Exam 2 Test bank

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 Canadian student is seen by a health care provider for a routine screening before going to college. The student's family is covered by the Canadian plan. Which principle of the Canadian health care system is evident for this student? A) Each insurance plan covers all residents for uniform services. B) A public for-profit authority administers the plan. C) Canadians do not have coverage when they travel across provinces. D) Care can be denied for inability to pay for coverage.

A

A 45-year-old individual has been transferred to Japan for work and has elected to utilize Japan's national health service model as insurance. Where does the national health service model get funding? A) general tax revenues B) nonprofit insurance funds C) individual purchase D) income tax revenues

A

A Category 4 tornado strikes a hospital in a mid-west city. Many staff and clients are injured or missing. When a community disaster occurs, uninjured nurses with backgrounds in trauma and intensive care will likely receive which assigned role? A) assisting in the rescue of victims in the field, triaging people for appropriate treatment B) assisting in communicating information about victims to families C) setting up temporary shelters for people affected by the disaster D) mobilizing supplies, and determining which clients can be discharged early to make room for other victims

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 has a fractured tibia/fibula that required insertion of pins and external traction. The client shares with their peers that they are concerned about getting a complication since "no one ever checks my lower leg for circulation and sensation." In legal terms, the staff is deviating from approved policies/procedures/standards and therefore at risk for being accused of which type of legal action? A) malpractice B) accountability C) incompetence D) battery

A

A client has just turned 50 and is persuaded by the spouse to have a complete physical examination. The client makes an appointment with the family doctor to determine their current state of health. What level of care is this client seeking? A) primary care B) secondary care C) tertiary care D) quaternary care

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 has taken medications to a client's home for the purposes of pain control. A client dies, and the nurse is forced to flush all narcotic agents down the toilet to avoid use by any other person. What is the immediate effect on the environment? A) drinking water contamination B) increase in water pollution C) changes to wildlife habitats D) unforeseen human illness

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 arrives to the unit and learns that a colleague has called out sick so the nurse will be responsible for at least 10 clients for the shift. Several clients have returned from surgery and require close monitoring. Several other clients are older adults and in need of dressing changes and treatments.All clients have IVs and IV medications to be administered throughout the shift. What is the most prevalent ethical dilemma this nurse is facing, in light of the responsibility that the nurse needs to undertake? A) safety of all the clients B) enough time to complete responsibilities C) enough help to do a good job D) prioritization of needs based on situation

A

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

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 has developed a research study on her clinical unit. They are anxious to get started. However, before they can begin the actual data collection, what step in the research design must occur? A) Obtain approval from the institution and obtain client informed consent. B) Develop a data gathering instrument from scratch ensuring it is specific to the hypothesis. C) Seek counsel with risk management to review any critical incident they anticipate might occur. D) Find someone to collect data from the clients so objectivity can be maintained.

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 caring for five clients. One client is having acute pain as the nurse walks into the client's room, the client states his/her pain level is a 5 out of 10 and is requesting more pain medication. The nurse retrieves the pain medication, but on the way to the client's room, the nurse is called by another nurse who needs help with an emergency situation. The first client does not receive the pain medication for another 30 minutes, at which point is in acute pain: 8 out of 10 on a 10-point pain scale. Which term best indicates the nurse's commitment to the first client? A) accountable to B) autonomous with C) authority over D) responsible for

A

A nurse is gathering information from research studies and evidence-based nursing practice on wound healing around colostomy pouches. The nurse has noticed that clients on the unit who utilize a specific product do better with wound healing than those who do not use this product when changing colostomy pouches. Which source of information is provided as evidence-based practice in this scenario? A) clinical experience data B) chart audit data C) benchmarking data D) quality improvement data

A

A nurse is working on a busy rehab unit caring for an immobile older adult client who has 3rd degree decubital ulcers on the sacral area. The health care provider has ordered the wound packed with a sugar/betadine paste "like in the old days." The RN recognizes this practice as not being based on research and not considered an appropriate treatment for this type of wound. What is the next step intervention the RN should make? A) Research and find solid knowledge on current evidence-based practice (EBP) treatment options. B) Confront the health care provider at the nurse's station and refuse to carry out their order. C) Ask a peer to perform the treatment since the RN has never seen this done before. D) Document in the medical records the rationale as to why the prescribed order was not implemented.

A

A nurse is working on a doctorate degree in nursing. The nurse's employer has recently hired a group of nurses from the Philippines to help with their nursing shortage. This nurse has designed a quantitative research study looking at how foreign-born nurses view their role as "care provider". This is an example of what emphasis on quantitative research nursing practice focuses on? A) demonstrating an empirical, analytical emphasis B) demonstrating a human, science emphasis C) demonstrating an empirical, science emphasis D) demonstrating a human, analytical emphasis

A

A nurse practitioner who works in the hospital of a large suburban city is accountable for a health care practice involving 30 clients. A student nurse asks the practitioner "Which professional organization set up practice standards for service, practice, and education?" Which agency would be a correct response to this question? A) The American Nurses Association (ANA) B) Institute of Medicine (IOM) C) The National Council of State Boards of Nursing (NCSBN) D) The Joint Commission

