The hospitalized client states,
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Chapter 1 Introduction to Nursing Quizlet Questions

Question 1 of 5

The hospitalized client states, <I need to know when I9m going to be discharged. I9m so upset and worried that I9m missing work.= The nurse knows this is an example of:

Correct Answer: B

Rationale: In this scenario, option B, distress; could affect the client's health status, is the correct answer. This is because the client's statement reflects a state of distress, which is a negative form of stress that can have detrimental effects on health and well-being if not managed effectively. The nurse should recognize this as an opportunity to provide support and interventions to help the client cope with their concerns and anxieties. Option A, eustress; no intervention is necessary, is incorrect because eustress refers to positive stress that can be motivating and does not typically require intervention. However, in this case, the client's statement indicates distress, not eustress. Option C, psychological stress; the client should be prescribed antidepressants, is incorrect because not all forms of stress require medication intervention. It is important for the nurse to assess the client's stressors and provide appropriate support and coping strategies before considering pharmacological interventions. Option D, developmental stress; the client should talk to someone his own age, is incorrect because the client's stress is not specifically related to developmental issues or age similarity. The primary concern here is the client's distress about missing work and uncertainty about discharge, which requires immediate attention and support from the healthcare team. In an educational context, it is crucial for nursing students to understand the different types of stress and their implications on health. Recognizing distress in patients and knowing how to provide appropriate interventions and support is a fundamental aspect of nursing care that can greatly impact patient outcomes and overall well-being.

Question 2 of 5

A nurse9s role when communicating with a physician caring for a dying patient is:

Correct Answer: B

Rationale: In the context of pharmacology and nursing, effective communication between nurses and physicians is crucial, especially when caring for dying patients. The correct answer, option B) to advocate for the patient's wishes, is the most appropriate role for a nurse in this scenario. Advocating for the patient ensures that their wishes, values, and preferences are respected and upheld, even in end-of-life care situations. Nurses serve as the patient's voice and support system, facilitating open communication between the patient, family members, and the healthcare team. Option A) to carry out his or her orders, is incorrect because blindly following a physician's orders without considering the patient's wishes can compromise the quality of care provided. Nurses are responsible for ensuring that patient-centered care is delivered, which includes advocating for the patient's best interests. Option C) to suggest an appropriate course of action, is incorrect because while nurses can offer input and collaborate with the healthcare team, ultimately the decision-making authority lies with the physician. Nurses can provide valuable insights and perspectives, but the final decision should align with the patient's wishes and the physician's expertise. Option D) to make him or her see the situation correctly, is also incorrect as it implies a confrontational or authoritative approach which is not conducive to effective interprofessional communication. Nurses should focus on building collaborative relationships with physicians to ensure the best possible outcomes for the patient. In summary, advocating for the patient's wishes is the most appropriate role for a nurse when communicating with a physician caring for a dying patient. This approach promotes patient-centered care, respects the autonomy of the patient, and fosters a collaborative healthcare team dynamic in which all members work together towards the common goal of providing compassionate and holistic care.

Question 3 of 5

The nurse9s knowledge about spirituality begins with the nurse:

Correct Answer: A

Rationale: The correct answer is A) Looking at his or her own beliefs. This option is correct because an essential aspect of being able to effectively support a client's spirituality is for the nurse to first understand and be aware of their own beliefs, values, and biases. This self-awareness is crucial in providing non-judgmental and respectful care that honors the diverse spiritual beliefs of clients. Option B) Researching all popular religions is incorrect because while it is important for nurses to have a general understanding of various religions to provide culturally competent care, the foundational step should involve self-reflection and awareness of personal beliefs before delving into external research. Option C) Sharing his or her faith with the client is inappropriate as it can impose the nurse's beliefs on the client, potentially making them uncomfortable or feeling pressured to conform to the nurse's beliefs, which goes against the principles of client-centered care. Option D) Providing prayers and religious articles for clients is also incorrect as it assumes that all clients desire or adhere to a particular religious faith. This approach may not align with the client's beliefs and may infringe on their autonomy and right to spiritual self-determination. In an educational context, understanding the importance of self-awareness in spirituality is fundamental for nursing practice. By recognizing and examining their own beliefs, nurses can develop a deeper understanding and respect for the diverse spiritual beliefs of their clients, fostering a therapeutic relationship built on trust and cultural sensitivity.

Question 4 of 5

When chronic illnesses and disabilities are present, individuals benefit most from activities that:

Correct Answer: D

Rationale: The correct answer is D) help them maintain independence. In the context of chronic illnesses and disabilities, maintaining independence is crucial for individuals to have a sense of control over their lives and to promote their overall well-being. Activities that support independence, such as learning adaptive strategies, utilizing assistive devices, and engaging in self-care routines, empower individuals to manage their health conditions effectively. Option A) help them eat well is important for overall health, but it may not address all the needs of individuals with chronic illnesses and disabilities. While nutrition is vital, focusing solely on eating well may neglect other aspects of their well-being. Option B) accomplish financial stability is essential for managing healthcare costs and daily living expenses, but it may not directly address the individual's physical and emotional needs associated with chronic illnesses and disabilities. Option C) preserve their social interactions is valuable for emotional support and mental well-being, but it may not directly contribute to promoting independence, which is critical for individuals to live their lives to the fullest despite their health challenges. In the field of nursing and healthcare, understanding the holistic needs of individuals with chronic illnesses and disabilities is paramount. By prioritizing activities that help them maintain independence, nurses and caregivers can empower their patients to lead fulfilling lives and manage their health conditions with confidence and dignity.

Question 5 of 5

The registered nurse is convicted of stealing narcotics from the medical-surgical unit. Which action might be taken against this RN's nursing license?

Correct Answer: A

Rationale: In this scenario, option A, revoking of the nursing license, is the correct answer. When a registered nurse is convicted of stealing narcotics, it is a serious violation of ethical and legal standards in nursing practice. Revoking the nursing license is a necessary disciplinary action to protect patient safety and maintain the integrity of the profession. This decision is based on the principle of accountability and responsibility that nurses uphold. Option B, denying initial nursing licensure, is incorrect because the nurse in question is already a registered nurse, and the issue at hand pertains to their current license, not an initial application. Option C, issuing a limited nursing license, is inappropriate in this situation as stealing narcotics constitutes a serious breach of trust and professional conduct, warranting more severe consequences than a limited license. Option D, no action taken on the nursing license, is not justifiable when a nurse is convicted of such a serious offense. It is crucial for regulatory bodies to take necessary actions to maintain public trust in the nursing profession and ensure patient safety. Educationally, this question highlights the importance of ethical behavior, accountability, and the consequences of violating professional standards in nursing practice. It underscores the significance of maintaining integrity and upholding ethical principles in the healthcare setting to ensure safe and effective patient care.

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