Professional Role Development Final
The nurse puts a restraint jacket on a client without the client's permission and without the physician's order. The nurse may be guilty of assault. A: True B: False
B.
When the nurse described the client as "Mr. Eddie Johnson in 302 with heart failure," the nurse is exhibiting which ethical dilemma? A. Gender bias and ageism B. HIPAA violation C. Beneficence D. Code of ethics violation
B.
Nursing staff members are sitting in the break room for lunch. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The RN should inform the UAP that making this accusation has violated which legal tort? A. Libel B. Slander C. Assault D. Negligence
B
Which of the following actions violate HIPAA? Select all that apply. A. Discussing a patient's condition on a crowded elevator with another healthcare provider on the patient's team B. Making an SBAR report to the nurse caring for the patient the next shift C. Discussing the patient's condition to another nurse not on the patient's care team D. Posting information on social media about a patient's condition E. Relaying a complaint about the quality of nursing care by the patient's husband to the charge nurse
A, C, D
As an advocate for the client, the nurse must make sure that "safe, effective care" is given in conformity with the? A. Nurse Practice Act (NPA). B. American Nursing Association (ANA) C. National Council for Licensure Examinations D. State Board of Licensure
A
A nursing student is learning about the Dreyfus model. The student shows understanding of the model when she identifies a novice as presenting in which of the following manners? A. 2 to 3 years of experience at a mastery level B No experience and has very rule oriented behavior C. Experienced based and actually targets the problems D. Prior- limited experience
B. No experience and has very rule oriented behavior
A client admitted voluntarily for treatment of an anxiety problem demands to be released from the hospital. Which action should the nurse take initially? A. Contact the client's primary HCP. B. Call the client's family to arrange for transportation. C. Attempt to persuade the client to stay "for only a few more days." D. Tell the client that leaving would likely result in an involuntary commitment.
A
A patient complains of feeling nauseated after lunch. This is an example of what type of data? A. Subjective B. Objective C. Signs and Symptoms D. Overt
A
A theory that is considered generally broad and complex is known as what type of theory? A: Grand theory B: Descriptive theory C: Middle-range theory D: Prescriptive theory
A
The nurse calls the PCP regarding a new medication prescription, because the dosage is higher than the recommended dosage. The nurse is unable to locate the PCP, and the medication is due to be administered. Which action should the nurse take? A. Contact the nursing supervisor B. Administer the dose prescribed C. Hold the medication until the PCP can be contacted D. Administer the recommended dose until the PCP can be located
A
The nurse is caring for an end-stage lung disease. The patient's family wants him to have a surgery. The nurse explains the risks and benefits of the surgery and discusses the patients wishes. The nurse is acting as as the patients: A. Advocate B. Case manager C. Educator D. Health promoter
A
Transcultural nursing implies: A. Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate B. Working in another culture to practice nursing within their limitations C. Combining all cultural beliefs into a practice that is a non-threatening approach to minimize cultural barriers for all clients' equality of care D. Ignoring all cultural differences to provide the best generalized care to all clients.
A
When applying evidence based practice, community oriented nurses are primarily obligated to ensure that evidence applied to practice is... A. Acceptable to the community B. Contains costs and and reduces legal liability C. Applied as a universal remedy D. Limited to research findings
A
Which of the following terms does this definition by Sigma Theta Tau describe? "The integration of the best evidence available, nursing expertise, and the values and preferences of the individuals, families, and communities who are served" A. Evidence based practice B. Nursing informatics C. Patient centered outcome D. Clinical expertise
A
Which statement BEST describes the effect of HIPAA on nursing informatics? A. HIPAA accelerated the development of electronic safeguards for transmitting and storing clients' medical data. B. HIPAA made previously public medical information confidential. C. The first generation of HIPAA required that paper medical records be turned into electronic files. D. HIPAA recognized the valuable contribution of informatics nurses to nursing knowledge.
