Practice

. The nurse leader recognizes that to deliver quality care, focus needs to be placed on which participant? a. Patient b. Self c. Other staff members d. Health care provider

A

The nurse caring for a patient with chronic pain uses guided imagery, therapeutic touch, and relaxation techniques as interventions for pain. The nurse is using what type of approach? a. Holistic b. Eastern holistic c. Risk factor reduction

A

The nurse understands ongoing evaluation of patient education occurs by which team member? a. Each member of the health care team who provides teaching b. The nurse who evaluates the patient's physical abilities c. The patient stating that he understands the instruction d. Not allowing review from the provider so the focus remains forward

A

The nurse recognizes which skills that are needed to be an effective manager? (Select all that apply.) a. Understand the concepts of budgeting. b. Run a unit efficiently without regard to cost. c. Be able to staff the unit effectively. d. Be adept at information management. e. Achieve desired outcomes in any way possible.

A,C,D

The nurse recognizes which statements to be accurate regarding The Health Insurance Portability and Accountability Act (HIPAA) of 1996? (Select all that apply.) a. Requires the user to have verification codes. b. Ensures access to information without fear of audits. c. Sets the standards on how information is maintained. d. Sets the penalties for any breach in security of health data. e. Has no legal authority relative to security issues.

A,C,D

On completion of assessment, a nursing diagnosis relevant to the educational needs of the patient or caregiver can be determined. The nurse recognizes that diagnoses specifically related to patient education include which responses? (Select all that apply.) a. Deficient knowledge b. Readiness for enhanced knowledge c. Noncompliance d. Pain e. Alteration in elimination

ANS: A, B, C On completion of assessment, a nursing diagnosis relevant to the educational needs of the patient or caregiver can be determined. Diagnoses specifically related to patient education include deficient knowledge, readiness for enhanced knowledge, and noncompliance.

. The nurse researcher understands a human subject is defined as a living individual about whom an investigator conducting research obtains what information? a. Data without direct or indirect interaction or intervention b. Information that is not expected to be made public c. No diagnostic information and does not manipulate the subject environment d. Information without any communication/contact during the research

B

In researching the effectiveness of an antihypertensive medication, the nurse knows that the medication would be what type of variable? a. Dependent b. Independent c. Treatment d. Controlled

B

The patient is asking about using the Internet for resources regarding lifestyle behaviors and benefits of modification. What is the best response that the nurse should provide the patient? a. Information on lifestyle behaviors is not available on the Internet. b. The patient should use websites that are easy to understand. c. Most websites are designed for health care providers only. d. Only negative outcomes are evaluated on the Internet

B

. In practice, the nurse has identified an observable phenomenon and wants to conduct research to generate a hypothesis through observation of the situation. The nurse knows what approach to be the best way for the nurse to conduct this type of investigation? a. Correlational research study b. Experimental research study c. Descriptive research study d. Quasi-experimental research study

C

The acronym PICO assists in remembering the steps to constructing a good research question and the nurse identifies that the "O" in the acronym refers to what term? a. Objectivity b. Ordinal approach c. Outcome d. Observer

C

The nurse correctly recognizes which one of the following illnesses to trigger the broadest range of emotional and behavioral responses? a. Ear infection b. Mild concussion c. Rheumatoid arthritis d. Influenza

C

The nurse recognizes that intentional behaviors to circumvent illness, detect it early, and maintain the best possible level of mental and physiologic function within the boundaries of illness is the definition of which term? a. Health promotion b. Self-actualization c. Health protection d. Self-transcendence

C

The nurse identifies what decisional roles that are included in Mintzburg's description of management in terms of behavior? (Select all that apply.) a. Figurehead b. Spokesperson c. Entrepreneur d. Resource allocator e. Negotiator

C,d,e

The nurse understands "First, do no harm" defines what ethical principle? a. Beneficence b. Justice c. Fidelity d. Nonmaleficence

D

When considering factors influencing health and the impact of illness, specifically age, the nurse would correctly identify which patient as having the greatest risk? a. 10-year-old girl b. 23-year-old woman c. 47-year-old man d. 85-year-old woman

D

A patient is diagnosed with pneumonia after an abrupt onset of fever, cough, and malaise. The patient is started on antibiotic therapy and is expected to improve in 2 to 3 weeks. Which statement by the nurse correctly identifies this illness? a. Acute b. Chronic c. Remission d. Exacerbation

A

The Computer Ethics Institute has developed guidelines for ethics in the development and use of computer technologies. The nurse knows these guidelines are identified by which term? a. The Ten Commandments of Computer Ethics b. The eHealth Code of Ethics c. HIPAA guidelines d. The Health on the Net Foundation

A

The home health nurse provides care for a patient with congestive heart failure. Daily the patient weighs himself and takes his own temperature, pulse, respirations, and blood pressure.

A

The nurse recognizes which concept that correctly completes the definition of the genetic vulnerability of an organism (risk of disease expression based on genotype)? a. It is involuntarily passed from biologic parents to offspring. b. It is totally unrelated to environmental factors. c. It is nonresponsive to alteration by way of lifestyle modification. d. It is not a factor in mental illness because it is behavioral.

