231 Final Quiz Questions

Which of the following best describes the meaning of the term "theory"?

A group of related concepts, definitions, and statements that describe a certain view of nursing phenomena from which to describe or predict outcomes

As an RN, you are not responsible and accountable for providing care to patients and delegating care activities to the nursing assistive personnel (NAP), CNA or LPN.

False

A nurse over hears two employees talking about a clients poor hygiene. Which of the following actions should the nurse take first?

Interviene and tell the employees that is not appropriate

How should the nurse initiate the research process?

Identify a researchable problem.

The nurse would like to research how to best keep confused patients from wandering. What is the first step that the nurse should take?

Identify a researchable problem.

A nurse is involved in an ethically challenging case. To use an ethical decision-making model, which step should the nurse perform first?

Identify who will be impacted by the ethical dilemma in the case.

Which of the following is true about bachelor's of science in nursing (BSN) education?

It is recommended by professional organizations as preparation for entry into practice.

Which nursing theorist is best known for her emphasis on interacting systems, including nurse and patient in goal setting and goal attainment?

King

Provision 3 of the ANA Code of Ethics says: The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient. Which of the following does not describes an example of this provision?

Maintaining a relationship with your patient after they are discharged

Which of the following behaviors of a student indicate that the student has taken responsibility for his or her own professional socialization? (Select all that apply.)

Projecting a professional appearance in class Taking responsibility to learn the expectations of the faculty in each course Accepting constructive criticism without becoming defensive

Peplau's theory focuses on the therapeutic relationship as the key to successful nursing intervention. Which of the following is correct about Peplau's theory?

The theory describes six key nursing roles that are flexibly used, depending on the practice setting.

The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts?

They determine the educational requirements for licensure.

Which of the following best describes a middle-range theory?

They usually blend nursing practice with nursing research.

Nurse Practice Act-defines what the legal scope of practice is per state.

True

Which of the following ethical theories is illustrated by the example of triage in disaster nursing?

Utilitarianism

Which contemporary theorist is best known for her emphasis on the caring aspect of nursing?

Watson

A nurse is admitting a non-English speaking patient to the hospital unit. Which is the best method of obtaining data from the patient?

a. Interviewing the patient using a professional interpreter

The document that provides professional standards and a framework for professional decision-making that ensures decisions are made with the highest integrity is the

The code of ethics

Which of the following is a correct statement about the registered nurse (RN) population?

The racial/ethnic composition of RNs closely resembles that of the general population.

An overriding principle of Nightingale's writings on nursing dealt with which aspect of nursing?

The relationship between patients, health and environment

Which of the following statements explains why the school nurse of today is truly a community health nurse?

The school nurse may be called on to care for a student's family members in underserved areas.

Which of the following describes appropriate communication that occurs in the operating room?

The staff members never talk about the patient in a coarse or negative manner while he is on the table

The legal definition of nursing for any particular state can be found in the

The state nurse pracrtise act

Which of the following statements is correct about community health nursing (CHN)?

Prevention and community education are the cornerstones of CHN.

The nurse researcher is presenting a lecture on data-collection instruments. Which statement indicates the need for further education?

"Data collection tools must be high tech and complex to be accurate."

A new mother says, "My baby is being kept in the nursery. I'm really worried about him. I'm also worried that the separation will interfere with breastfeeding." The most appropriate response by the nurse is,

"I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you."

Which statement about financial support for nursing research indicates a need for further teaching?

"Nursing research is often fairly inexpensive."

The nurse professor is presenting a lecture on pure science. Which statement from one of the students indicates that the teaching has been effective?

"Pure science summarizes and explains the universe without regard for whether the information is immediately useful."

The student nurse is listening to a lecture on the different types of research. Which statement by the student nurse indicates that teaching has been effective?

"Qualitative research does not involve manipulation of variables."

The nurse professor is giving a lecture on the difference between research and problem solving. Which statement by one of the students indicates that teaching has been effective?

"Research deals with long-term solutions."

Which statement by the nurse indicates an understanding of how nursing research positively affects nursing?

"Research expands the nursing profession."

The nurse is listening to a lecture on the outcomes of research in the nursing practice. Which statement indicates a need for further education?

"Research has not created a lot of changes in nursing."

The student nurse is listening to a lecture on inductive and deductive reasoning. Which statement indicates that further teaching is needed?

"Research requires the use of only inductive reasoning."

The student is listening to a lecture on nursing standards of practice. Which statement by the student indicates that the teaching has been effective?

