HESI Questions Part 3 Essay

question

A client is admitted with a diagnosis of premature labor. The nurse discovers that the client has been using heroin throughout her pregnancy. What is the most appropriate action for the nurse to take? Notify the nurse manager of the unit. Inform no one because all client information is confidential. Inform the client’s primary healthcare provider. Alert the hospital security department, because heroin is an illegal substance.
answer

Inform the client’s primary healthcare provider.
question

A nursing student is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the nursing student include family planning? Primary care Continuing care Restorative care Secondary Acute care
answer

Primary care
question

A nurse caring for a client post-surgery takes necessary steps to achieve quality client care. Which nursing actions satisfy the Quality and Safety Education for Nurses (QSEN) competency called informatics? (Select all that apply) Washing the hands before handling the client’s incision site Implementing a new method of monitoring the client’s incision site for infections Documenting in the electronic health record (EHR) after performing wound debridement Locking the electronic health record (EHR) after every entrance of necessary information Using computer-assisted instruction (CAI) program to provide better quality of care to the client
answer

Documenting in the electronic health record (EHR) after performing wound debridement Locking the electronic health record (EHR) after every entrance of necessary information Using computer-assisted instruction (CAI) program to provide better quality of care to the client
question

A nursing student is listing risk factors that affect the health and wellness of a client. Which risk factors listed by the nursing student are accurate? (Select all that apply) Lifestyle Environment Spiritual factors Emotional factors Genetic and physiological factors
answer

Lifestyle Environment Genetic and physiological factors
question

A nurse is teaching a group of parents about child abuse. What definition of assault should the nurse include in the teaching plan? Assault is a threat to do bodily harm to another person. Assault is a legal wrong committed by one person against the property of another. Assault is a legal wrong committed against the public that is punishable by federal law. Assault is the application of force to another person without lawful justification.
answer

Assault is a threat to do bodily harm to another person.
question

A client in need of a lung transplant tells the nurse, “I will not take the organ of any person belonging to a different religion.” The nurse initiates the process for resolving the ethical dilemma by collaborating with other healthcare team members. What should the team do after agreeing to a statement of the problem? The team should interview the family members of the client. The team should initiate negotiations for the appropriate course of action. The team should assess whether the client is satisfied with the course of action taken. The team should determine all the possible courses of action based on available information.
answer

The team should determine all the possible courses of action based on available information.
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A nursing student is recalling the definitions of acts that are classified as torts in nursing practice. Which tort involves intentional touching without the client’s consent? Battery Invasion of privacy False imprisonment Defamation of character
answer

Battery
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A community nurse takes the initiative to vaccinate people against diseases. What kind of health care service is this? Continuing care Preventive care Restorative care Secondary acute care
answer

Preventive care
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A nurse uses therapeutic communication techniques in order to achieve desired client outcomes. Which communication technique is a part of therapeutic communication? Asking for explanations Showing sympathy to the client Asking personal questions of the client Providing relevant information to the client
answer

Providing relevant information to the client
question

A registered nurse is teaching a nursing student about the characteristics of various healthcare plans. Which statements about preferred provider organizations (PPOs) by the nursing student need correction? Preferred provider organizations are focused on health maintenance. Preferred provider organizations reimburse nursing home payments. Preferred provider organizations cover children who are not poor enough for Medicaid. Preferred provider organizations have deductibles that clients must meet before the insurance pays. In a preferred provider organization, a contractual agreement exists between a set of providers and one or more purchasers.
answer

Preferred provider organizations reimburse nursing home payments. Preferred provider organizations cover children who are not poor enough for Medicaid. Preferred provider organizations have deductibles that clients must meet before the insurance pays.
question

A young woman tells the nurse, “My partner prevents me from taking my medications.” What should the nurse do to deal with the situation? Conduct an interview with the client alone, when the partner is not around. Notify the primary healthcare provider to conduct an interview with the client. Collaborate with multiple community resources to obtain adequate health care. Evaluate the client’s and the family’s cultural beliefs, values, and practices to determine their specific needs.
answer

Conduct an interview with the client alone, when the partner is not around.
question

A nursing student is listing the primary characteristics that establish nursing as a profession. Which statement made by the student needs correction? “Nursing has a code of ethics for practice.” “Nursing has a theoretical body of knowledge.” “Nurses are simply required to perform specific tasks.” “Nurses have autonomy in decision-making and practice.”
answer

“Nurses are simply required to perform specific tasks.”
question

A student nurse is listing the different aspects of the healthcare services pyramid. Under which type of healthcare services should the student nurse include sports medicine? Primary care Tertiary care Preventive care Restorative care
answer

Restorative care
question

A nursing student is listing the key points that need to be remembered to maintain health and wellness of the client. Which key points listed by the nursing student are accurately stated? “Internal and external variables are considered when planning care for the client.” “The health belief model considers the relationship between a person’s health beliefs and health behaviors.” “The health promotion model highlights factors that increase individual well-being and self-actualization.” “Holistic therapies are used by nurses only for pregnancy and pregnancy-related issues to help clients deal with the pain.” “The American Nurses Association (ANA) emphasizes identifying a client’s individual needs, prioritizing the needs, and encouraging the client’s self-actualization.”
answer

“Internal and external variables are considered when planning care for the client.” “The health belief model considers the relationship between a person’s health beliefs and health behaviors.” “The health promotion model highlights factors that increase individual well-being and self-actualization.”
question

A registered nurse is educating a nursing student on the various classifications of torts. What acts are classified as intentional torts in nursing practice? Battery Assault Negligence Malpractice False Imprisonment
answer

Battery Assault False Imprisonment
question

A registered nurse is educating a student nurse on the eight dimensions of patient-centered care provided by the Picker Institute. What information should the nurse provide regarding the dimension of “transition and continuity”? “Clients look to care providers to share their fears and concerns.” “Clients expect privacy and to have their cultural values respected.” “Clients and caregivers expect access to necessary healthcare resources on a continuing basis.” “Clients expect to have their continuing healthcare needs met after discharge with well-coordinated services.” “Clients require information about medications, physical limitations, follow-up plans regarding diet and treatment, and danger signals to look for after treatment.”
answer

“Clients and caregivers expect access to necessary healthcare resources on a continuing basis.” “Clients expect to have their continuing healthcare needs met after discharge with well-coordinated services.” “Clients require information about medications, physical limitations, follow-up plans regarding diet and treatment, and danger signals to look for after treatment.”
question

An adult client with mobility problems wishes to become an organ donor. Which act allows the client to donate his or her organs? Mental Health Parity Act Uniform Anatomical Gift Act National Organ Transplant Act Americans with Disabilities Act
answer

Uniform Anatomical Gift Act
question

A nurse caring for a client tries to prioritize nursing actions on the basis of Maslow’s hierarchy of needs. Which statement of the client would the nurse pay attention to last? “I feel that I have failed to be a worthy child of my parents.” “My aim is to be a famous writer, and I will do anything to achieve my dream.” “I do not like to speak to the people in my neighborhood as they are all snobs.” “My house is being reconstructed, and chunks of the ceiling are quite often falling off.”
answer

“My aim is to be a famous writer, and I will do anything to achieve my dream.”
question

What activities would the nurse state are involved in providing a secondary level of preventive care? Using specific immunizations Preventing the spread of communicable disease Providing facilities to limit disability and prevent death Providing adequate treatment to arrest the disease process Educating the public and industry to use rehabilitated individuals to the fullest possible extent
answer

Preventing the spread of communicable disease Providing facilities to limit disability and prevent death Providing adequate treatment to arrest the disease process
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What are the purposes of public health laws? Advocating for the rights of people Prohibiting the purchase or sale of organs Regulating health care and healthcare financing Ensuring professional accountability for the care provided Encouraging healthcare professionals to assist in emergencies
answer

Advocating for the rights of people Regulating health care and healthcare financing Ensuring professional accountability for the care provided
question

Which situation is an accurate instance of false imprisonment? A nurse applies restraints to a conscious client to feed him or her. A nurse applies restraints to an aggressive client after obtaining a signed consent form. A nurse applies restraints to an unconscious client who is in danger of sustaining a fall. A nurse applies restraints to a client after obtaining an order from the primary healthcare provider.
answer

A nurse applies restraints to a conscious client to feed him or her.
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The nurse should understand the effects of internal and external variables to plan and deliver individualized care. Which variable is an example of an external variable? Spiritual factors Developmental issues Socioeconomic factors Perception of functioning
answer

Socioeconomic factors
question

A registered nurse is educating a nursing student about the utilitarian system of ethics. What information should the nurse provide? “The value of something is decided by its usefulness.” “The main emphasis is on the outcome or consequence of the action.” “The system examines a situation for the presence of essential right or wrong.” “The greatest good for the greatest number of people determines the right action.” “The actions can be determined whether right or wrong based on their ‘right-making characteristics.'”
answer

“The value of something is decided by its usefulness.” “The main emphasis is on the outcome or consequence of the action.” “The greatest good for the greatest number of people determines the right action.”
question

A nursing student is listing the points that need to be remembered about the loss of a client’s medical records. Which point listed by the nursing student is accurate? “Loss of medical records may lead to libel charges.” “The registered nurse should maintain accurate nursing records.” “There is an assumption that the care provided to the client was negligent.” “The healthcare facility needs to demonstrate why the medical records were lost.”
answer

“There is an assumption that the care provided to the client was negligent.”
question

A nurse is discussing various scenarios involving healthcare settings and services with other team members. Which scenario mentioned by the nurse is an example of continuing care? Caring for a client with Parkinson’s disease who requires day care service Explaining to the family member the risks and benefits of screening for cancer Teaching a couple about the proper use of contraceptives and promotion of sexual health Teaching a teenager about the importance of eating nutritious foods to prevent health issues
answer

Caring for a client with Parkinson’s disease who requires day care service
question

In order to prolong a hospitalization stay, the nurse documents in a client’s electronic health record (EHR) that there are no signs of recovery. However, in reality, the client appears to be cured of the illness. What legal implication does the nurse’s action have? The nurse may be charged with libel. The nurse may be charged with slander. The nurse may be charged with malpractice. The nurse may be charged with invasion of privacy.
answer

