Nurs 250

The nursing student demonstrates the need for further instruction with which statement concerning moral values?

"Moral values give individuals some sense of what is right and wrong."

A client is questioning the need for surgery. The client asks the nurse, "What should I do?" What answer by the nurse is based on advocacy?

"Tell me what reason you do not want the surgery."

The nurse is preparing to submit a research project to the institutional review board (IRB). What outcome does the nurse determine will occur when the project passes through the IRB?

Ethical principles will be followed for all participants

A parent teaches his or her children not to drink and drive; however, the parent does drink and drive. This action causes

Failure to reflect own values

High levels of turnover are effective tools in maintaining organizational functioning and quality patient care.

False

A nurse is using the nursing process to provide care to a client NEWLY admitted to the facility. During the assessment phase, which activities would the nurse likely perform as part of the assessment? Select all that apply. THINK ABOUT THIS assessment!!!!!!!! before you chose your answers.

-Obtain a baseline oxygen saturation level. -Check the results of the client's blood work.

What type of law regulates the practice of nursing?

Civil law

successful completion of a test on diabetes pathophysiology is an example of

Cognitive learning

A conceptual framework is defined as:

a set of concepts and propositions

A nurse explains the informed consent form to a client who is scheduled for heart bypass surgery. Which items are elements of this consent form? Select all that apply.

-Disclosure -Comprehension -Competence

A nurse states to the client that she will keep her free of pain. However, her family wishes to try a treatment to prolong her life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?

Fidelity

Breaking the healthcare community into separate entities (such as the medical staff, the nursing staff, management, support staff) and analyzing how they work as a whole together is an example of which nursing theory?

General Systems Theory

The nurse is applying evidence-based practice (EBP) during a client's wound care. What characteristics of EBP does the nurse demonstrate? Select all that apply.

-The nurse is using a problem-solving approach. -The nurse uses the best evidence available. -The nurse blends the science and art of nursing.

A mother of a toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn?

Demonstration

A nursing student learns how to give injections from the nurse manager, who dictates a list of steps to follow. This is an example of the acquisition of what type of knowledge?

Descriptive rule-based

What type of leader shares decisions and activities with group participants?

Democratic

Wisdom is the application of knowledge to an appropriate situation

True

There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing?

person

PICO

population, intervention, comparison outcome

A client who is scheduled for abdominal surgery gives informed consent. While reviewing the client's medical record, the nurse identifies the consent form, interpreting it as most reflective of:

protection of the client's right to self-determination in decision making.

A nurse is contributing to the analysis of an ethical dilemma. When analysing the dilemma according to the ethical framework, what is most important for the nurse to take into consideration?

standards of conduct.

Which component of nursing practice is central to the care-based approach to bioethics?

nurse-patient relationship

Two nurses meet at their home, where one of the nurses discusses a client who had been physically abused. The next day, the client is shifted to another nursing unit after a surgical procedure and becomes the care of the second nurse who had been part of the original discussion. Nurse No. 2 asks the client about the physical abuse. The client discovers that his original nurse revealed the information and is hurt. What would be the charges if the client files a suit?

The nurses could be charged for slander.

A nursing student is formulating a problem statement for his research project. What will ensure that the study is a logical extension of the problem cited?

The population being studied is specified in the problem statement.

What are common characteristics of nursing theories? Select all that apply.

-A nursing theory provides a rational and knowledgeable reason for nursing interventions. -A nursing theory directs nurses toward improved client care. -A nursing theory provides a base for discussion of nursing issues. -A nursing theory helps to resolve current nursing issues.

A nurse is teaching a new mother how to bathe her infant using the TEACH acronym to maximize the effectiveness of the teaching plan. Which of the following are guidelines based on this acronym? Select all that apply

-Act on every teaching moment -Edit patient information -Clarify often

Which of the following explains why the demand for nurses is increasing?

-Advances in the health care field require more nurses. -There is an increase in the acuity of hospitalized patients -There is an increase in life expectancy as well as chronic illnesses.

Which of the following statements accurately describes an aspect of the credentialing process used in nursing practice? Select all that apply.

