Nursing 224 midterm

A nurse practitioner feels it is important to participate in nursing research. Which activity is most appropriate for this nurses level of education and position?

1. Helping to identify clinical problems in direct client care 2. Using research findings to develop policies and procedures 3. Critically analyzing and interpreting research for application to practice 4. Participating in data collection Correct Answer: 3

The nurse manager learns that vital signs delegated to unlicensed assistive personnel (UAP) were not recorded accurately. With which care provider should the manager discuss this finding?

1. The UAP 2. The nurse 3. Both the UAP and the nurse 4. The team leader Correct Answer: 2

A faculty member is speaking to prospective students interested in enrolling in the BSN program at the university. What should the faculty member emphasize as a major incentive for students to select a BSN program over an ADN program?

1. Ability to work in critical care areas 2. Easier transition to graduate school 3. Better opportunity for career advancement 4. Liberal arts education Correct Answer: 3

The nurse is explaining the definition of being a nurse to a new nursing assistant. Which themes should the nurse include when talking with the assistant?

1. Adaptive 2. Client-centered 3. Goal-directed according to the needs of the client 4. Diagnosis and treatment of disease 5. An art 6. A science Correct Answer: 1, 2, 5, 6

The nurse has starting working in a state other than the one in which the nursing education program was located. Which of the following should the nurse consult in order to understand the implications of this change of venue?

1. American Nurses Association (ANA) 2. National League for Nursing (NLN) 3. National Council of State Boards of Nursing (NCSBN) 4. Nurse State Practice Act Correct Answer: 4

The ANAs proposal for entry level for professional practice initiated debate among nurses. Which nurse would be at greatest risk if the ANA proposal were implemented?

1. An RN with an associate degree who has a head nurse position 2. An RN with a BSN who is a staff nurse 3. An RN with a diploma who works overtime 4. An RN with an associate degree who is currently in school Correct Answer: 1

The nurse is planning to apply to graduate school to earn a masters degree in nursing. On what should the nurse expect the programs curriculum to focus?

1. An advanced leadership role 2. Case manager 3. Wound care specialist 4. Intravenous therapy specialist Correct Answer: 1

The nurse using evidence-based practice to guide care has identified a study in which the findings would be appropriate to address a clients health care need. What actions should the nurse take before implementing these findings?

1. Ask the client if the findings can be used. 2. Immediately apply the findings to client care. 3. Examine how the findings fit with the clients health needs. 4. Determine if resources are available to implement the findings. 5. Identify organization policies to support or address the findings. Answer: 1, 3, 4, 5

The nurse is implementing Watsons Assumptions of Caring philosophy. Which actions demonstrate that the nurse is using this philosophy?

1. Asking the client to explain the impact that his culture and religion will have on required nursing care 2. Asking clients when they prefer to be given the opportunity to bathe 3. Feeling empathy toward the clients loss of mobility as a result of a fractured hip 4. Always assuring that the client has an unobstructed view out his rooms window 5. Arranging to fulfill a clients request to stay with him during a painful diagnostic test Correct Answer: 2, 3, 5

The nurse forgets to put the call light within the clients reach and then leaves the room. The client reaches for it and falls out of bed. With what should the nurse expect to be charged?

1. Assault 2. Battery 3. Negligence 4. Criminal intent Correct Answer: 3

The nurse is planning client care while keeping in mind Orems self-care deficit theory. Which methods of helping should the nurse include when determining the best care for the client?

1. Balancing rest 2. Teaching 3. Supporting 4. Guiding 5. Preventing hazards to life Correct Answer: 2, 3, 4, 5

A client is suing the hospital for malpractice. Before the case goes to court, the attorney meets with staff and reads the medical record. The nurse realizes that the attorney is performing which activity?

1. Burden of proof 2. Complaint 3. Discovery 4. Civil action Correct Answer: 3

The nurse ensures that a patient is covered during a bath. In which nursing role is the nurse functioning?

1. Caregiver 2. Communicator 3. Teacher 4. Client advocate Correct Answer: 1

The nurse is reviewing public health and health promotion roles for available for nurses. To which leader should the nurse attribute the development of these roles?

1. Clara Barton 2. Lillian Wald 3. Mary Brewster 4. Florence Nightingale Correct Answer: 4

A seasoned nurse is a mentor for a new graduate. Which of the standards of professional performance is the seasoned nurse practicing?

1. Collaboration 2. Leadership 3. Collegiality 4. Evaluation Correct Answer: 3

A client was given the wrong dose of medication and died. The case is being tried in court and similar cases are used by the court in comparison to arrive at a decision. Which doctrine should the nurses attorney explain is applied to this situation?

1. Common law 2. Public law 3. Administrative law 4. Stare decisis Correct Answer: 4

The admitting nurse explains the process of signing forms to allow for the clients insurance company to be billed for services. If the insurance fails to pay for services, the client is responsible for payment. Which type of law did the nurse explain to the client?

1. Contract law 2. Tort law 3. Statutory law 4. Administrative law Correct Answer: 1

A hospital receives notice of being sued for an action performed by a nurse. The nurse realizes that which doctrine is being implemented in this case?

1. Contractual relationship 2. Stare decisis 3. Respondeat superior 4. Res ipsa loquitur Correct Answer: 3

Nursing students are researching how cultural practices affect the dying process of terminal cancer clients. For their research, which theory will the students most likely explore?

1. Critical theory 2. Midlevel theories 3. Grand theories 4. Stability models Correct Answer: 1

The nurse is caring for several acutely ill patients. What nursing action demonstrates professional autonomy

1. Delivering medications and prescribed treatments in a timely manner 2. Prioritizing client according to client needs 3. Communicating with peers when help is needed 4. Informing the supervisor about high acuity level and staff-to-client ratio Correct Answer: 2

After completing a health history the nurse reviews the content to determine metaparadigms that contribute to the clients health. Which metaparadigm should the nurse categorize as being a part of the clients environment?

1. Diet 2. Family 3. Friends 4. Blood pressure 5. Significant others Correct Answer: 2, 3, 5

The community health nurse is caring for teenage mothers and their children. For what should the nurse assess these patients when determining their degree of vulnerability?

1. Distance separation from their nuclear families 2. Increased levels of poverty 3. Raising children without the support of family 4. The normal difficulties of adolescence Correct Answer: 4

Nursing students have been studying the stability model of nurse theorists. What phrases or terms should the students use to describe this model?

1. Dominant 2. Systems framework 3. Stress/adaptation framework 4. Martha Rogerss theory 5. Caring/complexity framework 6. Callista Roys theory Correct Answer: 1, 2, 3, 6

A Department of Nursing within a medical center is adopting the theory that is founded on 14 fundamental needs of individuals. Which nurse theorist is this department using to guide client care?

1. Dorothea Orem 2. Florence Nightingale 3. Martha Rogers 4. Virginia Henderson Correct Answer: 4

A nurse educator incorporates stress, power, authority, and personal space along with other concepts and considers these concepts essential knowledge for use by nurses. From which theorist is the educator applying principles into the curriculum?

1. Dorothea Orem 2. Imogene King 3. Jean Watson 4. Hildegard Peplau Correct Answer: 2

A nurse is caring for a client with a severe head trauma. Each shift, the nurse pays attention to the lighting, atmosphere, and surroundings the client is exposed to. The nurse is functioning according to the assumptions of which nursing theorist?

1. Dorothea Orem 2. Martha Rogers 3. Florence Nightingale 4. Jean Watson Correct Answer: 3

A group of nursing students is helping to set up an immunization clinic. In which level of prevention are these students functioning?

1. Educational 2. Primary 3. Secondary 4. Tertiary Correct Answer: 2

A registered nurse is supervising several LPNs who provide patient care. Which responsibility should the registered nurse expect to complete?

1. Evaluating the care provided to the client 2. Administering intramuscular (IM) medications 3. Performing dressing changes 4. Delegating appropriate tasks to unlicensed client care providers (such as a nurses aide) Correct Answer: 1

Nursing staff members from an acute psychiatric unit have been asked to establish a nurse theorist they can easily identify with in their practice. Understanding the importance of developing a therapeutic relationship between themselves and their clients, especially in this unit, to which theorist would they most likely be drawn?

1. Florence Nightingale 2. Hildegard Peplau 3. Jean Watson 4. Dorothea Orem Correct Answer: 2

The nurse implements being authentically present to clients by supporting them in their beliefs and helping to instill hopefulness in their recovery. Which theorist is the nurse using when performing these actions?

1. Florence Nightingale 2. Hildegard Peplau 3. Jean Watson 4. Rosemarie Parse Correct Answer: 3

A nurse has implemented the use of noncontact therapeutic touch. Which theorist is the nurse using as a basis for this intervention?

1. Florence Nightingale 2. Martha Rogers 3. Virginia Henderson 4. Rosemarie Parse Correct Answer: 2

The nurse has defined a research problem. What action should the nurse take next?

1. Formulate a hypothesis. 2. Define variables. 3. Review the literature. 4. Select a design. Correct Answer: 3

The student nurse contacts a number of other students to create a study group. What behavior is the student nurse demonstrating?

1. Governance 2. Socialization 3. Service orientation 4. Specialized education Correct Answer: 2

A group of nurses is researching how care providers of Stage I/II Alzheimers clients use prior coping skills in dealing with their current situation. Which qualitative research tradition are these nurses using?

1. Grounded theory 2. Ethnography 3. Phenomenology 4. Substantive dimension Correct Answer: 3

A nursing student is assigned to develop a research question using a quantitative approach. Which question should the student write that demonstrates this approach?

1. How do siblings react to a new baby of a second marriage after divorce of their parents? 2. What dressing selections work best for a wound dehiscence? 3. What support do terminal cancer clients find least beneficial in hospice care? 4. Does expression of client spirituality affect recovery time? Correct Answer: 2

The nurse is applying Neumans systems model during client care. Which response should the nurse identify as an intrapersonal stressor to a client?

1. Inadequate health insurance coverage 2. Family members who quarrel frequently about the clients care 3. Adverse reaction to medication 4. Expectations regarding rehab Correct Answer: 3

The nurse is using the central concepts of nursing when providing client care. What actions is this nurse performing?

1. Including a clients family in discussions regarding the clients discharge health needs 2. Assessing a physically dependent clients spouse for indications of caregiver stress 3. Asking clients to define what healthy and well means to them 4. Suggesting wound care supplies with the priority of cost 5. Advocating for a client who is not responding to current pain control treatment Correct Answer: 1, 2, 3, 5

A client tells the nurse about research information on the Internet to learn more about a new health problem. What should the nurse respond to this client?

1. Information from the Internet isnt always accurate. 2. Its best to check this information with your physician. 3. Bring your information to the clinic so we can go through it together. 4. Id prefer you rely on information you havent received from our office. Correct Answer: 3

The client presents her hand when the nurse makes this statement: I need to start an IV so you can get your antibiotics. Which behavior did the client demonstrate?

1. Informed consent 2. Express consent 3. Implied consent 4. Compliance Correct Answer: 3

Grounding nursing research in theories from other disciplines is argued to be undesirable by some scholars. What should the nurse identify as reasons why grounding theory is not desired?

1. It detracts from developing nursing as a separate discipline. 2. It makes nursing less relevant. 3. It helps bring a broader perspective and insight to nursing. 4. Other disciplines are not unique to the human condition. 5. Other disciplines get the benefit of nursings research. Correct Answer: 1, 2, 5

A client being prepared for an invasive procedure questions some of the terminology in the consent form. Which response should the nurse make?

1. Just sign the form, and Ill make sure your physician talks to you before he begins the procedure. 2. Ill explain whatever you dont understand. 3. You should have asked your physician when he was in here. 4. Ill call your physician back in the room to answer your questions. Correct Answer: 4

The nurse is interested in specializing in forensics. What should the nurse expect to learn prior to assuming the role of a forensics nurse?

1. Knowledge about the legal system 2. Approaches to collecting evidence 3. Budgeting, staffing, and planning programs 4. Information necessary when providing testimony in court 5. Training in identification, evaluation, and documentation of injuries Correct Answer: 1, 2, 4, 5

Before applying for re-licensure, the nurse attends continuing education programs. Which action is the nurse performing to adhere to the state board of nursing expectation?

1. Licensure 2. Competency 3. Credentialing 4. Certification Correct Answer: 3

The nurse has accepted a position as a case manager. What should the nurse expect to perform when functioning in this role?

1. Managing a clients hospital stay 2. Delegating activities to other nurses 3. Evaluating the performance of ancillary workers 4. Identifying areas of client concern or problems Correct Answer: 1

The nurse has been asked to participate on the hospitals Shared Governance Committee. To which nurse leader should the nurse attribute the ability for nurses to control the profession?

