Professionalism FINAL

During a staff meeting, the new nurse manager informs the staff that each nurse will be getting an email account that needs to be checked daily for information from the manager. Which responses to this policy would be expected of a "Generation X" nurse? Select all that apply

"Can we use this account to email one another?" "Can we access the email account from home" "That sounds like a great idea"

The nurse is documenting in the electronic medical record (EMR) after providing care in the client's room. The client asks the nurse why a computer is being used. Which response by the nurse is appropriate?

"Computers improve client care because information is readily available.

The nurse is discussing follow-up care with a client who is being discharged. The client and his family cross their arms and state angrily that the care team's suggestions are not acceptable. Which response by the nurse is appropriate?

"Let's discuss other options that might work well for you and your family."

A nurse is discussing the plan of care with a client who is preparing for discharge. The client has a strong objection to portions of the plan of care. The nurse recognizes that there is conflict. Which response by the nurse indicates an understanding of the client's position and a willingness to collaborate regarding the discharge plan?

"Let's talk about your objections and possible solutions or alternatives.

A group of staff nurses is discussing the importance of uniform language within healthcare documentation. Which statement made by the one of the nurses indicates an understanding of uniform language in healthcare documentation?

"Uniform language is the consistent use of the same terminology among all providers."

A rural home health nurse is caring for a client recovering from a myocardial infarction. The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem. Which response bu the nurse supports the use of informatics to meet client needs?

"We can send your information to the cardiologist using telehealth."

The nurse must start an IV for a toddler in the emergency department. The toddler is accompanied by a parent. The parent asks the nurse, "Can i stay with my child and comfort him?" Which response by the nurse is the best?

"Yes, it would be helpful for you to stay and comfort your child.

The nurse is caring for a client on a mental health unit who is yelling at other clients and some of the staff. Which verbal intervention by the nurse is the most consistent with the concept of advocacy?

"You seem upset. Can you tell me what you think might help to calm you down?"

The nurse is providing teaching related to health promotion for a group of older adults. Several individuals describe their current health status. Which client is most in need of additional information related to health promotion?

A client who states she was recently diagnosed with Parkinson disease

Which of the following would be considered an example of insubordination?

A staff nurse informs the unit supervisor that she won't complete an assigned care task because it's beneath her level and more appropriate for unlicensed personnel.

The nurse is planning discharge teaching to a client with diabetes who has a large wound. Which is the priority action for the nurse prior to initiating teaching with this client?

A. Asking the client to state what is known about the current dressing changes

Which of the following conflict-related communication styles involves attempting to satisfy the concerns of others while neglecting the self?

Accommodating

After accidentally providing food to a client who is NPO for surgery, the nurse reports the error to the health care provider and follows hospital policy for managing the error. Which characteristic is demonstrated by the actions of the nurse?

Accountability.

Which action by the nurse working in the emergency department best demonstrates advocacy for better environmental quality?

Adapting practices in the ED to cultural needs of clients

A nurse is preparing a workshop on the topics that are new to Healthy People 2020. Which of the topic areas should the nurse plan to address? Select all that apply.

Adolescent Health Genomics Lesbian, Gay, Bisexual, and Transgender Health Healthcare-Associated Infections

A school nurse who is concerned about an increase in sports injuries related to ineffective protective equipment decides to hold a community seminar related to the importance of proper protective equipment. Which advocacy activities is this nurse demonstrating? Select all that apply.

Advocating for vulnerable populations Advocating for fair and equitable access to high-quality care for all clients Informing the public about issues and concerns Speaking publicly for the health, welfare, and safety of their clients

A new nurse decides to join a professional organization that represents his practice speciality. Which type of commitment does this action exemplify?

Affective.

Which action by the novice nurse demonstrates commitment to a new job on a busy cardiac care unit?

Arriving at every shift on time.

A nurse failed to complete a competency within the required time frame. When confronted by the manager, the nurse says, "Oh well, it's not like i don't know what i'm doing" This nurse's statement is most reflective of which of the following qualities?

Arrogance, which prevents the nurse from developing an accurate assessment of personal strengths and weaknesses.

The nurse is caring for a client who has recently received a permanent colostomy. The client will be going home in several days and requires discharge teaching. What should the nurse do when organizing the teaching experience?

Ask the client to tell the nurse what he knows about caring for the colostomy.

