client's response is appropriate to the situation; she is in the "Why me?" stage of the grieving process as she grieves over the loss of her anticipated birth experience. The client's feelings are unrelated to bonding. The client's statement is not indicative of depression. Self-concept is not specifically affected, although feelings of inadequacy are commonly expressed throughout the grieving process.

Which right of delegation refers to the giving of clear, concise descriptions of a task to the delegatee? a. Right task b. Right person c. Right supervision d. Right communication

d. Right communication Right communication refers to the giving of clear and concise descriptions of a task, including its objectives, limits, and expectations while delegating a task. Right task refers to delegating a task that is repetitive, requires less supervision, and has predictable results. Right person is delegating a task to the correct person who has the ability to perform said task. Right supervision refers to providing appropriate monitoring, evaluation, and feedback of the delegated task.

(Varcarolis text) In providing care for patients of a mental health unit, Li recognizes the importance of standards of care. When Li notices that some policies fall short of the state licensing laws, which of the following statements represents the most appropriate standard of care pathway? a. Professional association, customary care, facility policy b. State board of nursing, facility policy, customary care c. Facility policy, professional associations, state board of nursing d. State board of nursing, professional association, facility policy

d. State board of nursing, professional association, facility policy

(Giddens) Described as the stimulus and response to the perception of a physical or emotional threat a. pain b. sensory perception c. stress d. fight or flight

d. fight or flight

is the total process by which organisms produce offspring a. pain b. sensory perception c. evidence d. reproduction

d. reproduction