LPN to RN Final questions

During orientation, the RN is working with a new physician. The new graduate RN did not recognize that a new medication was ordered for the patient a short time ago and has not given it yet. The physician yells at the RN in front of the patient, stating "They should have had this by now!" Which action by the RN demonstrates assertive communication? -"I am so sorry, I am new, I have just been so busy." -"If it was so important you should have called me and told me." -"You can't talk to me like that!" -"I would like to speak with you in the hallway."

"I would like to speak with you in the hallway."

The RN is caring for an elderly patient who has not had any family visit since their admission. The patient is tearful and says to the RN "Just let me die dear, I have nothing left to live for. I have no one who loves me anymore." Which response by the nurse demonstrates therapeutic communication? -"You have everything to live for." -"Everyone feels this way when they are isolated from their family." -"Why do you think no one loves you?" -"You are feeling sad?"

"You are feeling sad?"

During a community health fair, the disaster medical assistance team (DMAT) informs participants that every community must be ready to provide disaster care. A participant asks, "In a disaster, the local community cannot possibly be effective, so why not have a plan to call federal agencies immediately to provide relief?" How should the DMAT respond to this question? -"Unless known terrorist activities involving mass destruction occur, the federal government does not become involved." -"The community is essentially the 'first responder' to any disaster." -"The preparedness phase of a disaster is the responsibility of the community, the relief response phase is assigned to state agencies, and the recovery phase is the responsibility of federal agencies." -"Unless local health care facilities are incapacitated, state and federal agencies will withhold assistance."

-"The community is essentially the 'first responder' to any disaster."

What workplace factor has been found to contribute to the nursing shortage? -Movement of nurses into acute care settings -The use of unlicensed assistive personnel to replace RNs -A severe lack of males who have chosen nursing as a career -An aging nursing workforce

-An aging nursing workforce

A nurse walks up to a computer in the hallway and presses the index finger to the sensor, thereby gaining access to patient data. A few moments later another nurse performs the same steps and is granted access. A visitor who is watching from a room walks over and places the index finger on the sensor, only to receive an "error and access denied" message. This security feature is a result of what form of technology? -Robotics -Biometric -Telehealth -Ubiquitous computing

-Biometric

Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. What term is used to refer to this practice? -Governmental reimbursement -Price sharing -Cost shifting -Charity

-Cost shifting

What should the RN do when asked to accept a patient assignment that he or she may feel unqualified to manage? -Accept the assignment as appropriate if assigned by a legitimate power. -Be primarily concerned with the number of patients being assigned. -Ask how other nurses have handled the assignment in the past. -Determine whether he or she is familiar with the types of patients being assigned.

-Determine whether he or she is familiar with the types of patients being assigned.

An older adult client was admitted to the hospital with the condition classified as "pneumonia." Reimbursement for care was based on a predetermined fixed price. What is this classification system referred to as? -Diagnosis-related groups (DRGs) -Subjective symptom management -Acuity classification system -Organized managed care

-Diagnosis-related groups (DRGs)

The Institute of Medicine (IOM) (2003) recommends that electronic health records (EHR) systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information? -Health information and data capture -Results/data management -Provider order entry management -Clinical decision support

-Health information and data capture

What is the key to organizational success for health care facilities? -Recruiting younger, more energetic nurses -Offering incentives such as sign-on bonuses -Hiring highly qualified advanced practice nurses -Making effect to retaining practicing professional nurses

-Making effect to retaining practicing professional nurses

A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. What information is the nurse likely to learn at the committee meeting? -Older nurses are being encouraged to retire so that younger, more efficient nurses can practice. -Magnet hospitals can attract nurses with sign-on bonuses and flexible work hours but fail to retain nurses because insufficient autonomy over professional practice is provided. -Multitasking is seldom desired by the younger generation of nurses. -Many younger workers are less concerned with longevity and are willing to change institutions to achieve professional advancement and flexible work hours.

-Many younger workers are less concerned with longevity and are willing to change institutions to achieve professional advancement and flexible work hours.

A new nurse is wondering about the various types of health insurance. Which of the following are true: -Medicaid is for people over 65 -Medicare is for people with disabilities and over the age of 65 -HMO only covers providers at a hospital -PPO coverage allows you to pick your providers without referrals

-Medicare is for people with disabilities and over the age of 65

In the last years what have studies conducted to determine enrollment trends in nursing schools found related to the predicted nursing shortage? -A greater number of individuals chose nursing as a career but could not meet entrance requirements. -More young people chose to enter the profession of nursing. -Fewer career opportunities exist in the profession of nursing and fewer opportunities are projected to exist for women. -Men have dominated the profession, and women feel that they have experienced discrimination.

-More young people chose to enter the profession of nursing.

Hospitals surveyed nurses who terminated their employment to determine why they chose to leave. What is one of the most common reasons nurses are leaving hospital practice? -Decreased pay for alternative shifts -Nurse/patient ratio prevents safe care. -Facilities are choosing an all-RN staff, which decreases opportunities for advancement. -Agency and foreign nurses are favored by administration over full-time nursing staff.

-Nurse/patient ratio prevents safe care.

What statement accurately describes findings when paper-and-pencil medical records are compared with computer-based records? -Paper-and-pencil records provide controls to determine who has viewed the health information. -Information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records. -Patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used. -Patients must sign for each item of information released on the computer record.

-Patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used.

Soon, the largest segment of the population will be those over age 65 years. To advocate for this vulnerable population, a nurse was a strong supporter for the Medicare Modernization Act (Medicare Part D), which focuses on what? -Providing vision care benefits to elderly persons who were diagnosed as legally blind -Removing limits to access to mental health/substance abuse services which are the most commonly used service in this population -Providing coverage for medications for Medicare enrollees that constituted a huge expense for the elderly -Expanded the practice opportunities for advanced practice registered nurses (APRN) who provide the majority of care for this population

-Providing coverage for medications for Medicare enrollees that constituted a huge expense for the elderly

Match the term with the best possible statement or definition -Research -Evidence based practice -Continuous Quality Improvement A. Focuses on the scientific method B. Focuses on the use to supporting data C. Focuses on a system or process to measure

A-Research B-Evidence based practice C-Continuous Quality Improvement

When differentiating between slander and libel, the nurse knows that libel is characterized by what action? A. Defamation caused by subjective comments written in the nurse's notes B. Negative subjective comments made to those who are not providing care C. Repeating prejudiced comments made by the primary caregiver to a neighbor at the local supermarket D. Verbally describing to the oncoming nurse assigned to the client objective data that place the client in a negative light

A. Defamation caused by subjective comments written in the nurse's notes

The nurse on a medical surgical floor is receiving an admission from the Emergency Department. In report, the RN learned that this patient has a cognitive impairment. Based on this knowledge, the RN anticipates needing to allocate more time for the completion of which task: A. History taking B. Physical assessment C. Creating a plan of care D. performing a readmission risk assessment

A. History taking

The primary health care provider who insists on providing treatment in spite of the client's wishes because "I know best" is reflecting an attitude referred to as what? A. Paternalism B. Autonomy C. Justice D. Beneficence

A. Paternalism

Which therapeutic communication technique is most helpful when working with transgender patients? A. Using open-ended questions B. Using their first name to address them C. Using the pronouns associated with their birth gender D. Anticipating their needs and making suggestions

A. Using open-ended questions

The RN is preparing education for clients who are classified as members of special populations. Which teaching method is considered to be most effective when providing instructions to members of special populations? A. teach-back B. Video instruction C. Written materials D. Verbal explanation

A. teach-back

The RN would question an order for which of the following medications, if prescribed for a homeless veteran with a substance use disorder? Select all that apply A. Clonidine (Catapres) for hypertension B. Ibuprofen (Motrin) for join pain C. Clozapine (Clozaril) for the negative symptoms of schizophrenia D. Topical lidocaine patch for low back pain

A., B., C. -Clonidine (Catapres) for hypertension -Ibuprofen (Motrin) for join pain -Clozapine (Clozaril) for the negative symptoms of schizophrenia

A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (Select all that apply.) A. A client falls while in the shower, after being instructed not to get up alone. B. The client is crying and distraught when learning of a diagnosis of cancer. C. The registered nurse is not available to complete the preoperative checklist. D. The nurse is unable to carry out orders written by the specialist because of illegibility. E. An intravenous antibiotic given preoperatively does not infuse because of a faulty pump.

A., C., D., E. A. A client falls while in the shower, after being instructed not to get up alone. C. The registered nurse is not available to complete the preoperative checklist. D. The nurse is unable to carry out orders written by the specialist because of illegibility. E. An intravenous antibiotic given preoperatively does not infuse because of a faulty pump.

Throughout their careers, nurses are in an ongoing state of acculturation, gaining experience from formal nursing school classes, clinical experiences, and the ethical issues they encounter in their clinical practice. What are the ideal outcomes of these ongoing experiences with cultural decision making? (Select all that apply.) A. Confidence to make decisions based on experience and ethical intelligence B. Authority to make ethical decisions independently that meet personal moral beliefs C. Improved clinical decision making and advocacy for patient autonomy D. Increased trustworthiness E. Enhanced ability to take into consideration many aspects of ethical situations

A., C., D., E. A. Confidence to make decisions based on experience and ethical intelligence C. Improved clinical decision making and advocacy for patient autonomy D. Increased trustworthiness E. Enhanced ability to take into consideration many aspects of ethical situations

A new nurse asks, "Since electronic medical records (EMR) can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts"? What barriers to a universal health information infrastructure exist? (Select all that apply.) A. Competition from individual companies to build EMR prevents a universal infrastructure. B. Cost is prohibitive even with federal funding for larger health care systems. C. Preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making. D. Insurance companies have halted sharing of some patient data due to fear of law suits. E. The full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.

A., E. -Competition from individual companies to build EMR prevents a universal infrastructure. -The full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.

The RN understands that they have a duty to act and are responsible for their actions or inactions, decisions, and choices they make. This best describes the concept of: -Leadership -Delegation -Accountability -Interprofessional collaboration

Accountability

A hospital's policy requires that all nurse managers must have a minimum of a bachelor's degree in nursing. A BSN nurse new to the hospital has recently been hired as nurse manager for the oncology unit. An RN who has worked on this unit for many years is unable to be promoted to a nurse manager position because of his educational status and has been commenting to physicians and staff, "The new nurse manager has book sense but no leadership abilities." What is the best approach that can be used by the new nurse manager who is attempting to gain the trust and respect of the nursing staff on the unit? -Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication. -Send memos to all staff except the upset nurse to invite them to a luncheon. -Assign the upset nurse to committees that do not directly affect that nursing unit. -Ask management to transfer the upset nurse to another unit.

Acknowledge the clinical expertise of the upset nurse and clearly explain the expectations for teamwork and open, honest communication.

Which task is most likely to be considered in a state's practice act as appropriate to delegate to a LPN/LVN if the patient's condition is stable and competence in the task has been established? -Teach a patient how to instill eye drops for glaucoma. -Develop a plan of care for a stable patient admitted for observation after a head injury. -Administer an enema for an elective surgery patient. -Administer an antiarrhythmic medication IV while interpreting the patient's rhythm on the cardiac monitor.

Administer an enema for an elective surgery patient.

A nursing graduate is attending an agency orientation regarding the nursing model of practice implemented in the health care facility. The nurse is told that the model is a team nursing approach. The nurse determines that which scenario is characteristic of the team-based model of nursing practice? -Each staff member is assigned a specific task for a group of clients -An RN leads 2 LPNs and 3 LNAs in providing care to a group of 12 clients. -A single RN is responsible for providing care to a group of 6 patients with the aid of an LNA -A staff member is assigned to determine the client's needs at home and begin discharge planning

An RN leads 2 LPNs and 3 LNAs in providing care to a group of 12 clients.

