Nursing Care of Adults Exam Materials - 961 Verified Questions

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Nursing Care of Adults

Exam Materials

Course Introduction

This course introduces students to the essential principles and practices of nursing care for adult patients across a variety of healthcare settings. Emphasizing a holistic approach, students learn to assess, plan, implement, and evaluate individualized care for adults experiencing common acute and chronic health conditions. The curriculum integrates evidence-based clinical decision-making, patient safety, effective communication, and interdisciplinary collaboration. Through classroom instruction, case studies, and practical clinical experiences, students develop foundational skills in health promotion, disease prevention, and patient advocacy, preparing them to deliver competent and compassionate care to diverse adult populations.

Recommended Textbook

Nursing A Concept Based Approach to Learning Volume II 2nd Edition by Pearson Education

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30 Chapters

961 Verified Questions

961 Flashcards

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Chapter 22: Addiction

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Q1) A pregnant client experiences abruptio placentae.The father of the baby asks the nurse why this has happened to them.Which risk factor in the client's history is the likely cause for this condition?

A) Maternal smoking

B) Genetic history

C) Maternal cocaine use

D) The mother having low levels of folic acid

Answer: C

Q2) The employee health nurse is providing care to an employee who was injured on the job.The client has a history of drug addiction and is currently enrolled in a 12-step recovery program.In order to determine whether the employee was impaired at the time of the accident,which diagnostic tool will the nurse use?

A) Liver enzymes

B) Stool guaiac

C) Urine toxicology testing

D) Hair testing

Answer: C

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Page 3

Chapter 23: Cognition

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Sample Questions

Q1) The nurse identifies the diagnosis of Risk for Injury for a client who is disoriented.Which statement should the nurse identify as an expected outcome for this client's care?

A) The client does not sustain injuries during wanderings.

B) The client maintains continence on four out of five voidings.

C) The client receives culturally appropriate care.

D) The client sleeps through the night and stays awake most of the day.

Answer: A

Q2) An older adult client comes into the clinic for a pneumonia vaccine.During the client interview,the client seems to have mild difficulty with several words and has problems remembering the nurse's name.The client is alert and oriented to time,person,and place and most responses seem appropriate.How should the nurse describe this client's cognitive changes?

A) Memory impairment that may be related to cerebral ischemia

B) Normal signs of aging

C) Indicators of depression in the elderly

D) Early symptoms of dementia

Answer: B

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Chapter 24: Culture and Diversity

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Sample Questions

Q1) A nurse is interviewing a client at a clinic near a shelter for the homeless.Understanding the lack of resources this client has available,which should the nurse assess during the intake phase of the health history? Select all that apply.

A) Social support available

B) Access to medication

C) Access to nutritious meals

D) Number of times married

E) Any personal resources

Answer: A,B,C,E

Q2) The nurse notices that a client,who is from another country,appears uncomfortable when the nurse asks to look at the client's abdominal incision from a recent surgery.Which nursing action is the most culturally competent?

A) Close the client's curtain to maintain privacy.

B) Ask the client to explain why she is uncomfortable.

C) Explain the reason for the intervention using lay terms.

D) Wait until the next assessment time to observe the incision.

Answer: C

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Chapter 25: Development

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Q1) A child with cerebral palsy (CP)is scheduled for casting of the lower extremities.When instruction the parents for the purpose of the casts,which will the nurse include in the teaching session? Select all that apply.

A) Promote skeletal alignment

B) Maintain stability

C) Improve muscle tone

D) Improve muscle function

E) Control involuntary movements

Q2) The nurse is caring for a family with four children whose third child has been diagnosed with attention-deficit/hyperactivity disorder (ADHD).After completing an assessment,which statement made by the mother leads the nurse to a diagnosis of compromised family coping?

A) "I don't know how to tell the rest of the family or how we will manage the other children."

B) "We need to alert the teachers at school so they will know how to give the medication."

C) "Will he have to be put in an institution?"

D) "I'm not sure if we should let my child act in the school play."

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Chapter 26: Family

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Q1) A client with a bipolar disorder arrives at the emergency department disheveled,arguing with family members.The nurse recognizes that the family is suffering from an objective family burden.To which is this burden related?