A
You have a patient with chronic obstructive pulmonary disease (COPD). Which intervention for airway management should you delegate to a nursing assistant? A. Assisting the patient to sit up on the side of the bed. B. Instructing the patient to cough effectively. C. Teaching the patient to use incentive spirometry. D. Auscultation of breath sounds every 4 hours.
A
Nightingale believed dirt, rather than pathogens, was the cause of disease. She embarked on a campaign to provide what improvements? Select all that apply. A. Sunlight B. Fresh air C. Cleanliness D. Patient comfort
A, B, C
(Select all that apply) Privacy and a breach of confidentiality exposes a nurse to A. His/her employer to lawsuit B. Federal or stage legal action C. No repercussions D. Disciplinary action
A, B, D
A patient has to sign an informed consent. What information is included in the informed consent? SELECT ALL THAT APPLY. A. Name and purpose of procedure to be performed B. Patient family history C. Patient diagnosis D. Expected outcomes and benefits E. Patient vital signs
A, C, D
Select all that apply: When failure to obtain consent providers can be sued for A. Negligence B. Assault C. Battery D. Unauthorized touching of another
A, C, D
Which of the following are considered critical components of evidence based practice? Select all that apply. Evidence A. Evidence B. Clinical expertise in nursing C. Masters degree D. Patient-centered outcomes E. Trusted resources
A, C, D, E
In order to effectively provide privacy for a patient within the hospital, the nurse should do what? (Select all that apply) A. Lock or log off of computers when done using them. B. Provide the name, status, and condition to a reporter asking about a patient. C. Provide details to a family member who can't remember the patient's password. D. Only discuss a patient's details in private. E. Keeping patient records obscured from public view.
A, D, E
A nursing instructor has just finished lecturing on the topic of the job-search process and is taking questions from the class. Which comment by a student indicates a need for clarification? A. Employers can't see what I post on social media as long as I use appropriate privacy settings. B. I like the idea of a website portfolio rather than a heavy physical one you have to carry around. C. Even though I'll wear scrubs to work, it's important to dress up for the interview. D. After an interview, it's a good idea to send a letter or email thanking the interviewer.
A.
A patient refuses to eat more than a couple spoonfuls of dinner. The nurse comes in and starts spooning food in the patient's mouth when the patient stated she didn't want to eat. What violation would the nurse be accused of for his/her actions?
Battery
Which IOM Competency best describes the following scenario: RN Ana knows that handwashing is the number one way to protect the patient from the spread of infections? A:Client-centered Care B: Teamwork & Collaboration C: Evidence-based practice D: Quality Improvement E: Informatics
C
Which Nursing theorist is known as the first nursing theorist, the "Lady with the Lamp", and the nurse responsible for establishing nursing as a profession? A. Virginia Henderson B. Dorothea Orem C. Florence Nightingale D. Ida Jean Orlando
C
The nurse is caring for a patient with end stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risks and benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse is acting as the patient's:
Advocate
The nurse walks in with the patient's medicine. The patient refuses to take the medicine because they do not like how it tastes. The nurse says "If you do not take this medicine, I will make you take it." Which action would the nurse be committing?
Assault
You are caring for a patient in the emergency department. The patient has been drinking alcohol and asking for medication. The patient starts to become verbally abusive, you obtain restraints and instruct the patient if they don't calm down you will restrain them. What can you be charged with?
