Professionalism 9-13

A local church has asked for volunteers (including a nurse) to assist with a group of teens in promoting healthy lifestyles. Several weeks into the voluntary program, the group (including the nurse) shares some observations about the group members. Which behaviors discussed alerts the group that one member might be displaying a precursor to violence? Select all that apply. A) likes to sit away from others B) fascination with playing violent video games C) inappropriate angry outbursts D) making fun of others E) teasing females by hiding their purses

BC

A nursing professor has asked the students in research class to compare research utilization with that of evidence-based practice (EBP). The students have incorporated which key elements as part of evidence-based nursing practice? Select all that apply. A) scientifically based B) utilization of more than one type of data C) used more frequently in hospital setting D) evidence-based nursing outcomes are better than research utilization outcomes E) EBP is more cost effective for the employer

BC

A client is interested in learning more ways to promote a healthy lifestyle. Which processes would be a way to introduce simplification into their life? Select all that apply. A) purchasing trendy outfits that are fun and disposable B) incorporating more organic, natural foods into their daily diet C) channeling work and spare time to bring out creativity D) commuting to work using subway system rather than individual automobile E) using time when not at work to worry about financial choices one needs to make related to housing.

BCD

During a discussion on human impact on the environment, many topics were discussed. As a result, which activities demonstrate that the participant heard the information and implemented some of the suggested ideas to minimize their impact on the environment? Select all that apply. A) Buying pesticides with the smallest percentage of chemical concentration to put on their garden plants. B) Shopping for an eco-friendly hybrid car to decrease gas consumption. C) Switching from disposable diapers to cloth ones. D) Replacing gas furnace to a wood-burning furnace for warmth. E) Using a filter water system to replace bottled water intake.

BCE

A nurse is studying anthropology in the humanities class to fulfill a general education requirement. In the student's nursing studies, the student is learning about Culture-Specific and Culturally Congruent Care as it applies to nursing. Which example below would be considered a culturally congruent care? Select all that apply. A) Having the Native American tribes spiritual leader (shaman) perform a specific healing ceremony immediately following surgery. B) Serving "hot" and "cold" foods and beverages to a Chinese woman who is hospitalized for brachytherapy to treat cervical cancer. C) Turning on soft music to drown out the noise at the nursing station for an elderly Puerto Rican client. D) Allowing the family of an Eastern Indian client to bring in remedies made from vegetables following amputation for gangrene of the foot.

BD

A Canadian student is seen by a health care provider for a routine screening before going to college. The student's family is covered by the Canadian plan. Which principle of the Canadian health care system is evident for this student? A) Each insurance plan covers all residents for uniform services. B) A public for-profit authority administers the plan. C) Canadians do not have coverage when they travel across provinces. D) Care can be denied for inability to pay for coverage.

C

A client recovering from a bariatric surgery is assisted by the multidisciplinary health care team. As the client watches the nurse take care of medication administration, treatment, and the coordination of care, the client perception of the nurse as the bedside caregiver is pronounced. Which can assist nurses to improve the scholarly nursing research image of professional nursing? A) Improve relations with other disciplines who value practice, not research. B) Focus awareness on the public's image of the practice nurse. C) Communicate nursing research's improvements to health outcomes. D) Identify opportunities to teach others the value of the practicing nurse.

C

A client's parent is dying from heart failure and has just been transferred to skilled nursing facility for end-of-life care. What kind of care is the client's parent receiving when receiving care for end-of-life issues? A) primary care B) secondary care C) tertiary care D) quaternary care

C

A consumer of health care has just been laid off by their employer, thereby losing health care coverage for themselves and family members. In this situation, which key factor will contribute to this consumer not being able to afford health care? A) Access to care B) Quality to care C) Cost of care D) Continuity of care

C

A customer purchases a plane ticket and flies overseas to Germany. While in Germany, the individual becomes ill and travels back to the United States to be seen by primary care health care provider. Once seen by the primary health care provider, the client is placed in isolation at a nearby hospital. Which challenge of the health care delivery system correlates with this situation? A) ensuring access to care for all human beings B) providing both preventive and curative services C) responding to actual and future epidemics D) enabling optimal health essential to high quality of life

C

A hospital administrator was making rounds on the "off" (night) shift and noted a nurse who they considered to be culturally competent. What quality did this nurse display that lead the administrator to categorize them a being a culturally competent nurse? A) attempting to provide privacy when culture dictates it B) greeting clients the first time they meet C) making clients and colleagues feel cared for and appreciated D) passively listening to those whom the nurse does not understand

C

A hospital infectious disease department has noted a sharp rise in ventilator acquired pneumonia (VAP). The Infectious disease nurses spent some time monitoring the ICU areas observing hand hygiene and suctioning techniques of the staff. After several weeks, a trend was noted related to noncompliance with proper handwashing and poor sterile technique when suctioning ventilated clients. Education was provided to all staff. Evaluation was initiated and overall compliance with policy resulted in decrease in VAP. This is an example of which type of accountability? A) peer review B) Code of Ethics C) safe nursing practice D) cooperative teamwork

