Online Practice Test 7

Your Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 7 > NCLEX® Review Date/Time Submitted: July 5, 2012 at 3:05 AM (UTC/GMT)

Summary of Results 80% Correct of 10 Scored items: 8 Correct:  80% 2 Incorrect:  20% More information about scoring

1.		When looking at health care reform, what resource would be most beneficial for the nurse? Your Answer: Nursing's Agenda for Health Care Reform Correct Answer: Healthy People 2010
		Objective: Discuss factors influencing health care reform. Rationale: Healthy People 2010 is an updated version of the forerunner Healthy People 2000. Prior to these, the ANA published Nursing's Agenda for Health Care Reform in 1991 and the World Health Organization report in 1978 titled Primary Health Care. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination.
2.		__________ is defined as essential health care based on practical scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self determination. Your Answer: Primary Health Care
		Objective: Describe various community-based frameworks including health care systems, community initiatives, and conditions, and case management. Rationale: Primary Health Care is defined as essential health care based on practical scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self determination. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge of World Health Organization initiatives.
3.		To prepare a client for discharge home from an acute care facility, a nurse knows that the planning process must begin at what point? Your Answer: Upon admission to the hospital.
		Objective: Describe the role of the nurse in providing continuity of care. Rationale: Discharge planning should begin when the client is admitted to the acute care facility. With the admissions process, the nurse can begin to assess the home environment, family and community support, as well as the client’s readiness to be in the home. The process can be multifaceted and involve collaboration; therefore the earlier the process begins, the better prepared the health care team and client are for a successful transition to the home. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination.
4.		What is likely to be true of a nurse's duties when she acts as a case manager providing community-based nursing services to a specific group of individuals? Your Answer: The nurse will care for clients at the center, in their homes, and in the hospital.
		Objective: Differentiate community based nursing from traditional institutional-based nursing. Rationale: The case manager in a community-based nursing service will see clients in all settings. The case manager often is involved in wellness care, acute care, long-term care, hospice services, etc. The community-based case manager often consults with other health care professionals. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		Which skill would be most important to a nurse who provides community-based services in a Mexican-American senior center? Your Answer: Having knowledge of the client's culture
		Objective: Discuss the competencies community-based nurses need for practice. Rationale: Having knowledge of the client's culture will allow the nurse to understand the health care beliefs of the community. The other aspects will assist, but are not most important. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
6.		A client is to be discharged home from a hospital using crutches or a wheelchair. The client lives alone with three cats. Which assessment parameter is most important on the initial home visit? Your Answer: Whether the home has stairs and/or throw rugs
		Objective: Explain essential aspects of collaborative health care: definitions, objectives benefits, and the nurse's role. Rationale: Safety comes first in this case. Stairs and/or throw rugs while using a wheelchair or crutches are safety hazards. The other items are important, but are not most important on initial contact with the client. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		What are the most appropriate nursing diagnoses for a newly diagnosed diabetic client who walks with crutches, has several small animals, and has a second-floor bedroom? Select all that apply. Your Answer: Knowledge deficit Risk for injury Impaired home-maintenance management
		Objective: Describe the role of the nurse in providing continuity of care. Rationale: This client has a safety risk because of the crutches, animals, and stairs. Nursing Process: Diagnosis Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
8.		When evaluating the operational definition of collaboration, the nurse should focus primarily on which statement? Your Answer: Providers work together in the provision of care.
		Objective: Explain essential aspects of collaborative health care: definitions, objectives, benefits, and the nurse's role. Rationale: Collaboration means a collegial working relationship with other health care providers. All providers need not be present when discussions take place, but must be consulted someway. A physician is not the only one who can be the manager of client care, nor is a nurse practitioner the only one providing care. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
9.		There has been a shift in care from hospitals to: Your Answer: The community
		Objective: Differentiate community health care settings from traditional settings. Rationale: The most recent data show a decrease in the percent of total health care dollars that were spent in hospitals and an increase in dollars spent for home care. The trend is toward an integrated health care system-one that is community based. The shift from institutional to community care also brings changes in the roles and responsibilities of health care professionals. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
10.		A two year old child who was born prematurely and is ventilator dependent is ready for discharge from the hospital. The family wants to care for the child at home but does not have the resources for 24-hour care. The case manager intervenes by: Your Answer: Contact local nurses in the community to provide assistance for the family. Correct Answer: Making multiple referrals to a variety of community based agencies.
		Objective: Describe the role of the nurse in providing continuity of care. Rationale: The referral process is a systematic problem-solving approach that helps clients to use resources that meet their health care needs. The process involves knowledge of community resources and an ability to solve problems, set priorities, coordinate, and collaborate. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination.