Davis Advantage - Module 1
Which roles are commonly used by nurses during a given shift? Select all that apply. 1. Leader 2. Case Manager 3. Educator 4. Advocate 5. Organizer
1. Leader 2. Case Manager 3. Educator 4. Advocate
Which are tools for recording assessment data? Select all that apply. 1. Graphic flow sheet 2. Intake and output sheet 3. Client handbook 4. Shift report form 5. Primary survey
1. Graphic flow sheet 2. Intake and output sheet
Which are the competencies identified by the Institute of Medicine? Select all that apply. 1. Informatics 2. Patient Centered Care 3. High Patient to RN Ratio 4. Evidence Based Practice 5. Quality Improvement
1. Informatics 2. Patient Centered Care 4. Evidence Based Practice 5. Quality Improvement
A registered nurse (RN) is developing a plan of care for a client admitted with pneumonia. Which tasks can the RN delegate to the unlicensed assistive personnel (UAP)? Select all that apply. 1. Bathing the client 2. Taking the vital signs 3. Telling the nurse about an open area on the skin 4. Administering lubricating eye drops 5. Performing a sterile dressing change
1. Bathing the client 2. Taking the vital signs 3. Telling the nurse about an open area on the skin
Which areas of healthcare are regulated by legislation? Select all that apply. 1. Confidentiality of client's records 2. Treating clients that need emergency treatments 3. the client's right to know 4. Right for a dignified death 5. Right for competent nursing care
1. Confidentiality of client's records 2. Treating clients that need emergency treatments 3. the client's right to know 4. Right for a dignified death
Which are vital components of exemplary patient care? Select all that apply. 1. Critical thinking 2. Problem-solving 3. Clinical reasoning 4. Data collection 5. Decision making
1. Critical thinking 2. Problem-solving 3. Clinical reasoning 5. Decision making
Which describes components of implementation in the nursing process? Select all that apply. 1. Doing 2. Deciding 3. Delegating 4. Documenting 5. Caring
1. Doing 3. Delegating 4. Documenting
A nurse is working at a clinic and wants to focus on primary healthcare in the community. Which interventions would be included in the nurse's plan? Select all that apply. 1. Educating children on appropriate hand hygiene 2. Providing nursing care to ill clients in their homes 3. Administering flu shots to elderly clients in an independent living center 4. Delivering end-of-life care to a client with terminal cancer in the home 5. Presenting information at a senior center regarding ways to prevent diabetes mellitus
1. Educating children on appropriate hand hygiene 3. Administering flu shots to elderly clients in an independent living center 5. Presenting information at a senior center regarding ways to prevent diabetes mellitus
Which are examples of a direct-care nursing intervention? Select all that apply. 1. Giving a medication 2. Notifying the physician of a change in assessment 3. Obtaining vital signs 4. Giving a bedside bath 5. Consulting case management for home oxygen
1. Giving a medication 3. Obtaining vital signs 4. Giving a bedside bath
The nurse is teaching a client about a variety of complementary and alternative therapies. Which options could the nurse include with the discussion? Select all that apply. 1. Naturopathy 2. Homeopathy 3. Ophthalmology 4. Chiropractic Medicine 5. Traditional Chinese Medicine
1. Naturopathy 2. Homeopathy 4. Chiropractic Medicine 5. Traditional Chinese Medicine
A nurse is instructing nursing students about incorporating critical thinking into client care. Which attributes should the nurse include during this lesson? Select all that apply. 1. Need to find the truth 2. Openness to other options 3. Use of reasoned thinking 4. Capacity to reflect on situations 5. Ability to delegate tasks to others 6. Ability to convey important information
1. Need to find the truth 2. Openness to other options 3. Use of reasoned thinking 4. Capacity to reflect on situations
What is included in the nurse's ability to make a clinical judgment decision? Select all that apply. 1. Observation and assessment of the presenting situations 2. Identification and prioritization of concerns 3. Generation of evidence-based solutions 4. Evaluation of outcomes of the solutions 5. Continuous adjustment of care
1. Observation and assessment of the presenting situations 2. Identification and prioritization of concerns 3. Generation of evidence-based solutions 4. Evaluation of outcomes of the solutions 5. Continuous adjustment of care
Which circumstances would qualify a client for a move into an independent living center? Select all that apply. 1. The client must be over the age of 55 2. The client must be autonomous in all activities of daily living (ADLs) 3. The client must have a desire to live with other senior citizens 4. The client must need assistance with medication administration 5. The client must need continues physical and occupational therapies after an injury
1. The client must be over the age of 55 2. The client must be autonomous in all activities of daily living (ADLs) 3. The client must have a desire to live with other senior citizens
The healthcare team is determining discharge plans for a client admitted after involvement in a motor vehicle accident. The client requires intravenous antibiotics, as well as physical and occupational therapy, and wants to receive these services in the home. Which factors determine if this is appropriate? Select all that apply. 1. The presence of help in the client's home 2. The coverage provided by the client's insurance carrier 3. The complexity of the care required by the client 4. The availability of a home healthcare agency to provide the required services 5. The ability of the client to be transported to and from healthcare provider appointments
1. The presence of help in the client's home 2. The coverage provided by the client's insurance carrier 4. The availability of a home healthcare agency to provide the required services
Which critical-thinking skills will a nurse utilize when reviewing the health record of a new client to prepare a nursing diagnosis? Select all that apply. 1. Visualizing potential solutions to a problem 2. Prioritizing or ranking data as needed 3. Thinking independently with curiosity and perseverance 4. Separating relevant from irrelevant data 5. Documenting assessment findings in the health record
1. Visualizing potential solutions to a problem 2. Prioritizing or ranking data as needed 4. Separating relevant from irrelevant data
The nurse is differentiating between a medical diagnosis and a collaborative problem. Which statements are correct? Select all that apply. 1. A medical diagnosis is managed by nursing interventions. 2. A medical diagnosis describes an illness or injury. 3. A medical diagnosis identifies pathology. 4. A collaborative problem is determined by a medical diagnosis. 5. A collaborative problem is managed by both medical and nursing interventions.
2. A medical diagnosis describes an illness or injury. 3. A medical diagnosis identifies pathology. 4. A collaborative problem is determined by a medical diagnosis. 5. A collaborative problem is managed by both medical and nursing interventions.
A client is given a diagnosis of terminal cancer, and the healthcare provider suggests hospice services for the family. The family is hesitant and asks the nurse what hospice can provide. Which responses given by the nurse are appropriate? Select all that apply. 1. Hospice services assist the family with funeral planning 2. Hospice services ensure the client is comfortable and the pain is controlled 3. Hospice services allow the client to preserve dignity during the dying process 4. Hospice services provide spiritual care for the client within the clients culture 5. Hospice services can provide chemotherapeutic medications for treatment
2. Hospice services ensure the client is comfortable and the pain is controlled 3. Hospice services allow the client to preserve dignity during the dying process 4. Hospice services provide spiritual care for the client within the clients culture
Which are common responsibilities of the state boards of nursing? Select all that apply. 1. Describing a level of competency for nursing care 2. Providing approval for nursing education 3. Funding research for nursing education 4. Enforcing rules that govern nursing practice 5. Developing criteria that permit someone to be licensed as a Registered Nurse (RN) or a licensed practical or vocational nurse (LPN/LVN)
2. Providing approval for nursing education 4. Enforcing rules that govern nursing practice 5. Developing criteria that permit someone to be licensed as a Registered Nurse (RN) or a licensed practical or vocational nurse (LPN/LVN)
A nurse is providing care for several clients in a large medical center. When delivering medications, the nurse scans the bar code on the medication package and the client's identification band comparing the information to the electronic health record. The computer has a pop-up message that there is a drug interaction. The nurse contacts the hospital pharmacy. Which of the Institute of Medicine's competencies are addressed with this event? Select all that apply. 1. Provide patient-centered care 2. Work in interprofessional teams 3. Employ evidence-based practice 4. Apply quality improvement 5. Utilize informatics
2. Work in interprofessional teams 3. Employ evidence-based practice 4. Apply quality improvement 5. Utilize informatics
Which statements represent a measurable outcome? Select all that apply. 1. Provide nonpharmacological measures (e.g., distraction) to minimize needs for narcotics 2. Administer prescribed stool softener and laxative at bedtime today. 3. Demonstrate correct method for checking blood sugar by next visit 4. Will have bowel movement within 12 hours after receiving stool softener and laxative 5. Calls nurse when urge to defecate is felt; does not delay defecation