The nurse asks the client to repeat the information taught during the discharge teaching session. The client states, "I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?

Asking the client their preferred learning strategies

The nurse is conducting a physical assessment for a client with a compromised immune system. Which actions by the nurse are appropriate? Select all that apply.

Assessing general appearance Inspecting the mucous membranes of the nose and mouth Palpating the cervical lymph nodes Checking joint range of motion (ROM), including that of the spine

A nurse is caring for a client with who is experiencing leukocytosis. When providing care to this client, which action by the nurse is most appropriate?

Assessing the client for the source of infection

Overarching Goals for Healthy People 2020 are:

Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death. Achieve health equity, eliminate disparities, and improve the health of all groups.

The nursing student is planning an educational program for a school project. The program is focusing on cancer detection education for a community group. What should the nursing student plan to include in order to address the various learning styles of the target group?

Audiovisuals, examples, group discussions, and activities

An individual's work ethic reflects his or her?

Belief in the importance and moral of worth of work.

The home health nurse suspects that another nurse providing home care to a client has been taking the client's narcotics. Which action should the nurse carry out?

Confront the other nurse about the suspected theft

A nurse is working as the designated leader of a group of healthcare providers in a community clinic setting. The team members are working to decrease the number of adolescent pregnancies in the community. They have defined the problem and are now focusing on the objectives and considering various viewpoints presented by the group. The nurse is tasked with helping the team stay focused in order to address the defined problem. Which of the competencies of collaboration does this describe?

Decision Making

The nurse is part of the clinical information system committee at a major healthcare organization. When designing a pan to ensure the protection of client information, which approaches should the nurse suggest this committee include in the implementation plan? Select all that apply.

Design policies to address password protection and login information. Create interfaces so that health data can be inputted by the client. Teach users to not leave protected health information unattended.

A home health nurse is admitting a new client to the agency who was recently discharged from the hospital with a new diagnosis of pulmonary fibrosis. What is the best way for the nurse to evaluate whether the client is able to set up and administer a nebulizer treatment?

Direct observation of behavior

A charge nurse notices that a client has a black eye that was not present when admitted to the facility. Which action by the charge nurse is appropriate in this situation?

Discuss the situation with the client in a private setting

Which of the following advocacy interventions might nurses provide that are within their role and scope of practice? Select all that apply.

Educating clients and their families about their legal rights regarding informed decision-making Ensuring that clients have the necessary information to make an informed decision or give informed consent Evaluating organizational policies and procedures to ensure protection of clients rights

The nurse is providing care to a client with a compromised immune system. Which independent nursing intervention is appropriate for the nurse to include in the client's plan of care?

Educating the client on the importance of a nutritious diet

Which of the following is an advocacy intervention that a nurse may perform?

Ensuring that clients and their families understand their legal rights

_____________involves the ability to promote health measures that improve the standards of living and quality of life in the community.

Environmental component

A nurse is providing a series of educational workshops for caregivers of older clients interested in promoting the health and well-being of their clients. Which would be appropriate topics for this group? Select all that apply.

Fall prevention Medication use and side effects Safe driving evaluations Advance directives

While teaching a class on health status, the nurse educator reviews internal variables that affect health status. Which internal variables are appropriate for the nurse to include in the class? Select all that apply.

Gender Developmental Level Age

Health promotion encompasses:

Health Wellness Disease

Health promotion is a national health priority and foundational to the provision of care for people of all ages. Health can be described as: Select all that apply.

Highly individualized Free from symptoms Being active

A nurse suspects another healthcare provider is under the influence of alcohol at work. Which actions by the nurse are correct? Select all that apply.

Immediately report it to a supervisor. Assist the provider while care is provided to clients. Follow the state board guidelines

A home health nurse is working with a client who has chronic obstructive pulmonary disease. Which nursing diagnosis will take the highest priority for implementing client education?

Ineffective breathing pattern

The nurse is preparing for the discharge of a client who will require physical therapy (PT) for rehabilitation following a total knee replacement. After reading the healthcare provider's order for PT, what should the nurse do next?

Inform the client about the settings in which PT may occur and have the client choose the venue.