A PN ending their shift reports to the RN that a newly hired LNA has not calculated their intake and output for several clients. Which of the following actions should the RN take? -Complete an incident report -Ask the LNA if they need assistance -Delegate this task to the PN -Notify the nurse manager

Ask the LNA if they need assistance

An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation? Democratic or Participative Laissez-faire Authoritarian or Autocratic Transformational

Authoritarian or Autocratic

A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager dose not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? -Competition -Accommodation -Avoidance -Compromise

Avoidance

Which statement made by an RN regarding delegation indicates the need for additional teaching? (Select all that apply.) A. Responsibility can be delegated to the UAP, but the delegator retains accountability. B. Unlicensed assistive personnel (UAP) can assess vital signs during the first 5 minutes for a patient who is receiving a blood transfusion because a reaction now is unlikely. C. When dopamine is ordered continuously, the LPN/LVN can administer dopamine at a low dose for increasing renal perfusion. D. An LPN/LVN can administer a PPD (tuberculin skin test) if there is no history of a positive PPD. E. UAPs can transfer a patient who is being discharged home from the wheelchair to the bed if they have received training and demonstrated competency.

B, C, D The statement "UAPs can assess vital signs during the first 5 minutes for a patient who is receiving a blood transfusion because a reaction at this time is unlikely" indicates the need for further teaching because the patient is at highest risk of a reaction during the first few minutes of a blood transfusion; thus, the assessment skills of an RN are required. The statement "an LPN/LVN can administer a PPD (tuberculin skin test) if there is no history of a positive PPD" indicates the need for further teaching because administration of intradermal medication requires the skill of an RN. Dopamine is a vasoactive drug that can have a profound effect on a patient's blood pressure and cardiac output; administration requires the assessment and evaluation skills of an RN.

A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean? A. A member of a professional organization who supports the organization's political issue B. A citizen who is registered and is eligible to vote for a representative C. An elected official who proposes legislation to be considered as a potential law D. A member of the House of Representatives who is seeking support for a particular bill

B. A citizen who is registered and is eligible to vote for a representative

When reading about nursing as a career, a student is interested in learning about violence in the profession. Which statement accurately reflects violence in health care and the profession of nursing? A. Nursing is the most trusted profession and therefore violence is rare. B. All nurses should be advocates for violence prevention programs. C. Physical violence between peers constitutes lateral violence; however, verbal assault is not recognized as violence. D. Professional organizations have recognized a need to evaluate all nurses for the risk of committing acts of violence.

B. All nurses should be advocates for violence prevention programs.

A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office. The nurse should contact what organization? A. National Registry for Candidates B. American Nurses Association Nurses C. National League of Nurses D. National Council of State Boards of Nursing

B. American Nurses Association Nurses

A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation. Which action by the nurse should have the greatest impact on passage of the bill? A. Explain the rationale for the bill to the school board. B. Contact the elected representative's office by telephone to request support for the bill. C. Support a health advocate to run for election as state representative. D. Tell all students about the bill.

B. Contact the elected representative's office by telephone to request support for the bill.

A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, "These rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do." The nurse is exhibiting behavior associated with what belief? A. Stereotyping B. Ethnocentrism C Cultural accommodation D. Empathy

B. Ethnocentrism

The principle of autonomy is best supported by what intervention made available to palliative care patients? A. Arranging for in-home health care B. Helping the patient decide on the details of their advanced plan of care C. Conducting a thorough performance status screening on the patient D. Addressing the patient's specific pain management needs

B. Helping the patient decide on the details of their advanced plan of care

The RN is working on a very busy acute care medical-surgical floor that is currently short staffed. When planning care for the large group of patients, the RN is aware that it is safe and appropriate to delegate which of the following tasks to the LNA? A. Disconnecting and reconnecting IV tubing B. None of these can be delegated to the LNA C. Titrating oxygen therapy D. Calling for MD orders E. Pronouncement of death F. Reassessment after medication administration

