Nur4 Unit 3 Self Test

What are the things the nurse can do to create a civil work environment? (Select all that apply) A. Be respectful B. Gossip C. Mind your own business D. Take action when needed E. Establishing codes of conduct that include civility (HIRRE ― honesty, integrity, respect, responsibility, and ethics)

A. Be respectful D. Take action when needed E. Establishing codes of conduct that include civility (HIRRE ― honesty, integrity, respect, responsibility, and ethics)

Identify significant barriers to the implementation of research findings in patient care. (Select all that apply) A. Experienced nurses may not be skilled at accessing and understanding research findings. B. Available research findings may not provide practical solutions to the specific issue that was examined. C. Published research is often written in a way that is difficult to understand. D. It takes an investment of time to stay up to date with nursing research findings. E. Nurses as a professional group base their patient care decisions on past practice

A. Experienced nurses may not be skilled at accessing and understanding research findings. B. Available research findings may not provide practical solutions to the specific issue that was examined. C. Published research is often written in a way that is difficult to understand. D. It takes an investment of time to stay up to date with nursing research findings.

The nurse understands that the key components of informed consent to participate in a research study include the following? A. Identification of the researcher, explanation of the study, review of risks and benefits of the study, and the right to refuse or withdraw from the study. B. The right to see the research finding, the right to review the study proposal, the right to know the study participants and the right to compensation for participation in the study. C. The right to refuse participation, the right to know the identification of the study participants, the right to be informed when placed in a control group. D. Identification of the researcher, identification of the study subjects, the right to refuse or withdraw from the study, the right to determine the quality of the research study.

A. Identification of the researcher, explanation of the study, review of risks and benefits of the study, and the right to refuse or withdraw from the study.

The nurse believes in the Programmed Longevity Theory and uses this practice by: A. Studying the human genome and genetics B. Utilizing antioxidants C. Preventing neglect of muscles D. Encouraging a healthy diet

A. Studying the human genome and genetics

The nurse is aware when delegating to the unlicensed assistive personnel (U.A.P) to (Select All That Apply) A. identify who the U.A.P. is B. report about the patient's status to the U.A.P. C. assess the patient D. delegate the task E. evaluate if the task was completed

A. identify who the U.A.P. is B. report about the patient's status to the U.A.P. C. assess the patient D. delegate the task E. evaluate if the task was completed

Which nurse likely faces the highest risk of being bullied in the workplace? A. A registered nurse who graduated with a bachelor of science in the nursing program three months ago B. A 57-year-old nurse who works in an environment where most nurses are in their twenties or thirties C. A male registered nurse in a high acuity environment where all the other nurses are female D. A licensed practical nurse who provides care where most other nurses have degrees

A. A registered nurse who graduated with a bachelor of science in the nursing program three months ago

The elderly patient at the shelter is disengaged. What is the nurse's first intervention? A. Assess the underlying psych-social factors involved B. Evaluate how the patient interacted in the past C. Help the patient with activities of daily living (ADLs) D. Plan interesting activities

A. Assess the underlying psych-social factors involved

A new nurse manager has observed several instances of horizontal violence between staff members on the unit, primarily malicious gossip and verbal abuse. What should the nurse do? A. Confront the bullying behavior and discuss strategies for responding to it B. Ignore it because it is not physical, and it will not hurt anyone C. Model this behavior so that staff can see how it will not hurt anyone D. Keep a log of observed bullying behavior to discuss during the employee's annual evaluation.

A. Confront the bullying behavior and discuss strategies for responding to it

Two of the complications seen in malnourished patients are: A. Hypertension and congestive heart failure B. Cancer related diseases and anemia C. Hypertension or hypotension and impaired cognition D. Decreased mentality and morbidity

A. Hypertension and congestive heart failure

The nurse is aware that delegation involves: (check all that apply) A. Right task B. Right circumstance C. Right person D. Right direction/ communication E. Right supervision F. Right patient G. Right medication

A. Right task B. Right circumstance C. Right person D. Right direction/ communication E. Right supervision

The nurse is planning a care plan for alteration in sleep for a patient and uses the symptoms for sleep disturbance for geriatric patients: (select all that apply) A. Sleep hygiene problems B. Psychological discomfort C. Awakening too late in the morning D. Ease of falling asleep E. Three or more nighttime awakenings F. Satisfaction with sleep

A. Sleep hygiene problems B. Psychological discomfort E. Three or more nighttime awakenings

Nurses should look for several key elements in evidence reports when attempting to integrate evidence-based practice into their care. The first part of the report should include which of the following? A. Summary statement of the problem B. Detailed analysis of data C. Grading of the quality of evidence D. Materials and methods used for the study

