Nursing Theory- Final Exam

Evidence-based practice utilizes which approach to data collection? Select one: a. Hierarchy of best information available - to determine if evidence supports practice. b. Subjective information through groups of informants. c. Unbiased valid and trustworthy data- to accept or reject hypothesis. d. Quality indicators- variable minimum of one data point at baseline and three data points post interventions

A

How can the nurse ensure they provide holistic nursing practice to the patient? Select one: a. Include cultural and spirituality assessments in their nursing practice. b. Ask about the patient's pain, mobility, and feelings. c. Assess physical findings. d. Play Church TV for the patient.

A

What are the informatics competencies of a beginner nurse? SELECT ALL THAT APPLY Select one or more: a.Using a barcode scanner to administer medications. b.Conducting research on electronic health record software. c.Sending email to the nurse manager. d.Assisting coworkers in computer literacy.

A, C, D

According to Campinha-Bacote's Process of Cultural Competence, what questions should a nurse consider to provide culturally competent care? SELECT ALL THAT APPLY a. Do I desire to be culturally competent? b. Do I have the knowledge about the different culture? c. Do I need to improve my skill to conduct a cultural assessment? d. Am I aware of my personal biases towards other cultures?

ALL

A ____________ is a wrongful act that is committed against another person or property that results in harm. Select one: a. criminal law b. tort c. statute d. contract

B

An advantage of what nursing care delivery model includes continuity of care at the bedside for patients? Select one: a.Team Nursing b.Total Patient Care c.Case Management d.Functional Nursing

B

The nurse accidently leaves the side rails down on an infant's crib on the pediatric unit; the baby falls out and is injured. What is this an example of? Select one: a. Standard of Care b. Malpractice c. Abuse d. Misconduct

B

The nurse researcher is designing a qualitative research project to analyze patients' perspectives about anxiety after heart attacks. Which approach will the researcher use to collect data for this project? a. Compare the number of patients with anxiety to relationship changes. b. Recognize how the anxiety has impacted the patient's life. c. Compute the number of patients who had anxiety after heart attacks. d. Establish the different types of heart attacks that occured

B

The nurse researcher is studying whether or not a TENS unit decreases pain in neuropathic pain. After two weeks, patients state the same level of pain; the nurse researcher continues the study. What ethical principle is the nurse researcher violating? a. Autonomy b. Beneficence c. Non-maleficence d. Justice

B

What can nurses do to avoid legal problems? a. Obtain licenses in multiple states to be protected. b. Follow the nursing process to document appropriate information. c. Provide excessive information in documentation to avoid being sued. d. Avoid communicating with patient and families so they are unaware of errors.

B

What does the criterion of credibility refer to in qualitative research? a. The reliability of data over time b. Confidence in the truth value of the data c. Objectivity of the interpretation of the data d. Applicability of the data to other groups Feedback

B

What examines the extent to which an instrument measures what it says it measures? a.Reliability b. Validity c. Precision d. Credibility

B

What happens when a client goes through the process of acculturation? Select one: a. The client will be identifying with two or more cultures. b. The client will be adapting to and adopting a new culture. c.The client will socialize within their primary cultural group. d. The client will show favor to the dominant culture.

B

After completing patient assessments, the nurse develops a plan of care including nursing interventions. How does the nurse decide in what order to perform the interventions? Select one: a. Ask the physician b. Perform the easiest tasks first c. Use critical thinking skills d. Ask a colleague

C

After reading several research articles, the nurse understands that which study has the most statistically significant results? a. P value <.05 b. P value <0.45 c. P value <0.005 d. P value >0.45

C

As consumers of research, which action will a nurse take? Select one: a.Produce research b.Design studies c.Read research d.Undertake studies

C

In a research article, which section would the nurse find the following statement: "The sampling plan called for the recruitment of 150 mother-infant dyads from an inner-city neighborhood"? Select one: a. Results b. Introduction c. Methods d. Discussion

C

The newly licensed nurse notices that they were not oriented to a specific procedure that occurs frequently on their unit. The nurse goes to the literature to find the quickest and most effective way to train nurses on the procedure. The nurse then brings the evidence to their nurse manager; together they read over the evidence to determine if it should be incorporated in future orientations. What step are the nurse and manager doing together? a. Problem Identification b. Evidence Collection c. Evidence Appraisal d. Evidence Integration

C

What are the paradigms of the discipline of nursing? Select one: a. Person, health, illness, environment b. Environment, person, health, wellness c. Health, person, environment, nursing d. Nursing, person, situation, illness

C

What defines the stability of data over time and over conditions? a. Transferability b. Confirmability c. Dependability d. Authenticity

C

What is not a goal of healthcare collaboration? Select one: a. Prevent redundancies and errors. b. Achieve high-quality patient care and satisfaction. c. Take the workload of the nurses. d. Promote mutual respect and communication.

C

What statutory law governs nursing practice in all states in the United States? Select one: a. Federal Court System b. The American Nurses Association c. The Nurse Practice Act d. Board of Nursing

C

Which is an example of a quality improvement initiative? SELECT ALL THAT APPLY Select one or more: a.More upper level management b.Increased use of urinary catheters c.Improved hospital food d.Evidence-based care bundles

C & D

A just culture or culture of safety can be defined as which of the following? Select one: a.A culture that promotes the organization of nursing unions b.A work environment in which there is distrust among nurses c.A work environment that is free from medication errors d.A culture in which nurses are able to report unsafe working conditions

D

The nurse should educate patients regarding advance directives. Which of the following is a type of advance directive? Select one: a. Living will b. Power of advocacy c. Residing advocate d. Future will

A

Where in a research article would you find a description of how data was collected? Select one: a. Methods b. Introduction c. Conclusion/Discussion d. Discussion

A

A nurse expert would use which sources as standards of care in a lawsuit? SELECT ALL THAT APPLY a. Nurse Practice Act b. HIPAA c. Hospital nursing policies d. Hospital physician policies

A & C

Florence Nightingale is known for which of the following nursing roles? SELECT ALL THAT APPLY. Select one or more: a.Collaborator b.Caregiver c.Leader d.Researcher

ALL

The nurse asks a patient where the pain is; the patient responds by pointing to the area of pain. What form of communication did the patient use? Select one: a. Verbal b. Nonverbal c. Spatial d. Intonation

B

Without effective communication and collaboration, what nursing care delivery model can be ineffective? Select one: a.Functional Nursing b.Team Nursing c.Total Patient Care d.Case Management

B

A nurse researcher is planning to conduct a study about the experience of having a family member diagnosed with early-onset Alzheimer's disease. She asks an expert in Alzheimer's disease to interview her about her prior assumptions and own experiences with family members with this disease. Which quality-enhancement strategy did the researcher use? a. Member checking b. Triangulation c. Reflexivity d. Persistent observation

C

Which qualitative design would most likely be the foundation for the following research question: "What are the values of persons living with HIV/AIDS in rural Ethiopia?" Select one: a. Grounded theory b. Qualitative descriptive c. Ethnography d. Phenomenology

C

The nurse posted information about a patient on social media. What type of law did the nurse violate? a. Statutory law b. Criminal law c. Intentional Tort law d. Unintentional Tort law

c

What is a potential extraneous variable in the previous question's situation? a. The mattress b. The bed sheets c. A patient's nutritional status d. The time of day a patient is turned

c

A nurse who influences the behavior of others within the work environment to facilitate the establishment and achievement of shared goals is acting as a/an: Select one: a.Nurse Leader b.Quality Improvement Expert c.Nurse Educator d.Direct Caregiver

A

In Watson's theory, she describes clinical Caritas processes. Which best describes this term? Select one: a. Caring is central to nursing practice b. Unilateral relationship c. Energetic environment d. Concept of peace

A

The nurse researcher is reading current articles to see what is already known about their topic of interest. What phase is the researcher in? a. Conceptualize the problem b. Design the study c. Analyze the data d. Use the results

A

In an effort to enhance the likelihood for generalizability, the nurse researcher would include what aspects in their study? SELECT ALL THAT APPLY a. Experimental b. Non-experimental c. Probability sampling d. Non-probability sampling

A & C

Patient Sally is waiting for surgery later on this afternoon. The nurse notices that Sally is becoming increasingly anxious. The nurse sits down with the patient to discuss her fears and practices a loving-kindness meditation with the patient. Which nursing theory is influencing the nurse's intervention? a. Nursing Need Theory b. Theory of Transpersonal Caring c. Stages of Clinical Competence d. Theory of Interpersonal Relations

B

The bachelors-prepared nurse understands the importance of learning about nursing theory. Which is a purpose of nursing theory in practice? a. Nursing theory provides evidence for theoretical use only. b. Nursing theory can close the gap between research and practice. c. Nursing theory refutes relevant areas for study. d. Nursing theory separates concepts and assumptions between phenomenon.

B

The nurse is defining the topic before conducting an electronic information retrieval project. What purpose does this action serve? Select one: a. Keeps results list to under 50 b. Sets up search parameters and helps focus search c. Ensures probabilistic searching d. Allows both medical and nursing research searched

B

What refers to the grouping of people based on biological similarities? a. Ethnicity b. Race c. Minority d. Culture

B

A nurse must ensure that patients' personal health information is kept confidential; this is mandated by which law? Select one: a. The Bill of Rights b. FERPA c. HIPAA d. The Nurse Practice Act

C

The nurse is caring for a patient who says, "I just don't know how I will make it through this, this diagnosis is really shaking me up...why me?" What spiritual intervention can the nurse implement? a. Call psychiatry because the patient is suicidal. b. Call the doctor and request calming medication. c. Provide active listening and presence. d. Perform prays at the bedside.

C

Two nursing students are deciding if they should study for a test or go out on a Friday night. The first nursing student says, "I believe we should study first and then go out." The second nursing student says, "I think we should go out and then study tomorrow." What concept are they arguing? a. Existential b. Evaluative c. Prescriptive d. Value Clarification

C

Which poses the largest challenge with maintaining privacy in health care? Select one: a.Family members or visitors b.HIPAA c.Computers and other smart devices d.Communication strategies

C

The nurse consumer wants to see if the results from a study are statistically significant. Where would the nurse look? a. Conclusion/summary b. Literature Review c. Methodology d. Results/Findings

D

Which research question can be used for a quantitative research study? Select one: a. How do men over the age of 75 perceive Medicare reforms? b. How do Vietnamese women view domestic violence? c. How do young men living in rural communities obtain public social services? d. What effect does counseling have on blood pressure in young women?