B. None of these can be delegated to the LNA

A peaceful death is best characterized by which terminally ill patient? A. One who is surrounded by family B. One who has drifted from lethargy to coma C. One who has advanced directives in place D. One who uses meditation to help manage pain

B. One who has drifted from lethargy to coma

The RN in the prison system is caring for a patient who is complaining of abdominal pain. The RN is aware that patients in this setting have an increased risk of: A. Gastroenteritis and poor dentition B. Rape, TB, and STIs C. Lack of access to clean water and preventative health care D. Early death related to chronic illness, substance use, and environmental exposure

B. Rape, TB, and STIs

A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. The nurse is not required to join or pay fees to the union based on which law? A. National Labor Relations Act B. Right-to-work law C. National Labor Relations Act D. Taft-Hartley Act

B. Right-to-work law

Which components must be included regarding informed consent? (Select all that apply.) A. Communication of the estimate cost involved B. Acknowledgement of alternative therapy C. Identification of risks for non-treatment D. Identification of known risks E. Discussion of expected benefits

B., C., D., E. B. Acknowledgement of alternative therapy C. Identification of risks for non-treatment D. Identification of known risks E. Discussion of expected benefits

A terrorist incident has occurred, resulting in a possible exposure to smallpox. What term would be used to classify this incident? -Chemical -Biologic -Radiologic -Nuclear

Biologic

A blood reaction occurrence is noted in a client who did not receive pretransfusion care as clearly documented in the facility's policies and procedures. The nurse providing care is liable for which legal tort? A. Comparative negligence B. Involuntary tort C. Criminal negligence D. Punitive damages

C. Criminal negligence

Nurses in a nonprofit hospital have expressed an interest in forming a union to secure fair wages and ensure client safety. To form a core support group of nurses, where should the union organizer conduct meetings to gather initial information? A. Away from the worksite with a group of managers to learn both sides of the situation B. At the worksite with staff nurses who are respected leaders C. In homes or local businesses with staff nurses D. At the facility to discuss nursing concerns

C. In homes or local businesses with staff nurses

In recent Gallop Polls, nurses were voted as the most honest with the highest ethical standards of all professions. How does this degree of professionalism affect nurses' desire to participate in organized strikes? A. Nurses most often turn to collective bargaining strategies such as strikes to emphasize client safety initiatives. B. Nurses use evidence-based studies that reflect both management and labor views to support participation in unionization. C. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession. D. Nurses who strike can be legally punished for abandonment and negligence, considered to be professional misconduct.

C. Nurses often find union activities such as strikes in conflict with the need to serve and protect clients and their profession.

What is the initial step when addressing an ethically challenging situation? A. Gather all the relevant facts about the situations. B. Identify all those who are involved in the situation. C. Review the overall situation to identify the core issues. D. Determine what the ethical dilemma is.

C. Review the overall situation to identify the core issues.

When can a nurse detain a client by implementing restraints? A. Staffing resources are insufficient to monitor a patient. B. The family requests the restraints to prevent the client from leaving the facility. C. There are current prescribed instructions for their use. D. The client is demonstrating behaviors associated with confusion.

C. There are current prescribed instructions for their use.

An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics? A. Autonomy B. Utilitarianism C. Veracity D. Deontology

C. Veracity

A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The nurse remains silent while listening and then says "Ok, do you need anything before I move on to my next patient?" The nurse has used which nontherapeutic communication technique? -Changing the subject -Giving advice -False reassurance -Disapproving

Changing the subject

The RN is checking the dressings on a patient who is day one postoperative major abdominal surgery. The LNA when comes into the room and states "I just spoke to the surgeon, Dr. Sonso, and they want you to give another dose of their pain medication before they come to see the patient in 30 minutes." The RN should: -Administer the dose of medication as requested by the physician -Tell the physician not to talk to the LNA -Consult the EMAR to see if there is a dose that can be given -Refuse to medicate the patient

