Nursing Exam #3

Which current data collection efforts reflects that contribution of nursing to patient outcomes? a. National Database of Nursing Quality Indicators b. CAHPS Hospital Survey c. National voluntary consensus standards for nursing sensitive care d. all of these are correct e. none of these are correct

a. National Database of Nursing Quality Indicators

Which data set is a repository for unit level nursing sensitive indicators? a. National Database of Nursing Quality Indicators b. CAHPS Hospital Survey c. National voluntary consensus standards for nursing sensitive care d. all of these are correct e. none of these are correct

a. National Database of Nursing Quality Indicators

Which of the following IOM reports defined patient safety as freedom from accidental injury & estimated that up to 98,000 people dies each year as the result of preventable harm? a. to err is human b. crossing the quality chasm c. keeping patients safe d. preventing medication errors

a. To Err is Human: Building a Safer Health System

Which of the following publications introduced performance expectation to create a system where patients are assured safe, timely, effective, efficient, equitable, and patient centered care? a. crossing the quality chasm: a new health system for the 21st century b. keeping patient safe: transforming the work environment of nurses c. preventing medication errors: quality chasm series d. to err is human: building a safe health system e. none of these are correct

a. crossing the quality chasm: a new health system for the 21st century

Which of the following areas of concern are assessed using CAHPS survey supplemental item sets? a. health literacy b. medication compliance c. medical treatment compliance d. all of these are correct

a. health literacy

The institute of medicine report published in 1991 brought attention to which issue? a. lack of the use of information technology in the healthcare industry b. high incidence of human error in US healthcare c. lack of interdisciplinary education in the United States d. all of these are correct e. none of these are correct

a. lack of the use of information technology in the healthcare industry

Home health nurse engages in patient education activities with many geriatric patients each day. Which strategy should the nurse use during the patient education process to accommodate for changes in vision in the older adult? a. make sure the patient's glasses are clean and in place b. use printed materials with 10 to 12 point font c. used drawings with shading d. use blue, green, and violet to differentiate type, illustrations, or graphics e. all of these are correct

a. make sure the patient's glasses are clean and in place

The concept of delegation is associated with which nursing role? a. manager b. researcher c. caregiver d. advocate e. none of these are correct

a. manager

A nurse working on a surgical unit is committed to basing practice on evidence. As he reviews guidelines for the base of a quality improvement initiative on the unit, he identifies recommendations that are based on the lowest level evidence and decides that he will not include these recommendations in the current initiative. Which of the following is the lowest level of clinical practice evidence? a. opinions of authorities and/or reports of expert committees b. randomized controlled trial c. systematic review of descriptive and qualitative studies d. observational studies with controls e. single descriptive or qualitative study

a. opinions of authorities and/or reports of expert committees

The standard for professional nursing practice includes: a. practice based on evidence b. practice based on tradition c. practice based on peer pressure d. all of these are correct

a. practice based on evidence

The Health Information Technology for Economic and Clinical Health act (HITECH) did which of the following? a. provided financial incentive for meaningful use of certified EHRs b. established informatics competencies for nurses and physicians c. establish privacy regulations for EHRs d. simplified healthcare claims through the use of EHRs e. all of these are correct

a. provided financial incentive for meaningful use of certified EHRs

Which of the following is characteristic of the patient-centered care environment? a. respect for patients' values, preferences, and express needs b. disorganization of care c. lack of communication d. separation from family and friends e. all of these are correct

a. respect for patients' values, preferences, and express needs

The five components of the magnet model include which of the following? a. transformational leadership b. management style c. image of nursing d. professional development e. all of these are correct

a. transformational leadership

Which of the following correctly spells out the PICO acronym? a. P=patient, I=internet, C= comparison, O=outcome b. P=patient, I=intervention, C=comparison, O=outcome c. P=problem, I=intervention, C=compassion, O=outcome d. P=problem, I=interest, C=compassion, O=outcome

