Professional Identity Community Wk 4 Edapt 2024-2025 Edition. Questions & Answers. Grade A, Exams of Nursing

Download Professional Identity Community Wk 4 Edapt 2024-2025 Edition. Questions & Answers. Grade A and more Exams Nursing in PDF only on Docsity! Professional Identity: Community Week 4 Edapt 2024-2025 Edition. Real Questions & 100% Correct Answers. Already Graded A+ A 35-year-old client has applied to Chamberlain Manufacturing and has a conditional job offer. Prior to any new hire, an appointment with the occupational health nurse is made for a pre-employment health screening and drug testing. The potential new hire asks the occupational health nurse, "Why do I need drug testing for employment?" Which statement is most appropriate? - ANS-"We are a drug-free workplace and we screen all potential new hires for drug-use issues." A student's health is directly related to which characteristic? - ANS-Ability to learn A student's health is directly related to their ability to learn. Children with metunmet health needs have a difficult time engaging in the educational process. - ANS--directly --unmet According to the Institute for Healthcare Improvement (2018), what are the principles that guide safety in the home? Select all that apply. - ANS-A robust learning and improvement system -Self-determination in all aspects of care -Effective team-based care and care coordination -Organizations must create and maintain a safety culture According to the World Health Organization (2017), patient-centered care in community health settings consists of: - ANS--At the right time --The right care --The right place After the family, the schoolgovernmenthealthcare system is a major institution responsible for the development of children and adolescents in the United States. - ANS-school An employee reached out to the occupational health nurse due to chronic health issues and an increase in absenteeism. Which nursing actions would help provide client support? Select all that apply. - ANS-Act immediately to make a quick assessment to determine how best to help the client. -Validate the client's reasons for being forthcoming and reaching out for help. -Set a positive tone and inform the client about employee assistance program benefits. -If it is a work-related health problem, investigate further. -Share that self-care and managing health is an attainable and positive life goal. As with other areas of community health nursing, the levels of prevention provide the framework for occupational nursing care with an emphasis on the primarysecondarytertiary level of prevention. - ANS-primary Based on the client's history, the highest priority nursing diagnosis is infectionimpaired tissue integrityimmunocompromised system related to invasive proceduremalnutritionsigns of infection . - ANS-impaired tissue integrity -signs of infection Based on the client's history, the priority nursing diagnosis is ineffective airway clearancealtered tissue integrityimpaired spontaneous ventilation related to secretionsinflammationanxiety as evidenced by a history of asthma, exposure to environmental factors (insect/bee sting), tachypnea, coughing, and wheezing. - ANS- ineffective airway clearance -inflammation Based upon client's history, the client's priority nursing diagnosis is - ANS-rape trauma syndrome -sexual assault Based upon Joey's history, the client is at highest risk for - ANS--community contamination --air pollutants in school environment Click to specify if each of the assessment findings would indicate if the client's condition has improved or not improved. Select only one answer for each row. - ANS------------- Client's Condition Improved: The client self-reports pain at 5/10 on the pain scale. The client states, "I was able to rest and take a 3-hour nap today." The client states, "I am able to take acetaminophen 1,000 mg as I do not have as much pain as before." The client states, "I listen to music which helps me relax and helps my pain." ------------Client's Condition Not Improved: BP 126/72, P 89, RR 22, T (oral) 100.2º F (38º C) The client states, "My daughter has to give me pain medication around the clock. I have a hard time waiting for the next dose." Considerations are needed prior to delegation of a nursing task. Can the registered nurse delegate oxygen saturation monitoring and supplemental oxygen administration via nasal cannula for this student? - ANSThe nurse should review the legal parameters of nursing practice defined by the state to determine if this task can be delegated to an unlicensed assistive personnel (UAP). The nurse must also determine the competency of the UAP before delegation. Drag and drop the type of health determinant into its specific category. - ANS--Policy Declined cancer treatment BP 128/76, T 97.8 ºF (36.5 ºC) For each assessment finding, select whether the client's statement indicates if their condition has improved or not improved. - ANS-------------Improved: -Client reports mild pain in left lower leg at 2/10 on a pain scale. -Client's left lower leg wound measures 1x1cm, minimal redness, and without drainage. -Client's oral temperature is 99.2 F and 98.4 F at the last two home visits. -------------Not Improved: -Client reports having diarrhea 4-5 times a day for the last 3 days. -Client reports difficulty urinating stating, "I have peed less and less the last 3 days." For each description below, click to specify if it is a characteristic of hospice care or palliative care. Select only one answer for each row. - ANS-------------Hospice Care: -Anyone living