NUR 205 FINAL EXAM FUNDAMENTALS OF NURSING WITH RATIONALES INCLUDED ACCURATE PREDICTION GUARANTEED PASS Which of the following clients is the most appropriate candidate for receiving outpatient care? A) A client whose comp laints of irregular bowel movements have necessitated a colonoscopy B) A woman who has previously borne two children and is entering the second stage of labor C) A man who is receiving treatment for sepsis after his blood cultures came back positive D) A c lient with a history of depression who is currently expressing suicidal ideation A Outpatient services are appropriate for clients who are medically stable but who require diagnostic testing, such as a colonoscopy. Clients in active labor and clients who are actively septic or suicidal require close monitoring and frequent interventions, which can only be safely provided on an inpatient basis. After many years of advanced practice nursing, a nurse has recently enrolled in a nurse practitioner program. This nurse has been attracted to the program by the potential to provide primary care for clients after graduation, an opportunity that is most likely to exist in which of the following settings? A) A rural health center B) A long -term care facility C) A univ ersity hospital D) A community hospital A Many rural health centers employ few health care providers, and primary care is often provided by a nurse practitioner (NP). A nurse practitioner may provide care in a long -term care facility or hospital, but in t hese settings, the NP is less likely to be the provider of primary care to clients. Which of the following phrases best describes hospitals today? A) Focus on chronic illnesses B) Focus on acute care needs C) Primary care centers D) Voluntary agencies B Hospitals have become acute care providers for people who are too ill to care for themselves at home, who are severely injured, who require surgery or complicated treatment, or who are having babies. Hospitals rarely focus on chronic illnesses, and they ar e not primary care centers. Hospitals are not classified as voluntary agencies. A man is scheduled for hospital outpatient surgery. He tells the nurse, "I don't know what that word,outpatient, means." How would the nurse respond? A) "It means you will hav e surgery in the hospital and stay for 2 days." B) "It means the surgeon will come to your home to do the surgery." C) "Why would you ask such a question? Don't worry about it." D) "You will have surgery and go home that same day." D In addition to providing acute care, hospitals have many services for outpatients (those who require health care but do not need to stay in the facility). Clients who have outpatient surgery have the procedure, return to their hospital room for recovery, a nd then are discharged home on the same day. A nurse in a walk -in health care setting provides technical services (e.g., administering medications), determines the priority of care needs, and provides client teaching on all aspects of care. Which of the fo llowing terms best describes this type of health care setting? A) Hospital B) Physician's office C) Ambulatory center D) Long -term care C Nurses in ambulatory care centers (walk -in clinics) provide technical services (e.g., administering medications), de termine the priority of care needs, and provide teaching about all aspects of care. Nurses employed in hospitals have many roles, including manager of other members of the health care team providing client care, administrator, nurse practitioner, clinical nurse specialist, patient educator, in -
service educator, and researcher. In physician's offices, advanced practice registered nurses (APRNs), nurse practitioners, midwives, or clinical nurse specialists work independently or collaboratively with physicians to make assessments and care for clients who require health maintenance or health promotion activities. Long -term care provides medical and nonmedical care for people with chronic illnesses or disabilities. Nurses who are employed in home care have a vari ety of responsibilities. Which of the following is one of those responsibilities? A) Provide all care and services B) Maintain a clean home environment C) Advise clients on financial matters D) Collaborate with other care providers D Nurses who provide c are in the home make assessments, provide physical care, administer medications, teach, and support family members. They also collaborate with other health care providers in providing care and services. Home care nurses do not provide all care and services , maintain a clean home environment, or advise clients on financial matters. Which of the following is true of long -term care facilities? A) They provide care only to older adults. B) They provide care for homeless adults. C) They provide care to people o f any age. D) They provide care only for people with dementia. C Long -term care facilities provide health care, and help with the activities of daily living, for people of any age who are physically or mentally unable to care for themselves independently. They do not provide care only to older adults or those with dementia, although they do care for those populations as well as others. They do not provide care to homeless persons. A grade school is preparing a series of classes on the dangers of smoking. W ho would be most likely to teach the classes? A) A community health nurse B) An outside consultant C) A teacher D) The school nurse D School nurses provide many different services, including maintaining immunization records, providing emergency care, adm inistering prescribed medications, conducting routine screenings, conducting health assessments, and teaching for health promotion (e.g., the dangers of smoking). Although any of the other choices may provide teaching, it is the nurse who primarily provide s health -
related teaching. An elderly woman has total care of her husband, who suffers from debilitative rheumatoid arthritis. The couple voices concern over the pain and stress associated with the condition. What type of care might the nurse suggest to he lp the couple? A) Primary care B) Respite care C) Bereavement care D) Palliative care
service educator, and researcher. In physician's offices, advanced practice registered nurses (APRNs), nurse practitioners, midwives, or clinical nurse specialists work independently or collaboratively with physicians to make assessments and care for clients who require health maintenance or health promotion activities. Long -term care provides medical and nonmedical care for people with chronic illnesses or disabilities. Nurses who are employed in home care have a vari ety of responsibilities. Which of the following is one of those responsibilities? A) Provide all care and services B) Maintain a clean home environment C) Advise clients on financial matters D) Collaborate with other care providers D Nurses who provide c are in the home make assessments, provide physical care, administer medications, teach, and support family members. They also collaborate with other health care providers in providing care and services. Home care nurses do not provide all care and services , maintain a clean home environment, or advise clients on financial matters. Which of the following is true of long -term care facilities? A) They provide care only to older adults. B) They provide care for homeless adults. C) They provide care to people o f any age. D) They provide care only for people with dementia. C Long -term care facilities provide health care, and help with the activities of daily living, for people of any age who are physically or mentally unable to care for themselves independently. They do not provide care only to older adults or those with dementia, although they do care for those populations as well as others. They do not provide care to homeless persons. A grade school is preparing a series of classes on the dangers of smoking. W ho would be most likely to teach the classes? A) A community health nurse B) An outside consultant C) A teacher D) The school nurse D School nurses provide many different services, including maintaining immunization records, providing emergency care, adm inistering prescribed medications, conducting routine screenings, conducting health assessments, and teaching for health promotion (e.g., the dangers of smoking). Although any of the other choices may provide teaching, it is the nurse who primarily provide s health -
related teaching. An elderly woman has total care of her husband, who suffers from debilitative rheumatoid arthritis. The couple voices concern over the pain and stress associated with the condition. What type of care might the nurse suggest to he lp the couple? A) Primary care B) Respite care C) Bereavement care D) Palliative care
