Chapter 1,2,3

Individual incidents or errors and minimal expectations

Quality Assurance (QA) focuses on which of the following?

The shift of resources to the community

Results from the 2013 OASIS data study revealed that data from the study can be used to identify individuals at greatest risk for readmission to the hospital. Using this data, what can the nurse determine will decrease the readmission rate of hospitalizations?

Long-term

A client had a total hip replacement earlier in the day. The nurse sits with the client to establish some goals. One goal they agree on is to ambulate 1 to 2 miles each day. This is an example of which type of goal?

Evaluation

A client is to be discharged from an acute care facility after treatment for pneumonia. The nurse notes that the client's lungs are clear and denies shortness of breath. The nurse's actions reflect which step of the nursing process?

The placement of the barrier is to follow universal precautions.

A client receiving home care observes the visiting nurse place a bag on a paper barrier at the beginning of the visit. To avoid misunderstanding, what does the nurse teach the client about the practice of placing the supplies on the barrier?

Nurse manager

A group of nursing students are reviewing the various types of advanced practice nurses. The students demonstrate the need for additional review when they identify which of the following as an advanced practice nurse?

Supervision of unlicensed assistive personnel

A group of students are reviewing information on the roles of a nurse. The students demonstrate understanding of the information when they identify which activity as associated with the nurse's role as a leader?

Multidisciplinary action plan

A group of students are reviewing various evidence-based practice (EBP) tools used for planning client care. The students demonstrate understanding when they identify which of the following as the most detailed type?

Telephone the client to obtain permission to visit.

A home care nurse is planning to visit a 60-year-old client diagnosed with heart failure for the first time. Which of the following would be most appropriate for the nurse to do?

The right of confidentiality is essential to protect each client's private information.

A nurse chooses a quiet, private area to conduct an end-of-shift report to the oncoming nurse. Following this procedure is necessary because of what ethical problem in nursing?

Teaching the client to avoid crowds

A nurse is caring for a client with HIV and who has been diagnosed with acute pneumonia. Which situation demonstrates an understanding of the nurse's role in the current focus on management of chronic illness and disability?

an ongoing and intentional effort to achieve the highest potential for total well-being.

A nurse is employed by a community organization engaged in health promotion. In this role, the nurse teaches clients steps they can take toward achieving wellness. The nurse would explain "wellness" to a client as:

Algorithm

A nurse is using an evidence-based practice tool to plan care for a patient with acute abdominal pain who is admitted to the health care facility. Which tool would the nurse most likely expect to use?

Individual incidents

A nurse is working as a member of a quality assurance program. Which of the following would be the focus?

the nurse's personal biases

A nurse using critical thinking interprets data and determines appropriate interventions. What factor will affect the nurse's ability to employ critical thinking with data interpretation?

Patient instruction related to self-care activities promotes patient independence

A nursing student observes the home care nurse provide education to a client with congestive heart failure (CHF). The nurse teaches the client how to read food labels and calculate sodium content. The nursing student recognizes that the home care nurse is aware of which basic principle of patient education?

careful observation and evaluation of a client's health status

How is assessment defined as part of the nursing process?

interpreting patient information and making critical decisions about needed actions

In a team meeting for a nursing home client, the client's development of a lower leg wound, including its potential cause and treatment, is being discussed. The nurse proposed a strategy for treating the wound and preventing its recurrence. This action reflects which of the nursing responsibilities outlined by the American Nurses Association?

Teaching rehabilitation exercises to a client after a mastectomy

In which situation is the nurse providing tertiary prevention?

Increased cost of treatment

Nonadherence to therapeutic regimens is a significant problem, especially in the elderly population. Nonadherence can lead to which outcome?

Utilitarianism

One classic theory in ethics is teleologic theory or consequentialism, which focuses on the ends or consequences of actions. The nurse knows that the best known form of this theory is

Print directions in large, bold type, preferably using black ink.

The home health nurse reviews a medication administration calendar with an elderly patient. In order to consider sensory changes that occur with aging, how should the nurse proceed?

National Patient Safety Goals

The hospital is having a problem with healthcare-associated infections. A committee has been established to study the problem and make recommendations. The nurse working on the committee knows that this work addresses what?

Immediate goal

The nurse and patient establish a goal to stand at the bedside for 5 minutes prior to the end of her shift at 2300. Earlier that day the patient had a total knee replacement. This is an example of which type of goal?

Check the client's previous pulse rates to validate the findings.

The nurse assesses a radial pulse rate of 48 beats per minute (bpm). Using critical thinking, what will be the best action for the nurse to take?

Utilitarian theory

When an ethical decision is made based on the reasoning of the "greatest good for the greatest number," what theory is the nurse following?

Provides a foundation for evaluation and quality improvement

Which element is an important function of accurate and thorough documentation?

Nurse-centered

Which element is least likely to be a characteristic of an expected outcome of a nursing intervention?

Supporting evidence with facts

Which intellectual skill is used by nurses when thinking critically?

Conditions affecting elderly women are a major concern due to undertreatment and underdiagnosis.

Which of the following best reflects the current trends associated with the elderly population?

Wishes regarding healthcare if terminally ill

Which of the following is stated in a living will?

Nurse midwives

Which of the following would be categorized as a mid-level practitioner?

85 years of age and older

Which patient age group makes up the fastest-growing segment of the population?

Obtaining vital signs and pain scale rating, documenting the nursing diagnosis as acute pain, administering analgesic, and evaluating comfort level

Which set of nursing actions demonstrates that the nurse understands the nursing process?

Inpatient units

Which setting has been the traditional site for the nursing work force?

Assessment

Which step of the nursing process entails analyzing data related to the client's health status?

Nursing orders

Which term refers to specific nursing directions that are written so that all health care team members understand exactly what to do for the client?