Unit 1 nsg3180

Kyle Lakewood, DOB 7/1/60, a 53 year old man with chronic lung disease, admitted 12/25, who has been sliding downhill x2 hours. Now he's acutely worse: his vital signs are heart rate 92 bpm, respiratory rate 40 breaths per minute with gasping, blood pressure 138/94 mmHg, Ox down to 72%. This is an example of what part of SBAR

- Background

What are the seven C's

- Correct - Clear - Concise - Concrete - Complete - Confidential - Contemporary

The nurse performs a dressing change using sterile technique. This is an example of which pattern of knowledge? a. empirical b. personal c. aesthetic d. ethical

- Empirical

I need you to see him right now, I think he needs a chest tube. - This is what part of SBAR

- Recommendation

What are 3 types of communication problems?

- System failures - Transmission failures - Reception Failures

Checklists are needed prior to:

- administration of anesthesia - prior to skin incision - prior to patient leaving the OR or procedural area

Nurses are prepared to function as:

- advanced practice nurse practitioners - administrators - educators

What are the 5 patterns of knowing?

- empirical - personal - aesthetic - ethical - emancipatory

3 Barriers to safe, effective, communication

- fragmentation (handoffs) - underreporting of errors - fatigue

Of particular importance to the nurse-patient relationship are ethical directives related to the nurse's primary commitment to:

- patient welfare - patient autonomy - recognition individual is unique and worthy of respect - truth telling and advocacy

Whose code of ethics for nurses establishes principled guidelines designed to protect the integrity of patients related to their care, health, safety, and rights? a. American Nurses Association b. American Health Insurance Portability and Accountability Act c. National Academy of Medicine Division of the National Academies of Science, Engineering, and Medicine d. Evidence-based practice

A. American Nurses Association

This pattern of knowing allows the nurse to connect in different more meaningful ways. It links the humanistic components of care with their scientific application. It represents a deeper appreciation of the whole person or situation, and moving beyond the superficial to see the experience as part of a larger whole. - It enables the nurses to experientially relate to the fear behind a patient's angry response, the courage of a patient with stage 4 cancer, or the pain of a father cutting off funds for a drug addicted son

Aesthetic ways of knowing

I dont think I hear any breath sounds in his right chest. I think he has pneumothorax. - This is what part of SBAR

Assessment

State your conclusion, what you think is wrong. List your opinion about the patient's current status. Examples would be patient's level of pain, medical complications, level of consciousness, problem with intake and output, or your estimate of blood loss, etc.

Assessment

A specific, structured list of actions to be performed in a specific clinical setting whose contents are based on evidence. Following this ensures that key steps will not be omitted or important information missed due to fatigue, pressure, distraction, or other factors

Checklists

Professional duty, breach of duty, casualty, damage/injuries

Civil laws

Defined as a two-way exchange of information among patients and health care providers

Effective Communication

This pattern of knowledge is the scientific rationale for skilled nursing interventions. It draws upon verifiable data from science. Includes logical reasoning and problem solving.

Empirical ways of knowing

A type of communication problem that occurs when channels exist and necessary information is sent, but the recipient misinterprets the message

Reception failures

Evidence-based reports show that patient adverse events have decreased through the use of ________, including decreases in unexpected deaths

SBAR

examples of these laws include Medicare and Medicaid amendments to the Social Security Act and Nurse Practice Act are state specific

Statutory Laws

A type of communication problem that occurs when the necessary channels of communication are absent or not functioning

System Failures

This model defines interpersonal communication as a reciprocal interaction in which both sender and receiver influence each other's messages and responses as they converse.

Transactional model of communication

A type of communication problem that occurs when the channels exist but the message is never sent or is not clearly sent

Transmission failures

When caring for a patient from a different culture, which of the following is the best assessment approach by the nurse? a. "are there any special cultural beliefs about your illness that might help me give you better care? b. "describe to me your position of greatest relief from pain and discomfort" c. "I will return shortly to give you a pain medication. Is there anything else that you need?" d. "I will roll your bed down and place a pillow between your legs."

a. "are there any special cultural beliefs about your illness that might help me give you better care?"

