Topskills

ASSESSMENT—POINT OF ENTRY IN AN ONGOING PROCESS - Assessment is the collection of data about the individual's health state subjective data objective data database Diagnostic Reasoning - is the process of analyzing health data and drawing conclusions to identify diagnoses. nursing process - ASSESSMENT DIAGNOSIS OUTCOME IDENTIFICATION PLANNING IMPLEMENTATION EVALUATION ASSESSMENT - Collect data: Review of the clinical record Health history physical examination functional assessment Ris...

Which benefits are associated with using evidence-based practice in nursing care? Select all that apply. Reduced health care costs Higher-quality nursing care Improved patient outcomes Increased nurse-to-patient ratios Improved job satisfaction - Reduced health care costs Higher-quality nursing care Improved patient outcomes Improved job satisfaction Which statements about qualitative research are true? Select all that apply. The researcher's personal bias is more likely to have an influence o...

1. One characteristics of mental health that allows people to adapt to tragedies, trauma, and loss is: A. Dependence B. Resilience C. Pessimism D. Altruism - B. Resilience 2. You and Jack are two of the nurses working on the psychiatric unit. Jack mentions to you that the biological model for mental illness is the one he embraces, and states "it's the only one I really believe." Which of the following statements is true regarding believing in only the biological model? A. The biological mode...

A male client in the mental health unit is guarded and vaguely answers the nurse's questions. He isolates in his room and sometimes opens the door to peek into the hall. Which problem can the RN anticipate? A. Visual hallucinations. B. Auditory hallucinations. C. Excessive motor activity. D. Delusions of persecution. - D. Delusions of persecution. A female client with obsessive compulsive personality disorder is admitted to the hospital for a cardiac catheterization. The afternoon before the p...

The quantitative study of the distribution of mental disorders in human populations is called which of the following? A. Mortality B. Prevalence C.Epidemiology D.Clinical epidemiology - C.Epidemiology Which statement best describes the DSM-5? A.It is a medical psychiatric assessment system. B.It is a compendium of treatment modalities. C.It offers a complete list of nursing diagnoses. D.It suggests common interventions for mental disorders. - A.It is a medical psychiatric assessment system...

What is the most common precursor to adolescent suicide? - Depression Also drugs and alcohol use. Signs and symptoms of depression - Boredom, restlessness, irritability, acting out, bullying, sadness, extreme mood swings, feeling trapped, withdrawing from activities, uninterested in school, anxious, talking about being a burden to others, Girls: Body image, self esteem Group therapy No suicide contract Communication - Can be effective. Involve the family Just puts in writing that they wil...

1.1 A client has experienced the death of a close family member and at the same time becomes unemployed. This situation has resulted in a 6-month score of 110 on the Recent Life Changes Questionnaire. How should the nurse evaluate this client data? A. The client is experiencing severe distress and is at risk for physical and psychological illness. B. A score of 110 on the Miller and Rahe Recent Life Changes Questionnaire indicates no significant threat of stress-related illness. C. Susceptibilit...

Neurological Conditions - Diseases of the central (brain, spinal cord) and peripheral nervous system (cranial nerves, peripheral nerves) Hydrocephalus - Condition characterized by a build up of cerebral spinal fluid (CSF), typically due to inadequate absorption Communicating vs. Non-Communicating Hydrocephalus - -Communicating: no obstruction to the flow within the ventricular system -Non-communicating: obstruction present within the ventricular system Signs of Hydrocephalus - -Rapid head...

Closed head injury is ____. - the most common cause of brain damage in young adults Closed head injury results in damage partially because of ____. - rotational forces that push the brain against the inside of the skull Which event is the most common cause of a stroke? - ischemia from an obstruction of an artery Ischemia is to ____ as hemorrhage is to ____. - obstruction; rupture ____ cells proliferate after a stroke. - Microglia Damage due to stroke caused by ischemia can be minimized by a...

A client presents with a headache and complaining of vision difficulties. Which cranial nerve might be defective in this client? A) VIII (Vestibulocochlear) B) VII (Facial) C) XI (Accessory) D) III (Oculomotor) - Answer: D A client presents to the ED with loss of consciousness. The RN evaluates the client using the Glasgow Coma Scale. The results are as follows: Eyes open to speech Abnormal flexion of extremities Use of inappropriate words What would the RN estimate this client's GCS score ...