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 nurse, working on a doctorate degree, has begun collecting articles related to the research topic. Today, they took a step back and realized there was a "gap" in the nursing literature that could become his or her research topic. What phrase best describes this gap in the literature? A) research critique B) comprehensive literature review C) research collection D) defining variables

A

A recent MI client that required stent placement located a blog talking about the research of Dr. Dean Ornish. He is currently refusing to take his statin medication and his ACE-inhibitor. He quoted the research stating "these people didn't have to take medication. I can control my disease with diet and exercise." The nurse researches the study and finds the details: less than 10% diet contains fats; vegetarian diet; 1 hour of meditation/day; at least 1 hour of cardio exercise/day. The client is unwilling to become a vegetarian and does not have time for all the exercise and refuses to meditate. This is an example of the nurse performing which role related to their professionalism? A) working collaboratively with empowered clients B) being accountable for decisions made by their clients C) providing the clients with the defeat is t opinion on their lack of knowledge D) delivering reasonable care to this client in the form of "education"

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

After a busy day at the office, the nurse comes home and begins to make dinner. Currently, they are the only person home and are enjoying a few moments to relax and unwind from their busy day. This time to relax and release emotional feelings helps foster which type of health? A) psychological B) physical C) social D) global

A

An Asian American nurse practitioner is working in an urban area with a large percentage of the population being of middle eastern decent. One client has chronic pain from a back injury. In addition to giving medications, this healthcare provider suggests the use of meditation and acupressure. This is an example of which concept that is included in Purnell's model for cultural competence? A) Acculturation, taking the best of both cultures and blending them into one. B) Assimilating, adoption of group culture by members of a different culture. C) Diversity, differences within the groups. D) Empathy, expressive concern and the ability to see experiences as the client sees them.

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

Research utilization model is a term that a nurse was trying to define, but the nurse could not come to grips with what it meant to the profession of nursing. In trying to determine the importance of the concept, the nurse came across a model where a five-phase, critical-thinking and decision-making process assists the individual practitioner in using published research. Which model uses published research? A) Stetler's research utilization model B) Theory of diffusion of innovations C) Iowa model D) Thunder project by AACN

A

The nurse is performing a cultural assessment on a client. Which question would a nurse use to obtain data about social life? A) How do you spend your free time? B) Who lives in your home with you? C) What support systems do you have outside the home? D) Do you have any rituals or habits that we need to be aware of while you are in the hospital?

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

When the nurse analyzes accountability to the agency, which question best provides a self-assessment of professional accountability? A) Am I seeking to ensure that I am practicing under safe, if not optimal, conditions? B) Am I incorporating what I know of nursing theory and research into my practice in this situation? C) Am I complying with the ethical code of the profession? D) Am I acting in accordance with my own ethical code and that of the profession?

A

When the nurse analyzes accountability to themselves, which question provides a self-assessment of professional accountability? A) Should I seek additional preparation (education) for that role? B) If I am not satisfied with that job description, am I seeking appropriate ways to change it? C) Am I working in accordance with the policies and procedures of the institution? D) Am I complying with the ethical code of the profession?

A

Which energy-conserving strategies can impact positively on the home environment of a client? A) close blinds, shades, and curtains during the summer B) limit vehicle warm-ups to 30 seconds C) buy canned soup instead of instant soups D) mow the lawn in the evening

A

Which environmental factor in the hospital workplace can contribute to and impair a nurse's health? A) sharps disposal container that is full B) nonlatex gloves used throughout the hospital C) malnourished client D) wearing a surgical mask throughout a long procedure

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.

A,B

When discussing "Obamacare" in a classroom discussion, many students identified which outcomes as being positive following implementation of the Affordable Care Act (ACA)? Select all that apply. A) Young adults (ages 19 to 26 years) were able to stay on the health insurance policy of their parents. B) Availability of more free-standing specialty outclient surgery centers resulted in decreased health care costs. C) All 50 states expanded Medicaid coverage for persons with incomes up to 400% of the federal poverty level. D) Closing smaller healthcare organizations resulting in consolidation of care that was financially better for their out-of-pocket expenses. E) No changes were made to the choice of health care providers the client could choose to go to for care.

A,B

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.

A,B

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.

A,B,C

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).

A,B,C

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.

A,B,D

An occupational health nurse is presenting a seminar on environmental factors and the quality of human health. Which signs/symptoms shared by an audience member leads the nurse to suspect they may be exposed to air pollution? Select all that apply. A) Just walking to the microphone brings on shortness of breath. B) Has been out sick with pneumonia three times in the past year. C) Noticeable joint abnormalities on hands, bilaterally. D) States they have developed "asthma" in the past year requiring inhalers. E) Spouse complains that their snoring has gotten louder in the past year.

A,B,D

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.

