Instructor Testing Manual For Using and Understanding Mathematics A Quantitative Reasoning Approach 7th Edition By Jeffrey Bennett, William Briggs

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Instructor Testing Manual For Using and Understanding Mathematics A Quantitative Reasoning Approach 7th Edition By Jeffrey Bennett, William Briggs Test Bank For Understanding, Assessing, and Teaching Reading A Diagnostic Approach 8th Edition By James Erekson, Michael Opitz, Roland Schendel Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 3. The nurse is caring for four clients on a medical–surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client’s abnormalities? 1. WBC 14,600 mm3 2. Serum protein 6.9 g/dL 3. I & D (incision and drainage) showing no growth for the last 24 hours 4. Albumin 4.2 g/dL Answer: 1 Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000–10,000 mm3 .) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician. Cognitive Level: Application Client Needs: Physiologic Integrity Nursing Process: Assessment 4. The nurse is orienting a new graduate. The nurse is reinforcing the importance of standard precautions. Which of the following observations by the nurse would require further education regarding standard precautions? 1. The graduate nurse understands to wash hands when entering and exiting the client’s room. 2. The graduate nurse wears gloves when serving breakfast trays to various clients. 3. The graduate nurse wears a gown, gloves, and goggles when suctioning a client. 4. The graduate nurse leaves all supplies in the room of a client who is in contact isolation. Answer: 2 Rationale: The nurse must have an understanding of standard precautions. Prevention is the most important measure to prevent nosocomial infections. Standard precautions were published in 1996 that provide guidelines for the handling of download full file at http://testbankinstant.com blood and other body fluids. These guidelines are used with all clients, regardless of whether they have a known infectious disease. Standard precautions are used by all healthcare workers who have direct contact with clients or with their body fluids. It is not necessary for the nurse to wear gloves while delivering food trays to the client, because there is not contact with the client. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Evaluation 5. The admitting department alerts the nurse on a medical–surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Which type of isolation is appropriate based on the client’s diagnosis? 1. Standard precautions 2. Airborne precautions 3. Droplet precautions 4. Contact precautions Answer: 2 In addition to handwashing and standard precautions, the nature and spread of some infectious diseases require that special techniques be used to protect uninfected clients and workers. The client with pulmonary tuberculosis will be placed in airborne precautions. The client should be placed in a private room with special ventilation that does not allow air to circulate to general hospital ventilation; a mask or special filter respirators will be used for everyone entering the room. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 6. A client is receiving IV vancomycin for the treatment of Clostridium difficile. The nurse understands that the client who develops flushing, tachycardia, and hypotension during the infusion of vancomycin indicates: 1. Ototoxicity effect. 2. Superinfection. 3. Red man syndrome. 4. Hives. Answer: 3 download full file at http://testbankinstant.com Rationale: Vancomycin inhibits cell wall synthesis, and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid “red man” syndrome. The syndrome is characterized by erythematous rash, flushing, tachycardia, and hypotension. Clients can become dizzy and agitated. Cognitive Level: Application Client Needs: Physiological Integrity Nursing Process: Evaluation 7. The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse understands that the trough should be ordered: 1. A few minutes before the next scheduled dose of medication. 2. 1–2 hours after the oral administration of the medication. 3. 30 minutes after the IV administration. 4. During the infusion of the antibiotic. Answer: 1 Rationale: Antibiotic peak and trough levels monitor therapeutic blood levels of the prescribed medication. The therapeutic range—the minimum and maximum blood levels at which the drug is effective—is known for a given drug. By measuring blood levels at the predicted peak (1–2 hours after oral administration, 1 hour after intramuscular administration, and 30 minutes after IV administration) and trough (usually a few minutes before the next scheduled dose), it is also possible to determine whether the drug is reaching a toxic or harmful level during therapy, increasing the likelihood of adverse effects. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 8. The nurse needs to change a dressing on the client’s abdomen. Which of the following techniques should be implemented? 