ROLE AND SCOPE FINAL MINE

A public health nurse is planning an educational session with a new diabetic, place in order the education plan.

1. Spend time with patient and family and assess needs. 2. Create a teaching plan. 3. When giving the first lesson the pt has pain and you give pain med before going on. 4. Instructs client on different methods. 5. Do teach back. 6. Document

What kind of conflict situations do nurses often encounter during their shift?

1.uncooperative patients 2. coworkers with different work ethic 3. hostile healthcare providers 4. Authoritarian administrators

A charge nurse has heard a staff registered nurse (RN) complaining about her handling of the work schedule. The charge nurse decides to have a private meeting with the RN so that they can focus on the problem and negotiate a better schedule for both of them. What strategy of conflict resolution is the charge nurse using? A. Submissive B. Aggressive C. Assertive D. Divisive

c.Assertive

A nurse says, 'I just joined my med surg nursing association and nurse manger says, "you should join ANA too", nurse asked 'why'?

-Specialized nursing organizations can decrease the unity and power that nurses have in the ANA

The new chief nursing officer (CNO) asks the unit charge to report on prevalence of pressure ulcers on the unit. The charge nurse selects January 2019 through June 2019 as the time period for this prevalence rate. During that time, 75 clients were receiving care on the unit. The records show that 20 clients developed pressure ulcers during that time. What is the prevalence rate of pressure ulcers on the unit? A. 26.7% B. 34.6% C. 37.5% D. 2.8%

A. 26.7%

A nurse with two years of bedside nursing experience is speaking with a coworker about the possibility of leaving the profession. He tells the coworker that he is frustrated and anxious, to the point that he is experiencing headaches, because he cannot spend as much time with the clients as he once thought he would. What is the condition being experienced by the nurse? A. Burnout syndrome B. Cyclical shortage C. Professional conflict D. Stamina syndrome

A. Burnout syndrome

Which of the following has not contributed to the ongoing nursing shortage? A. Higher salaries for night shift nurses B. Stressful working conditions such as short staffing C. Aging populations with increased health care needs D. Lack of equitable pay for increasingly demanding work

A. Higher salaries for night shift nurses

A nurse is caring for a client who is experiencing pain. Which statement by the nurse to the client best demonstrates the principle of fidelity? A. "I am here to check on your pain level like I said I would. How are you feeling now?" B. "I do not want to cause any more undue harm to you, so I will let you sleep." C. "You probably should not have let the pain get so bad; now it will be harder to control it." D. "You are doing so well with your pain management regimen."

A. I am here to check on your pain level like I said I would. How are you feeling now?

The Institute of Medicine has recommended that nurse residency programs be established to help new nurses make the transition from the sheltered environment of nursing school to the practice setting. What is a primary advantage for a nursing graduate to complete a nurse residency program? A. Nurse residency programs help develop new nurses' skills, increase their knowledge, and aid them in providing safer B. Health-care employers today are looking for nurses who believe that any job in a hospital is a good place to start. C. Research has shown that up to 70 percent of employers have rejected potential employees because of information found online. D. Nurses that do not complete such programs have poor coping behaviors and may turn to overeating and overuse of alcohol.

A. Nurse residency programs help develop new nurses' skills, increase their knowledge, and aid then in providing safer client care

A nurse researcher wishes to gain an understanding of how individuals construct meaning in their world by measuring "caring interventions" among graduate nurses. Which type of study would be most helpful for this nurse to conduct? A. Qualitative research study B. Quantitative research study C. Comparative Effectiveness study D. Needs assessment study

A. Qualitative research study

According to expert nursing theorists, nursing does not meet all criteria for the status of a "profession". Where do nurses need to focus energy to meet the definition of profession? (Select all that apply.) A. Raising the educational requirements for professional nurses B. Practice independently as professionals C. Increase membership in professional nursing organizations D. Create more rigorous entry requirements for LPN programs E. Commit to nursing and be dedicated to its future as a profession

A. Raising the educational requirements for professional nurses B. Practice independently as professionals C. Increase membership in professional nursing organizations E. Commit to nursing and be dedicated to its future as a profession

A registered nurse (RN) from the operating room is told by the charge nurse to report (float) to the intensive care unit (ICU) for several hours until relief can be sent. The nurse has never worked in the ICU before. Which action should the RN take first? A. Report to the ICU and do the tasks which the nurse can safely perform. B. Call the nursing supervisor and complain about the assignment. C. Refused to flow to the ICU as the nurse does not have any experience there. D. Tell the charge nurse that it is ok this time, but it if it happens again, the nurse will quit.

