N302 Exam 1 Practice
. When Ryan was 3 months old, he had a toy train; when his view of the train was blocked, he did not search for it. Now that he is 9 months old, he looks for it, reflecting the presence of: A. Object permanence. B. Sensorimotor play. C.Schemata. D. Magical thinking.
A
A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents made the decision that he would move home and they would help him in the final stages of his disease. The family participates in his care, but lately the nurse has increased the amount of time she spends with the family. Whenever she enters the room or approaches the patient to give care, she touches his shoulder and tells him that she is present. This is an example of what type of touch? A. Caring touch B. Protective touch C.Task-oriented touch D.Interpersonal touch
A
A nurse is conducting a home visit with an older-adult couple. While in the home the nurse weighs each individual and reviews the 3-day food diary with them. She also checks their blood pressure and encourages them to increase their fluids and activity levels to help with their voiced concern about constipation. The nurse is addressing which level of need according to Maslow? A. Physiological B. Safety and security C. Love and belonging D. Self-actualization
A
A nurse is presenting a program to workers in a factory covering safety topics, including the wearing of hearing protectors when workers are in the factory. Which level of prevention is the nurse practicing? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention
A
A nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care? A. patient will be able to walk 200 feet without shortness of breath (SOB) B. Wound will heal without signs of infection C. patient will express concerns related to return to home D. patient will identify strategies to improve sleep habits.
A
A nurse is using data collected from the unit to monitor the incidence of falls after the unit implemented a new fall protocol. The nurse is working in which area? A. quality improvement B. health care patient system C. nursing informatics D. computerized nursing network
A
Allison, age 15 years, calls her best friend Laura and is crying. She has a date with John, someone she has been hoping to date for months, but now she has a pimple on her forehead. Laura firmly believes that John and everyone else will notice the blemish right away. This is an example of the: A. Imaginary audience. B. False-belief syndrome. C.Personal fable. D.Personal absorption syndrome.
A
During a visit to a family clinic, a nurse teaches a mother about immunizations, car-seat use, and home safety for an infant and toddler. Which type of nursing interventions are these? A. Health promotion activities B. Acute care activities C. Restorative care activities D. Growth and development care activities
A
Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? A. Moving from an acute illness to a health promotion, illness prevention model B. Moving from illness prevention to a health promotion model C. Moving from an acute illness to a disease management model D. Moving from a chronic care to an illness prevention model
A
Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system? A. patient safety B. evidence based practice C. patient satisfaction D. maintenance of competency
A
The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? A. Educator B. Advocate C. Caregiver D. Case Manager
A
When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an example of: A. Instilling hope and faith. B. Forming a human-altruistic value system. C. Cultural caring. D. Being with.
A
When taking care of patients, a nurse routinely asks if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model? A. Holistic B. Health belief C. Transtheoretical D. Health promotion
A
You are caring for a recently retired man who appears withdrawn and says he is "bored with life." Applying the work of Havinghurst, you would help this individual find meaning in life by: A. Encouraging him to explore new roles. B. Encouraging relocation to a new city. C. Explaining the need to simplify life. D. Encouraging him to adopt a new pet.
A
A family has decided to care for a grandparent with terminal cancer in the daughter's home. Family caregiving is new to the family. When helping this family as they begin to plan for their caregiving roles, what are the two top priority assessments to best learn about family functioning? (Select all that apply.) A. Communication B. Decision making C. Development D. Economic status E. Family structure
A, B
Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.) A. Caregiver B. Autonomy and accountability C. patient advocate D. health promotion E. lobbyist
A, B, C, D
A family is facing job loss of the father, who is the major wage earner, and relocation to a new city where there is a new job. The children will have to switch schools, and his wife will have to resign from the job she likes. Which of the following contribute to this family's hardiness? (Select all that apply.) A. Family meetings B. Established family roles C. New neighborhood D. Willingness to change in time of stress E. Passive orientation to life
A, B, D
A new immigrant family consisting of a grandparent, two adults, and three school-age children has decided to receive their health promotion care at the Community Wellness Center. This is their first visit, and a family assessment, a health history, and a physical of each family member are needed. Which of the following are included in a family function assessment? (Select all that apply.) A. Cultural practices B.Decision making C. Neighborhood services D. Rituals and celebrations E. Neighborhood crime data F.Availability of parks
A, B, D
The nursing staff is developing a quality program. Which of the following are nursing-sensitive indicators from the National Database of Nursing Quality Indicators (NDNQI) that the nurses can use to measure patient safety and quality for the unit? (Select all that apply.) A. Use of physical restraints B. Pain assessment, intervention, and reassessment C. Patient satisfaction with food preparation D. Registered nurse (RN) education and certification E. Number of outpatient surgical cases per year
A, B, D
Which of the following activities are examples of the use of activity theory in older adults? (Select all that apply.) A. Teaching an older adult how to use e-mail to communicate with a grandchild who lives in another state B. Introducing golf as a new hobby C. Leading a group walk of older adults each morning D. Engaging an older adult in a community project with a short-term goal E. Directing a community play at the local theater
A, B, D
Which of the following are examples of the nurse participating in primary care activities? (Select all that apply.) A. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester B. Assessing the nutritional status of older adults who come to the community center for lunch. C. Working with patients in a cardiac rehabilitation program D. Providing home wound care to a patient E. Teaching a class to parents at the local grade school about the importance of immunizations.
A, B, E
Which of the following are possible outcomes with clear family communication? (Select all that apply.) A. Family goals B. Increased socialization C. Decision making D. Methods of discipline E. Improved education F. Impaired coping
A, C, D
You are caring for a family that consists of a father and 3-year-old boy who has well-managed asthma but misses care infrequently. They live in state-supported housing. The father is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fast-food restaurants frequently for dinner. However, he and his son spend a lot of time together. The family receives state-supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which of the following are risks to this family's level of health? (Select all that apply.) A. Economic status B. Chronic illness C. Underinsured D. Government-assisted day care E. Frequency of fast-food dinners F. State-supported housing
A, C, E
A family is undergoing a major change. Just as twins graduate from college and leave home to begin their careers, the husband loses his executive well-paying job. Because the family had two children in college at the same time, they did not save for retirement. They planned to save aggressively after the children left college. In this situation, which of the following demonstrate family resiliency? (Select all that apply.) A. Resuming full-time work when spouse loses job B. Increasing problems among siblings C. Developing hobbies when children leave home D. Placing blame on family members E. Expecting children to help financially F. Consulting a financial planner
A, C, F
A nurse demonstrated caring by helping family members to: (Select all that apply.) A. Become active participants in care. B. Remove themselves from personal care. C. Make health care decisions for the patient. D. Have uninterrupted time for family and patient to be together. E. Have opportunities for the family to discuss their concerns.
A, D, E
Which of the following are characteristics of managed care systems? (Select all that apply.) A. Provider receives a predetermined payment for each patient in the program. B. Payment is based on a set fee for each service provided. C. System includes a voluntary prescription drug program for an additional cost. D. System tries to reduce costs while keeping patients healthy. E. Focus of care is on prevention and early intervention.
A, D, E
A male patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this difficult time. He does not have a primary health care provider because he has never really been sick and his parents never took him to a physician when he was a child. Which external variables influence the patient's health practices? (Select all that apply.) A. Difficulty paying his bills B. Seeing his pastor as a means of support C. Age of patient (46 years) D. Stress from the divorce and the loss of a job E. Family practice of not routinely seeing a health care provider
A, E
Which of the following are examples of the conventional reasoning form of cognitive development? (Select all that apply.) A. A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is concerned about her treatment options in relation to her ability to continue to care for her family. As she considers the options and alternatives, she incorporates information, her values, and emotions to decide which plan will be the best fit for her. B. A young father is considering whether or not to return to school for a graduate degree. He considers the impact the time commitment may have on the needs of his wife and infant son. C. A teenage girl is encouraged by her peers to engage in shoplifting. She decides not to join her peers in this activity because she is afraid of getting caught in the act. D. A single mother of two children is unhappy with her employer. She has been unable to secure alternate employment but decides to quit her current job.
