What Is Public Health? Integrated Processes: Teaching/Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Infection; Nursing Roles; Promoting Health Difficulty: Easy FeedbackA Risk assessment is considered a part of disease prevention. B Birth control is not considered to be one of the goals of public health. C Health education and the promotion of healthy lifestyles are essential parts of public health. D The goal of public health is to guide governmental policy but not to create regulations. PTS: 1 CON: Infection | Nursing Roles | Promoting Health 3. If th

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[eBook][PDF] Reading, Understanding, and Applying Nursing Research, 5th Edition By James A. Fain

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What Is Public Health? Integrated Processes: Teaching/Learning Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Infection; Nursing Roles; Promoting Health Difficulty: Easy FeedbackA Risk assessment is considered a part of disease prevention. B Birth control is not considered to be one of the goals of public health. C Health education and the promotion of healthy lifestyles are essential parts of public health. D The goal of public health is to guide governmental policy but not to create regulations. PTS: 1 CON: Infection | Nursing Roles | Promoting Health 3. If th Test Bank For Using and Understanding Mathematics A Quantitative Reasoning Approach 7th Edition By Jeffrey Bennett, William Briggs Test Bank for Psychopathology An Integrative Approach to Understanding, Assessing, and Treating Psychological Disorders 7th Edition By Martin Lalumière, David Barlow, Mark Durand, Stefan Hofmann (All Chapters, 100% Original Verified, A Grade) WORKBOOK TO ACCOMPANY UNDERSTANDING ANATOMY AND PHYSIOLOGY SECOND EDITION BY GALE SLOAN THOMPSON [eBook] [PDF] Understanding Health Insurance A Guide to Billing and Reimbursement (2022) 17th Edition By Michelle Green Western Governors University NURSING UG C229 Leadership Questions and Answers Rated AA 13-year-old female client tells the charge nurse in the pediatric unit that she does not want a male nurse assigned to care for her. Which of the following is the nurse's best response? "I'll change the assignment so a female nurse is caring for you today." - The client has the right to participate in decisions regarding her care. It is not unusual for an adolescent client to be uncomfortable being cared for by a nurse of the opposite sex. Whenever it is feasible, a request such as this should be respected and honored. An 18-year-old client in remission with rhabdomyosarcoma has just been diagnosed with metastasis to the bone. The client says that he does not want to have chemotherapy again. Which of the following statements is consistent with the client's rights? The nurse states, "I can gather information about palliative care for you." - The nurse is acknowledging the client's right to refuse treatment and is demonstrating support by offering to discuss end-of-life care options. After a disaster plan is put into effect, a nurse in a pediatric unit is asked to prepare a list of clients who can be discharged to home due to a local incident involving many child victims. Which of the following clients should the nurse place on the potential discharge list? - A preschooler who has asthma and has scattered wheezes with PRN use of abuterol - A school age child who has a femur fraction in an external fixation device and whose pain is controlled with PRN oral codeine - A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics A preschooler who has asthma and has scattered wheezes that resolve with PRN use of albuterol (Proventil) is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Children who have asthma are most often managed at home once the acute phase of illness has resolved. Because this client's manifestations are responsive to the prescribed medication, this child should do well at home with appropriate discharge teaching and if follow-up care is planned. A school-age child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. External fixation devices are worn for weeks to months: they are most often managed at home once the device is placed and the client has learned how to care for the immobilized limb. This client's pain is responsive to oral codeine. Prior to discharge, the client may need instructions on ambulation and weight-bearing, as prescribed. A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Long-term antibiotic therapy is typically completed in the home following PICC line placement. A visiting nurse can assist this client in home care management. The client's developmental delay has no bearing on whether the client is safe to discharge. An infant who has non-organic failure to thrive, has gained weight since hospitalization, and may be discharged to foster care is incorrect. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. This client's discharge plan is not certain. Note that the option states that the client may be discharged to f t Thi i t th t f it ti th t i t i ll id d i k t h dl i i i t di t it ti Based on recommendations following a regulatory agency visit, the nurse manager mandates a policy change. One of the staff members on the unit is resistant to the change Encourage the nurse to verbalize reasons for resisting the change A charge nurse in an emergency department is making assignments for an assistive personnel for a shift with unexpected staff absences. Escort clients from the emergency department to other areas of the facility for tests A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take? Assign the procedure to a licensed practical nurse (LPN). - This task is within the scope of practice of an LPN. The charge nurse should delegate this task to the LPN. A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict? "I'm not sure whether I want to apply for the unit manager's position or start a family this year." - The nurse's statement indicates an intrapersonal conflict because the nurse is struggling with competing personal and professional values and desires. A charge nurse is evaluating conflict resolution between two staff nurses Accommodation A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? Determine goals and objectives. - According to evidence-based practice, the nurse attempting to make a change or revision to a policy should first develop the initial plan and then determine goals and objectives. Objectives define strategies or implementation steps to attain the identified goals. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? A client who is disoriented and awaiting transfer to a long term care facility A charge nurse is managing conflict with a staff nurse who does not agree with the client assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing? "You always complete your work on time and do a great job. I believe you can handle the assignment well." - The charge nurse is using smoothing as a conflict resolution strategy by complimenting or focusing on shared ideas to reduce the emotional component of the conflict. A charge nurse is observing a group of newly licensed nurses. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? Talking about clients with other nurses in the cafeteria A charge nurse is observing a newly licensed nurse's use of time management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill? Groups tasks that are in the same location - The newly licensed nurse should group tasks that are in the same location to effectively use her time. This prevents the nurse from going back and forth from one area to another. This action promotes effective time-management skills. A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique? The nurse places the sterile package with the top flap opening away from her. - The nurse should place the sterile package on a flat surface so that the top flap opens away from her. This prevents the contents of the sterile package from becoming contaminated. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? "After I finish with the printout of my assignment, I'll put it in the shredder receptacle." - The nurse should shred all computer printouts and worksheets that contain clients' protected health information to maintain client confidentiality. A charge nurse is providing orientation to a new staff nurse regarding the management of a team consisting of a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following instructions by the charge nurse regarding care of a group of clients may result in unsafe practice? The accountability for a task is assumed by the person to whom it is delegated. - This is an incorrect instruction given by the nurse manager that may result in unsafe practice. While responsibility for a task can be delegated, accountability for any delegated task remains with the nurse who delegated the task. TEST-TAKING STRATEGY: This question has a false-response stem; the question is asking for an instruction that may result in an unsafe practice. A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A student nurse is photocopying his assigned client's diagnostic test results. - Photocopying diagnostic test results is a breach of the client's confidentiality and privacy. A charge nurse on a medical-surgical unit is planning care for a client who has dementia and is being admitted for surgery. Which of the following would promote safety when caring for this client? Placing the client in a room near the nurses' station. - The nurse should place the client in a room near the nurses' station and observe the client frequently to reduce the risk of injury. A charge nurse on a pediatric unit is delegating tasks to an assistive personnel who is pregnant and reports that she is unsure of her immune status A 2 year old child who has impetigo contagiosa A charge nurse receives a call from his nursing supervisor about an explosion at a local factory and an urgent need for facility beds a 44 year old client who has asthma and admitted for carpal tunnel surgery A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first? Explore the reasons that staff are not attending the meetings. - According to