Assault
A nursing student is learning about different ways the nursing profession is regulated. The student displays competency when she states that which organization determines requirements for licensure? A. The Joint Commission B. National Council of State Boards of Nursing (NCSBN) C. American Association of Colleges of Nursing (AACN) D. National League for Nursing
B
A registered nurse (RN), is supervising a group of nurses at a health clinic. She overhears a nurse telling a patient, "If you do not stop shouting, I am going to give you an injection." The RN immediately intervenes and tells the nurse this action can lead to which accusation? A. Breach of Confidentiality B. Assault C. Delegation D. Respondeat superior
B
Cultural competence is the process of: A. Learning about vast cultures B. Acquiring specific knowledge, skills, and attitudes C. Influencing treatment and care of clients D. Motivation and commitment and care of clients
B
In Katherine Kolcaba's theory of comfort, she described comfort existing in three forms. These three forms were what? A. Sympathy, support, and reassurance B. Relief, ease, and transcendence C. Condolence, ease, and sympathy D. Relaxation, convenience, and well-being
B
Mr. Jefferson is a 66-year-old male whose adult daughter has encouraged him to make an advance directive. At his next doctor's appointment, Mr. Jefferson asks the nurse to explain what an advance directive is. Which statement by Mr. Jefferson indicates the need for additional teaching? A. "So an advance directive made in one state may not be fully enforceable in another state." B. "Once I sign my advance directive, I can't change my mind about the heroic measures I will allow." C. "The advance directive lists which heroic measures I do and do not agree to allow medical personnel to perform." D. "I don't need to hire an attorney in order to create a legal advance directive."
B
The nurse is caring for an older adult client who will be discharged home to live with his adult daughter. The client will be given prescriptions for four new medications for his rheumatoid arthritis. How will the nurse ensure that the client will be able to take the medications correctly at home? A. Provide the client with pamphlets and information about all of the medications. B. Include the client's daughter when teaching the client about the medications. C. Make a chart for the client indicating which medications should be taken at different times during the day. D. Monitor the client administering his own medications while in the hospital.
B
The nurse is planning care for a client who is Jehovah's Witness. What action is most appropriate? A. Ensure that a kosher menu is provided for meal selection B. Verify with certainty that the client does not want a blood transfusion C. Assign a female UAP to help the client with activities of daily living D. Consult with the dietician regarding the avoidance of meat and milk during the same meal
B
The nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? A. Call the police B. Call the nursing supervisor C. Take a picture of the coworker before they stop. D. Lock the coworker in the medicine room until help is obtained.
B
When communicating with a client who speaks a different language, which best practice should the nurse implement? A. Speak loudly and slowly B. Arrange for an interpreter to translate C. Speak to the client and family together D. Stand close to the client and speak loudly
B
Which factor motivated the inclusion of interdisciplinary teamwork as an IOM competency? A. Poor communication and lack of teamwork lead to burnout and high staff turnover. B. Poor communication and lack of teamwork among health-care workers contributed to errors. C. Good communication and teamwork improve job satisfaction among health-care workers. D. Good communication and teamwork improve patient-satisfaction scores.
B
Which of the following nursing theorists is known as "the Lady with the Lamp"? Her theory is known as the Environmental Theory and has an impact on modern nursing even today. A. Clara Barton B. Florence Nightingale C. Sister Calista Roy D. Jean Watson
B
Which principle of nursing ethics would support a terminally ill patient's right to die on his or her own terms? A. Provision 1.1, Respect for Human Dignity B. Provision 1.4, Right to Self Determination C. Provision 2.1, Primacy of the Patient's Interests D. Provision 5.1, Duties to Self and Others
B
Which theory focuses on an individual's ability to perform self-care, defined as the practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being? A. Environmental Theory B. Self Care Deficit Theory C. Health Promotion Model D. Theory of Human Caring
B
Why was a national nursing licensure examination developed despite that licensure is controlled by state boards of nursing? A. Some states refused to implement licensure examinations for nurses B. Individual state examinations varied widely, and consistent quality could not be ensured C. Nurses pushed for a national examination so that they could practice in different states D. The ANA demanded a national examination to exert more control over state boards of nursing
B
Select all that apply that is true of rural populations. A. Large populations B. Heart disease C. Alcohol abuse D. Urbanized E. May be uninsured
B, C, E
Which of the following interventions does NOT use elements of the patient need theory. SELECT ALL THAT APPLY. A. Assess the patient's respirations to ensure they are breathing at a normal rate and rhythm B. Ensure the patient eats and drinks as little as possible in order to save the hospital money C. Measure the patient's Intake and Output to ensure they are eliminating body waste D. Do not make the patient move or change positions as not to disturb them E. Educate the patient about the importance of sleep and rest
B, D
A nurse has been working on the floor for 2 and a half years. She has very good organization skills but has not yet mastered perception of the situation as a whole. At what level is this nurse on Dreyfus' model? A. Novice B. Competent C. Proficient D. Expert
B.
