test 3 fon 2
A patient undergoing chemotherapy for a brain tumor believes that having a good attitude will help in the healing process. This is an example of what type of knowledge? A) science B) philosophy C) process D) virtue
B
A focus of healthcare today is community-based care. What is community-based care? A) care provided to patients within a defined geographic area B) a focus on providing appropriate care for mental health C) a focus on the health of the community D) an emphasis on population-based care
a
A lawsuit has been brought against a nurse for malpractice. The patient fell and suffered a skull fracture, resulting in a longer hospital stay and need for rehabilitation. What does the description of the patient represent as proof of malpractice? A) damages B) causation C) duty D) breach of duty
a
A newly hired occupational health nurse at an industrial facility is performing an initial workplace assessment. Which of the following should the nurse determine when conducting a work site survey? A. Work practices of employees B. Past exposure to specific agents C. Past jobs of individual employees D. Length of time working in current role
a
A nurse developing a community health program is determining barriers to community resource referrals. Which of the following factors should the nurse include as an example of a resource barrier? A. Costs associated with services B. Decreased motivation C. inadequate knowledge of resources D. Lack of transportation
a
A nurse is accused of malpractice by a patient. Place all of the steps in the malpractice litigation listed below in the order in which they normally occur. Use all options. A) All parties named as defendants work toward a fair settlement. B) Trial takes place and a decision or verdict is reached. C) Pretrial discovery activities occur including review of medical record. D) The defendant contests allegations believing there is no basis for them. E) The case is presented to a malpractice arbitration pane and is accepted or rejected. F) If the verdict is not accepted by both sides, it may be appealed to an appellate court.
a
A nurse is advocating for local leaders to place a newly approved community health clinic in an area of the city that has fewer resources than other areas. The nurse is advocating for the leaders to uphold which of the following ethical principles? A. Distributive justice B. Fidelity C. Respect for autonomy D. Veracity
a
A nurse is conducting a prenatal class for expectant parents. What is one topic that should be addressed to promote safety in the developing fetus? A) alcohol consumption and smoking B) infant hygiene and feeding C) the stages of labor with possible complications D) the role of the father in proper prenatal care
a
A nurse is providing patient care in a hospital setting. Who has full legal responsibility and accountability for the nurses actions? A) the nurse B) the head nurse C) the physician D) the hospital
a
A nurse is using the I PREPARE mnemonic to assess a client's potential environmental exposures. Which of the following is an appropriate question for the nurse to ask to assess for "A" in the mnemonic? A. "What do you like to do for fun?" B. "What year was your residence built?" C. "What jobs have you had in the past?" D. "What industries are near where you live?"
a
A nurse is working with a client who has systemic lupus erythematosus and recently lost her health insurance. Which of the following actions should the nurse take in the implementation phase of the case management process? A. Coordinating services to meet the client's needs B. Comparing outcomes with original goals C. Determining the client's financial constraints D. Clarifying roles of interprofessional team members
a
A patient arrives at the Emergency Department with nausea, hematemesis, fever, abdominal pain, and severe diarrhea. There is a suspicion the patient has been exposed to the anthrax bacillus. What category of medications will be administered? A) antimicrobials B) narcotics C) antihistamines D) antacids
a
A patient has suddenly become very ill, and a nurse is transferring him to the intensive care unit (ICU). How does the nurse provide information to ensure continuity of care? A) by giving a verbal report to nurses in the ICU B) by ensuring that the chart and all belongings are moved C) by delegating a nursing assistant to provide information D) by asking the family to provide the information
a
A patient is suing a nurse for malpractice. What is the term for the person bringing suit? A) plaintiff B) defendant C) litigator D) witness
a
A patient with type 1 diabetes has impaired sensation in her lower extremities. What teaching would be necessary to reduce her risk of injury? A) Always test the temperature of bath water before stepping in. B) Take your insulin twice a day as we have discussed. C) Remember to follow your diet so you lose weight this month. D) Rub lotion on the skin of your legs and feet twice a day.
a
A student nurse learns how to give injections from the nurse manager. This is an example of the acquisition of what type of knowledge? A) authoritative B) traditional C) scientific D) applied
a
An elderly woman in a long-term care facility has fallen and sustained several injuries. Which of her injuries would be the most serious fall-related injury? A) fractured hip B) fractured ulna C) lacerated lip D) thigh contusion
a
At what point during hospital-based care does planning for discharge begin? A) on admission to the hospital B) after the patient is settled in a room C) immediately before discharge D) after leaving the hospital
a
Breaking the healthcare community into separate entities (such as the medical community, the nursing staff, management, support staff) and analyzing how they work as a whole together is an example of which nursing theory? A) general systems theory B) adaptation theory C) developmental theory D) compartment theory
a
One step in implementing evidence-based practice is to ask a question about a clinical area of interest or an intervention. The most common method is the PICO format. Which of the following accurately defines the letters in the PICO acronym? A) P = population B) I = institution C) C = compromise D) O = output
a
The nurse is following the Joint Commissions national patient safety goals when giving medications. Based on these goals, how can the nurse improve the accuracy of patient identification? A) Use two patient identifiers (neither to be the room number). B) Use two patient identifiers (one may be the room number). C) Check the patients armband three times. D) Say to the patient are you Mrs. Jones?
a
There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing? A) person B) environment C) health D) nursing
a
What age group is most vulnerable to toxic fumes or asphyxiation? A) young children B) adolescents C) young adults D) middle adults
a
What is the ultimate goal of expanding nursing knowledge through nursing research? A) learn improved ways to promote and maintain health B) develop technology to provide hands-on nursing care C) apply knowledge to become independent practitioners D) become full-fledged partners with other care providers
a
Which of the following best describes voluntary standards? A) Voluntary standards are guidelines for peer review, guided by the publics expectation of nursing. B) Voluntary standards set requirements for licensure and nursing education. C) Voluntary standards meet criteria for recognition, specified area of practice. D) Voluntary standards determine violations for discipline and who may practice.
a
Which of the following is a result of the effect of increasing healthcare costs on hospital admissions? A) decreased length of hospital stay B) decreased number of surgeries C) increased hospital admissions D) fewer surgeries in ambulatory centers
a
Which of the following sources of knowledge is based on objective data? A) authoritative B) traditional C) scientific D) applied
a
A nurse is preparing an educational program on cultural perspectives in nursing. The nurse should include that which of the following are influenced by an individual's culture? (Select all that apply.) A. Nutritional practices B. Family structure C. Health care interactions D. Biological variations E. Views about illness
a b c e
A nurse is admitting a patient to the hospital for surgery. Which of the following pieces of information must be obtained from the patient? Select all that apply. A) address B) date of birth C) admitting physician D) symptoms experienced E) Immunizations F) religious preference G) admitting diagnosis
a b c f g
Which of the following roles of the nurse are most important in providing continuity of care to patients? Select all that apply. A) teacher B) collaborator C) mentor D) advocate E) role model F) researcher
a b d
According to HIPPA regulations, which of the following is a patient right regarding the patients medical record? Select all that apply. A) to see the health record B) to copy the health record C) to make additions to the health record D) to cross out sections of the health record E) to restrict certain disclosures of the health record F) to destroy the health record
a b e
Which of the following are examples of characteristics of evidence-based practice? Select all that apply. A) It is a problem-solving approach. B) It uses the best evidence available. C) It is generally accepted in clinical practice. D) It is based on current institutional protocols. E) It blends the science and art of nursing. F) It is not concerned with patient preferences.
a b e
Which of the following examples represents the type of knowledge known as process? Select all that apply. A) A nurse dispenses medications to patients. B) A nurse changes the linens on a patients bed. C) A nurse studies a nursing journal article on infection control. D) A nurse consults an ethics committee regarding an ethical dilemma. E) A nurse believes in providing culturally competent nursing care. F) A nurse monitors the vital signs of a postoperative patient.
a b f
A nurse manager at a community agency is developing an orientation program for newly hired nurses. When discussing the differences between community-based and community-oriented nursing, the nurse should include which of the following as examples of community-based nursing? (Select all that apply.) A. A home health nurse performing wound care for a client who is immobile B. An occupational health nurse providing classes on body mechanics at a local industrial plant C. A school nurse teaching a student who has asthma about medications D. A parish nurse teaching a class on low-sodium cooking techniques E. A mental health nurse discussing stress management techniques with a support group
a c
An occupational health nurse is consulting with senior management of a local industrial facility. When discussing work-related illness and injury, the nurse should include which of the following as physical agents? (Select all that apply.) A. Noise B. Age C. Lighting D. Viruses E. Stress
a c
Which of the following are characteristics of nursing theories? Select all that apply. A) They provide rational reasons for nursing interventions. B) They are based on descriptions of what nursing should be. C) They provide a knowledge base for appropriate nursing responses. D) They provide a base for discussion of nursing issues. E) They help resolve current nursing issues and establish trends. F) They use complex terminology to resolve specific nursing issues.
a c d e
A patient in a clinical research study has given informed consent. This means that the patient has certain rights. These rights include which of the following? Select all that apply. A) confidentiality B) free medical care C) refusal to participate D) protection from harm E) guarantee of treatment F) consent knowledgeably
a c d f
Which of the following statements accurately describe an aspect of the credentialing process used in nursing practice? Select all that apply. A) Credentialing refers to the way in which professional competence is ensured and maintained. B) Accreditation is the process by which the state determines a person meets minimum requirements to practice nursing. C) Certification grants recognition in a specified practice area to people who meet certain criteria. D) Legal accreditation of a school preparing nursing personnel by the state Board of Nursing is voluntary. E) Once earned, a license to practice is a property right and may not be revoked without due process. F) A nurse must be licensed by the state board of nursing in each state in which he or she desires to practice.
a c e
Which of the following are examples of developmental risk factors? Select all that apply. A) A toddler is allowed to crawl in a house that has not been childproofed. B) A machinist works in an environment that exposes him to loud noises. C) A sales executive worries that he wont make his yearly sales quota. D) An elderly woman in a long-term healthcare facility is at high risk for falls. E) A 42-year-old woman is unable to move her left side following a stroke. F) A teenager has difficulty ambulating following multiple fractures from a MVA.
a d
Which of the following nursing actions would be considered a violation of HIPPA regulations? Select all that apply. A) A nurse ambulates a patient through a hospital hallway in a hospital gown that is open in the back. B) A nurse shoves a confused bedridden patient into bed after he made several attempts to get up. C) A nurse inadvertently administers the wrong dose of morphine to a patient in the ICU. D) A nurse uses a patients chart as a sample teaching case without changing the patients name. E) A nurse reports the condition of a patient to the patients employer. F) A nurse misrepresents herself to obtain a license to practice nursing.
a d e
A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which of the following are elements of this consent form? Select all that apply. A) Disclosure B) Organ donation C) DNR orders D) Comprehension E) Competence F) Voluntariness
a d e f
A nurse specializes in caring for victims of domestic violence. Which of the following statements accurately describes domestic violence in the United States? Select all that apply. A) Studies indicate that each year, more than 2,000,000 adults in the United States are victims of intimate partner violence. B) Intimate partner violence is domestic violence or battering between two people who are married. C) More than 85% of those abused in intimate partner violence are women. D) Many men who batter their spouses also batter their children. E) There is no evidence linking childhood sexual abuse to adult physical symptoms or substance abuse. F) Nurses are advised to suggest other resources for the victims of violence instead of providing their own counseling.
acd
A grade school nurse is addressing parents at a PTA meeting regarding car safety. Which of the following is a recommended safety guideline for this age group? A) All school-aged children need to be secured in safety seats. B) Booster seats should be used for children until they are 4-feet 9-inches tall or at least 8 years of age. C) Children under 8 years old should ride in the back seat. D) All school-aged children need to be secured in lap seat belts
b
A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next? A) administer the medication based on the order B) question the order for the medication C) refuse to administer the medication D) document concerns about the order
b
A nurse is assessing a patient who recently had a stroke. What is one area of assessment necessary to promote safety? A) skin integrity B) neuromuscular status C) hygiene D) abdominal integrity
b
A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment, which of the following actions should the nurse take first? A. Determine the client's perception of his current health status. B. Gather data about the client's cultural beliefs. C. Determine how the client's culture may impact the effectiveness of nursing actions. D. Gather information about previous client interactions with the health care system.
b
A nurse is conducting health screenings at a statewide health fair and identifies several clients who require referral to a provider. Which of the following statements by a client indicates a barrier to accessing health care? A. "I don't drive, and my son is only available to take me places in the mornings." B. "I can't take off during the day and the local after-hours clinic is no longer in operation." C. "Only one doctor in my town is a designated provider by my health maintenance organization." D. "I would like to schedule an appointment with the local doctor in my town who speaks Spanish and English."
b
A nurse is reviewing the various roles of a community health nurse. Which of the following actions is an example of a nurse functioning as a consultant? A. advocating for federal funding of local health screening programs B. updating state officials about health needs of the local community C. facilitating discussion of a client's ongoing needs with an interprofessional team D. Performing health screenings for high blood pressure at a local health fair
b
A nurse making a home visit for a patient living in a high-crime area observes that the apartment building does not have outside lighting. Why is this an important assessment? A) It will make the patient less able to go to social gatherings. B) Assessment includes risk factors in the home. C) Although important, this assessment is irrelevant to care. D) Nurses in home healthcare are not concerned with safety.
b
A nurse moves from Ohio to Missouri. Where can a copy of the Nurse Practice Act in Missouri be obtained? A) Ohio State Board of Nursing B) Missouri State Board of Nursing C) federal government nursing guidelines D) National League for Nursing
b
A patient is being transferred from a hospital to a long-term care facility. What will happen to the patients medical record (chart)? A) It goes with the patient to the facility. B) It remains in the hospital records. C) It is shredded by special personnel. D) The original and a copy go with the patient.
b
A patient refuses to have a pain medication administered by injection. A nurse says, If you dont let me give you the shot, I will get help to hold you down and give it. With what crime might the nurse be charged? A) assault B) battery C) negligence D) defamation
b
A school nurse is planning health promotion and disease prevention activities for the upcoming school year. In which of the following situations is the nurse planning a secondary prevention strategy? A. Placing posters with images of appropriate hand hygiene near restrooms B. Routinely checking students for pediculosis throughout the school year C. Implementing age-appropriate injury prevention programs for each grade level D. Working with a dietician to determine carbohydrate counts for students who have diabetes mellitus
b
An adolescent has recently had a ring inserted into her navel. What is the adolescent at risk for developing? A) a scar over the navel B) a local and/or systemic infection C) a greater acceptance by peers D) a strained relationship with parents
b
How can a nurse best provide care to patients whose cultural and religious backgrounds are different from the nurses? A) ignore differences and treat everyone the same B) respect values and beliefs even if they differ from the nurses beliefs C) convince patients to change to the nurses beliefs D) refuse to care for patients with different beliefs
b
If an individual has smallpox, how would it most likely be spread? A) fecal-oral route B) direct contact C) contaminated items D) by birds
b
In comparison with licensure, which measures entry-level competence, what does certification validate? A) innocence of any disciplinary violation B) specialty knowledge and clinical judgment C) more than 10 years of nursing practice D) ability to practice in more than one area
b
Regardless of the type of ambulatory care facility, what need is common to all patients cared for? A) referrals B) teaching C) advocacy D) surgery
b
The practice of changing patients bedclothes each day in acute care settings is an example of what type of knowledge? A) authoritative B) traditional C) scientific D) applied
b
What phrase best describes the science of nursing? A) application of clinical skills B) body of nursing knowledge C) holistic patient care D) art of individualized nursing
b
What was significant about the promotion of the National Center for Nursing Research to the current National Institute of Nursing Research (NINR)? A) Increased numbers of articles are published in research journals. B) NINR gained equal status with all other National Institutes of Health. C) NINR became the major research body of the International Council of Nurses. D) It decreased emphasis on clinical research as an important area for nursing.
b
Which of the following accurately describes Florence Nightingales influence on nursing knowledge? A) She defined nursing practice as the continuation of medical practice. B) She differentiated between health nursing and illness nursing. C) She established training for nurses under the direction of the medical profession. D) She established a theoretical base for nursing that originated outside the profession.
b
Which of the following is the major goal of ambulatory care facilities? A) to save money by not paying hospital rates B) to provide care to patients capable of self-care at home C) to perform major surgery in a community setting D) to perform tests prior to being admitted to the hospital
b
Which of the following nursing diagnoses would be appropriate for teaching interventions for a single mother who leaves her toddler unattended in the bathtub? A) Noncompliance B) Risk for Suffocation C) Risk for Falls D) Risk for Imbalanced Body Temperature
b
Why are the developmental theories important to nursing practice? A) They describe how parts work together as a system. B) They outline the process of human growth and development. C) They define human adaptation to others and to the environment. D) They explain the importance of legal and ethical care.
