NRSG 257 Final Exam
The Institute of Medicine Report supports the relationship of improved quality of care to Increased levels of continued education Increased levels of nursing education More nursing experience Obtaining speciality certifications
Increased levels of nursing education
There is a rapid aging of the babyboomer generation.Identify the most significant element in the continued rise in health-care costs in the United States related to this aging population. Expensive new technology Increasing need for chronic long-term health care Lack of motivation for consumers to comparison shop Expensive new medications
Increasing need for chronic long-term health care
The nurse is reading a research article based on observational research. The nurse is aware that another name for this is: Nonexperimental research quantitative research experimental research quasi-experimental research
Nonexperimental research
Evidence based nursing primarily includes which of the following to answer clinical questions? Consulting an authority Using intuition Obtaining the highest level research Relying on expert experience
Obtaining the highest level research
Telehealth is a technology that... Provides care to congested urban populations. Provides are to rural populations. Is very expensive. Is not reimbursed by insurance.
Provides care to rural populations.
Which of the following data would indicate that the results would be statistically significant in a quantitative research study? p= .001 p= .80 p= .60 p= 1.0
p= .001
The nurse is teaching the student nurse about how to use SBAR when calling a physician. The student nurse verbalizes understanding of SBAR when stating that SBAR is used as a situational briefing. utilized strictly within the hospital setting. not used in e-mails due to HIPAA rules. never recorded within the client's chart.
used as a situational briefing.
A nurse manager requests someone to pick up a shift, what is the correct assertive response? "I don't want you upset, so I will work extra." "Why do I always have to cover extra shifts?" "I am not able to work an extra shift." "If you can't find anyone else, I will do it."
"I am not able to work an extra shift"
Which of the following is an example of aggressive communication? "I had such a bad experience last time. Send someone else." "I understand that it is my turn to float." "I will be unsafe, the staff are always too busy to help me." "I will float, but you will be sorry."
"I will float but you will be sorry"
During a discussion between the nurse manager and a staff registered nurse (RN) about the RN's recent erratic performance on the unit, the RN states, "After my husband announced that he was leaving me, I thought I was dying." Identify the best response by the nurse manager. "You didn't die, did you? You seem okay now." "Your personal life should not affect the way you perform your job." "That was a pretty unrealistic way to feel. There are a lot of fish in the sea." "Tell me how you were feeling."
"Tell me how you were feeling."
Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication? "I am the manager and we will do it my way." "You have made some good points, but I have another suggestion." "I really don't care; do it the way you think is best." "I'm sorry, but your suggestion was useless to solving the problem."
"You have made some good points, but I have another suggestion."
The IOM report identifies the following number of deaths yearly due to healthcare mistakes: 2,500 98,000 135,000 50,000
98,000
Which of the following is an example of a systematic review? A randomized controlled trial published in the Journal of Nursing Research. A meta-analysis from the Cochrane database A synopsis published in Evidence Based Nursing A clinical practice guideline from the National Guideline Clearing House
A meta-analysis from the Cochrane database
Which statement would provide readers with some assurance that human subjects were protected? A Certificate of Confidentiality was obtained. A statement that study was approved by an IRB. A statement that informed consent was obtained. A statement that data were collected anonymously.
A statement that the study was approved by an IRB
In which section of a research report does the author summarizes the study? Results Introduction Discussion Abstract
Abstract
The positivist paradigm is the premise that Events in the scientific world are random All events have a cause Reality is subjective The world is not objectively knowable
All events have a cause
Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others. Dishonest Assertive Submissive Aggressive
Assertive
Identify the communication style that respects others and listens to others' ideas. Aggressive Assertive Submissive Authoritarian
Assertive
Patient hasn't been following med regime. What response facilitates self care?