b. P=patient, I=intervention, C=comparison, O=outcome

a nurse on an oncology unit speaks up for the patient to ensure the patient's autonomy in relation to treatment options. Which role does the nurse demonstrate? a. manager b. advocate c. leader d. researcher e. none of these is correct

b. advocate

Which of the following defines nursing informatics? a. includes nursing & multiple other health specialties b. area of specialization in nursing c. interdisciplinary study of the application of IT-based innovations in healthcare d. science of collecting, managing, and retrieving information e. all of these are correct

b. area of specialization in nursing

Which of the following terms refers to the process in which state is compared to determine level of performance and uses a systematic method to identify a problem, select best practices, determine how best practice fits the unit organization, initiate a change process, and evaluate outcomes? a. continuous quality improvement b. benchmarking c. data standardization d. medical record audit e. none of these are correct

b. benchmarking

Which of the following describes a collection of individual agents who are free to act in ways that are not totally predictable, and his actions are interconnected so that one action change the contacts for other agents or units? a. hierarchical organizational system b. complex adaptive systems c. traditional centralized approach d. traditional decentralized approach e. none of these are correct

b. complex adaptive systems

Which framework should the nurse use to predict the likelihood of a person following a recommended action and understand the persons motivation and decision making regarding seeking health services? a. social learning theory b. health belief model c. andragogy d. domains of learning

b. health belief model

Which item do nurses identify as a barrier to the implementation of evidence-based practice? a. availability of mentors b. insufficient time c. sense of control over practice d. confidence to implement change e. all of these are correct

b. insufficient time

In which model is the nurse responsible for planning and coordinating the patients care throughout the length of stay on the unit? a. team nursing b. primary nursing c. functional nursing d. task nursing e. none of these are correct

b. primary nursing

The nurse should provide health services for individuals to increase the likelihood of desired health outcomes and are consistent with current professional knowledge. Which term best describes this type of care? a. safety b. quality c. effective d. patient centered e. timely

b. quality

Which of the following terms to the degree to which health services for individuals & populations increase the likelihood of desired health outcomes & are consistent w/ current professional knowledge? a. safety b. quality c. effectiveness d. patient centered e. timely

b. quality

The barcode medication administration (BCMA) system has been incorporated into practice in the facility when Nurse practices. Which of the following is a true statement related to use of the BCMA? a. eliminates the potential for medication error b. reduce the potential for a medication error c. increases the potential for medication error d. none of these is correct

b. reduce the potential for a medication error

The use of electronic information and telecommunication technologies to support long distance clinical healthcare, patient and professional health related education, public health, and health administration is known as: a. email b. telehealth c. social media d. listserv

b. telehealth

Which of the following items as a model of evidence-based practice used a nursing known as PET? a. ACE star model of knowledge transformation b. Iowa model of evidence-based practice c. John Hopkins nursing evidence-based practice model d. Quality practice evidence translation model for nursing e. diffusion of innovation

c. John Hopkins nursing evidence-based practice model

A nurse has a caseload that includes the population of patients who have had a total hip replacement period which method of patient care delivery should be practiced by the nurse? a. team nursing b. functional nursing c. case management d. task nursing e. none of these are correct

c. case management

Which organization has link quality indicators and safety and health care to hospital payments? a. the joint commission b. national quality forum c. centers for medicare & medicaid services d. institute of medicine

c. centers for medicare & medicaid services

A rehabilitation nurse engages in patient education activities with many geriatric patients each day. Which strategy should the nurse use during the patient education process to accommodate for changes in hearing in the older adult? a. shout b. speak in higher pitch c. decrease extraneous noise d. speak in higher pitch & decrease extraneous noise e. shout & decrease extraneous noise

c. decrease extraneous noise

A nurse working on a medical unit is committed to basing practice on evidence. As she reviews guidelines for the basis of a quality improvement initiative on the unit, she identifies recommendations that are based on the highest level evidence. Which of the following is the highest level evidence? a. individual quasi experimental studies b. individual experimental studies c. meta-analysis of controlled studies d. a series of non-experimental studies e. program evaluation