The nurse may be charged with libel.
question

A nurse is hired to work in a healthcare facility that has a completely computer-based client information system. The nurse in charge knows that the newly hired nurse is knowledgeable about this system when the nurse says what? “More medication errors are made when this system is used.” “It is disappointing that nurses are not allowed to use this system.” “Client information is immediately available when this system is used.” “I will have less time to provide direct care to my clients with this system.” Confident Not Sure
answer

“Client information is immediately available when this system is used.”
question

What key points should the nurse keep in mind about the legal implications of nursing practice? Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. Ensure that the primary healthcare providers’ orders are followed unless they appear to be incorrect or inappropriate. Ensure that all incident and occurrence reports are filed only for errors that have caused injury to the client. Ensure that the client has given consent to any surgery or therapy voluntarily or involuntarily. Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.
answer

Ensure that the nurse knows all the laws and that these laws are applied in the nursing practice, whenever required. Ensure that the primary healthcare providers’ orders are followed unless they appear to be incorrect or inappropriate. Ensure that the nurse can makes a formal protest to the nursing administrator if he or she is asked to take care of more clients than is reasonable.
question

A nurse listens to the statements made by a client during assessments to individualize care provided. Which statement made by the client would the nurse consider to be an external variable influencing the client’s beliefs? “I suffer from long bouts of depression whenever I fall ill.” “Please teach me how to administer insulin; I am 16, which is old enough to do it on my own.” “I have read in a book that human beings should drink at least eight glasses of water every day.” “Please do not include chicken in my diet plan because my religion forbids me to consume meat.”
answer

“Please do not include chicken in my diet plan because my religion forbids me to consume meat.”
question

A registered nurse is educating a nursing student about nursing malpractice. What information should the nurse provide? “Nursing malpractice includes willful acts that violate a client’s rights.” “Nursing malpractice takes place when nursing care falls below the standards of care.” “Nursing malpractice may be prevented by developing a caring rapport with the client.” “Nursing malpractice may occur even when the nurses do not intend to harm the clients.” “Nursing malpractice refers to the publication of false statements to damage a person’s reputation.”
answer

“Nursing malpractice takes place when nursing care falls below the standards of care.” “Nursing malpractice may be prevented by developing a caring rapport with the client.” “Nursing malpractice may occur even when the nurses do not intend to harm the clients.”
question

In today’s healthcare delivery system, a nurse as a teacher is confronted with multiple stressors. What is the major stressor that detracts from the effectiveness of the teaching effort? Extent of informed consumerism Limited time to engage in teaching Variety of cultural beliefs that exist Deficient motivation of adult learners
answer

Limited time to engage in teaching
question

What should a nurse understand about healthcare proxies or a durable power of attorney for healthcare? A proxy is a legal document that prohibits the purchase or sale of organs. A proxy is a legal document that ensures the client has the right to refuse medical treatment. A proxy is a legal document that designates a person or persons to make health care decisions on behalf of the client. A proxy is a legal document that directs treatment in accordance with the client’s wishes in case of a terminal illness or condition.
answer

A proxy is a legal document that designates a person or persons to make health care decisions on behalf of the client.
question

An elderly adult suffered an injury after falling down in the washroom. The primary healthcare provider performed a surgical procedure on the client and orders a blood transfusion. A family member of the client mentions that blood transfusions are not permitted in their community. What should the nurse do in order to handle the situation? The nurse should wait for the court’s order to give blood to the client. The nurse should proceed with the transfusion in order to save the client’s life. The nurse should inform the primary healthcare provider and not give blood to the client. The nurse should explain to the family member that the client needs this transfusion.
answer

The nurse should inform the primary healthcare provider and not give blood to the client.
question

A registered nurse is teaching a nursing student about the importance of values in nursing practice. Which information provided by the registered nurse is appropriate? “People may consider strong values as opinions.” “Evaluate a client’s values and beliefs in terms of your own values.” “Values vary among clients and develop and change over time.” “The values that an individual holds reflect cultural and social influences.” “To discuss differences in opinions and values, the nurse should be clear about his or her own values.”
answer

“Values vary among clients and develop and change over time.” “The values that an individual holds reflect cultural and social influences.” “To discuss differences in opinions and values, the nurse should be clear about his or her own values.”
question

A registered nurse is teaching a nursing student about the standards of nursing practice. How would the nursing student define assessment? Assessment is the process of coordinating care delivery. Assessment is the process of analyzing assessment data to determine diagnoses or issues. Assessment is the process of collecting comprehensive data pertinent to the client’s health and/or situation. Assessment is the process where a registered nurse provides consultation to influence an identified plan, enhances the abilities of other caregivers, and effects change.
answer

Assessment is the process of collecting comprehensive data pertinent to the client’s health and/or situation.
question

A nursing student is examining different scenarios to understand Quality and Safety Education for Nurses (QSEN) competencies. Which scenarios are examples of the QSEN competency called quality improvement? A nurse studies old medical cases about clients with Alzheimer’s disease before formulating the care plan for a client. A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices. A nurse demonstrates the method of using electronic health records to assure a client about confidentiality of the records. A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.
answer

A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices. A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.
question

A nurse educates a client about the role played by an individual in taking responsibility for health and wellness and its impact. What instructions should the nurse give? “An individual should use passive strategies for health promotion.” “An individual should know that lifestyle choices affect his or her quality of life and well-being.” “An individual should take responsibility of health and wellness by making proper lifestyle choices.” “An individual should realize that illness prevention has a positive economic impact on his or her life.” “An individual should understand that it is enough to make positive lifestyle choices in order to prevent illness.”
answer

“An individual should know that lifestyle choices affect his or her quality of life and well-being.” “An individual should take responsibility of health and wellness by making proper lifestyle choices.” “An individual should realize that illness prevention has a positive economic impact on his or her life.”
question

Which of the following legal defenses are the most important for a nurse to develop? Dedication Certification Assertiveness Accountability
answer

Accountability
question

A nursing student is noting the characteristics of the secondary level of prevention. What points should the nursing student note? Secondary prevention activities are aimed at health promotion. Secondary prevention focuses on individuals with health problems and illnesses. Secondary prevention activities are directed at diagnosis and prompt interventions. Secondary prevention helps in minimizing the effects of long-term disease and disability. Secondary prevention includes screening techniques and treating diseases at early stages.
answer

Secondary prevention focuses on individuals with health problems and illnesses. Secondary prevention activities are directed at diagnosis and prompt interventions. Secondary prevention includes screening techniques and treating diseases at early stages.
question

A nursing student is giving examples of healthcare settings and services. Which scenario is a perfect example of tertiary care? Preparing a client for an X-ray who has sustained a leg fracture in an accident Teaching community members about the importance of using seat belts in cars Caring for a postoperative client in the intensive care unit who is suffering from respiratory distress Advising a client with stage 1 Parkinson’s disease to include exercise in his or her daily routine
answer

Caring for a postoperative client in the intensive care unit who is suffering from respiratory distress
question

A nurse notes that a client is in the precontemplation stage of wellness behavior change. What are the characteristics of this stage? The client has no intention of making any changes in the next 6 months. The client will consider a change in health behavior in the next 6 months. The client does not show interest in information related to health behavior changes. The client understands that the advantages of health behavior change outweigh the disadvantages. The client becomes defensive when confronted with information regarding his or her current health behavior.
answer

The client has no intention of making any changes in the next 6 months. The client does not show interest in information related to health behavior changes. The client becomes defensive when confronted with information regarding his or her current health behavior.
question

What is the role of a nurse administrator in a healthcare setting? Providing surgical anesthesia under the guidance and supervision of an anesthesiologist Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development Providing comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions Providing knowledge about current nursing practices, trends, theories, and necessary skills in laboratories and clinical settings
answer

Preparing the budget, staffing, strategic planning of programs and services, employee evaluations, and employee development
question

The nursing supervisor assigns a nurse to care for five clients in the intensive care unit (ICU). The nurse notes that all the clients in the ICU are at a risk of developing serious complications at any time. What course of action should the nurse take to handle the situation? Refuse to accept the assignment Leave the ICU as a sign of protest Notify the primary healthcare provider Submit a written protest to the nursing administrator
answer

Submit a written protest to the nursing administrator
question

A nurse is caring for a client who has been sleeping for 12 to 14 hours on weekend nights. The nurse instructs the client to sleep for no longer than 9 hours because excessive sleeping can lead to health issues. What reaction might the nurse expect if the client is in the maintenance stage? “I’ve been following a proper sleep pattern for more than a year.” “I like to sleep; that’s why I doze. I just don’t care about all this health advice.” “I’ve tried to follow a proper sleep routine, but I end up sleeping for more than 12 hours.” “Please suggest a regimen that can help me stay awake or will help me normalize my sleep pattern.”
answer

“I’ve been following a proper sleep pattern for more than a year.”
question

A nursing student is noting information about the National Database of Nursing Quality Indicators (NDNQI). Which point noted by the nursing student needs correction? The National Database of Nursing Quality Indicators (NDNQI) was developed by the American Nurses Association (ANA). The National Database of Nursing Quality Indicators (NDNQI) reports quarterly results on nursing outcomes at the nursing unit level. The National Database of Nursing Quality Indicators (NDNQI) reports provide a database for individual hospitals to compare their performance against nursing performance internationally. The National Database of Nursing Quality Indicators (NDNQI) was developed to measure and evaluate nursing-sensitive outcomes with the purpose of improving client safety and quality care.
answer

The National Database of Nursing Quality Indicators (NDNQI) reports provide a database for individual hospitals to compare their performance against nursing performance internationally.
question

A child admitted to the hospital is in need of a life-saving heart transplant surgery. However, the parents refuse to allow the surgery stating that such surgeries are against their belief system. The nurse in charge of the client recognizes the situation as an ethical dilemma. What first step should the nurse take in order to resolve the dilemma? Evaluate the outcome of the plan of action over time. Verbalize the problem and agree to a statement as a group. Examine his or her own values critically to formulate an opinion about the issue. Obtain information from the child, the parents, health care workers, and other sources.
answer

Obtain information from the child, the parents, health care workers, and other sources.
question

A nurse is following the guidelines for high-quality documentation and reporting. Which guideline followed by the nurse while documenting factual records indicates a need for additional training? “The client seems restless.” “The client states, ‘I am worried.'” “The client’s pulse rate is 90 beats/min.” “The client has a body temperature of 39° C (102.2° F).”
answer

