ATI Professional Nursing

Which of the following is responsible for authorizing the practice of nursing? -State board of nursing -NCLEX -ANA

-CORRECT: State board of nursing -NCLEX is a licensure exam required for practice but does not authorize -ANA is an association that promotes professional nursing but does not authorize it

What professional association: -represents all RNs in the U.S. (2.7 million) -functions as a professional association labor union -influences social, political, & economic conditions affecting practice -establishes statements to inform decision-making, guide practice, influence quality?

-CORRECT: American Nurses Association (ANA)

Which of the following is an example of horizontal violence? -A nurse blaming a peer for her error -A provider openly scorns a charge nurse -An assistive personnel is belittled by a nurse manager

-CORRECT: A nurse blaming a peer for her error

Which of the following actions represents the professional value of altruism? -A nurse mentoring a colleague in professional growth -A nurse respecting a client's decision to refuse treatment -A nurse encouraging a clinic to treat a homeless man who is unable to pay for his care

-CORRECT: A nurse mentoring a colleague in professional growth. ​Altruism is concern for the well-being of others. Nurses can demonstrate altruism through unselfish support of others, especially mentoring colleagues in their professional growth. -Refusal of treatment = autonomy to respect decision -Homeless man = value of social justice

Which of the following professional associations established the Code of Ethics, Social Policy Statement, & Scope and Standards of Practice? -AACN -ANA -NLN

-CORRECT: ANA; The American Nurses Association seeks to influence the social, political, and economic conditions affecting nursing practice. This organization has established a Code of Ethics, Social Policy Statement, and Scope and Standards of Practice to inform decision-making, guide practice, and influence the quality of nursing practice.

Participation in health policy development and the political process is a significant part of which of the following of nursing roles? -Manager -Collaborator -Advocate

-CORRECT: Advocate; Health policy determines who provides healthcare, who pays/gets paid for healthcare, and how care is provided. These factors impact safety, quality, and nursing's scope of practice, involvement in policy development and the political process is a significant part of the nurse's role as advocate - for patients and the profession.

What professional association: -represents university-level nursing education programs -activities include educational research, government advocacy, data collection, publishing -establishes standards for BSN degree programs -offers accreditation process to university-level nursing education programs?

-CORRECT: American Association of Colleges of Nursing (AACN)

Which of the following professional associations advances the nursing profession by creating high standards for nursing practice? -American Nurses Association -National League for Nursing -American Association of Colleges of Nursing

-CORRECT: American Nurses Association advances nursing profession by creating high standards for nursing practice -NLN is a professional association that seeks to build a strong, diverse nursing work force -American Association of Colleges of Nursing represents university-level nursing education programs

Which of the following actions demonstrates the professional concept of assertiveness? -Boldly sharing conflicting ideas -Using a team-based approach -Feelings of strong self-esteem

-CORRECT: Boldly sharing conflicting ideas; assertiveness refers to speaking up, or boldness, in sharing ideas and information, even in the midst of conflicting opinions and values

Which of the following resources provides guidance on the legal responsibilities of nurses to clients and society? -Nursing's Social Policy Statement -Code of Ethics for Nurses -Scope of Standards and Practice

-CORRECT: Code of Ethics for Nurses -Nursing's social policy statement serves as a source of info about nursing for consumers, govt officals, and other HCPs -Scope of Standards of Practice describes the professional responsibilities of nurses

Which of the following is a component of biculturalism? -Following a single value system -Evaluation of personal values -Development of professional identity

-CORRECT: Evaluation of personal values; in order to integrate conflicting value systems, an evaluation of personal values must occur; therefore, evaluation of personal values is a component of biculturalism.

A nurse is reviewing information related to balancing autonomy with boundaries. Which of the following phrases should the nurse expect to find related to the concept of boundaries? -Allow for increased flexibility in caregiving -Impede design and delivery of safe care -Guided by state nurse practice acts

-CORRECT: Guided by and outlined in each state's nurse practice acts; agency protocols and boundaries fall within state restrictions

Which of the following makes it acceptable to report confidential client information if abuse, neglect, or exploitation is suspected? -Patient Self-Determination Act -Health Insurance Portability and Accountability Act -Americans with Disabilities Act

-CORRECT: HIPAA; establishes standards for privacy and confidentiality in the health care setting, granting clients the right to prevent disclosure of health information without consent. An exception to HIPAA requirements is circumstances where abuse, neglect, or exploitation is suspected. Nurses have a legal responsibility to report suspected abuse, neglect, or exploitation.

