WGU D450 COMMUNITY HEALTH HESI
COMPREHENSIVE QUESTIONS AND ANSWERS SET
A+
✔✔Battery - ✔✔A criminal offense involving the unlawful physical acting upon a threat.
Example: Performing a procedure without consent is an example.
✔✔Assault - ✔✔The act of creating apprehension (verbally) of a physical attack.
Example: Threatening to give a client a medication.
✔✔False imprisonment - ✔✔The state of being imprisoned without legal authority.
Example: Telling a client that the client cannot leave the hospital.
✔✔Slander - ✔✔A verbal defamation, false communication, or careless disregard for
the truth that causes damage to someone's reputation.
✔✔Libel - ✔✔A written defamation, false communication, or careless disregard for the
truth that causes damage to someone's reputation.
✔✔Negligence - ✔✔Involves the actions of professionals that fall below the standard of
care for a specific professional group.
✔✔Triage priority 1 - ✔✔Clients with trauma, chest pain, severe respiratory distress or
cardiac arrest, limb amputation, and acute neurological deficits, or who have sustained
chemical splashes to the eyes, are classified as emergent and are the number 1 priority.
✔✔Triage priority 2 - ✔✔Clients with conditions such as a simple fracture, asthma
without respiratory distress, fever, hypertension, abdominal pain, or a renal stone have
urgent needs and are classified as a number 2 priority.
✔✔Triage priority 3 - ✔✔Clients with conditions such as a minor laceration, sprain, or
cold symptoms are classified as non-urgent and are a number 3 priority.
,✔✔Team nursing - ✔✔A registered nurse leads nursing personnel in providing care to a
group of clients.
✔✔Autocratic leader - ✔✔A leader that is focused, maintains strong control, makes
decisions, and addresses all problems. One that dominates the group and commands,
rather than seeks suggestions or input. Example: the manager addresses a problem
(quality improvement) with the staff, designs a plan without input, and wants all
problems reported directly back to her. Task oriented and directive.
✔✔Situational leader - ✔✔A leader who uses a combination of styles, depending on the
needs of the group and the tasks to be achieved (depends on the situation and events).
This leader would work with the group to validate that the information that the leader
gained as a new employee was accurate and that a problem existed. Then, the leader
would take the time to get to know the group and determine which approach to change
(if needed) would work best according to the needs of the group and the nature and
substance of the change that was required.
✔✔Democratic leader - ✔✔A leader who is participative and would likely meet with each
staff person individually to determine the staff member's perception of the problem. This
leader would also speak with the staff about any issues and ask the staff for input with
developing a plan. This style empowers staff toward excellence because this style of
leadership allows nursed an opportunity to grow professionally.
✔✔Laissez-faire leader - ✔✔A leader who is passive and nondirective. This leader
would state what the problem was and inform the staff that the staff needed to come up
with a plan to "fix it." Allows staff to work without assistance, direction, or supervision.
✔✔Circulatory overload - ✔✔Signs and symptoms: tachycardia, bouding pulses,
pounding headache, dyspnea, crackles, wheezes, chills, and apprehension.
Interventions: Slow the IV infusion, sit the client up in bed (high Fowler's) to aid in
breathing, notify the HCP.
✔✔Transfusion reaction - ✔✔Interventions: stop the transfusion, infuse normal saline at
a keep-vein-open rate to maintain a patent IV access line and maintain the client's
intravascular volume.
✔✔Hand restraints - ✔✔When used, the skin integrity, neurovascular, and circulatory
status of the extremity should be checked every 30 minutes. Devices should be
removed every 2 hours to permit muscle exercise and to promote circulation.
✔✔Snake bite - ✔✔Priority interventions: the first priority is to move the victim to a safe
area away from the snake and encourage the victim to rest to decrease venom
circulation. Next, jewelry and constricting clothing are removed before swelling occurs.
Immobilizing the extremity and maintaining the extremity below heart level would be
, done next; these actions limit the spread of the venom. The victim is kept warm and
calm. Stimulants such as alcohol or caffeinated beverages are not given to the victim
because these products may speed the absorption of the venom. The victim should be
transported to an emergency facility as soon as is possible.
