Nur 112 - Exam 1 Potter & Perry Ch 1-5, 27, 28, 16-20, & 38
Based on the belief that nurses should work with patients to develop goals for care
King
Addresses a specific phenomenon and reflects practice
Middle Range Theory
A nurse is caring for a patient who recently lost a leg in a motor vehicle accident. The nurse best assists the patient to cope with this situation by applying which of these following theories? A. Roy B. Watson C. Johnson D. Benner
Roy
Applies theory from other disciplines to nursing practice
Shared Theory
The nurse in a new community based clinic is requested to complete a community assessment. Order the steps for completing this assessment. 1. Structure or locale 2. Social Systems 3. Population
1,3,2
Put following steps for the removal of PPE after leaving an isolation room in order. 1. Remove and dispose of gloves 2. Perform Hand Hygiene 3. Remove Eyewear or Goggles 4. Untie bottom and then top mask strings and remove from face 5. Untie waist and neck strings of gown. Remove gown, rolling it onto itself without touching the contaminated side.
1,3,5,4,2
What are the ANA's Standards of Nursing Practice?
1. Assessment - nurse pertinent data and information 2. Diagnosis - RN analyzes the assessment data to determine possible diagnosis 3. Outcomes Identification - Rn identifies expected outcomes 4. Planning - RN develops a plan according to expected outcomes 5. Implementation- Rn implements the identified plan 5a. Coordination of Care: The RN Coordinates care delivery 5b. Health teaching and promotion 6. Evaluation- The RN evaluates progress toward attainment of goals and outcomes
According to Benner, what are the five levels an expert nurses passes through?
1. Novice - a nursing student or any nurse entering a situation with no previous level of experience 2. Advanced Beginner - A nurse who has some level experience with the situation even if it's only observational 3. Competent- A nurse who has been in the same clinical position for 2-3 years 4. Proficient - A nurse with more than 2-3 years of experience in the same position, is able to see situation as a whole 5. Expert - A nurse with diverse experience who has an intuitive grasp of an existing or potential clinical problem.
What is the health services pyramid top to bottom?
1. Tertiary Care 2. Secondary Health Care 3. Primary Health Care 4. Clinical Preventative Services 5. Population Based Health Care Services
A patient is placed on Airborne Precautions for pulmonary tuberculosis. The nurse notes that the patient seems to be angry, but the nurse knows that this is a normal response to isolation. Which is the best intervention? 1. Provide a dark, quiet room to calm the patient. 2. Reduce the level of precautions to keep the patient from becoming angry. 3. Explain the reasons for isolation procedures and provide meaningful stimulation. 4. Limit family and other caregiver visits to reduce the risk of spreading the infection.
3
A nurse initiates a brief interview with a patient who has come to the medical clinic because of self-reported hoarseness, sore throat, and chest congestion. The nurse observes that the patient has a slumped posture and is using intercostal muscles to breathe. The nurse auscultates the patient's lungs and hears crackles in the left lower lobe. The patient's respiratory rate is 22 breaths per minute compared with an average of 16 per minute during previous clinic visits. The patient tells the nurse, "It is hard for me to get a breath." Which of the following data sets are examples of subjective data? (Select all that apply.) 1. Heart rate of 20 per minute and chest congestion 2. Lung sounds revealing crackles and use of intercostal muscles to breathe 3. Patient statement, "It's hard for me to get a breath" 4. Slumped posture and previous respiratory rate of 16 per minute 5. Patient report of sore throat and hoarseness
3, 5
A nurse enters the hospital room of a patient who had a total knee replacement the day before. The nurse is preparing to return the patient to bed. Which of the following pose potential safety risks? (Select all that apply.) 1. A current safety inspection sticker is on the IV fluids pump. 2. A walker is positioned near the patient's bedside. 3. The hospital bed is in the high position. 4. There is no gait belt at the bedside. 5. The overbed table with the patient's glasses is positioned against the wall opposite the end of the bed.