3. Demonstrate correct method for checking blood sugar by next visit 4. Will have bowel movement within 12 hours after receiving stool softener and laxative 5. Calls nurse when urge to defecate is felt; does not delay defecation
Which of the following best demonstrate nurses' critical-thinking skills? A. Individualized patient care plans B. Physicians' orders C. Critical pathways D. Electronic medical records
A. Individualized patient care plans
At which point during hospitalization should discharge planning begin? A. Initial assessment B. Focused assessment C. After the discharge order is written D. After the special needs assessment
A. Initial assessment
A nurse with several years of experience in the intensive care unit obtains a new job in the newborn nursery at the healthcare facility. Which critical-thinking attitude would be best for the nurse to employ in this new setting when asking for guidance? A. Intellectual humility B. Intellectual empathy C. Fair-mindedness D. Intellectual courage
A. Intellectual humility
Which of the nurse's questions demonstrates critical thinking? A. "Have I gathered enough data to make a decision?" B. "Where do I document my findings?" C. "When does the nursing intervention need to be performed?" D. "What assessments must be done?"
A. "Have I gathered enough data to make a decision?"
Which statement or command made by the nurse is an example of the evaluation phase of the nursing process? A. "I wish Mr. Sullivan were able to walk the length of the hallway by now, but he is not meeting this goal." B. "Mr. Sullivan will be able to walk the length of the hallway before discharge." C. "Mr. Sullivan may be able to ambulate with the use of a walker and stand-by assistance." D. "Ambulate Mr. Sullivan in the hallway three times today, please."
A. "I wish Mr. Sullivan were able to walk the length of the hallway by now, but he is not meeting this goal."
Which statement best reflects a critical-thinking philosophy? A. "Think about different interventions that can be used with this client." B. "Dig deeper until you reach a single solution." C. "Don't rely on subjective information; use objective analysis to determine the best protocol." D. "Trust your gut and go with what you know to be correct."
A. "Think about different interventions that can be used with this client."
Which is the best example of intellectual courage? A. A nurse fairly examines their own values and beliefs even when uncomfortable. B. A nurse does not jump to conclusions right away but thinks through all the options before acting. C. A nurse admits they do not have all of the answers and is willing to ask for assistance from others. D. A nurse tries to understand the feelings of other people and visualize a situation from their vantage points.
A. A nurse fairly examines their own values and beliefs even when uncomfortable.
Which action made by the nurse indicates the use of clinical judgment? A. Analyzing a client's temperature changes and assessing for signs of infection B. Filling out food selections on the menu with the client to determine food preferences C. Ensuring the bed is in a low and locked position and the call light is in reach prior to leaving the client's room D. Asking the client to verify their name and date of birth prior to medication administration
A. Analyzing a client's temperature changes and assessing for signs of infection
Which step of the nursing process did the nurse perform on 6/24 at 0900? Use the information in the graphic record to select your answer. Description: Glucose measured at 321 and 12 units of insulin delivered. A. Implementation B. Diagnosis C. Planning D. Evaluation
A. Implementation
Which nursing action is part of the evaluation phase when performing wound care for a client? A. Obtaining wound measurements once a week B. Irrigating the wound with normal saline C. Observing the drainage of the fresh wound D. Discussing goals for wound management with the client
A. Obtaining wound measurements once a week
Which type of evaluation is performed immediately after an intervention and with each client contact? A. Ongoing B. Intermittent C. Terminal D. Subjective
A. Ongoing
According to the Institute of Medicine, which competency best promotes the concept of providing safe, quality client care? A. Quality Improvement B. Interprofessional Teams C. Evidence-based Practice D. Information Technology Integration
A. Quality Improvement
The nurse is writing goals for a client's plan of care. What should be considered? A. The goals reflect realistic client changes that the nurse hopes to achieve. B. The goals are standardized and generated by the electronic health record. C. The goals are reflective of the provider's orders only. D. Goals are not a necessary subset of the care plan.
