Concepts of Professional Nursing- Critical Thinking Questions (EXAM 1)

Advanced practice registered nurses generally: A. Function independently B. Function as unit directors C. Work in acute care settings D. Work in the university setting

A. Function Independently

Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? A. Moving from an acute illness to a health promotion, illness prevention model B. Moving from an illness prevention to a health promotion model C. Moving from an acute illness to a disease management model D. Moving from a chronic care to an illness prevention model

A. Moving from an acute illness to a health promotion, illness prevention model

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (SELECT ALL THAT APPLY) A. Caregiver B. Autonomy and Accountability C. Patient Advocate D. Health Promotion E. Lobbyist

ABCD

Which of the following nursing roles may have prescriptive authority in their practice (SELECT ALL THAT APPLY) A. Critical Care Nurse B. Nurse Practitioner C. Certified Clinical Nurse Specialist D. Charge Nurse

B and C

A 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 risk and benefits of the surgery and discusses the patient's wishes with the family. The nurse is acting as the patient's A. Educator B. Advocate C. Caregiver D. Case Manager

B. Advocate

A nurse is caring for an older adult couple in a community based assisted living facility. During the family assessment, he notes that the couple has many expired medications and multiple medications for their respective chronic illnesses. They note that they go to 2 different health care providers. The nurse begins to work with the couple to determine what they know about their medications and helps them decide on one care provider rather than 2. This is an example of which QSEN competency? A. Patient centered care B. Safety C. Teamwork and Collaboration D. Informatics

B. Safety

Evidence Based practice is defined as: A. Nursing care based on tradition B. Scholarly inquiry of nursing and bio-medical research literature C. A problem solving approach that integrates best current evidence with clinical practice D. Quality nursing care provided in an efficient and economically sound manner

C. A problem solving approach that integrates best current evidence with clinical practice

An 18 year old woman is in the ER with fever and cough. The nurse obtains her vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? A. Diagnosis B. Evaluation C. Assessment D. Implementation

C. Assessment

Nurses at a community hospital are in an education program to learn how to use a new pressure relieving device for patients at risk for pressure ulcers. This is which type of education? A. Continuing Education B. Graduate Education C. In-Service Education D. Professional Registered Nurse Education

C. In-Service Education

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A non-nursing colleague asks about this code. Which of the following statements best describes this code? A. Improves self-health care B. Protects the patient's confidentiality C. Ensures identical care to all patients D. Defines the principles of right and wrong to provide patient care

D. Defines the principles of right and wrong to provide patient care

A nurse assesses a patient who comes to the pulmonary clinic. "I see that it's been over 6 months since you've been in, but your appointment what for every 2 months. Tell me about that. Also I see from your last visit that the doctor recommended routine exercise. Can you tell me how successful you have been following his plan?" The nurse's assessment covers which of Gordon's functional health patterns? A. Value-belief Pattern B. Cognitive perceptal pattern C. Coping stress tolerance pattern D. Health perception health management pattern

D. Health Perception-Health Management Pattern

A patient in the ER has developed wheezing and SOB. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice if performed? A. Planning B. Evaluation C. Assessment D. Implementation

D. Implementation

A critical care nurse is using a computerized decision support system to correctly position her ventilation patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which QSEN competency? A. Patient centered care B. Safety C. Teamwork and Collaboration D. Informatics

D. Informatics

The nurse on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment.The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at risk patients.Given this information, The nurse consultant exemplifies which career? A. Clinical Nurse Specialist B. Nurse Administrator C. Nurse Educator D. Nurse Researcher

D. Nurse Researcher

The exam for RN licensure is exactly the same in every state in the US. This exam: A. Guarantees safe nursing care for all patients B. Ensures standard nursing care for all patients C. Ensures that honest and ethical care is provided D. Provides a minimal standard of knowledge for a registered nurse in practice

D. Provides a minimal standard of knowledge for a registered nurse in practice