A client has been diagnosed with swimmers ear. What solution will the nurse advise the client to put in their ear? - diluted alcohol solution after swimming; it decreases bacteria and dry's the external ear canal's growth A client is undergoing an MRI of the cervical vertebrae. What are contraindications to an MRI? - Cerebral aneurysm clips Cardiac pacemakers****** Autonomic internal defibrillator Metal foreign bodies in the eyes metal cochlear implants anything metal titanium is NOT a magne...

What is the correct nursing response to a mother who asks, "How can I get rid of the baby's cradle cap?" - "Rub baby oil on the infant's head and brush the hair out carefully." What would the nurse teach parents to do in order to avoid diaper rash? (Select all that apply.) - -Use disposable diapers. Avoid plastic bloomer or pants. Change diapers frequently. What should the nurse stress to the mother of a child with impetigo? - Small cuts and bites should be treated promptly. Wha...

An infant infected with cytomegalovirus may have what serious problems? - 1. Mental retardation 2. Seizures 3. Blindness 4. Deafness 5. Dental abnormalities 6. Petechiae What are the 10 danger signs in pregnancy? - 1. Sudden gush of fluid from the vagina 2. Vaginal bleeding 3. Abdominal pain 4. Persistent vomiting 5. Epigastric pain 6. Edema of face and hands 7. Severe, persistent headache 8. Blurred vision of dizziness 9. Chills with fever greater than 100.4 10. Painful urination and reduced u...

A primipara client gave birth vaginally to a healthy newborn girl 48 hours ago. The nurse palpates the client's fundus, expecting it to be at which location? A) Two fingerbreadths above the umbilicus B) At the level of the umbilicus C) Two fingerbreadths below the umbilicus D) Four fingerbreadths below the umbilicus - C During the first few days after birth, the uterus typically descends downward from the level of the umbilicus at a rate of 1 cm (1 fingerbreadth) per day so that by day 2, it is...

What are the main goals of healthy people 2020? - - Increase quality and years of healthy life - eliminate health disparities What is the difference between primary care and primary health care? - 1) Primary care: - first level of private health care - variety of community settings - Accessibility - limited because you have to have insurance, not in rural communities, have to have appointment - team members- health care workers 2) Primary health care: - Broad range of services - Prevention of ...

What are the 5 criteria for public health nursing practice to be population-based? - 1. Focus on entire populations possessing similar health concerns or characteristics 2. Be guided by an assessment of population health status 3. Consider the broad determinants of health 4. Consider all levels of prevention, specifically primary 5. Consider all levels of practice (individual/family, community, system) Client - The individual/family, community, population/subpopulation, or system that is th...

Vulnerable population groups are those that, in comparison with the population as a whole, have which of the following characteristics? - Greater likelihood of exposure to risk factors To provide effective care and advocacy for individuals, families and populations living in poverty, nurses must first: - Examine their personal beliefs, values, and experiences Which of the following best represents the concept of homelessness as crisis poverty? - B. Recently unemployed man evicted from his apar...

a nurse is considering applying for a position as a PHN. which would be a reason this position would be appealing? - its autonomy and independence Which of the following is the best brief definition of community? - A social group with common goals within a geographic area 1. Which of the following is the underlying science or area of study on which public health is based? - Epidemiology The elizapbeth poor law of 1601 is similar to which current law? - Medicaid 2. A nurse is employed at the ...

uTeaching parents about immunizations, the nurse explains the child will need which of the following immunizations at 2 months of age? Select all that apply 1.DTaP 2.IPV 3.MMR 4.Hep A 5.Hep B 6.Influenza 7.Rotavirus 8.Hib 9.PCV (pneumococcal vaccine) - 1 2 5 7 8 9 At what ages do children receive the MMR vaccine? 1. 6 months and 12 months 2. 12 months and 4 years 3. 36 months and 48 months 4. 9 months and 8 years - 2 Rationale: CDC recommends all children get two doses of MMR (measles-mumps-rub...

a nurse is planning care for a child who has severe diarrhea. which of the following actions is the nurse priority? - Assess fluid balance A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse's priority? - Instruct the parent to avoid pressing on the abdominal area A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse...