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Chapter 38, 1, 15, 3 study guide for exam 1 Review Questions 74.

Which of the following is not an element in the development or chain of infection? 1. Means of transmission 2. Infectious agent or pathogen 3. Formation of immunoglobulin 4. Reservoir for pathogen growth Answer: ______________ Rationale: ___________ 75. The severity of a clients illness will depend on all of the following except: 1. Incubation period 2. Extent of infection 3. Susceptibility of the host 4. Pathogenicity of the microorganism Answer: ______________ Rationale: ___________ 76. Which of the following best describes an iatrogenic infection? 1. It results from a diagnostic or therapeutic procedure. 2. It results from an extended infection of the urinary tract. 3. It involves an incubation period of 3 to 4 weeks before it can be detected. 4. It occurs when clients are infected with their own organisms as a result of immunodeficiency. Answer: ______________ Rationale: ___________ 77. The nurse sets up a nonbarrier sterile field on the clients over-bed table. In which of the following instances is the field contaminated? 1. Sterile saline solution is spilled on the field. 2. The nurse, who has a cold, wears a double mask. 3. Sterile objects are kept within a 1-inch border of the field. 4. The nurse keeps the top of the table above his or her waist. Answer: ______________ Rationale: ___________ 78. When a client on respiratory isolation

must be transported to another part of the hospital, the nurse: 1. Places a mask on the client before leaving the room 2. Obtains a health care providers order to prohibit the client from being transported 3. Instructs the client to cover his or her mouth and nose with a tissue when coughing or sneezing 4. Advises other health team members to wear masks and gowns when coming in contact with the client Answer: ______________ Rationale: ___________ 75. 1. The incubation period is the interval between the entrance of the pathogen into the body and appearance of first symptoms. 76.4. occurs when part of the clients flora becomes altered and an overgrowth results 77.1. If moisture leaks through a sterile packages protective covering, organisms cantravel to the sterile object. 78.1. Clients who are transported outside of their rooms need to wear a surgical mask to protect other clients and personnel. Therapy improves physicalmovement and/or communication, develops emotional expression, evokes memories,and distracts people who are in pain healing intention: Variety of techniques used in multiple cultures that incorporatecaring, compassion, love, or empathy with the target of prayer. psychotherapy: Treatment of emotional and mental disorders by psychologicaltechniques. 2. the perception that the treatments offered by the medical profession do not providerelief for a variety of common illnesses39.3. They have not received approval for use a drugs and are not regulated by the FDA;therefore, they can be sold as food or food supplements only.40.2. It is important for the nurse to know the current research being done in this area to provide accurate information not only to clients but also to other health care professionals. See Box 37-7 for answers Refer to Figure 37-3 in the text for answers. Nursing Diagnosis risk for imbalanced body temperature . impaired home maintenance

. risk for injury . deficient knowledge . risk for poisoning . disturbed sensory/perception . risk for suffocation . disturbed thought processes . risk for traum R rescue and remove all clients in immediate danger A activate the alarm C confine the fire by closing doors and windows and turning off oxygen and electricalequipment E extinguish the fire using an extinguisher 3. Use the RACE to set priorities in case of fire. . 4. The related factor becomes the basis for the selection of nursing therapies. . a.Ms. Cohen states, I bump into things , and Im afraid Im going to fall . Cabinetsin kitchen are disorganized and full of breakable items that could fall out. Throwrugs are on floors ; bathroom lighting is poor (40-watt bulbs ); bathtub lacks safetystrips or grab bars ; home cluttered with furniture and small objects. Ms. Cohen haskyphosis and has a hesitant, uncoordinated gait . She frequently holds walls forsupport. Ms. Cohens left arm and leg are weaker than those on the right. Ms.Cohen has trouble reading and seeing

familiar objects at a distance while wearingcurrent glasses. b.In the case of safety, the nurse integrates knowledge from nursing and other scientificdisciplines and previous experiences in caring for clients who had an injury or were atrisk.c.The American Nurses Association (ANA) standards for nursing practice address the nurses responsibility in maintaining client safety.d.Critical-thinking attitudes such as perseverance and creativity would be applicable inthis case P = patient/population of interest I = intervention of interestc. C = comparison of interestd O = ou t com e

is a psychiatric disorder characterized by an acute emotional response to a traumaticevent or situation. Females who are young, less educated, low-income, and less socialand who lack emotional support are at high risk for PTSD Have you had any pain or discomfort in the area where you hadsurgery or radiation? Are you experiencing fatigue, sleeplessness, or shortness of breath?How distressed are you feeling at this point on a scale of 0-10? How do you think your family is doing with the cancer? If you have had sexual changes, what strategies have youtried to make things better? Which of the following cells is responsible for presenting the antigen to the immune cells during clonal selection? A 23-year-old pregnant female visits her physician for her final prenatal checkup. The physician determines that the fetus has developed an infection in utero. Which of the following would be increased in the fetus at birth? http://www.ncqa.org/tabid/145/Default.aspx http://www.ncqa.org/tabid/145/Default.aspx http://www.yale.edu/ehs/Documents/waste/Waste%20Management%20Guide.pdf http://www.envcap.org/statetools/rmw/ak-rmw.cfm http://www.envcap.org/statetools/rmw/sc-rmw.cfm