A) The client's symptomatic behaviors

B) Family conflict

C) Anger

D) Caregiving problems

Q2) The nurse is creating a plan of care for the family of a client with a terminal illness.Which aspects of this family's care should the nurse emphasize when creating this plan? Select all that apply.

A) Instructing on medication administration

B) Guiding to determine realistic goals

C) Identifying strategies to enhance family functioning

D) Suggesting that cultural practices be minimized at this time

E) Focusing on the client's health needs as a priority

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Chapter 27: Grief and Loss

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Sample Questions

Q1) A client of Native American descent comes to the hospital in early labor at 23 weeks' gestation.The client's parents,sisters,and brothers are with her as well as her husband.The client's family insists on remaining with her during labor.Hospital policy,however,limits visitors to two.Which action is most appropriate for the nurse to take in this situation?

A) Ask the parents of the baby what their needs are regarding the family request.

B) Call security to escort the family out of the hospital.

C) Speak with the nurse manager about supporting the family's wishes.

D) Show the family to the waiting room.

Q2) The nurse is caring for an adolescent client who has just learned she is pregnant.In order to decrease the risk of perinatal loss with this client,the nurse wants to assess the client for specific risk factors.Which assessment questions are most appropriate to determine the client's risk for perinatal loss?

A) "What are your dietary habits?"

B) "When was your last menstrual period?"

C) "Is this your first pregnancy?"

D) "Do you use any substances such as drugs, alcohol, or tobacco products?"

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Page 8

Chapter 28: Mood and Affect

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Sample Questions

Q1) A nurse is performing research on the etiology,pathophysiology,and treatment of adjustment disorder with depressed mood.Which findings does the nurse anticipate regarding the effects of exercise on depression?

A) Many studies specifically investigate the role of exercise in adjustment disorder with depressed mood or situational depression.

B) Evidence indicates that exercise is effective in reducing symptoms of depression; however, exercise must be aerobic and for 60 minutes or more per day.

C) Resistance exercise is less effective in reducing symptoms of depression than aerobic exercise alone.

D) Evidence suggests that physical exercise is as effective as cognitive-behavioral therapy (CBT) or medication in reducing depression.

Q2) A nurse working in labor and delivery is assessing a client's risk for developing postpartum depression.Which is a risk factor for this disorder?

A) Multiparity (multiple pregnancies)

B) Overwhelming family support

C) History of bipolar disorder

D) History of anxiety disorder

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Chapter 29: Self

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Sample Questions

Q1) A student nurse is asked to recall questions included in the SCOFF questionnaire.Which questions identified by the student are appropriate? Select all that apply.

A) Do you believe yourself to be fat when others say you are too thin?

B) Would you say that food dominates your life?

C) Do you worry you have lost control over how much you eat?

D) Do you make yourself sick because you feel uncomfortably full?

E) Have you recently lost more than 1 pound in a 3-month period?

Q2) A client admitted with a personality disorder is observed pulling another client's hair and pushing clients out of their chairs.Which is the priority nursing intervention for this client?

A) Removing the client from the room and addressing the behavior privately

B) Establishing a therapeutic nurse-client relationship

C) Placing the client in a jacket restraint

D) Asking the client what purpose is served by disrupting others

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Chapter 30: Spirituality

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Sample Questions

Q1) A client requests that surgery be delayed for several days until after a period of Holy Days has concluded.Which action by the nurse supports this client's request?

A) Remind the client that one's health is more important than following Holy Days.

B) Provide the client with alternative forms of treatment to replace having surgery.

C) Suggest the client think about whether having the surgery is the right decision, as the client is willing to delay it now.

D) Communicate the client's request to the surgeon.

Q2) A nurse is caring for a client who was recently diagnosed with pancreatic cancer.Which statement made by the client would indicate to the nurse that the client is in spiritual distress?

A) "I am not sure why this is happening but I believe God has a plan for me."

B) "I wish I did not have cancer but I believe that it is happening for a reason."

C) "I wonder if my children will visit today. They won't even go to church with me anymore and they are having a difficult time dealing with my diagnosis."

D) "People tell me things happen for a reason, but why is God doing this to me?"