3,4,5
A nurse working on a surgery floor is assigned four patients. The nurse assesses each patient, noting behaviors and physical signs and symptoms. Which of the following patients is more likely to be violent toward the nurse? 1. The first patient maintains eye contact with the nurse, is calm during the nurse's assessment, and asks questions frequently. 2. The second patient is very drowsy, loses attention span when the nurse asks questions, and mumbles when speaking. 3. The third patient moves nervously in bed, swears and grimaces when trying to cough, and speaks in a low volume. 4. The fourth patient speaks in a loud voice and becomes irritable when the nurse arrives to help walk the patient.
4
In preparing to collect a nursing history for a patient admitted for elective surgery, which of the following data are part of the review of present illness in the nursing health history? 1. Current medications 2. Patient expectations of planned surgery 3. Review of patient's family support system 4. History of allergies 5. Patient's explanation for what might be the cause of symptoms that require surgery
5
Place the steps of the EBP process in the appropriate order. 1. Critically appraise the evidence you gather. 2. Ask the clinical question in PICOT format. 3. Evaluate the outcomes of the practice decision or change. 4. Search for the most relevant and best evidence. 5. Cultivate a spirit of inquiry. 6. Integrate the evidence. 7. Communicate the outcomes of the EBP change.
5,2,4,1,6,3,7
Which of the following are common barriers to effective discharge planning? (Select all that apply) A. Ineffective communication among providers B. Lack of role clarity among health care team members C. Number of hospital beds to manage patient volume D. Patients' long term disabilities E. The patient's cultural background
A & B
A nurse in a community health clinic reviews screening results from students in a local high school during the most recent academic year. The nurse discovers a 10% increase in the number of positive tuberculosis skin tests when comparing these numbers to the previous year. The nurse contacts the school nurse and the director of the health department. Together they began to expand their assessment to all students and employees of the school district. The community nurse is acting in which nursing role(s)? (Select all that apply) A. Epidemiologist B. Counselor C. Collaborator D. Case Manager E. Caregiver
A & C
What does ADPIE stand for in the nursing process?
A - Assessment D - Diagnosis P - Planning I - Implementation E - Evaluation
Contemporary nursing requires that the nurse have knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples of the roles and responsibilities? (Select all the apply) A. Caregiver B. Autonomy C. Patient advocate D. Health Promotion E. Genetic Counsler
A B C & D
The nurse caring for a refugee community identifies that the children are under-vaccinated and the community is unaware of resources. The nurse assesses the community and determines that there is a health clinic within a 5 mile radius. The nurse meets with the community leaders and explains the need for immunizations, the location of the clinic and the process of accessing health care resources. Which of the following practices is the nurse providing? (Select all that apply) A. Raising awareness about community resources for the children B. Teaching the community about health promotion and illness prevention C. Promoting Autonomy in decision making about health practices D. Improving the health care of the community's children E. Participating in development activities to maintain nursing competency
A, B , & D
You are caring for a patient in an ICU who has pulled out his own IV line. You have tried restraint alternatives. Which of the following would you assess to determine appropriate reason to physically restrain the patient? (Select all that apply) A. Health Care Provider's Order B. Patient's current behavior C. Current Medications D. Health Literacy E. Presence of fever F Serum electrolytes G. Age
A, B , C, D, F
A patient who has been placed on contact precautions for Clostridium Difficile asks you to explain what he should know about this organism. Which statements made by the patient show an understanding of the patient teaching? (Select all the apply) A. "The organism is usually transmitted through the oral-fecal route." B. "Hands should be cleaned with soap and water rather than the alcohol based hand sanitizer C. "Everyone coming into the room must wear a gown and gloves." D. "While I am on contact precautions, I cannot leave the room." E. "C.difficile dies quickly once outside the body."
A, B, & C.