A. Summary statement of the problem

The nurse teaches the older adult that which of the following contribute to optimal health and wellness? (select all that apply) A. consuming adequate vitamins and minerals, preferably through whole foods B. following a high-fat diet C. adequate fluid intake D. eliminating all salt and sugar from their diets E. eating adequate carbohydrates, proteins, and fats F. minimizing exercise to avoid injury

A. consuming adequate vitamins and minerals, preferably through whole foods C. adequate fluid intake E. eating adequate carbohydrates, proteins, and fats

The American Nurses Association defines delegation as: A. the transfer of responsibility for the performance of an activity from one person to another while retaining accountability for the outcome B. the transfer of responsibility for the performance of an activity from one person to another C. the transfer of accountability for the outcome D. transfer of both responsibility and accountability

A. the transfer of responsibility for the performance of an activity from one person to another while retaining accountability for the outcome

The gap that exists between a position of authority and subordinate is often referred to as the ______.

Authority-power gap

The nurse collaborates with the Medical Team to teach the patient about sleep hygiene. It is important for the nurse to FIRST: A. Remove caffeine substances from the diet B. Assess what the patient wants to learn C. Encourage exercise D. Evaluate medications

B. Assess what the patient wants to learn

The nurse is able to apply the cellular theory of aging by identifying that: (Select all that apply) A. Each cell functions independently of other cells B. Cells function in harmony C. Constant use damages cells D. Feedback mechanisms of cells may fail, leading to a degeneration E. Cancer can be explained by this theory

B. Cells function in harmony D. Feedback mechanisms of cells may fail, leading to a degeneration E. Cancer can be explained by this theory

Name the assessment factors that may be signs of dehydration in the elderly. (Select all that apply) A. Moist mucous membranes B. Extremity weakness C. Dark urine D. Dizziness E. Bradycardia

B. Extremity weakness C. Dark urine D. Dizziness

Which statement is the best description of a profession from the "power approach" method of defining a profession? A. The members of the profession attain all the traits required for that profession. B. The members of the profession have high income levels. C. The profession is near the end of its developmental process. D. The education for the members of the profession must be attained in graduate schools.

B. The members of the profession have high income levels.

The nurse understands that a MNA (mini nutritional assessment) is: A. an assessment tool utilized on all adult patients to identify those at risk for obesity B. an assessment tool utilized to identify elderly patients that are malnourished or at risk for malnourishment C. a tool that it used only on malnourished elderly patients, to help determine factors that contribute to their malnutrition D. a nutritional assessment for elderly patients done only by a registered dietician

B. an assessment tool utilized to identify elderly patients that are malnourished or at risk for malnourishment

According to Erikson's Developmental Theory, the task of the older adult is: A. Extroversion with the external world B. Ego integrity vs despair C. Industry vs inferiority D. Rest and sleep with moderate exercise

B. Ego integrity vs despair

The Beers criteria: A. Is only used by physicians B. Is a new criteria from 2012 C. Is used for all patients over age 16 D. Has an evidence-based approach

D. Has an evidence-based approach

What has been identified as a critical element to the effective education of nursing students? A. A feeling of personal safety in the classroom setting B. Low stress levels produced by decreased work assignments C. Permitting students to use cell phones during classes D. High-quality interpersonal relationships between students and teachers

D. High-quality interpersonal relationships between students and teachers

The nurse is aware that the priority with prescribing for an elderly person is: A. age of geriatric patient B. method of payment C. evaluating who can assist the patient D. start low, go slow

D. start low, go slow

The nurse is teaching an 85-year-old woman with ragweed allergies methods to assist with a restful sleep. Some of the teaching includes: (Select all that apply) A. Improved balance B. Use of chamomile tea C. Sleeping with the light on D. Having 3 ounces of wine at bedtime E. Having an evening snack of milk or turkey

E. Having an evening snack of milk or turkey

Patient care, based on safety and sound nursing research and practice is defined as:

Evidence Based Practice (EBP)

The nurse applies Jung's theory with a culturally diverse group of patients by being aware that as a person ages, there is inward looking at the self-called ___________________.

Introversion

When a patient moves from outpatient to inpatient, the process of the nurse evaluating the medications is called ______________________________.

Medication reconciliation

A hormone produced in the pineal gland that plays a role in the regulation of sleep is ____________.

Melatonin

Why is the ANA Code of Ethics important to the Nursing profession? It defines the [A]_______________ [B]______________ and [C]_____________ of [D]______________

Profession, values, standards, conduct

Define quantitative research.

-formal, objective, systematic process in which numerical data are used as evidence to test hypotheses, refine theories, and advance knowledge, technique and practice. -manipulate variables.

Describe qualitative research.

