theo concepts test one practice questions

A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the following is the best strategy to help the nurse find more time for this communication? 1. Include communication while performing tasks such as changing dressings and checking vital signs. 2. Ask the patient if you can talk during the last few minutes of visiting hours. 3. Ask Pastoral care to come back a little later in the day. 4. Remind the nurse to complete all her tasks and then set up remaining time for communication.

1

A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship? 1. Working phase 2. Preinteraction phase 3. Termination phase 4. Orientation phase

1

A nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care? 1. Patient will be able to walk 200 feet without shortness of breath. 2. Wound will heal without signs of infection. 3. Patient will express concerns related to return to home. 4. Patient will identify strategies to improve sleep habits.

1

A nurse is using data collected from the unit to monitor the incidence of falls after the unit implemented a new fall protocol. The nurse is working in which area? 1. Quality improvement (QI) 2. Health care patient system 3. Nursing informatics 4. Computerized nursing network

1

Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system? 1. Patient safety 2. Evidence-based practice 3. Patient satisfaction 4. Maintenance of competency

1

some nursing students are giving flu vaccines to older adults at a retirement village. what level of prevention are the students providing.

1

when creating a plan of care for a patient with a new below-the-knee amputation, the nurse will consider which factors? (select all that apply) 1. the patient and family may grieve the loss of the leg. 2. the patient may have difficulty coping with the change in the appearance of his body. 3. the patient may experience a change in self-concept that will lead to conflict within the family 4. the patient and family will adjust very quickly and will experience no changes in family dynamics 5. the loss of the leg will affect only the patient, as the patient is most affected by the change in health status.

1, 2, 3

the nurse is preparing a presentation on the nursing profession and factors that are creating impact. which are key factors impacting professional nursing today that should be included in the presentation? (select all that apply) 1. increasing prevalence of workplace violence 2. increased need for knowledge on emergency preparedness 3. the rising rate of the medically underserved population 4. shift of the population from urban settings to rural areas 5. increased number of nurses reaching retirement age

1,2,3,5

The nursing staff is developing a quality program. Which of the following are nursing-sensitive indicators from the National Database of Nursing Quality Indicators (NDNQI) that the nurses can use to measure patient safety and quality for the unit? (Select all that apply.) 1. Use of physical restraints 2. Pain assessment, intervention, and reassessment 3. Patient satisfaction with food preparation 4. Registered nurse (RN) education and certification 5. Number of outpatient surgical cases per year

1,2,4

Which of the following are examples of a nurse participating in primary care activities? (Select all that apply.) 1. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester 2. Assessing the nutritional status of older adults who come to the community center for lunch 3. Working with patients in a cardiac rehabilitation program 4. Providing home wound care to a patient 5. Teaching a class to parents at the local grade school about the importance of immunizations

1,2,5

Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility? (Select all that apply.) 1. Collaboration between staff members from sending andreceiving departments 2. Requiring that the patient visit the facility before a transfer isarranged 3. Using a standardized transfer policy and transfer tool 4. Arranging all patient transfers during the same time each day 5. Relying on family members to share information with the newfacility

1,3

When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (Select all that apply.) 1. Check for needed adaptive equipment. 2. Exaggerate lip movements to help the patient lip read. 3. Give the patient time to respond to questions. 4. Keep communication short and to the point. 5. Communicate only through written information.

1,3,4

you are preparing a presentation for your nursing course on the topic of professional standards of care. which statements best describe professional standards of care? (select all that apply) 1. describe a competent level of behavior in the professional role 2. protect the patient's confidentiality 3. are based on scientific research 4. provide the foundation for decision making for nurses 5. define the principles of right and wrong to provide

1,3,4

Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals in helping the patient make behavior changes. What are other benefits of using MI techniques? (Select all that apply.) 1. Gaining an understanding of patient's motivations 2. Focusing on opportunities to avoid poor health choices 3. Recognizing patient's strengths and supporting their efforts 4. Providing assessment data that can be shared with families to promote change 5. Identifying differences in patient's health goals and current behaviors

1,3,5

Which of the following are characteristics of managed care systems? (Select all that apply.) 1. Provider receives a predetermined payment for each patient in the program. 2. Payment is based on a set fee for each service provided. 3. System includes a voluntary prescription drug program for an additional cost. 4. System tries to reduce costs while keeping patients healthy. 5. Focus of care is on prevention and early intervention.