“The client seems restless.”
question

Litigation resulting from improper restraint use is a common nursing legal issue. A nursing student is listing points related to the use of restraints. Which factor needs correction? Restraints can be used when less restrictive interventions are not successful. Restraints can be used when all other alternatives have been tried and exhausted. Restraints can be used only to ensure the physical safety of the resident or other residents. Restraints can be used anytime without a written order from the healthcare provider.
answer

Restraints can be used anytime without a written order from the healthcare provider.
question

A nursing student is listing the different levels of the health care services pyramid. Under which type of health care services should the nursing student include subacute care? Tertiary care Continuing care Restorative care Secondary acute care
answer

Tertiary care
question

A nurse is caring for a client who has lost both feet in an accident. What course of action should the nurse take to adhere to the Quality and Safety Education for Nurses (QSEN) competency called evidence-based practice? Check whether the client prefers artificial limbs or crutches. Work with the physical therapist to enhance the client’s remaining limb function. Refer to medical textbooks to understand the psychological effects of loss of limbs. Use data gathered from previous cases to determine the best approach for delivering care.
answer

Refer to medical textbooks to understand the psychological effects of loss of limbs.
question

Which act protects a person who is HIV positive? The National Organ Transplant Act The Americans with Disabilities Act (ADA) The Patient Self-Determination Act (PSDA) The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
answer

The Americans with Disabilities Act (ADA)
question

A nurse is recalling the various levels of preventive care to promote health, wellness, and to prevent illness. Which scenario is a perfect example of primary prevention? An infant receives rotavirus vaccination in the hospital setting. An adult in the early stages of Parkinson’s disease is advised to perform adequate exercise. An older adult permanently paralyzed due to brain hemorrhage is transferred to a long-term care facility. An older adult with Parkinson’s disease is administered carbidopa-levodopa to slow the progression of the disease.
answer

An infant receives rotavirus vaccination in the hospital setting.
question

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

Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state.
question

A nurse notes that a famous client has received an incorrect dose of medication due to the malfunction of the intravenous (IV) device, but does not inform the primary healthcare provider. Instead the nurse tells a colleague that the medication could not be given due to the client’s inappropriate behavior. The nurse then updates media personnel about the client’s health status. What legal charges may be brought up against the nurse? Libel Assault Slander Malpractice Invasion of privacy
answer

Slander Malpractice Invasion of privacy
question

A victim of an automobile crash is brought to the hospital. The nurse notes that the client is in need of cardiopulmonary resuscitation (CPR). What factors should the nurse remember before performing CPR? Cardiopulmonary resuscitation is an emergency treatment that is provided without a client’s consent. Cardiopulmonary resuscitation is not performed on adult clients who have already consented to a do not resuscitate order either verbally or in writing. Cardiopulmonary resuscitation is not to be performed by a primary healthcare provider in violation of a do not resuscitate order under any circumstances. Cardiopulmonary resuscitation is performed on appropriate clients unless a do not resuscitate order has been signed and made part of the client’s record. Cardiopulmonary resuscitation is generally performed on any client who requires resuscitation in an emergency, but the client’s consent is required.
answer

Cardiopulmonary resuscitation is an emergency treatment that is provided without a client’s consent. Cardiopulmonary resuscitation is not performed on adult clients who have already consented to a do not resuscitate order either verbally or in writing. Cardiopulmonary resuscitation is performed on appropriate clients unless a do not resuscitate order has been signed and made part of the client’s record.
question

A nurse is educating a client regarding a do-not-resuscitate (DNR) order. What information should the nurse provide? “Do-not-resuscitate orders should be reviewed routinely by the primary healthcare provider.” “A primary healthcare provider should make every effort to revive a client if a do-not-resuscitate order exists.” “Legally competent adults may issue a do-not-resuscitate order verbally or in writing after receiving proper information about it.” “Primary healthcare providers should check for a DNR order before deciding to perform cardiopulmonary resuscitation.” “A DNR order may be attached to the client’s medical orders without any legal proof of consultation regarding the order.”
answer

“Do-not-resuscitate orders should be reviewed routinely by the primary healthcare provider.” “Legally competent adults may issue a do-not-resuscitate order verbally or in writing after receiving proper information about it.” “Primary healthcare providers should check for a DNR order before deciding to perform cardiopulmonary resuscitation.”
question

A nursing student is recalling information about hospice care. What is hospice care? Hospice care is a resident’s temporary or permanent home, where the surroundings have been made as homelike as possible. Hospice care offers an attractive long-term care setting with an environment akin to the client’s home, which offers the client greater autonomy. Hospice care is a service that provides short-term relief for people providing home care to an ill, disabled, or frail older adult. Hospice care is a system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness.
answer

Hospice care is a system of family-centered care that allows clients to remain at home in comfort while easing the pains of terminal illness.
question

A primary healthcare provider notes that all conventional treatment procedures have proved to be ineffective in managing a client’s disorder. The primary healthcare provider decides to try an experimental treatment. The nurse ensures that the client has understood the implications of the new treatment plan thoroughly and then signs the client’s consent form as a witness. Which basic healthcare ethic does the nurse follow in this situation? Justice Autonomy Beneficence Nonmaleficence
answer

Autonomy
question

A nursing student is listing the characteristics of the maintenance stage of health behavior change. Which points mentioned by the nursing student are accurate? “The client can sustain health behavior changes over time.” “The client feels the need to integrate the changes into his or her lifestyle.” “The client begins to develop a belief in the value of health behavior change.” “Old habits pose difficulties for the client engaging in new behaviors to improve health.” “The client reaches this stage 6 months after engaging in action and continues with the changes indefinitely.”
answer

“The client can sustain health behavior changes over time.” “The client feels the need to integrate the changes into his or her lifestyle.” “The client reaches this stage 6 months after engaging in action and continues with the changes indefinitely.”
question

A nurse uses flow charts to determine the usefulness of bed-monitoring devices for checking on dementia clients. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with? Safety Informatics Quality improvement Patient-Centered care
answer

Quality improvement
question

A pregnant client states, “Abortion is banned in our community because it interferes with God’s creative work.” According to the nurse, which variable influences the client’s health belief? Emotional factors Cultural background Socioeconomic factors Perception of functioning
answer

Cultural background
question

A nurse is caring for a client who has been admitted to a healthcare facility for the treatment of sinus disorders. The nurse discovers that the client is a cocaine addict. What task followed by the nurse is the best way to deal with the situation? Teach the client about safe medication storage and the danger of polypharmacy. Educate the client about his or her correct body mechanics and promote stress management. Assess the client’s drug intake and ensure that the individual does not leave the healthcare facility. Assist with adequate personal hygiene, nutrition, and hydration and provide emotional support to the family.
answer

Assess the client’s drug intake and ensure that the individual does not leave the healthcare facility.
question

A foreign language-speaking client needs to undergo chemotherapy; a signed consent form is required. What should the nurse do to explain the terms of the consent to the client? Seek the help of an official interpreter. Seek the help of the primary healthcare provider to assist the client. Seek help from the client’s family friend who speaks the client’s language. Seek help from the client’s caregiver who speaks the same language as the client.
answer

Seek the help of an official interpreter.
question

A nurse instructs a client who eats a lot of candy to stop eating sweets in order to avoid high blood sugar levels. What reaction might the nurse expect if the client is in the contemplation stage? “That will never happen. I’ve been eating candy for a long time.” “I’ve been avoiding candy but can’t help myself when I see it at the store.” “I’ve been able to cut down on how much candy I eat for the last 8 months.” “I understand that candy isn’t good for my health, but I can’t stay away from it.”
answer

“I understand that candy isn’t good for my health, but I can’t stay away from it.”
question

A nursing student is recalling the order of priority for giving consent to perform an autopsy in cases where a medical examiner review is not needed. Which person receives the highest priority for giving consent? Surviving child Surviving parent Surviving spouse The client in writing before death
answer

The client in writing before death
question

The Quality and Safety Education for Nurses (QSEN) initiative addresses the challenge to prepare nurses with the competencies that are required to improve the quality of client care. Which scenario is representative of the teamwork and collaboration competency? A nurse uses the intake and output (I & O) form to ensure that the client has accurate fluid intake. A nurse discusses the development of a special diet chart with a dietician for a diabetic client. A nurse educates the caregiver on the basic steps for caring for a client with a central venous access device (CVAD) at home. A nurse ensures that clients and other healthcare team members are shifted to a safe place in case of a fire in the hospital setting.
answer

A nurse discusses the development of a special diet chart with a dietician for a diabetic client.
question