A,B,D,E

When caring for an individual of Japanese culture who speaks primarily Japanese, what should the nurse due prior to performing the initial physical assessment? Select all that apply. A) Ask the client for permission to touch them. B) Call their American-raised children and ask if there is anything you (the nurse) should know before during a complete head-to-toe assessment. C) Contact an interpreter to attend the first assessment so factual information about their signs/symptoms can be shared. D) Rely on the unlicensed assistant personnel (UAP), who is also of Asian descent, to help you perform the assessment for the first time. E) Ask family members who know ESL to translate word-for-word what information you (the nurse) are trying to obtain.

A,C

Some nurse managers have enrolled in a healthcare financial class at a local college. These nurses were asked to prepare a presentation on healthcare cost. The group decided to divide topics among themselves. Which topics would be appropriate to include in this presentation? Select all that apply. A) Percentage of rise in health care cost when compared to rate of inflation. B) Impact of limited choice of health care providers willing to see clients with certain healthcare plans. C) Disproportion of health insurance cost from entry level worker making low wages compared to those in upper management. D) Workers with no health insurance ignoring manifestation of disease until it becomes life-threatening. E) Increase use of alternative medical practices rather than seeking care from a health care provider because of cost differences.

A,C,D

Which clients would the RN consider delegating the task of assisting with feeding to the UAP? Select all that apply. A) Client with mobility problems related to a sacral spinal cord injury many years ago. B) Client with new onset right-sided CVA with paralysis on left side and some speech difficulties. C) Client with Multiple Sclerosis who is confined to a wheelchair for mobility. D) Client with terminal lung cancer with metastasis to liver and bone having difficultly controlling their bowel/bladder. E) Client admitted in acute respiratory failure who is on 40% oxygen via venti-mask who is struggling to breathe and maintain oxygen saturation levels.

A,C,D

In community health nursing class, the students and faculty discuss what impact global warming has on the human population. Which health problems should nurses assess for as a result of global increase in temperature? Select all that apply. A) increase in malaria (caused by mosquito bites) B) asthma diagnosis decrease as changes in ozone layer destroy certain allergens C) more cases of Shigellosis, a water-borne illness D) more women developing preeclampsia during pregnancy E) mercury level of ocean fish rise as water temperature rises

A,C,D,E

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.

A,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's parent is dying from heart failure and has just been transferred to skilled nursing facility for end-of-life care. What kind of care is the client's parent receiving when receiving care for end-of-life issues? A) primary care B) secondary care C) tertiary care D) quaternary care

C

A consumer of health care has just been laid off by their employer, thereby losing health care coverage for themselves and family members. In this situation, which key factor will contribute to this consumer not being able to afford health care? A) Access to care B) Quality to care C) Cost of care D) Continuity of care

C

A 95-year-old client is admitted to the hospital with dehydration secondary to a fall that occurred 3 days prior to admission. The client's adult child found the client on the floor. The client was unable to reach a phone to call for help. At the hospital, health care providers stated that the client was not a candidate for surgery due to the client's age and anticipated quality of life. Which challenge of the health care delivery system correlates with the situation? A) allowing consumer participation in the provision of health care services B) determining the optimal balance between illness treatment and quality of life C) providing both preventive and curative services D) attaining an effective system using governmental support and private resources

B

A Filipino nurse practices nursing in a hospital in the United States. In looking at the definition of cultural competence, a life-long journey that requires the elimination of ethnocentrism (belief that one's way is best) and an unconditional acceptance of cultural diversity, the nurse is moved to provide an in-service on cultural factors to enhance nursing care. Which step to acquire cultural competence involves learning how to read verbal and nonverbal messages? A) becoming culturally aware B) learning specific communication strategies C) identifying biases in one's own self D) interacting with different cultures

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 comes to the hospital for a surgical procedure. On day 2, the client experienced a fever and required antibiotic therapy. The client was originally supposed to go home on day 2 but as a result of the fever stayed an extra day and then went home with oral antibiotics. As a result of accurate documentation, what would be the positive outcome to the facility? A) client's fever was treated B) reimbursement by third-party payer C) family reunited with loved one D) nurse satisfaction with resolution of fever

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 B) HIPPA violations C) Data security issues D) Documentation issues

B

A client is seen in an urgent care clinic for a broken leg which was splinted and client sent home. The client called their primary care health care provider to find out what should be done after the injury. The doctor directed the client to the emergency room where an orthopedic surgeon was consulted and performed surgery to place a pin in the leg. What kind of care was provided to this client when care was transferred from the emergency room health care provider to the orthopedic surgeon? A) primary care B) secondary care C) tertiary care D) quaternary care

B

A couple went to Rio de Janeiro for an extended honeymoon. While there, they went on a rainforest tour where they found out that they were ill-informed about how bad the mosquito population was. About a month after return to U. S., they found out they were pregnant. What is the main concern for the fetus that has possibly been exposed to Zika virus through a mosquito bite early in the pregnancy? A) Tetralogy of Fallot B) Microcephaly C) Gastroschisis D) Hydrocephaly

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 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 nurse documents a Foley catheter insertions by clean technique since they were told by administration to decrease expenses like use of sterile gloves to a minimum. Who is liable if the client develops urinary tract infections (UTIs) that extend their hospital stay by 2 days and upsets the family to the point of "contacting a lawyer"? A) the nurse administrator B) the nurse performing the procedure C) the healthcare provider D) the chief financial officer