evidence-based practice the nurse should first identify the reasons that staff are not attending the meetings. A client has Alzheimer's, refuses to take antihypertensive medication, is oriented to time and place, and is able to perform ADLs with minimal supervision. What action should the nurse take? a. crush pills and feed them to client in applesauce b. insist client comply by informing her of possible implications of missing a dose c. notify the provider of need for further evaluation of client's level of competence d. ask client to express her reasons for refusing the medication and document the event d. ask client to express her reasons for refusing the medication and document the event A client in a long term care facility falls out of bed, fracturing his left hip. The side rails on the bed were not raised at bedtime Negligence A client is being transferred to the surgical suite for a procedure when the client suddenly exclaims, "I've changed my mind. I don't want to go through with this!" Which of the following is an appropriate response by the nurse? "Let me call your surgeon while you tell me about your concerns." - This is an appropriate response because the client has the right to refuse treatment. Speaking with the nurse and the provider about concerns or questions may allay anxieties and allow the client to continue with the procedure. Consent may be withdrawn after it's given and clients have the right to change their minds. It is the nurse's responsibility to notify the surgeon if the client verbalizes a desire to stop or delay a medical procedure or treatment. A client is considering having a tubal ligation, and she tells the nurse that she is uncertain if it is the right thing to do. Which of the following is an appropriate response by the nurse? Discuss the client's feelings about the procedure. ATI COMPRHENSIVE SURGERY REVISION 2021 Graded A, Latest Questions and Answers with Explanations, All Correct Study Guide, Download to Score A BREAST 1. After intraductal papilloma, unilateral bloody nipple discharge from one duct orifice is most commonly caused by which of the following pathologic conditions? 2. Which of the following conditions is associated with increased risk of breast cancer? ENDOCRINE 1 . When progressive enlargement of a multinodular goiter causes symptomatic tracheal compression, the preferred management in otherwise good-risk patients is: 2. The most precise diagnostic screening procedure for differentiating benign thyroid nodules from malignant ones is: ABDOMINAL WALL (HERNIA) & ACUTE ABDOMEN 1. The most common hernia in females is: 2. Which of the following statements regarding unusual hernias is incorrect? ESOPHAGUS, STOMACH & DUODENUM 1 . Which of the following statements about the anatomic course of the esophagus is correct? 2. Which of the following statements about esophageal anatomy is correct? SMALL INTESTINE 1 . The most common site of adenocarcinoma of the small intestine is the: 2. The most common benign tumor of the small intestine is: LARGE INTESTINE 1 . Which answers are true? In contrast to ulcerative colitis, Crohn's disease of the colon: 2. Which answers are true? Options to consider when operating for Crohn's disease of the large intestine include: HEPATOBILIARY & PANCREASE 1 . Which of the following statements about the segmental anatomy of the liver are not true? 2. Which of the following anatomic features of the biliary system are important considerations in operative cholangiography? SPLEEN 1 . As the functional anatomy of the spleen is divided into red pulp, white pulp, and marginal zone, what function is incorporated into the anatomy of the cortical zone that relates to infection control? 2. During the evolution of the understanding of hematologic diseases, the indications for splenectomy have changed. The most common indications for splenectomy are, in descending order of frequency: ORTHOPEDICS 1 . Which of the following statements about open fractures is/are correct? 2. The goals of proper fracture reduction include which of the following? NEUROSURGERY 1 . Which of the following are true about the history of neurosurgery? 2. The neurosurgeon who has had the most profound influence on the development of neurosurgery is: THORACIC 1 . The bronchial circulation: 2. Clearance of mucus produced in the tracheobronchial tree in chronic bronchitis secondary to smoking may: TRANSPLANTATION 1 . The "father of experimental surgery" who performed pioneering research, including several transplantation procedures, was: 2. Transplantation terminology contains terms to describe the relationship of the graft donor to the graft recipient. Historical terms such as "homograft" and "heterograft" have been replaced by less ambiguous terms. The correct modern terminology for a graft between genetically nonidentical members of the same species is: TRAUMA & BURNS 1 . Nasotracheal intubation: 2. Cardiac contusions caused by blunt chest trauma: ONCOLOGY 1 . Cytotoxic T cells (CTLJ are capable of recognizing: 2. Adoptive immunotherapy with lymphokine activated killer cells (LAKJ and tumor infiltrate (TIL) cells are characterized by: PEDIATRIC SURGERY 1 . Polyhydramnios is frequently observed in all of the following conditions except: 2. Which of the following statements about Hirschsprung's disease is/are true? TEST BANK for Using and Understanding Mathematics A Quantitative Reasoning Approach, 7th Edition by Jeffrey Bennett, William Briggs Reading, Understanding and Applying Nursing Research 5th Edition by James A. Fain | TEST BANK Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 3. The nurse is caring for four clients on a medical–surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client’s abnormalities? 