C

A middle-aged individual, who has just retired, is looking forward to their favorite hobby, gardening. In late spring, the individual begins work of cleaning up debris, mowing the lawn, and spraying recommended solutions to prevent weeds from overtaking their lawn. Which personal environment elements can be noxious to the global environment? A) new outdoor carpeting B) fireplaces that burns charcoal C) pesticides on lawns and food crops D) pets who wear flea collars

C

A nurse has gone back to school to complete a Master's degree in nursing education and is currently taking a research class. Since the nurse works on an orthopedic unit, they have an extreme interest in studying music therapy as a way to decrease pain. Which step in the research would be the next item to address? A) Financial cost of hiring a music therapist. B) Identify resources (type of music) available for implementation. C) Perform a literature review to provide general background and see if this topic has been studied. D) Establish tentative hypotheses for the focus of the research.

C

A nurse in a rural area comes to work to find that he/she is the only nurse for the shift to care for 12 clients. The nurse believes this is too many clients to care for on a busy night in the medical-surgical area and calls the supervisor. Which form of accountability is best illustrated in this example? A) accountability to the profession B) accountability to the agency C) accountability to self D) accountability to third-party payer

C

A nurse is explaining to a client about standardized methods for managing their COPD. The client is not "on board" since they think that more expensive treatment and medications would make them "better." Every day this nurse maps out expected interventions along with discharge planning and instructions. Once the client has reached the "desired outcome," this nurse recommends discharge to home. Which hospital department has this client been working with? A) social services B) risk management C) case management D) legal department

C

A nurse is responsible for the evening shift at a busy maternity unit. The unit is full, and the nurse has had to call several other nurses in to manage the load. A client with broken membranes has requested no external or internal monitors. The nurse explains to the client that they will accommodate her requests to a point, but occasionally they will be listening to the FHR throughout the labor. Which answer represents the best positive outcome for the client when both the nurse and the client work together to meet the client's needs as long as safety is maintained? A) autonomy for the client B) family-centered care C) customer satisfaction D) reduced liability

C

A nurse reviews nursing models specifically related to culturally diverse groups of client populations as a part of their journal study project. Which model indicates socialization is the focus to care for culturally diverse groups? A) Leininger's sunrise model and theory of culture care diversity and universality B) Purnell's model for cultural competence C) Spector's model of heritage consistency D) Giger and Davidhizar's transcultural assessment model

C

A nursing student (NS) is reading a research article entitled, "Changing the model of care delivery: This NS is considering working for an organization after graduation that will allow them to deliver holistic care so the care the client receives will be coordinated and not fragmented. Which delivery model is this NS looking for? A) functional nursing B) team nursing C) total patient care nursing D) modular nursing

C

A young female nurse has decided to embark on an international nursing experience by accepting a very lucrative offer to work in a hospital in Saudi Arabia for one year. Once she arrives in Saudi Arabia, where is the first place this nurse should visit? A) hospital employment office B) hotel where she is assigned to live C) U. S. consulate or embassy D) postal office to register her nursing license

C

An elderly Chinese man reporting chest pain was brought to the Emergency Department by family. As the female RN started to lift his shirt to place a stethoscope on his chest, he grabbed her arm and stopped her. The nurse should perform which step next in order to provide safe, effective care to this client? A) Ask a male nurse working in the ED to help with the assessment. B) Assess the client for mental changes that may indicate a stroke. C) Apologize and call for an approved language interpreting service to have them explain what interventions she wants to provide with his cooperation. D) Find family members and ask if the person can speak English and Chinese. If so, ask them to interpret what you are going to assess.

C

An unlicensed assistive personnel (UAP) member of the health care team has developed a latex allergy. The nurse has met with the UAP and discussed what prevention strategies the individual needs to take to remain safe. Which strategy would be best for preventing latex allergies? A) encourage use of soap and water for hand washing B) make alcohol-based hand cleansers accessible C) use latex-free gloves exclusively when gloves are needed D) persuade employer to remove nonlatex-containing supplies

C

The common purpose of quantitative and qualitative approaches to research is to gain an understanding. Which category does the researcher, using the quantitative approach, view as necessary to objectively distance himself or herself from subjects? A) view of truth B) view of reality C) view of relationships D) view of nursing

C

The parents of a college freshman are concerned about their child's exposure to "germs" while living in a crowded dorm. In addition to immunizing the child for influenza, which other vaccine should be administered to children living in overcrowded conditions? A) hepatitis A B) human papillomavirus (HPV) vaccine C) meningococcal B D) diphtheria, tetanus, and acellular pertussis

C

When the nurse analyzes accountability to a client, which question best provides a self-assessment of this type of accountability? A) Am I willing to help other nurses in my work setting? B) Am I acting as a community resource in the areas of health and nursing? C) Am I providing the best care of which I am capable? D) Am I seeking to improve health and nursing care?

C

When the nurse analyzes accountability to the profession, which question best provides a self-assessment of professional accountability? A) In areas where I am dissatisfied, am I seeking alternative modes of action or thought? B) Should I withdraw from that role until I receive additional preparation? C) Am I working within the profession to improve practice, education, or research? D) Am I working in accordance with the policies and procedures of the institution?

