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Foundations and Adult Health Nursing Solutions Key
Foundations and Adult Health Nursing Solutions Key
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8/21/23,g6:19gA FoundationsgandgAdultgHealthgNursinggSolutionsgKeM y
Foundations of Adult health Nursing Solutions
g g g g g
Answerg Key
CHAPTERg1—THEgEVOLUTIONgOFgNURSING MultiplegChoice
17. Answerg2:gOnegofgthegprimarygproblemsgof
Matching gthegearlygnineteenthgcenturyghospitalsgwas
1. b gpoorghygienicgpractices.gHospitalsgweregdi
2. d rtygandgovercrowdedgandgcaregwasgmostly
3. e ggivengbyguntrainedgpersons.
4. a 18. Answerg4:gThegpopulationgisgaginggrapidly
5. f gandgtheregisgangincreasedgneedgforgnursing
6. h gser-
7. c gvicesgforgthisggrowinggsegmentgofgthegpop
8. g ula-gtion.
9. j 19. Answerg3:g“NightingalegNurses”gimprove
10. i dgpatientgcaregandgadvancedgthegpractice
gofgnursing gthroughggoodghygiene,gsanita
ShortgAnswer tion,gpatientgobservation,gaccurategrecordk
11. ThegNationalgLeaguegforgNursingg(NLN)ge eeping,gnutritionalgimprovement,gandgtheg
s- introduc-gtiongandgusegofgnewgequipment.
gtablishedgeducationalgstandardsgandgcriter 20. Answerg1:gThegfourgmajorgconceptsgaregnu
iagandgisginvolvedgingthegvoluntarygaccredi rse,gpatient,ghealth,gandgenvironment.
tationgofgnursinggprograms. 21. Answerg4:gPoverty,ghomelessness,gandgu
12. ThegpurposesgofgNAPNESgandgNFLPNgare n-
gto:gSetgstandardsgforgpractical/vocationalgn gemploymentgaregfactorsgingincreasedgrisk
ursinggprograms. gforghealthgproblems.
Promotegandgprotectgpractical/vocation 22. Answerg2:gPhysiologicgneeds,gsuchgasgeati
algnursing. nggandgoxygenation,garegthegfirstgpriorityga
Educategandginformgtheggeneralgpublicgab ccord-ginggtogMaslow.
outgpractical/vocationalgnursing. 23. Answerg 4:g Adolescence g isg time g wheng loveg
13. LPN/LVNsgfunctiongtogprovidegspecificgse andgbelonginggtogagpeerggroupgaregverygim
r- portant.gBeinggpartgofgagteamgisgthegbestg
gvicesgtogpatientsgundergthegdirectgsupervi waygtoghelpghimgmeetgthisgneed.
siongofgaglicensedgphysician,gdentist,gorgre 24. Answerg1,g3,g5:gPatientgcangparticipategings
gisteredgnurse;gassistsgindividuals,gsickgorg mokinggcessation;gstress,gweight,gandgalcoh
well,gingthegperformancegofgthosegactivitiesg olgintakegreduction;gandgcontrolgovergowng
contributinggtoghealth,gtogtheirgrecovery,gan bodygandghealth.gGivingginformationgabout
dgtoggaingindepen- gtechnol-
gdencegasgrapidlygasgpossiblegorgtoghavegagp gogy,gnewgmedications,gandgcostsgmaygbeg
eace- ofginterestgtogthegpatient,gbutgthesegtopicsga
gfulgdeath.gThegLPN/LVNgisgeducatedgtogb reglessgusefulginghelpinggthegpatientgtakega
egagresponsibleg memberg ofg ag healthg careg tea ngactivegroleginghergownghealth.