1,4,5

MATCHING A nurse is discussing nursing actions that can lead to breaches of nursing practice. Match the example to the term it describes. a. Nurse posts about patient's loud and unruly family members. b. Nurse immediately applies restraints to make patient stay in bed. c. Nurse leaves bed in high position, causing patient to fall and break hip. d. Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet. e. Nurse applies abdominal bandage after refusal. f. Nurse gets angry at patient and nurse leaves the hospital. 1. Assault 2. Battery 3. Abandonment 4. False imprisonment 5. Invasion of privacy 6. Malpractice

1. Assault-d. Nurse states that she will wrap a bandage over patient's mouth if he won't be quiet. 2. Battery-e. Nurse applies abdominal bandage after refusal. 3. Abandonment-f. Nurse gets angry at patient and nurse leaves the hospital. 4. False imprisonment-b. Nurse immediately applies restraints to make patient stay in bed. 5. Invasion of privacy-a. Nurse posts about patient's loud and unruly family members. 6. Malpractice-c. Nurse leaves bed in high position, causing patient to fall and break hip.

A community center is presenting a nurse-led program on the Patient Protection and Affordable Care Act. Which statement made by a participant indicates a need for further teaching? 1. "My small company will now have to offer the 75 employees health insurance or pay a penalty." 2. "As long as my son is a full-time student in college, I will be able to keep him on my health insurance until he is 26 years old." 3. "I signed up for the state health insurance exchange before the designated deadline to make sure I had health insurance." 4. "Since I have now been diagnosed with diabetes, my health insurance plan cannot charge me higher premiums."

2

A nurse is presenting information to a management class of nursing students on the topic of financial reimbursement for achievement of established, measurable patient outcomes. The nurse is presenting information to the class on which topic? 1. Prospective payment system 2. Pay for performance 3. Capitation payment system 4. Managed care systems

2

A nurse is talking with a young-adult patient about the purposeof a new medication. The nurse says, "I want to be clear. Can you tell me in your words the purpose of this medicine?" This exchange is an example of which element of the transactional communication process? 1. Message 2. Obtaining feedback 3. Channel 4. Referent

2

a nurse has responsibility for the nursing budget, develops strategic programs, and oversees staffing for all clinical departments in a hospital. the nurse is practicing in which nursing role? 1. nurse manager 2. nurse administrator 3. nurse educator 4. nurse researcher

2

the nurse if providing a patient and caregiver information about the low-sodium diet ordered by the health care provider. the nurse uses teach-back to determine the patient's understanding of the diet. which professional nursing role is demonstrated by the nurse? 1. manager 2. educator 3. researcher 4. caregiver

2

an inter professional health care team is developing a health education program for a middle school. which health topics are consistent with the goals of Heathy people 2020? (select all that apply) 1. determining the best treatment for strep throat 2. explaining why it is important to get immunizations as scheduled 3. teaching about healthy snacks 4. describing why genetically modified foods are controversial 5. teaching different ways to fit exercise into the daily routine 6. explaining the problems related to lead exposure in the environment

2, 3, 5, 6

The nurse uses silence as a therapeutic communication technique. What is the purpose of the nurse's silence? (Select all that apply.) 1. Prevent the nurse from saying the wrong thing 2. Prompt the patient to talk when he or she is ready 3. Allow the patient time to think and gain insight 4. Allow time for the patient to drift off to sleep 5. Determine if the patient would prefer to talk with another staff member

2,3

Nurses must communicate effectively with the health care team for which of the following reasons? (Select all that apply.) 1. Improve the nurse's status with the health team members 2. Reduce the risk of errors to the patient 3. Provide optimum level of patient care 4. Improve patient outcomes 5. Prevent issues that need to be reported to outside agencies

2,3,4

A group of staff nurses notice an increased incidence of medication errors on their unit. After further investigation it is determined that the nurses are not consistently identifying the patient correctly. A change is needed quickly. What type of quality improvement method would be most appropriate? 1. PDSA 2. Six Sigma 3. Rapid-improvement event (RIE) 4. A randomized controlled trial

3

A new nurse is experiencing lateral violence at work. Which stepscould the nurse take to address this problem? 1. Challenge the nurses in a public forum to embarrass them and change their behavior 2. Talk with the department secretary and ask if this has been a problem for other nurses 3. Talk with the preceptor or manager and ask for assistance in handling this issue 4. Say nothing and hope things get better

3

A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While assessing the patient, which statement would be the most therapeutic? 1. "Why did you drive after you had been drinking?" 2. "We have multiple patients to see tonight as a result of this accident." 3. "Tell me what happened before, during, and after the automobile accident tonight." 4. "It will be okay. No one was seriously hurt in the accident."

3

A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO? 1. This health plan is for people who cannot afford their own health insurance. 2. This health plan is operated by the government to provide health care to older adults. 3. This health plan gives you a list of physicians and hospitals from which you can choose. 4. This is a fee-for-service plan in which you can choose any physician or hospital.

