257 Final

The Institute of Medicine Report supports the relationship of improved quality of care to Increased levels of continued education Increased levels of nursing education More nursing experience Obtaining speciality certifications

Increased levels of nursing education

There is a rapid aging of the babyboomer generation.Identify the most significant element in the continued rise in health-care costs in the United States related to this aging population. Expensive new technology Increasing need for chronic long-term health care Lack of motivation for consumers to comparison shop Expensive new medications

Increasing need for chronic long-term health care

The nurse is reading a research article based on observation research. The nurse is aware that another name for this is: Nonexperimental research Quantitative research Experimental research Quasi experimental research

Nonexperimental research

Evidence based nursing primarily includes which of the following to answer clinical questions? Consulting an authority Using intuition Obtaining the highest level research Relying on expert experience

Obtaining the highest level research

Which of the following data would indicate that the results would be statistically significant in a quantitative research study? p=.001 p= .80 p= .60 p= 1.0

p= .001

The nurse is teaching the student nurse about how to use SBAR when calling a physician. The student nurse verbalizes understanding of SBAR when stating that SBAR is utilized strictly within the hospital setting. not used in e-mails due to HIPAA rules. never recorded within the client's chart. used as a situational briefing.

used as a situational briefing.

During a discussion between the nurse manager and a staff registered nurse (RN) about the RN's recent erratic performance on the unit, the RN states, "After my husband announced that he was leaving me, I thought I was dying." Identify the best response by the nurse manager. "Tell me how you were feeling." "That was a pretty unrealistic way to feel. There are a lot of fish in the sea." "Your personal life should not affect the way you perform your job." "You didn't die, did you? You seem okay now."

"Tell me how you were feeling."

Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication? "I'm sorry, but your suggestion was useless to solving the problem." "I am the manager and we will do it my way." "I really don't care; do it the way you think is best." "You have made some good points, but I have another suggestion."

"You have made some good points, but I have another suggestion."

In the Institute of Medicine's (IOM) 2000 report, what was the estimated number of clients who die every year due to hospital related mistakes? 98,000 75,000 135,000 2,500

98,000

Which of the following is an example of a systematic review? A randomized controlled trial published in the Journal of Nursing Research. A meta-analysis from the Cochrane database A synopsis published in Evidence Based Nursing A clinical practice guideline from the National Guideline Clearing House

A meta analysis from the Cochrane database

Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others. Aggressive Submissive Assertive Dishonest

Assertive

Which of the following is a cornerstone of evidence based practice Cochrane collaboration Uses basic research Scientific method Institute of medicine

Cochrane collaboration

Agnes has a temporal core temperature of 104 degrees Farinheit this morning. She feels warm, sweaty and tired. Use your knowledge from nursing informatics for the following question. "104" is which of the following choices below? Datum Information Knowledge Wisdom

Datum

Ethnographic research is based on the following: Focus on the study of culture Focus on the study of empirical evidence Focus on manipulation of variables Focus on social psychological processes within a social setting

Focus on the study of culture

Function in nursing informatics focuses on which of the following? How the management and processing of information helps nurses enter, organize, or retrieve information A well articulated theoretical basis to guide the gathering of data The levels of special interest, including technology and concepts of nursing theory Areas of research that lead to new knowledge

How the management and processing of information helps nurses enter, organize, or retrieve information

The nurse is preparing to do a research study. Which phase of the research would be part of the conceptual phase of conducting research? Coding data for entry information onto a computer file Presenting a paper at a conference Distributing a questionnaire to a group of mothers Identifying a suitable theoretical framework

Identifying a suitable theoretical framework

Agnes has a temporal core temperature of 104 degrees Fahrenheit this morning. She feels warm, sweaty and tired. Use your knowledge from nursing informatics for the following question. "104 degree Farenheit" is the following... Datum Information Knowledge Wisdom

Information

Identify the most appropriate political activities for nurses at the state level Introduce legislation and seek sponsors Vote in the legislature for or against a bill Make a large monetary contribtution to candidates who support health-care reform Keep quiet and let the system work without interference

Introduce legislation and seek sponsors

What role does anger play in communication? It is always negative and destructive It should be held in as a controlled rage It needs to be expressed immediately It can be used positively to produce change

