Intro to Professional Nursing Exam 2 Questions and Answers

Intro to Professional Nursing Exam 2 Questions and Answers A broad, general view of nursing that clarifies values and answers broad disciplinary questions for nursing is known as which of the following? a philosophy Nurses in some states can practice in their own state & in other specific states without additional applications or fees based on the states membership in what type of licensure agreement? Nurse licensure compact Which of the following nursing responsibilities can never be delegated? Evaluation of Patient Condition The school health clinic treats common health problems, as well as conducting health promotion and illness prevention activities. The clinic provides which level of health care? Primary care An overriding principle of Nightingale's writings on nursing dealt with which aspect of nursing? The relationship between patients, health, and environment Which of the following terms describes a place of employment that offers union membership, but does not require it as a condition of employment? Open shop A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best? "No, posting pictures of patients and families on social media sites is not acceptable." A competent resident in a long-term care facility refuses an ordered anti-depressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. Which category of negligence does this scenario describe? failed to communicate with a patient A nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in which of the following? politics In which of the following instances is it acceptable for a nurse to break his or her obligation regarding confidentiality? When the safety of innocent parties is in question What is the primary function of the National Council of State Boards of Nursing (NCSBN)? Developing the NCLEX-RN® and NCLEX-PN® licensing examinations A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as which of the following? not-for-profit agency. Which nursing model is based on the assumption that people want to be in control of their lives & centers around provision of self-care? Orem A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations. What is the title that best describes this nurse? nurse activist. Which of the following statements is true regarding "right to work" states? Right to work states have decreased union availability & membership What are the reasons nursing theory is important to the profession? (Select all that apply.) -The goal of nursing theory is to support excellence in practice. -Nursing as a profession becomes stronger when nursing knowledge is built on sound theory. -Theory is a useful tool for reasoning, critical thinking, and decision making. Peplau's theory focuses on the therapeutic relationship as the key to successful nursing intervention. Which of the following is correct about Peplau's theory? The theory describes six key nursing roles that are flexibly used, depending on the practice setting. The American Red Cross is an example of what type of health care agency? Voluntary Agency The nurse assists the patient with a bath in the morning because the patient has a cast on one hand and an intravenous line in the other. Which nursing philosopher is the nurse basing his care on? Henderson A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. What would be the nurse's best response to this request? refuse to give the information, it can only be shared when proper policies & procedures are followed. What is the purpose of continuous quality improvement (CQI)? to monitor processes involved in the provision of safe, effective care for patients. The nurse adjusts the patient's room to allow the patient to see the sunlight out the window and checks the patient's diet tray to ensure a balanced diet. Which nursing philosopher is the nurse basing her care on? Nightingale Which of the following puts the nurse at the most increased risk for legal action? Not assessing a patient who is complaining of pain In which of the following situations should the legality of an informed consent be questioned? Patient who received a preoperative sedation before giving consent Which of the following is an example of illness prevention? Counseling people recently experiencing death of a spouse about signs and symptoms of depression Which care delivery model is characterized by a single registered nurse providing direct patient care and maintaining 24-hour responsibility for updating the patient's plan of care? primary care nursing. Which of the following has been a concern as efforts towards cost-containment in health care increase? The impact of budgetary restrictions on the provision of quality care A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse? The nurse must join a union to be employed there. What is the most critical aspect of nurses becoming "personally political"? being informed of social and political issues and understanding how they impact personal experiences. A nurse places high priority on working with patients and families, including them in planning care and in establishing goals. Which nursing role has this nurse assumed? Collaborator Which of the following is an example of health promotion and maintenance? Talking to a women's church group about having an annual mammogram The American Nurses Association (ANA) serves as which of the following? professional organization for all nurses regardless of practice setting or level of practice. How can staff nurses play an important role in controlling health care costs? Questioning the need for unnecessary or repetitive tests What is the title used to describe a nurse that was appointed to a governing board of a governmental agency and then ran for an elective office? nurse politician. Which nursing theorist is best known for her emphasis on inferences based on observation of patient behavior, confirmation by the patient, and results in effective care based on identified patient needs? Orlando Which of the following provides the best explanation of the difference between assault and battery? Assault is a threat or attempt to make bodily contact while battery is the unprivileged touching of a person A staff nurse on an inpatient unit is well respected by her peers. Other nurses frequently seek her out for advise and model their practice based on her recommendations. What term best describes this nurse's behavior? This nurse has a strong influence on her unit Which of the following terms describes the legitimacy to exert power? Authority Analysis of cases of reported negligence from 1995 to 2001 demonstrated that the majority of cases occurred in which patient care setting? Acute care The American Nurses Association (ANA) & National Council of State Boards of Nursing (NCSBN) have developed suggested language for the content of state nurse practice acts. Which of the following are included in these recommendations? (Select all that apply.) -Differentiation between advanced and generalist nursing practice -Authority for boards of nursing to oversee unlicensed assistive personnel (UAPs) -Authority for boards of nursing to regulate prescription writing by advanced practice nurses (APNs) -Clarification of the nurses' responsibility for delegation to other personnel What is the most common reason that nurses are disciplined by the state board of nursing? practicing while impaired Which of the following is an example of rehabilitation services? 