transitions final
The student nurse is preparing a resume. Which elements would he/she include? Experience and education Hobbies and interests Marital status Nursing class grade point average
Experience and education
What is the role of the NCSBN? To outline the laws related to nursing practice. To make getting a license difficult. To prepare the NCLEX exam. Discipline nurses who breach the Nurses Code of Conduct.
To prepare the NCLEX exam.
What is expected of the new graduate across healthcare agencies? Select all that apply To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. Use communication skills effectively with clients and coworkers. Possess theoretic background for safe client care and for decision making. Recognize own abilities and limitations Use the nursing process in a systematic way. Possess all knowledge regarding pathophysiology of all disease processes.
To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. Use communication skills effectively with clients and coworkers. Possess theoretic background for safe client care and for decision making. Recognize own abilities and limitations Use the nursing process in a systematic way.
The nurse is describing the "failure to rescue" to a new graduate nurse. Which statement by the new graduate would indicate an understanding of the definition?
the inability to prevent death after the development of a complication
A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess? Expert Informational Legitimate Reward
Expert
Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.) Lifelong learners Courageous change agents Hesitant to follow Slow to change Value-driven visionaries
Lifelong learners Courageous change agents Value-driven visionaries
Which of the following actions by the nurse manager would indicate an autocratic management style? Allows staff members to make most of the decisions Makes most of the decisions without input from the staff members Emphasizes effective group functioning Exerts little control over staff
Makes most of the decisions without input from the staff members
What is the legal source of rules of conduct for nurses? constitution of the United States Nurse Practice Acts American Nurses Association agency policies and protocols
Nurse Practice Acts
What would be the most effective way for a nurse to validate "informed consent?"
Ask the patient what he understands regarding the procedure.
A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements? "A graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing." "A graduate nurse should be able to function independently with ability to make clinical nursing judgments and set priorities and handle all emergencies during all shifts." "A graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level." "A graduate nurse should be able to perform as independently as was demonstrated the beginning of the last semester of nursing."
"A graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level."
A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching? "Disaster drills should be held on a regular basis." "An actual disaster cannot take the place of a disaster drill." "A physician must triage victims of a disaster in the emergency department." "A staff nurse can function as the incident commander."
"Disaster drills should be held on a regular basis."
A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal during the capstone experience? "I will observe staff nurses as they perform nursing procedures to refine technique." "I will evaluate my progress every 6 months to allow time for growth." "I should care for increased numbers of patients to enhance work organization skills." "I should seek increasingly close guidance from the nursing instructor to reduce errors."
"I should care for increased numbers of patients to enhance work organization skills."
During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?" What is the best reply? "I'm looking forward to strengthening my ability to plan care for a group of patients." "I've never thought about having any weaknesses." "My biggest problem is getting to work on time." "My instructors told me I was disorganized."
"I'm looking forward to strengthening my ability to plan care for a group of patients."
Which statement by the graduate nurse indicates understanding of the importance of a cover letter? "It is optional." "It is necessary only if your resume needs further explanation." "It should recapitulate all of the important points of your resume." "It should introduce you to the reader."
"It should introduce you to the reader."
An experienced nurse overhears a new graduate giving instructions to an unlicensed nursing assistant. What statement by the new graduate would cause the experienced nurse to be concerned? "Please document the amount of urine emptied from the Foley" "Let me know if any of my patients has a fever" "Do not take the patient's blood pressure on the same arm as her IV line" "Thank you for helping me turn my unconscious patient"
"Let me know if any of my patients has a fever"
The interviewer says, "We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?" The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer? "I'm interested. My parents always told me I was bright. I work as hard as the next person. I've learned not to get too involved with patients." "I worked full time while going to school, so my grades suffered. I've had my share of life's disappointments, so I can sympathize with cancer patients. I will work hard, but I have to make time for my family, too." "My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do an independent study on emotional reactions to the diagnosis of cancer during my capstone." "I'm definitely interested in oncology, and I think I'm a hard worker. My instructor said I was developing empathy. My grade point average of C doesn't reflect my real ability."
"My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do an independent study on emotional reactions to the diagnosis of cancer during my capstone."
The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership? "It is frustrating to the leader because they cannot control all the decisions of the group" "Requires more time and effort to make decisions and accomplish goals" "Discourages participation from quieter members of the group" "Increases the possibility of "scapegoating" or argumentative behavior"
"Requires more time and effort to make decisions and accomplish goals"
Which of the following represents appropriate feedback for an assignment to an LPN? "Did you understand the assignment that you received in the staff report?" "Have you completed the urinary catheterization and care of the new patient?" "I know you are busy; however, you need to get caught up with your pain medications." "The patient in Room 430 looks much better, and you did a good job of making her comfortable."