A community health nurse is working in a clinic with a focus on asthma and allergies. What is the primary focus of the community health nurse in this clinic setting? (select all that apply) A. Decrease the incidence of asthma attacks in the community B. Increase patients' abilities to self manage their asthma C. Treat acute asthma in the hospital D. Provide asthma education programs for the teachers in the local schools E. Provide scheduled immunizations to people who come to the clinic
A, B, & D
The infection control nurse asked the staff to work on reducing the number of iatrogenic infections on the unit. Which of the following actions on the nurses' part would contribute to reducing health care - acquired infection? (Select all that apply) A. Teaching correct handwashing to assigned patients B. Using correct procedures in starting and caring for intravenous infusions C. Providing perineal care to a patient with and indwelling urinary catheter D. Isolating a patient on antibiotics who has been having loose stool for 24 hours E. Decreasing a patient's environmental stimuli to decrease nausea
A, B, C
The public health nurse is working with the county health department on a task force to fully integrate the goals of Healthy People 2030. Most of the immigrant population do not have a primary care provider, nor do they participate in health promotion activities; the unemployment rate in the community is 25%. How does the nurse determine which goals need to be included or updated? (Select all that apply) A. Assess the health care resources within the community B. Assess the existing health care programs offered by the county health department. C. Compare existing resources and programs with Healthy People 2030 goals. D. Initiate new programs to meet Healthy People 2030 goals E. Implement educational sessions in the schools to focus on nutritional needs of the children.
A, B, C
Which of these statements are true regarding disinfection and cleaning? (Select all that apply) A. Proper cleaning requires mechanical removal of all soil from an object or area B. Routine environmental cleaning is an example of medical asepsis C. When cleaning a wound, wipe around the wound edge first and then clean inward and toward the center of the wound D. Cleaning in an area from the least to most contaminated area helps reduce infections E. Disinfecting and sterilizing medical devices and equipment involve the same procedure
A, B, D
A nurse research investigator is explaining a research study to a patient. The patient is interested in participating in the research study. The nurse investigator reviews the informed consent with the patient. The patient asks the nurse why he must sign a consent form to participate in the study. What is the nurse's best response(s) to the patient's question? (Select all that apply) A. The informed consent provides you with complete information on the research study B. By reviewing the consent with you, I can make sure that you understand the study and what it means for you to participate C. The informed consent provides details on the limitations of the study D. The informed consent provides your voluntary agreement to participate in the research study. E. The informed consent explains how the data collected from you will be kept confidential during and after the study.
A, B, D, E
Theory is essential to nursing practice because it: (select all that apply) A. Contributes to Nursing Knowledge B. Predicts Patient Behaviors in Situations C. Provides a means of assessing a patients vital signs D. Guides Nursing Practice E. Formulates Health Care Legislation F. Explains relationships between concepts.
A, B, D, F
Which of the following are examples of a nurse participating in primary care activities? (Select all that apply) A. Providing prenatal teaching on nutrition to a pregnant woman during the first trimester B. Assessing the nutritional status of older adults who come to the community center for lunch C. Working with patients in a cardiac rehabilitation program D. Providing home wound care to a patient E. Teaching a class to parents at the local elementary school about the importance of immunizations.
A, B, E
Which type of personal protective equipment should the nurse wear when caring for a pediatric patient who is placed on Airborne Precautions for confirmed chickenpox/herpes zoster? (Select all that apply) A. Disposable Gown B. N95 Respirator C. Face shield or Goggles D. Disposable Mask E. Gloves
A, B, E
The nurse identifies which of the following as outcomes measurements? (Select all that apply) A. A nurse teaches a patient how to administer an injection and then watches the patient do a return demonstration B. A nurse implements a new pain-management protocol and checks' patients charts to confirm whether interventions are being provided C. A nursing unit adopts a set of strategies for reducing pressure injuries, and the UPC members use direct observations of the sking to measure incidence of pressure injuries D. A nursing unit implements a new fall prevention protocol and checks the monthly performance data for incidence of falls on the unit E. A nursing unit implements a patient rounding program, and the charge nurse watches the assistive personnel to see whether hourly rounding is being done on patients.
A, C ,D
Which of the following statements related to theory-based nursing practice are correct? (Select all that apply) A. Nursing theory differentiates nursing from other disciplines B. Nursing theories are standardized and do not change over time C. Integrating theory into practice promotes coordinated care delivery D. Nursing knowledge is generated by theory E. The theory of the nursing process is used in planning patient care F. Evidence based practice results from theory testing research.