m,g per- 25. Answerg4:gWhilegthegUAPgorgunitgsecreta
gforminggbasicgtherapeutic,grehabilitative,gan rygcangdirectgvisitors,gextremegcautiongsh
dgpreventivegcaregtogassignedgpatients.gLP ouldgbegusedginggivinggoutgpatientginfor
N/gLVNsg areg continuingg tog provide g careg ing mation.g(Notegtogstudent:gEvengacknowled
allgtypesgofgsettings,gwithgthegmajoritygemp ginggthatgagpatientghasgbeengadmittedgtogt
loyedginglong-termgcaregsettings. heghospitalgcangbegviewedgasgagviolationg
ofgconfidentiality.)gTakinggvitalgsignsgisgac
Fill-in-the-BlankgSentences ceptable;ghowever,gthegpharmacistggenerall
14. stategboardgofgnursing ygrestocksgmedications.gValidatinggandgin
15. NationalgCouncilgofgStategBoardsgofgNursin terpretinggaregnursinggre-gsponsibilities.
g 26. Answerg2:gEconomicgusegofgtimegandgmater
16. Patient’sgBillgofgRights ialsgisgthegbestgwaygtogcontaingcostsgforgind
ividual
Copyrightg©g2015, g2011, g2006, g2003, g1999, g1995, g1991gbygMosby, gangimprint gof gElsevier gInc. gAll grights greserved. 1
about:blank 1/168
,8/21/23,g6:19gA FoundationsgandgAdultgHealthgNursinggSolutionsgKe
M y
AnswergKey 2
patients.gMalpracticeginsurancegdoesgnotghe withgcare,g causedg hairg loss,g tookg toog
lpgtogcontaingcosts.gWhilegitgisgappropriateg muchgtimegforgwashinggandgstarching,g
togquestiongtheghealthgcaregprovidergaboutg andg wereg ag sourceg ofg bacteria.g Healthg
safetygissues,gitgisgnotgappropriategtogquesti caregfacilitiesgandgnursinggschoolsgtypi-
ongusegofgdiagnosticgtesting.gDiagnosisgisga gcallyghavegdressgcodesgforgstylegofgunif
ngextremelygcomplicatedgprocess,gwhichgreq ormgand/orgcolor.gStaffgareggenerallygre
uiresgangexten- quired
gsivegdepthgofgknowledgegaboutgpathology.g togweargnametagsgandgidentificationgba
Re- dg-
gferringgpatientsgtoganothergclinicgjustgshifts ges.gManygnursesgdognotgapprovegofgm
gthegfinancialgburdengtoganothergpartgofgth an-
eghealthgcaregsystem. gdatorygdressgcodes.gTheygarguegthatgo
27. Answerg1:gOrem’sgtheorygisgbasedgonghel therghealthgcaregprofessionalsgdognotgde
pinggthegpatientgtogattaingself- pendgonguniformsgforgtheirgauthority.
care.gNightingale’sgtheorygusesgmanipulati b. Itgisglikelygthatgasgagnursinggstudentgand
ongofgthegenvironmentg(i.e.,gpatient’sgpillo gagsoon-to-
ws).gBennergandgWrubelgdemonstrategcari beg nurseg thatg lookingg professionalgisgim
nggbygassistinggthegpatientgtogcope.gParse’s portantgtogyou.gYougmaygfeelganxiousgto
gtheorygencouragesgthegpatientgtogparticipat gbegridgofgyourgcurrentgstudentguniformg
egingtheghealthgexperience. forgagvarietygofgreasons.gFreedomgofgcho
28. Answerg1,g2,g3,g4,g6:gUndergthegtermsgofg ice,gunattractive gstyle,gandgnotg beingg ma
thisgdocument,gpatientsgaregassuredgthatgt rkedgasgagstudentgaregfrequent greasonsgci
heygcangexpectghigh- tedgbygstudents.g Fromg patients’g pointg of
qualityghospitalgcare,gagcleangandgsafegenvi g view,gtheyg feelgmoregcomfortable g andgc
ronment,ginvolvementgingtheirgcaregandgt onfident gwhengtheygaregeasilygablegtogdi
hegdecision- stinguishgnursesgfromgothergstaffgmembe
makinggprocess,gprotectiongofgprivacy,ghel rs.gRecentgstudiesgalsogsuggestgthatg patie
pgwhengleavinggtheghospital,gandghelpgwi ntsgbelievegthatgnursesg who gweargwhiteg
thgbillinggconcerns.gPatientsgcan- aregbettergnursesgthangthose g whog dog not
gnotgalwaysgexpectgtoggetgagprivategroomg g wearg white.