What are the best ways for a nurse to be protected legally? Ensure that a therapeutic relationship with all clients has been established. Provide care within the parameters of the state or provinces standards for nursing practice. Carry at least $100,000 worth of liability insurance. Document consistently and objectively. Clearly document a client’s nonadherence to the medical regimen.
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Provide care within the parameters of the state or provinces standards for nursing practice. Document consistently and objectively. Clearly document a client’s nonadherence to the medical regimen.
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The advanced practice registered nurse is the most independently functioning nurse. What are the specific functions of the nurse practitioner as an advanced practice registered nurse in a healthcare setting? A nurse practitioner focuses on teaching clients and family members to self-manage illnesses or disabilities. A nurse practitioner is usually a certified diabetes educator or an ostomy care nurse and sees only a specific population of clients. A nurse practitioner has the knowledge and skills necessary to detect and manage self-limiting acute and chronic stable medical conditions. A nurse practitioner provides comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions. A nurse practitioner may establish a collaborative provider-client relationship, working with a specific group of clients or with clients of all ages and healthcare needs.
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A nurse practitioner has the knowledge and skills necessary to detect and manage self-limiting acute and chronic stable medical conditions. A nurse practitioner provides comprehensive care by directly managing the medical care of clients who are healthy or who have chronic conditions. A nurse practitioner may establish a collaborative provider-client relationship, working with a specific group of clients or with clients of all ages and healthcare needs.
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A nurse caring for a client prioritizes nursing actions based on Maslow’s hierarchy of needs. Which statement made by the client meets the love and belonging need? “I do not like the way I look, speak, or act.” “I dream of becoming the richest person in the world.” “I hardly speak to my children because they live in different countries.” “I want to go back home because I am afraid of the tests you are performing.”
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“I hardly speak to my children because they live in different countries.”
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A nurse instructs a client who avoids bathing to take a bath or shower each day as a means of maintaining hygiene and preventing infection. Which of these reactions should the nurse expect if the client is in the action stage? “I only take a bath once a week, but I don’t see any infections on my skin.” “I try to take a shower every day, but I skip it sometimes because of my tight work schedule.” “I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings.” “Please tell me how to get into the habit of taking a bath daily so I can keep myself clean and healthy.” “I want to take a bath regularly, but I don’t have time because I need to look after my kids and my parents.”
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“I try to take a shower every day, but I skip it sometimes because of my tight work schedule.” “I understand that bathing regularly is a good habit, but my bathroom is very cold in the mornings.” “I want to take a bath regularly, but I don’t have time because I need to look after my kids and my parents.”
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What are common negligent acts of nurses found in the hospital setting? Failure to notify the healthcare provider of problems Failure to follow the six rights of medication administration Failure to ensure the safety of a client with disequilibrium problems Failure to notify a family member about the client’s current status Failure to administer medication during an emergency without consulting with the nursing manager
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Failure to notify the healthcare provider of problems Failure to follow the six rights of medication administration Failure to ensure the safety of a client with disequilibrium problems
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A nurse is assessing different situations on the basis of Maslow’s hierarchy of needs. Which situation will the nurse address first on priority basis? A client feels that he/she leads a completely worthless life. A client has multiple fainting episodes due to lack of proper nutrition. A client shows signs of lack of interest in carrying out social interactions. A client conveys to the nurse that he/she is estranged from all family members.
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A client has multiple fainting episodes due to lack of proper nutrition.
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A registered nurse is educating a nursing student about abortion-related issues. Which statement provided by the nursing student post-teaching needs correction? “If a woman is in her first trimester, she may end her pregnancy according to state regulations.” “In the third trimester when the fetus becomes viable, the state’s interest is to protect the fetus.” “If the fetus is over 28 weeks old, the state requires viability tests before conducting abortions.” “In the second trimester, the state enforces regulation regarding the person performing the abortion and the abortion facility.”
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“If a woman is in her first trimester, she may end her pregnancy according to state regulations.”
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What does the nurse understand by the word felony? A felony is a less serious crime that has a penalty of a fine or imprisonment for less than one year. A felony is the publication of false statements that occurs when one speaks falsely about another. A felony is the publication of false statements that occurs when false entries are made in a medical record. A felony is a crime of a serious nature that has a penalty of imprisonment for longer than one year or even death.
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A felony is a crime of a serious nature that has a penalty of imprisonment for longer than one year or even death.
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What are the four core roles for the advanced practice registered nurse (RN)? Ostomy care nurse Clinical nurse specialist Certified nurse midwife Certified RN anesthetist Certified diabetes educator Certified nurse practitioner
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Clinical nurse specialist Certified nurse midwife Certified RN anesthetist Certified nurse practitioner
question

An elderly client states, “Disease occurs when supernatural elements enter the body.” Which variable influences the client’s health beliefs in this scenario? Spiritual factors Emotional factors Intellectual background Perception of functioning
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Spiritual factors
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A registered nurse is educating a nursing student about risk management methods to ensure that appropriate nursing care is provided to a client by identifying and eliminating potential hazards. What information should the registered nurse provide? . “If an incident occurs, document in the client’s medical record that an occurrence report has been filed.” “Ensure that the three principles of The Joint Commission’s Universal Protocol are adhered to before starting a surgery on a client.” “Refrain from depending on the use of electronic monitoring devices completely because they are not always reliable.” “File an occurrence report in case of an error in technique when administering medication intravenously (IV).” “Document that the healthcare provider was contacted, the information that was conveyed, and the response in the occurrence report.”
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“Ensure that the three principles of The Joint Commission’s Universal Protocol are adhered to before starting a surgery on a client.” “Refrain from depending on the use of electronic monitoring devices completely because they are not always reliable.” “File an occurrence report in case of an error in technique when administering medication intravenously (IV).”
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A nursing student is listing key points about ethics and values. Which point listed by the nurse indicates a need for more education? “A nurse’s point of view offers a unique voice in the resolution of ethical dilemmas.” “Professional nursing promotes accountability, responsibility, advocacy, and confidentiality.” “The American Nurses Association (ANA) code of ethics ensures that the code remains constant.” “Standards ethics in healthcare consist of autonomy, beneficence, nonmaleficence, justice, and fidelity.”
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“The American Nurses Association (ANA) code of ethics ensures that the code remains constant.”
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A registered nurse educates a student nurse regarding the appropriate method of dealing with clients of different cultural backgrounds. Which statements by the student nurse indicate an understanding of various cultures? “I should focus on understanding the traditions, beliefs, and values of the client’s culture.” “I should provide care strictly on the basis of the traditions, beliefs, and values of the client’s community.” “It is acceptable to provide generalized education and information to clients belonging to a different community.” “I should understand that the cultural background of the client has no impact on his or her health, wellness, and illness.” “I should be aware of my own cultural background and beliefs when attending to clients who belong to different cultures.”
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“I should focus on understanding the traditions, beliefs, and values of the client’s culture.” “I should be aware of my own cultural background and beliefs when attending to clients who belong to different cultures.”
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What important teaching strategies should the nurse take into consideration to bring a change in the client’s lifestyle? Use written resources at an appropriate reading level. Practice active listening, and ask the client how he or she prefers to learn. Refrain from including family member in efforts to bring a change in the client’s lifestyle. Provide timelines for modification of eating and exercise lifestyle habits without consulting with the client. Start with identifying what information the client knows regarding health risks related to poor lifestyle choices.
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Use written resources at an appropriate reading level. Practice active listening, and ask the client how he or she prefers to learn. Start with identifying what information the client knows regarding health risks related to poor lifestyle choices.
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A nurse is caring for a client who believes that surgery contaminates the soul unless proper cleansing rituals are performed. Which nursing activity adheres to the Quality and Safety Education for Nurses (QSEN) competency patient-centered care? Evaluating the effects of complying with a client’s requests on his or her psychological health Improving therapeutic communication skills in order to minimize the risk of emotional trauma Coordinating with appropriate spiritual practitioners to help perform the cleansing ritual before the client’s surgery Conducting extensive research about the ritualistic practices of the client’s community to formulate a care plan
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Coordinating with appropriate spiritual practitioners to help perform the cleansing ritual before the client’s surgery
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A nurse withholds a prescribed opioid medication from a client with intractable pain because the nurse fears the client will become addicted. In this situation the nurse is adhering to which ethical principle? Veracity Autonomy Paternalism Beneficence
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Beneficence
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A nurse understands that the effects of different variables on a client’s health beliefs and practices can help healthcare providers to plan and deliver individualized care. Which statement made by the client should the nurse consider as an influence of the client’s intellectual background on his or her health beliefs? “Don’t include seafood or ham in my diet because it is against my beliefs.” “Don’t include eggs in my diet because eggs contribute to excess body heat.” “I do not smoke or drink because these intoxicants are major sins.” “I am not taking any of my prescribed medications because I recently lost my job.”
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“Don’t include eggs in my diet because eggs contribute to excess body heat.”
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A nursing student is listing the steps that need to be followed to provide competent care for vulnerable populations. Which point listed by the nursing student is accurate? “Refrain from giving priority to cultural practices and values of the vulnerable populations.” “Provide financial and legal advice to the vulnerable people as this may be more important to them.” “Evaluate client’s beliefs and values about health in terms of the nurse’s own culture, beliefs, and values.” “Understand the client’s cultural beliefs, values, and practices to determine their specific needs and interventions.”
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“Understand the client’s cultural beliefs, values, and practices to determine their specific needs and interventions.”
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A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, “I cannot discuss any client’s illness with you.” What legal issue supports the nurse’s response? Libel Slander Negligence Invasion of privacy
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Invasion of privacy
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A registered nurse is educating a nursing student about assault. What information should the registered nurse provide? “Assault refers to any action of intentional touching without consent.” “A procedure performed without the consent of the client is considered assault.” “Assault refers to any action that places a client in apprehension of harmful contact without consent.” “Threatening a client before performing a medical procedure is not considered assault.”
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“Assault refers to any action that places a client in apprehension of harmful contact without consent.”
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A nursing student is listing points to remember about wellness promotion in older adults. Which points mentioned by the nursing student need correction? “It is essential to prevent injuries in older adults when promoting wellness.” “It is essential to focus on curing diseases or other illnesses completely in older adults to promote wellness.” “It is essential to assess the level of fear of falling and provide support accordingly when caring for older adults.” “It is necessary to prevent older adults from taking part in physical activities to keep them from sustaining injuries.” “It is necessary to consider the older adult’s social environment and ensure that he or she lives in social isolation to prevent stress.”
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“It is essential to focus on curing diseases or other illnesses completely in older adults to promote wellness.” “It is necessary to prevent older adults from taking part in physical activities to keep them from sustaining injuries.” “It is necessary to consider the older adult’s social environment and ensure that he or she lives in social isolation to prevent stress.”
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A nursing student is citing examples of situations that constitute invasion of privacy. Which examples are accurate? “A nurse states in a press conference that a famous singer is suffering from throat cancer.” “A nurse informs a woman’s husband that she has had a miscarriage without consulting with the client.” “A nurse tells the parents of a 19-year-old that their child is addicted to drugs without waiting for consent.” “A nurse informs the primary healthcare provider that the client has cancer without waiting for consent.” “A nurse falsely enters in a client’s electronic health record that he or she has a sexually transmitted infection (STI).”
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“A nurse states in a press conference that a famous singer is suffering from throat cancer.” “A nurse informs a woman’s husband that she has had a miscarriage without consulting with the client.” “A nurse tells the parents of a 19-year-old that their child is addicted to drugs without waiting for consent.”
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A nurse fails to act in a reasonable, prudent manner. Which legal principle is most likely to be applied? Malice Tort law Malpractice Case law
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Malpractice
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According to Quality and Safety Education (QSEN), what is patient-centered care? Understanding that the client is the source of control when providing care Functioning effectively within nursing and interprofessional teams to deliver quality care Using data to evaluate outcomes of care processes and designing methods to improve health care Minimizing the risk of harm to clients and health care workers through improved professional performance
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Understanding that the client is the source of control when providing care
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A nurse caring for a pregnant client prioritizes nursing actions on the basis of Maslow’s hierarchy of needs. Which statement of the client does the nurse consider to be a self-esteem need? “I cannot contact my family as I eloped from home in order to get married.” “If I don’t comply with my husband’s demands, I might not have anywhere to live.” “My husband hurts me sometimes when I’m not able to live up to his expectations.” “I deserve ill treatment from my husband as I’m incapable of doing even simple things perfectly.”
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“I deserve ill treatment from my husband as I’m incapable of doing even simple things perfectly.”
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Twenty-four hours after a cesarean birth, a client elects to sign herself and her baby out of the hospital. Staff members are unable to contact her primary healthcare provider. The client arrives at the nursery and asks that her infant be given to her to take home. What is the most appropriate nursing action? Give the infant to the client and instruct her regarding the infant’s care. Explain to the client that she can leave, but her infant must remain in the hospital. Emphasize to the client that the infant is a minor and legally must remain until prescriptions are received. Tell the client that hospital policy prevents the staff from releasing the infant until ready for discharge.
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Give the infant to the client and instruct her regarding the infant’s care.
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A nursing student is evaluating different examples of variables that influence the health beliefs and practices of clients. Which scenario is an example of an external variable? A client feels traumatized at the mere thought of receiving an injection. A client considers organ transplants to be sinful because this activity goes against God’s wishes. A client relies heavily on the Internet to obtain information regarding health care practices. A client stops taking medications after the disappearance of symptoms to cut down on medical bills.
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A client stops taking medications after the disappearance of symptoms to cut down on medical bills.
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What does the nurse understand the term in-service education to mean? It helps achieve an organization’s required competencies. It helps the nurse gain knowledge about traditional health care practices. It is a one-way education program to promote and maintain current nursing skills. It is focused on techniques and technologies that have been used successfully in the past.
answer

