A nurse educator is discussing National Patient Safety Goals (NPSG) at orientation for new nurse graduates.

For each potential intervention aimed at addressing various National Patient Safety Goals (NPSG), click to specify which intervention is appropriate for each goal.

Ask your client if they are having any difficulty finding transportation to their medical appointments

Upon admission, ask the client if they are taking over the counter supplements

Use SBAR to report off shift to the oncoming nurse

Ask the client for their full name and date of birth

Sociodemographic characteristics such as race, ethnicity, language, income

Answer and Explanation

The Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"C"}}

Use SBAR to report off shift to the oncoming nurse. SBAR (Situation, Background, Assessment, Recommendation) is a standardized communication tool that improves staff communication and ensures essential patient information is clearly and accurately conveyed during handoffs, reducing errors.

Upon admission, ask the client if they are taking over-the-counter supplements. Medication reconciliation is a critical part of patient safety. Over-the-counter supplements can interact with prescribed medications, so identifying all substances a patient is taking helps prevent adverse drug interactions and medication errors.

Ask your client if they are having any difficulty finding transportation to their medical appointments. Transportation barriers contribute to health disparities and can prevent patients from accessing timely medical care. Identifying and addressing these challenges aligns with efforts to improve health care equity.

Sociodemographic characteristics such as. Collecting sociodemographic information (e.g., race, ethnicity, language, income) helps identify disparities in health outcomes and care access. Addressing these factors is essential for achieving equitable health care delivery.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

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Correct Answer is {"dropdown-group-1":"A"}

Explanation

The most likely cause of the client’s condition based on the nurse’s observation is potential physical abuse and neglect by the caregiver.

Potential physical abuse and neglect by the caregiver. The presence of bruises in various stages of healing, malnutrition, poor hygiene, and fearful behavior suggests possible elder abuse and neglect. The caregiver’s agitation when questioned further raises suspicion. The nurse should follow facility protocols and report concerns to appropriate authorities for further investigation.

Medications that cause spontaneous bruising and skin changes in elderly individuals. While aspirin can increase the risk of bruising, it does not explain the signs of malnutrition, poor hygiene, and fearful behavior. These additional findings suggest a broader concern beyond medication side effects.

Poor dietary intake and lack of proper medical care due to the client's advanced age and disease. While dementia and heart disease can contribute to nutritional challenges, they do not account for unexplained bruising, fearfulness, or a caregiver’s defensive behavior. Malnutrition in this case is more likely due to neglect rather than disease progression.

Chronic illness leading to frailty and easy bruising. Chronic illnesses can make elderly individuals more vulnerable to bruising and weakness, but they do not explain poor hygiene, malnutrition, or the client's fearful demeanor, which are more indicative of abuse or neglect.

A. "I promise I won't tell anyone about this." B. "Let's discuss what happened with your family here." C. "Your family is bad for doing this to you." D. "It is not your fault that this happened."

Correct Answer is D

Explanation

A. "I promise I won't tell anyone about this." This statement is inappropriate because nurses are legally required to report suspected or confirmed child abuse. Making a promise to keep the abuse confidential could create false trust and prevent necessary intervention.
B. "Let's discuss what happened with your family here." Discussing the abuse in front of the family could put the child at further risk of harm and may make them feel unsafe. The child should be given a private and secure environment to share their experience.
C. "Your family is bad for doing this to you." Labeling the family as "bad" may cause the child to feel guilty, conflicted, or responsible for their family member's actions. A more supportive and nonjudgmental approach helps the child feel safe and reassured.
D. "It is not your fault that this happened." This is the best response because children often blame themselves for abuse. Reassuring them that they are not responsible helps alleviate feelings of guilt and fosters emotional healing while building trust in the nurse.

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A nurse educator is discussing National Patient Safety Goals (NPSG) at orientation for new nurse graduates. For each potential intervention aimed at addressing various National Patient Safety Goals (NPSG), click to specify which intervention is appropriate for each goal.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Complete the following sentence by using the list of options. The most likely cause of the client’s condition based on the nurse’s observation isdropdown

Correct Answer is {"dropdown-group-1":"A"}

Explanation

A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?

Correct Answer is D

Explanation

A nurse is educating a group of clients about complementary and integrative therapies. Which of the following statements about these therapies are curate?

A correctional nurse is caring for a client who was recently injured in the facility. The client is complaining of pain but is not due to receive any more pain medication for a while. Which of the following interventions could the nurse include to achieve the goal of pain relief?

Exhibits The nurse is reviewing provider orders for Mrs. Thompson who is in the end- of-life stage. Match each provider order with its appropriate category: anticipated, nonessential, or contraindicated. Select the correct category for each given order.

A nurse is educating a client about the wellness-illness continuum. Which of the following statements by the client indicates an understanding of the concept?

A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

A nurse is educating a client about their responsibilities in managing their chronic condition. Which of the following statements by the client demonstrates an understanding of their healthcare responsibilities?

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

A nurse educator is discussing National Patient Safety Goals (NPSG) at orientation for new nurse graduates.

For each potential intervention aimed at addressing various National Patient Safety Goals (NPSG), click to specify which intervention is appropriate for each goal.