304 Exam 1 Lesson Questions
The nurse is providing pt education to the parents of an infant born with tetralogy of Fallot. The infant is currently stable, and surgery is planned for 3 days from now. Which teaching approach would be best for this situation?
Participating
A staff nurse is considering a research study on the Hopi Indian culture's perspective on death and dying. Which type of research method would be best for the study?
Phenomenology
A 50-year-old construction worker arrives at the hospital reporting stomach cramps and vomiting for several days. He smokes a pack of cigarettes daily and lives nears a landfill. Which external/environmental factor would the nurse identify that likely has affected the patient's safety?
Place of residence
Which statement describes the main goal of the Quality and Safety Education for Nurses (QSEN) project?
Prepare future nurses to advance quality and safety
Which statements relate to the American Nurse Association (ANA) Code of Ethics?
Provides a statement related to the ethical values, obligations, and duties for the nursing profession Serves as the profession's nonnegotiable ethical standard Expresses nurses' understanding of the commitment to society
The National Institute of Nursing Research (NINR) is focused on the advancement of which major themes?
Quality of life in chronic illness Wellness Illness prevention Self-management
An experiment studying the treatment on patients who are selected by a process that eliminated bias and uses a control group would be considered which type of study?
Randomized controlled trial
Which benefits are associated with using EBP in nursing care?
Reduced health care costs Higher quality nursing care Improved patient outcomes Improved job satisfaction
For which reason would the nurse avoid nontherapeutic communication in a nurse-patient helping (therapeutic) relationship?
Requires justification of actions from the patient
To help pt make better health care decisions, which attribute do nurses use to understand their own beliefs?
Self-awareness
Which terms are components of the Health Belief Model?
Self-efficacy Perceived severity Perceived barriers Self-awareness
Which action is next when a nurse determines that an adolescent with newly diagnosed type 1 diabetes has sufficient knowledge of the disorder?
Setting goals with the client
Which is an accurate representation of all elements contained in "SBAR?"
Situation, Background, Assessment, and Recommendation
Which behavior illustrates caring behavior rather than codependency when a nurse is providing care for a younger homeless individual?
Spending time finding an available homeless shelter in the area
Which theory suggest a holistic approach to caring that promotes healing and wholeness?
Swanson's theory
Which impairments may impede communication?
Hearing Visual Cognitive Physical
A pt and a family member disagree about the use of alternative med. After the family member leaves the room, the pt asks the nurse for advice. Using the values clarification process, which action would the nurse take?
Help the pt make an informed decision about next steps
Which environmental risk would the nurse identify as often leading to falls?
Inadequate lighting
The nurse is caring for a middle eastern pt whose cultural beliefs make it difficult to accept direction from a person of a different culture. Using Leininger's Cultural Care Theory, which approach would the nurse take to communicate a plan of care with this pt?
Include the pt in creating the plan of treatment that includes cultural elements of caring
When caring for pt who may have differing beliefs and values, which essential component of Watson's Theory of Human Caring/Caring Science would the nurse consider?
Integrating the art of caring and the science of healing
A nurse explains all options related to the pt surgery, reminding the pt the decision is theirs. Which ethical principle is the nurse respecting?
Autonomy
Which required noninvasive assessment and management skills certification would the nurse need to perform airway maintenance and CPR?
Basic Life Support (BLS)
Which pt situations describes projection?
An adult pt feels ugly but calls the nurse ugly
Which health care team member is familiar with all the needs of any individual client?
Charge nurse
Which feature of the nurse-patient helping relationship is legally upheld by HIPAA?
Confidentiality
Which techniques promote therapeutic communication?
Conveying acceptance Using focused comments Using humor
When would the nurse assess the pt health literacy?
During each pt interaction
Which characteristic of both the nursing process and the Clinical Judgment Measurement Model refers to changes over time in response to patients' individual needs?
Dynamic
Which Quality and Safety Education for Nurses competency does the nurse observe when questioning the approach to routine care?