D

Recognizing that nursing is both an art and a science is necessary for the nurse to act as a caregiver. Select one: True False

TRUE

What is the independent variable in the research question, "Is turning patients every three hours versus every two hours just as effective in preventing pressure ulcers?" a. Length of time in between turning b. Three hours c. Two hours d. Presence of pressure ulcer

a

A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care? Select one: a. Provides care that fits the patient's valued health patterns and linguistic needs. b. Provides care that is the same as the values of the professional health care system. c. Provides care that makes the nurse the leader in determining what is needed. d. Provides care that is based on meanings generated by predetermined criteria.

A

A patient asks why hospitals have to make their data for core measures public. What is the best response by the nurse to answer this question? Select one: a.Having the data public allows patients to make informed choices about their care. b.The hospital doesn't want patients to think they are hiding anything. c.It is mandatory. d.The hospital receives additional reimbursement if they publish data.

A

A patient has just been diagnosed with cancer. The patient declines treatment against medical advice and states, "I just want to go home." The nurse helps to set up home nursing services and expedites the discharge process. What ethical principle is the nurse upholding? a. Autonomy b. Beneficence c. Non-maleficence d. Justice

A

A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify some activities that the patient is looking forward to in life. Which spiritual concept is the nurse trying to promote? Select one: a. Hope b. Time management c. Faith d. Reminiscence

A

Identify two events that propelled the need for additional trained nurses in the United States. Select one: a.World War I & the Influenza Epidemic b.World War II & the Women's Rights Movement c.The Vietnam War & the Civil Rights Movement d.The Korean Conflict & advances in medicine

A

On a midterm exam for Section 1 of a nursing research course, scores ranged from 65% to 98%. For Section 2 of the same course, exam scores ranged from 72% to 95%. Which of the following are true of the scores for the two classes? Select one: a. There is more variability in the exam scores for Section 1. b. The distributions of scores for both classes are skewed. c. The amount of variation in scores is the same for both classes. d. There is more variability in the exam scores for Section 2.

A

The nurse delegates client care tasks to unlicensed assistive personnel. Who has accountability for the care of the client? Select one: a. The nurse who did the delegating b. The physician c. The client d. The person to whom the tasks were delegated

A

To win a malpractice suit against a nurse, the plaintiff's team must prove all of the following EXCEPT what? Select one: a. The doctor ordered the wrong medication. b. The nurse was responsible for caring for the patient. c. The nurse caused the harm done to the patient. d. There was harm done to the patient.

A

What is the independent variable in the research question, "What is the effect of noise levels on postoperative pain and blood pressure fluctuations in ICU patients?" Select one: a. Noise levels b. Fluctuations in ICU patients c. Postoperative pain d. Blood pressure

A

What is the purpose of an evidence hierarchy? Select one: a. To rank order evidence according to the strength of evidence provided b. To provide an incentive structure for those undertaking research c. To guide researchers in selecting a research design d. To promote the creation of systematic reviews

A

When does a nurse researcher stop data collection in a qualitative study? a. When the data begins to sound the same. b. When they hit the appropriate power analysis number. c. When they run out of people who have experienced the phenomenon. d. When they have enough trends and patterns identified.

A

When reviewing a research article for application to clinical practice, the nurse uses the survey, examine, and evaluation (SEE) method. How does this method help the nurse? Select one: a.It supports critical reading. b.It identifies the philosophical position. c.It summarizes the study. d.It clearly delineates the statistical findings.

A

Which method aims to change nursing practice? Select one: a. Evidence-based practice b. Quality improvement c. Research utilization d. Nursing research

A

Which of the following is the greatest barrier to effective communication? Select one: a. Being defensive b. Giving an opinion when asked c. Using assertiveness techniques appropriate to the situation d. Unknowingly crossing your arms

A

Which pathway in quality improvement process should the nurse consider? Select one: a.Participate in quality improvement initiatives. b.Report and penalize individuals who do not utilize improvement interventions. c. Ignore problems outside of routine data monitoring as they are not included in benchmarking measurements. d.Delegate improvement interventions to other health care disciplines.

A

Which qualitative research method would the following question use: "What is it like to experience a heart transplant?" Select one: a. Phenomenology b. Ethnography c. Experimental d. Participatory Action Research

A

Which statement about a null hypothesis is true? Select one: a. A null hypothesis is used in neither quantitative nor qualitative research. b. A null hypothesis is used in both quantitative and qualitative research. c. A null hypothesis is used in only qualitative research. d. A null hypothesis is used in only quantitative research.

A

A patient tells the nurse, "I'm having a lot of pain in my hip." Which responses by the nurse are open-ended and would stimulate the patient to provide the most complete data? SELECT ALL THAT APPLY Select one or more: a. "Tell me about the pain." b. "How would you describe your pain?" c. "Is your pain severe?" d. "What day did you first notice this pain?"

A & B

Which statements by the nurse demonstrate that active listening has occurred? SELECT ALL THAT APPLY Select one or more: a. "I make eye contact and listen to my patient to find out their concerns." b. "I think my patient wanted another blanket, or was it another towel?" c. "I tried to listen to my patient while I was changing their central line dressing." d. "I sat with my patient and their partner to talk about their fears about the surgery."

