Professionalism 14-21 (no 18)
A nurse attends a conference and learns about the area of nursing informatics. The nurse has always been interested in helping to develop a nursing assessment program that would more clearly allow for detailed documentation of clinical practice. Which degree does the informatics innovator hold as the minimum requirement? A) doctorate degree B) master's degree C) baccalaureate degree D) associate's degree
A
When looking at the definition of mutuality in the teaching-learning process, what is the major characteristic that takes place in order for the dynamic process to occur? A) connection with or relation to another B) empowerment with and understanding of another C) connection with or understanding of another D) relation to and empowerment with another
C
When the nurse truly empowers the client, positive outcomes can be the result. Which prerequisite to empowerment encompasses turning to higher powers without the need for social prominence? A) power by purpose B) power by reflection C) power by gestalt D) power by giving
C
When researchers (Piscotty, et al, 2015) utilized a descriptive study to identify the perceived impact of health information technology on clinical nursing practice, which statement most accurately identifies their findings? A) If a nurse perceived the health information technology affected their clinical care, it actually did affect the care in a negative way. B) Older, more experienced nurses who didn't want to use the mandated technology continued to give the same care as before the study. C) Nurses who perceived that health information technology affected care had an increase in the number of care items they missed because they relied too heavily on electronic reminders. D) Nurses who perceived that health information technology affected their clinical practice reported fewer incidents of missed nursing care.
D
A nurse educator discusses mutuality with the class and outlines Henson's processes of mutuality as being characterized by three senses. Which sense is created as a result of this process? A) relief B) satisfaction C) moving forward D) gain
B
A client has been empowered by the nurse to learn to exercise and eat healthy when discharged to home from the hospital. Which best describes empowered caring in the caregiver's role as it relates to behavioral changes in the client compared to the use of traditional approaches? A) behavioral changes occur from empowering situations B) behavioral changes are not as genuine C) behavioral changes are less realistic D) long-lasting habits are the goal but not the outcome
A
A client comes to the hospital and is being treated for breast cancer. The client's sister visits and is interested in her sister's history after she left home. The client's sister doesn't know much the client's life in the last 10 years because she moved away to a city in another state. The client had an abortion in the past and has never told anyone. When working with families, what ethical issue can best describe a violation of the client's privacy if information is presented to a family member without the client's permission? A) confidentiality and privacy of one's health care information B) family needs over individual client's needs C) individual client's needs over family needs D) adding family stressors to situation
A
A client receives their breakfast tray, which was delivered to the unit by the nursing bot while nursing staff perform other more important clinical duties. In addition, a surgeon performs surgery on a client at another hospital while manipulating the instruments from the urban hospital where the surgeon works. Which technology best describes the use of machines to assist health care workers in the care of clients? A) robotics B) stem cell C) genome D) physical therapy
A
A group of students in their second year of nursing school joins the Student Nurses' Association. The chairperson of the group discusses the need for volunteers to help out at the health fair. This group of students have open communication networks between the structure and function of the organization working towards the greater good of the societal systems? Which word best describes this relationship of the organization? A) community B) individual C) family D) system
A
A hospice nurse manager is presenting a new outlook to the hospice team and uses an example from Covey's work on habits of an effective leader. The term trim-tab is used to delineate the small rudder that turns the larger rudder of a ship. Which habit by Covey is suggestive of the trim-tab concept? A) inspiring others B) modeling character and competence C) instilling trust D) aligning goals and systems to achieve results
A
A medical-surgical nurse is discharging a client in 3 days. When looking at how this client interacts with their environment to determine their health, how does discharge teaching for this client differ from that of teaching to families and communities? A) Focus is on the individual. B) Focus is on the family as participants of care. C) Focus is on the community in which they live. D) Focus is on all three of the aspects for the individual.
A
A nurse decides to do some research on models for political action and how nurses can be utilized more in the process. The nurse becomes aware of some deplorable conditions in certain nursing homes. This starts the nurse on a research path where all nursing home facilities were visited and conditions recorded. According to the Kingdon Model for Political Processes, which key stream has developed from this nurse's research project? A) problem stream B) policy stream C) political stream D) politician stream
A
A nurse educator who has been teaching for a period of time uses the traditional teaching-learning process. On a busy cardiac unit, the nurse reviews the clients history and selects the priority assessments to make (cardiac, respiratory), then sorts and categorizes the data before reaching a nursing diagnosis of "impaired tissue perfusion." Which step in the teaching process is this nurse functioning in? A) assessment B) planning C) implementation D) evaluation
A
A nurse in a busy orthopedic health care provider's office looks for ways to improve client education and begins investigating the concepts of teaching and learning. What is the rationale for identifying clients as "experts" in the client education process? A) The client is an expert on how issues affect him or her. B) The client is an expert on what he or she needs to know. C) The client is an expert on alterations in health. D) The client is an expert on how to learn.