A student nurse working in an ER takes a picture of a visiting friend in the middle of the crowded waiting room while posing with 8 patients. Everyone in the photo is smiling and waving at the camera. The student nurse posts the photo on facebook later to show how much fun working in an ER can be. Which statement best applies to this described scenario? a. nurses breach patient privacy when they post enough information to allow recognition of a patient b. postings on social media platforms are an everyday happening that is innocent and harmless c. social media is transforming traditional nurse-patient interactions and how they are demonstrated d. extreme caution is required when discussing or demonstrating any patient-related experience

a. nurses breach patient privacy when they post enough information to allow recognition of a patient

In the circular transactional model of communication, a. questions are framed in order to recognize the context of the message b. people take only complementary roles in the communication c. the context of the communication is unimportant d. the purpose of communication is to influence the receiver

a. questions are framed in order to recognize the context of the message

When calling a healthcare provider, the nurse provides names, what unit and what hospital the call is being made from, the patients name, and that the patient is having trouble breathing. The nurse is demonstrating which step in the SBAR format for communicating with a patient's physician? a. situation b. assessment c. background d. recommendation

a. situation

When practicing effective and correct communication, the nurse should demonstrate what actions? (select all that apply) a. Speaking in a clear voice b. Being concise when providing patient education c. Being concrete when communicating with patients d. focusing entirely on abstract communication techniques with patients e. ensuring that communication with patients is complete f. providing courteous communication when interacting with patients

a. speaking in a clear voice b. being concise when providing patient education c. being concrete when communicating with patients e. ensuring that communication with patients is complete f. providing courteous communication when interacting with patients

Today, professional nursing education begins at the: a. undergraduate level b. graduate level c. advanced practice level d. administrative level

a. undergraduate level

The nurse is teaching the student nurse about how to use SBAR when calling a physician. The student nurse verbalizes understanding of SBAR when stating that SBAR is: a. used in a situational briefing b. utilized strictly within the hospital setting c. not used in emails due to HIPPA rules d. never recorded within the patients chart

a. used as a situational briefing

The ethical decision making model where good is defined as maximum welfare or happiness is known as the a. utilitarian model b. human rights based model c. duty-based model d. kant's model

a. utilitarian model

Personal values are defined as a. values shaped by family, religious beliefs, and years of experience b. altruism c. two values that are in conflict d. values determined by commitment

a. values shaped by family, religious beliefs, and years of experience

During a routine visit, the nurse notes that a child has several bruises at various stages of healing. The child reports, "Mommy doesn't like me when I don't do my chores," Failure to report these findings is an example of what form of nursing malpractice? a. Negligence b. Slander c. Liable d. Defamation

a.Negligence

A nurse manager is teaching a group of nurses about patient safety. The nurse manager teaches the nurses that safety is defined as "avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the process of health care itself. What is the source of this definition? a. Hippocratic oath b. National Patient Safety Foundation c. American Association of Colleges of Nursing d. American Nurses Association's Code of Ethics

b. National Patient Safety Foundation

A preoperative assessment shows that a patient's hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered. The nurse administers the first unit before discovering that the patient is a Jehovah's Witness, as documented in the record. This scenario is referred to using what phrase? a. professional conduct b. a negligent act c. physical abuse d. breaching patient confidentiality

b. a negligent act

Which of the following case examples represents the ethical concept of distributive justice? a. a famous baseball player receives a heart transplant b. an older adult who has government insurance is denied standard cancer treatment c. during a visit to his physician's office, a patient demands antibiotics for his cold and is given a prescription d. a patient suffering from cirrhosis of the liver is placed on a transplant list

b. an older adult who has government insurance is denied standard cancer treatment

Which statement is true concerning communication deficits? a. communication deficits occur primarily because of physical disabilities b. communication deficits can arise from sensory deprivation c. individuals who are equally impaired are equally disabled d. the primary nursing goal is to minimize the patient's independence

b. communication deficits can arise from sensory deprivation

Values clarification can be incorporated within the intervention phase of the nursing process by a. identifying ineffective family coping b. identifying care guidelines c. identifying patient's values d. identifying specific nursing diagnoses

b. identifying care guidelines

Which of the following types of thinking reflects the nursing process? a. habits b. inquiry c. mnemonic d. practice

b. inquiry

The nurse is caring for a Hispanic patient. When communicating with the patient's family about the patient's illness, which family member should the nurse contact? a. oldest female family member b. oldest male family member c. older daughter of patient d. oldest son of patient