1. Contact precautions 2. Standard precautions 3. Droplet p Western Governors University NURSING UG C229 Leadership Questions and Answers Rated AA 13-year-old female client tells the charge nurse in the pediatric unit that she does not want a male nurse assigned to care for her. Which of the following is the nurse's best response? "I'll change the assignment so a female nurse is caring for you today." - The client has the right to participate in decisions regarding her care. It is not unusual for an adolescent client to be uncomfortable being cared for by a nurse of the opposite sex. Whenever it is feasible, a request such as this should be respected and honored. An 18-year-old client in remission with rhabdomyosarcoma has just been diagnosed with metastasis to the bone. The client says that he does not want to have chemotherapy again. Which of the following statements is consistent with the client's rights? The nurse states, "I can gather information about palliative care for you." - The nurse is acknowledging the client's right to refuse treatment and is demonstrating support by offering to discuss end-of-life care options. After a disaster plan is put into effect, a nurse in a pediatric unit is asked to prepare a list of clients who can be discharged to home due to a local incident involving many child victims. Which of the following clients should the nurse place on the potential discharge list? - A preschooler who has asthma and has scattered wheezes with PRN use of abuterol - A school age child who has a femur fraction in an external fixation device and whose pain is controlled with PRN oral codeine - A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics A preschooler who has asthma and has scattered wheezes that resolve with PRN use of albuterol (Proventil) is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Children who have asthma are most often managed at home once the acute phase of illness has resolved. Because this client's manifestations are responsive to the prescribed medication, this child should do well at home with appropriate discharge teaching and if follow-up care is planned. A school-age child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. External fixation devices are worn for weeks to months: they are most often managed at home once the device is placed and the client has learned how to care for the immobilized limb. This client's pain is responsive to oral codeine. Prior to discharge, the client may need instructions on ambulation and weight-bearing, as prescribed. A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Long-term antibiotic therapy is typically completed in the home following PICC line placement. A visiting nurse can assist this client in home care management. The client's developmental delay has no bearing on whether the client is safe to discharge. An infant who has non-organic failure to thrive, has gained weight since hospitalization, and may be discharged to foster care is incorrect. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. This client's discharge plan is not certain. Note that the option states that the client may be discharged to f t Thi i t th t f it ti th t i t i ll id d i k t h dl i i i t di t it ti Based on recommendations following a regulatory agency visit, the nurse manager mandates a policy change. One of the staff members on the unit is resistant to the change Encourage the nurse to verbalize reasons for resisting the change A charge nurse in an emergency department is making assignments for an assistive personnel for a shift with unexpected staff absences. Escort clients from the emergency department to other areas of the facility for tests A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take? Assign the procedure to a licensed practical nurse (LPN). - This task is within the scope of practice of an LPN. The charge nurse should delegate this task to the LPN. A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict? "I'm not sure whether I want to apply for the unit manager's position or start a family this year." - The nurse's statement indicates an intrapersonal conflict because the nurse is struggling with competing personal and professional values and desires. A charge nurse is evaluating conflict resolution between two staff nurses Accommodation A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? Determine goals and objectives. - According to evidence-based practice, the nurse attempting to make a change or revision to a policy should first develop the initial plan and then determine goals and objectives. Objectives define strategies or implementation steps to attain the identified goals. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? A client who is disoriented and awaiting transfer to a long term care facility A charge nurse is managing conflict with a staff nurse who does not agree with the client assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing? "You always complete your work on time and do a great job. I believe you can handle the assignment well." - The charge nurse is using smoothing as a conflict resolution strategy by complimenting or focusing on shared ideas to reduce the emotional component of the conflict. A charge nurse is observing a group of newly licensed nurses. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? Talking about clients with other nurses in the cafeteria A charge nurse is observing a newly licensed nurse's use of time management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill? Groups tasks that are in the same location - The newly licensed nurse should group tasks that are in the same location to effectively use her time. This prevents the nurse from going back and forth from one area to another. This action promotes effective time-management skills. A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique? The nurse places the sterile package with the top flap opening away from her. - The nurse should place the sterile package on a flat surface so that the top flap opens away from her. This prevents the contents of the sterile package from becoming contaminated. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? "After I finish with the printout of my assignment, I'll put it in the shredder receptacle." - The nurse should shred all computer printouts and worksheets that contain clients' protected health information to maintain client confidentiality. A charge nurse is providing orientation to a new staff nurse regarding the management of a team consisting of a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following instructions by the charge nurse regarding care of a group of clients may result in unsafe practice? The accountability for a task is assumed by the person to whom it is delegated. - This is an incorrect instruction given by the nurse manager that may result in unsafe practice. While responsibility for a task can be delegated, accountability for any delegated task remains with the nurse who delegated the task. TEST-TAKING STRATEGY: This question has a false-response stem; the question is asking for an instruction that may result in an unsafe practice. A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A student nurse is photocopying his assigned client's diagnostic test results. - Photocopying diagnostic test results is a breach of the client's confidentiality and privacy. A charge nurse on a medical-surgical unit is planning care for a client who has dementia and is being admitted for surgery. Which of the following would promote safety when caring for this client? Placing the client in a room near the nurses' station. - The nurse should place the client in a room near the nurses' station and observe the client frequently to reduce the risk of injury. A charge nurse on a pediatric unit is delegating tasks to an assistive personnel who is pregnant and reports that she is unsure of her immune status A 2 year old child who has impetigo contagiosa A charge nurse receives a call from his nursing supervisor about an explosion at a local factory and an urgent need for facility beds a 44 year old client who has asthma and admitted for carpal tunnel surgery A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first? Explore the reasons that staff are not attending the meetings. - According to evidence-based practice the nurse should first identify the reasons that staff are not attending the meetings. A client has Alzheimer's, refuses to take antihypertensive medication, is oriented to time and place, and is able to perform ADLs with minimal supervision. What action should the nurse take? a. crush pills and feed them to client in applesauce b. insist client comply by informing her of possible implications of missing a dose c. notify the provider of need for further evaluation of client's level of competence d. ask client to express her reasons for refusing the medication and document the event d. ask client to express her reasons for refusing the medication and document the event A client in a long term care facility falls out of bed, fracturing his left hip. The side rails on the bed were not raised at bedtime Negligence A client is being transferred to the surgical suite for a procedure when the client suddenly exclaims, "I've changed my mind. I don't want to go through with this!" Which of the following is an appropriate response by the nurse? "Let me call your surgeon while you tell me about your concerns." - This is an appropriate response because the client has the right to refuse treatment. Speaking with the nurse and the provider about concerns or questions may allay anxieties and allow the client to continue with the procedure. Consent may be withdrawn after it's given and clients have the right to change their minds. It is the nurse's responsibility to notify the surgeon if the client verbalizes a desire to stop or delay a medical procedure or treatment. A client is considering having a tubal ligation, and she tells the nurse that she is uncertain if it is the right thing to do. Which of the following is an appropriate response by the nurse? Discuss the client's feelings about the procedure. GCSE GEOGRAPHY 8035/1 Paper 1 Living With The Physical Environment Mark scheme June 2021 Version: 1.0 Final Mark Scheme *216G8035/1/MS* AQA