It helps achieve an organization’s required competencies.
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A nursing student is listing the five stages of proficiency that a nurse needs to pass through according to Benner et al (2010). Which statements indicate that a nurse is in the expert stage? “The nurse can focus on managing care rather than paying attention to managing and performing skills.” “The nurse can assess an entire situation and can gladly transfer knowledge gained from previous experiences to a situation.” “The nurse can be a talented practitioner who has the capability of anticipating nursing care and establishing long-term goals.” “The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse.”
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“The nurse can identify the client-centered problems and health care system-related problems and the needs of the trainee nurse.”
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A nursing student is listing the nursing manager’s role in the hospital setting. Which roles listed by the nursing student are accurate? “The nursing manager coordinates the activities of the nursing staff in delivering nursing care.” “The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff.” “The nursing manager investigates ways to improve nursing care and further define and expand the scope of the nursing practice.” “The nursing manager provides independent care to women during a normal pregnancy, labor, and delivery, and also provides care for the newborn.” “The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes.”
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“The nursing manager coordinates the activities of the nursing staff in delivering nursing care.” “The nursing manager uses appropriate leadership styles to create a nursing environment for clients and staff.” “The nursing manager establishes an environment for collaborative client-centered care to provide safe and quality care with positive client outcomes.”
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A nurse is educating a client about the tertiary level of prevention. What information should the nurse provide? Tertiary prevention focuses on preventing complications of illness. Tertiary prevention helps clients achieve as high a level of functioning as possible. Tertiary prevention aims at minimizing the effects of long-term disease or disability. Tertiary prevention is applied when the client is physically and emotionally healthy. Tertiary prevention activities are aimed at diagnosis and treatment instead of rehabilitation.
answer

Tertiary prevention focuses on preventing complications of illness. Tertiary prevention helps clients achieve as high a level of functioning as possible. Tertiary prevention aims at minimizing the effects of long-term disease or disability.
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A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give? “A nurse’s documentation is the evidence of care that a client receives.” “Nurses’ notes should not be given to attorneys in the event of a lawsuit.” “The nurse should note down assessments and significant changes in the client’s health.” “In case an occurrence report is filed, nurses should enter the information the client’s charts.” “Nurses should always document the primary healthcare providers’ responses whenever they are contacted.”
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“A nurse’s documentation is the evidence of care that a client receives.” “Nurses’ notes should not be given to attorneys in the event of a lawsuit.” “Nurses should always document the primary healthcare providers’ responses whenever they are contacted.”
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A nurse is caring for an older adult with dementia who has been admitted in the special ward for further treatment. Which situation should the nurse address to meet the safety and security needs of the client according to Maslow’s hierarchy of needs? “Since my teeth hurt when I eat, I drink fruit juices and prefer a liquid diet.” “I do not want to talk to any stranger as I fear that they might take away my things.” “My blood pressure level keeps on fluctuating, although I take medications regularly.” “Ever since my family members came to know about my problem they are trying to avoid me.”
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“I do not want to talk to any stranger as I fear that they might take away my things.”
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What is a living will? It is a legal document that allows registered nurses to offer special skills to the public. It is an order that directs primary healthcare providers to refrain from reviving clients. It is a written document that directs treatment according to the client’s wishes, in case of a terminal illness or condition. It is a legal document that designates a person or persons chosen by a client to make health care decisions on his/her behalf.
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It is a written document that directs treatment according to the client’s wishes, in case of a terminal illness or condition.
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What does a nurse understand by the term regulatory law as applied to nursing practice? Regulatory law provides fair and equitable treatment when civil wrongs or violations occur. Regulatory law describes and defines the legal boundaries of the nursing practice within each state. Regulatory law reflects the decisions made by administrative bodies such as the State Boards of Nursing. Regulatory law results from judicial decisions made in courts based on the judgments of individual legal cases.
answer

Regulatory law reflects the decisions made by administrative bodies such as the State Boards of Nursing.
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What information should the registered nurse provide when educating a nursing student about living wills? Health care workers should always follow the directions of a client’s living will. Living wills provide clinically specific instructions that help in dealing with unforeseen circumstances. Clients use living wills to declare any medical procedures they want or do not want when terminally ill. Living wills are written documents that direct the client’s treatments in the event of a terminal illness or condition. Living wills allow authorized individuals to make medical decisions on behalf of the client if he or she is unable to do so.
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Health care workers should always follow the directions of a client’s living will. Clients use living wills to declare any medical procedures they want or do not want when terminally ill. Living wills are written documents that direct the client’s treatments in the event of a terminal illness or condition.
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An emaciated older adult with dementia develops a large pressure ulcer after refusing to change position for extended periods of time. The family blames the nurses and threatens to sue. What is considered when determining the source of blame for the pressure ulcer? The client should have been turned regularly. Older clients frequently develop pressure ulcers. The nurse is not responsible to the client’s family. Nurses should respect a client’s right not to be moved.
answer

The client should have been turned regularly.
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A registered nurse is educating a nursing student about the similarities and differences between the deontological and utilitarianism systems of ethics. What information should the nurse provide? The difference between utilitarianism and deontology is the focus on outcomes. Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome. Utilitarianism and deontology are closely related to the ethics of care because both ideologies promote a philosophy that focuses on understanding relationships. Both utilitarianism and deontology look into the nature of relationships and propose that the natural urge to be influenced by relationships is a positive value.
answer

The difference between utilitarianism and deontology is the focus on outcomes. Utilitarianism takes into consideration the usefulness of an action; deontology does not look into consequences. Utilitarianism measures the effect that an act will have; deontology looks to the presence of principles regardless of the outcome.
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A nurse is prioritizing client-care by using Maslow’s hierarchy of needs. Which situation should the nurse address to meet the self-actualization needs of the client? A client says, “I want to be a world class athlete.” A client says, “I do not want to go home because no one there cares.” A client says, “I am not feeling good. Can you please check if I have fever?” A client says, “Whatever I do for my family or for my loved ones does not actually help them.”
answer

A client says, “I want to be a world class athlete.”
question

What problems may a nurse come across when dealing with ethical issues related to end-of-life care? Clients are unable to communicate effectively. All interventions for helping the clients seem futile. Clients are often unfamiliar with the concept of autonomy. Multiple medications affect the cognitive ability of the clients. Predictions regarding health outcomes are not always accurate.
answer

Clients are unable to communicate effectively. All interventions for helping the clients seem futile. Predictions regarding health outcomes are not always accurate.
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A registered nurse is explaining the term “just culture” to the student nurse. Which explanation provided by the registered nurse is accurate? “It refers to the agreement to keep promises.” “It refers to taking positive actions to help others.” “It refers to the ability to answer for one’s actions.” “It refers to promoting open discussion whenever error occurs without fear of recrimination.”
answer

“It refers to promoting open discussion whenever error occurs without fear of recrimination.”
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A nurse caring for a client prioritizes nursing actions on the basis of Maslow’s hierarchy of needs. Which statement made by the client meets the self-actualization need? “I need help because I am having trouble breathing properly.” “I cannot afford health care because I am homeless.” “People always tend to criticize me, even if I do something good.” “I want to live because I want to be a good parent to my kids.”
answer

“I want to live because I want to be a good parent to my kids.”
question

A nursing student is listing the points that need to be remembered regarding the United Network for Organ Sharing (UNOS) program. Which point listed by the nursing student is accurate? “The United Network for Organ Sharing (UNOS) has a contract with the federal government.” “The United Network for Organ Sharing (UNOS) protects the donor’s estate from liability for injury or damage.” “The United Network for Organ Sharing (UNOS) gives priority to international clients who need organs on an urgent basis.” “The United Network for Organ Sharing (UNOS) provides civil and criminal immunity to the hospital and the primary healthcare provider.”
answer

“The United Network for Organ Sharing (UNOS) has a contract with the federal government.”
question

A nurse prioritizes client care using Maslow’s hierarchy of needs. Which situation should the nurse address first according to Maslow’s hierarchy? A client has a history of getting injured due to sudden falls. A client complains of sleeplessness due to pain post-surgery. A client complains that he/she feels lonely and socially isolated from others. A client conveys to the nurse that he/she wants to become the manager of the company.
answer

A client complains of sleeplessness due to pain post-surgery.
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A registered nurse is teaching a nursing student about the nurse’s professional roles and responsibilities. When does the nurse play the role of an educator? “A client requests the nurse to pray with him or her for quick recovery and the nurse complies with the request.” “A client is unable to sleep due to back pain. The nurse provides a back massage, which helps the client to fall asleep.” “A client with dementia refuses to take baths and loudly protests. The nurse consoles the client and provides the bath later.” “A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications.”
answer

