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LEADERSHIP EXAM 2 QUESTIONS WITH CORRECT DETAILED ANSWERS.
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LEADERSHIP EXAM 2 QUESTIONS WITH CORRECT DETAILED ANSWERS.
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LEADERSHIP EXAM 2 QUESTIONS WITHCORRECT DETAILED ANSWERS.
A nurse is preparing to obtain informed consent for a child who fell and broke her arm.
Since the child's parents are not present and cannot be reached, which of the following
individuals should the nurse identify as able to provide consent for the child?
a. child's aunt
b. child's cousin
c. child's neighbor
d. child's grandparent - ANSWER- d. child's grandparent
the nurse should identify that grandparent of a minor grandchild can give legal consent
for an emergency treatment if child's parents are not present
A nurse is teaching a client about advance directives. Which of the following statements
by the client indicates an understanding of teaching?
a. My living will addresses whether or not I want to receive CPR."
b. "Once I sign advance directives, I cannot change them."
c. "If I am admitted to the hospital, the law requires me to have advance directives."
d."The law requires a family member to witness my signature on my advance
directives." - ANSWER- a. my living will addresses whether or not i want to receive CPR
A living will addresses whether or not the client wishes to receive CPR. The nurse
should also inform the client that a living will also addresses other issues, such as the
use of antibiotics and nutrition.
A nurse is preparing a client who is scheduled for a laparoscopic choleystectomy. The
client states, "I have changed my mind. I don't want to have want to have surgery."
Which of the following responses should the nurse give?
a. "Many clients have had this procedure with successful results."
b. "You will feel better if you have the procedure."
c. "I will let your provider know about your decision."
d. "You shouldn't worry. This procedure is safe." - ANSWER- c. "I will let your provider
know about your decision."
The nurse should respect the client's decision that she has changed her mind and notify
the provider. It is the client's right to change her mind at any time about treatment of any
kind.
,A nurse is preparing to administer ciprofloxacin to a client when the client tells the nurse
he is not going to take it. Which of the following responses should the nurse make?
a. "When you signed your admission papers, you agreed to follow the treatment plan."
b. "I will come back later and you can take it then."
c. "This is the antibiotic your provider prescribed to treat your infection."
d. "I will complete an incident report stating that you have refused to take your
medication." - ANSWER- c. "This is the antibiotic your provider prescribed to treat your
infection.
The nurse has the responsibility to honor the client's wishes; however, it is an
expectation that the nurse will try to promote adherence to the treatment plan. Providing
information to the client about the medication will help him to make a more informed
decision.
A nurse is assisting with obtaining informed consent for a client who will undergo
surgery in the morning. Which of the following actions should the nurse take?
a. Witness the client voluntarily signing the consent form.
b. Explain the procedure to the client.
c. Outline the benefits of the procedure to the client.
d. Provide the client with a list of alternative treatments. - ANSWER- a. Witness the
client voluntarily signing the consent form.
The nurse should witness the client sign the consent form to verify that the client is
signing the form voluntarily.
A home health nurse is planning care for a client who has type 2 diabetes mellitus.
Which of the following interventions should the nurse include to address primary
prevention for this client?
a. Initiate a dietician referral to teach the client about carbohydrate counting.
b. Instruct the client to eat fatty fish twice weekly to prevent cardiovascular disease.
c. Schedule routine eye examinations to detect diabetic retinopathy.
d. Teach the client's caregiver how to administer glucagon IM for hypoglycemia. -
ANSWER- b. Instruct the client to eat fatty fish twice weekly to prevent
The nurse should include instructing a client who has diabetes mellitus to consume fatty
fish as primary prevention because n-3 polyunsaturated fatty acids help maintain
appropriate blood lipid levels.
A nurse is planning a primary prevention program for the older adults at a local
community center. Which of the following information should the nurse include as a
primary prevention strategy?
Increase intake of
, a. Increase intake of dietary fiber.
b. Have a hearing screening every 1 to 2 years.
c. Schedule annual fecal occult blood testing.
d. Use heat therapy to relieve joint stiffness. - ANSWER- a. Increase intake of dietary
fiber.
Increasing intake of dietary fiber is an intervention that will prevent constipation and
other gastrointestinal problems. Therefore, it is appropriate for the nurse to include this
information as primary prevention.
A public health nurse is reviewing a protocol for management of H5N1 influenza during
an outbreak. Which of the following interventions should the nurse identify as part of
tertiary prevention?
a. Provide two-step H5N1 immunization to high-risk individuals.
b. Teach individuals to recognize signs and manifestations of H5N1 influenza infection.
c. Promote adequate hydration for clients experiencing an H5N1 infection.
d. Implement airborne and contact isolation for clients infected with H5N1 influenza. -
ANSWER- c. Promote adequate hydration for clients experiencing an H5N1 infection.
Promoting adequate hydration for clients experiencing an H5N1 infection is a tertiary
prevention strategy because it promotes recovery and prevents worsening of the illness.
A faith community nurse is meeting with a 60 year-old client. Which of the following
statements by the nurse is an example of secondary prevention?
a. "You should consume adequate calcium and vitamin D."
b. "Let's discuss some stress management techniques."
c. "Be sure to use non-skid mats in your bathroom."
d. "Tell me how you are feeling about your current life situation." - ANSWER- d. "Tell me
how you are feeling about your current life situation."
This statement by the nurse is a method of secondary prevention. By having the client
discuss her current life situation the nurse can analyze her statements to detect
manifestations of anxiety or depression, which can be associated with life transitions
during middle-age.
A nurse at an acute care facility is developing a stroke awareness initiative for staff.
Which of the following interventions should the nurse include as part of tertiary
prevention?
a. Teach smoking cessation to clients who take oral contraceptives.
b. Schedule a CT scan for clients who have manifestations of possible stroke.
c. Initiate referrals for a physical therapy evaluation for clients following a stroke.
d. Encourage clients who have a BMI greater than 30 to lose weight. - ANSWER-
Initiate referrals for a physical therapy evaluation for clients following a stroke.
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