Nursing Issues (EAQ's) JG Orig Exam
Questions with Correct Solutions
Already Graded A+||100%
Guaranteed Pass!!!Brand New
Version
A nursing student is recalling information about the primary level of prevention.
Which statement accurately describes primary prevention? - ANSWER Primary
prevention is applied to clients who are physically and emotionally health
R: Primary prevention is true prevention. This prevention is applied to clients who
are considered to be physically and emotionally healthy. The tertiary level of
prevention is directed at providing rehabilitative care to clients. Secondary
prevention includes screening techniques and treatment of early stages of disease.
Secondary prevention is focused on individuals who are ill and are at risk for
further complications.
An elderly adult suffered an injury after falling down in the washroom. The
primary healthcare provider performed a surgical procedure on the client and
orders a blood transfusion. A family member of the client mentions that blood
transfusions are not permitted in their community. What should the nurse do in
order to handle the situation? - ANSWER The nurse should inform the primary
healthcare provider and not give blood to the client
R: The client or the client's family member has the right to refuse treatment and the
nurse should value their beliefs and traditions. Therefore, the nurse should inform
the primary healthcare provider and not perform the blood transfusion. The nurse
should not wait for a court's order or explain or convince the family member to
change his or her mind. The nurse should not proceed with the treatment because
this may cause severe legal implications.
A nurse is educating the caregivers of an elderly adult with advanced Parkinson's
disease about continuing care. What information should the nurse provide? Select
all that apply. - ANSWER "Adult day care centers are ideal for clients whose
caregivers have to be away from home during the day."
"Hospice care is a continuing care system that allows clients to live at home with
comfort, independence, and dignity."
"Nursing centers provide 24-hour custodial care in order to help residents achieve
and maintain their highest level of functioning."
R: Adult day care centers are ideal for providing continuing care to clients whose
caregivers have to be away from home during the day. Hospice care is a type of
continuing care that provides palliative care to clients within the comfort, dignity,
and independence of their homes. Clients also go to nursing centers to receive
continuing care. Nursing centers provide 24-hour custodial care. They help clients
achieve and maintain their highest level of functioning. The primary objectives of
providing restorative home care are health promotion and education. Clients
recovering from chronic or acute illnesses or disabilities require restorative care.
Continuing care is necessary for clients who are suffering from a terminal disease,
who are disabled, or who were never functionally independent.
A nurse caring for a client from another country asks about the client's healthcare
traditions. Which Quality and Safety Education for Nurses (QSEN) competency
does the nurse comply with? - ANSWER Pt centered care
R: A nurse who provides compassionate and coordinated care to clients based on
their preferences, values, and needs is providing patient-centered care. Asking
about the healthcare traditions followed in the client's country is an example of
patient-centered care. Safety involves minimizing the risk of harm to clients and
primary healthcare providers. Informatics involves using information and
technology to communicate, manage knowledge, mitigate errors, and support
decision-making. Teamwork and collaboration involves nursing and
interprofessional teams working together effectively to achieve quality client care.
A nursing student is evaluating different examples of variables that influence the
health beliefs and practices of clients. Which scenario is an example of an
***external variable***? - ANSWER A client stops taking medications after the
disappearance of symptoms to cut down on medical bills
R: Socioeconomic factors are external variables often influence the health beliefs
and practices of clients. A client facing economic constraints might stop taking
medications after the disappearance of symptoms in order to cut down on medical
bills. This situation is an example of an external variable. Emotional factors are
internal variables that influence a client's health beliefs and practices. Feeling
apprehensive about injections is an example of an emotional factor. Spiritual
factors are also internal variables that influence clients. A client believing that
organ transplants are sinful is an example of spiritual factors influencing health
beliefs. A client's intellectual background is an internal variable. Relying on the
Internet for education regarding healthcare practices is an example of the influence
of intellectual backgrounds on health beliefs and practices.
