WorksheetsExam 3 Review
Total questions: 40
Worksheet time: 3600secs
Knowledge gained from someone with a great deal of perceived experience is which type of knowledge?
Traditional knowledge
Authoritative knowledge
Scientific knowledge
Philosophy knowledge
Which statement is most applicable to evidence-based practice?
It emphasizes personal experience over science.
Clinical expertise is integrated with external evidence.
It involves gaining solutions to problems.
The purpose is to learn about a specific problem.
A nurse is reading a qualitative study that focuses on nursing events of the past in an attempt to increase understanding of the nursing profession today. What method of qualitative research is used in this article?
Historical
Phenomenology
Grounded theory
Ethnography
What have the models of health promotion and illness prevention been used for?
To define a medical framework for the care of people with disabilities.
To create a forum for improving rehabilitative care.
To help health care providers understand health-related behaviors.
To formulate care plans for people with disabilities.
When chronic illnesses and disabilities are present, individuals benefit most from activities that:
help them eat well.
help them maintain independence.
preserve their social interactions.
accomplish financial stability.
Which activity related to respiratory health is an example of tertiary health promotion and illness prevention?
Administering a nebulized bronchodilator to a client who is short of breath
Assisting with lung function testing of a client to help determine a diagnosis
Teaching a client that "light" cigarettes do not prevent lung disease
Advocating politically for more explicit warning labels on cigarette packages
The nurse performs an assessment of the client and the family to have a better understanding of client and family needs. Which is an individual need?
Safety
Education
Socialization
Political
A community health nurse is providing care to several farming families in a rural community. Which concept would be most important for the nurse to integrate into the plans of care for these families?
The traditional nuclear family structure is the current norm.
Family structures may change over time.
All family types have similar problems regardless of their structure.
The extended family structure has fewer issues that impact family functions.
A graduate nurse new to the facility asks the nurse manager about the difference between family-centered nursing and client-centered nursing. Which of the following would be inappropriate for the nurse manager to include when responding to the graduate nurse?
The family is composed of interdependent members who affect one another.
The health of the family can be improved through health promotion activities.
A strong relationship exists between the family and the health status of its members.
Illness of one family member infrequently occurs in other members
A client who immigrated from another country informs the nurse of dietary requests. The nurse responds to the special dietary needs by stating, "You are now living here, and you should try to start eating those foods common to our diet." This inappropriate response is an example of:
cultural imposition.
cultural blindness.
cultural diversity.
cultural assimilation.
Which statement by the nurse is a culturally appropriate reaction to a client's perception of pain?
"Asian clients have a high pain tolerance."
"Some procedures hurt more and should have more pain reaction."
"If a client needs to yell in pain, that is their right."
"Males tend to overreact to pain for sympathy."
The focal point of nursing is the nurse–client interaction. What must nurses consider about themselves when assessing clients from other cultures?
Their own health disparities
Their own health history
Their own educational level
Their own cultural orientation
The nurse is managing the care for a postoperative client. How does the nurse demonstrate advocacy?
Limiting visitors due to the client reporting pain
Administering pain medication when the pain level reaches 9 on a pain scale of 0 to 10
Changing the channel on the television while providing care
Turning and positioning the client every 4 hours
A client who is having increasing difficulty breathing reports never exercising, eating fast food regularly, and smoking two packs of cigarettes a day. The client tells the nurse practitioner that the client wants to make lifestyle changes. Which would be the most appropriate means of helping the client change behaviors?
Ethical change strategy
Values neutrality choices
Values transmission
Values clarification
The nurse is participating in a workplace group that is charged with making decisions about resource allocation throughout a community. This nurse is enacting what ethical principle?
veracity
autonomy
justice
confidentiality
A nurse is named as a defendant in a malpractice lawsuit. Which action would be recommended for this nurse?
Discuss the case with the plaintiff to ensure understanding of each other’s positions.
If a mistake was made on a chart, change it to read appropriately.
Be prepared to tell your side to the press, if necessary.
Do not volunteer any information on the witness stand.
A client has been in the emergency department for 3 hours for treatment of a migraine headache. Care has been delayed due to a multiple fatality car accident. The client gets up to go to the bathroom unattended, faints, and suffers a subdural hematoma. The family threatens to sue for malpractice. Which element of malpractice will be the most difficult for the attorney to prove?
Duty
Breach of duty
Causation
Damages
While teaching about advance care planning, which fact is important for the nurse to share with a client who has been diagnosed with a terminal illness?
Living wills provide specific instructions related to the client’s personal property upon death.
A durable power of attorney for health care appoints an agent the person trusts to make decisions.
The Patient Self-Determination Act of 1990 requires hospital clients to have an advance directive.
Advance directives must be completed 30 days prior to hospitalization in order to be valid.
The spouse of a client who has recently been diagnosed with early-stage Alzheimer's disease asks the nurse to recommend websites that may supplement the spouse's learning about this diagnosis. How should the nurse respond to the spouse's request?
Identify and recommend some credible websites appropriate to the spouse's learning needs.
Encourage the spouse to avoid online resources due to the unregulated nature of the Internet.
Direct the spouse to online databases such as the Cumulative Index to Nursing and Allied Health Literature.
