Nursing 101 - Exam 2

Which of the following is an example of Bargaining during the grief process for a patient recently diagnosed with cancer? "Why bother with treatment? I'll probably die soon, so what is the point anyway?" "I don't believe it's cancer. I feel fine. I'm telling you, this is just a cold" "If my boos had not put so much pressure on me, I wouldn't be so sick!" "I don't want to start chemo yet. I promise I'll do my physical therapy if we can wait."

"I don't want to start chemo yet. I promise I'll do my physical therapy if we can wait."

During a staff meeting, which statement by a nurse manager best demonstrates the use of assertive communication? "I'm sorry, but your idea is way off base and much too costly." "I am the manager and we will have to do it my way." "I don't mind either way. Do it the way the majority thinks is best." "You have made some good points. I have another idea I want to add."

"You have made some good points. I have another idea I want to add."

What is one of the major differences between a coworker's difficult behavior and the difficult behavior displayed by a patient? A patient's difficult behavior is easier to identify and resolve A patient's difficult behavior usually involves trying to get Maslow's lower level of hierarchy of needs met A coworker's difficult behavior must always be addressed directly for best results A coworker's difficult behavior is driven by self-centered goals

A patient's difficult behavior usually involves trying to get Maslow's lower level of hierarchy of needs met

In the documentary, Chasing Zero, which health care worker was imprisoned for a medication error that resulted in the death of a patient? A nurse A physician A pharmacist A nursing assistant

A pharmacist

Which of the following is involved in a secular approach to spirituality? Scientific rationalism that is based on the soul that exists in every person Integrative energy that is capable of producing internal harmony and holism A set of values chosen by an individual that becomes that person's focus on life A profound sense of transcendence and awe in the wonder of God's creations

A set of values chosen by an individual that becomes that person's focus on life

What is the first step in creating a positive work environment? Actively listening to a fellow worker's accounts of incivility Developing a plan to resolve the problem Reflecting on the problem Reporting the incident to a supervisor

Actively listening to a fellow worker's accounts of incivility

A just culture contributes to quality and safety by focusing on which of the following? Making health care more equitable and efficient Analyzing system errors to identify possible Improvements Identifying variances from a predetermined plan for patients Releasing staff from responsibility when errors occur

Analyzing system errors to identify possible Improvements

Which of the following is usually the last step before the dispute is taken to court for litigation? Negotiation Arbitration Mediation Bargaining

Arbitration

A communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others is: Passive-Aggressive Submissive Assertive Arbitration

Assertive

Which of the following is the best way to establish trust with a patient who is displaying difficult behavior? (More than one) Main confidentiality of patient information Be honest in answering each of the patient's questions Respect the patient's opinions Use your best judgement about how the patient is feeling

Be honest in answering each of the patient's questions Respect the patient's opinions

When a healthcare system compares acceptable levels of performance with a standard, this is an example of which of the following? Benchmarking Risk Management Clinical pathways Dashboarding

Benchmarking

People who appear to be seeking help, but reject help from others without even considering it are called? Beyond Help Toxic Bulldozer Wet blanket

Beyond Help

People who want action and use aggressive complaining to manipulate others into achieving their own goals are called? Toxic Wet Blanket Beyond Help Bulldozer

Bulldozer

Identify the health care area in which the use of Informatic has improved the efficiency of care Interdepartmental communication Charting & Documentation of care Electronic ordering of medical supplies Medication wasting

Charting & Documentation of care

Which role of an informatics nurse involves interviewing nurses and support staff who work in the hospital's emergency department (ED) to find out if the facility's electronic health record adequately meets the unit's needs? Coordinator Software developer Tester Trainer

Coordinator

A patient who has just been told that he has advanced lung cancer is sad and blurts out to the nurse, "This can't be happening! I never even smoked. Can I get a second opinion?" What stage of grief is this patient most likely experiencing? Depression Denial Anger Bargaining

Denial

What advantage does the electronic health record (EHR) system have over traditional paper systems? There are fewer privacy issues with EHR EHR is unbreakable EHR is fast and portable EHR is more cost-effective

