NURS 2070
Which of the following is an important step in preventing legal action against the nurse? a. Never make a mistake. b. Develop caring, therapeutic relationships with patients. c. Deflect blame from yourself as much as possible. d. Avoid explaining care procedures to patients.
b. Develop caring, therapeutic relationships with patients.
What is the primary function of the National Council of State Boards of Nursing (NCSBN)? a. Overseeing decisions made by state boards of nursing b. Developing the NCLEX-RN® and NCLEX-PN® licensing examinations c. Administering the NCLEX examination at testing centers d. Overseeing granting licensure by endorsement
b. Developing the NCLEX-RN® and NCLEX-PN® licensing examinations
Which of the following patients is likely to benefit most from referral for case management? a. Child injured in a playground accident b. Elderly patient with total hip replacement c. A 49-year-old man in the emergency department with chest pain d. A 20-year-old with appendectomy
b. Elderly patient with total hip replacement
Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education? a. Dorothea Dix b. Florence Nightingale c. Clara Barton d. Mary Ann Bickerdyke
b. Florence Nightingale
Which of the following is true about bachelor's of science in nursing (BSN) education? a. Faculty must be BSN prepared. b. It is recommended by professional organizations as preparation for entry into practice. c. It requires 3 years to complete. d. Faculty are not given full faculty status in the university.
b. It is recommended by professional organizations as preparation for entry into practice.
Which recommendation made by the 1965 American Nurses Association (ANA) position paper and other position papers of national nursing organizations is still an issue today? a. Education for nursing should take place in hospital-based programs. b. Minimum preparation for professional nursing practice should be the BSN degree. c. Minimum preparation for technical nursing practice should be the licensed practical/vocation nurse (LPN/LVN) diploma. d. Education for nursing must be evidence-based.
b. Minimum preparation for professional nursing practice should be the BSN degree.
What was the most important influence of war on nursing? a. It allowed for the development of hospitals. b. Nurses were able to perform medical procedures during war. c. Improved medical care increased soldiers' survival rates. d. It provided for the creation of new technology to make work easier.
b. Nurses were able to perform medical procedures during war.
What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses? a. Patient outcomes are more dependent on nurse-patient ratios. b. Outcomes were better in hospitals with more BSN-prepared nurses. c. Outcomes were similar in both types of hospitals. d. Medical patients had better outcomes, but surgical patients fared the same.
b. Outcomes were better in hospitals with more BSN-prepared nurses.
What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses? a. Patient outcomes are more dependent on nurse-patient ratios. b. Outcomes were better in hospitals with more BSN-prepared nurses. c. Outcomes were similar in both types of hospitals. d. Medical patients had better outcomes, but surgical patients fared the same.
b. Outcomes were better in hospitals with more BSN-prepared nurses.
What service is covered by Medicare, part D? a. Home health care b. Prescription drug costs c. Inpatient hospital stays d. Physician office visits
b. Prescription drug costs
Respecting an elderly woman's decision to stay in her own home is based on a belief in the ethical principle of a. justice. b. autonomy. c. nonmaleficence. d. death with dignity.
b. autonomy.
Taking a pediatric patient to the playroom on a promised time and day is based on the belief in the ethical principle of a. autonomy. b. fidelity. c. justice. d. veracity.
b. fidelity.
Which of the following nursing roles is not considered an advanced practice role? a. Certified nurse-midwife (CNM) b. Community health nurse c. Certified nurse practitioner (CNP) d. Clinical nurse specialist (CNS)
b. Community health nurse
Which type of basic nursing education program graduates the largest number of RNs in the United States today? Diploma programs Associate degree programs BSN programs Nurse practitioner programs
Associate degree programs
minimum education for military nurses in active duty?
BSN
what are the 3 major components of end-of-life care?
1. Person living until the moment of death 2. Coordinated care is offered by a variety of professionals 3. Care is sensitive to cultural beliefs
what percentage of nurses are male?
11%
racial and ethnic minorities make up ...% of the US nursing population
19%
% of men in nursing increased by ... between 2000 and 2008
50%
difference between CNLs and CNSs????
???
what is the only group that exceeds its representational percentage in the general population?
Asian or Native Hawaiian/Pacific Islander, non-Hispanic group
what is hospice and palliative care nursing?
a rapidly developing nursing specialty dedicated to improving the quality of life of seriously ill and dying patients and their families
who is at the top of most clinical ladders?
