PN Fundamental Comprehensive - Already Graded A

Quiz 1 1. A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of: a) malpractice. b) harm to the patient. c) negligence. d) failure to follow the nurse practice act. The answer is A. Malpractice. The reason is because the nurse failed to do her legal duty as a nurse which holds her responsible or liable. Malpractice is failure to meet a legal duty which results in harm. This can be found on page 22 on Foundations and Adult Health Nursing 7th edition. 2. What role is the nurse who diligently works for the protection of patients’ interests playing? a) Caregiver b) Health care administrator c) Advocate d) Health care evaluator C. Advocate. An Advocate according to Foundations and Adult Health Nursing 7th edition page 24 is one who defends or pleads a cause on behalf of others. 3. This study source was downloaded by from CourseH on :00:25 GMT -05:00 Which of the following could cause a nurse to be cited for malpractice? a) Refusing to give 60 mg of morphine as ordered b) Giving prochlorperazine (Compazine) to a patient allergic to phenothiazines c) Dragging an injured motorist off the highway and causing further injury d) Informing a visitor about a patient’s condition B. The reason being that Malpractice deals with both actions taking and omitted based on nursing responsibilities (Foundations and Adult Health Nursing 7th ed, page 22). Giving Compazine which is a nausea medication to a patient allergic to phenothiazines (class of nausea medications) will trigger an allergic reaction 4. How can the medical record be used in litigation? (Select all that apply.) a) Public record b) Proof of adherence to standards c) Evidence of omission of care d) Documentation of time lapses e) Evidence by only the plaintiff Answer: A, B, C, D,. According to page 28 of Foundations and Adult Health Nursing 7th edition Medical records can be used in court by both sides, it is evidence of the standard of care that occurred or didn’t occur which covers the answers of A, B,C,D. all Court documents are considered public records. 5. A nurse is considering purchasing malpractice insurance. What should the nurse be aware of regarding malpractice insurance provided by the hospital? a) Only offers protection while on duty. b) Is limited in the amount of coverage. c) Is difficult to renew. This study source was downloaded by from CourseH on :00:25 GMT -05:00 d) Can be terminated at any time. Answer: A. According to the powerpoint titled “Fundachapter_02_0LO.ppt” page 22 on Malpractice Insurance says that Most institutions’ policies cover liability only if the nurse is on duty and acting within the proper capacity 6. While performing an assessment on a patient, the nurse records a pulse deficit. Which statement best describes a pulse deficit? a) There is a difference between the radial and popliteal pulse rates. b) There is a difference between the apical and the femoral pulse rates. c) There is a difference between the apical and radial pulse rates. d) There is a difference between the radial and carotid pulse rates. Answer C. according to Foundations and Adult Health Nursing 7th edition on page 266 pulse deficit is the difference between the radial and apical rate. 7. While doing an assessment on a patient, the nurse must assess blood flow to the foot and uses which pulse point to complete this assessment? a) Popliteal b) Brachial c) Radial d) Dorsalis pedis Answer. D. To assess the blood flow to the foot according to the illustration on page 266 of Foundations and Adult Health Nursing 7th edition the dorsalis pedis artery is found on the foot. 8. Which blood pressure readings would be considered hypertension? a) Above 140/90 This study source was downloaded by from CourseH on :00:25 GMT -05:00 b) 120/80 c) 130/50 d) Less than 120/80 Answer is A. According to page 273-274 of Foundations and Adult Health Nursing 7th edition, Hypertension is considered values above 140/90 mm Hg. 9. What is a set of learned values, beliefs, customs, and practices taught, shared by a group, and passed from one generation to another? a) Subculture b) Ethnicity c) Culture d) Religion C. Culture. According to page 94 of Foundations and Adult Health Nursing 7th edition culture is defined as a set of learned values, beliefs, customs, and practices taught, shared by a group, and passed from one generation 10. When assessing a patient from a different culture, what is the most important area to consider? a) Religious beliefs b) Language spoken c) Health practices d) Social organizations Answer. B. The reason being that on page 97 of Foundations and Adult Health Nursing 7th edition it talks about how the most apparent communication variation being language spoken. Also if the nurse and patient cannot understand what is being spoken then there is no way to have positive nurse-patient relationship This study source was downloaded by from CourseH on :00:25 GMT -05:00 because neither side can understand each other and that could lead to negative assumptions and mistrust. 11. The nurse is doing discharge teaching with an African American patient regarding nutrition intake. What food customs should the nurse consider when developing this educational plan? a) Raw fish is the main component of the diet. b) Many meats and vegetables are fried in lard. c) Red meat is the primary source of protein in the diet. d) Rice is eaten with all meals. Answer is B. According to page 113 of Foundations and Adult Health Nursing 7th edition Blacks tend to have dietary practices are soul foods that are high in fat and low in fiber calcium. Soul food tends to be grease in nature. 12. What are common characteristics seen among different cultures? (Select all that apply.) a) Culture is learned from birth through language and socialization. b) Culture is dynamic and everchanging, but it remains stable. c) Members of the same cultural group have different patterns of socialization than other cultural groups. d) Culture is an adaptation to specific conditions in a specific location. e) Child-rearing practices are approximately the same in all cultures. Answer is A B C D. According to Foundations and Adult Health Nursing 7th edition page 94 to 100 it talks about how culture is a learned behavior at birth with language and socialization. It also talks about how culture changes from generation to generation but overall remains stable. It mentions how people from the same cultural background can have different views and behavior (subculture) and how culture is adapted based on specific circumstances in a specific location. This study source was downloaded by from CourseH on :00:25 GMT -05:00 For example the culture of someone in New York city, New York will be vastly different from that of someone in Buffalo, New York. 13. A Hispanic American child is brought to the clinic by her mother to be examined by the nurse health care provider. Which nursing intervention is most important when gathering data about the child? a) Avoid using eye contact. b) Be sure to touch the child during the examination. c) Avoid any talking with the child. d) Only use body language. Answer is B. According to page 110-111 of Foundations and Adult Health Nursing 7th edition touch is used often to neutralize mal ojo (evil eyes) and closeness and physical contact are valued. 14. Older adults (65 and older) have an increased intestinal motility which can lead to gastrointestinal complications such as diarrhea. a) True b) False Answer is B. According to Foundations and Adult Health Nursing 7th edition on page 730 Gastrointestinal System changes in adults 65 and older are decreased esophageal motility and total capacity of stomach is reduced and a decrease in gastric enzyme secretion which causes less absorption of nutrients which results in slowing of peristalsis 15. Dementia is defined as acute, temporary with a physiologic source like infection, sleep deprivation, pain or change in surrounding whereas delirium is chronic progressive and possibly with an unknown cause. a) True This study source was downloaded by from Course