Provide the spouse with print-based materials that are clearly referenced and reflect the spouse's learning style.
Which is an essential component of the definition of learning?
Increases self-esteem
Decreases stress
Can be measured
Requires formal education
Which learning domain is the focus for instruction when the nurse educates a new parent about the physiology of human milk production?
affective
psychomotor
cognitive
behavioral
The new nurse is evaluating the effectiveness of the assigned nurse mentor. Which characteristic should the new nurse recognize as being inappropriate for the nurse mentor to role model?
Providing daily feedback to the new nurse
Introducing the new nurse to members of the interdisciplinary team
Encouraging the new nurse to enroll in continuing education courses
Advising the new nurse to consult the nurse mentor before making decisions regarding client care
A registered nurse serves as the chair of the Nursing Practice Committee for the hospital. The meetings of this committee do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. This chair's leadership style could be most accurately termed what?
Laissez-faire
Decentralization
Democratic
Autocratic
A nurse manager is educating the staff on new forms of charting. Within the education session, the manager sets a goal for complete use of the charting. Through goal setting, the manager is acting as:
an educator.
a leader.
a guide.
a clinical specialist.
During a hospice visit, the client’s spouse suddenly begins to cry and says, “I am so tired. I just can’t do this anymore. I am not getting to sleep and I just eat sandwiches when I can.” What is the nurse’s best intervention?
Request a mental health evaluation for the spouse.
Send the spouse to the emergency department.
Arrange for short-term inpatient care for the client.
Have the chaplain visit with the spouse and client.
A nurse in a walk-in health care setting provides technical services (e.g., administering medications), determines the priority of care needs, and provides client teaching on all aspects of care. Which term best describes this type of health care setting?
Hospital
Health care provider's office
Ambulatory center
Long-term care
Which is an emerging trend in health care delivery?
Active involvement of consumers
Resolution of the nursing shortage
Simplification of client care
Reduction in the use of technology at the bedside
Which is the primary goal of continuity of care?
Ensuring a smooth and safe transition between different health care settings
Increasing clients' knowledge base and improving their health maintenance behaviors
Minimizing nurses' legal liability during client transitions between health care institutions
Controlling costs and maximizing client outcomes after discharge from the hospital
Why is it important for the home health nurse to inform the health care agency of the nurse's daily itinerary?
Allows the agency to keep track for payment of the nurse
Supports suggested safety precautions for the nurse when making a home care visit
Allows easy accessibility of the nurse for changes in assignments
Allows the client to cancel appointments with minimal inconvenience
The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?
The client will need to have sterile dressings changed
The client will be discharged with a feeding tube
The client will be receiving intravenous medications by home health nurses
The client and family lack knowledge of the treatment regimen
The spouse of a client diagnosed with early memory loss asks about the use of ginkgo biloba as a dietary supplement. Which nursing assessment is essential prior to responding?
Does the client have loss of recent memory or remote memory?
Is the client taking warfarin or aspirin?
Has the client ever had a myocardial infarction?
What other dietary supplements does the client use?
The nurse is writing a script to use in guided imagery. To be most effective, this script should include which component?
Locations familiar to most people
Random references to places and people
Use of all five senses
Scenes that move from stimulating to relaxing
The home health nurse is admitting a client to the service for complications related to multiple sclerosis (MS) and the client asks the nurse to explain the use of complimentary health approaches. The client states, "All of the medication I am taking is making me sicker. There has to be a better way." What is the best response by the nurse?
"We can discuss with your health care provider some helpful complimentary therapies."
"Insurance will not pay for anything other than traditional medicine."
"The government regulates all of these therapies and they are hard to obtain."
"This type of therapy should only be used if there is nothing else traditional medicine can do."
The nurse is to record the intake for a 12 hour shift.
1 1/4 cup of coffee
1 (12 oz) can of soda
3/4 glass of apple juice ( glass - 6 oz)
JP drain 50 mL
emesis 250 mL
(Numbers only)
(a)
The nurse is to record the net balance for a 12 hour shift.
1 1/4 cup of coffee
1 (12 oz) can of soda
3/4 glass of apple juice ( glass - 6 oz)
JP drain 50 mL
emesis 250 mL
(no label, numbers only and +/-)
(a)
You have an order for Coreg 25 mg PO every day. You have a choice of two medications, which strength would you choose to administer?
(Numbers only)
(a)
The nurse is teaching a client how to mix regular insulin (Humulin R) and NPH (Humulin N) insulin in the same syringe. Which instruction would be included?
Draw up Humulin R first into the syringe.
Take all air out of the bottle before mixing.
Shake the Humulin N bottle before mixing.
Keep both bottles stored in the refrigerator for 1 month.
A client begins taking a sulfonylurea once daily. The nurse would observe for which intended effect of this type of medication?
Weight loss
Resolution of infection
Decreased blood glucose
Decreased blood pressure
Which situation or symptom exhibited by a patient prescribed a laxative would be a cause for the nurse to question this order?
Defecating hard stools
Decreased fiber intake
Decreased fluid intake
Abdominal pain
Which type of laxative is best for a patient who is confined to bed and who regularly needs a laxative?
Bulk forming
Stimulant
Saline
Lubricant
