Nursing > Questions and Answers > NCLEX-PN: PRACTICE QUESTIONS AND ANSWERS: Has 860 Q&A (All)

NCLEX-PN: PRACTICE QUESTIONS AND ANSWERS: Has 860 Q&A

The family of a client who died of heart failure is making arrangements for a ritual bath to be given by a ritual burial society. Nurses are making arrangements for access and privacy. Which religio... ns have this tradition? (Select all that apply.) A. Buddhism B. Baptist Christianity C. Lutheran Christianity D. Islam E. Judaism A. Buddhism B. Baptist Christianity C. Lutheran Christianity ***D. Islam ***E. Judaism Both the Muslim and Jewish religions have a tradition of a ritual bath after death. That is not true of the Buddhist religion or the Baptist or Lutheran traditions within Christianity. A nurse has transferred from a clinic setting to an inpatient unit. The nurse notices several questions about spiritual beliefs on the admission form that the nurse had never asked new clinic clients. What is the most likely reason for asking these questions? A. Invitation to attend the hospital's worship services B. The Joint Commission's accreditation requirements C. Identify which members of the clergy to call for spiritual emergencies D. Finding a better match for a semiprivate room A. Invitation to attend the hospital's worship services ***B. The Joint Commission's accreditation requirementsC. Identify which members of the clergy to call for spiritual emergencies D. Finding a better match for a semiprivate room The most likely reason to ask questions about spiritual beliefs is The Joint Commission's requirements for clients admitted to an institution. The requirements are not mandated for clinic clients. It is not about attending worship services, matching roommates, or calling the right clergyperson. When the assisted living nurse asks the new client about her religious beliefs, the client answers, "I am not convinced that a Higher Power exists. But I am still open to thinking about it." Which category of religious beliefs does the client identify with? A. Agnostic B. Atheistic C. Nontheistic D. Monotheistic ***A. Agnostic B. Atheistic C. Nontheistic D. Monotheistic The client identifies with agnostics, who believe that the existence of a Higher Power has not been proved. The client is not an atheist, who does not believe in any god. The client is not a monotheist, who believes in one god. There is no category called nontheistic. A young client has just learned of a diagnosis of stage 4 lung cancer. The client was about to graduate from school and get married. "I can't believe in God anymore," the client tells the oncology nurse. "He should be all-loving." Which situation would the nurse identify the client as expressing? A. Spiritual distress B. Fear of unemployment C. Premarital anxietyD. A justice complaint ***A. Spiritual distress B. Fear of unemployment C. Premarital anxiety D. A justice complaint The client is expressing spiritual distress about the loss of hope in his belief system. It is not a complaint about justice, anxiety about a planned marriage, or fear of the job market. As a client comes into the admitting area, a nurse notices a jeweled cross on the client's necklace. The nurse comments, "Great look; I can see your religious beliefs are important to you," and starts with the spiritual assessment of the client. How would this approach be evaluated? A. Complimenting the client's appearance is helpful B. A focus on jewelry might appear materialistic C. It is efficient and effective to dive right into the interview D. No time was taken to establish rapport with the client A. Complimenting the client's appearance is helpful B. A focus on jewelry might appear materialistic C. It is efficient and effective to dive right into the interview ***D. No time was taken to establish rapport with the client Starting with the spiritual assessment of the client leaves no time to establish rapport with the client. It is not about jewelry, compliments, or starting quickly. A nurse is an active member of an evangelical church. The nurse prays with some clients. Which statements by the nurse would indicate appropriate considerations? (Select all that apply.) A. "I pray only with clients whose minds can still make choices." B. "I ask clients about wanting to pray together."C. "Before praying, I confirm that it's a convenient time for clients." D. "I tell clients who don't join me that they're on my prayer list." E. "Praying together is the best therapeutic relationship." ***A. "I pray only with clients whose minds can still make choices." ***B. "I ask clients about wanting to pray together." ***C. "Before praying, I confirm that it's a convenient time for clients." D. "I tell clients who don't join me that they're on my prayer list." E. "Praying together is the best therapeutic relationship." It is appropriate for the nurse to ask about clients' desires, to select only those who can make decisions, and to select those for whom it is a convenient time. Being too enthusiastic about the effects of prayer or trying to include those who are opting out is not appropriate. What is a term for appreciation of a dimension beyond the self? A. Becoming B. Transcendence C. Value D. Meaning A. Becoming ***B. Transcendence C. Value D. Meaning Transcendence is a term for appreciation of a dimension beyond the self. Meaning is the term for having purpose, making sense of life. Value is the term for having cherished beliefs and standards. Becoming is the term for allowing life to unfold, and knowing oneself. What are the best times to do a nursing assessment of spirituality? (Select all that apply.)A. Following the psychosocial assessment B. Following the health history C. Before the physical assessment D. At the end of the assessment process E. Right after mutual introductions ***A. Following the psychosocial assessment B. Following the health history C. Before the physical assessment ***D. At the end of the assessment process E. Right after mutual introductions The best times to do a nursing assessment of spirituality are at the end of the assessment process or following the psychosocial assessment. Having built up some rapport is important. That rapport will be stronger at those times than right after mutual introductions, following the health history, or before the physical assessment. Which organization mandates that each client admitted to an institution be assessed for spiritual beliefs and practices? A. National Council of Churches B. American Nurses Association C. Nursing Outcomes Classification Project D. The Joint Commission A. National Council of Churches B. American Nurses Association C. Nursing Outcomes Classification Project ***D. The Joint CommissionThe Joint Commission mandates that each client admitted to an institution be assessed for spiritual beliefs and practices. That is not the agenda of any of the other organizations. Which religions have a rule about not eating pork? (Select all that apply.) A. Methodism B. Islam C. Mormonism D. Roman Catholicism E. Orthodox Judaism A. Methodism ***B. Islam C. Mormonism D. Roman Catholicism ***E. Orthodox Judaism Both Orthodox Jews and Muslims are prohibited from eating pork. That is not true of Mormons, Roman Catholics, or Methodists. Which religion asks its members to fast during daylight hours for a month? A. Christianity B. Islam C. Buddhism D. Judaism A. Christianity ***B. Islam C. Buddhism D. JudaismMuslims are asked to fast during daylight hours In the month of Ramadan. This request is not made of people following the religions of Buddhism, Judaism, or Christianity. A nurse is admitting 55-year-old librarian Tamura Washington to the rehabilitation unit. The nurse asks Ms. Washington, "Is there a group of like-minded believers with whom you regularly meet?" What aspect of the client's life is the nurse assessing? A. Her ability to work as a member of a team B. Her work at the library affecting her personal life C. Her participation in healthy social activities D. Her membership in a faith community A. Her ability to work as a member of a team B. Her work at the library affecting her personal life C. Her participation in healthy social activities ***D. Her membership in a faith community The nurse is asking a general question to identify whether the client is a member of a faith community. The nurse is not interested in teamwork, a balanced life, or social activities. During the nursing assessment interview, 40-year-old Nirali Dayada states that she follows a strict diet consistent with her Hindu religious beliefs. What hospital menu choices would be most likely for Ms. Dayada's stay? A. Vegetarian entrees B. Gluten-free products C. Noncaffeinated beverages D. Kosher food ***A. Vegetarian entrees B. Gluten-free products C. Noncaffeinated beverages D. Kosher foodVegetarian entrees would be appropriate for a practicing Hindu. The other choices would not be relevant to her religious beliefs. A pediatric nurse Jason Mosely is making sure that the activity room of his unit is stocked with crayons, coloring books, and stuffed animals. What is the best reason for Mr. Mosely to take that approach? A. Providing materials for nonverbal expression B. Giving entertaining options to fight boredom C. Allowing hospitalized children to exercise their limbs D. Setting up items to develop fine motor skills ***A. Providing materials for nonverbal expression B. Giving entertaining options to fight boredom C. Allowing hospitalized children to exercise their limbs D. Setting up items to develop fine motor skills Crayons, coloring books, and musical toys provide materials for nonverbal expression by hospitalized children. This is more important during an inpatient stay than entertainment, skill development, or exercise. A nurse who is a certified diabetes specialist is aware of the negative effects of fasting on glucose control. The nurse knows that clients with diabetes and clients with other conditions are often exempt from fasting requirements. Which people have conditions that often exempt them from religious fasting? (Select all that apply.) A. Nursing mothers B. Growing teenagers C. People over 65 D. Marathon runners E. Menstruating women ***A. Nursing mothers B. Growing teenagers C. People over 65D. Marathon runners ***E. Menstruating women People who are often exempted from fasting, besides diabetics, are nursing mothers and menstruating women. The same exemption is not extended to growing teenagers, marathon runners, or people over 65. A nurse is observing a newly admitted client for details to add to the spiritual assessment. Which clinical observations would be useful additions? (Select all that apply.) A. Behavior B. Mood C. Interactions with others D. Mealtime choices E. Speech ***A. Behavior ***B. Mood ***C. Interactions with others D. Mealtime choices ***E. Speech Clinical observations of behavior, speech, mood, and interactions with others would be useful. Observing mealtime choices is not an example of a clinical observation the nurse would make. This item would be asked during the initial admission assessment of the client. A client admitted for major cardiac surgery states a religious preference. Then the client lists all the church's rules that the client disagrees with. What does the admitting nurse understand about the client's religious status? A. The client is a former member of that group. B. The client has been excommunicated from that group.C. The client is a dissenting member of that group. D. The client is an outsider trying to be part of that group. A. The client is a former member of that group. B. The client has been excommunicated from that group. ***C. The client is a dissenting member of that group. D. The client is an outsider trying to be part of that group. The client is a dissenting member of that group. It is not a matter of past membership, of being rejected, or of being an outsider. A nurse working in the memory care unit listens as the newly admitted client talks about his work as a pilot as if he had just left the airport. The nurse knows he has been retired for decades. What does the nurse recognize as the benefits of hearing his work life story? (Select all that apply.) A. Entertaining the other clients and families B. Giving the nurse insight into the client's behavior C. Keeping his verbal abilities exercised D. Helping the client maintain a sense of identity E. Focusing on the positive aspects of a past work life A. Entertaining the other clients and families ***B. Giving the nurse insight into the client's behavior C. Keeping his verbal abilities exercised ***D. Helping the client maintain a sense of identity E. Focusing on the positive aspects of a past work life Hearing details of the client's past work life helps the client maintain a sense of identity, and gives the nurse insight into the client's behavior. It is not a matter of focusing on the positive aspects, exercising verbal ability, or providing entertainment. A dialysis nurse does not agree with a client's decision to stop treatment. "I promised my spouse I would try it for a while, but it's too much," the client reveals. In supporting the client 's decision, which principle of morality is the nurse honoring?A. Veracity B. Fidelity C. Justice D. Autonomy A. Veracity B. Fidelity C. Justice ***D. Autonomy In supporting the client's decision, the nurse is honoring the principle of autonomy (the client 's right to make decisions). It is not a matter of fidelity (keeping a promise), veracity (telling the truth), or justice (fairness). Two nurses are discussing the ways in which spiritual practices affect individuals. "I can't believe how many different ways they affect people," one concludes. The other nurse agrees. Which individual habits and events could be connected to spiritual practices? (Select all that apply.) A. Diet and nutrition B. Birth and death C. Dress D. Medications E. Healing ***A. Diet and nutrition ***B. Birth and death ***C. Dress D. Medications ***E. HealingAll of the above answers are correct. Diet and nutrition, medications, healing, dress, and birth and death all could be connected with spiritual practices. The nurse manager is interviewing a candidate for a staff nurse position. During the interview, the nurse manager evaluates the candidate's professional commitment to nursing. Which statement by the staff nurse best reflects commitment to the nursing profession? A. "The values and goals of nursing are honorable, but they are unrealistic and difficult to achieve." B. "I believe the nurse's choices outside of the workplace are unrelated to the nurse's professional role." C. "Whenever possible, the nurse should try to abide by the professional code of ethics for nurses." D. "I'm a member of two national nursing organizations, and I belong to one specialty nursing group." A. "The values and goals of nursing are honorable, but they are unrealistic and difficult to achieve." B. "I believe the nurse's choices outside of the workplace are unrelated to the nurse's professional role." C. "Whenever possible, the nurse should try to abide by the professional code of ethics for nurses." ***D. "I'm a member of two national nursing organizations, and I belong to one specialty nursing group." Factors associated with professional commitment include desire to maintain membership in the profession; strong acceptance of and belief in a profession's role, code, values, goals, standards; willingness to exert considerable personal effort on behalf of the profession; and a pattern of behaviors that is consistent with the nurses' professional code of ethics. The rules of professionalism in nursing extend to behaviors outside the workplace. The nurse educator is teaching a class about professional development in nursing. When describing an area of nursing competence, which component is most appropriate for the nurse educator to include in the teaching? A. Knowing and demonstrating adherence to the ethics of primary care providers B. Recognizing the nurse's responsibility to remain strictly in a client-centered roleC. Understanding that client populations tend to demonstrate the same personal needs D. Understanding the culture of the client population and the healthcare institution A. Knowing and demonstrating adherence to the ethics of primary care providers B. Recognizing the nurse's responsibility to remain strictly in a client-centered role C. Understanding that client populations tend to demonstrate the same personal needs ***D. Understanding the culture of the client population and the healthcare institution Areas of nursing competence include understanding the culture of the client and the institution; knowing and demonstrating adherence to the ethics of the nursing profession; acknowledging the client's need for individualized care; and assuming multiple nursing responsibilities, including legal, professional, ethical, and client-centered roles. The nurse preceptor is designing a nursing orientation program that addresses abuse of power in the workplace. Which information should the nurse preceptor include in the program? A. The Joint Commission has not taken an official stand on addressing workplace intimidation. B. Bullying behaviors and incivility are among the leading causes of sentinel client events. C. Nursing research finds limited evidence of bullying and lateral violence among nursing professionals. D. Improper use of authority in the workplace is a form of sexual harassment. A. The Joint Commission has not taken an official stand on addressing workplace intimidation. ***B. Bullying behaviors and incivility are among the leading causes of sentinel client events. C. Nursing research finds limited evidence of bullying and lateral violence among nursing professionals. D. Improper use of authority in the workplace is a form of sexual harassment. Intimidation, sexual harassment, bullying, and lateral violence are forms of abuse of power. In the healthcare setting, evidence of bullying, lateral violence, and incivility has been well documented in nursing research for more than three decades. The Joint Commission has identified bullying behaviors and incivility in health care as being among the leading causesof sentinel client events. The Joint Commission calls for zero tolerance of workplace bullying and intimidation and recommends that healthcare facilities implement policies to stop such behaviors. The nursing student is designing a poster that describes how to recognize burnout among nurses. Which recommendation for identifying manifestations of burnout should be included on the poster? A. Understand that emotional depletion is a natural response to the demands of employment B. Interpret that smoking and an increase in coffee consumption may be potential warning signs C. Recognize that outbursts of anger are normal signs of professional frustration D. Acknowledge feelings of helplessness as signs of inexperience or professional inadequacy A. Understand that emotional depletion is a natural response to the demands of employment ***B. Interpret that smoking and an increase in coffee consumption may be potential warning signs C. Recognize that outbursts of anger are normal signs of professional frustration D. Acknowledge feelings of helplessness as signs of inexperience or professional inadequacy Manifestations of burnout include physical and emotional depletion, negative attitude and self-concept, and feelings of helplessness and hopelessness. Danger signs that may precede the development of burnout include increased coffee consumption and smoking. The nurse educator is explaining the significance of punctuality and attendance in the nursing profession to a class of nursing students. Which statement is most appropriate for the nurse educator to include in the discussion? A. "The most severe consequence of excessive tardiness for the professional nurse is suspension." B. "Chronic tardiness and frequent absenteeism among nurses can compromise client care." C. "Nurses must be flexible about helping colleagues who routinely need to miss work." D. "During a nursing shortage, hospital attendance requirements usually are less strict." A. "The most severe consequence of excessive tardiness for the professional nurse is suspension." ***B. "Chronic tardiness and frequent absenteeism among nurses can compromise client care."C. "Nurses must be flexible about helping colleagues who routinely need to miss work." D. "During a nursing shortage, hospital attendance requirements usually are less strict." In nursing practice, chronic tardiness and frequent absenteeism place a greater burden on colleagues, compromise client care, and can cause conflict among staff. Just as excessive tardiness to clinicals can lead to severe repercussions, even during a nursing shortage, professional nurses who demonstrate excessive tardiness or absences may face disciplinary actions including suspension and termination. The novice nurse asks the nurse preceptor to explain the relationship between the business of health care and the provision of client