, Chapter 1 Nursing Foundations
g g
gMultiple Choice g
Identify the choice that best completes the statement or answers the question.
g g g g g g g g g g g
1. The medical-surgical nurse identifies a clinical practice issue and
g g g g g g g g
gwants to determine if there is sufficient evidence to support a change in practice.
g g g g g g g g g g g g g
gWhich type of study provides the strongest evidence to support a practice
g g g g g g g g g g g
gchange?
• Randomized control study g g
• Quasi-experimental study g
• Case-control study g
• Cohort study g
2. The medical-surgical unit recently implemented a patient-centered
g g g g g g
gcare model. Which action implemented by the nurse supports this model?
g g g g g g g g g g
• Evaluating care g
• Assessing needs g
• Diagnosing problems g
• Providing compassion g
3. Which action should the nurse implement when providing patient care in order
g g g g g g g g g g g
to support The Joint
g g g g
Commission’s (TJC) National Patient Safety Goals (NPSG)?
g g g g g g
• Silencing a cardiorespiratory monitor g g g
• Identifying each patient using one source g g g g g
• Determining patient safety issues upon admission g g g g g
• Decreasing the amount of pain medication administered
g g g g g g
4. Which interprofessional role does the nurse often assume g g g g g g g
gwhen providing patient care in an acute care setting?
g g g g g g g g
• Social worker g
• Client advocate g
• Care coordinator g
• Massage therapist g
5. The medical-surgical nurse wants to determine if a policy change is needed for
g g g g g g g g g g g g
an identified clinical problem.
g g g g
Which is the first action the nurse should implement?
g g g g g g g g
• Developing a question g g
• Disseminating the findings g g
• Conducting a review of the literature g g g g g
• Evaluating outcomes of practice change g g g g
, 6. The nurse is evaluating the level of evidence found during a recent
g g g g g g g g g g g
greview of the literature. Which evidence carries the lowest level of support for a
g g g g g g g g g g g g g
gpractice change? g
• Level IV g
• Level V g
• Level VI g
• Level VII g
7. The nurse is reviewing evidence from a quasi-experimental g g g g g g g
gresearch study. Which level of evidence should the nurse identify for this
g g g g g g g g g g g
gresearch study? g
• Level I g
• Level II g
• Level III g
• Level IV g
8. Which level of evidence should the nurse identify when reviewing g g g g g g g g g
gevidence from a single descriptive research study?
g g g g g g
• Level IV g
• Level V g
• Level VI g
• Level VII g
9. Which statement should the nurse make when communicating the “S” in the g g g g g g g g g g g
SBAR approach for effective
g g g g
communication?
• “The patient presented to the emergency department at 0200 with lower left abdominal
g g g g g g g g g g g g
pain.” g
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
g g g g g g g g g g g g g g
• “The patient has no significant issues in the medical history.”
g g g g g g g g g
• “The patient was given a prescribed opioid analgesic at 0300.”
g g g g g g g g g
10. The staff nurse is communicating with the change nurse about the
g g g g g g g g g g
gchange of status of the patient. The nurse would begin her communication
g g g g g g g g g g g
gwith which statement if correctly using the SBAR format?
g g g g g g g g
• “The patient’s heartrate is 110.”
g g g g
• “I think this patient needs to be transferred to the critical care unit.”
g g g g g g g g g g g g
• “The patient is a 68-year-old male patient admitted last night.”
g g g g g g g g g
• “The patient is complaining of chest pain.”
g g g g g g
11. Which nursing action exemplifies the Quality and Safety Education
g g g g g g g g
g for Nursing (QSEN) competency of safety?
g g g g g
• Advocating for a patient who is experiencing pain g g g g g g g
• Considering the patient’s culture when planning care g g g g g g
• Evaluating patient learning style prior to implementing discharge instructions
g g g g g g g g
• Assessing the right drug prior to administering a prescribed patient medication
g g g g g g g g g g
12. Which type of nursing is the root of all other nursing practice areas?
g g g g g g g g g g g g
• Pediatric nursing g
, • Geriatric nursing g
• Medical-surgical nursing g
• Mental health-psychiatric nursing
g g
13. Which did the Nursing Executive Center of The Advisory Board identify
g g g g g g g g g g
as an academic-practice gap for new graduate nurses?