b. oldest male family member

The nurse is assigned to provide a bed bath to a patient who cannot speak English. Which of the following communication tools or strategies should the nurse use? a. nonverbal communication b. trained interpreter c. family member as an interpreter d. other staff member who speaks the same language

b. trained interpreter

Which of the following statements is true? a. A muslim patient may refuse to take insulin if it contains beef b. african american males have a lower chance of developing cancer c. Hispanic patients make small talk before discussing their health problems d. asian patients frequently challenge health care workers

c. Hispanic patients make small talk before discussing their health problems

Which of the following shows the correct progression of the nursing process' phases? a. evaluation, implementation, outcome identification/planning, problem identification/diagnosis, assessment b. assessment, problem identification/diagnosis, outcome identification/planning, implementation, evaluation c. assessment, problem identification/diagnosis, outcome identification/planning, implementation, evaluation d. problem identification/diagnosis, evaluation, assessment, implementation, outcome identification/planning

c. assessment, problem identification/diagnosis, outcome identification/planning, implementation, evaluation

When educating a student nurse about safety communication improvement solutions, the nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as safety communication improvement solution? a. adopting technology-oriented tools b. using standardized verbal and electronic communication tools c. disempowering patients to be partners in safer care d. participating in team training communication seminars

c. disempowering patients to be partners in safer care

During the third step in the critical thinking process: a. new data are obtained b. values are clarified c. existing information is compared with past knowledge d. the problem is identified

c. existing information is compared with past knowledge

When caring for the poor patient, a major component of care is: a. ignoring personal biases b. allowing stereotypes to distort nursing interventions c. maintaining respect for human dignity d. treating all patients exactly the same

c. maintaining respect for human dignity

The central constructs of person, environment, health, and nursing are found in all nursing theories and models and are referred to as: a. telehealth b. the medical model c. nursing's metaparadigm d. five core areas of competency

c. nursing's metaparadigm

Which of the following statements about communication theory is true? a. primates are able to learn new languages to share ideas and feelings b. concepts include only verbal communication c. perceptions are clarified through feedback d. past experience does not influence communication

c. perceptions are clarified through feedback

Nursing's metaparadigm, or worldview, distinguishes the nursing profession from other disciplines and emphasizes its unique functional characteristics. The four key concepts that form the foundation for all nursing theories are: a. caring, compassion, health promotion, and education b. respect, integrity, honesty, and advocacy c. person, environment, health, and nursing d. nursing, teaching, caring, and health promotion

c. person, environment, health, and nursing

When assessing a 5 y/o Asian patient in the ED, the nurse observes welts on the patient's body. The nurse's first course of action should be to: a. report child abuse to the authorities b. consult a traditional healer c. question the family about cultural practices d. ignore it because it is an imbalance between "yin and yang"

c. question the family about cultural practices

The student nurse can best learn the step in critical thinking through: a. reading journals b. classroom instruction c. repeated practice d. developing a mnemonic

c. repeated practice

The best method for nurse educators to teach professional values is: a. reading the ANA code b. laissez-faire c. role modeling d. values clarification

c. role modeling

Under what circumstances would result in a nurse not securing a signed informed consent from a client scheduled for a bilateral inguinal hernia repair? a. the client voluntarily came to the surgery center and suggested the need for a hernia repair b. the client completely understands the necessity of the procedure, but is nervous and unhappy about going through with the surgery c. the client has been diagnosed with early-onset dementia d. the client is a month away from his 18th birthday

c. the client has been diagnosed with early-onset dementia

intentional misconduct or a serious violation of professional standards of care

criminal laws

The nursing profession's first nurse researcher, who served as an early advocate for high-quality care and used statistical data to document the need for hand washing in preventing infection was: a. Abraham Maslow b. Martha Rogers c. Hildegard Peplau d. Florence Nightingale

d. Florence Nightingale

The nurse recognizes that feedback loops: a. do not allow for correction of original information b. are solely based on the General Systems Theory c. do not allow for validation of information d. allow the human system to correct its original information

d. allow the human system to correct its original information

Which of the following statements does NOT adequately describe evidence-based practice? a. a conscious choice to use most current research to provide "best care" b. guidelines to clinical behaviors compiled from the best current research evidence available and expertise of clinicians c. translating knowledge into practice using findings from multiple empirical studies to help solve clinical problems d. application of standards of professional communication necessitates use of critical thinking and problem solving skills in all aspects of care

d. application of standards of professional communication necessitates use of critical thinking and problem solving skills in all aspects of care