"The patient in Room 430 looks much better, and you did a good job of making her comfortable."
Which statement by the nursing student indicates an understanding of the purpose in setting a career goal? "To keep you focused on your current job" "To help you define the direction of your career" "To guarantee you will achieve your goal" "To impress those part of the interview process"
"To help you define the direction of your career"
As the interview is drawing to a close, the interviewer asks the applicant, "What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression? "After completing orientation, how much and when will the first pay raise be given?" "Will you provide full tuition reimbursement for all courses to obtain my terminal degree?" "What is the orientation process and what is the length of orientation?" "What will happen if I am unable to meet the outcomes for the competency-based orientation?"
"What is the orientation process and what is the length of orientation?"
The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of the primary cause of untoward events in the hospital setting
"unclear, ineffective communication."
After a nursing student has graduated from their program, what is the timeframe the applicant has to take and pass the NCLEX-RN? (According to the Utah Nurse Practice Act Rule) 90 days Indefinite 1 year 5 years
5 years
Which action would help the graduate nurse when seeking out employment? (Select all that apply.) Determine the length of orientation. Find out what type of nursing care is delivered. Ask to speak to nurses who work on the unit. Plan out interviews. Wait until the interview day to gather all of the information.
-Determine the length of orientation. -Ask to speak to nurses who work on the unit. -Find out what type of nursing care is delivered. -Plan out interviews.
The nurse is considering strategies to increase nurses' time at the bedside. Which strategies should be included? Select all that apply
-Hourly rounding by staff members -Effectiveness in medication administration -Standardized documentation tools -Bedside change of shift report
The nurse is reviewing categories for improving client safety. Which categories should the nurse review? Select all that apply
-Medication management -Prevention of hospital-related infections -Facilitating information transfer and clear communication
The new graduate nurse is working to create culture of safety on the unit. What actions will exemplify a culture of safety? Select all that apply Using the I-SBARR when collaborating with a provider. Using Universal Protocol 3 steps prior to surgery and procedures. Over riding the smart IV pump to save time. Adopt a work around when the system is not functioning to save time. Refusing to be interrupted during medication administration. look at systems and processes to identify areas that need to be changes
-Using the I-SBARR when collaborating with a provider. -Using Universal Protocol 3 steps prior to surgery and procedures -Refusing to be interrupted during medication administration. -Look at systems and processes to identify areas that need to be changes
What are the factors that contribute to medication errors? Select all that apply inadequate staffing high nurse-client ratios the use of Computerized Physician/ Provider Entry CPOE overly tired nurses computerized drug monitoring and electronic dispensing systems
-inadequate staffing -high nurse-client ratios -overly tired nurses
The nurse is implementing fall prevention protocol. What would be included in the protocol? thorough and sound assessment of clients abilities and limitations assessment of medication side effects bed and chair alarms placing the client bed is a high position toileting every 2 hours and visual hourly checks
-thorough and sound assessment of clients abilities and limitations -assessment of medication side effects -bed and chair alarms -toileting every 2 hours and visual hourly checks
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?
0.2 mg
What is a correct statement regarding a nurse who acts beyond the scope of practice? 1. May be disciplined by the board of nursing 2. Demonstrates what a good nurse she or he can be 3. May make other nurses angry because of the increased expectations created 4. Provides enriched services to patients who would not otherwise receive them
1. May be disciplined by the board of nursing
According to the Utah Nurse Practice Act Rule, how many hours must a licensed nurse practice without an additional requirement of contact hours to renew their license? 200 400 1,000 40/week
400
A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first? A client who has a closed upper extremity fracture A client who has full-thickness burns over 80% of his body A client who has agonal respirations A client experiencing a tension pneumothorax
A client experiencing a tension pneumothorax
The senior nursing student is identifying potential employers. Where would the student begin their search? A job fair The internet Nursing Journals Where he/she has completed clinical rotations
A job fair The internet Nursing Journals Where he/she has completed clinical rotations
Which of the following describes reward power used by the nurse manager? (Select all that apply.) A nurse manager who is perceived as an expert due to specialized knowledge A nurse manager who has information that others need to perform their jobs A nurse manager who uses fear of consequences to motivate staff A nurse manager who uses salary increases to motivate staff A nurse manager who is well liked by the majority of staff
A nurse manager who uses fear of consequences to motivate staff A nurse manager who uses salary increases to motivate staff
Which of the following actions is consistent with a nurse leader? A nurse who writes yearly staff evaluations A nurse who performs chart audits on her staff A nurse who gives pain medication to an assigned patient A nurse who encourages staff to give excellent patient care
A nurse who encourages staff to give excellent patient care
Which of the following would be a provider (nurse) barrier to developing cultural competence? A health care provider that discourages alternative therapies in health care A nurse who avoids encounters with individuals from other cultures A nurse who is unaware of his or her own biases to other ethnic groups No family rooms to accommodate a critically ill patient's family
A nurse who is unaware of his or her own biases to other ethnic groups
Following an earthquake, patients are triaged by emergency medical personnel and are transported to the hospital. Which of these patients will the nurse need to assess first? A patient with a blue tag A patient with a red tag A patient with a yellow tag A patient with a green tag
A patient with a red tag
What is the best definition of malpractice?