b
what safety device for children is mandated by law in all 50 states? A) bumper pads in baby cribs B) infant car seats and carriers C) automatic hot water heater controls D) parental controls for Internet access
b
A nurse is interviewing for a position at the local health department. When preparing for the interview, the nurse should find that which of the following are responsibilities of this agency? (Select all that apply.) A. Managing the Women, Infants, and Children program B. Providing education to achieve community health goals C. Coordinating directives from state personnel D. Reporting communicable diseases to the CDC E. Licensing of registered nurses
b c
A nurse is creating partnerships to address health needs within the community. The nurse should be aware that which of the following characteristics must exist for partnerships to be successful? (Select all that apply.) A. Being a leading partner with decision-making authority B. flexibility among partners when considering new ideas C. adherence of partners to ethical principles D. Varying goals for the different partners E. Willingness of partners to negotiate roles
b c e
A nurse is preparing a room for a new patient. Which of the following is an accepted guideline for this activity? Select all that apply. A) Position the bed in the highest position for ambulatory patients. B) Open the bed by folding back the top linens. C) Assemble routine equipment and supplies. D) Provide a hospital gown to be worn by the patient at all times. E) If lab work has not been done, provide a container for a clean urine specimen. F) Adjust the temperature to 65F and turn off overhead lights.
b c e
A nurse is teaching parents about Internet safety for their children. Which of the following are recommended guidelines for Internet use? Select all that apply. A) Keep identifying information posted on the Web sites. B) Use filtering software to block objectionable information. C) Investigate any public chat rooms used by the children. D) Emphasize that everything read online is usually true. E) Be alert for downloaded files with suffixes that indicate images or pictures. F) Consider locating the computer in a central location in the house.
b e f
A community health nurse is implementing health programs with several populations in the local area. In which of the following situations is the nurse using primary prevention? A. Performing a home safety check at a client's home B. Teaching healthy nutrition to clients who have hypertension C. Providing influenza immunizations to employees at a local preschool D. Implementing a program to notify individuals exposed to a communicable disease
c
A lawyer quotes a precedent for punishment of a crime committed by the defendant in a trial. What is court-made law is known as? A) public law B) statutory law C) common law D) administrative law
c
A nurse has conducted a timed get up and go test to assess an older adults risk for a fall. The patient completes the test in 30 seconds. Based on the finding, what will the nurse do? A) Continue with the plan of care for this fully mobile patient. B) Document the time of the test and observe the patient. C) Develop a care plan for Impaired Physical Mobility. D) Maintain the patient on bedrest to prevent falling.
c
A nurse is admitting an older woman (Grace Staples) to a long-term care facility. How should the nurse address the woman? A) We will just call you Grace while you live here. Okay? B) I know you have lots of grandchildren, Grandma. C) What name do you want us to use for you? D) I think you will enjoy living here, Sweetie.
c
A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out? A) Place it in the patients medical record. B) Take it home and keep it locked up. C) Maintain it according to agency policy. D) Include it with documentation of the error.
c
A nurse, preparing for a patients discharge after surgery, is teaching the patients wife to change the dressing. How can the nurse be certain the wife knows the procedure? A) Tell the wife exactly how to do it. B) Give the wife information about supplies. C) Have the wife demonstrate the procedure. D) Ask another nurse to reinforce teaching.
c
A school nurse is scheduling visits with a physical therapist for a child who has cerebral palsy. In which of the following roles is the nurse functioning? A. Direct caregiver B. Consultant C. Case manager D. Counselor
c
Before developing a procedure, a nurse reviews all current research-based literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review? A) institutional practice B) authoritative nursing C) evidence-based nursing D) factual-based nursing
c
Bioterrorism has become a commonly used term. What is the definition of bioterrorism? A) a verbal threat by those wishing to harm specific individuals B) a written threat calculated to produce terror in a family C) the deliberate spread of pathogens into a community D) a worldwide plan to produce illness and injury
c
What statement by a patient would indicate that a nurse had successfully implemented a teaching/learning strategy to prevent injury in the home? A) I will turn off the outside lights and lock the doors every night. B) Do you think it would be best for me to buy a gun? C) I am going to remove all those throw rugs on the floor. D) Well, I always let the boys play in the bathtub; they love it.
