Professional Standards in Nursing Flashcards
Which teaching method is most effective when providing health care instructions to members of specific populations?
1. Teach-back
2. Video instructino
3. Written materials
4. Verbal explanation
Answer: 1
When providing health care instructions to members of specific populations, return explanation and demonstration (teach-back) are of particular importance to ensure safety and mutual understanding. This method is the most reliable in confirming pt undestanding of the instructions. Video instruction, written materials, and verbal explanations are helpful and may be incorporated w/ the teach-back method.
Which is most appropriate when communicating w/ a transgender person?
1. Using identified person
2. Using their first name to address them
3. Using pronounes associated w/ birth sex
4. Anticipating the pt’s neeeds and making suggestions
Answer: 1
The nruse needs to address the pt w/ the name and pronouns that the pt identifies w/, adn the first name may not necessarily be what they use. For the transgender person, it is likely that they would expect to be addressed using pronouns associated w/ the sex they identify w/ now, which typically is not their birth sex. Anticipating the pt’s needs and making suggestions may be seen as judgemental, so the nurse needs to refrain form doing this.
The nurse is volunteering w/ an outreach program to provide basic health care for homeless people. Which finding, if noted, must be addressed first?
1. Blood pressure 154/72 mmHg
2. Visual acuity 20/200 in both eyes
3. Random blood glucose level of 206 mg/dL
4. Complaints of pain associated w/ numbness and tingling in both feet
Answer: 4
The nurse needs to address the complaints of pain and numbness and tingling in both feet first w/ this population. If the pt perceives value to the service provided and the complaint is addressed , the pt is more likely to return for follow-up care. While the blood pressure, blood glucose, and vision results need follow-up, the pt’s stated concern must be addressed first.
The nurse is completing the admission assessment of a pt who is intellectually disabled. Which part of the pt encounter may requrie more time to complete?
1. The history
2. The physical assessment
3. The nursing plan of care
4. The medication reconciliation
Answer: 1
Intellectually disabled pts tend to have difficulty trying to remember their medical hx. It may be necessary for the nurse to take more time to ask questions in a variety of different ways when collecgting the hx data. The physical assessment, nursing plan of care, and medication reconciliation portions, although they rely on hx, take less time b/c they require less pt questioning.
The nurse working in a correctional facility is caring for a new prisoner. The pt asks about health risks associated with living in a prison. How would the nurse respond?
1. “Health care is very limited in the prison setting.”
2. “Living in a prison isn’t different than living at home.”
3. “Living in a prison can predispose a person to different health conditions.”
4. “Living in a prison is simlear to living in a condomium complex or dormitory.”
Answer: 3
The environment of a prison predisposes a person to different health conditions, such as TB, STIs, , or other infectious diseases. Option 1 does not address the pt’s question. Options 2 and 4 convey incorrect information.
The nurse is caring for a pt in the ED who presents w/ a complaint of fatigue and SOB. Which physcial assessment finding, if noted by the nurse, warrants a need for follow-up?
1. Reddened sclera of the eyes
2. Dry flaking noted on the scalp
3. A reddish-purple mark on the neck
4. A sclaly rash noted on the elbows and knees
Answer: 3
The pt in this question must be screened for abuse. Battered persons experience bruises, particularly around the eyes, red or purple marks on the neck, sprained or broken wrists, chronic fatigue, SOB, muscle tension, involuntary shaking, changes in eating and sleeping, sexual dysfunction, and fertility issues. Mental health problems can also arise, including PTSD, nightmares, anxiety, uncontrollable thoughts, depression, low self-esteem, and alcohol and drug abuse. Reddened sclera, a dry rash on the elbows, and flaking of the scalp does not pose an indication of abuse.
The nurse working in a community outreach program for foster children plans care, knowing that which health conditions are common in this population? Select all that apply
1. Asthma
2. Claustrophia
3. Sleep problems
4. Bipolar disorder
5. Aggressive behavior
6. Attention-deficit/hyperactivity disorder (ADHD)
Answer: 3, 4, 5, 6
Foster children are at risk for a variety of health conditions, including ADHD, aggressive behavior, anxiety disorder, bipolar disorder, depression, mood disorder, PTSD, reactive detachment disorder, sleep rpboelms, and personality disorder. Asthma and calustrophobia are not specifically associated w/ foster children.
The nurse planning care for a military veteran needs to prioritize nursing interventios targeted at managing which condition, if present, that commonly occurs in this population?
1. Hypertension
2. Hyperlipidemia
3. Substance abuse disorder
4. Post-traumatic stress disorder
Answer: 4
PTSD is extremely common in this population. Identifying and treating mental health disorders assists in mititgating suicide risk. Treatment of comorbid conditions such as PTSD may also help to address any substance use disorder. Use of screening tools in identifying substane use disorder is helpful. Treatment of PTSD includes exposure therapy, psychotherapy, and family/group therapy. Hypertension and hyperlipidemia are important but are not the priority; the risk of suicide and other safety concerns associated w/ PTSD are the priority for this population.
The nurse caring for a refugee considers which health care need a priority for this pt?
1. Access to housing
2. Access to clean water
3. Access to transportation
4. Access to mental health services
Answer: 4
Mental health problems are the primary concern for this population as a result of difficilut events. While all other options are important for all pts, they do not address the specific needs of this population
Which action by the nurse will **best ** facilitate adherence to the treatment regimen for a pt w/ a chronic illness?
1. Arranging for home health care
2. Focusing on managing a single illness at a time
3. Communicating w/ one provider only to avoid confusion w/ the pt
4. Allowing the pt to teach a support person about the treatment regiment
Answer: 1
Nursing follow-up visits are important in promoting helath for individuals w/ chronic illness; therefore, arranging for home health care is an important strategy. Focusing on a single illness does not effectively manage an individual w/ multiple cronic diseases– rather, the “big picture” need to be understood in managing these pts. Interprofessional collaboration is important in safely managing individuals w/ chornic diseases and often involves consulting w/ specialist providers. Nurses play a key role in facilitating communication btwn providers and specialists. Inclusion of the pt and support persons in health care decisions helps to increase adherence to a complex health care regimen. The nurse should be the facilitator of this communication.
The nurse hears a pt calling out for help, hurries down to the pt’s room, and finds the pt lying on the floor. The nurse performas an assessment, assit the pt back to bed, notifies the primary HCP, and completes an occurence report. Which statement would the nruse document on the occurrence report?
1. The pt fell out of bed
2. The pt climbed over the side rails
3. The pt was found lying on the floor
4. The pt became restless and tried to get out of bed
Answer: 3
The occurence report needs to contain a factual description of the occurence, any injuries expereinced by those involved, and th eoutcome of the situation. THe correct option is the only one that describes the factas as observed by the nurse. Options 1, 2, and 4 are interpretations of the situation and are not facutal infomration as observed by the nurse