A professional act or failure to act that leads to injury of a patient
The nursing student is preparing an application for employment. Who would be the best reference for the student to include? Select all that apply A recent clinical instructor Their preceptor A student mentor The schools student support team member A previous employer
A recent clinical instructor Their preceptor A previous employer
If the position paper from the ANA in 1965 had been adopted, which of the following would be true? All RNs would have a BSN All RNs would have an ASN There would be no nursing assistants. Nurse training would only be completed in the hospital,
All RNs would have a BSN
A nurse caring for culturally diverse patients in a health care provider's office is aware that patients of certain cultures are more prone to specific disease states than the general population. Which patients would the nurse screen for diabetes mellitus based on the patient's race? Select all that apply. An Alaska Native A Hispanic patient A Native American patient A White patient An African-American patient
An Alaska Native A hispanic patient A Native American Patient A white patient
A nurse is caring for a client of Chinese heritage. Which of the following actions should the nurse take to demonstrate cultural competence? Ask the client's permission to add ice to drinking water. Place a hand on the client's head Make sure the dietary department does not serve the client pork. Maintain direct eye contact with the client.
Ask the client's permission to add ice to drinking water.
A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of?
Assault
What is the best legal safeguard for a nurse?
Competent practice
A nurse notices an assistive personnel (AP) preparing to deliver a food tray to a client who practices the Orthodox Jewish faith. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take? Replace the nonfat milk with apple juice. Call the dietary department and ask for a kosher tray. Explain to the client that he needs the protein in the milk and the beef. Allow the AP to deliver the food tray to the client.
Call the dietary department and ask for a kosher tray.
A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take? Use a dosimeter to measure the level of radiation in the area before intervening. Wait until the type of equipment needed is known. Decontaminate victims before intervening. Choose the highest level of protection equipment available.
Choose the highest level of protection equipment available.
The nurse manager needs to let a nurse know that he will be put on probation if he continues to be tardy to work. Which type of power is the nurse manager using? Reward power Referent power Legitimate power Coercive power
Coercive power
Which task could a staff nurse delegate to a certified nursing assistant (CNA)? Collecting a routine urine sample Reporting on the color of nasogastric (NG) drainage Checking a patient's response to pain medication Making rounds with a physician
Collecting a routine urine sample
The student nurse is reviewing sentinel events in healthcare. According to the Joint Commission which of the following is considered the main reason for Sentinel Events?
Communication errors
How does legislation define a profession? Completion of courses in specialized intellectual instruction. A person who strives for excellence. A person who has passed NCLEX. Someone who has a job.
Completion of courses in specialized intellectual instruction.
According to the American Hospital Association, what is a basic right of patients?
Considerate and respectful care from all care providers
The new graduate nurse would like to pursue a career in the Intensive Care Unit (ICU). What goal might be appropriate for this career? Credentialing as a Certified Critical Care Nurse (CCRN) Obtain employment at only Magnet status facilities. Become a Family Nurse Practitioner (FNP) Complain to the Clinical Placement Team regarding their capstone assignment in a M/S unit
Credentialing as a Certified Critical Care Nurse (CCRN)
George the construction worker tells the Ameritech students preparing for a quiz on ethics: "I find it easy to make the right decision. All life is sacred, and all decisions must be made with the intent to continue life." What do we call the framework from which George approaches ethical reasoning? Deontological Confusional Situational Teleological
Deontological
How is assertive behavior described?
