Published - Thu, 23 Feb 2023
NCLEX-PN Exam Questions - Part 105
1. The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called:
A) Good Samaritan laws.
B) HIPAA.
C) Patient Self-Determination Act (PSDA).
D) OBRA.
2. Which of the following substances need to be assessed when completing a family health assessment?
A) coffee, tea, cola, and cocoa
B) alcohol, tobacco, and illegal substances
C) medicines prescribed by a physician
D) all of the above
3. An appraisal of self-care practices involves an assessment of:
A) all diagnostic tests.
B) home treatment practices, including nurse visits for the sick or disabled.
C) the family - s capability to get health insurance.
D) caregiving needs and the potential for strain.
4. Which of the following is one of the main goals for Healthy People 2010?
A) reduction of health care costs
B) elimination of health disparities
C) investigation of substance abuse
D) determination of an acceptable morbidity rate
5. A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?
A) primary prevention
B) secondary prevention
C) tertiary prevention
D) health promotion
A) Good Samaritan laws.
B) HIPAA.
C) Patient Self-Determination Act (PSDA).
D) OBRA.
2. Which of the following substances need to be assessed when completing a family health assessment?
A) coffee, tea, cola, and cocoa
B) alcohol, tobacco, and illegal substances
C) medicines prescribed by a physician
D) all of the above
3. An appraisal of self-care practices involves an assessment of:
A) all diagnostic tests.
B) home treatment practices, including nurse visits for the sick or disabled.
C) the family - s capability to get health insurance.
D) caregiving needs and the potential for strain.
4. Which of the following is one of the main goals for Healthy People 2010?
A) reduction of health care costs
B) elimination of health disparities
C) investigation of substance abuse
D) determination of an acceptable morbidity rate
5. A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?
A) primary prevention
B) secondary prevention
C) tertiary prevention
D) health promotion
1. Right Answer: A
Explanation: The Good Samaritan laws protect providers of care in an emergency situation. HIPAAs focus is confidentiality of information and right to privacy. The PSDA concerns a clients autonomous decision-making. OBRA was passed in the late 1980s to promote nursing home reform due to quality issues. Coordinated Care
2. Right Answer: D
Explanation: When assessing drug, alcohol, and tobacco practices among family members, a thorough investigation of prescribed, over-the-counter and illegal substance-use practices should be made. Assessment of dietary practices should include the amount and types of food the family eats; the social behaviors associated with dietary practices; and the meal planning, shopping, and preparation practices of the family. Health Promotion and Maintenance
3. Right Answer: D
Explanation: Short-tem stressors impinging on a family include unemployment, being on welfare, the threat of termination, health, hospitalization, convalescence, depression, and suicidal thoughts. Long-term stressors impinging on the family include emotional distance, lack of communication in families (especially within marital relationships), continual geographical movement from one community to the next (so that no stable and sufficient social network is established), a spouses minimal participation in family life, and excessive and frequent drinking bouts. Family strengths include the presence of a social support system, interest in and capability to provide child care, motivation for employment, and financial self-sufficiency, self-care beliefs, values, health-seeking behaviors, and realistic goals and limitations. Health Promotion and Maintenance
4. Right Answer: B
Explanation: Healthy People 2010 has as its main goal elimination of health disparities among the U.S. population.Healthy People 2010 is a set of health objectives for the nation to achieve over the first decade of the twenty-first century and was developed by the Surgeon Generals office. Earlier editions of this report,Healthy People and Healthy People 2000: National Health Promotion and Disease Prevention Objectives established national health objectives and served as the basis for the development of state and community plans. Health Promotion and Maintenance
5. Right Answer: B
Explanation: This client is receiving secondary prevention. The current focus of health care is on preventive care. Leavell and Clark (1965) described the three levels of preventive care as primary, secondary, and tertiary. Secondary preventive care focuses on early detection of disease, prompt intervention, and health maintenance for clients experiencing health problems. Examples of activities at this level are carrying out direct nursing actions (for example, providing wound care, giving medications, exercising arms and legs), assessing children for normal growth and development, and encouraging regular medical and dental screenings and care. Primary preventive care is directed toward health promotion and specific protections against illness. Activities at this level might focus on individuals or groups. Examples of primary-level activities are immunizations, family-planning services, teaching breast self-examination, poison-control information, and accident-prevention education. Tertiary preventive care begins after an illness is diagnosed and treated and is aimed at helping rehabilitate clients and restore them to their maximum level of functioning. Health Promotion and Maintenance
Explanation: The Good Samaritan laws protect providers of care in an emergency situation. HIPAAs focus is confidentiality of information and right to privacy. The PSDA concerns a clients autonomous decision-making. OBRA was passed in the late 1980s to promote nursing home reform due to quality issues. Coordinated Care
2. Right Answer: D
Explanation: When assessing drug, alcohol, and tobacco practices among family members, a thorough investigation of prescribed, over-the-counter and illegal substance-use practices should be made. Assessment of dietary practices should include the amount and types of food the family eats; the social behaviors associated with dietary practices; and the meal planning, shopping, and preparation practices of the family. Health Promotion and Maintenance
3. Right Answer: D
Explanation: Short-tem stressors impinging on a family include unemployment, being on welfare, the threat of termination, health, hospitalization, convalescence, depression, and suicidal thoughts. Long-term stressors impinging on the family include emotional distance, lack of communication in families (especially within marital relationships), continual geographical movement from one community to the next (so that no stable and sufficient social network is established), a spouses minimal participation in family life, and excessive and frequent drinking bouts. Family strengths include the presence of a social support system, interest in and capability to provide child care, motivation for employment, and financial self-sufficiency, self-care beliefs, values, health-seeking behaviors, and realistic goals and limitations. Health Promotion and Maintenance
4. Right Answer: B
Explanation: Healthy People 2010 has as its main goal elimination of health disparities among the U.S. population.Healthy People 2010 is a set of health objectives for the nation to achieve over the first decade of the twenty-first century and was developed by the Surgeon Generals office. Earlier editions of this report,Healthy People and Healthy People 2000: National Health Promotion and Disease Prevention Objectives established national health objectives and served as the basis for the development of state and community plans. Health Promotion and Maintenance
5. Right Answer: B
Explanation: This client is receiving secondary prevention. The current focus of health care is on preventive care. Leavell and Clark (1965) described the three levels of preventive care as primary, secondary, and tertiary. Secondary preventive care focuses on early detection of disease, prompt intervention, and health maintenance for clients experiencing health problems. Examples of activities at this level are carrying out direct nursing actions (for example, providing wound care, giving medications, exercising arms and legs), assessing children for normal growth and development, and encouraging regular medical and dental screenings and care. Primary preventive care is directed toward health promotion and specific protections against illness. Activities at this level might focus on individuals or groups. Examples of primary-level activities are immunizations, family-planning services, teaching breast self-examination, poison-control information, and accident-prevention education. Tertiary preventive care begins after an illness is diagnosed and treated and is aimed at helping rehabilitate clients and restore them to their maximum level of functioning. Health Promotion and Maintenance
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