When performing a newborn bath demonstration for the mother of a Native American infant, the nurse should: a. maintain constant eye contact with the mother b. anticipate answering many of the mothers questions c. ask the mother to stand next to the nurse d. deliver verbal instructions in a story-telling format

d. deliver verbal instructions in a story-telling format

Which of the following is a true statement in relation to the concept of poverty: a. poverty affects only a small segment of the population b. poor people expect others to work with them in making things better c. communication strategies that empower the poor take small steps toward dependence are most effective d. lack of essential resources is associated with political and personal powerlessness

d. lack of essential resources is associated with political and personal powerlessness

When conducting an in-service on serious medical errors, the nurse teaches that nearly 70% of sentinel events are related to: a. lack of education b. inadequate resources c. minimal rest periods d. miscommunication

d. miscommunication

Abraham Maslow's needs theory is a framework that: a. begins with meeting basic psychosocial needs first b. ensures essential needs are satisfied, then people move into higher physiological areas of development c. proposes that people are motivated to meet their needs in a descending order d. nurses use to prioritize client needs and develop nursing approaches

d. nurses use to prioritize client needs and develop relevant nursing approaches

A young mother tells the nurse, "im worried because my son needs a blood transfusion. I don't know what to do, because blood transfusions cause AIDS." Which central nursing construct is represented in this situation? a. Environment b. caring c. health d. person

d. person - Person is defined as the recipient of nursing care, having unique bio-psycho-social and spiritual dimensions

A 16 year old trauma victim arrives in the ED with a life-threatening condition and requires emergency surgery. The nurse knows that: a. a parent/guardian must give consent b. the patient can give consent if she provides proof of emancipation c. the patient must first be evaluated for competency before obtaining consent d. surgery can be performed without consent

d. surgery can be performed without consent

The nurse is caring for a postpartum patient who is African American. The nurse recognizes that an essential component for successful communication when interacting with this patient is the use of: a. clergy in treatment plans b. only simple language strategies c. fold-healing strategies d. trust development

d. trust development

This way of knowing refers to the moral aspects of nursing. It refers to knowledge of what is right and wrong, attention to professional standards and codes in making moral choices, taking responsibility for one's actions and protecting patient autonomy and rights.

ethical ways of knowing

The essence of nursing is:

- Caring

What does TeamSTEPPS stand for?

Team Strategies and Tools to Enhance Performance and Patient Safety

I PASS the BATON stands for:

Introduction, Patient, Assessment, Situation, Safety, Background, Actions, Timely, Ownership, Next

Characteristics of a critical thinker include all but which of the following? a. haphazardly seeking solutions b. anticipating consequences c. considering alternative solutions d. revising actions based on new input

a. haphazardly seeking solutions

Dr. Preston, this is Wendy Obi, evening nurse on 4G at St. Simeon Hospital, calling about Mr. Lakewood, who's having trouble breathing. - this is an example of what part of SBAR

- Situation

What does SBAR stand for?

- Situation - Background - Assessment - Recommendation

This model is the simplest communication model consisting of sender, message, receiver, channels of communication and context. These models focus only on the sending and receipt of messages, and do not necessarily consider communication as enabling the development of co-created meanings. They are useful in emergency health situations when time is of the essence to get immediate information

- linear model

Nurses use __________________ to bridge the interpersonal space between scientific understandings and patient-centered health experiences. It is this dimension of knowledge that helps nurses to individualize nursing and interprofessional care strategies

- patterns of knowing

When educating staff about how to reduce errors and increase safety, the nurse manager emphasizes the importance of communication that is a. clear b. vague c. timely d. accurate e. unambiguous

a. clear, c. timely, d. accurate, e. unambiguous

State relevant context and brief history. Review the chart if possible before speaking or telephoning the physician. Relate the patients background, including patient's diagnosis, problem list, allergies, relevant vital signs, medications that have been administered and lab results

Background

State your informed suggestion for the continued care of this patient. Propose an action. What do you need? In what time frame does it need to be completed? Always include an opportunity for questions. Some sources recommend that any new verbal orders now be repeated for feedback clarity. If no decision is forthcoming, reassert your request.

