N201 - Exam Three
A registered nurse assumes the role of nurse coach to provide teaching to patients who are recovering from a stroke. Which nursing intervention directly relates to this role? A. The nurse uses discovery to identify the patients' personal goals and create an agenda that will result in change. B. The nurse is the expert in providing teaching and education strategies to provide dietary and activity modifications. C. The nurse becomes a mentor to the patients and encourages them to create their own fitness programs. D. The nurse assumes an authoritative role to design the structure of the coaching session and support the achievement of patient goals.
A. The nurse uses discovery to identify the patients' personal goals and create an agenda that will result in change.
A nurse performs an assessment of a family consisting of a single mother, a grandmother, and two children. Which interview questions directed to the single mother could the nurse use to assess the affective and coping family function? Select all that apply. A. Who is the person you depend on for emotional support? B. Who is the breadwinner in your family? C. Do you plan on having any more children? D. Who keeps your family together in times of stress? E. What family traditions do you pass on to your children? F. Do you live in an environment that you consider safe?
A. Who is the person you depend on for emotional support? D. Who keeps your family together in times of stress?
A nurse is providing health care to patients in a health care facility. Which of these patients are receiving secondary health care? Select all that apply. A. A patient enters a community clinic with signs of strep throat. B. A patient is admitted to the hospital following a myocardial infarction. C. A mother brings her son to the emergency department following a seizure. D. A patient with osteogenesis imperfecta is being treated in a medical center. E. A mother brings her son to a specialist to correct a congenital heart defect. F. A woman has a hernia repair in an ambulatory care center.
B. A patient is admitted to the hospital following a myocardial infarction. C. A mother brings her son to the emergency department following a seizure. F. A woman has a hernia repair in an ambulatory care center.
Despite a national focus on health promotion, nurses working with patients in inner-city clinics continue to see disparities in health care for vulnerable populations. Which patients are considered vulnerable populations? Select all that apply. A. a White male diagnosed with HIV B. An African American teenager who is 6 months pregnant C. A Hispanic male who has type II Diabetes D. A low-income family living in rural America E. A middle-class teacher living in a large city F. A White baby who was born with cerebral palsy
B. An African American teenager who is 6 months pregnant C. A Hispanic male who has type II Diabetes D. A low-income family living in rural America F. A White baby who was born with cerebral palsy
A nurse answers a patient's call light and finds the patient on the floor by the bathroom door. After calling for assistance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe steps of this procedure and why it is performed? Select all that apply. A. An incident report is used as disciplinary action against staff members. B. An incident report is used as a means of identifying risks. C. An incident report is used for quality control. D. The facility manager completes the incident report. E. An incident report makes facts available in case litigation occurs. F. Filing of an incident report should be documented in the patient record.
B. An incident report is used as a means of identifying risks. C. An incident report is used for quality control. E. An incident report makes facts available in case litigation occurs.
Review of a patient's record revealed that no one obtained informed consent for the heart surgery that was performed on the patient. Which intentional tort has been committed? A. Assault B. Battery C. Invasion of privacy D. False imprisonment
B. Battery
Unlicensed assistive personnel (UAP) include which workers? A. Admission clerks, technicians, and orderlies B. Certified nursing assistants, orderlies, attendants, and technicians
B. Certified nursing assistants, orderlies, attendants, and technicians
Florence Nightingale introduced the concept of apprenticeship for nurses. Which statement is an example of this? A. Participating in a paid internship B. Completing clinical hours supervised by a nursing instructor
B. Completing clinical hours supervised by a nursing instructor
When the nurse researcher informs the participant that the participant's identity will not be linked with the information that is collected, the researcher is ensuring the participant's: A. Anonymity B. Confidentiality C. Right to withdraw
B. Confidentiality
The recognition of health as an ongoing process toward a person's highest potential of functioning is defined as: A. Health belief model B. High-level wellness
B. High-level wellness
What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered? A. Nursing care now incorporates research studies into client care B. Nursing care now uses EBP as a means of ensuring quality care
B. Nursing care now uses EBP as a means of ensuring quality care
When following evidence-based practice, a nurse's actions are based on which sources of information? (Select all that apply.) A. Traditional knowledge B. Targeted literature C. National standards D. National guidelines E. Published research
B. Targeted literature C. National standards D. National guidelines E. Published research
Autocratic leadership is: A. A sense of equality among the leader and other participants B. The leader assumes control over the decisions and activities of the group C. The leader relinquishes power to the group and encourages independent activity by group members
B. The leader assumes control over the decisions and activities of the group
Which are priority skills for nurses working in ambulatory mental health centers? A. Possessing strong communication and counseling skills and being familiar with community resources. B. Having skills focusing on maintaining function and independence, with concern for the living environment as well as the health care provided.
