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concepts of nursing
Health Policy & Health Disparity NCO/EAQ Quiz
| Question | Answer |
|---|---|
| a nurse is teaching a patient with diabetes how to self-administer insulin. which key element would the nurse consider prior to educating the patient about medications? | Matching the teaching with patient's capabilities |
| The patient's friend asks the nurse about the patient's PHI. The nurse refuses to provide information. Which principle of the code of ethics has the nurse followed? | Confidentiality |
| Under which ethical principle is the patient's PHI protected? | Confidentiality |
| a community nurse in a diverse community is working with health care professionals to provide prenatal care for underemployed and underinsured women. which overall goal of healthy people 2020 does this represent? | Increase life expectancy and quality of life and eliminate health disparities |
| Which statements are true about Magnet status hospitals? Select all that apply. | a. Nurses are involved in EBP c. Nurses are rewarded for advancing their nursing practice d. Patient outcomes are notably high due to quality nursing care e. Nurse turnover rates are low compared to other hospitals |
| the health care provider educates the patient about to treatment options for cancer. The health care provider recommends and highly favors chemotherapy; however, the patient chooses surgery. Which intervention is appropriate? | prepare the patient for surgery. |
| Which principle of health ethics refers to the avoidance of harm or hurt? | Nonmaleficence |
| after administering an antibiotic to the patient, the nurse realizes she gave the wrong dose. the nurse immediately informs the patient and the primary health care provider. which principle of the nursing code of ethics has the nurse followed? | Accountability |
| th nurse has been asked to record the nature of the pulse in a patient. Which peripheral site is appropriate for assessing the rate, rhythm and quality of the pulse? | radial |
| which arterial site does a nurse choose to assess circulation to the lower arm and auscultate blood pressure? | Brachial |
| a patient who works in a coal mine is referred to an occupational health center. Which services are provided to ensure the safety of the patient? | services for health promotion and accident and illness prevention |
| a patient develops a mild allergic reaction during a blood transfusion. which medication class would the nurse use to manage this allergic reaction? | Antihistamines |
| which statement is true about a certified registered nurse anesthetist (CRNA)? | A CRNA is an advanced practice registered nurse (APRN). |
| an advanced practice nurse is explaining to an associate degree graduate nurse about immediate future options in advancing her nursing education. which educational option should be included? | Bachelor of science in nursing |
| a nurse is reporting what is currently happening with a patient to another health care professional. which component in SBAR communication is the nurse describing? | situation |
| which nursing activity is found in a tertiary health care environment? | Admitting a patient following open heart surgery to the cardiovascular intensive care unit |
| which statement about orem's nursing theory are true? | 3 Orem's theory focuses on the patient's self-care needs. 4 The goal is to help the patient perform self-care and manage health problems. 5 Nursing care aims to increase the patient's ability to independently meet his or her own needs. |
| A community-based nurse notices increased prevalence of pertussis infection in children. What is the preventive care service that the nurse may implement to address this problem? | Provision prescribed of effective immunizations |
| a person has an apical rate of 96 beats per minute and a radial rate of 78 beats per minute. what is the pulse deficit of this patient? Record your answer using a whole number ____ beats. | 18 |
| which pulse site helps alleviate a discrepancy in the radial pulse? | apical or PMI. |
| a health care provider instructs to palpate the posterior tibial artery. Which site does the nurse use to palpate the posterior tibial artery? | inner aspect of the ankle |
| which intervention would the nurse perform before applying restraints? | Assess whether the patient actually needs a restraint. |
| how can nurses negotiate a differences of opinion and values with patients? | Be clear about their values. |
| which sources are responsible for the formation of values in an individual? | spirituality religious beliefs personal beliefs cultural ethnic background |
| an older adult has been prescribed a potentially toxic drug for treatment of arthritis. the patient and the patients family have expressed concern about the drug. which action would the nurse take in this solution? | Provide information so the patient can decide whether to accept or refuse the treatment. |
| a nurse writes a statement about the beliefs and values of nursing in relation to health. which level of knowledge did the nurse exhibit? | philosophy |
