NUR 206 NCLEX QUE EXAM 1 | 100% Correct Answers | Verified | Latest 2024 Version, Exams of Nursing

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NUR 206 NCLEX QUE EXAM 1 | 100% Correct

Answers | Verified | Latest 2024 Version

The nurse practices nursing in conformity with the code of ethics for professional registered nurses. This code: - ✔✔Defines the principles by which nurses' provide care to their clients An 18-year-old woman is in the emergency department with fever and cough. The physician asks the nurse to measure vital signs, auscultate lung sounds, listen to heart sounds, determine the level of comfort, and collect blood and sputum samples for analysis. The nurse is performing what aspect of practice? - ✔✔Assessment A client is wheezing and short of breath. The physician orders a medicated nebulizer treatment now and in 4 hours. The nurse is providing what aspect of care? - ✔✔Implementation The nurse is caring for a client with end-stage lung disease. The client wants to go home on oxygen therapy and be comfortable. The family wants the client to undergo a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the client's wishes with the family. The nurse is acting as the client's: - ✔✔Advocate Evidence-based practice is defined as: - ✔✔A problem-solving approach to clinical practice based on best practices The examination for the registered nurse (RN) licensure is exactly the same in every state in the United States. This examination - ✔✔Provides a minimal standard of knowledge for practice Advanced practice nurses (APNs) generally: - ✔✔Function independently Nursing practice in the twenty-first century is an art and science that is centered on: - ✔✔The client Who acted to decrease mortality by improving sanitation in the battlefields, which resulted in a decline in illness and infection? - ✔✔Florence Nightingale

The professional nurse responsible for increasing respect for the individual and awareness of cultural diversity was: - ✔✔Mary Mahoney The document that developed goals and objectives to meet the health of the public is known as: - ✔✔Healthy People 2010 A nurse who uses critical thinking in the decision-making process to provide effective quality care to individuals is known as: - ✔✔A clinical decision maker Which of the following assures clients that they will receive quality care from a competent nurse? - ✔✔Standards of care The licensure and practice of nursing is regulated by: - ✔✔The Nurse Practice Act A nurse who has filled a position on the same unit for 2 years understands the unit's organization and the care of the clients on that nursing unit. Benner defines this nurse as able to anticipate nursing care and to formulate long-range goals; this nurse is given the title: - ✔✔Competent nurse An APN is the most independently functioning of all professional nurses. All of the following are examples of a clinically focused APN except: - ✔✔Care provider An APN is pursuing a job change. Which of the following positions would the APN be unable to fill without meeting additional criteria? - ✔✔Certified registered nurse anesthetist Which of the following professional organizations was created to address concerns of members in the nursing profession? - ✔✔NLN Contemporary nursing requires that the nurse possess knowledge and skills to carry out a variety of professional roles and responsibilities. Examples include which of the following? 4 - ✔✔A) Autonomy and accountability B) Advocacy C) Provision of bedside care

D) Health promotion and illness prevention A parish nurse for a Catholic church provides a free blood pressure screening the first Sunday of every month. This is what level of prevention? - ✔✔Primary A 72-year-old man diagnosed with chronic obstructive pulmonary disease 5 years ago has been participating for the last 2 years in a pulmonary rehabilitation exercise class offered by the local hospital at a fitness facility. This is what level of prevention? - ✔✔Tertiary prevention Based on the transtheoretical model of change, what is the most appropriate response to the following client statement: "Me, exercise? I haven't done that since Junior High gym class and I hated it then!" - ✔✔"I understand. Can you think of one reason why being more active would be helpful for you?" A client says, "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" What is the best response to help the client through the stages of change toward regular exercise?

• ✔✔Yes, walking is great exercise. Do you think you could go for a 5-minute walk this next week?" All of the following are examples of active strategies of health promotion except: - ✔✔Fluoridation of drinking water A nurse routinely asks clients if they take any vitamins or herbal medications, encourages family members to bring in music that clients like to help them relax, and frequently prays with clients if that is important to them. The nurse is using which model of care? - ✔✔Holistic Different attitudes about illness cause people to react in different ways when illness does occur. Medical sociologists call the reaction to illness: - ✔✔Illness behavior The health belief model addresses the relationship between a person's belief and behaviors, therefore: - ✔✔It provides a way of understanding and predicting how clients will behave in relation to their health and how they will comply with health care regimens A nurse working in a special care unit for children with severe immunologic problems cares for a 3-year- old boy from Greece. The nurse is having difficulty communicating with the father. What is the