EBP
A pt was admitted to the unit considering a termination of pregnancy (TOP) due to severe fetal abnormalities. The nurse understands the pt concerns, but the nurse's belied system excludes TOP as an option. Which caring behaviors would the nurse implement to ensure the pt medical needs are met?
Ensure the convergence of values and choices does not affect care
The nurse is concerned that a pt they are treating may have psychological issues that could affect their care. Which type of belief is the nurse expressing?
Experience
Which statements are true regarding the process of nursing research?
It can lead to knowledge to support a change in practice It is a systemic approach to address a problem or question It can be used to prove existing theories or refine existing knowledge
Which theory suggest that nursing is transcultural?
Leininger's theory
Which action would the nurse take first when working with a pt who has a specific set of values and beliefs regarding health care that is different from that of the nurse?Which action would the nurse take first when working with a pt who has a specific set of values and beliefs regarding health care that is different from that of the nurse?
Listen to the pt beliefs about their health care
Which national organization categorizes injuries as intentional or unintentional?
National Center for Health Statistics (NCHS)
Which health care team member is the designated delegator?
Nurse manager
Which phase of the nurse-pt helping relationship is represented when the nurse is summarizing care?
Termination
Which organization places a focus on pt safety when evaluating health care agencies for accreditation?
The Joint Commission
Which "rights" are considered to be the "Original 5" rights of medication administration?
The right drug, dose, time, patient, route
According to Paul and Elder, clinical thinking requires which components?
Thought process Reasoning Intellectual standards Intellectual traits
Which description best characterizes the hand-off process?
Transfer and acceptance of pt responsibility
which theory emphasizes human to human relationships?
Travelbee's theory
Order the hierarchical approach to providing culturally competent care
Understand the pt values and beliefs. Understand your values and beliefs. Explain your perception Acknowledge the difference Involve the pt when providing the options Negotiate a treatment plan that includes pt values and beliefs
Which approach would best illustrate how a nurse would apply Travelbee's Interpersonal Theory of Nursing when caring for a child who has an upcoming surgery for a radial fracture?
Use a compassionate approach to care
Which strategy would the nurse use to facilitate communication with a visually impaired patient?
Use analog clock descriptors to specify location
Which caring approach is congruent with Watson's theory?
Using a holistic approach to pt care
Which approach would the nurse take to help with their internal conflicts related to the provision of palliative care to a stage IV cancer pt who has decided to discontinue care modalities?
Values clarification
A nurse is assisting in the care of a woman having IVF. The nurse's religious belief system considers natural fertilization to be the appropriate means of conception. Which concept describes what the nurse is experiencing?
Values conflict
A nurse is caring for a woman who declines meds as she delivers her first child. The nurse supports the use of some med to assist with the birth. What concept does this scenario illustrate?
Values conflict
Which nursing attitude is needed to increase patient safety?
Values own role in preventing errors
Which pt behaviors could indicate low health literacy?
Wants to wait for family before signing consent form Has lab results that don't support the pt prescribed treatment plan Refers to medications by the color of the pill Frequently misses follow-up appointments
which theory builds on phenomenological studies based on perinatal nursing concepts?
Watson's theory
The National League for Nursing describes four values in nursing. Match the nurse's behavior with the corresponding value. (caring, integrity, diversity, excellence) a. giving health-promotion advice b. listening to pt feelings c. respecting cultural beliefs d. supporting community outreach for older adults
a. Caring b. Integrity c. Diversity d. Excellence
Place the evidence in order from most to least trustworthy Meta-analysis Background information and expert opinion Randomized control trials Systemic reviews Case-control studies
a. Meta-analysis b. Systematic reviews c. Randomized control trials d. Case-control studies e. Background information and expert opinion
using personal strengths to overcome feelings of inadequacy
compensation
refusing to admit the reliability of a situation
denial
taking on certain characteristics of another
introjection
choosing not to think consciously about unpleasant feelings
suppression
