N257 Final Exam Questions
The Institute of Medicine Report supports the relationship of improved quality of care to
Increased levels of nursing education
There is a rapid aging of the babybloomer generation. Identify the most significant element in the continued rise in health-care costs in the United States related to this aging population.
Increasing need for chronic long-term health care
Evidence based nursing primarily includes which of the following to answer clinical questions?
Obtaining the highest level research
According to Healthy People 2020, identify the purpose of providing services to maintain health for the general public
Promotes the detection of illness and caring for the injuries
Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the right of others.
assertive
Which of the following data would indicate that the results would be statistically significant in a quantitative research study?
p= .001
The nurse is teaching the student nurse about how to use SBAR when calling a physician. The student nurse verbalizes understanding of SBAR when stating that SBAR is
used as a situational briefing (SBAR=situation, background, assessment, recommendation)
During a discussion between the nurse manager and a staff registered nurse (RN) about the RN's recent erratic performance on the unit, the RN states, "After my husband announced that he was leaving me, I thought I was dying." Identify the best response by the nurse manager.
"Tell me how you were feeling"
Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
"You have made some good points, but I have another suggestion" -think they are normally right; individual controls communication
In the Institute of Medicine's (IOM) 2000 report, what was the estimated number of clients who die every year due to hospital related mistakes?
98,000
Which of the following is an example of a systematic review?
A meta-analysis from the Cochrane database
Which of the following is a cornerstone of evidence based practice?
Cochrane collaboration
Agnes has a temporal core temperature of 104 degrees Fahrenheit this morning. She feels war, sweaty and tired, Use your knowledge from nursing informatics for the following question: "104" is which of the following choices below?
Datum
Ethnographic research is based on the following:
Focus on the study of culture
Function in nursing informatics focuses on which of the following?
How the management and processing of information helps nurses enter, organize, and retrieve information
The nurse is preparing to do a research study. Which phase of the research would be part of the conceptual phase of conducting research?
Identifying a suitable theoretical framework
Agnes has a temporal core temperature of 104 degrees Fahrenheit this morning. She feels war, sweaty and tired, Use your knowledge from nursing informatics for the following question. "104 degree Fahrenheit" is the following:
Information
Identify the most appropriate political activities for nurses at the state level
Introduce legislation and seek sponsors
What role does anger play in communication?
It can be used positively to produce change
Agnes has a temporal core temperature of 104 degrees Fahrenheit this morning. She feels war, sweaty and tired, Use your knowledge from nursing informatics for the following question. "104 degree is febrile" is the following:
Knowledge
Which of the following is part of qualitative research?
Lived experience of nursing students dealing with chronic illness
The profession of nursing collectively through its professional organization must
Maintain integrity of the profession, articulate nursing values and maintain the integrity of the profession
The Joint Commission set mandatory National Client Safety Goals so that hospitals can improve quality and safety by:
Making these goals a priority in client care
What is the most important feature of the shared governance model?
Power and authority are transferred to the nursing staff rather than being located primarily in nursing administration.
Which demographic factor has the most significant effect on the health-care delivery system of the future?
Rapidly increasing average age of the population
Which behavior indicates that a nurse who is forced to confront a conflict situation is using a submissive approach to communication?
Refers the problem to a supervisor
A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager's preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.
Sets up a time and place for a one-on-one meeting with the staff nurse
What is the input of nurses vital to legislators?
The majority of the legislators do not have health care backgrounds
When does the encoding process of communication take place?
The receiver thinks about the information, understands it, and forms an idea based on the message
Which of the following is a fundamental belief of those who adhere to a positivist paradigm?
The researcher assumes there is an orderly reality that is studied objectively
Another name for an outcome variable is:
dependent variable
When conducting an in-service on serious medical errors, the nurse teaches that nearly 70% of sentinel events are related to
miscommunication
The nurse is reading a research article based on observational research. The nurse is aware that another name for this is:
nonexperimental research
What is the acute care of sick persons that is provided in hospitals called?
secondary intervention
Which one of the following is NOT one of the sciences included in ANA Nursing informatics definition?
social work science