Direct
The nurse has several tasks to complete. Which task would the nurse NOT delegate to a certified nursing assistant? Sitting at the bedside of a confused patient to keep them from wandering Discussing the importance of deep breathing to a pre-operative patient Accompanying a patient being discharged by wheelchair to the front door Bathing an unconscious patient
Discussing the importance of deep breathing to a pre-operative patient
A nurse is caring for a client following exposure to inhalational anthrax due to bioterrorism. Which of the following medications should the nurse expect as a common medication to treat anthrax? (Select all that apply.) Doxycycline Amoxicillin Cefotaxime Ciprofloxacin Penicillin G
Doxycycline Amoxicillin Ciprofloxacin
In a malpractice suit, how may a breach of duty be established?
Expert testimony
George was taken to the emergency room after falling off a crane in the Ameritech construction site. George's buddies came to the emergency room to visit. A doctor told George's buddies that George is HIV-positive. What ethical principle did the doctor violate? Veracity Justice Fidelity Beneficence
Fidelity
Where does the definition of nursing "one that would put the client in the best condition for nature to act upon him" come from? NCSBN American Nursing Association Google Florence Nightingale
Florence Nightingale
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? Flu-like symptoms Vesicles on the skin Respiratory failure
Flu-like symptoms
The nurse understands that delegation and supervision are two concepts that go hand-in-hand. Which is the best example of the concept of supervision? Assigning a urinary catheterization and collection of sterile culture to an LPN Following up with a CNA on the assigned task of ambulation and feeding of two patients Scheduling the LPN to administer medications on the unit for the afternoon Assigning nursing care for a group of five patients to an RN
Following up with a CNA on the assigned task of ambulation and feeding of two patients
A nurse manager needs to purchase new thermometers for the nursing unit. What technique would demonstrate a laissez-faire style of leadership? Having the nurses on the day shift order any thermometer that they want Asking the nurses during staff meeting what they prefer in a thermometer Having the nurses on the unit try several types and vote on their favorite Purchasing the brand that the nurse manager thinks is the best thermometer
Having the nurses on the day shift order any thermometer that they want
A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion? Identify potential community disasters. Assess survivors of a disaster for levels of psychological stress. Link victims with support agencies to help with food, clothing, shelter, and counseling needs. Evaluate the impact of a disaster on the community.
Identify potential community disasters.
George the construction worker decided to leave the emergency room against medical advice. His nurse is an incredibly ethical AmeriTech graduate. What did the nurse do in this situation? Hid George's clothes so he couldn't get dressed and walk away Tied George to the bed so he wouldn't leave Informed George that he could return to the hospital if he changes his mind Called George's girlfriend to come and talk some sense into him
Informed George that he could return to the hospital if he changes his mind
A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first? Initiate contact precautions. Notify the Centers for Disease Control and Prevention (CDC). Decontaminate the client. Prepare for drainage of lesions.
Initiate contact precautions.
In a legal suit, what element is necessary to prove a tort has been committed? Assault Malpractice Intent Injury
Injury
In a legal suit, what is a necessary element to prove a tort has been committed?
Injury
The health care team responsible for deciding whether to move a critically ill patient out of the ICU so that a new patient may be admitted to the unit is faced with what principle of an ethical dilemma?
Justice
The soon to graduate nurse would like information about what to expect on the NCLEX-RN exam and how to apply to take the exam. Where would the student find information? A nursing unit manager NCSBN website RWJ IOM report State Board of Nursing
NCSBN website
Which organization developed the most definitive statement on the competencies needed by the newly licensed RN? National Council of State Boards of Nursing (NCSBN) Magnet Council for Nurses (MCN) American Association of Colleges of Nursing (ACEN) Intermountain Health care (IHC)
National Council of State Boards of Nursing (NCSBN)
what is a continuing education unit (CEU)? General education credits needed to achieve a BSN. Additional college credits to advance your career. Non academic credit offerings Education required to keep your nursing license.
Non academic credit offerings
George the construction worker fell off a crane while working on the Ameritech roof. The students rushed to his aid, and decided not to move him in case he had sustained a neck injury. What ethical principle were the students following? Non-maleficence Fidelity Autonomy Justice
Non-maleficence
The nursing student is studying about root cause analysis (RCA) Which of the following is a critical element in error reporting? Communication is linked to increased errors. Non-punitive action when errors are reported. Errors are documented as person focused. Individuals are encouraged to report near misses.
Non-punitive action when errors are reported.
