Nursing Concepts and Practices, Exams of Nursing

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A patient is experiencing social isolation. Using Maslow's hierarchy of needs, identify the level that would correspond to this need? - Correct Answers ✅belonging and affection The LPN is assisting with the development of a program to administer flu shots to a group of senior citizens. What type of prevention does this program reflect? - Correct Answers ✅Primary prevention Which of the following is a tool often used by case managers? - Correct Answers ✅Standards of care Which of the following would be considered an expanded nursing role?

• Correct Answers ✅Nurse practitioner (NP) According to Maslow's hierarchy of human needs, which of the following is the highest level of need(s)? - Correct Answers ✅Self- actualization A nurse in a primary care physician's office has a 73-year-old female client who is interested in learning things she can do to maintain movement and flexibility while coping with osteoporosis. In what situation would this client still be considered healthy even though she has been diagnosed with a chronic disease? - Correct Answers ✅Clients with a chronic illness can still achieve a high quality of life

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within the limits of the illness if they are physiologically stable and mentally healthy. What is the first step in becoming culturally competent? - Correct Answers ✅Exploring one's own cultural beliefs A nurse is a member of which entity within the larger healthcare environment? - Correct Answers ✅Healthcare team Which of the following would be the least important reason that nurses utilize research in nursing practice? - Correct Answers ✅Financial obligation A nurse with 20 years' experience attends a hospital-required training session and learns a new method for assessing nasogastric (NG) tube placement. During the training the nurse educator provides the nurse with a bibliography of peer-reviewed articles related to NG tube placement. The nurse recognizes the change in procedure developed from which of the following methods? - Correct Answers ✅Evidence- based practice Using the concept of the wellness-illness continuum, what would the nurse include in the development of a nursing care plan for a chronically ill patient? - Correct Answers ✅Encourage positive health characteristics within the limits of the specific illness.

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Which of the following statements best defines the term culture? - Correct Answers ✅The learned patterns of behavior, beliefs, and values that can be attributed to a particular group of people A nurse is reviewing the clinical pathway for a patient. Which of the following would the nurse most likely find? Select all that apply. - Correct Answers ✅• Diagnostic tests

• Medications
• Outcomes
• Patient teaching
• Assessments A client comes to the clinic with the complaint that he has been ill for several weeks but do not have insurance and have delayed care. What does the LPN understand about the overall healthcare reform goals that will address issues such as this client? - Correct Answers ✅The goal of healthcare reform is to provide affordable healthcare to more citizens. When providing care to clients, which of the following would be most important for the nurse to keep in mind? - Correct Answers ✅Clients must be viewed as individual persons, members of a family, and part of a community.

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When applying Maslow's hierarchy of needs to patient care, the nurse determines that the patient has reached the ultimate goal indicating integrated human functioning and health when which level is met? - Correct Answers ✅Self-actualization Which of the following delineates actions that are legally permitted for a particular profession based on specific educational qualifications - Correct Answers ✅Scope of practice Which of the following is an important role for a nurse in the health care delivery system? - Correct Answers ✅Participation in disease prevention and health promotion activities A nurse is using an evidence-based practice tool to plan care for a patient with acute abdominal pain who is admitted to the health care facility. Which tool would the nurse most likely expect to use? - Correct Answers ✅Algorithm A nurse is preparing a presentation for a local community group about health, wellness, and illness. When describing the concept of wellness, which of the following features would the nurse include? Select all that apply. - Correct Answers ✅• Performing to one's best ability

• Feeling that everything is together

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• Being able to adjust and adapt
• Experiencing a feeling of well-being Sarah is a client who works as a waitress and has no health insurance. She asks if there is any chance that healthcare reform will help her. What do you tell her about the goal of the Patient Protection and Affordable Care Act? - Correct Answers ✅The goal of the Patient Protection and Affordable Care Act is to provide affordable healthcare to U.S. citizens who previously had no access to health insurance. The LPN is making a referral to physical therapy for a client who has had a hip replacement and is going to be discharged in 2 days. The nurse understands that having physical therapy included in the care of the client includes them in what discipline? - Correct Answers ✅Part of the healthcare team According to the Centers for Disease Control (CDC, 2006), this chronic illness has tripled in occurrence since 1980: - Correct Answers ✅Diabetes Which of the following is true regarding population demographics? - Correct Answers ✅Increase in the culturally diverse population