appropriate action? - ✔✔Search for help in interpreting and understanding the culture differences by contacting someone from the local Greek community. A nurse teaches the importance of folic acid intake to a group of pregnant women. This is considered which level of preventive care? - ✔✔Primary prevention A person's ideas, convictions, and attitudes about health and illness can be described as: - ✔✔Health beliefs Which of the following models of health or illness defines health as a positive, dynamic state, not merely the absence of disease? - ✔✔Pender's health promotion model All of the following are considered internal variables that influence a client's health beliefs and practices except: - ✔✔Socioeconomic factors Clients maintain health or enhance their health by routine exercise and proper nutrition. This is known as: - ✔✔Health promotion The nurse in a diabetic clinic conducts monthly seminars for diabetic clients. During these seminars, the importance of taking insulin as directed to prevent diabetic complications is emphasized. This is considered which level of preventive care? - ✔✔Secondary prevention A client comes into the clinic for a complete physical examination. The nurse obtains a health history and determines that the client is at risk for heart disease. Which of the following would lead the nurse to conclude this? - ✔✔The client's father died of a heart attack at age 40. Which of the following statements is the World Health Organization's definition of health? - ✔✔State of complete physical, mental, and social well-being, not merely the absence of disease" Which of the following terms is defined as a mental self-image of strengths and weaknesses in all aspects of one's personality? - ✔✔Self-concept

A nurse hears a colleague tell a student nurse that it is best not to touch the clients unless performing a procedure or an assessment. Why is this not the best practice? - ✔✔Touch forms a connection between nurse and client. The nurse demonstrates the concept of "knowing the client" when he or she: - ✔✔) Is able to detect changes in the client's condition based on shared information and bonding A client is fearful of upcoming surgery and a possible cancer diagnosis. The client has discussed a love of the Bible with the nurse, who then recommends a favorite Bible verse. The nurse is reprimanded and told that there is no place in nursing for spiritual caring. Which of the following would be an appropriate response? - ✔✔Spiritual, mind, and body connections can affect health." A number of strategies have the potential for creating work environments that enable nurses to demonstrate more caring behaviors. Some of these include: - ✔✔C) Providing flexibility, autonomy, and improved staffing Listening includes not only taking in what a client says but also: - ✔✔Interpreting and understanding what the client means "Presence" involves a person-to-person encounter that: - ✔✔Conveys closeness and a sense of caring Clients' perceptions are important because health care organizations are: - ✔✔Placing greater emphasis on client satisfaction The caring aspect of nursing may be negatively affected in clinical practice today primarily because of: - ✔✔Rise in technology that takes nurses' attention away from clients The nurse demonstrates caring behavior when he or she: - ✔✔Pats the client's arm when approaching the bed According to Watson's transpersonal caring theory, the nurse should understand which of the following?

• ✔✔Caring can increase healing and promote well-being.

Because clients and nurses may differ in their perceptions of caring, it is important that the nurse: - ✔✔Seek information regarding what is important to the client. Which of the following nurses is showing behavior that indicates that the nurse is providing presence in a caring relationship? - ✔✔The staff nurse who stays with a client who is undergoing an unfamiliar procedure The nurse demonstrates listening skills by: - ✔✔Paying attention to the tone of voice in addition to the client's words so the meaning is clear The nurse can best demonstrate caring to a client who has recently suffered a loss through miscarriage by: - ✔✔) Sitting with the client in silence A nurse who normally uses touch when caring for clients might consider this inappropriate for which of the following clients? - ✔✔A psychiatric client who is displaying suspicion and fear Family members make the following comments about the nursing care being received. Which one should be investigated further? - ✔✔The night nurse tells us to wait and ask the doctor the questions we have." In caring for a client, the nurse would describe learning about the client's family as: - ✔✔Essential A client needs a liver transplant but has been out of work for several months and does not have insurance or enough cash. A discussion about the ethics of this situation would predominantly involve which principle? - ✔✔Justice It may seem redundant that health care providers pledge to "do no harm" to clients. The purpose of this oath is to reassure the public that the health care team will work to heal clients with as little pain and harm as possible. Which principle underlies this pledge? - ✔✔Nonmaleficence A child's immunization may cause discomfort during administration, but the benefits of protection from disease outweigh the temporary discomforts. Which principle applies to this situation? - ✔✔Nonmaleficence

If a nurse assesses a client for pain and then offers a plan to manage the pain, which principle encourages the nurse to monitor the client's response to the pain management plan? - ✔✔Fidelity Nurses agree to be advocates for their clients. The practice of advocacy calls for the nurse to do which of the following? - ✔✔Assess the client's point of view and prepare to articulate this point of view. When many people share the same values, it may be possible to identify a philosophy of utilitarianism. Which of the following statements is a principle of utilitarianism? - ✔✔The value of something is determined by its usefulness to society. The ethics of care suggests that ethical dilemmas can best be solved by attention to which of the following? - ✔✔Relationships In most ethical dilemmas, the solution to the dilemma requires negotiation among members of the health care team. Why is the nurse's point of view valuable? - ✔✔Nurses develop a relationship with the client that is unique among all professional health care providers. Ethical dilemmas often involve a conflict of opinion. Once the nurse has determined that the dilemma is ethical, which of the following would be a critical first step in negotiating the difference of opinion? - ✔✔Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma. Which of the following sets forth ethical principles for professional nursing practice in a clinical setting? - ✔✔Code of Ethics of the American Nurses Association (ANA) Which of the following statements concerning ethical issues is correct? - ✔✔Beneficence is working to do good or acting in a positive manner for another. The guidelines of the Health Insurance Portability and Accountability Act (HIPAA) support which of the following? - ✔✔Privacy for all health care issues Which of the following is an example of a violation of the provisions of the Health Insurance Portability and Accountability Act (HIPAA)? - ✔✔Nurses discuss a client over dinner at the hospital cafeteria.