Which of the following nursing theorists is responsible for the Systems Model, consisting of three main parts: nursing diagnosis, nursing goals, and nursing outcomes?
Betty Neuman
A Nurse that intentionally and physically harms a patient instead of healing the patient is considered what? A: Manslaughter B: Defamation C: Battery D: Negligence
C
A nurse may be convicted of false imprisonment for which behavior? A. Putting the patient in fear of being harmed B. Touching the patient without his/her consent C. Putting a patient in restraints to prevent him from leaving D. Yelling and screaming at the patient for trying to get out of bed without assistance
C
How does the American Nurses Association (ANA) influence politics in the United States? A: The ANA provides financial support for nurses who run for political office B: The ANA crafts health-policy legislation that the House and Senate then vote on C: The ANA lobbies Congress and regulatory agencies on health-care issues affecting nurses and the public D: The ANA uses social media to manipulate public opinion
C
Nurses agree to be advocates for their patients. Practice of advocacy calls for the nurse to: A. Seek out the nursing supervisor in conflicting situations B. Work to understand the law as it applies to the patient's condition C. Assess the patient's point of view and prepare to articulate this point of view D. Document all clinical changes in the medical record in a timely manner
C
What distinguishes a middle-range theory from a grand theory of nursing? A. Middle-range theories have a larger number of variables, while grand theories have only a few. B. Grand theories should be socially significant, while middle-range theories have theoretical significance. C. Middle-range theories, not grand theories, form the theoretical framework for EBP research projects. D. There are fewer middle-range theories that there are grand theories.
C
You are a nurse on a Med Surg unit, you come in to work, and you go to your charge nurse to see about your assignments for the day. You are assigned 8 patients. 4 of which require frequent visits due to more serious diagnosis, and treatments they are receiving. You complete your shift, to the best of your ability but you struggle. 2 years later you get a call from the nursing malpractice court that you are being sued by a former patient's family, due to the care you gave their father while under your care. What should you have done, and when, to protect yourself and your license ? A. Tell your charge nurse halfway through that shift, that you think this is too much to handle. B. After your shift, go to the hospital executive council and tell them about how your charge nurse is too hard on you. C. Tell your charge nurse you are not comfortable with that assignment, before ever taking it. D. This is fine because you get lots of patients assigned to you during every shift, so nothing will happen even if someone does take you to court.
C
A family member visiting the hospital's acute care unit approaches the nurses station and reports that an elderly client is walking the halls without clothing. The nurse does not assist the client and suggests that she find the nurse who is in charge of that patient. Which of the following describes the nurses actions? A. Sensitive B. Compassionate C. Negligent D. Organized
C.
A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? A. Patient-centered care B. Safety C. Teamwork and Collaboration D. Informatics
D
A health care issue often becomes an ethical dilemma because? A. A client's legal rights coexist with a health professional's obligation B. Decisions must be made quickly, often under stressful conditions. C. Decisions must be made based on value systems D. The choices involved do not appear to be clearly right or wrong
D
A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right? A. Performing a procedure without consent B. Threatening to give a client a medication C. Telling the client that he or she cannot lave the hospital D. Observing care provided to the client without the client's permission.