EHR is fast and portable

Identify the primary driving goal behind the development and use of the Touch Surgery app Allows patients to schedule their surgeries with the touch of a button Educates patients about upcoming procedures and alleviate anxiety Provides a way to touch base with patients and let them know when their surgeries are and what facility they are to go to Allows patients to give feedback on the care they received during their stay

Educates patients about upcoming procedures and alleviate anxiety

Which is an example of vertical violence? Faculty assigned additional homework when students fell asleep in class A student made a snide comment about what another student was wearing A frustrated student "accidentally" spills a drink on a classmate's assignment A teacher posted derogatory comments on Facebook about another teacher

Faculty assigned additional homework when students fell asleep in class

In the documentary, "Chasing Zero: Winning the War on Healthcare Harm", what is the overall concept behind the strategies proposed to reduce harm? Physicians need to improve collaboration skills with nurses Patients need a voice in making their healthcare decisions Nurses need more medical knowledge and clinical training Harm occurs from faulty systems, not from bad people

Harm occurs from faulty systems, not from bad people

Which of the following has been identified as a key element to the effective education of nursing students? A feeling of personal safety in the classroom setting Permitting students to use cell phones during classes Low stress levels produced by decreased home-work assignments High-quality interpersonal relationships between students and teachers

High-quality interpersonal relationships between students and teachers

Which of the following should be primary goals when dealing with people displaying difficult behavior? (More than one) Recognize the perception is 90% of behavior Avoid their harmful comments and behaviors Identify what goals they are trying to achieve Get them to change their behaviors Change our response to the behaviors

Identify what goals they are trying to achieve Change our response to the behaviors

Which of the following is the primary goal of Quality Improvement (QI)? Improve patient outcomes Improve reimbursement rates by insurers Improve cost-effectiveness of care delivery Improve data reported to external regulatory agencies

Improve patient outcomes

Which element increases the likelihood of incivility? Increased levels of stress Using a problem-solving approach Using assertive communication Internalizing workplace issues

Increased levels of stress

Name the missing QSEN Competency 1. Patient-centered care 2. Teamwork and Collaboration 3. Evidence-based practice 4. Quality Improvement 5. Safety 6. _____

Informatics

A patient's blood pressure is 180/ 110 mm Hg. This is an example of which of the following? Data Application Knowledge Information

Information

Which of the following best describes the role of anger in communication? It should be held in as a controlled rage technique It can be used positively to produce change Anger needs to be expressed immediately Anger is always negative and destructive

It can be used positively to produce change

An angry cancer patient who has received news that his chemotherapy is no longer working and there are no further treatment options, says to the nurse, "Leave my room! I don't want you in here!" What is the next best action by the nurse? No reaction. This angry outburst is not a personal attack on the nurse. Stopping this behavior with a firm response will keep it from escalating Reporting the outburst to the supervisor is the first step of conflict resolution Leaving the room immediately will help the patient regain control of temper

Leaving the room immediately will help the patient regain control of temper

Which elements of computer design make a computer system user-friendly? (More than one) Logical arrangement of user information Use of Windows for all operating systems On-screen prompts to the next step Controls that are easy to use and within reach Focuses on multiple, advanced functions

Logical arrangement of user information On-screen prompts to the next step Controls that are easy to use and within reach

Which of the following is the least effective measure for nurses to use to maintain an internal sense of balance and to prevent burnout? Multitasking at work Taking time to "feed their spirits" Playing sports Going on retreats periodically

Multitasking at work

Which of the following best describes the process of give and take between individuals or groups with the goal of reaching an agreement acceptable to both sides? Litigation Arbitration Mediation Negotiation

Negotiation

In caring for a patient with burns over 22% of his body, which of the following needs of Maslow has the highest priority? Social Safety Physiological Esteem

Physiological

Which of the following elements may take a person a target for bullying? (More than one) Possessing physical defects Having a different sexual orientation Displaying an attitude of timidity Defending oneself against bullies Being highly self-confident

Possessing physical defects Having a different sexual orientation Displaying an attitude of timidity