Consult the EMAR to see if there is a dose that can be given

How is the term Ethics as applied to nursing best defined? A. Rules for providing competent care that is based on scientific principles B. Doing what is best for the client C. Making good decisions about care D. Care based on keeping with the values of the client

D. Care based on keeping with the values of the client

A nurse who functions in the role of team leader can be held negligent for matters involving what focus? A. Policies and procedures B. Staff discipline C. Adequate training D. Delegation

D. Delegation

A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting. This is an important time for the nurse to implement what action? A. Educating the public about the nurse's political platform B. Being spontaneous and not deliver a rehearsed speech C. Addressing the person as "candidate" rather than using a first name that implies a working relationship D. Learning what the key issues are in the candidate's platform

D. Learning what the key issues are in the candidate's platform

A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility? A. The Patient Safety and Quality Improvement Act B. Health Insurance Portability and Accountability Act C. Patient Self-Determination Act D. The Emergency Medical Treatment and Active Labor Law

D. The Emergency Medical Treatment and Active Labor Law

A nurse testifies at trail that a professional with the knowledge and skill of an RN should understand that, before administering digoxin, the client's potassium level and pulse level is always checked to prevent negative effects on cardiac output. The nurse's testimony as to what constitutes reasonable care is based on what criteria source? A. The doctrine of res ipsa loquitur B. The legal definition of the informed consent process C. The concept of governmental immunity D. The legal definition of standard of care

D. The legal definition of standard of care

Which patient's decision-making capacity should be a concern for the palliative care nurse? A. The one who asks, "Why do I need palliative care?" B. The one whose family is used to being consult about decisions affecting the patient C. The patient who has expressed concerns about "all the decisions I have to make" D. The patient with a diagnosis of moderate Alzheimer's disease

D. The patient with a diagnosis of moderate Alzheimer's disease

A manager on a unit recognizes that there has been an increase in patient falls recently. After reviewing the event reports and discussing the events with the people involved, the manager creates a learning activity related to the policies and procedures in place to ensure safety. The manager offers an incentive to the unit and shift with the least amount of falls in the next quarter. This is an example of which function of management? Directing Controlling Organizing Planning

Directing

The RN is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP? -EBP emphasizes the use of best evidence with the RN's experience -EBP relies on tradition for support of best practices -EBP is simply the use of best practice techniques for the treatment of patients -EBP does not consider the patient's own preferences as important

EBP emphasizes the use of best evidence with the RN's experience

Which of the following strategies should a nurse use to establish a helping relationship with a client? -Allow communication to occur spontaneously through the nurse-client relationship -Make sure the communication is equally distributed between the nurse's and client's desires -Give the nurse-client communication no time limits -Encourage the client to communicate their thoughts and feelings

Encourage the client to communicate their thoughts and feelings

What situation demonstrates a nurse engaging in active listening? -While assessing the patient's vital signs, the nurse records the data and states, "You are improving, your vital signs are normal." -Eye contact is maintained while focusing on the patient as the patient describes the current pain level and location. -The nurse states, "I know how you feel, I recently lost my father and I am still hurting." -The nurse has cultural values that are in opposition to the patient but shares that "I agree with your decision to use herbs rather than the prescribed medications.

Eye contact is maintained while focusing on the patient as the patient describes the current pain level and location.

The RN has just reviewed a research article that presents new evidence on how to promote rest in patients on acute care floors. Which statement most correctly demonstrates an understanding of how to apply this new knowledge? -Treat all patients the same, regardless of race, gender, or culture -Individualize the plan of care based on personal, social, cultural, and religious preferences of the patient -Individualize the plan based on the preferences of the RN -The RN should not be seeking out EBP on their own, they should wait for mandated change from leadership

Individualize the plan of care based on personal, social, cultural, and religious preferences of the patient -Determining the patient's personal, social, cultural, and religious preferences ensures individualization and is a component of implementing evidence-based practice.