-Credentialing refers to ways in which professional competence is ensured and maintained. -Certification grants recognition in a specified practice area to people who meet certain criteria. -Once earned, a license to practice is a property right and may not be revoked without due

The following statement(s) is/are true regarding the HITECH ACT:

-It is a component of the American Recovery and Reinvestment Act -It provides funding for eligible health care professionals and hospitals for development and maintenance of EHR's if they demonstrate meaningful use -It addresses the development, adoption, and implementation of health information technology policies

What are some currently recognized nursing taxonomys?

-Nursing Intervention Classification -Clinical Care Classification -International Classification of Nursing Practice (ICNP)

Functions of the electronic health record include which of the following?

-Provides a single access point for health care providers managing care of a patient -Provides a single location for long term data -Provides communication among heath care team members

A client is discussing informed consent prior to a scheduled procedure. Informed consent includes what rights? Select all that apply.

-Right of refusal to participate -Confidentiality -Right to withdraw from treatment at any time

Which of the following is an area of potential liability for the nurse? Select all that apply.

-The nurse fails to document refusal by the client to ambulate following surgery. -The nurse documents that the client's blood pressure has increased from 118/72 to 188/98 and decides to retake the blood pressure in an hour.

A client is requesting to view all medical record information regarding the care received while hospitalized. What right does the client have regarding accessing the medical record according to HIPAA regulations? Select all that apply.

-To see the health record -To copy the health record -To restrict certain disclosures of the health record

A nurse is attempting to change the method for documenting patient care in a hospital setting. Which of the following should be considered before planning change? Select all that apply.

-What is amenable to change? -How does the group function as a unit -Is the group ready for change? -Are the changes major or minor?

what skills are needed for nursing leadership

-communication skills -self-evaluation skills -problem solving skills

A nurse is caring for a woman 28 years of age who has delivered a baby by Cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which ethical framework?

Beneficence

Developing standardized terminologies in Nursing Informatics is driven by the following demands:

Accessibility, ubiquity, longevity, and reusability

The greatest shortage of nursing is seen in which of the following specialty areas?

Acute Care

Which word is best described by the following: the protection and support of another's rights?

Advocacy

What phrase best describes the science of nursing?

Body of nursing knowledge

A client's morning blood work indicates a significant decline in his hemoglobin and hematocrit, prompting the primary care provider to order a blood transfusion. As a component of the informed consent process, the potential risks and benefits have been explained to the client. How should the client's comprehension of this information be determined?

Ask the client to explain the risks and benefits in his own words.

A nurse manager makes all the decisions for staff activities. What type of leadership is demonstrated by this action?

Autocratic

A client with cancer of the stomach tells the nurse, "I cannot bear the pain anymore. Please give me something to end all my suffering and this agonizing pain." The nurse faces a value conflict. Which of the following would be most important for the nurse to keep in mind in this situation?

Human need may affect the values conflict.

The nurse understands that general systems theory has important implications in nursing. Which of the following is an assumption of the general systems theory?

Human systems are open and dynamic

Which of the following is not an ideal strategy to use to retain older nurses in the workforce?

Limit shift options to shorter shifts

New younger nurses are ideal prospects to act as expert mentors in specialty areas of a hospital.

False

The discussion regarding a nation-wide health information infrastructure for electronic health records began with the enactment of the 2010 Affordable Care Act.

False

A client rings the call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that she will return with the pain medication. The nurse's promise to return with the pain medication is an example of which principle of bioethics?

Fidelity

Which of the following strategies might a nurse use to increase compliance with teaching?

Include the patient and family as partners

Structured languages, also called taxonomies, are critical tools for nursing. Which of these is NOT an example of a currently recognized nursing taxonomy?

International Statistical Classification of Diseases and Related Health Problems (ICD 10)

Which of the following would be outside of the scope of practice for a UAP?

Interpreting a trend in vital signs

Which of the following is characteristic of mentor ship?

It is a link to a protege with common interests

A student is conducting a literature review to identify a problem area for his research paper. Which of the following should the student remember when conducting a literature review?

Journal reference lists provide sources for original articles

Which of the following modes of value transmission is most likely to lead to confusion and conflict?

Laissez-faire

A nurse is determining tasks that would be appropriate to delegate to a UAP. Which of the following would be appropriate to delegate?

Measuring the patient's intake and output

A mother always thanks clerks at the grocery store. Her daughter, age 6 years, echoes her thank you. The child is demonstrating what mode of value transmission?

Modeling

A nurse knows the ethical term "Do not cause harm" is an example of:

Nonmalificence

Nursing research is linked most closely to:

Nursing Process

What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered?