Assertive, responsible, caring communication
Which ethical principle is "above all, do no harm"? Anonymity Right to self determination Justice Beneficence
Beneficence
What does quantitative research attempt to eliminate? Empirical evidence Generalizability Systematic inquiry Bias and subjectivity
Bias and subjectivity
Which of the following is a cornerstone of evidence based practice? Cochrane collaboration Uses basic research Scientific method Institute of Medicine
Cochrane collaboration
Which of the following would be excellent for systematic reviews for EBP? Cochrane collaboration CINAHL PUBMED MEDLINE
Cochrane collaboration; CINAHL is data based, looking for research articles
Agnes has a temporal core temperature of 104 degrees Farinheit this morning. She feels war, sweaty and tired, Use your knowledge from nursing informatics for the following question "104" is which of the following choices below? Datum information knowledge wisdom
Datum
Which of the following is TRUE? EBP is of greater significance to medicine EBP projects are found only in Magnet hospitals Research utilization and EBP are synonymous EBP involves research, clinical data, and pt. preference
EBP involves research, clinical data, and patient preference
Ethnographic research is based on the following: Focus on the study of culture Focus on the study of empirical evidence Focus on manipulation of variables Focus on social psychological processes within a social setting
Focus on the study of culture
Which qualitative research involves a variable explaining what is going on in a social context? Ethnography Philosophy Grounded study Phenomonology
Grounded study
Function in nursing informatics focuses on which of the following? How the management and processing of information helps nurses enter, organize, or retrieve information A well-articulated theoretical basis to guide the gathering of data The levels of special interest, including technology and concepts of nursing theory Areas of research that lead to new knowledge
How the management and processing of information helps nurses enter, organize, or retrieve information
The nurse is preparing to do a research study. Which phase of the research would be part of the conceptual phase of conducting research? Coding data for entry information onto a computer file presenting a paper at a conference distributing a questionnaire to a group of mothers Identifying a suitable theoretical framework
Identifying a suitable theoretical framework
Which of the following is not used by both qualitative and quantitative researchers? Concept Data Informant Mid range theories
Informant
A 25 year old male has a temperature of 104, pulse 114, Respirations 24. In informatics, this statement is Information Knowledge Skill Data
Information
Agnes has a temporal core temperature of 104 degrees Farenheit this morning. She feels war, sweaty and tired, Use your knowledge from nursing informatics for the following question. "104 degree Farenheit" is the following: Datum Information Knowledge Wisdom
Information
Identify the most appropriate political activities for nurses at the state level Introduce legislation and seek sponsors Vote in the legislature for or against a bill Make a large monetary contribution to candidates who support health-care reform Keep quiet and let the system work without interference
Introduce legislation and seek sponsors
In which section of a research report would the research question most likely appear? Discussion Results Introduction Method
Introduction
What role does anger play in communication? It is always negative and destructive. It needs to be expressed immediately. It should be held in as a controlled rage. It can be used positively to produce change.
It can be used positively to produce change.
Agnes has a temporal core temperature of 104 degrees Farenheit this morning. She feels war, sweaty and tired, Use your knowledge from nursing informatics for the following question. "104 degree is febrile" is the following: Datum Information Knowledge Wisdom
Knowledge
The profession of nursing collectively through its professional organizations must Maintain integrity of the profession, articulate nursing values, & maintain the integrity of the profession Advocate social injustice of various cultures Refuse to change health policy Offer to reach out to persons how are vulnerable
Maintain integrity of the profession, articulate nursing values, & maintain the integrity of the profession
The Joint Commission sets mandatory National Client Safety Goals so that hospitals can improve quality & safety by: Making these goals a priority in client care Improving reimbursement Tracking and reporting errors Comparing actual performance to performance standards
Making these goals a priority in client care
Which of the following is part of qualitative research? Weekend and night outcomes of patients admitted to the emergency room. Trends in hospitalizations of patients admitted with antibiotic resistant tuberculosis Predicting risks of serious complications of abdominal surgery Needs of nursing students dealing with chronic illness
Needs of nursing students dealing with chronic illness
In a qualitative study "parental adaptation to leukemia", which is independent variable? Leukemia Adaptation Parents No independent variable
No independent variable
What is the most important feature of the shared governance model? The nursing staff hierarchy structure is similar to the medical staff structure Nursing administration retains most of the power over nurses to better regulate practice. Clients are billed for nursing care as a separate item similar to the way they are billed for physician services. Power and authority are transferred to the nursing staff rather than being located primarily in nursing administration.
Power and authority are transferred to the nursing staff rather than being located primarily in nursing administration.
Identify the underlying premise for evidence based practice. Practice based on research procedures better patient outcomes. Nurses who use research make fewer errors. Nurses need to provide strong rationales for interventions. Evidence for practice is related to nursing experience.