A, C, D, F
Which of the following approaches are recommended when gathering assessment data from an 82 year old male patient entering a primary clinic for the 1st time? (Select all that apply) A. Recognize normal changes associated with aging B. Avoid direct eye contact C. Lean forward and smile as you pose questions D. Allow for pauses as patient tells his story E. Use the list of questions from the clinic assessment form to complete all data
A, C, and D
Which of the following describes characteristics of an integrated health care system? (Select all that apply) A. The focus is holistic B. Participating hospitals will follow the same model of health care delivery. C. The system coordinates a continuum of services D. The focus of health care providers is finding a cure for patients E. Members of the health care team link electronically to use the EHR to share the patient's health care record.
A,C, & E
The nurse spends time with a patient and family reviewing a dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? A. Educator B. Advocate C. Caregiver D. Communicator
A. Educator
Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? A. Moving from an acute illness to a health promotion, illness prevention model. B. Moving from an illness prevention to a health promotion model C. Moving from hospital based to community based care D. Moving from an acute illness to a disease management model
A. Moving from an acute illness to a health promotion, illness prevention model.
A nursing is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is the most appropriate outcome for this patient's restorative care? A. Patient will be able to walk 200 feet for shortness of breath B. Wound will heal without signs of infection C. Patient will express concerns about returning home D. Patient will identify strategies to improve sleep habits
A. Patient will be able to walk 200 feet without shortness of breathe.
The public health nurse is working with the local city/county health department during a pandemic that has created a crisis within the community. What are responsibilities of the public health nurse during the pandemic? (Select all that apply) A. Educate the public on disease prevention B. Serve as a liaison between patients and health care services and providers. C. Investigate cases as they arise D. Monitor trends of the disease outbreak E. Assist with the testing for identification of the disease
All the above
A nurse's assessment reveals a patient having frequent voiding and pain when she urinates. Her body temp us 38C (100.4 F). The nurse asks whether she has to go to the bathroom at night, and the patient responds "Yes." When asked how often the patient replies "About three times a night." The nurse asks is having to urinate at night is recent or normal for the patient. The patient explains ,"I usually go once a night but that is all." The nurse then asks,"When you feel the need to go, can you reach the toilet in time?" The patient says ,"Oh yes I can." The nurse asks,"And have you had any leaking of urine?" The patient denies leaking. When asked if she is having any back or abdominal pain, the patient denies discomfort. The nurse then gathers a urine specimen from the patient and inspects its character, noting it is cloudy and foul smelling. Which of the following nursing diagnosis is indicated by cues in this patient's assessment? A. Impaired Kidney Function B. Impaired Urination C. Urge Incontinence of Urine D. Total Urinary Incontinence
B
A nursing student is working with a faculty member to identify a nursing diagnosis for an assigned patient. The student has assessed that the patient is undergoing radiation treatment to the abdomen, has liquid stool, and the skin is clean and intact. The student selects the nursing diagnosis Impaired Skin Integrity. The faculty member explains that the student has made a diagnostic error for which of the following reasons? A. Incorrect clustering of data B. Wrong Diagnosis C. Condition is a collaborative problem D. Premature ending assessment
B
The nurse assesses the following data from a patient with diabetes mellitus who is 4 days postoperative for repair of an abdominal aortic aneurysm. Which assessment finding is of greatest concern for the nurse? A. Vesicular breathe sounds in the lung bases B. Temperature 38.5 C C. Incision pain rating of 6 out of 10 D. Blood Glucose of 164mg/dL
B