C

25-year-old adult graduates from college and obtains a job working for a bank that offers a good salary, good hours, and medical and dental benefits. Which type of health care funding model would best describe the medical benefits provided by the employee and employer? A) The national health service model B) The mandated insurance model C) The Medicaid insurance model D) The entrepreneurial insurance model

D

A child arrives at the emergency department with an intense headache, difficulty concentrating, and dyspnea. History reveals a long list of allergies to medications, cleaning products, and foods. As the assessment continues, the child begins to hyperventilate and have sternal retractions. The priority treatment for this child will include which medication? A) Alprazolam B) Fluticasone C) Ritalin D) Epinephrine

D

A group of colleagues in the hospital workplace formed a partnership committee to look at toxic work environments at the hospital. After many meetings, the group has reached the point where they have engaged in meaningful dialogue. Their next step was to develop an educational in-service whereby the group would foster all interested persons on the journey to continuously learn and grow as supportive colleagues? Which basic partnership principle is this outcome focusing on? A) balance B) intention C) trust D) potential

D

A nurse has developed a research project utilizing a "Sleek Sheet" system looking for ways to decrease nurses' back strain when repositioning immobile clients. This nurse is using the "Stetler Model of Evidence-Based Practice." After gathering data for 2 months, analysis of data is performed. At this phase, the manager wants to extend the pilot study to other nursing units. Which phase in the Stetler Model of Evidence-Based Practice has the research project reached? A) Phase II—Validation. B) Phase III—Comparative Evaluation C) Phase IV—Translation/application D) Phase V—Evaluation

D

A nurse has noted what he or she thinks is a "better," more efficient way to perform central-line dressing changes. They are thinking about putting a scientific study together for research. Given this, which is the first step the nurse should take to begin the research process? A) collecting data about how other nurses change central-line dressings B) reviewing the literature on central line dressing changes C) defining variables that can be controlled during the dressing change D) raising questions about how to streamline central-line dressing changes

D

A nurse is assessing the home of a client who has allergies in order to write a report. The nurse observes that two people in the house smoke, and the client has pets. The house is also cluttered with garbage and debris, and unrefrigerated food is left on the counter. Which of the assessment findings is cited in the literature as the number one cause of air pollution in the home? A) pet dander B) dust mites C) rodent dander D) smoking

D

A nurse is studying the ethical practices of a research project focusing on resilience following spousal abuse. Which principle of research ethics protects the human rights of participants? A) process of approval by IRB B) truth in research reporting C) anonymity of participants D) informed consent signature

D

A nurse is suspicious that a co-worker may be stealing and using narcotics from their clients. This co-worker has begun calling in frequently. When they do work, they disappear for hours and then return acting "intoxicated." The best action the nurse can do prior to confronting or reporting suspicions of illegal drug use would include which intervention? A) Following the nurse and watching to see if they take narcotics frequently from the medication dispensing system. B) Ask the UAP to keep an eye out and let you know if this nurse starts acting different. C) Ask the unit secretary to print the log for controlled medication variances in the computerized dispensing system. D) Document in a written log the dates and times the suspicious behaviors occurred.

D

A nurse is working on a busy medical-surgical unit. They are caring for 6 clients with the help of an LPN. The nurse is behind schedule for giving medication. The nurse begins to hand an IV push medication to the LPN for them to administer. But then the nurse recognizes this is outside the scope of practice for LPNs. This is an example of which trait possessed by RNs to be accountable to standards of practice? A) ethical B) autonomy C) authority D) competence

D

A nurse is working on the unit with a diverse group of colleagues. Although the nurse recognizes that there may be biases regarding different cultures, the nurse makes an attempt to become culturally competent. Which strategy deals with communication ineffectiveness? A) Deal with biases openly to dispel incorrect assumptions. B) Recruit culturally competent nurses to diversify the workforce. C) Promote psychological comfort to colleagues of different cultures. D) Have direct caregivers repeat instructions back to validate understanding.

D

A nurse reviews nursing models specifically related to culturally diverse groups of client populations as a journal study project. This nurse is looking for an organized, systematic approach for assessing culturally diverse clients similar to how they perform physical assessments on their clients. Which model best provides this systematic approach? A) Leininger's sunrise model and theory of culture care diversity and universality B) Purnell's model for cultural competence C) Spector's model of heritage consistency D) Giger and Davidhizar's transcultural assessment model

D

A nurse who is a devout Roman Catholic is assigned to care for an older adult client from Brazil. The client became ill while vising family in the United States. The ED diagnosed pancreatic cancer with metastasis throughout the client's body. Upon entry into the room, the nurse notes the client's eyes are closed but is moving her lips while touching beads. What action by the nurse would be appropriate at this time? A) Withdraw from the room and give the client plenty of time to say her prayers. B) Ask the hospital chaplain (not a priest) to come handle this situation since you are too busy to stay with the client. C) Let the staff know to keep the noise low outside this client's room. D) Stay with the client, sitting close by the bed, being with the client. If comfortable, ask permission and say prayers with her.

