Jules Final. (Quiz)
The nurse understands that delegation and supervision are two concepts that go hand-in-hand. Which is the best example of the concept of supervision?
Following up with a CNA on the assigned task of ambulation and feeding of two patients
. The nurse is reviewing categories for improving client safety. Which categories should the nurse review? Select all that apply
Medication management Prevention of hospital-related infections Facilitating information transfer and clear communication
A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure?
Smallpox
What does the "scope of nursing practice" refer to?
The activities legally permissible for a nurse to perform in a particular state
Where should a nurse go if they are facing a dilemma in patient care with no absolute right or wrong answer?
The hospital Ethics Committee
Why should nurses be concerned with the image of nursing?
The images can influence the attitudes of the public
A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements?
"A graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level."
A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?
"Disaster drills should be held on a regular basis."
A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal during the capstone experience?
"I should care for increased numbers of patients to enhance work organization skills."
During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?"
"I'm looking forward to strengthening my ability to plan care for a group of patients."
Which statement by the graduate nurse indicates understanding of the importance of a cover letter?
"It should introduce you to the reader."
An experienced nurse overhears a new graduate giving instructions to an unlicensed nursing assistant. What statement by the new graduate would cause the experienced nurse to be concerned?
"Let me know if any of my patients has a fever"
. A nurse is caring for a client following exposure to inhalational anthrax due to bioterrorism. Which of the following medications should the nurse expect as a common medication to treat anthrax? (Select all that apply.)
Doxycycline Ciprofloxacin Amoxicillin
what is a continuing education unit (CEU)?
Nonacademic credit offerings.
A nurse is interested in moving into a management position. Which action would assist with accomplishing this?
Use of expert power
The senior nursing student is setting career goals. What should the student do first?
a thorough self assessment.
What is the purpose of the Robert Wood Johnson Institute of Medicine report?
To make recommendations for the nursing profession to transform healthcare
The interviewer says, "We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?" The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer?
"My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do an independent study on emotional reactions to the diagnosis of cancer during my capstone."
The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership
"Requires more time and effort to make decisions and accomplish goals"
Which of the following represents appropriate feedback for an assignment to an LPN?
"The patient in Room 430 looks much better, and you did a good job of making her comfortable."
Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?
"To help you define the direction of your career
As the interview is drawing to a close, the interviewer asks the applicant, "What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression?
"What is the orientation process and what is the length of orientation?"
. The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of the primary cause of untoward events in the hospital setting?
"unclear, ineffective communication."
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?
0.2 mg
According to the Utah Nurse Practice Act Rule, how many hours must a licensed nurse practice without an additional requirement of contact hours to renew their license?
400
1. After a nursing student has graduated from their program, what is the timeframe the applicant has to take and pass the NCLEX-RN? (According to the Utah Nurse Practice Act Rule)
5 years
The student nurse is reviewing sentinel events in healthcare. According to the Joint Commission which of the following is considered the main reason for Sentinel Events?
Communication error
A nurse caring for culturally diverse patients in a health care provider's office is aware that patients of certain cultures are more prone to specific disease states than the general population. Which patients would the nurse screen for diabetes mellitus based on the patient's race? Select all that apply.
A Hispanic patient An Alaska Native A White patient A Native American patient
. A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?
A client experiencing a tension pneumothorax
The senior nursing student is identifying potential employers. Where would the student begin their search?
A job fair The internet Nursing Journals Where he/she has completed clinical rotations
Which of the following describes reward power used by the nurse manager? (Select all that apply.)
A nurse manager who uses salary increases to motivate staff A nurse manager who uses fear of consequences to motivate staff
Which of the following actions is consistent with a nurse leader?
A nurse who encourages staff to give excellent patient care
Which of the following would be a provider (nurse) barrier to developing cultural competence?
A nurse who is unaware of his or her own biases to other ethnic groups
Following an earthquake, patients are triaged by emergency medical personnel and are transported to the hospital. Which of these patients will the nurse need to assess first?
A patient with a red tag
The nursing student is preparing an application for employment. Who would be the best reference for the student to include? Select all that apply
A recent clinical instructor Their preceptor A previous employer
A nurse is caring for a client of Chinese heritage. Which of the following actions should the nurse take to demonstrate cultural competence?
Ask the client's permission to add ice to drinking water.
Which of the following is the most frequent reason for revocation or suspension of a nurse's license?
Alcohol and drug use
If the position paper from the ANA in 1965 had been adopted, which of the following would be true?
All RNs would have a BSN.
What is the role of the NCSBN?
To prepare the NCLEX exam.
A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of?
Assault
A nurse notices an assistive personnel (AP) preparing to deliver a food tray to a client who practices the Orthodox Jewish faith. On the tray is a roast beef dinner with nonfat milk. Which of the following actions should the nurse take?
Call the dietary department and ask for a kosher tray.
A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?
Choose the highest level of protection equipment available.
A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply.)
Clean clothing Prescription medications. Personal identification Three quarts of water per person
The nurse manager needs to let a nurse know that he will be put on probation if he continues to be tardy to work. Which type of power is the nurse manager using?
Coercive power
Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
Collecting a routine urine sample
What is the best legal safeguard for a nurse?
Competent practice
How does legislation define a profession?
Completion of courses in specialized intellectual instruction
According to the American Hospital Association, what is a basic right of patients?
Considerate and respectful care from all care providers
Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)
Courageous change agents Value-driven visionaries Lifelong learners
The new graduate nurse would like to pursue a career in the Intensive Care Unit (ICU). What goal might be appropriate for this career?
Credentialing as a Certified Critical Care Nurse (CCRN)
George the construction worker tells the Ameritech students preparing for a quiz on ethics: "I find it easy to make the right decision. All life is sacred, and all decisions must be made with the intent to continue life." What do we call the framework from which George approaches ethical reasoning?
Deontological
Which action would help the graduate nurse when seeking out employment? (Select all that apply.)
Determine the length of orientation. Find out what type of nursing care is delivered. Ask to speak to nurses who work on the unit. Plan out interviews.
How is assertive behavior described?
Direct A person exhibiting assertive behavior would express his or her true feelings in an honest, direct manner.
The nurse has several tasks to complete. Which task would the nurse NOT delegate to a certified nursing assistant?
Discussing the importance of deep breathing to a pre-operative patient
What is the best definition of malpractice?
Doing something a reasonable person or nurse would not do A professional act or failure to act that leads to injury of a patient
What are the key messages that structure the discussion and recommendations presented in the Robert Wood Johnson Institute of Medicine Report? Select all that apply
Effective workforce planning and policy making require better data collection and an improved information infrastructure Nurses should be full partners, with physicians and other health professionals, in redesigning health care i the U.S. Nurses should practice to the full extent of their education and training Nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression.
The student nurse is preparing a resume. Which elements would he/she include?
Experience and education
A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess?
Expert
In a malpractice suit, how may a breach of duty be established?
Expert testimony
George was taken to the emergency room after falling off a crane in the Ameritech construction site. George's buddies came to the emergency room to visit. A doctor told George's buddies that George is HIV-positive. What ethical principle did the doctor violate?
Fidelity
Where does the definition of nursing "one that would put the client in the best condition for nature to act upon him" come from?
Florence Nightingale
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure?
Flu-like symptoms
A nurse manager needs to purchase new thermometers for the nursing unit. What technique would demonstrate a laissez-faire style of leadership?
Having the nurses on the day shift order any thermometer that they want.
The nurse is considering strategies to increase nurses' time at the bedside. Which strategies should be included? Select all that apply
Hourly rounding by staff members Effectiveness in medication administration Standardized documentation tools Bedside change of shift report
A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion?
Identify potential community disasters
The nursing student is studying federal safety legislation. Which of the following is the main goal of the Patient Safety and Quality Improvement Act?
Improve client safety by encouraging voluntary and confidential reporting of adverse events
George the construction worker decided to leave the emergency room against medical advice. His nurse is an incredibly ethical Ameritech graduate. What did the nurse do in this situation?
Informed George that he could return to the hospital if he changes his mind
A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first?
Initiate contact precautions.
In a legal suit, what element is necessary to prove a tort has been committed?
Injury
The health care team responsible for deciding whether to move a critically ill patient out of the ICU so that a new patient may be admitted to the unit is faced with what principle of an ethical dilemma?
Justice
Which of the following actions by the nurse manager would indicate an autocratic management style?
Makes most of the decisions without input from the staff members
What is a correct statement regarding a nurse who acts beyond the scope of practice?
May be disciplined by the board of nursing
What is the legal source of rules of conduct for nurses?
May be disciplined by the board of nursing
The soon to graduate nurse would like information about what to expect on the NCLEX-RN exam and how to apply to take the exam. Where would the student find information?
NCSBN website
Which organization developed the most definitive statement on the competencies needed by the newly licensed RN?
National Council of State Boards of Nursing (NCSBN)
George the construction worker fell off a crane while working on the Ameritech roof. The students rushed to his aid, and decided not to move him in case he had sustained a neck injury. What ethical principle were the students following?
Non-maleficence
The nursing student is studying about root cause analysis (RCA) Which of the following is a critical element in err
Non-punitive action when errors are reported.