Which of the following actions by the nurse demonstrate the practice of core principles of surgical asepsis? (Select all that apply) A. The front and sides of the sterile gown are considered sterile from the waist up B. Keep the sterile field in view at all times C. Consider the outer 2.5cm of the sterile field as contaminated D. Only health care personnel within the sterile field must wear PPE E. After cleansing the hands with antiseptic rub, apply clean disposable gloves
B & C
Review the following nursing diagnoses and identify the diagnoses that are stated correctly. (Select all that apply) A. Offer frequent skin care because of impaired skin integrity B. Risk for Infection C. Chronic Pain related to osteoarthritis evidenced by reduced hip range of motion D. Activity intolerance related to physical deconditioning evidenced by exertional dyspnea. E. Lack of Knowledge related to laser surgery
B and D
A nurse newly hired at a community hospital learns about intentional hourly rounding during orientation. Which of the following are evidence based outcomes for intentional rounding. (Select all that apply) A. Reduction in nursing staff requirements B. Improved Patient Satisfaction C. Reduction in Patient Falls D. Increased Costs E. Reduction in patient use of nurse call system
B, C, & E
A nurse conducts and assessment of a 42yr old woman at a health clinic. The woman is married and lives in an apartment with her husband. She reports having frequent voiding and pain when she passes urine. The nurse asks whether she has to go to the bathroom at night, and the patient responds "Yes." The patient has an episode of diarrhea 1 week ago. She weighs 136 kg (300lbs). The nurse documents the assessment findings listed below. Which of the assessment findings require priority follow up by the nurse? (Select all that apply) A. The patient has no history of chronic disease B. Patient urinates at night C. Patient reports having difficulty cleansing herself after voiding or passing stool D. Body temp of 38 C (100.4) E. Recent weight gain F. Knowledge of perineal care G. Last normal bowel movement 2 days ago H. Frequency of diarrhea
B, C, D, E, F, H,
You complete a fall risk assessment on your assigned patient, who is 45 yr old and has a history of cocaine use and liver failure. His laboratory results show an elevated prothrombin time. You determine that the patient is at high risk for falling. Which of the following measures are targeted to his fall risk status? (Select all that apply) A. Using Skid Proof Footwear B. Scheduling any oral medications at least 2 hours before bedtime C. Placing a low bed in the room D. Placing the nurse call system within patient's reach E. Using a bed exit alarm F. Providing patient with a protective head helmet when in chair or walking
B, C, E, F
The school nurse has been following a nine year old student who has shown behavioral problems in class. The student acts out and does not follow teacher instructions. The nurse plans to meet with the students family to learn more about social determinants of health that might be affecting the student. Which of the following potential social determinants should the nurse assess? A. The student's seating placement in the classroom B. The level of support for parents offer when the student completes homework C. The level of violence in the family's neighborhood D. The age at which the child first began having behavioral problems E. The cultural values about education held by the family
B, C, and E
A patient is diagnosed with a multidrug-resistant organism (MDRO) in his surgical wound and asks the nurse what this means. What is the nurse's best response? (Select all that apply) A. There is more than one organism in the wound that is causing the infection B. The antibiotics the patient has received are not strong enough to kill the organism C. The patient will need more than one type of antibiotic to kill the organism D. The organism has developed a resistance to one or more broad spectrum antibiotics, indicating that the organism will be hard to treat effectively E. There are no longer any antibiotic options available to treat the patients infection
B, D
A nurse is conducting a patient centered interview. Place the statements from the interview in the correct order, beginning with the first statement a nurse would ask. A. "You say you've lost weight. Tell me how much weight you've lost in the past month." B. "My name is Terry. I'll be the nurse taking care of you today." C. "I have no further questions. Is there anything else you wish to ask me?" D. "Tell me what brought you to the hospital." E. "So, to summarize, you've lost about 6 pounds in the past month, and your appetite has been poor--correct?"
