DESIGNER QUIZ REVIEW Q's

Smiles spontaneously/follows to midline

2 months

A nursing student is conducting a survey of fellow nursing students. Which ethical concept is the student following when calculating the risk- to-benefit ratio and concluding that no harmful effects were associated with a survey? 1 Beneficence 2 Human Rights 3 Human Dignity 4 Justice

1 Beneficence

A 72 yo Nigerian man comes to the United States to visit his adult son. The son tries to encourage his father to have the testing and treatment for a chronic productive cough. The adult son has a positive attitude and believes in the American medical treatment because what has happened to the child while living in the United States? This is an example of what? 1) Acculturation 2) Ethnocentrism 3) Race awareness 4) Cultural imposition

1) Acculturation

A home care nurse receives a physician order for a medication that the patient does not want to take because the patient has a history of side effects from this medication. The nurse carefully listens to the patient, considers it in light of the patient's condition, questions its appropriateness, and examines alternative treatments. What is the nurse's best action? 1) Call the physician, explain rationale, and suggest a different medication. 2) Consult an experienced nurse on whether there are other similar treatments. 3) Hold the drug until the physician returns to the unit and can be questioned. 4) Question other staff as to the physician's acceptance of nursing input.

1) Call the physician, explain rationale, and suggest a different medication.

a teaching plan includes: 1. evaluation plan 2. written clearly 3. video learning 4. more than 1 answer

1. evaluation plan

Says "mama" "dada" specifically

10-12 months

A nurse who has been out of school 2-3 years and is beginning to consider multiple contingencies of a situation is considered to be: 1. Novice 2. Competent 3. Proficient 4. Expert

2. Competent

Point to 5 basic colors

3-5 years

Separation anxiety at its height

4 years

Rolls from stomach to back

4-5 month

When describing patient education, the nurse explains that informal teaching involves which quality? Addresses Group needs Often occurs one-to-one Has standardized content Follow formalized plans

Often occurs one-to-one

eriksons Concentrate on self and determine who they are going to be (Identity vs Role Confusion) stage

adolescent (11-21)

piagets Able to reason deductively and inductively/understand abstractions(Formal Operations) stage

adolescent (11-21)

Student nurses are using reinforcement and modeling to demonstrate proper hand washing to school-age children. (teaching theory)

behaviorist

Which of the following is not a requirement for an experimental study? a. Random sampling b. Control group c. Repeated measures d. Control of the intervention

c. Repeated measures

The purpose of control in a study design is to a. establish the credibility of the researcher. b. highlight design flaws. c. increase the probability that the results are true to reality. d. interfere with the validity of the findings.

c. increase the probability that the results are true to reality.

The nurse enter's the patient's room in the assisted living facility and finds that the wastebasket is on fire. The nurse immediately assists the client out of the room. What is the next nursing action? 1 Extinguish the fire 2 Activate the fire alarm 3 Confine the fire by closing the room door 4 Call for help

2 Activate the fire alarm

A drug-addicted nurse switches a patient's morphine injection with normal saline so that the nurse can use the morphine. The nurse is violating which principles of ethics? (Select all that apply.) 1 Autonomy 2 Beneficence 3 Veracity 4 Utilitarianism 5 dilemmas

2 Beneficence 3 Veracity 4 Utilitarianism

reading level for patient edu

5th grade

eriksons Takes pride in trying new things (Initiative vs Guilt) stage

preschool (3-6)

piagets Egocentrism, irreversibility and magical thought dominate(Pr-operational) stage

preschool (3-6)

eriksons Develop increase sense of autonomy(Autonomy vs Shame and Doubt) stage

toddler (1- 3)

evaluating patient satisfaction teaching activity, best strategy? 1. include survey 2. observe for skill mastery 3. present info more than once 4. provide for a return demonstration

1. include survey

The nurse notes that a 6 year old child does not recognize an object outside of the visual field, what should the nurse do? 1. report to provider 2. move object into direct field of vision 3. teach child how to scan the env. 4. provide additional lighting when child plays

1. report to provider

Begins potty training

18-24 months

The 2-year-old child is treated in the emergency department for a burn to the chest and abdomen. The child sustained the burn by grabbing a cup of hot coffee that was left on the kitchen counter. The nurse reviews safety principles with the parents before discharge. Which statement by the parents indicates an understanding of measures to provide safety in the home? 1. "We will be sure not to leave hot liquids unattended." 2. "I guess my children need to understand what the word hot means." 3. "We will be sure that the children stay in their rooms when we work in the kitchen." 4. "We will install a safety gate as soon as we get home so the children cannot get into the kitchen."

