Issues in Nursing NCLEX EAQ's
What services do community health centers provide in preventive and primary care services? Select all
that apply.
1
Day care
2
Health screenings
3
Physical assessments
4
Disease management
5
Acute and chronic care management - 2, 3, 4
While obtaining the vital signs of a client, the nurse finds that the body temperature of the client is 98.6
°F. The nurse concludes that the client is experiencing what?
1
Hypothermia
2
Hyperpyrexia
3
Hyperthermia
4
Normothermia - 4 Normothermia
A nurse who promotes freedom of choice for clients in decision-making best supports which principle?
1
Justice
,2
Autonomy
3
Beneficence
4
Paternalism - 2 Autonomy
The principle of autonomy relates to the freedom of a person to form his or her own judgments and
actions. The nurse promotes autonomy nonjudgmentally so as not to infringe on the decisions or actions
of others.
- Justice means to be righteous, equitable, and to act or treat fairly.
- Beneficence relates to the state or act of doing good and being kind and charitable. It also includes
promotion of well-being and abstaining from injuring others.
- Paternalism encompasses the practice of governing people in a fatherly manner, especially by providing
for their needs without infringing on their rights or responsibilities.
A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped
drinking as much." What stage of health behavior change has the client reached?
1
Action stage
2
Preparation stage
3
Maintenance stage
4
Contemplation stage - 1 Action stage
The client in this situation has reached the action stage of health behavior change. In this stage, old
habits may get in the way of new behaviors.
,- In the preparation stage, the client understands that the advantages of the health behavior change
outweigh its disadvantages. In this situation, the client has already made changes in health behavior.
- In the maintenance stage, the client continues the health behavior change indefinitely.
- In the contemplation stage, the client may be ambivalent but is more ready to accept information
regarding health behavior change.
A nursing student is evaluating statements regarding the five levels of proficiency set forth by Benner.
Which statement indicates that a nurse is in the advanced beginner stage?
1
The nurse is learning about the profession through a specific set of rules and procedures.
2
The nurse is able to identify the basic principles of nursing care through careful observation.
3
The nurse is able to understand the organization and specific care required by certain clients.
4
The nurse is able to assess the entire situation and transfer knowledge gained from multiple previous
experiences. - 2 The nurse is able to identify the basic principles of nursing care through careful
observation
According to the levels of proficiency set forth by Benner, a nurse in the advanced beginner stage is able
to identify basic principles of nursing care through careful observation. A nurse in the novice stage learns
about the profession through a specific set of rules and procedures. After reaching the competent stage,
a nurse will be able to understand the organization and specific care required by certain clients. A nurse
who has reached the proficient stage is able to assess an entire situation and transfer knowledge gained
from multiple previous experiences.
A client dies in the hospital 2 hours after being admitted. Who has the authority to decide if a post-
mortem should be conducted?
1
Surviving spouse
2
Nursing manager
, 3
Medical examiner
4
Primary healthcare provider - 3 Medical examiner
If a client dies within 24 hours of being admitted to the hospital, the medical examiner has the right to
decide whether a post-mortem should be conducted. If the client's death does not need to be reviewed
by the medical examiner and the client has not requested an autopsy in writing, the surviving spouse
may request a post-mortem. The nursing manager and the primary healthcare provider are not
authorized to make decisions regarding a post-mortem.
What are the instances when an adult can give consent for medical treatment? Select all that apply.
1
Any guardian for the adult's ward
2
Any parent for the adult's emancipated minor
3
Any parent for the adult's unemancipated minor
4
Any adult for the treatment of his or her minor brother or sister (if an emergency and parents are not
present)
5
As a grandparent for a minor grandchild under normal circumstances - 1, 3, 4
Any guardian for the adult's ward
Any parent for the adult's unemancipated minor
Any adult for the treatment of his or her minor brother or sister (if an emergency and parents are not
present)
What services do community health centers provide in preventive and primary care services? Select all
that apply.
1
Day care
2
Health screenings
3
Physical assessments
4
Disease management
5
Acute and chronic care management - 2, 3, 4
While obtaining the vital signs of a client, the nurse finds that the body temperature of the client is 98.6
°F. The nurse concludes that the client is experiencing what?
1
Hypothermia
2
Hyperpyrexia
3
Hyperthermia
4
Normothermia - 4 Normothermia
A nurse who promotes freedom of choice for clients in decision-making best supports which principle?
1
Justice
,2
Autonomy
3
Beneficence
4
Paternalism - 2 Autonomy
The principle of autonomy relates to the freedom of a person to form his or her own judgments and
actions. The nurse promotes autonomy nonjudgmentally so as not to infringe on the decisions or actions
of others.
- Justice means to be righteous, equitable, and to act or treat fairly.
- Beneficence relates to the state or act of doing good and being kind and charitable. It also includes
promotion of well-being and abstaining from injuring others.
- Paternalism encompasses the practice of governing people in a fatherly manner, especially by providing
for their needs without infringing on their rights or responsibilities.
A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped
drinking as much." What stage of health behavior change has the client reached?
1
Action stage
2
Preparation stage
3
Maintenance stage
4
Contemplation stage - 1 Action stage
The client in this situation has reached the action stage of health behavior change. In this stage, old
habits may get in the way of new behaviors.
,- In the preparation stage, the client understands that the advantages of the health behavior change
outweigh its disadvantages. In this situation, the client has already made changes in health behavior.
- In the maintenance stage, the client continues the health behavior change indefinitely.
- In the contemplation stage, the client may be ambivalent but is more ready to accept information
regarding health behavior change.
A nursing student is evaluating statements regarding the five levels of proficiency set forth by Benner.
Which statement indicates that a nurse is in the advanced beginner stage?
1
The nurse is learning about the profession through a specific set of rules and procedures.
2
The nurse is able to identify the basic principles of nursing care through careful observation.
3
The nurse is able to understand the organization and specific care required by certain clients.
4
The nurse is able to assess the entire situation and transfer knowledge gained from multiple previous
experiences. - 2 The nurse is able to identify the basic principles of nursing care through careful
observation
According to the levels of proficiency set forth by Benner, a nurse in the advanced beginner stage is able
to identify basic principles of nursing care through careful observation. A nurse in the novice stage learns
about the profession through a specific set of rules and procedures. After reaching the competent stage,
a nurse will be able to understand the organization and specific care required by certain clients. A nurse
who has reached the proficient stage is able to assess an entire situation and transfer knowledge gained
from multiple previous experiences.
A client dies in the hospital 2 hours after being admitted. Who has the authority to decide if a post-
mortem should be conducted?
1
Surviving spouse
2
Nursing manager
, 3
Medical examiner
4
Primary healthcare provider - 3 Medical examiner
If a client dies within 24 hours of being admitted to the hospital, the medical examiner has the right to
decide whether a post-mortem should be conducted. If the client's death does not need to be reviewed
by the medical examiner and the client has not requested an autopsy in writing, the surviving spouse
may request a post-mortem. The nursing manager and the primary healthcare provider are not
authorized to make decisions regarding a post-mortem.
What are the instances when an adult can give consent for medical treatment? Select all that apply.
1
Any guardian for the adult's ward
2
Any parent for the adult's emancipated minor
3
Any parent for the adult's unemancipated minor
4
Any adult for the treatment of his or her minor brother or sister (if an emergency and parents are not
present)
5
As a grandparent for a minor grandchild under normal circumstances - 1, 3, 4
Any guardian for the adult's ward
Any parent for the adult's unemancipated minor
Any adult for the treatment of his or her minor brother or sister (if an emergency and parents are not
present)
