Exam (elaborations) NUR 2058 Dimensions of Nursing Final Exam

Exam (elaborations) NUR 2058 Dimensions of Nursing Final Exam 1. True or False: Energy Systems in the body are used by both conventional and integrative medicine. False 2. Select the most effective method that nurses can use to gain power over their practice. Join professional organizations in large numbers. 3. An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is: Sentinel event 4. What is the purpose of spiritual modes of healing? They enhance comfort and produce an inner peace with disability or death. 5. True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the Department of Health. False 6. Which best describes The Leapfrog Group and its recommendations? The gold standard for comparison of hospital performance 7. A client’s blood pressure of 180/110 mmHg is an example of which of the following? Data 8. With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching? A client who is quietly reading a book 9. What is the definition of the ethical principle of non-maleficence? Health-care workers avoiding harm to clients 10. These characteristics are difficult to identify, but have an even more profound effect on an individual's cultural identity. Gender issues and residential status 11. Which of the following is a key element to effective education of nursing students? High-quality interpersonal relationships between students and teachers 12. Which of the following would NOT be considered an invasion of privacy: Notifying the police of Mr. Brown’s gunshot wound NUR 2058 Dimensions of Nursing Final Exam 13. Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine? Inquire what complimentary practices the client is using to insure client safety. 14. Which of the following is not a characteristic of Integrative medicine? Emphasis is placed on diagnosis and cure based on physical symptoms 15. When reviewing the term spirituality, which of the following would not be included in its definition? A person with spiritual needs must participate in religious rituals and practices. 16. This is the single most obvious barrier to providing culturally competent care. Language 17. Which situation is the nurse allowed to breech a client’s right of confidentiality? A 32-year-old comes to the emergency room for wounds sustained by a knife. 18. Which of the following best describes conventional and integrative medicine? Conventional medicine primarily uses therapy from the outside and integrative from within. 19. Which characteristic is required in a person to be able to resolve difficult crises? Uses newly developed coping skills to resolve future crises 20. Where would a nurse look to find their scope of practice as defined by state law? Nurse Practice Act 21. Identify an important aspect of the role of forensic psychiatric nurses Identify changes in behaviors linking criminals to criminal offenses. 22. The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor? The Joint Commission has a standard of patient care with inclusion of spirituality. 23. What is the first step in the delegation process? Determining the skill level of the person to whom the task is to be delegated 24. What is the most important element for the nurse navigator to include in the planning of care for a client? The client’s perceptions and beliefs about the disease process and the modalities of treatment 25. Identify a secured setting for the practice of forensic nursing. Correctional institutions 26. What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data? The establishment of appropriate reimbursement for nursing activities 27. A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution. Sets up a time and place for a one-on-one meeting with the staff nurse 28. When do most health-care expenditures occur in a person’s life? As old age sets in due to the development of multiple chronic illnesses 29. Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medical-surgical unit from the outpatient clinic? Obtaining a temperature on a29 yr. old woman with gastrointestinal bleeding during the last 30 minutes of a whole blood transfusion 30. What is the primary goal of the nurse navigator role? Elimination of the barriers of care to make moving through the treatment maze easier 31. True or False: It is estimated that 98,000 people die per year due to adverse events & medical errors in hospitals. True 32. Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others. Assertive 33. Which nursing intervention is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of Spiritual Distress? Explain the nurse’s religious beliefs and values immediately when requested to do so by the client 34. When does the encoding process of communication take place? The receiver thinks about the information, understands it, and forms an idea based on the message. 35. Who is called the “father of modern medicine”? Hippocrates 36. Identify the task that may be delegated to an LPN (LVN) if all of the clients are stable. Turning a client with a CVA every 2 hours 37. A patient is anxious about a procedure. Knowing the patient loves the beach, the nurse instructs them to close their eyes and picture the ocean, sand, and rays of the sun. Which of the following practices is the nurse implementing? Guided Imagery 38. Identify the primary change that increased the need for many more certified RN-coders and certified RN-auditors. The switch to the new ICD-10 coding system 39. Identify the four concepts that are common in most nursing theories. Client, health, environment, nursing 40. Which of the following demonstrates the planning phase of the nursing process? The nurse specifies short and long term outcomes for the client 41. What is the best way to increase the motivation to learn in the elderly population? Link positive reinforcement to changes in behavior. 42. Why is it important for nurses in general practice to have an awareness of forensic knowledge? Nurses are often in positions to report crimes or preserve evidence. 43. Why is term healing preferred to medicine when referring to alternative and complementary modalities? The treatments are based on holistic philosophies that go beyond treatment or cure of the physiological 44. An example of civility in the classroom consists of keeping cell phones on silent and using proper cell phone etiquette? True 45. What primary skills are required of the nurse to provide cultural competent care? All of the above: Sensitivity, Understanding, and Communication 46. Both nursing models and theories help explain and direct nursing actions. True 47. Which of the following statements is most accurate about the vast majority of the elderly? They are relatively healthy and most manage their chronic conditions at home 48. Although the assessment techniques used for different individuals may be identical, the nurse needs to know the basic biological and physical variations among ethnic groups. True 49. The client’s short term outcome was to sit up in a chair at bedside for 30 minutes. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this? Evaluation 50. This lengthy assessment tool provides a thorough overview of a client’s culture. Purnell’s Model 51. True or False: By law, supplements are regulated be the Food and Drug Administration (FDA) False 52. Which of the following describes Callista Roy’s definition of nursing as indicated in her nursing model? Multistep process that helps the client adapt and reach the highest level of functioning 53. An ethical code does which of the following? Provides a framework for decision-making 54. To which individual can the charge nurse delegate the task of completing the history and physical assessment for a newly admitted client? RN 55. A client sustained a complete C2 spinal cord injury after a motor vehicle crash. He is unable to move bilateral upper and lower extremities. He requires total nursing care including assistance eating, turning, and voiding. Which of the following describes the level of care the nurse provides according to Orem’s self-care model? Wholly compensated care 56. Function in nursing informatics focuses on which of the following? How the management and processing of information helps nurses enter, organize, or retrieve information 57. Identify the best method for a nurse to acknowledge a client’s autonomy Know and understand the state’s laws that address living wills 58. Select the most appropriate client for the RN to assign to the CNA/UAP (unlicensed assistive personnel). A client with difficulty walking and requires assistance to the bathroom 59. What is best described as the concepts, ideals, behaviors, and significant themes that give meaning to a person’s life? Values 60. Which of the following is known as a healing practice that uses the human energy system? Therapeutic Touch 61. The analysis that tracks events leading to error, identifies faulty systems and processes, and develops a plan to prevent further error in a blame-free environment is called: Root Cause Analysis 62. Nurses who learn about another person's culture is enough to guarantee the nurse will have cultural awareness. False 63. Using errors as learning opportunities is a key element in building which of the following? Just culture organization 64. Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates they are appropriate and successful. True 65. Which of the following is considered the best preferred strategy to dealing with conflict? Confront the conflict 66. Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic? “When nurses delegate, they are delegating nursing.” 67. Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication? “You have made some good points, but I have anothe