1. Mary Breckinridge 2. Lavinia Dock 3. Margaret Higgins Sanger 4. Virginia Henderson Correct Answer: 2

The student nurse is examining the dispersion of data in a research study. Which measurements should this student expect to review?

1. Mean, median, and mode 2. Range, variance, and standard deviation 3. Mean, range, and standard deviation 4. Measures of central tendency Correct Answer: 2

The nurse struggling with a demanding client focuses on experiencing a sense of true empathy for the clients situation. Which assumption of Parses human becoming theory is the nurse using?

1. Meaning 2. Rhythmicity 3. Intersubjectivity 4. Cotranscende Correct Answer: 4

The staff nurse is considering membership in the National League for Nurses. What should the nurse expect as a member of this organization?

1. Members that are non-nurses 2. Assistance with getting into graduate school 3. Opportunities to be awarded scholarships 4. Assistance with finding employment Correct Answer: 1

When a client who had a stroke gives up all hope of any amount of recovery, the nurse solicits a visit from a former stroke client who has physical limitations but has since gone back to work and, through adaptation, can function independently at home. This nurse has fulfilled which role, according to Parse?

1. Mobilizing transcendence 2. Synchronizing rhythm 3. Illuminating meaning 4. True presence Correct Answer: 3

A high school graduate is considering entering a nursing program that offers a baccalaureate degree. What organization accreditation should the nurse use to help select a nursing program

1. NLN (National League for Nursing) 2. CCNE (Commission on Collegiate Nursing Education) 3. NCLEX (National Council Licensure Examination) 4. NCSBN (National Council of State Boards of Nursing) Correct Answer: 2

The nurse is scheduled to attend a continuing education program to learn about the latest urinary catheterization care. Which type of credential should the nurse expect to earn after attending this program?

1. None because this program is designed to enhance a skill 2. Advanced degree 3. Certification as a renal nurse 4. Credit hours toward an advanced degree Correct Answer: 1

The nurse educator develops the research question Do students who study in groups score better on the NCLEX exam when compared to students who study independently? Which phrase should the educator identify as the dependent variable?

1. Number of students in a study group 2. NCLEX scores of both groups 3. Students college GPAs 4. Time between graduation and sitting for the NCLEX Correct Answer: 2

The nurse is consulting other professionals as well as educating, supporting, and managing a clients chemotherapy regimen. In which role is this nurse functioning?

1. Nurse practitioner 2. Clinical nurse specialist 3. Nurse educator 4. Nurse entrepreneur Correct Answer: 2

During a hospital stay, the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs. In which level of Peplaus model should the nurse determine that this patient is functioning?

1. Orientation 2. Identification 3. Exploitation 4. Resolution Correct Answer: 3

The nursing instructor is explaining the present economic challenges in health care to students in a community health course. What should the instructor emphasize as being important for the students to be aware of?

1. Passage of the Affordable Care Act 2. Consumer presence on the boards of nursing associations and regulatory agencies 3. Diagnostic-related groups (DRGs) 4. Advances in science and technology Correct Answer: 1

The nurse carries out a medication order, incorrectly written by the physician and subsequently filled by the pharmacist. Who, in this situation, is legally liable for the action?

1. Physician 2. Pharmacist 3. Hospital 4. Nurse Correct Answer: 4

A client is experiencing metabolic acidosis, a condition that involves the bodys pH level, carbon dioxide level, and bicarbonate balance. According to Roys model, to which mode should the nurse realize that this client is responding?

1. Physiologic 2. Self-concept 3. Role function 4. Interdependence Correct Answer: 1

The nurse observes a client working to include the spouse in the treatment and recovery process of an illness. Which of Roys modes should the nurse recognize that this client is demonstrating?

1. Physiologic 2. Self-concept 3. Role function 4. Interdependence Correct Answer: 4

The nurse is creating a community education program on health promotion and wellness. Which topic should the nurse use for this program?

1. Prenatal and infant care 2. Prevention of sexually transmitted disease 3. Exercise class for clients who have had a stroke 4. Home accident prevention Correct Answer: 4

The nursing student completes a literature review on evidence-based practice (EBP). Which action indicates that the student understands EBP?

