Prep U;Fundamentals Test 3 (and some ATI questions)
Collaborating
The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and health care providers is exhibiting what style of leadership? Laissez-faire Democratic Autocratic Transactional
Democratic
The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and health care providers is exhibiting what style of leadership? Laissez-faire Democratic Autocratic Transactional
As a normal finding for a client at this stage of development
A 25-year-old client is a college graduate and is married with one child. During a wellness visit, the client confides, "I just feel like something is missing from my life. Maybe I need to make a career change." How would the nurse familiar with Levenson and associates' theory of development interpret this statement? As a danger sign that the client is about to undergo a damaging transformation. As indication that the client is lagging in developmental tasks. As a normal finding for a client at this stage of development. As indicating this client is advanced in thinking through life development.
Lubricates the first 2.5 to 5 cm (2 inches) of the catheter
A charge nurse is observing a newly licensed nurse insert an indwelling urinary catheter for a male client. Which of the following actions by newly licensed nurse requires intervention by the charge nurse
Milk is a better option to help you sleep
A client asks the nurse if hot chocolate at bedtime will improve the client's sleep. Which is the best response by the nurse? "Hot chocolate relaxes you and can help you sleep." "Tea is the best option for promoting sleep." ' "Milk is a better option to help you sleep." "You should try cola to promote sleep."
"Light therapy can be beneficial and help ease the transition to a new time schedule or zone.
A client comes to the clinic and states to the nurse, "I am traveling overseas for a project frequently and am having a difficult time adjusting because of jet lag. What is the best response by the nurse? "If you have jet lag once, you shouldn't have any further problems on your next trip overseas." "You should take sleeping pills when you board so that you will sleep until you arrive at your destination. "Light therapy can be beneficial and help ease the transition to a new time schedule or zone." "Try to stay awake for the duration of the flight and sleep when you arrive."
Assess the factors that the client believes contribute to the problem
A client has been in the hospital for the past 10 days following the development of an infection at her surgical incision site. Each morning, the client reports overwhelming fatigue and has told the nurse, "I just can't manage to get any sleep around here." How should the nurse first respond to this client's statement? Assess the factors that the client believes contribute to the problem. Obtain a PRN order for a sedative hypnotic from the client's health care provider. Educate the client on relaxation techniques and reduce noise levels on the unit. Facilitate a change in the client's diet to ensure more carbohydrates at dinner.
urinary tract infection (UTI)
A client who has a WHAT has urine that appears cloudy and concentrated because of the presence of WBCs, RBCs and bacteria. The urine often has an unpleasant odor.
The agency's risk manager
A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case? A colleague The agency's risk manager The plaintiff's lawyer The local press
Ill use the cleaning wipe from front to back
A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure
Slow the flow of the enema solution briefly ( slowing prevents cramping)
A nurse is administering a cleansing enema to a client who reports mild cramping. The client asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take ?
Sudden attacks of sleep Hallucinations at the onset of sleep
A nurse is assessing a client who has narcolepsy. Which of the following findings should the nurse expect (select all that apply) A lack of rapid eye movement (REM) sleep Sudden attacks of sleep Hallucinations at the onset of sleep Sleep apnea The urge to move the legs when trying to sleep
Use intermittent eye contact
A nurse is caring for a client is using active listening skills. Which of the following actions should the nurse take
Apply a moisture barrier ointment to the clients skin
A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse implement to prevent the development of skin breakdown
False Imprisonment
A nurse is caring for a client who refuses treatment and asked to be discharged from the hospital against medical advice. The nurse notifies the clients provider, who tells the nurse to restrain the client if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse
Relief of urinary retention Measurement of residual urine after urination An open perineal wound
A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include
Encourage the client to hold her breath when feeling the urge to urinate
A nurse is implementing bladder retraining program for a client which pf the following actions should the nurse take
Havighurst
A nurse is reading an online article about a developmental theorist that described developmental tasks as learned behaviors. The nurse is reading about which theorist? Erikson Havighurst Piaget Freud
a diuretic administered twice daily at 9 a.m. and 9 p.m. ( a diuretic should not be administered after 6 P.M. , this will promote sleep if a full bladder does not awaken the client. Once daily dosing and every other day dosing is NOT cause for question)
A nurse is reviewing the medication administration record. Which order does the nurse question? a diuretic administered twice daily at 9 a.m. and 9 p.m. a diuretic administered once daily at 9 a.m. a diuretic administered twice daily at 9 a.m. and 5 p.m. a diuretic administered every other day at noon
Excessive laxative use Ignoring the urge to defecate Inadequate fluid intake
A nurse is teaching a client who has constipation which of the following should the nurse discuss as causes of constipation Excessive laxative use Ignoring the urge to defecate Inadequate fluid intake Increased fiber in the diet Increased activity
