NURS 233 Exam 1 | Questions with 100% Correct Answers

NURS 233 Exam 1 | Questions with 100% Correct Answers As defined by the World Health Organization, health includes physical, social, and mental components and is not merely the absence of disease or infirmity true Graduates of a diploma nursing program are not eligible to take the NCLEX-RN examination false Health care trends that will affect American nurses include a surplus of available nurses false To meet the aims of nursing practice, the nurse uses four blended competencies, to include: technical, interpersonal, ethical/legal, and which of the following? Cognitive Which of the following describes laws established in each of the United States to regulate the practice of nursing? Nurse Practice Acts An individual's aptitude for overcoming an adverse life circumstance with a hopeful attitude is known as which of the following? Resilience Which of the following describes a nurse prepared at the graduate level who oversees the lateral integration of care for a distinct group of patients? Clinical nurse leader The framework for health promotion nursing activities is centered around which of the following? the patient The major goals of health care are promoting, maintaining, and restoring health true Reciprocity is the process that allows a nurse to apply for and be endorsed as a registered nurse by another state true When verbal and nonverbal communications do not match, it is often the nonverbal communication that more accurately conveys the speaker's meaning true Private social media account activities by nurses are protected from regulatory authority oversight false incivility is rude, disruptive, intimidating, and undesirable behavior directed at another person true The therapeutic communication technique known as ___________ is the skill of identifying with the way another person feels Empathy An example of an open-ended question is: "What medicines have you been taking at home?" false The use of technology to delivery nursing care and conduct nursing practice remotely is called __________ Telehealth When communicating effectively with patients, the nurse may use auditory, visual, or kinesthetic ___________ Channels Factors influencing communication include developmental level; roles and responsibilities; space and territoriality; physical, mental, and emotional state; environment; and _____________ differences Sociocultural Factors that distort the quality of the message, known as __________, can interfere with communication at any point in the process Noise Communication is influenced by the way people value themselves, one another, and the purpose of any human interaction true Those who use a laissez-faire approach to value transmission leave children to explore values on their own and to develop a personal value system, often leading to confusion and conflict true The professional nursing value of _____________ reflects acting in accordance with the appropriate code of ethics and accepted standards of practice integrity Ethical _________ occurs when a nurse knows the right thing to do but either personal or institutional factors make it difficult to follow the correct course of action Distress Nurses who are placed in situations that involve violations of the moral standards of the profession, they may express their conscientious objection to participation true A nurse who acts as an intermediary between a patient and a health care provider who is not listening to the patient is practicing the art of advocacy true The deontologic focus views actions as right or wrong based on usefulness; actions are right when they promote the greater good and wrong when they do not false A principle-based approach to bioethics identifies four key principles: _____________, nonmaleficence, beneficence, and justice Autonomy Beneficence is the bioethical principle that refers to fairly allocating the benefits of health care delivery false A _________ is a belief about the worth of something, about what matters, that acts as a standard to guide one's behavior value The capacity to be ethical and to do the ethically right thing for the right reasons is referred to as _________ agency Moral What is NCLEX? - An exam to evaluate understanding of standards for safe practice of nursing *- Exam is based on an analysis conducted by the NCSBN* WHAT IS NEXTGEN? latest version of the NCLEX exam, designed to measure the competencies required of entry-level nurses in a rapidly changing healthcare landscape NCLEX-RN Test Plan is organized into four major Client Needs categories which are: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity Physiological Integrity is categorized into: • Basic Care and Comfort • Pharmacological and Parenteral Therapies • Reduction of Risk Potential • Physiological Adaptation TEST GUIDELINES FOR NCLEX •The NCLEX-RN® is administered to candidates by computerized adaptive testing(CAT) • 85 items to 150 items in allotted five-hour period • Eighteen of the items will comprise three clinical judgment case studies. • Approximately 15 items