c. meta-analysis of controlled studies

As a student nurse you're committed to basing your practice and evidence. The highest level of evidence is produced using which of the following methods? a. individual quasi experimental studies b. individual experimental studies c. meta-analysis of controlled studies d. a series of non-experimental studies e. program evaluation

c. meta-analysis of controlled studies

Indicators of a reliable website include which of the following characteristics? a. dated references b. typos c. peer review d. all of these are correct e. none of these are correct

c. peer review

A nurse responsible for implementing a quality improvement initiative on several units in an organization. Which strategy should the nurse use because it is the key to using the Diffusion of Innovation Model to guide and implementation of change? a. work with the known naysayers in the organization b. work with the informal leaders in the organization c. work with the known innovators in the organization d. work with a known naysayers and informal leaders in the organization e. work with a known innovators and informal leaders in the organization

c. work with the known innovators in the organization

A nurse working on a pediatric unit is committed to base in practice on evidence. As she reviews guidelines for the basis of a quality improvement initiative on the unit, she appraises them using the AGREE II instrument. Which of the following categories is AGREE II instrument examine? a. scope and purpose b. rigor of development c. editorial independence d. all of these are correct e. none of these are correct

d. all of these are correct

A state board of nursing has found evidence of inappropriate disclosures related to the use of social media. Which disciplinary action by the board of nursing might the nurse face? a. reprimand or sanction b. assessment of a fine c. temporary or permanent loss of licensure d. all of these are correct

d. all of these are correct

Crossing the Chasm: A new health system for the 21st century introduced performance expectations to create a system where patients are assured care that is: a. effective b. efficient c. equitable d. all of these are correct e. none of these are correct

d. all of these are correct

Evidence-Based nursing practice considers a. patient values b. current evidence c. expertise of the clinician d. all of these correct

d. all of these are correct

Forces of magnetism include which of the following? a. organizational structure b. interdisciplinary relationships c. quality of care d. all of these are correct e. none of these are correct

d. all of these are correct

Forces of magnetism include: a. organizational structure b. interdisciplinary relationships c. quality of care d. all of these are correct e. none of these are correct

d. all of these are correct

Grading the strength of a body of evidence should incorporate which of the following domains? a. quality b. quantity c. consistency d. all of these are correct

d. all of these are correct

In the model known as PET, which of the following processes does it include? a. finding the evidence b. asking a practice question c. translating the evidence to practice d. all of these are correct

d. all of these are correct

Individual strategies to overcome barriers to evidence-based practice include: a. asking questions such as "what is the evidence for this intervention?" b. asking questions such as "how do my patients respond to this intervention?" c. questioning the rationale for approaches to care that do not results in desired patient outcomes d. all of these are correct

d. all of these are correct

Organizational strategies to overcome barriers to evidence-based practice include: a. identification of specific facilitators and barriers b. education and training to improve knowledge c. creation of an environment that fosters and inquisitive approach to patient care d. all of these are correct

d. all of these are correct

The Health Insurance Portability & Accountability Act (HIPPA) includes which of the following? a. Standards for data transmission b. privacy regulations c. simplification of healthcare claims d. all of these are correct

d. all of these are correct

Which action should the nurse manifest in providing a patient centered care environment? a. respect for patients' values b. respect for patients' preferences & expressed needs c. inclusion of family and friends d. all of these are correct e. none of these are correct

d. all of these are correct

Which issue should the nurse consider when using the Andragogic model in patient education? a. letting learners know why somethings important to learn b. relating the topic to the learner's experiences c. realizing the people will not learn until they are ready and motivated d. all of these are correct

d. all of these are correct

Which of the following behaviors may hinder empathetic communication? a. interrupting the patient b. using vocabulary that is not understandable to the patient c. reprimanding the patient d. all of these are correct

d. all of these are correct

Which of the following changes have affected the healthcare system in nursing practice over the past decade? a. population shifts b. cultural diversity c. advances in technology d. all of these are correct

d. all of these are correct

Which of the following is a step in the evidence-based practice process? a. identifying issue and ask a question b. search for and collect the best evidence to answer the clinical question c. evaluate the outcome of any evidence-based practice change d. all of these are correct