A nurse educator is describing positive peer-to-peer interactions during a staff meeting. Which of the following should he use to accurately describe coaching? -Helps overall care delivery -Has a defined time frame -Outlines clear initial goals

-CORRECT: Helps overall care delivery. The overarching goal is improved quality of care, not meeting specific goals or performance points; general guidance -Precepting has a defined time frame and specific goals.

Which of the following professional organizations provides specific guidance to licensed practical nurses? -IPNRC -NAPNES -AACN

-CORRECT: NAPNES (National Association for Practical Nurse Education and Service, Inc.) -IPNRC is the International Parish Nurse Resource Center that incorporates parish nursing with faith traditions -AACN is the American Association of Critical-Care Nurses that represents the interests of nurses who care for acutely and critically ill clients

What is the acronym for success strategies while transitioning from student to professional nurse?

-CORRECT: NURSES n=never fail to ask for help u=use available facility resources r=reenergize w/ professional associations s=stay in contact with friends e=evaluate growth realistically s=stay focused on your goals

What professional association: -multidisciplinary association that promotes the professional practice/education of practical nurses -advocates for practical nursing practice -is responsible for legislation that provides for education and licensure of practical nurses in the U.S.

-CORRECT: National Association for Practical Nurse Education and Service, Inc. (NAPNES)

What professional association: -promotes excellence in nursing education -represents nursing education programs at all levels -offers accreditation process to nursing education programs at all levels through the ___ Accrediting Commission?

-CORRECT: National League for Nursing (NLN)

Which of the following defines nursing's scope of practice in each state? -Nurse Practice Acts -ANA -DHHS

-CORRECT: Nurse Practice Acts; ​The laws defining nursing's scope of practice in each state, together with the Board of Nursing's rules and procedures, are known as Nurse Practice Acts and serve to protect the health, safety, and welfare of the general public.

According to Patricia Benner, which of the following is a characteristic of the advanced beginner nurse? (Select all that apply.) -Anticipates outcomes based on experience -Provides efficient and organized care -Performs at an acceptable level -Exhibits a high level of proficiency -Bases actions on principles and experience

-CORRECT: Performs at an acceptable level, bases actions on principles and experience

A nurse is telling the truth, keeping promises, and doing no harm while caring for a client who is experiencing conflict with his family. Which of the following is the nurse demonstrating? -Honoring client autonomy -Primary commitment to the client -Accountability for professional practice

-CORRECT: Primary commitment to the client

Which of the following relates to the concept of caring in professional nursing? -Straying from current values -Promoting role excellence -Reflecting historical evidence

-CORRECT: Promoting role excellence; the concept of caring is holistic and, therefore, promotes high-quality care, and excellence in care delivery.

Which of the following provisions in the ANA resource Code of Ethics for Nurses with Interpretive Statements describes the duty of nurses to develop collaborative solutions to broad health issues? -Provision 4 -Provision 6 -Provision 8

-CORRECT: Provision 8 says the nurse has a responsibility to be aware of and collaborate with other HCPs and community members in order to address and intervene in broad health concerns, such as hunger, pollution, and lack of access to health care

Which of the following tenets in the ANA resource Scope of Standards and Practice describes the use of evidence-based knowledge in the provision of nursing care? -Tenet 2 -Tenet 4 -Tenet 5

-CORRECT: Tenet 4 -Tenet 2 says nurses coordinate care by establishing partnership and shared goals -Tenet 5 says there is a strong link between the professional work environment and the nurse's ability to provide high-quality health care and achieve optimal outcomes

When obtaining written consent for a procedure to be performed by someone else, the nurse's signature confirms which of the following? (Select all that apply.) The client is competent to agree to the procedure The client understands the risks of the procedure The client has been notified of alternatives to procedure The client consents voluntarily to the procedure The family supports the client's decision to have proced.

-CORRECT: The client appears competent to agree to the procedure,the client consents voluntarily to the procedure Risks, alternatives -- HCP Family does not need to give consent if the adult is legal and competent

A nurse who displays a selfless concern for others is exhibiting which of the following? -Accountability -Altruism -Responsibility

-CORRECT: altrusim -Accountability is an obligation to accept responsibility -Responsibility refers to duty and tasks that must be performed as part of nursing care

Which of the following can threaten professional integrity? (Select all that apply.) -Anxiety -Beneficence -Fast-paced environment -Substance abuse -Assertiveness

-CORRECT: anxiety, fast-paced environment, substance abuse

A nurse is compiling an orientation handout related to accountability and responsibility. Which of the following should the nurse use to describe responsibilities? -An internal obligation to others -Duty to report quality of work -Basic care needs of clients

-CORRECT: basic care needs of clients; (external) tasks, skills

In what role does a nurse assess resources, strengths & weaknesses, coping behaviors, and the environment to help the client regain health to a maximum level of independent functioning? -Client advocate -Collaborator -Care provider

-CORRECT: care provider; ​in the role of care provider, the nurse assesses resources, strengths and weaknesses, coping behaviors, and the environment to help the client regain health and a maximum level of independent function.

