NUR166 Chapters 11,12,13,14  TEST 1
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Questions and Answers

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?

  • care in their home
  • ADL's, care for mental and disabled, Meals and services, Daycare, immediate care after a surgical procedure (correct)
  • non medical care for chronic illnesses.
  • all of the above
  • the nurse recognizes that the goals established for a clients discharge are more likely to be accomplished when?

  • the nurse develops the goals
  • the physician develops the goals
  • the multi-disciplinary team develops the goals
  • the client assists in developing the goals (correct)
  • The nurse is caring for a patient who previously had a stroke and is having difficulty swallowing. Who should the nurse contact?

  • speech therapist (correct)
  • social worker
  • respiratory therapist
  • physical therapist
  • What is the step in the nursing process that's most closely associated with cognitive skilled nurses?

    <p>assessing</p> Signup and view all the answers

    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?

    <p>physical assessment and infection control</p> Signup and view all the answers

    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?

    <p>a rural healthcare center</p> Signup and view all the answers

    What is one responsibility for a nurse who works at a physician's office?

    <p>conduct health assessments</p> Signup and view all the answers

    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?

    <p>advocate for the patient</p> Signup and view all the answers

    in which situation would the nurse be most justified in implementing a trial and error problem-solving?

    <p>a nurse was attempting to landmark an obese clinical apical pulse</p> Signup and view all the answers

    a client is diagnosed with mild dementia while in the hospital. in preparing for discharge what should the nurse discuss with the family?

    <p>the possible need for home care</p> Signup and view all the answers

    at what point during hospital care does planning begin for discharge?

    <p>upon admission</p> Signup and view all the answers

    What population do hospice nurses provide care with?

    <p>dying persons and their loved ones</p> Signup and view all the answers

    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?

    <p>assessing</p> Signup and view all the answers

    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?

    <p>explain the need for the pain medication but ask the patient if he would like the doctor called and change the medication</p> Signup and view all the answers

    What is the name of nurses who assist clients to deal holistically with their healthcare needs at the end of their lives?

    <p>hospice care</p> Signup and view all the answers

    what role will the nurse play in transferring a client to a long-term care facility?

    <p>provide verbal report to the nurse at the long-term care facility on the client, the hospital care and the clients condition</p> Signup and view all the answers

    SBAR is used for transferring patients and SOAP is used for when you are documenting something on a client's chart.

    <p>True</p> Signup and view all the answers

    when comparing therapeutic communication versus social communication, the professional nurse realizes that therapeutic communication is what?

    <p>is goal-directed and patient-centered</p> Signup and view all the answers

    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?

    <p>examine patient and treat pain</p> Signup and view all the answers

    a nurse has been hired to work as an occupational health nurse. in this position as a registered nurse. what will this nurse provide?

    <p>educate and implement safety programs in industrial settings</p> Signup and view all the answers

    which phrase best describes the continuity of care?

    <p>facilitating transfer between settings</p> Signup and view all the answers

    which of the following care insurance programs is most suitable for a 68 year old?

    <p>Medicare</p> Signup and view all the answers

    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?

    <p>you will have surgery and go home the same day</p> Signup and view all the answers

    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?

    <p>document the patient's refusal and notify the physician</p> Signup and view all the answers

    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?

    <p>All of the above</p> Signup and view all the answers

    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

    <p>True</p> Signup and view all the answers

    A nurse is admitting an older woman to a long-term care facility. What is something the nurse should ask?

    <p>What name do you want us to use?</p> Signup and view all the answers

    Which of the following candidates is the most appropriate candidate for receiving outpatient care?

    <p>a client who complains of irregular bowel movements that has had a colonoscopy</p> Signup and view all the answers

    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?

    <p>repeating information to the patient and the family at a later time</p> Signup and view all the answers

    when we are giving report we use SBAR

    <p>True</p> Signup and view all the answers

    When we are documenting something in a patients chart its SOAP notes

    <p>True</p> Signup and view all the answers

    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?

    <p>to the uninsured person who cannot pay for healthcare receive the same care and services as someone who works and pays for insurance</p> Signup and view all the answers

    the nurse maintains a journal on which she reflects on her clinical practice. which entry is an example of reflection for action?

    <p>next time I will assess the client before obtaining the medication.</p> Signup and view all the answers

    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

    <p>True</p> Signup and view all the answers

    When the nurse is administering Lasix 20mg to a client with congestive heart failure. what part of the nursing process does this represent?

    <p>implementing</p> Signup and view all the answers

    what is the most effective way to provide discharge teaching to a patient?

    <p>use a combination of verbal and written information</p> Signup and view all the answers

    the nurse is identifying needs of the client and family during the initial home visit. what question would be inappropriate?

    <p>can we get rid of some of this clutter in your home?</p> Signup and view all the answers

    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?

    <p>the client and the family lack knowledge of the treatment regimen</p> Signup and view all the answers

    hand hygiene is number one in infection control

    <p>True</p> Signup and view all the answers

    based on an established care plan the nurse is turning a patient every 2 hours. what part of the nursing process is this

    <p>implementing</p> Signup and view all the answers

    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?

    <p>have the wife demonstrate it</p> Signup and view all the answers

    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?

    <p>school nurse</p> Signup and view all the answers

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