1. WBC 14,600 mm3 2. Serum protein 6.9 g/dL 3. I & D (incision and drainage) showing no growth for the last 24 hours 4. Albumin 4.2 g/dL Answer: 1 Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000–10,000 mm3 .) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician. Cognitive Level: Application Client Needs: Physiologic Integrity Nursing Process: Assessment 4. The nurse is orienting a new graduate. The nurse is reinforcing the importance of standard precautions. Which of the following observations by the nurse would require further education regarding standard precautions? 1. The graduate nurse understands to wash hands when entering and exiting the client’s room. 2. The graduate nurse wears gloves when serving breakfast trays to various clients. 3. The graduate nurse wears a gown, gloves, and goggles when suctioning a client. 4. The graduate nurse leaves all supplies in the room of a client who is in contact isolation. Answer: 2 Rationale: The nurse must have an understanding of standard precautions. Prevention is the most important measure to prevent nosocomial infections. Standard precautions were published in 1996 that provide guidelines for the handling of download full file at http://testbankinstant.com blood and other body fluids. These guidelines are used with all clients, regardless of whether they have a known infectious disease. Standard precautions are used by all healthcare workers who have direct contact with clients or with their body fluids. It is not necessary for the nurse to wear gloves while delivering food trays to the client, because there is not contact with the client. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Evaluation 5. The admitting department alerts the nurse on a medical–surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Which type of isolation is appropriate based on the client’s diagnosis? 1. Standard precautions 2. Airborne precautions 3. Droplet precautions 4. Contact precautions Answer: 2 In addition to handwashing and standard precautions, the nature and spread of some infectious diseases require that special techniques be used to protect uninfected clients and workers. The client with pulmonary tuberculosis will be placed in airborne precautions. The client should be placed in a private room with special ventilation that does not allow air to circulate to general hospital ventilation; a mask or special filter respirators will be used for everyone entering the room. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 6. A client is receiving IV vancomycin for the treatment of Clostridium difficile. The nurse understands that the client who develops flushing, tachycardia, and hypotension during the infusion of vancomycin indicates: 1. Ototoxicity effect. 2. Superinfection. 3. Red man syndrome. 4. Hives. Answer: 3 download full file at http://testbankinstant.com Rationale: Vancomycin inhibits cell wall synthesis, and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid “red man” syndrome. The syndrome is characterized by erythematous rash, flushing, tachycardia, and hypotension. Clients can become dizzy and agitated. Cognitive Level: Application Client Needs: Physiological Integrity Nursing Process: Evaluation 7. The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse understands that the trough should be ordered: 1. A few minutes before the next scheduled dose of medication. 2. 1–2 hours after the oral administration of the medication. 3. 30 minutes after the IV administration. 4. During the infusion of the antibiotic. Answer: 1 Rationale: Antibiotic peak and trough levels monitor therapeutic blood levels of the prescribed medication. The therapeutic range—the minimum and maximum blood levels at which the drug is effective—is known for a given drug. By measuring blood levels at the predicted peak (1–2 hours after oral administration, 1 hour after intramuscular administration, and 30 minutes after IV administration) and trough (usually a few minutes before the next scheduled dose), it is also possible to determine whether the drug is reaching a toxic or harmful level during therapy, increasing the likelihood of adverse effects. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 8. The nurse needs to change a dressing on the client’s abdomen. Which of the following techniques should be implemented? 1. Contact precautions 2. Standard precautions 3. Droplet p

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