B

A nurse educator attends a conference focused on teaching nursing models specifically related to culturally diverse groups of populations. This educator got into a discussion with other attendees about development of a deep self-awareness of personal existence, feelings, ideas, and emotions while not allowing these to influence actions/interventions when working with persons from other cultures. This discussion group is primarily talking about which transcultural nursing theory? A) Leininger's sunrise model and theory of culture care diversity and universality B) Purnell's model for cultural competence C) Spector's model of heritage consistency D) Giger and Davidhizar's transcultural assessment model

B

A nurse has been assigned to care for an African American male following their abdominal surgery. When assessing the African American male, the nurse is aware of differences in this population. Which assessment finding would lead the nurse to suspect the client is hemorrhaging into their abdomen? A) Development of petechiae on both arms. B) Skin is ashen or slightly gray in color. C) Inflammation is more detectable by visual means. D) Skin is warm and dry to touch.

B

A nurse is conducting a research study and has some difficulties during the project. Which is a barrier to research utilization in nursing? A) positive beliefs and attitudes toward nursing research by the clinician B) difficulty determining if studies are well designed and scientifically sound C) professional characteristics of clinicians such as openness D) postgraduate education level concentrating on research design.

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 is taking a class on nursing research. The student is preparing to defend their thesis and thinks about all the contributions that can be made to the nursing profession. Which contribution can a baccalaureate nurse provide to research in the profession of nursing? A) participating in nursing education projects B) suggesting nursing research questions C) using nursing research findings for discussion D) promoting a sense of encouragement for colleagues

B

A nurse is utilizing Rogers' Diffusion of Innovations theory to study the use of "slick sheet" system to assist nurses in turning immobile clients. The nurse is visiting with their colleagues asking further opinions about trying the "slick sheet" for one month. The nurse is in which stage of the Rogers' theory of Diffusion of Innovations process? A) Stage 1—Knowledge B) Stage 2—Persuasion C) Stage 3—Decision D) Stage 5—Confirmation

B

A nurse is working on their thesis as part of their Master's degree requirements. After a long day of research, the nurse shared with their faculty advisor, "I just want to study this topic. Why do I have to read everyone else's' study on this topic?" Which is the best response by the faculty advisor as to the purpose of the initial review of the literature? A) to raise more questions about the topic B) to help the researcher develop a strong knowledge base C) to describe how others define the subject D) to develop preconceived ideas about the topic

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

A nurse researcher has developed a hypothesis. Now they are evaluating the type of research design suitable for the study. They basically want to manipulate two specific variables on other variables. In consultation with their faculty advisor, which research design would be best for the proposed research hypothesis? A) a descriptive design B) an experimental design C) an historical design D) ethnographic research

B

A nurse was discussing the environment with a local nursery worker when purchasing plants for the garden. On the way home, the nurse begins to think about how the environment affects all of us. When looking at the global environment, which global problem can be attributed to placing a demand on the environment for more food, water, and space? A) global warming due to melting of icebergs B) increased population growth C) pollution caused by automobiles D) age of convergence (when income of poorer nations exceeds that of rich nations)

B

A nurse working in the emergency department is designing a research topic related to workplace hazards. Which professional associations/ governmental agencies conducts ongoing studies related to workplace hazards for nurses and may provide a wealth of knowledge for this nurse researcher? A) Oncology Nursing Society B) American Nurses Association C) American Association of Critical Care Nurses D) National Institute for Nursing Research

B

A nursing education department in the hospital supports and encourages clinical research of its nurses. What motivating factors may best facilitate research utilization by the nursing staff? A) change in values related to research by administration B) promotions or salary increases for use of research in practice C) increased time to participate in research utilization activities D) provision of time for nurses to read research reports while off duty

B

A student nurse graduates from a university with a bachelor's degree in nursing. After successfully passing the state boards, the nurse decides to pursue employment at a local hospital on medical-surgical unit. There are many openings due to the current nursing shortage. Which factor is contributing to the current global nursing shortage? A) low turnover rates so that jobs are hard to find B) nursing faculty shortage limiting the number of students accepted into nursing school C) overstaffing in acute- and extended-care settings D) reduced number of persons entering the profession

B

A worker in Brazil utilizes the mandated health insurance model for health care insurance. When describing the mandated health insurance model to an American friend, the worker will discuss the funding occurs through which revenue source? A) income tax revenues B) nonprofit insurance funds C) individual purchase D) general tax revenues

B

An occupational health nurse is presenting a seminar on environmental factors and the quality of human health. This hospital is considered a "Magnet Hospital" model. These hospitals provide empowering environments for nurses. Which statement would be considered an essential element displayed by the nursing staff in this hospital? A) perceived chronic understaffing offering bonus for nursing working overtime B) clinical competence in colleagues who engage in research activities C) control of policy and procedures rests with an administrative committee D) nurse and health care provider competition to challenge up-to-date EBP

B

During the first lecture in the [Nursing] Professional Developmental class, the faculty discuss the 2015 National Workforce Survey of Registered Nurses. One student who was of Hispanic nationality asked, "I know lots of Hispanic/Latino people living in this area. How many licensed nurses are currently working as an RN in the U. S.? What is the most accurate answer the faculty can give to this question? A) Less than 1% of the nursing workforce is of Hispanic/Latino decent. B) About 3% of the national workforce of RNs are Hispanic/Latino. C) Black/African Americans are the largest ethnic group of nurses. D) Sadly, this ethnic culture rarely go to college let alone nursing school.