with a terminal illness -Comfort rather than cure -Focusing on symptom relief only --------------Palliative Care: -Anyone living with a serious illness -Curative treatment -Focusing on symptom management while receiving other treatment -Does not have a life expectancy of 6 months or less For each finding, indicate if the environmental factor is consistent with clinical manifestations of illness. Each clinical finding may be associated with more than one environmental cue. - ANSAir- -Sneezing -Coughing -Runny nose -Shortness of breath -Fatigue Water- -Fatigue Food -Coughing -Shortness of breath -fatigue For each nursing action below, click to specify if the occupational nurse should have performed the action or not when caring for Joe. Select only one answer for each row. - ANS---------Should Have Performed: -Review medical history and collect vital signs -Conduct a physical assessment -Obtain finger stick blood glucose level -Review the rights to medication administration ----------Should Not Have Performed: -Offer a meal -Refer the client to an endocrinologist For each nursing action, indicate if it is indicated or contraindicated. - ANSIndicated: --Monitor changes in respiratory rate and SpO2 levels --Report findings to local health department --Complete a risk and exposure assessment Contraindicated: --Request an order for airborne contact isolation --Obtain a stool sample for culture and sensitivity Forensic nurses organize and participate in facilitating the development of policies and procedures that foster the implementation of prevention and intervention programs in response to violence. Forensic nurses recognize violence as a global, health care problem. Forensic nurses promote the development of a coordinated and culturally sensitive response and care for clients who have experienced violence or abuse. Forensic nurses have an ethical responsibility to serve, advocate for and empower patients, families, and their communities. Forensic nurses bring attention the effects of violence and the need to reduce immediate, intermediate, and long term physical and psychological injuries that are associated with violence. - ANSare not law enforcement Forensic nurses provide medical and legal care to clients who have experienced which of the following? Select all that apply. - ANS-Human trafficking -Interpersonal violence -Sexual assault -Child abuse Forensic nurses work in a variety of settings. Identify three primary work settings. - ANS-Hospitals -Coroner's office -Jails or prisons Georgia's goals are to manage her disease, manage her medication therapy, and return to a functional level that will allow her to resume activities of daily living in her home. Based on the information above, what primary type of case management will the care manager provide? - ANS--Patient-centered case management Health problems lead to an increase in absenteeism. The school nurse supports student success by providing healthcare through assessment, intervention, and evaluation for all children within the school setting. - ANS-increase -evaluation Highlight the assessment findings that require follow up by the nurse. - ANSBruises laceration it's all my fault I should have fought him off flat effect limited eye contact embarrassed Highlight the assessment findings that require immediate follow-up by the nurse. - ANS- asthma -stung by a bee -coughing -wheezing -red, raised rash -I cannot breathe -hr. 140 -RR 45 Holistic care that accounts for the cultural, social, and economic needs of communities helps to promote health ____, social _____, _______health disparities, and overall improve client outcomes. - ANS--equity --justice --reduce Home care nursing referrals come from which sources? Select all that apply. - ANSALL -Case managers -Social services -Therapy services -Client requests -Healthcare providers Home healthcare use - ANS-increasing -a home -increased Hospice care is when life expectancy is 6 months or less, and the focus of the care is on comfort rather than cure --Mom states, "I should have just home-schooled my children." --Joey states, "Am I going to get a shot to prevent me from getting sick from mold?" Match each example to the corresponding health hazard. - ANS----A nurse calls for assistance in lifting a client after finding that the mechanical lift is in use by another nurse.=Enviro-mechanical, physical, and psychosocial hazard ------A nurse spills a container of liquid on the operating room floor and wipes it with towels.= Chemical hazard --------An unlicensed assistive personnel (UAP) enters the room of a client on contact precautions wearing gloves and a mask.=Biological infectious hazard Match each forensic nursing educational opportunity to its correct description. - ANS------------Forensic nurse generalist: -Baccalaureate, associate degree, or diploma may acquire additional knowledge and skills by completing a certificate program; assessment and treatment of victims and perpetrators of violence. --------Advanced practice forensic nurse: -Graduate education with a comprehensive focus in forensic nursing. Advanced practice forensic nurses may also have obtained credentials as a clinical nurse specialist, certified nurse-midwife, or nurse practitioner. --------Doctor of nursing practice (DNP): -May evaluate and apply evidence-based forensic practice for the improvement of education, clinical practice, systems management, and nursing leadership. -----------Doctor of philosophy (PhD): -Prepares nurses to initiate and conduct research in an area of forensics to advance nursing science and to ultimately enhance the practice of forensic nursing. Match each statement with the corresponding defining characteristic. (Click on an item from the left column first, then click on the corresponding item in the right column, and a line will appear to match the two chosen items. To deselect a chosen item, just click on that item.) - ANS-Hospice nurses ensure clients do not die alone.