B, D, A, E, C
A home health nurse is visiting a 62 year old hispanic woman diagnosed with type 2 adult onset diabetes mellitus following a 2 day stay at a local hospital. The physician ordered home health with the placement of the patient on a diabetic protocol for education about diabetes mellitus and a new medication and diet counseling. The patient lives with her 73 year old husband, who has progressive dementia. Their daughter checks on her parents daily, buys groceries, and helps with home maintenance. The nurse conducts an initial history to gather information about the patient's condition. Which of the following data cues combine to reveal a possible health problem? (Select all that apply) A. First time hospitalized B. Unable to describe diabetes C. Takes inflammatory for arthritis D. Has limited health literacy E. Husband is able to perform self bathing F. Patient unable to identify food sources on prescribed diet G. Patient has reduced vision and wears glasses H. Patient prescribed an oral hypoglycemic drug
B, D, F, G
A nurse assesses a 42 year old woman at a health clinic. The woman is married and lives in the a condo with her husband. She reports having frequent voiding and pain when she urinates. The nurse asks where she has to go to the bathroom at night, and the patient responds, "Yes, usually twice or more." The patient had an episode of diarrhea 1 week ago. She weighs 136kg (300lb) and reports having difficulty cleansing herself after voiding or passing stool. Which of the following demonstrate assessment findings that cluster to indicate the nursing diagnosis Impaired Urination. A. Age 42 B. Dysuria C. Difficulty performing perineal hygiene D. Nocturia E. Episode of diarrhea F. Weighs 136kg (300lb) G. Frequent voiding
B, D, G
The nurse is using the QSEN competency of EBP when working with the unit council to initiate a change related to pain management. Which behaviors demonstrate that the nurse is practicing behaviors associated with EBP? (Select all that apply) A. Initiating plan for self development as a team member B. Reading original research related to pain management C. Demonstrating effective use of strategies to reduce risk of harm to self or others D. Valuing EBP as critical to the development of pain management guidelines for the unit E. Describing to the unit council reliable sources for locating clinical guidelines F. Applying technology and information management tools to support safe processes of care
B,D,E
A nurse is caring for a patient with end stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains to the risk and benefits of the operation to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: A. Educator B. Advocate C. Caregiver D. Communicator
B. Advocate
Using Maslow's hierarchy of needs, identify the priority for a patient who is experiencing chest pain and difficulty breathing: A. Self-Actualizing B. Air, Water, Nutrition C. Safety D. Esteem and Self Esteem needs
B. Air, Water, Nutrition
A nurse observes a patient walking down the hall with a shuffling gait. When the patient returns to bed, the nurse checks the strength in both of the patients legs. The nurse applies the information gained to suspect that the patient has a mobility problem. This conclusion is an example of: A. Reflection B. Clinical Interference C. Cue D. Validation
B. Clinical Interference
A community health nurse conducts a community assessment focused on adolescent health behaviors. The nurse determines that a large number of adolescents smoke. Designing a smoking cessation program at the youth community center is an example of which nursing role? A. Epidemiologist B. Counselor C. Collaborator D. Case Manager
B. Counselor
A patient is diagnosed with meningitis. Which type of isolation precautions is most appropriate for this patient? A. Reverse Isolation B. Droplet Precautions C. Standard Precautions D. Contact Precautions
B. Droplet Precautions
A critical care nurse is using a new research based intervention to correctly position patients who are on ventilators to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which QSEN competency? A. Patient Centered Care B. Evidence Based Practice C, Teamwork and Collaboration D. Quality Improvement
B. Evidence Based Practice
A nurse is caring for a patient admitted to the neurological unit with the diagnosis of a stroke and right-sided weakness. The nurse assumes responsibility for bathing and feeding the patient until the patient can begin performing these activities. The nurse in this situation is applying the theory developed by: A. Johnson B. Orem C. Roy D. Peplau
B. Orem
A patient in the ICU experiences a sentinel event related to central line catheter care that resulted in serious injury. What PI model should the unit use to identify errors that led to the sentinel event? A. Six Sigma B. Root cause analysis C. PDSA D. Balanced scorecard
B. Root Cause Analysis
A nurse is assigned to care for an 82 yo patient who will be transferred from the hospital to a rehabilitation center. The patient and her husband have selected the rehabilitation center closest to their home. The nurse learns that the patient will be discharged in 3 days and decides to make the referral on the day of discharge. The nurse reviews the recommendations for physical therapy and applies the information to fall prevention strategies in the hospital. What discharge planning action by the nurse has not been addressed correctly? A. Patient and Family involvement in referral B. Timing of referral C. Incorporation of referral discipline recommendations into plan of care D. Determination of discharge date
