EBP Quizzes Final

You volunteer at a free community clinic. A 13-year-old girl presents with chlamydia. The team leader at the clinic advises that: A. care can be provided as long as consent is voluntary and information about treatment and options is provided. B. treatment is provided as long as telephone consent is obtained from a parent or legal guardian. C. the teen is underage and should be referred to the family general practitioner. D. the state-defined age of legal consent is 18; therefore, no treatment can be delivered.

A (care can be provided as long as consent is voluntary and information about treatment and options is provided)

Aspects that contribute to a culture of safety in a health care organization include A. communication. B. primary nursing. C. malpractice implications. D. fear of punishment.

A (communication)

As part of a going-away party for a nurse, photos are taken of colleagues around the unit. A patient is accidentally included in one photo and no consent was obtained. This is an example of: A. invasion of privacy. B. battery. C. defamation. D. assault.

A (invasion of privacy)

What are two major focus areas of The Joint Commission (TJC) in the delivery of health care? A. Safety; quality B. Assessment; evaluation C. Quality; assessment D. Cost containment; safety

A (safety; quality)

The nurse is caring for a patient with diabetes who was admitted with an elevated blood glucose level. The patient is on an insulin pump to deliver one unit of insulin per hour through her intravenous (IV) line. How does this technology improve safety for this patient? A. The pump eliminates the need for providers to be involved in the patient's medication management. B. The pump helps automate a complex care process. C. Sensors in the pump will help regulate the patient's blood glucose to normal levels not the insulin in the pump. D. The pump eliminates all possibilities of any medication errors.

B (The pump helps automate a complex care process)

The nurse manager is aware that conflict is occurring on her unit; however, she is focused on preparing for a state health department visit, so she ignores the problem. What factor can increase stress and escalate conflict? A. Managing the effects of fatigue and error B. The use of avoidance C. An enhanced nursing work force D. Accepting that some conflict is normal

B (The use of avoidance)

In trying to achieve Magnet® status, the chief nursing officer establishes a shared governance model to help nurses experience job satisfaction. However, some nurses who have enjoyed working with less autonomy resist this change and begin to criticize and make rude comments about managers who embrace this model, as well as colleagues who support it. The comments are largely ignored because those who are making them are well established nurses who are often vocal about their displeasure with the organization. Organizational conflict is arising from which of the following? A. Allocation of resources B. Tolerance of incivility C. Staffing practices D. Increased participation in decision making

B (Tolerance of incivility)

By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members: A. do not volunteer unwanted information. B. actively listen to each other. C. listen to the person who believes he or she is an expert. D. do not speak unless they are absolutely sure they are correct in their views.

B (actively listen to each other)

Sarah is a nurse manager in a surgical unit. She is concerned about a conflict between Lucy (a staff nurse) and one of the maintenance personnel. Sarah explains to Lucy that unsatisfactory resolution of the conflict is typically destructive and will result in: A. decreased frustration between the maintenance worker and her. B. decreased productivity on her part. C. a good relationship with the maintenance department. D. eventual resolution of the problem without further intervention.

B (decreased productivity on her part.)

The chief nursing officer plans a series of staff development workshops for the nurse managers to help them deal with conflicts. The first workshop introduces the four stages of conflict, which are: A. frustration, conceptualization, negotiation, and action outcomes. B. frustration, conceptualization, action, and outcomes. C. frustration, cooperation, collaboration, and action outcomes. D. frustration, competition, negotiation, and action.

B (frustration, conceptualization, action, and outcomes)

Two staff nurses are arguing about whose turn it is to work on the upcoming holiday. In trying to resolve this conflict, the nurse manager understands that interpersonal conflict arises when: A. the ways in which people should act do not match the ways in which they do act. B. people see events differently. C. personal and professional priorities do not match. D. risk taking seems to be unavoidable.

B (people see events differently)

The mediator noticed that tension was still evident between the nurse manager and staff members. He informed the chief nursing officer that to begin team building, it would be important that everyone: A. use avoidance techniques when confronted with a conflict. B. work together in a respectful, civil manner. C. socialize frequently outside of work. D. develop a personal friendship with each other.

B (work together in a respectful, civil manner)

In the cardiac intensive care unit, there has been simmering discontent about the new nurse manager, who avoids any discussion about her scheduling and practice decisions. The staff have begun to sort into "different camps" depending on how they feel about the manager or the decisions. Which of the following statements MOST accurately describes this situation? A. The tension that has been generated will result in creative solutions. B. The conflict will result in increased dialogue about practice and scheduling options. C. Patient care may suffer because attention and energy is being diverted toward the unit relationships. D. Staff will become a cohesive group that takes a stand against the manager.