-It is a practice... -hospice nurses improve the quality of care -Implement the plan of care... -Hospice nurses provide client-centered care.-Administering medications... -Hospice nurses provide psychosocial and spiritual support. Take the time to address the client's fears and concerns related to death and the dying process -Hospice nurses understand the importance of self-care.- Taking the time to care for yourself while caring for others is essential. Match the health settings where community health nurses practice to their defining characteristics. - ANSSchool health - Programs that include health promotion principles throughout a school curriculum. Occupational health - Programs designed for health promotion and accident or illness prevention in the workplace setting. Nurse-managed clinics - Settings that provide nursing services that focus on health promotion and education, chronic disease assessment management, and support for self-care and caregivers. Block or parish nursing - Nurses who provide faith-based or neighborhood services to older or home-bound patients. Community health centers - Outpatient clinics that provide primary care, prevention, and screening services to a specific patient population in the surrounding community. Medical offices - Offices that provide primary healthcare diagnosis and illness treatment. Forensic settings - Settings in which clients receive care that may require evidence collection. Correctional facilities - Facilities in which direct patient care is provided to detainees and inmates, such as jails or prisons. Occupational health nurses deliver health and safety programs and services for workers and community groups. This nursing practice focuses on health promotion , restoration of health , prevention of illness, and protection from work-related and environmental injuries and hazards. - ANS-safety -promotion -health -injuries Occupational nurses provide education on health and wellness strategies, such as vaccinations, exercise, smoking cessation, healthy eating, personal protective equipment, and annual primary healthcare provider services. What level of prevention are these strategies? - ANS-Primary One way to offer comprehensive healthcare to school-aged populations is to provide an interdisciplinary team approach that includes which members? Select all that apply. - ANSALL ARE CORRECT -Psychologists -Educational board -Healthcare professionals -Social services -Families Perform mental health competency evaluations. - ANS-Physiological effects -Psychological trauma -Physical injury -Death Rank the nursing actions that the occupational nurse should have performed in the order of priority. - ANS-Review the client's medical history and collect vital signs -Obtain finger stick blood glucose level -Conduct a physical assessment -Review the rights to medication administration -Administer prescribed medication -Document findings in the employees health file Review the client's electronic health record (EHR) then answer the question below - ANS--------------Indicated: Assess the pain intensity level using a valid and reliable self-reported pain tool. Contact the prescribing provider using introduction, situation, background, assessment, and recommendation (ISBAR) to discuss the ineffective medication regimen. Ask the client to describe prior experiences with pain, effectiveness of pain management interventions, and responses to analgesic medications. -------------Contraindicated: Initiate intravenous (IV) access for oxycodone/APAP 10mg/325mg drug therapy. Teach the client to take acetaminophen 1000mg po and oxycodone/APAP 10/325mg at the same time every 4-6 hours for pain relief. Teach the client to use nonpharmacological approaches. Review the client's electronic health record (EHR) then answer the question below. - ANS-acute pain -neoplasms The occupational nurse is providing teaching to nursing students about how they can mitigate risk. Which statement indicates an understanding of a way to prevent legal liability while functioning as a professional occupational health nurse? - ANS-"I will maintain competencies consistent with the needs of clients in occupational health settings." The primary care provider prescribes oxycodone/ibuprofen 10 mg/400 mg for moderate to severe pain and to discontinue the oxycodone/APAP dose. What health teaching will the nurse include for the client prior to administering the medication? Select all that apply. - ANS---"We are trying a new medication with oxycodone and ibuprofen combined in it to see if you can get some pain relief. Make sure not to take any additional ibuprofen without consulting your primary care provider first." -----"We will be carefully monitoring your vital signs and pain level while on this medication." --------"Please let me know if you have any nausea or shortness of breath as this may occur when taking this drug." The primary care provider prescribes vancomycin intravenous (IV) to treat the infection. What health teaching will the nurse include for the client prior to medication administration? Select all that apply. - ANS--"Blood will be drawn frequently to measure drug levels