It can be used positively to produce change

Agnes has a temporal core temperature of 104 degrees Fahrenheit this morning. She feels warm, sweaty and tired. Use your knowledge from nursing informatics for the following question. "104 degree is febrile" is the following... Datum Information Knowledge Wisdom

Knowledge

Which of the following is part of qualitative research? Weekend and night outcomes of patients admitted to the emergency room. Trends in hospitalizations of patients admitted with antibiotic resistant tuberculosis Predicting risks of serious complications of abdominal surgery Lived experience of nursing students dealing with chronic illness

Lived experience of nursing students dealing with chronic illness

The profession of nursing collectively through its professional organizations must Maintain integrity of the profession, articulate nursing values, & maintain the integrity of the profession Advocate social injustice of various cultures Refuse to change health policy Offer to reach out to persons how are vulnerable

Maintain integrity of the profession, articulate nursing values, & maintain the integrity of the profession

The Joint Commission sets mandatory National Client Safety Goals so that hospitals can improve quality & safety by: Making these goals a priority in client care Improving reimbursement Tracking and reporting errors Comparing actual performance to performance standards

Making these goals a priority in client care

When conducting an in-service on serious medical errors, the nurse teaches that nearly 70% of sentinel events are related to Minimal rest periods Miscommunication Lack of education Inadequate resources

Miscommunication

What is the most important feature of the shared governance model? Clients are billed for nursing care as a separate item similar to the way they are billed for physician services. The nursing staff hierarchy structure is similar to the medical staff structure Nursing administration retains most of the power over nurses to better regulate practice. Power and authority are transferred to the nursing staff rather than being located primarily in nursing administration.

Power and authority are transferred to the nursing staff rather than being located primarily in nursing administration.

According to Healthy People 2020 identify the purpose of providing services to maintain health for the general public Services include pregnancy counseling for teen pregnancies only Promotes the detection of illness & caring for injuries Offers insurance with extremely high prices for persons' who can afford the premiums Services are provided primarily for the elderly

Promotes the detection of illness & caring for injuries

Which demographic factor has the most significant effect on the health care delivery system of the future? Large numbers of babies being born to minority women Increasing use of alcohol and tobacco amount teenagers Rapidly increasing average age of the population Oversupply of nurses

Rapidly increasing average age of the population

Which behavior indicates that a nurse who is forced to confront a conflict situation is using a submissive approach to communication? Uses the incident as a threat Confronts the other person loudly and in front of an audience Refers the problem to a supervisor Sets up a one-on-one meeting at a specific time

Refers the problem to a supervisor

What is the acute care of sick persons that is provided in hospitals called? Primary intervention Secondary intervention Tertiary intervention Assistive intervention

Secondary intervention

A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager's preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution. Sets up a time and place for a one on one meeting with the staff nurse Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleague Arranges for the transfer of the staff nurse to the night shift Notes that the vocal staff nurse is not intelligent enough to understand the situation and disregards her comments as worthless

Sets up a time and place for a one on one meeting with the staff nurse

Which of the following is not one of the sciences included in ANA Nursing informatics definition? Social work science Computer science Information science Nursing science

Social work science

Why is the input of nurses vital to legislators? Most of the bill legislators pass are not related to health care Voters can be misled easily to special interest groups The majority of the legislators do not have health care backgrounds Legislators need to be aware of the important part nurses plan in the health-care systems

The majority of the legislators do not have health care backgrounds

When does the encoding process of communication take place? The message is sent in a way that causes confusion in the receiver The receiver responds to the message and gives feedback The receiver thinks about the information, understands it and forms an idea based on the message The sender sends the message

The receiver thinks about the information, understands it and forms an idea based on the message

Which of the following is a fundamental belief of those who adhere to a positivist paradigm? The researcher assumes there is an orderly reality that is studied objectively The researcher has a view that there are multiple interpretations of a reality The researcher has a priority on subjective realities The researcher has a focus on themes of lived experience

The researcher assumes there is an orderly reality that is studied objectively

Another name for an outcome variable is independent variable dependent variable reliable variable sample variable

dependent variable