257 Quiz Questions Exam 1
What is the primary function of an ethical code? A framework for decision making A collection of static rules A group of legally binding values Provides justice for all
A framework for decision-making
What type of credentialing indicated that an individual has achieved a high level of expertise and knowledge in an area of practice? Licensure Certification Professionalism Registration
Certification
To enhance cultural awareness, nursing students need to make an in-depth examination of their own; Motivation and commitment to caring Social, cultural, and biophysical factors Engagement in cross-cultural interactions Cultural background, recognizing personal biases and prejudices
Cultural background, recognizing personal biases and prejudices
What is the best method for nurses to prepare for future professional practice? Take additional courses in the use of computers Understand and explore the issues involved in professionalism as nurses Accept that nursing is a profession Cross-train with other health-care providers such as physical therapists and radiologists
Understand and explore the issues involved in professionalism as nurses
Identify the name of the system of ethical decision-making that is based on the "greatest good" principle Egoism Utilitarianism Jurisdictionalism Theological
Utilitarianism
The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient's input. The patient states, "How is this different from what the doctor does?" Which response would be most appropriate for the nurse to make? "The role of the nurse is to administer medications and other treatments prescribed by your doctor." "The nurse's job is to help the doctor by collecting information and communicating any problems that occur." "Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor." "In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health."
"In addition to caring for you while you are sick, the nurses will assist you to develop an individualized plan to maintain your health."
Define the notion of "thinking like a nurse" related to providing safe patient care. Which of the following support this analogy? Select all that apply The critically thinking nurse will follow standards, policies, procedures, ethic codes, and practice laws Promotes independence, function, comfort & well-being as defined by the patient themselves Think ahead, think in action, think back (reflect on your thinking). Be accountable and responsible-improve care practices & your own knowledge and performance
All the above
Identify key factors when assessing the patient prior to creating a nursing diagnosis. Select all that apply The nurse will collect data The nurse will identify cues and make inferences The nurse will validate & cluster data The nurse will identify patterns & test first impressions
All the above
Implementation is defined as putting the plan into action. Identify which statement supports this definition The golden rule when implementing the plan of care is to remember to assess, re-assess, revise & record Delegate to any staff member as part of your team member to provide quality care Document in the EMR on the patient's progress to keep information up to date with realistic expected outcomes Human responses are unpredictable, therefore be flexible and change your approach as needed in a timely manner
All the above
The following will determine actual & potential problems when formulating a nursing diagnosis (problem identification). The nurse will: Create a list of suspected problems or diagnosis Rule out similar problems & name actual or potential problems, clarify what's causing the problems Determine risk factors that must be managed Identify resources, strengths, and areas for health promotion
All the above
The interdisciplinary care team is in the process of creating a care plan for a recently admitted patient who had fallen & broke her hip. Describe which of the following key questions would you ask yourself upon planning proposing discharge of this patient within the next 90 days. Select all that apply. The team would identify what major outcomes do they expect to see in this particular patient case The team would identify problems, risks, or issues must be addressed to achieve successful recovery The outcomes need to measurable, attainable, realistic, clear & concise The expected outcomes need to be actual, potential problems, specific interventions, & evaluation
All the above
The nurse has been asked to administer a drug by IV push. She is uncertain whether or not this task falls within her scope of practice. The nurse knows that which of the following the BEST sources to refer to for information related to her scope of practice in this situation. Select all that apply Hospital pharmacist Hospital policy and procedure Nurse practice act Ordering physician
All the above
Identify the ethical theory that is based on moral rule and unchanging principles Deontology Justice Virtue Beneficence
Deontology
As nurses achieve increased professional automony, what must they also accept? Legal immunity Decreased workload Ethical accountability Ethical Freedom
Ethical accountability
What is the most significant benefit to a student who belongs to the National Student nurse association Receiving membership benefits such as the "Imprint" newsletter Experiencing firsthand the operation, activities, and professionalism of a national organization Opportunity for scholarships Joining an elite group that has power and control over its members
