HESI LPN
Leadership and Management HESI Quizlet
1. A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?
- A. Assault
- B. False imprisonment
- C. Battery
- D. Libel
Correct answer: C
Rationale: The correct answer is C, 'Battery.' Administering the injection without the client's consent constitutes battery. Assault involves the threat of harm, not the actual act. False imprisonment is restraining a client against their will, which does not apply here. Libel refers to a false written statement, which is not relevant in this scenario.
2. Which nonpharmacological technique involves the use of electronic monitoring equipment while the patient controls basic bodily mechanisms?
- A. Meditation
- B. Visualization
- C. Biofeedback
- D. Chiropractic
Correct answer: C
Rationale: The correct answer is C: Biofeedback. Biofeedback is a nonpharmacological technique that uses electronic monitoring equipment to provide real-time data on physiological processes such as heart rate, muscle tension, and skin temperature. Through this feedback, patients learn to control and regulate these bodily functions voluntarily. Choice A, Meditation, involves focusing the mind and reducing stress through techniques like mindfulness or deep breathing, but it does not specifically rely on electronic monitoring equipment. Choice B, Visualization, is a technique where individuals imagine peaceful scenes to promote relaxation and reduce anxiety, and it also does not involve electronic monitoring. Choice D, Chiropractic, is a healthcare profession that focuses on the diagnosis and treatment of musculoskeletal disorders through manual adjustments and manipulation, which is unrelated to the use of electronic monitoring equipment for controlling bodily functions.
3. What are the six levels of consciousness from the most to the least responsive level of consciousness? Number all six using 1 as the most conscious and 6 as the least conscious.
- A. Obtunded, Confused, Lethargic, Comatose, Stuporous, Alert
- B. Confused, Lethargic, Obtunded, Stuporous, Comatose, Alert
- C. Lethargic, Obtunded, Confused, Stuporous, Comatose, Alert
- D. Alert, Confused, Lethargic, Obtunded, Stuporous, Comatose
Correct answer: D
Rationale: The correct order of the six levels of consciousness from most to least responsive is Alert, Confused, Lethargic, Obtunded, Stuporous, Comatose. Choice A is incorrect because it starts with Obtunded, which is less responsive than Alert. Choice B is incorrect as it doesn't follow the correct order. Choice C is incorrect as Lethargic is more responsive than Obtunded. Therefore, the correct answer is D.
4. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage cancer to an experienced assistive personnel (AP). Which of the following assessments should the nurse make before delegating care?
- A. Is the client's family present so the AP can show them how to turn the client?
- B. Has data been collected about specific client needs related to turning?
- C. Does the AP have time to change the client's central IV line dressing after turning her?
- D. Has the AP checked the client's pain level prior to turning her?
Correct answer: B
Rationale: Before delegating the task of bathing and turning a client with end-stage cancer to an experienced assistive personnel (AP), the nurse must assess specific client needs related to turning. This assessment ensures that the delegated care is tailored to the client's individual requirements, promoting safe and effective care. Option A is incorrect because the presence of the client's family is not directly related to assessing the client's specific needs for turning. Option C is incorrect as it refers to a different task (changing the central IV line dressing) and is not directly related to the turning assessment. Option D is incorrect as checking the client's pain level, although important, is not directly related to the specific needs related to turning the client.
5. What is the primary goal of public health?
- A. To focus on individual patient care
- B. To improve the health of populations
- C. To reduce healthcare costs
- D. To increase hospital admissions
Correct answer: B
Rationale: The primary goal of public health is to improve the health of populations by focusing on prevention, health promotion, and addressing the social determinants of health. Choice A is incorrect because public health looks at health from a population perspective rather than focusing on individual patient care. Choice C, while a potential benefit, is not the primary goal of public health. Choice D is incorrect as increasing hospital admissions is not a goal of public health; in fact, public health aims to prevent unnecessary hospitalizations through preventive measures.
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