B

In Haiti, a hurricane has brought about a large death toll, especially due to the heavy rains afterward. Many victims lived in a new "flood plain" area since rainforest trees were cut down, making way for the building of structures. The text would consider this which type of "environmental surprise." A) discontinuity B) synergy C) unnoticed trend D) catastrophe

B

The nurse is performing a cultural assessment on a client. Which question would a nurse use to obtain data about values orientation? A) Do you speak more than one language? B) What things in life matter the most to you? C) What are your beliefs about health and illness? D) What are your attitudes about food and time?

B

When asked by a foreign exchange student why health care costs are so high when compared to their small country, the parents of the American student identifies which sources to be responsible for the higher cost of health care? A) American nurses demand higher pay than the nurses in their small country. B) The increased use of highly technical equipment and expensive medications fuels rising costs. C) The internet is utilized by many clients who ultimately demand the most expensive diagnostic tests, meals, and medications. D) Overall, the U. S. just takes better care of their people than most other countries.

B

When the nurse analyzes accountability to the public, which question best provides a self-assessment of professional accountability? A) Am I seeking to ensure that I am practicing under safe, if not optimal, conditions? B) Am I speaking out against abuses I see in health and nursing care? C) Am I satisfied with my chosen profession? D) Should I seek additional preparation for that role?

B

When trying to identify how to write conclusions and implications regarding their research study, a nurse researcher discusses with the mentor the factors involved with the project. Which factor best describes differences related to quantitative and qualitative research findings when writing conclusions for the written thesis? A) The quantitative approach utilizes more statistical analysis than do qualitative studies. B) The quantitative approach utilizes a theoretical approach; the qualitative approach uses development of new nursing knowledge. C) Qualitative studies provide a foundation for future hypothesis testing; quantitative studies do not. D) Qualitative studies have more generalizations than do quantitative studies.

B

A local church has asked for volunteers (including a nurse) to assist with a group of teens in promoting healthy lifestyles.Several weeks into the voluntary program, the group (including the nurse) shares some observations about the group members. Which behaviors discussed alerts the group that one member might be displaying a precursor to violence? Select all that apply. A) likes to sit away from others B) fascination with playing violent video games C) inappropriate angry outbursts D) making fun of others E) teasing females by hiding their purses

B,C

A nursing professor has asked the students in research class to compare research utilization with that of evidence-based practice (EBP). The students have incorporated which key elements as part of evidence-based nursing practice? Select all that apply. A) scientifically based B) utilization of more than one type of data C) used more frequently in hospital setting D) evidence-based nursing outcomes are better than research utilization outcomes E) EBP is more cost effective for the employer

B,C

A client is interested in learning more ways to promote a healthy lifestyle. Which processes would be a way to introduce simplification into their life? Select all that apply. A) purchasing trendy outfits that are fun and disposable B) incorporating more organic, natural foods into their daily diet C) channeling work and spare time to bring out creativity D) commuting to work using subway system rather than individual automobile E) using time when not at work to worry about financial choices one needs to make related to housing.

B,C,D

During a discussion on human impact on the environment, many topics were discussed. As a result, which activities demonstrate that the participant heard the information and implemented some of the suggested ideas to minimize their impact on the environment? Select all that apply. A) Buying pesticides with the smallest percentage of chemical concentration to put on their garden plants. B) Shopping for an eco-friendly hybrid car to decrease gas consumption. C) Switching from disposable diapers to cloth ones. D) Replacing gas furnace to a wood-burning furnace for warmth. E) Using a filter water system to replace bottled water intake.

B,C,E

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.

B,D

A nurse is studying anthropology in the humanities class to fulfill a general education requirement. In the student's nursing studies, the student is learning about Culture-Specific and Culturally Congruent Care as it applies to nursing. Which example below would be considered a culturally congruent care? Select all that apply. A) Having the Native American tribes spiritual leader (shaman) perform a specific healing ceremony immediately following surgery. B) Serving "hot" and "cold" foods and beverages to a Chinese woman who is hospitalized for brachytherapy to treat cervical cancer. C) Turning on soft music to drown out the noise at the nursing station for an elderly Puerto Rican client. D) Allowing the family of an Eastern Indian client to bring in remedies made from vegetables following amputation for gangrene of the foot.

B,D

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.

B,D,E

A nurse reviews nursing models specifically related to culturally diverse groups of client populations as a part of their journal study project. Which model indicates socialization is the focus to care for culturally diverse groups? A) Leininger's sunrise model and theory of culture care diversity and universality B) Purnell's model for cultural competence C) Spector's model of heritage consistency D) Giger and Davidhizar's transcultural assessment model

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 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 client recovering from a bariatric surgery is assisted by the multidisciplinary health care team. As the client watches the nurse take care of medication administration, treatment, and the coordination of care, the client perception of the nurse as the bedside caregiver is pronounced. Which can assist nurses to improve the scholarly nursing research image of professional nursing? A) Improve relations with other disciplines who value practice, not research. B) Focus awareness on the public's image of the practice nurse. C) Communicate nursing research's improvements to health outcomes. D) Identify opportunities to teach others the value of the practicing nurse.