A

The nurse understands that computerized provider order entry (CPOE) is beneficial for what reason? a. CPOE decreases the number of transcribing errors. b. CPOE enhances provider acceptance because of new technology. c. CPOE decreases workflow issues in general. d. CPOE reduces dependence on technology and computers.

A

In preparing to teach the patient, the nurse must consider which concepts? (Select all that apply.) a. Background b. Race c. Pain level NURSINGTB.COM Fundamentals of Nursing 2nd Edition Yoost Test Bank d. Emotional status e. Readiness to learn

A,C,D,E

The nurse understands state legislatures give authority to administrative bodies, such as state boards of nursing, to carry out what action? a. Create statutory laws. b. Establish regulatory laws. c. Try case law cases. d. Create laws based on social mores

B

The economic stability of individuals or families can determine whether they are willing to seek preventive care or screening examinations. The nurse knows which statements about screening examinations to be true? (Select all that apply.) a. Free or low-cost screening ensures patient screening. b. People may not screen due to fear of testing positive. c. Early screening ensures minimal treatment costs. d. Employment stability is enhanced by early screening. e. Treatment of disorders often means lost wages.

B,E

The nurse manager is considered a "great communicator." She can be found on the unit talking with staff, keeping them informed and asking their opinions. She believes that nurses are motivated by internal means and that they want to participate in making decisions about the unit although the final decision always rests with her. The nurses recognize that this nurse manager is what type of leader? a. Autocratic b. Democratic c. Bureaucratic d. Laissez-faire

B.

The nurse is preparing to discharge a patient home. In providing instruction about the patient's medications, the nurse should make which statement? a. "Before taking Metoprolol, you need to take your BP and rate." b. "MS should be taken only when needed for pain." c. "Take 1 baby aspirin by mouth every morning." d. "Take your water pill bid and you should be fine."

C

The nurse knows the World Health Organization defines health in which of the following terms? a. The absence of disease b. The lack of infirmity c. Complete well-being d. Being independent of fiscal responsibility

C

When applying research to practice, the nurse finds what information? a. It is usually easy to access information at the bedside. b. Research articles are clear in defining nursing practice. c. Bedside care is not directly related to research. d. Nursing research should be used to improve care.

D

When the nurse is preparing to provide preoperative teaching to a deaf patient, what action by the nurse is best? a. Use printed materials. b. Provide recorded materials. c. Use a family member to interpret. d. Provide an interpreter.

D

. A nurse has been asked to care for a patient who is an inmate from a nearby prison. During shift report, the nurse asks, "Why was the man convicted and imprisoned?" Another nurse responds that this is not important since nurses are required to provide compassionate care for all people in all circumstances. The responding nurse has displayed what concept? a. Beneficence b. Advocacy c. Confidentiality d. Autonomy

A

The nurse who plans, organizes, delivers, and evaluates nursing care for patients is functioning in what role? a. Patient care provider b. Patient advocate c. Case manager d. Clinical nurse leader

A

When the nurse is preparing to teach a 5-year-old child postoperative care that will be anticipated after a tonsillectomy, the nurse would incorporate what concept? a. Use pictures and simple words to describe care to the patient. b. Teach the parents alone to reduce fear in the patient. c. Exclude the parents to reduce parental anxiety. d. Use clear simple explanaNtionRs toIconGveyBin.fCormMation.

A

While adopting new technology to enhance patient care and safety, nurses can continue to provide what service? a. Compassionate care b. Consumer empowerment c. Self-management of wellness d. Education about health care

A

Health care providers are required to supply patients with written information regarding their rights to make medical decisions and implement advance directives, which consist of three documents. The nurse knows which items are considered "advanced directives"? (Select all that apply.) a. Living will b. Durable power of attorney c. Health care proxy d. Patient's Bill of Rights e. The Uniform Anatomical Gift Act

A,B,C

The nurse understands that Florence Nightingale is noted to have provided the initial basis for evidence-based practice (EBP) by doing which action? (Select all that apply.) a. Basing her work in trial and error as well as observation b. Using statistical data as a basis for improvements c. Applying statistical methods such as "pie charting" to display results d. Focusing on bedside care and ignoring nursing education e. Publishing the first EBP journal

A,B,C

Which recommendations would the nurse identify as appropriate screening guidelines? (Select all that apply.) a. Women ages 21 to 29 should have a Pap test every 3 years. b. Self-breast exams should be addressed with male and female patients. c. Adolescent males should perform monthly self-testicular exams. d. Women ages 30 to 65 should receive Pap tests every 10 years. e. After a total hysterectomy, Pap testing should be more frequent.

A,B,C

The nurse recognizes the use of telemonitoring offers the opportunity to complete which tasks? (Select all that apply.) a. Reduce cost of health care. b. Improve patient satisfaction. c. Increase duplicate orders. d. Improve patient outcomes. e. Improve organization.

A,B,D,E

The manager of the intensive care unit is accepting an award for excellence and efficiency in the provision of patient care. The manager accepts the award for the unit and cites the contributions of the staff since, without their expertise and dedication, the award may not have been achieved. The staff nurse recognizes the nurse manager is demonstrating which quality? a. Dedication b. Openness c. Magnanimity d. Creativity

ANS: C Magnanimity means giving credit where credit is due. Good leaders reflect the work and success of accomplishing a goal by crediting those who helped reach it. Dedication is the ability to spend the time necessary to accomplish a task. Effective leaders persist in working toward accomplishment of a goal even when doing so is difficult. Openness refers to the leader's ability to listen to other points of view without prejudging or discouraging them. An effective leader considers others' opinions with an open mind because a wider variety of solutions to problems is offered. Openness by the nurse leader encourages creative solutions by providing an environment in which people feel comfortable "thinking outside the box." Creativity is the ability to think differently. A creative leader examines all possible solutions to a problem even if at first glance they appear to be unrealistic or outside the norm. This ability allows the nurse leader to inspire followers to consider broader visions and goals. OBJ: 12.3 (ed 1)

The nurse realizes that information technology (IT) can be used to increase patient safety in what way? a. By creating redundancy in orders making them safer b. By removing the need for verification by the nurse c. By analyzing errors to develop prevention strategies d. By eliminating the need for bar codes in medication administration

C

The nurse knows that use of seatbelts and airbags in automobiles is an example of which term? a. Secondary prevention b. Tertiary prevention c. Holistic care d. Primary prevention

D

The nurse understands that the focus of nursing informatics is which concept? a. Direct patient care b. Increasing documentation time c. The introduction of different EHRs d. How patient care can be improved

D

The nurse has established a teaching plan including goals and identifies this type of education is termed by what term? a. Formal teaching b. Informal teaching c. Psychomotor teaching d. Affective teaching

A

The nurse is ready to analyze the data obtained through a qualitative study. What approach to data analysis should the nurse use? a. Content analysis b. Statistical analysis c. Coding of themes d. Dissemination

A

The nurse recognizes the nursing goal for individuals and families seeking preventative care is to have those groups carry out which action? a. Take responsibility for their health and wellness. b. Abandon the use of electronic educational media. c. Make lifestyle changes after diseases occur. d. Use temporary changes until the danger has passed.

A

The nurse recognizes which of the following to be a benefit of regular physical exercise? (Select all that apply.) a. Enhances the immune system. b. Decreases bone density. c. Limits joint mobility. d. Improves mental health. e. Helps to prevent type 2 diabetes.

A,D,E

While conducting a controlled research study, the nurse wants greater assurance that the result is due to treatment itself and not another factor. For this purpose, the researcher should include what other component? a. A treatment group b. An independent variable c. A dependent variable d. A control group

D

The nurse understands who is ultimately responsible for explaining the content of the informed consent? a. The registered nurse b. The hospital social worker c. Educated family members d. The provider of the procedure

D Informed consent is permission granted by a patient after discussing each of the following topics with the physician, surgeon, or advanced practice nurse who will perform the surgery or procedure: (1) exact details of the treatment, (2) necessity of the treatment, (3) all known benefits and risks involved, (4) available alternatives, and (5) risks of treatment refusal.

. The nurse is preparing to conduct a study involving the "postprandial" blood sugars in patients who have received intensive diabetic rehabilitation versus diabetics undergoing "usual care." For the consent to be valid, the nurse would have to carry out which action? a. Change the language of the consent. b. Keep explanations to a minimum to reduce stress. c. Keep potential risks undisclosed. d. Insist that the participant sign the consent right away.

A

According to Fayol, controlling is a function of management. The nurse understands controlling compares to what phase of the nursing process? a. Evaluation b. Diagnosis c. Assessment d. Implementation

A

According to the Health Belief Model, which of the following patients would be most likely to change health behavior? a. The person who perceives that he is at risk for colon cancer b. The person who recognizes that colon cancer is easily cured c. The person who believes that behavior can change outcomes d. The patient who faces multiple social barriers

A

An overweight, sedentary middle-aged smoker with a family history of cardiac disease has noticed a steady rise in resting blood pressure over a 3- to 4-year period. The patient is concerned about his slightly elevated blood pressure and begins walking 20 to 30 minutes in the evenings with his wife and reduces his pack-a-day cigarette habit to ten cigarettes a day. The nurse identifies these actions are the initial step of which behavior? a. Risk factor reduction b. Self-actualization c. Self-transcendence d. Health promotion

A

If the nurse is trying to determine the best treatment or course of action and wants to incorporate the most reliable evidence into the decision, the nurse will use what filtered resource? a. Cochrane Reviews b. UpToDate c. STAT!Ref d. MD Consult

A

In determining patient goals, the nurse should complete which action? a. Allow patients to identify what is most important to them. b. Take the lead and determine what is best for the patient. c. Focus on health promotion and staying healthy. d. Explain the importance of avoiding complications.