A & D

What are examples of nursing standards of care guidelines? SELECT ALL THAT APPLY Select one or more: a. Nurse Practice Acts b. Wikipedia c. Healthcare institutional policies and procedures d. The culture and norms of various nursing units

A& C

The nurse understands which are ways to promote EBP at the individual and institutional level? SELECT ALL THAT APPLY Select one or more: a. Educate yourself about EBP b. Present safety concerns and repeated trends to nursing administration and management c. Keep results of research to yourself d. Adopt a reflective and inquiring approach to practice

A, B, & D

What must a nurse consider when evaluating a website for health-related information and education? SELECT ALL THAT APPLY Select one or more: a.Usability of the website b.Accuracy of the information c.Graphic design of the website d.Release date of the information

A, B, D

The nurse understands that quality improvement is data driven based on benchmarking. What aspects are included in benchmarking? SELECT ALL THAT APPLY Select one or more: a.Seeking out best practices to improve core measures b.Serves as a reference point against which things may be compared. c.Implementing best practices to improve core measures d.Identification of a core measurement

ALL

The nurse wants to incorporate more spiritual care into their practice. What nursing interventions are appropriate to include? SELECT ALL THAT APPLY Select one or more: a. Praying with a patient. b. Assessing if certain beliefs or experiences influence their medical care. c. Being present for a patient in a meaningful way. d. Allowing the patient to express their spiritual thoughts, fears, doubts, and hopes.

ALL

When considering the various cultural domains and concepts that affect one's health, what should the nurse assess? SELECT ALL THAT APPLY Select one or more: a. The family unit and associated roles b. Acceptable use of body language and touch c. Associate food restrictions and/or rituals d. Views on death and euthanasia

ALL

When working on an interdisciplinary team, a new nurse understands which are important elements of successful collaboration? SELECT ALL THAT APPLY. Select one or more: a. Mutual respect and trust b. Understanding roles and responsibilities c. Effective communication skills d. A clear definition of the problem

ALL

Which are benefits of electronic health records for nursing? SELECT ALL THAT APPLY a. Provides clinical alerts and reminders b. Uses a bar code system to serve as a safety technique c. Allows for immediate entry of patient data d. Includes pharmacological and lab databases

ALL

The nursing students understands to practice which techniques to improve critical thinking skills? SELECT ALL THAT APPLY a. Reflection b. Using the nursing process c. Rational thinking d. Logical processing

ALL of the above

A nurse creates an educational program for clients about nutrition and exercise to maintain a healthy lifestyle and prevent diseases. What level of healthcare is this? Select one: a.Tertiary b.Primary c.Secondary d.Acute Care

B

A nurse is using communication to understand a patient's level of coping with their new diagnosis. The nurse asks the patient to describe their future goals. This is an example of what communication technique? Select one: a. Clarifying b. Open-ended question c. Closed-ended question d. Active listening

B

A nurse researcher implements the design of a research study. Which activity will the nurse perform during this phase of the research process? Select one: a. Use inductive reasoning. b. Collect data. c. Write the research proposal. d. Recommend further study.

B

A researcher is studying a phenomenon that is poorly understood and wants to collect data to identify correlations and understand meaning. What type of research will occur? a. Experimental b. Mixed Methods c. Phenomenological d. Clinical Trial

B

An instrument that accurately measures what it is intended to measure can be described as: Select one: a. Controlled b. Valid c. Reliable d. Random

B

Female servants, called deaconesses, influenced the development of nursing during which time period? Select one: a. The Crimean War b. The Middle Ages c. The Roman Period d. The Victorian Era

B

If all people in a population have an equal chance of being selected as study participants, which selection method is being used? Select one: a. Biased b. Random c. Blind d. Controlled

B

In the PICOT question, "In preterm babies, do heated blankets versus swaddle blankets help maintain body temperature?" What concept is the comparison intervention? a. Preterm babies b. Swaddle blankets c. Heated blankets d. Body temperature

B

In the following clinical question, what is the outcome component when using the PICOT format? "What is the effect of relaxation therapy versus biofeedback on the functional ability of patients with rheumatoid arthritis?" Select one: a. Biofeedback b. Functional ability c. Patients with Rheumatoid arthritis d. Relaxation therapy

B

Most definitions of evidence-based practice call for the integration of best research evidence with what? Select one: a. Leadership b. Patient preferences and values c. Systematic reviews d. Rankings on the evidence hierarchy

B

Orem's Self-Care Deficit Theory of Nursing describes the Theory of Nursing Systems. Which scenario is an example of a partially compensatory nursing intervention? Select one: a. The nurse provides discharge teaching to a mother/baby couplet. b. The nurse helps to stand and pivot the patient to a recliner. c. The nurse turns and repositions an intubated and sedated patient every two hours to prevent pressure ulcers. d. The nurse provides nutritional teaching to a client newly diagnosed with type 2 diabetes.

B

The licensed provider is at the bedside to obtain an informed consent for surgery. The patient speaks very little English. What is the best action taken by the nurse? a. Ask the family if they are comfortable translating for the doctor. b. Stop the physician and wait for the hospital-provided interpreter. c. Allow the doctor to obtain consent and then use translator to ask if patient has any questions. d. Stop the physician and contact interpreter services; if no one calls back allow the doctor to continue.

B

The nurse has collected the following evidence resources. According to the evidence hierarchy, which resource provides the strongest evidence to support and EBP change? Select one: a. It depends on the research question b. Meta-analysis of randomized controlled trials c. Randomized control trial d. In-depth qualitative studies

B

The nurse is assigned to a patient from Haiti who does not speak English. Before entering the room, the nurse pauses to consider any previous encounters with patients from Haiti and their own knowledge of that culture. What action is the nurse performing? a. Cultural competence b. Self-assessment c. Cultural awareness d. Self-desire

B

The nurse researcher is designing a qualitative research project to analyze individual patients' perspectives about nerve damage after spinal surgery. Which approach will the nurse use to collect the data for this project? Select one: a. Correlate the number of patients with nerve damage and employment changes. b. Identify how the nerve damage has impacted the patient's life. c. Determine the different types of nerve damage that occurred. d. Measure the number of patients who had nerve damage after surgery.

B

The nurse researcher presents the study's results and implications for practice at a nation-wide nursing conference. What step of the research process is the nurse fulfilling? Select one: a.Interpret the data b.Use the results c.Design the study d.Conceptualize the problem

B

The primary obligation of all state boards of nursing is to what? Select one: a. Provide alternative programs for nurses with drug and alcohol addictions. b. Protect the safety of the public by licensing only competent nurses. c. License enough nurses to meet the societal demand for nursing care d. Monitor the practice of nurses with histories of mental health illnesses.

B

The researcher collecting data notices that she is beginning to hear the same things repeatedly and that no new themes are emerging. The researcher recognizes that what has occurred? Select one: a. Quantizing b. Saturation c. Triangulation d. Redundancy

B

What behavior should a nurse use to facilitate empathetic communication? Select one: a. Calls the patient using childlike terms of endearment. b. Solicits feedback from the patient. c. Use language perceived as patronizing. d. Shares patient information freely with anyone who asks for it.

B

What example highlights the ethical principle of justice? a. The nurse is busy and must prioritize which patient she administers medications to first. b. There is a shortage of blood products and the blood bank must determine who should get the blood. c. The nurse manager must decide which nurses to hire. d. There is a shortage of nurses on the night shift and the charge nurse must decide an appropriate patient assignment.

B

What is a fundamental aspect included in the definition of nursing? Select one: a. Presenting objective data, free of the subjective experience of the patient b. Provision of a caring relationship that facilitates health and healing c. Relying on doctors to explain diagnosis and treatment d. Restriction to a problem-focused orientation

B

What is the definition of an extraneous/confounding variable? Select one: a. A confounding variable is part of the research design. b. A confounding variable is not part of the research question and can interfere with the relationship between the independent and dependent variable. c. A confounding variable is the same as the dependent variable. d. A confounding variable is the same as the independent variable.

B

What is the first step of becoming culturally competent? Select one: a. Individualism b. Self-awareness c. Gender equality d. Self-satisfaction

B

Which is a key criterion for being included in a sample for a phenomenological study? Select one: a. The person must belong to a particular culture or social group. b. The person must have experienced the phenomenon being studied. c. The person must be willing to be exposed to the phenomenon under study. d. The person must have second-hand knowledge of the phenomenon being studied.

B

Which is a major barrier to evidence-based practice in nursing? Select one: a. The absence of relevant evidence hierarchy for most nursing studies b. The absence of necessary skills among nurses for locating and critically evaluating nursing studies c. The disregard most nurses have towards the concept of evidence-based practice

B

Which is not a technique to enhance therapeutic communication with patients? Select one: a. Active listening b. Use of medical jargon c. Clarifying d. Empathy

B

Which research study provides the strongest findings when used in an evidence-based practice implementation? a. "Pain predictors: A non-experimental look at number of hospital admissions and pain rates." b. "Pain predictors: A meta-analysis of hospital admissions and pain rates." c. "Pain predictors: A meta-synthesis of hospital admissions and pain rates." d. Pain predictors: An understanding of hospital admissions and pain rates."

B

Which statements accurately reflects the difference between an independent and dependent variable? Select one: a. The independent variable is the criterion, while the dependent variable is the consequence b. The independent variable is manipulated, while the dependent variable is the consequence. c. The independent variable is the consequence, while the dependent variable is the cause. d. The independent variable is the cause, while the dependent variable is the predictor.

B

Nursing informatics can be used to support which aspects of nursing practice? Select All That Apply a. Delivery of care, financial recovery, clinical specialty, and research b. Delivery of care, administration, education, and research c. Administration, research, HIPAA, and clinical care d. Evidence-based practice, clinical support, clinical care, and education

B & D

Why is it important to have an ethnically and culturally diverse nursing workforce? SELECT ALL THAT APPLY Select one or more: a. To provide nurses for the upcoming nursing shortage. b. The country is getting more diverse, so there is a need for a nursing workforce that accurately reflects the communities. c. There is no need for a diverse workforce as the current workforce is meeting patients' needs. d. To provide culturally competent care.

