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A nurse is preparing a health education seminar within a community. Which health model should the nurse use to best predict individual health behavior and the role of values, traditions, and practices in personal health choices?
Health belief model
A nurse is using a guide that provides principles of right and wrong to provide care to clients. Which guide is the nurse using?
Code of ethics
Registered nurses working in a healthcare clinic are disagreeing about their scope of practice regarding medication administration. What resource should the nurses consult?
The Nurse Practice Act
A client is admitted to a rehabilitation facility following a stroke. The client has right-sided paralysis and is unable to speak. The client will be receiving physical therapy and speech therapy. Which level of preventive care is the client receiving?
Tertiary prevention
A community health nurse is participating in a health fair by educating on proper nutrition and the benefits of immunizations. Which term best describes this action?
Health promotion
A community health nurse provides information to a group of nursing students about the levels of prevention. What should be included in the instruction as an example of the primary level of prevention?
Immunizations against infectious diseases
Which type of prevention is hosting a hearing screen event for clients at a senior center?
Secondary
What action should the nurse take to best develop critical thinking skills?
Actively participate in clinical experiences.
A nurse provides a client with information about blood transfusion including its risk factors and side effects. Which principle of ethics is exemplified by this nursing action?
Veracity
A therapeutic touch practitioner scans the client’s body for the purpose of identifying what?
Energy field obstructions
A nurse is caring for a 12-year-old client. What data is considered primary subjective data?
The client’s self-report
When planning a health promotion program for a local civic group, which action should the nurse take first?
Determine the health education needs of the group.
Which is the best description of secondary prevention?
Halt or slow the progression of the disease in its earliest stages
A nurse is admitting a traditional Asian client to the hospital. How should the nurse respond when the client reports visiting an herbalist to demonstrate cultural sensitivity?
“What did the herbalist suggest?”
A nurse is caring for a client experiencing stress and is in the evaluation stage of the critical thinking model. Which actions will the nurse take?
Reassess client’s stress-related symptoms and compare with expected outcomes.
A teen diagnosed with an anxiety disorder is referred for biofeedback training because the parents do not want their child to take anxiolytics. What would statement would show you that the teen indicates successful learning?
“Biofeedback will help me with my thoughts and physiological responses to stress.”
Which initiative is a response to reports about safety and quality client care?
Quality and Safety Education for Nurses
When performing a pain assessment, the nurse observes the client to be passive and attempts to hide the expression of pain. Which knowledge should the nurse base their actions on?
The expression of pain is a norm established by cultural groups
The nurse admits a client of Muslim faith during the Holy month of Ramadan. The client tells the nurse that they must fast during this time. What statement would be the best response of the nurse?
“What can we do to accommodate your needs during your stay here?”
When planning a cultural assessment, the nurse should include which component?
Health-related beliefs
A quality improvement nurse has recognized the need to better integrate the principles of transcultural nursing into client care. How should the nurse integrate transcultural nursing into practice?
Implement research-focused practice that focuses on client-centered, culturally, competent nursing.
A client expresses fear of going home and being alone. Vital signs are stable, and the incision is nearly completely healed. What can the nurse infer from the subjective data?
The client is fearful of being discharged.
A nurse is reviewing the American Nurses Association Code of Ethics for Nurses at a staff meeting. Which primary nursing behavior displays an adherence to this code of ethics?
The nurse evaluates own values in implementing what is right in client care.
A client was admitted 2 days ago with a diagnosis of pneumonia and a history of angina. The client is now having chest pain with a pulse rate of 108. Which piece of data will the nurse use for “B” when using SBAR?
History of angina
A nurse is taking care of a client with a cultural background different from the nurse. Which step should the nurse take first to provide culturally competent care?
Assess one’s cultural values, beliefs, and biases