3

A patient who is Spanish-speaking does not appear to understand the nurse's information on wound care. Which action should the nurse take? 1. Arrange for a Spanish-speaking social worker to explain the procedure 2. Ask a fellow Spanish-speaking patient to help explain the procedure 3. Use a professional interpreter to provide wound care education in Spanish 4. Ask the patient to write down questions that he or she has for the nurse

3

the nurse is assessing a patient who has decided to begin running and exercising regularly. which patient statement reflects the action phase? 1. "i really need to start working out and running to improve my health" 2. "i went to a gym to talk with a personal trainer and have developed a fitness plan i think will work for me." 3. "i have been getting up early at least 3 days a week for the past month to exercise for at least 30 minutes every day." 4. "now that i have been exercising regularly for the past 7 months, i can tell i have a lot more energy and i have lost weight"

3

the nurse participates in a team care conference for a patient. the nurse listens to the registered dietitian and physical and occupational therapists detail the plan for the patient. the nurse then describes the patient's concerns about walking to the group. this is an example of which QSEN competency? 1. patient-centered care 2. safety 3. teamwork and collaboration 4. evidence-based practice

3

A nurse is using the Plan-Do-Study-Act (PDSA) strategy to do a quality improvement project to decrease patient falls on a nursing unit. Place the steps in the correct sequence for PDSA. 1. Bedside change of shift report is piloted on two medical-surgical units. 2. Patient satisfaction levels after implementation of the bedside report are compared to patient satisfaction levels before the change. 3. The nursing council develops a strategy for bedside change of shift report. 4. After modifications are made in the shift report elements, bedside shift report is implemented on all nursing units.

3,1,2,4

Which of the following nursing activities is provided in a secondary health care environment? (Select All That Apply) 1. Conducting blood pressure screenings for older adults at the Senior Center 2. Teaching a clinic patient with chronic obstructive pulmonary disease purse-lipped breathing techniques 3. Changing the postoperative dressing for a patient on a medical-surgical unit 4. Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care unit

3,4

A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your culture and want to learn how to better meet your health care needs." Which therapeutic communication technique did the nurse use in this situation? 1. Validation 2. Empathy 3. Sarcasm 4. Humility

4

A nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to "tell his story." This is an example of which step of the nursing process? 1. Planning 2. Assessment 3. Intervention 4. Evaluation

4

The nurses on a medical unit have seen an increase in the number of pressure ulcers that develop in their patients. They decide to initiate a quality improvement project using the Plan-Do-Study-Act (PDSA) model. Which of the following is an example of "Do" from that model? 1. Implementing the new skin care protocol on all medicine units 2. Reviewing the data collected on patients cared for using the protocol 3. Reviewing the quality improvement reports on the six patients who developed ulcers over the last 3 months 4. Based on findings from patients who developed ulcers, implementing an evidence-based skin care protocol

4

Which activity performed by a nurse is related to maintaining competency in nursing practice? 1. Asking another nurse about how to change the settings on a medication pump 2. Regularly attending unit staff meetings 3. Participating as a member of the professional nursing council 4. Attending a review course in preparation for a certification examination

4

Which of the following statements is true regarding Magnet status recognition for a hospital? 1. Nursing is run by a Magnet manager who makes decisions for the nursing units. 2. Nurses in Magnet hospitals make all of the decisions on the clinical units. 3. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need. 4. Magnet is a special designation for hospitals that achieve excellence in nursing practice.

4

which priority nursing intervention is most important to help a patient meet the goal of smoking cessation? 1. determine if the patient wants to stop smoking. 2. provide information on the health risks caused by smoking. 3. include a psychologist to help with implementing this major lifestyle change. 4. suggest the patient use nicotine-replacement therapy to help with nicotine cravings.

4

A nurse prepares to contact a patient's physician about a changein the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment, and Recommendation) communication. 1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 PM yesterday. She complains of a poor appetite." 2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." 3. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" 4. "The patient started complaining of nausea yesterday evening and has vomited several times during the night."

4s, 1b, 2a, 3r

A 17-year-old patient, dying of heart failure, wants to have organs removed for transplantation after death. Which action by the nurse is correct? a. Instruct the patient to talk with parents about the desire to donate organs. b. Notify the health care provider about the patient's desire to donate organs. c. Prepare the organ donation form for the patient to sign while still oriented. d. Contact the United Network for Organ Sharing after talking with the patient.

A

A home health nurse notices that a patient's preschool children are often playing on the sidewalk and in the street unsupervised and repeatedly takes them back to the home and talks with the patient, but the situation continues. Which immediate action by the nurse is mandated by law? a. Contact the appropriate community child protection facility. b. Tell the parents that the authorities will be contacted shortly. c. Take pictures of the children to support the overt child abuse. d. Discuss with both parents about the safety needs of their children.

A

A nurse performs cardiopulmonary resuscitation (CPR) on a 92-year-old with brittle bones and breaks a rib during the procedure, which then punctures a lung. The patient recovers completely without any residual problems and sues the nurse for pain and suffering and for malpractice. Which key point will the prosecution attempt to prove against the nurse? a. The CPR procedure was done incorrectly. b. The patient would have died if nothing was done. c. The patient was resuscitated according to the policy. d. The older patient with brittle bones might sustain fractures when chest compressions are done.

