Potter Chapter 1

*2. The nurse with specialized nursing skills is capable of identifying both patient-centered problems and problems related to the health care system. According to Benner, which specialist nurse possesses such skills? 1 Expert nurse 2 Proficient nurse 3 Competent nurse 4 Advanced beginner

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*While teaching about Quality and Safety Education for Nurses (QSEN) competencies, the nurse states, "This competency uses tools such as flowcharts and diagrams to make the process of care explicit." Which QSEN competency is the nurse referring to? 1 Quality Improvement 2Patient-Centered Care 3Evidence-Based Practice 4Teamwork and Collaboration

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* A patient in labor has been brought to the certified nurse midwife (CNM). Which interventions should the CNM undertake in this situation? Select all that apply. 1 Conduct the labor. 2 Provide care for the newborn. 3 Administer uterine relaxants and refer the patient to a tertiary center. 4 Perform C-section surgery. 5 Provide a physical presence until the patient has been transferred to tertiary care.

1, 2

The American Nursing Association (ANA) strives to improve the quality of nursing care. Which statements are true about ANA? Select all that apply. 1 ANA is a part of the International Council of Nurses 2 ANA employs registered nurses as lobbyists at the federal level. 3 ANA sets standards for excellence and innovation in nursing education. 4 ANA sponsored the Quality and Safety Education for Nurses (QSEN) initiative. 5 ANA lobbied state legislatures to restrict the length of overtime for individual nurses.

1, 2, 5

The nurse is learning about the effects of health care reform. Which type of actions should the nurse perform in response to health care reform? Select all that apply. 1 Revise practice standards. 2 Change nursing education. 3 Oppose current trends. 4 Continue with existing guidelines. 5 Explore new methods of providing care.

1, 2, 5

The registered nurse is planning to pursue a career as a certified nurse midwife. What are the duties of a certified nurse midwife? Select all that apply. 1 Perform Papanicolaou (Pap) smear tests. 2 Perform hysterectomies. 3 Perform normal delivery procedures. 4 Prescribe medications for minor vaginal infections. 5 Treat pregnancy-related emergencies such as abruptio placenta and eclampsia.

1, 3, 4

7. 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) 1. Caregiver 2. Autonomy and accountability 3. Patient advocate 4. Health promotion 5. Lobbyist

1. Caregiver 2. Autonomy and accountability 3. Patient advocate 4. Health promotion

8. Advanced practice registered nurses generally: 1. Function independently 2. Function as unit directors 3. Work in acute care settings 4. Work in the university setting

1. Function independently

9. Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? 1. Moving from an acute illness to a health promotion, illness prevention model 2. Moving from illness prevention to a health promotion model 3. Moving from an acute illness to a disease management model 4. Moving from a chronic care to an illness prevention model

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

Many women made significant contributions to the nursing profession. Arrange their names in the chronological order of their contributions. 1.Florence Nightingale founded St. Thomas Hospital in London. 2. Lillian Wald opened the Henry Street Settlement in New York. 3.Isabel Hampton Robb helped establish Nurses' Associated Alumnae of the United States and Canada. 4 Clara Barton founded the American Red Cross.

1.Florence Nightingale founded St. Thomas Hospital in London. 4 Clara Barton founded the American Red Cross. 2. Lillian Wald opened the Henry Street Settlement in New York. 3.Isabel Hampton Robb helped establish Nurses' Associated Alumnae of the United States and Canada.

4. 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 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: 1. Educator 2. Advocate 3. Caregiver 4. Case manager

2. Advocate

10. Which of the following nursing roles may have prescriptive authority in their practice? (select all that apply) 1. Critical care nurse 2. Nurse practitioner 3. Certified clinical nurse specialist 4. Charge nurse

2. Nurse practitioner 3. Certified clinical nurse specialist

12. 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 two 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 two. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1. Patient-centered care 2. Safety 3. Teamwork and collaboration 4. Informatics

2. Safety

5. Evidence-based practice is defined as: 1. Nursing care based on tradition 2. Scholarly inquiry of nursing and bio-medical research literature 3. A problem-solving approach that integrates best current evidence with clinical practice 4. Quality nursing care provided in an efficient and economically sound manner

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

2. An 18-year-old woman is in the emergency department 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? 1. Diagnosis 2. Evaluation 3. Assessment 4. Implementation

3. Assessment

15. 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? 1. Continuing education 2. Graduate education 3. In-service education 4. Professional Registered Nurse Education

3. In-service education

1. 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 statement best describes this code? 1. Improves self-health care 2. Protects the patient's confidentiality 3. Ensures identical care to all patients 4. Defines the principles of right and wrong to provide patient care

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

3. A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? 1. Planning 2. Evaluation 3. Assessment 4. Implementation

4. Implementation

11. 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? 1. Patient-centered care 2. Safety 3. Teamwork and collaboration 4. Informatics

4. Informatics

14. The nurses 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? 1. Clinical nurse specialist 2. Nurse administrator 3. Nurse educator 4. Nurse researcher

4. Nurse researcher

6. The examination for registered nurse licensure is exactly the same in every state in the United States. This examination: 1. Guarantees safe nursing care for all patients 2. Ensures standard nursing care for all patients 3. Ensures that honest and ethical care is provided 4. Provides a minimal standard of knowledge for a registered nurse in practice

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

The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? A. Educator B. Advocate C. Caregiver D. Case manager

A. Educator

Which of the following internet resources available can assist consumers when comparing quality care measures? (select all that apply) A. WebMD B. Hospital Compare C. Magnet Recognition Program D. Hospital Consumer Assessment of Healthcare E. The American Hospital Association's webpage

B. Hospital Compare D. Hospital Consumer Assessment of Healthcare

A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. 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

C. Teamwork and collaboration

This advanced practice registered nurse provides care and services under the supervision of an anesthesiologist

CRNA

This advanced practice nurse is an expert clinician in a specialized area of practice such as adult diabetes care

Clinical Nurse Specialist

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 QSEN competency? A. Patient-centered care B. Safety C. Teamwork and collaboration D. Informatics

D. Informatics

Clara Barton

Founder of the American Red Cross

Mary Mahoney

Mary Mahoney was the first professionally trained African-American nurse. She was concerned with relationships between cultures and races. As a noted nursing leader, she initiated an awareness of cultural diversity and respect for the individual, regardless of background, race, color, or religion.

This advanced practice nurse provides independent care including pregnancy and gynecological services

Nurse Midwife

This advances practice nurse provides comprehensive care, usually in a primary setting, directly managing the medical care of patients who are healthy or who have chronic conditions

Nurse Practitioner

The registered nurse coordinates care delivery and uses strategies to promote health and a safe environment. Which American Nursing Association (ANA) standard of nursing practice is the registered nurse practicing? ADPIE

Planning

While teaching about Quality and Safety Education for Nurses (QSEN) competencies, the nurse states, "This competency uses tools such as flowcharts and diagrams to make the process of care explicit." Which QSEN competency is the nurse referring to? 1. Quality Improvement 2. Patient-Centered Care 3. Evidence-Based Practice 4. Teamwork and Collaboration

Quality improvement

Lillian Wald and Mary Brewster

opened the Henry Street Settlement, which focused on the health needs of poor people who lived in the tenements in New York City.

Mary Adelaide Nutting

was instrumental in the affiliation of nursing education with universities and became the first professor of nursing at Columbia University Teachers College in 1906

Florence Nightingale's concept of nursing

was to promote health by modifying the patient's environment