D

A nurse who works in the hospice area receives a call regarding a client who is having trouble with pain control. The nurse discusses with the family the medication regimen that the family has been using. The nurse realizes that the family has not been medicating the client appropriately, and further discussion reveals that the family "did not want to kill the client with medication and wanted their family member to be able to interact with him." The nurse explains to the family about maintaining therapeutic blood levels and sets up a schedule for the administration of pain medication around the clock with instructions to call (the nurse) if the family needs to do so. Which term best describes the functioning of the nurse? A) accountability B) responsibility C) authority D) autonomy

D

A nursing student originally born in the Philippines enters a nursing program in the United States to become an RN. Three semesters later, the student wants to quit the program. The student's advisor has observed this student eating alone in the cafeteria (classmates are all eating at a different table); studying alone in the library where classmates have joined various study groups; spends little time visiting with nurses on the clinical unit when their clients are sleeping. What term best describes what this student is experiencing? A) cultural diffusion B) cultural blindness C) cultural identity D) culture shock

D

An adjunct clinical faculty member is meeting with her fellow peers during the lunch hour. The faculty member is concerned about one of their students who is of Asian culture. The faculty expresses concern that the student's outward appearance is "cold and distant" since the student will not make eye contact with the faculty nor supervising RN. Which bit of information might help the faculty interpret this students actions? A) Give the student a written warning related to lack of interpersonal skills and ask them to explain their behavior. B) Ask other students if this student has a problems with making eye contact or if this is just normal for her. C) Suggest supervising RN staff write down their observations and share them with this student. D) Listen as other faculty share that this is the Asian way of conveying respect to those in authority.

D

During nursing fundamentals class, the professor begins by stating the most recent data from U.S. Census Bureau (2011) related to growth of various ethnic groups. The students are asked to vote for which group represents the fastest growth rate of ethnic groups (thereby leading to rise of this minority nursing population)? Which groups of students correctly answered this question? A) Group 1 voted American Indian/Alaskan Native. B) Group 2 voted Black/African American. C) Group 3 voted Hispanic/Latino. D) Group 4 voted Asian or Native Hawaiian/Pacific Islander.

D

Peer review activities are monthly occurrences on the medical-surgical unit of the local hospital. Which statement best describes the primary outcome for peer reviews? A) awareness of personnel concerns B) improved quality of client care C) awareness of practice concerns D) increased employee professionalism

D

When reviewing the history of the Civil Rights Movement in a history class, the nursing students identified which positive belief that encouraged the government to become more involved in health care? A) Anesthesia was introduced as a form of pain management following riots. B) Blood transfusions were discovered as a way to treat blood loss. C) Vaccines were proven unsafe and discouraged, especially marching in the Civil Rights Movement. D) Equal health care should become a basic right among all people.

D

Which assessment characteristic will the nurse need to know when taking care of an Asian client? A) advanced hair graying B) hair usually silky, black, and curly C) pallor appears as corn color D) areola and genitalia are darker

D

While attending a high school career fair, a nurse is asked "Why does no one want to be a nurse anymore?" Which would be the best reply, based on the health care workforce 2015 report? A) "Not true. There are thousands of nurses in the U. S." B) "The shortage relates only to the fact that more people are living longer and have more chronic diseases." C) "Today's nurses don't want to work the usual 40 hour/week." D) "There is not enough people interested in the profession so we attend events like this career fair to encourage you to considered nursing."

D

A 45-year-old individual has been transferred to Japan for work and has elected to utilize Japan's national health service model as insurance. Where does the national health service model get funding? A) general tax revenues B) nonprofit insurance funds C) individual purchase D) income tax revenues

A

A Category 4 tornado strikes a hospital in a mid-west city. Many staff and clients are injured or missing. When a community disaster occurs, uninjured nurses with backgrounds in trauma and intensive care will likely receive which assigned role? A) assisting in the rescue of victims in the field, triaging people for appropriate treatment B) assisting in communicating information about victims to families C) setting up temporary shelters for people affected by the disaster D) mobilizing supplies, and determining which clients can be discharged early to make room for other victims

A

A client has a fractured tibia/fibula that required insertion of pins and external traction. The client shares with their peers that they are concerned about getting a complication since "no one ever checks my lower leg for circulation and sensation." In legal terms, the staff is deviating from approved policies/procedures/standards and therefore at risk for being accused of which type of legal action? A) malpractice B) accountability C) incompetence D) battery

A

A client has just turned 50 and is persuaded by the spouse to have a complete physical examination. The client makes an appointment with the family doctor to determine their current state of health. What level of care is this client seeking? primary care secondary care tertiary care quaternary care

A

A hospice nurse has taken medications to a client's home for the purposes of pain control. A client dies, and the nurse is forced to flush all narcotic agents down the toilet to avoid use by any other person. What is the immediate effect on the environment? A) drinking water contamination B) increase in water pollution C) changes to wildlife habitats D) unforeseen human illness