“A client is being discharged from the hospital setting with an implanted port. The nurse describes the routine care activities to prevent any complications.”
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A 3-year-old child with eczema of the face and arms has disregarded the nurse’s warnings to “stop scratching, or else!” The nurse finds the toddler scratching so intensely that the arms are bleeding. The nurse then ties the toddler’s arms to the crib sides, saying, “I’m going to teach you one way or another.” How should the nurse’s behavior be interpreted? These actions can be construed as assault and battery. The problem was resolved with forethought and accountability. Skin must be protected, and the actions taken were by a reasonably prudent nurse. The nurse had tried to reason with the toddler and expected understanding and cooperation.
answer

These actions can be construed as assault and battery.
question

A nurse is caring for a client with renal failure. The client wants to go back home but the family members want the client to undergo a kidney transplant. The nurse gives details about the possible threats and benefits of the surgery to the family and informs them that the client wants to stay home. What role does the nurse play here? Educator Manager Caregiver Advocate
answer

Advocate
question

What should the nurse do initially when obtaining consent for surgery? Describe the risks involved in the surgery. Explain that obtaining the signature is routine for any surgery. Witness the client’s signature, which the nurse’s signature will document. Determine whether the client’s knowledge level is sufficient to give consent.
answer

Determine whether the client’s knowledge level is sufficient to give consent.
question

When assessing a client, the nurse notices that he or she has reached the action stage of health behavior change. What should the nurse expect to be the client’s reaction after providing suggestions for change? The client’s previous habits may prevent taking action related to new behaviors. The client believes that the advantages outweigh the disadvantages of behavior change. The client accepts information as he or she is developing stronger beliefs in the value of change. The client is not interested in information about the behavior and may be defensive when confronted with it.
answer

The client’s previous habits may prevent taking action related to new behaviors.
question

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

Nursing students should never be assigned any tasks they are unprepared for. Nursing students can work as nursing assistants or nurse’s aides when not attending classes. Nursing students should notify the nursing supervisor in case they are delegated tasks they are not prepared for.
question

A nurse advises a client to refrain from adding salt to food as a way to prevent high blood pressure. What kind of health care service is this? Tertiary care Primary care Preventive care Restorative care
answer

Primary care
question

A nurse assessing a client tries to understand the different variables that influence the client’s health beliefs and practices in order to provide individualized care. Which statement made by the client would be an indication of the influence of the client’s intellectual background? “All the members of my family always pray before undergoing any surgery.” “On a scale of 1 to 10, my pain level is always at a nine when I’m given injections.” “My community believes that blood transfusions can lead to a corruption of our souls.” “I’m not scared of the procedure because my uncle, who is a nurse, has explained it in detail.”
answer

“I’m not scared of the procedure because my uncle, who is a nurse, has explained it in detail.”
question

An elderly adult with Parkinson’s disease falls while going to the bathroom and gets injured. The nurse taking care of the client informs the primary healthcare provider. What step should the nurse take to alert the risk management system? The nurse should document the incident in the occurrence report tool. The nurse should provide information in the medical record about the occurrence. The nurse should document in the client’s medical report that an occurrence report has been filed. The nurse should document in the client’s medical report that the primary healthcare provider has been contacted.
answer

The nurse should document the incident in the occurrence report tool.
question

A registered nurse is informing a nursing student that nurses play an important role in helping hospitals to meet requirements for quality, efficiency, and client satisfaction. Which points mentioned by the registered nurse are accurate? “Pay for performance programs promote quality, effectiveness, and safe client care.” “Six Sigma is used to analyze the collected data and to identify unnecessary steps in the processes.” “Balanced scorecards are used to report data on the key performance indicators and are published publicly.” “Organizations are using outcomes like employees’ satisfaction to redesign how they manage and deliver care in hopes of improving quality in the long term.” “The Picker Institute focuses on improvement of processes to determine if current or recommended steps add value and reduce the health care organization’s time, costs, and resources.”
answer

“Pay for performance programs promote quality, effectiveness, and safe client care.” “Six Sigma is used to analyze the collected data and to identify unnecessary steps in the processes.” “Balanced scorecards are used to report data on the key performance indicators and are published publicly.”
question

Which role does a nurse play when helping clients to identify and clarify health problems and to choose appropriate courses of action to solve those problems? Educator Counselor Change agent Case manager
answer

Counselor
question

What services do nurse-managed clinics provide in preventive and primary care services? Crisis intervention Wellness counseling Health risk appraisal Employment readiness Communicable disease control
answer

Wellness counseling Health risk appraisal Employment readiness
question

A nursing student is listing the characteristics of an ethical issue. Which point listed by the nursing student requires correction? An ethical issue occurs if it is perplexing and if it is not easy to think logically or make a decision. An ethical issue occurs if it is not possible to resolve solely through a review of scientific data. An ethical issue occurs if the problem aims at the greatest good for the greatest number of people. An ethical issue occurs if the answer to the problem has a profound relevance for areas of human concern.
answer

An ethical issue occurs if the problem aims at the greatest good for the greatest number of people.
question

What does a community-based nurse do as a change agent? The nurse empowers clients and their families to creatively solve problems. The nurse works with clients to solve problems and helps clients identify an alternative care facility. The nurse helps clients gain the skills and knowledge needed to provide self-care. The nurse empowers clients to become instrumental in creating change within a health care agency. The nurse does not make decisions but rather helps clients reach decisions that are best for them.
answer

The nurse empowers clients and their families to creatively solve problems. The nurse works with clients to solve problems and helps clients identify an alternative care facility. The nurse empowers clients to become instrumental in creating change within a health care agency.
question

What information should the registered nurse provide when teaching a nursing student about defamation of character? “It is an example of an intentional tort.” “Speaking falsely about another person is slander.” “Written defamation of character is also called libel.” “It is the publication of false statements that may damage a person’s reputation.” “Defamation of character may occur if nursing care falls below the standards of care.”
answer

“Speaking falsely about another person is slander.” “Written defamation of character is also called libel.” “It is the publication of false statements that may damage a person’s reputation.”
question