Increase dietary intake of raw veggies
A nurse is teaching an older adult client who reports constipation which of the following instructions should the nurse include in the teaching
Initiative vs guilt
According to Erikson a preschool age child (3- 6 years) is in what stage of development
Identity vs role confusion
According to Erikson and adolescent (12 to 18 years) is in this stage of development
Invasion of privacy
An HIV-positive client discovers that the client's name is published in a research report on HIV care prepared by the client's nurse. The client is hurt and files a lawsuit against the nurse. Which offense has the nurse committed? Unintentional tort Invasion of privacy Defamation of character Negligence of duty
Left sims position
Best position for enemas, and rectal temp (left side with right knee bent)
dysrhythmias
Can result from straining while defecating
State board of nursing
Has the power to revoke a personal nurses license
Emergency care for a choking victim in a restaurant
In some cases, the act of providing nursing care in unexpected situations is covered by the Good Samaritan laws. Which nursing action would most likely be covered by these laws? Any emergency care given when consent is obtained A negligent act performed in an emergency situation Medical advice given to a neighbor regarding a child's rash Emergency care for a choking victim in a restaurant
Public
Is an interaction with an audience, a presentation to a community group about health care topic is an example of public communication
Interpersonal
Is face to face interaction with another person. It results in an exchange of ideas , problem solving , expression of feelings decision making and personal growth
Trans personal
Occurs within a persons spiritual domain
Massage the legs before bed
The nurse is preparing to educate a client with restless legs syndrome who reports sleeplessness and prefers to use nonpharmacologic methods to promote sleep. Which recommendation will the nurse include in the teaching? Massage the legs before bed. Have a glass of wine before bed. Sleep in a warm environment. Go to bed whenever you feel tired.
Low birth weight Premature birth Congenital abnormalities
The nurse is providing prenatal education for a group of pregnant adolescents. The nurse talks about substance use during pregnancy and relates that use to which possible newborn consequences? Select all that apply. Low birth weight Premature birth Poor development of superego Development of mistrust Congenital anomalies
Growth
The nurse is seeing 6-year-old Patrick in the clinic. As the nurse is measuring height and weight for Patrick, his mother comments on how much he has grown since his last checkup. The nurse knows that this increase in size is which of the following? Growth Development Prepubescent Cephalocaudal
Asses the clients vital signs and pulse oximtery
The nurse observes the sleep pattern of an obese client with cardiac disease and notes occasional periods of apnea. Which action should the nurse take? Assess the client's vital signs and pulse oximetry. Call a code blue, as the client is not breathing. Ask a peer to come and observe the sleep pattern. Review the client's medical record for sleep disturbances.
Bladder infection
The nurse should recognize that hematuria, or blood - tinged, can be a manifestation of a bladder or kidney infection
Autonomy vs shame and doubt
What age is (1 to 3 years) in Erikson stages
Industry vs inferiority
What age is (6-12) of the Ericsson developmental theory
Erikson
Which developmental theorist created the psychosocial theory of development? Erikson Freud Piaget Maslow
Rapid growth
Which factor necessitates the need for more sleep in the adolescent population? rapid growth increased nutritional needs increased life stresses part-time employment
Do you usually go to bed and wake u about the same time each day
Which interview question would be the best choice for the nurse to use to assess for recent changes in a client's sleep-wakefulness pattern? In what way does the sleep you get each day affect your everyday living? How much sleep do you think you need to feel rested? What do you usually do to help yourself fall asleep? Do you usually go to bed and wake up about the same time each day?
Intrapersonal
occurs within an individual such as self-talk, self verbalization, or inner thought ( it allows for the development of self-awareness and enhances appropriate self expression)
The provider
Who is responsible for consulting with the client and writing the DNR order
Find a phone app that plays sounds of the city.
he nurse is caring for a client who reports insomnia. The client has recently moved from an area near a fire station in the inner city to the country. Which recommendation will the nurse make to facilitate sleep? Enjoy the peace and quiet of the country. Find a phone app that plays sounds of the city. Avoid eating right before bedtime. Ingest 1 ounce of liquor before going to sleep.
The CPAP assures you get enough oxygen throughout the night
nurse is caring for a client newly diagnosed with sleep apnea. Which should the nurse teach the client about the most important reason why the continuous positive air pressure (CPAP) device should be used during sleep? "By maintaining the oxygen in your body during sleep other health problems can be avoided." "Using the CPAP will increase your energy during the day by allowing you to sleep at night." "The CPAP assures you get enough oxygen throughout the night." "The CPAP prevents you from snoring so your spouse can sleep."
False Imprisonment (definition )
restraining an individual or restricting an individual's freedom
The Good Samaritan law will provide legal immunity to the nurse
A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. Which statement is true regarding how the Good Samaritan law applies to this case? The Good Samaritan law will provide legal immunity to the nurse. The Good Samaritan law will not protect the nurse because the nurse did not accept compensation. The Good Samaritan law is not applicable to health care workers. The Good Samaritan law will provide absolute exemption from prosecution.
