Communication and Teamwork Exam 2
A patient states, "I am an obsessive, compulsive person." The nurse demonstrates how to conduct a perceptual check when stating which of the following? A. "Can you tell me more about this?" B. "Is it difficult for you to be this way?" C. "I wouldn't worry about being very neat." D. "It is okay to be this way, you are not hurting anyone."
A. "Can you tell me more about this?"
The nurse is teaching an unlicensed assistive personnel (UAP) on potential approaches for dealing with difficult patients. The nurse recognizes that additional teaching is required when the UAP states A. "I will be assertive by conveying my irritation toward the patient's behavior." B. "I will collaborate with staff so we all use the same uniform approach when responding to the patient's demands." C. "I will promote trust in the patient by providing immediate feedback." D. "I will explain to the patient the limits of my role as an UAP."
A. "I will be assertive by conveying my irritation toward the patient's behavior."
A patient who has been diagnosed with cancer asks the nurse, "If I take the chemotherapy, will I be cured, or am I going to die anyway?" The nurse's best response is A. "Tell me what prompted your question." B. "I don't think you should have chemotherapy, it will harm you more than help you." C. "Let's not talk about dying, I'm sure you will be cured." D. "I really don't think you should worry about such things, it isn't something you can control."
A. "Tell me what prompted your question."
A patient tells the nurse, "I think I'm losing my mind." The best response by the nurse is A. "Tell me what you are experiencing right now." B. "You should take a nap now, it will help you to feel better." C. "If you say that you're losing mind, you really will lose your mind." D. "I don't think you really feel that you are losing your mind."
A. "Tell me what you are experiencing right now."
The patient states, "I have emphysema, so I have enrolled in a smoking cessation program." According to Prochaska's stages of change, the patient is in which of the following stages? A. Action B. Determination C. Precontemplation D. Contemplation
A. Action
A patient requires teaching about a newly prescribed medication. The nurse recognizes that to support the learning process, the teaching process should include what? A. All interested parties should be included in the teaching process. B. Only immediate family members can be legally included in the teaching process. C. The preferred communication style is determined by the preference of the nurse. D. The primary focus is the American cultural recognition of learning needs.
A. All interested parties should be included in the teaching process.
A patient has just completed an alcohol detoxification program. The patient has recently experienced the loss of his wife and has been having difficulties at work. The patient has some serious health effects from long-term alcohol abuse, including elevated serum liver enzymes. The patient states, "Alcohol is ruining my life, I will do anything to quit drinking." What is the nurse's primary, initial intervention while the client is in the preparational stage of change? A. Asking the patient what kinds of changes will be needed in order to stop the abuse of alcohol. B. Discussing the patient's elevated serum liver enzymes and the predictive consequences of serious health problems, including premature death. C. Asking the patient to describe what life would be like without alcohol. D. Reminding the patient that abstinent from drinking, allows liver tests to significantly improve.
A. Asking the patient what kinds of changes will be needed in order to stop the abuse of alcohol.
The nurse is caring for a patient who has a history of alcohol abuse. When formulating a goal that "the patient will be able to identify three physical effects of alcohol abuse," the nurse recognizes this goal as referring primarily to health teaching in which domain? A. Cognitive B. Affective C. Psychomotor D. Promoting acceptance
A. Cognitive
Which pair best describes two key elements of collaborative work in nursing? A. Communication and documentation B. Portability and ease of access C. Clarity and efficiency D. Flow sheets and longitudinal plans of care
A. Communication and documentation
Which of the following is true about assertion communication? A. Components include the ability to say no and to ask for what you want. B. It includes a demonstration of deference to the demands of others. C. It consistently violates the needs of others. D. It includes the expression of only positive thoughts and feelings.
A. Components include the ability to say no and to ask for what you want.
When documenting patient care, the nurse recognizes that which of the following is true about documentation of care? A. Every nurse should anticipate having patients' records subpoenaed at some time during his or her nursing career. B. There is a need for quicker documentation that does not reflect the nursing process. C. The legal assumption is that care was given even if it is not documented. D. Any method of documentation that provides comprehensive, factual information is legally unacceptable.
A. Every nurse should anticipate having patients' records subpoenaed at some time during his or her nursing career.
An older adult patient is admitted to the hospital with terminal cancer. The patient expresses acceptance of impending death and states, "I am very satisfied with the life I had." The nurse recognizes the patient is in Erikson's stage of psychosocial development known as which of the following? A. Integrity vs. Despair B. Autonomy vs. Shame and Doubt C. Intimacy vs. Isolation D. Identity vs. Identity Diffusion
A. Integrity vs. Despair
When developing effective goals and objectives, which of the following guidelines should be included? (Select all that apply.) A. Link goals to the nursing diagnosis. B. Briefly identify the patient's needs and preferences. C. Make goals action-oriented, specific, and measurable. D. Define objectives as behavioral outcomes, with a specific time frame for achievement. E. Show a logical progression with established priorities. F. Review periodically and modify goals as needed. Correct
A. Link goals to the nursing diagnosis., C. Make goals action-oriented, specific, and measurable., D. Define objectives as behavioral outcomes, with a specific time frame for achievement., E. Show a logical progression with established priorities.