1. Presenting a paper about EBP 2. Repositioning a client at risk for skin breakdown every 2 hours 3. Explaining EBP to fellow students 4. Trying to find other problems to implement EBP Correct Answer: 2

A nurse has agreed to delay a clients treatment until the matriarch of the family can be present. Understanding that this is an important consideration for this clients cultural practices, which of Leiningers intervention modes is the nurse implementing?

1. Preservation and maintenance 2. Accommodation, negotiation 3. Restructuring 4. Repatterning Correct Answer: 2

A client with a postoperative infection is afebrile but still receiving IV antibiotics. The nurse should realize that this client is receiving which level of prevention?

1. Primary 2. Secondary 3. Tertiary 4. Critical Correct Answer: 2

A client is being seen in the clinic for the final follow-up appointment after an extensive course of rehabilitation. According to Neumans model, which level of intervention should the nurse realize this patient is experiencing?

1. Primary prevention 2. Secondary prevention 3. Resistant prevention 4. Tertiary prevention Correct Answer: 4

The nurse is offering free occult blood screening at a community health fair. Which level of practice is the nurse providing?

1. Promoting health and wellness 2. Illness prevention 3. Restoring health 4. Rehabilitation Correct Answer: 3

The nurse practitioner is working with a staff nurse to change the plan of care for a client with a terminal illness. In which areas of nursing practice are these nurses functioning?

1. Promoting health and wellness 2. Preventing illness 3. Restoring health 4. Caring for the dying Correct Answer: 4

The pediatric nurse implements Watsons assumption regarding a caring environment. Which action did the nurse take to implement this assumption?

1. Providing for all needs and cares of the nurses clients 2. Ensuring that a zone of professionalism is present between the nurse and client 3. Allowing the clients to have choices, as appropriate, in their care 4. Selecting games and activities that are age appropriate for the clients Correct Answer: 3

The nurse researcher is testing the effects of a new dressing preparation on certain participants, while continuing to use older but more familiar products on others. Which type of research design is the nurse using?

1. Quasi-experimental 2. Experimental 3. Nonexperimental 4. Pilot study Correct Answer: 2

A client is brought to the emergency department after being involved in a motor vehicle crash. Although the client is conscious, her condition is critical and will require emergency surgery. The client does not speak English. Which action should the nurse take?

1. Read the consent form and have the client sign it anyway. 2. Explain the form to the best of the nurses ability using pictures and gestures. 3. Have the hospital interpreter explain the procedure. 4. Proceed with surgery, as implied consent would be the case in this situation. Correct Answer: 3

The manager identifies that a nurse is practicing professionalism. What did the manager observe to come to this conclusion?

1. Recognizing characteristics considered to be professional 2. Maintaining specific character and spirit 3. Learning about the influences of Florence Nightingale 4. Promising to uphold the standards of the profession Correct Answer: 2

A client wishes to discontinue cancer treatment. If acting as the client advocate, which statement should the nurse make to the clients physician?

1. The client is making his own decision. 2. The client would benefit from additional information about treatment options. 3. The family must be involved in this decision. 4. Lets educate the family about the consequences of this decision. Correct Answer: 1

A nurse is caring for a client in the emergency department (ED) who was brought in by her adult child for vague, flu-like symptoms. While helping the client to change into a gown, the nurse notices numerous bruises on the clients back and arms. When questioned, the client is distracted and ambiguous with her answers. Which action should the nurse take?

1. Report the situation to law enforcement. 2. Report the situation to social services. 3. Question the adult child who brought the client to the ED. 4. File a written report in the clients chart. Correct Answer: 2

A nurse on the unit notices that a co-worker exhibits a pattern of behavior suggestive of drug abuse. What should the nurse do?

1. Report the situation to the unit charge nurse. 2. Send an anonymous letter to the director of nursing. 3. Let other co-workers know about the situation. 4. Report the situation, then let management take care of it. Correct Answer: 1

A nursing instructor is researching the implementation of assigning study guides for homework points and the effect this has on the students test grades. The instructor reports group data for published research. Which research right did the instructor implement?

1. Right of full disclosure 2. Right of privacy 3. Right of self-determination 4. Risk of harm Correct Answer: 2

The nurse is preparing to complete a spiritual assessment with a client. Which theorist should the nurse review before completing this assessment?

1. Roy 2. Neuman 3. Nightingale 4. Peplau Correct Answer: 1

The nurse is evaluating the results of a study prior to implementing its findings into practice. Which action should the nurse take when scientifically validating the research results?

