NURS 1871 exam 1
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1. You are preparing a presentation for your classmates regarding the clinical
care coordination conference for a patient with terminal cancer. As part of
the preparation you have your classmates read the Nursing Code of Ethics
for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which statement best describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care: 4
2. A nurse is caring for a patient with end-stage lung disease. The patient
wants to go home on oxygen and be comfortable. The family wants the patient
to have a new surgical procedure. The nurse explains the risk and benefits of
the surgery to the family and discusses the patient's wishes with them. The
nurse is acting as the patient's:
1. Educator.
2. Advocate.
3. Caregiver.
4. Communicator.: 2
3. The nurse spends time with a patient and family reviewing a dressing
change procedure for the patient's wound. The patient's spouse demonstrates
how to change the dressing. The nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator: 1
4. The examination for registered nurse (RN) licensure is the same in every
state in the United States. This examination:
1. Guarantees safe nursing care for all patients.
2. Ensures standard nursing care for all patients.
3. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs.: 3
5. Contemporary nursing requires that the nurse has knowledge and skills for
a variety of professional roles and responsibilities. Which of the following are
examples of these roles and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor: 1, 2, 3, 4
, NURS 1871 exam 1
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6. Match the advanced practice nurse specialty with the statement about the
role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological ser-
vices
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic con-
ditions
d. Provides care and services under the supervision of an anesthesiologist: -
1b, 2d, 3c, 4a
7. Health care reform will bring changes in the emphasis of care. Which of
these models is expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention
model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model: 1
8. A nurse meets with the registered dietitian and physical therapist to develop
a plan of care that focuses on improving nutrition and mobility for a patient.
This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Quality improvement: 3
9. A critical care nurse is using a new research-based intervention to correctly
position her ventilated patients to reduce pneumonia caused by accumulated
respiratory secretions. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement: 2
, NURS 1871 exam 1
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10. The nurses on an acute care medical floor notice an increase in pressure
injury formation in their patients. A nurse consultant decides to compare two
types of treatment. The first is the procedure currently used to assess for
pressure injury risk. The second uses a new assessment instrument to iden-
tify at-risk patients. Given this information, the nurse consultant exemplifies
which career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
4. Nurse researcher: 4
11. A patient discharged a week ago following a stroke is currently partici-
pating in rehabilitation sessions provided by nurses, physical therapists, and
registered dietitians in an outpatient setting. In what level of prevention is the
patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention: 3
12. Based on the Transtheoretical Model of Change, what is the most appropri-
ate response to a patient who states: "Me, stop smoking? I've been smoking
since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke by one
each day, and I'll see you in 1 month."
3. "What do you think is the greatest reason why stopping smoking would be
challenging for you?"
4. "I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed.": 3
13. A nurse working on a medical patient care unit states, "I am having trouble
sleeping, and I eat nonstop when I get home. All I can think of when I get to
work is how I can't wait for my shift to be over. I wish I felt happy again." What
are the best responses from the nurse manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel
better soon."
2. "I know several nurses who feel this way every now and then. Tell me about
the patients you have cared for recently. Did you find it difficult to care for
them?"
3. "You can take diphenhydramine over the counter to help you sleep at
night."
, NURS 1871 exam 1
Study online at https://quizlet.com/_7skoqp
4. "Describe for me what you do with your time when you are not working."
5. "The hospital just started a group where nurses get together to talk about
their feelings. Would you like for me to e-mail the schedule to you?": 2, 4, 5
14. A patient has been laid off from his construction job and has many unpaid
bills. He is going through a divorce from his marriage of 15 years and has
been praying daily to help him through this difficult time. He does not have a
primary health care provider because he has never really been sick, and his
parents never took him to a physician when he was a child. Which external
variables influence the patient's health practices? (Select all that apply.)
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider: 1, 5
15. A nurse is conducting a home visit with a new mom and her three children.
While in the home the nurse weighs each family member and reviews their
3-day food diary. She checks the mom's blood pressure and encourages the
mom to take the children for a 15- to 30-minute walk every day. The nurse is
addressing which level of need, according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization: 1
16. When taking care of patients, a nurse routinely asks whether they take any
vitamins or herbal medications, encourages family members to bring in music
that the patient likes to help the patient relax, and frequently prays with her
patients if that is important to them. The nurse is practicing which model?
1. Holistic
2. Health belief
3. Transtheoretical
4. Health promotion: 1
17. Using the Transtheoretical Model of Change, order the steps that a patient
goes through to make a lifestyle change related to physical activity.
80
1. The individual recognizes that he is out of shape when his daughter asks
him to walk with her after school.
2. Eight months after beginning walking, the individual participates with his
wife in a local 5K race.