A
A nurse in graduate school is focusing their research on community nursing. Which perspective best represents the individual as the basic unit of the community; that is, the community is a number of separate individuals? A) aggregate perspective B) human system perspective C) unitary perspective D) human field perspective
A
A nurse is beginning to plan the teaching activities for a client who is learning how to care of his wound at home. Which piece of information highlights the identification of the client's perspective of their need to learn? A) how the client perceives the health situation B) physical, cultural, linguistic, or psychological limitations that may impede learning C) intended learning outcomes D) client's conscious intentions and desires regarding health behaviors
A
A nurse is trying to influence a client diagnosed with lung cancer to change their high-risk behavior of smoking cigarettes. Which example would be considered a "coercion" form of influence? A) Nurse focuses the teaching on threat of job loss and death if they continue to smoke. B) Nurse focuses on cost savings if the client stops smoking which could be enough for a family vacation. C) Nurse reviews statistical odds of recurrent cancer which the client internalizes to make the decision. D) Nurse appeals to client's minister to discuss smoking cessation with client and pray he has the will-power to succeed.
A
A nurse practitioner (NP) has views regarding their ability to safely prescribe narcotics. They are informing fellow NPs to write their legislative representatives voicing their opinion that the state law needs to be changed. According to Cohen, Mason, Kovner, et al. (1996), this is an example of which stage of political activism? A) buying in B) self-interest C) political sophistication D) leading the way
A
A nurse utilizes the nursing process to take care of clients in a busy ICU surgical unit in a suburban hospital. The nurse uses bedside and handheld monitors to collect a variety of information, including blood glucose level, clotting time, electrocardiograph rhythm, cardiac output, blood pressure, oxygen saturation of hemoglobin, and temperature. For which part of the nursing process does the nurse use the above technology? A) Assessment B) Planning C) Implementation D) Evaluation
A
A political action committee is formed by a business, and a nurse is asked to be on the committee. What is the major purpose of a political action committee? A) financing campaigns for political office B) advising politicians on campaign issues C) lobbying key politicians for pieces of legislation D) creating jobs for political staffers
A
A victim of a motor vehicle accident who is seen in the emergency room of a rural hospital can receive consultation from a trauma team at a larger urban trauma center by way of video technology. This is an example of which type of consumer health informatics services? A) Telemedicine B) Telehealth C) Telemonitoring D) Education informatics
A
A lobbyist for the ANA has contacted many nurses to find out their opinions on health care reform. Following receipt of the information, the lobbyists put together information in aggregate form. In addition, the lobbyist requested that all nurses write their elected officials. What is the most effective weapon for the lobbyist? A) letter writing B) constituent pressure C) personal visit D) e-mail
B
An effectively written letter to an elected official regarding a health care issue that affects nursing can provide a voice in the political process. The nurse begins by writing a brief summary background of the issue. Following this summary, the nurse should also include which data to highlight the reason for the letter? A) Be brief and specific about the desired action on the part of the elected official. B) Be detailed and lengthy when presenting key information using as many examples as possible. C) Limit each letter or e-mail message to four pages or less, if possible. D) Focus on all the issues that concerns healthcare for this letter.
A
An elderly client has multiple disease processes. They see a cardiologist for HF management, a nephrologist for impaired renal function, a rheumatologist for advanced arthritis, etc. The primary role of the nurse managing their care revolves around which concept? A) Ensure safety across the continuum of care, esp. regarding their medications. B) Ability to get the client to each scheduled healthcare provider appointment on time. C) Arrange for client to participate in activity enhancement classes at the local senior citizen center at least three times/week. D) Provide opportunities for their socialization needs by encouraging them to attend community activities.
A
Home health nurses are working with a child born premature who is now dependent on a ventilator for breathing. The nurse caring for the child has researched the topic of technology-dependent children and what effects this may have on both the child and their parents. Which statement best describes the nurses findings? A) Maternal depression symptoms were significantly reduced when the child is no longer dependent on technology. B) Normalization of family function did not improve when the child is no longer dependent on technology. C) An increase in maternal depressive symptoms occurred when the child remained dependent on technology for an extended period. D) The child began demonstrating depressive symptoms when they remained dependent on technology for an extended period.
A
The Kingdon model for political processes identifies streams that affect agenda development and policy formation. Which stream aims at creating a political culture in elected bodies that support tackling the problem? A) political B) policy C) procedure D) problem
A
Two college students committed suicide the week before final exams. It appears that the students were not doing very well and knew they were going to lose their scholarships. The professional nurse for the college is developing a program to increase awareness of resources and services available to students, free of charge, to help them resolve the problems. This is an example of which type of preventive strategy? A) primary B) secondary C) tertiary D) acute crisis
A
A pediatric nurse practitioner (NP) has been asked by parents of a 16-year old male to assess him for possible illicit drug abuse. They have noticed his grades are dropping, he seems to "hang" with a different peer group, he disobeys curfew rules, etc. If the NP uses Parse human becoming as their model for nursing practice, which interventions would they implement? Select all that apply. A) The NP would expend energy with the teen to uncover the meaning that underlies the behaviors changes the parents have identified. B) The NP would truly be present with the family as they express concerns that would ultimately reveal the meaning behind the teen's changes of behavior. C) The NP would intervene to facilitate re-patterning the family into a higher level of consciousness. D) The NP would focus on understanding all mechanisms that affect the life process of the teen, one of which is the family. E) The nurse would consider the drug problem to affect the entire school community so they would plan and execute an education program for students/staff/faculty.
AB
Which examples demonstrate the implementation of motivational strategies for learning when working with a female client who had a left radical mastectomy and primarily speaks Spanish? Select all that apply. A) Asking the client how they plan on increasing the flexibility of their left arm. B) Providing literature in Spanish related to nutritional needs to help promote wound healing. C) Waiting for family to arrive before removing their dressing so all can see the wound. D) Placing reading materials in the room quietly so as not to wake up the resting client. E) Providing a list of medications and time they need to take them as there are being discharged off the unit.
AB
A nurse is caring for a client who was newly diagnosed with diabetes. The client is insulin-dependent and due to be discharged in 2 days. Prior to educating them about insulin administration, the nurse should assess which factors? Select all that apply. A) Ability to read teaching materials. B) Ability to perform find-motor hand coordination. C) Amount of anxiety expressed concerning giving themselves a "shot." D) Expressions of remorse about their consumption of too many carbohydrates. E) Ability to adjust their prescribed insulin dose depending on their glucose level.
ABC
When visiting with a cancer client and their family, the nurse realizes they are doing extensive research on the internet. The nurse shares with them how to find legitimate sources of information on their disease process. Which computer site evaluation tips should they share in terms of how to spot an unsuitable source? Select all that apply. A) Product declares "shark cartilage" will slow the process of cancer replication. B) Site was placed 10 years prior but has no updates since then posted. C) Site has lots of testimonials declaring the product is beneficial but no way to follow-up with clientele. D) Website was located on a governmental source funded by National Cancer Institute. E) Site is run by a nonprofit organization that only discusses one disease (i.e. American Cancer Society).
ABC
A nurse has lobbied the state legislator frequently regarding a bill that is to come to the floor in the coming months. In addition to electronic media as a vehicle to contact officials, what more traditional modes of communication might the nurse also try? Select all that apply. A) Letters that are concise, well-organized, and easy to read. B) Town hall meetings. C) Telephone calls with yourself and other colleagues who have similar interests. D) Personal visits that are scheduled through their assistants. E) Standing in parking lots to flag them down as these are leaving for the day.
ABCD
A nurse attends a wound-healing conference and brings back information about a change in practice that he or she believes needs to occur on the unit. The nurse manager encourages the nurse to empower colleagues to provide their thoughts on the changes the nurse believes are in the best interests of the clients on the unit. Which term best describes an avenue for participatory decision making? A) team decision making B) consensus decision making C) individual decision making D) autocratic decision making
B
A nurse is considering running for a legislative position to bring their expertise on health and safety issues to the forefront. To be an effective lobbyist, the nurse should evaluate which characteristics as beneficial to fulfill the duties of the job? Select all that apply. A) Ability to convey answers to questions in an honest, accurate manner to the best of their ability. B) Ability to research and collect valid data on topics that affect their constituents. C) Ability to "Wing it" when asked a question that they are not prepared to answer until time permits for further research. D) Ability to listen to what the candidates running for higher offices are saying about health issues. E) Being forceful when trying to get a point across about the "reality" of health in the area.
ABD
A nurse practitioner is caring for an elderly client who has developed renal failure. Which actions demonstrate the practitioner's belief in practicing patient-and family-centered care (PFCC)? Select all that apply. A) Listen to the client and family members during the visit as they express changes in activity levels. B) Nurse practitioner discusses lab value results and explains in simple terms what the results mean. C) Nurse practitioner determines that the client is not telling the truth about their ability to care for self so they order home health aide to visit 3 times/week. D) Meets with client and family to discuss jointly type of care they want provided towards end-of-life. E) Informs family that the client qualifies for nursing home care and placing client there would be best for all involved.
ABD
Lobbyists and political action committees (PAC) each perform key roles in the political process. A lobbyist for the American Nurses Association (ANA) tries to paint a picture when persuading legislature members to vote a certain way. When talking to nursing students about this, which advantages can been seen when statistical data is used effectively? Select all that apply. A) Take the numbers and put them in "human" terms. B) Report the numbers in simple terms like "1 out of 3 clients" rather than 33% of the population. C) Make sure to bring copies of charts and graphs that are color-coded. D) As much as possible, use national, state, and local statistics since most representatives are concerned about their local constituents. E) Always manipulate the statistics to show how vital it is for the population.
ABD
A nurse is discharging a client following inclient care for a stroke. The client and his significant other are able to verbalize side effects of new medications and the signs/symptoms of a stroke. However, they insist they will not pay for an ambulance ride to the hospital if they have another "episode." How can this nurse intervene for the safety of this client? Select all that apply. A) Contact immediate family to let them know that transporting a client with symptoms of a stroke could have life-threatening consequences. B) Notify their home health nurse so they can reinforce the information about call 911 when first notice symptoms of a stroke. C) Deny their discharge and notify the nursing supervisor to come help intervene with this family teaching. D) Refer the client and significant other to a community-based stroke education program which will reinforce teachings. E) Re-teach this material and then document client's verbal statements.