c
What type of law regulates the practice of nursing? A) common law B) public law C) civil law D) criminal law
c
Which of the following accreditations is a legal requirement for a school of nursing to exist? A) National League for Nursing Accrediting Commission B) American Association of Colleges of Nursing accreditation C) State Board of Nursing accreditation D) educational institution accreditation
c
Which of the following is a responsibility of an institutional review board (IRB)? A) secure informed consent for researchers B) review written accuracy of research proposals C) determine risk status of all studies D) secure funding for institutional research
c
Which of the following is the most frequent reason for revocation or suspension of a nurses license? A) fraud B) mental impairment C) alcohol or drug abuse D) criminal acts
c
Which of the following is the nurses best legal safeguard? A) collective bargaining B) written or implied contracts C) competent practice D) patient education
c
Which of the following phrases best describes continuity of care? A) focusing on acute care in the hospital B) serving the needs of children C) facilitating transition between settings D) providing single-episode care services
c
Which of the following represents the basic framework of the research process? A) Qualitative data B) Quantitative data C) Nursing Process D) Nursing Theory
c
Which set of terms best describes first-aid care? A) long-term, chronic illness B) professional, hospital C) immediate, temporary D) skilled, complex
c
Who was the first nurse to develop a nursing theory? A) Clara Barton B) Dorothea Dix C) Florence Nightingale D) Virginia Henderson
c
A nurse is preparing an education program on disease transmission for employees at a local day care facility. When discussing the epidemiological triangle, the nurse should include which of the following as agents? (Select all that apply.) A. Resource availability B. Ethnicity C. Toxins D. Bacteria E. Altered immunity
c d
A beginning student is reading a published research article. Where in the article would the student find the abstract? A) in the introduction B) in the methods section C) after the references D) at the beginning
d
A case management nurse at an acute care facility is conducting an initial visit with a client to identify needs prior to discharge home. After developing a working relationship with the client, the nurse is engaging in the referral process. Which of the following actions should the nurse take first? A. Monitor the client's satisfaction with the referral. B. Provide the client information to referral agencies. C. Review available resources with the client. D. Identify referrals that the client needs.
d
A competent adult patient is scheduled for surgery. Who signs the informed consent form to allow the surgery? A) a relative B) the physician C) a nurse D) the patient
d
A confused elderly woman who keeps attempting to remove tubes from her surgical incision is placed in wrist restraints. Which of the following diagnoses would be appropriate for this patient? A) Risk for Contamination B) Risk for Trauma C) Risk for Falls D) Risk for Disuse Syndrome
d
A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse? A) assault B) battery C) fraud D) negligence
d
A nurse has been named as a defendant in a lawsuit. With whom should the nurse discuss the case? A) colleagues B) reporters C) plaintiff D) attorney
d
A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? A) civil B) private C) public D) criminal
d
A nurse is developing a community health education program for a group of clients who have a new diagnosis of diabetes mellitus. Which of the following learning strategies should the nurse include for clients who are auditory learners? A. Showing informational videos B. Providing equipment to practice hands-on skills C. Supplying outlines for note-taking D. Facilitating small group discussions
d
A nurse is talking to a client who asks for additional information about hospice. Which of the following is an appropriate statement by the nurse? A. "Clients who require skilled nursing care at home qualify for hospice care." B. "One function of hospice is to provide teaching to clients about life-sustaining measures." C. "Hospice assists clients to develop the skills needed to care for themselves independently." D. "A component of hospice care is to control the client's symptoms."
d
A nurse observes that certain patients have less pain after procedures than do others, and forms a theory of why this happens. What is a theory? A) a concept used to directly prove a fact or a group of facts B) an understanding borrowed from other disciplines C) a best guess based on intangible ideas D) a statement of an occurrence based on observed facts
d
A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired pneumonia in her hospital. The statement of what the researcher expects to find in these studies is called the: A) variable B) data C) hypothesis D) instrument
d
A patient gets out of bed following hip surgery and falls and re-injures her hip. The nurse caring for her knows that it is her duty to make sure an incident report is filed. Which of the following statements accurately describes the correct procedure for filing an incident report? A) The physician in charge should fill out the report. B) The names of the staff involved should not be included. C) The reports are used for disciplinary action against the staff. D) The report should contain all the variables related to the incident.