A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster? Nurses and other emergency medical personnel Representatives from the American Red Cross Members of the Federal Emergency Management Agency (FEMA) Responding law enforcement officers
Nurses and other emergency medical personnel
What aspects define nursing as a profession? select all that apply Nurses have developed a Code of Ethics. Nurse's possess a specialized body of knowledge. Nurses serve the public. Nurses work around the clock. Nurses are trusted by the public.
Nurses have developed a Code of Ethics. Nurse's possess a specialized body of knowledge. Nurses serve the public.
What are the key messages that structure the discussion and recommendations presented in the Robert Wood Johnson Institute of Medicine Report? Select all that apply Nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression. Nurses should practice to the full extent of their education and training Effective workforce planning and policy making require better data collection and an improved information infrastructure Nurses should work to become transformational leaders through continuing educations courses. Nurses should be full partners, with physicians and other health professionals, in redesigning health care i the U.S.
Nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression. Nurses should practice to the full extent of their education and training Effective workforce planning and policy making require better data collection and an improved information infrastructure Nurses should be full partners, with physicians and other health professionals, in redesigning health care i the U.S.
What distinguishes nursing from medicine? Nursing is a profession with more women than men. Nurses are concerned wtih treating the disease Nurses care more than Doctors Nurses use a holistic perspective of patient care.
Nurses use a holistic perspective of patient care.
A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911? U.S. Department of Homeland Security (DHS) American Red Cross (ARC) Office of Emergency Management (OEM) Federal Emergency Management Agency (FEMA)
Office of Emergency Management (OEM)
George and his fellow construction workers were listening to the Trends class study for a quiz on ethics. What is NOT an ethical dilemma that the students are discussing? Passive euthanasia Parking Abortion Quality of life
Parking
A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply.) Personal identification Prescription medications Three quarts of water per person Clean clothing Antibiotics 3 boxes of vodka
Personal Identification Prescription Medications Three Quarts of Water per person Clean Clothing
A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following tags would the nurse place on the client? Perform a rapid head-to-toe assessment. Place a red tag on the client's upper body. Have the client's wife drive him to the hospital. Place a yellow tag on the client's upper body.
Place a yellow tag on the client's upper body.
What is a characteristic of a culturally competent nurse? Is resistant to learning about other ethnic groups Tries to treat all patients the same Displays favoritism Prioritizes care based on cultural needs
Prioritizes care based on cultural needs
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? Providing treatment for clients who have chronic obstructive pulmonary disease Administering influenza immunizations at a local health fair Testing new nurses for exposure to tuberculosis. Performing screening for sexually transmitted infections
Providing treatment for clients who have chronic obstructive pulmonary disease
After receiving report on 4 patients, the RN may delegate which client's needs to an assitive personel? Feeding a client who was admitted 24 hours ago with aspitation pheumonia Applying a sterile dressing to a pressure ulcer Reapplying a condom catheter for a client who has urinary incontinence Reinforcing teaching with a client who is learning to walk using a quad cane
Reapplying a condom catheter for a client who has urinary incontinence
Which of the following actions best reflects maintaining accountability for the nursing process? Reassessing a client's BP when the reported value is higher than usual Asking the CNA to take vital signs on a patient who just received pain medication Assisting a team member in providing a client with a complete bed bath Asking a client's daughter to bring her father's non-skid slippers to the hospital
Reassessing a client's BP when the reported value is higher than usual
The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error?
Repeat the order, write the order verbatim, and read it back to the provider.
Which of the following actions by the graduate nurse would be advised during an interview campaign? For more exposure post your resume on the public internet. Research the prospective employer and evaluate their mission statement. Plan 3-4 interviews in a day to save time. Make note cards with details to take with you to use during the interview.
Research the prospective employer and evaluate their mission statement.
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Review the events leading up to each medication administration error
Which does not reflect one of the "five rights" of delegation? Right Person Right Communication Right Route Right Task
Right Route
Dr. Jones asks you to give a medication to one of his patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says : Give the medication or i'll report this to your supervisor." what is the best assertive response?
Say "Perhaps you and I could talk this over with my supervisor together."
What is the purpose of the Robert Wood Johnson Institute of Medicine Report?
To make recommendations for the nursing profession to transform healthcare.