A

A nurse arrives to the unit and learns that a colleague has called out sick so the nurse will be responsible for at least 10 clients for the shift. Several clients have returned from surgery and require close monitoring. Several other clients are older adults and in need of dressing changes and treatments. All clients have IVs and IV medications to be administered throughout the shift. What is the most prevalent ethical dilemma this nurse is facing, in light of the responsibility that the nurse needs to undertake? A) safety of all the clients B) enough time to complete responsibilities C) enough help to do a good job D) prioritization of needs based on situation

A

A nurse has developed a research study on her clinical unit. They are anxious to get started. However, before they can begin the actual data collection, what step in the research design must occur? A) Obtain approval from the institution and obtain client informed consent. B) Develop a data gathering instrument from scratch ensuring it is specific to the hypothesis. C) Seek counsel with risk management to review any critical incident they anticipate might occur. D) Find someone to collect data from the clients so objectivity can be maintained.

A

A nurse is caring for five clients. One client is having acute pain as the nurse walks into the client's room, the client states his/her pain level is a 5 out of 10 and is requesting more pain medication. The nurse retrieves the pain medication, but on the way to the client's room, the nurse is called by another nurse who needs help with an emergency situation. The first client does not receive the pain medication for another 30 minutes, at which point is in acute pain: 8 out of 10 on a 10-point pain scale. Which term best indicates the nurse's commitment to the first client? A) accountable to B) autonomous with C) authority over D) responsible for

A

A nurse is gathering information from research studies and evidence-based nursing practice on wound healing around colostomy pouches. The nurse has noticed that clients on the unit who utilize a specific product do better with wound healing than those who do not use this product when changing colostomy pouches. Which source of information is provided as evidence-based practice in this scenario? A) clinical experience data B) chart audit data C) benchmarking data D) quality improvement data

A

A nurse is working on a busy rehab unit caring for an immobile older adult client who has 3rd degree decubital ulcers on the sacral area. The health care provider has ordered the wound packed with a sugar/betadine paste "like in the old days." The RN recognizes this practice as not being based on research and not considered an appropriate treatment for this type of wound. What is the next step/intervention the RN should make? A) Research and find solid knowledge on current evidence-based practice (EBP) treatment options. B) Confront the health care provider at the nurse's station and refuse to carry out their order. C) Ask a peer to perform the treatment since the RN has never seen this done before. D) Document in the medical records the rationale as to why the prescribed order was not implemented.

A

A nurse is working on a doctorate degree in nursing. The nurse's employer has recently hired a group of nurses from the Philippines to help with their nursing shortage. This nurse has designed a quantitative research study looking at how foreign-born nurses view their role as "care provider". This is an example of what emphasis on quantitative research nursing practice focuses on? A) demonstrating an empirical, analytical emphasis B) demonstrating a human, science emphasis C) demonstrating an empirical, science emphasis D) demonstrating a human, analytical emphasis

A

A nurse practitioner who works in the hospital of a large suburban city is accountable for a health care practice involving 30 clients. A student nurse asks the practitioner "Which professional organization set up practice standards for service, practice, and education?" Which agency would be a correct response to this question? A) The American Nurses Association (ANA) B) Institute of Medicine (IOM) C) The National Council of State Boards of Nursing (NCSBN) D) The Joint Commission

A

A nurse, working on a doctorate degree, has begun collecting articles related to the research topic. Today, they took a step back and realized there was a "gap" in the nursing literature that could become his or her research topic. What phrase best describes this gap in the literature? A) research critique B) comprehensive literature review C) research collection D) defining variables

A

A nursing student is reviewing the history of the American health care system. He reads about the scientific advancements in the mid-to-late 1800s and is impressed with the use of the thermometer, laryngoscope, and the ophthalmoscope in the 1860s. What other scientific advancement occurred during this timeframe that advanced the health care providers diagnostic ability? A) anesthesia B) antisepsis C) x-ray D) hospital hygiene

A

A recent MI client that required stent placement located a blog talking about the research of Dr. Dean Ornish. He is currently refusing to take his statin medication and his ACE-inhibitor. He quoted the research stating "these people didn't have to take medication. I can control my disease with diet and exercise." The nurse researches the study and finds the details: less than 10% diet contains fats; vegetarian diet; 1 hour of meditation/day; at least 1 hour of cardio exercise/day. The client is unwilling to become a vegetarian and does not have time for all the exercise and refuses to meditate. This is an example of the nurse performing which role related to their professionalism? A) working collaboratively with empowered clients B) being accountable for decisions made by their clients C) providing the clients with the defeatist opinion on their lack of knowledge D) delivering reasonable care to this client in the form of "education"

A

After a busy day at the office, the nurse comes home and begins to make dinner. Currently, they are the only person home and are enjoying a few moments to relax and unwind from their busy day. This time to relax and release emotional feelings helps foster which type of health? A) psychological B) physical C) social D) global

A

An Asian American nurse practitioner is working in an urban area with a large percentage of the population being of middle eastern decent. One client has chronic pain from a back injury. In addition to giving medications, this healthcare provider suggests the use of meditation and acupressure. This is an example of which concept that is included in Purnell's model for cultural competence? A) Acculturation, taking the best of both cultures and blending them into one. B) Assimilating, adoption of group culture by members of a different culture. C) Diversity, differences within the groups. D) Empathy, expressive concern and the ability to see experiences as the client sees them.