What important points should the nurse keep in mind when caring for an older
adult to promote health? Select all that apply. - ANSWER Encourage regular
physical activity and the use of stress-management strategies
Consider the client's social environment and strengthen social support to promote
health
Assess the client for fear of falling and provide support by making environmental
changes
Which guideline is useful for reducing disparity when caring for transgender
patients? - ANSWER Learning about the treatment options for transgender
patients and requirements of follow-up care
R: In order to reduce disparities in the health care delivery to transgender patients,
it is appropriate for the nurse to develop individual treatment plans rather than
assuming all transgender patients are the same. Learning about treatment options
and requirements for follow-up care for transgender patients also helps the nurse
provide the best care possible. It is appropriate for the nurse to learn about the
health care needs of homosexual patients when caring for this population, but
transgender patients are not necessarily homosexual, so this may not apply. The
nurse should not automatically assume the patient wants to be referred to using
pronouns of the gender with which he or she is living or of the sex with which he
or she was born. Gender and sex exist on a spectrum, and the nurse should instead
ask the patient how he or she self-identifies.
A nurse is educating a client about the tertiary level of prevention. What
information should the nurse provide? Select all that apply. - ANSWER Tertiary
prevention focuses on preventing complications of illness.
Tertiary prevention helps clients achieve as high a level of functioning as possible.
Tertiary prevention aims at minimizing the effects of long-term disease or
disability.
R: Tertiary prevention is also known as preventive care since it aims at preventing
further disability or reduced functioning in the clients. Even though clients may
have developed limitations due to illness or impairment, tertiary prevention helps
in achieving as high a level of functioning as possible. Tertiary prevention makes
use of interventions that prevent complications and deteriorations in order to
minimize the effects of long-term disease or disability. Tertiary prevention is
applied when the client has a defect or disability that is permanent and irreversible.
Tertiary prevention activities focus on rehabilitative care instead of diagnosis and
treatment.
A nurse uses therapeutic communication techniques in order to achieve desired
client outcomes. Which communication technique is a part of therapeutic
communication? - ANSWER Providing relevant information to the client
R: Because clients have the right to know about their health status, the nurse
should provide them with all relevant information. This is a therapeutic
communication technique that enables clients to understand what is happening and
what to expect. Asking for explanations, showing sympathy and asking personal
questions of the client are nontherapeutic communication techniques.
A nurse needs to obtain consent for the medical treatment of a child whose parent
is a minor. What appropriate step should the nurse take to obtain consent? -
ANSWER The nurse should ask the minor to give consent
R: The nurse obtains the consent from the minor whose child needs medical
treatment. In case an unemancipated minor needs to give consent for an abortion,
the nurse should wait for the consent of the court. The nurse should not ask adult
siblings or the legal guardian of the minor to give consent if the minor's child
requires medical treatment.
When might a nurse be charged with client abandonment? - ANSWER If a
nurse walks out when staffing is inadequate
R: The nurse should never walk out when staffing is inadequate because this action
may result in client abandonment. If a nurse refuses to accept an assignment, then
he or she is considered insubordinate. If a client suffers an injury due to inattention
and the nurse had already brought this to the attention of the nursing supervisor,
then the caregiver was attempting to act reasonably. If a nurse has to accept
unreasonable assignments, he or she needs to make written protests to nursing
administrators.
A nurse fails to act in a reasonable, prudent manner. Which legal principle is most
likely to be applied? - ANSWER *Malpractice* is the unskilled or faulty
treatment by a professional that causes injury or harm to a client. It can result from
a lack of professional knowledge or skill that can be expected in others in the
profession, or from a failure to exercise reasonable care or judgment in the
application of professional knowledge, experience, or skill. Malice is the desire or
intent to inflict injury, harm, or suffering. Tort law is a wrongful act, not including
a breach of contract of trust, that results in injury to another person and for which
the injured person is entitled to compensation. Case law is law established by
judicial decisions in particular cases instead of by legislative action.
The nurses in a health care facility have developed a new care plan to prevent the
risk of infection in patients with an indwelling urinary catheter in place. To
determine if the changes prevent infections, the nurse manager uses the plan-dostudy-act (PDSA). What is the order of steps that the nurse manager would follow
to evaluate the changes? - ANSWER 1.Plan to test the change
2.Try out the change
3. Analyze what happened from the change
4. Determine what was learned
R: Plan-do-study-act (PDSA) helps the nurses to determine whether the changes
they are making in the care plan will help prevent urinary tract infections and
improve the quality of care. While using this model, the nurse manager would first
plan to test the changes made by the nurses. Then, the nurse manager tries out the
changes suggested by nurses and analyzes the results of the new interventions.