Clinical Nurse Specialists (CNS) they have a Master's+ in specialized areas of nursing and serve as clinical mentors
Hospice and palliative care nursing is a rapidly developing specialty in nursing. Which facts have contributed to this growth? (Select all that apply.) End-of-life care is largely the responsibility of nurses. End-of-life needs are expected to increase with the aging population. Nursing curricula have prepared nurses to deal effectively with dying patients and their families. Palliative care is a new focus of advanced practice nurses. Hospice and palliative care nurses work in a variety of settings.
End-of-life care is largely the responsibility of nurses. End-of-life needs are expected to increase with the aging population. Hospice and palliative care nurses work in a variety of settings.
who was the first nurse and first woman to serve as the Army Surgeon General?
Lieutenant Patricia Horoho
Who is credited with initiating community health nursing?
Lillian Wald started the Henry Street Settlement in NYC
Which of the following was recognized earliest as a true profession? Ministry Teaching Social work Engineering
Ministry
When surveyed, which profession was chosen by the general public as highest in honesty and ethics? Physician Pharmacist Nurse Attorney
Nurse
What does OSHA stand for?
Occupational Safety and Health Administration
who are the largest group of healthcare providers in the U.S.?
RNs
What is meaningful use (MU) of health care information technologies?
Stage 1 MU: basic EHR data Stage 2 MU: use of EHR to advance clinical processes Stage 3 MU: goal of improved population health through the use of data to improve health care delivery and outcomes
Florence Nightingale established a school of nursing based on which of the following innovative principles? (Select all that apply.) The nursing school should be affiliated with a teaching hospital but independent of it. Professional nurses should be paid for their instruction in the school. Students should be selected to create a diverse student body. The curriculum should include theory and practical experience. Nurses should be trained in privately funded educational institutions.
The nursing school should be affiliated with a teaching hospital but independent of it. Professional nurses should be paid for their instruction in the school. The curriculum should include theory and practical experience.
are school nurses in short supply? minimum education level?
YES; bachelor's, some schools require more education
Which American university opened the first nursing school as a separate department within the university? Harvard Teachers College Columbia Yale
Yale
A school nurse teaching school-aged children about water safety is an example of which ethical principle? a. Beneficence b. Justice c. Veracity d. Autonomy
a. Beneficence
To which early nursing leader is attributed the founding of the American Red Cross? a. Clara Barton b. Dorothea Dix c. Florence Nightingale d. Lavinia Lloyd Dock
a. Clara Barton
Which of the following is a characteristic of the team model of nursing care delivery? a. Each member of the team uses his or her abilities to the fullest in patient care. b. Communication among the team saves time, so the model is cost-efficient. c. Team nursing emphasizes holistic care for the patients and their families. d. This model increases continuity of care for the patients.
a. Each member of the team uses his or her abilities to the fullest in patient care.
The clinical nurse leader (CNL) is a recently proposed role. The responsibilities of the person in this role include which of the following? a. Oversee and manage care delivery in specific settings. b. Manage and streamline operations in multiple nursing units. c. Replace the outdated CNS role. d. Provide daily care to a specific subset of patients with similar needs.
a. Oversee and manage care delivery in specific settings.
A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged to reduce hospital cost is relying on which ethical principle? a. Justice b. Beneficence c. Autonomy d. Fidelity
a. Justice
Which of the following best describes trends in nursing education? a. Numbers of RNs with bachelor's and higher degrees are increasing. b. Numbers of RNs with associate degrees are decreasing. c. Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation. d. Numbers of RNs with diploma educations are increasing.
a. Numbers of RNs with bachelor's and higher degrees are increasing.
Which patient rights are guaranteed by HIPAA? a. Patients are protected against medical records being indiscriminately shared. b. Patients may receive a complete copy of their medical records at no cost. c. Patients sign a release protecting the health care provider and insurance company against computer file theft. d. Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record.
a. Patients are protected against medical records being indiscriminately shared.
Which of the following statements is correct about community health nursing (CHN)? a. Prevention and community education are the cornerstones of CHN. b. Nursing care is rapidly moving from the home setting to the institutional setting. c. High-tech care such as ventilators and total parenteral nutrition cannot be handled in the home. d. Assessment skills are less important in CHN because patients are not acutely ill.
a. Prevention and community education are the cornerstones of CHN.
