RNSG 1125 EXAM QUESTIONS AND ANSWERS A+
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In preparation for discharge, the nurse is reviewing information related to new
dietary guidelines with the client. This is an example of which step in discharge
planning?
Providing client education
In anticipation of discharge, a nurse is teaching the daughter of an older adult
client how to change the dressing on the client's venous ulcer. Which teaching
strategy is most likely to be effective?
Demonstrate and explain the procedure and then have the daughter perform it.
Which measure should a home health care nurse integrate into routine practice to
minimize the potential for lawsuits?
Perform thorough, accurate, and timely documentation.
When educating clients in the community on health promotion and prevention of
disease, it is important to stress:
health education can benefit individuals and groups.
A nurse is covering all aspects of admission procedures for a client who is
receiving home health services. The nurse explains what procedures will be
covered during the nurse's visits. Which aspect of the admission process does
this represent?
Clearly defining the purpose and expectations of the admission
A client is having an increasing amount of difficulty caring for oneself in the
home alone. The client states to the nurse, "I need more help. What am I going to
do?" Which action would be the most appropriate for the nurse to take?
Have the social worker visit the client to discuss care options.
Which role is the home health nurse exhibiting when demonstrating how to
suction the oropharynx of the client?
Educator
On admission to the hospital, each client is asked whether the client has a living
will or a durable power of attorney. If not, the admitting staff person provides a
sample form to the client if wanted. The purpose of this inquiry is to determine:
whether the client has a document describing wishes for care when the client is no
longer able to make decisions.
Public health nursing is the branch of nursing that:
provides health care for the community.
A new client arrived on the unit while the nurse was obtaining the end-of-shift
report from the night nurse. This client is admitted walking and is here for a
cardiac workup; the client is assigned to the nurse. The nursing assistant has
settled the client in the room and oriented the client to the surroundings, call
system, bathroom, bedside supplies, and where to place clothes. The priority
nursing action is to:
gather information and complete the admission database.
, The community-based nurse is assessing a new client and the home
environment. What is a responsibility of the community-based nurse at this initial
visit?
Encourage the client and family to contact appropriate community resources.
One significant change in the health care delivery system in recent years is
earlier hospital discharges. What is one result of earlier hospital discharges?
Clients with high home care needs are being discharged into the community.
One of the fastest growing venues of practice for the nurse is home health care.
What is the basis for the growth in this health care setting?
The discharge home of clients who are more critically ill
Which type of data is most important to a home health nurse who is performing a
comprehensive assessment for a new client recently discharged from the
hospital?
Subjective data about how the client manages medications at home
A successful discharge includes effective planning. Identifying and meeting client
needs beyond the acute care facility reduce readmissions. Which nursing role is
of great importance to this success?
Coordinator
The nurse is met in the staff lounge by the nurse who has been caring for the
client team on this shift. The off-going nurse says, "Sorry, but I have to get out of
here." The nurse then gives a quick overview of each client on the team and says,
"All the rest is in the chart if you need anything." Which essential part of the
handoff is missing?
The opportunity for the oncoming nurse to ask questions
The nurse is admitting a client for outpatient surgery. When the nurse asks what
the client has been told about self-care following discharge, the client says, "No
one has told me anything." Which nursing intervention is indicated?
Provide the teaching.
A client with severe congestive heart failure (CHF) has been referred to a long-
term care facility. The nurse is transferring care from the hospital setting to a
long-term care facility. Which action is a priority to ensure continuity of care for
this client?
Providing accurate and complete communication to the new facility.
The home care nurse asks the client and family about their socioeconomic status,
culture, and beliefs. Which is the best response by the nurse when the family
asks why those questions are being asked?
"I want to understand what your desires are."
A nurse is caring for a 17-year-old pregnant client who is unable to afford health
care. Which resources will the nurse access to obtain assistance for this client?
Make a referral to the social services department.
The home health care nurse is providing information to a client and family on
medication changes. What role is the nurse performing?
Client and family educator
A home health care nurse is explaining to an emergency room nurse how nursing
care in the home setting differs from that in the hospital setting. Which statement
by the home health care nurse would be most appropriate?