1. Scrutinizing how the study was conceptualized, designed, and conducted in order to make a judgment about the overall quality of its findings 2. Assessing how the studys findings compare to findings from other studies about the problem 3. Determining how the studys findings will transfer from the research conditions to the clinical practice conditions in which they will be used 4. Identifying practical or feasibility considerations that need to be addressed when applying the findings in practice Correct Answer: 1

A nurse researcher is exploring and formulating research problems. Which criteria should the nurse researcher consider in this process?

1. Significance 2. Confidentiality 3. Researchability 4. Design 5. Feasibility 6. Interest to the researcher Correct Answer: 1, 3, 5, 6

The nurse researcher is considering whether the findings of a project may present uncertain results in the clinical area. Upon which criteria is the researcher reflecting?

1. Significance 2. Researchability 3. Confidentiality 4. Variables Correct Answer: 2

A nurse researcher is considering the use of various nonpharmacological distraction techniques that have shown success for behavior control in troubled adolescents. Which criteria is this researcher considering to use?

1. Significance 2. Researchability 3. Feasibility 4. Interest Correct Answer: 1

The nurse is planning interventions for a client based upon Hendersons fundamental needs. Which interventions should the nurse include in the plan of care?

1. Sleep 4 to 5 hours each night. 2. Attend to spiritual needs as desired. 3. Wear clothing suitable for the weather. 4. Bathe and keep the body well-groomed. 5. Restrict fluids with an elevated body temperature. Answer: 2, 3, 4

Nursing students have been assigned to develop their own theory of nursing. What should they include in their theory, often referred to as the metaparadigm for nursing?

1. Society, medicine, nursing, and biology 2. Patient, facility, health, and nursing 3. Organization, discipline, nursing, and client 4. Client, environment, health, and nursing Correct Answer: 4

A staff nurse is serving as a preceptor for nursing students. In which level of Benners proficiency is this nurse practicing?

1. Stage II 2. Stage III 3. Stage IV 4. Stage V Correct Answer: 3

The high school graduate desiring to attend nursing school reviews the schools for accreditation. Which regulatory bodys actions is the student analyzing?

1. State board of nursing 2. NLNAC 3. CCNE 4. ANA Correct Answer: 1

After the data have been analyzed, the nurse realizes that the probability has a value of less than .05. What should this finding indicate to the nurse?

1. Statistically significant 2. Statistically insignificant 3. Chance occurrences 4. Generalized Correct Answer: 1

The nurse is notified about new state practice act regulations. Which type of law should the nurse expect to implement and enforce the nurse practice act regulations?

1. Statutory law 2. Administrative law 3. Common law 4. Public law Correct Answer: 2

The student nurse is reviewing the code of ethics prior to beginning a clinical assignment. On what areas should the nurse focus when providing client care?

1. Support lifelong learning. 2. Ensure the safety of all clients. 3. Maintain client confidentiality. 4. Provide care in a professional manner. 5. Collaborate with students and faculty. Correct Answer: 2, 3, 4

The nurse is caring for clients in Stage II/III Alzheimers disease. If Orems theory is applied, which type of nursing system should the nurse use when providing client care?

1. Supportive 2. Educative 3. Partly compensatory 4. Wholly compensatory Correct Answer: 4

An adult client who cannot read needs surgery and is competent to make his own decisions. What is the best action that the nurse should take?

1. Tell the client in the nurses own words what the surgical procedure involves. 2. Read the consent form to the client and have the client state understanding. 3. Make sure the physician explains the procedure to the client. 4. Have a family member who can read sign the consent form. Correct Answer: 2

The nurse is reviewing historic events in nursing for a presentation to be provided to new nursing students. In which chronological order should the nurse present these events? Begin with the earliest (1) and end with the most recent (5).

1. The Knights of St. Lazarus dedicate themselves to the care of people with leprosy, syphilis, and chronic skin conditions. 2. The Order of Deaconesses opens a small hospital in Kaiserswerth, Germany. 3. Florence Nightingale administers to soldiers during the Crimean War. 4. Harriet Tubman provides care to slaves fleeing on the Underground Railroad. 5. The Cadet Nurse Corps is established.