care. Which response by the nurse preceptor is the most appropriate? A. "The Institute of Medicine compels nurses to preserve a caring model within health care's business model." B. "When nursing standards conflict with organizational standards, the nurse must maintain commitment to the organization's standards." C. "The business of health care is the same thing as the provision of client care." D. "Nurses are morally responsible for recognizing the business of health care as the main priority." ***A. "The Institute of Medicine compels nurses to preserve a caring model within health care's business model." B. "When nursing standards conflict with organizational standards, the nurse must maintain commitment to the organization's standards." C. "The business of health care is the same thing as the provision of client care." D. "Nurses are morally responsible for recognizing the business of health care as the main priority." Because the business of health care and the provision of client care are two distinct issues, corporate goals can collide with nursing ethics. Nurses have the moral responsibility to address client needs and to advocate for safe care within the business of health care. The Institute of Medicine (IOM) compels nurses to lead the healthcare transformation and to preserve a caring model within the business model of health care. The nurse must maintain commitment to the nursing profession even when doing so conflicts with organizational commitment. While talking with a nursing colleague, the staff nurse states, "I don't drink alcohol, but I smoke marijuana." Which response by the nursing colleague best reflects correctunderstanding of professional behaviors? A. "Even in your personal life, the same rules of professionalism still apply to your behavior." B. "If you're arrested for smoking marijuana, your professional credibility will be negatively affected." C. "If your client care is negatively affected, then you should stop smoking marijuana." D. "Even though you're a nurse, what you do in your personal life is your business." ***A. "Even in your personal life, the same rules of professionalism still apply to your behavior." B. "If you're arrested for smoking marijuana, your professional credibility will be negatively affected." C. "If your client care is negatively affected, then you should stop smoking marijuana." D. "Even though you're a nurse, what you do in your personal life is your business." Unprofessional behaviors include substance abuse. The rules of professionalism and the dangers of unprofessional behavior extend to social situations. The effects of unprofessional behavior may include adversely affecting client outcomes, but unprofessional behavior is inappropriate with or without consequences. Engaging in unprofessional behavior, regardless of whether it leads to an arrest, can negatively impact the nurse's credibility. In an annual evaluation, the nurse unit leader describes the staff nurse as "skilled at analyzing a complex situation and able to pick out the most important aspects of a clinical scenario." According to Patricia Benner's model of nursing development, which developmental stage best matches the nurse unit leader's evaluation of the staff nurse? A. Proficient B. Novice C. Competent D. Expert ***A. Proficient B. Novice C. CompetentD. Expert According to Benner's model, the novice nurse has no experience and relies only on guidelines, policies, and theories. The advanced beginner is starting to gain experience, with a focus on tasks and guidelines as the nurse at this stage does not have the experience to consider complexities. The competent nurse has begun to master some tasks, but does not yet possess the speed and flexibility of the proficient nurse. The proficient nurse is able to view the complexities of a situation, looking at the whole and determining which are the most important aspects. The expert nurse possesses an intuitive understanding of most situations and is able to quickly determine a course of action without much problem solving. The nurse leader is presenting an in-service about competence in nursing. Which examples should the nurse leader include in the in-service as examples of nursing competence? (Select all that apply.) A. Elimination of factors that negatively influence client care B. Acknowledgement of the client's need for individualized care C. Completion of documentation in an accurate, timely manner D. Awareness of factors that positively affect client care E. Knowledge about the culture of the healthcare institution A. Elimination of factors that negatively influence client care ***B. Acknowledgement of the client's need for individualized care ***C. Completion of documentation in an accurate, timely manner ***D. Awareness of factors that positively affect client care ***E. Knowledge about the culture of the healthcare institution Competence includes the nurse's awareness of the positive and negative factors that affect client care; however, the inability to eliminate the negative factors does not necessarily reflect a lack of nursing competence. Additional areas of nursing competence include understanding the culture of the client and the institution; acknowledging the client's need for individualized care; and accurate, timely completion of client documentation. The nurse preceptor is discussing integrity with the novice nurse. Which examples should the nurse preceptor use to illustrate integrity in nursing? (Select all that apply.)A. Delivering error-free nursing care B. Maintaining accountability for personal actions C. Accepting positive feedback from peers D. Working within the scope of practice E. Accepting negative feedback from clients A. Delivering error-free nursing care ***B. Maintaining accountability for personal actions ***C. Accepting positive feedback from peers ***D. Working within the scope of practice ***E. Accepting negative feedback from clients Examples of ways in which nurses demonstrate integrity include accepting feedback (positive or negative) as a tool for improving the delivery of client care, maintaining accountability for their actions, following their state's nurse practice act, and working only within their scope of practice. Nursing integrity does not require nurses to be perfect; rather, it requires nurses to admit when they make mistakes. During hospital orientation, the human resources specialist is defining and explaining sexual harassment. Which statement should be included in the human resource specialist's discussion of sexual harassment? A. "Sexual harassment interferes with performance in the workplace." B. "Sexual harassment requires the victim and violator to be of different genders." C. "Discrimination is one type of sexual harassment." D. "Physical contact is required for a behavior to be considered sexual harassment." ***A. "Sexual harassment interferes with performance in the workplace." B. "Sexual harassment requires the victim and violator to be of different genders." C. "Discrimination is one type of sexual harassment." D. "Physical contact is required for a behavior to be considered sexual harassment."By definition, sexual harassment interferes with the victim's performance in the workplace. Sexual harassment is one form of discrimination. The victim and violator may or may not be of the same gender. Examples of sexual harassment include requests for sexual favors and unwelcome verbal or physical sexual advances. During a classroom discussion, the nurse educator asks the nursing students to describe intimidation. Which students' statements most accurately describe intimidation? (Select all that apply.) A. "Intimidation includes having negative thoughts about nursing peers or colleagues." B. "Intimidation can include threatening someone with consequences for disobedience." C. "Intimidation includes experienced nurses who bully new nurses." D. "Covert and overt behaviors may qualify as being intimidation." E. "Nurses always realize when their behaviors toward clients are forms of intimidation." A. "Intimidation includes having negative thoughts about nursing peers or colleagues." ***B. "Intimidation can include threatening someone with consequences for disobedience." ***C. "Intimidation includes experienced nurses who bully new nurses." ***D. "Covert and overt behaviors may qualify as being intimidation." E. "Nurses always realize when their behaviors toward clients are forms of intimidation." Intimidation includes threatening, bullying, or forcing someone who is emotionally or physically weaker to do something in order to avoid retribution or negative consequences. Subtle, or covert, forms of intimidation may include standing close to someone while maintaining a hostile facial expression. Unexpressed negative thoughts are not reflective of intimidation. Intimidation may be unintentional on the nurse's part, including making statements such as, "If you do not take your medicine (or go to physical therapy, or follow the treatment plan), you're going to get worse." While the nurse's statement may be true, this approach is intimidating and unprofessional. The novice nurse asks the nurse preceptor to describe normative commitment. Which items should the nurse preceptor include in the description? (Select all that apply.) A. It may be demonstrated by engaging in profession-specific organizations and service activities. B. It develops when professional involvement produces a satisfying experience.C. It creates ties that are similar to those that emerge as a result of continuance commitment. D. It may be reflected by choosing to enter nursing due to experiences with personal illness. E. It can manifest as a feeling of obligation to continue in one's profession. A. It may be demonstrated by engaging in profession-specific organizations and service activities. B. It develops when professional involvement produces a satisfying experience. C. It creates ties that are similar to those that emerge as a result of continuance commitment. ***D. It may be reflected by choosing to enter nursing due to experiences with personal illness. ***E. It can manifest as a feeling of obligation to continue in one's profession. Normative commitment manifests as a feeling of obligation to continue in one's profession. It develops in response to benefits or positive experiences gained by way of engagement in one's profession. For example, the nurse whose desire to enter nursing or whose choice to remain in the profession stems from personal or family experiences with illness is reflective of normative commitment. Affective commitment develops when professional involvement produces a satisfying experience. Manifestations of affective commitment include engaging in profession-specific organizations and service activities. The ties created by continuance commitment differ from the ties that stem from affective or normative commitment. The nurse educator asks the nursing students to describe the stage of commitment development during which the student discovers negative aspects of a chosen profession. Which student's response is accurate? A. "The testing stage." B. "The quiet-and-bored stage." C. "The passionate stage." D. "The integrated stage." ***A. "The testing stage." B. "The quiet-and-bored stage." C. "The passionate stage." D. "The integrated stage."Development begins with the exploratory stage, followed by the testing stage, the passionate stage, the quiet-and-bored stage, and the integrated stage. The testing stage, which is the second stage of professional commitment, involves the individuals' discovery of negative aspects of the profession. The nursing student is experiencing the integrated stage of commitment development. When developing professional commitment, which behavior would the nursing student be most likely to demonstrate during the integrated stage? A. Being eager to take the NCLEX-RN® examination B. Considering switching to a major other than nursing C. Becoming involved in a student nursing association D. Learning about positive aspects of the nursing profession ***A. Being eager to take the NCLEX-RN® examination B. Considering switching to a major other than nursing C. Becoming involved in a student nursing association D. Learning about positive aspects of the nursing profession Being eager to take the NCLEX-RN®examination is reflective of the integrated stage of professional commitment development. The exploratory stage begins when individuals learn about the positive aspects of their profession. During the testing stage, students discover negative aspects of the profession and begin to assess their willingness and ability to cope with those negative aspects. Nursing students who do not move beyond the testing stage may drop out of school or change majors. Becoming involved in a student nursing association best illustrates a behavior demonstrated during the passionate stage of professional commitment development. The psychiatric nurse practitioner is giving a webinar about prevention of burnout in nursing. Which items should the psychiatric nurse practitioner include when describing tips related to having compassion? (Select all that apply.) A. Joining nursing associations that promote constructive discussion of work issues B. Acknowledging that most individuals do the best they can do C. Learning to ask for help from colleagues or confidantes when needed D. Perceiving errors and failures as opportunities for constructive learningE. Recognizing the limitations associated with any given situation A. Joining nursing associations that promote constructive discussion of work issues ***B. Acknowledging that most individuals do the best they can do ***C. Learning to ask for help from colleagues or confidantes when needed ***D. Perceiving errors and failures as opportunities for constructive learning E. Recognizing the limitations associated with any given situation Compassion includes learning to accept errors and failures, and recognizing these situations as opportunities for constructive learning. Acknowledging that most individuals do the best they can and learning to ask for help are also reflective of compassion. Participating in professional organizations that promote recognition and constructive discussion of workplace issues is reflective of professional engagement. Recognition of limitations associated with situations is reflective of acceptance. Jasmine Riddle is a novice nurse in the telemetry unit of a large hospital. While assessing her client, 72-year-old Albert Griswald, Jasmine notes that his pulse feels irregular. When she calls the telemetry monitoring station, the monitoring technician, Miguel, tells Jasmine that Mr. Griswald just developed atrial fibrillation. The technician praises Jasmine for catching the change in Mr. Griswald's cardiac rhythm so quickly—even before the telemetry technician recognized it. In her response, which action would reflect Jasmine's nursing integrity? A. Advising the telemetry technician to focus on his job and monitor clients' heart rhythms more closely B. Thanking the telemetry technician for praising her and for being part of the client's care team C. Notifying the telemetry technician's supervisor of his failure to recognize the change in cardiac rhythm D. Telling the telemetry technician that noticing the client's change in cardiac rhythm was "pure luck" A. Advising the telemetry technician to focus on his job and monitor clients' heart rhythms more closely B. Thanking the telemetry technician for praising her and for being part of the client's care team C. Notifying the telemetry technician's supervisor of his failure to recognize the change incardiac rhythm D. Telling the telemetry technician that noticing the client's change in cardiac rhythm was "pure luck" Examples of ways in which nurses demonstrate integrity include accepting feedback (positive or negative) as a tool for improving the delivery of client care. Attributing excellent assessment skills to "luck" is not wrong, but it does not reflect integrity. Admonishing the telemetry technician or contacting his supervisor are neither warranted nor appropriate actions. Scott Nitroskey, a home health nurse, is caring for 67-year-old Martha Miriste, a female client who is diagnosed with diabetes. Scott is completing Mrs. Mireste's client teaching. During the teaching session, which statement might Mrs. Mireste interpret as being Scott's attempt to intimidate her? A. "If you don't stop eating so much candy, your diabetes is going to get much worse." B. "Regular exercise can help with the management of your diabetes." C. "If you cut back on your sugar intake, you might see some improvement in your diabetes." D. "Increased sugar in your diet can cause your blood sugar to go up and impact your diabetes." ***A. "If you don't stop eating so much candy, your diabetes is going to get much worse." B. "Regular exercise can help with the management of your diabetes." C. "If you cut back on your sugar intake, you might see some improvement in your diabetes." D. "Increased sugar in your diet can cause your blood sugar to go up and impact your diabetes." Intimidation may be unintentional on the nurse's part, including making statements such as, "If you do not take your medicine (or go to physical therapy, or follow the treatment plan), you're going to get worse." Although eating excess amounts of candy may cause the client's diabetes to worsen, this approach is intimidating and unprofessional. Encouraging the client through telling her which interventions may improve her condition is not reflective of intimidation, nor is explaining the link between dietary sugar and blood sugar. Mitchell Asplund, a clinical nursing instructor, is assigned to serve as a student faculty advisor. Mitchell's responsibilities include determining which stage of commitment to nursing his students are experiencing. He is evaluating nursing student Don Rowlands, who isa junior in nursing school. During his evaluation, Don states, "I want to join the National Student Nurses Association. I'm also volunteering to participate in the student health fair. I know I'm really busy, but my schedule will be crazy when I'm working as a nurse, too. It's worth it to me." Mitchell recognizes that Don is in which stage of making a professional commitment to nursing? A. Testing B. Passionate C. Integrated D. Exploratory A. Testing ***B. Passionate C. Integrated D. Exploratory The passionate stage, which is the third stage of commitment, begins as the individual processes the positive and negative aspects of the profession. At this point, students are willing to commit to their profession and to contribute to its well-being. Examples of student behaviors that are reflective of this stage include serving as a class officer, becoming involved in student nursing associations, and volunteering for activities not associated with a grade. The exploratory stage, which is the first stage of professional commitment, begins when individuals explore the positive aspects of their profession. During the testing stage, which is the second stage of professional commitment, students discover negative aspects of the profession. The quiet-and-bored stage, which is the fourth stage of commitment, involves settling into the nursing program's routines. The integrated stage, which is the fifth and final stage of commitment, requires integration of positive and negative elements of the profession into a more flexible, complex, and enduring form of commitment. The nurse unit manager is giving an in-service about sexual harassment in the workplace. When discussing what constitutes sexual harassment, which statement is most appropriate for the nurse unit manager to include in the in-service? A. Sexual harassment must be considered both a form of discrimination and a violation of an individual's rights. B. Behaviors must include unwelcome advances of a sexual nature that are demonstrated through the perpetrator's physical conduct.C. The sexual behaviors must interfere with the victim's work performance and prevent fulfillment of work functions. D. Submitting to requests for sexual behaviors must be explicitly considered a condition of an individual's employment. ***A. Sexual harassment must be considered both a form of discrimination and a violation of an individual's rights. B. Behaviors must include unwelcome advances of a sexual nature that are demonstrated through the perpetrator's physical conduct. C. The sexual behaviors must interfere with the victim's work performance and prevent fulfillment of work functions. D. Submitting to requests for sexual behaviors must be explicitly considered a condition of an individual's employment. Sexual harassment is a form of discrimination, as well as a violation of an individual's rights. The Equal Employment Opportunity Commission (EEOC) defines sexual harassment as "unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature" occurring when submitting to such requests or behavior is considered, either explicitly or