Adult Health 1 - Exam 1 Concepts - Modules 1 and 2
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Adult Health 1 - Concepts - Modules 1 and 2
Institution
Adult Health 1 - Concepts - Modules 1 And 2
A nurse has recently been assigned to a medical-surgical clinical rotation. According to the scope of medical-surgical nursing, what type of client assignments does the nurse expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chr...
Adult Health 1 - Exam 1 Concepts - Modules 1 and 2
A nurse has recently been assigned to a medical-surgical clinical rotation. According to the
scope of medical-surgical nursing, what type of client assignments does the nurse expect to
see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting - answer-B. The scope of medical-surgical nursing,
sometimes called adult health nursing, is to promote health and prevent illness or injury in
clients from 18 to 100 years of age or older. The most common practice setting is the acute care
hospital.
Which principal nursing actions best support a focus on client safety? Select all that apply.
A. Client restraints
B. Handwashing
C. Preoperative checklists
D. Respect for others
E. Five rights of drug administration - answer-B. C. E. Although restraints may help clients who
are confused to keep from hurting themselves, they are potentially risky and are used
infrequently because of the harm they can cause.
A nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which
statement by the student indicates a correct understanding of the RRT member's purpose?
A. "I will be caring for clients in the hospital."
B. "I will be riding along in the hospital's ambulance."
C. "I will be admitting clients to the hospital."
D. "I will be observing code 'blue' resuscitations." - answer-A. Members of the RRT are critical
care experts who are on site in the hospital and are available at any time.
,A nurse is working in the intensive care unit. When does the nurse call the Rapid Response
Team (RRT)?
A. An 87-year-old client awakens mildly confused, then reorients quickly.
B. A newly admitted client requests pain medication.
C. A postoperative client's dressing has mild bloody drainage.
D. A postoperative client's blood pressure suddenly drops. - answer-D. The RRT should be
called whenever a client has a slow or sudden deterioration in clinical condition.
Which role of the medical-surgical nurse is demonstrated by writing a care plan for the client
who is newly admitted to the hospital?
A. Advocate
B. Caregiver
C. Communicator
D. Educator - answer-B. In the caregiver role, medical-surgical nurses assess clients, analyze
collected information to determine their needs, develop nursing diagnoses and collaborative
problems, plan care and carry out the plan with the health care team, and evaluate the care
given.
A nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which
ethical principle that guides nursing clinical decision making is demonstrated in this situation?
A. Beneficence
B. Justice
C. Legality
D. Self-determination - answer-D. Self-determination refers to the idea that clients are
autonomous individuals capable of making informed decisions about their care. When the client
is not capable of self-determination, the nurse is ethically obligated to protect the client as an
advocate in the professional scope of practice.
Which important aspect of coordinating care within the interdisciplinary team is facilitated by use
of the "SBAR" and "PACE" procedures?
,A. Communication
B. Implementation
C. Policy making
D. Protocol development - answer-A. SBAR and PACE are acronyms for hand-off methods of
communication used by health care organizations to share information between shifts and
between departments.
A 78-year-old Mexican American client is admitted to the hospital for hypertension. His wife
passed away 6 months ago, and his only child still lives in Mexico. Which intervention does the
nurse use in dealing with this client following his admission?
A. Assess the client for his use of folk medicine.
B. Call the client's child and explain why his father needs him.
C. Present all information on hypertension to the client in one teaching session.
D. Provide a pamphlet on hypertension for initial education. - answer-A. Assessing the client's
use of folk medicine will help determine his care.
A nursing student is following a medical-surgical nurse and identifies a way to improve a
procedure used for client care. What does the student nurse do next?
A. Asks the nurse about the rationale for doing the procedure that way
B. Corrects the medical-surgical nurse about the way the procedure should be done
C. Goes to the charge nurse with the idea
D. Places a note in the suggestion box - answer-A. Although all nurses are responsible for
quality improvement, it is important to assess before implementing. Asking why something is
done a certain way is a good form of assessment.
Bedside computers are an example of informatics used in health care primarily for which
purpose?
A. Documenting interdisciplinary care
B. Enhancing collaboration and coordination of care
C. Offering clients access to e-mail and the Internet
, D. Retrieving data for the evidence-based practice - answer-A. The largest application of health
care informatics is the growing trend of the use of electronic medical records (EMRs) for
documenting interdisciplinary care. Computers may be located at the client's bedside or in the
treatment room for ease of access.
Which nursing action demonstrates use of the principle of justice?
A. A 32-year-old client is prevented from falling during the initial postoperative period following
her hysterectomy.
B. A 67-year-old client with dementia is shown the same respect as his 47-year-old roommate
with prostate cancer.
C. An 82-year-old client is provided access to the hospital Patient Advocate for processing of a
complaint.
D. The parents of a 13-year-old are included in discussions about the course of their teen's
treatment and care. - answer-B. The principle of justice refers to equality—all clients should be
treated equally and fairly as is demonstrated by the respect shown to the client with dementia. A
similar example is seen in the text.
A nurse is asked to collaborate with others to implement an interdisciplinary (ID) plan of care for
a client. Which health care team members are essential for the client's daily care regimen?
Select all that apply.
A. Anesthesiologist
B. Case Manager
C. Health Care Provider
D. Occupational therapist - answer-B. C. The others are not needed on a daily basis.
A nurse is appointed to a hospital committee whose goal is to "improve nursing practice." Which
areas of practice are included in the committee's task? Select all that apply.
A. Attentiveness/surveillance of clients
B. Mandatory reporting
C. Medication administration
D. Participation in professional organizations
E. Prevention of errors or complications
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