NURS 420 Exam 1 ch 1-9 Questions with verified
answers
A 40-year-old Bosnian, Muslim woman who does not speak English
presents to a community health center in obvious pain. She requests a
female health care provider. Through physical gestures, the woman
indicates that the pain is originating in either the pelvic or genital
region. Which of the following interpreters would be the most
appropriate in this situation?
A. A Bosnian male who is certified as a medical interpreter
B. A female from the client's community
C. A female who does not know the client
D. The client's 20-year-old daughter Ans✓✓✓ C. A female who does not
know the client
Although having experience in medical interpretation is important, in
many cultures it is inappropriate to have a male interpreter for females.
A bill with the potential to decrease health care services is passed by
Congress. Which of the following actions should the nurse take to
influence the bills implications?
A. Exercise veto power by calling for petitions from health care agencies
B. Contact the regulatory agency and participate in public hearings
,C. Call members of congress to request that they rescind the legislation
that was passed
D. Discuss the change in services with the administrators at the hospital
Ans✓✓✓ B. Contact the regulatory agency and participate in public
hearings
Once a bill is passed & becomes law, it is too late to influence
congressional members to change their vote; however, it is not too late
to influence the outcome of the vote because the nurse can influence
how the law is regulated.
A busy school health nurse concerned over the rising incidence of
obesity wants to implement evidence-based practice (EBP) but faces
barriers because of time constraints. Which of the following actions
should the nurse take first?
A. Identify students who are obese so that they may be closely
monitored for weight control success or failure
B. Evaluate best practices to determine those that have the highest
success rates for weight control in children
C. Schedule physician appointments for obese children
D. Develop an obesity management program for children whose body
mass index exceeds normal Ans✓✓✓ B. Evaluate best practices to
determine those that have the highest success rates for weight control
in children
,The first step of the 7-step EBP process is step zero, which involves a
curiosity about the interventions that are being applied.
A city has announced its plans to build a city dump near a community of
poor and predominantly African American citizens. Which of the
following principles would the nurse be using when vocalizing
opposition for this plan?
A. Environmental justice
B. Environmental epidemiology
C. Tertiary prevention
D. Risk communication Ans✓✓✓ A. Environmental justice
Environmental justice is the goal of campaigns seeking to improve the
unequal burden of environmental risks borne by impoverished &
minority communities.
A client expresses concern that health care coverage based on
capitation may have negative side effects. Which of the following would
likely be a consequence of capitation?
A. Coercing clients to attend health promotion education classes
B. Encouraging clients to seek care elsewhere
C. Increasing the number of interventions to maximize payment
, D. Neglecting to order certain tests or treatment to minimize cost to
the provider Ans✓✓✓ D. Neglecting to order certain tests or treatment
to minimize cost to the provider
In capitated arrangements, physicians & other practitioners are paid a
set amount to provide care to a given client for a set period of time &
amount of money. Thus, neglecting to order certain tests or treatment
would be a way for the provider to maximize the amount of money
received to provide care to members of this group.
A client is crying softly & saying, "What did I do to deserve this
punishment, Lord?" Which of the following responses by the nurse
would be the most appropriate?
A. "God doesn't punish people. You're sick just because of bad luck."
B. "I can call the hospital chaplain to help you talk about these
feelings."
C. "What can I do to be helpful to you right now?"
D. "Would you like to confess your sins & repent so this illness will go
away?" Ans✓✓✓ C. "What can I do to be helpful to you right now?"
Some clients may view their illness as punishment for misdeeds & may
have difficulty accepting care from nurses who do not share their
beliefs. Because the nurse may not be a member of the client's religious
faith group, an open-ended response showing caring is the most
appropriate statement.
answers
A 40-year-old Bosnian, Muslim woman who does not speak English
presents to a community health center in obvious pain. She requests a
female health care provider. Through physical gestures, the woman
indicates that the pain is originating in either the pelvic or genital
region. Which of the following interpreters would be the most
appropriate in this situation?
A. A Bosnian male who is certified as a medical interpreter
B. A female from the client's community
C. A female who does not know the client
D. The client's 20-year-old daughter Ans✓✓✓ C. A female who does not
know the client
Although having experience in medical interpretation is important, in
many cultures it is inappropriate to have a male interpreter for females.
A bill with the potential to decrease health care services is passed by
Congress. Which of the following actions should the nurse take to
influence the bills implications?
A. Exercise veto power by calling for petitions from health care agencies
B. Contact the regulatory agency and participate in public hearings
,C. Call members of congress to request that they rescind the legislation
that was passed
D. Discuss the change in services with the administrators at the hospital
Ans✓✓✓ B. Contact the regulatory agency and participate in public
hearings
Once a bill is passed & becomes law, it is too late to influence
congressional members to change their vote; however, it is not too late
to influence the outcome of the vote because the nurse can influence
how the law is regulated.
A busy school health nurse concerned over the rising incidence of
obesity wants to implement evidence-based practice (EBP) but faces
barriers because of time constraints. Which of the following actions
should the nurse take first?
A. Identify students who are obese so that they may be closely
monitored for weight control success or failure
B. Evaluate best practices to determine those that have the highest
success rates for weight control in children
C. Schedule physician appointments for obese children
D. Develop an obesity management program for children whose body
mass index exceeds normal Ans✓✓✓ B. Evaluate best practices to
determine those that have the highest success rates for weight control
in children
,The first step of the 7-step EBP process is step zero, which involves a
curiosity about the interventions that are being applied.
A city has announced its plans to build a city dump near a community of
poor and predominantly African American citizens. Which of the
following principles would the nurse be using when vocalizing
opposition for this plan?
A. Environmental justice
B. Environmental epidemiology
C. Tertiary prevention
D. Risk communication Ans✓✓✓ A. Environmental justice
Environmental justice is the goal of campaigns seeking to improve the
unequal burden of environmental risks borne by impoverished &
minority communities.
A client expresses concern that health care coverage based on
capitation may have negative side effects. Which of the following would
likely be a consequence of capitation?
A. Coercing clients to attend health promotion education classes
B. Encouraging clients to seek care elsewhere
C. Increasing the number of interventions to maximize payment
, D. Neglecting to order certain tests or treatment to minimize cost to
the provider Ans✓✓✓ D. Neglecting to order certain tests or treatment
to minimize cost to the provider
In capitated arrangements, physicians & other practitioners are paid a
set amount to provide care to a given client for a set period of time &
amount of money. Thus, neglecting to order certain tests or treatment
would be a way for the provider to maximize the amount of money
received to provide care to members of this group.
A client is crying softly & saying, "What did I do to deserve this
punishment, Lord?" Which of the following responses by the nurse
would be the most appropriate?
A. "God doesn't punish people. You're sick just because of bad luck."
B. "I can call the hospital chaplain to help you talk about these
feelings."
C. "What can I do to be helpful to you right now?"
D. "Would you like to confess your sins & repent so this illness will go
away?" Ans✓✓✓ C. "What can I do to be helpful to you right now?"
Some clients may view their illness as punishment for misdeeds & may
have difficulty accepting care from nurses who do not share their
beliefs. Because the nurse may not be a member of the client's religious
faith group, an open-ended response showing caring is the most
appropriate statement.