A,B
A Muslim woman enters the clinic to have a woman's health examination for the first time. Which nursing behavior applies Swanson's caring process of "knowing the patient?" A. Sharing feelings about the importance of having regular woman's health examinations B. Gaining an understanding of what a woman's health examination means to the patient C. Recognizing that the patient is modest; and obtaining gender-congruent caregiver D. Explaining the risk factors for cervical cancer
B
A community center is presenting a nurse-led program on the Patient Protection and Affordable Care Act. Which statement made by a participant indicates a need for further teaching? A. "my small company will now have to offer the 75 employees health insurance or pay a penalty." B. As long as my son is a full time student in college, I will be able to keep him on my health insurance until he is 26 years old." C. "I signed up for the state health insurance exchange before the designated deadline to make sure I had health insurance." D. "Since I have now been diagnosed with diabetes, my health insurance plan cannot charge me higher premiums."
B
A hospice nurse is caring for a family that is providing end-of-life care for their grandmother, who has terminal breast cancer. When the nurse visits, the focus is on symptom management for the grandmother and helping the family with coping skills. This approach is an example of which of the following? A. Family as context B. Family as patient C. Family as system D. Family as structure
B
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: A. Educator B. Advocate C. Caregiver D. Case Manager
B
A nurse is presenting information to a management class of nursing students on the topic of financial reimbursement for achievement of established, measurable patient outcomes. The nurse is presenting information to the class on which topic? A. prospective payment system B. pay for performance C. capitation payment system D. managed care systems
B
A patient comes to the local health clinic and states: "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" What is the best response to help the patient through the stages of change for exercise? A. "Walking is OK. I really think running is better." B. "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?" C. "Yes, I want you to begin walking. Walk for 30 minutes every day and start to eat more fruits and vegetables." D. "They probably aren't walking fast enough or far enough. You need to spend at least 45 minutes if you are going to do any good."
B
According to Piaget's cognitive theory, a 12-year-old child is most likely to engage in which of the following activities? A. Using building blocks to determine how houses are constructed B. Writing a story about a clown who wants to leave the circus C. Drawing pictures of a family using stick figures D. Writing an essay about patriotism
B
After a class on Pender's health promotion model, students make the following statements. Which statement does the faculty member need to clarify? A. "The desired outcome of the model is health-promoting behavior." B. "Perceived self-efficacy is not related to the model." C. "The individual has unique characteristics and experiences that affect his or her actions." D. "Patients need to commit to a plan of action before they adopt a health-promoting behavior."
B
An 18-month-old child is noted by the parents to be "angry" about any change in routine. This child's temperament is most likely to be described as: A. Slow to warm up. B. Difficult. C. Hyperactive. D. Easy.
B
As part of a faith community nursing program in her church, a nurse is developing a health promotion program on breast self-examination for the women's group. Which statement made by one of the participants is related to the individual's perception of susceptibility to an illness? A. "I have a door hanging tag in my bathroom to remind me to do my breast self-examination monthly." B. "Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer." C. "Since I am only 25 years of age, the risk of breast cancer for me is very low." D. "I participate every year in our local walk/run to raise money for breast cancer research."
B
The nurse teaches parents how to have their children learn impulse control and cooperative behaviors. This would be during which of Erikson's stages of development? A. Trust versus mistrust B. Initiative versus guilt C. Industry versus inferiority D. Autonomy versus sense of shame and doubt
B
What is the most common reason for calling on grandparents to raise their grandchildren? A. Single parenthood B. Legal interventions C. Dual-income families D. Increased divorce rate
B
What is the proper order by age progression for the stages of Freud's psychosexual development? 1. Oedipal 2. Latency 3. Oral 4. Genital 5. Anal A. 3, 5, 1, 4, 2 B. 3, 5, 2, 1, 4 C. 5, 3, 2, 1, 4 D. 3, 5, 1, 2, 4
B
Which statement made by a nurse shows that the nurse is engaging in an activity to help cope with secondary traumatic stress and burnout? A. "I don't need time for lunch since I am not very hungry." B. "I am enjoying my quilting group that meets each week at my church." C. "I am going to drop my gym membership because I don't have time to go." D. "I don't know any of the other nurses who met today to discuss hospital-wide problems with nurse satisfaction."