d. all of these are correct

Which of the following is a type of error in health care? a. communication b. patient management c. clinical performance d. all of these are correct

d. all of these are correct

Which of the following is included in the Health Insurance Portability and Accountability act (HIPPA)? a. standards for data transmission b. privacy regulations c. simplification of healthcare claims d. all of these are correct e. none of these are correct

d. all of these are correct

Which of the following represents the core questions on the CAHPS hospital survey? a. responsiveness of the hospital staff b. communication about medication c. cleanliness of environment d. all of these are correct

d. all of these are correct

Which strategy should a nurse use to overcome barriers to evidence-based practice? a. asking questions such as "what is the evidence for this intervention?" b. asking questions such as "how do my patients respond to this intervention?" c. questioning the rationale for approaches to care that do not results in desired patient outcomes d. all of these are correct e. none of these are correct

d. all of these are correct

information management consist of which of the following activities? a. collecting data b. processing data c. presenting process data as information d. all of these are correct

d. all of these are correct

which of the following is a question from the asked me three program that encourages patients to ask their healthcare provider? a. what is my main problem? b. what do i need to do? c. why is it important for me to do this? d. all of these are correct

d. all of these are correct

Which of the following is included in most electronic health records (EHRs)? a. pharmacological databases b. lab value databases c. clinical guidelines d. lab value databases and clinical guidelines e. pharmacological and lab value databases

d. lab value databases and clinical guidelines

Which of the following behaviors facilitate empathetic communication? a. solicit feedback from the patient b. uses language perceived as patronizing c. call the patient by his or her preferred name d. solicit feedback from the patient and calls the patient by his or her preferred name e. solicit feedback from the patient and uses language perceived as patronizing

d. solicit feedback from the patient and calls the patient by his or her preferred name

_______ is/are information systems that can be imported into the EHR a. CPOE b. BCMA c. HIPPA d. BCMA and HIPPA e. CPOE and BCMA

e. CPOE and BCMA

What competency is required for nurse leaders in a complex adaptive system? a. ability to assess systems b. silo thinking c. ability to accept ambiguity d. ability to assess systems and silo thinking e. ability to assess systems and to accept ambiguity

e. ability to assess systems and to accept ambiguity

A nurse is working on a unit with a large number of geriatric patients. What should the nurse use during the patient education process to cognition in the older adult? a. slow the pace of the presentation b. give smaller amounts of information at a time c. repeat information frequently d. reinforce verbal teaching with audiovisuals, written materials, and practice e. all of these are correct

e. all of these are correct

Informatics is defined in the QSEN and initiative in the context of using information & technology to do which of the following? a. communicate b. manage knowledge c. mitigate error d. support decision making e. all of these are correct

e. all of these are correct

Information literacy includes which of the following skills? a. identifying information b. locating information c. evaluating information d. correctly applying information e. all of these are correct

e. all of these are correct

Principles for social networking published by the ANA include which of the following? a. observe ethically prescribe professional patient nurse boundaries b. must not transmit our place online individually identifiable patient information c. take advantage of privacy settings and seek to separate personal and professional information online d. bring content that could harm a patient privacy, rides, or welfare to the attention of appropriate authorities e. all of these are correct

e. all of these are correct

The principles for social networking published by the American nurses Association provide guidance for nurses. Which of the following is included in the publication? a. observe ethically prescribe professional patient nurse boundaries b. do not transmit our place online individually identifiable patient information c. take advantage of privacy settings and seek to separate personal and professional information online d. bring content that could harm a patient privacy, rides, or welfare to the attention of appropriate authorities e. all of these are correct

e. all of these are correct

What characteristics are recommended by the Institute of Medicine for software designers to consider in the creation of electronic info systems? a. data should be accurate, timely, reliable, & entered directly into the system b. evidence should be available at the point of care to aid in decision making c. streamline workflow & automate mundane tasks d. data should be easily imported & exchange b/w systems e. all of these are correct

