BENCHMARK FUNDAMENTALS FOR NURSING I

Home health care, Rehab facilities, Skilled nursing facilities

A nurse is discussing restorative health care w/newly-licensed nurse. Which of the following examples should the nurse include in the teaching?

Medicare, Medicaid

A nurse is explaining the various types of health coverage clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded?

Collaborating w/providers to perform obesity screening during routine office visits

A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Which of the following actions should the nurse include as a primary health care strategy?

Ensuring that HCPs comply w/regulations

A nurse is discussing the purpose of regulatory agencies during a staff meeting. Which of the following tasks should the nurse identify as the responsibility of state licensing boards?

ICU, Oncology treatment center, Burn center

A nurse is explaining the various levels of health care services to a group of newly licensed nurses. Which of the following examples of care or care settings should the nurse classify as tertiary care?

A client who has terminal cancer requests hospice care in her home, A client asks about community resources available for older adults, Client requests an electric wheelchair for use after discharge

A nurse is caring for a group of clients on a med-surg unit. For which of the following client care needs should the nurse initiate a referral for a social worker?

Occupational therapist

A goal for a client who has difficulty w/self-feeding due to RA is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the inter- professional care team?

Provider, Pharmacist, RN

A client who is post-op following knee arthroplasty is concerned about the adverse effects of the med he's receiving for pain management. Which of the following members of the ICT can assist the client in understanding the medications effects?

Speech-language pathologist

A client who has had a cerebrovascular accident has persistent problems w/dysphasia. The nurse caring for the client should initiate a referral with which of the following members of the ICT?

Bathing, Ambulating, Toileting, Measure VS

A nurse is acquainting a group of newly licensed nurses w/the-roles-of-various members of the health care team they'll encounter on a med-surg unit. When she gives examples of the types of tasks CNAs may perform, which of the following client activities should she include?

Authority

A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary arteries. The nurse understands that this client's choice is an example of which of the following ethical principles?

Beneficence

A nurse offers pain med to a client who's post-op prior to ambulation. The nurse understands that this aspect of care delivery is an example of which of the following ethical principals?

Justice

A nurse is instructing nursing students about the responsibilities of organ donation n procurement involve. When the nurse explains that all clients waiting 4 kidney transplant have 2 meet the same qualifications, the students should understand that this aspect of care delivery is an example of which of the following?

Nonmaleficence

A nurse questions a med prescription as too extreme in light of the client's advanced age & unstable status. The nurse understands that this action is an example of which of the following ethical principles?

A family has conflicting feelings about the initiation of enteral tube feedings for their father, who is terminally ill

A nurse is instructing a group of nursing students about how to know & what to expect when ethical dilemmas arise. Which of the following situations should the students identify as an ethical dilemma?

Assault

A nurse observes as AP reprimanding a client for not using the urinal properly. The AP tells him she will put a diaper on him if he doesn't use the urinal more carefully next time. Which of the following torts is the AP committing?

False imprisonment

A nurse is caring for a competent adult client who tells the nurse he's thinking about leaving the hospital against med advice. The nurse believes that this isn't the client's best interest. so she prepares to administer PRN sedative med the client hasn't requested along w/his-usual-med. What is the nurse about to commit?

"I plan to write that I don't want them to keep me on a breathing machine."

A nurse in a surgeon's office is providing pre-op teaching for a client who's scheduled for surgery the following week. The client tells the nurse that he'll prepare his advance directives b4 he goes to the hospital. Which of the following should indicate to the nurse an understanding of advance directives?

Make sure the surgeon obtained the client's consent, Witness the client's signature on the consent form

A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent?

Report the observations to the nurse manager on the unit

A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she wasn't on break. Which of the following actions should the nurse take?

Bone scan scheduled for today

A nurse is preparing info for change-of-shift report. Which of the following info should the nurse include in the report?

Family members should provide a code prior to receiving client health info, Communication of client into can occur at nurses' station, Client can request copy of medical record, Nurse May photocopy a client's medical record for transfer to another facility

A nurse is discussing HIPPA w/nurses-during new employee orientation. Which of the following info should the nurse include?

Put the date & time on all entries, Document objective data; leaving out opinions

A nurse is reviewing documentation with a group of newly licensed nurses. Which of the following legal guidelines should be followed when documenting in a clients record?

Med error, Needle-sticks, Omission of prescription

A nurse is discussing occurrences that require completion of an incident report w/newly-licensed-nurse. Which of the following should the nurse include in the teaching?

Repeat the details of the prescription back to the provider, Have another nurse listen to the telephone prescription, Obtain the providers signature on the prescription within 24 hr

A nurse is receiving a providers prescription by phone for morphine for a client who's reporting moderate to severe pain. Which of the following nursing actions are appropriate?

Reapplying a condom catheter for a client who has urinary incontinence

A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following clients needs should the bride assign to an AP?

RN

A nurse manager of a med-surg unit of assigning care responsibilities for the oncoming shift. A client is awaiting a transfer back to the unit from the PACU following thoracic surgery. To which of the following staff members should the nurse assign this client?

The client ambulates w/his-slippers on over his anti-embolic stockings, The client uses a front-wheeled walker when ambulating, The client had pain med 30 min ago

A nurse is delegating the ambulation of a client m who had knee arthroplasty 5 days ago to an AP. Which of the following info should the nurse share with the AP?

Teaching a client who has asthma to use a meter-dosed inhaler

An RN is making assignments for a PN at the beginning of the shift. Which of the following assignments should the PN question?

Right supervision & Evaluation, Right direction & communication, Right circumstances

A nurse is preparing an in-service program about delegation. Which of the following elements should she identify when presenting the 5 rights of delegation?

Reassess the client to determine the reasons for inadequate pain relief

By the 2nd post-op day, a client hasn't achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?

Respiratory rate is 22/min with even, unlabored respirations; Skin is pink warm & dry; The AP reports the client the client walked with a limp

A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following data should the charge nurse identify as objective data?

Showing a client how to use progressive muscle relaxation, Performing a daily bath after the evening meal, Repositioning the client every 2 hr to reduce risk of pressure ulcer

A charge nurse is talking with a newly licensed nurse & is reviewing nursing interventions that don't require a providers prescription. Which of the following interventions should the charge nurse include?

"I will determine the most important client problems that we should address."

A nurse is discussing the nursing process w/newly-hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the panning step of the nursing process?