C (Patient care may suffer because attention and energy is being diverted toward the unit relationships)

As a charge nurse, you counsel your RN staff member that they have has their duty of care by notifying a child's physician regarding concerns about deterioration in the child's status at 0330 hours. The physician does not come in to assess the child and does not provide additional orders. The child dies at 0630 hours. As the charge nurse, you could be held liable for what? A. Assault B. Murder C. Professional negligence D. Avoidance

C (Professional negligence)

A staff nurse is taking leadership classes in an advanced degree program The instructor requires the students to create a journal and make notes of their feelings when they experience conflicts at work What is the purpose of this assignment? A. Analyses of student conflicts B. Log of conflicts which occur at work C. Reflection of self-awareness D. Assess conflict management skills

C (Reflection of self-awareness)

A hospital organization is working to improve a feeling of being valued and respected among all staff members. Which action by administration would reinforce the feeling of being valued? A. Form committees that consist of upper management to plan organizational goals. B. Consistently schedule required staff meetings at the same time each month. C. Seek staff input when planning a remodeling project of patient rooms. D. Create professional pathways that require advanced education for placement for any advancement of staff.

C (Seek staff input when planning a remodeling project of patient rooms)

The nurse learns in report that the patient in room 223, Mr. X, has no insurance and entered the country illegally. The nurse provides high-quality care to the other patients to which she is assigned, but is slow to answer Mr. X's call light and is dismissive toward his family. Which nursing value has the nurse violated? A. Autonomy B. Integrity C. Social Justice D. Altruism

C (Social Justice)

A patient suffered a brain injury and has not brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their loved one. The nurse respects this decision in keeping with the nursing value of: A. accountability B. integrity C. autonomy D. nonmaleficience

C (autonomy)

A nurse educator is giving a workshop on conflict. During the sessions, he makes various statements regarding conflict. All of the statements are true except: A. all conflicts involve some level of disagreement. B. horizontal violence involves those with similar status but little power in the larger context. C. conflict can decrease creativity, thus acting as a deterrent for the development of new ideas. D. interprofessional collaboration reduces unresolved conflicts.

C (conflict can decrease creativity, thus acting as a deterrent for the development of new ideas)

While walking past a patient's room, you overhear one of the RN staff telling a patient that the patient has no right to refuse chemotherapy treatment because the family and the doctor think the treatment is the best option for the patient. This patient is 40 years of age and alert. When you meet later to discuss what you heard with the RN, it is important to: A. discuss how statute law enforces the right of the doctor, but not of families, to ensure that patients comply with recommended treatment plans. B. remind the nurse to provide clearer explanations to aid in the patient's comprehension of the treatment and compliance. C. discuss that statute law provides for patient autonomy and refusal of treatment. D. acknowledge the nurse's role in ensuring that she does not fail in her duty of care for the patient.

C (discuss that statute law provides for patient autonomy and refusal of treatment)

The mediator suggested to the unit staff that a group agreement needed to be made so meetings could become productive. For example, the group agreement, "We will speak supportively," prevents: A. efforts to ensure that everyone thinks alike. B. votes that oppose motions. C. gossip and making negative comments about absent team members. D. expression of opposing ideas.

C (gossip and making negative comments about absent team members)

A member of a patient's family calls the nurse manager of the palliative care unit to express concern that a member of the family, who died on the weekend, had requested analgesics from the RNs on duty. An RN came with the analgesic nearly 45 minutes later, just after the patient had died. The manager is aware that the unit was especially busy that weekend because many patients were seriously ill, staff had called in ill, and the staffing manager was unable to completely replace staff who were absent. The manager is deeply troubled that the family member had to die in pain because it violates what she knows should have been done. This manager is experiencing: A. moral sensitivity. B. moral dilemma. C. moral distress. D. compromised agency.

C (moral distress)

A sentinel event refers to an event that: A. could have harmed a patient, but serious harm didn't occur because of chance. B. harms a patient by omission or commission, not an underlying disease or condition. C. signals the need for immediate investigation and response. D. harms a patient as a result of underlying disease or condition.

C (signals the need for immediate investigation and response)

"I really wish that my supervisor would realize and acknowledge all the things I do well." In nursing, this has been identified as a problem. Which statement is part of the solution? Focus on: A. new staff. B. making corrections. C. the strengths of the individual rather than the weaknesses. D. care assignments with which the individual is not familiar.

