NUR 228 Exam 1

Define Accountability

Holding yourself responsible for the care you provide to a patient.

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.) 1 Caregiver 2 Autonomy and accountability 3 Patient advocate 4 Health promotion 5 Lobbyist

1. Caregiver 2. Autonomy and accountability 3. Patient advocate 4. Health promotion

Advanced practice registered nurses generally: 1 Function independently 2 Function as unit directors 3 Work in acute care settings 4 Work in the university setting.

1. Function independently

Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? 1 Moving from an acute illness to a health promotion, illness prevention model 2 Moving from illness prevention to a health promotion model 3 Moving from an acute illness to a disease management model 4 Moving from a chronic care to an illness prevention model

1. Moving from an acute illness to a health promotion, illness prevention model

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 the family. The nurse is acting as the patient's: 1 Educator 2 Advocate 3 Caregiver 4 Case manager

2. Advocate

Which of the following nursing roles may have prescriptive authority in their practice? (Select all that apply.) 1 Critical care nurse 2 Nurse practitioner 3 Certified clinical nurse specialist 4 Charge nurse

2. Nurse practitioner 3. Certified clinical nurse specialist

A nurse is caring for an older-adult couple in a community-based assisted living facility. During the family assessment he notes that the couple has many expired medications and multiple medications for their respective chronic illnesses. They note that they go to two different health care providers. The nurse begins to work with the couple to determine what they know about their medications and helps them decide on one care provider rather than two. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1 Patient-centered care 2 Safety 3 Teamwork and collaboration 4 Informatics

2. Safety

Evidence-based practice is defined as: 1 Nursing care based on tradition 2 Scholarly inquiry of nursing and biomedical research literature 3 A problem-solving approach that integrates best current evidence with clinical practice 4 Quality nursing care provided in an efficient and economically sound manner

3. A problem-solving approach that integrates best current evidence with clinical practice

An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? 1 Diagnosis 2 Evaluation 3 Assessment 4 Implementation

3. Assessment

15 Nurses at a community hospital are in an 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? 1 Continuing education 2 Graduate education 3 In-service education 4 Professional Registered Nurse Education

3. In-service education

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A nonnursing colleague asks about this code. Which of the following statements best describes this code? 1 Improves self-health care 2 Protects the patient's confidentiality 3 Ensures identical care to all patients 4 Defines the principles of right and wrong to provide patient care

4. Defines the principles of right and wrong to provide patient care

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? 1 Planning 2 Evaluation 3 Assessment 4 Implementation

4. Implementation

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? 1 Patient-centered care 2 Safety 3 Teamwork and collaboration 4 Informatics

4. Informatics

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? 1 Clinical nurse specialist 2 Nurse administrator 3 Nurse educator 4 Nurse researcher

4. Nurse researcher

The examination for registered nurse licensure is exactly the same in every state in the United States. This examination: 1 Guarantees safe nursing care for all patients 2 Ensures standard nursing care for all patients 3 Ensures that honest and ethical care is provided 4 Provides a minimal standard of knowledge for a registered nurse in practice

4. Provides a minimal standard of knowledge for a registered nurse in practice

According to your text who is the center of nursing practice? a. The patient b. The family c. The community d. All of the above

All of the above

Describe the Manager role of the nurse

As a nurse manager you act overall for the best of the health care setting and the patient. Acting as the manager you are in charger of keeping the environment safe, following policy, and giving the patient the best care possible.

Describe the Advocate Role of the nurse

As the advocate role you are the patients guardian in a sense. You speak for them based on their legal rights and defend the patient's rights. As a nurse you speak for the patient on medications and treatments if necessary.

Describe the Educator role of the nurse

As the educator you describe procedures, medications, and other medical process to the patient. The education keeps the patient updated on proper health care practices and helps them learn self-care activities.

3. When providing nursing care, you need to make clinical judgments and decisions about your patients' health care needs based on knowledge, experience and standards of care. This is referred to as: a. Patient Centered Care b. Critical Thinking c. Evidence-based practice d. Standard of practice

Critical Thinking

10. Nurses are becoming less involved politically and as a result have a decreased influence on nursing health care policy and practice. a. True b. False

False

9. Professional nursing organizations do not deal with issues of concern to specialists groups within the nursing profession. a. True b. False

False

7. Select all the statements that correctly describe Lillian Wald and Mary Brewster's accomplishments. a. Founded the American Red Cross b. Founded the Henry Street Settlement c. Demonstrated autonomy d. Brought forth an awareness of cultural diversity

Founded the Henry Street Settlement Demonstrated autonomy

Define Autonomy

Practicing independent nursing procedures that may be beneficial to a patient.

6. Which of the following indicated that nursing education needed increased financial support and that university schools of nursing receive the money? a. Notes on Nursing b. ANA c. The National League for Nursing d. The Goldmark Report

The Goldmark Report

Describe the Caregiver Role of nursing

The caregiver role provides not only medical attention to a patient, but emotional attention to all of the patients needs. To help a patient fully recover they need maintenance and healing from a possible tragic situation they could be going through.

Describe the Communicator role of the nurse

The communicator role as a nurse is getting to know your patient beyond their name and medications. The communicator connects with the patient to understand their needs, strengths, weaknesses, and wants.

12. The National League for Nursing (NLN) sets standards for excellence and innovation in nursing education. a. True b. False

True

8. Nursing standards provide the guidelines for implementing and evaluating nursing care. a. True b. False

True

11. Differientiate between Associate degree RN programs and Baccalaureate degree RN programs. (Select all that apply) a. Associate degree programs are 2 years and Baccalaureate degree programs are 4 years. b. Associate degree students study social sciences, arts and humanities to support nursing theory. c. Both Assoc. and Bacc. Prepared students take the NCLEX-RN to be licensed. d. Bacc. Degree students study social sciences, arts and humanities to support nursing theory.

a. Associate degree programs are 2 years and Baccalaureate degree programs are 4 years. c. Both Assoc. and Bacc. Prepared students take the NCLEX-RN to be licensed. d. Bacc. Degree students study social sciences, arts and humanities to support nursing theory.

5. What factor (s) influence the nursing profession today? (Select all that apply) a. Health care reform b. Medically underserved c. Threat of bioterrism d. Decreasing health care costs

a. Health care reform b. Medically underserved c. Threat of bioterrism

13. Which of the following statements are true about Nurse Practice Acts (NPA)? (Select all that apply) a. Regulated by the State Boards of Nursing b. Shields the public from unqualified and unsafe nurses c. Protects public health, safety and welfare d. Each state defines its own scope of nursing practice

a. Regulated by the State Boards of Nursing b. Shields the public from unqualified and unsafe nurses c. Protects public health, safety and welfare d. Each state defines its own scope of nursing practice

4. Which of the following statements are true about Florence Nightingale? (Select all that apply) a. She set the stage for using evidence to direct practice b. She established the first nursing philosophy based on health maintenance and restoration c. She founded the American Red Cross d. She was the first practicing nurse epidemiologist

a. She set the stage for using evidence to direct practice b. She established the first nursing philosophy based on health maintenance and restoration d. She was the first practicing nurse epidemiologist

2. The ANA defines nursing using which of the following phrases? (Select all that apply) a. The protection promotion and optimization of health and abilities. b. Prevention of illness and injury c. Alleviation of suffering through the diagnosis and treatment of human response. d. Advocacy in the care of individuals, families, communities and populations.

a. The protection promotion and optimization of health and abilities. b. Prevention of illness and injury c. Alleviation of suffering through the diagnosis and treatment of human response. d. Advocacy in the care of individuals, families, communities and populations.