2 weeks of physical therapy after a total hip replacement. Which of the following is a nursing responsibility regarding informed consent? Serving as a witness, ensuring that the patient does not feel coerced into a decision A nurse has registered to vote, voted in primary and regular elections, and participated in public forums related to budget reductions that could result in the reduction of the numbers of school nurses. Which term best describes this nurse? nurse citizen. Which of the following chart entries represents a pitfall in documentation? Patient demanding and difficult to please Which contemporary theorist is best known for her emphasis on the caring aspect of nursing? Watson For a nursing malpractice action, essential characteristics of negligence must be present. Which of the following constitute these essential characteristics? (Select all that apply.) -The nurse assumed the responsibility for the patient's care. -The nurse is found to have failed to meet the standard of care. -The harm to the patient must be shown to have been caused by the failure to meet the standard of care. -Harm to an individual has occurred. A nurse caring for a preoperative patient is told by the patient, "The doctor just had me sign a paper. I wish I knew what it was all about." The nurse goes to report this to the physician. What nursing role is the nurse employing in this situation? patient advocate What benefits result from membership in professional organizations? (Select all that apply.) -Ability to influence practice guidelines & position statements of the organization. -Continuing education opportunities. -Opportunities to develop personal leadership skills. What is the relevance of the concepts of supply and demand, free market, and price sensitivity with regard to health care costs? Consumer insensitivity to costs has increased demand for health care services. Which of the following is a responsibility of many health care agencies' chief executive officers (CEOs)? Overall operation of the agency on a daily basis Which of the following statements provides the best differentiation between policies & politics? Policies are decisions & laws, while politics are the actions and events that influence those decisions. Which of the following is an example of diagnosis and treatment? Computerized tomography (CT) scan to rule out gallbladder inflammation The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change, and an infection developed in the patient. Which of the following statements is true? The RN is ultimately responsible for acts he or she delegates. Which care delivery model uses critical pathways and continuous quality improvement to guide care practices? Case management The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts? They determine the educational requirements for licensure. Which patient rights are guaranteed by HIPAA? Patients are protected against medical records being indiscriminately shared. The metaparadigm of nursing consists of which concepts? (Select all that apply.) -Environment -Health -Nursing -Person What is a specific nursing interest that professional organizations strive to protect through political activism? Mandated nurse:patient staffing ratios Which of the following does the Patient Self-Determination Act of 1991 provide guidance for? advance directives Which of the following is an effective method for the practicing nurse to achieve leadership skills? Becoming active in professional organizations Which of the following is an important step in preventing legal action against the nurse? Develop caring, therapeutic relationships with patients. Which nursing theorist is best known for her emphasis on interacting systems, including nurse and patient in goal setting and goal attainment? King Hospices that provide care to terminally ill patients and their families in hospitals, in the home, or in special hospice facilities provide which level of health care? Tertiary care The nurse forgets to give the patient a dose of antibiotic. Later in the shift, the patient goes into cardiac arrest and dies. What element is lacking to support malpractice? Proximate cause How does health promotion differ from illness prevention? Health promotion occurs before the identification of disease risk factors. Which of the following terms describes the differences between treatment outcomes for different populations? health care disparities. Which of the following describes a specific organization of nursing phenomena that provide an organizational structure that makes clear connections between concepts? conceptual model. A contributing factor to health care disparities may be which of the following? provider bias Which of the following is a commonly cited reason that nurses do not join professional organizations? High cost of membership dues Which of the following is a characteristic of the team model of nursing care delivery? Each member of the team provides the level of care for which he or she is best prepared. Leininger's theory uses the sunrise model. What is the major premise of Leininger's theory? Nursing care should be culturally congruent. Which of the following is a characteristic of the patient-centered care model of nursing care delivery? A multidisciplinary team emphasizes continuum of care and focuses on the patient's right to individualized care. Governmental agencies differ from voluntary agencies in which way? Funding source A nurse is contemplating a political leadership position and wonders if she/he has the desired characteristics to make a good leader. Which of the following traits is inconsistent with a good leader? Prefers to work individually versus in a team