pro nursing, chp 1 adaptive quiz part 2

What is evidence-based practice?

Answer: Optimal patient care based on current research Evidence-based practice integrates the best current evidence with clinical expertise, patient/family preferences, and values for delivery of optimal health care. It is based on research, not tradition. It is a patient care, not a type of literature. Quality care provided in an efficient and economically sound manner is a standard of nursing care.

The nurse educator is explaining different career opportunities in nursing. Which statements are true about a Certified Registered Nurse Anesthetist (CRNA)? Select all that apply.

Answer: A CRNA is an advanced practice registered nurse (APRN). CRNAs can provide surgical anesthesia under supervision. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse (APRN) and provides surgical anesthesia under supervision of the anesthesiologist. A CRNA does not manage medical care for healthy and chronically ill patients; these activities are performed by the Certified Nurse Practitioner (CNP). The Clinical Nurse Specialist (CNS) has a specialty area identified by a population as well as a disease. The Certified Nurse Midwife (CNM) provides routine gynaecological care. The CNP provides care for patients with complex problems using a more holistic approach.

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. What are the responsibilities of the nurse as a patient educator? Select all that apply.

Answer: Explain concepts and facts about health to patients. Teach the patient to self-administer insulin injections. read the question ryan. it talks about the role of a nurse educator, not everything a nurse does The responsibilities of the nurse educator include explaining concepts and facts about health to patients. The nurse educator also plans teaching activities, such as teaching the patient to self-administer insulin injections. As a patient advocate, the nurse should protect the patient's human and legal rights and provide additional information to help a patient decide whether to accept a treatment. The nurse does not prescribe medications; however, the nurse is responsible for administering medications prescribed by the health care provider.

A patient with lung cancer is emotionally, economically, and socially disturbed. What is the role of the nurse as a caregiver? Select all that apply.

Answer: Manage the disease and symptoms. Help the patient establish and achieve goals. Implement measures to restore emotional and social well-being. The primary role of the nurse is to manage the disease and symptoms, but as a caregiver, the nurse may deal with other issues, too. The nurse should motivate the patient and the family members to set goals and achieve them. The nurse should take steps to restore the patient's spiritual, emotional, and social well-being. The nurse cannot provide financial aid but can guide the patient to various assistive associations. The nurse may inquire about the patient's personal and family problems to evaluate and help sort out issues.

Which nursing roles may have prescriptive authority in their practice? Select all that apply.

Answer: Nurse practitioner Certified clinical nurse specialist Nurse practitioners and certified clinical nurse specialists encompass the role and preparation of the advanced practice registered nurse. According to the American Nurses Association standards of practice, prescriptive authority may be granted to these nurses.

Nursing is important in providing safe, patient-centered health care to the global community. Which statements are true about the nursing practice? Select all that apply.

Answer: Nursing practice helps shape health policy and health systems management. Nursing practice involves collaborative care of sick individuals of all ages, families, groups, and communities. Nursing practice involves helping a dying patient find relief from pain. Nursing practice involves interpreting clinical situations and making complex decisions based on knowledge and experience. Nursing is an art and a science. The practice of nursing incorporates elements including clinical practice, education, research, management, and administration, all of which directly or indirectly have prominence in providing safe, patient-centered health care. Helping a patient achieve the goals of the therapy and educating a patient are steps towards the mission. Interpreting clinical situations and making decisions that benefit patients are integral to nursing. Nursing practice involves collaborative care of individuals of all ages, families, groups, and communities, sick or well. Nursing practice incorporates ethical and social values with the knowledge of behavioral, biological, and physiological sciences.

A patient with asthma approaches a primary care center for management of the illness. What is the role of the nurse practitioner during the patient's visit for primary care? Select all that apply.

Answer: Provide direct medical care. Provide comprehensive care. Establish a collaborative provider-patient relationship. The nurse practitioner is well trained in managing acute and chronic illness so may provide direct medical care, provide comprehensive care, and establish a collaborative provider-patient relationship. Because such nurses are well trained in providing care for asthma, there is no need to refer the patient to the health care provider. Furthermore, nurse practitioners may take direct intervention steps without getting the opinion of the health care provider.

The nurse educator is delivering a lecture on nursing as a profession to a group of nursing students who have recently joined the baccalaureate nursing degree course. The nurse is explaining the nursing processes by giving examples. Which examples should the nurse give while explaining nursing assessment? Select all that apply.

Answer: Recording body temperature two hours after administering antipyretic medication. Asking the patient about hygiene and sanitation in the patient's community. Identifying the signs of respiratory distress in a hospitalized patient. The nurse is responsible for collecting comprehensive data about the patient's health. The nurse records the body temperature after 2 hours to assess the effectiveness of the antipyretic medication. The nurse also asks the patient about the hygiene of the surrounding environment to assess the risk of acquiring infections caused by unhygienic surroundings. Nursing assessment also includes identifying the signs of a particular condition. Teaching a patient about the lifestyle changes required to reduce risks of ischemic heart disease is an example of the nursing process of implementation, not assessment. Asking the patient to demonstrate a technique after teaching it forms a part of the evaluation process, not the assessment process.

The nurse is learning about the effects of health care reform. Which type of actions should the nurse perform in response to health care reform? Select all that apply.