Finally, the nurse determines what is learned from the test and the result
urses are held responsible for the commission of a tort. What is the definition of a
tort? - ANSWER An illegality committed by one person against the property or
person of another
R: An individual is held legally responsible for actions committed against another
individual or an individual's property. The application of force to the body of
another is battery, which involves physical harm. Doing something that a
reasonable person under ordinary circumstances would not do is the definition of
negligence. An illegality committed against the public and punishable by the law
through the courts is the definition of a crime.
A nursing student is recalling the various stages of health behavior change. What
are the characteristics of the preparation stage? Select all that apply. - ANSWER
The client requires assistance to plan changes in health behavior
The client understands that the advantages of health behavior change exceed the
disadvantages.
The client makes small changes in health behavior in preparation for major
changes in the next month.
R: In the preparation stage, the client may need assistance in planning for the
health behavior change. At this stage, the client understands that advantages of
health behavior change exceed the disadvantages. The client, therefore, makes
small changes to prepare for major health behavior change in the next month. In
the contemplation stage of health behavior change, the client intends to make
changes in health behavior in the next 6 months. In the preparation stage, the client
becomes actively engaged in strategies to change his or her health behavior.
The Magnet Recognition Program for health care organizations is based on
fourteen forces of magnetism related to five magnet model components. Which
force of magnetism is assessed to review the structural empowerment of the
organization? - ANSWER Personnel policies and programs
R: Health care organizations that apply for Magnet status must demonstrate
innovations in professional practice. One of the forces of magnetism that impacts
the structural empowerment of the organization is its personnel policies and
programs. Personnel policies of an organization should provide an innovative
environment in which the staff are developed and empowered. Empirical quality
outcomes are reviewed by assessing the quality of care. New knowledge,
innovations, and improvements are reviewed by assessing the quality improvement
of the health care organization. Interdisciplinary relationships are assessed to
review exemplary professional practice.
While teaching a nursing student, a registered nurse says "This is a study in which
the investigator controls the study variable and randomly assigns subjects to
different conditions to test the variable." Which type of research is the above
statement? - ANSWER Experimental research
R: In experimental research, the investigator controls the study variable and
randomly assigns subjects to different conditions to test the variable. In historical
research, studies are designed to establish facts and relationships concerning past
events. In evaluation research, studies test how well a program, practice, or policy
is working. Exploratory research is an initial study designed to develop or refine
the dimensions of phenomena or to develop or refine a hypothesis about the
relationships among phenomena.
What are the steps of evidence-based practice (EBP) in order? - ANSWER 1.
*Ask*ing the relevant clinical question
2 *Collecting* the most relevant and best evidence
3.Critically *appraising* the evidence collected
4. Integrating all evidence with one's clinical expertise and client preferences
5. Evaluating the practice decisio
6. Sharing the outcomes of EBP changes with other
Which opposing conflict does a young adult face according to Erikson's theory of
psychosocial development? - ANSWER Intimacy versus Isolation
R: According to Erikson's theory of psychosocial development, a young adult is
likely to face Intimacy versus Isolation. An adolescent is likely to face Identity
versus Role confusion. A toddler age 1 to 3 years of age is likely to face Autonomy
versus Sense of Shame and Doubt. A middle-aged adult is likely to face
Generativity versus Self-Absorption and Stagnation.
Which statement accurately describes correlational research? - ANSWER
Correlational research explores the relationships among variables of interest
without any active intervention by the researcher
Which statement made by a nursing student about Swanson's theory of caring
needs correction? - ANSWER Swanson's theory of caring provides a basis to
help nurses understand how clients cope with uncertainty and the illness response.