ABDE
A Capstone (senior) nursing class has invited a member of their local state nursing league, who is also an ANA delegate, to discuss the current legislative and regulatory initiatives being discussed Congress. Examples of the 115th Congress session might include which topics being presented to this senior class? Select all that apply. A) Working on promoting safe, ethical work environments to protect client safety. B) Seeking full scope of practice doctorial prepared nurse educators. C) Allow APRNs to certify clients for home health services. D) Encourage all levels of nurses to be able to refer clients to outclient therapies. E) Helping cut cost of health care by encouraging APRNs to order older, cheaper medications.
AC
A student nursing organization would like to lobby for more services for their homeless teenager population in the local area. They are discussing the pros and cons related to email campaigns. Which would be considered a con (disadvantage) of bombarding their local representative with emails? Select all that apply. A) The impact of the problem can be watered down by sheer numbers. B) Access to computers is readily available in the student population. C) Possibility of multiple messages by one representative may get sent to "spam." D) Message is too short and concise so staffers don't consider it a worthy topic. E) Sender doesn't mention the fact that they are a constituent, so email is moved to wastebasket.
ACE
Nurses working in a small healthcare hospital are exploring options for personal health record programs (PEHR). The nursing administrator knows that which behaviors are required of their health care consumers in order for a smooth, successful PEHR adoption? Select all that apply. A) Willingness to observe and try the new system. B) Have family members available to help their loved one us the technology so they can "get better (healthier). C) Willingness to go to the library a couple times/week to use the computer where they can get help from technicians is needed. D) Have diabetes (a chronic disease) that they prefer to self-manage and engage in collaboration negotiation with their healthcare provider. E) Get a better handle on their bipolar tendencies (chronic condition) so they can communicate with the healthcare providers when they decide to discontinue taking their medications.
AD
Which the following traits of a nurse in charge of a busy ICU would be viewed primarily as a "leader" rather than a "manager" role? Select all that apply. A) Looking forward to creating a vision for the unit over the next 15 years. B) Ensuring the unit has all supplies they need to provide quality care. C) Efficiently looking at resource expenditures focusing especially on high-dollar items. D) Encouraging the nursing staff to engage in EBP research projects that may be considered unconventional. E) Working with passion to find a human connection with each member of the nursing staff.
ADE
A nurse attends the American Association of Colleges of Nursing's (AACN) educational conference and reports back to the hospital about the conference. When presenting the information to the nurse manager, the nurse discusses the recommended generalist nurse's abilities that the AACN proposes for nursing. Which ability should the generalist nurse be able to perform with technology? A) participate in decisions regarding the use of demographic data B) use technology to advance client education at the bedside C) use appropriate technologies to assess and monitor hospital practices D) adapt the use of technologies to meet the nurse's needs
B
A client asks the nurse to teach her some ways to hold her baby when she breast-feeds since the baby is not latching on appropriately. The client is frustrated and appears snappy to the nurse. The nurse replies that she will have to come back in 10 minutes and will bring some information that will be helpful to the client. In 10 minutes, the nurse returns with a booklet and some materials to teach the client. The client appears more relaxed and is able to listen to the suggestions that the nurse makes. What major communication concept involves the feelings of self-worth that come with a successful teaching-learning process? A) mutuality B) respect C) genuineness D) empathy
B
A client gives permission to have the hospital bill the insurance company for surgery that the client is undergoing. A friend works at this hospital and the client wonders if the friend would print off a report. Which provides the best answer regarding ethical concerns relating to the misuse of client information? A) Electronic Medical Record (EMR) B) HIPPA violations C) Data security issues D) Documentation issues
B
A health care legislation bill is set to go to the state legislature for a vote within a few months. A nurse decides to begin visiting with elected officials in the hopes of influencing their action on the piece of pending legislation. What is the correct term for the nurse's role in this situation? A) member of a political action committee (PAC) B) lobbyist C) campaign donor D) political strategist
B
A high school nurse is suspicious that one student is anorexic. The student has sunken eyes, pale skin color, and is wearing "baggy" clothing to conceal weight loss. If this nurse practice is based on Orem's self-care deficit theory, what interventions would the nurse implement? A) Offer education about eating disorders. B) Assess the student and family for their ability to access physical and mental health services independently. C) Work to build trust and rapport with the family unit and collaborate with the family to set goals. D) See that the health status of the student was a manifestation of the pattern of the whole.
B
A nurse is caring for a client with diabetes who is homeless. The client has had multiple admissions in the past year related to diabetic ketoacidosis. When questioned, the client simply states, "I can't afford insulin." Which is considered a responsibility of a nurse when it comes to advocating for safe care for their assigned clients? A) Research possible treatments for their current health status. B) Ensure clients have access to appropriate services to meet their health needs. C) Provide mechanisms for clients to control how their body responds to treatment regimens. D) Take control over appointing other disciplines to work with the client to get them to a higher level of wellness.