B. Timing of Referral
The nurse asks a patient the following series of questions: "Describe for me how much you exercise each day." "How do you tolerate exercise?" "Is the amount of exercise you get each day the same, less, or more than what you did a year ago?" This series of questions would likely occur during which phase of the patient centered interview? A. Orientation B. Working Phase C. Data Interpretation D. Termination
B. Working Phase
Place the following steps for applying a wrist restraints in the correct order A. Pad the skin overlying the wrist B. Insert two fingers under the secured restraint to be sure that it is not too tight C. Be sure the patient is comfortable and in correct anatomical alignment D. Secure restraint straps to bed frame with quick release buckle E. Wrap limb restraint around wrist or ankle with soft part toward skin and secure snugly
C, A, E, B, D
The nurse finds a 68yo woman wandering in the hallway and exhibiting confusion. The patient says she is looking for the bathroom. Which interventions are appropriate for this patient? (Select all that apply) A. Ask the healthcare provider to order a restraint B. Recommend insertion of a urinary catheter C. Provide scheduled toilet rounds every 2-3 hours D. Institute a routine exercise program for the patient E. Keep the bed in high position with side rails down. F. Keep the pathway from the bed to the bathroom clear
C, D, F
During a home health visit a nurse observes a patient preparing lunch. Which of the following are safe practices to follow in the safe preparation and storage of food? (Select all that apply) A. Always use a single cutting board to prepare food for cooking B. Refrigerate leftovers as soon as possible C. Always buy vegetables in packages marked "prewashed" D. Cook meats to the proper temperature E. Wash hands thoroughly before food preparation
C,D,E
A nursing student is giving a presentation to a group of other nursing students about the needs of patients with mental illnesses in the community. Which statement by the student indicated that the nursing professor needs to provide further teaching? A. "Many patients with mental illness do not have a permanent home." B. "Unemployment is a common problem experienced by people with a mental illness." C. "The majority of patients with mental illnesses live in long term care settings." D. "Patients with mental illnesses are often at higher risk for abuse and assault."
C. "The majority of patients with mental illnesses live in long term care settings."
The examination for RN licensure is the same in every state in the United States. This examination: A. Guarantees safe nursing care for all patients B. Ensures Standard Nursing Care for all patients C. Provides the minimum standard of knowledge for an RN in practice D. Guarantees standardized education across all prelicensure programs
C. Provides the minimum standard of knowledge for an RN in practice
Nurses in a community clinic are conducting and EBP project focused on improving the outcomes of children with asthma. The PICO question asked by the nurses is "In school-age children, does the use of an electronic gaming education model versus educational book affect the usage of inhalers?" In the question, what is the "O"? A. School Age Children B. Educational Book C. Use of inhalers D. Electronic gaming education
C. Use of inhalers
Expert clinician in a specialized area of practice such as adult diabetes care
Clinical Nurse Specialist
The nurses on a medical unit have seen an increase in the number of pressure injuries developing in their patients. The nurses decide to initiate a PI project using PDSA model. Which of the following is an example of "Plan" from that model. A. Orienting patients to the unit's practice of hourly rounding on patients B. Reviewing the incidence of pressure injuries on patients cared for using the protocol C. Based on findings from patients who developed injuries, implementing an evidence based skin care protocol on all units D. Meeting with all disciplines to develop a multidisciplinary approach for reducing pressure injuries
D
Which activity performed by a nurse is related to maintaining competency in nursing practice? A. Asking another nurse about how to change the settings on a medication pump B. Regularly attending unit staff meetings C. Participating as a member of the professional nursing council D. Attending a review course in preparation for a certification examination
D. Attending a review course in preparation for a certification examination
A nurse implements an EBP change that teaches patients the importance of taking their diabetes medications correctly and regularly on time using videos streamed on the internet. The nurse measures the patients behavioral outcome from the practice change by using which type of measurement? A. Measuring the patients weight B. Chart auditing teaching sessions C. Observing patients viewing the videos D. Checking patients blood sugars
D. Checking Patients Blood Sugars
You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which statement best describes this code? A. Improves self health care B. Protects the patient's confidentiality C. Ensures identical care to all patients D. Defines the principles of right and wrong to provide patient care