B & D

When acting in the manager role of a nurse, the nurse must consider what aspects when delegating a task to another medical professional? SELECT ALL THAT APPLY Select one or more: a. Right route b. Right task c. Right person d. Right patient

B and C are correct A& D is INCORRECT

What can the nurse do to help prevent being sued in a malpractice suit? SELECT ALL THAT APPLY Select one or more: a. Refuse to be "floated" to another nursing unit b. Perform actions within the scope of practice for nurses c. Maintain education with current evidence-based practice d. Accurately assess the clients assigned to their care

B,C, & D

A nurse researcher did an in-depth study of physical aggression among residents in nursing home settings. After interviewing 14 residents, the researcher analyzed the data for important themes. Six study participants were asked to review the themes. Which quality-enhancement strategy was the researcher using? a. Data triangulation b. Method triangulation c. Member checking d. Persistent observation

C

A nurse who is interested in using evidence to support practice has written a PICOT question regarding the use of a specific intervention. What is the nurse's next step in this process? Select one: a. Have the nurse manager read the PICOT statement for accuracy. b. Seek funding for a full research study. c. Complete a systematic literature review. d. Develop a plan for dividing patients into two separate study groups.

C

A researcher used a scale that measured a child's body weight as 52.3 pounds one minute and 48.7 pounds the next minute. What should the researcher be concerned about? Select one: a. The scale's trustworthiness b. The scale's validity c. The scale's reliability d. The scale's credibility

C

A student nurse knows that education in nursing informatics and technology is important for what reason? Select one: a.Technology and informatics allow for easier review of research literature. b.Technology and informatics support information management in just clinical practice. c. Technology and informatics aim to improve the health of individuals, families, and populations. d.Technology and informatics enable the nurses' work to be done in shorter amounts of time.

C

After an initial education assessment, the nurse determines that the patient learns best through auditory methods. Which intervention will the nurse utilize? a. Pamphlets b. Demonstration c. Video d. Printed instructions

C

In Peplau's Theory of Interpersonal Relations, in what phase does the patient successfully adopt the new goal? Select one: a. Working b. Orientation c. Resolution d. Implementation

C

The nurse is caring for a patient who recently emigrated from Puerto Rico. The nurse can best care for this patient by learning about what? Select one: a. Values of the Spanish speaking community b. Practices of the patient's ethnic group c. Patient's individual cultural beliefs d. Values of their own culture

C

The researcher uses a convenience sampling approach to obtain study participants. What is the biggest threat to the study by using this approach? Select one or more: a. The researcher will be able to generalize findings back to the larger population. b. The researcher will have a larger group of participants to work with. c. The researcher may not be able to generalize findings back to the larger population. d. The participants will not need to sign an informed consent since they volunteered.

C

Which is an example of nursing theory in use? Select one: a. Making a practice change after considering current evidence and patient preference. b. Increasing available time off for nurses to engage in educational events to promote nursing satisfaction. c. Assessing the cultural health practices of individuals to develop a care plan. d. Manipulating various skin protectants to prevent pressure ulcers.

C

Which of the following describes the median of a set of values? Select one: a. The median is the value that occurs most frequently. b. The median is the average of all of the values. c. The median is the midpoint of the set of values. d. The median is found only in a normal distribution.

C

Which patient scenario represents an ethical dilemma? a. The health care proxy of a comatose patient attends family meetings and involves other family members when making decisions for the patient. b, The health care proxy disagrees with the family's decisions to adhere to the patient's wishes. c. The health care proxy makes decisions that seem to be in contrast with the patient's statements from when they were cognizant. d. The health care proxy asks the medical team multiple questions before making decisions.

C

Which phenomenon would be answered best with a qualitative research design? Select one: a. The effects of Reiki on pain levels. b. The effects of aromatherapy on blood pressure. c. Nursing students' perceptions of their first clinical rotation. d. Clinical rotation placement affecting student grades.

C

Which qualitative research method would the following research question be rooted, "What are the practices among newly licensed nurses in an intensive care unit?" a. Phenomenology b. Historical Research c. Ethnography d. Grounded Theory

C

Why is it important for nurses to understand and practice critical thinking? Select one: a. To provide the minimal level of nursing care. b. To care for easier patients in a hospital setting. c. To prioritize nursing actions for patient care. d. To pass the NCLEX exam.

C

Why is it necessary to obtain informed consent from a research participant? Select one or more: a. Informed consent ensures that study medications are FDA-approved. b. Informed consent ensures that a participant will be paid for participating in the study. c. Informed consent ensures that a participant is aware of the risks and benefits of participating in the study before agreeing to participate. d. Informed consent ensures that a participant will benefit from a study.

C

You are taking care of a practicing Jewish patient, who recently had abdominal surgery. The doctors have cleared the patient to start eating food today. You do not know if the hospital food is kosher; you contact the kitchen and they confirm which foods are kosher. The nurse is using the theory developed by which nurse theorist? Select one: a. Dorothea Orem b. Florence Nightingale c. Madeleine Leininger d. Hildegard Peplau

C

What is the goal of nursing research? SELECT ALL THAT APPLY Select one or more: a.Confirm and refine existing nursing knowledge. b.Prove medical theories wrong. c.To create new knowledge. d.Provide evidence-based practices for other disciplines.

C & D

. The nurse is caring for a Chinese patient after surgery. The patient's family bring in a container of hot broth from home. What is the nurse's best response. a"We never allow food from home." b. "We have hot broth at the hospital, don't eat that." c. "Cold broth will be better after surgery." d. "Do you mind telling me what is in the broth to make sure it is appropriate for your post-surgery diet."