Which of the following is considered a quality of an effective leader? -Motivates people to achieve goals -Stimulates critical thinking -Communicates a clear vision -Is effective at communication

Is effective at communication

Nurses in a unionized hospital are paid "compensatory pay" when working holidays equal to the number of hours worked with no extra compensation. Although they have suggested changes during the annual survey of employee satisfaction, management refuses to consider another system for compensatory pay. A trained member listened to both nurses and management to make recommendations that were not legally binding. This type of settlement is referred to by what term? -Collective bargaining -Binding arbitration -Mediation -Grievance

Mediation

Barriers to research and implementing evidence-based practice include: Lack of funding Lack of sufficient time Lack of research competencies Lack of participant for the sample (small sample size) Inability to find the right setting Lack of statistics expertise Of these, which is the largest barrier to implementation of Evidence-Based Practice? -Money -Time -Access to research -Statistical experts

Money

A nurse researcher evaluates multiple studies about skin injury prevention to determine the best evidence available regarding practices to reduce the incidence of pressure injuries. This is an example of: -No answer text provided. -No answer text provided. -Research literature -Clinical literature -A systematic review -An experimental study

No answer text provided

Which is a barrier to incorporating EBP? -Nurses' lack of research skills in evaluating the quality of research studies -Lack of significant research studies -Insufficient clinical skills of nurses -Inadequate physical assessment skills

Nurses' lack of research skills in evaluating the quality of research studies

An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LNA? -Develop a plan of care for a newly admitted client who has pneumonia. -Administer a unit of packed red blood cells (RBCs) to a client who has cancer -Obtain vital signs for a client who is 2 hours post knee surgery -Instruct a client who is scheduled for discharge in the performance of wound care

Obtain vital signs for a client who is 2 hours post knee surgery

A nurse is asked to "float" to another area where the patients require total care. The nurse smiles, picks up her stethoscope, and says, "I'll come back and eat lunch with everyone here." When she enters the elevator she hits the wall and mutters, "Always me. Don't I have any rights"? The nurse is demonstrating which communication style? -Assertive -Passive -Passive-aggressive -Aggressive

Passive-aggressive

A student nurse is struggling balancing work and school. They wonder if patient learning in maternity will be greater impacted by study habits and grades or clinical experience. Which of the following research questions (PICOT) is most appropriately formulated? P- Patient/population I- Intervention C- Comparison O- Outcome T- Time -Patients on maternity will demonstrate increased understanding of discharge teaching if performed by a student with a stronger grasp of the material than one with clinical experience alone -Patients on maternity will benefit from student teaching -Teaching parents about problems to watch for at home is better than not teaching them -Discharge teaching for patients on maternity versus discharge teaching from the ICU by students with little clinical experience

Patients on maternity will demonstrate increased understanding of discharge teaching if performed by a student with a stronger grasp of the material than one with clinical experience alone

Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for large numbers of individuals in the event of a natural or manmade disaster. These activities represent which phase of a disaster continuum? -Preparedness -Relief response -Recovery -Crisis intervention

Preparedness

A charge nurse is assigning client care for four clients. Which of the following tasks should be assigned to the PN? -Creating a plan of care for a client who is recovering from a stroke -Assessing a pressure injury on a client who is on bed rest -Teaching a client who has asthma to use a metered-dose inhaler -Providing nasopharyngeal suctioning for a client who has pneumonia

Providing nasopharyngeal suctioning for a client who has pneumonia

A student nurse is interested in learning more about the experiences of hospice nurses caring for terminally ill children. The student interviews pediatric hospice nurses, asks them to keep a diary about their feelings and experiences for a 3 month period, and then at the end of the semester asks the hospice nurses to participate in a focus group discussion. The student nurse is utilizing which type of nursing research design? -Quantitative research -Qualitative research -Outcomes research -Experimental research