A. Possessing strong communication and counseling skills and being familiar with community resources.
A nurse is conducting quantitative research to examine the effects of following nursing protocols in the emergency department (ED) on patient outcomes. This is also known as what type of research? A. Descriptive B. Correlational C. Quasi-experimental D. Experimental
C. Quasi-experimental
A nurse is practicing community-based nursing in a mobile health clinic. What typically is the central focus of this type of nursing care? A. Individual and family health care needs B. Populations within the community C. Local health care facilities D. Families in crisis
A. Individual and family health care needs
The client's plan of care is created by the nurse using which guideline for nursing practice? A. ANA Standards of Nursing Practice B. The physicians orders C. The Nursing Process
C. The Nursing Process
An older nurse asks a younger coworker why the new generation of nurses just aren't ethical anymore. Which reply reflects the BEST understanding of moral development? A. "Behaving ethically develops gradually from childhood; maybe my generation doesn't value this enough to develop an ethical code." B. "I don't agree that nurses were more ethical in the past. It's a new age and the ethics are new!" C. "Ethics is genetically determined...it's like having blue or brown eyes. Maybe we're evolving out of the ethical sense your generation had." D. "I agree! It's impossible to be ethical when working in a practice setting like this!"
A. "Behaving ethically develops gradually from childhood; maybe my generation doesn't value this enough to develop an ethical code."
A public health nurse is leaving the home of a young mother who has a special needs baby. The neighbor states, "How is she doing, since the baby's father is no help?" What is the nurse's BEST response to the neighbor? A. "New mothers need support." B. "The lack of a father is difficult." C. "How are you today?" D. "It is a very sad situation."
A. "New mothers need support."
A nurse manager schedules a clinic for the staff to address common nursing interventions used in the facility and to explore how they can be performed more efficiently and effectively. The nurse manager's actions to change clinical practice are an example of a situation described by which nursing theory? A. Prescriptive theory B. Descriptive theory C. Developmental theory D. General systems theory
A. Prescriptive theory
The National Institute of Nursing Research (NINR) was established following a study in 1983. The center's purpose is to: A. Promote research for health promotion B. Investigate and expand nursing theory
A. Promote research for health promotion
What is prescriptive theory?
Address nursing interventions for a phenomenon, and predict the consequence of a specific nursing intervention.
The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group?
American Nurses Credentialing Center (ANCC)
A nursing student is preparing to administer morning care to a patient. What is the MOST important question that the nursing student should ask the patient about personal hygiene? A. "Would you prefer a bath or a shower?" B. "May I help you with a bed bath now or later this morning?" C. "I will be giving you your bath. Do you use soap or shower gel?" D. "I prefer a shower in the evening. When would you like your bath?"
B. "May I help you with a bed bath now or later this morning?"
A conceptual framework is defined as: A. A foundation for nursing skills and care B. A set of conceptions and propositions
B. A set of conceptions and propositions
A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame? A. 2 more years B. At the end of the year C. One more year D. Three more years
B. At the end of the year
Which theory describes, explains, predicts, and controls outcomes in nursing practice? A. Developmental theory B. Nursing theory C. Systems theory
B. Nursing theory
A state attorney decides to charge a nurse with manslaughter for allegedly administering a lethal medication. This is an example of what type of law? A. Public law B. Private law C. Civil law D. Criminal law
D. Criminal law
A home health nurse performs a careful safety assessment of the home of a frail older adult to prevent harm to the patient. The nurse's action reflects which principle of bioethics? A. Autonomy B. Beneficence C. Justice D. Fidelity E. Nonmaleficence
E. Nonmaleficence
What is Quasi-experimental research?