"Standards of practice determine responsibilities to which nurses are held accountable."

A 4-year-old child is going to have an abdominal x-ray examination. The child asks, "Why do they have to do this? Will it hurt?" Which of the following is the most appropriate response by the nurse?

"You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt."

Which of the following is the best description of a code of ethics?

A document that describes what principles guide professional decision making

Which of the following best describes the difference between an occupation and a profession?

A profession requires a duty to serve.

Provides parameters for practice. Outlines key aspects of nursing's professional and practice for any level, setting, population focus, or specialty.

ANA scope and standards of practice

According to the nurse's Code of Ethics, the hallmark of nursing practice is

Accountability

All levels of nursing educational programs can be accredited by which organization?

Accreditation Commission for Education in Nursing (ACEN)

In 2004, the AACN proposed a new doctoral degree, the doctor of nursing practice (DNP). What is the focus of the DNP degree in nursing?

Advanced clinical practice

A nurse has been introduced to theory as a guide to research and practice. This nurse is prepared at which level of nursing education?

Bachelors degree

Which of the following best illustrates nonjudgmental acceptance by the nurse?

Demonstrating caring behavior in spite of negative feelings

Which of the following ethical theories is illustrated by the example of following the Golden Rule, "Do unto others as you wish them to do unto you"?

Deontology

Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education?

Florence Nightingale

Which contemporary nursing theorist is best known for her definition of nursing that describes the nurse's role as a substitute for the patient and as a helper and partner to the patient?

Henderson

Hospice and palliative care nursing is a rapidly developing specialty in nursing. Which facts have contributed to this growth? (Select all that apply.)

Hospice and palliative care nurses work in a variety of settings. End-of-life care is largely the responsibility of nurses. End-of-life needs are expected to increase with the aging population.

Which of the following best describes trends in nursing education?

Numbers of RNs with bachelor's and higher degrees are increasing.

The most important law affecting your nursing practice.

Nurse Practice Act

This regulates the scope of nursing practice and is designed to protect public health, safety, and welfare within a specific region. This protection includes shielding the public from unqualified and unsafe nurses.

Nurse Practice Acts (NPAs)

Which of the following recommendations resulting from the 1934 study Nursing Schools Today and Tomorrow still has relevance today?

Nurses should be highly educated.

Leininger's theory uses the sunrise model. What is the major premise of Leininger's theory?

Nursing care should be culturally congruent.

Which nursing model is based on the assumption that people want to be in control of their lives?

Orem

The nurse says to a newly diagnosed diabetic patient, "I will be working with you during your 3-day stay to help you practice insulin injections and to review your new diet. I'm wondering if we could find a time of day to begin the teaching sessions that is good for us." This conversation would occur in which phase of the nurse-patient relationship?

Orientation Phase

Which nursing theorist is best known for her emphasis on inferences based on observation of patient behavior, confirmation by the patient, and results in effective care based on identified patient needs?

Orlando

What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses?

Outcomes were better in hospitals with more BSN-prepared nurses.

Which of the following is true of Maslow's basic need of self-actualization?

People use their abilities to the fullest extent possible and are true to their nature.

A patient is admitted with the diagnosis of bronchitis, congestive heart failure, and fever. The nurse's assessment finds a temperature of 101° F, peripheral edema, and rhonchi. Which of the following is the best etiology to support the nursing diagnosis of ineffective airway clearance?

Retained Secretions

The following are included in the five rights of delegation EXCEPT:

Right Time

Which nursing theorist based her model on the belief that adaptation to changes in the environment is the basis of health?

Roy

Which of the following human needs was not included in Henderson's 14 basic needs of patients?

Sexuality

Faith community nursing (FCN) was founded on which of the following premises?

Spiritual health is central to a person's well-being.

A nursing student asks, "Why do I have to go to clinical in obstetrics when I know I'll never work with women and children?" In which stage of Cohen's model of professional socialization is this student?

Stage II: Negativity/independence

Bandura's theory of self-efficacy described people's response to health-related behaviors. Which of the following was a major premise of this theory?

a. Belief in self as having the ability to improve health is important in changing health behaviors.

Which of the following examples illustrates the nurse's failure to use flexibility effectively in professional communication?

a. Continuing to follow the agenda in a staff meeting when people are obviously upset by a recent death on the unit

Which of the following patients is likely to benefit most from referral for case management?

a. Elderly patient with total hip replacement

Which of the following are activities in the ethical decision making process? (Select all that apply.)

a. Evaluate the action taken to determine whether it accomplished its purpose. b. Brainstorm with others involved to identify all possible solutions. c. Determine if the people who are affected by the dilemma have value conflicts.

