Piedmont Technical College - NUR 101 Unit 2 review Jackett ( Answered) A+ guide.

Unit 2 Review 1. Which of the following aspects of nursing would be most likely defined by legislation at a state level? a) The process that nurses must follow when handling and administrating medications b) The criteria that most clients need to qualify for Medicare or Medicaid c) The criteria that a nurse must consider when delegating tasks to an unlicensed care provider d) Difference in the scope of practice between RN’s and LPN’s 2. During a clinical placement on a subacute geriatric medical unit the student nurse fed a stroke patient some beef broth, even though the patient had restricted diet to thickened fluid; as a result, the client aspirated and developed pneumonia. Which of the following statements underlies the students’ potential liability in this situation? a) The same standards of care apply to an RN, apply to the student b) The student and the nursing instructor share liability c) The patients primary nurse is liable for failing to ensure that delegated care was appropriate d) The student’s potential liability is less likely negated by the insurance carried by the school of the nurse 3. The nurse is arrested for possession of an illegal drug, what kind of law is involved with this type of activity? a) Civil b) Private c) Public d) Criminal 4. A lawyer quotes a precedent for punishment of a crime committed by the defendant in the trial, what is court made law known as? a) Public b) Statutory c) Common d) Administrative 5. A client is suing a nurse for malpractice, what is the term for the person bringing the suit? a) Plaintiff b) Defendant c) Litigator d) Witness 6. A nurse is providing client care in a hospital, who has full legal responsibility and accountability for the nurse’s actions? a) The nurse b) The head nurse c) The physician d) The hospital 7. What type of law regulates the practice of nursing? a) Common law b) Public law c) Civil law d) Criminal law 8. What is the legal source of rules of conduct for nurses? a) Agency policies and protocols b) Constitution of the US c) American Nurses Association d) Nurse Practice Act 9. Which of the following clients is the most appropriate candidate for receiving outpatient care? a) The client whose complaints of irregular bowel movements have necessitated a colonoscopy b) A woman who has previously born 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) Client with a history with depression, who is currently expressing suicidal allegations 10. 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 centers b) A long-term care facility c) A university hospital d) A community hospital 11. Which of the following phrases best describes hospitals today? a) Focus on chronic illness b) Focus on acute care means c) Primary care centers d) Voluntary agencies 12. A man is scheduled for outpatient surgery at the hospital, he tells the nurse “I don’t know what the word outpatient, means”; how would the nurse best respond? a) It means you’ll have surgery in the hospital and stay for two days b) It means the surgeon will come to your home and do the surgery c) Why would you ask such a question, do not worry about it d) You will have surgery and go home the same day 13. Nurses who are employed in home care, have a variety of responsibilities. Which of the3 following is one of those responsibilities? a) Provide all care and services b) Maintain a clean home environment c) Advice clients in financial matters d) Collaborate with other health providers 14. Which of the following is true regarding long term care facilities? a) Provide care to only older adults b) Provide care for homeless adults c) Provide care to people at any age d) Provide care to people with dementia 15. A grade school teacher is teaching a series of classes of the dangers of smoking. Who would be the teacher of these non- smoking health classes in school? a) A community health nurse b) An outside consultant c) A teacher d) The school nurse 16. What Is one of the most significant trends in health care today? a) Increase length of hospital stays b) A shift from hospitals to community-based care c) Emphasis on disease management d) Narrowing of the areas of nursing practice 17. What role will the nurse play in transferring her client into a long-term care facility? a) Inform the client that transfer should be a stress -free situation b) Arrange for the clients’ belongings to remain at the hospital until discharge from the long-term care facility c) Assure that the clients original chart accompanies the client d) Provide a verbal report to the nurse at the long-term care facility on the client, the care they received, and their current condition. (SBAR) 18. The nurse recognizes the goals established for discharge are most likely to be accomplished when? a) The client assists on developing goals b) The physician develops the goals c) The nurse develops the goals d) The multidisciplinary team develops the goals 19. Which of the following phrases best describes continuity of care? a) Focusing on acute care in the hospital b) Serving the needs of children c) Facilitating transition between settings d) Providing single episode care services 20. Why would a home health care agency choose to be certified by Medicare? To receive reimbursement for Medicare services 21. A client is having problems with insurance reimbursement, the home health nurse discusses the clients need for the home health services with the insurance company. What role is the nurse demonstrating? a) Collaborator b) Advocate c) Counselor 22. A nurse has a patient with mild dementia in the hospital, you are preparing their discharge. What should the nurse discuss with the family? a) Lack of free resources of care b) Need for transfer to a long-term care facility c) Legal responsibility for the future d) Possible need for home care 23. The models for nursing care delivery have been many and varied throughout the history of nursing. Which of the following best describes the idea of the continuity of care? a) Money focused b) Client focused 24. The nursing student uses evidence-based practices to develop a plan of care. This is an example of which type of nursing skill? a) Technical skill b) Interpersonal skill c) Cognitive skill 25. The nurse has come on day shift and she is assessing the clients IV set up. The nurse notes that there is a mini bag of the clients antibiotic hanging as a piggy back. The nurse examines the patients MAR and concludes that the night nurse hung the antibiotic but failed to start it. As a result, the antibiotic is 3 hours late and the nurse has consequently filled out an incident report. In doing so, the nurse has exhibited which of the following? a) Ethical and legal skills