B
A nurse is interested in pursuing further education in nursing informatics. While researching the educational programs from various universities, the nurse finds that a degree in informatics nurse specialist will require which type of schooling? Which degree does the informatics nurse specialist hold as the minimum requirement? A) associate's degree B) master's degree C) baccalaureate degree D) doctorate degree
B
A nurse manager attends a conference on leadership skills and contemplates how to be a better leader. One of the staff members on the unit recently stated that the manager did not empower the members of the staff and was extremely picky about everything. What would be the criteria for effective leadership that deals with empowerment? A) Is the leader aware of issues encountered by nurses engaged in client care activities? B) Does the leader effectively delegate tasks to others, or does he or she micromanage everything? C) Does the leader provide the needed resources to provide quality nursing services? D) Does the leader demonstrate sensitivity to the impact of self on others, leading to effective use of self?
B
A nurse manager is working on ways to maximize client satisfaction. Which skill of a nurse manager requires management of maximizing client satisfaction? A) budgeting B) marketing C) staffing D) strategic planning
B
A nurse presents information to a group of staff nurses on the traditional teaching-learning process. In discussing the topic to be taught, the educator focuses is developing objectives revolving around what to teach and how to evaluate learning. Which part of the traditional teaching-learning process does this refer to? A) assessment B) planning C) implementation D) evaluation
B
The president of a local chapter of a nursing professional organization determines that there is a need for a change in the alignment of the chapter. Which Covey's role of a leader looks at inspiring trust? A) aligning B) modeling C) empowering D) path finding
B
When a newly appointed nursing manager focuses on setting a priority for the unit to develop and build an outstanding nursing team. Which "Habit" from Covey is being utilized in this goal? A) Seek first to understand, then to be understood. B) Put first things first. C) Have a balanced, systematic program for self-renewal. D) Find your own voice and inspire others to find theirs.
B
A nurse manager is working on their annual departmental budget. They notice a variance in actual versus projected salary expenses. The manager will build in overtime hours for which potential scenario? Select all that apply. A) A nurse with a newborn calls in several times in a row when the child is placed in daycare and becomes ill. B) Medical emergency with one of the clients happens at shift change. C) Unit has received multiple, unexpected admissions within a short time frame. D) Many of the nurses have volunteered to be on hospital-wide committees that meet at least once/week. E) The unit is short two unlicensed assistive personnel and nurses are doing primary care.
BC
A family has relocated and is looking for a health care provider in their area. The family consists of a single mother with 3 children. The mother is searching for a provider who will care for the entire family and focus on maintaining their health. If a health care provider practices The Friedman family assessment model, which statements accurately represent their practice model? Select all that apply. A) Assessing and meeting the emotional needs of the client is the priority. B) The client is seen as an individual within the family context that has a need for nursing care. C) The incorporation of social events will improve "moods" for both that client and their caretakers. D) The family as a whole equal's one unit of care focused on positive outcomes. E) The client's coping mechanisms may irritate the family members caring for them.
BD
Which client scenario would meet the federal-funded core measures concerning core client documented education of the Centers for Medicare and Medicaid Services (CMS)? Select all that apply. A) Bonding measures observed on a new mother who delivered twins less than 12 hours ago. B) Smoking cessation education provider to client recovering from myocardial infarction. C) Infection control measures to implement at home following conversion of HIV status. D) Encouraging a heart failure client to weigh themselves daily to monitor effective management of current prescribed medications. E) Reviewing possible side effects when client are discharged with new "home" medication prescriptions.
BDE
A Hispanic client comes to the hospital in pain and is admitted to the ER due to cholecystitis. The client does not speak any English. An interpreter had been used during the course of treatment, and now the client is ready to be discharged. Which technology best assists the nurse in client teaching during the discharge process for a client such as this? A) care plans generated by software programs based on nursing diagnosis B) computerized documentation through the use of handheld computers C) software that translates client educational materials into multiple languages D) software allowing access to x-rays in digital format to be read by radiologists
C
A client is interested in pursuing a test to determine if there is a predisposition to breast cancer since it is in the family history. Which technology relates to ethical and legal concerns regarding right to privacy issues when specific innovative testing is performed? A) stem cell research B) electronic medical record C) genetic testing D) HIPPA violations
C
A family is in crisis from an automobile accident that has seriously injured three of the family members. A nurse who works in rehab uses which of the following to best describe the definition of families from Artinian's perspective? A) a group of people with a common interest with open communication B) a combination of people who work in the same area C) an organized whole; individuals are parts of the system and are interdependent D) a recipient of nursing care who is unique and continuously evolving
C
A manager of a busy surgical care center is working on the annual budget. Nursing has suggested a need for a new blanket warmer for clients when they arrive to the operating room. The last budget meeting required a 10% reduction in proposed items. The manager elects to keep the blanket warmer in the budget. What major task of the manager best describes the review and purchase of budgeted items that the surgery center needs? A) ability to work with people B) assuring smooth workflow processes C) efficiently using resources D) communicating clearly
C
A nurse identifies that a client lacks motivation and wants to explore ways to improve the client's ability to engage in learning. The nurse demonstrates proper technique to changing the dressing. Which motivational strategy best indicates a meaningful relationship has taken place between the client and the nurse? A) The teacher assumes and expects that the student can learn. B) The teacher is sensitive to the student's individual needs. C) The student and the teacher trust and respect each other. D) The teacher feels comfortable making mistakes to see if the student can identify it.