Often conducted in clinical settings to examine the effects of nursing interventions on patient outcomes
A nurse caring for culturally diverse patients in a health care provider's office is aware that patients of certain cultures are more prone to specific disease states than the general population. Which patients would the nurse screen for diabetes mellitus based on the patient's race? Select all that apply. A. A Native American patient B. An African-American patient C. An Alaska Native D. An Asian patient E. A White patient F. A Hispanic patient
A. A Native American patient C. An Alaska Native E. A White patient F. A Hispanic patient
Which scenario accurately depicts the influence of one's religious beliefs? A. A client who practices Orthodox Judism will not eat pork B. A client who practices Conservative Catholism opposes a blood transfusion
A. A client who practices Orthodox Judism will not eat pork
A nurse caring for patients in a primary care setting submits paperwork for reimbursement from managed care plans for services performed. Which purpose best describes managed care as a framework for health care? A. A design to control the cost of care while maintaining the quality of care B. Care coordination to maximize positive outcomes to contain costs C. The delivery of services from initial contact through ongoing care D. Based on a philosophy of ensuring death in comfort and dignity
A. A design to control the cost of care while maintaining the quality of care
A nurse is teaching first aid to counselors of a summer camp for children with asthma. This is an example of what aim of health teaching? A. Promoting health B. Preventing illness C. Restoring health D. Facilitating coping
B. Preventing illness
A nursing student asks the charge nurse about legal liability when performing clinical practice. Which statement regarding liability is true? A. Students are not responsible for their acts of negligence resulting in patient injury. B. Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse. C. Hospitals are exempt from liability for student negligence if the student nurse is properly supervised by an instructor. D. Most nursing programs carry group professional liability making student personal professional liability insurance unnecessary.
B. Student nurses are held to the same standard of care that would be used to evaluate the actions of a registered nurse.
One of the primary reasons for conducting nursing research is to: A. Prevent further disease and death B. Generate knowledge to guide practice
B. Generate knowledge to guide practice
The nurse is utilizing knowledge about a blood pressure medication's actions and side effects to determine whether or not to give a client, whose blood pressure is low, the prescribed blood pressure medication. What best describes the aspect of nursing demonstrated? A. The art of nursing B. The science of nursing
B. The science of nursing
A nurse caring for patients in a long-term care facility uses available resources to help patients achieve Maslow's highest level of needs: self-actualization needs. Which statements accurately describe these needs? Select all that apply. A. Humans are born with a fully developed sense of self-actualization B. Self-actualization needs are met by depending on others for help C. The self-actualization process continues throughout life D. Loneliness and isolation occur when self-actualization needs are unmet E. A person achieves self-actualization by focusing on problems outside self F. Self-actualization needs may be met by creatively solving problems
C. The self-actualization process continues throughout life E. A person achieves self-actualization by focusing on problems outside self F. Self-actualization needs may be met by creatively solving problems
In order to provide culturally competent care, nurses must be alert to factors inhibiting sensitivity to diversity in the health care system. Which nursing actions are examples of cultural imposition? Select all that apply. A. A hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe daily. B. A nurse treats all patients the same whether or not they come from a different culture. C. A nurse tells another nurse that Jewish diet restrictions are just a way for them to get a special tray of their favorite foods. D. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence. E. A nurse directs interview questions to an older adult's daughter even though the patient is capable of answering them. F. A nurse refuses to care for a married gay man who is HIV positive because she is against same-sex marriage.