Qualitative research

Match the following Leadership Theories with the best example or definition: Quantum Servant Shared Transformational Recognizes the importance of vision and diversity as agents that promote chaos and therefore change Distribute the workload among the team to hold each other accountable and achieve success Prioritize the needs of each individual to strengthen the team as a whole Shares the vision with the team and empowers members to be successful

Quantum - Recognizes the importance of vision and diversity as agents that promote chaos and therefore change Servant - Prioritize the needs of each individual to strengthen the team as a whole Shared - Distribute the workload among the team to hold each other accountable and achieve success Transformational - Shares the vision with the team and empowers members to be successful

A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading? -LPN/LVN -Unlicensed assistive personnel (UAP) -RN -Since all are trained, the task can be delegated to anyone

RN

________is the process of the researcher assigning participants in the sample to the experimental and control groups using systematic methods?

Randomization

A democratic nurse manger is tasked with improving workflow within their department. After listening to the requests of senior leadership, which of the following is the nurse manager most likely to do? -Solicit information from the team members to gain their input -Create a policy for the team to follow -Tell the team to improve workflow and allow them to figure out how to accomplish that -Make a decision and then observe the effectiveness of the change

Solicit information from the team members to gain their input

During a staff meeting, nurses discuss the problems with accessing research studies to incorporate evidence-based clinical decision making into their practice. Which suggestion by the nurse manager would best help these problems? -Form a committee to conduct research studies -Post published research studies on the unit's bulletin boards -Encourage nurses to visit the library to review studies -Teach nurses how to conduct electronic searches for research studies

Teach nurses how to conduct electronic searches for research studies

Which of the following is true regarding delegating teaching to a PN? -The PN cannot perform patient teaching. -The PN can perform patient teaching. -The PN can carry out patient teaching plans that were created by the RN. -The PN writes the teaching plan and has it approved by the physician first.

The PN can carry out patient teaching plans that were created by the RN.

A nurse has been asked to serve as the charge nurse on the evening shift. The agency where the nurse is employed is considering unionization. If the nurse accepts the role, what affect will unionization have on the nurse's new position? -The nurse can be represented by the union because charge nurses are not considered part of the management team. -Charge nurse is part of the management team, so union participation would be a conflict of interest. -The nurse can file a grievance that will be arbitrated automatically by the union. -The nurse is ineligible for collective bargaining activities that deal with unfair labor practices.

The nurse can be represented by the union because charge nurses are not considered part of the management team.

The task of completing and signing the initial assessment on a newly admitted patient who is about to undergo minimally invasive procedures on an outpatient basis can be delegated to whom? -Unlicensed assistive personnel (UAP) -The registered nurse (RN) -The licensed practical/vocational nurse (LPN/LVN) -All levels of staff, because the information is about the past and cannot change

The registered nurse (RN)

A nurse manager wants his nursing unit to be a place where all nurses want to work, where patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged to chair committees to improve quality of care and he counsels staff in areas of measuring patient outcomes. Other managers want to mimic this manager's approach to improve their own units. This nurse is which type of leader? Transactional Authoritative Transformational Laissez-faire

Transformational

True or False: Nurses are typically more involved in applied research than basic research.

True

To persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change? Refreeze Move Acceptance Unfreeze

Unfreeze

The implementation of research to guide nursing practice is referred to as what? -Utilization -Dissemination -Generalizability -Analysis

Utilization Utilization of research guides nursing practice. Clinical agencies need to make a commitment to implementing research findings and then developing policies and procedures to guide the implementation process

The student nurse is researching information for a paper on evidence-based practice. The student is aware that it is important to evaluate the validity of research articles because quality research is designed to generate or contribute to _______________ knowledge. -generalized -isolated -existential -Outcomes-based

generalized

The RN is discussing patient progress with the provider. When the RN explains the patient's response to treatment, and discusses how to modify patient care in order to meet the patient-focused goals, the nurse is evaluating: -lab values -scientific rationale -nursing diagnosis -outcomes

outcomes

Quality improvement processes improve the quality of care delivery to patients and the ______ of health care agencies.

safety