D
All of the following are communicable diseases EXCEPT A. Hepatitis B. Tuberculosis C. HIV/AIDS D. Diabetes
D
The nurse arrives at work and is told to float to the ICU for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which action first? A. Call the hospital's lawyer B. Leave the hospital for that work day C. Call the ICU nurse supervisor D. Identify tasks that can be performed safely in the ICU
D
What is the goal of Orem's self-care model of nursing? A. To return the client to a disease or illness free state B. To allow the client to reach his or her full potential as a human C. To return the client to a state of balance that does not require external intervention D. To help the client direct and carry out activities that maintain or improve his or her health
D
Which of the following are examples of IOM standards? A. Evidence Based Practice B. Patient Centered Care C. Utilizing informatics D. All of the above
D
Which of the following is incorrect about EBP? A. Patients' care must be based on evidence. B. EBP Improves care to patients. C. It allows the nurse the ability to distinguish the difference between those clinical approaches based on the best evidence and those based on tradition or authority D. EBP is an option for nurses.
D
Which statement would best explain the role of the nurse when planning care for a culturally diverse population? The nurse will plan care to: A. Include care that is culturally congruent with the staff from predetermined criteria B. Focus only on the needs of the client C. Blend the values of the nurse that are the good of the client and minimize the client's own values and beliefs D. Provide care while aware of one's own bias, focusing on the client's individual needs rather than the staff's practices
D
Whose scope of practice is NOT regulated by the state board of nursing? A. Registered nurse B. Licensed practical nurse C. Case manager D. Physician assistant
D
The nurse manager has involved all staff members in the development of goals and decision making. Which leadership style has the unit manager exercised?
Democratic
In her Human Becoming theory, Rosemarie Razzo Parse described the connection between the environment and the person, and how a person should be treated as a person, rather a sum of parts. Which of the following describes the relationship this theory helps nurses create? A. Nurse-Nurse B. Nurse-Physician C. Nurse-Family Member D. Nurse-Patient
D.
Mrs. Jones has end stage renal disease and is on dialysis three days a week. Upon admittance to the hospital Mrs. Jones expresses that she wishes to not be resuscitated in the event that her heart stops beating. The nurse recognizes that Mrs. Jones is protected by which of the following laws? A. The Patient Dependence Act B. The Patient Act of Free Will C. The Confinement and Control Act D. The Patient Self-Determination Act
D.
Which of the following statements about the elderly population in the United States is true? A. Most older adults live in some type of assisted-care or nursing home situation B. Older adults as a group are better off financially than their younger counterparts C. Older adults typically seek medical care only for acute illness or condition D. Many older adults live with more than one chronic illness or condition
D.
A nursing student is asked to describe who pioneered the Self-Care Deficit Nursing Theory. The student would receive full credit if they chose which nursing theorist?
Dorothea Orem
Which theorist was known to have decreased mortality by improving sanitation in the battlefields that helped to decrease infection in patients?
Florence Nightinagale
A nursing student is instructed to create a plan of care regarding their patient. The plan of care must include a nursing diagnosis and consist of using the nursing process. Which of the following theorists is responsible for ADPIE?
Ida Jean Orlando
A nurse sees a care tech observing care of a patient without permission. The nurse understands that this is an example of...
Invasion of privacy
Which nursing theorists introduced the Theory of Human Caring, which argued that caring is central to nursing practices and promotes health?
Jean Watson
A student is discussing with a nurse about the "Care, Cure, Core Theory". The student would be correct if they stated which theorist was the founder of this theory?
Lydia Hall
The nurse is preparing medications for a patient while talking with another nurse. She draws up 2 mL more than what is prescribed and administers the medication without checking it against the MAR. What type of malpractice has occurred?
Negligence
When a nursing student enters the first year of the Arkansas State University Nursing Program, what stage does the student fall into when using Patricia Benner's model?
Novice
You are caring for a patient that has just had a stroke. What interprofessional team member would you collaborate with for this patient to help perform ADL's?
Occupational therapist
Even though the nurse may obtain the client's signature on a form, obtaining informed consent is the responsibility of the:
Physician
The code of ethics for nurses is composed and published by___?
The American Nurses Association
Which of the following Nursing theorists is known by many as the "First Lady of Nursing" and is the creator of the Patient Need Theory?
Virginia Henderson