to make sure they are effective in treating your infection." --"Please let me know if you have any nausea or diarrhea as this may occur when taking this drug." --"We will be carefully monitoring your kidney function while on this medication." --"I will be monitoring you for signs of infection, which includes taking your temperature and assessing your wound." There are various types of hospice care services. Identify three types from the list below. - ANS-Nursing visits to address physical symptoms -Visits from a hospice aide to provide personal care -Visits from a chaplain to provide spiritual support Upon arrival at the school office, there are four students waiting to be seen by the school nurse. In what order should the nurse assess these children? - ANS--11-year-old with audible wheezing --6-year-old who reports a headache after being hit in the face by a ball --9-year-old with a fever --7-year-old with an abrasion to the knee What does holistic care help to promote those accounts for the cultural, social, and economic needs of communities? Select all that apply. - ANS--Reduce health disparities --Improve outcomes --Social justice --Health equity What health teaching will the nurse include for the client prior to the sexual assault medical forensic examination? Select all that apply. - ANS--"I will discuss all parts of the examination with you and please let me know if you have any questions throughout the examination." --"I will escort you to the treatment room and we will discuss what happened to you in private." --"I will assess for signs of injury, document any injuries, and collect evidence." --"You have the right to accept or decline any medical care or treatment." What is the priority action of the nurse? - ANS-Address safety concerns regarding suicidal ideation. What types of funding sources are available to clients to help pay for home care services? Select all that apply. - ANS-Workers' compensation -Long-term care insurance -Private pay -Medicare -Private health insurance Which are the four primary tasks performed by an occupational health nurse? Drag the chosen items from the left column and drop them in the right column. - ANS-Complete pre-placement baseline medical evaluations -Conduct health and wellness fairs -Manage workers' compensation cases -Provide work health screenings Which are the three primary types of home care services? - ANS-Private duty -Home healthcare -Personal care and companionship Which clinical situation does the forensic nurse suspect? - ANS-The visible injuries are consistent with acts of force caused by another person. Which credential will be most useful to Richard's goal of influencing policy changes in the corrections systems as it relates to a forensic nurse's role? - ANSDNP Which findings put the occupational health nurse at risk for legal issues? Select all that apply. - ANS--Providing medication without reviewing the client's medical history --Failure to perform a nursing assessment --Failure to document the nurse-client interaction --Failure to obtain vital signs Which follow-up statement(s) verbalized by Joseph would indicate that trauma-informed nursing actions were effective? Select all that apply. - ANS-Joseph states, "I understand that my injuries will heal on their own within the next few weeks." -Joseph states, "If I am feeling suicidal, I will immediately tell the prison guard or nurse in the infirmary." Which four types of healthcare services are offered by school nurses? - ANS-Health prevention activities -Medication administration -First aid and emergency care -Immunizations and screenings Which Healthy People objectives aim to prevent work-related injury and illnesses and make workplaces safer? Select all that apply. - ANS-Reduce work-related skin diseases -Increase worksites with policies to ban smoking -Understand factors that impact the use of protective eyewear -Decrease the exposure to lead levels Which home health claims are suitable for Medicare coverage? Select all that apply. - ANS--Dr. Chan --Mr. Rodriguez --Mrs. Roberts Which nurse coordinates with community health nurses to develop daily care plans, manage financial responsibilities, facilitate optimal health outcomes, and identify inadequate or duplicated healthcare services? - ANS--Nurse case manager Which nursing actions support the client's ability to enhance self-care based on functional abilities? Select all that apply. - ANS-Support the client's awareness that enhanced self-care is an attainable and positive life goal. -Promote social support through facilitation of family involvement or through support groups. -Perform a self-care assessment to identify baseline functional ability. -Help the client identify strategies to enhance self-care and reduce barriers. Which nursing actions support the client's priority goal to enhance comfort based on nonpharmacological approaches? Select all that apply. - ANS-Promote social support and family involvement. According to the Institute for Healthcare Improvement (2018), what are the principles that guide safety in the home? Select all that apply. - ANS-A robust learning and improvement system -Self-determination in all aspects of care -Effective team-based care and care coordination -Organizations must create and maintain a safety culture According to the World Health Organization (2017), patient-centered care in community health settings consists of: - ANS--At the right time --The right care --The right place After the family, the schoolgovernmenthealthcare system is a major institution responsible