Coordinated Care PN NCLEX Questions

Extract:

Question 1 of 5

The nurse is working the same shift two days in a row. On the first of these days, while caring for one assigned client, the client says, 'Will you promise me you will be my nurse tomorrow?' Which response is most appropriate.

Correct Answer: C

Rationale: While the nurse should not make any promises to the client, they can attempt to accommodate this request by speaking with their supervisor.

Question 2 of 5

A nurse is caring for a 10 year-old boy who has just been diagnosed with a congenital heart defect. Which of the following clinical signs does not indicate CHF?

A. Increased body weight B. Elevated heart rate C. Lower extremity edema D. Compulsive behavior

Correct Answer: D

Rationale: Compulsive behavior does not indicate CHF.

Question 3 of 5

The physician's role in case management includes all of the following except:

A. participating in interdisciplinary planning for clients. B. serving as the expert for resource utilization. C. consulting with the case management team to facilitate timely orders as needed. D. contributing to the documentation of a client's needs for services.

Correct Answer: B

Rationale: The physician is an integral part of the case-management process in terms of assisting with defining the client's needs and the time frames for movement through the health care system; however, the physician is the expert for medical diagnosis and treatment rather than resource utilization.

Question 4 of 5

The nurse is working the same shift two days in a row. On the first of these days, while caring for one assigned client, the client says, 'Will you promise me you will be my nurse tomorrow?' Which response is most appropriate.

A. Yes, I promise you I will be your nurse during my shift tomorrow.' B. You will need to speak to my supervisor about this request.' C. While I cannot promise that I will be your nurse tomorrow, I can talk to the charge nurse about this request.' D. Because of confidentiality, I cannot discuss tomorrow's assignments with you.'

Correct Answer: C

Rationale: While the nurse should not make any promises to the client, they can attempt to accommodate this request by speaking with their supervisor.

Question 5 of 5

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.

Coordinated Care PN NCLEX Questions | Nurselytic

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