An older adult client with metastasized breast cancer informs the nurse that her doctor is insisting that she participate in a course of chemotherapy, even though the client does not want to have any further treatment. Which actions by the nurse exemplify advocacy for this client? Select all that apply

Inform the doctor about the client's clear wishes not to have further chemotherapy. Ascertain whether or not the client has an advance care directive and, if not, assist her in creating one. Discuss the implications of various choices with the client

The process of ___________ involves the acquisition of lifelong learning, experience, technical expertise, and interdependent collaboration required to become a professional nurse.

Informatics.

The nurse is providing care to an older adult client who was recently diagnosed with early osteoporosis. Which intervention is most appropriate for the nurse to implement with this client?

Instituting an exercise plan that includes weight-bearing activities

A nurse forgets to return a client's bed to the low position after performing a bed bath. When a colleague points this out, the nurse states, "I should have returned the bed to the low position. Thank you for pointing out my error." With which characteristic is the nurse's response most consistent?

Integrity

A case manager assembles a team of healthcare professionals including a client's primary healthcare provider, physical therapist, and social worker, for the purpose of collaborative discharge planning and decision making. Which type of team did the case manager assemble?

Interdisciplinary team

The nurses in the emergency department (ED) and the staff nurses on the neurology unit are experiencing conflict. The ED nurses are not pleased with the amount of time it takes for the neurology unites admitting nurse to receive face-to-face handoff communication for clients who are being admitted to that unit. Which type of conflict is being experienced by these nurses?

Intergroup conflict.

Which behaviors by a new nurse are likely to reduce stress and burnout? Select all that apply

Meditate or take a long soak in a tub. Join a local aerobics class Participate in a professional organization.

____________ occurs when two or more individuals show or feel honor or esteem toward one another, and it is important event of successful collaborative practice.

Mutual respect.

Which of the following is a primary barrier to effective nurse-physician collaboration that has persisted over time?

Nurses' and physicians' of inequity in their roles, with nurses assuming a subservient role and physicians assuming leadership and a superior role in healthcare settings.

Physical activity and exercise improve the functioning of many body systems. Exercise improves what normal body function of the gastrointestinal system?

Peristalsis

A nurse identifies the seven components of wellness as a useful tool in assessing health. Which are some of the components of wellness? Select all that apply.

Physical Environmental Emotional Spiritual

The nurse is assessing a 24-year-old woman who recently found out she is pregnant. Which factor would the nurse identify as the most likely source of a barrier to health promotion in this client?

Pregnancy occurred as a result of rape

The focus is on health education for optimal nutrition, exercise, immunizations, safe living and work environments, hygiene and sanitation, protection from environmental hazards, avoidance of harmful substances (e.g., allergens, toxins, and carcinogens), protection from accidents, and effective stress management

Primary Prevention

The nurse is preparing discharge instructions for a client with a foot wound. How will the clinical information system support this client's learning needs?

Prints discharge instructions to use for teaching.

A nurse is organizing a community effort to reduce the rate of birth defects in the area. A nuclear power plant provides most of the electricity for the community. What aspect of this power plant's operation should the nurse identify as problematic?

Production of ionizing radiation

The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do?

Provide referrals to other professionals who can help the client meet this goal.

The nurse has been working in a long-term care facility for 1 week. The nurse notes that during the evening meal, an unlicensed assistive personnel (UAP) gives a tray to a client who is unable to cut up and eat the food independently, and then leaves. After the nurse assists the client with eating the meal, which action is appropriate to advocate for this client?

Report the UAP for neglect

A 73 year old client is in the hospital for pneumonia for the third time in six months. During the nursing history, the nurse discovers that the client has few financial resources, lives alone, and has not received immunizations. To provide excellence in care, what should the nurse prioritize?

Request consultations with other disciplines.

The nurse is caring for a terminally ill pediatric client. The parents have decided to remove their child from life support. Which action by the nurse displays the role of client advocate?

Respect the parents' decision

The nurse is caring for a critically ill infant in the neonatal intensive care unit (NICU). The infant's parents ask whether the child's 3 year old sibling can visit. Small children are not permitted to visit the NICU because of the risk of infection to the infants on the unit. Which action by the nurse best demonstrates a compassionate response?

Seek permission from the unit management and the neonatologist to allow the sibling to visit.

What are the basic aspects of wellness?

Self responsibility Goal

A nurse is teaching a couples' class at a local community center about building positive relationships. Today's session is on learning skills to be open-minded and respectful to those with opposing opinions. Based on this data, on which component of wellness is the nurse focusing this session?