for the development of children and adolescents in the United States. - ANS-school An employee reached out to the occupational health nurse due to chronic health issues and an increase in absenteeism. Which nursing actions would help provide client support? Select all that apply. - ANS-Act immediately to make a quick assessment to determine how best to help the client. -Validate the client's reasons for being forthcoming and reaching out for help. -Set a positive tone and inform the client about employee assistance program benefits. -If it is a work-related health problem, investigate further. -Share that self-care and managing health is an attainable and positive life goal. As with other areas of community health nursing, the levels of prevention provide the framework for occupational nursing care with an emphasis on the primarysecondarytertiary level of prevention. - ANS-primary Based on the client's history, the highest priority nursing diagnosis is infectionimpaired tissue integrityimmunocompromised system related to invasive proceduremalnutritionsigns of infection . - ANS-impaired tissue integrity -signs of infection Based on the client's history, the priority nursing diagnosis is ineffective airway clearancealtered tissue integrityimpaired spontaneous ventilation related to secretionsinflammationanxiety as evidenced by a history of asthma, exposure to environmental factors (insect/bee sting), tachypnea, coughing, and wheezing. - ANS- ineffective airway clearance -inflammation Based upon client's history, the client's priority nursing diagnosis is - ANS-rape trauma syndrome -sexual assault Based upon Joey's history, the client is at highest risk for - ANS--community contamination --air pollutants in school environment Click to specify if each of the assessment findings would indicate if the client's condition has improved or not improved. Select only one answer for each row. - ANS------------- Client's Condition Improved: The client self-reports pain at 5/10 on the pain scale. The client states, "I was able to rest and take a 3-hour nap today." The client states, "I am able to take acetaminophen 1,000 mg as I do not have as much pain as before." The client states, "I listen to music which helps me relax and helps my pain." ------------Client's Condition Not Improved: BP 126/72, P 89, RR 22, T (oral) 100.2º F (38º C) The client states, "My daughter has to give me pain medication around the clock. I have a hard time waiting for the next dose." Considerations are needed prior to delegation of a nursing task. Can the registered nurse delegate oxygen saturation monitoring and supplemental oxygen administration via nasal cannula for this student? - ANSThe nurse should review the legal parameters of nursing practice defined by the state to determine if this task can be delegated to an unlicensed assistive personnel (UAP). The nurse must also determine the competency of the UAP before delegation. Drag and drop the type of health determinant into its specific category. - ANS--Policy policies at the local, state, and federal levels that affect the health of the individual, population, or community. --General socioeconomic, Cultural, and Environmental Conditions- --agriculture and food production --education --work environment --unemployment --water and sanitation --healthcare services --housing, homes, and neighborhoods --exposure to toxic substances --Individual determinants- --age --gender --diet --physical activity --substance use --family health history --Health services -- lack of available healthcare --high cost of healthcare --lack of insurance coverage --limited language access --inability to receive preventive services --Social determinants --social norms and attitudes --exposure to media and emerging technologies --socioeconomic conditions --quality schools --transportation options --public safety --residential segregation Federal laws have been established to help promote occupational health and safety. Match each law to its content. - ANSOccupational Safety and Health Act - Employers must provide a place of employment free from recognized hazards that are causing or likely to cause death or serious physical harm to employees. Workers' Compensation Acts - Provide income replacement and healthcare for employees who sustain a work-related injury or death. Americans with Disabilities Act - Employers must make reasonable accommodations to enhance opportunities for individuals with disabilities and prohibit discrimination based on disability. For each assessment finding, identify if the finding indicates the child's condition has improved or not improved. - ANSImproved: -HR 118 - RR 30 -Child states, "I can breathe easier now." Not Improved: -Child reports feeling lightheaded and dizzy. -Child reports, "I itch all over." -Child reports stomach pain 5/10 using FACES pain scale. For each assessment finding, indicate if it is consistent or not consistent with signs of an anaphylactic reaction - ANSConsistent: -Coughing -Wheezing Forensic nurses have an ethical responsibility to serve, advocate for and empower patients, families, and their communities. Forensic nurses bring attention the effects of violence and the need to reduce immediate, intermediate, and long term physical and psychological injuries that are associated with violence. - ANSare not law enforcement Forensic nurses provide medical and legal care to clients who have experienced which of the following? Select all that apply. - ANS-Human trafficking -Interpersonal violence -Sexual assault -Child abuse Forensic