Which of the following are activities in the ethical decision making process? (Select all that apply.) a. Avoid looking at legal cases or precedents related to the situation. b. Determine if the people who are affected by the dilemma have value conflicts. c. Brainstorm with others involved to identify all possible solutions. d. Evaluate the action taken to determine whether it accomplished its purpose. e. Discuss only acceptable solutions that are practical to implement.
b, c, and d
What was the most significant impact on the profession of nursing made by Mary Breckenridge in her role as a frontier nurse? a. She demonstrated that nurses could provide primary care in rural settings. b. She demonstrated that female nurses could protect themselves in unsettled rural environments. c. She demonstrated that nurses were capable of teaching new mothers to care for babies. d, She demonstrated that nurses could provide care to many clients despite geographic boundaries.
a. She demonstrated that nurses could provide primary care in rural settings.
The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change, and an infection developed in the patient. Which of the following statements is true? a. The RN is ultimately responsible for acts he or she delegates. b. The LPN/LVN is guilty of malpractice. c. A malpractice suit cannot be brought as no harm came to the patient. d. The hospital cannot be held responsible for the acts of its employees.
a. The RN is ultimately responsible for acts he or she delegates.
A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse? a. The nurse must join a union to be employed there. b. The nurse can join the union if desired, but it is not required. c. This facility is closed to all union activities. d. The facility is negotiating with several unions for control of the employees.
a. The nurse must join a union to be employed there.
The most common reason that nurses are disciplined by the state board of nursing is a. practicing while impaired. b. following unsafe nursing practice. c. abandoning patients. d. making medication errors.
a. practicing while impaired.
The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when a. the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice. b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase. c. the percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses. d. the nonwhite portion of the general population decreases.
a. the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice.
Which of the following is not a public agency? a. National Institute of Nursing Research b. American Red Cross c. Centers for Disease Control and Prevention d. State Board of Nursing
b. American Red Cross
Florence Nightingale is often credited as being the first nurse researcher. This designation is based on a. her methods of reorganizing British hospitals. b. her use of data on the morbidity and mortality of soldiers in hospitals in Scutari. c. demonstration that trained nurses provided better nursing care. d. publication of Notes on Nursing, the first scholarly nursing publication.
b. her use of data on the morbidity and mortality of soldiers in hospitals in Scutari.
One important advantage of the evolution of nursing informatics is that a. it allows any RN to become a certified informatics nurse. b. informatics nurses are best able to design systems with the needs and skills of nurses who use them in mind. c. informatics nurses will reduce the need for direct caregivers to document care. d. benefits of informatics advancements include improved patient safety and increased variability of care.
b. informatics nurses are best able to design systems with the needs and skills of nurses who use them in mind.
A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a a. for-profit agency. b. not-for-profit agency. c. voluntary agency. d. private agency.
b. not-for-profit agency.
Which of the following is the best description of a code of ethics? a. A document that describes the correct course of action and does not change regardless of societal changes b. A document that all professions must have even if not representative of practice c. A document that permits others to know what principles guide professional decision making d. A document widely open to interpretation by professionals in various settings
c. A document that permits others to know what principles guide professional decision making
Which of the following nursing responsibilities can never be delegated? a. Medication administration b. Evaluation c. Accountability d. Complex tasks
c. Accountability
All levels of nursing educational programs can be accredited by which organization? a. American Association of Colleges of Nursing (AACN) b. Commission on Collegiate Nursing Education (CCNE) c. Accreditation Commission for Education in Nursing (ACEN) d. National League for Nursing Councils of Education Programs (NLNCEP)
c. Accreditation Commission for Education in Nursing (ACEN)
What is the relevance of the concepts of supply and demand, free market, and price sensitivity with regard to health care costs? a. The undersupply of available health care has driven up costs. b. In a free market, increased numbers of people are able to pay for health care. c. Consumer insensitivity to costs has increased demand for health care services. d. Third-party payers have demanded more health care services.
c. Consumer insensitivity to costs has increased demand for health care services.