A registered nurse is educating a nursing student about the primary level of prevention. What information should the nurse provide? Primary prevention is also known as true prevention. Primary prevention is applied to clients who are considered physically and emotionally healthy. Primary prevention is directed towards rehabilitative care rather than diagnosis and treatment. Primary prevention activities enable clients to return to a normal level of health as early as possible. Primary prevention includes health education programs, immunizations, and physical and nutritional fitness activities.
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Primary prevention is also known as true prevention. Primary prevention is applied to clients who are considered physically and emotionally healthy. Primary prevention includes health education programs, immunizations, and physical and nutritional fitness activities.
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A client dies in the hospital 2 hours after being admitted. Who has the authority to decide if a post-mortem should be conducted? Surviving spouse Nursing manager Medical examiner Primary healthcare provider
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Medical examiner
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What are the elements of discovery of a lawsuit? Experts Medical records Proof of negligence The depositions of witnesses Petition-elements of the claim
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Experts Medical records The depositions of witnesses
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What purpose does block and parish nursing serve in preventive and primary care services? Block and parish nursing provides services to older clients or those who are unable to leave their homes. Block and parish nursing provides primary care to a specific client population that lives in a specific community. Block and parish nursing provides nursing services with a focus on health promotion and education as well as on chronic disease. Block and parish nursing provides services aimed at increasing worker productivity, decreasing absenteeism, and reducing the use of expensive medical care.
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Block and parish nursing provides services to older clients or those who are unable to leave their homes.
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The unlicensed healthcare worker assigned to the 7:00 am shift has not been coming to work until 8:00 am. Nursing care is delayed, and assignments are started late. What is the most appropriate action by the charge nurse/team leader? Discuss the issue with a friend from another unit. Remind the unlicensed healthcare worker of the expected start time. Report the problem to the Human Resources department. Document the information before discussing it with the unlicensed healthcare worker.
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Document the information before discussing it with the unlicensed healthcare worker.
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A hospitalized client experiences a fall after climbing over the bed’s side rails. Upon reviewing the client’s medical record, the nurse discovers that restraints had been prescribed but were not in place at the time of the fall. What information should the nurse include in the follow-up incident report? A statement that the nursing staff was not at fault because the client initiated the accident A listing of facts related to the incident as witnessed by the nurse The name of the nurse who was responsible for implementing the restraints The potential reasons why the restraints were not in place at the time of the fall
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A listing of facts related to the incident as witnessed by the nurse
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A nursing student is listing examples of active and passive health promotion strategies. Which strategy is an example of a passive health promotion strategy? Weight-reduction program Smoking-cessation program Drug abuse prevention strategy Fluoridation of municipal drinking water
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Fluoridation of municipal drinking water
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A nurse administers medication via the central venous access device (CVAD) and forgets to monitor the client at the required intervals. The client then develops phlebitis. What charges may the nurse face for this action? Battery Malpractice False Imprisonment Defamation of Character
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Malpractice
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A registered nurse is instructing a trainee nurse on the various advantages of the team nursing care delivery model. Which statement provided by the trainee nurse post-training indicates a need for effective learning? “This model has a high level of autonomy for the team leader.” “This model is inflexible but uses a variety of staffing levels and mixes.” “This model encourages each member of team to work collaboratively.” “This model ensures that the care coordinator has time to manage unit issues.”
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“This model is inflexible but uses a variety of staffing levels and mixes.”
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While visiting the hospital, the spouse of a client slips and falls on a recently washed floor in the hallway leading to the client’s room. To meet the criteria of ethical practice, what action should the nurse who witnessed the occurrence take? Initiate an agency incident report. Report the fall to the state (provincial) health department. Write a brief description of the incident to be kept by the nurse manager. Determine that no documentation is needed because the visitor is not a client in the hospital.
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Initiate an agency incident report.
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A registered nurse is educating a client about the three levels of prevention through different scenarios. Which scenario mentioned by the nurse is an example of secondary prevention? “A nurse educates a young couple regarding sex and sexually transmitted infections.” “A nurse collaborates with a dietician to help prepare a healthy nutritional plan for a client.” “A nurse arranges for a client’s rehabilitation to help in gaining maximum limb function after amputation.” “A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility.”
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“A nurse takes charge of screening every client upon suspecting a chicken pox outbreak in the healthcare facility.”
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A visitor says to the nurse, “Can I read my client’s progress record? I am the sponsor from an alcohol recovery program.” How should the nurse respond? Allow the visitor to review the record; sponsors have access to privileged information. Ask the primary healthcare provider about granting permission to the sponsor. Do not allow the sponsor to review the record. Allow the visitor to review the record; clients with alcoholism need reassurance from sponsors.
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Do not allow the sponsor to review the record.
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A nurse notices that a diabetic client is consuming chocolate brought by a family member. Which nursing action should a nurse perform to adhere to the principle of autonomy? The nurse should ask if the client has a weakness for sweets. The nurse requests that the client refrain from eating chocolates. The nurse explains the consequences of eating chocolates to the client. The nurse collaborates with a dietician to obtain a special diet chart for the client.
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The nurse collaborates with a dietician to obtain a special diet chart for the client.
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A nursing student notes information regarding restorative care. Which points noted by the nursing student are accurate? The restorative healthcare team is an interdisciplinary group of health professionals. Success depends on effective and early collaboration with clients and their families. Clients and families follow treatment plans better when they are involved in restorative care. Clients who are disabled or are suffering from terminal diseases need restorative care. Restorative care is provided through home healthcare, rehabilitation, or extended care facilities.
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Success depends on effective and early collaboration with clients and their families. Clients and families follow treatment plans better when they are involved in restorative care. Restorative care is provided through home healthcare, rehabilitation, or extended care facilities.
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A nurse is trying to bring about a change in the wellness behavior of an obese client. The nurse provides a chart depicting a proper diet and enumerates the benefits of good eating habits. What response might the nurse expect from the client if the client is in the preparation stage? “I’m perfectly happy and confident about my body and my health.” “I can’t quit eating junk food twice a week, even with this diet plan.” “Please tell me how to stay successful with this diet with my hectic career.” “Please help me come up with a realistic strategy for sticking to this diet plan.”
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“Please help me come up with a realistic strategy for sticking to this diet plan.”
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A nurse manager in charge of a unit overhears two nurses in a hall filled with visitors discussing a client on the unit who has AIDS. What should be the nurse manager’s initial action? Place an incident report in each nurse’s personnel record. Note the situation and intervene if it happens again. Inform the nurse who is in the role of supervisor for the shift. Have a conference with the nurses and talk about the need for confidentiality.
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Have a conference with the nurses and talk about the need for confidentiality.
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A nurse caring for a client who presents with herpes zoster conducts extensive research on the disease to formulate the care plan. In addition, the nurse adds photos of the client’s infected area to the electronic health record (EHR) to evaluate progress toward recovery. The nurse also educates the client on maintaining proper hygiene to prevent the spread of the infection. Which competencies does the nurse display according to the Institute of Medicine (IOM) competencies of the 21st century? Using informatics Applying quality improvement Using evidence-based practice Providing patient-centered care Working in an interdisciplinary team
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Using informatics Using evidence-based practice Providing patient-centered care
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What professional responsibility does the nurse display as a client’s advocate? The nurse protects the client’s human and legal rights and provides assistance in asserting said rights. The nurse actively collaborates with other healthcare professionals to follow the best treatment plan for a client. The nurse explains concepts and facts about health, describes the reason for routine care activities, and demonstrates procedures. The nurse establishes an environment for collaborative client-centered care to provide safe, quality care with positive client outcomes.
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The nurse protects the client’s human and legal rights and provides assistance in asserting said rights.
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A registered nurse is educating the nursing student regarding the importance of consensus building in the resolution of bioethical dilemmas. Which statements by the student nurse indicate effective learning? “Consensus building is an act of discovery.” “Consensus building promotes respect and agreement.” “Consensus building inspires respect for unusual points of view.” “Consensus building is based on choosing a particular philosophy.” “Consensus building is based on the greatest good for the greatest number of people.”
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“Consensus building is an act of discovery.” “Consensus building promotes respect and agreement.” “Consensus building inspires respect for unusual points of view.”
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A registered nurse is educating a nursing student about the stages of changes in a client’s health behavior. Which statement describes the stage of contemplation? “The client considers a change within the next 6 months.” “The client does not intend to make changes within the next 6 months.” “The client is actively engaged in strategies to change behavior; this lasts up to 6 months.” “The client displays sustained change over time; this begins 6 months after action has started and continues indefinitely.”
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“The client considers a change within the next 6 months.”
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A nurse is caring for a community-dwelling older adult with dementia. What interventions should the nurse take to ensure the client’s well-being? Obtain the client’s drug history and educate the older adult about safe medication storage Foster human dignity and maintain the best possible functioning, protection, and safety Teach the client to be cautious of false advertisements that promise a cure for the disease Show the caregiver techniques to dress, feed, and toilet the older adult Protect the client’s rights and provide support to maintain the physical and mental health of family members
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Foster human dignity and maintain the best possible functioning, protection, and safety Show the caregiver techniques to dress, feed, and toilet the older adult Protect the client’s rights and provide support to maintain the physical and mental health of family members
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A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, “I will not discuss any client’s illness with you. Are you concerned about it?” This response is based on the nurse’s knowledge that to discuss a client’s condition with someone not directly involved with that client is an example of what? Libel Negligence Breach of confidentiality Defamation of character
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Breach of confidentiality
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A nurse is preparing a lecture for a group of nursing students related to ethics and legal principles. Which statement would be appropriate to include? Beneficence emphasizes the importance of preventing harm and ensuring the client’s well-being. After the nurse has delegated a task or activity, the unlicensed assistive personnel (UAP) is accountable for the task or activity. Social justice is an obligation to protect a client as an advocate when a client is not capable of self-determination. There is a universal list that all states use that describes tasks that can be safely delegated and assigned to nursing team members.
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Beneficence emphasizes the importance of preventing harm and ensuring the client’s well-being.
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Which nurse participates in the development of nursing policies and procedures? Nurse educator Clinical nurse specialist Certified nurse-midwife Certified registered nurse anesthetist
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Nurse educator
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What important step should the community nurse take when dealing with older adults with a confusional states problem? The nurse should provide a protective environment. The nurse should monitor blood pressure and weight. The nurse should recommend applicable community resources. The nurse should demonstrate proper hygiene to the primary caretaker. The nurse should educate about polypharmacy and drug-drug and drug-food interactions.
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The nurse should provide a protective environment. The nurse should recommend applicable community resources. The nurse should demonstrate proper hygiene to the primary caretaker.
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A nursing student is listing points that make nursing a profession and not just a job. Which points have been correctly stated? “Nursing provides a specific service.” “Nursing requires a basic liberal foundation and an advanced education.” “Nursing has a theoretical body of knowledge leading to defined skills, abilities, and norms.” “Members of a profession do not have any autonomy in decision-making and practice.” “The profession as a whole lacks a code of ethics for practice and simply follows the state rules and regulations.”
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“Nursing provides a specific service.” “Nursing requires a basic liberal foundation and an advanced education.” “Nursing has a theoretical body of knowledge leading to defined skills, abilities, and norms.”
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A registered nurse is educating a nursing student about the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Which points mentioned by the nursing student post-teaching are correct? Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores are not affected by nursing environments. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey developed to measure client perceptions of their hospital experience. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is administered to a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) was developed by the National Committee for Quality Assurance (NCQA) as a way for hospitals to collect and report data publicly for comparison purposes. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys have 27 questions that ask clients to rate their communication with nurses and physicians, discuss other details about treatment, and share their willingness to recommend the hospital.
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Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a standardized survey developed to measure client perceptions of their hospital experience. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is administered to a randomly selected sample of adults who were discharged from a hospital between 48 hours and 6 weeks ago. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys have 27 questions that ask clients to rate their communication with nurses and physicians, discuss other details about treatment, and share their willingness to recommend the hospital.
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What does a nurse understand by the quality improvement competency, according to Quality and Safety Education (QSEN)? Using information and technology to communicate, manage knowledge, mitigate errors, and support decision-making Integrating best current evidence with clinical expertise along with client and family preferences and values for the delivery of quality healthcare Functioning effectively within nursing and interprofessional teams by fostering open communication, mutual respect, and shared decision making to achieve quality client care Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
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Using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