C
A nurse in an occupational work setting notices unusual behavior from a worker who has been "ill" for several weeks. After returning to work, the nurse notices bruising to the face and a broken arm, for which the employee states, "It was just an accident." The nurse suspects abuse but does not confront the client at the time. One month later, the client is on life support due to a traumatic brain injury. Which nursing specialty would be best prepared to handle this case if something like this were to happen again? A) Armed Forces nursing B) school nursing C) forensic nursing D) nursing the Incarcerated
C
A nurse in graduate school takes a class on political science as an elective. The nurse was able to identify strategies to stay abreast of current legislative and public policy issues. What is the easiest way to stay abreast of current legislative and public policy issues? A) printed materials of political bills B) electronic media of political decisions C) website review of publications D) receipt of periodic legislative reports
C
A nurse in the geriatric area of a hospital sits with a client and discusses teaching on how to keep the Groshong port clean when the client goes home. The nurse takes the time to talk about port care and is able to present the data in terms the client can understand (laymen terms). What strategy for controlling environmental constraints should the nurse keep in mind when working with clients who are geriatric? A) Try to arrange learning experiences when the learner feels relatively healthy. B) The nurse should have a sufficient grasp of the subject matter so that they can use various terminology as needed to get the point across. C) Make sure expectations and standards are clear. D) Provide time for learning when family members can attend so they can monitor the client performing the care at home.
C
A nurse is running for office on the platform of health care reform. The strategies that this nurse wants to incorporate into public policy are a maximum of one nurse to six clients per shift and access to health care for everyone. Which term best describes formalized procedures that are followed by persons responsible for delivering governmental or institutional services? A) policy enforcement B) public procedures C) public policies D) laws
C
A nurse on a busy medical-surgical unit notices that when a particular UAP works on their team, several delegated items are not completed. The nurse has decided to "write up" the UAP with a warning. After the written warning, the UAP completes the tasks delegated to them in a timely fashion. Which change strategy did the nurse utilize in this scenario? A) empirical--rational strategies B) normative--re-educative strategies C) power--coercive strategies D) facilitative strategies
C
A nurse schedules an appointment with a local representative. When outlining a plan to visit the elected official, how much time should the nurse plan for the actual meeting? A) 5 to 10 minutes B) 10 to 15 minutes C) 15 to 30 minutes D) 30 to 45 minutes
C
A nurse working on the medical-surgical unit uses the change/stability models of nursing as their main practice philosophy. Which model would this nurse be using if they believe that the family is a social system made up of a group of interacting individuals focusing on goal attainment? A) Parse's human becoming model B) Newman's theory of health as expanding consciousness C) King's systems interaction model D) Neuman's health care systems model
C
A nurse writes a letter to assigned congressperson about an issue involving health care. In order to be effective with writing a letter to an elected official, a nurse should include what in the first paragraph? A) Greet the official according to his or her title in the salutation. B) Add personal experiences and views eliminating the tone of a form letter. C) Identify yourself as a constituent, health care expert, and credible source on the issue. D) Provide contact information as legislators monitor letters from their constituents.
C
A nursing department dean is hired to lead a major university initiative that encompasses leadership strategies. Which role that Covey has listed as the most effective for leadership has to do with getting others to internally unleash their human potential for the dean? A) aligning B) modeling C) empowering D) path finding
C
Leaders choose how they use power based on their philosophical beliefs while considering specific situations. According to Covey, what describes the overall real test of interpersonal skills in transformational leadership? A) to permit others to validate themselves B) alignment of goals benefits members C) mutual learning, mutual influence, mutual benefits D) to make all contributors accountable
C
Professional nurses assume leadership roles when coordinating care and making recommendations to interprofessional team members. What best describes the feminist approach to leadership? A) concept of mutuality B) concept of empowerment C) concept of "power with" D) concept of transformation
C
Some senior level BSN students were discussing with their faculty some flaws and gaps in the health care delivery system. They ask the faculty if nurses can influence policy changes. The faculty response was positive but they also shared the fact that this rarely happens because of which factor? A) Pharmaceutical firms have the most influence in the legislature. B) No legislator member wants to address the needs of clients. C) Financial resources are lacking for nurse-driven health policy. D) Big tobacco firms always pay large amounts to reserve a seat at the negotiating table.