A

Research utilization model is a term that a nurse was trying to define, but the nurse could not come to grips with what it meant to the profession of nursing. In trying to determine the importance of the concept, the nurse came across a model where a five-phase, critical-thinking and decision-making process assists the individual practitioner in using published research. Which model uses published research? A) Stetler's research utilization model B) Theory of diffusion of innovations C) Iowa model D) Thunder project by AACN

A

The nurse is performing a cultural assessment on a client. Which question would a nurse use to obtain data about social life? A) How do you spend your free time? B) Who lives in your home with you? C) What support systems do you have outside the home? D) Do you have any rituals or habits that we need to be aware of while you are in the hospital?

A

When the nurse analyzes accountability to the agency, which question best provides a self-assessment of professional accountability? A) Am I seeking to ensure that I am practicing under safe, if not optimal, conditions? B) Am I incorporating what I know of nursing theory and research into my practice in this situation? C) Am I complying with the ethical code of the profession? D) Am I acting in accordance with my own ethical code and that of the profession?

A

When the nurse analyzes accountability to themselves, which question provides a self-assessment of professional accountability? A) Should I seek additional preparation (education) for that role? B) If I am not satisfied with that job description, am I seeking appropriate ways to change it? C) Am I working in accordance with the policies and procedures of the institution? D) Am I complying with the ethical code of the profession?

A

Which energy-conserving strategies can impact positively on the home environment of a client? A) close blinds, shades, and curtains during the summer B) limit vehicle warm-ups to 30 seconds C) buy canned soup instead of instant soups D) mow the lawn in the evening

A

Which environmental factor in the hospital workplace can contribute to and impair a nurse's health? A) sharps disposal container that is full B) nonlatex gloves used throughout the hospital C) malnourished client D) wearing a surgical mask throughout a long procedure

A

When discussing "Obamacare" in a classroom discussion, many students identified which outcomes as being positive following implementation of the Affordable Care Act (ACA)? Select all that apply. A) Young adults (ages 19 to 26 years) were able to stay on the health insurance policy of their parents. B) Availability of more free-standing specialty outclient surgery centers resulted in decreased health care costs. C) All 50 states expanded Medicaid coverage for persons with incomes up to 400% of the federal poverty level. D) Closing smaller healthcare organizations resulting in consolidation of care that was financially better for their out-of-pocket expenses. E) No changes were made to the choice of health care providers the client could choose to go to for care.

AB

An occupational health nurse is presenting a seminar on environmental factors and the quality of human health. Which signs/symptoms shared by an audience member leads the nurse to suspect they may be exposed to air pollution? Select all that apply. A) Just walking to the microphone brings on shortness of breath. B) Has been out sick with pneumonia three times in the past year. C) Noticeable joint abnormalities on hands, bilaterally. D) States they have developed "asthma" in the past year requiring inhalers. E) Spouse complains that their snoring has gotten louder in the past year.

ABD

When caring for an individual of Japanese culture who speaks primarily Japanese, what should the nurse due prior to performing the initial physical assessment? Select all that apply. A) Ask the client for permission to touch them. B) Call their American-raised children and ask if there is anything you (the nurse) should know before during a complete head-to-toe assessment. C) Contact an interpreter to attend the first assessment so factual information about their signs/symptoms can be shared. D) Rely on the unlicensed assistant personnel (UAP), who is also of Asian descent, to help you perform the assessment for the first time. E) Ask family members who know ESL to translate word-for-word what information you (the nurse) are trying to obtain.

AC

Some nurse managers have enrolled in a healthcare financial class at a local college. These nurses were asked to prepare a presentation on healthcare cost. The group decided to divide topics among themselves. Which topics would be appropriate to include in this presentation? Select all that apply. A) Percentage of rise in healthcare cost when compared to rate of inflation. B) Impact of limited choice of health care providers willing to see clients with certain healthcare plans. C) Disproportion of health insurance cost from entry level worker making low wages compared to those in upper management. D) Workers with no health insurance ignoring manifestation of disease until it becomes life-threatening. E) Increase use of alternative medical practices rather than seeking care from a health care provider because of cost differences.

ACD

Which clients would the RN consider delegating the task of assisting with feeding to the UAP? Select all that apply. A) Client with mobility problems related to a sacral spinal cord injury many years ago. B) Client with new onset right-sided CVA with paralysis on left side and some speech difficulties. C) Client with Multiple Sclerosis who is confined to a wheelchair for mobility. D) Client with terminal lung cancer with metastasis to liver and bone having difficultly controlling their bowel/bladder. E) Client admitted in acute respiratory failure who is on 40% oxygen via venti-mask who is struggling to breathe and maintain oxygen saturation levels.