GRADED. Buy Quality Materials!
In preparation for discharge, the nurse is reviewing information related to new
dietary guidelines with the client. This is an example of which step in discharge
planning?
Providing client education
In anticipation of discharge, a nurse is teaching the daughter of an older adult
client how to change the dressing on the client's venous ulcer. Which teaching
strategy is most likely to be effective?
Demonstrate and explain the procedure and then have the daughter perform it.
Which measure should a home health care nurse integrate into routine practice to
minimize the potential for lawsuits?
Perform thorough, accurate, and timely documentation.
When educating clients in the community on health promotion and prevention of
disease, it is important to stress:
health education can benefit individuals and groups.
A nurse is covering all aspects of admission procedures for a client who is
receiving home health services. The nurse explains what procedures will be
covered during the nurse's visits. Which aspect of the admission process does
this represent?
Clearly defining the purpose and expectations of the admission
A client is having an increasing amount of difficulty caring for oneself in the
home alone. The client states to the nurse, "I need more help. What am I going to
do?" Which action would be the most appropriate for the nurse to take?
Have the social worker visit the client to discuss care options.
Which role is the home health nurse exhibiting when demonstrating how to
suction the oropharynx of the client?
Educator
On admission to the hospital, each client is asked whether the client has a living
will or a durable power of attorney. If not, the admitting staff person provides a
sample form to the client if wanted. The purpose of this inquiry is to determine:
whether the client has a document describing wishes for care when the client is no
longer able to make decisions.
Public health nursing is the branch of nursing that:
provides health care for the community.
A new client arrived on the unit while the nurse was obtaining the end-of-shift
report from the night nurse. This client is admitted walking and is here for a
cardiac workup; the client is assigned to the nurse. The nursing assistant has
settled the client in the room and oriented the client to the surroundings, call
system, bathroom, bedside supplies, and where to place clothes. The priority
nursing action is to:
gather information and complete the admission database.
, The community-based nurse is assessing a new client and the home
environment. What is a responsibility of the community-based nurse at this initial
visit?
Encourage the client and family to contact appropriate community resources.
One significant change in the health care delivery system in recent years is
earlier hospital discharges. What is one result of earlier hospital discharges?
Clients with high home care needs are being discharged into the community.
One of the fastest growing venues of practice for the nurse is home health care.
What is the basis for the growth in this health care setting?
The discharge home of clients who are more critically ill
Which type of data is most important to a home health nurse who is performing a
comprehensive assessment for a new client recently discharged from the
hospital?
Subjective data about how the client manages medications at home
A successful discharge includes effective planning. Identifying and meeting client
needs beyond the acute care facility reduce readmissions. Which nursing role is
of great importance to this success?
Coordinator
The nurse is met in the staff lounge by the nurse who has been caring for the
client team on this shift. The off-going nurse says, "Sorry, but I have to get out of
here." The nurse then gives a quick overview of each client on the team and says,
"All the rest is in the chart if you need anything." Which essential part of the
handoff is missing?
The opportunity for the oncoming nurse to ask questions
The nurse is admitting a client for outpatient surgery. When the nurse asks what
the client has been told about self-care following discharge, the client says, "No
one has told me anything." Which nursing intervention is indicated?
Provide the teaching.
A client with severe congestive heart failure (CHF) has been referred to a long-
term care facility. The nurse is transferring care from the hospital setting to a
long-term care facility. Which action is a priority to ensure continuity of care for
this client?
Providing accurate and complete communication to the new facility.
The home care nurse asks the client and family about their socioeconomic status,
culture, and beliefs. Which is the best response by the nurse when the family
asks why those questions are being asked?
"I want to understand what your desires are."
A nurse is caring for a 17-year-old pregnant client who is unable to afford health
care. Which resources will the nurse access to obtain assistance for this client?
Make a referral to the social services department.
The home health care nurse is providing information to a client and family on
medication changes. What role is the nurse performing?
Client and family educator
A home health care nurse is explaining to an emergency room nurse how nursing
care in the home setting differs from that in the hospital setting. Which statement
by the home health care nurse would be most appropriate?