C
The nurse in a health care provider's office looks at the charts for the next day to determine who is coming to the health care provider's office to plan for the day. The nurse begins to think about one particular individual who recently lost their spouse. The nurse is looking forward to visiting with this person about how they are handling the loss. When thinking about this person, how would the nurse best define this person as an individual? A) two or more individuals who depend on one another B) groups of people with common interest with open communication C) recipient of nursing care unique and continuously evolving D) a person progressing through life
C
The nurse in the intensive care unit (ICU) has a client with multiple IVs for several different medications that the client has been prescribed. For which part of the nursing process does the nurse use the technology of computerized IV pumps to help calculate mcg/kg/min for a vasopressor drug prior to hanging the medication? A) assessment B) planning C) implementation D) evaluation
C
The nurse is caring for six clients. All the clients need medication passed at 0900. The nurse relies on which technology to prevent making a medication error? A) Personal digital assistant (PDA) B) Handheld computers C) Computerized medication-dispensing stations (CMDS) D) Pharmaceutical software programs
C
What prevention strategies can be applied by the nurse using tertiary prevention when an outbreak of measles occurs within the public school community? A) facilitating people to do self-screening and report abnormal findings B) increasing the public's awareness of health problems C) lobbying for adequate services and resources through the legislature D) facilitating people to do referrals when issues arise
C
Which item below would be the best example of the use of QSEN Competencies for informatics that relates to applying technology/information management to promote safe nursing care? A) Printing off client care educational sheets about their new medications so they can read them at home at their leisure. B) Making notes during morning rounding on clients so the nurse can document assessments later in the day. C) Stopping to verify right client/right medication prior to administering the medication when a computerized warning flashes after their wrist band ID is scanned. D) Using the information generated from the information management tools available to track response to various wound care products.
C
Which scenario best describes one of the hazards of using electronic health records (EHR)? A) Every item documented utilizes the same standard terminology. B) Increase usage of paper since the majority of nurse's print off computerized reports to help with organizing their day. C) During a weather power outage, the nurses document simplified noted on assessment findings which may be entered into HER later. D) Nurses receive multiple reminders of care regarding procedures they have missed or are late in providing.
C
A busy nurse manager on a medical-surgical unit has just read The Seven Habits of Highly Effective People. Which habit of effective leaders was added to the other seven and incorporates periodic analysis of values and beliefs? A) blending voices to develop shared vision B) empowering others to use their talents C) empowering others to live out passions D) hearing one's own voice and inspiring others to find theirs
D
A case manager is working for an insurance company and is doing research on ethical considerations from a payer's view. Which technology involves ethical concerns regarding access issues relating to items for which the insurance company does not pay? A) use of technology 24/7 B) stem cell therapy and research C) use of robotics in health care D) genetically designed medications
D
A chief nursing officer in a busy, downtown, urban hospital has a major collaborative vision regarding nursing and would like to see the vision become reality by the year 2020. The chief nursing officer creates a plan to communicate the vision and to empower individual nurses to help meet the goals and objectives that accompany it. This is an example of which key to empowering people within an organization? A) assisting in releasing motivation employees possess B) creating autonomy through boundaries C) replacing the traditional hierarchy with self-directed teams D) sharing information
D
A client learns how to bathe her baby and shares with the nurse her hesitation of a return demonstration stating that she is afraid when she gets him wet he will slip and get hurt. The nurse replies that with the bassinet under the baby, there should be no time that the baby is not safe. The client performs the bath and the nurse congratulates her on a great job. Which correlates that this behavioral change was well integrated? A) The client understands the educational material. B) The client has mastered a particular health care skill. C) The client uses the new information or skill effectively. D) The client must be validated by persons significant to the client.
D
A client receives feedback on her breast-feeding technique by the lactation consultant. Constructive feedback such as this causes what to occur in learners? A) Learners present more questions. B) Learners learn faster. C) Learners identify barriers. D) Learners want to learn more.
D
A family recently experienced deaths of two of their children in a car accident. The parents, following in the vehicle behind their children's car, witnessed their children's car being hit by a truck. Which conceptual model identifies the family as it focuses on this unexpected event that is disruptive to its overall health? A) family assessment and intervention model B) Friedman family assessment model C) family systems model D) family stress model
D
A health care provider states that a client will be going home in 3 days and that education is needed regarding home administration of oxygen. The nurse evaluates the client and determines that the client is having anxiety about going home because of their "inability to breathe well." The nurse listens to the client's concerns and determines that teaching will need to occur the next day after these concerns are discussed. The nurse in this situation was real, open, honest, and caring to the client. Which communication concept was used by the nurse? A) respect B) mutuality C) empathy D) genuineness
D
A new graduate nurse has accepted a job on a nursing unit in a busy orthopedic unit and has been working for the last 6 months developing skills. The nurse has worked with many colleagues and has seen many instances where the manager has been accessible, communicated well, and has supported the staff. The nurse determines that the leader on the unit is an exceptional nursing leader. What remaining criteria for evaluating effective leaders does McCauley and Van Velsor list that would relate to accountability? A) Does the leader use effective verbal and nonverbal communication skills? B) Can the leader effectively modify his or her behavior and that of others? C) Is the leader willing to help others grow as professional nurses? D) Does the leader set high standards and hold others and self to the standards?