withgallgamenities. 33.g g a.gThisgpatientghasgcomplexgphysicalgprob
29. Answerg3:gHealthgcaregworkersgaregentitle -
dgtogrespectgfromgpatientsgandgalsogexpectg glemsgandgheghasgsomeglifestyle,gsocial,
patientsgtogbegresponsiblegforgtheirgowngbe gandgfinancialgissuesgthatgneedgextragatt
havior. ention.gRegisteredgnurseg(RN)—
30. Answerg3:gLPN/LVNsgnevergfunctiongind providesgdirectgpatientgcaregingtheghos
e- pitalgandgangRNgfromgaghomeghealthga
gpendentlygwithoutgthegsupervisiongofgan gencygcouldgalsogbeginvolvedgingthegca
gRNgorghealthgcare gprovider. regofgthisgpatient.gLPN/LVN—
worksgundergthegsupervisiongofgthegRN
Criticalg Thinkingg Activities gingprovidinggpatientgcare.gPhysician—
31. providesgdiagnosisgandgpre-
Wellness X Illness scriptiongofgtreatmentgandgmedication
s.gSocialgworker—
Highestglevelg Diminishedgorgimpair
ofgoptimalghea edgstategofghealth
providesgcounselinggandgreferralgtogco
lth mmunitygresources.
Physicalgtherapist—offersgexercisesgand
Thisgpatientghasgsomeghealthgproblemsgand willgassistgthisgpatientginglearninggtech-
somegchangesgingherglife,gbutgsheghasgagrel niquesgforgsafegambulation,gbending,ga
a- ndglifting.
gtivelyghighglevelgofgwellness.gHergbloodgp Dietitian—providesgnutritionalgcounsel-
res- ging.
gsuregisgundergcontrolgandgsheghasgadapted Respiratorygtherapist—
gtogagmajorgchangeg(retirement),gbygtakinggo supervisesgoxygengadministrationgandgp
ngagnewgchallengegofgvolunteering.gHergpos erformsgpulmonarygassessments.
itivegout- Technologist—
glookgonglifegallowsghergtogfindgjoygingtheg willgobtaingandganalyzegspecimensgan
pros- dgperformgothergdiagnosticgprocedures
gpectgofgsharinggtimegwithgagnewggeneratio .
n. Pharmacist—
32.g g a.g Originally,gthegwhitegpleatedgcapgandgt preparesgthegmedicationgingtheghospita
he l.gThegcommunitygpharmacistgcanghelp
aprongsignifiedgrespectability,gcleanlines gthisgpatientgmonitorghisghomegmedic
s,gandgservitude.gCapsggraduallygbecam ations.
egsymbolicgofgofficegandgachievementga
ndgweregcelebratedgwithgcappinggcerem
onies.gUniformsgbecamegmoreginformalg
andgnursesgcomplainedgthatgcapsginterf
ered
about:blank 2/168
,8/21/23,g6:19gA FoundationsgandgAdultgHealthgNursinggSolutionsgKe
M y
Copyrightg©g2015, g2011, g2006, g2003, g1999, g1995, g1991gbygMosby, gangimprint gof gElsevier gInc. gAll gri
ghts greserved.
about:blank 3/168
, 8/21/23,g6:19gA FoundationsgandgAdultgHealthgNursinggSolutionsgKe
M y
AnswergKey 3
(Notegtogstudent:gSomeghospitalsgwillga Discussgthisgsituationgwithgyourgclinicalgin-
lsoghavegagfinancialgcounselorgtogassist gstructorgforgadvicegaboutgvisitinggpatientsg
gthegpatientging understandinggtheghos dur-ginggthegpreclinicalgpreparationgtime.)