C

A customer purchases a plane ticket and flies overseas to Germany. While in Germany, the individual becomes ill and travels back to the United States to be seen by primary care health care provider. Once seen by the primary health care provider, the client is placed in isolation at a nearby hospital. Which challenge of the health care delivery system correlates with this situation? A) ensuring access to care for all human beings B) providing both preventive and curative services C) responding to actual and future epidemics D) enabling optimal health essential to high quality of life

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 hospital administrator was making rounds on the "off" (night) shift and noted a nurse who they considered to be culturally competent. What quality did this nurse display that lead the administrator to categorize them a being a culturally competent nurse? A) attempting to provide privacy when culture dictates it B) greeting clients the first time they meet C) making clients and colleagues feel cared for and appreciated D) passively listening to those whom the nurse does not understand

C

A hospital infectious disease department has noted a sharp rise in ventilator acquired pneumonia (VAP). The Infectious disease nurses spent some time monitoring the ICU areas observing hand hygiene and suctioning techniques of the staff. After several weeks, a trend was noted related to noncompliance with proper handwashing and poor sterile technique when suctioning ventilated clients. Education was provided to all staff. Evaluation was initiated and overall compliance with policy resulted in decrease in VAP. This is an example of which type of accountability? A) peer review B) Code of Ethics C) safe nursing practice D) cooperative teamwork

C

A middle-aged individual, who has just retired is looking forward to their favorite hobby, gardening. In late spring, the individual begins work of cleaning up debris, mowing the lawn, and spraying recommended solutions to prevent weeds from overtaking their lawn. Which personal environment elements can be noxious to the global environment? A) new outdoor carpeting B) fireplaces that burns charcoal C) pesticides on lawns and food crops D) pets who wear flea collars

C

A nurse has gone back to school to complete a Master's degree in nursing education and is currently taking a research class. Since the nurse works on an orthopedic unit, they have an extreme interest in studying music therapy as a way to decrease pain. Which step in the research would be the next item to address? A) Financial cost of hiring a music therapist. B) Identify resources (type of music) available for implementation. C) Perform a literature review to provide general background and see if this topic has been studied. D) Establish tentative hypotheses for the focus of the research.

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 a rural area comes to work to find that he/she is the only nurse for the shift to care for 12 clients. The nurse believes this is too many clients to care for on a busy night in the medical-surgical area and calls the supervisor. Which form of accountability is best illustrated in this example? A) accountability to the profession B) accountability to the agency C) accountability to self D) accountability to third-party payer

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 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 explaining to a client about standardized methods for managing their COPD. The client is not "on board" since they think that more expensive treatment and medications would make them "better." Every day this nurse maps out expected interventions along with discharge planning and instructions. Once the client has reached the "desired outcome," this nurse recommends discharge to home. Which hospital department has this client been working with? A) social services B) risk management C) case management D) legal department

C

A nurse is responsible for the evening shift at a busy maternity unit. The unit is full, and the nurse has had to call several other nurses in to manage the load. A client with broken membranes has requested no external or internal monitors. The nurse explains to the client that they will accommodate her requests to a point, but occasionally they will be listening to the FHR throughout the labor. Which answer represents the best positive outcome for the client when both the nurse and the client work together to meet the client's needs as long as safety is maintained? A) autonomy for the client B) family-centered care C) customer satisfaction D) reduced liability

C

A nursing student (NS) is reading a research article entitled, "Changing the model of care delivery: This NS is considering working for an organization after graduation that will allow them to deliver holistic care so the care the client receives will be coordinated and not fragmented. Which delivery model is this NS looking for? A) functional nursing B) team nursing C) total patient care nursing D) modular nursing

C

A nursing student is reviewing the history of the American health care system. He reads about the scientific advancements in the mid-to-late 1800s and is impressed with the use of the thermometer, laryngoscope, and the ophthalmoscope in the 1860s. What other scientific advancement occurred during this timeframe that advanced the health care providers diagnostic ability? A) anesthesia B) antisepsis C) x-ray D) hospital hygiene

C

A young female nurse has decided to embark on an international nursing experience by accepting a very lucrative offer to work in a hospital in Saudi Arabia for one year. Once she arrives in Saudi Arabia, where is the first place this nurse should visit? A) hospital employment office B) hotel where she is assigned to live C) U. S. consulate or embassy D) postal office to register her nursing license

C

An elderly Chinese man reporting chest pain was brought to the Emergency Department by family. As the female RN started to lift his shirt to place a stethoscope on his chest, he grabbed her arm and stopped her. The nurse should perform which step next in order to provide safe, effective care to this client? A) Ask a male nurse working in the ED to help with the assessment. B) Assess the client for mental changes that may indicate a stroke. C) Apologize and call for an approved language interpreting service to have them explain what interventions she wants to provide with his cooperation. D) Find family members and ask if the person can speak English and Chinese. If so, ask them to interpret what you are going to assess.