Clients gestures
The nurse communicates with a newly admitted client. Which nonverbal behavior will the nurse note? client's accent client's gestures client's religious practices client's ethnicity
Cognitive learning theory
The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory? Adaptive learning theory Behavioral learning theory Cognitive learning theory Developmental learning theory
Have the client rate pain level and reschedule teaching session
As the nurse enters the room to teach the client about self-care at home, the client states, "I am glad you are here. I need some pain medicine. I can't stand it anymore." What is the best action of the nurse? Redirect the client to learning about self-care and begin education. Give written materials to the client and administer pain medication. Have the client rate pain level, and reschedule the teaching session. Assess the client's understanding of self-care and administer medication
Certification
Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). The nurse has completed which process of credentialing? Certification Licensure Accreditation Validation
To protect the safety of the public health
Professional regulations and laws that govern nursing practice are in place for which reason? To limit the number of nurses in practice To ensure that practicing nurses are of good moral standing To protect the safety of the public To ensure that enough new nurses are always available
Duty (definition)
Refers to an obligation to use due care
assault (example)
Threading to touch a client without consent
Preparation
A 46-year-old obese client has been diagnosed with hypertension and type 2 diabetes. The client acknowledges the need to lose weight. The client recently visited a local fitness club, obtained a membership, and has signed up for their next water aerobics class. According to the Transtheoretical Model of Change, what stage of change is this client in related to her weight loss? Preparation Maintenance Precontemplation Contemplation
What is your name?
A 70-year-old client had a cholecystectomy 4 days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask to assess the client's orientation? "Is your name Evelyn?" "Are you in a hospital?" "Is today the first day of the month?" " What is your name?"
Demonstrating the technique for insulin self injection
A client diagnosed with type 2 diabetes has been prescribed insulin therapy in conjunction with an oral agent because the client has been experiencing difficulty controlling blood sugar levels with an oral agent alone. The nurse is preparing a teaching plan for this client. Which intervention would the nurse include in the teaching plan to address the psychomotor domain? Demonstrating the technique for insulin self-injection Describing the signs and symptoms of low blood sugar Explaining what to do if hypoglycemia occurs Reviewing with the client appropriate foods to eat
Malpractice
A client has a prescription for amoxicillin 500 mg P.O. every 8 hours. The nurse administers the medication via the intravenous route. Based on the nurse's action, the client develops complications and has an increased length of stay. The client files a lawsuit against the facility and the nurse. Which legal action has the nurse's attorney identified that meets the criteria for the client's lawsuit? Negligence Malpractice Assault Battery
Assessing importance
A client informs the nurse about being committed to quitting smoking to improve health. During discussion, the nurse asks the client "on a scale of 0 to 10, how likely are you to attend a support group?" Which strategy of motivational interviewing is the nurse using with the client? Assessing importance Elicit-provide-elicit Evoking change talk Prioritizing
Ask the client to sign a release without medical approval
A client informs the nurse about leaving the health care facility because the client is not satisfied with the treatment. The nurse knows that the client's treatment is incomplete and further testing and evaluations are scheduled. Which action by the nurse would be most appropriate to prevent false imprisonment? Restrain the client to prevent from leaving. Call the health care provider to speed up the discharge process. Ask the client to sign a release without medical approval. Tell the client that the client will not be able to get access again.
A surrogate decision maker
A client is in a persistent vegetative state. The client has no immediate family and is a ward of the state. Under these circumstances, who will speak on this client's behalf? A surrogate decision maker A church-appointed guardian A significant other A best friend
Autocratic leadership
A client is received into the emergency department after getting shot in the chest. The client is hemorrhaging profusely and is in hypovolemic shock. The nurse calls a code blue. What type of leadership style will be most effective during the management of the code? Autocratic leadership Laissez-faire leadership Democratic leadership Transactional leadership
Ensuring the signed form is on the chart Acting as a witness to the clients signature on the form Answering questions about elements of the consent
A client is to undergo surgery for removal of the gallbladder. Which action related to the client's informed consent falls within the nurse's scope of practice? Select all that apply. Ensuring the signed form is on the chart Acting as a witness to the client's signature on the form Answering questions about elements of the consent Explaining the details about the procedure to be done Identifying the risks and benefits associated with the procedure
The nurse withholds the medication and notifies the HC{
A client newly diagnosed with congestive heart failure has a prescription for digoxin. The nurse counts the heart rate before administration of the medication and obtains a heart rate of 51 beats per minute. Which action by the nurse demonstrates adherence to the standards of nursing care? The nurse withholds the medication and notifies the health care practitioner. The nurse administers the medication and reassesses the client after 30 minutes. The nurse withholds the medication, retakes the heart rate, and gives the medication at a later time. The nurse administers the medication after reviewing the client's serum potassium level.
