Nokea
All of the following factors, when identified in the history of a family, are correlated with poverty except:
- A. high infant mortality rate.
- B. frequent use of Emergency Departments.
- C. consultation with folk healers.
- D. low incidence of dental problems.
Correct Answer: D
Rationale: Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to use Emergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment.
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Who is responsible for obtaining the signature from the client on the informed consent?
- A. the staff nurse
- B. the charge nurse
- C. the LPN
- D. the physician
Correct Answer: D
Rationale: It is the physician's responsibility to obtain the client's signature. The nurse is responsible for verifying that this occurred.
When choosing a needle gauge for an intramuscular injection in a 12 year old boy. Which of the following gauges would you choose?
- A. 27 gauge
- B. 25 gauge
- C. 22 gauge
- D. 20 gauge
Correct Answer: C
Rationale: 22 gauge is recommended for school age children, toddlers, and adolescents while 23-25 gauge is recommended for infants.
A client is having an abortion in a women's clinic and the nurse caring for the client does not think the reasoning is appropriate. The nurse asks, 'Are you sure you want to do this, it can't be undone. Have you read about your other options? Adoption is always a good choice.' The client states she understands all options and is comfortable with her choice. The nurse nods and leaves the room to discuss the procedure with the physician. Which client right did the nurse violate with her actions?
- A. the client's right to make personal health decisions without interference, as the nurse tried to sway the client's decision-making and healthcare choice in the direction of not having an abortion
- B. the client's right to be left alone without unsolicited attention, as the nurse inserted herself in the client's healthcare scenario and offered uninvited advice
- C. the client's right to confidentiality, as the nurse is talking to the physician about the client and the abortion
- D. the client's right to respectful care, as the nurse clearly made it known that she did not approve of the abortion
Correct Answer: A
Rationale: A client has the right to make decisions about his or her healthcare without interference from health team members. It is our duty to respect those decisions and not try to influence patients based on our beliefs.
The nurse has a client who is being transferred to another floor right around change of shift. Which of the following actions is least appropriate?
- A. Inform the staff on the other floor of any unresolved issues with the client.
- B. Ask the charge nurse if overtime would be permitted to complete the client's transfer to the other floor.
- C. Ask the new nurse to take care of the transfer since the client's medical record has all of the information and a report should not be needed.
- D. Complete the transfer paperwork before the client is transferred.
Correct Answer: C
Rationale: The nurse should ensure a safe handoff of care during the transfer. The nurse on the next shift should not be asked to complete the transfer for the client without a full handoff of care.
A nurse is giving shift report off to the oncoming LPN. Which of these is an inappropriate shift report?
- A. The nurse gives report to the oncoming LPN, checking a wound vac and dressing together.
- B. The nurse reports in SBAR format, noting that the client was noncompliant with their diet during the shift.
- C. The nurse reports in the hallway, SBAR format, and alerts the oncoming LPN about how rude the client was throughout the shift.
- D. The nurse reports at bedside with the oncoming LPN and discusses the client's concerns after the chart has been reviewed.
Correct Answer: C
Rationale: Report should be at the bedside, in SBAR format, and given in an objective way.