| you are the night shift nurse caring for a newly admitted patient who appears confused. the family asks to see the patient's medical record. which nursing action is appropriate? | Discuss the issues that concern the family with them |
| the home care nurse who works for a medicare-certified home health agency is caring for a patient who is recovering from a stroke at home. when is the nurse expected to complete the outcome assessment information set (OASIS)? | at the start of care every two months at discharge |
| an agitated patient has been physically restrained for 2 hours. which interventions would the nurse include in the plan of care as alternatives to using restraints? | include the use of aromatherapy. Use gentle massage for relaxation. Let the patient listen to music. |
| a nurse is assessing patients in the unit. which action of the nurse indicates that the nurse follows fidelity? | Preparing a plan to manage the pain of the patient and monitoring the responses. |
| which nursing roles require a master's degree? | Nurse educator Nurse administrator Advanced practice registered nurse Nurse researcher |
| which interventions by the certified nurse midwife (CNM) are appropriate for her scope of practice when caring for a patient in labor? | conducting the labor providing care to the newborn |
| which documentation would the nurse include in the electronic health record (EHR) after completing a teaching session with a patient? | a. The patient’s reaction to the teaching d. The teaching materials presented by the nurse e. The topics that the nurse taught the patient |
| which lifestyle factors may increase the risk of developing a stroke? | 1 Fast foods 2 Physical inactivity 4 Tobacco use |
| the nurse is presenting information to a management class of nursing strudents on the topic of groupds of inpatient hospital services that have a fixed reimbursement amount, with adjustments made on the basis of case severity and regional costs. The nurse | diagnosis related groups |
| arrange the steps in the order in which the nurse should take a telephone prescription for a patient in an emergency. | An arrangement is made for a registered nurse to contact the health care provider. The nurse writes down the prescription and repeats it back to the health care provider. |
| The nurse enters the prescription into the electronic medical record system. The nurse notes "telephone prescription" and electronically "signs" the entry. The health care provider is prompted to cosign the order. | |
| which main objectives may be attained through a comprehensive assessment of adolescents in a community? | Reduce incidence of smoking Promote safe sexual practices Enhance nutritional status |
| a hospital-based nurse has been asked to join a community-based nursing center. in which aspects does the community-based nursing center differ from a hospital-based setting? | Community health care services focus on vulnerable populations. Community health care services can be directly accessed by patients. Community health care services are provided where the patients live |
| which role is the community-based nurse responsible for? | providing home care managing chronic conditions conducting routine checkups |
| the nurse works at a blood bank. which diseases would the nurse screen for in blood donors? | HIV Hepatitis |
| which demands of the roy adaption model can be useful in helping a patient? | physiological psychological dependence-independence |
| a patient with asthma approached a primary care center for management of his illness. which role of a nurse practitioner may be carried out during the patientt's visit for primary care? | providing collaborative care Provide direct medical care. provide comprehensive care |
| which statements illustrate the role of a nurse as a patient care provider? | Assist the patient in meeting therapeutic goals. Independently implement coughing exercises for a patient who recently had surgery. Provide measures that restore a patient's emotional, spiritual, and social well-being. |
| which phrases are true about the nursing practice? | Nursing practice helps shape health policy and health systems management. Nursing practice involves collaborative care of sick individuals of all ages, families, groups, and communities. |
| Nursing practice involves helping a dying client find relief from pain. Nursing practice involves interpreting clinical situations and making complex decisions, based on knowledge and experience. | |
| a nurse is caring for an unconscious patient in the emergency department. the health care provider asks the nurse to obtain consent from the patient's family members before starting treatment. which role does the nurse perform when requesting consent for | Nurse educator |
| health care institutions establish ethics committees to process ethical dilemmas. Ethics committees include which functions? | 1. Education 2. Case consultation 3. Policy recommendation |
| a nurse is learning about a democratic nursing unit that supports decision making. which elements of decision making should the nurse practice? | Responsibility Authority Autonomy |