-subjective, more opportunities for bias -Ex: surveys, questionnaires, case studies experience of people. The purpose is to share the experience of people in the study. Data are reported in words, observations or other descriptive, non-numerical forms. In some reported in percentages.

Place the 5 phases of the research process in order. 1. Disseminate the research findings 2. Analyze data 3. Collect data 4. Select a research design 5. Select and define the problem

1. Select and define the problem 2. Select a research design 3. Collect data 4. Analyze data 5. Disseminate the research findings

Identify the following activities that aid in developing or understanding nursing research. (Select all that apply) A. Reading nursing journals regularly B. Collaborating with nurse researchers to support research studies C. Identifying problem areas in the practice setting that my benefit with a change D. Looking for evidence that supports the effectiveness of nursing interventions E. Making recommendations to other health professionals on ways to improve their practice F. Linking practice problems to specific staff members

A. Reading nursing journals on a regular basis B. Collaborating with nurse researchers to support research studies C. Identifying problem areas in the practice setting that may benefit from a change D. Looking for evidence that supports the effectiveness of nursing interventions

A nurse educator is providing an in-service on substance abuse among nurses. Which substance does the nurse educator stress is the most frequently abused? A. alcohol B. merperedine C. oxycodone D. morphine

A. alcohol

The nurse is aware that the elderly are more prone to adverse drug events (ADEs) due to: A. Appropriate dose regimens B. Polypharmacy C. Interactions of medications with food D. Transportation to the pharmacy

B. Polypharmacy

A nurse identifies a 90-year-old patient as at risk for developing pressure ulcers and orders an air mattress. The nurse has a goal of: A. Quality assurance B. Risk reduction C. Safety D. Risk management

B. Risk reduction

The nurse is teaching the 88-year-old patient how to talk to her primary care provider about her medications and includes the information: (select all that apply) A. Vary the pharmacies that are utilized B. Take the medicines exactly as prescribed C. Avoid generic options D. Know the side effects of the medications E. Keep the same lifestyle. F. Store the medications in a safe place

B. Take the medicines exactly as prescribed D. Know the side effects of the medications F. Store the medications in a safe place

The clinical nurse understands that the purpose of the Institutional Review Board is to: A. protect the researcher from ensuring that the study design is of high quality B. safeguard the study participants C. ensure that scientifically qualified participants enroll in the study D. develop methods for scientific inquiry

B. safeguard the study participants

When teaching a patient about treatments for insomnia, the first thing a nurse needs to do is: A. Encourage warm milk at bedtime B. Teach the significant other about sleep patterns C. Assess the patient D. Evaluate how many medications the patient takes

C. Assess the patient

The nurse is teaching a class to seniors at the Community Center on safe medication administration. What information does the nurse include? A. Medicines are less costly in Canada B. It is OK to use outdated medications C. Not to share medications with other people D. Put all medications in the refrigerator

C. Not to share medications with other people

Supervision is the active process of directing, guiding, and influencing the outcome of an individual's performance of an activity or task. The RN is responsible for supervising: A. All RN's B. LPNs and experienced RNs C. Unlicensed assistive personnel and LPNs D. Unlicensed assistive personnel only

C. Unlicensed assistive personnel and LPNs

The "bullying vicious circle," in which the persons who are bullied when they first begin working move into a position of power, is a negative outcome of which process? A. lateral violence B. bottom up vertical violence C. horizontal violence D. vertical violence

D. vertical violence

Assignment is the downward or lateral transfer of both the responsibility and accountability of an activity from one individual to another. The RN can make an assignment to: A. An RN or LPN B. An LPN or unlicensed assistive personnel C. Unlicensed assistive personnel (UAP) D. An RN, LPN, or UAP

D. An RN, LPN, or UAP

Which process, a key element in reversing incivility in the academic or workplace setting, acts as a lens through which leaders can see themselves and the workplace inequalities that need to be changed? A. Strategic leadership B. Democratic leadership C. Autocratic leadership D. Transformative leadership

D. Transformative leadership

The nurse leader wants to change how assignments are made on the unit. The nurse is aware that the first step in the change process is to: A. build partnerships with the staff B. provide rationale about the change C. minimize the problems D. identify the problem in need of change

D. identify the problem in need of change

The nurse teaches the nurse's aide making rounds at night that the stage of sleep in which patients feel they are drifting in and out of sleep with sudden muscle contractions is _____________.

Stage 1

Gender differences can lead to power struggles in nursing. [T/F]

True

The nurse leader talks to the staff about patient care, and the staff are willing to give and take on issues, which is defined as [A]______________/[B]________________

[A] Collaboration [B] Negotiation

Older people who are ill are most likely to experience _______________ deficiency and malnutrition.

protein