Document the clients claims and the events surrounding the alleged i incident
A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow? Document the client's claims and the events surrounding the alleged incident. Consult with the hospital's legal department as soon as possible. Consult with practice advisors from the state board of nursing. Enlist support from nursing and non-nursing colleagues from the unit.
Document the client claims and the event surrounding the alleged incident
A client states that the client's recent fall was caused by his scheduled antihypertensive medications being mistakenly administered by two different nurses, an event that is disputed by both of the nurses identified by the client. Which measure should the nurses prioritize when anticipating that legal action may follow? Document the client's claims and the events surrounding the alleged incident. Consult with the hospital's legal department as soon as possible. Consult with practice advisors from the state board of nursing. Enlist support from nursing and non-nursing colleagues from the unit.
Tort
A client was admitted to a postoperative nursing unit after undergoing abdominal surgery. During this time, the nurse failed to recognize the significance of abdominal swelling, which significantly increased during the next 6 hours. Later, the client had to undergo emergency surgery. The lack of action on the nurse's part is liable for action. Which legal term describes the case? Misdemeanor Felony Tort Fraud
Sensorimotor
Newborns are capable of activities such as grasping objects and displaying basic reflexes. To which of the following of Piaget's cognitive developmental stages do the newborns belong? Sensorimotor Preoperational Concrete operational Formal operational
I see you are upset. Would you like to talk?
A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy? "I am sorry to hear you have cancer. I would be upset too, is there anything I can do?" "I see you are upset. Would you like to talk?" "I see you have been crying. Do you want me to call someone for you?" "Don't worry, I have seen lots of people with cancer do fine."
The nurse should ask the health care provider to come back and write the order.
A health care provider is called to see a client with angina. During the visit the health care provider advises the nurse to decrease the dosage of atenolol to 12.5 mg. However, because the health care provider is late for another visit, the health care provider requests that the nurse write down the order for the health care provider. What should be the appropriate nursing action in this situation? The nurse should ask the health care provider to come back and write the order. The nurse should write the order and implement it. The nurse should inform the client of the change in medication. The nurse should remind the health care provider later to write the work order.
An advanced directive
A legal document that states a client's health-related wishes — such as a preference for pain management if the client becomes terminally ill — and also allows the client's adult child to direct the client's care, is: a will. a standard of care. a license. an advance directive.
Nurse practice act Nursing educational requirements Composition and disciplinary authority of board of nursing
A new graduate wants to be knowledgeable about state-mandated rules to better practice within the scope of nursing. What are the best resources for this nurse to research? Select all that apply. Nurse practice acts Medicare and Medicaid provisions for reimbursement of nursing services Nursing educational requirements Delegation trees Composition and disciplinary authority of board of nursing Medication administration
The agency risk manager
A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the nurse's attorney, whom else would be appropriate for the nurse to talk with about the case? A colleague The agency's risk manager The plaintiff's lawyer The local press
Psychomotor
A nurse assisting a new mother in the act of breastfeeding represents which form of learning? Affective Psychomotor Cognitive Simplistic
Return demonstration
A nurse evaluates whether a middle-age client with chronic back pain has been performing the different exercises and physiotherapy procedures recommended by the health care provider. What would the nurse most likely use to evaluate the client? Written test Oral test Return demonstration Simulation
The client stares at the floor and states "I feel fine"
A nurse has been caring for a client who had a myocardial infarction 2 days ago. During the morning assessment, the nurse asks the client how the client feels. Which scenario warrants further investigation? The client is sitting in a chair and states, "I feel a lot better than I did yesterday. The client stares at the floor and states, "I feel fine." The client smiles at the nurse and states, "I cannot wait to go home." The client looks at the nurse and states, "I am still not feeling my best.
Tort
A nurse is caring for a client who has undergone coronary angioplasty. The cardiac monitor is showing abnormal electrocardiogram waves, indicating atrial fibrillation. The nurse does not recognize the importance of the sign; as a result, the client's condition deteriorates and the client has to be taken up for an emergency procedure. Which describes the nurse's legal liability? Felony Defamation Tort Slander
Negligence
A nurse is caring for a client with hypertension whose blood pressure has increased from 154/78 mmHg to 196/98 mmHg with a heart rate of 110 beats per minute during the past hour. The nurse goes to lunch without reporting the change to the health care provider, and the client experiences a cardiac arrest. What tort has the nurse likely committed? Negligence Battery Invasion of privacy False imprisonment
Obtaining vital signs every 4 hours
A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)? Assessing for shortness of breath Instructing the client about the need to alternate activity with rest Obtaining vital signs every 4 hours Administering nebulizer treatments as needed
Obtaining vital signs every 4 hours
A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)? Assessing for shortness of breath Instructing the client about the need to alternate activity with rest Obtaining vital signs every 4 hours Administering nebulizer treatments as needed
Assess how the client would like to communicate
A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? Assess how the client would like to communicate Use facial and hand gestures Contact a person skilled in sign language Provide paper and pencil for written communication
The contract serves to meet the clients learning outcomes
A nurse is developing a contractual agreement with a client. Which statement is true of a contractual agreement? The contract serves to meet the client's learning outcomes. The contract is a formal agreement. The contract is legally binding. The contract serves to meet nursing goals
Have you ever thought of laser surgery ?