e. all of these are correct

What competencies are required for nurse leaders in a complex adaptive system? a. ability to assess systems b. communication skills c. problem solving skills d. ability to except ambiguity e. all of these are correct

e. all of these are correct

Which of the following criteria is used to determine if an indicator is an accountability measure? a. strong specific evidence demonstrates that performing the evidence based care process improves health outcomes b. performing the care process is closely connected to the patient outcome c. the measure accurately assesses whether the care process has actually been provided d. implementing the measures has little or no choice of inducing unintended adverse consequences e. all of these are correct

e. all of these are correct

Which of the following is an Institute of Medicine (IOM) standard for the development of clinical practice guidelines? a. transparency related to funding and development processes b. management of conflict of interest c. stating recommendations and standardize form d. external review by stakeholders e. all of these are correct

e. all of these are correct

Which of the following is essential for the nurse to be an effective patient advocate? a. be assertive knowing that the nurse's primary responsibility is to the patient b. recognize the patient's values and preferences as more important than health care providers values and preferences c. ensure adequate information is provided so that patients and families can make informed decisions d. be aware that moral or ethical conflicts can arise that require consultation or negotiation among health care providers e. all of these are correct

e. all of these are correct

Which of the following represents a key feature of case management? a. collaboration of the teams b. continuous quality improvement system c. critical pathways d. management of patient group e. all of these are correct

e. all of these are correct

Which pathway in the quality improvement process should the nurse consider? a. analysis of data that is regularly collected and monitored b. set times to collect and analyze data every three years for accreditation c. identification of a problem outside of the routine data monitoring system d. analysis of data that is regularly collected and monitored and set time to collect and analyze data every three years for accreditation e. analysis of data that is regularly collected and monitored and identification of a problem outside of the routine data monitoring system

e. analysis of data that is regularly collected and monitored and identification of a problem outside of the routine data monitoring system

A state board of nursing is investigating a report of inappropriate disclosures related to the use of social media by a nurse. What are the grounds of such an investigation by board of nursing? a. unprofessional conduct b. breach of confidentiality c. falsification of patient records d. breach of confidentiality and falsification of patient records e. breach of confidentiality and unprofessional conduct

e. breach of confidentiality and unprofessional conduct

Which competencies that the nurse practicing according to the American nurses Association standard of professional performance should possess to contribute to quality nursing practices? a. collecting data to monitor quality b. collaboration to implement quality improvement plans c. cooperation in quality improvement endeavors d. cooperation and quality improvement endeavors and collaboration to implement quality improvement plans e. collecting data to monitor quality and collaboration to implement quality improvement plans

e. collecting data to monitor quality and collaboration to implement quality improvement plans

A nurse is caring for a patient admitted to an acute care unit who is experiencing a sickle cell crisis. Which activity required of the nurse to meet the joint commission's national patient safety goals? a. identify the patient correctly b. use alarms safely c. reduce surgical mistakes d. identify the patient correctly and reduce surgical mistakes e. identify the patient correctly and use alarms safely

e. identify the patient correctly and use alarms safely

A nurse demonstrates the ability to locate and evaluate information as well as the ability to communicate process data from the electronic health record. Which component of the Technology Informatics Guiding Education Reform (TIGER) Informatic Competency Model is the nurse demonstrating? a. basic communication skills b. information literacy c. information management d. information literacy and basic communication skills e. information literacy and information management

e. information literacy and information management

The Technology Informatics Guiding Education Reform (TIGER) Informatics Competency Model includes which of the following? a. basic communication skills b. information literacy c. information mangement d. information literacy and basic communication skills e. information literacy and information management

e. information literacy and information management

A nurse discovers that a patient returning to the unit received the wrong procedure. The nurse should report the sentinel event. Which of the following are also included in the joint commission list of sentinel events? a. medication errors b. criminal events c. natural disaster events d. medication errors and natural disaster events e. medication errors and criminal events