b) Technical skills c) Interpersonal skills d) Cognitive skills 26. What nursing organization first legitimized the use of the nursing process? a) NLN b) ANA c) ICN d) State Board of Nursing 27. A client comes to the emergency room complaining of severe chest pain. The nurse asks the client questions and takes vitals. Which step in the nursing process is the nurse demonstrating? a) Assessment b) Diagnosis c) Planning d) Implementation 28. A nurse is examining a child that is two years old. Based on the findings, she initiated a care plan for a potential problem with normal growth and development. a) Assessment b) Diagnosis c) Implementation d) Planning 29. A home health nurse reviews the nursing care plan with the client and the family and then mutually discusses the expected outcomes of the nursing care. Which step of the nursing process is the nurse illustrating? a) Diagnosis b) Planning c) Implementation d) Evaluating 30. Based on an established plan of care, a nurse turns a client every two hours. What part of the nursing process is this nurse using? a) Assessment b) Diagnosis c) Evaluation d) Implementation 31. Legally speaking, how would the nurse ensure that care was not negligent? a) Tape recording complete information for each oncoming shift b) Verbally reporting assessments to the client’s physician c) Keeping private notes about the care given to each assigned client 32. Which of the following is one example of a client benefit of using the nursing process? a) Decreased incidences of medical errors b) Decrease reliance on the nursing staff c) Continuity of care d) Greater personal satisfaction 33. What is a systematic way to form and shape ones thinking? a) Interpersonal values b) Trial and error c) Intuitive thinking d) Critical thinking 34. Which of the following guidelines should a nurse instructor provide to nursing students who are now responsible for assessing their clients? a) Assessment data should be collected prior to the physician rounding on the unit b) Assess your client at least hourly is the vitals are unstable and every two if the vitals are stable c) Assess your client after receiving the nursing report and again before giving a report to the next shift d) Assessment data about the client should be collected continuously 35. The nurse Is using a systematic approach to the collection of assessment data. The nurse uses an assessment guide that uses a hierarchy of five life requirements universal to all persons. What model for organizing the assessment data is the nurse using? Maslow’s hierarchy of needs 36. What should be done when documenting subjective data? Use the patient’s words and put them in quotes 37. Someone goes to the doctor’s office with belly pain. She has had this problem before. What type of assessment should the nurse do? a) Initial assessment b) Focused assessment c) Emergency assessment d) Time-lapsed assessment 38. A patient is brought to the ER and they are unconscious. The client’s wife hands over previous medical files and points out that the client fell unconscious after trying to get out of bed. Which of the following is the primary source for information? a) The wife b) The medical documents 39. The nurse observes a patient as he walks into the room. What information does this provide for you as a nurse? a) Information on the rate of recovery from his surgery b) Information regarding the client’s psychosocial status c) Information on his personality d) Information on the client’s gait 40. The nurse is in the clinic and she is charting on the computer. The nurse recognizes which of the following as objective data? a) Auscultation of the lungs b) Complaint of nausea c) Sensation of burning in the epigastric area d) Belief that demons are in her stomach 41. Which of the following questions/ statements would be an appropriate end to the health history interview? a) Perhaps we can talk again sometime, goodbye b) I can’t think of anything else to ask you right now c) I wish you could have remembered more about your illness d) Can you think of anting else you’d like to tell me? 42. You’re planning to take care of somebody who has pneumonia. You collect data and develop a nursing diagnosis. Which of the following is an example of a properly developed nursing diagnosis? a) Ineffective therapeutic regiment management due to smoking b) Ineffective breathing pattern related to pneumonia c) Ineffective health maintenance as evidence by unhealthy habits d) Ineffective airway clearance as evidence by inability to clear secretions 43. The student identifies fatigue as a health problem in a nursing diagnosis for a client that is getting home health for metastatic cancer. What statement or question would be best to validate this client’s problem? a) I have assessed you and find that you are fatigued b) I analyzed and interpreted your information as fatigue c) Why are you so tired all of the time? d) I think fatigue is a problem for you, do you agree? 44. Of all the benefits of using the nursing diagnosis. Which one is the most important to nurses? a) Defining the domain of nursing practice b) Informing patients of their care c) Improving communications among nurses d) Structuring curricular content 45. A patient is undergoing a parathyroidectomy and they are worried that they might have to wear a scarf around their neck after surgery. What nursing diagnosis should the nurse document in the care plan? a) Risk for some impaired physical mobility b) Ineffective denial related to poor coping mechanisms c) Disturbed body imaged related to scar 46. The nurse is caring for a client in a long-term care facility and notices that the bed is wet when the client gets up in the morning. What type of problem is involved in this scenario? a) No problem b) Possible problem c) Actual problem d) Clinical problem 47. You’re formulating a nursing diagnosis for a patient with respiratory disease. Which of the following would be correct? a) Needs nasal oxygen to improve breathing b) Cough related to ineffective airway clearance c) Ineffective airway clearance related to thick mucus d) Refuses to cough and expectorate thick mucus 48. A nurse is reviewing the health history and physical assessment for a patient who is having breathing problems. Of the following data, which data from the health history would be a que to a nursing diagnosis for this problem? a) I often have diarrhea when I eat spicy food b) My skin is so dry I just can’t keep from scratching c) I get out of breath when I walk a few steps d) I just feel so bad about myself these days 49. A student is reviewing a patient’s chart before giving care. She notices the following diagnosis in the contents of the chart. Which of the diagnoses is a medical problem? a) Pain b) Appendicitis