GEOGRAPHY PAPER 1 2021 MARK SCHEME – GCSE GEOGRAPHY – 8035/1 – JUNE 2021 2 Mark schemes are prepared by the Lead Assessment Writer and considered, together with the relevant questions, by a panel of subject teachers. This mark scheme includes any amendments made at the standardisation events which all associates participate in and is the scheme which was used by them in this examination. The standardisation process ensures that the mark scheme covers the students’ responses to questions and that every associate understands and applies it in the same correct way. As preparation for standardisation each associate analyses a number of students’ scripts. Alternative answers not already covered by the mark scheme are discussed and legislated for. If, after the standardisation process, associates encounter unusual answers which have not been raised they are required to refer these to the Lead Examiner. It must be stressed that a mark scheme is a working document, in many cases further developed and expanded on the basis of students’ reactions to a particular paper. Assumptions about future mark schemes on the basis of one year’s document should be avoided; whilst the guiding principles of assessment remain constant, details will change, depending on the content of a particular examination paper. Further copies of this mark scheme are available from aqa.org.uk Copyright information AQA retains the copyright on all its publications. However, registered schools/colleges for AQA are permitted to copy material from this booklet for their own internal use, with the following important exception: AQA cannot give permission to schools/colleges to photocopy any material that is acknowledged to a third party even for internal use within the centre. Copyright © 2021 AQA and its licensors. All rights reserved. MARK SCHEME – GCSE GEOGRAPHY – 8035/1 – JUNE 2021 3 Point marked questions marking instructions The mark scheme will state the correct answer or a range of possible answers, although these may not be exhaustive. It may indicate how a second mark is awarded for a second point or developed idea. It may give an indication of unacceptable answers. Each mark should be shown by placing a tick where credit is given. The number of ticks must equal the mark awarded. Do not use crosses to indicate answers that are incorrect. Level of response marking instructions Level of response mark schemes are broken down into levels, each of which has a descriptor. The descriptor is linked to the assessment objective(s) being addressed. The descriptor for the level shows the average performance for the level. Before you apply the mark scheme to a student’s answer read through the answer and annotate it (as instructed) to show the qualities that are being looked for. You can then apply the mark scheme. You should read the whole answer before awarding marks on level of response questions. Step 1 Determine a level Descriptors for the level indicate the different qualities that might be seen in the student’s answer for that level. When assigning a level you should look at the overall quality of the answer and not look to pick holes in small and specific parts of the answer where the student has not performed quite as well as the rest. If the answer covers different aspects of different levels of the mark scheme you should use a best fit approach for defining the level and then use the variability of the response to help decide the mark within the level, ie if the response is predominantly Level 2 with a small amount of Level 3 material it would be placed in Level 2 but be awarded a mark near the top of the level because of the Level 3 content. For instance, in a 9 mark question with three levels of response, an answer may demonstrate thorough knowledge and understanding (AO1 and AO2) but fail to respond to command words such as assess or evaluate (AO3). The script could still access Level 2 marks. Note that the mark scheme is not progressive in the sense that students don’t have to fulfil all the requirements of Level 1 in order to access Level 2. Step 2 Determine a mark Once you have assigned a level you need to decide on the mark. The descriptors on how to allocate marks can help with this. The exemplar materials used during standardisation will also help. There will generally be an answer in the standardising materials which will correspond with each level of the mark scheme. This answer will have been awarded a mark by the Lead Examiner. You can compare the student’s answer with the example to determine if it is the same standard, better or worse than the example. You can then use this to allocate a mark for the answer based on the Lead Examiner’s mark on the example. You may well need to read back through the answer as you apply the mark scheme to clarify points and assure yourself that the level and the mark are appropriate. Indicative content in the mark scheme is provided as a guide for examiners. It is not intended to be exhaustive and you must credit other valid points. Students do not have to cover all of the points mentioned in