Recommendation

This pattern of knowledge allows the nurse to understand and treat each individual as a unique person. It is knowledge characterized as subjective, concrete, and existential. This pattern of knowing occurs when nurses connect with the "humanness" of a patient experience. It is a "precondition for establishing a therapeutic relationship." This knowledge develops when nurses intuitively understand and connect with patients as unique human beings - because they share the experience of being human

Personal patterns of knowing

Identify yourself; identify the patient and the problem. In 10 seconds state what is going on, may include patient's date of birth, hospital ID number, verification that consent forms are present, etc.

Situation

A nurse is required to provide all information specific to a prescribed treatment, and offer the chance to ask questions or share concerns before requesting a signature on a consent form to which client? a. a physically disabled 30 year old b. a 17 year old child with a sudden life-threatening injury c. an emancipated minor d. an adult who fell and fractured a femur whose blood alcohol level is 0.13%

a physically disabled 30 year old

What tool for safer care is designed to increase cognitive decision-making skills, increase technical proficiency, and enhance teamwork, including communication skills? a. Clinical situation simulations b. SBAR c. Checklists d. Team training models

a. clinical situation simulations

What may be the consequences for a simple patient privacy violation through social media? Select all that apply a. dismissal from nursing school b. jail time c. revocation of nursing license d. monetary fine e. state board of nursing censure

a. dismissal from nursing school c. revocation of nursing license d. monetary fine e. state board of nursing censure

Which of the following best describes cultural diversity? a. encompasses variations between cultural groups b. a small group of people living within the dominant culture who have adopted a cultural lifestyle distinct from that of the mainstream population c. groups in which members share a cultural heritage from one generation to another d. heterogeneous society in which diverse cultural worldviews can coexist

a. encompasses variations between cultural groups

A nurse recognizes that strategies for clear, accurate communication to promote patient safety include which of the following: a. establishing a safe environment b. maintaining a climate of closed communication c. using unique interdisciplinary communication tools d. using communication tools that promote vague communication

a. establishing a safe environment

When describing nursing to a group of nursing students, the nursing instructor lists all of the following characteristics of nursing EXCEPT: a. historically nursing is as old as mankind b. nursing was originally practiced informally by religious orders dedicated to care of the sick c. nursing was later practiced in the home by female caregivers with no formal education d. nursing has always been identifiable as a distinct occupation

a. historically nursing is as old as mankind

The discipline of nursing has "a unique perspective, a distinct way of viewing all phenomena, which ultimately defines and limits the nature of its inquiry," related to: a. principles and laws that govern the life processes, well-being, and optimum functioning of human beings, sick or well b. patterning of human behavior in interaction with the environment in critical life situations c. processes by which positive changes in health status are affected d. processes by which negative changes in health status are affected e. patterning of human behavior in interaction with the environment in every life situation f. principles and laws that govern the life processes, well-being, and optimum functioning of human beings, in relation to wellness only

a. principles and laws that govern the life processes, well-being, and optimum functioning of human beings, sick or well b. patterning of human behavior in interaction with the environment in critical life situations c. processes by which positive changes in health status are affected

The nurse is caring for a patient who is becoming increasingly short of breath. The nurse decides to call the physician. Which of the following should the nurse initially do when speaking when the physician? a. state the problem b. tell what is needed c. state the patients allergies d. relate the patient's background

a. state the problem

A nurse manager sets a goal to establish a new safety culture on a hospital unit. The nurse manager recognizes that basic components in establishing a new safety culture include: a. support of effective health care teamwork b. encouragement of individualism c. discouragement of new concepts d. promotion of a hierarchial system

a. support of effective health care teamwork

The bioethical principle of autonomy refers to a. the patient's right to self-determination b. avoiding actions that bring harm to another person c. a decision resulting in the greatest good or least harm d. being fair or impartial

a. the patient's right to self-determination

How is social media transforming traditional nurse-patient interactions? a. by transforming the way people interact b. by communicating health care information and support with many at once c. governmental agency privacy regulations make decision making related to confidentiality easier d. nursing students are expected to engage clients in a more social manner

b. by communicating health care information and support with many at once

A nurse values autonomy and self-determination as well as the preservation of life. This is an example of: a. conceptions of the ideal b. cognitive dissonance c. operative values d. commitment

b. cognitive dissonance

A nurse manager reminds staff that if an adverse event occurs, everyone's focus needs to be on: a. how the aviation industry would handle things b. correcting system flaws to avoid future events c. the fact that only a tiny fraction of unsafe care incidents are reported d. determining what staff members made the error

b. correcting system flaws to avoid future events

When admitting a patient to the medical-surgical unit, the nurse asks the patient about cultural issues. The nurse is demonstrating use of the concept of: a. person b. environment c. health d. nursing

b. environment - The concept of environment includes all cultural, developmental, and social determinants that influence a client's health perception and behavior