ACD

In community health nursing class, the students and faculty discuss what impact global warming has on the human population. Which health problems should nurses assess for as a result of global increase in temperature? Select all that apply. A) increase in malaria (caused by mosquito bites) B) asthma diagnosis decrease as changes in ozone layer destroy certain allergens C) more cases of Shigellosis, a water-borne illness D) more women developing preeclampsia during pregnancy E) mercury level of ocean fish rise as water temperature rises

ACDE

A 95-year-old client is admitted to the hospital with dehydration secondary to a fall that occurred 3 days prior to admission. The client's adult child found the client on the floor. The client was unable to reach a phone to call for help. At the hospital, health care providers stated that the client was not a candidate for surgery due to the client's age and anticipated quality of life. Which challenge of the health care delivery system correlates with the situation? A) allowing consumer participation in the provision of health care services B) determining the optimal balance between illness treatment and quality of life C) providing both preventive and curative services D) attaining an effective system using governmental support and private resources

B

A Filipino nurse practices nursing in a hospital in the United States. In looking at the definition of cultural competence, a life-long journey that requires the elimination of ethnocentrism (belief that one's way is best) and an unconditional acceptance of cultural diversity, the nurse is moved to provide an in-service on cultural factors to enhance nursing care. Which step to acquire cultural competence involves learning how to read verbal and nonverbal messages? A) becoming culturally aware B) learning specific communication strategies C) identifying biases in one's own self D) interacting with different cultures

B

A client comes to the hospital for a surgical procedure. On day 2, the client experienced a fever and required antibiotic therapy. The client was originally supposed to go home on day 2 but as a result of the fever stayed an extra day and then went home with oral antibiotics. As a result of accurate documentation, what would be the positive outcome to the facility? A) client's fever was treated B) reimbursement by third-party payer C) family reunited with loved one D) nurse satisfaction with resolution of fever

B

A client is seen in an urgent care clinic for a broken leg which was splinted and client sent home. The client called their primary care health care provider to find out what should be done after the injury. The doctor directed the client to the emergency room where an orthopedic surgeon was consulted and performed surgery to place a pin in the leg. What kind of care was provided to this client when care was transferred from the emergency room health care provider to the orthopedic surgeon? A) primary care B) secondary care C) tertiary care D) quaternary care

B

A couple went to Rio de Janeiro for an extended honeymoon. While there, they went on a rainforest tour where they found out that they were ill-informed about how bad the mosquito population was. About a month after return to U. S., they found out they were pregnant. What is the main concern for the fetus that has possibly been exposed to Zika virus through a mosquito bite early in the pregnancy? A) Tetralogy of Fallot B) Microcephaly C) Gastroschisis D) Hydrocephaly

B

A nurse documents a Foley catheter insertions by clean technique since they were told by administration to decrease expenses like use of sterile gloves to a minimum. Who is liable if the client develops urinary tract infections (UTIs) that extend their hospital stay by 2 days and upsets the family to the point of "contacting a lawyer"? A) the nurse administrator B) the nurse performing the procedure C) the healthcare provider D) the chief financial officer

B

A nurse educator attends a conference focused on teaching nursing models specifically related to culturally diverse groups of populations. This educator got into a discussion with other attendees about development of a deep self-awareness of personal existence, feelings, ideas, and emotions while not allowing these to influence actions/interventions when working with persons from other cultures. This discussion group is primarily talking about which transcultural nursing theory? A) Leininger's sunrise model and theory of culture care diversity and universality B) Purnell's model for cultural competence C) Spector's model of heritage consistency D) Giger and Davidhizar's transcultural assessment model

B

A nurse has been assigned to care for an African American male following their abdominal surgery. When assessing the African American male, the nurse is aware of differences in this population. Which assessment finding would lead the nurse to suspect the client is hemorrhaging into their abdomen? A) Development of petechiae on both arms. B) Skin is ashen or slightly gray in color. C) Inflammation is more detectable by visual means. D) Skin is warm and dry to touch.

B

A nurse is conducting a research study and has some difficulties during the project. Which is a barrier to research utilization in nursing? A) positive beliefs and attitudes toward nursing research by the clinician B) difficulty determining if studies are well designed and scientifically sound C) professional characteristics of clinicians such as openness D) postgraduate education level concentrating on research design.

B

A nurse is taking a class on nursing research. The student is preparing to defend their thesis and thinks about all the contributions that can be made to the nursing profession. Which contribution can a baccalaureate nurse provide to research in the profession of nursing? A) participating in nursing education projects B) suggesting nursing research questions C) using nursing research findings for discussion D) promoting a sense of encouragement for colleagues

B

A nurse is utilizing Rogers' Diffusion of Innovations theory to study the use of "slick sheet" system to assist nurses in turning immobile clients. The nurse is visiting with their colleagues asking further opinions about trying the "slick sheet" for one month. The nurse is in which stage of the Rogers' theory of Diffusion of Innovations process? A) Stage 1—Knowledge B) Stage 2—Persuasion C) Stage 3—Decision D) Stage 5—Confirmation

B

A nurse is working on their thesis as part of their Master's degree requirements. After a long day of research, the nurse shared with their faculty advisor, "I just want to study this topic. Why do I have to read everyone else's' study on this topic?" Which is the best response by the faculty advisor as to the purpose of the initial review of the literature? A) to raise more questions about the topic B) to help the researcher develop a strong knowledge base C) to describe how others define the subject D) to develop preconceived ideas about the topic