A. A hospital nurse tells a nurse's aide that patients should not be given a choice whether or not to shower or bathe daily D. A Catholic nurse insists that a patient diagnosed with terminal bladder cancer see the chaplain in residence
A nurse is using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model PET as a clinical decision-making tool when delivering care to patients. Which steps reflect the intended use of this tool? Select all that apply. A. A nurse recruits an interprofessional team to develop and refine an EBP question. B. A nurse draws from personal experiences of being a patient to establish a therapeutic relationship with a patient. C. A nurse searches the Internet to find the latest treatments for type 2 diabetes. D. A nurse uses spiritual training to draw strength when counseling a patient who is in hospice for an inoperable brain tumor. E. A nurse questions the protocol for assessing postoperative patients in the ICU. F. A nursing student studies anatomy and physiology of the body systems to understand the disease states of assigned patients.
A. A nurse recruits an interprofessional team to develop and refine an EBP question C. A nurse searches the internet to find the latest treatments for type 2 diabetes E. A nurse questions the protocol for assessing postoperative patients in the ICU.
A student nurse begins a clinical rotation in a long-term care facility and quickly realizes that certain residents have unmet needs. The student wants to advocate for these residents. Which statements accurately describe this concept? Select all that apply. A. Advocacy is the protection and support of another's rights. B. Patient advocacy is primarily performed by nurses. C. Patients with special advocacy needs include the very young and the older adult, those who are seriously ill, and those with disabilities. D. Nurse advocates make good health care decisions for patients and residents. E. Nurse advocates do whatever patients and residents want. F. Effective advocacy may entail becoming politically active.
A. Advocacy is the protection and support of another's rights. C. Patients with special advocacy needs include the very young and the older adult, those who are seriously ill, and those with disabilities.
A discharge nurse is evaluating patients and their families to determine the need for a formal discharge plan or referrals to another facility. Which patients would most likely be a candidate for these services? Select all that apply. A. An older adult who is diagnosed with dementia in the hospital B. A 45-year-old man who is diagnosed with Parkinson's disease C. A 35-year-old woman who is receiving chemotherapy for breast cancer D. A 16-year-old boy who is being discharged with a cast on his leg E. A new mother who delivered a healthy infant via a cesarean birth F. A 59-year-old man who is diagnosed with end-stage bladder cancer
A. An older adult who is diagnosed with dementia in the hospital B. A 45-year-old man who is diagnosed with Parkinson's disease F. A 59-year old man who is diagnosed with end-stage bladder cancer
A nurse working in a primary care facility prepares insurance forms in which the provider is given a fixed amount per enrollee of the health plan. What is the term for this type of reimbursement? A. Capitation B. Prospective payment system C. Bundled payment D. Rate setting
A. Capitation
Why are health promotion and illness prevention a key responsibility of nurses? A. Chronic illnesses are the leading health problem in the world B. Chronic illnesses cause pain and suffering
A. Chronic illnesses are the leading health problem in the world
A nurse is assessing a patient who is diagnosed with anorexia. Following the assessment, the nurse recommends that the patient meet with a nutritionist. This action best exemplifies the use of: A. Clinical judgment B. Clinical reasoning C. Critical thinking D. Blended competencies
A. Clinical judgment
A nurse practitioner considering going back to school to obtain a Doctor of Nursing Practice degree (DNP) anticipates that the main focus of the curriculum will be on: A. Clinical practice B. Conducting research C. Ethics
A. Clinical practice
The nurse is caring for a postoperative client. The health care provider has written a prescription for a pain medication, and the prescription gives a dosage range for the amount the nurse may give depending on the severity of the client's pain. This type of functioning within the health care team is called: A. Collaborative functioning B. Authoritative functioning C. Interpersonal functioning
A. Collaborative functioning
A nurse is developing a plan of care for a client to meet the client's self-actualization needs. The nurse would focus on which area as most important? A. Emphasizing the client's strengths B. Promoting socialization
A. Emphasizing the client's strengths
A nurse researcher keeps current on the trends to watch in health care delivery. What trends are likely included? Select all that apply. A. Globalization of the economy and society B. Slowdown in technology development C. Decreasing diversity D. Increasing complexity of patient care E. Changing demographics F. Shortages of key health care professionals and educators