Swanson's theory of caring provides a basis for identifying and testing nurse caring
behaviors to determine if caring will improve client health outcomes. Middle-range
theories provide a basis to help nurses understand how clients cope with
uncertainty and the illness response. The components of Swanson's theory of
caring provide a foundation of knowledge for nurses to direct and deliver caring
nursing practices. Swanson's theory of caring defines five components of caring:
knowing, being with, doing for, enabling, and maintaining belief. Swanson's theory
of caring was developed by Kristin Swanson by conducting extensive interviews
with clients and their professional caregivers.
Which statement is true about prescriptive theories? - ANSWER Prescriptive
theories are action-oriented
R: Prescriptive theories are action-oriented. They test the validity and predictability
of a nursing intervention. These theories address nursing interventions for a
phenomenon, describe the conditions under which the prescription occurs, and
predict the consequences. Descriptive theories help to explain client assessment. A
middle-range theory tends to focus on a specific field of nursing. Descriptive
theories are the first level of theory development.
A nursing student is listing the points that are applicable to grand theories of
nursing. Which point mentioned by the nursing student needs correction? -
ANSWER Grand theories include Mishel's theory of uncertainty in illness.
Mishel's theory of uncertainty in illness is not an example of a grand theory; it is a
middle-range theory. Neuman's systems model is a grand theory. Grand theories
require further specification through research. Grand theories are systematic and
broad in scope and complexity. Grand theories do not provide guidance for specific
nursing interventions; instead they provide the structural framework for broad and
abstract ideas about nursing.
The school nurse conducts a class in nutrition planning for parents. What is the
goal of school health nursing programs? - ANSWER Health promotion
Content preview
Nursing Issues (EAQ's) JG Orig Exam
Questions with Correct Solutions
Already Graded A+||100%
Guaranteed Pass!!!<<Brand New
Version>>
A nursing student is recalling information about the primary level of prevention.
Which statement accurately describes primary prevention? - ANSWER ✓ Primary
prevention is applied to clients who are physically and emotionally health
R: Primary prevention is true prevention. This prevention is applied to clients who
are considered to be physically and emotionally healthy. The tertiary level of
prevention is directed at providing rehabilitative care to clients. Secondary
prevention includes screening techniques and treatment of early stages of disease.
Secondary prevention is focused on individuals who are ill and are at risk for
further complications.
An elderly adult suffered an injury after falling down in the washroom. The
primary healthcare provider performed a surgical procedure on the client and
orders a blood transfusion. A family member of the client mentions that blood
transfusions are not permitted in their community. What should the nurse do in
order to handle the situation? - ANSWER ✓ The nurse should inform the primary
healthcare provider and not give blood to the client
R: The client or the client's family member has the right to refuse treatment and the
nurse should value their beliefs and traditions. Therefore, the nurse should inform
the primary healthcare provider and not perform the blood transfusion. The nurse
should not wait for a court's order or explain or convince the family member to
change his or her mind. The nurse should not proceed with the treatment because
this may cause severe legal implications.
A nurse is educating the caregivers of an elderly adult with advanced Parkinson's
disease about continuing care. What information should the nurse provide? Select
,all that apply. - ANSWER ✓ "Adult day care centers are ideal for clients whose
caregivers have to be away from home during the day."
"Hospice care is a continuing care system that allows clients to live at home with
comfort, independence, and dignity."
"Nursing centers provide 24-hour custodial care in order to help residents achieve
and maintain their highest level of functioning."
R: Adult day care centers are ideal for providing continuing care to clients whose
caregivers have to be away from home during the day. Hospice care is a type of
continuing care that provides palliative care to clients within the comfort, dignity,
and independence of their homes. Clients also go to nursing centers to receive
continuing care. Nursing centers provide 24-hour custodial care. They help clients
achieve and maintain their highest level of functioning. The primary objectives of
providing restorative home care are health promotion and education. Clients
recovering from chronic or acute illnesses or disabilities require restorative care.
Continuing care is necessary for clients who are suffering from a terminal disease,
who are disabled, or who were never functionally independent.