D. Defines the principles of right and wrong to provide patient care
A nurse is analyzing data generated during a patient assessment to determine the best plan of care. Which layer of the NCSBN-CJM best describes the cognitive process being used by the nurse at this time? A. Layer 0 B. Layer 1 C. Layer 2 D. Layer 3 E. Layer 4
D. Layer 3
What factor results in vulnerable populations being more likely to develop health problems? A. The ability to use available resources to find housing B. Adequate transportation to the grocery store and community clinics C. Availability of others to help provide care D. Limited access to health care services
D. Limited access to health care services
Which if the following statements is true regarding Magnet status recognition for a hospital? A. Nursing is run by a Magnet manager who makes decisions for nursing roles B. Nurses in Magnet hospitals make all of the decisions on the clinical units C. Magnet is a term that is used to describe hospitals that are able to hire the nurses they need D. Magnet is a special designation for hospitals that achieve excellence in nursing practice
D. Magnet is a special designation for hospitals that achieve excellence in nursing practice
A nurse ensures that each patient's room is clean, well ventilated, and free from clutter, excessive noise, and extremes in temperature. Which theorist's work is the nurse practicing in this example? A. Henderson B. Orem C. King D. Nightingale
D. Nightingale
The nurses on an acute care medical floor notice an increase in pressure injury formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to asses for pressure injury risk. The second uses a new assessment instrument to identify at risk patients. Given this information, the nurse consultant exemplifies which career? A. Clinical Nurse Specialist B. Nurse Administrator C. Nurse Educator D. Nurse Reasearcher
D. Nurse Researcher
The nurse is working in a tertiary care setting. Which activity does the nurse perform while providing tertiary care? A. Conducting blood pressure screenings at a local food bank B. Administering influenza vaccines for older adults at the local senior center C. Inserting an indwelling catheter for a patient on a med-surg unit D. Performing endotracheal suctioning for a patient on a ventilator in the medical ICU
D. Performing endotracheal suctioning for a patient on a ventilator in the medical ICU
The components of the nursing metaparadigm include: A. Person, Health, Environment, and Theory B. Health, Theory, Concepts, and Environment C. Nurses, Physicians, Health, and Patient Needs D. Person, Health, Environment, and Nursing.
D. Person, Health, Environment, and Nursing.
The nurse manager meets with the registered nursing staff about an increase in urinary tract infections in patients with foley catheters. The staff work together to review the literature on catheter associated urinary tract infections (CAUTIs), identifies at risk patients, and establishes new catheter care practices. This is an example of which QSEN competency? A. Patient Centered Care B. Evidence Based Practice C. Teamwork and collaboration D. Quality Improvement
D. Quality Improvement
A nurse is reading a research article discussing a new practice to decrease the incidence of CAUTIs. One section of the article describes who was studied and how the data were collected to answer the research questions and hypotheses. What section of the research article is currently being read? A. The literary review B. The data analysis C. The methods D. The implications for practice
D. The implications for practice
What are the ANA standards of professional performance?
Ethics, Advocacy, Respectful & Equitable Practice, Communication, Collaboration, Leadership, Education, Scholarly Inquiry, Quality of Practice, Professional Practice Evaluation, Resource Stewardship, & Environmental Health.
Very abstract; attempts to describe nursing in a global context
Grand Theory
Based on 14 activities, the nurse should assist patients with meeting needs until they are able to do so independently.
Henderson
What are the social determinants of health?
Neighborhood and built environment, health care access and quality, social and community context, education access and quality, economic stability
Based on the theory that focuses on wellness and prevention of disease.
Neuman
Plans and delivers anesthesia and pain management to patients across the lifespan
Nurse Anesthetist
Provides independent care, including pregnancy and gynecological services
Nurse Midwife
Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions.
Nurse Practitioner
How do nursing standards affect nursing care?
Nursing standards provide the guidelines for implementing and evaluating nursing care
Based on the belief that people who participate in self care activities are more likely to improve their health outcomes
Orem
Many older homes in a neighborhood are undergoing a lot of restoration. Lead paint was used. The community clinic in the neighborhood is initiating a lead screening program. This activity is based on which social determinant of health?
Physical Environment
Specific to a particular situation; brings theory to the bedside
Practice Theory
What is QSEN?
Quality and Safety Education for Nurses