The nurse offers a patient's family a list of community resources and support groups and encourages them to become involved in the local Lupus chapter. This is an example of which professional nursing role responsibility? A. Patient advocate role B. Teaching role C. Caregiver role D. Consultant role
A. Patient advocate role
A patient visits the wound clinic for treatment of an infected non-healing leg ulcer. The nurse recognizes the patient is in the precontemplation stage of change. When interacting with this patient, the nurse should include which intervention? A. Providing the patient with informational feedback to raise awareness of the health problem and health risks involved. Correct B. Allowing open discussion related to the pros and cons of changing the patient's current behavior towards wound healing. C. Assisting the patient in justifying a positive commitment toward making healthier lifestyle changes. D. Helping the patient in choosing the best course of action to take in resolving the current problem.
A. Providing the patient with informational feedback to raise awareness of the health problem and health risks involved.
The nurse is teaching a class on stroke prevention. Which of the following statements is accurate about studies conducted on telehealth decision-making and diagnosing of strokes? A. Several studies show telehealth decision making and diagnosing of strokes are just as effective and may be more cost effective. B. Studies conducted on telehealth decision making and diagnosing of strokes have been inconclusive. C. Studies show telehealth decision making and diagnosing of strokes are less effective and less cost effective. D. Several studies show telehealth decision making and diagnosing of strokes are just as effective but less cost effective.
A. Several studies show telehealth decision making and diagnosing of strokes are just as effective and may be more cost effective.
Precede components of the Precede/Proceed Model of Health Promotion include which of the following? (Select all that apply.) A. Social diagnosis B. Epidemiological diagnosis C. Implementation D. Outcome evaluation E. Educational and organizational diagnosis
A. Social diagnosis, B. Epidemiological diagnosis, and E. Educational and organizational diagnosis
When caring for a patient who is at risk for falls, the nurse recognizes that a system that communicates whether the patient falls and does not get up via sensors embedded in the hospital room is referred to as A. biomedical monitoring B. health information technology. C. radio frequency identity chips. D. a personal digital assistant.
A. biomedical monitoring
The nurse is teaching a group of nursing students about an umbrella term for services that use communications technology, defined as any real-time interactive use of the Internet for delivery of health care from a distance using telecommunications technologies. This term is known as all of the following except A. telehealth. B. telenursing. C. telemetry. D. telecare.
A. telehealth.
A nurse manager is educating nurses about the risk of violence experienced by nurses and social workers in their workplace when compared to other professionals. The nurse manager states that nurses and social workers are at A. three times greater risk to experience violence in their workplace than are other professionals. B. four times greater risk to experience violence in their workplace than are other professionals. C. no greater risk to experience violence in their workplace than are other professionals. D. two times greater risk to experience violence in their workplace than are other professionals.
A. three times greater risk to experience violence in their workplace than are other professionals.
When directing the behavior of patients, it is important for the nurse to A. understand the dimensions of self-concept. B. become personally involved with each patient. C. learn to control one's feelings. D. offer limited guidance and support.
A. understand the dimensions of self-concept.
After fasting from 10 p.m. the previous evening, a patient learns that the procedure has been cancelled. The patient curses at the nurse and accuses the nurse of being incompetent. The nurse's best response would be A. "You have no right to say that to me. You are nasty." B. "I can understand that you're upset, but I feel uncomfortable when I am cursed at." C. "Perhaps we shouldn't get so angry when things don't work out the way we think they should." D. to leave the room and refuse to return to answer the call light when the patient calls.
B. "I can understand that you're upset, but I feel uncomfortable when I am cursed at."
A patient states to the nurse in a hostile voice, "I am sick of being poked at and stuck with needles. Go away and leave me alone." Which of the following is the best statement by the nurse? A. "I am not surprised that you wish to be left alone." B. "I'm so sorry you are feeling so upset." C. "You feel vulnerable and depressed as a result of all these treatments." D. "Okay, I will go away."
B. "I'm so sorry you are feeling so upset."
What general heading best identifies the group of relatively new roles that include: advanced practice nurses, clinical nurse leader, Doctor of Nursing practice, and PhD-prepared nurse researcher? A. "Professional Role Socialization" B. "New differentiated Practice Roles" C. "Multidimensional Psychosocial Roles" D. "Contemporary Role Competencies"
B. "New differentiated Practice Roles"
Based on the Dreyfus model of skill acquisition, at what stage do nurses understand the basic elements of practice, can organize and prioritize clinical tasks, but are only able to partially grasp the unique complexity of each patient's situation? A. Novice B. Advanced beginner C. Proficiency D. Competence
B. Advanced beginner
The nurse is caring for an adolescent patient who has had an amputation of his right leg. The patient states, "I'm really worried my girlfriend might not want to be with me anymore. I don't look the same." Which of the following concepts is represented in this situation? A. Role performance B. Body image C. Self-esteem D. Personal identity
B. Body Image
The scope of practice for professional nurses has continued to expand in all of the areas below, with the exception of what generally traditional area? A. Reimbursable health screening and promotion B. Clinical practice blending knowledge, skills, and attitudes with patient care C. Provision of care as part of interdisciplinary health care teams in hospitals and the community D. Advocacy for health care transformation
B. Clinical practice blending knowledge, skills, and attitudes with patient care
The nurse is caring for a patient who is diagnosed with both schizophrenia and cocaine abuse. The patient remains isolated in his room, refusing to attend unit activities. When implementing a behavioral approach, what is the first step the nurse should take? A. Define specific consequences. B. Describe the behavior requiring change. C. Reframe the problem as a solution statement. D. Identify the tasks in sequential order.
B. Describe the behavior requiring change.
What term is used to identify the process of obtaining, organizing, and conveying patient health information to others in print or electronic format? A. Narration. B. Documentation. C. Care coordination D. Order entry
B. Documentation
Which of these engages patients as partners in health care, is an expectation at the beginning staff nurse job level, and is among items tested on licensure exams? A. CPOE B. HIT C. EHR D. LPCs
B. HIT
A 3-year-old child is having surgery tomorrow. What preoperative teaching strategy should the nurse use to ensure effective learning? A. Encouraging self-directed learning. B. Involving parents in teaching. C. Allowing the child to touch and play with all equipment. D. Incorporating previous life experience.
