Chapter 5 Care of Special Populations
Priority Concepts Caregiving, Health Disparities
Question 1
Which teaching method is most effective when
... [Show More] providing instruction to members of special populations?
1. Teach-back
2. Video instruction
3. Written materials
4. Verbal explanation
Answer 1
Question 2
Which is most appropriate when communicating with a transgender person?
1. Using preferred pronouns
2. Using their first name to address them
3. Using pronouns associated with birth sex
4. Anticipating the client’s needs and making suggestions
Answer 1
Question 3
The nurse is volunteering with an outreach program to provide basic health care for homeless people. Which finding, if noted, must be addressed first?
1. Blood pressure 154/72 mmHg.
2. Visual acuity of 20/200 in both eyes
3. Random blood glucose level of 206 mg/dL
4. Complaints of pain associated with numbness and tingling in both feet
Answer 4
Question 4
The nurse is completing the admission assessment of a client who is intellectually disabled. Which part of the client encounter may require more time to complete?
1. The history
2. The physical assessment
3. The nursing plan of care
4. The readmission risk assessment
Answer 1
Question 5
The nurse working in a correctional facility is caring for a new prisoner. The client asks about health risks associated with living in a prison. How would the nurse respond?
1. “Health care is very limited in the prison setting.”
2. “Living in a prison isn’t different than living at home.”
3. “Living in a prison can predispose a person to different health conditions.”
4. “Living in a prison is similar to living in a condominium complex or dormitory.”
Answer 3
Question 6
The nurse is caring for a female client in the emergency department who presents with a complaint of fatigue and shortness of breath. Which physical assessment finding, if noted by the nurse, warrant a need for follow-up?
1. Reddened sclera of the eyes
2. Dry flaking noted on the scalp
3. A reddish-purple mark on the neck
4. A scaly rash noted on the elbows and knees
Answer 3
Question 7
The nurse working in a community outreach program for foster children plans care knowing that which health conditions are common in this population? Select all that apply.
1. Asthma
2. Claustrophobia
3. Sleep problems
4. Bipolar disorder
5. Aggressive behavior
6. Attention-deficit / hyperactivity disorder (ADHD)
Answer 3, 4, 5, 6
Question 8
The nurse assisting in planning care for a military veteran must prioritize nursing interventions targeted at managing which condition, if present, that commonly occurs in this population?
1. Hypertension
2. Hyperlipidemia
3. Substance abuse disorder
4. Post-traumatic stress disorder
Answer 4
Question 9
The nurse caring for a refugee considers which health care need a priority for this client?
1. Access to housing
2. Access to clean water
3. Access to transportation
4. Access to mental health care services
Answer 4
Question 10
Which action by the nurse will best facilitate adherence to the treatment regimen for a client with a chronic illness?
1. Arranging for home health care
2. Focusing on managing a single illness at a time
3. Communicating with one provider only to avoid confusion for the client
4. Allowing the client to teach a support person about their treatment regimen
Answer 1
Chapter 6 Ethical and Legal Issues
Priority Concepts Ethics; Health Care Law
Question 1
Which identifies accurate nursing documentation notations? Select all that apply.
1. The client slept through the night.
2. Abdominal wound dressing is dry and intact without drainage.
3. The client seemed angry when awakened for vital sign measurement.
4. The client appears to become anxious when it is time for respiratory treatments.
5. The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema.
Answer 1, 2, 5
Question 2
The licensed practical nurse (LPN) enters a client's room and finds the client lying on the bathroom floor. The LPN calls the registered nurse, who checks the client thoroughly and then assists the client back into bed. The LPN completes an incident report, and the nursing supervisor and primary health care provider (PHCP) are notified of the incident. Which is the next nursing action regarding the incident?
1. Place the incident report in the client's chart.
2. Make a copy of the incident report for the PHCP.
3. Document a complete entry in the client's record concerning the incident.
4. Document in the client's record that an incident report has been completed.
Answer 3
Question 3
An unconscious client, bleeding profusely, is brought to the emergency department after a serious accident. Surgery is required immediately to save the client's life. With regard to informed consent for the surgical procedure, which is the best action?
1. Call the nursing supervisor to initiate a court order for the surgical procedure.
2. Try calling the client's spouse to obtain telephone consent before the surgical procedure.
3. Ask the friend who accompanied the client to the emergency department to sign the consent form.
4. Transport the client to the operating department immediately without obtaining an informed consent.
Answer 4
Question 4
The nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the pediatric unit. Which is the appropriate nursing action?
1. Call the hospital lawyer.
2. Call the nursing supervisor.
3. Refuse to float to the pediatric unit.
4. Report to the pediatric unit and identify tasks that can be safely performed.
Answer 4
Question 5
The nurse enters a client's room and notes that the client's lawyer is present and that the client is preparing a living will. The living will requires that the client's signature be witnessed, and the client asks the nurse to witness the signature. Which is the appropriate nursing action?