B

A nurse researcher has developed a hypothesis. Now they are evaluating the type of research design suitable for the study. They basically want to manipulate two specific variables on other variables. In consultation with their faculty advisor, which research design would be best for the proposed research hypothesis? A) a descriptive design B) an experimental design C) an historical design D) ethnographic research

B

A nurse was discussing the environment with a local nursery worker when purchasing plants for the garden. On the way home, the nurse begins to think about how the environment affects all of us. When looking at the global environment, which global problem can be attributed to placing a demand on the environment for more food, water, and space? A) global warming due to melting of icebergs B) increased population growth C) pollution caused by automobiles D) age of convergence (when income of poorer nations exceeds that of rich nations)

B

A nurse working in the emergency department is designing a research topic related to workplace hazards. Which professional associations/ governmental agencies conducts ongoing studies related to workplace hazards for nurses and may provide a wealth of knowledge for this nurse researcher? A) Oncology Nursing Society B) American Nurses Association C) American Association of Critical Care Nurses D) National Institute for Nursing Research

B

A nursing education department in the hospital supports and encourages clinical research of its nurses. What motivating factors may best facilitate research utilization by the nursing staff? A) change in values related to research by administration B) promotions or salary increases for use of research in practice C) increased time to participate in research utilization activities D) provision of time for nurses to read research reports while off duty

B

A student nurse graduates from a university with a bachelor's degree in nursing. After successfully passing the state boards, the nurse decides to pursue employment at a local hospital on medical-surgical unit. There are many openings due to the current nursing shortage. Which factor is contributing to the current global nursing shortage? A) low turnover rates so that jobs are hard to find B) nursing faculty shortage limiting the number of students accepted into nursing school C) overstaffing in acute- and extended-care settings D) reduced number of persons entering the profession

B

A worker in Brazil utilizes the mandated health insurance model for health care insurance. When describing the mandated health insurance model to an American friend, the worker will discuss the funding occurs through which revenue source? A) income tax revenues B) nonprofit insurance funds C) individual purchase D) general tax revenues

B

An occupational health nurse is presenting a seminar on environmental factors and the quality of human health. This hospital is considered a "Magnet Hospital" model. These hospitals provide empowering environments for nurses. Which statement would be considered an essential element displayed by the nursing staff in this hospital? A) perceived chronic understaffing offering bonus for nursing working overtime B) clinical competence in colleagues who engage in research activities C) control of policy and procedures rests with an administrative committee D) nurse and health care provider competition to challenge up-to-date EBP

B

During the first lecture in the [Nursing] Professional Developmental class, the faculty discuss the 2015 National Workforce Survey of Registered Nurses. One student who was of Hispanic nationality asked, "I know lots of Hispanic/Latino people living in this area. How many licensed nurses are currently working as an RN in the U. S.? What is the most accurate answer the faculty can give to this question? A) Less than 1% of the nursing workforce is of Hispanic/Latino decent. B) About 3% of the national workforce of RNs are Hispanic/Latino. C) Black/African Americans are the largest ethnic group of nurses. D) Sadly, this ethnic culture rarely go to college let alone nursing school.

B

In Haiti, a hurricane has brought about a large death toll, especially due to the heavy rains afterward. Many victims lived in a new "flood plain" area since rainforest trees were cut down, making way for the building of structures. The text would consider this which type of "environmental surprise." A) discontinuity B) synergy C) unnoticed trend D) catastrophe

B

The nurse is performing a cultural assessment on a client. Which question would a nurse use to obtain data about values orientation? A) Do you speak more than one language? B) What things in life matter the most to you? C) What are your beliefs about health and illness? D) What are your attitudes about food and time?

B

When asked by a foreign exchange student why health care costs are so high when compared to their small country, the parents of the American student identifies which sources to be responsible for the higher cost of health care? A) American nurses demand higher pay than the nurses in their small country. B) The increased use of highly technical equipment and expensive medications fuels rising costs. C) The internet is utilized by many clients who ultimately demand the most expensive diagnostic tests, meals, and medications. D) Overall, the U. S. just takes better care of their people than most other countries.

B

When the nurse analyzes accountability to the public, which question best provides a self-assessment of professional accountability? A) Am I seeking to ensure that I am practicing under safe, if not optimal, conditions? B) Am I speaking out against abuses I see in health and nursing care? C) Am I satisfied with my chosen profession? D) Should I seek additional preparation for that role?

B

When trying to identify how to write conclusions and implications regarding their research study, a nurse researcher discusses with the mentor the factors involved with the project. Which factor best describes differences related to quantitative and qualitative research findings when writing conclusions for the written thesis? A) The quantitative approach utilizes more statistical analysis than do qualitative studies. B) The quantitative approach utilizes a theoretical approach; the qualitative approach uses development of new nursing knowledge. C) Qualitative studies provide a foundation for future hypothesis testing; quantitative studies do not. D) Qualitative studies have more generalizations than do quantitative studies.

B