B. Involving parents in teaching.
What statement is accurate when describing characteristics of an electronic health information technology system? A. It lacks the capacity to bring about integration. B. It provides accessibility to multiple health records. C. It presents challenges in the transfer of patient information. D. It consists of imaging files that allow for delayed access.
B. It provides accessibility to multiple health records.
When modifying barriers to professional communication, the nurse manager focuses on which of the following? A. Collaboration and coordination B. Negotiation and conflict resolution C. Coordination and networking D. Collaboration and negotiation
B. Negotiation and conflict resolution
Which of the following is a computer charting system related to predicting patient outcomes in home health care? A. EHR B. OASIS C. NANDA D. HIPAA
B. OASIS
The nurse is teaching a support group about schizophrenia. The format includes a 20-minute video, a didactic portion, and a discussion period. The nurse recognizes what fact about this situation to help assure teaching success? A. The size of the audience will prevent the establishment of a mutual rapport. B. Opening the discussion with humorous story grabs the audience's attention. C. Minimal preparation is needed for a discussion directed towards a support group. D. It is best to minimize eye contact with the audience to avoid embarrassment
B. Opening the discussion with humorous story grabs the audience's attention.
A patient, who is recovering from a second myocardial infarction refuses to give up smoking, stating, "I've smoked so long now there's no point quitting as the damage is done." This statement is best understood in the context of which of the following? A. Social learning theory B. Pender's health promotion model C. The transtheoretical model of change D. Healthy People 2010
B. Pender's health promotion model
The nurse has formulated a goal that "the patient will be able to accurately draw up the correct dose of insulin". The nurse recognizes that this goal as referring primarily to health teaching in which domain? A. Affective B. Psychomotor C. Attitudinal D. Cognitive
B. Psychomotor
Which aspect of role standards is influenced by institutional norms and may vary depending on the work environment? A. Role pressures B. Role performance C. Role relationship D. Role socialization
B. Role performance
What is defined as the capacity to accurately recognize emotional reactions as they happen and to understand your responses to different people and situations? A. Transformational leadership B. Self-awareness C. Nurses rights D. Structural empowerment
B. Self-awareness
A three-stage progressive pattern of nonspecific physiologic responses known as alarm, resistance, and exhaustion is based on A. Cannon's scientific physiologic response theory. B. Selye's General Adaptation Syndrome. C. Holmes and Rahe's stimuli stress model. D. Lazarus and Folkman's transactional model of stress.
B. Selye's General Adaptation Syndrome.
What development in the nursing industry permits swift transactions, universal access, and levels of portability unanticipated 20 years ago? A. New differentiated practice roles B. Technology C. Experiential learning D. Interdisciplinary courses
B. Technology
Which statement concerning electronic records in NOT true? A. They are portable. B. They are less durable than paper charting. C. They are easily transferable. D. They include documents as well as digital images
B. They are less durable than paper charting.
What is an important aspect to consider when preparing a presentation with slides for group teaching experience? A. Limit the number of items per slide to no more than 6. B. Use a large font so all participants can see from a distance. C. Consider slides as the primary content for the presentation. D. Be prepared with enough material for at least 5 minutes of extra discussion.
B. Use a large font so all participants can see from a distance.
A patient yells at the nurse frequently and uses profane language. Which of the following is the most appropriate response by the nurse? A. Remain silent and do not respond. B. Use an "I" statement when speaking to the patient. C. Tell the patient, "You make me angry." D. Ignore the behavior and walk away.
B. Use an "I" statement when speaking to the patient.
Which of the following is the best intervention for a patient who is illiterate? A. Speak loudly and clearly. B. Use symbols and images. C. Personalize speech by using the first name. D. Use touch with speech.
B. Use symbols and images.
When working on a hospital unit, the nurses use a voice communication system based on the existing wireless network to support instant voice communication and messaging among staff within the agency. Using this device allows nurses to connect to the telephone system and to access other users of the system through a small, one-button, voice-access, lightweight badge. This device is known as A. a PDA. B. Vocera. C. a smartphone. D. telehealth.
B. Vocera
Current research suggests that men and women respond to stress in which of the following ways? A. Men use nurturing activities to reduce stress. B. Women use a "tend and befriend" approach to stress. C. Men and women respond to stress in a similar manner. D. Women respond to stress with patterns of "fight or flight."
B. Women use a "tend and befriend" approach to stress.
When providing home health care to a patient suffering from Alzheimer's disease who fell and broke his hip 3 weeks ago, the nurse teaches the patient's family correct use of the walker. This represents which stage of the nurse-caregiver relationship? A. Worker-helper B. Worker-worker C. Nurse as manager, family as worker D. Nurse as nurse for family caregiver
B. Worker-worker
A nurse consistently works extra shifts in the hope of earning a promotion. The nurse is becoming increasingly fatigued and frustrated because the promotion has not occurred. The nurse is experiencing A. distress. B. burnout. C. eustress. D. primary appraisal.
B. burnout.
To adequately meet the spiritual needs of patients, the nurse should first A. learn to be considerate and sensitive. B. distinguish between his or her own spiritual needs and those of the patient. C. meet the patient's spiritual needs. D. offer to pray and read the bible with the patient.