C (the strengths of the individual rather than the weaknesses)

Nurses entering the work force today are faced with which of the following relationships that could create organizational conflict? (Select all that apply.) A. Nurse-chief nursing officer relationship B. Nurse-patient relationship C. Nurse-auxiliary personnel relationships D. Nurse-nurse relationship E. Nurse-physician relationship

all of the above

As a student nurse at UNMC, you have pledged to: (select all that apply) A. Hold all patient information in confidence B. Grow as a leader in promoting health throughout your community C. Respect those entrusted into your care D. Use EBP in planning and intervening in patient care

all of them

Interventions for building a professional identity include: (select all that apply) A. value debriefing B. be accountable for your learning C. engage in reflection D. develop personal self care habits

all of them

A home health nurse has been assigned to cover a 300-square-mile area of remote Montana. Mrs. Baker has just been discharged home and will need daily contacts for the next week. Because it is not possible to visit Mrs. Baker in person every day and see all of the other clients, the nurse gives her a laptop computer with net meeting software installed. Each morning, both dial in at an agreed-upon time and discuss her progress. The home health nurse assesses whether or not the client needs to be seen that day. This type of technology is called: A. Telecommunications. B. Biomedical technology. C. Knowledge software. D. Distance learning.

A (Telecommunications)

Which of the following is an example of a formal leadership position on a nursing unit? A. Unit manager B. Unit secretary C. Staff nurse D. Nursing assistant

A (Unit manager)

The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say: A. "I'm sorry, but you will have to enter the information using your own password." B. "I'll put the note in for you. What do you want to say?" C. "Just make sure that you sign your note because it's under my password." D. "No problem. Just log me off when you're done.

A ("I'm sorry, but you will have to enter the information using your own password.")

A student nurse is talking with his instructor. The student asks how quality of care is evaluated. What is the BEST response by the instructor? A. "Quality of care is evaluated on the basis of process and outcomes." B. "Quality of care is evaluated by the patient's satisfaction. C. "Quality of care is evaluated by the physician's assessment." D. "Quality of care is evaluated by the patient getting well."

A ("Quality of care is evaluated on the basis of process and outcomes.")

The nursing value that is reflected by the nurse's concern and advocacy for the welfare of patients, other nurses, and other healthcare professionals is which of the following? A. Social Justice B. Autonomy C. Altruism D. Courage

A (Altruism)

Two nurses are discussing health care quality. They agree which action contributes to increased health care quality? A. Collaboration of multiple health care agencies. B. Increased patient education. C. Magnet status hospitals. D. Fewer adverse events.

A (Collaboration of multiple health care agencies)

The head nurse and a staff nurse are having a conflict over how to use and apply a new procedure for dressings in the medical/surgical area. The staff nurse wishes to use the new procedure based on newly released nursing research. The head nurse wishes to use a protocol that has been used in the department for a number of years. The head nurse later makes comments to other staff on her unit about the credibility of the staff nurse. This behavior is associated with: A. bullying. B. lateral violence. C. confrontation. D. horizontal violence

A (bullying)

John is a circulating nurse in the operating room. He is usually assigned to general surgery, but on this day he is assigned to the orthopedic room. He is unfamiliar with the routines and studies the doctor's preference cards before each patient. The fourth patient comes into the room and John prepares a site for a biopsy using a Betadine solution. The surgeon prefers another solution. He notices what John has done and immediately corrects him by rudely insulting John. What is the appropriate approach to conflict resolution in this example? A. Compromising B. Avoiding C. Withdraw D. Collaboration

A (Compromising)

Two nurses on a psychiatric unit come from different backgrounds and have graduated from different universities. They are given a set of new orders from the unit manager. Each nurse displays different emotions in response to the orders. Nurse A indicates that the new orders include too many changes; Nurse B disagrees and verbally indicates why. This step in the process is which of the following in Thomas' stages of conflict? A. Conceptualization B. Frustration C. Outcomes D. Action

A (Conceptualization)

The Fours Agreements (Don Miguel Ruiz) are agreements a person makes with which of the following? A. His boss B. Him- or herself C. Her parents D. Her instructor

A (Him- or herself)

Staff at Valley Hospital are concerned that recent staffing cuts will affect their ability to provide quality patient care, and they express their concerns to senior management. The CEO of Valley Hospital makes the following statement: "We need to contain costs because our funding has been decreased." This is a good example of which of the following conditions that propel a situation toward conflict? A. Incompatible goals B. Competition for resources C. Role conflicts D. Structural conflict