B
Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect nurses? (Select all that apply.) A.Regular participation in a book club B. Lack of interest in exercise C. Difficulty falling asleep D. Lack of desire to go to work E. Anxiety while working
B, C, D, E
The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient. Which factors are classified as genetic and physiological? (Select all that apply.) A. Sedentary lifestyle B. Mother died from CAD at age 48 C. History of hypertension D. Eats diet high in sodium E. Elevated cholesterol level
B, C, E
Which of the following Internet resources available can assist consumers when comparing quality care measures? (Select all that apply.) A. WebMD B. Hospital Compare C. magnet recognition program D. hospital consumer assessment of healthcare E. the american hospital association's webpage
B, D
A group of staff nurses notice an increased incidence of medication errors on their unit. After further investigation it is determined that the nurses are not consistently identifying the patient correctly. A change is needed quickly. What type of quality improvement method would be most appropriate? A. PDSA B. Six Sigma C. rapid-improvement event D. a randomized controlled trial
C
A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch? A. Caring touch B. Protective touch C. Task-oriented touch D. Interpersonal touch
C
A nurse is caring for an older adult who needs to enter an assisted living facility following discharge from the hospital. Which of the following is an example of listening that displays caring? A. The nurse encourages the patient to talk about his concerns while reviewing the computer screen in the room. B. The nurse sits at the patient's bedside, listens as he relays his fear of never seeing his home again, and then asks if he wants anything to eat. C. The nurse listens to the patient's story while sitting on the side of the bed and then summarizes the story. D. The nurse listens to the patient talk about his fears of not returning home and then tells him to think positively.
C
A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? A. Patient-centered care B. safety C. teamwork and collaboration D. informatics
C
A patient had surgery for a total knee replacement a week ago and is currently participating in daily physical rehabilitation sessions at the surgeon's office. In what level of prevention is the patient participating? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention
C
A patient registered at the local fitness center and purchased a pair of exercise shoes. The patient is in what stage of behavioral change? A. Precontemplation B. Contemplation C. Preparation D. Action
C
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO? A. This health plan is for people who cannot afford their own health insurance B. This health plan is operated by the government to provide health care to older adults C. This health plan gives you with a list of physicians and hospitals from which you can choose. D. This is a fee for service plan in which you can choose any physician or hospital
C
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? A. Diagnosis B. Evaluation C. Assessment D. Implementation
C
Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: "Me, stop smoking? I've been smoking since I was 16!" A."That's fine. Some people who smoke live a long life." B. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1 month." C. "I understand. Can you think of the greatest reason why stopping smoking would be challenging for you?" D. "I'd like you to attend a smoking cessation class this week and use nicotine replacement patches as directed."
C
Nine-year-old Brian has a difficult time making friends at school and being chosen to play on the team. He also has trouble completing his homework and, as a result, receives little positive feedback from his parents or teacher. According to Erikson's theory, failure at this stage of development results in: A. A sense of guilt. B. A poor sense of self. C. Feelings of inferiority. D. Mistrust.
C
Nurses in an acute care hospital are attending a unit based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? A. continuing education B. Graduate education C. In-service education D. Professional Registered Nurse Education
C
Of the five caring processes described by Swanson, which describes "knowing the patient?" A. Anticipating the patient's cultural preferences B. Determining the patient's physician preference C. Establishing an understanding of a specific patient D. Gathering task-oriented information during assessment
C
Presence involves a person-to-person encounter that: A. Enables patients to care for self. B. Provides personal care to a patient. C. Conveys a closeness and a sense of caring. D. Describes being in close contact with a patient.
C
The Collins family includes a mother; stepfather, two teenage biological daughters of the mother; and a 25-year-old biological daughter of the father. The father's daughter just moved home following the loss of her job in another city. The family is converting a study into Stacey's bedroom and is in the process of distributing household chores. When you talk to members of the family, they all think that their family can adjust to lifestyle changes. This is an example of family: A. Diversity. B. Durability. C. Resiliency. D. Configuration.
