Potter and Perry Chap 1, Chap 20, Giddens 39 and PP2 -Role of the Nurse and Professional Identity
what are the components of caring?
1. providing presence 2. touch 3. listening 4. relieving symptoms and suffering 5. family care
A client is receiving metoprolol. Which side effect should the nurse teach the client to expect?
Dizziness with strenuous activity
Florence Nightingale
Established sanitary nursing care units. Founder of modern nursing. Began professional education of nursing.
Professionalism exemplars related to leadership include which attribute?
Influential
How can a nurse best evaluate the effectiveness of communication with a client?
Patient feedbcak
the Nurse Practice Act is governed by ___________?
State Board of Nursing
A client with paralysis of the legs is found to have somatoform disorder, conversion type. What must the nurse consider when formulating a plan of care for this client?
The illness is very real to the client and requires appropriate nursing care.
A nurse is preparing a teaching session about contemporary influences on nursing. Which examples should the nurse include? (Selecteallethateapply.) a. Human rights b. Affordable Care Act c. Demographic changes d. Medically underserved e. Decreasing health care costs
a, b, c, d
A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? a. Code of ethics b. Standards of practice c. Standards of professional performance d. Quality and safety education for nurses
a. Code of ethics
According to Benner, an expert nurse goes through five levels of proficiency. Identify them.
a. Novice b. Advanced beginner c. Competent d. Proficient e. Expert
Identify the 6 competencies of the QSEN initiative.
a. Patient-centered care b. Teamwork and collaboration c. Evidence-based practice d. Quality improvement e. Safety f. Informatics
What are the 4 different theories of caring?
a. Swanson b. Watson c. Benner and Wrubel d. Leininger
A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing? a. Educator b. Manager c. Advocate d. Caregiver
b. Manager
A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive? a. Graduate education b. Inservice education c. Continuing education d. Registered nurse education
c. Continuing education
Piaget has a theory of ______ development
cognitive
Burnout and secondary traumatic stress is aka
compassion fatigue
Which questions should the delegator assess to determine the right task? Select all that apply. "Is the task legally appropriate to delegate?" "Is the environment conducive to completing the task safely?" "Does the delegator provide clear and concise directions for the task?" "Is the task appropriate to delegate based on institutional policies and procedures?" "Does the delegatee have the knowledge and experience to perform the specific task safely?"
"Is the task legally appropriate to delegate?" "Is the task appropriate to delegate based on institutional policies and procedures?"
"But you don't understand" is a common statement associated with adolescents. What is the nurse's best response when hearing this? "I don't understand what you mean." "I do understand; I was a teenager once too." "It would be helpful to understand; let's talk." "It's you who should try to understand others."
"It would be helpful to understand; let's talk."
What are the ANA Standards of Practice?
1. Assessment 2. Diagnosis 3. Outcome identification 4. Planning 5. Implementation 6. Evaluation
Which of the following social issues have been championed by nurses throughout nursing's history?
1. Safe and affordable housing 2. Women's right to vote 3. Advocating for the underserved and their needs
The new nurse understands that the purpose of the American Nurses Association (ANA) includes which of the following activities?
1. Safe and quality patient care 2. The code of ethics 3. Social policy and standards.
Graduate nurses must pass a licensure examination administered by the: 1. State Boards of Nursing 2. National League for Nursing 3. Accredited school of nursing 4. American Nurses Association
1. State Boards of Nursing
What are the roles of an unlicensed assistive personnel in skin care?
1. assisting the client in bathing 2. applying wet dressings to the skin 3. reporting changes in the skin appearance.
how can the nurse show that they care to the family?
1. being honest 2. advocating for the patient 3. giving clear explanations 4. asking permission before doing something 5. providing comfort 6. teaching the family ect.
what are the 3 essential components of nursing practice?
1. care 2. cure 3. coordination
What are the external forces that have affected nursing practice in the twenty-first century?
1. demographic changes 2. human rights movement 3. medically underserved 4. threat of bioterrorism
What are Swansons 5 categories of caring?
1. knowing 2. being with 3. doing for 4. enabling 5. maintaining belief
what are some nursing interventions?
