Foundations NURSING FINAL EXAM LATEST UPDATE 2024 WITH CORRECT QUESTIONS AND ANSWERS
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Course
Foundation nursing
Institution
Foundation Nursing
1. The nurse is applying for a position with a home care organization that specializes in spinal
cord injury. In which type of health care facility does the nurse want to work?
a. Secondary acute
b. Continuing
c. Restorative
d. Tertiary -
Patients recovering from an acute or chronic illness ...
Foundations NURSING FINAL EXAM LATEST UPDATE 2024 WITH CORRECT QUESTIONS AND
ANSWERS/ Foundations NURSING FINAL EXAM LATEST UPDATE 2024 WITH CORRECT
QUESTIONS AND ANSWERS/ Foundations NURSING FINAL EXAM LATEST UPDATE 2024 WITH
CORRECT QUESTIONS AND ANSWERS
1. The nurse is applying for a position with a home care organization that specializes in spinal
cord injury. In which type of health care facility does the nurse want to work?
a. Secondary acute
b. Continuing
c. Restorative
d. Tertiary -
Patients recovering from an acute or chronic illness or disability often require additional
services (restorative care) to return to their previous level of function or reach a new level of
function limited by their illness or disability. Restorative care includes cardiovascular and
pulmonary rehabilitation, sports medicine, spinal cord injury programs, and home care.
Secondary acute care involves emergency care, acute medical-surgical care, and radiological
procedures. Continuing care involves assisted living, psychiatric care, and older-adult day care.
Tertiary care includes intensive care and subacute care.
2. A nurse provides immunization to children and adults through the public health
department. Which type of health care is the nurse providing?
a. Primary care
b. Preventive care
c. Restorative care
d. Continuing care - CORRECT ANSWER-ANS
Preventive care includes immunizations, screenings, counseling, crisis prevention, and
community safety legislation. Primary care is health promotion that includes prenatal and
well-baby care, nutrition counseling, family planning, and exercise classes. Restorative care
includes rehabilitation, sports medicine, spinal cord injury programs, and home care.
Continuing care is assisted living and psychiatric care and older-adult day care.
3. The nurse is trying to determine risk factors unique to home care patients. What resource
should the nurse access?
,a. Pew Health Professions Commission
b. The Outcome and Assessment Information Set (OASIS)
c. American Nurses Credentialing Center (ANCC) Magnet Recognition Program
d. Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS) -
CORRECT ANSWER-ANS: B
OASIS (the Outcome and Assessment Information Set), includes a group of standardized core
assessment items for an adult home care patient. OASIS forms the basis for measuring patient
outcomes for the purposes of outcome-based quality. Data items within OASIS include socio-
demographic, environmental, support system, health status, functional status, and health
service utilization characteristics of a patient (ResDac, 2016). The OASIS assessment tool was
designed to gather the data items needed to measure both outcomes and patient risk factors
in the home setting. The Pew Health Professions Commission, a national and interdisciplinary
group of health care leaders, recommended 21 competencies for health care professionals in
the twenty-first century. The Hospital Consumer of Assessment of Healthcare Providers and
Systems (HCAHPS) is a standardized survey developed to measure patient perceptions of their
hospital experience. The Magnet Recognition Program recognizes health care organizations
that achieve excellence in nursing practice.
4. An older-adult patient has extensive wound care needs after discharge from the hospital.
Which facility should the nurse discuss with the patient?
a. Hospice
b. Respite care
c. Assisted living
d. Skilled nursing - CORRECT ANSWER-ANS: D
An intermediate care or skilled nursing facility offers skilled care from a licensed nursing staff.
This often includes administration of IV fluids, wound care, long-term ventilator management,
and physical rehabilitation. A hospice is a system of family-centered care that allows patients
to live with comfort, independence, and dignity while easing the pains of terminal illness.
Respite care is a service that provides short-term relief or "time off" for people providing
home care to an individual who is ill, disabled, or frail. Assisted living offers an attractive long-
term care setting with an environment more like home and greater resident autonomy.
5. A nurse is using research findings to improve clinical practice. Which technique is the nurse
using?
,a. Performance scores
b. Integrated delivery networks
c. Nursing-sensitive outcomes
d. Utilization review committees - CORRECT ANSWER-ANS: A
Performance improvement activities are typically clinical projects conceived in response to
identified clinical problems and designed to use research findings to improve clinical practice
by applying earned scores. Larger health care systems have integrated delivery networks
(IDNs) that include a network of facilities, providers, and services organized to deliver a
continuum of care to a population of patients at a capitated cost in a particular setting.
Nursing-sensitive outcomes are patient outcomes and nursing workforce characteristics that
are directly related to nursing care such as changes in patients' symptom experiences,
functional status, safety, psychological distress, registered nurse (RN) job satisfaction, total
nursing hours per patient day, and costs. Medicare-qualified hospitals had physician-
supervised utilization review (UR) committees to review the admissions and to identify and
eliminate overuse of diagnostic and treatment services ordered by physicians caring for
patients on Medicare.
6. A nurse hears a co-worker state that anybody could be a nurse since it is so automated with
infusion devices and electronic monitoring; technology is doing the work. What is the nurse's
best response?
a. "Technology use has to be combined with nursing judgment."
b. "The focus of effective nursing care is technology."
c. "If it's so easy, why don't you do it?"
d. "That is true in the twentieth century." - CORRECT ANSWER-ANS: A
In many ways, technology makes work easier, but it does not replace nursing judgment.
Technology does not replace your critical eye and clinical judgment. Most importantly, it is
essential to remember that the focus of nursing care is not the machine or the technology; it
is the patient. Using "why" is not beneficial when communicating with others. Agreeing with
the statement furthers misconceptions.
7. A nurse is completing a minimum data set. Which area is the nurse working?
a. Nursing center
b. Psychiatric facility
, c. Rehabilitation center
d. Adult day care center - CORRECT ANSWER-ANS: A
Nurses who work in a nursing center (nursing home or nursing facility) are required to
complete a minimum data set on each patient. Minimum data set is not needed for
psychiatric, rehabilitation, or adult day care centers. Patients who suffer emotional and
behavioral problems such as depression, violent behavior, and eating disorders often require
special counseling and treatment in psychiatric facilities. Rehabilitation restores a person to
the fullest physical, mental, social, vocational, and economic potential possible. Patients
require rehabilitation after a physical or mental illness, injury, or chemical addiction. Adult
day care centers provide a variety of health and social services to specific patient populations
who live alone or with family in the community. Services offered during the day allow family
members to maintain their lifestyles and employment and still provide home care for their
relatives.
8. The nurse is preparing a smoking cessation class for family members of patients with lung
cancer. The nurse believes that the class will convert many smokers to nonsmokers once they
realize the benefits of not smoking. Which health care model is the nurse following?
a. Health belief model
b. Holistic health model
c. Health promotion model
d. Maslow's hierarchy of needs - CORRECT ANSWER-ANS: A
The health belief model addresses the relationship between a person's beliefs and behaviors.
The holistic health model recognizes the natural healing abilities of the body and incorporates
complementary and alternative interventions such as music therapy. The health promotion
model focuses on the following three areas: (1) individual characteristics and experiences, (2)
behavior-specific knowledge and affect, and (3) behavioral outcomes, in which the patient
commits to or changes a behavior. Maslow's' hierarchy of needs is based on the theory that
all people share basic human needs, and the extent to which basic needs are met is a major
factor in determining a person's level of health.
9. The nurse is working on a committee to evaluate the need for increasing the levels of
fluoride in the drinking water of the community. Which concept is the nurse fostering?
a. Illness prevention
b. Wellness education
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