A

A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital. A full code was conducted without success. The patient had a urinary catheter, an intravenous line, an oxygen cannula, and a nasogastric tube. Which question is the priority for the nurse to ask the family before beginning postmortem care? a."Is an autopsy going to be done?" b."Which funeral home do you want to use?" c."Would you like to assist in bathing your loved one?" d."Do you want me to remove the lines and tubes before you see your loved one?"

A

Helping relationships serve as the foundation of clinical nursing practice. Contracts for a therapeutic helping relationship are formed during the A.Orientation stage. B.Working stage. C.Termination stage .D.Preinteraction stage.

A

The nurse is caring for a severely ill patient with AIDS who now requires ventilator support. Which intervention is considered futile? A. Administering the influenza vaccine B. Providing oral care every 5 hours C. Applying fentanyl patches prn for pain D. Supporting the patient's lower extremities with pillows

A

The nurse questions a physician's order to administer a placebo to the patient. The nurse's action is based on which ethical principle? A. Autonomy B. Beneficence C. Justice D. Fidelity

A

World War II had a tremendous effect on the nursing profession. Which development occurred during this period? A. The role of the nurse was broadened B. There was a decreased emphasis on education C. Nursing was practiced mainly in hospital settings D. There was an overabundance of nurses

A

as you enter carol's room you find her crying and very emotional. sensing that carol needs to talk you sit with her as she explains her fears. carol does not have health insurance. the physician has just left after explaining her treatment options at this point. carol tells you that she cannot afford the expensive treatments being offered at some of the private research hospitals. which of the following ethical principles would best describe carol's comments? a. justice b. autonomy c. fidelity d. nonmaleficence

A

urse practice acts are established in each state of the United States to regulate nursing practice. What is a common element of every state practice act? A. Defining the legal scope of nursing practice B. Providing continuing education programs C. Determining the content covered in the NCLEX examination D. Creating institutional policies for health care practices

A

The patient states," I don't have confidence in my doctor. She looks so young." the nurse therapeutically responds by saying. (Select all that apply) A.Tell me more about your concern. B.You have nothing to worry about. She is very competent. C.You are worried about your care? D.You can go online and see how others have rated your doctor. I do that. E.You should ask your doctor to tell you about her background.

A, C

The nurse hears a health care provider say to the charge nurse that a certain nurse cannot care for patients because the nurse is stupid and won't follow orders. The health care provider also writes in the patient's medical records that the same nurse, by name, is not to care for any of the patients because of incompetence. Which torts has the health care provider committed? (Select all that apply.) a. Libel b. Slander c. Assault d. Battery e. Invasion of privacy

A,B

david is a 23 year old nursing student newly assigned to the nursing division and to lynette. his initial assessment notes that the patient's right leg is swollen, slightly blue, and malodorous. lynette seems very anxious and upset. what are davids best choices at this time? select all that apply a. report findings to nursing team leader on the unit b. report findings to instructor c. do nothing as the RN assigned is already aware d. discuss findings with another nursing student A,B

A,B

One of the four broad aims of nursing practice is to restore health. Which examples of nursing interventions reflect this goal? Select all that apply. A. A nurse counsels adolescents in a drug rehabilitation program B. A nurse performs range-of-motion exercises for a patient on bedrest C. A nurse shows a diabetic patient how to inject insulin D. A nurse recommends a yoga class for a busy executive E. A nurse provides hospice care for a patient with end-stage cancer F. A nurse teaches a nutrition class at a local high school

A,B,C

A patient has approximately 6 months to live and asks about a do not resuscitate (DNR) order. Which statements by the nurse give the patient correct information? (Select all that apply.) a."You will be resuscitated unless there is a DNR order in the chart." b."If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at the time, you need to complete documents ahead of time that give your health care provider this information." c."You will be resuscitated at any time to allow you the longest length of survival." d."If you decide you want a DNR order, you will need to talk to your health care provider." e."If you travel to another state, your living will should cover your wishes."

A,B,D

which of the following patients would require medical examiner referral? select all that apply a. deceased client who was admitted for an elective surgery b. deceased client admitted last week with exacerbation of COPD c. deceased client admitted 2 hours ago d. deceased client who was admitted following a gun shot wound

A,C,D

The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be based upon the drug book's information. The pediatrician is contacted and says to administer the medication as ordered. Which actions should the nurse take next? (Select all that apply.) a. Notify the nursing supervisor. b. Administer the medication as ordered. c. Give the amount listed in the drug book. d. Ask the mother to give the drug to her child. e. Check the chain of command policy for such situations.

