nurs 250 final review exam questions
A 56-year-old client meets with the nurse for education about a recently diagnosed atrial fibrillation. The client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. Which is the best motivational statement by the nurse for this client?
"The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"
Nurse researchers have predicted that a newly created mentorship program will result in decreased absenteeism, increased retention, and decreased attrition among a hospital's nursing staff. What does this predicted relationship represent?
hypothesis
The statement, "More frequent handwashing will significantly lower the rate of infection in hospitalized clients," is an example of what research component?
hypothesis
A nurse researcher is involved in an experimental research study. Which component would the nurse researcher manipulate?
independent variable
The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory?
cognitive learning theory
While a client admitted to the medical-surgical unit is in the radiology department, a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. Which response by the nurse would be most appropriate, both legally and professionally?
"I cannot give you that information due to client confidentiality." do not call client first and ask for permission
The new nurse is evaluating the effectiveness of the assigned nurse mentor. Which characteristic should the new nurse recognize as being inappropriate for the nurse mentor to role model?
Advising the new nurse to consult the nurse mentor before making decisions regarding client care
A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning?
cognitive
Which activity best helps the nurse apply theory to practice?
EBP
A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as?
Nonmaleficence
In which way can nurses develop cultural self-awareness?
Objectively examine one's own beliefs, values, and practices.
A nurse is developing a foreground question for nursing research using the PICO model. Which component would be represented by the statement, "a 45-year-old male with coronary heart disease and atrial fibrillation"?
P
Which model is most useful in examining the cause of disease in an individual, based upon external factors?
The Agent-Host-Environment Model
The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has assessed the client's communication abilities?
The nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe.
1. Which process evaluates and recognizes educational programs as having met certain standards?
accreditation
Which action constitutes battery?
actually physcially assaulting someone
Which word is best described as protection and support of another's rights?
advocacy
The nurse is caring for a 70-year-old client with a fractured wrist. Which is the best method to determine whether the client has retained the information taught?
ask client to recall
A nurse threatens to restrain a verbally abusive client if the abuse continues. Which legal tort has the nurse committed?
assault
The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying?
autocratic
Which ethical principle is related to the idea of self-determination?
autonomy
A nurse who demonstrates advanced expertise in a content area of nursing through special testing is an example of what
certification
Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). The nurse has completed which process of credentialing?
certification
affective
changing attitudes, values, and feelings
43. The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate?
check nurses practice acts
The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states an intention to begin counting calories with the next meal. The client also states an intention to begin an exercise program with friends. Which statement associated with this scenario illustrates Lewin's stage of unfreezing?
client acknowledges the need to lose weight
When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall?
cognitive
A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which type of conflict resolution?
collaborating
A nurse assesses a client with psychotic symptoms and determines that the client needs vest restraints. However, the client asks the nurse not to put on vest restraints. What would be the best nursing action?
contact the physician and obtain necessary orders
An obstetrical nurse wishes to identify whether clients' perceptions of a high level of support from their partner is associated with a decreased length of the second stage of labor. Which type of quantitative research is most appropriate for this research question?
correlational research
A nurse is providing care for a client who recently immigrated from another country. The nurse says, "You have to get up and walk whether you want to or not." This statement is an example of:
cultural imposition
A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse?
cultural shock
The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying?
democratic
What type of leader shares decisions and activities with group participants?
democratic
Deciding whether to perform cardiac compressions against a client's wishes is considered a what
ethical delima
A nurse researcher is examining the cause-and-effect relationship between the consumption of tap water containing minimal amounts of bleach, and the incidence of cancer in rats. The research is taking place in a laboratory setting. What type of quantitative research is being used based upon this description?
experimental research
A nurse is caring for a client who is visually impaired. Which action is a recommended guideline for communication with this client?
explaining reasoning for touching the client before doing so
A nurse who obtains a license to practice nursing through self-misrepresentation is guilty of what tort?
fraud
One of the primary reasons for conducting nursing research is to:
generate knowledge and guide nursing practice
what people believe about their health is true which model?
health belief model
Which is the most accurate definition of health?
health is a state of complete physical, mental, and social well being
A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired pneumonia in the nurse's hospital. The statement of what the researcher expects to find in these studies is called the:
hypothesis
psychomotor
learning a physical skill
diff between licensure and certification
licensure would be like passing the NCLEX certification would be pursing a further education like become an np
Nursing research is linked most closely to: nursing process or theory ?
nursing process
OSHA stands for
occupational safety and health act
A nurse researcher is collecting nominal data. What type of research is being conducted?
quantitative
A nurse researcher must decide on the method for conducting the research. The researcher that plans to emphasize collection of numerical data and analysis would select which method of research?
quantitative
what vitals can a UAP perform
routine vitals not initial or evaluating vitals
After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation?
scientific knowledge
cognitive learning
storing and recalling new info
44. The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices concern with the physician who gave the order, but the physician refuses to change the order. Whom should the nurse consult next regarding the order?
the charge nurse
Remission is best defined as:
the disease being present but symptoms are absent
A nurse working in a long-established hospital learned a specific approach to administering intravenous injections from the previous generation of nurses at the hospital. This is an example of which type of knowledge?
traditional knowledge