A

Several models exist that describe the relationship between health and wellness. Which model is used to understand the interrelationship between elements of basic requirements for survival and the desires that drive personal growth and development and is represented as a pyramid? a. Maslow's hierarchy of needs b. Health Belief Model c. Health Promotion Model d. Holistic Health Model

A

The nurse has identified a research problem and knows what to be. What is the next step with this problem? a. Conduct a literature review. b. Address ethical procedures c. Collect data. d. Analyze data.

A

The nurse is caring for a patient whose family does not want the patient to be told about the new diagnosis of cancer because of the poor prognosis. Keeping this secret from the patient is in direct conflict with which ethical concepts? a. Autonomy and veracity b. Veracity and advocacy c. Justice and nonmaleficence d. Confidentiality and justice

A

The nurse is conducting a literature review to determine the statistical results of all related studies and identifies this to be what type of review? a. A meta-analysis b. An integrative literature review c. A systematic review d. Grounded theory research

A

The nurse is preparing to teach a patient for the first time and needs to evaluate the health literacy of the patient. The nurse uses the VARK assessment to gather what information? a. Assess the learning styles of the patient. b. Find the one method that the patient uses to learn. c. Be sure that the patient is a unimodal learner. d. Reduce the need for creating a collaborative learning plan.

A

The nurse is providing care for a patient who demands discharge from the hospital against the physician's orders. What action by the nurse is most appropriate? a. Have the patient sign an "Against medical advice" form. b. Follow the guidelines as presented in the code of Academic and Clinical Conduct. c. Review the ANA's Nursing Code of Ethics for guidance. d. Permit the patient to leave after an informed consent form is signed

A

The nurse is providing care for a patient who has had a stroke recently and has multiple self-care deficits. The nurse is coordinating care with in-home agencies and arranging for the delivery of needed equipment. Which ethical concept is the nurse applying? a. Advocacy b. Confidentiality

A

The nurse is providing patient care and pays special attention to meeting the needs of the patient while maintaining the patient's right to privacy, confidentiality, autonomy, and dignity. This nurse is applying what ethical theory? a. Deontology b. Utilitarianism c. Autonomy d. Accountability

A

The nurse knows testing the application of theories in different situations with different populations is what type of research? a. Applied research b. Clinical research c. Basic research d. Quantitative research

A

The nurse knows that computerized provider order entry (CPOE) has which outcome? a. CPOE allows orders to be communicated to the appropriate department. b. CPOE creates an intermediary for order transcription. c. CPOE slows documentation and provider communication. d. CPOE may lead to increased ordering and transcription errors.

A

The nurse knows that the third phase of evidence-based research involves what action? a. Searching for evidence and evaluating b. Assessing the problem c. Developing a question d. Performing a critical appraisal

A

The nurse knows which law protects health care professionals from charges of negligence when providing emergency care at the scene of an accident? a. Good Samaritan Act b. HIPPA c. Licensure d. Living wills

A

The nurse recognizes that when conducting a qualitative research study, what concept is a basis of this type of research? a. Qualitative research is based on a constructivist philosophy. b. Qualitative research assumes that reality is the same for everyone. c. Qualitative research is deductive in nature and approach. d. Qualitative research proceeds from specific facts to generalizations.

A

The nurse understands the unique ability of the patient to understand and integrate health-related knowledge is known by which term? a. Health literacy b. Formal patient education c. Informal patient education d. Primary education

A

When discussing immunizations for infants and children with new parents, the nurse should focus on which approach? a. Providing scientific evidence to parents b. Stressing that nonimmunization is a crime c. Acknowledging that immunizations are not needed d. Informing the parents that they have no choice

A

When the nurse is conducting a quantitative research study, what concept is implemented? a. Quantitative research assumes that reality is fixed and stable. b. Quantitative research is based on an inductive approach. c. Quantitative research seeks to gain knowledge through observation. d. Quantitative research usually produces data in narrative format.

A

Which statement does the nurse recognize as accurate regarding the use of electronic medical records (EMR)? a. EMR holds the documentation of a single episode of care. b. EMR is a longitudinal record of care for each patient. c. EMR is widely used for individual health care encounters. d. EMR includes progress notes for all disciplines.

A

Which statements by the nurse are correct regarding informed consent and someone who requires an interpreter? (Select all that apply.) a. A professional interpreter is needed. b. A family member may interpret when convenient. c. Detailed medical information remains a priority. d. Professional interpreters are not effective in providing medical information. e. If necessary, family members can make decisions regarding informed consent.

A, C, and E If a patient is illiterate or requires an interpreter, the method of obtaining informed consent must be adapted appropriately. Use of a professional interpreter rather than a family member is essential to provide detailed medical information accurately. A patient whose culture prefers to allow other family members to make final health care decisions is inconsistent with nursing's ethical belief in autonomy. However, in this situation, the method of obtaining informed consent may need to be adapted to meet the patient's beliefs within the scope of the law.

