Lewis; Medical-Surgical Nursing, 10th Edition with all the chapters

1. The nurse uses the Situation-Background-Assessment-Recommendation (SBAR) format to communicate a change in patient status to a health care provider, In which order should the nurse make the following statements? (Put a comma and a space between each answer choice [A, B, C, D],) a. “The patient needs to be evaluated immediately and may need intubation and mechanical ventilation,” b. “The patient was admitted yesterday with heart failure and has been receiving furosemide (Lasix) for diuresis, but urine output has been low,” c. “The patient has crackles audible throughout the posterior chest, and the most recent oxygen saturation is 89%, Her condition is very unstable,” d. “This is the nurse on the surgical unit, After assessing the patient, I am very concerned about increased shortness of breath over the past hour,” ANS; D, B, C, A The order of the nurse’s statements follows the SBAR format, DIF; Cognitive Level; Apply (application) REF; 11 OBJ; Special Questions; Prioritization TOP; Nursing Process; Implementation MSC; NCLEX; Safe and Effective Care Environment Chapter 02; Health Disparities and Culturally Competent Care Lewis; Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. The nurse is obtaining a health history from a new patient, Which data will be the focus of patient teaching? a. Age and gender c, Hispanic/Latino ethnicity b. Saturated fat intake d, Family history of diabetes ANS; B Behaviors are strongly linked to many health care problems, The patient’s saturated fat intake is a behavior that the patient can change, The other information will be useful as the nurse develops an individualized plan for improving the patient’s health, but will not be the focus of patient teaching, DIF; Cognitive Level; Apply (application) REF; 18 TOP; Nursing Process; Planning MSC; NCLEX; Health Promotion and Maintenance 2. The nurse works in a clinic located in a community with many Hispanics, Which strategy, if implemented by the nurse, would decrease health care disparities for the Hispanic patients? a. Improve public transportation to the clinic, b. Update equipment and supplies at the clinic, c. Obtain low-cost medications for clinic patients, d. Teach clinic staff about Hispanic health beliefs, ANS; D Health care disparities are caused by stereotyping, biases, and prejudice of health care providers, The nurse can decrease these through staff education, The other strategies may also be addressed by the nurse but will not directly impact health disparities, DIF; Cognitive Level; Apply (application) REF; 19 TOP; Nursing Process; Planning MSC; NCLEX; Health Promotion and Maintenance 3. What information should the nurse collect when assessing the health status of a community? a. Air pollution levels c, Most common causes of death b. Number of health food stores d, Education level of the individuals ANS; C Health status measures of a community include birth and death rates, life expectancy, access to care, and morbidity and mortality rates related to disease and injury, Although air pollution, access to health food stores, and education level are factors that affect a community’s health status, they are not health measures, DIF; Cognitive Level; Understand (comprehension) REF; 18 TOP; Nursing Process; Assessment MSC; NCLEX; Health Promotion and Maintenance 4. The nurse is caring for a Native American patient who has traditional beliefs about health and illness, Which action by nurse is most appropriate? a. Avoid asking questions unless the patient initiates the conversation, b. Ask the patient whether it is important that cultural healers are contacted, c. Explain the usual hospital routines for meal times, care, and family visits, d. Obtain further information about the patient’s cultural beliefs from a family member, ANS; B Because the patient has traditional health care beliefs, it is appropriate for the nurse to ask whether the patient would like a visit by a shaman or other cultural healer, There is no cultural reason for the nurse to avoid asking the patient questions because these questions are necessary to obtain health information, The patient (rather than the family) should be consulted about personal cultural beliefs, The hospital routines for meals, care, and visits should be adapted to the patient’s preferences rather than expecting the patient to adapt to the hospital schedule, DIF; Cognitive Level; Apply (application) REF; 24 TOP; Nursing Process; Implementation MSC; NCLEX; Psychosocial Integrity 5. The nurse is caring for an Asian patient who is being admitted to the hospital, Which action would be most appropriate for the nurse to take when interviewing this patient? a. Avoid eye contact with the patient, b. .......................