prevention and detection of new cancers and recurrent cancer b.surveillance for cancer spread, recurrence, or second cancersc.intervention for consequences of

cancer and its treatmentsd.Review survivorship care plan with client at time of discharge striving to understand an event as it has meaning in the l ife of the other b . b e i n g e m o t i o n a l l y p r e s e n t t o t h e o t h e r c.doing for the other as he or she would do for the self if it were at all possibled.facilitating the others passage through lif e transitionse.sustaining faith in the others capacity t o g e t t h r o u g h a n e v e n t o r t r a n s i t i o n and face a future with meaning Demographic changes (rural areas to urban centers, increased life span, higher incidence of chronic long-term illness, increased incidence of alcoholism andlung cancer). Womens health care issues (new specialties). Human rightsmovement (minorities, terminal illness, pregnant women, older adults).Medically underserved (poor and on Medicaid, working poor, mentally ill withlittle to no access to health care). Threat of bioterrorism (nuclear, chemical or biological) c f e . e n o o r d o r m a d u c a e m n t o a n i n a t i o n a n d i n t e g r a t i o n o f c a r e c . i n t i o n , c o m m u n i c a t i o n , a n d t i o n d . p h y s i c a l c o m f o r t e o t i o n a l s u p p o r t f . i n v o l v e m f f a m i l y a n d f r i e n d s g . t r a n s i t i o d c o n t i n u i t y

Review Questions Select the appropriate answer and cite the rationale for choosing that particular answer. 37. The factor that best advanced the practice of nursing in the first century was: 1. Growth of cities 2. Teachings of Christianity 3. Better education of nurses 4. Improved conditions for women Answer: ______________ Rationale: ___________ 38. The graduate nurse must pass a licensure examination administered by the: 1. State Boards of Nursing 2. National League for Nursing 3. Accredited school of nursing 4. American Nurses Association Answer: ______________ Rationale: ___________ 39. A group that lobbies at the state and federal

levels for advancement of the nurses role, economic interest, and health care is the: 1. State Boards of Nursing 2. American Nurses Association 3. American Hospital Association 4. National Student Nurses Association Answer: ______________ Rationale: ___________ Review Questions The factor that best advanced the practice of nursing in the first century was: 1. Growth of cities 2. Teachings of Christianity 3. Better education of nurses 4. Improved conditions for women Answer: ______________ Rationale: ___________ The graduate nurse must pass a licensure examination administered by the: 1. State Boards of Nursing 2. National League for Nursing 3. Accredited school of nursing 4. American Nurses Association Answer: ______________ Rationale: ___________ A group that lobbies at the state and federal levels for advancement of the nurses role, economic interest, and health care is the: 1. State Boards of Nursing 2. American Nurses Association 3. American Hospital Association 4. National Student Nurses Association Answer: ______________ Rationale: ___________ ______ Nurse educator ______ Nursing administrator ________ Nurse researcher ________ Accountability Specializes in a specific disease or a specific fieldInvolves the independent care for women in ormal pregnancy, labor, and delivery k. Detects and manages self-limiting acute and chronic stable medical conditions Provides surgical anesthesia m. Functions as a clinician, educator, case manager, consultant, and researcher Protects the clients human and legal rights and provides assistance in asserting those

rights Responsible professionally and legally for the type of care rendered Nursing is a combination of knowledge from the physical sciences,humanities, and social sciences, along with clinical competencies. Candidates are eligible to take the NCLEX-RN to become registered nurses inthe state in which they will practice. The ANAs purpose is to improve the professional development and general welfare of nurses. Research studies can most easily be identified by: 1. Examining the contents of the report 2. Looking for the study only in research journals 3. Reading the abstract and conclusion of the report 4. Looking for the word research in the title of the report Answer: ______________ Rationale: ___________ A research report includes all of the following except: 1. The researchers interpretation of the study results 2. A description of methods used to conduct the study 3. A summary of other research studies with the same results 4. A summary of literature used to identify

the research problem Answer: ______________ Rationale: ___________ Practice guidelines for the treatment of adults with low back pain is an example of: 1. Clinical guidelines 2. Quantitative nursing research 3. Outcomes management research 4. A randomized controlled trial (RCT) Answer: ______________ Rationale: ___________