A. Globalization of the economy and society D. Increasing complexity of patient care E. Changing demographics F. Shortages of key health care professionals and educators
During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously that they will make sure all vital signs are reported and charted within 15 minutes following assessment. This is an example of which characteristics of effective communication? Select all that apply. A. Group decision making B. Group leadership C. Group power D. Group identity E. Group patterns of interaction F. Group cohesiveness
A. Group decision making D. Group identity E. Group patterns of interaction F. Group cohesiveness
Which skill is foundational for a nurse's participation in the evidence-based practice process? A. Read and understand a research article B. Critically analyze research articles and the findings C. Participate in evidence-based practice
A. Read and understand a research article
The nurse uses the agent-host-environment model of health and illness to assess diseases in patients. This model is based on what concept? A. Risk factors B. Demographic variables C. Behaviors to promote health D. Stages of illness
A. Risk factors
The second step in implementation of evidence-based practice includes systematic review. To complete a systematic review of the literature, what must the nurse do? A. Summarize the findings from multiple studies that are related to a particular nursing practice B. Provide a statistical analysis for studies
A. Summarize the findings from multiple studies that are related to a particular nursing practice
A nurse forms a contractual agreement with a morbidly obese patient to achieve optimal weight goals. Which statement best describes the nature of this agreement? A. "This agreement forms a legal bond between the two of us to achieve your weight goals." B. "This agreement will motivate the two of us to do what is necessary to meet your weight goals." C. "This agreement will help us determine what learning outcomes are necessary to achieve your weight goals." D. "This agreement will limit the scope of the teaching session and make stated weight goals more attainable."
B. "This agreement will motivate the two of us to do what is necessary to meet your weight goals."
Nurses perform health promotion activities at a primary, secondary, or tertiary level. Which nursing actions are considered tertiary health promotion? Select all that apply. A. A nurse runs an immunization clinic in the inner city B. A nurse teaches a patient with an amputation how to care for the residual limb C. A nurse provides range-of-motion exercises for a paralyzed patient D. A nurse teaches parents of toddlers how to child proof their home E. A school nurse provides screening for scoliosis for the students F. A nurse teaches new parents how to choose and use an infant car seat
B. A nurse teaches a patient with an amputation how to care for a residual limb C. A nurse provides range-of-motion exercises for a paralyzed patient
A nurse is planning teaching strategies based on the affective domain of learning for patients addicted to alcohol. What are examples of teaching methods and learning activities promoting behaviors in this domain? Select all that apply. A. The nurse prepares a lecture on the harmful long-term effects of alcohol on the body. B. The nurse explores the reasons alcoholics drink and promotes other methods of coping with problems. C. The nurse asks patients for a return demonstration for using relaxation exercises to relieve stress. D. The nurse helps patients to reaffirm their feelings of self-worth and relate this to their addiction problem. E. The nurse uses a pamphlet to discuss the tenants of the Alcoholics Anonymous program to patients. F. The nurse reinforces the mental benefits of gaining self-control over an addiction.
B. The nurse explores the reasons alcoholics drink and promotes other methods of coping with problems. D. The nurse helps patients to reaffirm their feelings of self-worth and relate this to their addiction problem. F. The nurse reinforces the mental benefits of gaining self-control over an addiction.
A nurse is using general systems theory to describe the role of nursing to provide health promotion and patient teaching. Which statements reflect key points of this theory? Select all that apply. A. A system is a set of individual elements that rarely interact with each other. B. The whole system is always greater than the sum of its parts. C. Boundaries separate systems from each other and their environments. D. A change in one subsystem will not affect other subsystems. E. To survive, open systems maintain balance through feedback. F. A closed system allows input from or output to the environment.
B. The whole system is always greater than the sum of its parts. C. Boundaries separate systems from each other and their environments. E. To survive, open systems maintain balance through feedback.
