NURS101 Practice HESI

A. Action stage The client in this situation has reached the action stage of health behavior change. In this stage, old habits may get in the way of new behaviors. In the preparation stage, the client understands that the advantages of the health behavior change outweigh its disadvantages. In this situation, the client has already made changes in health behavior. In the maintenance stage, the client continues the health behavior change indefinitely. In the contemplation stage, the client may be ambivalent but is more ready to accept information regarding health behavior change.

A, D, and E. Nursing students should never be assigned to perform tasks for which they are unprepared. A nursing student can work as a nursing assistant or a nurse's aide when not attending classes. In case anyone instructs a nursing student to perform a task that he or she is unprepared for, the nursing supervisor should be notified as soon as possible. A nursing student is indeed accountable if a client is harmed. A nursing student is not an employee of the hospital and he or she cannot act as a witness to consent forms because these forms are legal documents.

A. Medicare Medicare is a government-funded national health insurance program for people 65 years and older in the United States. The nurse should inform the client about this plan. Long-term care insurance is a supplemental insurance for the coverage of long-term care services. Private insurance is a traditional fee-for-service plan in which the payment is computed on basis of the number of services used after the client is treated. A preferred provider organization is a type of managed care plan that limits an enrollee's choice to a list of preferred hospitals, physicians, and providers.

C. Long-term care insurance (LTC) The long-term care insurance (LTC) plan is the most expensive insurance plan.

A. Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. The Nurse Practice Acts describe and define the legal boundaries of nursing practice within each state. They help to distinguish between nursing and medical practice and establish education and licensure requirements for nurses. Standards of care reflect the knowledge and skills possessed by nurses who are active practitioners in their profession. Standards of care are legal requirements that define the minimum acceptable nursing care. The Health Insurance Portability and Accountability Act (HIPAA) protects individuals from losing their health insurance when changing jobs by providing portability.

A. Block and parish nursing provides services to older clients or those who are unable to leave their homes. Block and parish nursing provides services to older clients or those who are unable to leave their homes. Community health centers provide primary care to a specific client population living in a specific community. Nurse-managed clinics provide nursing services with a focus on health promotion and education as well as on chronic disease. Occupational health services provide services that aim to increase worker productivity, decrease absenteeism, and reduce the use of expensive medical care.

D. Fluoridation of municipal drinking water. Passive strategies of health promotion help people benefit from the activities of others without direct involvement. The fluoridation of municipal drinking water is an example of a passive health promotion strategy. Active strategies of health promotion require clients to adopt specific programs for improving health. Weight-reduction programs, smoking-cessation programs, and drug abuse prevention strategies are examples of active health promotion activities.

AA. "A nurse should provide a personal point of view." During the process of negotiating outcomes, the nurse is required to provide a personal point of view. Negotiations may take place informally at the client's bedside or in a formal setting. After gathering relevant information regarding an ethical dilemma, the nurse is required to examine his or her own values and formulate an opinion regarding the matter. When verbalizing the problem, the group agrees to a statement of the problem to begin discussions. This step is performed before negotiating outcomes. Negotiations take place after determining all possible courses of action.

C. The application of force to another person without lawful justification. Battery means touching in an offensive manner or actually injuring another person. Battery refers to actual bodily harm rather than threats of physical or psychological harm. Battery refers to harm against persons, not property. Behaving in a way that a reasonable person with the same education would not is the definition of negligence.

B. The act states that the hospital should not discharge or transfer a client if an emergency condition exists. According to the Emergency Medical Treatment and Active Labor Act (EMTALA) act, the hospital should not discharge or transfer a client if an emergency condition exists. According to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), employees can change jobs without losing health insurance coverage. According to the Americans with Disabilities Act (ADA) of 1990, the hospital protects a person who is HIV positive but does not have acquired immunodeficiency syndrome (AIDS). According to the Patient Self-Determination Act (PSDA) of 1991, healthcare institutions should provide written information to clients about their rights under state law to make decisions.

A. "The client considers a change within the next 6 months." In the contemplation stage, the client considers a change within the next 6 months. In the precontemplation stage, the client does not intend to make changes within the next 6 months. In the action stage, the client is actively engaged in strategies to change behavior. This stage lasts up to 6 months. When sustained change is noticed over time and begins 6 months after action has started and continues indefinitely, the client has reached the maintenance stage.

C. Assessment When a nurse collects comprehensive data relevant to the client's health or the situation, it is considered assessment. In the given scenario, the nurse is assessing the client to minimize pain. Planning refers to instances when a nurse develops a plan to attain expected outcomes. Diagnosis refers to instances when the nurse analyzes the assessment data to determine the diagnoses or issues. Implementation refers to instances when the nurse implements the identified plan.

B. Autonomy Autonomy refers to the commitment to include clients in decisions about all aspects of care as a way of acknowledging and protecting their independence. In the given situation, the nurse ensures that the client has thoroughly understood the new treatment plan before gaining written consent. This ensures that the client is involved in the decision-making process appropriately. Justice refers to fairness. The given situation does not deal with fairness. Beneficence refers to taking positive actions to help others. This involves keeping the interests of the client before self-interest. Nonmaleficence is the avoidance of harm or hurt. Weighing the pros and cons of the new treatment plan would involve nonmaleficence.