C

An unlicensed assistive personnel (UAP) member of the health care team has developed a latex allergy. The nurse has met with the UAP and discussed what prevention strategies the individual needs to take to remain safe. Which strategy would be best for preventing latex allergies? A) encourage use of soap and water for hand washing B) make alcohol-based hand cleansers accessible C) use latex-free gloves exclusively when gloves are needed D) persuade employer to remove nonlatex-containing supplies

C

The common purpose of quantitative and qualitative approaches to research is to gain an understanding. Which category does the researcher, using the quantitative approach, view as necessary to objectively distance himself or herself from subjects? A) view of truth B) view of reality C) view of relationships D) view of nursing

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

The parents of a college freshman are concerned about their child's exposure to "germs" while living in a crowded dorm. In addition to immunizing the child for influenza, which other vaccine should be administered to children living in overcrowded conditions? A) hepatitis A B) human papillomavirus (HPV) vaccine C) meningococcal B D) diphtheria, tetanus, and acellular pertussis

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

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 analyzes accountability to a client, which question best provides a self-assessment of this type of accountability? A) Am I willing to help other nurses in my work setting? B) Am I acting as a community resource in the areas of health and nursing? C) Am I providing the best care of which I am capable? D) Am I seeking to improve health and nursing care?

C

When the nurse analyzes accountability to the profession, which question best provides a self-assessment of professional accountability? A) In areas where I am dissatisfied, am I seeking alternative modes of action or thought? B) Should I withdraw from that role until I receive additional preparation? C) Am I working within the profession to improve practice, education, or research? D) Am I working in accordance with the policies and procedures of the institution?

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 25-year-old adult graduates from college and obtains a job working for a bank that offers a good salary, good hours, and medical and dental benefits. Which type of health care funding model would best describe the medical benefits provided by the employee and employer? A) The national health service model B) The mandated insurance model C) The Medicaid insurance model D) The entrepreneurial insurance model

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 child arrives at the emergency department with an intense headache, difficulty concentrating, and dyspnea. History reveals a long list of allergies to medications, cleaning products, and foods. As the assessment continues, the child begins to hyperventilate and have sternal retractions. The priority treatment for this child will include which medication? A) Alprazolam B) Fluticasone C) Ritalin D) Epinephrine

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 group of colleagues in the hospital workplace formed a partnership committee to look at toxic work environments at the hospital. After many meetings, the group has reached the point where they have engaged in meaningful dialogue. Their next step was to develop an educational in-service whereby the group would foster all interested persons on the journey to continuously learn and grow as supportive colleagues? Which basic partnership principle is this outcome focusing on? A) balance B) intention C) trust D) potential

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 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 has developed a research project utilizing a "Sleek Sheet" system looking for ways to decrease nurses' back strain when repositioning immobile clients. This nurse is using the "Stetler Model of Evidence-Based Practice." After gathering data for 2 months, analysis of data is performed. At this phase, the manager wants to extend the pilot study to other nursing units. Which phase in the Stetler Model of Evidence-Based Practice has the research project reached? A) Phase II—V alidation. B) Phase III—Comparative Evaluation C) Phase IV—Translation/application D) Phase V—Evaluation

D

A nurse has noted what he or she thinks is a "better," more efficient way to perform central-line dressing changes. They are thinking about putting a scientific study together for research. Given this, which is the first step the nurse should take to begin the research process? A) collecting data about how other nurses change central-line dressings B) reviewing the literature on central line dressing changes C) defining variables that can be controlled during the dressing change D) raising questions about how to streamline central-line dressing changes

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 is assessing the home of a client who has allergies in order to write a report. The nurse observes that two people in the house smoke, and the client has pets. The house is also cluttered with garbage and debris, and unrefrigerated food is left on the counter. Which of the assessment findings is cited in the literature as the number one cause of air pollution in the home? A) pet dander B) dust mites C) rodent dander D) smoking

D

A nurse is studying the ethical practices of a research project focusing on resilience following spousal abuse. Which principle of research ethics protects the human rights of participants? A) process of approval by IRB B) truth in research reporting C) anonymity of participants D) informed consent signature

D

A nurse is suspicious that a co-worker may be stealing and using narcotics from their clients. This co-worker has begun calling in frequently. When they do work, they disappear for hours and then return acting "intoxicated." The best action the nurse can do prior to confronting or reporting suspicions of illegal drug use would include which intervention? A) Following the nurse and watching to see if they take narcotics frequently from the medication dispensing system. B) Ask the UAP to keep an eye out and let you know if this nurse starts acting different. C) Ask the unit secretary to print the log for controlled medication variances in the computerized dispensing system. D) Document in a written log the dates and times the suspicious behaviors occurred.