implicitly, a condition of an individual's employment; when submission to or rejection of such requests or behavior is used as the basis for employment decisions affecting the individual (e.g., promotion); or when such conduct interferes with an individual's work performance or creates an "intimidating, hostile, offensive working environment." The nurse leader is planning an in-service about integrity in nursing practice. Which statement regarding integrity in nursing is most appropriate for the nurse leader to include in the in-service? A. "Integrity means understanding that negative feedback from peers has little value." B. "Integrity means internalizing professional practices that the nurse prefers to follow." C. "Nurses with integrity adhere to a strict moral or ethical code." D. "Nurses with integrity provide excellent care and do not make errors." A. "Integrity means understanding that negative feedback from peers has little value." B. "Integrity means internalizing professional practices that the nurse prefers to follow." ***C. "Nurses with integrity adhere to a strict moral or ethical code." D. "Nurses with integrity provide excellent care and do not make errors."Integrity requires adherence to a strict ethical or moral code, such as the ANA Code of Ethics for Nurses. Integrity involves practicing consistent behaviors based on the internalization of the ethics, values, and best practices of the nursing profession. Integrity in nursing includes accepting positive or negative feedback as a tool for improving the delivery of client care. Nurses with integrity are not perfect; however, they admit to their mistakes. As part of hospital orientation for a group of nurses, the human resources representative is discussing intimidation. Which information is most appropriate for the human resources representative to include in the discussion? A. Intimidation may include repeatedly asking another individual for favors. B. Intimidation may include unintentional nursing behaviors and statements made to clients. C. Covert forms of intimidation may include making verbal threats. D. Overt forms of intimidation may include standing too close to someone. A. Intimidation may include repeatedly asking another individual for favors. ***B. Intimidation may include unintentional nursing behaviors and statements made to clients. C. Covert forms of intimidation may include making verbal threats. D. Overt forms of intimidation may include standing too close to someone. Intimidation includes threatening, bullying, or forcing someone who is emotionally or physically weaker to do something in order to avoid retribution or negative consequences. Asking an individual for favors without any associated retribution or negative consequences is not reflective of intimidation. Subtle, or covert, forms of intimidation include standing close to someone while maintaining a hostile facial expression. Intimidation may also be overt, such as threatening an individual with consequences for not obeying an order. On the nurse's part, intimidation may be unintentional; for example, making statements such as, "If you do not take your medicine (or go to physical therapy, or follow the treatment plan), you're going to get worse." The nurse leader is evaluating the charge nurse's type of commitment to the nursing profession. Which behavior by the charge nurse is most reflective of affective commitment to nursing? A. Choosing to stay in nursing due to personal experiences with illness B. Joining professional nursing organizations and engaging in nursing service activitiesC. Remaining in the nursing profession to avoid loss of income D. Expressing a sense of obligation to remain in the nursing profession A. Choosing to stay in nursing due to personal experiences with illness ***B. Joining professional nursing organizations and engaging in nursing service activities C. Remaining in the nursing profession to avoid loss of income D. Expressing a sense of obligation to remain in the nursing profession Affective commitment develops when professional involvement produces a satisfying experience. Manifestations of affective commitment include engaging in profession-specific organizations and service activities. Normative commitment manifests as a feeling of obligation to continue in one's profession and it develops in response to benefits or positive experiences gained by way of engagement in one's profession. For example, the nurse whose desire to enter nursing stems from personal or family experiences with illness is reflective of normative commitment. Continuance commitment develops when negative consequences of leaving, such as loss of income, are viewed as reasons to stay. The nurse leader is preparing a webinar about how to prevent burnout in nursing. To accurately describe strategies for preventing burnout, which activity should the nurse educator include in the webinar? A. Actively engage in efforts to produce constructive change if organizational policies create stress B. Develop acceptance and recognize that the limitations of any situation can be changed C. Study assertiveness and learn to take on added responsibilities even when feeling overwhelmed D. Learn to depend on oneself and to avoid expressions of emotions toward colleagues ***A. Actively engage in efforts to produce constructive change if organizational policies create stress B. Develop acceptance and recognize that the limitations of any situation can be changed C. Study assertiveness and learn to take on added responsibilities even when feeling overwhelmed D. Learn to depend on oneself and to avoid expressions of emotions toward colleaguesStrategies for preventing burnout in nursing include involvement, studying assertiveness techniques, expressing compassion, and developing acceptance. Involvement includes being active in efforts to produce constructive change if organizational policies cause stress. Studying assertiveness techniques, which can help with overcoming feelings of powerlessness in relationships, includes learning to say no. Compassion includes learning to ask for help and expressing emotions toward colleagues. Acceptance includes recognizing the limitations associated with each situation and accepting what cannot be changed. A nurse is interviewing for a staff position on a medical-surgical unit. Which portion of the hiring process best represents the hospital's efforts to evaluate the nurse's commitment to the profession? A. Requiring the candidate to provide official copies of college transcripts B. Offering the candidate the option of completing a four-week unit orientation and preceptorship C. Inviting current staff nurses to serve as members of the candidate's interview committee D. Exploring the candidate's desire to maintain membership in the profession A. Requiring the candidate to provide official copies of college transcripts B. Offering the candidate the option of completing a four-week unit orientation and preceptorship C. Inviting current staff nurses to serve as members of the candidate's interview committee ***D. Exploring the candidate's desire to maintain membership in the profession The candidate's desire to maintain membership in the nursing profession is reflective of professional commitment. The requirement to provide official college transcripts is not directly related to the candidate's commitment to the nursing profession. Inviting current staff nurses to serve as interview committee members and offering a unit orientation and preceptorship are not direct methods of evaluating the candidate's professional commitment to nursing. The clinical nursing instructor is evaluating the student's developmental stage of professional commitment. The student has settled into the nursing program's routine and reports experiencing decreased performance anxiety. Which stage of professional commitment is most appropriate for the clinical nursing instructor to use when describing the student's current level of development? A. The exploratory stage B. The quiet-and-bored stage C. The integrated stageD. The testing stage A. The exploratory stage ***B. The quiet-and-bored stage C. The integrated stage D. The testing stage Development begins with the exploratory stage, which begins when individuals explore the positive aspects of their profession. Examples include the excitement nursing students experience when first wearing their new uniforms or when purchasing their first stethoscope. The second stage is the testing stage, during which students discover the positive and negative aspects of the nursing profession. During the third stage, which is the passionate stage, students are willing to commit to their profession and to contribute to its well-being. Examples of student behaviors that are reflective of this stage include serving as a class officer and becoming involved in student nursing associations. During the fourth stage, which is the quiet-and-bored stage, students settle into the nursing program's routines, grow more comfortable in their role, and experience decreased performance anxiety. The integrated stage, which is the fifth stage, manifests through the student's demonstration of commitment as a matter of habit. This stage usually begins in the final phases of the nursing program, with students beginning to see themselves as nurses, and growing eager to take the NCLEX-RN® and to begin working. The staff nurse is caring for a client who has recently undergone surgical repair of an inguinal hernia. Despite administration of pain medications as ordered, the client continues to complain of excruciating pain. When the staff nurse offers to reposition the client, the client states, "You don't have any idea what you're doing. I need more medication. I need a nurse who can help me!" Which behavior best illustrates demonstration of compassion by the staff nurse? A. Notifying the primary care provider about the client's complaints of pain despite receiving medication B. Collaborating with the charge nurse and requesting that another nurse assume the client's care C. Explaining that inguinal hernia repairs usually require significantly less medication for adequate pain relief D. Seeking out a nursing colleague to privately vent about the client's rudeness and inconsideration ***A. Notifying the primary care provider about the client's complaints of pain despite receiving medication B. Collaborating with the charge nurse and requesting that another nurse assume the client'scare C. Explaining that inguinal hernia repairs usually require significantly less medication for adequate pain relief D. Seeking out a nursing colleague to privately vent about the client's rudeness and inconsideration Professionalism in nursing requires demonstrating a positive attitude while working with clients, their family members, and other healthcare professionals. Venting to a nursing colleague is not reflective of a positive attitude. Professionalism in nursing also requires compassion, which is an awareness of and concern about other individuals' suffering. Requesting that the client's care be reassigned to another staff nurse is not reflective of compassion. Demonstrations of compassion in nursing include recognizing and meeting clients' needs and treating each client as a unique and special individual and not as a diagnosis (for example, "an inguinal hernia repair") or number. Notifying the primary care provider about the client's complaints of pain despite receiving pain medication best reflects recognizing and meeting the client's needs. The ten-year-old client is very interested in learning about her cancer care and in participating in the decisions about her care. What is the most appropriate action by the pediatric nurse? A. Distracting the child with a video game B. Informing the healthcare team that the child is going to be a problem C. Telling the client's mother that she needs to explain things to her child D. Providing adequate, age-appropriate information about the disease and treatment options A. Distracting the child with a video game B. Informing the healthcare team that the child is going to be a problem C. Telling the client's mother that she needs to explain things to her child ***D. Providing adequate, age-appropriate information about the disease and treatment options The pediatric nurse would provide adequate, age-appropriate information about the disease and treatment options. The client's mother would be included in the teaching process before being called upon to explain things to her child. A child who wants to be involved in her care is not a problem. Distraction would be inappropriate and counter to the concepts of advocacy.The nurse provides education to the client who is facing a difficult healthcare choice. What is the intended goal of this action? A. Enabling B. Co-dependency C. Informed consent D. Empowerment A. Enabling B. Co-dependency C. Informed consent ***D. Empowerment Nurses advocate for clients in order to protect their rights and empower them to participate in making informed healthcare decisions. While enabling is a type of advocacy, it is not the intended goal for this client. Principles of informed consent are not involved here. Codependency is the opposite of what advocacy seeks to achieve. The nurse is developing the plan of care for an English-speaking Micronesian man with an 8th grade education who has hypertension. The client is noncompliant with taking medications and is not following up with the healthcare provider as needed. Which criteria indicates the need for an advocate to help the client access the resources he requires? A. Very ill or in pain B. Lower literacy level C. Low income level D. Non-English speaking A. Very ill or in pain ***B. Lower literacy level C. Low income level D. Non-English speakingClients with low overall literacy and low health literacy levels have difficulty understanding their medical situation and become easily confused with navigating the healthcare system. Advocacy is needed in that situation. The client speaks English. The client feels well and is not in pain. There is not enough information to determine his income level. The bilingual nurse is caring for a client who speaks only Spanish. What is the best way for the nurse to advocate for this client? A. Arranging for bill payment for the client B. Representing the client's needs and wishes to other healthcare professionals C. Signing consent forms on the client's behalf D. Discussing the client's care with the client's visitors A. Arranging for bill payment for the client ***B. Representing the client's needs and wishes to other healthcare professionals C. Signing consent forms on the client's behalf D. Discussing the client's care with the client's visitors The nurse would use bilingual skills to interpret medical information for the client and then relay the client's needs and wishes to other healthcare professionals. The nurse would never sign documents on the client's behalf. The nurse would not discuss the client's care with anyone but other healthcare professionals who are involved in the client's care. The nurse would never be involved in the client's financial transactions. The nurse makes a telephone call to a client who was recently discharged. The nurse wants to assess whether the client has read the discharge material and made appointments with the healthcare provider. Which dimension of advocacy is involved with this intervention? A. Following-up regarding care B. Advising about legal rights C. Enabling self-care D. Going above and beyond ***A. Following-up regarding care B. Advising about legal rights C. Enabling self-care D. Going above and beyondThe nurse advocate is following-up, which is one of the four dimensions of advocacy. The other three are being a client advocate, providing resources, and going above and beyond. Routine calls are not going above and beyond. Enabling self-care and advising the client of legal rights are not included in the four dimensions of advocacy. The nurse is caring for a client with Down syndrome. The client was recently denied employment because of the syndrome, and the client and his mother are very upset and are requesting assistance. Which piece of federal legislation is most appropriate for the nurse to refer to when advocating for this client? A. The Social Security Act Amendments of 1965 (SSA) B. The Americans with Disabilities Act of 1990 (ADA) C. The Patient Self-Determination Act of 1991 (PSDA) D. The Patient Protection and Affordable Care Act of 2010 (PPACA) A. The Social Security Act Amendments of 1965 (SSA) ***B. The Americans with Disabilities Act of 1990 (ADA) C. The Patient Self-Determination Act of 1991 (PSDA) D. The Patient Protection and Affordable Care Act of 2010 (PPACA) The client is afforded protection in the area of employment, public services, and benefits by the Americans with Disabilities Act of 1990. The PPACA is a health insurance and assurance act. The PSDA regards rights to decision-making in medical care. The SSA Amendments introduced the Medicare program. Which client groups are more likely to need an advocate when accessing healthcare resources? (Select all that apply.) A. A family who is living in poverty B. A family whose primary language is Spanish C. A client who has a lower literacy level D. A client in chronic pain E. A client diagnosed with cancer who has family support***A. A family who is living in poverty ***B. A family whose primary language is Spanish ***C. A client who has a lower literacy level ***D. A client in chronic pain E. A client diagnosed with cancer who has family support Clients who do not speak English, have lower literacy levels, are very ill or in pain, or are of low income levels have more difficulty navigating the healthcare system and would benefit from the assistance of a nurse advocate. Clients who have family support may also have better resources for obtaining information needed for decision making. Which statement describes the overall goal of client advocacy? A. The overall goal of client advocacy is to safeguard the client from harm. B. The overall goal of client advocacy is to educate clients. C. The overall goal of client advocacy is to speak for clients. D. The overall goal of client advocacy can only be achieved by specially trained nurses. ***A. The overall goal of client advocacy is to safeguard the client from harm. B. The overall goal of client advocacy is to educate clients. C. The overall goal of client advocacy is to speak for clients. D. The overall goal of client advocacy can only be achieved by specially trained nurses. The overall goal of client advocacy is to safeguard clients from harm and to represent their needs to other healthcare professionals. Speaking for clients and educating clients are actions that support the protection of the client's rights. All nurses are client advocates, with or without special training. Which type of client advocacy concerns itself with growth and development, ensuring good nutrition and exercise, stress management, and preventing disease? A. Safety B. Patient Self-Determination Act (PSDA) C. Bill of RightsD. Health promotion A. Safety B. Patient Self-Determination Act (PSDA) C. Bill of Rights ***D. Health promotion Health promotion concerns itself with growth and development, ensuring good nutrition and exercise, stress management, and preventing disease. Safety concerns itself with injury prevention, neglect, and abuse. The Bill of Rights helps clients to understand their rights. The PSDA protects the rights of clients to accept or reject aspects of their medical care. In deciding to report a co-worker who has engaged in illegal, immoral, or unethical conduct, the nurse can turn to which organizations for guidance? (Select all that apply.) A. The police B. The American Nurses Association C. The state board of nursing D. The National Alliance on Mental Illness E. Nursing school A. The police ***B. The American Nurses Association ***C. The state board of nursing D. The National Alliance on Mental Illness E. Nursing school The nurse would turn to the state board of nursing or the American Nurses Association for guidance regarding the behavior of a co-worker. Nursing school would not be an official resource. The National Alliance on Mental Illness is an advocacy program. The nurse would not initiate consultation with the police - this would be done by the employer. When initially evaluating the needs of children and families, it is most important for the nurse to have knowledge of which item?A. The Affordable Care Act (ACA) B. Ability to manage symptoms C. The Americans with Disabilities Act (ADA) D. Healthcare options A. The Affordable Care Act (ACA) B. Ability to manage symptoms C. The Americans with Disabilities Act (ADA) ***D. Healthcare options When assessing a child and family for advocacy needs, it is most important for the nurse to look at the healthcare options available to the child and family. The nurse would take the client's ability to manage symptoms into account