nurses work in a variety of settings. Identify three primary work settings. - ANS-Hospitals -Coroner's office -Jails or prisons Georgia's goals are to manage her disease, manage her medication therapy, and return to a functional level that will allow her to resume activities of daily living in her home. Based on the information above, what primary type of case management will the care manager provide? - ANS--Patient-centered case management Health problems lead to an increase in absenteeism. The school nurse supports student success by providing healthcare through assessment, intervention, and evaluation for all children within the school setting. - ANS-increase -evaluation Highlight the assessment findings that require follow up by the nurse. - ANSBruises laceration it's all my fault I should have fought him off flat effect limited eye contact embarrassed Highlight the assessment findings that require immediate follow-up by the nurse. - ANS- asthma -stung by a bee -coughing -wheezing -red, raised rash -I cannot breathe -hr. 140 -RR 45 Holistic care that accounts for the cultural, social, and economic needs of communities helps to promote health ____, social _____, _______health disparities, and overall improve client outcomes. - ANS--equity --justice --reduce Home care nursing referrals come from which sources? Select all that apply. - ANSALL -Case managers -Social services -Therapy services -Client requests -Healthcare providers Home healthcare use - ANS-increasing -a home -increased Hospice care is when life expectancy is 6 months or less, and the focus of the care is on comfort rather than cure . - ANS-6 -comfort -cure Identify each warning sign as an early or imminent tendency toward violence. - ANS--------------Early Warning Sign: -Feelings of being picked on and persecuted -Excessive feelings of isolation or loneliness -Social withdrawal -Poor academic performance -Patterns of bullying behaviors -Excessive feelings of rejection --------------Imminent Warning Sign: -Serious physical fightingwith peers -Severe rage for seeminglyminor reasons -Detailed threats oflethal violence -Severe destruction of property -Self-injurious behaviorsor threats of suicide -Possession of a weapon Identify if the Nursing Action would be performed by a Sexual Assault Nurse Examiner (SANE), Forensic Nurse Death Investigator (FNDI), Correctional Nurse, or Forensic Psychiatric Nurse. Each action may be performed by more than one role. - ANS------------SANE: -Employ trauma-informed practices. Perform nursing assessment and evidence collection. -------------FNDI: -Employ trauma-informed practices. -Perform nursing assessment and evidence collection. -Work under the direction of a coroner or medical examiner system. --------------Correctional Nurse: -Employ trauma-informed practices. -Perform nursing assessment and evidence collection. -Provides direct nursing care for individuals who are incarcerated. ------------Forensic Psychiatric Nurse: -Employ trauma-informed practices. -Perform nursing assessment and evidence collection. -Perform mental health competency evaluations. Identify the home care services that can be performed by the Registered Nurse (RN), Licensed Vocational Nurse (LVN/LPN), or Unlicensed Assistive Personnel (UAP). Answer options can be used more than once. - ANS---------RN: Vital signs Catheter insertion Bathing and grooming Medication administration Oral hygiene ----------LVN: Vital signs Catheter insertion Bathing and grooming Medication administration Oral hygiene ------------UAP: Vital signs Bathing and grooming Oral hygiene In hospice care, pain management is most effective if scheduled - ANS-regularly Indicate if the nursing actions listed below are indicated, contraindicated, or nonessential for the child's care at this time. - ANSIndicated: -Assess respiratory pattern: rate, depth, and effort. -Administer levalbuterol as prescribed. Contraindicated: - Outpatient clinics that provide primary care, prevention, and screening services to a specific patient population in the surrounding community. Medical offices - Offices that provide primary healthcare diagnosis and illness treatment. Forensic settings - Settings in which clients receive care that may require evidence collection. Correctional facilities - Facilities in which direct patient care is provided to detainees and inmates, such as jails or prisons. Occupational health nurses deliver health and safety programs and services for workers and community groups. This nursing practice focuses on health promotion , restoration of health , prevention of illness, and protection from work-related and environmental injuries and hazards. - ANS-safety -promotion -health -injuries Occupational nurses provide education on health and wellness strategies, such as vaccinations, exercise, smoking cessation, healthy eating, personal protective equipment, and annual primary healthcare provider services. What level of prevention are these strategies? - ANS-Primary One way to offer comprehensive healthcare to school-aged populations is to provide an interdisciplinary team approach that includes which members? Select all that apply. - ANSALL ARE CORRECT -Psychologists -Educational board -Healthcare professionals -Social services -Families Perform mental health competency evaluations. - ANS-Physiological effects -Psychological trauma -Physical injury -Death Rank the nursing actions that the occupational nurse should have performed in the order of priority. - ANS-Review the client's medical history and collect vital signs -Obtain finger