D

A Native American client admitted to the hospital for surgery asks if his medicine man can perform a 30-minute healing ceremony prior to surgery. What is the nurse's best response? Select one: a. Request the hospital chaplain to pray with the client. b. Explain that in modern health care, there is no need for medicine men. c. Tell him that such rituals are not part of the preoperative preparation. d. Provide the space and privacy for the ceremony.

D

A nurse discovers that a patient returning to the unit received the wrong procedure. The nurse should report this sentinel event. Which other event is also included in the Joint Commission list of sentinel events? Select one: a.Natural Disaster Events b.Collaboration of Care c.HIPAA Violation d.Medication Error

D

A nurse researcher studied lapses in medication adherence among schizophrenic patients living in the community. In his journal article, the researcher reported that he had worked in psychiatric nursing for 15 years and had a nephew who was schizophrenic. Which quality-enhancement strategy is present? a. Inquiry audit b. Search for disconfirming evidence c. Thick description d. Researcher credibility

D

A patient complains that they are having trouble sleeping because their roommate is snoring loudly. The nurse obtains a white-noise machine for the patient. Which theory is the nurse applying? Select one: a. Dorothea Orem's General Theory of Nursing b. Leininger's Cultural Diversity and Universality Theory c. Jean Watson's Theory of Transpersonal Caring d. Florence Nightingale's Environmental Theory

D

A patient just received a diagnosis of cancer. What statement by the nurse demonstrates empathy? Select one: a. "Tomorrow will be better." b. "I believe you can overcome this because I had a friend who did." c. "This must be hard news to hear; I know I wouldn't handle it well." d. "What's your biggest fear about this diagnosis?"

D

According to Campinha-Bacote's Cultural Competence Model, what must the nurse possess to stimulate the process of cultural competence? Select one: a. Knowledge b. Awareness c. Encounters d. Desire

D

By meeting the physical, psychological, spiritual, and environmental needs of patients and families the nurse is acting is which role? Select one: a.Advocate b.Collaborator c.Manager d.Caregiver

D

Components of informed consent include explanation by the licensed provider of what? Select one: a. The extra parts of the procedure b. The opinions in the procedure c. The biases of the procedure d. The alternatives to the procedure

D

Dorothea Dix was an advocate for which of the following patient populations? Select one: a.The general, public population b.Childbearing and pregnant women c.Children in schools d.Mentally ill and imprisoned persons

D

How does Leininger's Theory describe the health paradigm? Select one: a. Harmony, wholeness, and comfort. b. Implies forward movement of personality and other ongoing human processes. c. Based upon the patient's ability to function independently. d. A state of well-being that is culturally defined, valued, and practiced.

D

How does Nightingale's Theory describe the environment paradigm? Select one: a. A nonphysical energetic environment b. Physical, chemical, biological, and social contexts within which human beings exist. c. Totality of an event, situation, or experience that gives meaning to human expressions, interpretations, and social interactions in physical, ecological, sociopolitical, and/or cultural settings. d. External (temperature, bedding, ventilation) and internal (food, water, and medications).

D

How does Orem's Theory describe the paradigm of person? Select one: a. Human being, family, group, community, or institution. b. The recipient of care. c. A "unity of mind-body-spirit/nature." d. A total being with universal, developmental needs, and capable of self-care.

D

How does Watson's Theory describe the nursing paradigm? Select one: a. Therapeutic self-care designed to supplement self-care requisites. Nursing actions fall into one of three categories. b. To alter or manage the environment to implement the natural laws of health. c. Assist the person, sick or well, in performance of activities and help the person gain independence. d. Reciprocal transpersonal relationship in caring moments guided by carative factors and caritas processes.

D

In a quantitative research article, a review of prior research on the problem under study is most likely to be found in which section? Select one: a. Method section b. Results section c. Discussion section d. Introduction section

D

In the following clinical question, what is the intervention (I) component when using the PICOT format? "In hospitalized children aged 8-12 years undergoing surgery, what is the effect of imagery-induced relaxation techniques as compared to noise reduction in the reduction of postoperative pain?" Select one: a. Surgical procedures b. Noise reduction techniques c. Postoperative pain d. Imagery-induced relaxation

D

The Chadwick Report drew attention to which conditions in Great Britain? Select one: a.Health benefits of nutrition on children b.Effects of public health interventions in prevention of disease c.Effects of school-based education on the masses d.Shortened life span of the working class

D

The nurse believes that a client from another cultural background is using herbal remedies along with the prescribed medication to treat her arthritis. What is the nurse's first action? Select one: a. Educate the client concerning the danger of taking herbs and the prescribed medication. b. Alert the physician to the client's use of herbal remedies in addition to the prescribed medications c. Inquire of the client as to the reason for using herbal remedies along with the prescribed medication. d. Ask the client to identify what herbal remedies are being used along with the prescribed medications.

D

The nurse is caring for a group of patients. Which patient will the nurse see first? Select one: a. A patient having a folk healer in the room. b. A patient praying to Allah. c. A patient refusing treatment on the Sabbath. d. A patient saying that God has left and there is no reason for living.