when working with a client with a mental health disorder. The nurse would not be involved in health insurance planning through the ACA. The ADA would not be part of the initial assessment of needs. Which actions by professional staff are considered abusive or unprofessional behavior toward clients with mental health disorders? (Select all that apply.) A. Supplying clients with drugs or alcohol in return for favors B. Refusing to share homemade cookies with the client C. Using restraints for a client who is a threat to others D. General threats of harm if clients do not behave as they were told E. Making privileges contingent on favors ***A. Supplying clients with drugs or alcohol in return for favors B. Refusing to share homemade cookies with the client C. Using restraints for a client who is a threat to others ***D. General threats of harm if clients do not behave as they were told ***E. Making privileges contingent on favorsAbusive and/or unprofessional behaviors by professional staff include making privileges contingent on favors, supplying clients with drugs or alcohol, and making general threats of harm if clients do not behave as they were told. The advocate would immediately report any of these behaviors to the supervisor. Refusing to share homemade cookies and using restraints are not abusive behaviors. Mrs. Rodriquez is a 32-year-old Hispanic client who is admitted to the hospital. Mrs. Rodriquez speaks English, yet her husband frequently answers for her and makes decisions about her care. The nurse notices that Mrs. Rodriquez seems to have chosen to have her husband make decisions for her. When caring for Mrs. Rodriquez, which statement by the nurse is most appropriate? A. "I think your husband is too controlling and this is a problem." B. "I understand that you and your husband have decided to let him speak for you." C. "I would like to refer you and your husband to counseling." D. "It is not appropriate for your husband to make your healthcare decisions." A. "I think your husband is too controlling and this is a problem." ***B. "I understand that you and your husband have decided to let him speak for you." C. "I would like to refer you and your husband to counseling." D. "It is not appropriate for your husband to make your healthcare decisions." The nurse should practice culturally competent care by respecting the cultural values of the clients and advocating for those rights as needed. Telling the client that it is not appropriate for her husband to make her healthcare decision is not appropriate. There is no indication for the need for counseling. The nurse is passing judgment by telling the client that her husband is too controlling. Tameka Whitt is a nurse who is making rounds on the surgical floor when she notices that one of the staff nurses is in the kitchen drinking from a metal flask. The staff nurse's eyes are glassy, her speech is slurred, and her breath smells like alcohol. Which action by Tameka reflects correct understanding of the ANA's Code of Ethics? A. Contact the hospital administrator B. Tell the staff nurse that she should keep an eye on her C. Contact the supervisor D. Ask the staff nurse if she is intoxicatedA. Contact the hospital administrator B. Tell the staff nurse that she should keep an eye on her ***C. Contact the supervisor D. Ask the staff nurse if she is intoxicated Co-worker impairment, whether by drugs or alcohol, may interfere with job performance and may result in unsafe clinical practice, and must be reported immediately to a supervisor. Nurses are advocates for all clients, not just those in their care. Asking the nurse if she is intoxicated could cause confrontation or provide a chance to destroy evidence. The hospital administrator would be notified by the nursing supervisor. Mr. Thomas is a 38-year-old client who uses a wheelchair as a result of a motorcycle accident 7 months ago. He decided that he will continue his physical therapy, but he will not take any more of the medications prescribed for muscle spasms because they make him feel weak. The nurse has assessed Mr. Thomas and believes that he understands his situation and is making an informed decision, although his healthcare provider disagrees with his choice. Which statement by the nurse is most appropriate? A. "The Americans with Disabilities Act (ADA) protects your right to refuse medications." B. "The Patient Self-Determination Act (PSDA) protects your right to refuse medications." C. "The Affordable Care Act (ACA) protects your right to refuse medications." D. "The Health Insurance Portability and Accountability Act (HIPAA) protects your right to refuse medications." A. "The Americans with Disabilities Act (ADA) protects your right to refuse medications." ***B. "The Patient Self-Determination Act (PSDA) protects your right to refuse medications." C. "The Affordable Care Act (ACA) protects your right to refuse medications." D. "The Health Insurance Portability and Accountability Act (HIPAA) protects your right to refuse medications." The PSDA protects the rights of clients to accept or reject aspects of their medical care. The ACA is healthcare law that provides for insurance and services. The ADA provides for access to public services, employment and benefits. HIPAA addresses health information privacy. The nurse wants to determine the advocacy needs of a client. Which items will the nurse include in the assessment to determine advocacy needs?(Select all that apply.) A. Medical history and family situation B. Food preferences C. Access to transportation D. Ability to cooperate and make decisions E. Reliability of information ***A. Medical history and family situation B. Food preferences C. Access to transportation ***D. Ability to cooperate and make decisions ***E. Reliability of information The three main assessment criteria to determine advocacy needs are the client's ability to cooperate and make decisions; the reliability of information provided by the client, especially if the client exhibits impairment of cognitive function of mental instability; and the client's medical history and family situation. Access to transportation is a service consideration. Food preferences would not determine the need for advocacy. The nurse is caring for a client with paranoid schizophrenia who was recently transferred to the facility. Upon assessment, the nurse notes bruising on the client's wrists and ankles. What is the priority action by the nurse? A. Ask the client how the bruising occurred. B. Call the police to report abuse. C. Ask the client's family if they caused the bruises. D. Call the previous facility to determine the causes of the bruising. ***A. Ask the client how the bruising occurred. B. Call the police to report abuse. C. Ask the client's family if they caused the bruises. D. Call the previous facility to determine the causes of the bruising.The priority action of the nurse is to determine the cause of the bruising. This can be accomplished by asking the client how the bruising occurred. If the client is unable to provide information to the nurse, then it is appropriate to ask family members or contact those who cared for the client. Reporting the bruising as abuse should not occur until the nurse has evidence that supports this claim. The nurse is involved in the case of a minor client who is placed on life support after complications during surgery left her without neurologic function. The client's parents have retained legal counsel to prevent the hospital from discontinuing life support. Which advocacy concepts must be considered when communicating with the client's family? (Select all that apply.) A. Healthcare systems B. Rehabilitation nursing C. Culture and diversity D. Medical ethics E. Legal issues ***A. Healthcare systems B. Rehabilitation nursing ***C. Culture and diversity ***D. Medical ethics ***E. Legal issues The decision to discontinue life support for any client is handled by the healthcare system, particularly its risk management and legal departments along with the family of the client. Principles of medical ethics and legal issues guide the decision-making process and are intended to protect the client's rights and the healthcare system's interests. Culture and diversity considerations address the values and beliefs of the client and family. Rehabilitation nursing would not be employed in an end-of-life scenario. The public advocate is providing an educational session to nurses regarding advocacy. Which items are appropriate to include in the teaching session? (Select all that apply.) A. Researching health disparitiesB. Running for public office C. Using media to inform the public D. Protecting clients' rights E. Making decisions for clients A. Researching health disparities ***B. Running for public office ***C. Using media to inform the public ***D. Protecting clients' rights E. Making decisions for clients When advocating for clients, it is important for the nurse to protect the clients' rights, and inform the public about issues and concerns through press releases and media. The nurse can also run for public office as a means of advocating for clients. Researching health disparities and making decisions for clients are not topics that would be included in a session about advocating for clients. The new nurse observes that her client is becoming upset with his healthcare providers because they disagree with the client's decision to discontinue his cancer treatment. Although the nurse feels conflicted by the client's decision, which moral obligation guides the care that is provided to the client? A. The nurse must defend the healthcare providers' choice to continue cancer therapy because that is what is best for the client. B. The nurse supports the client's right to make his own healthcare decisions. C. The nurse explains to the client that he is making a mistake because his culture and traditions are leading him down the wrong path. D. The nurse respects that the hospital has the final authority to make decisions for the client. A. The nurse must defend the healthcare providers' choice to continue cancer therapy because that is what is best for the client. ***B. The nurse supports the client's right to make his own healthcare decisions. C. The nurse explains to the client that he is making a mistake because his culture and traditions are leading him down the wrong path. D. The nurse respects that the hospital has the final authority to make decisions for the client.The nurse is morally obliged to support the client's right to make his own healthcare decisions. The healthcare providers' may advise the client about best options, but may not make decisions for the client. The hospital does not have authority to make decisions for the client. The nurse must respect the client's culture and traditions, even if they create conflict with the nurse's own beliefs and values. The nurse is caring for a client at a free clinic. When advocating for this client, what does the nurse need to be aware of when planning care? A. Available healthcare options B. Clinic schedule requirements C. Public transportation issues D. Healthcare provider schedule preferences ***A. Available healthcare options B. Clinic schedule requirements C. Public transportation issues D. Healthcare provider schedule preferences The nurse advocate must be aware of available healthcare options for treating the uninsured client. Advocacy does not involve transportation, scheduling, or healthcare provider preferences. A nurse is reviewing a medication order in the client's health record. The order is illegible, and the nurse calls the ordering healthcare provider to clarify the order. The nurse cannot reach the healthcare provider despite multiple calls and pages. Which action by the nurse is most appropriate in this situation? A. Ask a co-worker to attempt to decipher the order B. Contact the nursing supervisor C. Fax the order to the pharmacy to decipher D. Continue calling the healthcare provider A. Ask a co-worker to attempt to decipher the order ***B. Contact the nursing supervisor C. Fax the order to the pharmacy to decipherD. Continue calling the healthcare provider The nurse should contact the nursing supervisor after attempting numerous times to reach the healthcare provider. By contacting the supervisor, the nurse is using the negligence prevention strategy of preventing medication errors. Continuing to call the healthcare provider is not effective. Asking a co-worker or pharmacist to decipher the order is inappropriate. A client accuses a nurse of incompetency and files a lawsuit of malpractice. If the nurse is found incompetent, what document or act has been broken regarding nursing standards of care? A. Accreditation certification B. The Nurse Practice Act C. National counsel licensure D. The American Nurses Association (ANA) Standards of Practice A. Accreditation certification B. The Nurse Practice Act C. National counsel licensure ***D. The American Nurses Association (ANA) Standards of Practice Standards of Practice describe the competency level of nursing care as described by the ANA. The Nurse Practice Act regulates the licensing and practice of nursing in each state by describing the scope of practice. Accreditation allows the facility, school, or hospital to operate and be recognized in good standing according to standards set by peers. National council licensure is the standardized national examination that assess for a minimum knowledge base relevant to the client population that the nurse serves. A student nurse is reviewing the Nurse Practice Act and its influence on the standards of care for nurses. How does the Nurse Practice Act influence the practice of nursing? A. Sets the requirements for licensure, including educational requirements of nurses B. Regulates institutional policies concerning nurse's job responsibilities C. Regulates the accreditation standing of nursing programs D. Develops client care policies and procedures***A. Sets the requirements for licensure, including educational requirements of nurses B. Regulates institutional policies concerning nurse's job responsibilities C. Regulates the accreditation standing of nursing programs D. Develops client care policies and procedures The Nurse Practice Act sets the requirements for licensure, including educational requirements of nurses. The Nurse Practice act does not regulate nurses' job responsibilities or the accreditation standing of nursing programs. The Nurse Practice Act does not develop client care policies and procedures. The nurse is caring for a client who experienced an anaphylactic reaction to a medication. The nurse did not ask the client about allergies prior to administering the medication. Which statement is true regarding this nurse's actions? A. The nurse committed an act of negligence, but not malpractice. B. The nurse committed malpractice, but not an act of negligence. C. The nurse committed acts of negligence and malpractice. D. The nurse committed negligence due to a failure to communicate. A. The nurse committed an act of negligence, but not malpractice. B. The nurse committed malpractice, but not an act of negligence. ***C. The nurse committed acts of negligence and malpractice. D. The nurse committed negligence due to a failure to communicate. The nurse committed a failure to assess, failure to follow standards of care, failure to document, and failure to act as a client advocate. Therefore, this nurse committed acts of negligence and malpractice. A nurse ignores a client's persistent complaint of back pain because the client open double quote"complains too much.close double quote" The next day the client is diagnosed with kidney stones. What negligence prevention strategy did the nurse fail to implement? A. Minimizing the risk of medication errors B. Maintaining client safetyC. Using effective communication D. Minimizing client discomfort A. Minimizing the risk of medication errors ***B. Maintaining client safety C. Using effective communication D. Minimizing client discomfort The nurse is negligent and has committed malpractice. This type of malpractice is failure to observe and take appropriate action, a breach in maintaining client safety. Minimizing client discomfort is not a negligence prevention strategy, and the other choices do not apply to the scenario described. A client files a negligence lawsuit against a nurse for the long-term symptoms resulting from a ventilator-acquired pneumonia (VAP). Which element of professional negligence or malpractice will this client have difficulty proving in a court of law? A. Foreseeability B. Causation C. Injury from breach of duty D. Breach of duty A. Foreseeability ***B. Causation C. Injury from breach of duty D. Breach of duty Typically, a client cannot successfully make a claim for malpractice on acquiring a healthcare-associated infection because the client must show that a specific nurse did not follow the standard of aseptic technique in order to prove cause. A deviation from standard care is a breach of duty, which can be proven in court. Foreseeability means that certain events cause certain outcomes, an aspect that can be proved in court. Injury that was caused by the breach of duty may also be proved. There are certain relevant factors that contribute to why a client is prone to falling. Which factor is least related to client falls?A. A history of falls B. Genetic trait for falls C. Falls caused by side effects of medication D. Cognition problems causing falls A. A history of falls ***B. Genetic trait for falls C. Falls caused by side effects of medication D. Cognition problems causing falls While there may be genetic traits that can predispose a client to a fall, this is the least likely reason for a fall to occur. Clients can have a history of falling based on past events. An issue with cognition can subject clients to possible falls—such as forgetting to tie shoe laces—with a resultant fall. Medication side effects, such as dizziness and equilibrium problems, can cause a client to fall. Medication administration has been identified as a high-risk activity for error. What are the rights of medication administration that every nurse should follow? (Select all that apply.) A. The right drug B. The right room C. The right client D. The right dose E. The right time ***A. The right drug B. The right room ***C. The right client ***D. The right dose ***E. The right time The Six Rights of medication administration include the right drug, the right dose, the rightclient, the right route, the right time, and the right documentation. The right room is not one of the Six Rights of medication administration. The nurse practice act and administrative rules form the basis of the standard of care. Which phrase is an aspect of the nurse practice act? A. The scope of the healthcare provider's practice B. The definition of professional conduct for nurses C. The disclosure of NCLEX scores for all nursing personnel employed by the facility D. The identification of activities for all levels of hospital workers, including administrative personnel A. The scope of the healthcare provider's practice ***B. The definition of professional conduct for nurses C. The disclosure of NCLEX scores for all nursing personnel employed by the facility D. The identification of activities for all levels of hospital workers, including administrative personnel The definition of the professional conduct of nurses is an aspect of the nurse practice act. The scope of the healthcare provider's practice, disclosure of NCLEX scores, and identification of activities for all levels of hospital employees including administrative staff are not aspects of the nurse practice act. When a nurse obtains informed consent, the client should be provided with all pertinent and relevant information. Which information is not relevant? A. The purposes of the treatment B. The intended benefits of the treatment C. The insurance payment methods D. The diagnosis or condition that requires treatment A. The purposes of the treatment B. The intended benefits of the treatment ***C. The insurance payment methods D. The diagnosis or condition that requires treatmentRelevant information that is provided to the client during the informed consent process includes the purpose of the treatmnet, the diagnosis or condition that requires treatment, and the intended benefits of the treatment. The insurance payment methods are not included in the informed consent process. In which circumstance is it the most appropriate for a 17-year-old client to provide informed consent for care? A. Receiving antibiotics for strep throat with a parent present B. Receiving contraceptive services without a parent present C. Bringing a younger sibling to a health assessment visit D. Bringing a grandparent to an urgent care center for a flu shot A. Receiving antibiotics for strep throat with a parent present ***B. Receiving contraceptive services without a parent present C. Bringing a younger sibling to a health assessment visit