1. Decline to sign the will.
2. Sign the will as a witness to the signature only.
3. Call the hospital lawyer before signing the will.
4. Sign the will, clearly identifying credentials and employment agency.
Answer 1
Question 6
The nurse finds the client lying on the floor. The nurse calls the registered nurse, who checks the client and then calls the nursing supervisor and the primary health care provider (PHCP) to inform them of the occurrence. The nurse completes the incident report for which purpose?
1. Providing clients with necessary stabilizing treatments
2. A method of promoting quality care and risk management
3. Determining the effectiveness of interventions in relation to outcomes
4. The appropriate method of reporting to local, state, and federal agencies
Answer 2
Question 7
The nurse observes that the client received pain medication 1 hour ago from another nurse, but the client still has severe pain. The nurse has previously observed this same occurrence several times. Based on the nurse practice act, the observing nurse would plan to take which action?
1. Report the information to the police.
2. Call the impaired nurse organization.
3. Talk with the nurse who gave the medication.
4. Report the information to a nursing supervisor.
Answer 4
Question 8
A client has died, and the nurse asks a family member about the funeral arrangements. The family member refuses to discuss the issue. Which is the appropriate nursing action at this time?
1. Show acceptance of feelings.
2. Provide information needed for decision making.
3. Suggest a referral a mental health professional.
4. Remain with the family member without discussing funeral arrangements.
Answer 4
Question 9
A nurse lawyer provides an education session to the nursing staff regarding client rights with an emphasis on invasion of these rights. The nurse lawyer asks a staff nurse to identify situation the represents an example of invasion of client privacy. Which situation, if identified by a staff nurse, indicates an understanding of a violation of this client right?
1. Threatening to place a client in restraints
2. Performing a surgical procedure without consent
3. Taking photographs of the client without consent
4. Telling the client that he or she cannot leave the hospital
Answer 3
Question 10
An older woman is brought to the emergency department. When caring for the client, the nurse notes old and new ecchymotic areas on both of the client's arms and buttocks. The nurse asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her daughter frequently hits her if she gests in the way. Which is the appropriate nursing response?
1. "I have a legal obligation to report this type of abuse."
2. "I promise I won't tell anyone, but let's see what we can do about this."
3. "Let's talk about ways that will prevent your daughter from hitting you."
4. "This should not be happening. If it happens again, you must call the emergency department."
Answer 1
Chapter 7 Prioritizing Client Care: Leadership, Delegation, and Emergency Response Planning
Priority Concepts Leadership; Health Care Organizations
Question 1
The nurse is recording a nursing hands-off (end-of-shift) report for a client. Which information needs to be included?
1. As-needed medications given that shift
2. Normal vital signs that have been the same since admission
3. All of the tests and treatments the clients has had since admission
4. Total number of scheduled medications that the client received on that shift.
Answer 1
Question 2
The nurse is planning the client assignments for the day. Which is the most appropriate assignment for the assistive personnel (AP)?
1. A client who requires wound irrigation
2. A client who requires frequent ambulation
3. A client who is receiving continuous tube feedings
4. A client who requires frequent vital signs after a cardiac catheterization
Answer 2
Question 3
The nurse employed in a long-term care facility is planning the client assignments for the shift. Which client would the nurse assign to the assistive personnel (AP)?
1. A client who requires a 24-hour urine collection
2. A client who requires twice-daily dressing changes
3. A client with diabetes mellitus who requires daily insulin and the reinforcement of dietary measures
A client who has been placed on a bowel management program and requires rectal suppositories and a daily enema
Answer 1
Question 4
The nurse is assigned to care for four clients. When planning client rounds, which client would the nurse check first?
1. A client in skeletal traction
2. A client who is dependent on a ventilator
3. A postoperative client preparing for discharge
4. A client admitted during the previous shift with a diagnosis of gastroenteritis
Answer 2
Question 5
The nurse employed in an emergency department (ED) is assigned to assist with the triage of clients arriving at the ED. The nurse would assign priority to which client?
1. A client complaining of muscle ache, headache, and malaise
2. A client who twisted their ankle when they fell in-line skating
3. A client with a minor laceration on the index finger sustained while cutting an eggplant
A client with chest pain who states that they just ate pizza that was made with a very spicy sauce
Answer 4
Question 6
The nurse is educating a new nurse about mass casualty events (disasters). Which statement by the new nurse indicates a need for further teaching? Select all that apply.
1. “An event is termed a mass casualty when it overwhelms local medical capabilities.”
2. “Mass casualty events do not require an increase in the number of staff that are needed.”
3. “A mass casualty event occurs only within the health care facility and could endanger staff.”
4. “Mass casualty events may require the collaboration of many local agencies to handle the situation.”
5. “A mass casualty event occurs if a fight between visitors occurs in the emergency department.”
Answer 2, 3, 5 [Show Less]