B. distinguish between his or her own spiritual needs and those of the patient.
The nurse is caring for an intoxicated patient who has been admitted to the emergency department. The patient appears very angry and frequently shouts at the nurse and demands to see the physician. The best response by the nurse is to use A. blaming. B. empathy. C. competition. D. "I" statements.
B. empathy.
A short-term mild level of stress that acts as a positive stress response with protective and adaptive functions and is perceived as being within the person's ability to manage is known as A. stress. B. eustress. C. stressor. D. distress.
B. eustress.
When working on a hospital unit, the nurse uses a wireless handheld computer. The nurse recognizes that an advantage of using a wireless handheld computer is A. the nurse cannot view the entire page of patient information. B. it can be used at the point of care. C. it has a long learning curve. D. it poses potential threats to the patient's legal privacy rights.
B. it can be used at the point of care.
When giving a class presentation on self-concept, a student nurse notices that a classmate has fallen asleep. The student nurse immediately decides that the presentation must be boring and that she will fail this assignment and subsequently obtain a poor grade in the course. This is an example of A. selective attention. B. negative self-talk. C. self-fulfilling prophecy. D. negative feedback.
B. negative self-talk.
The initial interpersonal strategy to help the patient reduce strong emotion to a workable level involves A. talking the emotion through with someone. B. providing a neutral, accepting, interpersonal environment. C. taking action that might help the patient come to terms with the emotional consequences. D. obtaining more information.
B. providing a neutral, accepting, interpersonal environment.
The new graduate nurse is unsure how to operate a new intravenous pump. After reading the directions, the nurse seeks the assistance of a more experienced nurse and asks for a demonstration on how to operate the pump. The behavior exhibited by the new graduate nurse is A. role pressure. B. role clarity. C. role conflict. D. role overload.
B. role clarity.
The personal values and beliefs in one's ability to achieve health behavior changes is known by what term? A. social incentive. B. self-efficacy. C. cognitive motivator. D. physical motivator.
B. self-efficacy.
AHRQ's analysis of 146 studies of the impact of computer health modules on patient outcomes found that these programs A. failed to engage patient attention. B. succeeded in engaging patient attention. C. caused a decline in patient clinical health. D. had no significant impact on patient outcomes.
B. succeeded in engaging patient attention.
The nurse is caring for a patient who is anxious about a new diagnosis of cancer. When discussing chemotherapy with the patient, the nurse understands that A. the patient will need to be given instructions only once. B. the patient may only hear part of the instructions. C. emotions obey the rules of logic. D. a cognitive lack of understanding may occur.
B. the patient may only hear part of the instructions.
The nurse is using a wireless handheld device. When using such a device, the nurse recognizes that it A. is unable to recognize the nurse's handwriting. B. track a patient's medications and dosages. C. stores only references for nursing and drug information. D. cannot be used in patient's rooms due to HIPPA regulations.
B. track a patient's medications and dosages.
When working with staff members to promote conflict resolution, the nurse manager recognizes that additional teaching is warranted when a staff member states, A. "I will solicit the perspectives of others." B. "I will remember to criticize ideas, not people." C. "I will implement manipulation when working with others." D. "I will avoid becoming emotional when discussing the conflict."
C. "I will implement manipulation when working with others."
When conflict arises among staff, what should the nurse focus attention on initially? A. Sharing feelings about the conflict with others will increase its intensity. B. Sharing feelings to minimize conflict generated anxiety. C. Assess the basis of the conflict labeling it as personal or professional. D. Seeking peer negotiation for all those involved
C. Assess the basis of the conflict labeling it as personal or professional.
Which is the best definition of the term interoperability? A. A record system that is fully integrated with the Department of Defense. B. Access at the point of care or remotely using various digital devices. C. Disparate systems can "talk to each other" to share patient information. D. Maintains an exchange of information about the patient among all care providers.
C. Disparate systems can "talk to each other" to share patient information.
When conducting an initial assessment, a patient informs the nurse about difficulty getting to doctors' appointments due to lack of transportation. When considering examples of PRECEDE Diagnostic Behavioral Factors, the nurse recognizes this as what type of factor? A. Reinforcing factor B. Epidemiologic factor C. Enabling factor D. Predisposing factor
C. Enabling factor
Where are the following professional role competencies for nurses found? · Practice to the full extent of their education and training · Achieve higher levels of education and training through an improved education that promotes seamless academic progression · Remain full partners, with physicians and other health professionals, in redesigning health care in the United States · Effective workforce planning and policymaking require better data collection and an improved information infrastructure in the A. Flexner's Criteria. B. The American Nurses Association's Bill of Rights for Registered Nurses. C. Institute of Medicine Report: The Future of Nursing: Leading Change, Advancing Health. D. Benner's Stages of Clinical Competence.
C. Institute of Medicine Report: The Future of Nursing: Leading Change, Advancing Health.
What is the advantage of coding in the use of electronic health records (EHRs)? A. It makes documenting at the bedside 'warmer' in a human relations sense. B. It allows the development of data for multiple levels of accountability, including for individual nurses, units, or agencies. C. It allows information to be communicated and extracted from EHRs. D. It guarantees that nursing care meets the requirements of government, health care agency, and professional standards of practice.
C. It allows information to be communicated and extracted from EHRs.
Which of the following statements is true about self-esteem? A. It is an objective emotional process. B. Achievements lead to high self-esteem. C. It is the emotional value a person places on his or her self-concept D. It is a concept that becomes fixed.
C. It is the emotional value a person places on his or her self-concept
Which of the following best describes a laptop computer? A. It is less powerful than a tablet. B. It should not be taken into a patient's home. C. It is used to chart and transmit a patient's care. D. It does not allow for information to be transmitted in a wireless fashion.