D. Bringing a grandparent to an urgent care center for a flu shot A 17-year-old client can provide informed consent for her own care when receiving contraceptive services. A 17-year-old client cannot provide informed consent to receive antibiotics for strep throat as this does not fall into a legal exception category. Consent should be obtained from the client's parent or custodian. The 17-year-old cannot provide consent for a sibling to receive care during a health assessment visit or for a grandparent at an urgent care visit for a flu shot. Which of the following is unintentional conduct deviating from the standard of nursing practice? A. Battery B. False imprisonment C. Assault D. Malpractice A. Battery B. False imprisonment C. Assault ***D. MalpracticeMalpractice is conduct deviating from the standard of practice that is dictated by one's profession. It is an unintentional tort. Assault, battery, and false imprisonment are torts considered as intentional actions. They are considered willful acts perpetrated by one individual toward another individual(s) or personal property. Which nursing actions could be negligence that results in malpractice? (Select all that apply.) A. Assessing and monitoring a client who has returned from surgery B. Using equipment without appropriate training C. Documenting client care in the electronic medical record D. Failing to follow the standard of practice E. Lacking appropriate communication skills A. Assessing and monitoring a client who has returned from surgery ***B. Using equipment without appropriate training C. Documenting client care in the electronic medical record ***D. Failing to follow the standard of practice ***E. Lacking appropriate communication skills Nursing actions that may be negligent and result in malpractice include failing to follow the standard of practice, lacking appropriate communication skills, and using equipment without appropriate training. Documenting client care in the electronic medical record and assessing and monitoring a client from surgery do not constitute negligence that can result in malpractice. The evening shift nurse is caring for a client, Candace Horn. Mrs. Horn is a 57-year-old woman who is scheduled for discharge in the morning. Hospital protocol dictates that Mrs. Horn receives medication instruction the evening before the scheduled discharge. This policy minimizes incidents of professional negligence through the use of which applicable strategy? A. Employing the use of effective communication as a strategy B. Maintaining client safety as a strategy C. Giving clear directions to the client D. Developing a nurse-pharmacy rapport as a strategyA. Employing the use of effective communication as a strategy B. Maintaining client safety as a strategy ***C. Giving clear directions to the client D. Developing a nurse-pharmacy rapport as a strategy Giving clear directions to the client is the best answer because it includes considering the client and family as participants in the medication administration process, ensuring that the client understands the medications including proper home administration and identification of potential side effects. While the other strategies may be applicable, they are not the best strategy for this situation. Claire is a nurse who works on a substance abuse unit. She sees all clients prior to admission and she must determine the last time each client used drugs, determine their drug of choice, and obtain urine and blood samples. Which step of the nursing process is Claire using during this process? A. Planning the client's care (developing a care plan) B. Analyzing the assessment data and choosing a diagnosis C. Evaluating the client's progress indicative of the stated outcomes D. Assessing and collecting comprehensive data A. Planning the client's care (developing a care plan) B. Analyzing the assessment data and choosing a diagnosis C. Evaluating the client's progress indicative of the stated outcomes ***D. Assessing and collecting comprehensive data The nurse is assessing and collecting comprehensive data during this process, and is in an ideal position to provide the correct level of assessment by collecting comprehensive data surrounding the client's health and life situation. The other steps include analyzing the data once collected, planning appropriate care, coordinating provision of care, and evaluating the client's progress based on the outcomes and care plan. The nurse is providing care for Mr. Davis, a 72-year-old man who is scheduled for a procedure tomorrow morning. Earlier in the day, Mr. Davis experienced a fall and was examined by the healthcare provider on call who observed no untoward effects. The nurse approaches Mr. Davis for informed consent about his procedure when he complains of dizziness and a headache. Mr. Davis has no memory of the fall that occurred earlier in the day. Which action by the nurse is the most appropriate in regards to obtaining informedconsent? A. Delay informed consent, perform a pain assessment, and administer medication B. Have the client sign the consent form without delay C. Alert the primary healthcare provider regarding the client's status D. Read the informed consent to the client and allow the client to rest A. Delay informed consent, perform a pain assessment, and administer medication B. Have the client sign the consent form without delay ***C. Alert the primary healthcare provider regarding the client's status D. Read the informed consent to the client and allow the client to rest The nurse would alert the primary care provider immediately. The client's level of competency, his age, the fact that he experienced a fall earlier in the day are all issues that should be addressed by the provider prior to informing the client about the procedure. All other options are inappropriate based on the client's current situation. Sandra Davis is a registered nurse (RN) who is running behind in administering her medications at a long-term care facility. When she arrives in the last client's room, the client is in the restroom. Sandra asks the nursing assistant if she would mind giving the cardiac glycoside to the client, and leaves the room. The client's pulse was 48 beats per minute. The medication was administered, and the client died. Which unintentional tort did Sandra commit during this incident? A. Assault B. Battery C. False imprisonment D. Malpractice A. Assault B. Battery C. False imprisonment ***D. MalpracticeThis offense is classified as malpractice. In order to prove malpractice for this case, it must be proven that a deviation from the standard of care occurred which resulted in this client's death. Assault, battery, and false imprisonment are intentional torts. All clients have the right to care by a competent and safe nurse. What ensures that a nurse is both competent and safe to practice? A. Code of ethics B. Standards of Practice C. Nurse Practice Act D. Licensing process A. Code of ethics ***B. Standards of Practice C. Nurse Practice Act D. Licensing process Standards of Practice describe the competency level of nursing care as described by the American Nurses Association (ANA). The Nurse Practice Act regulates the licensing and practice of nursing by describing the scope of practice. The licensing process establishes an assessment for a minimum knowledge base relevant to the client population that the nurse serves. The code of ethics is a guide for carrying out nursing responsibilities while maintaining moral principles. A novice nurse wants to use the nursing process while caring for clients. How can the nurse prevent medicine errors during the implementation phase of the nursing process? A. Leave the client's oral medication at the bedside only if the client is oriented and able to swallow B. Hold the medication if the client is in the bathroom C. Instruct the client to tell the nurse the reason why the client is taking the medication being administered D. Urge the client to question the nurse if a pill being administered looks different from what is normally taken A. Leave the client's oral medication at the bedside only if the client is oriented and able to swallow B. Hold the medication if the client is in the bathroomC. Instruct the client to tell the nurse the reason why the client is taking the medication being administered ***D. Urge the client to question the nurse if a pill being administered looks different from what is normally taken The nurse should urge the client to question any pill administered that looks different from what is normally taken. With this action, the nurse is acting as a client advocate in preventing medication errors. Asking the client to tell the nurse the reason why the client is taking the medication administered is inappropriate as many clients will not be able to do this, and this is the responsibility of the nurse. Leaving a medication at the client's bedside is never appropriate. Holding the client's medication because the client is in the bathroom is also inappropriate and does not improve the safety of medication administration. A nurse educator is teaching a group of student nurses regarding standards of care. Which statements made by the nursing students are correct regarding standards of care in nursing? (Select all that apply.) A. "The Nurse Practice Act and administrative rules form the basis of the standard of care for nurses." B. "Employers can limit, but not expand, the nursing scope of practice." C. "The Joint Commission is the primary agency responsible for establishing nursing standards of care." D. "The nurse's specific job description will aid in defining the standard of care." E. "The American Nurses Association (ANA) Standards of Practice is the prevailing national nursing standard." ***A. "The Nurse Practice Act and administrative rules form the basis of the standard of care for nurses." ***B. "Employers can limit, but not expand, the nursing scope of practice." C. "The Joint Commission is the primary agency responsible for establishing nursing standards of care." ***D. "The nurse's specific job description will aid in defining the standard of care." ***E. "The American Nurses Association (ANA) Standards of Practice is the prevailing national nursing standard." The American Nurses Association (ANA) Standards of Practice, not The Joint Commission,is primarily responsible for establishing nursing standards of care. All other choices are correct. A nurse is administering a medication to a pediatric client. The nurse verifies the client's armband and confirms the correct medication by checking the prescribed order and the medication vial. Which actions by the nurse correctly exemplify the "Six Rights" of medication administration? (Select all that apply.) A. The nurse verifies the right medication by asking the client "is this what you normally take at home?" B. The nurse checks for right frequency by looking at the client's chart. C. The nurse checks for right dose by checking the prescribed order, performing a dose calculation, and checking the medication. D. The nurse checks for right documentation by documenting administration of the prescribed order in the client record. E. The nurse checks for right time by checking the prescribed order and looking at the time. A. The nurse verifies the right medication by asking the client "is this what you normally take at home?" B. The nurse checks for right frequency by looking at the client's chart. ***C. The nurse checks for right dose by checking the prescribed order, performing a dose calculation, and checking the medication. ***D. The nurse checks for right documentation by documenting administration of the prescribed order in the client record. ***E. The nurse checks for right time by checking the prescribed order and looking at the time. Verifying the right time and dose and documenting the administration of the medication are all included in the rix rights of medication administration. Frequency is not one of the six rights of medication administration. While checking for the right medication is one of the six rights, asking the client if the pill is what they take at home does not constitute checking the right medication. The nurse would need to verify that the medication is the correct by checking the medication against the client's medication administration record. A student nurse must understand the importance of providing safe nursing care consistent with legal requirements. Which statements are true regarding nursing negligence? (Select all that apply.) A. It is considered an intentional tort.B. It is defined as conduct deviating from the standard of practice dictated by the profession. C. It is defined as conduct that deviates from what a reasonable individual would do in a particular circumstance. D. It is considered an unintentional tort. E. It occurs without the deliberate intent to bring harm against another individual. A. It is considered an intentional tort. B. It is defined as conduct deviating from the standard of practice dictated by the profession. ***C. It is defined as conduct that deviates from what a reasonable individual would do in a particular circumstance. ***D. It is considered an unintentional tort. ***E. It occurs without the deliberate intent to bring harm against another individual. Negligence is defined as conduct that deviates from what a reasonable individual would do in a particular circumstance and is considered an unintentional tort. Negligence occurs without the deliberate intent to bring harm against another individual. Malpractice is defined as conduct deviating from the standard of practice dictated by the profession. A nurse is accused of failing to assess and monitor. Which clinical scenario causes this type of malpractice? A. The nurse fails to notify the healthcare provider in a timely manner when conditions warrant it. B. The nurse fails to act on prescribed orders, and the client suffers an adverse event. C. The nurse fails to treat the client complaining of a headache, and the client subsequently has a stroke. D. The nurse fails to document a client's allergy, and the client subsequently has an allergic reaction to a medication administered. A. The nurse fails to notify the healthcare provider in a timely manner when conditions warrant it. B. The nurse fails to act on prescribed orders, and the client suffers an adverse event. ***C. The nurse fails to treat the client complaining of a headache, and the client subsequently has a stroke. D. The nurse fails to document a client's allergy, and the client subsequently has an allergic reaction to a medication administered.The nurse who fails to treat a client who complains of a headache, and then subsequently suffers a stroke, is failing to assess and monitor. The other clinical scenarios are negligent acts that lead to malpractice. However, they do not fit failing to assess and monitor. The nurse case manager is reviewing Medicare coverage rules with a client. Which client statement indicates correct understanding of the teaching? A. "Prescription drug coverage is available through Medicare." B. "Medicare covers the costs of long-term care." C. "The cost of my hearing aids is covered by Medicare." D. "Medicare covers my routine dental care." ***A. "Prescription drug coverage is available through Medicare." B. "Medicare covers the costs of long-term care." C. "The cost of my hearing aids is covered by Medicare." D. "Medicare covers my routine dental care." Medicare Part D offers prescription drug coverage. Services that are not covered by Medicare include long-term care, routine dental care, and hearing aids and the exams for fitting them. A member of the American Nurses Association (ANA) is giving a presentation about the ANA's primary methods of advancing the nursing profession. Which activities are appropriate to include in the presentation? (Select all that apply.) A. Implementing nurse educator faculty development programs B. Advocating for nurses' rights in and away from the workplace C. Cultivating high standards of nursing practice D. Assisting deans with implementing quality nursing education standards E. Fostering a positive and realistic view of nursing A. Implementing nurse educator faculty development programs B. Advocating for nurses' rights in and away from the workplace ***C. Cultivating high standards of nursing practiceD. Assisting deans with implementing quality nursing education standards ***E. Fostering a positive and realistic view of nursing Primary methods used by the American Nurses Association (ANA) to advance the nursing profession include cultivating high standards of nursing practice, advocating for nurses' rights in the workplace, and fostering a positive and realistic view of nursing. Functions of the National League for Nursing (NLN) include implementing nurse educator faculty development programs and assisting deans with implementing quality nursing education standards. The novice nurse has just completed hospital orientation. Which statements by the nurse best reflect correct understanding of the role of the Occupational Safety and Health Administration (OSHA)? (Select all that apply.) A. "OSHA provides employer and employee with training materials that address workplace safety and health hazards." B. "OSHA requires my employer to provide me with personal protective equipment (PPE) when it is needed to protect my health and safety." C. "According to OSHA regulations, all employers must have an emergency eye wash station." D. "According to OSHA regulations, all employers must reduce or eliminate workplace hazards." E. "According to OSHA regulations, all employers must maintain conditions or adopt practices that are needed to protect workers on the job." ***A. "OSHA provides employer and employee with training materials that address workplace safety and health hazards." ***B. "OSHA requires my employer to provide me with personal protective equipment (PPE) when it is needed to protect my health and safety." C. "According to OSHA regulations, all employers must have an emergency eye wash station." ***D. "According to OSHA regulations, all employers must reduce or eliminate workplace hazards." ***E. "According to OSHA regulations, all employers must maintain conditions or adopt practices that are needed to protect workers on the job."The Occupational Safety and Health Administration (OSHA) requires employers to ensure that employees have and use personal protective equipment (PPE) when required for safety and health. Employers must comply with standards for a wide variety of workplace hazards in industrial and healthcare settings; for example, in some industries, employers are required to provide both PPE and emergency eyewash stations. OSHA requires all employers to maintain conditions or adopt practices that are needed to protect workers on the job. OSHA's strategies for promoting improved workplace safety and health include providing employer and employee with information and training materials that focus on workplace safety and health hazards. The nurse leader is planning an in-service about the administration of health policy at the federal level. Which content is appropriate for inclusion in the presentation? A. The Administration for Children and Families and the Administration on Aging are mainly responsible for addressing healthcare financing issues. B. The Food and Drug Administration (FDA) is governed by the U.S. Department of Health and Human Services (DHHS). C. The primary role of the Centers for Medicare and Medicaid Services (CMS) is to oversee services for individuals throughout the life span. D. The Centers for Disease Control and Prevention (CDC) is governed by the National Institutes of Health (NIH). A. The Administration for Children and Families and the Administration on Aging are mainly responsible for addressing healthcare financing issues. ***B. The Food and Drug Administration (FDA) is governed by the U.S. Department of Health and Human Services (DHHS). C. The primary role of the Centers for Medicare and Medicaid Services (CMS) is to oversee services for individuals throughout the life span. D. The Centers for Disease Control and Prevention (CDC) is governed by the National Institutes of Health (NIH). The U.S. Department of Health and Human Services (DHHS) governs more than 300 divisions and programs, including the following: The National Institutes of Health (NIH), which provide health research and other healthrelated information; the Centers for Medicare and Medicaid Services (CMS), which address healthcare financing issues; and the Administration for Children and Families and the Administration on Aging, which oversee services for individuals throughout the life span. Divisions governed by the DHHS also include the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). The client asks the nurse to explain how Medicare works. Which items should the nurse include in the teaching session?