the indicative content to reach the highest level of the mark scheme. An answer which contains nothing of relevance to the question must be awarded no marks. MARK SCHEME – GCSE GEOGRAPHY – 8035/1 – JUNE 2021 4 Assessment of spelling, punctuation, grammar and use of specialist terminology (SPaG) Accuracy of spelling, punctuation, grammar and the use of specialist terminology will be assessed via the indicated 9 mark questions. In each of these questions, three marks are allocated for SPaG as follows: • High performance – 3 marks • Intermediate performance – 2 marks • Threshold performance – 1 mark General guidance • Mark schemes should be applied positively. Examiners should look for qualities to reward rather than faults to penalise. They are looking to find credit in each response they mark. Unless the mark scheme specifically states, candidates must never lose marks for incorrect answers. • The full range of marks should be used. Examiners should always award full marks if deserved, ie if the answer matches the mark scheme. • When examiners are in doubt regarding the application of the mark scheme to a candidate’s response, the team leader must be consulted. • Crossed out work should be marked unless the candidate has replaced it with an alternative response. • Do NOT add ticks to level-marked questions – use the highlight tool/brackets to signify what is relevant. • Sometimes there are specific “triggers” in the mark scheme that enable higher level marks to be awarded. For instance, an example or case study may be required for Level 3 if it is stated within the question. • Where a source, such as a photograph or map, is provided as a stimulus it should be used if requested in the question, but credit can often be given for inferred as well as direct use of the source. • Always be consistent – accept the guidelines given in the mark scheme and apply them to every script. • If necessary make comments to support the level awarded and to help clarify a decision you have made. • Examiners should revisit standardised script answers as they apply the mark scheme in order to confirm that the level and the mark allocated is appropriate to the response provided. • Mark all answers written on the examination paper. MARK SCHEME – GCSE GEOGRAPHY – 8035/1 – JUNE 2021 5 Section A Qu Pt Marking guidance Total marks 01 1 Using Figure 1, which natural disaster caused the greatest number of deaths? Earthquake. AO4 – 1 mark 1 01 2 Using Figure 1, which one of the following statements is true? One mark for correct answer: C The two heatwaves in Central Europe and Russia resulted in 126 000 deaths. No credit if two or more answers are circled. AO4 – 1 mark 1 01 3 Explain how living in areas that are at risk from tectonic hazard(s) may have both advantages and disadvantages. Level Marks Description 3 (Detailed) 5–6 AO1 Demonstrates detailed knowledge of the advantages and disadvantages of living in areas a Solutions Manual For Using and Understanding Mathematics A Quantitative Reasoning Approach 8th Edition By Jeffrey Bennett, William Briggs Test Bank For Understanding and Managing Diversity Readings, Cases and Exercises, 7th Edition by Carol P. Harvey M June Allard Michele D Kegley Section 1-5 Test Bank For Understanding, Assessing, and Teaching Reading A Diagnostic Approach 8th Edition (Global Edition) By James Erekson, Michael Opitz, Roland Schendel Test Bank For Introduction to Marine Biology 4th Edition by George Karleskint Chapter 1_20 INTRODUCTION TO MARINE BIOLOGY sparks curiosity about the marine world and provides an understanding of the p rocess of science. Taking an ecological approach and intended for non-science majors, the text provides succinct coverage of the content while the photos and art clearly illustrate key concepts. Studying is made easy with phonetic pronunciations, a running glossary of key terms, end-of-chapter questions, and suggestions for further reading at the end of each chapter. The open look and feel of INTRODUCTION TO MARINE BIOLOGY and the enhanced art program convey the beauty and awe of life in the ocean. Twenty spectacular photos open the chapters, piquing the motivation and attention of students, and over 60 photos and pieces of art are new or redesigned Contents Overview. Preface. PART I: THE OCEAN ENVIRONMENT. 1. Science and Marine Biology. 2. Fundamentals of Ecology. 3. Geology of the Ocean. 4. 4. Water, Waves, and Tides. PART II: MARINE ORGANISMS. 5. Biological Concepts. 6. Marine Microbes. 7. Multicellular Primary Producers. 8. Lower Invertebrates. 9. Higher Invertebrates. 10. Marine Fishes. 11. Marine Reptiles and Birds. 12. Marine Mammals. PART III: MARINE ECOSYSTEMS. 13. Intertidal Communities. 14. Estuaries. 15. Coral Reef Communities. 16. Continental Shelves and Neritic Zone. 17. The Open Sea. 18. Life in the Ocean's Depths. PART IV: HUMANS AND THE SEA. 19. Harvesting the Ocean's Resources. 20. Oceans in Jeopardy. [eBook][PDF] Understanding Health Insurance A Guide to Billing and Reimbursement, 2020, 15th Edition By Michelle Green

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