g g g g g g g g
• Patient advocacy g
• Patient education g
• Disease pathophysiology g
• Therapeutic communication g
14. Which statement regarding the use of the nursing process in clinical practice is
g g g g g g g g g g g g
accurate?
g
• “The nursing process is closely related to clinical decision-making.”
g g g g g g g g
• “The nursing process is used by all members of the interprofessional team to plan care.”
g g g g g g g g g g g g g g
• “The nursing process has 4 basic steps: assessment, planning, implementation,
g g g g g g g g g
evaluation.” g
• “The nursing process is being replaced by the implementation of evidence-based
g g g g g g g g g g
practice.”
g
15. Which is the basis of nursing care practices and protocols?
g g g g g g g g g
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to care provided
g g g g g g g g g g g
in the hospital setting?
g g g g
• Space in hospital rooms g g g
• Medications received to treat pain g g g g
• Time spent with the health-care team
g g g g g
• Poor quality food received from dietary
g g g g g
17. The nurse manager is preparing a medical-surgical unit for The Joint
g g g g g g g g g g
Commission (TJC) visit With the nurse manager presenting staff education
g g g g g g g g g g
focusing on TJC benchmarks, which of the following topics would be most
g g g g g g g g g g g g
appropriate?
g
• Implementation of evidence-based practice g g g
• Implementation of patient-centered care g g g
• Implementation of medical asepsis practices g g g g
• Implementation of interprofessional care g g g
18. Which aspect of patient-centered care should the nurse manager evaluate
g g g g g g g g g
prior to The Joint Commission site visit for accreditation?
g g g g g g g g g
• Visitation rights g
• Education level of staff g g g
• Fall prevention protocol g g
• Infection control practices g g
g g
gMultiple Choice g
Identify the choice that best completes the statement or answers the question.
g g g g g g g g g g g
1. The medical-surgical nurse identifies a clinical practice issue and
g g g g g g g g
gwants to determine if there is sufficient evidence to support a change in practice.
g g g g g g g g g g g g g
gWhich type of study provides the strongest evidence to support a practice
g g g g g g g g g g g
gchange?
• Randomized control study g g
• Quasi-experimental study g
• Case-control study g
• Cohort study g
2. The medical-surgical unit recently implemented a patient-centered
g g g g g g
gcare model. Which action implemented by the nurse supports this model?
g g g g g g g g g g
• Evaluating care g
• Assessing needs g
• Diagnosing problems g
• Providing compassion g
3. Which action should the nurse implement when providing patient care in order
g g g g g g g g g g g
to support The Joint
g g g g
Commission’s (TJC) National Patient Safety Goals (NPSG)?
g g g g g g
• Silencing a cardiorespiratory monitor g g g
• Identifying each patient using one source g g g g g
• Determining patient safety issues upon admission g g g g g
• Decreasing the amount of pain medication administered
g g g g g g
4. Which interprofessional role does the nurse often assume g g g g g g g
gwhen providing patient care in an acute care setting?
g g g g g g g g
• Social worker g
• Client advocate g
• Care coordinator g
• Massage therapist g
5. The medical-surgical nurse wants to determine if a policy change is needed for
g g g g g g g g g g g g
an identified clinical problem.
g g g g
Which is the first action the nurse should implement?
g g g g g g g g
• Developing a question g g
• Disseminating the findings g g
• Conducting a review of the literature g g g g g
• Evaluating outcomes of practice change g g g g
, 6. The nurse is evaluating the level of evidence found during a recent
g g g g g g g g g g g
greview of the literature. Which evidence carries the lowest level of support for a
g g g g g g g g g g g g g
gpractice change? g
• Level IV g
• Level V g
• Level VI g
• Level VII g
7. The nurse is reviewing evidence from a quasi-experimental g g g g g g g
gresearch study. Which level of evidence should the nurse identify for this
g g g g g g g g g g g
gresearch study? g
• Level I g
• Level II g
• Level III g
• Level IV g
8. Which level of evidence should the nurse identify when reviewing g g g g g g g g g
gevidence from a single descriptive research study?
