p p p p p p p p p p
? (select all that apply)
p p p p
a. potential communication barriers p p
b. diverse cultural practices p p
c. scope of nursing practices p p p
d. functional status of the patient p p p p
e. time of most recent shift change - ANSWER a, b, c, d
p p p p p p p p p p p
Cultural practices, functional status, communication barriers, and scope of practic
p p p p p p p p p
e influence whether an intervention should or may be implemented. Shift change ti
p p p p p p p p p p p p
me is not necessary to consider before the implementation of most interventions.
p p p p p p p p p p p
Which intervention would be most important for the nurse to include in a patient's
p p p p p p p p p p p p p
care plan if the patient is unable to complete ADLs without becoming fatigued?
p p p p p p p p p p p p p
a. instruct the patient to shower and shave simultaneously
p p p p p p p
b. discourage the patient from bathing while hospitalized p p p p p p
c. encourage the patient to rest between bathing activities p p p p p p p
d. ask the patient's spouse to assist with all bathing -
p p p p p p p p p
pANSWER Answer: C When patients are unable to complete their personal car
p p p p p p p p p p p
e without fatigue, it is best to encourage them to rest between activities. All pati
p p p p p p p p p p p p p p
ents should be encouraged to wash during hospitalization and to complete as m
p p p p p p p p p p p p
uch of their personal care as independently as possible. Patients who tire easily s
p p p p p p p p p p p p p
hould not be encouraged to shower and shave simultaneously but should space
p p p p p p p p p p p p
out personal care while seated.
p p p p
In comparing the American Nurses Association (ANA) and the International Cou
p p p p p p p p p p
ncil of Nurse (ICN) definitions of nursing, what component does the ICN mention
p p p p p p p p p p p p
pthat is not included in the ANA's definition and is indicative of a more global focu
p p p p p p p p p p p p p p p
s?
a. Advocacy
b. Health Promotion p
c. Shaping health policy p p
,d. Prevention of illness - ANSWER Answer: C p p p p p p
The ICN's definition of nursing expands on the ANA's definition by providing for
p p p p p p p p p p p p p
the concept of shaping health policy as a responsibility of nursing.
p p p p p p p p p p
A profession has specific characteristics. In regard to how nursing meets these cha
p p p p p p p p p p p p
racteristics, which criteria are consistent and standardized processes? (select all th
p p p p p p p p p p
at apply)
p
a. Code of ethics p p
b. Licensing
c. Body of knowledge p p
d. Educational preparation p
e. Altruism - ANSWER Answers: A, B, C, E p p p p p p p
Nursing as a profession has a code of ethics, licensing, a body of knowledge, and
p p p p p p p p p p p p p p p
altruism. Because there are multiple paths of education for nursing and not a stan
p p p p p p p p p p p p p
dard entry into practice, this is one criterion of a profession that is not standard an
p p p p p p p p p p p p p p p
d consistent.
p
What specific aspect of a profession does the development of theories provide?
p p p p p p p p p p p
a. Altruism
b. Body of knowledge p p
c. Autonomy
d. Accountability - ANSWER Answer: B p p p p
Theories establish a specific nursing body of knowledge that is unique to the disci
p p p p p p p p p p p p p
pline, which is one criterion of a profession.
p p p p p p p
Health care workers are discussing a diverse group of patients respectfully and a
p p p p p p p p p p p p
re being responsive to the health beliefs and practices of these patients. What im
p p p p p p p p p p p p p
portant aspect of nursing professional practice are they exhibiting?
p p p p p p p p
a. Autonomy
b. Accountability
c. Cultural competence p
d. Autocratic leadership - ANSWER Answer: C p p p p p
The nurse and other health care workers are exhibiting cultural competence by b
p p p p p p p p p p p p
eing responsive to patients' health beliefs and practices that are influenced by the
p p p p p p p p p p p p
pindividual's culture. p
,A nurse makes a medication error, immediately assesses the patient, and reports th
p p p p p p p p p p p p
e error to the nurse manager and the primary care provider. Which characteristic o
p p p p p p p p p p p p p
f a professional is the nurse demonstrating?