A nurse is discussing cataract treatment with a client. Which statement by the nurse would be most therapeutic? "You should try laser surgery." "Why don't you try laser surgery?" "Have you ever thought of laser surgery?" "My grandfather also benefited from laser surgery."
Motivational
A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? Motivational Long-term Developmental Situational
"I understand you have four kids; how many times have you actually been pregnant?"
A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question? "I understand you have four kids; how many times have you actually been pregnant?" "All right, you have four children, is that correct?" "How old are your children?" "Were these term births?"
Intelligence Memory Problem solving
A nurse is preparing a program for a group of staff nurses on growth and development. As part of the program, the nurse will be discussing the various theories of growth and development. When describing Freud's theory, the nurse includes the concept of the ego. Which component would the nurse identify as being part of the ego? Select all that apply. Intelligence Memory Problem solving Self-gratification Fantasies not easily recalled
Available resources Learning style preferences Literacy level
A nurse is preparing to teach a client about the importance of contraception and safe-sex practices. Which factors can most affect the nurse's teaching strategies for this client? Select all that apply. Available resources Learning style preferences Literacy level Size of family The client's job
Keeping the curtain between the two clients in the room open
A nurse is providing care to two clients who are sharing the same room. The nurse is preparing to give one of the clients a complete bed bath. Which action by the nurse would suggest liability related to invasion of the client's privacy? Keeping the curtain between the two clients in the room open Documenting a belief that the client was arrested Removing the client's clothing with some force Applying restraints to the client's arms to keep the client in bed
13 year old
A nurse is reviewing the medical records of several children who come to the health center for care. When applying Piaget's theory, which child would the nurse anticipate as being able to think abstractly and use deductive reasoning? 2 1/2-year-old 5-year-old 8-year-old 13-year-old
First-time learners often have this same concern." "You have just about figured out how to give yourself an injection." "Try to angle the syringe a little more this way."
A nurse is showing an older adult client with severe diabetes the correct method of self-administering an insulin injection. What comment(s) is acceptable if the client continues making mistakes when learning how to self-administer an insulin injection? Select all that apply. "Why are you repeatedly holding the injection at the wrong angle?" "First-time learners often have this same concern." "You have just about figured out how to give yourself an injection." "It will be better if you ask someone responsible to administer the injection." "Try to angle the syringe a little more this way."
The nurse should state the purpose of the letter briefly and clearly in the first paragraph. The nurse should name the city and state where the nurse lives and votes The nurse should restate exactly what the legislator should do at the end of the letter.
A nurse is writing a letter to a U.S. congressman to support the promotion of health care issues. Which guidelines would ensure a properly written letter? Select all that apply. The nurse should state the purpose of the letter briefly and clearly in the first paragraph. The nurse should name the city and state where the nurse lives and votes. The nurse should avoid using specific examples from the workplace to support the position. The nurse should restate exactly what the legislator should do at the end of the letter. The nurse should write a longer email and shorter letter. The nurse should address the letter to as many legislators as possible.
I understand why i need to eat a low sodium diet
A nurse leader is working with a client with hypertension who needs to learn about a low-sodium diet. The nurse recognizes that the client is in the unfreezing stage of Lewin's Change theory with which client statement? "I don't see a problem with what I normally eat." "I am developing a daily meal plan for a low-sodium diet." "I have selected my daily menu with low-sodium foods." "I understand why I need to eat a low-sodium diet."
Invasion of privacy
A nurse talks with family members about an AIDS client from the clinic where the nurse works. Which tort has the nurse committed? Invasion of privacy Fraud Assault Slander
invasion of privacy
A nurse talks with family members about an AIDS client from the clinic where the nurse works. Which tort has the nurse committed? Invasion of privacy Fraud Assault Slander
Assault
A nurse threatens to restrain a verbally abusive client if the abuse continues. Which legal tort has the nurse committed? Invasion of privacy Negligence Assault Defamation of character
The Good Samaritan law will provide legal immunity to the nurse
A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. Which statement is true regarding how the Good Samaritan law applies to this case? The Good Samaritan law will provide legal immunity to the nurse. The Good Samaritan law will not protect the nurse because the nurse did not accept compensation. The Good Samaritan law is not applicable to health care workers. The Good Samaritan law will provide absolute exemption from prosecution.
