________ prevention - goal is to protect healthy people & keeping them that way
i.e. immunizations, regular screenings, nutrition education, regular exercise - ✔✔✔-primary
________ prevention - helping people manage complicated long-term health problems
i.e. stroke rehab programs, patient support groups after cancer, etc.
preventing further damage through chronic disease process - ✔✔✔-tertiary
________ prevention - intervention that happen after illness or serious risk factor diagnosis,
goal to stop/slow down of progress of disease (already sick)
i.e. telling people to take aspirin if had MI, recommending regular mammograms if woman had
breast cancer, diabetes foot exams - ✔✔✔-secondary
A client in managed care organization (MCO) requires hospitalization. Which of following must
first approve admission?
A: Emergency department physician
B: Utilization review committee
C: Provider
D: Managed care administrator - ✔✔✔-C. Provider
A client is about to undergo an elective surgical procedure. Which of following actions are
appropriate for nurse providing pre-op care regarding informed consent? (Select all that apply.)
A: Make sure the surgeon obtained the client's consent
B: Witness client's signature on consent form
C: Explain the risks/benefits of procedure
D: Describe consequences of choosing not to have surgery
E: Tell client about alternatives to having surgery - ✔✔✔-A. Make sure the surgeon obtained the
client's consent,
B. Witness client's signature on consent form
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A client who had CVA has persistent problems with dysphagia. Nurse caring for client should
initiate a referral with which member?
A: Social worker
B: CNA
C: Occupational therapist
D: Speech-language pathologist - ✔✔✔-D. Speech-language pathologist
A goal for client who has difficulty with self-feeding d/t RA is to use adaptive devices. The nurse
caring for the client should initiate a referral with which of following members of
interprofessional care team?
A: Social worker
B: CNA
C: Registered dietitian
D: Occupational therapist - ✔✔✔-D. Occupational Therapist
A home health nurse is discussing dangers of carbon monoxide poisoning with client. Which of
following info should nurse include in her counseling?
A: carbon monoxide has distinct odor
B: water heaters should be inspected every 5 years
C: lungs are damaged from carbon monoxide inhalation
D: carbon monoxide binds with Hgb in body - ✔✔✔-D: carbon monoxide binds with Hgb in
body
A hospital is conducting community BP screening. This is an example of which of following levels
of care?
A: Preventative
B: Primary
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C: Secondary
D: Tertiary - ✔✔✔-B. Primary
A mother tells nurse that her 2 yo has temper tantrums. Child says "no" every time mother tries
to help her get dressed. Nurse explains that developmentally the toddler is...
A: trying to gain her independence
B: developing sense of trust
C: manifesting anger management problem
D: attempting to finish a project she started - ✔✔✔-A: trying to gain her independence
A nurse is explaining differences among various agencies that address healthcare. Nurse should
note which of following are health care regulatory agencies? (Select all that apply.)
A: American Nurses Association (ANA)
B: Joint Commission
C: State boards of nursing
D: National League for Nursing (NLN)
E: Food and Drug Administration (FDA) - ✔✔✔-B, . Joint Commission; C. State Boards of
Nursing; E. Food and Drug Administration (FDA)
A nurse on med-surg unit has received change-of-shift report & will care for 4 clients. Which of
following client's needs may nurse assign to AP?
A: Feeding client who was admitted 24h ago with aspiration pneumonia
B: Reinforcing teaching w/ client who is learning to walk using quad cane
C: Reapplying a condom catheter for client who has urinary incontinence
D: Applying sterile dressing to pressure ulcer - ✔✔✔-C. Reapplying a condom catheter for client
who has urinary incontinence
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A nurse questions med prescription as too extreme in light of client's advanced age & unstable
status. Nurse understands this action is example of which ethical principles?
A: Fidelity
B: Autonomy
C: Justice
D: Nonmaleficence - ✔✔✔-D. Nonmaleficence
A post-op client is concerned about adverse effects of meds he is receiving for pain. Which of
following members of interprofessional care team may assist the client in understanding med's
effects? (Select all that apply.)
A: Provider
B: CNA
C: Pharmacist
D: RN
E: Respiratory therapist - ✔✔✔-A.Provider, C. Pharmacist, D. RN
Adult client who is competent tells the nurse that he is thinking about leaving the hospital
against medical advice. Nurse believes that this is not in client's best interest, so she administers
a PRN sedative med that the client has not requested along with his usual med. Which of
following types of tort has nurse committed?
A: Assault
B: False imprisonment
C: Negligence
D: Breach of confidentiality - ✔✔✔-B. False imprisonment
As part of admission process, nurse at long-term care facility is gathering nutrition history for
client with dementia. Which component is priority to determine from their family?
A: BMI