A. The goals reflect realistic client changes that the nurse hopes to achieve.
Which statement is correct about critical thinking and the nursing process? A. The nursing process is a critical-thinking, problem-solving model. B. When using the nursing process, critical thinking is not needed. C. Everything a nurse does requires critical thinking. D. Nursing process is the only form of critical thinking used in nursing.
A. The nursing process is a critical-thinking, problem-solving model.
Which statement is correct about the model in this image? A. This measures whether a test taker has the established degree of clinical judgement and decision-making abilities to be a safe practitioner B. This outlines the critical-reasoning process that nurses use to foster clinical judgment C. This measures and categorizes the progressive development of clinical judgement D. This model measures thinking, doing, caring, and client situation
A. This measures whether a test taker has the established degree of clinical judgement and decision-making abilities to be a safe practitioner
Which statement about the nursing process is correct? A. Works alongside an individualized plan of care B. Results in outcomes designed by the client C. Is composed of a linear process with unique, distinct steps D. Includes only the care that the nurse will deliver
A. Works alongside an individualized plan of care
A nurse receives an order to deliver a unit of blood if the client's hemoglobin falls below 7.0 g/dL. The nurse enters the room to obtain consent and the client says, "I choose not to take blood; it's not supported by my religion." The nurse makes a note and does not deliver the blood. Which aspect of critical thinking is this nurse using to guide client care? A. Client's roles B. Client's culture C. Individual differences D. Multiple and varying concerns
B. Client's culture
Place the steps of the nursing process in the correct order. Assessment, Implementation, Evaluation, Diagnosis, Planning
Assessment >> Diagnosis >> Planning >> Implementation >> Evaluation
Which nurse would fall into Benner's stage of being an expert nurse? A. A nurse who reviews laboratory results and notices a client has an elevated potassium level B. A nurse who assesses a client, believes that something is not right, and notifies the healthcare provider C. A nurse who manages the care of four complex clients, but becomes upset when making an incorrect clinical decision D. A nurse who asks for a multidisciplinary client care conference to coordinate services and determine needs due to an inability to see the big picture of the client's needs
B. A nurse who assesses a client, believes that something is not right, and notifies the healthcare provider
The nurse enters a client's room to obtain a fasting blood glucose reading and notices the breakfast tray is in front of the client. Which action best indicates the nurse using critical thinking? A. Obtaining the blood glucose reading and documenting the client is halfway through breakfast B. Asking the client if they have eaten any food yet C. Deferring the blood glucose reading until the next time it is scheduled D. Notifying the healthcare provider that the client has eaten prior to the blood glucose reading
B. Asking the client if they have eaten any food yet
An older adult client is thinking about several treatment options for a new diagnosis of cancer. The client's family is strongly encouraging the client to take the most aggressive medications despite the client's hesitation. The nurse is asked to provide an opinion. Which critical-thinking attitude should the nurse present? A. Independent thinking B. Fair-mindedness C. Intellectual empathy D. Intellectual courage
B. Fair-mindedness
Which type of assessment is performed to obtain data about an actual, potential, or possible problem that has been identified or is suspected? A. Initial B. Focused C. Global D. Special needs
B. Focused
A nurse is ambulating a client in the hallway who says, "I feel a little dizzy." The nurse immediately grabs a chair and slides it behind the client, having him sit down. According to Tanner's Model of Clinical Judgment, which reasoning skill is the nurse using after hearing this statement? A. Analytical reasoning B. Intuitive reasoning C. Narrative reasoning D. Reflection-in-action
B. Intuitive reasoning
What is the best way for a nurse to develop clinical judgment skills? A. Practice memorizing clinical assessment findings. B. Look for clinical changes and question why. C. Ask for assistance when abnormalities are found. D. Learn more about the clinical judgment process.
B. Look for clinical changes and question why.
During an assessment, the nurse notes that the client has an elevated temperature. Which type of data is this? A. Subjective B. Objective C. Secondary D. Reported
B. Objective
A nurse who is obtaining a health history through an interview asks, "What can you tell me about your previous knee replacement surgery?" Which type of question is this? A. Closed B. Open-ended C. Chief complaint D. Contributing history
B. Open-ended
The nurse recognizes that a client's respiratory rate has increased from 16 to 24 over the last 2 hours. What action should the nurse take? A. Record the findings only. B. Prioritize the need for further inquiry. C. Evaluate the effectiveness of the solutions. D. Generate the best solutions.