A charge nurse explains to a student: "I tend to act differently depending on which nurses are working that particular shift. Some nurses need more direction from me than others." What type of leadership style best describes this charge nurse's approach? Situational Transactional Transformational Interactional
Situational
A nurse is caring for a client involved in a suspected bioterrorism event involving exposure to cutaneous anthrax. Which of the following manifestations should the nurse anticipate? Bloody diarrhea Skin lesions with pruritus Respiratory distress Flu-like symptoms
Skin lesions with pruritus
A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure? Botulism Smallpox Plague Anthrax
Smallpox
Where should a nurse go if they are facing a dilemma in patient care with no absolute right or wrong answer?
The hospital Ethics Committee
Why should nurses be concerned with the image of nursing? The images can influence the attitudes of the public. Nurses could be viewed as sex symbols. Because nursing is not just a profession for women. Because nursing will act more professional.
The images can influence the attitudes of the public.
The nurse is reviewing I-SBAR-R with a coworker at the end of the shift. Which statement indicates that they are discussing the Situation component?
The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.
A nurse is being sued for battery. What does this mean?
The nurse, without consent, touched the patient in an offensive, insulting, or injurious way.
The ethical principle of autonomy is not applicable in which patient situation?
The patient is unaware of who he is and where he is.
Which situation could lead to performance inadequacy? The person to whom the task was assigned had appropriate educational qualifications to complete the task. The task was assigned to a person capable of carrying out the assignment. The person to whom the task was assigned did not understand what the task involved. The person who delegated the task confirmed the recipient's ability to perform the task.
The person to whom the task was assigned did not understand what the task involved.
A nurse who commits an infraction of the Nurse Practice Act may be subject to discipline by what group? The National League for Nursing The state board of nursing The local chapter of the state nurses association A court of law
The state board of nursing
What is the purpose of the nurse's Code of Ethics?
To guide the behavior of the professional nurse
A nurse is teaching a novice nurse how to provide care for patients in a culturally diverse community health clinic. Although all these actions are recommended, which one is MOST basic to providing culturally competent care? Learning the predominant language of the community Treating each patient at the clinic as an individual Recognizing the importance of the patient's family Obtaining significant information about the community
Treating each patient at the clinic as an individual
A nurse is interested in moving into a management position. Which action would assist with accomplishing this? Use of coercive power Use of expert power Use of legitimate power Use of reward power
Use of expert power
The new graduate nurse is explaining TeamSTEPPS to their preceptor. What would the new graduate describe as TeamSTEPPS?
a positive environment which mutual support and clear communication is used
The nurse on the unit is determining which activities may be delegated to assistive personnel. Assuming that the nurse assistant is competent, which one of the following activities may be safely delegated by the registered nurse? An admission history on a new client Initial transfer of a postoperative client Vital signs on a stable client Administration of medications prepared by the nurse
Vital signs on a stable client
The senior nursing student is setting career goals. What should the student do first? a thorough self assessment look five years ahead plan specific steps to the goal Evaluate the career options
a thorough self assessment
Which of the following is the most frequent reason for revocation or suspension of a nurse's license? mental impairment fraud alcohol or drug abuse criminal acts
alcohol or drug abuse
An 82-year-old Asian American patient tells the nurse that she has lived in the United States for 50 years. The patient speaks English but lives in a predominantly Asian neighborhood. The nurse should do which of the following? avoid making direct eye contact with the patient during care. ask the patient about any special cultural beliefs or practices. include a folk healer when planning the patient's care. involve the patient's oldest son in making health care decisions.
ask the patient about any special cultural beliefs or practices.
How does the Utah Nurse Practice Act Rule define a Comprehensive nursing assessment? assessing the patient's care plan appraisal of a patient's status and the situation at hand verification and evaluation of prescribed orders conducting extensive initial and ongoing data collection
conducting extensive initial and ongoing data collection
When planning care for a hospitalized patient who uses culturally based treatments, What is the most appropriate action by the nurse? coordinate the use of folk treatments with ordered medical therapies. teach the patient that folk remedies will interfere with Western treatments. discourage the use of culturally based treatments for Western diseases. ask the patient to discontinue the cultural treatments during hospitalization.
coordinate the use of folk treatments with ordered medical therapies.
What is the primary role of The Joint Commission (TJC)?
ensuring medical facilities meet patient safety guidelines.
When caring for a patient who is Native American, the best initial action by the nurse is to avoid all eye contact with the patient. ask the family about the patient's cultural beliefs. observe the patient's use of eye contact. look directly at the patient when interacting.
observe the patient's use of eye contact.
What is the goal of the Patient Safety and Quality Improvement Act?
to improve client safety by encouraging voluntary and confidential reporting