When delegating tasks to unlicensed assistive personnel, the nurse supervises, guides care, and evaluates outcomes. The nurse has achieved certification in the field of professional practice and belongs to that professional practice. The nurse has recognized an error in practice and performance and is managing a task force to change policy.
A staff nurse who has been working as a clinical manager is demonstrating strong leadership qualities on the unit. Which behaviors and competencies by the nurse would be recognized by senior management as indicators of strong leadership during evaluation? Select all that apply. When delegating tasks to unlicensed assistive personnel, the nurse supervises, guides care, and evaluates outcomes. The nurse has achieved certification in the field of professional practice and belongs to that professional practice. The nurse volunteers for extra shifts in order to receive overtime benefits. The nurse manages to avoid conflict on the unit by using the conflict management technique of smoothing. The nurse has recognized an error in practice and performance and is managing a task force to change policy.
Democratic
A staff nurse works on a medical unit where staff retention is very high. There is a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which leadership style? Autocratic Democratic Laissez-faire Transformational
Development of trust Praise for doing well Loving caregivers
A student nurse is assisting the school nurse with a health fair at a middle school. The student nurse assesses the students' heights and weights as they file through the station, observing that there is a large variation in physical size and emotional maturity. Which of the following factors may affect emotional growth of children? Choose all that apply. Development of trust Colorful toys Praise for doing well Availability of books Loving caregivers
Battery
An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor? Battery Assault Fraud Defamation of character
Dispose of the disconnected Iv set
In a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant? "Discontinue the IV solution." "Dispose of the disconnected IV set." "Inspect the site for thrombophlebitis." "Check the infusion rate."
The occupational safety and health act of 1970
Injuries related to lifting or transferring clients occur in the health care setting and may be considered a work-related injury. Which law was intended to reduce work-related injuries and illnesses? The Occupational Safety and Health Act of 1970 The Health Care Quality Improvement Act of 1986 Title VII of the Civil Rights Act of 1964 Americans with Disabilities Act of 1990
Cognitive (definition)
Learning theory is the result of people wanting to make sense of the world around them by assimilating and processing information to gain new understandings and insights
To improve quality of care
Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report? To document everyday occurrences To document the need for disciplinary action To improve quality of care To initiate litigation
Group members elicit mutually respectful relationships The leader or other group members confront any member who dominates or thwarts the group process Group members support, praise, and critique one another
Nurses on a hospital burn unit meet as a group to discuss procedures. Which statements accurately describe effective functioning in a group? Select all that apply. The group leader alone uses individual talents and interpersonal strengths to assist the group to accomplish goals. Group members elicit mutually respectful relationships. The group's effectiveness depends on only the group leader's sensitivity to the needs of the group and its individual members. The leader or other group members confront any member who dominates or thwarts the group process. Group members use power to fix immediate problems without considering the needs of the powerless. Group members support, praise, and critique one another.
"All of the people got themselves out of the car?"
Paramedics arrive in the emergency department with a client who was in a motor vehicle collision. The paramedic reports that the driver was restrained, the car was traveling about 30 miles per hour (48 km/hr), and the air bags were not deployed. The paramedic continues to report that the car was struck from behind and that all individuals in the car were able to self-extricate. Which statement made by the nurse is verifying the report from the paramedic? "Was there any cracking of the windshield?" "Were there any fatalities in the other vehicle?" "All of the people got themselves out of the car?" "Did a police officer take a report at the accident scene?"
Psychomotor (definition )
Refers to the muscular movements learned to perform new skills and procedures
The interdisciplinary health care team collectively developing plans of care for clients
The case manager works in a facility that supports a participative leadership style. Which action should the nurse recognize as an example of democratic leadership style? The nurse implementing the health care provider's written orders for client care The unlicensed assistive personnel (UAP) taking vital signs for several nurses The dietitian completing a nutritional assessment for a registered nurse (RN) The interdisciplinary health care team collectively developing plans of care for clients
Research the length of time to take the prescription
The nurse has provided teaching for a client with a sinus infection who has been prescribed antibiotics and a decongestant. The client states, "I'm not sure how many days I'm supposed to take this antibiotic." What is the nurse's appropriate response? Ask the client to restate the teaching that was provided. Reteach the length of time to take the prescription. Tell the client to take the antibiotic until symptoms subside. Proceed with teaching about the decongestant
Level 1 selfishness
The nurse is counseling a woman who states: "I'm never going to find a husband; every time I start dating I end up getting hurt. I'm not even going to try anymore." This woman is in what stage of Carol Gilligan's theory of moral development? Level 1—selfishness Level 2—goodness Level 3—nonviolence
Feeding
The nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP) for a client who recently had a stroke and is suffering from mil hemiplegia. Which task would be inappropriate for the nurse to delegate to the UAP? Bathing Feeding Obtaining vital signs Assisting to use a bedpan
Duty
The nurse is providing care to a client whose condition has progressively declined. The nurse assesses and makes appropriate interventions as well as notifies the health care provider. Despite the nurse's efforts, the client expires. What element of liability has the nurse demonstrated? Duty Breach of duty Causation Damages
The client will be able to perform proper breast self examination for breast cancer detection and prevention
The nurse is providing instructions to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education? The client will demonstrate self-efficacy and improved body image. The client will have restoration of breast function. The client will be able to perform proper breast self-examination for breast cancer detection and prevention. The client will demonstrate improved coping skills.