will be unscored pretest items. Client Individual, family or group, which includes significant others and populations Order Intervention, remedy or treatment as directed by an authorized primary health care provider Prescription Intervention as it relates to medication specifically as directed by an authorized primary health care provider Primary Health Care Provider Members of the health care team who are licensed and authorized to formulate prescriptions and orders on behalf of the client Unlicensed Assistive Personnel (UAP) Any unlicensed personnel trained to function in a supportive role, regardless of title, to whom a nursing responsibility may be delegated BLOOM'S TAXONOMY Framework used to create and measure the difficulty of the questions you answer on NCLEX Nursing Nursing is a profession focused on assisting people, families, and communities to attain, recover, and maintain optimum health Development from 19th to 21st centuries • Upgrade in nursing education • Practice in a wide variety of health care settings• The development of a specific body of knowledge • The conduct and publication of nursing research • Recognition of the role of nursing in promoting health • Increased emphasis on nursing knowledge as the foundation for EBP led to growth of nursing as a professional discipline that operates independent of other disciplines The American Association of Colleges of Nursing (AACN) Introduced the 4 spheres of care 1. disease prevention/promotion of health and well-being 2. chronic disease care 3. regenerative or restorative care 4. hospice/ palliative/supportive care Aims of Nursing To promote health To prevent illness To restore health To facilitate coping with disability or death Blended Competencies cognitive, technical, interpersonal, ethical/legal Quality and Safety Education for Nurses(QSEN) Competencies The QSEN Institute is a collaborative of healthcare professionals focused on education, practice, and scholarship to improve the quality and safety of healthcare systems Healthy People 2030 overarching goals: Attain Healthy, thriving lives & well-being Eliminate Health disparities, achieve health equity, and attain health literacy Create Social, physical, and economic environments that promote attaining full health and well-being Promote Healthy development, behaviors, and well-being Engage Leadership, key constituents, and the public to take action Restoring Health The ANA identified 4 healthcare trends: • Nursing shortages • Job opportunities are expanding outside of the hospital • Technology • Collaboration with other healthcare providers Research Scientific inquiry that use observable and verifiable data, collected in a systematic manner to describe, explain, or predict events. Goals are to: Develop explanations and Find solutions to a problem Nursing Research Improve care of people in the clinical setting as well as the broader study of people and the profession. - Essential component of the ANA - Fundamental to the recognition of nursing as a profession Evolution of Nursing Research Goals Build the scientific foundation for clinical practice Prevent disease and disability Manage and eliminate symptoms caused by illness Enhance end-of-life and palliative care Evidence-Based Practice (EBP) problem-solving approach to making clinical decisions using the best evidence available John Hopkins Nursing Evidence-Based Practice Model Utilizes a three-step process called PET Practice question Evidence Parts of a Research Journal Article -Abstract: Beginning of the article and Summarizes the entire article and provides the purpose -Introduction: Review of the literature and statement of specific goals -Method: Subjects, design, data collection, data analysis -Results -Discussion -References Steps of Evidence-Based Practice 1 Ask a clinical question. 2 Collect the most relevant and best evidence. 3 Critically appraise the evidence you gather. 4 Integrate all evidence with one's clinical expertise and patient preferences and values in making a practice decision or change. 5 Evaluate the practice decision or change. 6 Share the outcomes of EBP changes with others. PICOT P: Population I: Intervention C: Comparison O: Outcome T: Time Plan-Do-Study-Act (PDSA) An iterative, four-stage problem-solving model used for improving a process or carrying out change. 2025 Hospital National Patient Safety Goals Source a person or group who initiates or begins the communication process Message the actual communication Channel medium the sender has selected to send the message Receiver must translate as interpret the message Channels auditory, visual, and kinesthetic Nonverbal forms of communication touch, facial expressions, eye contact, space, physical appearance, body movements, and silence Factors Influencing Communication Developmental level Sociocultural differences Roles and responsibilities Space and territoriality Physical, mental, and emotional state Values Environment SBAR Situation Background Assessment Recommendation Phases of the Therapeutic Relationship Orientation, working, termination