D
A nurse and client require effective communication in the client education process. A nurse who is trying to improve communication skills identifies three concepts that facilitate teaching-learning. Which concept looks at the perceiving each other as real and as genuinely human, open, honest, and caring in their responses to each other and will generate effective educational plans as a result? A) respect B) empathy C) mutuality D) genuineness
D
A nurse educator in a college setting has developed leadership skills as a result of attaining further education and sharing positive change within the department. When looking at leadership in the contemporary sense, what leadership trait is characteristic of transformational leaders? A) influencing others B) guiding others C) directing others D) empowering others
D
A nurse in an outpatient surgery center looks for ways to improve client education at discharge and explores the concepts of teaching and learning. What is the rationale for identifying nurses as "experts" in the client education process? A) Nurses help clients to teach. B) Nurses are experts in assessing clients. C) Nurses are experts on how issues affect clients so that mistakes won't occur. D) Nurses can help clients learn new action and problem-solving skills.
D
A nurse in the ICU spends much of the time in front of the computer monitoring their clients. An ECG alarm goes off that looks like ventricular tachycardia. The nurse goes into the room and gives the client a precordial thump (that results in a fractured sternum). The client screams. Later on, the family is overheard discussing legal actions. Which best describes what happened in this incident that could be avoided in the future? A) Nurse should have called a "code blue" before the precordial thump. B) Nurse should have administered epinephrine 1 mg per IV prior to the thump. C) Nurse should have watched the monitor for at least 30 seconds prior to any intervention. D) Nurse should have performed an assessment of the client rather than focus solely on the machinery.
D
A nurse in the family-centered care unit uses the family system as an energy field that serves as the focus of study and interaction in caring for clients and families. The nurse views the family as only a backdrop for individuals. Which model is the nurse basing practice on? A) Orem's self-care deficit model B) Watson's human science and human care model C) Peplau's interpersonal relations model D) Rogers' science of unitary human beings
D
A nurse practitioner is providing end-of-life care for a terminally ill cancer client. As the client begins to exhibit signs that death is nearing, the nurse practitioner notices they are focusing more on the families need than that of the clients dying. Which best describes this nurse practitioners belief in client and/or family care? A) Focus should always remain on the client with family needs after those of the client. B) Pain control measures always supersede other nursing problems. C) To keep expenses low, the NP should focus on giving older medication that has been around a while for pain. D) The NP views the family as the unit of care for this client.
D
A nurse who uses a conceptual model as a framework begins to think differently about the nursing process. When using a conceptual model as a framework for clients, what is the major advantage of applying an individual model to the family and the community as client model? A) The model is the road map; need buy in by the user to incorporate it effectively. B) The model changes by virtue of the client and expands, creating more variables. C) The model becomes multidimensional, which may be difficult to apply. D) The model is familiar; the impact of an individual's health-related change affects a family system and communities.
D
A nurse working in the outclient clinic identifies a concern regarding a community suburb when the health care provider mentions to the nurse that this was the fifth case of Lyme disease seen from this community suburb. Which theory demonstrates the conceptual model that best fits when the nurse thinks of the community as being in need or the recipient of care? A) geopolitical model B) perception as community model from a human becoming perspective C) human field-environment model D) systems model of community as client
D
A nurse works only when needed on a hospital floor (prn) and is frustrated by the constant in-services they have to attend relating to equipment. The nurse has several children and lives at least 1 hour away from work. What is the challenge of technology in the workplace that this nurse is experiencing? A) balancing technology with life B) ethical decisions regarding technology C) accessing information D) struggling to stay abreast of new technologies
D
A nursing faculty member allows students to bring handheld computers for managing daily tasks, keeping calendars, calculating medication dosages, performing other complex clinical math calculations, and consulting references such as medication information, medical terminology, disease references, and various medical calculation software programs. Which describes this device? A) electronic calendars B) electronic textbooks C) electronic documentation app D) hospital provided computer tablet
D
A political rally occurs in the evening and the nurse leaving work attends at the request of a friend. Which term best describes the science and art of political government? A) public policies B) political competence lobbyist C) political action committee D) politics
D
A student nurse takes a test and is relieved when receiving a perfect score for her test on theories and models in nursing. Which model uses the central concern as the communicative understandings of meanings given by people who live within the situation? A) Watson's model of nursing B) Bruner's learning models C) Benner's novice-to-expert model D) Diekelmann's phenomenological model of curriculum
D
Which scenario would be considered an example of research in nursing informatics, a sub-specialty area of nursing informatics? A) Nursing unit performs a review of all narcotics removed from the dispensary compared with the doses documented as being given to actual clients on the unit. B) Educational program outlining the steps required prior to administering insulin injection. C) Development of a pamphlet about the dangers of unprotected sex to provide for local high school students. D) Public health department sets up an electronic system to identify clients who received the flu vaccine in relation to those who contracted the actual flu.
D