Nursing care now uses EBP as a means of ensuring quality care.

A nurse has developed a plan of care for an adult client. What nursing function is important when using a nursing diagnosis to guide the care of this client?

Prioritize the nursing diagnoses

Which type of quantitative research will examine cause-and-effect relationships between selected variables?

Quasi-experimental

A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next?

Question the order for the medication

Values are known to affect a person's functional health. Which of the following values may be related to the perception of health? Select all that apply.

Responsibility Discipline Cooperation

A client gets out of bed following hip surgery, falls, and re-injures her hip. The nurse caring for her knows that it is her duty to make sure an incident report is filed. Which statement accurately describes the correct procedure for filing an incident report?

The report should contain all the variables related to the incident.

Which of the following factors have been identified as contributing to the cause of the current nursing shortage?

Selection of fields other than nursing as a career

According to Maslow's Hierarchy of human needs, which of the following is the highest level of need(s)?

Self-actualization

A client on a surgical unit asks for the nurse's opinion of the surgeon. The nurse replies, "He is rude. His clients always end up with infections." The nurse is at risk of being accused of which of the following?

Slander/Defamation

Facebook is an example of

Social Network

In comparison with licensure, which measures entry-level competence, what does certification validate?

Specialty knowledge and clinical judgement

The client was diagnosed with diabetes three years ago, but has failed to integrate regular blood glucose monitoring or dietary modifications into his lifestyle. He has been admitted to the hospital for treatment of acute renal failure secondary to diabetic nephropathy, an event that has prompted the client to reassess his values. Which action most clearly demonstrates that this client is engaging in the step of prizing within his valuing process?

The client expresses pride that he now has the knowledge and skills to take control of his diabetes management.

Which aspect of nursing would be most likely defined by legislation at a state level?

The differences in the scope of practice between registered nurses (RNs) and licensed practical nurses (LPNs).

When making client rounds, the charge nurse observes which action by a staff nurse that would constitute battery?

The elderly client refuses the intramuscular injection, but the staff nurse administered it.

A client is being prepared for an elective surgical procedure and the consent form has not been signed. Who should the nurse have obtain consent for the procedure?

The health care provider performing the surgical procedure

In Lewin's classic theory of change, what happens during unfreezing?

The need for change is recognized

During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke client some beef broth, despite the fact that the client's diet was restricted to thickened fluids. As a result, the client aspirated and developed pneumonia. Which statement underlies the student's potential liability in this situation?

The same standards of care that apply to a registered nurse apply to the student.

Which statement best explains the importance of theoretic frameworks?

Theoretic frameworks advance nursing knowledge and practice.

A nurse is caring for a client who has undergone coronary angioplasty. The cardiac monitor is showing abnormal ECG waves, indicating arterial fibrillation. The nurse does not recognize the importance of the sign; as a result, the client's condition deteriorates and the client has to be taken up for an emergency procedure. Which of the following describes the nurse's legal liability?

Tort

A free agent nurse makes a higher hourly wage than other full time or part time nurses in the health care organization.

True

Nursing informatics integrates nursing science and information science.

True

Patient outcomes are sensitive to nursing interventions and as a result, nursing staffing affects patient outcomes.

True

Rural areas of the country have a greater shortage of nurses than urban areas of the country.

True

A nurse researcher is conducting a scientific literature review. Which statement would be most important for the nurse researcher to keep in mind?

Using a systematic approach for this step is most effective.

Which ethics theory focuses on ends or consequences of actions?

Utilitarian theory

Which of the following terms is part of quantitative research?

Variable

Which phrase best describes a value?

a belief about the worth of something to guide behavior

The primary consideration in increasing the effectiveness of teaching a client how to care for a colostomy is to

assess the client's readiness to learn

What source of assessment data would the nurse expect to utilize when obtaining a review of systems (ROS)?

client reports shooting pain up the left leg

The nursing student recognizes that the purpose of diagnosis in the nursing process is to:

develop a prioritized list of current and possible health problems

checking the client's blood pressure 30 minutes after administering captopril is an example of

the evaluation step in the nursing process?

Which of the following is a characteristic of the care-based approach to bioethics?

the promotion of the dignity and respect of clients as people

A diabetes nurse educator is teaching a patient, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this teaching?

to help the patient develop self care abilities

A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing?

transformational