In addition to maintaining current professional practice knowledge, competent practice skills, and professional relationships with patients and their families, what additional actions should the nurse take to practice within the law? (Select all that apply.) a. Maintain confidentiality.NURSINGTB.COM b. Follow legal guidelines for sharing information. c. Block document once per shift. d. Change nursing procedures according to latest journal articles. e. Meet licensure and continuing education requirements.

A,B,E

When assigning tasks to other health care providers, the nurse understands that each task must be delegated using which guidelines? (Select all that apply.) a. The task must be within the scope of the person to whom it is being delegated. b. The task is one that can be delegated to other health care providers. c. The task can be delegated whenever assessments are required. d. The task may be re-delegated by the person to whom it was first delegated. e. The task may require the nurse to procure resources to complete the task.

A,B,E

computerized charting and data analysis that a standardized nursing terminology must be utilized. The nurse knows what concepts are associated with standardizing nursing terminology? (Select all that apply.) a. The Nursing Minimum Data Set (NMDS) was the first attempt to do so. b. The focus was to provide a shared understanding of patient problem labels. c. The NMDS data was completed and is the definitive source of patient labels. d. The ICNP was developed to provide a standard for international nurses. e. Standardized terminology can lead to better utilization of resources.

A,B,E

Nurses use new information inUtheSir prNactiTce. In thOe process of implementing EBP, the nurse carries out which actions? (Select all that apply.) a. Develops clinical questions. b. Creates workshops and in-services. c. Seeks answers to support the clinical decision. d. Applies finding to patients. e. Publishes a bulletin.

A,C,D

The Technology Informatics Guiding Education Reform (TIGER) initiative identified a set of skills needed by all nurses practicing in the 21st century. The nurse identifies the TIGER Vision Pillars include which concepts? (Select all that apply.) a. Management and leadership b. Certification by HIMSS c. Communication and Collaboration d. Informatics design e. IT policy and culture

A,C,D,E

According to the Healthy People 2020 initiative, health information and the associated access issues have become more complicated. There are many considerations when determining whether an individual has proficient health literacy. The nurse acknowledges that the patient should be able to do what actions? (Select all that apply.) N R I G B.C M a. Read and identify credibleUheaSlth iNnforTmationO. b. Recognize abnormalities on an x-ray. c. Navigate complex insurance programs. d. Evaluate EKG findings. e. Advocate for appropriate care.

A,C,E

. The nurse has a question regarding scope of practice and delegation. Where should the nurse seek clarification? (Select all that apply.) a. The state's nurse practice act b. Theory X management c. Nurse's Code of Ethics d. The NCSBN website e. NCSBN journal articles

A,D,E

Which nurse has committed a serious documentation error? a. The nurse who documents all medications for assigned patients prior to administration. b. The nurse who documents medication administration as the medications are given. c. The nurse who documents assessments as soon as they are completed. d. The nurse who documents meal intake as meal trays are picked up.

ANS: A Documentation must be accurate to provide a realistic view of a patient's condition. Serious documentation errors include: (1) omitting documentation from patient records, (2) recording assessment findings obtained by another nurse or unlicensed assistive personnel (UAP), and (3) recording care not yet provided. Nurses sometimes document that a patient has received medication before its administration; this is a serious violation of the law and becomes a medication error of omission if the nurse is distracted before administering the patient's medication.

The nurse is to teach an 84-year-old Spanish-speaking patient newly diagnosed with diabetes how to self-administer insulin. The patient has hearing and visual impairments. To be effective as a teacher, the nurse should carry out which tasks? (Select all that apply.) a. Assess reading level and learning style. b. Determine readiness to learn. c. Use family members as interpreters. d. Provide written instruction in English. e. Place the patient in group classes.

ANS: A, B Before health care teaching sessions for adults, assess reading level, learning styles, and readiness to learn. Family members should not be used as interpreters of specific medical information to maintain the patient's right to privacy and to avoid possible misinterpretation of medical terminology. Access to interpretation or translation for deaf and limited English proficiency (LEP) patients is required by Title VI of the Civil Rights Act of 1964, which mandates equal rights for people regardless of race, color, or national origin. Use photos, drawings, or video to enhance understanding. A patient whose cultural beliefs and values are considered is more likely to demonstrate compliance. Patients with learning disabilities or cognitive alterations need individualized instruction geared to their special needs.

In addressing patient education, the nurse recognizes that patient education is a process involving what components? (Select all that apply.) a. Assessment b. Diagnosis c. Planning d. Implementation and evaluation e. Reliance on evidence-based practice (EBP)

ANS: A, B, C, D Assessment of health literacy occurs with each patient encounter. On completion of assessment, a nursing diagnosis relevant to the educational needs of the patient or caregiver can be determined. After working with the patient or caregiver to determine the appropriate nursing diagnosis, the next step is developing the patient education plan. In all patient education situations, a return demonstration by the patient (i.e., repeating what has been taught) helps the nurse to assess the level of learning that has taken place. Although evidence-based practice is important, it is sometimes insufficient when making patient care decisions.