A,E

the nurse was unable to reach lynette's health care provider despite several calls. lynette seems very anxious and upset with complaints of numbness, pain, and tingling. what is the nurses best course of action? select all that apply a. document assessment findings b. document attempts to reach health care provider c. notify the nursing supervisor of lunettes complaints d. reassure lynette that you have done everything that you can and she'll have to wait until her health care provider makes rounds

ABC

A home health RN is visiting an older adult who experienced a brain attack 2 years ago and now has a sacral ulcer. The RN identifies that the client and spouse both appear unkempt, and the spouse appears tired and irritated. The client is very quiet and avoids eye contact. Which nursing action is most appropriate? A.Explore with the client and spouse their concerns B.Assess the client for signs of physical abuse and neglect C.Discuss additional resources with client and spouse to help with client's care. D.Assess the client's pressure ulcer and report findings to the primary health care provider

B

A new nurse notes that the health care unit keeps a listing of patient names in a closed book behind the front desk of the nursing station so patients can be located easily. Which action is most appropriate for the nurse to take? a. Talk with the nurse manager about the listing being a violation of the Health Insurance Portability and Accountability Act (HIPAA). b. Use the book as needed while keeping it away from individuals not involved in patient care. c. Move the book to the upper ledge of the nursing station for easier access. d. Ask the nurse manager to move the book to a more secluded area.

B

A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral aneurysm following a loss of consciousness in the emergency room. The nurse anticipates preparing the patient for ordered diagnostic tests. This nurse's knowledge of the diagnostic procedures for this condition reflects which aspect of nursing? A. The art of nursing B. The science of nursing C. The caring aspect of nursing D. The holistic approach to nursing

B

A nurse is working on completing a Minimum Data Set. Which area is the nurse working in? A.psychiatric center B.skilled nursing facility C.adult day care D.immunization clinic

B

A nurse works full time on the oncology unit at the hospital and works part time on weekends giving immunizations at the local pharmacy. While giving an injection on a weekend, the nurse caused injury to the patient's arm and is now being sued. How will the hospital's malpractice insurance provide coverage for this nurse? a. It will provide coverage as long as the nurse followed all procedures, protocols, and policies correctly. b. The hospital's malpractice insurance covers this nurse only during the time the nurse is working at the hospital. c. As long as the nurse has never been sued before this incident, the hospital's malpractice insurance will cover the nurse. d. The hospital's malpractice insurance will provide approximately 50% of the coverage the nurse will need.

B

A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier. The nursing student says, "I don't understand what the big deal is. As my instructor, you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor? a."You are practicing under the license of the hospital's insurance." b."You are expected to perform at the level of a professional nurse." c."You are expected to perform at the level of a prudent nursing student." d."You are practicing under the license of the nurse assigned to the patient."

B

A pediatric oncology nurse floats to an orthopedic trauma unit. Which action should the nurse manager of the orthopedic unit take to enable safe care to be given by this nurse? a. Provide a complete orientation to the functioning of the entire unit. b. Determine patient acuity and care the nurse can safely provide. c. Allow the nurse to choose which mealtime works best. d. Assign nursing assistive personnel to assist with care.

B

A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial action that the nurse must take to enable informed consent to be obtained? a. Ask a family member to translate what the nurse is saying. b. Request an official interpreter to explain the terms of consent .c. Notify the nursing manager that the patient doesn't speak English. d. Use hand gestures and medical equipment while explaining in English.

B

Conjoined twins are in the neonatal department of the community hospital until transfer to the closest medical center. A photographer from the local newspaper gets off the elevator on the neonatal floor and wants to take pictures of the infants. Which initial action should the nurse take? a. Escort the cameraman to the neonatal unit while a few pictures are taken quietly. b. Tell the cameraman where the hospital's public relations department is located. c. Have the cameraman wait for permission from the health care provider. d. Ask the cameraman how the pictures are to be used in the newspaper.

B

During a severe respiratory epidemic, the local health care organizations decide to give health care providers priority access to ventilators over other members of the community who also need that resource. Which philosophy would give the strongest support for this decision? A. Feminist ethics B. Utilitarianism C. Deontology D.Ethics of care

B

If a nurse decides to withhold a medication because it might further lower the patient's blood pressure, the nurse will be practicing the principle of: A.responsibility. B.accountability. C.competency. D.moral behavior.

B

The National Advisory Council on Nurse Education and Practice identifies critical challenges to nursing practice in the 21st century. What is a current health care trend contributing to these challenges? A. Decreased number of hospitalized patients B. Older and more acutely ill patients C. Decreasing heath care costs due to managed care D. Slowed advances in medical knowledge and technology

B

The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications? A. Advocacy B. Responsibility C. Confidentiality D. Accountability

B

Which issue has increased the attention paid to quality of life concerns in recent history? A. Health care disparities B.National movement regarding disabled persons C. Aging of the population D. Health care financial reform

B

While admitting a patient, during the initial interview, a family member tells you, "My mom really means that she does not understand her medical diagnosis." The communication form used by the family member is A.Focusing. B.Clarifying. C.Summarizing. D.Paraphrasing.

