42 Questions
A client is considering transferring in to an extended care facility. what services is the nurse going to educate the client about that will be provided in the setting?
ADL's, care for mental and disabled, Meals and services, Daycare, immediate care after a surgical procedure
the nurse recognizes that the goals established for a clients discharge are more likely to be accomplished when?
the client assists in developing the goals
The nurse is caring for a patient who previously had a stroke and is having difficulty swallowing. Who should the nurse contact?
speech therapist
What is the step in the nursing process that's most closely associated with cognitive skilled nurses?
assessing
although all of the following components are important, what two components of nursing care are identified by home health care nurses as most important when caring for clients in the home?
physical assessment and infection control
a nurse has recently enrolled in a nurse practitioner program. the nurse has been attracted to the program by the potential to provide primary care for clients after graduation. an opportunity that is most likely exist at which of the following settings?
a rural healthcare center
What is one responsibility for a nurse who works at a physician's office?
conduct health assessments
a client is having problems with insurance reimbursement. the home health nurse discusses the client's needs for home health services with the insurance company. what role is the nurse demonstrating at this time?
advocate for the patient
in which situation would the nurse be most justified in implementing a trial and error problem-solving?
a nurse was attempting to landmark an obese clinical apical pulse
a client is diagnosed with mild dementia while in the hospital. in preparing for discharge what should the nurse discuss with the family?
the possible need for home care
at what point during hospital care does planning begin for discharge?
upon admission
What population do hospice nurses provide care with?
dying persons and their loved ones
a client comes to the emergency department reporting severe chest pain. the nurse asks the client questions and takes vitals. what step of the nursing process is this?
assessing
the patient is an elderly male who had hip surgery three days ago. he states that his hip hurts but he does not like how the medicine makes him feel. he believes that he can tolerate the pain better than he can tolerate the medication. what would be the best response from the nurse?
explain the need for the pain medication but ask the patient if he would like the doctor called and change the medication
What is the name of nurses who assist clients to deal holistically with their healthcare needs at the end of their lives?
hospice care
what role will the nurse play in transferring a client to a long-term care facility?
provide verbal report to the nurse at the long-term care facility on the client, the hospital care and the clients condition
SBAR is used for transferring patients and SOAP is used for when you are documenting something on a client's chart.
True
when comparing therapeutic communication versus social communication, the professional nurse realizes that therapeutic communication is what?
is goal-directed and patient-centered
the patient is admitted to the ICU after being in a motor vehicle accident. he was intubated in the ER and needs to receive two units of packed red blood cells. he is conscious but is indicating that he is in pain by guarding his abdomen. To admit this patient the nurse will focus on what first?
examine patient and treat pain
a nurse has been hired to work as an occupational health nurse. in this position as a registered nurse. what will this nurse provide?
educate and implement safety programs in industrial settings
which phrase best describes the continuity of care?
facilitating transfer between settings
which of the following care insurance programs is most suitable for a 68 year old?
Medicare
a man is scheduled for a hospital outpatient surgery. he tells the nurse " I don't know what the word outpatient means" how would the nurse respond?
you will have surgery and go home the same day
a patient arrives at the emergency department complaining of severe abdominal pain and vomiting and is severely dehydrated. the physician orders IV fluids for the dehydration and IV antimedic for the patient. however the patient states she is fearful of needles and refuses to have an IV started. the patient continues to refuse, what should the nurse do at this time?
document the patient's refusal and notify the physician
a nurse is visiting a client in the home. As a home health care nurse, you may be expected to accomplish which of the following?
All of the above
This is all information obtained on the admission sheet..
Preferred name, address, and date of birth of patient Gender and marital status Name of admitting physician Name of nearest relative Occupation and employer Financial status for health care payment Religious preference Date and time of admission/admitting diagnosis Identification number
True
A nurse is admitting an older woman to a long-term care facility. What is something the nurse should ask?
What name do you want us to use?
Which of the following candidates is the most appropriate candidate for receiving outpatient care?
a client who complains of irregular bowel movements that has had a colonoscopy
the nurse is attempting to teach a patient and his family about care after discharge. the patient and the family demonstrate signs of anxiety during the teaching session. the nurse should consider doing what?
repeating information to the patient and the family at a later time
when we are giving report we use SBAR
True
When we are documenting something in a patients chart its SOAP notes
True
The US system of healthcare is based on the ability to pay for care, which leaves millions of people uninsured or underinsured with inadequate access to healthcare. Nurses are often presented with ethical dilemmas when caring for patients and families. which of the following is an example of an ethical dilemma?
to the uninsured person who cannot pay for healthcare receive the same care and services as someone who works and pays for insurance
the nurse maintains a journal on which she reflects on her clinical practice. which entry is an example of reflection for action?
next time I will assess the client before obtaining the medication.
The following describe reflective practices.
Reflection in action- Happens in the here and now of the activity and is also known as “thinking on your feet”
Reflection on action-Occurs after the fact and involves thinking through a situation that has occurred in the past
Reflection for action- Helps the person to think about how future actions might change as a result of the reflection
True
When the nurse is administering Lasix 20mg to a client with congestive heart failure. what part of the nursing process does this represent?
implementing
what is the most effective way to provide discharge teaching to a patient?
use a combination of verbal and written information
the nurse is identifying needs of the client and family during the initial home visit. what question would be inappropriate?
can we get rid of some of this clutter in your home?
the nurse has performed an assessment of a client scheduled for discharge. What situation would the nurse question regarding the discharge of this client to be cared for by the family?
the client and the family lack knowledge of the treatment regimen
hand hygiene is number one in infection control
True
based on an established care plan the nurse is turning a patient every 2 hours. what part of the nursing process is this
implementing
a nurse is preparing for a client to be discharged after surgery. the nurse is teaching the wife about dressing changes. how can the nurse be certain the wife knows the procedure?
have the wife demonstrate it
a series of classes on the dangers of smoking are being prepared for children between the ages of 8-10. which professional would be the one to most likely develop this?
school nurse
Test your knowledge on nursing care settings, discharge goals, patient care for stroke patients, nursing process, and home health care. Explore questions related to nurse practitioner program opportunities and primary care settings.
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