To distinguish an ethical problem from other types of problems encountered, the nurse should be aware that an ethical problem is one for which: - ✔✔The answer is not determined by logical deduction. After researching the scientific literature and confirming that an issue is an ethical dilemma, which of the following should a nurse do next? - ✔✔Perform a values clarification. Which of the following represents utilitarian allocation of scarce resources? - ✔✔Distribution of resources to achieve the greater good of the larger group When the nurse describes a client as "that nasty old man in 354," the nurse is exhibiting which of the following? - ✔✔Gender bias and ageism The distribution of nurses to areas of greatest need when there is a nursing shortage represents the application of which principle or theory? - ✔✔Justice When a nurse stops to help in an emergency at the scene of an accident, if the injured party files suit and the insurance of the nurse's employing institution does not cover the nurse, the nurse would probably be covered by: - ✔✔The Good Samaritan laws, which grant immunity from suit if there is no gross negligence Even though the nurse may obtain the client's signature on a form, obtaining informed consent is the responsibility of: - ✔✔The physician The legal definition of death that facilitates organ donation is cessation of: - ✔✔Functions of the entire brain The nurse notes that an advance directive is in the client's medical record. Which of the following statements represents the best description of guidelines a nurse would follow in this case? - ✔✔A living will is invoked only when the client has a terminal condition or is in a persistent vegetative state. A nurse notes that the health care unit keeps a listing of clients' names at the front desk in clear view so that health care providers can more efficiently locate clients. The nurse knows that this action is a violation of which act? - ✔✔Health Insurance Portability and Accountability Act

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 provides clients with basic rights pertaining to their medical records. Which of the following is a violation of HIPAA provisions? - ✔✔Posting daily nursing care information along with the medical condition of clients on a message board in the client's room The nurse should understand law primarily because the nurse: - ✔✔Can be an advocate for clients Nurses are bound by a variety of laws. Which of the following descriptions of types of law is correct? - ✔✔Statutory law is created by elected legislatures, such as the state legislature that defines the Nurse Practice Act (NPA). Which of the following regulates hospitals to ensure safety in the provision of services, establishes criteria that must be met for a hospital to receive funding from the government, and provides for penalties if guidelines are not followed? - ✔✔Americans With Disabilities Act (ADA) The nurse is complying with the provisions of which act when the nurse requests that the client give permission to copy the client's medical reports for the insurance company? - ✔✔Health Insurance Portability and Accountability Act (HIPAA) A client who is confused is left alone in bed with the side rails down and the bed in a high position, and the client falls and breaks a hip. In legal terms, what has occurred? - ✔✔Negligence The best way for nurses to avoid being liable for negligence might be to do all of the following except: - ✔✔Choose not to report someone whose professional behavior the nurse questions. When the nurse signs a form as a witness, the nurse's signature shows that the client: - ✔✔Has signed that form and the witness saw it being done Which of the following persons can legally give consent to a procedure? - ✔✔An appointed guardian Consent for medical treatment can be given by a minor with a - ✔✔std

Most litigation involving hospital care is related to situations in which: - ✔✔The nurse abandons the clients when going to lunch. A nurse works on a cardiac unit. The nurse is taking care of a client who recently underwent coronary bypass surgery. Which of the following represent legal sources of standards of care nurses use to deliver safe health care? (Select all that apply.) - ✔✔B) Regulations identified in the Joint Commission manual C) Policies and procedures of the employing hospital D) Nurse Practice Act of the state in which the nurse is working E) American Nurses Association standards of nursing practice A nurse is sued for failure to monitor a client appropriately. Which statements are correct about professional negligence lawsuits? (Select all that apply.) - ✔✔B) The person filing the lawsuit has the burden of proof. D) The plaintiff must prove that a breach in the prevailing standard of care caused an injury. The nurse must follow standards of care to avoid potential litigation such as negligence suits. Which of the following describe a potential nursing malpractice situation? (Select all that apply.) - ✔✔A) Failure to question a health care provider about the appropriateness of a client order B) Failure to make a nursing diagnosis C) Failure to properly use medical equipment ordered for client monitoring D) Failure to follow the "six rights" of medication administration E) Failure to provide discharge instructions