Unit 1 - Class Activities

Question 1

If using a 4 or 5 column nursing care plan what elements are included :

A.Medical diagnosis, medications, standard course of the disease, evaluation

B.Medical diagnosis, nurses name caring for client, medications, evaluation

C.Nursing diagnosis, goals or desire outcomes, nursing interventions, evaluation

Answer 1

C.Nursing diagnosis, goals or desire outcomes, nursing interventions, evaluation

Question 2

6 People a part of the surgical team

Answer 2

1. Surgeon
2. Anesthesiologist
3. Circulating Nurse
4. Scrub Nurse/Technician
5. First Assistant
6. Manufacturer Representative

Question 3

What type of surgery would a burn be?

Answer 3

emergent

Question 4

What type of surgery would a gunshot be?

Answer 4

emergent

Question 5

What type of surgery would ICP be?

Answer 5

emergent

Question 6

What type of surgery would bleeding be?

Answer 6

emergent

Question 7

What type of surgery would a gallbladder infection be?

Answer 7

urgent

Question 8

What type of surgery would kidney stones be?

Answer 8

urgent

Question 9

What type of surgery would repair of scars be?

Answer 9

elective

Question 10

What type of surgery would a hernia be?

Answer 10

elective

Question 11

What type of surgery would an orthopedic be?

Answer 11

elective

Question 12

What type of surgery would BPH be?

Answer 12

required

Question 13

What type of surgery would cataracts be?

Answer 13

required

Question 14

What type of surgery would thyroid disorders be?

Answer 14

required

Question 15

What is a required surgery?

Answer 15

need to have/up to a month

Question 16

How long can you go without an urgent surgery

Answer 16

24-30 hrs

Question 17

5 Classifications of surgeries:

Answer 17

1. emergent
2. urgent
3. required
4. elective
5. optional (ex. cosmetic)

Question 18

Which statement is true concerning informed consent?

A. Minors are permitted to give informed consent

B. The Professional nurse and physician may both obtain informed consent

C. The client must be fully informed regarding treatment, tests, surgery and the risks and benefits prior to giving informed consent

D. Mentally competent and incompetent clients can legally give informed consent

Answer 18

C. The client must be fully informed regarding treatment, tests, surgery and the risks and benefits prior to giving informed consent

B (When the professional nurse is involved in the informed consent process, the nurse is only witnessing the consent process and doesn’t actually obtain the consent…Obtaining consent is the responsibility of the physician)

Question 19

T/F: Always Individualized/family must be involved/In Chronic illness with children

Answer 19

T

Question 20

T/F: Discharge directions may be part of a critical pathway/ handouts etc.

Answer 20

T

Question 21

A nurse, who works in a clinic environment, places great emphasis on cost control, customer satisfaction, health promotion, and preventive services. The primary focus of this nurse is representative of which type of healthcare system?

A) Functional method
B) Client-focused care
C) Case method
D) Managed care

Answer 21

D) Managed care

Question 22

A nurse is completing discharge teaching for a client who is hospitalized for total hip replacement. The client asks the nurse why there is a case manager involved and expresses confusion about who is in charge. The client states, “I thought my doctor manages my care.” Which is the best response by the nurse?

A) “No, I manage your care.”
B) “You are correct; the doctor is responsible for managing your care.”
C) “A case manager coordinates everyone involved in your care to ensure your needs are met.”
D) “The case manager delegates your care to the nurse.”

Answer 22

C) “A case manager coordinates everyone involved in your care to ensure your needs are met.”

Question 23

R.L. is a 92 year old female patient admitted to LTC 6 months ago, She has a history of falling a few times a month.You are the RN med nurse at the LTC facility. You are in the middle of drawing up an insulin dosage at the hall med cart……. When you hear a thud…you turn around to see R.L lying on the floor in the hall outside of her room.You claim in a exasperated voice… “not again”.. You turn to your competent CNA friend and ask her, “ Could you please go check on R.L”

Is this appropriate nursing delegation?

Answer 23

No!

Question 24

A nurse manager of an ICU can NOT be held legally responsible in a court of law for which action performed by the unit’s staff?

A. A nursing assistant administers IV medications to a client in ICU
B. A staff nurse refuses to follow physician’s order to administer medication because administering the dosage ordered could seriously harm the client
C. A nursing assistant attempts to initiate I.V. therapy
D. A staff nurse fill ‘s client prescription at the hospital pharmacy because the pharmacist on duty is busy

Answer 24

B. A staff nurse refuses to follow physician’s order to administer medication because administering the dosage ordered could seriously harm the client

Question 25

Delegation is the process of transferring work to subordinates. A nurse manager can appropriately delegate which task?

A. Scheduling staff assignments for the next month
B. Terminating a nursing assistant for insubordination
C. Deciding on Salary increases for licensed practical nurses after they complete orientation
D. Telling a staff nurse to initiate disciplinary

Answer 25

A. Scheduling staff assignments for the next month

Question 26

A nurse working in the triage area of an emergency department sees that several pediatric clients arrive simultaneously. Which client should be treated first?

A. A crying 4 year old child with a laceration on his scalp
B. A 3 year old child with a barking cough and flushed appearance
C. A 3 year old child with Down syndrome who’s pale and asleep in his mother’s arms
D. A 2 year old child with stridorus breath sounds, sitting up in his mother’s arms and drooling

Answer 26

D. A 2 year old child with stridorus breath sounds, sitting up in his mother’s arms and drooling

Question 27

Which concept refers to the role of a professional nurse in client advocacy?

A. The nurse makes decisions for clients who can’t make decisions for themselves
B. The nurse follows the basic standards of care and hospital policies and procedures for providing care for clients
C. The nurse promotes and protects the clients interests and rights
D. The nurse adapts a paternalistic approach toward the care of clients

Answer 27

C. The nurse promotes and protects the clients interests and rights