When teaching children, the nurse should include which concepts? (Select all that apply.) a. Exclude the children from teaching. b. Encourage parents or caregivers to be present. c. Use age-specific strategies. d. Consider the stages of development. e. Remember that parents are not the targets of the teaching.

ANS: B, C, D Patient education provided for children should be age specific. Effective patient education involving a child requires the presence of a parent or caregiver, who is likely the target of teaching. Children should not be excluded from the learning session unless exclusion is deemed appropriate by the parent or caregiver; a presentation using an age-appropriate strategy may complement the instructions reviewed with the adult. The stages of development should be explored as the foundation for the choice of educational materials.

The nurse must provide patient education to a patient who has just been given the diagnosis of stage III cancer. The patient is complaining of chest and bone discomfort. Before providing the needed education, the nurse will complete which tasks? (Select all that apply.) a. Draw the curtain in the semi-private room. b. Medicate the patient to ease the pain. c. Place the patient in a private room if possible. d. Wait until later in the day. e. Attend to any other personal needs first.

ANS: B, C, D, E The location of patient education influences the outcome. The setting should be quiet, and the session should have minimal interruptions. Providing privacy is difficult in settings such as emergency rooms, outpatient surgery centers, and semi-private inpatient rooms, but the nurse should make every effort to ensure confidentiality. Environmental considerations such as good lighting and the availability of resources should be explored to enhance the outcome of patient education. The nurse should examine the patient's situation and comfort level before beginning teaching. For example, a postoperative patient who is rating pain at 7 of 10 will be much more receptive to learning after being medicated for pain. A patient who just received a diagnosis of metastatic cancer will learn and assimilate more information later in the day or perhaps the next day. The nurse must also take care of any other personal needs first, such as the need to use the bathroom.

The American Nurses Association (ANA) standards of professional performance require nurses to use research findings in practice. How do these standards impact nurses in the workplace? a. Nurses need to regulate their practice according to the latest journal articles. b. Nurses need to use the best available evidence to guide practice decisions. c. Nurses only need to participate in research while in advanced practice. d. Nurses may use evidence-based practice to develop procedures but not policies.

B

The hospital has recently implemented computer charting. The nurse knows the computerization of nursing practice has what impact? a. It enhances and increases the time spent on documentation. b. It makes patient data immediately available to the health care team. c. It makes retrieval of data more difficult but safer. d. It is enhanced by limiting the use of point-of-care technology.

B

The nurse identifies that The Code of Ethics for Nurses is defined in which terms? a. Like the Constitution and not revisable b. A succinct statement of ethical obligations c. Required by entry level nurses only d. A negotiable document dependent on individual conscience

B

The nurse identifies which patient would most likely need to have adjustments made to the education plan for discharge because of role function? a. A 67-year-old married female who lives with her retired husband b. A 32-year-old single mother of a toddler following hysterectomy c. A 13-year-old who lives at home with his parents after appendectomy d. A 50-year-old married mother with two children in college and teenager at home

B

The nurse is assessing a patient's environment and its impact on outdoor activity and notes that the child rarely plays outside. Which is true regarding the indoor environment? a. Indoor environments protect the patient from toxics chemicals. b. Indoor activity is sometimes a result of unsafe outdoor conditions. c. Indoor activity decreases the risk of respiratory illness. d. Indoor lifestyles reduce the risk for sedentary behaviors.

B

The nurse is implementing a patient teaching plan regarding diabetes mellitus. One of the short-term goals of the plan is that the patient will be able to verbalize three symptoms of hypoglycemia. The nurse recognizes that this is what type of teaching? a. Psychomotor teaching b. Cognitive teaching c. Affective teaching d. VARK teaching

B

The nurse is preparing a teaching plan and is applying evidence-based practice. To promote involvement, the nurse must include which concept? a. Provide the latest professional literature to the patient. b. Ensure that the patient understands relevant information. c. Use only one teaching method to reduce confusion. d. Not review previously learned information.

B

The nurse understands that as the health care community explores the concept of health N R I G B.C M USNT O literacy, many organizations recognize what concept? a. Consumers need to understand has no governmental support. b. Improvements are dependent on developing operational definitions. c. Low literacy and low health literacy are interchangeable terms. d. Interest in effective patient education is unique to the United States.

B

The student nurse learning about ethics expresses good knowledge when making which appropriate statement? a. "Ethics are internal values developed outside the influence of societal norms." b. "Ethics are influenced by many variables including family and friends." c. "Ethics are societal in nature and do not involve personal influences." d. "Ethics are totally independent from a person's character."

B

Which statement by the nurse indicates comprehension of ethical issues? a. Ethical issues are rare occurrences but take a great deal of time to resolve. b. Ethical issues have required The Joint Commission to mandate ethics committees. c. Ethical issues most frequently lead to legal intervention in patient care matters. d. Ethical issues lead to ethics committees made up entirely by nurses.