pitalgbillgandgtogmakegarrangementsging 17. Answerg4:gAgpoorgnurse-
payinggout-gof-pocketgcosts.) patientgrelationshipgincreasesgtheglikelihoodg
b.gForgprimarygprevention,gthegnursegwoul thatgthegpatientgwillgseekglegalgactiongandg
dgencouragegwellnessgactivitiesgandgpre harmghasgtogoccurgingor-
- gdergforgliabilitygtogbegestablished.gThegfa
gemptivegscreeninggprogramsgsuchgcolo milygofgthegelderlygpatientgcouldgseekgdam
- ages,gbutgthatgisglessglikelygifgtheygundersta
gnoscopygorgglucose gscreening.gForgseco ndgthatgthegnursegandgfacilitygwillgtrygtheir
nd- gbestgtogpreventgfalls,gbutgaregunablegtogph
garygprevention,gtogreducegthegimpactgo ysicallygrestraingpa-
fgthegchronicgrespiratorygdisease,gthegn gtientsgforgthegpurposegofgpreventinggfalls.g
ursegwouldgencouragegsmokinggcessatio Thegangrygpatientgmaygreportgthegnursegto
n gthegsu-
andgweightgloss.gForgtertiarygpreventio gpervisor,gbutgifgnogharmgisgsustainedgthen
n,gthegnursegwouldggetgagreferralgforgh ganyglegalgactiongagainstgthegnursegwillgnot
omeghealthgassistance,gincludinggphysic gbegsuc-
algtherapy,gwhichgwillgimprovegqualityg gcessful.gThegfamilygwhogcomplainedgatg3:0
ofglifegandgreducegfurtherglossgofgfuncti 0gAmgmaygalsogbegverygangry.gThegnurse’sg
on. decisiongtogwaitgmustgbegbasedgongcompre
hensivegas-
gsessmentgofgthegpatientgtogascertaingthatgt
CHAPTERg 2— heregisgnothinggtogwarrantgcallinggatg3:00gA
LEGALg ANDg ETHICALg ASPECTS gOFgNURSIN m. gCare-
G gfulgdocumentationgisgnecessary.gMakingga
ngincidentgreportgingallgofgthesegsituationsg
Matching wouldgbegaggoodgidea.
1. e 18. Answerg1,g2,g3,g4,g6:gThegUAP’sgpersonal
2. d healthgrecordsgaregconfidentialgandgunrelated
3. b togthegpatient’sgcase.
4. h 19. Answerg2:gEarlygdischargegandghighglev
5. f elsgofgpatientgacuitygrequiregexcellentgdis
6. a charge
7. c teachinggsogpatientsgcangperformgself-
8. j caregandgself-
9. g monitoringgandgaregthereforeglessglikelygtogs
10. i uffergharm.gBeinggablegtogtakegaglimitedgnu
m-gbergofghigh-
TruegorgFalse acuitygpatientsgwouldgbegideal,gbutghighga
11. True cuitygisgthegcurrentgtrend.gHavinggmalprac
12. True ticegcoveragegisggoodgifglitigationgoc-
13. False.gDutygrefersgtogthegestablishedgrelati gcurs;ghowever,ginsurancegpayoutsgmaygact
on- u-
gshipgbetweengthegpatientgandgthegnurse. gallygbegcontributinggtogthegproblem.gEnsu
14. False.g Assaultg isg ang intentionalg threatg tog cau ringgaccountabilitygofgothersgisgnotgpossible
segbodilygharmgtoganother;gdoesgnotghavegt .
ogin- 20. Answerg1:gAssessgknowledge g andg readines
gcludegactualgbodilygcontact.gThegnursegwo sgtogperform.gBarriersgmaygincludegknowle
uldgbegchargedgwithgbattery,gwhichgisgthegu dge
nlawfulgtouchinggofganothergpersongwithout deficitgorgfeelingsgofganxietygorgself-
gconsent. doubt.gGo-
15. True ginggwithghergandgobservinggperformancega
ndgpullingghergfilegwouldgbegappropriatega
MultiplegChoice ftergas-
16. Answerg4:gThegstudentghasginitiatedgthegnu gsessment.gForcinggsomeonegtogdogagtaskgth
rse- atgisgbeyondgtheirgabilitygandg understandin
gpatientgrelationshipgandgthereforeghasgtheg ggisgin-
dutyg tog act.g Allg studentsg areg CPR- gappropriategsupervisiongandgthegnursegwo
certifiedg sogthegstudentghasgtogperformgthe uldgbegliablegforgthegUAP’sgerrors.
gdutygingagrea- 21. Answerg2:gLocategthegRNgingchargegsogth
gsonablegandgprudentgmannergasgwouldgot atgthegbloodgcangbegstarted.gHealthgcaregp
hergnursingg students.g Allg ofg theg otherg optio rovid-
nsg aregalsoglikelygtogbegnecessary.g(Notegto gersgcangsupervisegnursesgandgtheygknowg
gstudent: the
potentialgadversegreactionsgofgbloodgproduc
ts;ghowever,gtheygareggenerallyglessgfamiliar
gwithgthegpoliciesgandgproceduresgrelatedgt
about:blank 4/168
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