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Chapter 31: Stress and Coping

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Sample Questions

Q1) The nurse is assessing a client who demonstrates physiologic manifestations of a stress response.Which physiologic manifestations result for the inhibition of the parasympathetic nervous system? Select all that apply.

A) Dry oral mucous membranes

B) Hypoactive bowel sounds

C) Increased heart rate

D) Increased respiratory rate

E) Increased depth of respirations

Q2) The nurse is caring for a client who was diagnosed with posttraumatic stress disorder 4 months ago.Which should the nurse include in the client's plan of care?

A) Guidelines on conducting activities of daily living

B) Information on the treatments available

C) Referral to local employment agency

D) Information on the need for adequate exercise

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12

Chapter 32: Violence

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Sample Questions

Q1) A pediatric nurse is caring for an 18-month-old client.While making rounds the nurse enters the room and finds the infant's father violently shaking the infant.The father attempts to make it appear as though the infant was choking.Upon further assessment the nurse notes bruised areas on the infant's arms and legs.What is a priority action for the nurse to take?

A) Discuss what she witnessed with the infant's mother.

B) Discuss what she witnessed with the other nurses.

C) Report what she witnessed and assessed to child protective services.

D) Report what she witnessed and assessed to the local law enforcement agency.

Q2) What should the nurse do to assist a client brought to the emergency department as a victim of a gunshot wound?

A) Ask the client who shot him.

B) Bathe the client and provide a clean gown.

C) Ask the client where the weapon is.

D) Preserve the chain of evidence.

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13

Chapter 33: Reproduction

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Sample Questions

Q1) The nurse is providing care to a client whose last menstrual period was 6 weeks ago.The client believes she is pregnant.Which diagnostic test does the nurse anticipate in order to confirm the pregnancy?

A) Serum or urine human chorionic gonadotropin (hCG)

B) Fetal heartbeat by Doppler

C) Fetal heartbeat by fetoscope

D) Fetal movement

Q2) The nurse is providing care to a newborn during the first 24 hours of life.Which is an abnormal finding?

A) Respiratory rate of 58 breaths per minute

B) Heart rate of 140 beats per minute

C) Presence of meconium stool

D) Yellowing of the skin

Q3) When planning the care for a preterm infant with ineffective thermoregulation,the nurse should include which intervention?

A) Keep the baby's head uncovered.

B) Rinse hands with cold water before providing care to the infant.

C) Place incubator near a window or source of fresh air.

D) Allow skin-to-skin contact with the mother to maintain warmth.

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Page 14

Chapter 34: Assessment

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Sample Questions

Q1) The nurse is preparing to conduct a physical examination of a client's head and neck area.The client is in a wheelchair due to a C3-C4 spine injury.Which action by the nurse is appropriate when conducting the physical assessment of this area?

A) Supporting the client during the examination

B) Placing the client in an armless regular chair

C) Placing the client in a Sims position

D) Placing the client in a supine during the examination

Q2) The nurse is reviewing the medical record for a school-age client prior to a scheduled health maintenance visit.Which data indicates the client is overweight?

A) A BMI of > 85th percentile.

B) A BMI of > 95th percentile.

C) A 25 percentage point increase in weight in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.

D) A 35 percentage points in 6 months is categorized as being overweight, regardless of the baseline (e.g., 6 month's previous) percentile.

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15

Chapter 35: Caring Interventions

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Sample Questions

Q1) A hospital is preparing for the American Nurses' Credentialing Center's magnet hospital designation process.Nurse representatives on the Magnet Council consider several Professional Practice Models (PPMs)as their approach to nursing care.After selecting a PPM model,members of the Council plan a series of nursing grand rounds.These focus on nursing's code of ethics,ethical frameworks for handling moral judgments,the organization's value statement,and ethics case studies led by the hospital chaplain.What particular nursing theory,philosophical approach,or framework of caring have the nurses decided to adopt?

A) Watson's Theory of Human Care

B) Leininger's Theory of Culture Care Diversity and Universality

C) Carper's Ways of Knowing in Nursing

D) Boykin and Schoenhofer's Nursing as Caring Theory

Q2) The nurse decides to take a few days of personal time to invest in self-nurturing activities.Which activities indicate the nurse is taking steps to care for self? Select all that apply.