Experiencing firsthand the operation, activities, and professionalism of a national organization
Which characteristics of health care in ancient civilizations distinguishes it from health care of today Health care was closely related to religious practices Most health care was provided by women Physicians received extensive education in formal schools Health care focus was on wellness
Health care was closely related to religious practices
The nurse interviews a patient while completing the health history and physical examination. What is the purpose of the assessment phase of the nursing process? To teach interventions that relieve health problems To use patient data to evaluate patient care outcomes To obtain data with which to diagnose patient problems To help the patient identify realistic outcomes for health problems
To obtain data with which to diagnose patient problems
Of the following titles which title has the lowest level of education DNP BSN ADN UAP
UAP
Which nursing diagnosis statement is written correctly? Altered tissue perfusion related to heart failure Risk for impaired tissue integrity related to sacral redness Ineffective coping related to response to biopsy test results Altered urinary elimination related to urinary tract infection
Ineffective coping related to response to biopsy test results
Identify the primary purpose of the National League for Nursing Establish standards of practice to ensure high quality care Maintain and improve the standards of nursing education Increase the political power of nurses to influence legislation Prevents unqualified nurse form practice in hospitals
Maintain and improve the standards of nursing education
When nurses are avoiding harm to patients this is an example of which ethical principle Non-maleficence Beneficence Autonomy Veracity
Non-maleficence
Comprehensive quality improvement studies evaluate which of the following: Outcomes (results) & process of how care was given to the patient Examines how health care delivery systems interact & impact on patient outcomes Provides a recognition of the structure (the setting in which care was given) Identifies how teams collaborate with peers and to develop safety nets that prevent errors or catch them early
Outcomes (results) & process of how care was given to the patient Examines how health care delivery systems interact & impact on patient outcomes Provides a recognition of the structure (the setting in which care was given)
The nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation phase of the nursing process? To determine if interventions have been effective in meeting patient outcomes To document the nursing care plan in the progress notes of the medical record To decide whether the patient's health problems have been completely resolved To establish if the patient agrees that the nursing care is provided was satisfactory
To determine if interventions have been effective in meeting patient outcomes
Which contribution by Florence Nightingale had the greatest impact on nursing education Recognizing that formal, systemic education in both theory and practice was essential for the preparation of high quality nurses Advocating that all nurses be educated in universities so that nursing care would meet the standards established by the government Requiring physicians and hospitals to recognize that clinical practice was as important as they theory-based learning obtained in the classroom Enforcing the requirement that all nursing instructors has a master's degree in nursing to provide the highest quality education possible for students.
Recognizing that formal, systemic education in both theory and practice was essential for the preparation of high quality nurses
What is the primary goal of the state board of nursing in establishing licensure of nurses Guarantee of high quality nurses Increase the revenues for the state Set a minimum level of competency to protect the public Maintain high numbers in the profession
Set a minimum level of competency to protect the public
What is the second step in the ethical decision making process Collect, analyze and interpret data State the dilemma Make a decision Evaluate the decision
State the dilemma
A nurse is planning for a patient going to surgery. Who is responsible for providing information to the patient about the surgery along with possible risks, complications and benefits? Family member Surgeon Registered Nurse Nurse Manager
Surgeon
The Code of Ethics for Nurses is composed and published by The American Nurses Association National League for Nursing The American Medical Association The National Institute of Health
The American Nurses Association
The nurse wants to delegate the task of showering an elderly client in a wheelchair to the nursing assistive personnel(UAP). Before delegating a task to the UAP, the nurse should first ensure which of the following is accomplished? The UAP is directly supervised at all times The UAP demonstrated competency for the task during orientation The UAP has performed the task before The UAP has received the assignment during report
The UAP demonstrated competency for the task during orientation
A health care issue can become an ethical dilemma if; Decisions are based on values system The alternative are not clearly right or wrong Decisions must be made quickly under stressful conditions The individuals legal rights and the health care professional obligations are congruent
The alternative are not clearly right or wrong