1. "We will be sure not to leave hot liquids unattended."

strategies for adult who repeatedly does not follow d/c instructions? 1. handout 2.self help books 3. videos 4. internet resources

3. videos

You are testing the effectiveness of your teaching using a paper and pencil quiz .(teaching theory)

cognitive

A nurse practitioner is using empowerment and internal motivation to teach a new mother the benefits of breast feeding and guide her through the process (teaching theory)

humanistic

erikson 3. Requires that are met in a consistent manner to develop trust (Trust vs Mistrust) stage

infant

piagets Experience the world through the senses (Sensorimotor) stage

infant

A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan? 1) After the operation and the patient is awake 2) On admission, along with the initial assessment 3) The day before the patient is to be discharged 4) When narcotics are no longer needed routinely

2) On admission, along with the initial assessment

As part of the nursing process, cultural assessment is best accomplished by... 1) judging the patient's cultural values based on observations 2) using a cultural assessment guide as part of the nursing process 3) seeking guidance from a nurse from the patient's cultural background 3) relying on the nurse's previous experience with patients from that cultural group

2) using a cultural assessment guide as part of the nursing process

Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when making which statement? 1. "Health care is available for everyone at every time." 2. "Health care needs are best met with a collaborative effort." 3. "Health care is adequately meeting the needs of the homeless populations." 4. "Health care needs are mostly in third world countries."

2. "Health care needs are best met with a collaborative effort."

The nurse is evaluating the developmental level of a 2-year-old. Which does the nurse expect to observe in this child? 1. Uses a fork to eat 2. Uses a cup to drink 3. Pours own milk into a cup 4. Uses a knife for cutting food

2. Uses a cup to drink

Which car safety device should be used for a child who is 8 years old and is 4 feet tall? 1. Seat belt 2. Booster seat 3. Rear-facing convertible seat 4. Front-facing convertible seat

2. booster seat

barriers to patient education the nurse needs to consider in implementing a teaching plan include? 1. family resources 2. hunger and pain 3. high school edu 4. needs perceived by pt

2. hunger and pain

The maternity nurse is providing instructions to a new mother regarding the psychosocial development of the newborn infant. Using Erikson's psychosocial development theory, the nurse instructs the mother to take which measure? 1. Allow the newborn infant to signal a need. 2. Anticipate all the needs of the newborn infant. 3. Attend to the newborn infant immediately when crying. 4. Avoid the newborn infant during the first 10 minutes of crying.

1. Allow the newborn infant to signal a need.

A 4-year-old child diagnosed with leukemia is hospitalized for chemotherapy. The child is fearful of the hospitalization. Which nursing intervention should be implemented to alleviate the child's fears? 1. Encourage the child's parents to stay with the child. 2. Encourage play with other children of the same age. 3. Advise the family to visit only during the scheduled visiting hours. 4. Provide a private room, allowing the child to bring favorite toys from home.

1. Encourage the child's parents to stay with the child.

Which of the following does not contribute to effective relational continuity during a team meeting? 1. Providing lengthy, detailed descriptions of the client's wound. 2. Actively listening and taking notes related to the situation. 3. Voicing concerns about clients' ability to manage their condition. 4. Seeking input from the viewpoint of other specialties

1. Providing lengthy, detailed descriptions of the client's wound.

A parent of a 3-year-old tells a clinic nurse that the child is rebelling constantly and having temper tantrums. Using Erikson's psychosocial development theory, which instructions should the nurse provide to the parent? Select all that apply. 1. Set limits on the child's behavior. 2. Ignore the child when this behavior occurs. 3. Allow the behavior, because this is normal at this age period. 4. Provide a simple explanation of why the behavior is unacceptable. 5. Punish the child every time the child says "no" to change the behavior.

1. Set limits on the child's behavior. 4. Provide a simple explanation of why the behavior is unacceptable.

The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members? 1. The occurrence of a patient event resulting in death or serious injury 2. Decreased ability to document expenses of care provided 3. Longer time to begin surgical cases 4. Increased time to discharge patients to outpatient care

1. The occurrence of a patient event resulting in death or serious injury

Which of the following behaviors are considered disruptive? (Select all that apply.) 1. Turns away from a peer who is giving report. 2. Loudly criticizes the previous shift for poor care. 3. Speaks to peers in an even tone of voice. 4. Addresses potential problems with concerned individuals. 5. Refuses to speak to physician who returns a call 2 hours later.

1. Turns away from a peer who is giving report. 2. Loudly criticizes the previous shift for poor care. 5. Refuses to speak to physician who returns a call 2 hours later.