C. It is used to chart and transmit a patient's care.
A nursing instructor educates a student nurse about standards of effective communication. The nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a standard of effective communication? A. Clear B. Timely C. Lengthy D. Complete
C. Lengthy
Which nursing classification system used internationally is the best researched and most widely implemented? A. Omaha System B. ICD-10 C. NANDA-I D. NIC/NOC
C. NANDA-I
Which statement is true related to the delivery of home health care? A. The nurse should expect to be considered a member of the family when entering the patient's home. B. The nurse should arrive at the patient's home unannounced to get an accurate picture of the patient's situation. C. Part of the teaching assessment includes appraisal of the home environment. D. The nurse's hand hygiene should occur in the kitchen sink so that the client is aware of the practice.
C. Part of the teaching assessment includes appraisal of the home environment.
A patient requires health teaching for exercises related to an arthritic shoulder. During an assessment, the patient tells the nurse, "I'm is a kinetic learner". What teaching resource should the nurse recommend to this patient? A. Reading a book about arthritis B. Watching an exercise video C. Performing water aerobics D. Listening to an exercise audiotape
C. Performing water aerobics
The concept of well-being consists entirely of what personal ability? A. Producing an income. B. Performing activities of daily living. C. Possessing life satisfaction. Correct D. Partnering with a health professional.
C. Possessing life satisfaction
A patient who has an elevation in serum cholesterol continues to eat red meat and fried foods. Which stage of change is this patient experiencing? A. Determination B. Action C. Precontemplation D. Contemplation
C. Precontemplation
A nurse, who has been practicing for 4 years, demonstrates competence, speed, and flexibility when performing clinical skills. According to Benner, the nurse is practicing at which developmental stage? A. Advanced beginner B. Competency C. Proficiency D. Expert
C. Proficiency
When supervising an unlicensed assistive personnel (UAP), the nurse offers unwarranted criticism that causes the UAP to feel defensive. The initial response by the UAP should be to what? A. Verbally defend against the unwarranted criticism. B. Ignore the nurse's unwarranted criticism. C. Recognizing the remark as unwarranted criticism. D. Assume that the unwarranted criticism is based on the nurse's inadequacies.
C. Recognizing the remark as unwarranted criticism.
A patient is newly diagnosed with diabetes mellitus. When planning a teaching session to review insulin administration with this patient, the nurse should implement what intervention? A. Picking times for teaching when energy levels are low. B. Scheduling teaching sessions during hospital visiting hours. C. Reserving a specific block of time for health teaching. D. Providing the patient with extensive information during 30-minute intervals.
C. Reserving a specific block of time for health teaching.
The concept that "the teacher must start where the learner is" was proposed by whom? A. Skinner B. Premack C. Rogers D. Taylor
C. Rogers
Identify the type of perceptual alteration represented in the following example: Jim, a 12-year-old, states, "I am different from others in my physical education class because I am the class dunce." A. Distorted reality B. Selective attention C. Self-fulfilling prophecy D. Cognitive distortion
C. Self-fulfilling prophecy
Which of the following best describes the goal of assertiveness? A. Offering responses that contain "you" statements B. Indirect communication C. Standing up for one's personal rights D. Ignoring the rights of others
C. Standing up for one's personal rights
The charge nurse, working on a unit where a nurse is frequently late for work, addresses the behavior by telling the nurse, "It is necessary for you to be here on time from now on to help assure good patient care." This is an example of what type of constructive criticism? A. Expressing sympathy B. Describing the behavior C. Stating expectations D. Listing consequences
C. Stating expectations
The nurse is caring for a patient who works as a boxer. The patient states, "I was picked on a lot when I was little, so I got really angry and now I work through the anger by boxing." The nurse recognizes the patient is demonstrating which ego defense mechanism? A. Denial B. Intellectualization C. Sublimation D. Repression
C. Sublimation
Educational standards requiring health care agencies to provide systematic health education and training for patients were established by organization? A. American Nurses Association. B. State Nurse Practice Acts. C. The Joint Commission. D. Medicare.
C. The Joint Commission.
What is factor that determines the appropriate use of either geragogy, pedagogy, or andragogy when teaching? A. If a group is being taught B. The preference of the teacher C. The age of the learner D. If a chronic illness is the topic
C. The age of the learner
Which statement is true about the relationship between physicians and nurses? A. The physician is primarily responsible for fostering good physician-patient communication. B. The physician and nurse should engage in open dialogue only on matter of patient care. C. The relationship between the physician and the nurse remains an evolving process. D. Few nurses encounter problems in the physician-nurse relationship.
C. The relationship between the physician and the nurse remains an evolving process.
Which guideline for teaching should the nurse implement when working with a low-literacy patient? A. Teach the largest amount possible in each teaching session. B. Sequence key behavior information last when teaching the patient. C. Use symbols and images with which the patient is familiar. D. Use words that are abstract and provide teaching in long sentences.
C. Use symbols and images with which the patient is familiar.
When interacting with the nurse, a patient makes several condescending remarks directed toward the nurse. The nurse recognizes this behavior as an example of A. the use of humor. B. active listening. C. a verbal clue to anger. D. assertiveness.
C. a verbal clue to anger.
A patient yells, "Take this mess away from here. How could anyone eat this food? What kind of place are you running here?" The nurse uses skills of assertiveness to promote change that is focused on A. feelings. B. attitudes. C. behaviors. D. motivations.