e. medication errors and criminal events

A nurse working on an oncology unit has noticed some problematic trends among patients on the unit and the searching for evidence related to the identified issue. Which of the following is a source of clinical guidelines based on best evidence? a. national guideline clearinghouse b. registered nurses association of ontario c. cumulative index to nursing and Allied Health literature d. registered nurse association of Ontario and cumulative index to nursing and Allied Health literature e. national guideline clearinghouse and registered nurses association of Ontario

e. national guideline clearinghouse and registered nurses association of Ontario

Which factor should the nurse consider when implementing evidence-based practice? a. patient values b. current evidence c. nursing tradition d. current evidence & nursing tradition e. nursing tradition & patient values

e. nursing tradition & patient values

The nurse administrator of a rural hospital is committed to incorporating informatics in nursing practice within the facility. Which of the following reflects the ultimate goal of incorporating informatics and technology in nursing practice? a. to elevate the reputation of the nursing profession b. to improve healthcare quality c. to improve patient safety d. to improve healthcare quality and elevate the reputation of the nursing profession e. to improve healthcare quality and patient safety

e. to improve healthcare quality and patient safety

What is the purpose of the clinical decision support system (CDSS) in the electronic health record (EHR)? a. to lead the user to a decision making process based on a set of data b. to guide the user through a series of questions to narrow down the options for an effective treatment plan c. to decrease the malpractice liability for the nurse and for healthcare facility d. to guide the user to a series of questions to narrow down the options for an effective treatment plan to decrease the malpractice liability for the nurse and the healthcare facility e. to lead the user through decision making process based on a set of data into guide to use or through a series of questions to narrow down options for an effective treatment plan

e. to lead the user through decision making process based on a set of data into guide to use or through a series of questions to narrow down options for an effective treatment plan

The nurses on a busy medical surgical unit have decided to change to a team nursing approach to patient care period which of the following is an advantage of team nursing? a. unlicensed assistive personnel can carry out some of the functions that do not require a registered nurse's expertise b. the registered nurse provides all care to the same patient or patients for the entire shift c. tasks can be carried out that require several persons because an assigned team is readily available d. unlicensed assistive personnel can carry out some of the functions that do not require a registered nurse's expertise and the registered nurse provides all care to the same patient or patients for the entire shift e. unlicensed assistive personnel can carry out some of the functions that do not require a registered nurse's expertise and tasks can be carried out that require several person because unassigned team is readily available

e. unlicensed assistive personnel can carry out some of the functions that do not require a registered nurse's expertise and tasks can be carried out that require several person because unassigned team is readily available

Which of the following is an Institute of Medicine (IOM) standard for the development of clinical practice guidelines? a. homogenous guideline development group composition b. use of systematic reviews c. establishing evidence in rating strength of recommendations d. updating every decade e. use of systematic reviews in establishing evidence and rating strength of recommendations

e. use of systematic reviews in establishing evidence and rating strength of recommendations

A nurse working on a busy medical unit is committed to providing family centered care. Which of the following is a descriptor of family centered care? a. widen the circle of concern to include those persons who are important to the patients' life b. it's a philosophy that considers a patient of the unit of attention in the context of his or her family c. negates the patient's right to privacy control d. is a philosophy that considers a patient as a unit of attention in the contacts of his or her family negates that patient's rights of privacy and control e. widen the circle of concerns include those persons who report into the patient's life and has a philosophy that considers the patient as the unit of attention in the context of his or her family

e. widen the circle of concerns include those persons who report into the patient's life and has a philosophy that considers the patient as the unit of attention in the context of his or her family

Which of the following describes family centered care? a. widen the circle of concern to include those persons who are important to the patients' life b. it's a philosophy that considers a patient of the unit of attention in the context of his or her family c. negates the patient's right to privacy control d. is a philosophy that considers a patient as a unit of attention in the contacts of his or her family negates that patient's rights of privacy and control e. widen the circle of concerns include those persons who report into the patient's life and has a philosophy that considers the patient as the unit of attention in the context of his or her family

e. widen the circle of concerns include those persons who report into the patient's life and has a philosophy that considers the patient as the unit of attention in the context of his or her family