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NUR 402 Final Exam Review Flashcards | StudBud
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NUR 402 Final Exam Review
NUR 402 Final Exam Review
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1
What behavior is a reassuring sign for the home health nurse to note that the pt is following his tx plan for htn, dm?
patient has a list of all foods and beverages for a 3-day period
patient has a list of medications along with newly refilled meds
patient has a list of glucose readings for the past 10 days
patient verbalizes the side effects of all of his medication
2
When does disaster management begin?
Before a disaster occurs
During the disaster
Immediately following the disaster
During the recovery period
3
Of the following pts over 65 years, who would meet the criteria for Medicare reimbursement for home health nursing?
client whose family member need to learn how to care for his surgical wound
client who needs sitter services cuz she wanders from home and becomes lost
client who needs assistance with house cleaning and meal preparation
client who needs assistance with bathing and meal preparation
4
What level of prevention occurs when the school nurse gets help w/high school students for an antidrug presentation?
primary
secondary
tertiary
both primary and secondary
5
A new CH nurse is overwhelmed w/ the needs of the community. Which should be the first priority of the nursse?
A problem that is of high concern to the community
A problem that affects the most disadvantaged residents in the community
A problem in an area in which the nurse has a great deal of expertise
A problem that is very easy and inexpensive to address
6
The CHN meets w/local religious leaders to understand the values/norms/& percieved needs w/in the comm. What is this?
data generation
problem identification
data collection
data interpretation
7
Home care nurse completes initial assessment on her home care pt. After analyzing data, what is next step in nsg process
planning
nursing diagnosis
implementation
outcome identification
8
What is the primary focus of public/community health nursing?
Individuals within the family unit
Families and groups
Illness-oriented care
Health care of communities and populations
9
A pt with 2nd or 3rd degree burns covering more than 50% of their body would be classified under what stage of triage?
Expectant
Minor
Delayed
Immediate
10
A nurse understands that the following disparity is the most significant contributing factor to poor quality of care?
Language barrier
Provider-patient communication
Lack of transportation
Lack of health insurance
11
A family talking w/nurse cuz a family member is exp. chr illness & ask how they should cope. What is BEST response?
The nurse can decide what would be best for the family
Don't worry about the role changes; everyone will know what to do
I know you are worried about this, so you should talk with the physician
The family should discuss the changing roles & what is needed for everyone
12
Which of the following led to the development of the National Health Quality Improvement Act?
Publicity about unfortunate cases caused consumers to become concerned
A very famous movie & television star dies as the result of a medical error
Media such as films highlighted the reality of current medical care
The number of malpractice claims had increased
13
What primary reason would large companies have to being more involved in their employees' personal health & well-being?
It allows managers to better understand their employees
It is an ethical and moral responsibility
It improves public relations within the community
It provides an overall cost savings to the company
14
When utilizing CM to maximize pt outcomes, what is an important consideration that should be made by the nurse?
Case management plans provide additional expense to the client and family
Case management plans should be used only by nurses to manage care
Case management plans should be individualized for each client
Case management plans focus on the natural progression of the disease
15
A unique characteristic of the standards of practice for school nurses is which of the following?
Use of research findings in the practice of school nursing
Requirement of a BSN and special certificatin in school nursing
Restriction of delegation of care to other school personnel
Allignment w/American Academy of Pediatrics guidelines for providing care
16
What level of prevention is being used by a nurse who is helping to develop a community-wide disaster management plan?
All prevention levels
Tertiary Prevention
Primary prevention
Secondary prevention
17
What ethical principle is in question when the CM notices some pts are getting less services d/t financial situation?
justice
beneficence
deontology
veracity
18
Which of the following nurses is famous for creating public/community health nursing in the United States?
Mrs. Solomon Loeb
Frances Root
Florence Nightingale
Lillian Wald
19
Health ed is used in working w/vulnerable pops. The benefits of health ed can greatly be affected by what?
Health literacy
Income level
Race and ethnicity
Dependency cycle
20
What is the primary focus of hospice care?
Providing paliative care (comfort care) to maintain comfort until death
Decreasing the waste of acute care (hospital) resources
Teaching the client and family how to care for themselves
Curing or controlling the client's chronic disease
21
An worker in a lab drops a flask, w/ a chemical splash to eyes with burns to the eyes. What is considered the agent?
the employee
the flask
the chemical
the laboratory
22
Which of the following is a unique characteristic of the role of the occupational health nurse?