A client asks an RN to prescribe a medication for pain. What is the best answer by the nurse? A. "Take one acetaminophen every 6 hours" B. "Take two ibuprofen every 4-6 hours" C. "Only advanced practice registered nurses have prescriptive authority" D. "No nurse can prescribe a medication"
C. "Only advanced practice registered nurses have prescriptive authority"
A nurse pleads guilty to a misdemeanor negligence charge for failing to monitor a patient's vital signs during routine eye surgery, leading to the death of the patient. The nurse's attorney explained in court that the nurse was granted recognition in a specialty area of nursing. What is the term for this type of credential? A. Accreditation B. Licensure C. Certification D. Board approval
C. Certification
Affective learning includes: A. Storing and recalling of new knowledge in the brain B. Integration of muscular and mental activity C. Changes in attitudes, values, and feelings
C. Changes in attitudes, values, and feelings
A home health care nurse is scheduled to visit a 38-year-old woman who has been discharged from the hospital with a new colostomy. Which duties would the nurse perform for this patient in the entry phase of the home visit? Select all that apply. A. Collect information about the patient's diagnosis, surgery, and treatments. B. Call the patient to make initial contact and schedule a visit. C. Develop rapport with the patient and her family. D. Assess the patient to identify her needs. E. Assess the physical environment of the home. F. Evaluate safety issues including the neighborhood in which she lives.
C. Develop rapport with the patient and her family D. Assess the patient to identify her needs E. Asses the physical environment of the home
Nursing students are reviewing information about health care delivery systems in preparation for a quiz the next day. Which statements describe current U.S. health care delivery practices? Select all that apply. A. Access to care depends only on the ability to pay, not the availability of services. B. The Patient Protection and Affordable Care Act provides private health care insurance to underserved populations. C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive coverage, from doctors to medications to hospital visits. D. The uninsured pay for more than one third of their care out of pocket and are usually charged lower amounts for their care than the insured pay. E. Fifty years ago, half of the doctors in the United States practiced primary care, but today fewer than one in three do. F. Quality of care can be defined as the right care for the right person at the right time.
C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive coverage, from doctors to medications to hospital visits. E. Fifty years ago, half of the doctors in the United States practiced primary care, but today fewer than one in three do. F. Quality of care can be defined as the right care for the right person at the right time.
The nurse practices using critical thinking indicators (CTIs) when caring for patients in the hospital setting. The best description of CTIs is: A. Evidence-based descriptions of behaviors that demonstrate the knowledge that promotes critical thinking in clinical practice B. Evidence-based descriptions of behaviors that demonstrate the knowledge and skills that promote critical thinking in clinical practice C. Evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, and skills that promote critical thinking in clinical practice D. Evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, standards, and skills that promote critical thinking in clinical practice
C. Evidence-based descriptions of behaviors that demonstrate the knowledge, characteristics, and skills that promote the critical thinking in clinical practice.
A visiting nurse working in a new community performs a community assessment. What assessment finding is indicative of a healthy community? A. It meets all the needs of its inhabitants B. It has mixed residential and industrial areas C. It offers access to health care services D. It consists of modern housing and condominiums
C. It offers access to health care services
A nurse is caring for a patient who has complications related to type 2 diabetes mellitus. The nurse researches new procedures to care for foot ulcers when developing a care plan for this patient. Which QSEN competency does this action represent? A. Patient-centered care B. Evidence-based practice C. Quality improvement D. Informatics
C. Quality improvement
A nurse is teaching patients of all ages in a hospital setting. Which examples demonstrate teaching that is appropriately based on the patient's developmental level? Select all that apply. A. The nurse plans long teaching sessions to discuss diet modifications for an older adult diagnosed with type 2 diabetes. B. The nurse recognizes that a female adolescent diagnosed with anorexia is still dependent on her parents and includes them in all teaching sessions. C. The nurse designs an exercise program for a sedentary older adult male patient based on the activities he prefers. D. The nurse includes an 8-year-old patient in the teaching plan for managing cystic fibrosis. E. The nurse demonstrates how to use an inhaler to an 11-year-old male patient and includes his mother in the session to reinforce the teaching. F. The nurse continues a teaching session on STIs for a sexually active male adolescent despite his protest that "I've heard enough already!"
C. The nurse designs an exercise program for a sedentary older adult male patient based on the activities he prefers. D. The nurse includes an 8-year-old patient in the teaching plan for managing cystic fibrosis. E. The nurse demonstrates how to use an inhaler to an 11-year-old male patient and includes his mother in the session to reinforce teaching.