A. Report to the ICU and do the tasks which the nurse can safely perform

In 2008, the Institute of Medicine (IOM) began a two-year study to respond to the changing needs of the nursing profession. The resulting work of the committee came up with four recommendations for the Future of Nursing. Which one is not one of those recommendations? A. Nurses should practice to the full extent of their education and training B. Associate Degree programs in nursing should be eliminated C. Nurses should be partners with physicians and other health care professionals in developing health care policy D. Effective planning and policy making require better data collection and information infrastructure

B. Associate Degree programs in nursing should be eliminated

A nurse who is also a graduate student is preparing to research the effects of aromatherapy on post-operative clients. Which ethical principle must the nurse adhere to when recruiting clients for the study? A. Authority B. Autonomy C. Beneficence D. Collaboration

B. Autonomy

Two floor nurses are arguing over the usage of the unit's only available computer. The manager needs to help settle the dispute and listen to both sides. In doing so, the manager recognizes what fact about conflict? A. Conflict is always a negative and destructive emotion. B. Conflict can sometimes be used to generate a solution to a problem. C. Conflict needs to be expressed immediately to prevent break downs. D. Conflict should be held inside as controlled rage

B. Conflict can sometimes be used to generate a solution to a problem

During a fire drill, several clients in the psychiatric unit become agitated. The nurse manager quickly assigns a staff member to each client. In which situation is this autocratic decision style most appropriate? A. Routine problems. B. Crisis situations. C. Managers who prefer a "telling" style. D. Followers who cannot agree on a situation

B. Crisis situations

A novice nurse is having difficulty transitioning from working with a preceptor to functioning independently. The nurse has been overheard to say, "That isn't the way I was taught," and "How am I supposed to get this all done on time?" What problem has the novice nurse experienced? A. Recission B. Culture shock C. Root cause analysis D. Six Sigma strategy

B. Culture shock

Which of the following applies to delegation in nursing? (SATA) A. Delegation is the transfer of accountability, for the performance of an activity. B. Delegation is the transfer of responsibility for the performance of tasks and skills without the transfer of accountability for the ultimate outcome. C. The failure to assign, delegate, and supervise within acceptable standards of professional nursing practice may constitute malpractice. D. Delegation is complex, because it involves relationships and the ability to communicate with all levels of staff personnel. E. Registered nurses are ethically and legally accountable for the standards of practice and nursing actions delegated to others. F. Only the unit's manager has the authority to delegate any nursing task.

B. Delegation is the transfer of responsibility for the performance of tasks and skills without the transfer of accountability for the ultimate outcome C. The failure to assign, delegate, and supervise within acceptable standards of professional nursing constitute malpractice D. Delegation is complex, because it involves relationships and the ability to communicate with all levels of staff personnel E. Registered nurses are ethically and legally accountable for the standards of practice and nursing actions delegated to others

A babysitter has brought a six-year-old client to the emergency department with a fractured ulna. The arm appears to need surgical repair. What is the nurse's priority action? A. Prepare the child for the surgery on his arm. B. Determine who may sign the consent for treatment for the child. C. Teach the client about the care of the cast he will receive. D. Determine who will pay the portion of the bill not covered by the insurance.

B. Determine who may sign the consent or treatment for the child

Which phrase best describes the term negligence? A. Negligence is professional misconduct or unreasonable lack of knowledge or skill. B. Negligence is the failure to use such care as a reasonably prudent and careful person would use under similar circumstances. C. Negligence is a generic function that includes focusing on completing the work that must be done. D. Negligence is the capacity or ability to direct or influence the behavior of others or the course of events.