The client will be able to perform proper breast self examination
The nurse is providing instructions to a client about performance of breast self-examination. What learning outcome would be most appropriate regarding this education? The client will demonstrate self-efficacy and improved body image. The client will have restoration of breast function. The client will be able to perform proper breast self-examination for breast cancer detection and prevention. The client will demonstrate improved coping skills.T
Ask the client to demonstrate how to self inject the morning insulin
The nurse is teaching a client with diabetes how to inject daily insulin. Which method is most effective in evaluating the teaching? Ask the client to repeat the steps of injection in order. The nurse uses a brochure to explain how to give an injection. Ask the client to demonstrate how to self-inject the morning insulin. Provide a teaching session that includes a question and answer discussion.
Better client outcomes
The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care? Higher nurse retention Longer client stays Better client outcomes Improved job satisfaction scores
Committed
The nurse is working at a facility that is applying for Magnet® Recognition. The nurse knows that compared with other hospitals, Magnet® hospitals have which direct effect on client care? Higher nurse retention Longer client stays Better client outcomes Improved job satisfaction scores
Laissez Faire
The nurse manager calls a staff into a unit meeting to discuss client satisfaction. During the meeting, several staff members assume control. The nurse manager does not intervene to regain control of the group. Which type of leadership style is the nurse embodying? Quantum Autocratic Democratic Laissez-faire
The stability of the clients condition, potential for harm and complexity of the activity
The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task? The complexity of the activity, age of the UAP, and predictability of the outcome Predictability of the UAP, the amount of time required for the task, and RN's skill level The stability of the client's condition, potential for harm, and complexity of the activity The context of the other client needs, the desired outcome, and autonomy of the client
Unintentional tort
This occurs when a nurse does not intend to harm the client but harm occurs
The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end.
Two new nurses are requesting the same preceptor for unit orientation. Both new nurses have been very vocal about being unhappy if they do not receive their choice of preceptor. Which illustrates the nurses using a compromise approach to conflict resolution? The nurses ignore each other's request for the preceptor. The nurses agree to allow the preceptor to decide which nurse to precept. The nurses agree that one nurse will obtain the preceptor for orientation in exchange for that nurse working each weekend. The nurses agree to have the preceptor precept one nurse at the beginning of the orientation and the other at the end.
A regular employee who is a natural leader
Two nurse managers working on different units in a hospital are planning for a major change to occur on both units. One nurse manager reports to the other having identified a key power player on the unit. Which description most applies to a key power player in this context? A regular employee who is a natural leader Someone in whom the nurse manager can confide Someone who spreads untrue rumors An employee who will resist the change
A nurse answers the clients questions about an upcoming test in a clam gentle voice while making eye contact with the client
What nursing care behavior by the nurse engenders a client's trust in the nurse? A nurse tells the client, "Do not worry about the test, I have never cared for anyone that had problems with it." A nurse answers the client's questions about an upcoming test while completing documentation in the EHR. A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client. A nurse tells the client, "My shift will be over in 45 minutes, I will let the oncoming nurse know you have questions about tomorrow's test."
Cognitive
When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall? Cognitive Affective Psychomotor Interpersona
Cognititve
When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall? Cognitive Affective Psychomotor Interpersonal
The client and the nurse are equal parts
When establishing a teaching-learning relationship with a client, it is most important for the nurse to remember that effective learning can best be achieved through which concept? The nurse is the expert in the teaching-learning environment. The nurse must be able to handle criticism during the process. The client and the nurse are equal participants. Assimilation and application of psychomotor concepts is essential.
Invasion of privacy
When talking with family over dinner, the nurse shares about a client with infertility at the hospital, identifying the person by name. Which tort has the nurse committed? Slander Assault Invasion of privacy Fraud
An older adult client refuses an IM injection, but the nurse administers it
Which action constitutes battery? An older adult client refuses an intramuscular injection, but the nurse administers it. The nurse threatens to restrain a client if the client does not take a medication. While bathing a client behind pulled curtains, two nurses discuss a different client. The nurse tells a client that the client cannot leave the hospital because the client is seriously ill.
With the client's permission, the nurse explains the client's diagnosis to the client's spouse. The nurse moves the client from the emergency department waiting room to a private area to collect assessment data.