The nurse fails to demonstrate effective communication by engaging in what activity? a. implementing a two-way exchange of information among patients and health providers b. making sure that unilateral information is exchanged between patients and nurses c. Making sure that the expectations and responsibilities of all are clearly understood d. recognizing that effective communication is an active process for all involved

b. making sure that unilateral information is exchanged between patients and nurses

The nurse is teaching a patient who is alert and oriented about the medication, warfarin. When teaching about this drug, the nurse emphasizes the need to be consistent with Vitamin K intake, which is found primarily in green leafy vegetables. When the patients spouse comes to visit, the patient states "I can no longer consume green leafy veggies." This is an example of what type of failure by a communication problem? a. system failure b. reception failure c. transmission failure d. global aphasia

b. reception failure

Cultural competence a. involves a lack of acceptance of cultural differences in others b. requires self-awareness of one's own cultural values c. is a non-essential skill set required for health care providers d. begins with developing knowledge and acceptance of cultural differences in others

b. requires self-awareness of one's own cultural values

When using the acronym "I PASS the BATON" the nurse demonstrates understanding by beginning with an introduction; then stating the patient's name, identifiers, age, sex, and location; then discussing the assessment of the patient; and then talking about: a. safety concerns related to the patient b. the situation, including current status c. a summary of the patient's medications d. a synopsis of the patients psychosocial needs

b. the situation, including current status

A student nurse is learning about how to reduce errors and increase safety. The nursing instructor recognizes that further teaching is warranted when the student nurse states which of the following: a. "when communicating with patients, I will be clear." b. "I will be timely in my communication with patients" c. "I will promote communication with patients that is ambiguous" d. "When communicating with patients, I will ensure the patient understood"

c. "I will promote communicating with patients that is ambiguous"

When working on a nursing unit, the nurse recognizes that incomplete communication errors most often occur during: a. staff meetings b. the night shift c. a handoff procedure d. medication administration

c. a handoff procedure

A nurse attends an in-service aimed to educate staff about reporting hospital errors. The nurse demonstrates understanding when listing which of the following as being NOT consistent with creating a culture of safety? a. creating a way to advise and compensate harmed patients b. supporting care providers after adverse events c. ensuring the negative consequences of disclosing errors serve as a guide d. installing a nonpunitive reporting system

c. ensuring the negative consequences of disclosing errors serve as a guide

The nurse-client relationship as described by Hildegard Peplau: a. would not be useful in a short-stay unit b. allows personal and social growth to occur only for the client c. facilitates the identification and accomplishment of therapeutic goals d. focuses on maintaining a personal relationship between the nurse and client

c. facilitates the identification and accomplishment of therapeutic goals

The identification phase of the nurse-client relationship: a. sets the stage for the rest of the relationship b. correlates with the assessment phase of the nursing process c. focuses on therapeutic goals to enhance client and family well-being d. uses community resources to help resolve health care issues

c. focuses on therapeutic goals to enhance client and family well-being

The patient's values... a. must coincide with those of the nurse b. are only considered during assessment c. influence the nurse's interventions d. are not influenced by culture

c. influence the nurse's interventions

What can be defined as "a patient safety issue" but primarily a legal right protected by common law and "case law" and "giving acquiescence knowing the purpose, the extents of the risks and benefits, and possible alternatives of treatment?" a. evidence-based practice b. mandatory reporting c. informed consent d. privacy cautions

c. informed consent

Which of the following statements is true about the critical thinking process? a. it is a linear process b. the skills are inborn c. it is goal directed d. it assists nurses to criticize the health care system

c. it is goal directed

Which of the following personality characteristics is a barrier to critical thinking? a. accepting change b. being open minded c. stereotyping d. going with the flow

c. stereotyping

While professional values can be transmitted by tradition in nursing classes and clinical experienced, or modeled by expert nurses and assimilated as part of the role socialization process, which is perhaps the best method of acquiring them? a. there must be pride and happiness with the choice b. the value must be acted upon in a pattern of behavior consistent with the choice c. the value should be the result of conscious choice d. the value must be chosen after careful consideration of each alternative

c. the value should be the result of conscious choice

Which of the following statements best represents therapeutic communication when a student discovers a client crying in bed? a. "I am the nurse who will be doing your treatments today." b. "Will you listen to me so I can help you get better?" c. "This is what is going to happen during surgery" d. "Can we talk about what seems to be bothering you?"