Social

The nurse is preparing an educational brochure to teach clients how ti determine the validity of content obtained from health-related internet websites. Which information should the nurse plan to include in this teaching tool? Select all that apply.

Source for the information Sponsor of the website Ways to identify if the site is selling a product Date the content was last reviewed

What is the largest lymphoid organ in the human body?

Spleen

A nurse has just received the shift report for a 12 hour shift. As the nurse is preparing to enter a client's room, the nurse overhears a coworker telling an offensive joke with a sexual undertone to the client. Which action by the nurse is appropriate?

Tell the coworker in private, that such conduct is offensive and not professional.

A nurse conducted a safety class for a group of older adult clients in the community on fall prevention. During a follow-up visit in the home of one of these clients, the nurse sees a number of fall hazards she identified during her class. What should the nurse document regarding the learning outcome for this client?

The client did not comply with the teaching given in the class.

By providing volunteer client care to an inadequately insured population, the nurse is demonstrating which value of client advocacy?

The client has the responsibility to ensure the client has access to healthcare services

The nurse is planning to carry out advocacy interventions when caring for a client with brain cancer. Which value should the nurse recognize as most basic to client advocacy?

The client is a holistic, autonomous being who has the right to make choices and decisions

A client who had outpatient surgery is given an instruction sheet in preparation for discharge. When the nurse asks if the instructions are clear, the client says, "I'll read them later when I have my glasses; besides, you told me everything I need to know." Based on these statements, what would the nurse suspect?

The client may be unable to read the instructions

A charge nurse is making assignments for the shift and notes that a client from a different culture was recently admitted and will require a thorough admission assessment during the upcoming shift. Which generation of nurse is likely to be the most culturally sensitive and thus the best choice for this client assignment?

The millennial Nurse

A novice nurse is caring for an older adult client with dementia.The nurse leaves for a break and forgets to put the call light within the client's reach. When checking on the nurse's clients, a colleague discovers the nurse's negligence. Which conclusion by the colleague is appropriate?

The novice nurse is demonstrating inappropriate safety measures for the client.

A nurse is always on time, neat in appearance, and caring towards clients. Which statement best characterizes this nurse's level of professional commitment?

The nurse is demonstrating a pattern of behaviors congruent with the nursing's professional code of ethics.

The nurse is reprimanded for being habitually late. What action by the nurse would best address this performance issue?

The nurse must take responsibility and accept any corrective action.

Which action by the student nurse is most consistent with commitment to the nursing profession?

The student calls in sick for clinical because of a respiratory infection.

What is the primary advantage of electronic reminders in the electronic health record?

They help nurses increase client safety.

A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury. Many health care professionals are involved in the client's care, and the scene is chaotic. The client's parents are extremely anxious and want to know what is happening. The case manager asks for am interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting?

To share and evaluate information for care planning and implementation, and to prevent priority conflicts, redundancy, and omission care.

Illness can be present in the absence of disease, and it is possible to have no illness when a disease is present.

True

A nurse is providing wellness teaching to a client who is interested in beginning an exercise program to reduce certain health risks. The nurse determines that the client understands the teaching when the client selects which health risks that can be reduced by regular exercise? Select all that apply.

Type 2 diabetes Cardiovascular disease Falling Liver disease

A nurse overhears two colleagues disparaging a client on a public elevator. Which action by the nurse is most appropriate?

Wait and speak to the nurses about their behavior in a private place.

The nurse is caring for a client who has been diagnosed with diabetes mellitus. The client must learn how to independently perform fingerstick blood sugar analysis as part of the plan of care. The client says, "I already know what you are attempting to teach because I looked everything up on the internet." Which is the best action by the nurse based on the client's statement?

Watch the client perform a return demonstration of the skill

In which of the following situations would the nurse's actions most likely be classified as intimidation?

When addressing a coworker, the nurse states, "You'd best think twice about doing that again, or you might be sorry."

Which of the following is an example of covert conflict?

Yelling at a coworker who has insulted another coworker.

During the physical examination of a client who took a fall that fractured his hip, the nurse notices an impairment of the client's hearing, but that the client's visual acuity and motor function do not seem to be impaired. The client answers questions very precisely and readily grasps the meaning of everything the nurse says when the client can face the nurse. When teaching this client, the nurse should make it a priority to

make verbal instructions face to face with the client.