Which are examples of a nurse appropriately protecting a client's privacy? Select all that apply. During a bed bath, the nurse exposes the client's upper torso while washing the client's face. With the client's permission, the nurse explains the client's diagnosis to the client's spouse. The nurse questions the client about the client's social life even though it does not affect care planning. The nurse moves the client from the emergency department waiting room to a private area to collect assessment data. Because the facility is a teaching facility, the nurse allows a nursing student to photograph a client for a care plan.
Is supportive Is resourceful Demonstrates leadership abilities Is an experienced, licensed professional
Which attributes should be characteristic of a nurse mentor? Select all that apply. Is supportive Is resourceful Is driven by financial reward Embraces disruptive conflict Demonstrates leadership abilities Is an experienced, licensed professional Deconstructs health care networks
A nurse gives the client a medication and the client has an adverse reaction to it
Which is an example of an unintentional tort? Nurses discuss a client's laboratory values in the elevator. A nurse tells a client that the client cannot leave the hospital until the client pays the bill. A nurse threatens to restrain a client if the client does not stop talking. A nurse gives the client a medication, and the client has an adverse reaction to it.
It helps reduce workforce injuries and illness in the workplace
Which is true of the Occupational Safety and Health Act? It requires nurses to report abuse of infants, children, and adults of all ages. It helps to reduce workforce injuries and illness in the workplace. It establishes an information clearinghouse for nurses who engage in unprofessional conduct. It protects nurses who are recovering from drug or alcohol addiction or have communicable diseases.
Staff nurses are developing innovative solutions to problems
Which of these statements reflects the expected functioning at a hospital that has achieved Magnet status? Nursing administration is in control of all decision-making. Most client outcomes have improved but are not at target range. Staff nurses are developing innovative solutions to problems. There is a decreased rate of retention among the nursing staff.
Accreditation
Which process evaluates and recognizes educational programs as having met certain standards? Accreditation Credentialing Licensure Certification
"I will be taking the TB medication for at least 6 months, because it takes a long time to kill the TB germs.
Which response from the client enables the nurse to determine the effectiveness of a recent medication teaching session for an older adult client who is diagnosed with tuberculosis (TB)? "It is okay to skip some doses if I don't feel well or sick to my stomach." "If I stop coughing after 3 months, I can stop taking my TB medication because that means I no longer have the germ in my system." "I will be taking the TB medication for at least 6 months, because it takes a long time to kill the TB germs." "I can't remember when I have to take my medications, so I have my son come and give me my pills."
A nurse who demonstrates advanced expertise in a content area of nursing through special testing
Which scenario is an example of certification? A nurse who demonstrates advanced expertise in a content area of nursing through special testing A hospital that meets the standards of the Joint Commission An education program that meets the standards of the National League for Nursing A graduate of a nursing education program who passes the NCLEX-RN
Nurses are responsible for adhering to specific documentation about controlled substances
Which statement about laws governing the distribution of controlled substances is true? When a nurse misuses controlled substances in the workplace and gets help, the nurse will not be charged with a criminal act. Nurses are responsible for adhering to specific documentation about controlled substances. Substance use is not treatable. The nurse is only at risk if diverting medication from the client; a nurse using the nurse's own personal drugs is not at risk
Remain calm and conduct the teaching session in a quiet environment
Which strategy should the nurse use when providing education to the older adult client? Remain calm and conduct the teaching session in a quiet environment. Avoid the use of colorful materials and keep the session short. Teach in a monotone voice in a quiet environment. Teach from books only and remain calm.
I cannot give you that information due to client confidentiality
While a client admitted to the medical-surgical unit is in the radiology department, a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. Which response by the nurse would be most appropriate, both legally and professionally? "I will call the client and ask for permission to share this information with you." "I cannot give you that information due to client confidentiality." "Do you have any identification proving that you are related to the client?" "I'm busy right now but can talk later."
The nurse is protected by the Good Samaritan act, which states that the nurse may give emergency care using good judgement
While walking through a park, the nurse encounters a child with a swollen and reddened arm that hurts to move due to being struck with a baseball bat. The nurse splints the arm using two baseball bats. The child is transported to the hospital and later develops compartmental syndrome in the arm. Which statement regarding the nurse's liability in this case is accurate? The nurse was negligent because the client developed compartmental syndrome due to the nurse's treatment at the scene. The nurse should have waited for help because the Good Samaritan Act states that the nurse is not obligated to assist. The nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment. The nurse is not protected by the Good Samaritan Act because the nurse was negligent in the care rendered.
Dispose of the disconnected IV set
n a nursing unit, the RN delegates nursing tasks to the nursing assistant. Keeping in mind the delegation guidelines, which statement denotes the right communication for the nursing assistant? "Discontinue the IV solution." "Dispose of the disconnected IV set." "Inspect the site for thrombophlebitis." "Check the infusion rate."
