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Exam (elaborations)

Level 3 Issues in Nursing (Fundamentals of Nursing)

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Exam of 109 pages for the course NURSING at NURSING

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3/6/24, 10:28 PM Level 3 Issues in Nursing (Fundamentals of Nursing) | Quizlet

Name: Score:


76 Multiple choice questions

Term 1 of 156
According to Quality and Safety Education (QSEN), what is patient-centered care?

Multiple choice question

Understanding that the client is the source of control when providing care

Functioning effectively within nursing and interprofessional teams to deliver quality care

Using data to evaluate outcomes of care processes and designing methods to improve
health care

Minimizing the risk of harm to clients and health care workers through improved
professional performance

Term 2 of 156
A nurse is working in a hospital that receives most of its payment from Medicare and Medicaid
services. In the annual assessment of The Joint Commission, the hospital had not met all the
standards set forth in the Centers of Medicare and Medicaid Services. Which action does the
nurse expect to be taken?

Multiple choice question

The Centers of Medicare and Medicaid Services will stop paying the hospital.

The hospital will lose its accreditation given by The Joint Commission.


The Joint Commission would conduct an unannounced follow-up survey in the hospital.

The Centers of Medicare and Medicaid Services will conduct a follow-up survey in the
hospital.




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Term 3 of 156
A nursing student is listing the steps that need to be considered when preparing discharge
planning for a client. Which steps listed by the nursing student are accurate?


Multiple selection question


"Plan the client's discharge at the time of leaving the hospital."


"Teach the client the safe and effective use of medications and medical equipment."


"Remember that discharge planning is a centralized, coordinated, interdisciplinary process."


"Coordinate with the primary healthcare provider only when preparing discharge planning. "


"Develop a care plan that moves the client from the hospital to another level of healthcare."

"The United Network for Organ Sharing (UNOS) has a contract with the federal
government."

The United Network for Organ Sharing (UNOS) has a contract with the federal
government. The National Organ Transplant Act of 1984 protects the donor's estate from
liability for injury or damage. The United Network for Organ Sharing gives priority to
clients in their geographical area who need organs on an urgent basis. The National
Organ Transplant Act of 1984 provides civil and criminal immunity to the hospital and the
healthcare provider.

-Foster human dignity and maintain the best possible functioning, protection, and safety

-Show the caregiver techniques to dress, feed, and toilet the older adult


-Protect the client's rights and provide support to maintain the physical and mental
health of family members

When caring for a community-dwelling older adult with dementia, the nurse should
maintain the best possible functioning, protection, and safety in addition to fostering
human dignity. The nurse should demonstrate to the caregiver techniques to dress, feed,
and toilet the client, and protect the client's rights and provide support to maintain the
physical and mental health of the family members. When a community-dwelling older
adult has medication use and abuse issues, the nurse should obtain the client's drug
history. Educating an older adult with dementia about safe medication storage is not
appropriate because he or she may not understand the process. If a community-



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dwelling older adult has arthritis, the nurse should teach the adult to be cautious of false
advertisements that promise a cure for the disease.


-Whether the nurses work in coordination with each other

-Whether the nurses are providing adequate patient education



The "process" of health care system according to the Donabedian model of health care
quality includes the services offered by the health care system. It also includes the
interpersonal relationships between the health care professionals and the adequacy of
patient education. Therefore while assessing the process of the health care team, the
nurse administrator should find out whether the nurses are working in coordination with
one another. The administrator should also ensure that the nurses are able to impart
adequate health information to the patients. The nurse should assess the licenses of the
nurses while assessing the structure of the health care system. The administrator should
assess the adequacy of the health care facilities while assessing the structure of the
health care system. Patient satisfaction is assessed while assessing the outcomes of the
health care system.

- "Teach the client the safe and effective use of medications and medical equipment."

-"Remember that discharge planning is a centralized, coordinated, interdisciplinary
process."


-"Develop a care plan that moves the client from the hospital to another level of
healthcare."

The nurse should teach the client the safe and effective use of medications and medical
equipment before he or she leaves the health care facilities. The nurse should remember
that discharge planning is a centralized, coordinated, interdisciplinary process that
ensures that the client has a plan for continuing care after leaving a healthcare facility.
The nurse should develop a care plan that moves the client from the hospital to another
level of healthcare such as the client's home or a nursing home. The nurse should start
discharge planning the moment a client is admitted to a healthcare facility. The nurse
should coordinate with all members of the interdisciplinary healthcare team in order to
identify and anticipate the client's need when preparing discharge planning.




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Term 4 of 156
A registered nurse is educating a client about the three levels of prevention through different
scenarios. Which scenario mentioned by the nurse is an example of secondary prevention?

Multiple choice question

"A nurse educates a young couple regarding sex and sexually transmitted infections."

"A nurse collaborates with a dietician to help prepare a healthy nutritional plan for a
client."

"A nurse arranges for a client's rehabilitation to help in gaining maximum limb function
after amputation."

"A nurse takes charge of screening every client upon suspecting a chicken pox outbreak
in the healthcare facility."

Term 5 of 156
What should the nurse do initially when obtaining consent for surgery?

Multiple choice question

Describe the risks involved in the surgery.

Explain that obtaining the signature is routine for any surgery.

Witness the client's signature, which the nurse's signature will document.


Determine whether the client's knowledge level is sufficient to give consent.




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March 6, 2024
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