✔✔Voluntary admission client - ✔✔Voluntary clients have the right to demand and
obtain release. The nurse needs to be familiar with the state and facility policies and
procedures. The best nursing action is to contact the HCP, who has the authority to
discuss discharge with the client. Many states require that the client submit a written
release notice to the facility staff members, who reevaluate the client's condition for
possible conversion to involuntary status if necessary, according to criteria established
by law. While this is a possibility, it should not be used as a threat to the client.
✔✔Client secrets - ✔✔The nurse should never promise to keep a secret. Secrets are
never appropriate in a therapeutic relationship. The nurse needs to be honest and tell
the client that a promise cannot be made to keep the secret.
✔✔Involuntarily committed clients - ✔✔Clients who are admitted involuntarily do not
lose their right to informed consent. Clients must be considered legally competent until
they have been declared incompetent through a legal proceeding. The best
determination for the nurse to make is to obtain the informed consent from the client.
✔✔Good Samaritan Law - ✔✔A law that is passed by a state legislature to encourage
nurses and other HCPs to provide care to a person when an accident, emergency, or
injury occurs without fear of being sued for the care provided. Its protection lies in the
inability to sue the nurse or other HCP for negligence in the care provided at the scene
of the accident or during the emergency, even if further injury occurred because of the
HCP's care. Called immunity from suit, this protection usually applies only if all the
conditions of the law are met, such as that the HCP received no compensation for the
care provided and the care given was not willfully and wantonly negligent.
✔✔Room assignment for autistic child - ✔✔Autistic disorder is a complex childhood
disorder that involves abnormalities in behavior, social interactions, and communication.
Autistic children are unable to relate to persons or respond to social and emotional
cues. Characteristically these children engage in repetitive behaviors, including head
banging, twirling in circles, biting themselves, and flapping their hands or arms.
Abnormal communication patterns include verbal and nonverbal communication. A child
with autism needs decreased stimulation, with limited visual and auditory distractions. A
private room would be the best environment, allowing for control of visual and auditory
distractions.
✔✔Case management - ✔✔Case management represents an interdisciplinary health
care delivery system to promote appropriate use of hospital personnel and material
resources; its aim is to maximize hospital revenues while providing for optimal
outcomes of care. Case management manages client care by managing the client care
environment.
COMPREHENSIVE QUESTIONS AND ANSWERS SET
A+
✔✔Battery - ✔✔A criminal offense involving the unlawful physical acting upon a threat.
Example: Performing a procedure without consent is an example.
✔✔Assault - ✔✔The act of creating apprehension (verbally) of a physical attack.
Example: Threatening to give a client a medication.
✔✔False imprisonment - ✔✔The state of being imprisoned without legal authority.
Example: Telling a client that the client cannot leave the hospital.
✔✔Slander - ✔✔A verbal defamation, false communication, or careless disregard for
the truth that causes damage to someone's reputation.
✔✔Libel - ✔✔A written defamation, false communication, or careless disregard for the
truth that causes damage to someone's reputation.
✔✔Negligence - ✔✔Involves the actions of professionals that fall below the standard of
care for a specific professional group.
✔✔Triage priority 1 - ✔✔Clients with trauma, chest pain, severe respiratory distress or
cardiac arrest, limb amputation, and acute neurological deficits, or who have sustained
chemical splashes to the eyes, are classified as emergent and are the number 1 priority.
✔✔Triage priority 2 - ✔✔Clients with conditions such as a simple fracture, asthma
without respiratory distress, fever, hypertension, abdominal pain, or a renal stone have
urgent needs and are classified as a number 2 priority.
✔✔Triage priority 3 - ✔✔Clients with conditions such as a minor laceration, sprain, or
cold symptoms are classified as non-urgent and are a number 3 priority.
,✔✔Team nursing - ✔✔A registered nurse leads nursing personnel in providing care to a
group of clients.
✔✔Autocratic leader - ✔✔A leader that is focused, maintains strong control, makes
decisions, and addresses all problems. One that dominates the group and commands,
rather than seeks suggestions or input. Example: the manager addresses a problem
(quality improvement) with the staff, designs a plan without input, and wants all
problems reported directly back to her. Task oriented and directive.
✔✔Situational leader - ✔✔A leader who uses a combination of styles, depending on the
needs of the group and the tasks to be achieved (depends on the situation and events).