B

The nurse recognizes barriers to the use of evidence-based practice (EBP) include what points? (Select all that apply.) a. Nurses critiquing research b. Difficulty communicating how to conduct EBP c. Copious amount of literature available d. Short time between research and practice e. Reluctance of organizations to fund research

B,C,E

. The nurse manager knows a Magnet hospital is characterized by which? (Select all that apply.) a. Excellent medical outcomes b. A high level of nursing job satisfaction c. A low number of grievances d. Nursing care leading excellent patient outcomes e. Evidence-based environment support

B,D,E

. The nurse manager of the emergency room believes that efficiency is the expected standard for the department and believes that efficiency lies in following established rules, policies, and guidelines. The only way to change procedures is to changes rules, policies, and guidelines. To run the emergency room with this philosophy, the nurse manager must take on which role? a. Laissez-faire leader b. Democratic leader c. Bureaucratic leader d. Autocratic leader

C

A 40-year-old patient presents to her provider for a yearly physical. The provider notes a family history of breast cancer in the patient's mother. The provider schedules the patient for a mammogram. The nurse recognizes this as what level of prevention? a. Tertiary b. Primary c.secondary

C

A patient presents to the clinic for illness, and the sick role is legitimized by the provider. The nurse recognizes this as what stage of illness according to Suchman's Model? a. I b. II c. III d. IV

C

During patient teaching led by the nurse with goals established through cooperation of the nurse and patient, the patient asks questions as needed and the nurse answers. The nurse understands that this is what type of teaching? a. Formal teaching b. Informal teaching c. Both formal and informal teaching d. Psychomotor teaching

C

The nurse correctly devises a dissemination plan at what point during the research process? a. Conclusion of the study NURSINGTB.COM b. After the literature review c. The beginning of the research process d. While conducting research

C

The nurse is admitting a patient who has cystic fibrosis. During the admission interview, it is apparent that the patient is well versed in most aspects of his illness. When asked about where he learned so much, the patient responds, "I learned most of it myself. I looked things up on the Internet and read books. You have to know what's wrong with you to be sure that you're being treated right." The nurse knows this is an example of what type of education/learning? a. Formal education b. Psychomotor learning c. Informal education d. Affective learning

C

The nurse is caring for a patient recently diagnosed with cancer that is being asked to participate in a new chemotherapy trial. How would the nurse respond if working under the ethical principle of utilitarianism? a. "The patient should be allowed to decide." b. "As your nurse, I'll support your right to refuse." c. "You should do this because many could benefit from it." d. "If this is against your beliefs, you should not do it."

C

The nurse is caring for a patient who has been belligerent and is in 4-point "leather" restraints. When the patient continues to be verbally abusive and still tries to kick and punch staff even though he is restrained, the nurse should carry out which action? a. Do not attempt to meet patient needs until the patient has calmed down. b. Only provide care while security is in the room. c. Continue to attempt to meet the patient's needs. d. Inform the patient the police will be called if the patient's behavior does not stop.

C

The nurse is developing a plan of care for a patient with a hip fracture. Which model would the nurse use to prioritize the patient's care? a. The Health Belief Model b. Pender's Health Promotion Model c. Maslow's hierarchy of needs d. The Holistic Health Model

C

The nurse is preparing to teach a 90-year-old patient. In teaching an elderly patient, the nurse realizes what information? a. Most elderly patients are highly literate. b. Cognitive abilities always decline with age. c. Sensory alterations often occur with aging. d. Teaching methods are the same as for the middle aged.

C

The nurse manager would counsel the staff nurse for delegating which task to the UAP? a. Personal hygiene b. Assistance with eating breakfast c. Assistance with toileting d. Interpretation of abnormal vital signs

C

The nurse needs to consider which approach when caring for patients with chronic illness? a. Help the patient face the reality that he will not get better. b. Emphasize to the patient that the illness is not his fault. N R I G B.C M c. Focus on improving qualityUofSlifeNthroTugh preOventive behaviors. d. Acknowledge the limitations placed on the patient by his suffering.

C

The nurse identifies what decisional roles that are included in Mintzburg's description of management in terms of behavior? (Select all that apply.) a. Figurehead b. Spokesperson c. Entrepreneur d. Resource allocator e. Negotiator

C,D,E

.The nurse is reviewing a research study that includes data in the form of numbers and recognizes that this is likely to be what type of study? a. Qualitative b. Experimental c. Quasi-experimental d. Quantitative

D

After studying legal issues important to nursing, the student shows appropriate understanding with which statement? a. Laws change often, creating liability issues for nurses. b. Licensure laws are devised to protect the nurse. c. The nurse is not responsible for other disciplines' mistakes. d. Keeping current with changing laws can protect the nurse.

D

Nurses working surrounded by computers and mobile IT must develop skills in the use of all available technology. At the same time, it is important for nurses to recognize what fact? a. The technology in use today will be the same tomorrow. b. Cell phones are not usually allowed in the acute care setting. c. Most forms of mobile technology are in violation of HIPAA guidelines. d. The technology supports bedside and remote charting.