3. The individual becomes angry when the physician tells him that he needs
Study online at https://quizlet.com/_7skoqp
1. You are preparing a presentation for your classmates regarding the clinical
care coordination conference for a patient with terminal cancer. As part of
the preparation you have your classmates read the Nursing Code of Ethics
for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which statement best describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care: 4
2. A nurse is caring for a patient with end-stage lung disease. The patient
wants to go home on oxygen and be comfortable. The family wants the patient
to have a new surgical procedure. The nurse explains the risk and benefits of
the surgery to the family and discusses the patient's wishes with them. The
nurse is acting as the patient's:
1. Educator.
2. Advocate.
3. Caregiver.
4. Communicator.: 2
3. The nurse spends time with a patient and family reviewing a dressing
change procedure for the patient's wound. The patient's spouse demonstrates
how to change the dressing. The nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator: 1
4. The examination for registered nurse (RN) licensure is the same in every
state in the United States. This examination:
1. Guarantees safe nursing care for all patients.
2. Ensures standard nursing care for all patients.
3. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs.: 3
5. Contemporary nursing requires that the nurse has knowledge and skills for
a variety of professional roles and responsibilities. Which of the following are
examples of these roles and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor: 1, 2, 3, 4
, NURS 1871 exam 1
Study online at https://quizlet.com/_7skoqp
6. Match the advanced practice nurse specialty with the statement about the
role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological ser-
vices
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or have chronic con-
ditions
d. Provides care and services under the supervision of an anesthesiologist: -
1b, 2d, 3c, 4a
7. Health care reform will bring changes in the emphasis of care. Which of
these models is expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention
model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model: 1
8. A nurse meets with the registered dietitian and physical therapist to develop
a plan of care that focuses on improving nutrition and mobility for a patient.
This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Quality improvement: 3
9. A critical care nurse is using a new research-based intervention to correctly
position her ventilated patients to reduce pneumonia caused by accumulated
respiratory secretions. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement: 2
, NURS 1871 exam 1
Study online at https://quizlet.com/_7skoqp
10. The nurses on an acute care medical floor notice an increase in pressure
injury formation in their patients. A nurse consultant decides to compare two
types of treatment. The first is the procedure currently used to assess for
pressure injury risk. The second uses a new assessment instrument to iden-
tify at-risk patients. Given this information, the nurse consultant exemplifies
which career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
4. Nurse researcher: 4
11. A patient discharged a week ago following a stroke is currently partici-
pating in rehabilitation sessions provided by nurses, physical therapists, and
registered dietitians in an outpatient setting. In what level of prevention is the
patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention: 3
12. Based on the Transtheoretical Model of Change, what is the most appropri-
ate response to a patient who states: "Me, stop smoking? I've been smoking
since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke by one
each day, and I'll see you in 1 month."
3. "What do you think is the greatest reason why stopping smoking would be
challenging for you?"
4. "I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed.": 3
13. A nurse working on a medical patient care unit states, "I am having trouble
sleeping, and I eat nonstop when I get home. All I can think of when I get to
work is how I can't wait for my shift to be over. I wish I felt happy again." What
are the best responses from the nurse manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel
better soon."
2. "I know several nurses who feel this way every now and then. Tell me about
the patients you have cared for recently. Did you find it difficult to care for
them?"
3. "You can take diphenhydramine over the counter to help you sleep at
night."
, NURS 1871 exam 1
Study online at https://quizlet.com/_7skoqp
4. "Describe for me what you do with your time when you are not working."
5. "The hospital just started a group where nurses get together to talk about
their feelings. Would you like for me to e-mail the schedule to you?": 2, 4, 5
14. A patient has been laid off from his construction job and has many unpaid
bills. He is going through a divorce from his marriage of 15 years and has
been praying daily to help him through this difficult time. He does not have a
primary health care provider because he has never really been sick, and his
parents never took him to a physician when he was a child. Which external
variables influence the patient's health practices? (Select all that apply.)
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider: 1, 5
15. A nurse is conducting a home visit with a new mom and her three children.
While in the home the nurse weighs each family member and reviews their
3-day food diary. She checks the mom's blood pressure and encourages the
mom to take the children for a 15- to 30-minute walk every day. The nurse is
addressing which level of need, according to Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization: 1
16. When taking care of patients, a nurse routinely asks whether they take any
vitamins or herbal medications, encourages family members to bring in music
that the patient likes to help the patient relax, and frequently prays with her
patients if that is important to them. The nurse is practicing which model?
1. Holistic
2. Health belief
3. Transtheoretical
4. Health promotion: 1
17. Using the Transtheoretical Model of Change, order the steps that a patient
goes through to make a lifestyle change related to physical activity.
80
1. The individual recognizes that he is out of shape when his daughter asks
him to walk with her after school.
2. Eight months after beginning walking, the individual participates with his
wife in a local 5K race.
3. The individual becomes angry when the physician tells him that he needs