C
Which activity shows a nurse engaged in primary prevention? A. A home health care nurse visits a patient's home to change a wound dressing. B. A nurse is assessing risk factors of a patient in the emergency department admitted with chest pain. C. A school health nurse provides a program to the first-year students on healthy eating. D. A nurse schedules a patient who had a myocardial infarction for cardiac rehabilitation sessions weekly.
C
A family has decided to care for their father who is in the last stages of a debilitating neurological illness. Although he is alert, he cannot speak clearly or carry out self-care activities; he indicates that he wants to remain involved in family life as long as possible and loves spending time with his wife and two teenage children. Which best defines family caregiving? (Select all that apply.) A. Designing a nurturing family to raise children B. Providing physical and emotional care for a family member C. Establishing a safe physical environment for a family D. Monitoring for side effects of illness and treatments E. Reducing the use of community resources
C, D
Which of the following nursing activities is provided in a secondary health care environment? (Select all that apply.) A. Conducting blood pressure screenings for older adults at the Senior Center. B. Teaching a clinic patient with chronic obstructive pulmonary disease purse-lipped breathing techniques. C. Changing the postoperative dressing for a patient on a medical-surgical unit. D. Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit.
C, D
Which of the following family assessments are most important for successful family caregiving? (Select all that apply.) A. Educational level of family members B. Cultural food preferences C. Collaboration between family members D. Social support E. Conflict resolution practices
C, D, E
Which of the following is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors? (Select all that apply.) A. Decreasing the number of consecutive shifts of the nursing staff B. Increasing salary and vacation benefits of the nursing staff C. Increasing the number of nurses who work each shift to decrease the nurse-patient ratio D. Encouraging increased input concerning nursing functions from health care providers E. Providing nursing staff an opportunity to discuss practice changes they can implement to enhance opportunities for patient caring
C, E
. Two single mothers are active professionals and have teenage daughters. They also have busy social lives and date occasionally. Three years ago they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. What type of family form does this represent? A. Diverse family relationship B. Blended family relationships C. Extended family relationship D. Alternative family relationship
D
A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? A. patient centered care B. safety C. Teamwork and collaboration D. informatics
D
A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment. The nurse tells the student that from a caring perspective: A. She does not touch the patients either. B. Touch is a type of verbal communication. C. Touch is only used when a patient is in pain. D. Touch forms a connection between nurse and patient.
D
A nurse is using the Plan-Do-Study-Act (PDSA) strategy to do a quality improvement project to decrease patient falls on a nursing unit. What is the correct sequence for PDSA? 1. Bedside change of shift report is piloted on two medical-surgical units 2. Patient satisfaction levels after implementation of the bedside report are compared to patient satisfaction levels before the change 3. The nursing council develops a strategy for bedside change of shift report 4. After modifications are made in the shift report elements, bedside shift report is implemented on all nursing units A. 1, 3, 2, 4 B. 2, 1, 3, 4 C. 1, 2, 3, 4 D. 3, 1, 2, 4
D
A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? A. Planning B. Evaluation C. Assessment D. Implementation
D
A patient is fearful of upcoming surgery and a possible cancer diagnosis. He discusses his love for the Bible with his nurse, who recommends a favorite Bible verse. Another nurse tells the patient's nurse that there is no place in nursing for spiritual caring. The patient's nurse replies: A. "You're correct; spiritual care should be left to a pastoral care professional." B. "You're correct; religion is a personal decision." C. "Nurses should explain their own religious beliefs to patients." D. "Spiritual, mind, and body connections can affect health."
D
An example of a nurse caring behavior that families of acutely ill patients perceive as important to patients' well-being is: A. Making health care decisions for patients. B. Having family members provide a patient's total personal hygiene. C. Injecting the nurse's perceptions about the level of care provided. D. Asking permission before performing a procedure on a patient.