Answer: Revise practice standards. Change nursing education. Explore new methods of providing care. Health care reform will cause changes in the delivery of nursing care, and more services will be in community-based care settings. Revising practice standards will help to comply with the increasing focus on health promotion, disease prevention, and illness management. Changing nursing education will help nurses to be more efficient in dealing with the health care reform, because nurses are required to be more adept at assessing resources, service gaps, and how the patient adapts to returning to the community. Exploring new methods of providing care will enable nurses to provide care according to changing health care needs, because many nurses may need to work in community health centers, schools, and senior centers. Opposing current trends will not help improve the quality of nursing care, whereas accepting health care reform will be beneficial to all. Existing guidelines would be considered old and redundant under health care reform, and adopting new measures to suit the changes will help.

Many nurses are known for their achievements. Which statements are true regarding Mary Mahoney? Select all that apply.

Answer: She was the first professionally trained African-American nurse. She focused on respecting an individual irrespective of color, race, or background. Mary Mahoney was the first professionally trained African-American nurse. She was concerned with relationships between cultures and races. As a noted nursing leader, she initiated an awareness of cultural diversity and respect for the individual, regardless of background, race, color, or religion. Clara Barton was the founder of the American Red Cross. Florence Nightingale's concept of nursing was to promote health by modifying the patient's environment. In the late 19th century, Lillian Wald and Mary Brewster opened the Henry Street Settlement, which focused on the health needs of poor people who lived in the tenements in New York City.

In a hospital there is an acute shortage of nurses due to retirement. What should the remaining nurses do? Select all that apply.

Answer: Use patient contact time efficiently. Utilize the patient contact time professionally. Nurses should learn time management skills and use patient contact time efficiently and professionally. They should not hurry through patient care, as studies have proven that hurrying does not save time in the long run and increases the possibility of errors. Nurses should not compromise the quality of care they deliver; in the long run, that will not save time.

The nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with the family. Which role is the nurse playing for the patient?

Answer: Advocate An advocate protects the patient's human and legal right to make choices about care. An advocate may also provide additional information to help a patient decide whether or not to accept a treatment or find an interpreter to help family members communicate their concerns.

The nurse is recording the results of all the laboratory reports of a patient. Which standard of practice is the nurse performing?

Answer: Assessment In the nursing process, recording data from investigation reports is part of assessment. Nursing diagnosis involves analyzing the assessed data. Evaluation refers to testing the attainment of outcome goals. Implementation is the process of delivering care according to the care plan.

What is true about the general practice of advance practice registered nurses?

Answer: Function independently An advanced practice registered nurse functions independently as a clinician, educator, case manager, consultant, and researcher within his or her area of practice to plan or improve the quality of nursing care for the patient and family.

The nursing mentor observes that a nursing student is deficient in communication skills but is good at understanding nursing theories. How should the mentor intervene with respect to this student?

Answer: Help the student build communication skills. Communication is an important skill for nurses, so the mentor should help the student build communication skills. This student cannot be utilized for patient education, rehabilitation, or coordinating and managing patient care, because all these activities require good communication skills. Communication skills, not subject knowledge, ensure a good patient-nurse relationship.

The registered nurse coordinates care delivery and uses strategies to promote health and a safe environment. Which American Nursing Association (ANA) standard of nursing practice is the registered nurse practicing?

Answer: Implementation The registered nurse implements the identified plan, which includes care coordination, health teaching, health promotion, consultation, prescriptive authority, and treatment. Health teaching and health promotion include strategies for promoting health and a safe environment for the patient. Planning is prescribing strategies and alternatives to attain expected outcome. Diagnosis is analyzing data to determine problems. Assessment is collecting comprehensive patient data

The critical care nurse is using a computerized decision support system to correctly position ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency?

Answer: Informatics Using decision support systems is an example of using and gaining competency in informatics.

A 50-year-old patient is admitted with acute exacerbation of asthma. The patient is treated by a clinical nurse specialist with bronchodilators and oxygen therapy. The patient is clinically stable and is planned for discharge. The patient expresses thanks to the clinical nurse specialist for the care that all the nurses have provided. The patient's daughter is so inspired by their work that she now wishes to pursue a career in nursing. What are the minimal educational qualifications to become a clinical nurse specialist?

Answer: Master's degree in nursing A master's degree in nursing is the educational requirement for a clinical nurse specialist (CNS). Basic nursing education is not a graduate degree. Registered nurse (RN) licensure is not an educational qualification. A doctoral degree exceeds the qualifications for a CNS.

The nurse is being appointed as nurse educator in a nursing school. What are the responsibilities of the nurse educator?

Answer: Provide students with practical and theoretical knowledge. The nurse educator is responsible for educational activities conducted in schools of nursing. If they are educators in clinical care institutions, they often participate in the development of nursing policies and procedures. In schools of nursing, the nurse educator imparts practical and theoretical knowledge to students. The nurse educator is not responsible for managing patient care, proving holistic care, or providing surgical anesthesia. The nurse administrator manages patient care. The nurse practitioner provides holistic care to patients. The certified registered nurse anesthetist provides surgical anesthesia.

While teaching about Quality and Safety Education for Nurses (QSEN) competencies, the nurse states, "This competency uses tools such as flowcharts and diagrams to make the process of care explicit." Which QSEN competency is the nurse referring to?

Answer: Quality Improvement Quality Improvement is the Quality and Safety Education for Nurses (QSEN) competency that uses tools such as flowcharts and diagrams to make the care process explicit. The Patient-Centered Care competency involves family and friends in care and elicits the patient's values and preferences, providing care with respect for the diversity of the human experience. Evidence-Based Practice demonstrates knowledge of basic scientific methods, appreciates the strengths and weaknesses of scientific bases for practice, and recognizes the importance of regularly reading relevant journals. Teamwork and Collaboration recognizes the contributions of other health team members and the patient's family members and discusses effective strategies for communicating and resolving conflict.