A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured and is paralyzed from the shoulders down, with limited use of the upper arms. Through rehabilitation, the nurse is able to mobilize with a wheelchair and has no cognitive or psychological deficits. The nurse wants to return to the same position held prior to the injury. Under the guidelines of the ADA, what should the hospital do?

1. The hospital is required to accommodate the nurse. 2. The hospital must find another job for the nurse. 3. The hospital should claim undue hardship to accommodate this nurse. 4. The hospital terminate the nurses employment. Correct Answer: 3

The nurse is caring for a nurse who provided care to soldiers during the Vietnam War. What information in this patients history should the nurse use to understand the patients nursing career?

1. The patient was still a student when serving in the war. 2. The patients first patient care experiences were during a time of war. 3. The patient decided to leave the profession after serving in the war. 4. The patient contracted long-term illnesses from being overseas in a war. Correct Answer: 2

While a nurse is conducting a health assessment, the individual asks why the term patient is being used. What should the nurse explain about the implication of the term patient?

1. The person is seeking assistance because of illness. 2. The individual is proactive in his or her health care needs. 3. The person is a collaborator in his or her care. 4. The individual is using a service or commodity. Correct Answer: 1

An older adult fell at home and fractured a hip, which requires surgical repair. After admittance to the emergency department, the client was given sedation for pain before a surgical permit was signed. What should be done to obtain consent?

1. The physician should have the clients wife sign the consent form. 2. The physician should wait until the effects of the medication wear off and have the client sign the form. 3. Because the client has been medicated, the nurse should thoroughly explain the consent form to the client. 4. This would be considered an emergency situation and consent would be implied. Correct Answer: 1

A researcher is conducting a study with single-parent families within a school system. What sample is the researcher using?

1. The school system 2. Children 3. Parents 4. Single-parent families Correct Answer: 4

The nurse is teaching health and wellness principles to junior high students. According to Orems theory, which category of self-care requisite is the nurse using to guide this teaching?

1. Universal 2. Developmental 3. Health deviation 4. Deficit Correct Answer: 2

The nurse researcher is using an instrument that provides similar results each time its implemented. Which term should the researcher use to describe the quality of this instrument?

1. Validity 2. Reliability 3. Consistency 4. Variability Correct Answer: 2

The nurse educator is reviewing concerns about the use of research for evidence-based practice. What particular concerns should the nurse highlight when discussing the use of research with the students?

1. When evidence-based practice is done appropriately, the process often becomes cost-prohibitive. 2. The research environment results in strictly constructed and controlled circumstances. 3. There is a best solution or practice for any specific research question. 4. Evidence-based practice is most applicable to physiological problems. 5. Research evidence can be flawed when applied to various cultures and ethnic groups. Correct Answer: 2, 3, 4, 5

A client has agreed to participate in a research study. Which action would constitute risk of harm to this client?

1. Withholding information about the study 2. Suggesting that participation would greatly benefit the clients financial situation 3. Giving the client false information about his or her participation 4. Providing the clients name as a participant in the study Correct Answer: 4

A nurse is considering additional education to become a nurse researcher. To prepare for this role the nurse is reviewing the evolution of research in nursing. In which order should the nurse review this information? Put these events in chronological order, starting with the earliest (1) and proceeding to the most recent (4):

Choice 1. Centers for nursing research established Choice 2. Research focused on the study of nursing education Choice 3. Early stage of development Choice 4. Studies focused on the knowledge behind nursing practice Choice 5. Research focused on practice-related issues Correct Answer: 3, 1, 2, 4, 5

The nurse is planning to use evidence-based practice to help guide the care of a client. In which order should the nurse implement the steps of EBP?

Choice 1. Design practice change. Choice 2. Assess the need for a change in practice. Choice 3. Integrate and maintain change in practice. Choice 4. Implement and evaluate the change. Choice 5. Critically analyze the evidence. Choice 6. Locate the best evidence. Correct Answer: 2, 6, 5, 1, 4, 3

The nurse is reviewing the history of research in nursing care for a school project. In which chronological order should the nurse place the events that occurred in nursing research? Start with the earliest (1) to the most recent (4):

Choice 1. The National Center for Nursing Research was created. Choice 2. The National Institute for Nursing Research was created. Choice 3. The journal Nursing Research was established. Choice 4. End-of-life/palliative care research was conducted. Correct Answer: 2, 3, 1,4