D

Self-concept refers to the way in which individuals perceive unchanging aspects of themselves, such as social character, cognitive abilities, physical appearance, and body image. Which additional point does the nurse the nurse recognize as part of the definition of self-concept? a. If negative, self-concept will allow the patient to compensate for weaknesses. b. If positive, self-concept will cause the patient to see challenges as devastating. c. Self-concept is a concept that is derived from the patient internally. d. Self-concept depends on relationships with family and friends.

D

The nurse frequently cares for patients who are nearing the end of life. The nurse identifies what strategy that is designed to prolong the time of death rather than restoring life? a. Establishing a do-not-resuscitate (DNR) order b. Adherence to living will requests c. Removal of extraordinary measures already in place d. Continuance of futile care

D

The nurse has made patient care assignments and expects all team members to set their own goals for the day and manage their time to meet their goals. The nurse is implementing what style of leadership? a. Autocratic b. Democratic c. Bureaucratic d. Laissez-faire

D

The nurse is preparing a patient teaching plan and is seeking a way to determine the patient's readiness and motivation to act regarding lifestyle changes to best manage diabetes mellitus. Which model would be useful for this nurse? a. Maslow's hierarchy of needs b. Holistic Health Model c. Health Promotion Model d. Health Belief Model

D

The nurse is preparing to conNducRt a rIeseGarchBs.tuCdy aMnd is interested in exploring the lived USNT O experiences of nurses responsible for approaching patients and family members about the donation of organs. Which type of research would this be considered? a. Grounded theory b. Ethnography c. Historical d. Phenomenologic

D

The nurse is working with a diabetic patient and is attempting to teach psychomotor skills. This is occurring when the nurse has the patient complete what action? a. Verbally describe his feelings about diabetes. b. Answer three of five true-or-false questions about diabetes. c. Identify three positive lifestyle changes to manage blood sugar. d. Draw up and self-inject insulin correctly.

D

The nurse researcher audiotaped interviews with subjects and would like to play these tapes during dissemination. The nurse identifies what steps that may be required to play the tapes? a. Inform the participants that they cannot hear the tapes beforehand. b. None, if the tape is of a group, since there is no expectation of anonymity. c. None, since the tape is a direct "quote" and voice recognition is not controllable. d. A release will need to be obtained from the subjects.

D

The nurse understands an institutional review board (IRB) is a review committee established to carry out what task? a. Approve research involving animal subjects. b. Approve research that is not government funded. c. Function differently than scholarly journals do. d. Protect the rights of human research subjects.

D

The patient asks the nurse to explain collaborative health care partnerships. The nurse gives a correct description when making which statement regarding collaborative care? a. Does not require participation of the patient. b. Is individual and cannot be mandated or legislated. c. Education needs are delegated to assistive personnel. d. Is designed to provide care to the patient as a whole.

D

The patient is reportedly well educated and employed as an engineer but is struggling to comprehend terms found in health-related literature given to explain his disease process. The nurse recognizes that this is evidence of what issue? a. Low literacy b. Psychomotor dysfunction c. Affective domain deficiency d. Low health literacy

D

The nurse knows the integration of nursing, computers, and information science for the management and communication of data, information, knowledge, and wisdom is identified by which term? a. Nursing informatics b. Computer science c. Medical informatics d. Informatics

A

The Technology Informatics Guiding Education Reform (TIGER) initiative identified a set of skills needed by all nurses practicing in the 21st century. The nurse identifies the TIGER Vision Pillars include which concepts? (Select all that apply.) a. Management and leadership b. Certification by HIMSS c. Communication and Collaboration d. Informatics design e. IT policy and culture

A,C,D,E

The nurse is providing care to a patient newly diagnosed with multiple sclerosis. When the patient expresses the desire to communicate with other people living with the disorder, the nurse refers the patient to which source? a. An e-

C

When explaining delegation to student nurses, what statement by the nurse educator aligns to the ANA regarding delegatioNn? R I G B.C M USNT O a. A transfer of authority to a less-qualified individual b. The nurse transferring accountability to the delegate c. The transfer of tasks by the nurse while retaining accountability d. Transferring responsibility for assessments and planning

C

The nurse knows while leadership behaviors and management skills often complement each other they differ in which way? a. Managers focus on relationships. b. A manager may not possess leadership traits. c. Leadership focuses on coordinating and directing others. d. A manager is a visionary who sets the direction for a group.

b.

. The nurse recognizes that starting an intravenous (IV) infusion line on a patient against his will may be classified as which wrongdoing? a. Assault b. Battery c. Felony d. Misdemeanor

B

Upon entering a patient's room, the nurse notes that the patient is unresponsive. The nurse takes control and begins to direct other members of the health care team during this crisis. The nurse is demonstrating characteristics of which type of nursing leadership? a. Autocratic b. Democratic c. Laissez-faire d. Bureaucratic

a

The nurse is acting as a leader in the role of charge nurse and notes that the unlicensed assistive personnel (UAP) on the floor are stressed related to their increased workload. The nurse changes the original planned approach based on the presenting situation. Which theory of leadership is the nurse implementing with this action? a. Situational b. Transactional c. Transformational

a.