A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with which principle? 1 Nonmaleficence 2 Autonomy 3 Accountability 4 Veracity

2 Autonomy

A client you caring for in Home Health Care is diagnosed with delirium becomes disoriented and confused at night. Which intervention should the nurse implement initially? 1 Keep the television and a soft light on during the night 2 Use an indirect light source and turn off the television 3 Play soft music during the night, and maintain a well-lit room 4 Move the client to the bedroom furthest from the door

2 Use an indirect light source and turn off the television

A mother calls a neighbor who is a nurse and tells the nurse that her 3-year-old child has just ingested liquid furniture polish. The nurse would direct the mother to take which immediate action? 1 Bring the child to the Emergency Department 2 Call an ambulance 3 Call the Poison Control Center 4 induce vomiting

3 Call the Poison Control Center

A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, "Do you think when he moves his hands he is responding to my voice?" The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, "He can hear you, and it appears he did respond to your voice." The nurse is violating which principle of ethics? 1 Deontology 2 Utilitarianism 3 Veracity 4 Autonomy

3 Veracity

The mother of an 8-year-old child tells the clinic nurse that she is concerned about the child because the child seems to be more attentive to friends than anything else. Using Erikson's psychosocial development theory, the nurse should make which response? 1. "You need to be concerned." 2. "You need to monitor the child's behavior closely." 3. "At this age, the child is developing his own personality." 4. "You need to provide more praise to the child to stop this behavior."

3. "At this age, the child is developing his own personality."

Medical models coordinate medical services and were traditionally designed to fulfill which function? 1. Be patient specific 2. Be nursing oriented 3. Be diagnostic specific 4. Be community oriented

3. Be diagnostic specific

You are teaching a patient prior to discharge a self-intermittent catheterization technique. This would be an example of health teaching involving which human domain? 1. Affective 2. Psychosocial 3. Psychomotor 4. Cognitive

3. Psychomotor improving a skill

The nurse is faced with an ethical issue. When assessing the ethical issue, which action should the nurse perform first? 1 Justify the choice of action or inaction. 2 Select the best option from a list of alternatives 3 Identify all possible alteratives 4 Ask, "What is the issue?"

4 Ask, "What is the issue?"

An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle? 1 Autonomy 2 Utilitarianism 3 Veracity 4 Deontology

4 Deontology

A nurse on the unit makes an error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics? 1 Values 2 Clarification 3 Individuality 4 Fidelity

4 Fidelity

Standards of Nursing Practice mandate that the following be included in informed consent for medical procedures: 1 An explanation of the procedure 2 Disclosure of benefits of the procedure 3 Disclosure of possible risks and adverse effects of the procedur 4 All of the above 5 A signature only

4 all

Vulnerable populations of patients are those who are more likely to develop health problems as a result of: 1) Chronic diseases and homelessness 2) Poverty and acute illness 3) Lack of transportation, ability to perform self-care but are homeless 4) Excess health risks, limits in access to health care services, and dependency on other's for care.

4) Excess health risks, limits in access to health care services, and dependency on other's for care.

The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. What is the nurse's best response? 1. "Care coordination is a cost effective method created by the community." 2. "Care coordination forces the health care facilities in the community to work together." 3. "Care coordination exists for the children and uninsured in the community." 4. "Care coordination allows health care services to work together in the community."

4. "Care coordination allows health care services to work together in the community."

A 16-year-old is admitted to the hospital for acute appendicitis and an appendectomy is performed. Which nursing intervention is most appropriate to facilitate normal growth and development postoperatively? 1. Encourage the child to rest and read. 2. Encourage the parents to room in with the child. 3. Allow the family to bring in the child's favorite computer games. 4. Allow the child to interact with others in his or her same age group.

4. Allow the child to interact with others in his or her same age group.

The nurse is preparing to care for a 5-year-old who has been placed in traction following a fracture of the femur. The nurse plans care, knowing that which is the most appropriate activity for this child? 1. A radio 2. A sports video 3. Large picture books 4. Crayons and a coloring book

4. Crayons and a coloring book

patient education includes which factor? 1. adherence 2. dev. level 3. motivation 4. technology

4. technology

Tripod sitting unsupported

6 months

Rolls from back to abdomen

6-7 months

Stranger anxiety at its height

8-9 months

eriksons Gaining competence and sense of satisfaction from learned skills(Industry vs Inferiority) stage

school age (6-11)

piagets Able to grasp reversibility and solve problems(Concrete Operations) stage

school age (6-11)

Nursing students demonstrate what type of the highest level of learning Affective Cognitive Psychomotor Self-directed

self-directed