Adapts to the safety needs of the agency and specific groups of workers
Is interdisciplinary in nature
Works as a solo clinician and/or independent contractor
Specializes in health promotion and education
23
Community health nsg is a specialty w/ a distinct focus & scope of practice. What would the nurse 1st be ineteresed in?
Drug treatments for diabetes
New technology for diabetic care
Populations with the highest rate of diabetes
Educational materials for individuals with diabetes
24
What nsg dx is appropriate for the 22 yo that smokes 1 PPD & tells the nurse, I enjoy smoking & have no plans to quit
Deficient Knowledge R/T long-term effects of cigarette smoking
Health Seeking Behaviors R/T cigarette use
Readiness for Ehnanced Self-Health Management R/T smoking
Ineffective Health Maintenance R/T tobaco use
25
Which event led to home care nurses caring for acutely ill clients & the increased demands for extensive documentation?
Advances in medical technology and pharmacology
Increased number of lawsuits for substandard care
Introduction of Medicare
Social Security Act of the 1930s
26
A strategy used by nurses to improve health status of migrant workers that spend a short time in the area is what?
Use every opportunity to teach about preventive health care
Establish a long-term trust relationship to prevent disappointment
Conduct a comprehensive assessment and formulate a plan for treatment
Schedule appointments for appropriate immunizations for the children
27
During a mass casualty event, a pt is triaged & tagged as "Minor." Which is an example of a "Minor" triaged patient?
A person who is unconscious
A strained right shoulder
An obstructed airway
A large laceration to the right leg
28
Which of the following defines a disaster?
Any event that results in multiple deaths
Devastation that covers a broad geographic area
Devastation that cannot be relieved without assistance
When the event results in multiple injuries, deaths, & property damage
29
A nurse is one of the first responders on the scene of a disaster. What is the nurse's
initial
priority?
Triage the patients
Assign tasks
Prioritize care
Delegate care to additional personnel as they arrive
30
How does Continuous Quality Improvement (CQI) differ from Quality Assurance (QA)?
QA focuses on system issues, whereas CQI focuses on individual client care
Quality assurance focuses on families, whereas CQI focuses on agency issues
Quality assurance focuses on patient care, & CQI focuses on system issues
QA measures care at one point in time, whereas CQI is an ongoing issue
31
The direct data collection that nurses perform during a ride through of the specific community is known as what?
Composite database
Windshield survey
Secondary analysis
Participation observation
32
Which of the following statements best describes the difference between home health care and acute client care?
Home health care is provided in the client's environment
The focus of acute client care is on community health
Reimbursement for home health varies from care provided in institutions
Acute client care is individualized for the client and family
33
Which of the following is the best definition of community?
A group sharing a common bond such as a profession or occupation
A group working together to confront a common problem
A geographic area or political division under common leadership
A social group with common goals within a geographic area
34
The greatest risk for experiencing work-related accidents with subsequent injuries is to which of the following?
Older workers with 2 years of experience on the job
Workers with safe, low-level exposure on the job
New workers with less than 1 year of experience on the current job
Women over 50 years of age with 3 years of experience on the current job
35
Nurse assesses a new diabetic & their readiness to learn finger sticks. Before teaching what would be most effective?
Refer pt to diabetic specialist who can assist the patient w/the glucometer
Provide pt w/all the latest research from Internet on glucose monitoring
Assist the pt w/long-term goals & plan teaching according to these goals
Assist the patient in developing realistic short-term goals
36
Which of the following patients demonstrates a potential health disparity group?
28-year-old man who needs a tetanus booster
26-year-old woman who is receiving follow-up after a car accident
30-year-old immigrant who does not speak English
12-month-old with an appointment for immunizations
37
Which would be the most crucial aspect to consider when attempting to minimize damage after a bioterrorism attack?
Identifying factors that put people at risk
Identifying typical chemical or biological agents
Recognizing areas of vulnerability within an area
Detecting an increase in people with similar signs and symptoms
38
Which of the following is a widely recognized chemical health hazard in health care environments?
Latex allergy
Radiation
Viruses
Burn-out