Which is an example of horizontal violence? A frustrated student talks back to an instructor in the classroom Faculty assigned additional homework when students fell asleep in class A student keyed the car of teacher who is unreasonable and unfair Posting false, derogatory comments on Facebook about a fellow student

Posting false, derogatory comments on Facebook about a fellow student

Which of the following elements are commonly the result of workplace lateral violence? (More than one) Positive emotions Psychological pain Anxiety Increased self-esteem A toxic work environment

Psychological pain Anxiety A toxic work environment

What is the most serious consequence of bullying and intimidation in hospitals? The morale on the units become very negative Quality of care decreases and patient safety is jeopardized Nurses quit after a short time, which increases the shortage even more Hospital costs increases and reduce the ability to purchase necessary supplies

Quality of care decreases and patient safety is jeopardized

Which of the following is used to track events leading to error, identify faulty systems/ processes, and develop a plan to prevent further errors? Never Events Root Cause Analysis Clinical Pathways Benchmarking

Root Cause Analysis

Identify the term used when a person lives with an awareness of a reality beyond what is knowable through the five senses and fathers strength from inner resources Religion Transcendent truth Resourcefulness Spirituality

Spirituality

A particularly vocal nurse has been complaining to the other nurses about the unit manager's preferential treatment of the night shift nurses. Which of the following by the unit manager best reflects the assertive approach to conflict resolution? The manager transfers the nurse to the night shift so the nurse can see how it is actually run. The manager confronts the nurse in front of staff to teach all on shift. The manager ignores the nurse's comments and knows the nurse will calm down The manager requests to meet in private with the disgruntled nurse

The manager requests to meet in private with the disgruntled nurse

Which behavior indicates that a nurse who is forced to confront a conflict situation is using a submissive approach to communication? The nurse schedules a one-on-one meeting The nurse refers the problem to an immediate supervisor The nurse uses the incident as a teaching opportunity The nurse confronts the problem in front of others

The nurse refers the problem to an immediate supervisor

Which of the following would be considered a sentinel event? (More than one) A patient experienced nausea and vomiting due to anesthesia after surgery The patient had surgery to repair a torn ligament on the wrong knee A patient's family was unhappy with the attitude of the right nurse The patient experience increased pain after the first physical therapy session A patient with an allergy band on for penicillin was given penicillin post-surgery

The patient had surgery to repair a torn ligament on the wrong knee A patient with an allergy band on for penicillin was given penicillin post-surgery

During conflict, which of the following may cause people to make responses that seem inappropriate or overemotional? Feeling like they are able to handle the conflict situation They fear being accepted and included by others Their lack of experience and skills with conflict resolution A mature attitude developed by resolving past crises

Their lack of experience and skills with conflict resolution

Which of the following statements is most accurate about individuals who bully? They have low self-esteem and poor self-image and are seeking approval They want to bring down confident targets to get under their skin They obtain their reward when the bullied individual stands up to them They use bullying as a form of entertainment and a way to balance society

They have low self-esteem and poor self-image and are seeking approval

Which of the following is an example of overt lateral violence? Making faces behind someone's back Sabotage and fabrication Refusing to help someone Threatening body language

Threatening body language

Which of the following is an example of paraverbal communication? Body language Spoken word Tone of voice Written word

Tone of voice

People who inflate their skill set and may seek revenge if they are contradicted or challenged on it are called? Toxic Bulldozer Wet Blanket Beyond Help

Toxic

Establishing _____ is the key to the nurse/patient relationship Competency Trust Friendship Confidentiality

Trust

Which of the following items are considered barriers to clear communication? (More than one) Unclear speech Increased knowledge Comfort Terminology & jargon Inattention

Unclear speech Terminology & jargon Inattention

What do patients practice when they meditate using an image of a desired outcome or the process of obtaining that outcome? Visualization Relaxation techniques Religious transcendence Positive thinking strategies

Visualization

People who use negative comments to dampen everyone else's attitudes and ideas are called? Toxic Bulldozer Wet Blanket Beyond Help

Wet Blanket