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Capstone leadership pre assessment
Foundations Of Nursing (NURS 101)
Ohio University
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Leadership and community health
Pre assessment
Question: 2 of 30
wwwn.cdc/nndss/conditions/notifiable/2019/
A community health nurse is reviewing information about infectious diseases with the nurses on her team. The nurse should remind the team that which of the following diseases are included in the list of nationally notifiable infectious diseases? Trichomonas vaginalis is a sexually transmitted infection that occurs in women more often than men, but it is not on the list of nationally notifiable infectious diseases. Chlamydia is a sexually transmitted infection. When a client is diagnosed with chlamydia, the public health department is notified so that sexual partners can be notified and treated. Gonorrhea is a sexually transmitted infection. When a client is diagnosed with gonorrhea, the public health department is notified so that sexual partners can be notified and treated. Chancroid is a sexually transmitted infection. When a client is diagnosed with chancroid, the public health department is notified so that sexual partners can be notified and treated. Candidiasis albicans is a yeast infection which can affect the vagina, but it is not on the list of nationally notifiable infectious diseases. Lyme disease is a nationally notifiable infectious disease.
In the event of a fire, it is helpful to recall the mnemonic RACE to prioritize the actions to take: R - Rescue and remove the clients, A - Activate the alarm, C - Confine the fire, and E - Extinguish the fire. The nurse’s priority action is to remove the clients from the room. The nurse should then sound the fire alarm and close the door to confine the fire. Finally and if possible, the nurse should extinguish the fire.
Sarin is incorrect. Sarin is a chemical – rather than a biological – agent of mass destruction.
Smallpox is correct. Smallpox is a biological weapon of mass destruction.
Anthrax is correct. Anthrax is a biological weapon of mass destruction.
Hydrogen cyanide is incorrect. Hydrogen cyanide is a chemical – rather than a biological – agent of mass destruction.
Botulism is correct. Botulism is a biological weapon of mass destruction.
Question: 11 of 30
CORRECT
**Time Remaining: ** 07:04: **Pause Remaining: ** 00:04: PAUSE FLAG A charge nurse is preparing an educational session about addictive disorders for nursing staff. Which of the following should the nurse include as an etiological factor of addictive disorders? (Select all that apply).
Being female
Low self-esteem
Family history of addiction
Personality disorders
Asian ethnicity
There is a higher rate of addictive disorders in men versus women. Low self- esteem is considered a psychological factor associated with addictive disorders. Family history of addiction is an etiological factor associated with addictive disorders. Research supports the link between personality disorders and addictive disorders. Clients of Asian ethnicity have a lower rate of addictive disorders compared to other ethnicities.
Question: 13 of 30
CORRECT
A client who requests to obtain information on the adverse effects of antidepressant medication therapy is incorrect. Antidepressant medications have unpleasant adverse effects which can be addressed by the provider, pharmacist, and nursing staff. This is not within the scope of practice of the social worker.
Question: 20 of 30
CORRECT
**Time Remaining: ** 06:52: **Pause Remaining: ** 00:04: PAUSE FLAG A nurse on a pediatric unit is caring for a child and his family. His parents define family as a husband, wife, and child. This definition is which type of family form?
Extended family
An extended family includes aunts, uncles, grandparents, and cousins.
Blended family
A blended family occurs when two families are brought together to create a new family form.
Nuclear family
MY ANSWER
A nuclear family consists of parents and offspring.
Intergenerational family
An intergenerational family consists of a family form of two or more generations, such as grandparents caring for children or adult children living with their parents.
Question: 21 of 30
CORRECT
**Time Remaining: ** 06:51: **Pause Remaining: ** 00:04: PAUSE FLAG A nurse is reinforcing teaching about self-care with a client who has pelvic inflammatory disease. The client does not speak English. Which of the following actions by the nurse is appropriate?
Ask an assistive personnel (AP) who speaks the client's language to serve as
an interpreter.
The nurse should avoid using an AP to serve as an interpreter because the AP does not have the knowledge of health care terminology to provide accurate information.
Ask the client's English-speaking family member to translate.
Avoid using family members, especially children, as interpreters for medical information. Family members or laypersons do not have the knowledge of health care terminology to relay the correct information. Additionally, the client might not want the family to know about her condition.
Seek assistance from a facility-approved interprete r.
MY ANSWER
The nurse should seek assistance from an interpreter who has knowledge of health care terminology.
Use a translation dictionary to reinforce the teaching.
This action does not provide the client with the opportunity to ask questions or to repeat the information in her own language.
Question: 22 of 30
CORRECT
**Time Remaining: ** 06:50:
**Pause Remaining: ** 00:04: PAUSE FLAG A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of negligence?
A nurse identifies the absence of peripheral pulsat ion in a casted
extremity in the early morning and reports it to the provider in the early afternoon.