B. Negligence is the failure to use such care as a reasonably prudent and careful person would use under similar circumstances

In health care, which of the following attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly the first time and each time thereafter? A. Six Sigma B. Quality assurance C. Risk management D. Care management

B. Quality assurance

Which agencies have the power to grant licenses, approve nursing programs, and establish specific regulations for nursing practice? A. National League of Nursing (NLN) B. State Boards of Nursing C. American Nurses' Association (ANA) D. Federal Department of Health

B. State Boards of Nursing

A nurse from the neonatal intensive care unit (NICU) is floated to the emergency department (ED) for the day. Which of the following clients should the charge nurse assign to the NICU nurse? A. A 57-year-old client with chest pain and an ECG showing elevated ST segments. B. An 80-year-old client with acute respiratory distress for whom his wife wants everything done. C. A 24-year-old client who fell from a rooftop and has a fractured humerus with no other trauma. D. An 18-year-old with fever and expiratory wheezing

C. A 24-year-old client who fell from a rooftop and has a fractured humerus with no other trauma.

A Day shift nurse has just begun work and has received a report for four clients. Which one should the nurse see first? A. A client who is scheduled for a chest x-ray to rule out pneumonia. B. A client with a new below-the-knee amputation needing a dressing change. C. A client on 2L of O2 per nasal cannula who had difficulty breathing during the night. D. A client who had a hip replacement, scheduled to be discharged to a rehabilitation center

C. A client on 2L of O2 per nasal cannula who had difficulty breathing during the night

A client with diabetes mellitus had been brought, unconscious, to the emergency department with a history of fluctuating blood sugar levels and alcoholism. The client is breathing and has a strong pulse. What is the nurse's priority action? A. Call the health care provider at once B. Administer a dose of insulin C. Check the client's blood sugar D. Start an IV for rapid hydration of dextrose

C. Check the client's blood sugar

A graduate nurse is about to take the NCLEX and asks a nursing instructor for advice which she then shares with another graduate nurse. Which statement by the graduate nurse requires correction? A. Look for critical or key words in the questions to help choose the right answer B. Read the entire question carefully before selecting an answer C. Choose the answer based on your previous real-world experience D. Identify positive and/or negative words in each question

C. Choose the answer based on your previous real world experience

The registered nurse (RN) has asked the unlicensed assistive personnel (UAP) on the unit to perform some tasks for her. Which task is within the scope of the practice of the UAP? A. Interview a newly admitted client about his health history B. Provide information on the client's upcoming magnetic resonance imaging (MRI) C. Collect and measured urinary output D. Escort a disoriented client to the client lounge

C. Collect and measure urinary output

The nurse asks why he should consider joining the American Nurses' Association. What should be the nurse manager's response? A. Other organizations do not really care about medical-surgical nurses. B. Legislator prefer to work with the largest organizations to get all their information on nursing issues. C. Formal nursing organizations can increase the unity an influence that nurses have. D. Diversity in nursing is difficult enough without adding the burden of nursing organizations.

C. Formal nursing organizations can increase the unity and influence that nurses can have

A nurse has just received report. Which of the following clients' finding should be assessed first? A. Blood pressure of 104/68 mm Hg in a dehydrated client B. Blood glucose of 141 mg/dl in a client with diabetes mellitus C. New onset of confusion in a client with a right femur fracture D. Decreased bowel sounds in a client who is one full day post-operative

C. New onset of confusion in a client with a right femur fracture

A charge nurse observes that a staff nurse is not able to meet client needs in a reasonable time frame, does not problem-solve situations, and does not prioritize nursing care. What is the most appropriate action for the charge nurse? A. Supervise the staff nurse more closely so that tasks are completed B. Ask other staff members to help the staff nurse get the work done C. Provide support and identify the underlying cause of the staff nurse's problem D. Report the staff nurse to the supervisor so that something is done to resolve the problem

C. Provide support and identify the underlying cause of the staff nurse's problem

A clinical instructor is teaching which actions nurses can initiate without a provider's prescription. The students should identify which of the following interventions as nurse - initiated? (SATA) A. Give morphine sulfate 1 to 2 mg IV every 1 hr as needed for pain B. Insert a nasogastric (NG) tube to relieve a client's gastric distention C. Reposition a client every 2 hr to reduce pressure ulcer risk D. Show a client how to use progressive muscle relaxation E. Perform a daily bath after the evening meal

C. Reposition a client every 2 hr to reduce pressure ulcer risk D. Show a client how to use progressive muscle relaxation E. Perform a daily bath after the evening meal

. A nurse is planning care for a group of clients. Which of the following principles need to be remembered regarding client centered care? A. Goals should be centered on the disease process. B. Resource acquisition is for the family members. C. The client needs to be partners in care. D. Nursing interventions are based upon physician orders.