B

While recovering from a severe illness, a hospitalized patient wants to change a living will, which was signed 9 months ago. Which response by the nurse is most appropriate? a."Check with your admitting health care provider whether a copy is on your chart." b."Let me check with someone here in the hospital who can assist you." c."You are not allowed to ever change a living will after signing it." d."Your living will can be changed only once each calendar year."

B

You are about to administer an oral medication and you question the dosage. You should A.Administer the medication as ordered. B.Notify the physician and withhold the medication. C.Give the correct dose based on Nursing Central. D.Document that the dosage appears incorrect and call the physician.

B

lynette is a 15 year old patient who was involved in a motor vehicle collision and is now admitted to the hospital with a fractured right femur. the emergency department health care provider applied a cast to the affected leg. lynette complained to the nurses that her right leg felt numb, was swollen, and looked discolored. what is the nurses best course of action? a. ask her to rate her pain and offer prescribed pain meds b. assess the extremity with the cast for impaired circulation c. tell her that the physician is a professional and knows what he is doing

B

on your way home from work you stop for dinner. while eating dinner an older gentleman sitting a couple tables over becomes distressed. his wife begins yelling for medical help because he's choking. which of the following actions by the nurse would NOT be covered by the good samaritan law? a. perform the heimlich maneuver b. perform emergency tracheotomy to open airway c. ask him if he can speak d. performing CPR in unresponsive

B

Ming is particularly drawn to the idea of becoming an advanced practice registered nurse (APRN).•Ming's career options for becoming an APRN include which of the following? (Select all that apply.) A.Physician assistant (PA) B.Clinical nurse specialist (CNS) C.Certified nurse midwife (CNM) D.Certified RN anesthetist (CRNA)

B,C,D

A nurse is teaching the staff about professional negligence or malpractice. Which criteria to establish negligence will the nurse include in the teaching session? (Select all that apply.) a. Injury did not occur. b. That duty was breached. c. Nurse carried out the duty. d. Duty of care was owed to the patient. e. Patient understands benefits and risks of a procedure.

B,D

A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these needed items for care. The nurse has tried to explain to the patient that these lines should not be touched, but the patient continues. Which is the best action by the nurse at this time? a. Apply restraints loosely on the patient's dominant wrist. b. Notify the health care provider that restraints are needed immediately. c. Try other approaches to prevent the patient from touching these care items. d. Allow the patient to pull out lines to prove that the patient needs to be restrained.

C

A student nurse employed as a nursing assistant may perform care A.As learned in school. B.Expected of a nurse at that level. C.Identified in the hospital's job description. D.Requiring technical rather than professional skills.

C

A young woman who is pregnant with a fetus exposed to multiple teratogens consents to have her fetus undergo serial PUBS (percutaneous umbilical blood sampling) to examine how exposure affects the fetus over time. Although these tests will not improve the fetus' outcomes and will expose it to some risks, the information gathered may help infants in the future. Which ethical principle is at greatest risk? A. Autonomy B. Fidelity C. Nonmaleficence D. Beneficence

C

An obstetric nurse comes across an automobile accident. The driver seems to have a crushed upper airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea and inserts a straw from a purse to provide an airway. The patient survives and has a permanent problem with vocal cords, making it difficult to talk. Which statement is true regarding the nurse's performance? a. The nurse acted appropriately and saved the patient's life. b. The nurse stayed within the guidelines of the Good Samaritan Law. c. The nurse took actions beyond those that are standard and appropriate. d. The nurse should have just stayed with the patient and waited for help.

C

Which phrase describes a purpose of the ANA's Nursing's Social Policy Statement? Select all that apply. A. To describe the nurse as a dependent caregiver B. To provide standards for nursing educational programs C. To define the scope of nursing practice D. To establish a knowledge base for nursing practice E. To describe nursing's social responsibility F. To regulate nursing research

C,D,E

Nursing is recognized increasingly as a profession based on which defining criteria? Select all that apply. A. Well defined body of general knowledge B. Interventions dependent upon the medical practice C. Recognized authority by a professional group D. Regulation by the medical industry E. Code of ethics F. Ongoing research

C,E,F

A female nursing student in the final term of nursing school is overheard by a nursing faculty member telling another student that she got to insert a nasogastric tube in the emergency department while working as a nursing assistant. Which advice is best for the nursing faculty member to give to the nursing student? a."Just be careful when you are doing new procedures and make sure you are following directions by the nurse." b."Review your procedures before you go to work, so you will be prepared to do them if you have a chance." c."The nurse should not have allowed you to insert the nasogastric tube because something bad could have happened." d."You are not allowed to perform any procedures other than those in your job description even with the nurse's permission."

D

A newly hired experienced nurse is preparing to change a patient's abdominal dressing and hasn't done it before at this hospital. Which action by the nurse is best? a. Have another nurse do it so the correct method can be viewed. b. Change the dressing using the method taught in nursing school. c. Ask the patient how the dressing change has been recently done. d. Check the policy and procedure manual for the facility's method.