Where are the formal expectations of the nursing profession first learned? -Working as a new nurse in a healthcare facility -Through classroom and clinical experiences in nursing school -During a relationship with an informal mentor

-CORRECT: classroom and clinical experiences in nursing school

The inclusion of autonomy in the provision of client care incorporates which of the following traits? (Select all that apply.) -Decision making -Sympathy -Flexibility -Prioritization -Affirmation

-CORRECT: decision making, flexibility, prioritization

A mentor is assisting a new graduate nurse develop strategies to transition successfully from student to professional nurse. The mentor should intervene if the new nurse incorporates which of the following strategies? -Evaluates growth by comparing progress with peers -Participates in professional nursing assn. activities -Utilizes resources available through her facility

-CORRECT: evaluates growth by comparing progress with peers

Which of the following is a characteristic associated with Kramer's honeymoon phase of reality? -Complacency -Excitement -Fear

-CORRECT: excitement

A nurse manager is developing an evaluation form for employees. Which of the following descriptions should be used to measure integrity? -Utilizes good decision-making -Performs wound care successfully -Follows standards and protocols

-CORRECT: following standards and protocols are cues to the trustworthiness and reliability of an individual, both marks of integrity

A nurse is acting as a preceptor for a student studying the concept of autonomy. The nurse confirms the student's clear understanding of autonomy when the student describes it as which of the following? -Critical thinking -Team collaboration -Individual choice

-CORRECT: individual choice; autonomy upholds the right of the individual to make choices; autonomy promotes independence

According to Patricia Benner, a novice nurse demonstrates which of the following behavior? -Intuition -Improved decision-making -Inflexibility

-CORRECT: inflexibility; The beginner with no experience applies general rules learned in school to all situations and demonstrates inflexible behavior.

A nurse acting to accomplish goals in an efficient manner with other people is fulfilling which of the following roles? -Change agent -Manager -Educator

-CORRECT: manager; ​nurse managers plan, direct, monitor, and evaluate the nursing care provided to a variety of patient populations. But even a nurse with no formal title functions in the manager role whenever the nurse acts to accomplish something in an efficient manner with other people.

Which of the following is an example of an unintentional tort? -False imprisonment -Battery -Negligence

-CORRECT: negligence

Which of the following is one of the foundations of the nursing profession? -Personal morals -Professional identity -Professional values

-CORRECT: professional values -personal morals are internal factors -professional identity is a set of beliefs, attitudes, and understanding about the nursing role

A nurse is engaged as a mentor for a new graduate nurse. Which of the following actions by the mentor is a characteristic of the role of a coach? -Provides support on personal issues -Expands the protege's network of contacts -Shares ideas and provides feedback

-CORRECT: ​Shares ideas and provides feedback; In the role of coach or adviser, a mentor shares ideas and provides feedback. The mentor also shares the unwritten rules for success in an organization's culture.

A nurse is working as a member of an interprofessional team. Which of the following actions should the nurse take? -Plan client care based on the nursing perspective -Separate client goals by discipline -Use assertive communication

-CORRECT: ​Use assertive communication Effective communication is necessary for high-quality outcomes and reduction of errors. This can be accomplished by stating personal beliefs and understandings about client needs without controlling or pushing others.

Which of the following is a characteristic of a mentor? -Formally assigned by the nurse manager -Assists protege in professional development -Orients new graduates to a specific work environment

-CORRECT: ​assists protégé in professional; mentors make a conscious decision to assist protégés in professional development, as well as in the attainment of professional status. (preceptors are formally assigned and orient the new grad)

Which of the following are characteristics exhibited by a professional? (Select all that apply.) -Technical competence -Self-centeredness -Concern for others -Interpersonal skills -Ethnocentrism

-Technical competence -Concern for others -Interpersonal skills

Which of the following is an evidence-based documentation tool for effective communication between health care professionals? -Core measures -Charting by exception -Clinical pathway

​-CORRECT: Clinical pathway; an evidence-based plan of care that includes client problems, implemented or planned interventions, and identifies expected outcomes. It is a multidisciplinary plan of care that is an effective method of communicating between health care professionals.

Which of the following will assist the new grad nurse with the development of knowledge and skills necessary for the nursing role? -Mentor -Collaborator -Preceptor

​-CORRECT: Preceptor