Nursing 250 final 2

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Slander/defamation

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

Fidelity

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

To help the patient develop self care abilities

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

True

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

Modeling

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

Demonstration

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

Prioritize the nursing diagnoses

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

False

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

True

Nursing informatics integrates nursing science and information science

True

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

True

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

Question the order for the medication

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

What is amenable to change, is the group ready for change, are the changes major or minor, how does the group function as a unit

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

Measuring the patient's intake and output

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

Clarify often, edit patient information, act on every teaching moment

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

Check the results of the client's blood work, obtain a baseline oxygen saturation level

A nurse is using the nursing process to provide care to a client NEWLY admitted to the facility. During the assessment phase, which activities would the nurse likely perform as part of the assessment?

Nonmaleficence

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

Transformational

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

Autocratic

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

Successful completion of a test on diabetes pathophysiology

An example of cognitive learning is a/an

Accessibility, ubiquity, longevity, and reusability

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

Social network

Facebook is an example of a

All of the above; provides a single access point for health care providers managing care of a patient; provides communication among health care team members; provides a single location for long term data repository

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

False

High levels of functioning and quality patient care

Specialty knowledge and clinical judgement

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

The need for change is recognized

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

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

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

False

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

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

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

Acute care

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

Developed a prioritized list of current and possible health problems

The nursing student recognized that the purpose of diagnosis in the nursing process is to...

Assess the client's readiness to learn

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

Client reports shooting pain up the left leg

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

Democratic

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

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

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

Checking the client's blood pressure 30 minutes after administering captopril

Which activity is the clearest example of the evaluation step in the nursing process?

All of the above; advances in the health care field require more nurses; there is an increase in life expectancy as well as chronic illness; there is an increase in the acuity of hospitalized patients

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

Selection of fields other than nursing as a career

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

It is a link to a protege with common interests

Which of the following is a characteristic of mentorship?

Limit shift options to shorter shifts

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

Laissez-faire

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

Technical skills

Which of the following skills are not needed for nursing leadership?

Include the patient and family as partners

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

Interpreting a trend in vital signs

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

True

Wisdom is the application of knowledge to an appropriate situation


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