D

A nurse is practicing as a nurse-midwife in a busy OB-GYN office. Which degree in nursing is necessary to practice at this level? A. LPN B. ADN C. BSN D. MSN

D

Determinations regarding quality of life are A. Based on a person's ability to act according to ethical principles. B. Based on a patient's self-determination. C. Value judgments that can vary from person to person. D. Consistent and stable over the course of one's lifetime.

D

In early civilizations, the theory of animism attempted to explain the mysterious changes occurring in bodily functions. Which statement describes a component of the development of nursing that occurred in this era? A. Women who committed crimes were recruited into nursing the sick in lieu of serving jail sentences B. Nurses identified the personal needs of the patient and their roles in meeting those needs C. Women called deaconesses made the first visits to the sick and male religious orders cared for the sick and buried the dead D. The nurse was the mother who cared for her family during sickness by using herbal remedies

D

Which nurse who was influential in the development of nursing in North America is regarded as the founder of American nursing? A. Clara Barton B. Lillian Wald C. Lavinia Dock D. Florence Nightingale

D

Which patient is most likely to have difficulty with the ethical concept of autonomy? A. 18-year-old patient in labor B. 35-year-old patient with appendicitis C. 53-year-old patient with pancreatitis D. 78-year-old patient with rheumatoid arthritis

D

You are invited to attend the weekly unit patient care conference. The staff discusses patient care issues. This type of communication is: A.public. B.intrapersonal. C.transpersonal. D.small group.

D

Your patient is about to undergo a controversial orthopedic procedure. The procedure may cause periods of pain. Although nurses agree to do no harm, this procedure may be the patient's only treatment choice. This example describes the ethical principle of A.Autonomy. B.Fidelity. C.Justice. D.Nonmaleficence.

D

you've just given carols promethazine and rush to meet your friends for lunch in the cafeteria. as you sit down you begin apologizing for being late and sharing the details of your new admission to the group. which of the following ethical principles have you violated? a. accountability b. responsibility c. advocacy d. confidentiality

D

A nurse is using data collected from a unit to monitor the incidence of falls after the unit implemented a new fall protocol. The nurse is working in which area? A.Quality improvement B.Health care patient system C.Nursing informatics D.Computerized nursing network

a

A patient has leukemia and is in the terminal stage. The patient has opted for a service that provides palliative care at home. Which service has the patient selected? a. Hospice b. Respite care c. Assisted living d. Adult day care

a

A patient is diagnosed with pneumonia, and during data collection, the nurse finds that the patient is economically disadvantaged. Which type of health care plan would be beneficial for the patient's treatment? a. Medicaid b. Private insurance c. Long-term care (LTC) insurance d. Preferred provider organization (PPO)

a

Ethical dilemmas are common occurrences when caring for patients. The nurse understands that dilemmas are a result of A. Presence of conflicting values. B. Hierarchical systems. C. Judgmental perceptions of patients. D.Poor communication with the patient.

a

Four patients in labor all request epidural analgesia to manage their pain at the same time. Which ethical principle is compromised when only one nurse anesthetist is on call? A. Justice B. Nonmaleficence C. Beneficence D. Fidelity

a

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

a

Which philosophy of health care ethics would be particularly useful when making ethical decisions about vulnerable populations? A. Feminist ethics B. Deontology C. Bioethics D. Utilitarianism

a

Which policy covers medical expenses for very poor children? a. Medicaid b. Medicare c. Long-term care (LTC) insurance d. State Children's Health Insurance Program (SCHIP)

a

While Joan is in with Mr. Owens, Judy Collins, the clinical nurse specialist (CNS), enters the room to check on Mr. Owens. After Judy leaves, Mr. Owens asks Joan what the difference is between a CNS and a regular nurse. What is the best response for Joan to give to Mr. Owens? A.A CNS is an advanced practice nurse who is an expert in a specialized area of nursing. B.She has a higher degree, that's all. C.She is considered the manager of the unit. D.A CNS does the same things as a physician.

a

To control rising health care costs, the federal government created professional standard review organizations (PSRO). What are the functions of PSROs? Select all that apply. a. To review the quality of hospital care b. To review the quantity of hospital care required c. To review admissions d. To review the cost of hospital caree. To identify and eliminate overuse of diagnostic and treatment services

a,b,d

the nurse is learning about the effects of globalization of health care on nursing. Which factors should the nurse evaluate while considering globalization and increased worldwide communication? Select all that apply. a. Well-informed health care consumers b. Smaller number of health care consumers c. More negligent health care consumers d. Preference for accessible health care provider e. Increasing demand for quality by health care consumers

a,d,e

Tim Owens is a 66-year-old man who is in the hospital for a total knee repair. He had surgery the day before. He has an intravenous line infusing at 125 mL/hr and a patient-controlled analgesia pump for pain control. His wife Linda is in the room with him. Joan Black is the nursing student assigned to Mr. Owens for her clinical experience. Joan is in her second clinical nursing course. In preconference, Joan's instructor asks her if she thinks that nursing is a profession, and Joan responds that she does. What are some characteristics that identify nursing as a profession? (Select all that apply.) A.Nursing provides a specific service. B.Nursing requires an extended education. C.Nursing has a code of ethics for practice. D.Nursing has a theoretical body of knowledge. E.Nurses have autonomy in decision making and practice.