MY ANSWER
Professional negligence is performing practice below the expected standard of care. It can be an act of omission, which is the failure to perform an act that a reasonable prudent person, under similar circumstances, would do. A reasonably prudent nurse would notify the provider of the neurovascular finding immediately.
A client who is competent refuses an antidepressant medication. The nurse
dissolves the medication in food and administers it to her without her knowledge.
Battery is physical contact without the client's consent. Administering a medication against a client's wishes is an example of battery.
A client who is alert and oriented makes an informed decision to leave the
hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving.
False imprisonment is the act of detaining a client against his will without legal warrant.
A nurse finds a client who is on a low-sodium diet eating salted potato chips.
The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips.
Assault is the act of verbally threatening a client.
Pre-Assessment Quiz CLOSE
Question 24 loaded rationals provided
Question: 24 of 30
CORRECT
**Time Remaining: ** 06:46: **Pause Remaining: ** 00:04: PAUSE FLAG A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
"I should wait to empty my client's drainable colostomy until it is three-fourths full."
The nurse should empty the client's drainable colostomy when it is one-third to one- half full. If the nurse waits until it is three-fourths full, the skin seal can break and cause skin breakdown. Therefore, it is not cost-effective for the nurse to plan to take this action.
"I should delegate providing closed irrigation to the assistive personnel (AP)."
It is cost-effective to delegate basic tasks to the AP, but the nurse should not delegate a skill requiring the use of sterile technique to the AP.
"I should encourage clients to receive an annual f lu immunization."
MY ANSWER
Cost containment is the delivery of effective and efficient care. Cost is maintained without loss of quality. The nurse should encourage clients to receive an annual flu immunization to prevent the need for treatment and hospitalization necessary with influenza.
"I should recommend that my clients who have an established tracheostomy use sterile
technique at home to provide ostomy care."
The nurse should recommend that clients who have a tracheostomy older than 1 month use clean technique to perform tracheostomy care.
A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?
Complete an admission assessment for a client who has COPD.
It is not within the scope of practice for an LPN to complete an admission assessment. The LPN can contribute data, but the RN must complete the plan of care.
Measure I&O for a client who has an indwelling urinary catheter.
MY ANSWER
Even though measuring I&O is within the scope of practice of an LPN, this task does not require a licensed personnel to perform it; therefore, the RN should delegate this task to the AP.
Reinforce teaching to a client to begin taking enox aparin at home following a
hip arthroplasty.
Reinforcing teaching with a client is within the scope of practice of a LPN; therefore, the RN should delegate this task to the LPN.
Develop a plan of care for a client who has cholecystitis.
It is not within the scope of practice for an LPN to develop a plan of care. The LPN can contribute to the plan of care, but the RN is responsible for the development of the plan.
Question: 27 of 30
CORRECT
**Time Remaining: ** 06:44: **Pause Remaining: ** 00:04: PAUSE FLAG
A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the following actions should the nurse take? (Select all that apply.)
Raise all side rails on the client's bed.
Obtain a prescription to restrain the client PRN.
Check on the client hourly.
Instruct the client in the use of the call light.
Apply an ambulation alarm to the client's leg.
MY ANSWER
Raise all side rails on the client's bed is incorrect. Raising all side rails is considered a restraint. For a client who is disoriented, the risk for injury is greater with all side rails of the bed raised. If the client attempts to get out of bed, she may try to climb over the side rail or climb out at the foot of the bed. The nurse should place the bed in the lowest position.
Obtain a prescription to restrain the client PRN is incorrect. Restraints are not prescribed PRN. Written restraint prescriptions are for a specific event and must have start and end times. Temporary restraints might be needed for clients who are confused, disoriented, repeatedly fall, or try to remove medical devices.
Check on the client hourly is correct. Implementation of hourly rounds facilitates safety by reducing client falls. Hourly nursing actions should include toileting, turning, and ensuring that possessions and call lights are within reach.
Instruct the client about the use of the call light is correct. Call lights are used for communication with nursing staff. When clients call for and wait for assistance before getting out of bed, the occurrence of accidents and falls is minimized. Nursing staff should make sure the call light is within the client's reach and should instruct the client frequently about its use.
Apply an ambulation alarm to the client's leg is correct. The ambulation alarm signals when the client's leg is in a dependent position, such as over the
Capstone leadership pre assessment
Course: Foundations Of Nursing (NURS 101)
University: Ohio University
- Discover more from:
Recommended for you
Students also viewed
- Qs palliative care clinical guide en
- 101 ways of scoring high on the nclex
- V Sim2 - documentation questions
- Adult Medical and Surgical
- Chapter 05 Nclex-RN® Examination and the New Graduate Flashcards Quizlet
- Nursing Leadership Ch 4 Employment Considerations Opportunities, Resumes, and Interviewing Flashcards Quizlet