D
Dave reports being happy and satisfied with his life. What do we know about him? A. He is in one of the later developmental periods, concerned with reviewing his life. B. He is atypical, since most people in any of the developmental stages report significant dissatisfaction with their lives. C. He is in one of the earlier developmental periods, concerned with establishing a career and satisfying long-term relationships. D. It is difficult to determine Dave's developmental stage since most people report overall satisfaction with their lives in all stages.
D
Elizabeth, who is having unprotected sex with her boyfriend, comments to her friends, "Did you hear about Kathy? You know, she fools around so much; I heard she was pregnant. That would never happen to me!" This is an example of adolescent: A. Imaginary audience. B. False-belief syndrome. C. Personal fable. D. Sense of invulnerability.
D
In viewing the family as context, what is the primary focus? A. Family members within a system B. Family process and relationships C. Family relational and transactional concepts D. Health needs of an individual member
D
Listening is not only "taking in" what a patient says, but it also includes: A. Incorporating the views of the physician. B. Correcting any errors in the patient's understanding. C. Injecting the nurse's personal views and statements. D. Interpreting and understanding what the patient means.
D
The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination: A. Guarantees safe nursing care for all patients B. Ensures standard nursing care for all patients C. Ensures that honest and ethical care is provided D. Provides a minimal standard of knowledge for an RN in practice
D
The nurse is aware that preschoolers often display a developmental characteristic that makes them treat dolls or stuffed animals as if they have thoughts and feelings. This is an example of: A. Logical reasoning. B. Egocentrism. C. Concrete thinking. D. Animism.
D
The nurses on a medical unit have seen an increase in the number of pressure ulcers that develop in their patients. They decide to initiate a quality improvement project using the Plan-Do-Study-Act (PDSA) model. Which of the following is an example of "Do" from that model? A. Implementing the new skin care protocol on all medicine units. B. Reviewing the data collected on patients cared for using the protocol. C. Reviewing the quality improvement reports on the six patients who developed ulcers over the last 3 months. D. Based on findings from patients who developed ulcers, implementing an evidence-based skin care protocol.
D
The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? A. Clinical nurse specialist B. nurse administrator C. nurse educator D. nurse researcher
D
Using the Transtheoretical Model of Change, what is the correct order for the steps that a patient goes through to make a lifestyle change related to physical activity?1.The individual recognizes that he is out of shape when his daughter asks him to walk with her after school.2.Eight months after beginning walking, the individual participates with his wife in a local 5K race.3.The individual becomes angry when the physician tells him that he needs to increase his activity to lose 30 lbs.4.The individual walks 2 to 3 miles, 5 nights a week, with his wife.5.The individual visits the local running store to purchase walking shoes and obtain advice on a walking plan. A. 3, 1, 4, 5, 2 B. 3, 1, 4, 2, 5 C. 1, 3, 5, 2, 4 D. 3, 1, 5, 4, 2
D
When preparing a 4-year-old child for a procedure, which method is developmentally most appropriate for the nurse to use? A. Allowing the child to watch another child undergoing the same procedure B. Showing the child pictures of what he or she will experience C. Talking to the child in simple terms about what will happen D. Preparing the child through play with a doll and toy medical equipment
D
Which activity performed by a nurse is related to maintaining competency in nursing practice? A. Asking another nurse about how to change the settings on a medication pump. B. Regularly attending unit staff meetings. C. Participating as a member of the professional nursing council. D. Attending a review course in preparation for a certification examination.
D
Which of the following most greatly affects a family's access to adequate health care, opportunity for education, and sound nutrition? A. Development B. Family function C. Family structure D. Economic stability
D
Which of the following statements is true regarding Magnet status recognition for a hospital? A. nursing is run by a magnet manager who makes decisions for the nursing unit. B. nurses in magnet hospitals make all of the decisions on the clinical units. C. magnet is a term that is used to describe hospitals that are able to hire the nurses they need D. magnet is a special designation for hospitals that achieve excellence in nursing practice
D
You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? A. Improves self-health care B. Protects the patient's confidentiality C. Ensures identical care to all patients D. Defines the principles of right and wrong to provide patient care
D