(Select all that apply.) A. Both hospital and medical insurance are offered by Medicare. B. Routine eye care is not covered by Medicare. C. Medicare is a federally funded health insurance program. D. There are four types of Medicare coverage. E. Individuals with end-stage renal disease are not eligible for Medicare coverage. ***A. Both hospital and medical insurance are offered by Medicare. ***B. Routine eye care is not covered by Medicare. ***C. Medicare is a federally funded health insurance program. ***D. There are four types of Medicare coverage. E. Individuals with end-stage renal disease are not eligible for Medicare coverage. Medicare is a federally funded health insurance program available to people age 65 or older, younger people with disabilities, and people with end-stage renal disease. Certain services, including routine eye care, are not covered by Medicare. There are four types of Medicare coverage: Part A (hospital insurance), Part B (medical insurance), Part C (Medicare advantage plans like an HMO or PPO), and Part D (Medicare prescription drug coverage). The nursing student is giving a presentation on the roles of citizens and government in shaping health policy. Which statements should be included in the presentation? (Select all that apply.) A. "The government official is responsible for identifying political considerations related to each solution." B. "Citizens will evaluate the outcomes of newly implemented laws." C. "The citizen who reports the concern is responsible for choosing the best solution." D. "One role of government officials is hearing citizens' concerns." E. "The citizen's responsibilities include evaluating safety concerns of proposed solutions." ***A. "The government official is responsible for identifying political considerations related to each solution." B. "Citizens will evaluate the outcomes of newly implemented laws."C. "The citizen who reports the concern is responsible for choosing the best solution." ***D. "One role of government officials is hearing citizens' concerns." E. "The citizen's responsibilities include evaluating safety concerns of proposed solutions." Government officials' roles include hearing citizens' concerns about healthcare needs, evaluating safety concerns related to potential solutions, identifying political considerations related to each solution, and choosing the best solution. Federal agencies or departments who are responsible for implementing the new law will evaluate outcomes. The nursing instructor asks students to describe health policy. Which student statement is best? A. "Health policy refers to actions taken by populations that consist of individuals who are in need of change." B. "Health policy ensures that healthcare organizations will achieve their goals." C. "Health policy includes governmental choices that affect clients' abilities to reach healthcare goals." D. "Health policy assures that individuals will reach their health-related objectives." A. "Health policy refers to actions taken by populations that consist of individuals who are in need of change." B. "Health policy ensures that healthcare organizations will achieve their goals." ***C. "Health policy includes governmental choices that affect clients' abilities to reach healthcare goals." D. "Health policy assures that individuals will reach their health-related objectives." Health policy refers to actions and choices by government bodies and professional organizations that affect the ability of healthcare organizations and individuals in the healthcare system to reach their healthcare goals. Health policy does not guarantee achievement of goals. The nurse educator is describing the role of the American Association of Colleges of Nursing (AACN) to a new educator. Which statement is the most appropriate for the nurse educator to include in the discussion? A. "The AACN is the national voice for America's undergraduate nursing education programs."B. "The AACN is the national voice for America's baccalaureate and graduate nursing education programs." C. "The AACN is the national voice for graduate nursing education programs throughout the United States." D. "The AACN is the national voice for all types of nursing education programs throughout the United States." A. "The AACN is the national voice for America's undergraduate nursing education programs." ***B. "The AACN is the national voice for America's baccalaureate and graduate nursing education programs." C. "The AACN is the national voice for graduate nursing education programs throughout the United States." D. "The AACN is the national voice for all types of nursing education programs throughout the United States." The American Association of Colleges of Nursing (AACN) is the national voice for America's baccalaureate and graduate nursing education. The clinical nursing instructor is preparing a presentation about societal factors that influence health policy. Which factors should be included? (Select all that apply.) A. Size of a given population B. Population-specific needs C. Degree to which the population's current needs are met D. Level of support for the proposed policy E. Ability of the population to finance the proposed policy ***A. Size of a given population ***B. Population-specific needs ***C. Degree to which the population's current needs are met ***D. Level of support for the proposed policy E. Ability of the population to finance the proposed policySocietal factors that influence health policy include the population's size and specific needs, the degree to which current policy meets the population's needs, and the level of support for the proposed policy. The target population is not required to finance the health policy. The nursing student is describing how citizens and government work together to influence health policy. Which statement is most accurate? A. "Citizens who report healthcare concerns must also describe the political considerations associated with the proposed solutions." B. "The government official may draft a law that reflects implementation of the proposed solution." C. "Citizens who propose solutions to healthcare problems must also include an evaluation of the solution's safety." D. "The government official who advocates for passing a new law is responsible for evaluating the outcomes." A. "Citizens who report healthcare concerns must also describe the political considerations associated with the proposed solutions." ***B. "The government official may draft a law that reflects implementation of the proposed solution." C. "Citizens who propose solutions to healthcare problems must also include an evaluation of the solution's safety." D. "The government official who advocates for passing a new law is responsible for evaluating the outcomes." The government official may draft a law that reflects implementation of the proposed solution. Government officials, not individual citizens, are responsible for evaluating solutions based on safety and for identifying political considerations associated with each solution. Federal agencies or departments who are responsible for implementing the new law are responsible for evaluating outcomes. The staff nurse asks the nursing supervisor, "Which regulatory agency requires hospitals to have personal protective equipment (PPE) ready for us to use when we need it?" Which response is correct? A. "The Centers for Disease Control and Prevention." B. "The Occupational Safety and Health Administration." "The National Institutes of Health.""The Agency for Healthcare Research and Quality." A. "The Centers for Disease Control and Prevention." ***B. "The Occupational Safety and Health Administration." "The National Institutes of Health." "The Agency for Healthcare Research and Quality." Part of the mission of the Occupational Safety and Health Administration (OSHA) is to help employers fulfill their responsibilities to their employees related to creating safe, healthful workplace environments and reducing or eliminating workplace hazards. OSHA standards include ensuring that employees have and use personal protective equipment (PPE) when required for safety and health. Research conducted or evaluated by the National Institutes of Health, the Agency for Healthcare Research and Quality, and the Centers for Disease Control may inform OSHA regulations and standards, but these agencies do not oversee health and safety in workplace environments. A county health department nurse is creating a brochure that describes the agency's role. Which activity should be included? A. Regulating child care centers B. Providing community disease monitoring and surveillance C. Enrolling clients in Medicaid D. Overseeing the construction of new medical facilities A. Regulating child care centers ***B. Providing community disease monitoring and surveillance C. Enrolling clients in Medicaid D. Overseeing the construction of new medical facilities Providing community disease monitoring and surveillance is a function of a county health department. Enrolling clients in Medicaid typically is the responsibility of local departments of social services. Regulation of child care centers and overseeing the construction of new medical facilities are state-level regulatory functions. The nurse is describing programs and services offered by the local community health department. Which activities should be included? (Select all that apply.)A. Providing food assistance to pregnant women B. Distributing free infant car seats C. Implementing injury prevention campaigns D. Promoting lead poisoning safety efforts E. Overseeing emergency medical services systems ***A. Providing food assistance to pregnant women ***B. Distributing free infant car seats ***C. Implementing injury prevention campaigns ***D. Promoting lead poisoning safety efforts E. Overseeing emergency medical services systems Local community health programs and services include implementing injury prevention campaigns, promoting lead poisoning safety efforts, distributing free infant car seats, and providing food assistance to pregnant women [often through the Women, Infants, and Children (WIC) supplemental nutrition program]. Oversight of emergency medical services systems is a state responsibility. A nurse mentor is explaining the primary benefits of National League for Nursing (NLN) membership to a protégé. Which items should be included? (Select all that apply.) A. Nursing research grants B. Specialty practice cultivation C. Job placement services D. Public policy initiatives E. Faculty development programs ***A. Nursing research grants B. Specialty practice cultivation C. Job placement services ***D. Public policy initiatives***E. Faculty development programs The National League for Nursing (NLN) encourages the pursuit of high quality nursing education for all types of nursing education programs. NLN member benefits include faculty development programs, networking opportunities, assessment and testing, nursing research grants, and public policy initiatives. Job placement services are not a primary benefit of NLN membership. Professional specialty practice organizations are designed to cultivate specialty practice. The nurse researcher is preparing a webinar about the history of nursing research. Which statement should be included? A. "The American Association of Colleges of Nursing was the first nursing organization to fund nursing research." B. "The National League for Nursing was the first nursing organization to fund nursing research." C. "Sigma Theta Tau International was the first nursing organization to fund nursing research." D. "The American Nurses Association was the first nursing organization to fund nursing research." A. "The American Association of Colleges of Nursing was the first nursing organization to fund nursing research." B. "The National League for Nursing was the first nursing organization to fund nursing research." ***C. "Sigma Theta Tau International was the first nursing organization to fund nursing research." D. "The American Nurses Association was the first nursing organization to fund nursing research." Sigma Theta Tau International (STTI), which is the second largest nursing organization in the United States, was the first nursing organization to fund nursing research. Although the National League for Nursing, the American Nurses Association, and the American Association of Colleges of Nursing may elect to fund nursing research in areas consistent with their respective missions, none of these was the first nursing organization to fund research in nursing. The nursing administrator is planning an in-service for nurses about Medicare coverage. Which content should be included?(Select all that apply.) A. All individuals ages 62 and older are eligible for Medicare coverage. B. Younger individuals with disabilities are eligible for Medicare coverage. C. Medicare is a form of public health insurance. D. Medicare is a federally funded program. E. Medicare coverage includes individuals with end-stage renal disease. A. All individuals ages 62 and older are eligible for Medicare coverage. ***B. Younger individuals with disabilities are eligible for Medicare coverage. ***C. Medicare is a form of public health insurance. ***D. Medicare is a federally funded program. ***E. Medicare coverage includes individuals with end-stage renal disease. Medicare is a federally funded public health insurance program available to people age 65 or older, younger people with disabilities, and people with end-stage renal disease. The nurse is discussing Medicaid health coverage with a client. Which information should be included? A. Medicaid provides cash for basic needs, such as food, housing, and clothing. B. Medicaid coverage does not include the client's home health services. C. Medicaid reimbursement does not cover costs related to transportation to medical care. D. Medicaid is available to eligible individuals, families, the elderly, and individuals with disabilities. A. Medicaid provides cash for basic needs, such as food, housing, and clothing. B. Medicaid coverage does not include the client's home health services. C. Medicaid reimbursement does not cover costs related to transportation to medical care. ***D. Medicaid is available to eligible individuals, families, the elderly, and individuals with disabilities.Medicaid is a state-administered program that is available to certain lower income individuals and families, the elderly, and people with disabilities who meet the eligibility requirements set by federal and state law. Federal laws require Medicaid to cover certain services, including physician services, inpatient and outpatient hospital care, home health services, and transportation to medical care. Social security income (SSI) provides cash for basic needs such as food, housing, and clothing. The nursing instructor is preparing a class for nursing students about types of insurance coverage. When describing private insurance coverage, which item should be included? A. Self-employment-based private insurance policies cover self-employed individuals and their family members. B. Group insurance coverage may be purchased through voluntary and membership associations, such as professional and trade groups. C. Employment-based private health insurance coverage may not be extended to include extended family members. D. Direct-purchase private insurance plans are usually less expensive and less restrictive than group coverage. A. Self-employment-based private insurance policies cover self-employed individuals and their family members. ***B. Group insurance coverage may be purchased through voluntary and membership associations, such as professional and trade groups. C. Employment-based private health insurance coverage may not be extended to include extended family members. D. Direct-purchase private insurance plans are usually less expensive and less restrictive than group coverage. Employment-based private insurance plans are offered through an individual's employer or union. This type of coverage may be extended to include the spouse and dependents of the employee, as well as the employee's domestic partner. Group coverage may also be purchased through voluntary and membership associations, such as professional and trade groups, bar associations, local chambers of commerce, and AARP. Self-employment-based private insurance plans are available only to individuals who are self-employed and cover only that individual. Direct-purchase private insurance plans allow individuals who need private health insurance and who are ineligible for group coverage to purchase an individual policy. Individual health insurance policies are usually more expensive and coverage is more restricted than under group health coverage. Karalynn Templeton, a community health nurse, is preparing to meet with her state representative to discuss the unmet needs of military families whose loved ones are deployed. During the meeting, which statement demonstrates Karalynn understands the process of developing health policy in the U.S.?A. "Along with a description of the healthcare issue, I've also included a list of political considerations related to it." B. "I realize that you are the person who decides whether or not a healthcare solution becomes a law." C. "In addition to other considerations, I'm aware that a proposed solution's anticipated effectiveness must be evaluated." D. "I understand that meeting with citizens about healthcare issues is not part of your role, so I really appreciate your time." A. "Along with a description of the healthcare issue, I've also included a list of political considerations related to it." B. "I realize that you are the person who decides whether or not a healthcare solution becomes a law." ***C. "In addition to other considerations, I'm aware that a proposed solution's anticipated effectiveness must be evaluated." D. "I understand that meeting with citizens about healthcare issues is not part of your role, so I really appreciate your time." Government officials evaluate proposed solutions based on several factors, including costs and benefits, anticipated effectiveness, efficiency, and safety. Government officials' roles include hearing citizens' concerns about healthcare needs, as well as gathering information about reported issues. Government officials are also responsible for identifying political considerations associated with each healthcare issue and proposed solution. Passage of proposed healthcare solutions into law is not the government official's choice; it is a process that requires collaboration between lawmakers and government officials and adherence to procedures. Karl Jentzenn, a nurse at a county health department, receives a telephone call from Stacie Retellaire, a 22-year-old woman who is 7 months pregnant. Ms. Retellaire reports that she is unable to afford food and asks where she should go to enroll in the Women, Infants, and Children (WIC) supplemental nutrition program. Which response demonstrates that Karl understands the services offered by government agencies? A. "We can connect you to the state health department, who can enroll you in the WIC program." B. "WIC is a federally-administered program, so you'll need to contact the U.S. Department of Health and Human Services (DHHS) to enroll."C. "WIC is administered through the state offices of emergency medical services (OEMSs), so you'll need to enroll through that department." D. "We can provide you with food through the WIC program." A. "We can connect you to the state health department, who can enroll you in the WIC program." B. "WIC is a federally-administered program, so you'll need to contact the U.S. Department of Health and Human Services (DHHS) to enroll." C. "WIC is administered through the state offices of emergency medical services (OEMSs), so you'll need to enroll through that department." ***D. "We can provide you with food through the WIC program." Local departments of health usually administer the Women, Infants, and Children (WIC) supplemental nutrition program, which provides food assistance to pregnant women and children under age 5 who are at risk for malnutrition. State offices of emergency medical services (OEMS) provide citizens with access to highquality emergency medical care by ensuring that local emergency medical services (EMS) systems comply with all applicable regulations. Trace Oliverez, a senior nursing student, is preparing to graduate. Trace asks his mentor, "Which nursing organization offers reviews to help students prepare for the certification exam?" What is the mentor's best response? A. "You should join the National Student Nurses Association (NSNA)." B. "You should join the American Nurses Association (ANA)." C. "You should join the National League for Nursing (NLN)." D. "You should join Sigma Theta Tau International (STTI)." ***A. "You should join the National Student Nurses Association (NSNA)." B. "You should join the American Nurses Association (ANA)." C. "You should join the National League for Nursing (NLN)." D. "You should join Sigma Theta Tau International (STTI)." The National Student