Legal
Question: A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair in the breakroom not during break time. Which of the following actions should the nurse take?
A.) Alert the American Nurses Association
B.) Fill out an incident report
C.) Report the observations to the nurse manager on the unit
D.) Leave the nurse alone to sleep
C.) Report the observations to the nurse manager on the unit
Question: When do nursing activities related to community nursing begin?
a.) on the first contact with the client
b.) after the client is admitted to the hospital
c.) at the time referrals are made to community resources
d.) When the primary healthcare provider writes discharge prescriptions.
a.) on the first contact with the client
Name the 3 Learning Domains, give one example of each.
Cognitive Learning: Includes what a patient needs to know and understand. All intellectual behaviors are in the cognitive domain, Including:
Acquisition of knowledge
Comprehension
Application
Analysis
Synthesis
Evaluation
Affective Learning: Includes patients feelings attitudes, opinions, and values. Research says you need the Affective domain in teaching because it includes:
Patients…..
personal attitudes
Beliefs
Behaviors
Emotions
Role playing
Psychomotor Learning: occurs when patients acquire skills that require the integration of knowledge and physical skills. For example:
Administer insulin injections
Use of inhalers
Swipe a magnet across a vagal nerve stimulator
How to take their own vitals
Question: A nurse is caring for a client who has a terminal illness. Death is expected within 24 hours. The client’s family is at the bedside and asks the nurse what to expect at this time. Which of the following findings should the nurse include?
A.) Regular breathing patterns
B.) Warm Extremities
C.) Increased Urine Output
D.) Decreased Muscle tone
D.) Decreased Muscle tone
Name the Supply gram for Carbohydrates, Fats, and Proteins.
Carbs: 4, Fats:9, Proteins:4
What are good Samaritan laws?
Encourage nurses and other health care workers to provide help in emergency situations. These laws limit liability and offer legal immunity if a nurse helps at the scene of an accident
Question: During the process of performing a community assessment, the nurse invites members of the community to come to a meeting and share opinions and concerns about a particular issue. Which is this method of data collection?
a.) An opinion survey
b.) A community forum
c.) A demographic assessment
d.) An observation of participants
b.) A community forum
Name the 3 basic learning principles.
Motivation, ability, environment
A nurse is caring for a client who has stage 4 IV lung cancer and is 3 days post op following a wedge resection. The client states. “I told myself that I would go through with the surgery and quit smoking, if I could just live long enough to attend my child’s wedding.” Based on the Kubler Ross model, which stage of grief is the client experiencing?
Bargaining
A client is anorexic because of stomatitis related to chemotherapy. Which should the nurse be Most concerned about when planning care for this client?
A.) Aspiration
B.) Dehydration
C.) Malnutrition
D.) Constipation
C.) Malnutrition
Name the patient’s Bill of Rights
Dignity
Privacy
Confidentiality
Informed Consent
Refusal of Treatment
Name the 2 goals of community based Nursing.
Promote healthy lifestyle. Prevent disease and health problems.
Name the 3 phases of Learning
Bonus: Explain all 3
Maintenance and promotion of health and illness prevention:
Primary Phase: Health promotion and disease prevention (safety, exercise, screening, first aid, Nutrition, Childbirth education/ Parenting Classes)
Restoration of health:
Secondary Phase: Clients recovering from injury or illness ( focus on disease or conditions cause, treatments, Prognosis, medication)
Coping with impaied functioning :
Tertiary Phase: Permanent health changes ( homecare, rehab, prevention of complications)
Bonus 50 points each: Explain all 3
Name the 5 stages of Kubler-Ross stages of grief
Denial
Anger
Bargaining
Depression
Acceptance
A Client has a high serum Cholesterol Level. Which of the following should the nurse teach the client to avoid? Select All that apply.
Liver
Shrimp
Skim Milk
Turkey Burger
Sliced bologna
1 &2 (Page 344)
What are the 4 elements of Malpractice?
Duty owned
Breach of Duty
Direct cause of the breach of duty
Damages
What is the first thing you need to do before developing community programs?
Assess the needs of the community first.
Bonus 50 Points: Infuse 1000ml NS in 6 hours (drip rate)
A nurse is designing a teaching- learning program for a client who is to be discharged from the hospital after developing a nurse-client relationship, which should the nurse do next?
a.) Identify the clients locus of control
b.) use a variety of teaching methods appropriate for the client
c.)formulate an achievable, measurable, and realistic client goal
d.) Assess the client's current understanding of the content to be taught
d.) Assess the client's current understanding of the content to be taught
Name at least 5 nursing care duties for a dying client
Pain control
Hygiene
Oxygen supplementation
Nutrition
Comfort
Activity
Sleep
Bonus for 50 points: Name at least 3 Nursing Diagnosis for Loss, Grief and end of life
Name the 3 Different Vegetarian Diets.
Bonus 50 points Each: Explain the 3 diets
Vegan diet: all animal sources excluded from diet (supplement b6 and b12)
Lacto-vegetarian diet: eggs are excluded from diet
Lacto-ovo-vegetarian: dairy products, eggs, and plant food included in diet
List at least 2 sources of standard of care for nurses
BONUS
State nurse practices act
State and federal hospital licensing laws and accreditation rules
American Nurses Association
State board of Nursing
Name at least 5 groups who are considered vulnerable
Immigrants, Abused
Addiction, Older Adults, Persons with Mental Illness, Impoverished and Homeless, Rural areas, Migrant workers, Veterans
Question: A nurse is planning to teach a client how to self-administer a colostomy irrigation. Place the following actions that the nurse should employ in the order in which they should be implemented.
1.)Identify the client's readiness to learn.
2.) Involve the client in learning activities.
3.) Identify the clients motivation to learn.
4.) Repeat essential concepts to reinforce learning
5.) Evaluate the clients learning versus desired outcomes.
Answer: 3, 1,2,4,5 (Page 167)
Name at least 5 signs and symptoms of impending death
Decreased level of consciousness
Decreased desire for food
Decreased urine output
Incontinent bowel and bladder
Decreased respiratory rate (Cheyene-Stokes)
Increasing weakness & fatigue
Decreased circulation
Increased restlessness
Mental confusion
A nurse has just inserted an NG tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?
A.) The tube aspirate has a pH of 7
B.) an x-ray shows the end of the tube above the pylorus
C.) Bowel sounds are present on auscultation
D.) The client reports relief of nausea
B.) an x-ray shows the end of the tube above the pylorus