B. Prioritize the need for further inquiry.
Which healthcare setting would the registered nurse recommend for a client who needs further inpatient therapy after sustaining a stroke? A. Nursing Home B. Rehabilitation Center C. Assisted Living Center D. Ambulatory Care Center
B. Rehabilitation Center
Which professional nursing organization would a nurse seek to join if interested in nursing research and scholarship? A. American Nurses Association (ANA) B. Sigma Theta Tau International (STTI) C. National League for Nursing (NLN) D. International Council of Nursing (ICN)
B. Sigma Theta Tau International (STTI)
Which organization represents nurses around the world to ensure quality nursing care for all? A. The American Nurses Association (ANA) B. The International Council of Nursing (ICN) C. The National League for Nursing (NLN) D. The World Health Organization (WHO)
B. The International Council of Nursing (ICN)
The nurse reviews the graphic flow sheet information in the electronic health record image. What client information is determined by this assessment? Description: Blood pressure, pulse, respirations, temperature, glucose, etc. on an hourly flow sheet A. Intake and output B. Vital sign trends C. Blood glucose levels D. Admission assessment
B. Vital sign trends
A nurse is working in a healthcare facility with a protocol stipulating that clients with pneumonia should turn, cough, and deep breathe. This nurse is assigned to care for a client admitted with pneumonia but does not encourage the client to cough because the client also has esophageal varices from cirrhosis. Which aspect of critical thinking is this nurse using to guide client care? A. Client's roles B. Client's culture C. Individual differences D. Multiple and varying concerns
C. Individual differences
Which nursing action reflects the nurse assisting the client in maintaining belief as a component of caring? A. Bathing and dressing the client B. Making eye contact with the client C. Providing encouragement to a client with a new amputation D. Listening to the client's feelings about the amputation
C. Providing encouragement to a client with a new amputation
The diagnosis step of the nursing process includes which activity? A. Assessing and diagnosing B. Evaluating goal achievement C. Performing and documenting nursing actions D. Analyzing data
D. Analyzing data
A nurse who is able to identify and achieve objectives is demonstrating which aspect of Benner's model? A. Advanced beginner B. Competence C. Proficient D. Expert
D. Expert
The nurse is explaining that she works with homebound clients who cannot get to ambulatory care for treatment. Which healthcare setting is the nurse working in? A. Ambulatory Care B. Extended Care C. Community Health D. Home Care
D. Home Care
A registered nurse (RN) is interviewing for a new staff position at a hospital and asks about staffing and client assignments. The interviewer explains nurses work in a functional nursing role. Which statement best explains this approach? A. RNs provide all care to only one client during the shift B. RNs provide care to high-acuity clients and work with nursing assistants C. RNs provide care to a group of clients and develop a plan of care for all clients D. RNs provide compartmentalized care, perform complex treatments, and are in charge
D. RNs provide compartmentalized care, perform complex treatments, and are in charge
The nurse is performing an assessment on a client. What should be included in this process? A. Ability to pay for hospital stay B. Who brought the patient to the hospital C. Level of education D. Religious and spiritual needs
D. Religious and spiritual needs
Which is an example of a nurse who is using clinical judgment? A. The nurse collects the vital signs and auscultates the client's lungs, recording the data in the electronic record. B. The nurse is performing a procedure following a skill list that is in the policy and procedure manual. C. The nurse identifies some abnormal assessment findings and reports them to the next shift nurse during handoff report. D. The nurse identifies abnormal findings, investigates if the findings are new or old, and adjusts the plan of care accordingly.
D. The nurse identifies abnormal findings, investigates if the findings are new or old, and adjusts the plan of care accordingly.
Review each stage of Benner's model of skill and judgment acquisition. Place in the correct sequential order. Proficient, Advanced Beginner, Novice, Competence
Novice >> Advanced Beginner >> Competence >> Proficient