Which of the following puts the nurse at increased risk for legal action?

a. Not assessing a patient who is complaining of pain

Which of the following chart entries represents a pitfall in documentation?

a. Patient demanding and difficult to please

Which of the following suggests that a successful contract has been established between the nurse and patient in the orientation phase of the nurse-patient relationship?

a. Patient has agreed to learn to change his colostomy bag.

In which of the following situations should the legality of an informed consent be questioned?

a. Patient who received a preoperative dose of Demerol before giving consent

The nurse receives reports on the following patients at the beginning of the shift. Which of the following care activities could be delegated to a nursing assistant? (Select all that apply.)

a. Taking vital signs, including blood pressure, for a patient with newly diagnosed diabetes and a history of hypertension b. Assisting a patient who was in an automobile accident and whose right arm and leg are in traction with bathing c. Ambulating a patient who had an emergency appendectomy 8 hours ago, has stable vital signs, and needs to ambulate for the second time d. Feeding a patient recovering from a stroke resulting in difficulty holding a spoon

Despite the variety of work settings available to the RN, data indicate that the primary work site for RNs is

acute care hospitals.

One important advantage of clinical ladder programs for hospital-based RNs is that they

allow career advancement for nurses who choose to remain at the bedside.

Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of

autonomy

Which of the following actions by the nurse constitutes professional malpractice?

b. Placing the head of the bed flat when a patient is receiving a tube feeding, causing the patient to aspirate the mixture

Which of the following is an example of rehabilitation and disease management?

b. Teaching patients with newly diagnosed diabetes the signs of hypoglycemia and hyperglycemia

A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to

b. communicate with a patient.

The nurse observes a patient lying rigidly in bed and taking shallow breaths. The patient reports a pain score of 4 out of 5 and says, "My leg hurts." The nurse determines that the objective and subjective data are

b. congruent and support that the patient is in pain.

A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship?

c. "During the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions."

Which of the following is most important in order for a new staff nurse to communicate therapeutically with patients?

c. Becoming aware of own feelings about illness and death

The quality of nursing care is judged by whether nursing actions meet the standard of care. Which of the following is an example of meeting the standard of care?

c. Demonstrating the use of the nursing process when charting

Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?

c. Patient's A1c will be 5% at 1 year postdiagnosis.

A nurse comments in private about a patient: "That lady with six kids is pregnant again! It makes me sick to see these people on welfare taking away from our tax dollars. I don't know how she can continue to do this." The best response by a nurse peer is to

c. convey acceptance of the patient.

NPs are advanced practice nurses who

can diagnose and treat common and chronic conditions

Which of the following is an example of illness prevention?

d. Counseling people recently experiencing death of a spouse about signs and symptoms of depression

Which of the following patient problems is given the highest priority by the nurse using Maslow's hierarchy of needs?

d. Ineffective airway clearance related to retained secretions

During report, a nurse complains about a 3-year-old boy, saying "He sure knows when to pour on the tears. There's nothing wrong until he sees you; then the tears start, but they stop as soon as you leave or his mother comes. He's just spoiled because they have a nanny at home who waits on him hand and foot." This is an example of

d. stereotyping because the child has a nanny.

The diversity of the population entering the health care system is a challenge for nurses because

ethnic minority nurses do not yet meet the same proportions in the profession as in the general population.

Which of the following is most essential for the nurse entrepreneur to be successful?

excellent time-management skills

Similarities exist between various ideas about what constitutes a profession. Which of the following is believed to be a characteristic of a profession

members have autonomy

The most common reason that nurses are disciplined by the state board of nursing is

practicing while impaired or diverting medications.

The American Nurses Association (ANA) serves as the

professional organization for all nurses regardless of practice setting or level of practice.

In 1900, the primary reason for hospital-based nursing education programs was to

staff the hospitals that operated the education programs.

The major benefit of serving as a military nurse is

the financial support to seek advanced degrees.

The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when

the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice.

The impaired nurse-The nurse who is unable to perform nursing functions due to drugs, alcohol, and mental illness

true

Biomedical technology involves the use of complex machines or devices in patient care situations. Because of the highly technological environment in which nurses work, it is important that nurses

use human touch and words of reassurance frequently to convey caring.