One advantage of a decentralized management structure for nursing units over a centralized structure is that: 1. Communication pathways are simplified 2. Staff are not responsible for defining their roles 3. Managers handle all of the difficult decision making 4. Each staff member is accountable for evaluating the plan of care ANSWER ANS: 4 […]
Which of the following statements best reflects Nightingales’ nursing philosophy on health maintenance and restoration? 1. “Did all the clients eat a good breakfast?” 2. “What is the client rating his pain level after his medication?” 3. “Have any clients developed a nosocomial infection last month?” 4. “Is anyone interested in volunteering to mentor our […]
A practitioner or client who uses traditional Chinese medicine bases the therapy on the primary concept of: 1. Yin/yang 2. Meridians 3. Six evil senses 4. Acupoints ANSWER ANS: 1 The most important concept of Chinese medicine is the concept of yin and yang, which represent opposing, yet complementary phenomena that exist in a […]
A paraplegic client is admitted for an electrolyte imbalance. Based on the levels of prevention, the client is receiving care at the level of: 1. Health promotion 2. Primary prevention 3. Tertiary prevention 4. Secondary prevention ANSWER ANS: 4 The secondary prevention level focuses on early diagnosis and prompt treatment as well as disa-bility […]
When developing appropriate nurse-initiated interventions for a client admitted to an acute care facility for abdominal pain, the nurse must first consider: 1. The institution’s policies and procedures 2. The state’s defined scope of nursing practice 3. The client’s physiological and psychological needs 4. The scientific rationale for the proposed nursing action ANSWER ANS: […]
The primary reason a client with chronic obstructive pulmonary disease (COPD) often experienc-es fatigue and activity intolerance is related to: 1. The increased presence of surfactant that results in “sticky” alveoli 2. The presence of chronic infections in the lungs and bronchial tree 3. The extra energy that is needed to exhale the air from […]
Of all of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume deficit is: 1. A 6-month-old learning to drink from a cup 2. A 12-year-old who is moderately active in 80° F weather 3. A 42-year-old with severe diarrhea 4. A 90-year-old with frequent headaches […]
In a small rural hospital they work with a wide variety of clients. Of this afternoon client’s ad-mitted, the nurse acknowledges the client with the highest susceptibility to infection is the indi-vidual with: 1. Burns 2. Diabetes 3. Pulmonary emphysema 4. Peripheral vascular disease ANSWER ANS: 1 Burn clients have a very high susceptibility […]
Which form of health care is of primary importance when dealing with managed care? 1. Health promotion 2. Disease prevention 3. Tertiary treatment 4. Secondary treatment ANSWER ANS: 1 If people stay healthy, the cost of medical care declines. Systems of managed care focus on con-taining or reducing costs, increasing client satisfaction, and improving […]
The nurse suspects that there is physical abuse present after visiting the client in the home. In recognition of the pattern of family violence, the nurse knows that: 1. Child abuse is declining in frequency 2. Spouses are the most frequent abusers 3. Mental illness is a major cause of abuse 4. Abuse is primarily […]