C. behaviors.
After receiving her morning assignment, the nurse realizes that she will be caring for a patient with Alzheimer disease. The nurse understands that when communicating with this patient, it will be important to A. avoid touch because this may be misinterpreted by the patient. B. shorten processing time before the patient becomes distracted. C. break instructions down into small, sequential steps. D. present ideas all at once before the patient's attention wanders.
C. break instructions down into small, sequential steps.
The nurse's first response in dealing with a conflict situation that involves a patient is to A. understand the context of the situation. B. impose more controls on the patient. C. gain a clear understanding of one's own personal response. D. encourage the patient to discount statements made by the nurse.
C. gain a clear understanding of one's own personal response.
According to the Dreyfus model of skill acquisition, which of the following includes the correct names and order of the developmental stages demonstrating increasing proficiency in implementing the professional nursing role?? A. advanced beginner, novice, proficiency, competence, expert B. advanced beginner, competence, novice, expert C. novice, advanced beginner, competence, proficiency, expert D. novice, proficiency, competence, expert
C. novice, advanced beginner, competence, proficiency, expert
The nurse is conducting a family assessment in which alcoholism by the parents is suspected. When assessing the children within this family for symptoms of stress, the nurse recognizes that A. the children will most likely verbalize their feelings about the stressor. B. the children will demonstrate the ability to sort out the meaning of the illness. C. signs of distress can include academic decline, gastric distress, and headaches. D. physical complaints by the children can only be related to a physiological etiology.
C. signs of distress can include academic decline, gastric distress, and headaches.
When working on a hospital unit, the nurse uses a cellular telephone as an aid to giving patient care. When using a cellular telephone, the nurse recognizes that a barrier to this type of technology is A. cellular telephones lead to less productivity. B. cellular telephones can lead to a higher rate of hospital errors. C. some hospitals prohibit using cellular telephones. D. cellular telephones complicate information retrieval at the point of care.
C. some hospitals prohibit using cellular telephones.
When learning about the Johari Window, the student nurse recognizes that the model consists of four areas and that the hidden self can best be described as A. what is known to self and others. B. what is known by others, but not by self. C. what is known by self, but not by others. D. what is unknown to self and also unknown to others.
C. what is known by self, but not by others.
A group of patients is signing up for a telehealth company called ISelectMD. The nurse educates them about ISelectMD by telling them which of the following? (Select all that apply.) A. The employer's health insurance charges a minimal additional health premium fee monthly. B. Each employee has 24/7 access to a physician via Telemedicine by signing onto a website and entering his symptoms, and paying a "visit" fee. C. A follow-up call is made 2 days later to determine whether the health issue was resolved. D. The physician "on call" reviews patient's medical history and current symptoms, makes a diagnosis, and e-mails in a prescription, if needed. E. Minor conditions such as urinary tract infections or respiratory illness can be treated in this remote technology fashion. F. Acute conditions such as chest pain or deep vein thrombosis can be treated in this remote technology fashion.
Correct: A, B, C, D, E
Advantages of using wireless handheld computers include which of the following? (Select all that apply.) A. Portability B. Quick charting C. Learning curve D. Quick access to records E. Small screen
Correct: A, B, D
Which of the following are strategies the nurse should use when dealing with an angry patient? (Select all that apply.) A. Defuse hostility B. Avoid responding to a patient's anger by getting angry C. Speak quickly and use a higher tone of voice D. Use empathy when communicating with the patient E. Remain with the patient
Correct: A, B, D
The nurse recognizes which of the following as a true statement about a nursing classification system? (Select all that apply.) A. It provides a standard language for nursing care. B. It promotes visibility and defines professional practice of nursing contributions to patient care. C. It lacks standardized terminologies that promote best practices within nursing. D. It has not been thoroughly incorporated into many agencies' electronic clinical records. E. It provides a common language for nursing care.
Correct: A, B, D, E
Which actions for electronic health records (EHR) use are universally accepted as good practice? (Select all that apply.) A. Changing your EHR password frequently. B. Charting in a quiet location that is free of distractions C. Sharing passwords only among unit staff involved in client care D. Save charting until the end of a shift to save time. E. Log out whenever not actively engaged in charting
Correct: A, B, E
Which of the following can be classified as steps to take to avoid burnout? (Select all that apply.) A. Use self-reflection and conversations with others to sort out priorities and identify parts of life out of balance. B. Maintain a healthy lifestyle. C. Ensure collaborative rapport and support among health care team members D. Provide complete data in easily understandable terms E. Differentiate between things you can change and those you cannot. F. Detach from excessive ego involvement and personal ambition. G. Actively involve the patient and family in all clinical decisions H. Take scheduled time for self, learn to say no, practice meditation, and develop outside interests that enrich the spirit.
Correct: A, B, E, F, H
Major transformations occurring in use of health information technology that will greatly change traditional patterns of nursing communication include which of the following? (Select all that apply.) A. Electronic health record (EHR) B. Centralized access to patient information C. Handheld wireless devices to provide continual information D. Point of care information E. Continual real time exchange of information
Correct: A, C, D, E
The nurse recruiter recognizes that collegial relationships are an important determinant of success as professionals enter nursing practice. When interviewing candidates for nursing careers, the nurse recruiter focuses on communication qualities that are important in developing a support system. Which attributes best demonstrate desirable communication qualities? (Select all that apply.) A. Integrity B. Internalizing C. Respect for others D. Dependence E. A good sense of humor
Correct: A, C, E
What does the literature suggest attention to in regard to creating safe, supportive work environments? (Select all that apply.) A. Physical space B. Climate C. Supervision of staff D. Unlicensed assistive personnel (UAPs) E. Open communication F. Peers G. Team collaboration H. Manageable workload
Correct:A, B, E, G, H
A student nurse is learning about strategies to remove barriers to communication with other professionals and how to deal with disrespectful or disruptive behaviors. The nursing instructor recognizes that additional instruction is needed when the student nurse states which of the following? A. "I will learn conflict resolution skills." B. "I will establish common communication expectations and skills." C. "I will work toward creating a culture of mutual respect when working within the health care system." D. "I will engage in distorted, rather than open, communication to avoid offending others."