D

A nurse is working on a busy medical-surgical unit. They are caring for 6 clients with the help of an LPN. The nurse is behind schedule for giving medication. The nurse begins to hand an IV push medication to the LPN for them to administer. But then the nurse recognizes this is outside the scope of practice for LPNs. This is an example of which trait possessed by RNs to be accountable to standards of practice? A) ethical B) autonomy C) authority D) competence

D

A nurse is working on the unit with a diverse group of colleagues. Although the nurse recognizes that there may be biases regarding different cultures, the nurse makes an attempt to become culturally competent. Which strategy deals with communication ineffectiveness? A) Deal with biases openly to dispel incorrect assumptions. B) Recruit culturally competent nurses to diversify the workforce. C) Promote psychological comfort to colleagues of different cultures. D) Have direct caregivers repeat instructions back to validate understanding.

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 reviews nursing models specifically related to culturally diverse groups of client populations as a journal study project. This nurse is looking for an organized, systematic approach for assessing culturally diverse clients similar to how they perform physical assessments on their clients. Which model best provides this systematic approach? A) Leininger's sunrise model and theory of culture care diversity and universality B) Purnell's model for cultural competence C) Spector's model of heritage consistency D) Giger and Davidhizar's transcultural assessment model

D

A nurse who is a devout Roman Catholic is assigned to care for an older adult client from Brazil. The client became ill while vising family in the United States. The ED diagnosed pancreatic cancer with metastasis throughout the client's body. Upon entry into the room, the nurse notes the client's eyes are closed but is moving her lips while touching beads. What action by the nurse would be appropriate at this time? A) Withdraw from the room and give the client plenty of time to say her prayers. B) Ask the hospital chaplain (not a priest) to come handle this situation since you are too busy to stay with the client. C) Let the staff know to keep the noise low outside this client's room. D) Stay with the client, sitting close by the bed, being with the client. If comfortable, ask permission and say prayers with her.

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 who works in the hospice area receives a call regarding a client who is having trouble with pain control. The nurse discusses with the family the medication regimen that the family has been using. The nurse realizes that the family has not been medicating the client appropriately, and further discussion reveals that the family "did not want to kill the client with medication and wanted their family member to be able to interact with him." The nurse explains to the family about maintaining therapeutic blood levels and sets up a schedule for the administration of pain medication around the clock with instructions to call (the nurse) if the family needs to do so. Which term best describes the functioning of the nurse? A) accountability B) responsibility C) authority D) autonomy

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 nursing student originally born in the Philippines enters a nursing program in the United States to become an RN. Three semesters later, the student wants to quit the program. The student's advisor has observed this student eating alone in the cafeteria (classmates are all eating at a different table); studying alone in the library where classmates have joined various study groups; spends little time visiting with nurses on the clinical unit when their clients are sleeping. What term best describes what this student is experiencing? A) cultural diffusion B) cultural blindness C) cultural identity D) culture shock

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

An adjunct clinical faculty member is meeting with her fellow peers during the lunch hour. The faculty member is concerned about one of their students who is of Asian culture. The faculty expresses concern that the student's outward appearance is "cold and distant" since the student will not make eye contact with the faculty nor supervising RN. Which bit of information might help the faculty interpret this students actions? A) Give the student a written warning related to lack of interpersonal skills and ask them to explain their behavior. B) Ask other students if this student has a problems with making eye contact or if this is just normal for her. C) Suggest supervising RN staff write down their observations and share them with this student. D) Listen as other faculty share that this is the Asian way of conveying respect to those in authority.

D

During nursing fundamentals class, the professor begins by stating the most recent data from U.S. Census Bureau (2011) related to growth of various ethnic groups. The students are asked to vote for which group represents the fastest growth rate of ethnic groups (thereby leading to rise of this minority nursing population)? Which groups of students correctly answered this question? A) Group 1 voted American Indian/Alaskan Native. B) Group 2 voted Black/African American. C) Group 3 voted Hispanic/Latino. D) Group 4 voted Asian or Native Hawaiian/Pacific Islander.

D

Peer review activities are monthly occurrences on the medical-surgical unit of the local hospital. Which statement best describes the primary outcome for peer reviews? A) awareness of personnel concerns B) improved quality of client care C) awareness of practice concerns D) increased employee professionalism

D

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

When reviewing the history of the Civil Rights Movement in a history class, the nursing students identified which positive belief that encouraged the government to become more involved in health care? A) Anesthesia was introduced as a form of pain management following riots. B) Blood transfusions were discovered as a way to treat blood loss. C) Vaccines were proven unsafe and discouraged, especially marching in the Civil Rights Movement. D) Equal health care should become a basic right among all people.

D

Which assessment characteristic will the nurse need to know when taking care of an Asian client? A) advanced hair graying B) hair usually silky, black, and curly C) pallor appears as corn color D) areola and genitalia are darker

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

While attending a high school career fair, a nurse is asked "Why does no one want to be a nurse anymore?" Which would be the best reply, based on the health care workforce 2015 report? A) "Not true. There are thousands of nurses in the U. S." B) "The shortage relates only to the fact that more people are living longer and have more chronic diseases." C) "Today's nurses don't want to work the usual 40 hour/week." D) "There is not enough people interested in the profession so we attend events like this career fair to encourage you to considered nursing."

D