stick blood glucose level -Conduct a physical assessment -Review the rights to medication administration -Administer prescribed medication -Document findings in the employees health file Review the client's electronic health record (EHR) then answer the question below - ANS--------------Indicated: Assess the pain intensity level using a valid and reliable self-reported pain tool. Contact the prescribing provider using introduction, situation, background, assessment, and recommendation (ISBAR) to discuss the ineffective medication regimen. Ask the client to describe prior experiences with pain, effectiveness of pain management interventions, and responses to analgesic medications. -------------Contraindicated: Initiate intravenous (IV) access for oxycodone/APAP 10mg/325mg drug therapy. Teach the client to take acetaminophen 1000mg po and oxycodone/APAP 10/325mg at the same time every 4-6 hours for pain relief. Teach the client to use nonpharmacological approaches. Review the client's electronic health record (EHR) then answer the question below. - ANS-acute pain -neoplasms Review the client's electronic health record (EHR) then answer the question below. - ANSno medication for pain relief. Abdominal pain and groin pain are reported 9/10 on the pain scale with radiation to the lower back. Client is alert and oriented, anxious, and unable to sleep., P 122, RR 30 Review the client's electronic health record (EHR). Click to select all the assessment findings that are most concerning to the nurse. - ANS--headache --pain 8/10 --nauseated --mold and dust Select if the nursing actions listed below are indicated or not indicated for the client's care at this time. - ANS-------------Indicated: -Obtain informed consent for the sexual assault examination and evidence collection. -Complete a head-to-toe assessment and document signs of injury. -Document the client's chief complaint and request an event history of the sexual assault in their own words. -Use the sexual assault evidence collection kit for analysis by a forensic laboratory. -Assess the client for suicidal ideation. ------------Not indicated: -Collect blood and urine samples for forensic toxicology. Selected medicalnursing tasks in a school environment can be delegated by the school administratorschool nurseunlicensed assistive personnel to a competent unlicensed assistive personnel (UAP). Implementation of a task is bound by the legal constraints of nursing practice defined by the state's nurse practice actnational council state boards of nursing. - ANS-nursing -school nurse -states nurse practice act The American Nurses Association (2019) acknowledges that nurses have an ethical responsibility to manage client pain and the suffering it causes. Identify the following ways through which hospice nurses can help manage client pain and the suffering it causes. Select all that apply. - ANS-Preserve the nurse's professional and personal integrity by developing the moral courage and resilience necessary to reduce moral distress when managing pain. -Assess and address the factors in nurses themselves and their practice environment that constrain their ability and willingness to relieve pain and the suffering it causes. -Provide an individualized pain management plan with monitoring. -Provide clinically excellent care to address a client's pain. The child states, "I have not had to use that inhaler before, what is it?" What health teaching will the nurse include for the child prior to medication administration? - ANS-"This inhaler is levalbuterol and works quickly to help you breathe easier. After you take this medicine, you might feel jittery, and that's ok. Just let me know how you feel." The client expresses a primary goal to implement nonpharmacological approaches for relaxation and pain management, stating, "I just want to be more comfortable without having to rely on pain meds all the time." Which nursing diagnosis would be the priority? - ANS------------Readiness for enhanced comfort The client expresses the desire to enhance independence with health and activities of daily living (ADLs). Based on this information, which primary nursing diagnosis would be a priority? - ANS---------Readiness for enhanced self-care The nurse has completed a risk and exposure assessment. The family expressed concerns about possible mold contamination in their home and wanted to take extra precautions for Joey. Which nursing interventions would be appropriate for the nurse to do or teach the family? - ANSCommunity Nurse To Do: --Educate about the importance of keeping things dry and the impact of mold on health. --Discuss that homes must be investigated for a source of water. --Obtain reputable information about mold exposure and provide pamphlets on how to protect oneself. -Long-term care insurance -Private pay -Medicare -Private health insurance Which are the four primary tasks performed by an occupational health nurse? Drag the chosen items from the left column and drop them in the right column. - ANS-Complete pre-placement baseline medical evaluations -Conduct health and wellness fairs -Manage workers' compensation cases -Provide work health screenings Which are the three primary types of home care services? - ANS-Private duty -Home healthcare -Personal care and companionship Which clinical situation does the forensic nurse suspect? - ANS-The visible injuries are consistent with acts of force caused by another person. Which credential will be most useful to Richard's goal of influencing policy changes in the corrections systems as it