D. "I will engage in distorted, rather than open, communication to avoid offending others."
A obese patient is admitted to the hospital for shortness of breath. Which of the following statements by the nurse reflects Bandura's social theory? A. "Your cardiac studies reveal an enlarged heart. This is a sign of cardiac problems." B. "I know you love to eat, but your current lifestyle is not conducive to good health." C. "Can you remember what it was like to get up and go to work every day? Your buddies miss you." D. "If you were to lose weight, you would no longer experience shortness of breath. Just think about how much better you would feel to breathe normally."
D. "If you were to lose weight, you would no longer experience shortness of breath. Just think about how much better you would feel to breathe normally."
Accurate documentation of patient health teaching is a critical component of quality care. When documenting in the patient's chart about health teaching for a patient admitted for alcoholism, What statement should the nurse make? A. "Patient was educated on the physical complications of alcoholism." B. "Patient received written and verbal instructions on diet and vitamin therapy." C. "Patient was educated on the signs and symptoms of alcohol withdrawal and when to seek medical assistance." D. "Patient was able to identify five triggers for relapse and began to develop a relapse prevention plan."
D. "Patient was able to identify five triggers for relapse and began to develop a relapse prevention plan."
The nurse is caring for a patient who has just refused to undergo an invasive procedure that could possibly extend his life by a few months. The nurse supports the patient's decision based on which essential value? A. Equality B. Truth C. Human dignity D. Autonomy
D. Autonomy
The charge nurse is working with a group of staff nurses on a hospital unit. When delegating to the staff nurses, the charge nurse determines that there is conflict among the group. The charge nurse should implement what intervention to turn the conflict into unit collaboration? A. Waiting for the staff nurses to initiate a discussion concerning the problems that are related to the conflict. B. Performing simultaneous activities when listening to the staff nurses discuss the roots of the conflict. C. Presenting the staff nurses with documented data that is relevant to the conflict. D. Briefly summarizing when providing the staff nurses with feedback concerning the conflict.
D. Briefly summarizing when providing the staff nurses with feedback concerning the conflict.
When working in situations that involve conflict, the nurse recognizes that which of the following is true in relation to conflict? A. Conflict always leads to impaired relationships. B. Conflict arises from compatible goals and needs. C. Most people experience conflict as a lack of discomfort. D. Conflict serves as a warning that something in the relationship needs closer attention.
D. Conflict serves as a warning that something in the relationship needs closer attention.
The nurse manager recognizes a need to take steps to promote conflict resolution among health care team members on a nursing unit. What intervention will promote conflict resolution, most effectively? A. Soliciting the perspectives of the nurses. B. Encouraging manipulation among group members. C. Promoting criticism of individuals within the group. D. Depersonalizing conflict situations.
D. Depersonalizing conflict situations.
Which of the following is an example of tertiary prevention? A. Mammogram B. Smoking cessation C. Safe sex counseling D. Diabetic meal planning class
D. Diabetic meal planning class
A patient is experiencing anxiety related to hospitalization. When assessing this patient, the nurse anticipates which assessment finding? A. Increased socialization B. Improved sleep C. Greater recall ability D. Disengagement from the stressor
D. Disengagement from the stressor
What intervention should the nurse include in the plan of care for a patient newly diagnosed with diabetes who requires teaching about self-administration of insulin? A. Encourage passive involvement of the learner during instruction. B. Delay practicing essential skills until patient expresses an interest in such. C. Implement visual demonstration as the primary method of instruction. D. Encourage teach-back feedback when demonstrating new skills.
D. Encourage teach-back feedback when demonstrating new skills.
The nurse manager is working on strategies to turn conflict into collaboration by creating a climate in which participants view negotiation as a collaborative effort. In What intervention will best accomplish this goal? A. Offering of feedback only on an infrequent basis. B. Clarifying role expectations for management level staff. C. Limiting participation in organizational interdisciplinary groups. D. Encouraging role-modeling behaviors related to communication.
D. Encouraging role-modeling behaviors related to communication.
What besides an individualized teaching approach is required to ensure successful learning outcomes? A. Learner' self-management B. Learner's readiness to learn C. The evidence of skill mastery D. Learner buy in
D. Learner buy in
A theoretical foundation for the use of teaching methodologies in which a patient is engaged as active partners in the learning process and helps the patient take responsibility for his or her own learning is known by what phrasing? A. Skinner's behavioral approach. B. Premack's principle. C. Modeling. D. Learner-centered health teaching.
D. Learner-centered health teaching.
The nurse is scheduled for a yearly evaluation by the nursing supervisor. When planning for this meeting, the nurse should recognize the importance of what action as being the priority? A. Scheduling the evaluation during a time when anxiety level is low. B. Becoming reactive when faced with constructive criticism. C. Demonstrating defensiveness when discussing the evaluation with the supervisor. D. Listening carefully during the evaluation and paraphrasing constructive criticism.