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A student nurse is listing the limitations of the total client care nursing model. Which limitation listed by the student nurse is accurately stated? “Clients may not see the registered nurse often.” “The team leader needs to take time to delegate work.” “An associate nurse cannot change the care plan without discussing it with the primary nurse.” “It is not cost effective because of the high number of registered nurses required to provide care.”
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“It is not cost effective because of the high number of registered nurses required to provide care.”
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What role is the nurse expected to have in a community-based nursing practice if there is a sudden spread of malaria? Educator Collaborator Epidemiologist Client advocate
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Epidemiologist
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A nurse is informing a client about the benefits of rehabilitation. What information should the nurse provide? “Specialized rehabilitation services help clients and caregivers to adjust to lifestyle changes.” “Rehabilitation helps prevent complications associated with illness or injury at the initial stages.” “Rehabilitation helps clients attain their fullest physical, mental, social, vocational, and economic potential.” “Rehabilitation programs are used solely to help clients become free from drug dependence.” “Rehabilitation focuses on maximizing a client’s functioning and level of independence at the initial stages.”
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“Specialized rehabilitation services help clients and caregivers to adjust to lifestyle changes.” “Rehabilitation helps prevent complications associated with illness or injury at the initial stages.” “Rehabilitation helps clients attain their fullest physical, mental, social, vocational, and economic potential.”
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What points should the nurse remember when caring for a client who has a history of suicide attempts? The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The client may be detained for 21 days if a judge grants an involuntary detention. The primary health care facility will be responsible for failing to provide adequate supervision. The nurse should file paperwork with the court within 96 hours of the client’s admission to the facility.
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The nurse should document the measures taken to prevent suicides. If the client makes a suicide attempt in the hospital, this action may lead to a lawsuit. The primary health care facility will be responsible for failing to provide adequate supervision.
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Two clients in the same medical facility receive differing levels of care due to the lack of financial resources of the family of one of the clients. The nurse in charge tries to resolve the ethical dilemma at hand. The nurse collects all relevant information regarding the problem from multiple sources. What should be the nurse’s next course of action? Verbalize the issue by agreeing to a clear statement of the problem at hand. Analyze the situation at hand to determine whether it is an ethical dilemma. Examine own values regarding the issue at hand based on the information obtained. Negotiate the outcome of the possible course of action through proper group discussions.
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Examine own values regarding the issue at hand based on the information obtained.
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A nurse is educating the caregivers of an elderly adult with advanced Parkinson’s disease about continuing care. What information should the nurse provide? “Home care is a type of continuing care in which the primary objectives are health promotion and education.” “Continuing care is necessary for clients who are recovering from an acute or chronic illness or disability.” “Adult day care centers are ideal for clients whose caregivers have to be away from home during the day.” “Hospice care is a continuing care system that allows clients to live at home with comfort, independence, and dignity.” “Nursing centers provide 24-hour custodial care in order to help residents achieve and maintain their highest level of functioning.”
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“Adult day care centers are ideal for clients whose caregivers have to be away from home during the day.” “Hospice care is a continuing care system that allows clients to live at home with comfort, independence, and dignity.” “Nursing centers provide 24-hour custodial care in order to help residents achieve and maintain their highest level of functioning.”
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Nurses are held responsible for the commission of a tort. What is the definition of a tort? The application of force to the body of another by a reasonable individual An illegality committed by one person against the property or person of another Doing something that a reasonable person under ordinary circumstances would not do An illegality committed against the public and punishable by the law through the courts
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An illegality committed by one person against the property or person of another
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A nursing student is listing the guidelines to be followed to make the referral process successful. Which step listed by the nursing student needs correction? Making the referral as soon as possible Including the referral discipline in the client’s treatment plan Involving the client and family members in the referral process Refraining from giving the referral care provider information about the client in advance
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Refraining from giving the referral care provider information about the client in advance
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A registered nurse is educating a nursing student about issues related to short staffing. What information should the nurse provide? “Nurses should refrain from walking out when faced with a short staffing problem.” “Written protests relieve the nurses of responsibility if a client is injured due to inattention.” “There is no likelihood of legal problems if enough nurses are not available to provide competent care.” “Nurses should inform their supervisors when they are assigned to care for more clients than is reasonable.” “Written protests should be submitted to nursing administrators if unreasonable assignments are given to nurses.”
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“Nurses should refrain from walking out when faced with a short staffing problem.” “Nurses should inform their supervisors when they are assigned to care for more clients than is reasonable.” “Written protests should be submitted to nursing administrators if unreasonable assignments are given to nurses.”
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A nurse is evaluating different situations related to obtaining informed consent. Which situation does the nurse consider to be the most appropriate method of obtaining informed consent? A client consents to a medical procedure after the nurse has explained its risks and benefits in detail. A client provides consent for a surgery after the primary healthcare provider gives the details of the benefits of the surgery. A client consents to a medical procedure after all the details of the procedure have been provided using strictly medical terminology. A client provides consent after the primary healthcare provider has given a detailed explanation of the risks, benefits, and alternatives to the procedure.
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A client provides consent after the primary healthcare provider has given a detailed explanation of the risks, benefits, and alternatives to the procedure.
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Which statements accurately explain the deontology system of ethics? Deontology examines a situation for the presence of essential right or wrong. Deontology emphasizes the commitment to respect the “rightness” of autonomy. Deontology deals specifically with the consequences of an action to determine right and wrong. Deontology determines that actions are right or wrong based on their “right-making characteristics.” Deontology believes in the concept of using the greatest good for the greatest number of people principle to decide the right action.
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Deontology examines a situation for the presence of essential right or wrong. Deontology emphasizes the commitment to respect the “rightness” of autonomy. Deontology determines that actions are right or wrong based on their “right-making characteristics.”
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A student nurse requests the registered nurse explain the characteristics of the primary nursing care delivery model. What explanation should the registered nurse provide? “There is lateral communication from nurse to nurse and caregiver to caregiver.” “Team members provide direct client care under the supervision of the registered nurse (RN). “The team leader develops client care plans, coordinates care among team members, and provides care requiring complex nursing skills.” “There is hierarchical communication from charge nurse to charge nurse, charge nurse to team leader, and team leader to team members.”
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“There is lateral communication from nurse to nurse and caregiver to caregiver.”
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A nurse signs as a witness to informed consent provided by the client. What does the signature of the nurse imply? That the client’s signature is authentic That the client has given consent voluntarily That the client appears to be competent to give consent That the client cannot refuse treatment after its initiation That the client has received a proper explanation of procedures from the nurse
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That the client’s signature is authentic That the client has given consent voluntarily That the client appears to be competent to give consent
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What activities would the nurse participate in while providing a primary level of preventive care? Providing individual and mass screening activities Providing education about adequate housing and recreation Providing education about attention to personality development Providing instructions about good standard of nutrition adjusted to developmental phases of life Providing hospital and community facilities for retraining and education to maximize use of remaining capacities
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Providing education about adequate housing and recreation Providing education about attention to personality development Providing instructions about good standard of nutrition adjusted to developmental phases of life
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What services does block and parish nursing provide for preventive and primary care services? Respite care Running errands Homemaker aides Routine physical examination Communicable disease control
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Respite care Running errands Homemaker aides
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A nursing student is listing examples of quasi-intentional torts. Which examples mentioned by the nursing student need correction? Assault Battery Malpractice Invasion of privacy Defamation of character
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Assault Battery Malpractice
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A nursing student is listing the characteristics of various health models that are used in the healthcare setting. Which characteristics of the holistic health model are accurately described? “According to this model, clients are involved in their own healing process.” “According to this model, the natural healing abilities of the body are used.” “According to this model, therapy is used alone or in conjunction with conventional medicine.” “According to this model, each person has unique personal characteristics and experiences that affect subsequent actions.” “According to this model, self-actualization is the highest expression of one’s individual potential and allows for continual self-discovery.”
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“According to this model, clients are involved in their own healing process.” “According to this model, the natural healing abilities of the body are used.” “According to this model, therapy is used alone or in conjunction with conventional medicine.”
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A nurse is teaching a client about false imprisonment. What information should the nurse provide? “False imprisonment is an example of an intentional tort.” “False imprisonment refers to any intentional touching without consent.” “False imprisonment involves restraining a person unjustly without any legal warrant.” “A falsely imprisoned client should be aware of his or her confinement.” “An unconscious client in restraints is considered to be falsely imprisoned.”
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“False imprisonment is an example of an intentional tort.” “False imprisonment involves restraining a person unjustly without any legal warrant.” “A falsely imprisoned client should be aware of his or her confinement.”
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What important step should the nurse take to evaluate lifestyle change in the client? Ask which barriers the client perceives with the planned lifestyle change. Instruct the client to include family members to support the lifestyle change. Advise the client to refrain from discussing the time spent in activity or actual number of fruits and vegetables eaten. Encourage the client to maintain an exercise and eating calendar to track adherence and provide positive reinforcement.
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Encourage the client to maintain an exercise and eating calendar to track adherence and provide positive reinforcement.
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An ostomy specialist nurse is required to ‘float’ to the obstetric department. The nurse realizes that he or she lacks the required level of expertise to care for the clients in the unit. What course of action should the nurse take to deal with the situation? Notify the nursing supervisor. Refrain from taking the assignment. Learn the policies of the institution regarding floating. Perform necessary interventions using self-knowledge.
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Notify the nursing supervisor.
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When should a medical examiner decide whether a postmortem examination should be conducted? When a client dies under normal circumstances When a client dies after 48 hours of admission to the hospital When a client dies within 24 hours of admission to the hospital When the client gives a written consent to perform autopsy before death
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When a client dies within 24 hours of admission to the hospital
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What steps should a nurse take when caring for a client to prevent nursing malpractice? Be alert about common sources of client injuries. Gain knowledge regarding current nursing practices. Refrain from speaking falsely about a client’s medical condition. Communicate with the client regarding tests and treatment plans. Refrain from divulging medical information to unauthorized persons.
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Be alert about common sources of client injuries. Gain knowledge regarding current nursing practices. Communicate with the client regarding tests and treatment plans.
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A nursing student is recalling the various stages of health behavior change. What are the characteristics of the preparation stage? The client requires assistance to plan changes in health behavior. The client intends to make changes in health behavior in the next 6 months. The client becomes actively engaged in strategies to change health behavior. The client understands that the advantages of health behavior change exceed the disadvantages. The client makes small changes in health behavior in preparation for major changes in the next month.
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The client requires assistance to plan changes in health behavior. The client understands that the advantages of health behavior change exceed the disadvantages. The client makes small changes in health behavior in preparation for major changes in the next month.
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A registered nurse is educating a nursing student about the process of resolving an ethical dilemma. What information should the nurse provide regarding negotiation of outcomes? “A nurse should provide a personal point of view.” “Negotiations should be held in formal settings only.” “Negotiation takes place immediately after gathering information.” “The group agrees to a statement of the problem during the negotiation process.”
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“A nurse should provide a personal point of view.”
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A nurse is reviewing the key responsibilities of a primary healthcare provider for obtaining consent from a client before performing a medical procedure. Which key responsibilities have been accurately stated? “The client receives a complete explanation of the procedure or treatment.” “The client knows that he or she cannot refuse the treatment after the procedure has begun.” “The client receives an explanation of alternative therapies and the risks of doing nothing.” “The client knows that he or she has the right to refuse treatment which may lead to a discontinuation of other supportive care.” “The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort.”
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“The client receives a complete explanation of the procedure or treatment.” “The client receives an explanation of alternative therapies and the risks of doing nothing.” “The client receives a description of the risks, including death, which may occur due to the procedure and anticipated pain and/or discomfort.”
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A nursing student lists the preventive and primary care services available in schools, primary healthcare provider’s offices, occupational health clinics, community health centers, and nursing centers. Which service provided by these centers is most expensive? Running errands Health education Disease management Routine physical examinations
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Disease management
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A nursing student is listing the instructions that clients require before leaving a healthcare facility. Which instruction listed by the nursing student indicates a need for more education? Provide instruction about accessing available and appropriate community resources. Provide instruction about the safe and effective use of medications and medical equipment. Provide instructions about all the legislation and guidelines that protect the interests of a client. Provide instructions about notifying the primary healthcare provider of any changes in function or new symptoms.
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Provide instructions about all the legislation and guidelines that protect the interests of a client.

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