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Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins, 2014, Chapter 4: Adult Health and Nutritional Assessment, p. The LPN is providing a program at the local YMCA about stress- reduction techniques combined with a 1-mile walk around the indoor track once a week. What does this type of program address for the community? - Correct Answers ✅Health promotion When a nurse delegates a task to another person, who is ultimately responsible for the action and its outcome? - Correct Answers ✅The nurse The American Nurses Association's Code of Ethics provides practice guidelines, based on universal moral principles, for all nurses. Select the statement that reflects the nurse's primary commitment within this framework. The nurse is: - Correct Answers ✅Committed to the patient, whether an individual, family, group or community, to promote health, safety and individual rights. A nurse is talking with a client who experiences painful menstrual cycles with heavy bleeding. What is the most appropriate referral for this client? - Correct Answers ✅Refer the client to their primary gynecologist for a pelvic exam.

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A Jewish patient, who adheres to the dietary laws of his faith, is in traction and confined to bed. He needs assistance with his evening meal of chicken, rice, beans, a roll, and a carton of milk. Choose the nursing approach that is most representative of promoting wellness. The nurse: - Correct Answers ✅Prepares the environment and the over-bed table and inspects the contents of the dinner tray. The nurse asks the patient whether he would like to make any substitutions in the foods and fluids he has received. Your client, an 83-year-old female demonstrating early-stage dementia, has just had surgical repair to her fractured left hip. No family member is present at your discharge planning conference to discuss the next appropriate actions. Which members of the healthcare team will be instrumental in securing the client's placement in a rehabilitation center? - Correct Answers ✅All of the responses are correct The LPN informs the secretary that a client is expected to come in for lab work. The secretary inquires about why the nurse refers to the individual as a client. What is the best response by the nurse? - Correct Answers ✅"Using the term client implies that they are an active partner in nursing care." The primary task of nursing research includes which of the following? - Correct Answers ✅Contributing to the scientific base of nursing practice

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While interviewing a patient, the nurse notices that the patient is wearing a medallion around his neck. The patient tells the nurse, "It's a medal that everyone in my family wears to protect against cancer." The nurse interprets this statement as most likely reflecting which of the following? - Correct Answers ✅Culture Quality Assurance (QA) focuses on which of the following? - Correct Answers ✅Individual incidents or errors and minimal expectations The nurse is working at an institution that uses a collaborative practice model. Which of the following would most likely be reflected at this institution? - Correct Answers ✅Shared accountability for care The charge nurse is assigning client care for the upcoming shift. Which is the priority evaluation when performing this task? - Correct Answers ✅Determination of the level and intensity of client care needed according to physical and psychosocial factors. A nurse is giving a presentation about community-oriented nursing practice to a group of new graduates. Which of the following would the nurse include as a central focus of this practice? Select all that apply. - Correct Answers ✅• Wellness promotion

• Reduced illness transmission
• Levels of prevention

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The nurse is providing care for a patient in the hospital scheduled for discharge in the morning. The patient will require further services after discharge since recovery is not complete. What can the nurse do to ensure quality care delivery for this patient? - Correct Answers ✅Contact the case manager for coordination of care prior to discharge of the patient. Which of the following is a factor upon which the financial stability of health maintenance organizations (HMOs) is based? - Correct Answers ✅Keeping patients healthy and out of the hospital through periodic screening, health education, and preventive services A nurse is working in a rural nurse-managed agency that provides immunizations, health assessments, and screening services. The nurse is most likely working in which of the following? - Correct Answers ✅Community nursing center A nursing student is preparing for a class presentation addressing the collaborative practice model. Which of the following would the student expect to include? - Correct Answers ✅Participation in decision making that is shared by all involved According to the Nursing and Midwifery Board of Australia (NMBA), the Nursing Council of New Zealand (NCNZ) and the American Nurses