Which of the following is not included as an overarching goal of Healthy People 2020? a. Eliminating health disparities b. Creating environments that promote good health c. Lengthening the average lifespan by a decade d. Attaining longer lives free of preventable diseases and injury
c. Lengthening the average lifespan by a decade
A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other? a. Reporting substandard practice by unlicensed personnel b. Reading the professional literature c. Mentoring nursing students and novice nurses d. Making a financial donation to a professional organization
c. Mentoring nursing students and novice nurses
Which of the following could eventually change the historical status of nursing as a female-dominated profession? a. More men graduating from baccalaureate and higher degree programs b. The proportion of men in nursing beginning to increase c. More male graduates of basic nursing programs entering the workplace d. Salary compensation increasing to attract more men
c. More male graduates of basic nursing programs entering the workplace
In which of the following situations should the legality of an informed consent be questioned? a. Patient who expresses concern about the cost of the procedure b. Patient who is anxious and asks many questions of the physician c. Patient who received a preoperative dose of Demerol before giving consent d. Patient with dementia; consent given by spouse
c. Patient who received a preoperative dose of Demerol before giving consent
What specialty of nursing was considered well suited for men at a time when other areas were excluding men from practicing? a. Obstetric nursing b. Pediatric nursing c. Psychiatric nursing d. Nurse educator
c. Psychiatric nursing
Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality? a. Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience b. Discussing a patient's condition in a public place as long as the patient's name is not mentioned c. Reporting certain diseases to public health authority d. Discussing a patient's care with someone who does not know the patient
c. Reporting certain diseases to public health authority
An agency that treats temporary health dysfunction requiring intervention to prevent complications is providing which level of health care? a. Subacute care b. Primary care c. Secondary care d. Tertiary care
c. Secondary care
One of the characteristics of a profession identified by Kelly was "there is an organization (association) that encourages and supports high standards of practice." Which of the following illustrates a concern for nursing meeting this characteristic? a. The ANA has existed for more than 100 years. b. Nursing specialty organizations have greater power to influence practice than a more general nursing organization. c. The membership of the ANA is less than 10% of all nurses. d. The purpose of the ANA does not address the economic and general welfare of nurses.
c. The membership of the ANA is less than 10% of all nurses.
Which of the following is a correct statement about the registered nurse (RN) population? a. The racial/ethnic composition of RNs closely resembles that of the general population. b. The number of men entering nursing has decreased steadily over the last decade. c. The rate of aging of RNs has slowed for the first time in the past 30 years. d. The majority of employed RNs working full time must work a second position.
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts? a. They describe the process for gaining membership to a professional organization. b. They define the practice of medicine in relation to nursing. c. They determine the educational requirements for licensure. d. They regulate how many professional nursing organizations may be formed.
c. They determine the educational requirements for licensure.
The Patient Self-Determination Act of 1991, as implemented today, is known as providing a. patient bill of rights. b. HIPAA protections. c. advance directives. d. informed consent.
c. advance directives.
The care delivery model in which a registered nurse provides direct care and also has 24-hour responsibility for updating the patient's plan of care is known as a. functional nursing. b. team nursing. c. primary nursing. d. case management.
c. primary nursing.
Provisions of the Affordable Care Act include (Select all that apply.) lifetime limits of catastrophic care insurance will cover. children up to age 26 being allowed to stay on parents' insurance. disallowing denial of coverage for children and teens' preexisting conditions. the right to appeal coverage decisions. recommended preventative services without out-of-pocket cost to consumers.
children up to age 26 being allowed to stay on parents' insurance. disallowing denial of coverage for children and teens' preexisting conditions. the right to appeal coverage decisions. recommended preventative services without out-of-pocket cost to consumers.
A patient who is terminally ill is experiencing great pain. To relieve the patient's suffering, the nurse needs to administer larger doses of morphine. This relieves the pain but also inhibits respiration. Which principle justifies the risk of harm? a. Justice b. Fidelity c. Veracity d. Double effect
d. Double effect
Which of the following is a responsibility of many nurse executives (chief nursing officers)? a. Recruiting, hiring, and training new staff b. Managing day-to-day staff scheduling c. Managing budget for assigned unit d. Participating as a member of the board of directors
d. Participating as a member of the board of directors
Which of the following is not recognized as part of the role of the nurse as a member of the health care team? a. Patient advocate and educator b. Collaborator and provider of care c. Manager of care and resources for a group of patients d. Performance of physician functions under direct supervision of a physician
d. Performance of physician functions under direct supervision of a physician
Margaret Sanger, as a nurse and activist, worked on the Lower East Side of New York City in the early 1900s with immigrant women. What was the focus of her work? a. Sanitation to prevent disease transmission b. Health education for children c. Providing nursing care to underserved African-American families d. Safe contraception and family planning for women
d. Safe contraception and family planning for women
Which of the following is characteristic of public agencies? a. They are supported by donations from the public. b. Most only provide primary care services. c. They are not involved in the education of health care providers. d. They provide health care services at the national, state, and local levels.
d. They provide health care services at the national, state, and local levels.