C. The client needs to be partners in care

. A new unlicensed assistive person (UAP) has begun his first shift on the unit. The charge nurse is also new to the position and to the state. What is the first thing the charge nurse needs to know before making an assignment for the UAP? A. From what school did the UAP graduate B. Is the UAP able to prioritize client care in an efficient manner C. What is the scope of practice for the UAP D. How well does the UAP get along with the clients on the unit

C. What is the scope of practice for the UAP

A novice nurse is having trouble delegating tasks to other members of the health care team. The nurse prefers to do the tasks himself. What is a possible reason for this reluctance to delegate? A. Role modeling behaviors of a preceptor B. The philosophy of the new nurse's school of nursing C. The orientation provided to the new nurse D. Lack of confidence in the delegation process D. Lack of confidence in the delegation process

D. Lack of confidence in the delegation process

A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is most helpful and appropriate? A. "Why didn't you voice your concerns before the new policy was implemented?" B. "Being open to change is an expectation of the nurses who work on this unit." C. "You should support this policy change because it was based on evidence-based practice." D. "Let's talk about your concerns about the new policy."

D. Let's talk about your concerns about the new policy

A client in a long-term care facility is about to receive a feeding through a nasogastric (NG) tube. Which assignment is most appropriate for the unlicensed assistive personnel (UAP)? A. Check the placement of the NG tube B. Document the feeding after it is given C. Flush the tube before and after the feeding D. Obtain the feeding formula from the nutrition department

D. Obtain the feeding formula from the nutrition department-Get tube feeding

In order to gain freedom and independence, what corresponding factors must the nursing profession embrace? A. Health and happiness B. Chaos and disorder C. More control but less feedback D. Responsibility and accountability

D. Responsibility and accountability

A nurse manager implements a new protocol used in a randomized controlled trial to decrease the number of ventilator-associated pneumonia (VAP). However, after careful evaluation of outcomes, the nurse discovers that the incidence of VAP on the unit has remained the same. What is a possible reason for the lack of improvement in VAP cases on the unit? A. Staff member's enthusiasm for a new protocol B. The research was flawed or outdated C. The study was of a qualitative nature and not applicable to the unit D. Staff's lack of commitment to implementing the protocol

D. Staff's lack of commitment to implementing the protocol

A chief Nursing Officer (CNO) is providing an in-service to a multidisciplinary group of healthcare professionals. The CNO begins the meeting by giving a short but positive introduction to the members, praising their involvement on the team. By doing so, what is the CNO attempting to do? A. Invite more disciplines to join in the scheduled meetings B. Establish nursing's role as the head of all collaborative efforts C. Create an environment of laissez-faire leadership so improved client outcomes can be measures. D. Support collaborative care by recognizing each discipline's unique contribution to client care

D. Support collaborative care by recognizing each discipline's unique contribution to client care

15. The nurse is working in the Emergency Department and has just received report from the previous shift. Which client should the nurse see first? A. The client with a headache and productive cough. B. The client with a second-degree sunburn over 60% of his posterior trunk C. The client who fell off a ladder and suspects his wrist is broken D. The client who was stung by wasps and his hives and wheezing

D. The client who was stung by a wasp ad has hives and wheezing

A home health nurse is planning an educational session with a newly diagnosed client who has diabetes mellitus. What is the first action the nurse needs to take to develop a comprehensive educational plan for the client? A. The nurse spends time with the client and family to assess their needs and to determine their abilities. B. The nurse creates a teaching plan with the goals to be accomplished. C. The nurse instructs the client, using a variety of teaching methods, including pictures and demonstration. D. The nurses has the client "teach back" or demonstrate that he knows what is expected.

D. The nurse has the client "teach-back" or demonstrate that he knows what is expected

. A school nurse has been caring for a child who fell and hurt his ankle on the school playground. The child's mother has arrived at the school's health clinic. The nurse has recommended that the child be taken to a healthcare provider for further evaluation. In which of the following situation should the nurse intervene? A. The mother states that she has to go to work later that day. B. The child says his ankle hurts, and he just wants to go home. C. The mother says she is afraid the ankle may be sprained. D. The nurse smells alcohol on the mother's breath.