A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster?
Nurses and other emergency medical personnel
What aspects define nursing as a profession? select all that apply
Nurses have developed a Code of Ethics. Nurse's possess a specialized body of knowledge
What distinguishes nursing from medicine?
Nurses use a holistic perspective of patient care.
A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?
Office of Emergency Management (OEM)
A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following tags would the nurse place on the client?
Place a yellow tag on the client's upper body.
. What is a characteristic of a culturally competent nurse?
Prioritizes care based on cultural needs Tries to treat all patients the same
After receiving report on 4 patients, the RN may delegate which client's needs to assistive personnel?
Reapplying a condom catheter for a client who has urinary incontinence
Which of the following actions best reflects maintaining accountability for the nursing process?
Reassessing a client's BP when the reported value is higher than usual
The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error?
Repeat the order, write the order verbatim, and read it back to the provider.
Which of the following actions by the graduate nurse would be advised during an interview campaign?
Research the prospective employer and evaluate their mission statement.
. A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Review the events leading up to each medication administration error.
Dr. Jones asks you to give a medication to one of his patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says, "Give the medication or I'll report this to your supervisor." What is the best assertive response?
Say "Perhaps you and I could talk this over with my supervisor together."
A charge nurse explains to a student: "I tend to act differently depending on which nurses are working that particular shift. Some nurses need more direction from me than others." What type of leadership style best describes this charge nurse's approach?
Situational
A nurse is caring for a client involved in a suspected bioterrorism event involving exposure to cutaneous anthrax. Which of the following manifestations should the nurse anticipate?
Skin lesions with pruritus
.The nurse is reviewing I-SBAR-R with a coworker at the end of the shift. Which statement indicates that they are discussing the Situation component?
The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.
A nurse is being sued for battery. What does this mean?
The nurse, without consent, touched the patient in an offensive, insulting, or injurious way.
The ethical principle of autonomy is not applicable in which patient situation?
The patient is unaware of who he is and where he is.
Which situation could lead to performance inadequacy?
The person to whom the task was assigned did not understand what the task involved
A nurse who commits an infraction of the Nurse Practice Act may be subject to discipline by what group?
The state board of nursing
What is the purpose of the nurse's Code of Ethics?
To guide the behavior of the professional nurse
What is expected of the new graduate across healthcare agencies? Select all that apply
To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. Use communication skills effectively with clients and coworkers. Possess theoretic background for safe client care and for decision making. Recognize own abilities and limitations Use the nursing process in a systematic way.
A nurse is teaching a novice nurse how to provide care for patients in a culturally diverse community health clinic. Although all these actions are recommended, which one is MOST basic to providing culturally competent care?
Treating each patient at the clinic as an individual
The new graduate nurse is working to create culture of safety on the unit. What actions will exemplify a culture of safety? Select all that apply
Using the I-SBARR when collaborating with a provider. Using Universal Protocol 3 steps prior to surgery and procedures. Refusing to be interrupted during medication administration. look at systems and processes to identify areas that need to be changed
The nurse on the unit is determining which activities may be delegated to assistive personnel. Assuming that the nurse assistant is competent, which one of the following activities may be safely delegated by the registered nurse?
Vital signs on a stable client
The new graduate nurse is explaining TeamSTEPPS to their preceptor. What would the new graduate describe as TeamSTEPPS?
a positive environment which mutual support and clear communication is used
An 82-year-old Asian American patient tells the nurse that she has lived in the United States for 50 years. The patient speaks English but lives in a predominantly Asian neighborhood. The nurse should do which of the following?
ask the patient about any special cultural beliefs or practices.
How does the Utah Nurse Practice Act Rule define a Comprehensive nursing assessment?
conducting extensive initial and ongoing data collection
When planning care for a hospitalized patient who uses culturally based treatments, What is the most appropriate action by the nurse?
coordinate the use of folk treatments with ordered medical therapies.
What is the primary role of The Joint Commission (TJC)?
ensuring medical facilities meet patient safety guidelines.
What are the factors that contribute to medication errors? Select all that apply
inadequate staffing high nurse-client ratios Overtired nursing
When caring for a patient who is Native American, the best initial action by the nurse is to
observe the patient's use of eye contact.
The nurse is describing the "failure to rescue" to a new graduate nurse. Which statement by the new graduate would indicate an understanding of the definition?
the inability to prevent death after the development of a complication
The nurse is implementing fall prevention protocol. What would be included in the protocol?
thorough and sound assessment of client's abilities and limitations assessment of medication side effects bed and chair alarms
What is the goal of the Patient Safety and Quality Improvement Act?
to improve client safety by encouraging voluntary and confidential reporting.