The nursing profession has experienced barriers to professionalism. Which of the following is the primary current barrier to nursing's professionalism? a. Too many men in nursing b. Unquestioning obedience to doctors c. Limitations placed on practice by state legislators d. Variability of educational backgrounds of nurses
d. Variability of educational backgrounds of nurses
Despite the variety of work settings available to the RN, data indicate that the primary work site for RNs is a. ambulatory care settings. b. community health settings. c. long-term care facilities. d. acute care hospitals.
d. acute care hospitals.
NPs are advanced practice nurses who a. are required to have physician collaboration or supervision. b. function under a set of universal advanced practitioner laws. c. cannot receive direct reimbursement for their services. d. can diagnose and treat common and chronic conditions.
d. can diagnose and treat common and chronic conditions.
The diversity of the population entering the health care system is a challenge for nurses because a. the portion of minorities in nursing is greater than the portion of minorities in the general population. b. educators are culturally competent leaders for nurses and students. c. lessons about culture and cultural differences are not part of progressive education programs. d. ethnic minority nurses do not yet meet the same proportions in the profession as in the general population.
d. ethnic minority nurses do not yet meet the same proportions in the profession as in the general population.
A barrier to professionalism attributed to nursing's roots in altruism is illustrated when a nurse a. questions a medication order written by the physician. b. takes the time to listen to a patient's fears about surgery. c. needs to seek approval from charge nurse to give a PRN medication. d. feels guilty for expecting to be paid well for work.
d. feels guilty for expecting to be paid well for work.
Differences between treatment outcomes for different populations are known as a. health care outcomes. b. population variability. c. treatment choices. d. health care disparities.
d. health care disparities.
The American Nurses Association (ANA) serves as the a. clearinghouse of standards set by clinical specialty organizations. b. regulatory agency setting the guidelines for the scope of practice. c. source of dissemination of nursing research. d. professional organization for all nurses regardless of practice setting or level of practice.
d. professional organization for all nurses regardless of practice setting or level of practice.
The major benefit of serving as a military nurse is a. broader responsibilities and scope of practice than civilian nurses. b. working with entirely baccalaureate-prepared peers on active duty. c. serving as an officer on active duty or in the reserves. d. the financial support to seek advanced degrees
d. the financial support to seek advanced degrees
Answering a terminally ill child's questions about his or her condition honestly is based on a belief in the ethical principle of a. autonomy. b. fidelity. c. justice. d. veracity.
d. veracity.
what are ambulatory care settings?
doctor's offices, free-standing emergency and surgical centers
what are CNLs (clinical nurse leaders)?
master's-prepared nurses who oversee and manage care and may provide direct patient care; not intended to be managers or admministrators
what are "Level 1 Trauma Centers"?
medical centers (usually associated with a university and offers higher specialized care )
how many people in the U.S. are licensed as RNs?
more than 4 million
what are the 4 categories of APNs?
nurse practitioner, clinical nurse specialist, certified nurse-midwife, and CRNA
what compromises the largest segment of healthcare in the US?
nursing
what is Evidence-based Practice (EBP)?
nursing care based on the best available research evidence, clinical expertise, and patient preference
what are extended care facilities?
nursing homes
what do occupational and environmental health nurses do (OHNs)? What degree do they need?
provide basic health care services, health education, screenings, and emergency treatment to employees in the workplace Bachelor's
what is palliative care?
symptom management to improve quality of life (end-of-life care)
what 2 acts make up the Affordable Care Act (ACA)?
the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act
Who conducted the National Sample Survey of Registered Nurses (NSSRN)?
the U.S. Department of Health and Human Services
define "entry level"
the basic education to become a nurse
what is the most common setting for nurses to work? second most common? third?
the hospital (most in inpatient units) ambulatory care settings public and community health
where is the largest disparity between the U.S. general population and the RN population seen?
with Hispanics/Latinos
has the rate of aging nurses in the workforce slowed?
yes