This leader would work with the group to validate that the information that the leader
gained as a new employee was accurate and that a problem existed. Then, the leader
would take the time to get to know the group and determine which approach to change
(if needed) would work best according to the needs of the group and the nature and
substance of the change that was required.
✔✔Democratic leader - ✔✔A leader who is participative and would likely meet with each
staff person individually to determine the staff member's perception of the problem. This
leader would also speak with the staff about any issues and ask the staff for input with
developing a plan. This style empowers staff toward excellence because this style of
leadership allows nursed an opportunity to grow professionally.
✔✔Laissez-faire leader - ✔✔A leader who is passive and nondirective. This leader
would state what the problem was and inform the staff that the staff needed to come up
with a plan to "fix it." Allows staff to work without assistance, direction, or supervision.
✔✔Circulatory overload - ✔✔Signs and symptoms: tachycardia, bouding pulses,
pounding headache, dyspnea, crackles, wheezes, chills, and apprehension.
Interventions: Slow the IV infusion, sit the client up in bed (high Fowler's) to aid in
breathing, notify the HCP.
✔✔Transfusion reaction - ✔✔Interventions: stop the transfusion, infuse normal saline at
a keep-vein-open rate to maintain a patent IV access line and maintain the client's
intravascular volume.
✔✔Hand restraints - ✔✔When used, the skin integrity, neurovascular, and circulatory
status of the extremity should be checked every 30 minutes. Devices should be
removed every 2 hours to permit muscle exercise and to promote circulation.
✔✔Snake bite - ✔✔Priority interventions: the first priority is to move the victim to a safe
area away from the snake and encourage the victim to rest to decrease venom
circulation. Next, jewelry and constricting clothing are removed before swelling occurs.
Immobilizing the extremity and maintaining the extremity below heart level would be
, done next; these actions limit the spread of the venom. The victim is kept warm and
calm. Stimulants such as alcohol or caffeinated beverages are not given to the victim
because these products may speed the absorption of the venom. The victim should be
transported to an emergency facility as soon as is possible.
✔✔Voluntary admission client - ✔✔Voluntary clients have the right to demand and
obtain release. The nurse needs to be familiar with the state and facility policies and
procedures. The best nursing action is to contact the HCP, who has the authority to
discuss discharge with the client. Many states require that the client submit a written
release notice to the facility staff members, who reevaluate the client's condition for
possible conversion to involuntary status if necessary, according to criteria established
by law. While this is a possibility, it should not be used as a threat to the client.
✔✔Client secrets - ✔✔The nurse should never promise to keep a secret. Secrets are
never appropriate in a therapeutic relationship. The nurse needs to be honest and tell
the client that a promise cannot be made to keep the secret.
✔✔Involuntarily committed clients - ✔✔Clients who are admitted involuntarily do not
lose their right to informed consent. Clients must be considered legally competent until
they have been declared incompetent through a legal proceeding. The best
determination for the nurse to make is to obtain the informed consent from the client.
✔✔Good Samaritan Law - ✔✔A law that is passed by a state legislature to encourage
nurses and other HCPs to provide care to a person when an accident, emergency, or
injury occurs without fear of being sued for the care provided. Its protection lies in the
inability to sue the nurse or other HCP for negligence in the care provided at the scene
of the accident or during the emergency, even if further injury occurred because of the
HCP's care. Called immunity from suit, this protection usually applies only if all the
conditions of the law are met, such as that the HCP received no compensation for the
care provided and the care given was not willfully and wantonly negligent.
✔✔Room assignment for autistic child - ✔✔Autistic disorder is a complex childhood
disorder that involves abnormalities in behavior, social interactions, and communication.
Autistic children are unable to relate to persons or respond to social and emotional
cues. Characteristically these children engage in repetitive behaviors, including head
banging, twirling in circles, biting themselves, and flapping their hands or arms.
Abnormal communication patterns include verbal and nonverbal communication. A child
with autism needs decreased stimulation, with limited visual and auditory distractions. A
private room would be the best environment, allowing for control of visual and auditory
distractions.
✔✔Case management - ✔✔Case management represents an interdisciplinary health
care delivery system to promote appropriate use of hospital personnel and material
resources; its aim is to maximize hospital revenues while providing for optimal
outcomes of care. Case management manages client care by managing the client care
environment.