A (Incompatible goals)

In nursing theory, one theorist developed the idea of new nurses progressing to experienced nurses and playing an important role in patient care in all stages. The new nurses follow their role and progress through stages to advanced nurse. Who was this theorist? A. Patricia Benner B. Ida Jean Orlando C. Dorothea Orem D. Robert E. Kelley

A (Patricia Benner)

From the information presented in this chapter, which of the following statements best defines an accomplished team? Effective teams: A. can create a form of synergism in which the outcome is greater than the sum of the individual performances. B. do not necessarily need goals, objectives, vision, and a clearly stated purpose. C. may or may not have a clear plan that is followed and revisited and has an ongoing evaluation scheme. D. do not always have effective communication patterns.

A (can create a form of synergism in which the outcome is greater than the sum of the individual performances)

A nurse manager wants to decrease the numbers of medication errors that occur in her department. The manager arranges a meeting with the staff to discuss the issue. Which of the following would be the most effective approach? A. Recommending that a multidisciplinary team should assess the root cause of errors in medication administration. B. Explaining to the staff that disciplinary action will be taken in cases of additional errors. C. Suggesting that the pharmacy department should explore its role in the problem. D. Changing the unit policy to allow a certain number of medication errors per year without penalty.

A (Recommending that a multidisciplinary team should assess the root cause of errors in medication administration)

In an emergency department, the team uses a whiteboard to track patients and their treatments by name and room. For maximum visibility, the whiteboard is hung on a large wall in a central location where there is frequent traffic by members of the health care team, patients, and patients' family members. Which of the following is being violated? A. Civil law B. HIPAA C. OSHA D. Tort law

B (HIPAA)

A nurse is explaining the pediatric unit's quality improvement (QI) program to a newly employed nurse. Which of the following would the nurse include as the primary purpose of QI programs? A. Preparation for accreditation of the organization by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) B. Improvement of patient outcomes C. Determination of appropriateness of standards D. Evaluation of staff members' performance

B (Improvement of patient outcomes)

A part of the ethical code of conduct for nurses is to: (select all that apply) A. Maintain the integrity of the profession B. Violate HIPPA if necessary C. Collaborate with other health professionals D. Takes care of herself/himself

A, C, D

Common exemplars of professional nursing behaviors include: (select all that apply) A. Courage B. Judgement C. Integrity D. Compassion

A, C, D

One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.) A. consent must not be coerced. B. the patient must sign the consent because the doctor wants him to sign. C. the patient has a right to choose not to consent. D. witnessing a consent is related only to the voluntary nature of the signature.

A, C, D

Which of the following are recognized as one of the 5 tenets of nursing practice: (Select all that apply) A. Caring and health are central to the practice of the RN B. Nursing practice is based on a body of recognized evidence C. Nursing practice is individualized D. Nurses coordinate care by establishing partnerships

A, C, D

An individual in a wheelchair is applying for the position of receptionist in an outpatient clinic. What does the nurse manager understand based on The Americans with Disabilities Act of 1990 requirements for employers? A. Allow modified job expectations for persons recovering from alcoholism. B. Make reasonable accommodations for persons who are disabled. C. Hire disabled individuals before hiring other qualified, nondisabled persons. D. Treat, for purposes of employment, homosexuals and bisexuals as disabled.

B (Make reasonable accommodations for persons who are disabled)

A patient refuses a simple procedure that you believe is in the patient's best interest. What two ethical principles are in conflict in this situation? A. Paternalism and respect for others B. Autonomy and beneficence C. Veracity and fidelity D. Fidelity and justice

B (Autonomy and beneficence)

Jill is the head nurse on a unit in a large hospital. Two of the staff nurses are constantly arguing and blaming each other, and a resolution has not occurred in months. To solve the existing conflict, which is the most creative conflict resolution? A. Compromising B. Collaborating C. Competing D. Avoiding

B (Collaborating)

What type of leadership position is that of a Chief Nursing Officer (CNO)? considered? A. Elected leadership B. Formal leadership C. Personal leadership D. Informal leadership

B (Formal leadership)

A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse's best response? A. "That is true in the 21st century." B. "The focus of effective nursing care is technology." C. "Technology use has to be combined with nursing judgment." D. "If it's so easy, why don't you do it?"

C ("Technology use has to be combined with nursing judgment.")