d
A patient is very anxious and states, I am so stressed. Why do these factors affect the patients safety? A) stress increases retention of information B) stress affects interpersonal relationships C) stress increases concern about hazards D) stress tends to narrow the attention span
d
A staff nurse asks a student, Why in the world are you studying nursing theory? How would the student best respond? A) Our school requires we take it before we can graduate. B) We do it so we know more than your generation did. C) I think it explains how we should collaborate with others. D) It helps explain how nursing is different from medicine.
d
According to established standards, what healthcare provider should conduct a holistic assessment for all patients admitted to the hospital? A) physician B) admission clerk C) licensed practical nurse D) registered nurse
d
An emergency room nurse is assessing a toddler with multiple bruises and burns. The nurse suspects the toddler has been abused. What is legally required of the nurse? A) Nothing; the nurse has no control over the toddlers home. B) Refer the caregivers of the toddler to a home health nurse. C) Verbally confront the caregivers about the suspicions. D) Report suspicions about the abuse to proper authorities.
d
During the first half of the 20th century, a change in the structure of society resulted in changed roles for women and, in turn, for nursing. What was one of these changes? A) More women retired from the workforce to raise families. B) Women became more dependent and sought higher education. C) The focus of nursing changed to hands-on training. D) Nursing research was conducted and published.
d
In what situation would the use of side rails not be considered a restraint? A) The nurse keeps them raised at all times. B) The institutions policies mandate using side rails. C) A visitor requests their use. D) A patient requests they be up at night.
d
Information is collected for analysis in both quantitative and qualitative research. What is the information called? A) surveys B) answers C) interviews D) data
d
Nurses provide many interventions to prevent falls in healthcare settings. Which of the following would be an appropriate fall-prevention intervention? A) Keep bed in the high position. B) Keep side rails up at all times. C) Apply restraints to all confused patients. D) Lock wheels on beds and wheelchairs.
d
What generalization can be made about safety in patient care? A) Healthcare providers exclude safety as a patient need. B) Although safety is a basic human need, it is provided by self-care. C) Safety is an important need, but not as important as self-actualization. D) Safety is a paramount concern underlying all nursing care.
d
What information does HIPAA mandate be given to patients upon admission to a healthcare facility? A) what type of insurance is necessary for care B) who will be providing different types of care C) what different levels of care are provided D) how health information will be used
d
What is required of a patient who leaves the hospital against medical advice (AMA)? A) nothing, the hospital has no legal concerns B) full reimbursement of any medical expenses C) providing contact phone numbers if needed D) signing a form releasing legal responsibility
d
What is the legal source of rules of conduct for nurses? A) agency policies and protocols B) constitution of the United States C) American Nurses Association D) Nurse Practice Acts
d
What is the rationale for conducting discharge planning? A) to ensure the best possible care in the acute care setting B) to provide a means of documenting nursing care C) to enlist family members in providing home care D) to ensure patient and family needs are met consistently
d
When should a healthcare facility determine how to deliver care if an emergency or disaster occurs? A) as soon as the disaster is announced publicly B) when it is officially informed that a disaster has occurred C) after the first disaster has been experienced D) in advance of a possible emergency or disaster
d
Which healthcare provider is responsible for ensuring the room is prepared for admission and the patient is welcomed? A) nursing assistant B) admitting room clerk C) social worker D) nurse
d
Which of the following is an example of a natural disaster? A) toxic spill B) war C) terrorist event D) earthquake
d
Which of the following nursing diagnoses would be appropriate for almost all patients entering a healthcare setting? A) Impaired Elimination B) Dysfunctional Grieving C) Fatigue D) Anxiety
d
Which of the following patients would not be discharged to be cared for by the family? A) a patient who needs sterile dressings changed B) a patient with a feeding tube in place C) a patient receiving IV medications D) a patient who lacks knowledge of the treatment plan
d
Which of the following people is at greater risk for accidental injury? A) an infant just learning to crawl B) an older adult who walks 2 miles a day C) an athlete who exercises on a regular basis D) a worker who operates industrial machines
d
Which of the following terms are part of quantitative research? A) process B) concept C) ethnography D) variable
d