D. Listening carefully during the evaluation and paraphrasing constructive criticism.
Which of the following is true about electronic mail communication? A. Most physicians use e-mail to schedule appointments. B. E-mail is a means of ensuring confidentiality. C. Physicians expressed concerns about lack of income generation. Correct D. Paper copies can be eliminated. website and entering his symptoms, and paying a "visit" fee.
D. Paper copies can be eliminated. website and entering his symptoms, and paying a "visit" fee.
Which of the following statements about perception is true? A. Perception is a function of the senses. B. Perception is an interpersonal process. C. Positive images are retained longer than negative ones. D. Personal identity is constructed through cognitive processes of perception.
D. Personal identity is constructed through cognitive processes of perception.
What is defined as a major instructional strategy for making written and oral information easier to understand? A. Self-management B. Technology integration C. Preferred learning styles D. Plain language
D. Plain language
Based on the Dreyfus model of skill acquisition, at what stage do nurses see the clinical situation as a whole, have well-developed psychosocial skills, and know from experience what needs to be modified in response to a given situation? A. Expert B. Competence C. Advanced beginner D. Proficiency
D. Proficiency
When caring for patients, the nurse recognizes that which statement is true related to developmental level? A. Developmental level affects only teaching strategies. B. Most patients are at the beginning level of the learning spectrum. C. Developmental learning capacity is primarily age related. D. Social and emotional development does not always parallel cognitive maturity.
D. Social and emotional development does not always parallel cognitive maturity.
Which of the following is true in relation to stress? A. Men and women respond to stress in the same fashion. B. Culture does not affect the stress experience. C. Stress is always a negative experience. D. Stress can have protective and adaptive functions.
D. Stress can have protective and adaptive functions.
Which strategy in health education does the U.S. Preventive Services Task Force recommend? A. Using a standardized teaching format B. Eliminating established behaviors C. Offering limited information regarding the purpose of interventions D. Suggesting small changes rather than large ones
D. Suggesting small changes rather than large ones
"A hierarchical method of classifying a vocabulary of items according to certain rules" is the definition for what term? A. Health Care Financing Administration (HCFA) B. Coding C. NNN D. Taxonomy
D. Taxonomy
Which of the following is an effective teaching objective? A. The patient will be able to ambulate short distances around the nursing unit. B. The patient will be able to learn subcutaneous self-administration of insulin. C. The patient will be able to understand diabetes and its lifestyle implications. D. The patient will be able to perform foot care correctly after three teaching sessions.
D. The patient will be able to perform foot care correctly after three teaching sessions.
Which of the following represents the role of the nurse in helping a patient reframe a potentially incapacitating sense of self into one with more hope and broader options when faced with a health-related difficulty? A. They can take a passive approach. B. They can negate potential possibilities. C. They can focus on personal weaknesses. D. They can reframe the patient's sense of self.
D. They can reframe the patient's sense of self.
A patient has just had his status changed to "comfort care only." The nurse recognizes that the patient is spiritually distressed. The nurse understands that spiritual pain A. cannot be inferred from the patient's behavior. B. is not as severe as physical pain. C. cannot be verbally shared. D. can be as severe as physical pain.
D. can be as severe as physical pain.
The most effective problem-solving style for genuine resolution that creates a win-win situation is A. accommodation. B. avoidance. C. competition. D. collaboration.
D. collaboration.
The nurse uses an electronic information technology-based system that is designed to improve clinical decision making to enhance patient care and safety. This system is referred to as a A. personal digital assistant. B. handheld wireless device. C. point of care information and documentation system. D. computerized clinical decision support system.
D. computerized clinical decision support system.
When a physician writes an order for the nurse to withhold life-saving treatment from a terminally ill patient, the nurse is faced with two different choices, each supported by a different ethical principle. This type of conflict is known as A. covert conflict. B. overt conflict. C. interpersonal conflict. D. intrapersonal conflict.
D. intrapersonal conflict.
A patient on a psychiatric unit is found pacing the halls and angrily punching at the wall. The nurse's primary goal should be to A. assertively tell the patient to stop the behavior. B. suggest that the patient write in a journal to help relieve anxiety. C. speak in a loud voice in order to alert other staff members. D. maintain safety while helping the patient.
D. maintain safety while helping the patient.
A novice nurse decides to attend a diabetes workshop after a patient was admitted to the unit with an insulin pump that the nurse was not familiar with. This is an example of A. role performance. B. patient advocacy. C. collaboration. D. professional self-awareness.
D. professional self-awareness.
A patient's spouse becomes anxious and demonstrates hostility toward the nurse. The best response by the nurse is to A. recognize the spouse feels a sense of control. B. view the hostility as a personal attack. C. become stoic and refrain from listening to the spouse. D. respond empathetically to contributory themes and feelings.
D. respond empathetically to contributory themes and feelings.
A nurse, working with a patient in a drug rehabilitation center, provides positive reinforcement each time the patient demonstrates behavior that moves him closer to accomplishing the goal of remaining drug free. The nurse recognizes this type of reinforcement will motivate the patient to engage in the desired behavior. This type of reinforcement is referred to as what? A. empowerment. B. chaining. C. modeling. D. shaping.
D. shaping.
When completing documentation on each patient, the nurse recognizes that documentation serves what purposes? (Select all that apply.) A. It communicates to others whether or not care was received. B. It conveys pertinent information about the patient's condition and response to treatment interventions. C. It substantiates the quality of care by showing adherence to care standards. D. It provides evidence for reimbursement. E. It serves as a source of data that can be compiled or aggregated and then analyzed to establish "best practice" interventions. F. It is not a source for communicating care to others due to HIPAA rules and regulations.
Correct: A, B, C, D, E