D

The nurse taught the client a new skill via tactile methods. What is the best method for immediate evaluation? a. Patient interview b. Long-term effect on health problem c. Teach back d. Return demonstration

D

The nurse utilizes a process to integrate evidence into nursing practice. At which point will the nurse implement an intervention? Select one: a. Before evidence collection b. Before problem identification c. Before evidence appraisal d. Before outcome evaluation

D

The nurse wants to read the hypothesis of a research article. Where would the nurse look for this information? Select one: a. Results/findings section b. Discussion/conclusion section c. Methods section d. Introduction/background section

D

What concept has a purpose that aims to evaluate work flow and process to improve patient care? a. Research b. Nursing research c. Evidence-based practice d. Quality improvement

D

What did physicians and healers believe to be the cause of illness in the earliest times of medicine? Select one: a.Germs b.Poor sanitation c.Viruses and bacteria d.Good versus evil

D

What does it mean if two variables are correlated? Select one: a. Correlation proves causation. b. The hypothesis for the study was correct. c. The dependent variable is the result of the independent variable. d. There is a relationship between the two variables.

D

What focuses on improvement of health care-related processes, systems, satisfactions, and cost outcomes? a. Patient Safety b. Sentinel Event c. Evidence-based practice d. Quality Improvement

D

What is a role of the State Board of Nursing? A. Inspect and credential health care facilities. b. Inspect nurses' credentials for hiring. c. Inspect and credential nursing programs within each state. d. Inspect nurses' compliance and enforce disciplinary matters.

D

What is the independent variable in this question: "Do baccalaureate degree-prepared nurses use more rehabilitative nursing procedures on patients in the ICU than associate degree-prepared nurses?" Select one: a. Associate degree b. Rehabilitative nursing procedures c. Baccalaureate degree d. Educational background of the nurses

D

Which intervention by the nurse helps establish a trusting nurse-patient relationship? Select one: a. Performing care interventions without explanation. b. Listening to the patient while performing care activities. c. Giving responses designed primarily to avoid upsetting the patient. d. Greeting the patient by name whenever they enter the patient's room.

D

Which is most likely to be a statement of purpose for a grounded theory study? Select one: a. The purpose is to explore the lived experience of Chinese women going through menopause. b. The purpose is to describe the cultural behaviors of Chinese women going through menopause. c. The purpose is to describe the percentage of Chinese women who go through menopause and seek health care advice. d. The purpose is to understand the process by which Chinese women adapt to transitions during menopause.

D

Which is the best example of an open-ended inquiry? Select one: a."Do you need more ice for your water? b. "Is your day going well?" c. "What number is your pain at the dressing site?" d. "Tell me what it is like being in the hospital"

D

Which phenomenon would be answered best with a quantitative research design? Select one: a. Nursing students' perceptions of their first clinical rotation. b. Patients' feelings about working with nursing students. c. Health care providers' thoughts about Reiki d. The effects of aromatherapy on blood pressure.

D

Which research question represents a non-directional hypothesis? a. Simulation lab experiences improve critical thinking skills in nursing students. d. Simulation lab experiences decrease critical thinking skills in nursing students. c. Simulation lab experiences do not affect critical thinking skills in nursing students. d. Simulation lab experiences affect critical thinking skills in nursing students.

D

Which statement about limitations to qualitative research is true? Select one: a. The quality of qualitative research is compromised because of difficulties in measuring phenomena. b. Qualitative research is overly reductionist and tends to remove concepts from real-world contexts. c. Qualitative researchers ask questions that tend to have limited significance in nursing. d. Qualitative research typically involves a small number of people, so the generalizability of findings can be problematic.

D

While reading a quantitative research article, the nurse wants to find information about the implication of the study to clinical practice. To find this information the nurse would focus on what article section? Select one: a. Methods section b. Results/findings section c. References section d. Discussion/conclusion section

D

The nurse researcher works to clearly define the research question and the variables of the study. What phase of the research process is this? a. Conceptualize the problem b.Design the study c.Implement the design d. Analyze/Interpret the data

a

What are the three key elements of experimental research designs? a. Intervention, Control, Randomization b. Control, Sampling, Randomization c. Intervention, Randomization, Triangulation d. Intervention, Control, Generalizability

a

What is the independent variable in the research question, "Does skin-to-skin contact between parent and baby increase success of breast feeding?" a. Skin-to-skin contact b. Swaddling c. Mother d. Success of breast feeding

a

After determining the clinical problem at hand, the nurse selects to use a quantitative research method for their study. What phase of the research process is the nurse moving into? a. Conceptualize the problem b. Design the study c. Implement the design d. Use the results

b

By protecting patient rights, adhering to patient wishes, and increasing patient autonomy a nurse is acting in which role of nursing? Select one: a. Educator b. Advocate c. Caregiver d. Manager

b

Which research question would best fit a quantitative research design? a. What is the difference between families experiences of end-of-life care at home versus in an acute care setting. b. Does repositioning end-of-life care patients hasten death? c. What are the stigmas related to end-of-life care across cultures? d. How do patients cope with a terminal diagnosis?

b

What is the dependent variable in the research question, "Does computerized note taking improve test scores for nursing students?" a. nursing students b. Computers c. Test scores d. Computerized note taking

c

Which research question would best fit a qualitative research design? a. Does pet therapy improve nursing students' exam scores? b. Does pet therapy reduce nursing students' anxiety levels related to exams? c. What do nursing students experience when involved in pet therapy? d. What length of time of pet therapy affects nursing students' scores?

c