Nurses Association (NSNA), a nonprofit organization, mentors nursing students who are preparing for initial registered nurse licensure; membership benefits include certification exam mini-reviews. The National League for Nursing (NLN) promotesexcellence in nursing education through strategies that include faculty development programs and public policy initiatives. Sigma Theta Tau International (STTI) membership is by invitation to nursing students who demonstrate academic excellence and nurse leaders who demonstrate exceptional nursing achievements. The American Nurses Association (ANA) represents the nations' registered nurses; its professional mission includes cultivating high standards of nursing practice and advocating for nurses' rights in the workplace. The student nurse is giving a presentation about the history, role, and functions of Sigma Theta Tau International (STTI). Which statements are appropriate for the student nurse to include in the presentation? (Select all that apply.) A. "Invitations to join are offered to baccalaureate and graduate nursing students who demonstrate scholarship excellence." B. "Membership is offered to nurse leaders who exhibit exceptional nursing achievements." C. "Sigma Theta Tau International (STTI) was the first nursing organization to fund nursing research." D. "Benefits of membership include career services and continuing education opportunities." E. "STTI's vision is to create a local community of nurses who lead in using knowledge, scholarship, service, and learning to improve the health of the world's people." ***A. "Invitations to join are offered to baccalaureate and graduate nursing students who demonstrate scholarship excellence." ***B. "Membership is offered to nurse leaders who exhibit exceptional nursing achievements." ***C. "Sigma Theta Tau International (STTI) was the first nursing organization to fund nursing research." ***D. "Benefits of membership include career services and continuing education opportunities." E. "STTI's vision is to create a local community of nurses who lead in using knowledge, scholarship, service, and learning to improve the health of the world's people." Sigma Theta Tau International (STTI) was the first nursing organization to fund nursing research. Invitations to join are offered to baccalaureate and graduate nursing students who demonstrate scholarship excellence and to nurse leaders who exhibit exceptional nursing achievements. STTI's vision is to create a global community of nurses who lead in using knowledge, scholarship, service, and learning to improve the health of the world's people. Member benefits include career services and continuing education opportunities.The nurse manager is presenting an in-service for staff nurses about Medicaid insurance coverage. Which statements are appropriate for the nurse manager to include during the inservice? (Select all that apply.) A. "For the client who qualifies for Medicaid, home health services are typically covered." B. "While Medicaid covers inpatient hospital services, it does not cover outpatient care." C. "Individuals with disabilities who meet federal and state eligibility requirements may be covered by Medicaid." D. "Transportation costs to healthcare appointments are not covered by Medicaid." E. "Medicaid provides qualified individuals with cash for basic needs, such as food, housing, and clothing." ***A. "For the client who qualifies for Medicaid, home health services are typically covered." B. "While Medicaid covers inpatient hospital services, it does not cover outpatient care." ***C. "Individuals with disabilities who meet federal and state eligibility requirements may be covered by Medicaid." D. "Transportation costs to healthcare appointments are not covered by Medicaid." E. "Medicaid provides qualified individuals with cash for basic needs, such as food, housing, and clothing." Medicaid is available to certain lower income individuals and families, the elderly, and people with disabilities who meet the eligibility requirements set by federal and state law. Each state sets its own guidelines regarding Medicaid eligibility and covered services. However, federal law requires Medicaid to cover certain services including physician services, inpatient and outpatient hospital care, home health services, and transportation to medical care. Supplemental Security Income (SSI) provides cash for basic needs such as food, housing, and clothing. The community health nurse is speaking with a client about the functions of divisions or departments of health and human services at the federal, state, and local level. Which item should the nurse include in the discussion? A. Federal health departments usually manage the planning of medical facilities. B. County health departments generally oversee child care centers.C. Local departments of health and human services typically monitor clinical laboratories. D. Local departments of social services usually are responsible for administering Medicaid. A. Federal health departments usually manage the planning of medical facilities. B. County health departments generally oversee child care centers. C. Local departments of health and human services typically monitor clinical laboratories. ***D. Local departments of social services usually are responsible for administering Medicaid. Local departments of social services usually are responsible for administering Medicaid. State divisions or departments of health and human services typically oversee clinical laboratories and child care centers. State divisions of health and health services are also responsible for overseeing the planning and construction of medical facilities. A group of student nurses is discussing the implementation of new laws based on health policy. Which student statement is the most accurate? A. "If desired outcomes are not achieved, the government official will enact a new law." B. "Implementation of the law does not end the cycle of policy analysis." C. "If the law requires major changes, the affected population will vote to modify the new law's regulations." D. "The purpose of evaluation is to make sure that costs of implementing the law are as low as possible." A. "If desired outcomes are not achieved, the government official will enact a new law." ***B. "Implementation of the law does not end the cycle of policy analysis." C. "If the law requires major changes, the affected population will vote to modify the new law's regulations." D. "The purpose of evaluation is to make sure that costs of implementing the law are as low as possible." The purpose of evaluation is to ensure achievement of the best possible results. If the new law fails to promote achievement of the desired outcomes, the responsible agency or department can make changes to the rules and regulations within the framework of the law. Ifmajor changes are needed, the agency will recommend legislative changes, such as an amendment or a new law, which may or may not be made. Implementation does not end the cycle. Continuous analysis of results by the implementing agency is critical. A home health nurse is caring for a client who requires an appointment with a specialty provider. The client's health insurance is an employer-provided HMO. Based on the client's insurance, what is the first step for the nurse to take to ensure this client is seen by the specialist? A. Discuss the client's options with the insurance company B. Call the specialist directly to make an appointment C. Discuss the client's options with the case manager D. Call the primary care provider for a referral to the specialist A. Discuss the client's options with the insurance company B. Call the specialist directly to make an appointment C. Discuss the client's options with the case manager ***D. Call the primary care provider for a referral to the specialist Health maintenance organization (HMO) participants must choose a primary care provider (PCP). The PCP serves as the gatekeeper to care, referring the client to in-network hospitals and specialists when needed. Therefore the nurse would need to call the PCP to get a referral for the specialist in order for the visit to be covered under the client's insurance policy. The case manager would not be involved in this process. Because the nurse knows that the client has an HMO, it is not necessary to call the insurance company regarding the client's options. A community health nurse is describing the role of the local health department to a student nurse who is shadowing for the day. Which items are appropriate for the nurse to include in the discussion? (Select all that apply.) A. Reporting incidents of disease to state authorities B. Notifying federal authorities about incidents of disease C. Providing community disease monitoring and surveillance D. Offering state-wide disease and injury prevention programs E. Ensuring compliance by local emergency medical services (EMS) ***A. Reporting incidents of disease to state authorities***B. Notifying federal authorities about incidents of disease ***C. Providing community disease monitoring and surveillance D. Offering state-wide disease and injury prevention programs E. Ensuring compliance by local emergency medical services (EMS) Responsibilities of local health departments include providing community disease monitoring and surveillance; reporting incidents of disease to state and federal authorities; and offering community-wide disease and injury prevention programs. State offices of emergency medical services (OEMSs) ensure that local emergency medical services (EMS) systems comply with all applicable regulations. The community health nurse is designing a presentation about societal factors that influence health policy. Which statement should the nurse include in the presentation? A. Population size does not influence the development of health policy. B. Population-specific needs are too complex to be taken into consideration. C. Considerations include whether or not current policy meets the population's needs. D. Level of support for the proposed policy is not an influencing factor. A. Population size does not influence the development of health policy. B. Population-specific needs are too complex to be taken into consideration. ***C. Considerations include whether or not current policy meets the population's needs. D. Level of support for the proposed policy is not an influencing factor. Societal factors that influence health policy include population size, population-specific needs, degree to which current policy meets the population's needs, and level of support for the proposed policy. The nurse educator is giving a presentation on the role and functions of specialty nursing practice organizations to a group of staff nurses. Which statement is the most appropriate for the nurse educator to include in the presentation regarding these organizations? A. "Responsibilities of specialty nursing practice organizations include strengthening members' personal identities."B. "Examples of specialty nursing practice organizations include the American Nurses Association (ANA)." C. "Specialty nursing practice organizations advance nursing practice in the affiliated specialty area." D. "A small number of nursing specialties are supported by a professional specialty practice organization." A. "Responsibilities of specialty nursing practice organizations include strengthening members' personal identities." B. "Examples of specialty nursing practice organizations include the American Nurses Association (ANA)." ***C. "Specialty nursing practice organizations advance nursing practice in the affiliated specialty area." D. "A small number of nursing specialties are supported by a professional specialty practice organization." Most nursing specialties are supported by a professional specialty practice organization. These organizations advance nursing practice in the affiliated specialty area and support practitioners and their clients. Responsibilities of specialty nursing practice organizations include strengthening members' professional identities. As opposed to being a specialty practice organization, the American Nurses Association (ANA) is the only full-service professional organization representing the nation's 3.1 million registered nurses. The nurse manager is reviewing current staff education levels and skill competencies for charge nurses to use when making client assignments. Which care delivery system does this nurse manager's action support? A. Team nursing B. Client-focused care C. Differentiated practice D. Shared governance A. Team nursing B. Client-focused care ***C. Differentiated practice D. Shared governanceDifferentiated practice is the use of nurses' education, training, and ability to determine how to best use nurses in the care setting. Client-focused care organizes health care around client physical and emotional needs. Shared governance is an organizational model that ensures nurses have input on policy and decision making related to client care. In team nursing, the RN has the responsibility and authority for client care but delegates tasks to other team members as appropriate. The nurse is coordinating the care for a client recovering from a stroke. Which skills are appropriate for the nurse to use when coordinating care for this client? (Select all that apply.) A. Discuss the client's need for a prescribed medication with the insurance company B. Delegate morning care to unlicensed assistive personnel C. Document the client's responses to care D. Facilitate team and group activities to avoid scheduling conflicts E. Communicate with other disciplines regarding the provision of care A. Discuss the client's need for a prescribed medication with the insurance company B. Delegate morning care to unlicensed assistive personnel C. Document the client's responses to care ***D. Facilitate team and group activities to avoid scheduling conflicts ***E. Communicate with other disciplines regarding the provision of care When functioning in the role of coordinator, the nurse will facilitate team and group activities and use verbal communication skills with other disciplines to ensure completion of the client's care. Delegation is a skill used in team nursing. Documentation is a basic nursing skill performed by all nurses regardless of the care delivery method used. Discussing the client's need for a medication with the insurance provider is a skill within the role of advocacy. During a follow-up visit, the nurse learns that a client is not adhering to the agreed upon plan of care. What outcome should the nurse expect for this client's care? A. Missing a scheduled appointment B. Misinterpretation of teaching C. Misunderstanding of the care plan D. Exacerbation of the health problemA. Missing a scheduled appointment B. Misinterpretation of teaching C. Misunderstanding of the care plan ***D. Exacerbation of the health problem If the client is not adhering to the plan, the client is at risk for re-hospitalization or exacerbation of the health alteration. Limited access to resources may hinder client progress in the form of missing scheduled appointments or not understanding the plan of care. A client with deficient knowledge may not comprehend information provided during a teaching session. The nurse case manager is assigned a client newly diagnosed with type 2 diabetes mellitus. What is the priority action for the nurse to perform when beginning the care of this client? A. Review nutritional needs with the dietician B. Discuss needs at home C. Complete a health history D. Discuss self-administration of insulin A. Review nutritional needs with the dietician B. Discuss needs at home ***C. Complete a health history D. Discuss self-administration of insulin Case management is a care delivery approach used to coordinate, facilitate, and track a client's use of healthcare resources. This care delivery approach begins with assessing client needs. Implementing care (e.g., providing teaching on insulin administration) occurs after the assessment and plan is prepared. Discharge planning and collaboration with other healthcare professionals occur after the assessment. The nurse administers a dose of the pneumococcal vaccination to an older client prior to the client's discharge from the hospital. Which function of managed care is this nurse performing? A. Preventing unnecessary costsB. Assessing client needs C. Delivering preventive services D. Advocating for client needs A. Preventing unnecessary costs B. Assessing client needs ***C. Delivering preventive services D. Advocating for client needs Managed care emphasizes preventing inappropriate and unnecessary costs, increasing customer satisfaction, promoting health, and delivering preventive services. Administering a vaccination is the delivery of a preventive service. Assessing client needs is a step within the nursing process and case management. Providing a vaccination is delivering a preventive service and not preventing unnecessary costs. The nurse who is administering a vaccination is not engaged in advocacy. The staff development educator is preparing a seminar for staff nurses prior to implementing managed care. Which skills should the educator include as necessary when implementing this care delivery system? (Select all that apply.) A. Time management B. Communication C. Medication administration D. Delegation E. Assessment ***A. Time management ***B. Communication C. Medication administration ***D. Delegation ***E. AssessmentLearning to manage care takes time because it requires strong communication, assessment, and time management skills. Managing care also requires the ability to appropriately delegate to unlicensed staff. The skill of medication administration is necessary for direct client care, not managed care. The care coordinator is planning actions to overcome a client's knowledge deficit related to the use of a sleep apnea machine at home. Which approach should the nurse use for this situation? A. Review the steps in using the machine again B. Schedule the machine to be delivered at another time of day C. Explain the consequences of not using the equipment correctly D. Discuss the client's non-adherence with the healthcare professional ***A. Review the steps in using the machine again B. Schedule the machine to be delivered at another time of day C. Explain the consequences of not using the equipment correctly D. Discuss the client's non-adherence with the healthcare professional To overcome the barrier of deficient knowledge, the nurse should provide additional teaching to ensure client comprehension of the instructions. Scheduling would address the barrier of limited resources. Discussing the issue with the interdisciplinary team is an action to address limited resources. Explaining the consequences of not using the equipment correctly is not a strategy to overcome any care coordination barriers. The nurse manager is concerned that client care coordination was not successful. On which observations did the nurse manager base this concern? (Select all that apply.) A. The client's abdominal wound dressing was changed twice in one shift. B. The client's fasting blood glucose level was drawn twice in one day. C. The family is requesting to discuss home care needs. D. Referral for home care has been delayed by two days. E. The client received two doses of a prescribed pain medication. ***A. The client's abdominal wound dressing was changed twice in one shift. ***B. The client's fasting blood glucose level was drawn twice in one day.C. The family is requesting to discuss home care needs. ***D. Referral for home care has been delayed by two days. ***E. The client received two doses of a prescribed pain medication. Care that is not coordinated can lead to fragmented services, medical errors, and unnecessary duplication of tests, services, and treatments, as well as to omission of necessary services. Collaboration can be initiated by the client, family member, or a member of the health care team. Which strategies are emphasized in managed care? (Select all that apply.) A. Preventing inappropriate and unnecessary costs B. Delivering preventive services C. Adhering to ethical values D. Promoting health E. Increasing customer satisfaction ***A. Preventing inappropriate and unnecessary costs ***B. Delivering preventive services C. Adhering to ethical values ***D. Promoting health ***E. Increasing customer satisfaction Managed care is a delivery system that focuses on decreasing costs and improving client outcomes. It emphasizes preventing inappropriate and unnecessary costs, increasing customer satisfaction, promoting health, and delivering preventive services. Adhering to ethical values is a nursing action essential to all aspects of nursing care but is not a strategy or goal of managed care. Which client health problem would benefit the most from case management? A. Fractured leg B. Chronic lung diseaseC. Minor orthopedic surgery D. Peptic ulcer A. Fractured leg ***B. Chronic lung disease