Practice based on research produces better patient outcomes.
In meta analysis, units of analysis are findings from: Findings from primary studies Themes or metaphors Individual researchers Study participants
Primary studies
According to Healthy People 2020 identify the purpose of providing services to maintain health for the general public Services include pregnancy counseling for teen pregnancies only Promotes the detection of illness & caring for injuries Offers insurance with extremely high prices for persons' who can afford the premiums Services are provided primarily for the elderly
Promotes the detection of illness & caring for injuries
In which type of nursing research is phenomena a study purpose? Qualitative research Both qualitative and quantitative studies Quantitative studies Neither qualitative nor quantitative studies
Qualitative research
Which of the following statements is true? Quantitative researchers seek generalizability. Qualitative research does not include IMRAD format. Quantitative research does not have concerns about bias. Inferences are a concern for only quantitative research.
Quantitative researchers seek generalizability.
Which demographic factor has the most significant effect on the health-care delivery system of the future? Large numbers of babies being born to minority women Increasing use of alcohol and tobacco among teenagers Rapidly increasing average age of the population Oversupply of nurses
Rapidly increasing average age of the population
Which demographic factor will influence the future health care system?
Rapidly increasing average age of the population
Which behavior indicates that a nurse who is forced to confront a conflict situation is using a submissive approach to communication? Refers the problem to a supervisor Sets up a one-on-one meeting at a specific time Uses the incident as a threat Confronts the other person loudly and in front of an audience
Refers the problem to a supervisor
Which is a strategy used by qualitative researchers to reduce personal bias? Reliability Reflexivity Randomness Validity
Reflexivity
Which of the following is not an aspect in critiquing the evidence in a qualitative study? Reliability Credibility Trustworthiness Transferability
Reliability
What is acute care of sick persons that is provided in hospitals called? Primary intervention Secondary intervention Tertiary intervention Assistive intervention
Secondary intervention
A nurse complains about preferential treatment of another nurse. Choose the assertive response. Arrange for transfer of the staff nurse to the night shift Confront the nurse in front of coworkers Set up a meeting with the staff person Disregard the comments
Set up a meeting with the staff person
A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager's preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution. Sets up a time and place for a one-on-one meeting with the staff nurse Arranges for the transfer of the staff nurse to the night shift Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleague Notes that the vocal staff nurse is not intelligent enough to understand the situation, and disregards her comments as worthless
Sets up a time and place for a one-on-one meeting with the staff nurse
Which one of the following is NOT one of the sciences included in ANA Nursing informatics definition? Social work science Computer science Information science Nursing science
Social work science
In a cause and effect relationship, what is the independent variable? The relationship The cause The effect The outcome
The cause
Why is the input of nurses vital to legislators? Most of the bill legislators pass are not related to health care Voters can be misled easily to special interest groups The majority of the legislators do not have health care backgrounds Legislators need to be aware of the important part nurses plan in the health-care systems
The majority of the legislators do not have health care backgrounds
What is the effect of breathing exercises on burn pain for patients? Which is true? Interventions are standard nursing procedures The population is patients who do breathing exercises The outcome is pain levels The comparison is non-burn patients
The outcome is pain levels
When does the encoding process of communication take place? The receiver thinks about the information, understands it, and forms an idea based on the message. The receiver responds to the message and gives feedback. The message is sent in a way that causes confusion in the receiver. The sender sends the message.
The receiver thinks about the information, understands it, and forms an idea based on the message.
Which of the following is a fundamental belief of those who adhere to a positivist paradigm? The researcher assumes there is an orderly reality that is studied objectively The researcher has a view that there are multiple interpretations of a reality The researcher has a priority on subjective realities The researcher has a focus on themes of lived experience
The researcher assumes there is an orderly reality that is studied objectively
Definition of the ANA Provision 8 is described as all of the following except: For the public to protect human rights The promotion of health diplomacy To maintain the integrity of the profession To reduce health disparities
To maintain the integrity of the profession
Another name for an outcome variable is: independent variable dependent variable reliable variable sample variable
dependent variable
When conducting an in-service on serious medical errors, the nurse teaches that nearly 70% of sentinel events are related to miscommunication. inadequate resources. lack of education. minimal rest periods.
miscommunication.