1. providing presence 2. comforting/touch 3. listening 4. knowing
A group that lobbies at the state and federal levels for advancement of nurses' role, economic interests, and health care is the: 1. State Boards of Nursing 2. American Nurses Association 3. American Hospital Association 4. National Student Nurses Association
2. American Nurses Association
A nurse is teaching the staff about Benner's levels of proficiency. In which order should the nurseplace the levels from beginning level to ending level? 1. Expert 2. Novice 3. Proficient 4. Competent 5. Advanced beginner
2. Novice 5. Advanced beginner 4. Competent 3. Proficient 1. Expert
"Nurses advancing our profession to improve health for all" is the mission statement of which professional group?
American Nurses Association
what are some ways to receive continuing education in nursing?
Continuing education involves formal, organized educational programs offered by universities, hospitals, state nurses associations, professional nursing organizations, and educational and health care institutions
A nurse helps a client to clarify health problems and choose appropriate courses of action. What competency in community-based practice is the nurse exercising?
Counselor
What term refers to the transfer of authority to perform some type of task or work? Management Delegation Leadership Fellowship
Delegation
A nurse is establishing relationships with community service organizations. What competency in community-based practice is the nurse exercising?
Educator
A nurse is involved in case finding, health teaching, and tracking incident rates of an illness. What competency in community-based practice is the nurse exercising?
Epidemiologist
What does is it when each member of a team contributes optimally, but acquiesces to a leader or manager to ensure the best clinical decision-making? Management Delegation Leadership Fellowship
Fellowship
Which statement is true regarding the satisficing decision model?
It allows for a quick decision, which is important when lack of time is an issue.
The registered nurse is organizing a community health care program for administering tetanus vaccinations. Which member of the health care team is most suitable for delegating the task of administering vaccinations? Nursing aide Certified technician Patient care associate Licensed practical nurse
LPN
What is the use of individual traits and abilities in relationship to others and the ability to interpret the context where a situation is emerging. Management Delegation Leadership Fellowship
Leadership
To enter the nursing profession, an individual must successfully complete which criterion?
Licensure examination
Which term refers to the nurse's ability to plan, direct, control, and evaluate others in different situations? Management Delegation Leadership Fellowship
Management
While auditing unit documents, a nurse finds some omissions. Which term best describes when the nurse meets with the staff to discuss the findings and communicates ways to achieve the desired goals? Leadership Followership Management Decision making
Management
What is the main reason for nurses to participate in organizations such as the American Nurses Association?
Nursing organizations influence policies affecting nursing, nursing practice, and the health of the community.
What is the goal of the professional nurse in the team leader role?
Positive outcomes and patient satisfaction
The emergency department nurses are caring for a group of clients injured in a community disaster. Which action of the nurse needs correction?
Removing people from danger
A client with a severe allergy has been administered a high dose of antihistamine. The nurse finds that the client is drowsy and dizzy. Which type of need would the nurse prioritize in the client according to Maslow's hierarchy of needs? Safety need Belonging need Self-esteem need Self-actualization need
Safety need
Which feature according to Benner is observed in a nurse at the "proficient" level? The nurse learns by means of a set of rules. The nurse identifies the principles of nursing care. The nurse identifies problems related to the health care system. The nurse focuses on managing care rather than managing skills.
The nurse focuses on managing care rather than managing skills.
What group is primarily protected under the laws that regulate nursing practice?
The public
who does the Nurse Practice Act NOT protect?
They do not protect the nurse, provider, or hospital
Identify the ANA Standards of Professional Performance.
a. Ethics b. Education c. Evidence-based practice and research d. Quality of practice e. Communicationf. Leadership g. Collaboration h. Professional practice evaluation i. Resource utilization j. Environmentally safe
Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald
a. Florence Nightingale
An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency isthe nurse upon initial transition to the obstetrical floor? a. Novice b. Proficient c. Competent d. Advanced beginner
a. Novice
What are the five primary characteristics of a profession?
a. an extended education of its members as well as a basic liberal foundation. b. It has a theoretical body of knowledge leading to defined skills, abilities, and norms. c. It provides a specific service. d. It has autonomy in decision making and practice.e. It has a code of ethics for practice.