C. Minor orthopedic surgery D. Peptic ulcer Clients who receive the greatest benefit from managed care usually are those with chronic health alterations, such as chronic lung, heart, or neurological health conditions. Minor orthopedic surgery, peptic ulcer, and limb fractures are not considered chronic health conditions. What are characteristics of shared governance? (Select all that apply.) A. Can be used with other care delivery methods B. Based upon competencies needed to provide client care C. Is a precursor to primary nursing D. Encourages decision-making at all organization levels E. Client and family participation in care delivery process ***A. Can be used with other care delivery methods B. Based upon competencies needed to provide client care C. Is a precursor to primary nursing ***D. Encourages decision-making at all organization levels E. Client and family participation in care delivery process Shared governance is an organizational model that encourages nurse participation in decision-making at all levels within an organization. It can be used with other care delivery models. Client and family participation in care delivery is a characteristic of client-focused care. Differentiated practice is based upon competencies needed to provide client care. The case method of care delivery is believed to be a precursor to primary nursing. Which care delivery method uses a task-oriented approach?A. Primary B. Team C. Case D. Functional A. Primary B. Team C. Case ***D. Functional The functional method uses a task-oriented approach. In the case method, one nurse is assigned and responsible for the care of a group of clients over the course of a shift. In the team method, the RN has the responsibility and authority for client care but delegates tasks to other team members as appropriate. In primary nursing, one nurse is responsible for overseeing the total care for a number of clients 24 hours a day, 7 days a week. What organizations have embraced the use of care coordination? (Select all that apply.) A. La Leche League B. National League of Nurses C. American Nurses Association D. Centers for Medicare and Medicaid Services E. American Medical Association A. La Leche League B. National League of Nurses ***C. American Nurses Association ***D. Centers for Medicare and Medicaid Services E. American Medical Association The Centers for Medicare and Medicaid Services (CMS) and the American NursesAssociation (ANA) have both embraced the use of care coordination. The CMS considers care coordination as reimbursable due to its ability to reduce rehospitalization rates, and the ANA identifies several positive results related to the implementation of care coordination. The American Medical Association, the National League of Nurses, and La Leche League have not specifically embraced the use of care coordination. What is a defining characteristic of care coordination? A. Initiation by the nurse B. Initiation by a family member C. Direct client care is delivered D. Direct interaction with other members of the care team ***A. Initiation by the nurse B. Initiation by a family member C. Direct client care is delivered D. Direct interaction with other members of the care team Care coordination is always initiated by the nurse. Care coordination does not necessarily involve direct client care. Collaboration is defined as two or more people working towards a common goal, and may occur in a number of models and settings. In collaboration, a client, family member, or any member of the healthcare team may initiate action. Direct interaction with the client or other individual is a characteristic of collaboration. Which action is characteristic of the "planning care" phase of the care coordination process? A. Utilize standard protocols or critical pathways and evidence-based guidelines B. Determine the need for consultation with other healthcare providers C. Adjust the plan in response to changes in the client's condition D. Identify potential challenges ***A. Utilize standard protocols or critical pathways and evidence-based guidelines B. Determine the need for consultation with other healthcare providers C. Adjust the plan in response to changes in the client's condition D. Identify potential challengesIn the planning care phase of care coordination, the nurse will utilize standard protocols or critical pathways and evidence-based guidelines. Determining the need for consultation with other healthcare providers is a part of the assessment phase of care coordination. Identifying potential challenges is a part of the problem identification phase when coordinating care. Adjusting the plan in response to a change in the client's condition is an action taken when evaluating care coordination. Which is a barrier to care coordination? A. Nursing assistant scheduled for afternoon shift calls off from work B. Client's abdominal wound becomes infected after surgery C. Client does not have transportation to attend out-patient physical therapy D. Prescribed dose of medication delayed in arriving from the pharmacy A. Nursing assistant scheduled for afternoon shift calls off from work B. Client's abdominal wound becomes infected after surgery ***C. Client does not have transportation to attend out-patient physical therapy D. Prescribed dose of medication delayed in arriving from the pharmacy Limited access to resources such as a lack of transportation is a barrier to care coordination. A change in a client's condition, a staff member calling out sick, or a delay in medication administration are not barriers to care coordination. Which strategy is useful to overcome barriers related to care coordination? A. Change the client assignment so that licensed personnel will be utilized more effectively B. Discuss a client care issue during a task force meeting C. Organize a client's care needs for a 12 hour shift D. Review the steps in self-administration of insulin with the client before discharge A. Change the client assignment so that licensed personnel will be utilized more effectively B. Discuss a client care issue during a task force meeting C. Organize a client's care needs for a 12 hour shift ***D. Review the steps in self-administration of insulin with the client before discharge One way to overcome a barrier to care coordination is to address knowledge deficits byproviding additional teaching to ensure that the client comprehends discharge instructions. Changing assignments to maximize the use of personnel is an approach for differentiated practice. Task force meetings are a characteristic of shared governance. Organizing a client's care needs for a 12 hour shift is a characteristic of the case method of care delivery. Abigail, the registered nurse, is meeting with the physical and occupational therapists to discuss outcome achievement for a client recovering from a stroke. Which case management behavior is the nurse demonstrating at this time? A. Coordinating care B. Providing interventions C. Evaluating care provided D. Assessing client needs A. Coordinating care B. Providing interventions ***C. Evaluating care provided D. Assessing client needs The nurse is meeting with the client's therapists to evaluate the care they have provided in relation to the client's outcomes. Assessment, care coordination, and provision of interventions are a part of the case management model, but these are not occurring at this time. Jennifer Calper, the primary nurse, is assigned a client with newly diagnosed type 2 diabetes mellitus. Which nursing action is most appropriate when caring for this client? A. Instructing the client on the role of medications to control the disease process B. Participating on a task force to identify glucometers for use during care C. Providing direct care to the client during the scheduled shift D. Directing nursing assistants to complete morning care on a group of clients ***A. Instructing the client on the role of medications to control the disease process B. Participating on a task force to identify glucometers for use during care C. Providing direct care to the client during the scheduled shift D. Directing nursing assistants to complete morning care on a group of clientsClient teaching is a role of the primary nurse. Participation in a task force is an activity within shared governance. Delegating tasks related to a group of clients is not the same as providing direct client care. In this scenario, the nurse is working within the primary nursing method; providing direct care during a scheduled shift is a characteristic of the case method. Katrina Simons is a nurse who is coordinating the discharge for a client with chronic lung disease. Which nursing action is the priority when coordinating this client's care? A. Responding to family members' questions about the client's needs B. Reviewing the client's nutritional needs with the dietician C. Discussing the client's medications with the pharmacist D. Obtaining an order and organizing the delivery of oxygen to the client's home A. Responding to family members' questions about the client's needs B. Reviewing the client's nutritional needs with the dietician C. Discussing the client's medications with the pharmacist ***D. Obtaining an order and organizing the delivery of oxygen to the client's home Initiating consultations, identifying the need for referrals, and obtaining orders are all actions the nurse will take when implementing care coordination. However, ensuring the client's ability to maintain adequate perfusion and oxygenation following discharge by obtaining an order and organizing oxygen delivery takes priority over other actions. Discussing the client's medications with the pharmacist, meeting with the dietician to review the client's nutritional needs, and responding to family members' questions are collaborative actions. While coordinating the care for Mr. Obertone, an adult client with heart failure, the nurse discovers that home monitoring equipment is not available for several days. Which nursing action is most appropriate to overcome this care coordination barrier? A. Contact another company to obtain the needed resource B. Help the client understand the purpose of monitoring at home C. Teach the client to monitor weight every day at home D. Explain to the physician why the equipment is not available ***A. Contact another company to obtain the needed resource B. Help the client understand the purpose of monitoring at home C. Teach the client to monitor weight every day at homeD. Explain to the physician why the equipment is not available When resources are lacking, the nurse can network with another provider to obtain the resource for the client. Explaining to the physician why the equipment is not available, teaching the client to monitor his weight, and helping him understand the need for monitoring at home are important nursing actions but will not help overcome the existing barrier of limited resources. The neurological clinical nurse specialist (CNS) visits a client at home one week after the client was discharged from the hospital after a stroke. What can the CNS do after this care visit is complete? A. Discuss the client's care needs with the health care provider B. Discuss the visit with the primary nurse C. Notify the case manager of the visit D. Reimburse for the care visit A. Discuss the client's care needs with the health care provider B. Discuss the visit with the primary nurse C. Notify the case manager of the visit ***D. Reimburse for the care visit Because care coordination can be a helpful strategy in reducing readmission rates, the Centers for Medicare and Medicaid Services now reimburses clinical nurse specialists if specific criteria are met, such as visiting the client in person within 30 days of discharge. The nurse specialist may or may not need to notify the case manager of the visit. The client's needs may or may not need to be discussed with the health care provider. The visit does not need to be discussed with the primary nurse. The nurse manager is evaluating care coordination actions performed by the nursing staff. Which outcomes indicate that the nursing staff's actions have been effective? (Select all that apply.) A. Care is readily accessible. B. Care is being rationed. C. Care is of the highest quality.D. Care is reliable. E. Care is being provided at the lowest cost. ***A. Care is readily accessible. B. Care is being rationed. ***C. Care is of the highest quality. ***D. Care is reliable. ***E. Care is being provided at the lowest cost. When nurses embrace the expectations of care coordination, care will be provided that is reliable, accessible, of the highest quality, and at the lowest cost. Rationing of care is not an expectation of care coordination. A medical-surgical unit utilizes the case method for providing client care. Which actions will the nurse perform when caring for clients using this approach? (Select all that apply.) A. Providing total care to assigned clients for the entire shift B. Overseeing the total care for a number of clients 24 hours a day, 7 days a week C. Assessing, planning, implementing, and evaluating care provided D. Delegating the completion of morning care to unlicensed assistive personnel E. Providing medications to clients for an entire team ***A. Providing total care to assigned clients for the entire shift B. Overseeing the total care for a number of clients 24 hours a day, 7 days a week ***C. Assessing, planning, implementing, and evaluating care provided D. Delegating the completion of morning care to unlicensed assistive personnel E. Providing medications to clients for an entire team The case method is also termed total care and involves one nurse being assigned and responsible for the care of a group of clients over an 8 or 12 hour shift. Nursing responsibilities in the case method include assessing, diagnosing, planning, implementing and evaluating the effectiveness of care. Providing medications to clients for an entire team would be performed in functional nursing. Delegating the completion of morning care to unlicensedassistive personnel is an action within team nursing. In primary nursing, the nurse oversees the total care for a number of clients 24 hours a day, 7 days a week. The registered nurse team leader is performing gastric lavage for a client who is experiencing an acute gastrointestinal bleed. Which function will the nurse most likely have difficulty completing as the team leader? A. Delegation B. Decision-making C. Client teaching D. Identifying nursing diagnoses ***A. Delegation B. Decision-making C. Client teaching D. Identifying nursing diagnoses Team nursing is not as effective when caring for clients who are acutely ill because the nurse is needed for direct care and will not have time to delegate many tasks. Teaching, identifying nursing diagnoses, and decision-making are skills used within primary nursing and would be required when caring for this client. While caring for a client, the nurse meets with the healthcare provider to discuss responses to treatment and explain the client's issues with medication side effects. Which associated concepts of managed care is this nurse demonstrating? (Select all that apply.) A. Advocacy B. Clinical decision-making C. Healthcare systems D. Collaboration E. Ethics ***A. Advocacy B. Clinical decision-making C. Healthcare systems***D. Collaboration E. Ethics When discussing responses to treatment with the client's other healthcare providers, the nurse is engaging in collaboration. When explaining the client's issues with medication side effects the nurse is engaging in advocacy. The nurse is engaged with healthcare systems when working within the federal, state, local and healthcare organization regulations and requirements. Clinical decision making is prioritizing and providing care. Ethics is adhering to the nursing code of ethics when providing care. Which client should the nurse refer to the case manager for ongoing care? A. Client being treated for deep vein thrombosis B. Client with exacerbation of multiple sclerosis C. Client with hepatitis B D. Client being discharged after a total hip replacement A. Client being treated for deep vein thrombosis ***B. Client with exacerbation of multiple sclerosis C. Client with hepatitis B D. Client being discharged after a total hip replacement To maximize effectiveness, clients who benefit the most from case management are those with chronic health problems, such as chronic alterations in lung, heart, or neurological health. The client with an exacerbation of multiple sclerosis would benefit the most from case management. Hepatitis B, deep vein thrombosis, and total hip replacement are all acute problems with minimal risk for developing into a chronic disorder. The primary nurse is coordinating care for a newly admitted client. Which nursing actions are appropriate when planning this client's care? (Select all that apply.) A. Initiate consultations with other health care providers B. Suggest appropriate referrals for the client's care C. Obtain orders for referrals and consultations from the health care provider D. Select appropriate critical pathways for the clientE. Identify applicable evidence-based practice guidelines for the client's care A. Initiate consultations with other health care providers B. Suggest appropriate referrals for the client's care C. Obtain orders for referrals and consultations from the health care provider ***D. Select appropriate critical pathways for the client ***E. Identify applicable evidence-based practice guidelines for the client's care In the planning phase of care coordination, the nurse should utilize standard protocols, or critical pathways, and evidence-based guidelines, prepare the care plan in consultation with the client, and make the care plan the framework for care coordination. Initiating consultations, suggesting referrals, and obtaining orders for consultations and referrals from the health care provider are actions that occur during the implementation phase of care coordination. The nurse telephones a health insurance carrier to discuss covering an electric wheelchair for a client with a spinal cord injury. Which barrier of care coordination is the nurse attempting to overcome? A. Knowledge deficit B. Limited resources C. Non-adherence to the plan of care D. Caregiver reluctance A. Knowledge deficit ***B. Limited resources C. Non-adherence to the plan of care D. Caregiver reluctance To overcome the barrier of limited resources, the nurse may discuss covering the resource with the client's insurance carrier. A strategy to overcome non-adherence to the plan of care would be to identify alternatives to overcome reasons for not following the plan of care. The health insurance carrier would not be involved in this process. To address a knowledge deficit, the nurse would provide additional teaching to help the client comprehend instructions. Caregiver reluctance may impact care delivery, but it is not a barrier to care coordination.The nurse is performing a cultural assessment on an adult client. What type of information would be used to complete the cultural assessment? (Select all that apply.) A. The language spoken in the home B. Whether the client has insurance C. The client's region or country of residence D. The kinds of food and drink the client prefers E. The cultural or religious influences in decision making ***A. The language spoken in the home B. Whether the client has insurance ***C. The client's region or country of residence ***D. The kinds of food and drink the client prefers ***E. The cultural or religious influences in decision making Subjective data would be gathered by asking questions about cultural beliefs. Objective data would be gathered through observation of the client and the interactions between significant family members who might be present. Discovering the region or country the client originates from and lives in would give clues about the client's culture. It is important to know what language is spoken in the home and whether the client understands English so that communication can be effective. Insurance is not necessarily a question that would come up during a cultural assessment, although socioeconomic status may affect health care delivery. [Show More]

Last document update: 1 month ago

Preview 1 out of 92 pages

Reviews( 0 )

Questions and Answers

$14.00

26
0

Document information


Connected school, study & course



About the document


Uploaded

1 month ago

Number of pages

92

Written in

All

Type

Questions and Answers

Seller


QuizMaster

Member since 1 year ago

23 Documents Sold


Additional information

This document has been written for:

Course

Nursing

Paper Category

Questions and Answers

Uploaded

1 month ago

Downloads

 0

Views

 26

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

Get to know us
About Us
Contact Us
Blog
We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!


Copyright © Browsegrades · High quality services· Terms of Use · Privacy Statement