p p p p p p
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism - ANSWER Answer: C p p p p
The nurse is demonstrating accountability by taking responsibility for the error an
p p p p p p p p p p p
d reporting it after an initial assessment of the patient. Criteria of a profession incl
p p p p p p p p p p p p p p
ude altruism (public service over personal gain), autonomy (independence), acco
p p p p p p p p p
untability, and diversity; however, in this case, the nurse is demonstrating account
p p p p p p p p p p p
ability. Although collaboration is important for the health care team, it is not a crite
p p p p p p p p p p p p p p
rion for a profession.
p p p
Which are included in the ANA standards? (select all that apply)
p p p p p p p p p p
a. Standards of professional performance p p p
b. Code of ethics p p
c. Standards of practice p p
d. Legal scope of practice p p p
e. Licensure requirements - ANSWER Answers: A, C p p p p p p
ANA standards have two parts: One is standards of professional performance, and
p p p p p p p p p p p p
the other is standards of practice. ANA has a separate document that is a code of et
p p p p p p p p p p p p p p p p
hics. Nurse practice acts are a legal scope of practice.
p p p p p p p p p
Which core competency of advanced practice nursing is the Master of Science in
p p p p p p p p p p p p p
Nursing (MSN) nurse educator exhibiting when counseling a student in therapeu
p p p p p p p p p p
tic communication techniques?
p p
a. Leadership
b. Ethical decision making p p
c. Direct clinical practice p p
d. Expert coaching - ANSWER Answer: D p p p p p
A nurse educator who is teaching and counseling students is practicing expert coa
p p p p p p p p p p p p
ching and guidance. A nurse educator with a master's degree practices the other c
p p p p p p p p p p p p p
ompetencies of leadership and ethical decision making in other situations. Altho
p p p p p p p p p p
ugh a nurse educator may also work as a nurse involved in direct patient care, this
p p p p p p p p p p p p p p p
pis not part of the educator role.
p p p p p p
, Which statements describe a component discussed in nursing theories? (select all
p p p p p p p p p p p
that apply) p
a. Optimal functioning of the patient p p p p
b. Interaction with components of the environment p p p p p
c. The conceptual makeup of the administration of the hospital
p p p p p p p p
d. The illness and health concept p p p p
e. Safety aspect of medication administration - p p p p p
pANSWER Answers: A, B, D There are four components that a nursing theory
p p p p p p p p p p p p p
discusses: (1) the patient, (2) health, (3) environment, and (4) nursing—
p p p p p p p p p p
not the hospital administration.
p p p
Which factors affect the nursing shortage? (select all that apply)
p p p p p p p p p
a. Aging faculty p
b. Increasing elderly population p p
c. Job satisfaction due to adequate number of nurses
p p p p p p p
d. Aging nursing workforce p p
e. Greater autonomy for nurses - ANSWER Answers: A, B, Dp p p p p p p p p
The nursing workforce and nursing faculty are aging. The entire population is agin
p p p p p p p p p p p p
g, which increases the need for more nurses. The insufficient number of nurses lea
p p p p p p p p p p p p p
ds to job dissatisfaction and burnout.
p p p p p
A nurse has performed a physical examination of the patient and reviewed the lab
p p p p p p p p p p p p p
oratory results and diagnostics on the patient's chart. The nurse is performing whic
p p p p p p p p p p p p
h specific nursing function?
p p p
a. Diagnosis
b. Assessment
c. Education
d. Advocacy - ANSWER Answer: B p p p p
The nurse is performing the first step in the nursing process—assessment.
p p p p p p p p p p
A hospitalized patient experiences a sharp, stabbing pain while visiting with his sp
p p p p p p p p p p p p
ouse. Both the patient and his wife become very concerned, and the patient's call l
p p p p p p p p p p p p p p
ight is activated. What referent initiated communication between the patient and t
p p p p p p p p p p p
he nurse? p
a. Interaction between the patient and his wife p p p p p p
b. Concern on the part of the patient's spouse p p p p p p p
c. Pain experienced by the patient p p p p
d. Activation of the call light - ANSWER Answer: C p p p p p p p p