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Association (ANA) Code of Ethics, a nurse is responsible for promoting community health. Toward this end, registered nurses should focus on:

• Correct Answers ✅Placing emphasis on wellness and health promotion to prevent acute illness and decrease the rise in chronic diseases seen with increased longevity. According to the NMBA, NCNZand the ANA, the advanced practice registered nurse is distinguished from other registered nurses according to scope of practice. Select the activity that would distinguish the advanced practice nurse from other RNs. - Correct Answers ✅Prescribes medications According to Maslow, which category of needs represents the most basic on the hierarchy? - Correct Answers ✅Physiologic needs A nursing student is reviewing a class lecture on quality assurance (QA) and continuous quality improvement (CQI) programs. The student demonstrates understanding of the material when identifying which of the following as a component of QA? - Correct Answers ✅Individual incidents of patient care The nurse educator is planning a teaching session for nursing students related to treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate in the lesson plan. Which professional nurse

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competency is the nurse educator demonstrating? - Correct Answers ✅Interdisciplinary teamwork The National Center for Health Statistics maintains data from healthcare agencies and issues reports on a quarterly and annually basis on performance related to goals for improving the health of the U.S. population. Which initiative is targeted with improving the health of all Americans? - Correct Answers ✅Healthy People 2020 Although nurse practice acts may vary state by state, all recognize several basic principles supporting the legal parameters for all registered nurses. Select the activity that falls under the scope of nursing practice. - Correct Answers ✅Appraising and enhancing an individual's health-seeking perspective According to the ANA's Code of Ethics, a nurse is responsible for promoting community health. Toward this end, registered nurses should focus on: - Correct Answers ✅Placing emphasis on wellness and health promotion to prevent acute illness and decrease the rise in chronic diseases seen with increased longevity. What is the primary basis for growth in home care nursing? - Correct Answers ✅The discharge of patients who are more critically ill

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According to the American Nurses Association (1995), the advanced practice registered nurse is distinguished from other registered nurses according to scope of practice. Select the activity that would distinguish the advanced practice nurse from other RNs. - Correct Answers ✅Prescribes medications A nurse is preparing a presentation for a local community group addressing the influences on health care delivery. Which of the following would the nurse include in presentation when describing disease patterns? - Correct Answers ✅Obesity along with conditions associated with it has become a major health concern. Which of the following would be the least important reason that nurses utilize research in nursing practice? - Correct Answers ✅Financial obligation Students are reviewing information about community health nursing. The students demonstrate understanding of the term "community- oriented nursing practice" by describing it as which of the following? - Correct Answers ✅Nursing interventions that can promote wellness, reduce illness spread, and improve the health status of groups What is the primary focus of the nurse advocacy role in managing a clinical pathway? - Correct Answers ✅A patient's progress toward desired outcomes

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A nurse is describing her role as a home care nurse to students. A student asks, "Why do you need such high-level assessment and clinical decision-making skills in this practice?" Which response by the nurse would be most appropriate? - Correct Answers ✅"No other health care professionals are around to confirm my observations." According to Maslow's hierarchy of needs, which of the following is the lowest-level need? - Correct Answers ✅Physiological needs The Healthy People 2020 initiative targets the improvement of health for all. In addition to eliminating health disparities, what are the broad goals of this plan? - Correct Answers ✅Increasing the quality and length of a healthy life After teaching nursing students about the health-illness continuum, the instructor determines that teaching was successful when the students state which of the following? - Correct Answers ✅"A person can be both healthy and ill at the same time." The nursing student over hears a patient talking with the rehabilitation nurse stating, "I plan to recover to the best of my ability after having a stroke. I know I will always have some limitations; however, I will not let the limitations slow me down." Which description of health is the

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patient exemplifying in this situation? - Correct Answers ✅The concept of health wellness-illness continuum Which of the following would be included as a goal of case management? - Correct Answers ✅Appropriateness of services The statements below reflect interventions to address a person's needs. Arrange each need based on Maslow's hierarchy from most basic to highest level. - Correct Answers ✅Providing nasogastric tube feedings Explaining a new procedure Referring a patient to a cancer support group Encouraging a patient to start a hobby that he or she has always wanted to try