g g g g g g
• Level IV g
• Level V g
• Level VI g
• Level VII g
9. Which statement should the nurse make when communicating the “S” in the g g g g g g g g g g g
SBAR approach for effective
g g g g
communication?
• “The patient presented to the emergency department at 0200 with lower left abdominal
g g g g g g g g g g g g
pain.” g
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
g g g g g g g g g g g g g g
• “The patient has no significant issues in the medical history.”
g g g g g g g g g
• “The patient was given a prescribed opioid analgesic at 0300.”
g g g g g g g g g
10. The staff nurse is communicating with the change nurse about the
g g g g g g g g g g
gchange of status of the patient. The nurse would begin her communication
g g g g g g g g g g g
gwith which statement if correctly using the SBAR format?
g g g g g g g g
• “The patient’s heartrate is 110.”
g g g g
• “I think this patient needs to be transferred to the critical care unit.”
g g g g g g g g g g g g
• “The patient is a 68-year-old male patient admitted last night.”
g g g g g g g g g
• “The patient is complaining of chest pain.”
g g g g g g
11. Which nursing action exemplifies the Quality and Safety Education
g g g g g g g g
g for Nursing (QSEN) competency of safety?
g g g g g
• Advocating for a patient who is experiencing pain g g g g g g g
• Considering the patient’s culture when planning care g g g g g g
• Evaluating patient learning style prior to implementing discharge instructions
g g g g g g g g
• Assessing the right drug prior to administering a prescribed patient medication
g g g g g g g g g g
12. Which type of nursing is the root of all other nursing practice areas?
g g g g g g g g g g g g
• Pediatric nursing g
, • Geriatric nursing g
• Medical-surgical nursing g
• Mental health-psychiatric nursing
g g
13. Which did the Nursing Executive Center of The Advisory Board identify
g g g g g g g g g g
as an academic-practice gap for new graduate nurses?
g g g g g g g g
• Patient advocacy g
• Patient education g
• Disease pathophysiology g
• Therapeutic communication g
14. Which statement regarding the use of the nursing process in clinical practice is
g g g g g g g g g g g g
accurate?
g
• “The nursing process is closely related to clinical decision-making.”
g g g g g g g g
• “The nursing process is used by all members of the interprofessional team to plan care.”
g g g g g g g g g g g g g g
• “The nursing process has 4 basic steps: assessment, planning, implementation,
g g g g g g g g g
evaluation.” g
• “The nursing process is being replaced by the implementation of evidence-based
g g g g g g g g g g
practice.”
g
15. Which is the basis of nursing care practices and protocols?
g g g g g g g g g
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to care provided
g g g g g g g g g g g
in the hospital setting?
g g g g
• Space in hospital rooms g g g
• Medications received to treat pain g g g g
• Time spent with the health-care team
g g g g g
• Poor quality food received from dietary
g g g g g
17. The nurse manager is preparing a medical-surgical unit for The Joint
g g g g g g g g g g
Commission (TJC) visit With the nurse manager presenting staff education
g g g g g g g g g g
focusing on TJC benchmarks, which of the following topics would be most
g g g g g g g g g g g g
appropriate?
g
• Implementation of evidence-based practice g g g
• Implementation of patient-centered care g g g
• Implementation of medical asepsis practices g g g g
• Implementation of interprofessional care g g g
18. Which aspect of patient-centered care should the nurse manager evaluate
g g g g g g g g g
prior to The Joint Commission site visit for accreditation?
g g g g g g g g g
• Visitation rights g
• Education level of staff g g g
• Fall prevention protocol g g
• Infection control practices g g