A) Sleeping 4 hours each night

B) Eating one meal a day

C) Being active in church

D) Participating in regular exercise

E) Participating in daily meditation

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Page 16

Chapter 36: Clinical Decision Making

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Sample Questions

Q1) A construction worker admitted to the unit with a chest injury and broken ribs from a fall from a ladder has nursing diagnoses of "Disturbed Sleep Pattern," "Ineffective Breathing Pattern," and "Risk for Infection." The client states,"I've never been sick a day in my life and am really worried about how I can support my family while I'm out of work."

When evaluating the client's plan of care during the shift the nurse adds the nursing diagnosis "Anxiety" to the plan of care.Which diagnosis would receive priority for nursing intervention?

A) Risk for Infection

B) Ineffective Breathing Pattern

C) Disturbed Sleep Pattern

D) Anxiety

Q2) A client recovering from knee surgery is being prepared to ambulate for the first time.Prior to getting the client up,what should the nurse do?

A) Ask the client about readiness to walk.

B) Call for a wheelchair to start the process.

C) Conduct a breathing assessment.

D) Evaluate the client's level of pain.

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Page 17

Chapter 37: Collaboration

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Sample Questions

Q1) The Chief Nursing Officer and Chief Medical Officer in an urban teaching hospital are leading a series of meetings with nurses,physicians,hospital lawyers,and risk managers to review and update hospital privileging procedures and requirements for advanced practice RNs and physicians new to the hospital.This is an example of which type of collaborative team?

A) Intradisciplinary

B) Interdisciplinary

C) Multidisciplinary

D) Complementary

Q2) A client who is recovering from coronary bypass surgery is placed on a critical pathway for extended care.Which client statement indicates appropriate understanding of the plan of care?

A) "I cannot alter the critical pathway plan."

B) "The chosen critical pathway can be altered to meet my needs."

C) "My insurance plan can deny payment if I do not meet goals."

D) "I must be able to meet goals that are set for me."

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Chapter 38: Communication

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Q1) A new nurse on a unit asks to speak to the nurse manager as several clients have complained because family members were able to hear the verbal report outside the room during nursing rounds.The nurse manager asks the nurse for suggestions that could enhance client privacy.Which suggestion by the new nurse is appropriate?

A) Nursing rounds should take place in each client's room.

B) The unit should be closed to family and visitors during rounds.

C) Nurses should tape-record their reports outside the room.

D) Clients should be allowed to choose whether a written or oral report is used.

Q2) The nurse is providing care to a client diagnosed with end-stage renal disease.When planning a care plan conference for this client,who does the nurse invite to participate?

A) Family members

B) The psychiatrist

C) The oncologist

D) The hospital CEO

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19

Chapter 39: Managing Care

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Q1) A client who is experiencing an exacerbation of rheumatoid arthritis (RA)will be discharged after a week's stay in the hospital.The client tells the nurse,"I can't believe how much better I am feeling now." Which is the rationale for why the client is feeling better?

A) The client appreciates the various levels of care given.

B) Appropriate scheduling of the client's care by all disciplines allowed the client to rest.

C) The client was kept busy each day.

D) The client's disease process having been stopped.

Q2) A nurse working in an outpatient OB-GYN clinic is asked to assume care coordination for the clinic's adolescent clients.Which skills will the nurse need to perform this work?

A) Critical thinking

B) Force field analysis

C) Relaxation training

D) Accounting

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Chapter 40: Professional Behaviors

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Q1) The staff nurse observes the student nurse's behavior on the unit,and notes the student is always on time,neat in appearance,and caring toward clients.Which conclusion regarding the student's level of professional commitment is most appropriate?

A) A pattern of behaviors congruent with the nurses' professional code of ethics

B) A strong belief in and acceptance of the company's goals, values, and mores

C) A willingness to be able to exert control over personal behaviors

D) A strong desire to be a part of a group

Q2) The medical-surgical nurse is habitually late and often leaves work for nurses on the other shift to complete.The nurse has been reprimanded for this behavior.Which action is required by the nurse in order to retain employment?

A) The nurse must take responsibility and accept any corrective action.

B) The nurse must continue the same behaviors.

C) The nurse must have a positive attitude.

D) The nurse must trade shifts in order to be on time.