relates to a forensic nurse's role? - ANSDNP Which findings put the occupational health nurse at risk for legal issues? Select all that apply. - ANS--Providing medication without reviewing the client's medical history --Failure to perform a nursing assessment --Failure to document the nurse-client interaction --Failure to obtain vital signs Which follow-up statement(s) verbalized by Joseph would indicate that trauma-informed nursing actions were effective? Select all that apply. - ANS-Joseph states, "I understand that my injuries will heal on their own within the next few weeks." -Joseph states, "If I am feeling suicidal, I will immediately tell the prison guard or nurse in the infirmary." Which four types of healthcare services are offered by school nurses? - ANS-Health prevention activities -Medication administration -First aid and emergency care -Immunizations and screenings Which Healthy People objectives aim to prevent work-related injury and illnesses and make workplaces safer? Select all that apply. - ANS-Reduce work-related skin diseases -Increase worksites with policies to ban smoking -Understand factors that impact the use of protective eyewear -Decrease the exposure to lead levels Which home health claims are suitable for Medicare coverage? Select all that apply. - ANS--Dr. Chan --Mr. Rodriguez --Mrs. Roberts Which nurse coordinates with community health nurses to develop daily care plans, manage financial responsibilities, facilitate optimal health outcomes, and identify inadequate or duplicated healthcare services? - ANS--Nurse case manager Which nursing actions support the client's ability to enhance self-care based on functional abilities? Select all that apply. - ANS-Support the client's awareness that enhanced self-care is an attainable and positive life goal. -Promote social support through facilitation of family involvement or through support groups. -Perform a self-care assessment to identify baseline functional ability. -Help the client identify strategies to enhance self-care and reduce barriers. Which nursing actions support the client's priority goal to enhance comfort based on nonpharmacological approaches? Select all that apply. - ANS-Promote social support and family involvement. -Perform a self-care assessment to identify current nonpharmacological strategies, if any, being used. -Support the client's awareness that using nonpharmacological approaches is an attainable and positive comfort goal. -Collaborate with professionals, such as healthcare providers, pharmacists, social workers, and chaplains, in planning interventions that address comfort needs in various contexts including physical, psychospiritual, sociocultural, and environmental settings. -Help the client identify strategies to enhance comfort, such as meditation, mindfulness exercises, and massage. Which nursing interventions do community health nurses implement? Select all that apply. - ANSALL ARE CORRECT --Perform a cultural assessment to identify client care preferences. --Teach a client with a disability how to use a walker to prevent falls. --Provide education on the importance of taking prenatal vitamins during pregnancy to help prevent neural tube defects. --Assess a child for trauma-related injury by completing a head-to-toe assessment. --Educate a client with diabetes how to count carbohydrates to help control blood glucose levels. Which of the following clients require holistic medical and legal care? Select all that apply. - ANS-An 18-year-old adult who died in a work-related accident. -A 4-year-old child who is sexually abused. -A 35-year-old inmate with schizophrenia. -An 80-year-old woman who is abused and neglected. Which of the following statements are true in how forensic nurses aim to improve the quality of life for individuals and communities who have experienced violence? Select all that apply. - ANS--Forensic nurses organize and participate in facilitating the development of policies and procedures that foster the implementation of prevention and intervention programs in response to violence. -Forensic nurses recognize violence as a global, health care problem. -Forensic nurses promote the development of a coordinated and culturally sensitive response and care for clients who have experienced violence or abuse. -Forensic nurses have an ethical responsibility to serve, advocate for and empower patients, families, and their communities. -Forensic nurses bring attention the effects of violence and the need to reduce immediate, intermediate, and long term physical and psychological injuries that are associated with violence. Which represents an essential case management activity? Select all that apply. - ANS-- Arranging ambulance transportation services --Evaluating compliance with the treatment plan --Assessing duplication of services Which sources can hospice referrals come from? Select all that apply. - ANS- Healthcare providers -Friends -Clergy members -Client request -Social services Which statement is true regarding the benefits of home care service use? - ANSMedicare promotes the use of home healthcare services as an alternative to inpatient hospitalization. Which statements are true regarding caregiver wellness? Select all that apply. - ANS- Client care interventions are directed toward preventing a decline in caregiver's health. -The hospice nurse assesses the caregiver's mental and physical health. Why are nurses needed in community health settings? Select all that apply. - ANS-- Increase quality of life --Promote healthy lifestyles --Improve client outcomes