C. Supervising nurse The nurse should go to the supervising nurse or follow the established chain of command if he or she finds any discrepancies in the primary healthcare provider's orders. All nurses must act as risk managers, depending upon the situation. The nurse in question should follow the established chain of command to address his or her doubts. A nursing student is still a novice and is too inexperienced to handle such matters. A nurse administrator manages client care and the delivery of specific nursing services within a healthcare agency; a nurse administrator is not the appropriate person to ask for help in solving the problem at hand.

A, B, and E. Intentional torts include battery, assault, and false imprisonment. Unintentional torts include negligence and malpractice.

C. Liable, along with the employer, for misapplication of equipment or use of defective equipment that harms the client. Using a stretcher with worn straps is negligent; this oversight does not reflect the actions of a reasonably prudent nurse. The nurse is responsible and must ascertain the adequate functioning of equipment. The hospital shares responsibility for safe, functioning equipment.

C. Client information is immediately available when this system is used. The intent of these systems is to streamline documentation and record keeping for all appropriate health team members, including nurses. There is a reduction in medication errors with this type of system. Data are immediately available to appropriate health team members without the need to depend on record or chart availability. By streamlining documentation and record keeping, these systems increase opportunities for more direct client care by nurses.

B, C, and D Health screenings, physical assessments, and disease management services are provided by community health centers in preventive and primary care services. Day care and acute and chronic care management services are provided by nurse-managed clinics.

D. Advanced practice registered nurse. The advanced practice registered nurse is the most independently functioning nurse. The nurse educator, nurse researcher, and nurse administrator all must be associated with an organization to pursue their professional prospects.

A. Community health center are outpatient clinics that provide primary care to a specific population. Community health centers are outpatient clinics that provide primary care to a specific population, such as clients with young children or clients with diabetes. Occupational health services aim to increase worker productivity, decrease absenteeism, and reduce the use of costly medical care. School health services emphasize program management, interdisciplinary collaboration, and community health principles. Occupational health services include a complete program designed for health promotion and accident or illness prevention in the workplace.

C. Caregiver As a caregiver, a nurse helps clients maintain and regain health, manage diseases and symptoms, and attain a maximal level of function and independence through the healing process. As a manager, the nurse coordinates the activities of members of the nursing staff in delivering nursing care and has personnel, policy, and budgetary responsibility for a specific nursing unit or agency. As a client's advocate, the nurse protects the client's human and legal rights and provides assistance in asserting these rights if the need arises. As a communicator, the nurse learns about a client's strengths and weaknesses and his or her needs through effective communication.

B. Nurses' participation in assisted suicide may violate the code of ethics. According to the ANA, a nurse's participation in assisted suicide will violate their code of ethics. According to the American Association of Colleges of Nursing (AACN) and the International Council of Nurses', the nurse may have an open attitude toward the client's end of life. According to the American Association of Colleges of Nursing (AACN) and the International Council of Nurses', nurses may listen to the client's expressions of fear and to attempt to control the client's pain. According to the Oregon Death with Dignity Act (1994) the primary health care provider in the state of Oregon can participate in assisted suicide only if an individual with terminal disease makes an oral and written request to end his or her life in a humane and dignified manner.

C. When a client dies within 24 hours of admission to the hospital. If a client dies within 24 hours of admission to the hospital, the medical examiner is required to decide whether a postmortem examination should be conducted. If a client dies under suspicious circumstances, the medical examiner decides whether a postmortem examination is necessary. The medical examiner does not make the decision regarding postmortem examination if the client dies after 48 hours of being admitted to the hospital. A client may give a written consent before death to perform an autopsy. Such instances are not subject to the review of the medical examiner.

A. "The United Network for Organ Sharing (UNOS) has a contract with the federal government." The United Network for Organ Sharing (UNOS) has a contract with the federal government. The National Organ Transplant Act of 1984 protects the donor's estate from liability for injury or damage. The United Network for Organ Sharing gives priority to clients in their geographical area who need organs on an urgent basis. The National Organ Transplant Act of 1984 provides civil and criminal immunity to the hospital and the healthcare provider.

A. Primary Care The nursing student should include family planning under primary care. Family planning is not a part of continuing care, restorative care or secondary acute care healthcare services.

C. The Uniform Anatomical Gift Act gives individuals who have reached 18 years of age the right to make an organ donation. According to the Uniform Anatomical Gift Act, individuals who are at least 18 years of age have the right to make organ donations. The National Organ Transplant Act of 1984 prohibits the purchase or sale of organs. The Americans with Disabilities Act (1990) protects the rights of people with physical or mental disabilities. The National Organ Transplant Act of 1984 provides civil and criminal immunity to hospitals and healthcare providers.

B. Either of the child's parents For unemancipated pediatric clients, the parents are required to provide consent. Either parent may do so. The court intervenes in situations where the parents refuse to allow a child to undergo treatment. A grandparent may provide consent only if the situation is an emergency and the parents are not present. If the parents are divorced, a parent with legal custody of the child may provide consent.

A. Accountability Nurses have an obligation to uphold the highest standards of practice, assume full responsibility for actions, and maintain quality in the knowledge base and skill of the profession; this is referred to as accountability. Individuality and responsibility are positive characteristics of the nurse but are not necessarily professional obligations. Bioethics is a field of study concerned with the ethics and philosophical implications of certain biologic and medical procedures and treatments.

D. Participate in research activities when possible. According to IOM competencies for the 21st century, when using evidence-based practice, the nurse should participate in research activities when possible. When providing client-centered care, the nurse should share decision making and management. When working in interdisciplinary teams, the nurse should cooperate, collaborate, and communicate. When applying quality improvement, the nurse should practice using basic safety design principles.