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Chapter 41: Teaching and Learning

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Q1) The nurse educator is preparing to teach a group of nursing students how to navigate the internet for researching healthcare information.Which does the educator plan to include during lecture?

A) A directory of campus internet sites of interest

B) How to search for and evaluate health information

C) A directory of libraries

D) Information technology instruction

Q2) The nurse who is being mentored knows that which phase of the mentoring relationship deals with plan implementation and achieving professional development goals?

A) Cultivation during years 2-5

B) Initiation during months 6-12

C) Redefinition during years 6-12

D) Separation during months 5-24

Q3) The nurse is caring for a client who is prone to falls.Which nursing diagnosis would be most appropriate for this client?

A) Risk for Injury

B) Risk for Suffocation

C) Deficient Knowledge

D) Risk for Disuse Syndrome

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Chapter 42: Accountability

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Q1) An experienced nurse practitioner is always conscious of the need to maintain a high level of competence within professional nursing practice.Which activities support this nurse's goal? Select all that apply.

A) Reading professional journals

B) Collaborating with peers

C) Counseling clients

D) Attending professional workshops and seminars

E) Administering medications appropriately

Q2) An adult,who is returning to school for a second career,decides to become a nurse.Which program is recommended for this adult learner as entry-level education for professional nursing?

A) Associate degree

B) Baccalaureate degree

C) Master's degree

D) Nursing doctorate

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Chapter 43: Advocacy

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Q1) The nurse educator is presenting a lecture regarding advocacy in nursing.Which interventions will the nurse include as they exemplify client advocacy? Select all that apply.

A) Educating clients and their families about their legal rights

B) Ensuring that clients have the necessary information to make an informed decision or give informed consent

C) Speaking out for safe practice conditions when threatened by budget cutbacks

D) Supporting medical authority

E) Questioning other healthcare professionals when they provide care that is based on stereotypic ideas rather than on an assessment of the individual client's needs

Q2) The nurse is caring for a terminally ill pediatric client.The parents have decided to remove their child from life support.This decision was met with much opposition from other nurses on the unit.Which action by the nurse displays the role of client advocate?

A) Respecting the parents' decision

B) Telling the parents they are making the right decision

C) Asking to be assigned to a different client

D) Referring the parents to social services

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Page 24

Chapter 44: Ethics

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Q1) The nurse is caring for a client who has chosen to discontinue hemodialysis.The client's family,however,is not supportive of the decision.The nurse who uses the theory of principles-based reasoning would make which statement regarding the current situation?

A) "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die."

B) "I need to try to help the family understand the client's decision so they can work through this situation together."

C) "This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make."

D) "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death."

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25

Chapter 45: Evidence-Based Practice

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Q1) A nurse educator is working with a group of nurses who are working toward earning a graduate degree.The group is interested in replication studies.Which study would be the most appropriate given the changing demographics in the United States?

A) Studying the ability of families to adapt to acute health problems

B) Studying how effective use of supplies affects the cost of care

C) Studying the ability of an aging population to care for itself

D) Studying how new technology affects care of clients

Q2) The nurse is caring for a client who requires extensive wound care.The client has consented to participating in a nursing research study regarding the wound care.Which client statement indicates understanding of the goal related to the research?

A) "This research will not influence my care."

B) "Nursing care is based solely on research."

C) "I will be paid to participate in the research project."

D) "I will be helping to validate nursing care."

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Chapter 46: Health Care Systems

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Q1) The nurse educator is teaching a group of nursing students about the methods that are used by insurance companies to ration healthcare resources.Which method does the educator include in the teaching session regarding this topic?

A) Denying coverage for services not supported by research

B) Covering clients for preexisting conditions only

C) Providing self-care allowances for covered individuals

D) Increasing healthcare costs through organ donation

Q2) The nurse knows that communication among healthcare team members is essential during mass casualty events.Which is essential when communicating under these circumstances?

A) Providing concise, accurate, and timely information

B) Preparing for ethical challenges

C) Documenting to prevent legal issues

D) Coordinating care between management and clinicians

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Chapter 47: Health Policy

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Q1) A local health system implemented a number of health promotion policies and plans to prioritize health problems.The system must now evaluate the effectiveness of the interventions.Which groups are stakeholders in this initiative and would be involved in the evaluation process?

