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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 exam - CORRECT ANSWERS D)
Attending a review course in preparation for a certification exam
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 rehab 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 -
CORRECT ANSWERS 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
E) Teaching a class to parents at the local elementary school about the importance of immunizations
Which of the following statements is true regarding Magnet status recognition for a hospital?
A) Nursing is run by Magnet manager who makes decisions for the nursing units
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 - CORRECT
ANSWERS Magnet is a special designation for hospitals that achieve excellence in nursing
practice
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 medical-surgical unit
D) Performing endotracheal suctioning for a patient of a ventilator in the medical ICU - CORRECT
ANSWERS D) Performing endotracheal suctions for a patient of a ventilator in the medical
ICU
A nurse 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 ft without shortness of breath
B) Wound will heal without signs of infection
C) Patient will express concerns related to return home
D) Patient will identify strategies to improve sleep habits - CORRECT ANSWERS A) Patient
will be able to walk 200 ft without shortness of breath
Which of the following describe characteristics of an integrated health care system? (select all that
apply)
A) The focus is holistic
B) Participating hospitals 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 - CORRECT ANSWERS A) The focus is holistic
C) The system coordinates a continuum of services
E) Members of the health care team link electronically to use the EHR to share the patient's health care
record
The school nurse has been following a 9-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
student's 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? (Select all the apply)
A) The student's seating placement in the classroom
B) The level of support 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 - CORRECT ANSWERS B) The level
of support parents offer when the student completes homework
C) The level of violence in the family's neighborhood
E) The cultural values about education held by the family
A nurse is assigned to care for an 82-year-old patient who will be transferred from the hospital to a
rehab center. The patient and her husband have selected the rehab 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
the 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 recommendation into plan of care
D) Determination of discharge date - CORRECT ANSWERS B) Timing of referral
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 - CORRECT ANSWERS A) Ineffective communication
among providers
B) Lack of role clarity among health care team members
A nurse newly hired at a community hospital learns about intentional hourly rounding during
orientation. Which of the following are known evidence-based outcomes from intentional rounding?
(Select all that apply.)
A) Reduction in nurse staffing requirements
B) Improved patient satisfaction
C) Reduction in patient falls
D) Increased costs
E) Reduction in patient use of nurse call system - CORRECT ANSWERS B) Improved patient
satisfaction
C) Reduction in patient falls
E) Reduction in patient use of nurse call system
What are the 3 levels of prevention describing the focus of health care-related activates? - CORRECT
ANSWERS 1) Health promotion and disease prevention
2) Curing disease
3) Reducing complication
What is the focus of Intensive Care Units (ICU)? - CORRECT ANSWERS Patients receive close
monitoring and intensive medical care
What is the focus of Mental health facilities? - CORRECT ANSWERS Patients with emotional
and behavioral problems receive special treatment and care
Describe the Care transitions program model of discharge planning that focus on the patient and their
family caregiver? - CORRECT ANSWERS Emphasizes the role of transition coach in
managing/facilitating discharge of the patient to home or a rehab center. Based on four pillars that have
different interventions depending on the stage of the hospitalization
Describe the Transitional care model of discharge planning that focus on the patient and their family
caregiver? - CORRECT ANSWERS Emphasizes comprehensive discharge planning for
chronically ill, high-risk, older patients, which contains six key components
Describe the High-intensity care model (GRACE) of discharge planning that focus on the patient and their
family caregiver? - CORRECT ANSWERS Headed by both a nurse practitioner and a social
worker; the focus is to help patients manage their health conditions, coordinate their health care, and
achieve optimal health
Four factors that have been identified to improve patient satisfaction? - CORRECT ANSWERS
1) Relational communication techniques
, 2) Hourly rounding
3) Nursing staffing patterns
4) Bedside shift report
Identify the 2 main reasons for a nursing shortage? - CORRECT ANSWERS 1) Baby boomers
aging and the need for health care growing
2) Nursing schools struggle to expand their capacity to meet the rising demands
Identify the 8 principles of patient-centered care? - CORRECT ANSWERS 1) Respect for a
patient's values, preferences, and expressed needs
2) Coordination and integration of care
3) Information and education
4) Physical comfort
5) Emotional support and alleviation of fear and anxiety
6) Involvement of family and friends
7) Continuity and transition
8) Access to care
Health promotion programs are designed to help patients?
A) Reduce the incidence of disease
B) Maintain maximal function
C) Reduce the need to use more expensive health care services
D) All of the above - CORRECT ANSWERS D) All of the above
Rationale: Reduce the incidence of disease, minimize complications, and reduce the need to use more
expensive health care resources
Rehabilitation services begin?
A) When the patient enters the health care system
B) After the patient's physical condition stabilizes
C) After the patient requests rehab services
D) When the patient is discharged from the hospital - CORRECT ANSWERS A) When the
patient enters the health care system
Rationale: Initially focuses on the prevention of complications related to the illness or injury. After the
condition stabilizes, rehab helps to maximize the patient's level of independence
An example of an extended care facility is a?
A) Home care agency
B) Skilled nursing facility
C) Suicide prevention center
D) State-owned psychiatric hospital - CORRECT ANSWERS B) Skilled nursing facility
Rationale: When they receive supportive care until they are able to move back into the community