d. "can we talk about what seems to be bothering you?"

When practicing cultural awareness, the nurse recognizes that cultural patterns: a. are socially transmitted through ethnic groups b. are nonessential parts of personal identity c. are minor determinants of health-related attitudes d. are important determinants of health-related beliefs

d. are important determinants of health-related beliefs

When educating a newly diagnosed patient about management of diabetes mellitus, the nurse recognizes that health care - related communication: a. does not lead to errors within the hospital b. is generally well understood by most patients c. is not an important component of patient care d. can cause patients to misunderstand information

d. can cause patients to misunderstand information

In regard to informed consent, which of the following statements is true? a. Only legally incompetent adults can give consent b. only parents can give consent for minor children c. It is not required that the patient be told about costs and alternatives to treatment d. consent must be voluntary

d. consent must be voluntary

A patient with schizophrenia has been stabilized on long-acting haloperidol, an antipsychotic medication that is administered by injection every 3 weeks. The physician switches the medication to seroquel, a new antipsychotic med that is administered twice a day. The patient complains that he cannot afford the new medication and will not be able to remember to take it. The physician replies, "I can't help that; I have to treat you the way I think is best." The patient's nurse may experience: a. paternalism b. cognitive dissonance c. nonmaleficence d. moral distress

d. moral distress

Reporting what information is a violation of patient confidentiality? a. certain communicable diseases b. child abuse c. gunshot wounds d. patient data in a nonprofessional setting

d. patient data in a nonprofessional setting

Which of the statements is NOT true regarding nurses' use of social media? a. confidentiality and privacy laws, such as HIPPA apply to online postings b. clicking "restricted access" does not qualify as a privacy site c. a state board may act on complaints of privacy violations d. privacy laws apply to photos, but not to videos if you avoid showing a face

d. privacy laws apply to photos, but not to videos if you avoid showing a face

When communicating with a patient from Thailand who speaks limited English, the nurse should: a. use technical jargon and complex sentences b. recognize nodding as an indicator the patient agrees with what the nurse is saying c. speak quickly and concisely, using complex words d. provide advice in a matter-of-fact, concise manner

d. provide advice in a matter of fact, concise manner

When communicating with a patient's physician, the nurse suggests ordering a STAT x-ray for a patient who is experiencing dyspnea. This is an example of which component of SBAR format for communicating with the patient's physician? a. situation b. assessment c. background d. recommendation

d. recommendation

When a night shift nurse completes a shift, she gives a report about her patients to the oncoming day shift nurse. When beginning the report, the night shift nurse introduces herself and states her role, states the patient's name, identifiers, age, sex, and location. Which of the following should the nurse do next? a. state critical lab reports, allergies, and alerts b. list current medications and patients family history c. talk about any anticipated changes in the plan of care d. relate patients chief complaint, vital signs, symptoms, and diagnosis

d. relate patients chief complaint, vital signs, symptoms, and diagnosis

Which of the following best describes the critical thinking skills of a novice nurse and an expert nurse? a. the expert nurse is able to diagnose faster than the novice nurse b. the expert nurse does not need to question and reassess like the novice nurse c. the novice nurse uses past knowledge, whereas the expert nurse stays in the here and now d. the expert nurse organizes data more efficiently than the novice nurse

d. the expert nurse organizes data more efficiently than the novice nurse

This way of knowing includes awareness of social problems and social justice issues as contributory determinants of health disparities. This pattern of knowing expands and supports the emergent goals of Health People 2020, with its focus on social determinants as a context for health care concerns.

emancipatory ways of knowing

Provide information about the output as it relates to the data received and/or acted upon. Either validates the received data or reflects the need to correct/modify its original information

feedback loops