all of them

you as a nurse are caring for carol a 28 year old female client who was recently diagnosed with stage 4 ovarian cancer. she is being admitted to the hospital for profound weakness and weight loss due to advanced tumor formation. during the admission process you begin to explain treatment options to address the immediate issue of nausea allowing the patient to choose which option would work best for her. which of these terms best describes the scenario? a. nonmaleficence b. autonomy c. beneficence d. justice

autonomy

A patient who needs nursing and rehabilitation following a stroke would most benefit from receiving care at a: A. primary care center. B. restorative care setting. C. assisted-living center. D. respite center.

b

The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of upsetting her husband and children. Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause? A.Responsibility B.Advocacy C.Confidentiality D.Accountability

b

The nurse is learning about health care settings and levels of health care services. Which actions should the nurse perform under preventive care? Select all that apply. a. Intensive care b. Immunizations c. Family planning d. Cancer screening e. Mental health counseling

b,d,e

The nurse is learning about rehabilitation services that are provided to patients in different settings. Which actions should the nurse perform as a part of rehabilitation services? Select all that apply. a. Wound care b. Physical therapy c. Administration of IV fluids d. Speech therapy e. Drug-dependence counseling

b,d,e

The caregiver of a patient with terminal illness is receiving respite care. Which type of primary and preventive care service offers this kind of care? a. Physicians' offices b. Nurse-managed clinics c. Block and parish nursing d. Community health centers

c

The nurse finds it difficult to care for a patient whose advance directive states that no extraordinary resuscitation measures should be taken. Which step may help the nurse to find resolution in this assignment? A. Call for an ethical committee consult. B. Decline the assignment on religious grounds. C. Scrutinize her own personal values. D. Convince the family to challenge the directive.

c

The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO? a. This health plan is for people who cannot afford their own health insurance. b. This health plan is operated by the government to provide health care to older adults. c. This health plan provides you with a preferred list of physicians, hospitals, and providers from which you can choose. d. This is a fee-for-service plan in which you can choose any physician or hospital.

c

The patient's son requests to view the documentation in his mother's medical record. What is the nurse's best response to this request? A. "I'll be happy to get that for you." B. "You will have to talk to the physician about that." C. "You will need your mother's permission." D."You are not allowed to see it."

c

carol requests promethazine IV to treat the nausea. knowing that promethazine can be very irritating to the blood vessels, often times burning terribly at the IV site when given IVP, you carefully explain to carol the possible effects of the promethazine prior to administration. which of the following terms best describe this scenario? a. autonomy b. beneficence c. nonmaleficence d. justice

c

A nurse argues that we need to reform our health care system because we have a large number of people who are uninsured and end up needing expensive emergent care when low-cost measures could have prevented their illnesses. What ethical framework is she using to make this case? A. Deontology B.Ethics of care C.Feminist ethics D.Utilitarianism

d

Joan gives Mr. Owens his prescribed medications, changes his dressing, and helps him with his bath. Which standard of care is Joan performing? A.Assessment B.Planning C.Diagnosis D.Implementation E.Evaluation

d

Professional nursing specialty organizations seek to: A.improve standards of practice. B.expand nursing roles. C.improve the welfare of nurses in specialty areas. D.all of the above.

d

Technological advances in health care: A. make the nurse's job easier. B. depersonalize bedside patient care. C. threaten the integrity of the health care industry. D. do not replace sound personal judgment.

d

The nurse values autonomy above all other principles. Which patient assignment will the nurse find most difficult to accept? A. Teenager in labor who requests epidural anesthesia B. Middle-aged father of three with an advance directive declining life support C. Elderly patient who requires dialysis D. Family elder who is making the decisions for a 30-year-old female member

d

When people work together to solve ethical dilemmas, individuals must examine their own values. This step is crucial to ensure that A. The group identifies the one correct solution. B. Fact is separated from opinion. C. Judgmental attitudes are not provoked. D. Different perspectives are respected.

d

Which statement is true regarding Magnet status recognition for a hospital? a. Nursing is run by a Magnet manager who makes decisions for the nursing units. b. Nurses in Magnet hospitals make all of the decisions on the clinical units. c. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need. d. Magnet is a special designation for hospitals that achieve excellence in nursing practice.

d

Nursing is defined as a profession because nurses: A.perform specific skills. B.practice autonomy. C.utilize knowledge from the medical discipline. D.charge a fee for services rendered.

practices autonomy