A nurse caring for a client from another country asks about the client's healthcare
traditions. Which Quality and Safety Education for Nurses (QSEN) competency
does the nurse comply with? - ANSWER ✓ Pt centered care
R: A nurse who provides compassionate and coordinated care to clients based on
their preferences, values, and needs is providing patient-centered care. Asking
about the healthcare traditions followed in the client's country is an example of
patient-centered care. Safety involves minimizing the risk of harm to clients and
primary healthcare providers. Informatics involves using information and
technology to communicate, manage knowledge, mitigate errors, and support
decision-making. Teamwork and collaboration involves nursing and
interprofessional teams working together effectively to achieve quality client care.
A nursing student is evaluating different examples of variables that influence the
health beliefs and practices of clients. Which scenario is an example of an
***external variable***? - ANSWER ✓ A client stops taking medications after the
disappearance of symptoms to cut down on medical bills
,R: Socioeconomic factors are external variables often influence the health beliefs
and practices of clients. A client facing economic constraints might stop taking
medications after the disappearance of symptoms in order to cut down on medical
bills. This situation is an example of an external variable. Emotional factors are
internal variables that influence a client's health beliefs and practices. Feeling
apprehensive about injections is an example of an emotional factor. Spiritual
factors are also internal variables that influence clients. A client believing that
organ transplants are sinful is an example of spiritual factors influencing health
beliefs. A client's intellectual background is an internal variable. Relying on the
Internet for education regarding healthcare practices is an example of the influence
of intellectual backgrounds on health beliefs and practices.
What important points should the nurse keep in mind when caring for an older
adult to promote health? Select all that apply. - ANSWER ✓ Encourage regular
physical activity and the use of stress-management strategies
Consider the client's social environment and strengthen social support to promote
health
Assess the client for fear of falling and provide support by making environmental
changes
Which guideline is useful for reducing disparity when caring for transgender
patients? - ANSWER ✓ Learning about the treatment options for transgender
patients and requirements of follow-up care
R: In order to reduce disparities in the health care delivery to transgender patients,
it is appropriate for the nurse to develop individual treatment plans rather than
assuming all transgender patients are the same. Learning about treatment options
and requirements for follow-up care for transgender patients also helps the nurse
provide the best care possible. It is appropriate for the nurse to learn about the
health care needs of homosexual patients when caring for this population, but
transgender patients are not necessarily homosexual, so this may not apply. The
nurse should not automatically assume the patient wants to be referred to using
pronouns of the gender with which he or she is living or of the sex with which he
or she was born. Gender and sex exist on a spectrum, and the nurse should instead
ask the patient how he or she self-identifies.
, A nurse is educating a client about the tertiary level of prevention. What
information should the nurse provide? Select all that apply. - ANSWER ✓ Tertiary
prevention focuses on preventing complications of illness.
Tertiary prevention helps clients achieve as high a level of functioning as possible.
Tertiary prevention aims at minimizing the effects of long-term disease or
disability.
R: Tertiary prevention is also known as preventive care since it aims at preventing
further disability or reduced functioning in the clients. Even though clients may
have developed limitations due to illness or impairment, tertiary prevention helps
in achieving as high a level of functioning as possible. Tertiary prevention makes
use of interventions that prevent complications and deteriorations in order to
minimize the effects of long-term disease or disability. Tertiary prevention is
applied when the client has a defect or disability that is permanent and irreversible.
Tertiary prevention activities focus on rehabilitative care instead of diagnosis and
treatment.
A nurse uses therapeutic communication techniques in order to achieve desired
client outcomes. Which communication technique is a part of therapeutic
communication? - ANSWER ✓ Providing relevant information to the client
R: Because clients have the right to know about their health status, the nurse
should provide them with all relevant information. This is a therapeutic
communication technique that enables clients to understand what is happening and
what to expect. Asking for explanations, showing sympathy and asking personal
questions of the client are nontherapeutic communication techniques.
A nurse needs to obtain consent for the medical treatment of a child whose parent
is a minor. What appropriate step should the nurse take to obtain consent? -
ANSWER ✓ The nurse should ask the minor to give consent
R: The nurse obtains the consent from the minor whose child needs medical
treatment. In case an unemancipated minor needs to give consent for an abortion,
the nurse should wait for the consent of the court. The nurse should not ask adult
siblings or the legal guardian of the minor to give consent if the minor's child
requires medical treatment.