Nursing 202 Final Exam Review - Online Questions and Answers - Matt Bacon

Nursing 202 Final Exam Review - Online Questions and Answers - Matt Bacon Chapter 01: Nursing, Theory, and Professional Practice Review Questions (Online-Only) MULTIPLE CHOICE 1. What is an example of Nightingale’s contributions to nursing? a. Graduated as the first trained U.S. nurse b. Practiced nursing in the Civil War c. Established the American Red Cross d. Emphasized respect for patients’ needs and rights 2. Nurses are most likely to utilize theories from which of the following individuals in their leadership role? a. Maslow b. Rosenstock c. Lewin d. Erikson 3. A team meeting of providers and nurses is convened to discuss a specific patient’s problems and to determine goals for the patient. During the meeting, specific accountability related to patient care for both the providers and nurses involved is established. All members of the meeting show mutual respect by valuing each other’s clinical competence that is necessary to provide quality patient care. Of the following functions of a nurse, which one is demonstrated in the above example? a. Delegation b. Advocacy c. Collaboration d. Management 4. A nurse has graduated from a nursing school and is participating in a new graduate program at a local hospital as a continuing socialization to the role of the nurse. At what level is the nurse functioning at this point in the nurse’s career? a. Expert b. Competent c. Novice d. Advanced beginner 5. Nursing students all belong to the National Student Nurses Association when they are attending a specific nursing program. This is an important aspect of their socialization to the profession as it demonstrates which criteria of a profession? a. Providing service to society b. Accepting responsibility for actions and omissions c. Participating in an organization that supports and advances the profession d. Making independent decisions based on their scope of practice MULTIPLE RESPONSE 1. What is the nurse’s role as patient advocate? (Select all that apply.) a. Explain to the patient the nurse’s viewpoint. b. Communicates the patient’s wishes to other health care providers. c. Accept the patient’s decision and support his or her wishes. d. Give the patient the provider’s viewpoint. e. Provide education to the patient and evaluate understanding. 2. A nurse is planning a program for educating a Hispanic community regarding nutritional practices. What would be the most important aspects that the nurse takes into consideration first? (Select all that apply.) a. Change theory and Health Belief Model b. Previous educational programs c. Cultural influences d. Hospital admissions from this community e. Vital statistics such as death rates 3. How might a nurse as a researcher approach the care of the patient? (Select all that apply.) a. Performing technical skills as learned b. Looking for problems and questioning practices c. Incorporating research into practice d. Carrying out procedures according to policy e. Designing and conducting research studies Chapter 01: Nursing, Theory, and Professional Practice Answer Key for Review Questions (Online-Only) MULTIPLE CHOICE 1. ANS: D Clara Barton practiced nursing in the Civil War and established the Red Cross. Linda Richards was the first U.S. trained nurse. Nightingale emphasized patients’ needs and rights. LO: 1.3 DIF: Remembering MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care 2. ANS: C The nurse will use Lewin’s change theory most often in the leadership role. Maslow’s hierarchy of needs, Erikson’s developmental theory, and the Rosenstock’s Health Belief Model will be utilized most during patient care and education. LO: 1.5 DIF: Applying MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care 3. ANS: C This is an example of the dynamic interpersonal process of collaboration in which health care professionals constructively solve problems and learn from each other. Delegation is the process of entrusting or transferring the responsibility for certain tasks to other personnel. Advocacy is speaking for the patient when he or she is not able to. Management is overseeing a group of people. LO: 1.2 DIF: Understanding MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care 4. ANS: D The nurse is an advanced beginner for 2 to 3 years after graduating and doesn’t reach the level of competence until the end of that time period. An expert has an intuitive grasp of situations. A novice is rigid and rule-bound because he or she has no experience. LO: 1.8 DIF: Understanding MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care 5. ANS: C Students begin their socialization to the profession by participating in an organization, which is one criteria of a profession. LO: 1.6 DIF: Understanding MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care MULTIPLE RESPONSE 1. ANS: B, C The nurse as the patient advocate must ensure that the patient’s wishes are known to the provider/s. The nurse must also accept the patient’s decisions and support them, even if the decision is not one the nurse agrees with. Providing and evaluating education is the educator role. The nurse’s and provider’s viewpoints are not important as factual education. LO: 1.2 DIF: Understanding MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care 2. ANS: A, C Since the nurse will be discussing nutrition to a specific cultural group, the nurse needs to understand the cultural influences on their nutritional practices. In addition, the nurse needs to understand change theory to plan her education if she is attempting to have the group make changes in their nutritional practices. The Health Belief Model would also help in understanding the community’s perceptions regarding barriers that facilitate or discourage adoption of the promoted behaviors. Vital statistics are not essential. LO: 1.2 DIF: Applying MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care 3. ANS: B, C By looking for problems and questioning practices, the nurse is identifying problems that can be researched. By incorporating any new research into practice, the nurse is involved in evidence-based practice. Performing skills as learned and following policies are not part of the researcher’s role (although policies should always be followed they should also be changed when needed). The bedside nurse is not an appropriate person to design and conduct research; this would take a higher level of education. LO: 1.2 DIF: Applying MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care Chapter 02: Values, Beliefs, and Caring Review Questions (Online-Only) MULTIPLE CHOICE 1. The best approach for a nurse who is performing an assessment on a patient from an ethnic group the nurse knows nothing about is to: a. use the information the nurse already knows about the other ethnic groups that may be similar to the patient’s group to come up with assessment questions. b. ask the same questions the nurse typically asks of all patients and not deviate from the questions on the assessment form. c. ask the patient to explain what he/she believes his/her health problem is and what he/she thinks caused it. d. ask the patient to help the nurse understand anything about the patient’s ethnic group that may have a bearing on the patient’s health care needs. 2. A nurse who has always provided excellent patient care has become irritable, has made several errors in care, and appears to undermine new policies and processes. What action by the nurse manager would be most appropriate? a. Discuss these new behavior traits and ask if the nurse has personal problems. b. Gently remind the nurse of how important self-care activities are. c. Confront the nurse and explain why these behaviors are not acceptable. d. Gather data from the other staff members about how the nurse is functioning. 3. Which of the following actions by the nurse describes active listening? a. Sitting at the patient’s bedside and listening to the patient talk while inserting an IV b. Sitting in a chair facing a patient and making a mental note of the major points of the conversation c. Listening to what the patient says and what he/she means while conducting the early morning assessment d. Engaging both the patient and the family members while taking careful notes of the conversation 4. Which of the following actions by the nurse demonstrates “doing for” as described in Swanson’s theory? a. Going the distance b. Thoroughly assessing c. Seeking cues d. Preserving dignity 5. A nursing student walks into the patient’s room and is unsure about when it is appropriate to use caring touch in a nurse–patient care situation. What would the student do? a. Ask the clinical instructor when and where touch would be appropriate. b. Ask the patient for permission to touch him/her before proceeding. c. Withhold touch to maintain professional boundaries. d. Assume all patients want to be touched and that they see it as an act of caring.