D. The nurse smells alcohol on the mother's breath

Which is NOT a primary reason for the increased demand for Registered Nurses (RNs) in the United States (U.S.)? A. The US has an older population with increased healthcare needs B. A high percentage of RNs who are currently working will retire within the next 10 years C. It is projected that some nurses will leave the profession after the economy recovers to seek more lucrative jobs D. The professional image of nurses portrayed in the media is believed by the public

D. The professional image of nurses portrayed in the media is believed by the public

A nurse manager is explaining the importance of developing leadership skills to a group of novice nursing students. What must the nurse manager emphasize? A. Most nurses are not expected to assume leadership roles B. The role of nurse leadership is only at the bedside C. Only individuals in formal leadership roles are expected to be leaders D. The public depends on nurses to assume leadership in moving health concerns forward

D. The public depends on nurses to assume leadership in moving health concerns forward

The Institute of Medicine (IOM) described five areas of competency for nurses. Client centered Care, Teamwork, Evidence-based Practice, Quality, and Informatics. The Quality and Safety Education for Nurses (QSEN) project took the five competencies of the IOM and added one more. What was added to make six competencies? A. Prescriptive Care B. Risk Management C. Safety D. Six Sigma

c. Safety

A new nurse asks her preceptor about the purpose of the Quality and Safety Education for Nurses (QSEN) project. Which of the following answers she receives is most accurate? A. Founded in 1893, QSEN was the first professional nursing organization in the United States. B. QSEN developed safety competencies for nurses to address the knowledge, skills, and attitudes needed to give safe, evidence-based quality care. C. QSEN is the premier nursing organization representing the nations 4 million registered nurses to provide universal access to essential health care services for all clients. D. QSEN's mission is to support innovative medical care delivery methods designed to lower the cost of health care for all Americans.

QSEN developed safety competencies for nurses to address the knowledge, skills and attitudes needed to give safe, evidence-based quality of care

. Match the term with the proper definition. The nurse's obligation to avoid causing harm to a client= Nonmaleficence The nurse's duty to be truthful and honest = Veracity Keeping one's promise to the client = Fidelity Care given that is in the best interest of the client = Beneficence The client;s ability to make personal decisions even when those decisions are not in the client's best interest = Autonomy

The nurse's obligation to avoid causing harm to a client= Nonmaleficence The nurse's duty to be truthful and honest = Veracity Keeping one's promise to the client = Fidelity Care given that is in the best interest of the client = Beneficence The client;s ability to make personal decisions even when those decisions are not in the client's best interest = Autonomy

The evening charge nurse takes control of the unit when she is working her shift. She follows a strict schedule and gives the unit specific instructions that she expects to be followed throughout the shift. She is not one to take suggestions from others. What leadership style is the charge nurse using? A. Intelligence B. Democratic C. Authoritarian D. Transactional

c. Authoritarian

A nurse is working on a Master's Degree Capstone project and researches the factors that will influence the future of nursing. What will the nurse most likely discover? A. The aging of the population in the United States has created an increase in chronic illnesses. B. The increase in the birth rate of Caucasian people in the United States has created a crisis. C. There is an increasing apathy to health care prevention among young adults in the country. D. There is little that can be done to educate people on preventative health care measures.

a. The aging of the population in the United States has created an increase in chronic illnesses

The Joint Commission requires documentation of client teaching in the charts and makes "surprise" visits to facilities to ensure the teaching plans are being followed. Why is this focus on client teaching so important? A. Inadequate client education can be harmful to clients with chronic illnesses, contributing to problems leading to increased pain, disability, and premature death. B. Nurses are not usually very responsible for providing health information to the client in a language and at a level they understand. C. Core measures have been shown to reduce the risk of complications in the majority of clients who come to a hospital for treatment of a common condition or illness. D. The interned has made the provision of client information more negative and has put many resources in the homes of clients

a.Inadequate client education can be harmful to client with chronic illnesses, contributing to problems leading to increased pain, disability, and premature death

A nurse manger encourages staff to work it out between themselves when conflicts occur between 2 nurses. What leadership style is this? A. Authoritarian B. Laissez-faire C. Democratic D. Autocratic

b. Laissez-faire

A graduate nurse tells a peer that he wants to work in a hospital that has achieved a Magnet status. The peer asks why it would matter. What is the nurse's best response? A. A Magnet hospital has not yet been officially recognized by any professional organizations B. Magnet hospitals are the federal government's attempt to increase health-care coverage for large numbers of uninsured citizens. C. Magnet status is a project to improve evidenced-based practice by focusing on student participation. D. A Magnet facility has been certified as giving nurses more control over their practice and thus has higher job satisfaction and a lower nurse turnover rate.

dA Magnet facility has ben certified as giving nurses more control over their practice and thus has higher job satisfaction and a lower nurse turnover rat