After licensure, the nurse wants to stay current in knowledge and skills. Which programs are the most common ways nurses can do this? (Selecteallethateapply.) a. Master's degree b. Inservice education c. Doctoral preparation d. Continuing education e. National Council Licensure Examination retakes
b, d
While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept does this describe? a. Autonomy b. Accountability c. Patient advocacy d. Patient education
b. Accountability
A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating? a. Licensure b. Autonomy c. Certification d. Accountability
b. Autonomy
A nurse has compassion fatigue. What is the nurse experiencing?a. Lateral violence and intrapersonal conflict b. Burnout and secondary traumatic stress c. Short-term grief and single stressor d. Physical and mental exhaustion
b. Burnout and secondary traumatic stress
The nurse has been working in the clinical setting for several years as an advanced practice nurse. However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire, which program should the nurse attend? a. Doctor of Nursing Science degree (DNSc) b. Doctor of Philosophy degree (PhD) c. Doctor of Nursing Practice degree (DNP) d. Doctor in the Science of Nursing degree (DSN)
b. Doctor of Philosophy degree (PhD)
The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action should the nurse-midwife take initially? a. Provide the referral as requested. b. Offer to provide the newborn care. c. Refer the patient to the supervising provider. d. Tell the patient that is not allowed to make referrals
b. Offer to provide the newborn care.
A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take first?a. Obtain certification for an emergency nurse. b. Pass the National Council Licensure Examination. c. Take a course on genomics to provide competent emergency care. d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems.
b. Pass the National Council Licensure Examination.
A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts? a. Protects the nurse b. Protects the public c. Protects the provider d. Protects the hospital
b. Protects the public
The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activityis appropriate for a CRNA? a. Manages gynecological services such as PAP smears b. Works under the guidance of an anesthesiologist c. Obtains a PhD degree in anesthesiology d. Coordinates acute medical conditions
b. Works under the guidance of an anesthesiologist
what does "being with" mean under Swansons theory of caring?
being emotional present to the other ex: sharing feelings
A nurse wants to become an advanced practice registered nurse. Which options should the nurse consider? (Selecteallethateapply.) a. Patient advocate b. Nurse administrator c. Certified nurse-midwife d. Clinical nurse specialist e. Certified nurse practitioner
c, d, e
A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? a. Manager b. Patient educator c. Patient advocate d. Clinical nurse specialist
c. Patient advocate
The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following? a. Assessment b. Diagnosis c. Planning d. Implementation
c. Planning
A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating? a. Safety b. Patient-centered care c. Quality improvement d. Team work and collaboration
c. Quality improvement
A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. What should the nurse realize? a. Legislation is politics beyond the nurse's control. b. National programs have no bearing on state politics. c. The individual nurse can influence legislative decisions. d. Focusing on nursing care provides the best patient benefit.
c. The individual nurse can influence legislative decisions.
what does metoprolol do chemically?
competes with catecholamines at beta-adrenergic receptor sites
what does metoprolol do to the heart?
decreases it
what does "doing for" mean under Swansons theory of caring?
doing for the other as he or she would do for themselves ex: preforming skills, preserving dignity
what does "enabling" mean under Swansons theory of caring?
helping/facilitating the patient through a life transition or unfamiliar event ex: informing/ explaining, generating alternatives
Watson's transpersonal theory of caring is a _______ model
holistic
What are exemplars related to leadership?
influential inspired proficient
What are exemplars related to comportment?
licensed professionally certified lifelong learner self-aware
What are exemplars related to ethics?
moral beneficent respectful truthful honorable
how can nurses care for each other?
recognising signs of fatigue providing mentorship assisting in patient care activities discussing concerns and feelings
what does the Nurse Practice Act regulate?
regulate the scope of nursing practice and protect public health, safety, and welfare.
what is a challenge to our nursing practice today?
rising health care costs
what does "knowing" mean under Swansons theory of caring?
striving to understand an event as it means to the patient ex: avoiding assumptions
what does "maintaining belief" mean under Swansons theory of caring?
sustaining faith in the other's capacity to get through an event or transition and a future w meaning ex: offering realistic optimism
Define the term genomics.
the study of all genes in a person, as well as interactions of those genes with each other and with that person's environment
What are exemplars related to communication?
therapeutic accurate skilled focused
what is the purpose of ANA?
to improve the professional development and general welfare of nurses
Leininger offers a ______ view of caring
transcultural
Watson's ______ theory of caring
transpersonal