A) Only consumers who were directly affected by the services provided

B) Consumers, community leaders, and politicians

C) Only hospital and clinic personnel who administered healthcare needs

D) Healthcare providers employed by other health systems

Q2) A nurse educator is discussing the changes in the healthcare system with a group of nursing students.The students ask why the cost of health care has increased so much in recent years.Which is the best response by the nurse?

A) "There are not enough technological advances."

B) "There is an increased use of alternative medicine."

C) "There is a decrease in chronic disease."

D) "Many people are forced to seek routine health care in the emergency department."

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Chapter 48: Informatics

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Q1) The clinical information system committee at a major healthcare organization is designing a plan to ensure the protection of client information.Which approaches should this committee include in the implementation plan? Select all that apply.

A) Design policies to address password protection and log-in information.

B) Determine how to handle clients who desire to "friend" staff through social media.

C) Identify applications that interface with smartphones.

D) Create interfaces so that health data can be inputted by the client.

E) Identify a procedure if information is inputted in the incorrect client record.

Q2) A rural home health nurse is caring for a client recovering from a myocardial infarction.The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem.Which response by the nurse is most appropriate?

A) "It is not necessary for you to be monitored after a myocardial infarction."

B) "Through technological advances such as telehealth, we can send your information to the cardiologist."

C) "You are right. We will be sending you to the city every month."

D) "We use an intranet in this facility."

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29

Chapter 49: Legal Issues

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Q1) The nurse is concerned about being sued for negligence when providing care.Which nursing actions may be grounds for negligence? Select all that apply.

A) Client fell getting out of bed because the call light was not used.

B) Client name band was checked prior to providing all medications.

C) Client's morning medications were administered in the early afternoon.

D) Client states not understanding activity restrictions and wound eviscerated.

E) Client documentation did not include appearance of infiltrated IV site.

Q2) A nurse educator is planning a class for a group of nursing students regarding risk management.Which information should the educator include in this presentation? Select all that apply.

A) Risk management seeks to prevent harm.

B) Risk management empowers clients.

C) Risk management controls the cost of supplies.

D) Risk management examines past mistakes and identifies potential hazards.

E) Risk management assures that nurses are truthful.

To view all questions and flashcards with answers, click on the resource link above.

Chapter 50: Quality Improvement

Available Study Resources on Quizplus for this Chatper

12 Verified Questions

12 Flashcards

Source URL: https://quizplus.com/quiz/35055

Sample Questions

Q1) The nurse manager is considering increasing the number of RN staff because studies have shown that this decreases infection rates.Which purpose will decreasing infection rates serve?

A) An increased use of overtime

B) A decrease in client satisfaction

C) An increase in client care supplies

D) A decreased cost of care

Q2) The nurse manager at an acute care facility is educating the staff nurses on the definition of a sentinel event.Which examples of sentinel events would be appropriate for the nurse manager to present to the staff nurses? Select all that apply.

A) Delivery of radiation to the wrong body region

B) Invasive surgical procedure at the wrong site

C) Homicide of a staff member while at the facility

D) Homicide of a patient while at the facility

E) Administration of a compatible blood transfusion

To view all questions and flashcards with answers, click on the resource link above.

Chapter 51: Safety

Available Study Resources on Quizplus for this Chatper

22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/35056

Sample Questions

Q1) A home health nurse is teaching an older adult client who has returned home after discharge from the hospital about injury prevention.Which goal would be appropriate to include in this client's plan of care?

A) The client will take prescribed medication as desired.

B) The client will make uninformed choices when addressing health issues.

C) The client will demonstrate an understanding of all limitations.

D) The client will establish a buddy system.

Q2) The nursing instructor is educating a group of nursing students on sports-related injuries.Which comment made by a student nurse would indicate to the nursing instructor the need for further instruction?

A) "Clients who participate in sports, strenuous exercise, or athletics of any kind should be educated about the dangers of unreported head injuries."

B) "Adolescents are at the greatest risk for not reporting sports-related injuries."

C) "Young adults are at the greatest risk for not reporting sports-related injuries."

D) "Clients who have been injured playing a sport need to be counseled on the risks of unreported concussions."

To view all questions and flashcards with answers, click on the resource link above.

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