What is the role of an effective follower? A. Say "yes" I agree to every suggestion put forth by others B. Performing tasks flawlessly C. Being able and willing to influence team members D. Assuming a position submissive to leadership

C (Being able and willing to influence team members)

According to our Yoder-Wise text, what is the first step to becoming an effective leader? A. Getting an advanced degree B. Taking a class on leadership C. Being an effective follower D. Taking a class on management

C (Being an effective follower)

In nursing theory, one theorist developed the theory of self-care of patients. In the theory, the nursing action of providing care and educating the patients can be interpreted in the form of followership for the patient. Who was this theorist? A. Ida Jean Orlando B. Patricia Benner C. Dorothea Orem D. Robert E. Kelley

C (Dorothea Orem)

A student nurse observes that her preceptor handles emotionally laden interactions with patients, families, and other staff in a calm, professional and empathetic manner. Before engaging in these types of interactions, he takes time to think about the situation and what he is going to say. The student identifies this as an example of which of the following types of characteristics? A. Conflict management B. Problem solving C. Emotional Intelligence D. Sympathy

C (Emotional Intelligence)

The nurse manager knows that for change to be successful which of the following must occur? A. Autocratic approach must be used. B. Physicians should be the initiators of change on the unit C. Empowerment of those involved in the change. D. Only RNs should be involved in the change process.

C (Empowerment of those involved in the change)

Nurses need to know how to operate a computer, compare data across time, and look for patterns in client responses to treatments. These are examples of: A. Requirements for nursing licensure B. JCAHO standards. C. Informatics competencies. D. Information systems.

C (Informatics competencies.)

The specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice is: A. Health Informatics. B. Translational Bioinformatics. C. Nursing Informatics. D. Clinical Research Informatics.

C (Nursing Informatics.)

Which ethical principle is primarily involved in informed consent? A. Beneficence B. Veracity C. Nonmaleficence D. Autonomy

D (Autonomy)

The term "authentic" when applied to leadership is defined as which of the flowing? A. Being born into a family with a history of leadership B. Being voted into a leadership position by constituents C. Passing a certification exam D. Being yourself and honest in relationships

D (Being yourself and honest in relationships)

Three gravely ill patients are candidates for the only available bed in the ICU. As the supervisor, you assign the bed to the patient with the best chance of recovery. This decision reflects which of the following ethical principles? A. Autonomy B. Nonmaleficence C. Veracity D. Beneficence

D (Beneficence)

In an ICU, you order new devices to measure heart rhythm and rate, respiratory rate, oxygen levels, and intracranial pressure. These devices involve: A. Internet. B. Retrieval of patient history information. C. Telecommunications. D. Biomedical technology.

D (Biomedical technology)

Benefits for the staff nurse related to the use of health informatics include A. Personal health record. B. Decreased cost of health care. C. Confidentiality of health data. D. Clinical decision support tools.

D (Clinical decision support tools.)

The unit manager was addressing nursing students in the lounge area and was discussing team leadership and team effectiveness. She stated, "One can agree to disagree with another team member's perspective even when one doesn't necessarily see that perspective as being the correct one." In being creative, what did she mean? A. Being compassionate B. Championing one's own opinion C. Being flexible D. Committing to resolution

D (Committing to resolution)

The principle that requires nurses to uphold a professional code of ethics, to practice within the code of ethics, and to remain competent is which of the following? A. Veracity B. Honesty C. Autonomy D. Fidelity

D (Fidelity)

In improvement work, a process change A. Results in a change in the attitude of a team. B. Is a change in the outcome of a given procedure. C. Is a transformational change in which an organizational shift occurs. D. Is a change to the way a task is performed.

D (Is a change to the way a task is performed)

Kala, a unit manager, in discussing a role the CEO would like her to perform, makes the following statement, "I will sit on the hospital task force on improving morale if you send me to the hospital's leadership training classes next week, so I can further develop my skills and thus be more effective." Which of the following conflict management styles is Kala using? A. Collaborating B. Avoiding C. Accommodating D. Negotiating

D (Negotiating)

The Model of Professional Nursing Practice Regulation culminates at the top to represent: A. Institutional policies and procedures B. nurse practice act and rules and regulations C. Foundation: scope and standards of practice D. Self-determination of the nurse in exercising judgements

D (Self-determination of the nurse in exercising judgements)

Who is responsible for developing the scope and standards of nursing practice? A. The National Council of State Boards of Nursing (NCSBN) B. The American Association of of Colleges of Nursing (AACN) C. The National League of Nursing (NLN) D. The American Nurses Association (ANA)

D (The American Nurses Association (ANA))