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NUR 100 Final
| Question | Answer |
|---|---|
| The ANA strives to improve nursing care. What is true about the ANA? | It is part of the International Council of Nurses, they employ registered nurses as lobbyists at the Federal Level, lobbied state legislatures to restrict the length of overtime for nurses |
| What are the components of the the ANA's standards of practice and scope of nursing practice? | describes what a nurse is licensed to preform, identified the nature and intent of the ways nurses intervene with patients, is an authoritative statement regarding the duties all nurses are expected to do |
| Possible nursing careers that require a Master's degree in nursing | Nurse educator, nursing researcher, APRN , nurse administrator |
| Nurses at the community hospital are learning how to use a new pressure relieving device for patients at risk of bed sores. What type of education is that? | In-service education |
| What are the minimum education requirements to become a clinical nurse specialist? | Masters in nursing |
| What are the responsibilities of the nurse educator? | provide students with practical and theoretical knowledge |
| The examination for registered nurse licensure is the same in every state in the US. Why? | it provides a minimum standard of knowledge for an RN |
| Do APRNs function independently? | yes |
| The nurse is using a computerized decision support system to correctly position ventilated patients to reduced further illness. which Quality and Safety Education for Nurses competency is this an example of? q | Informatics |
| If there is a shortage of nurses what should the nurse do during care? | be efficient and use patient time professionally, do not rush |
| Why is nursing research important for nurses? | can lead to new theories, determines accuracy of a theory, tests theory before it is implemented |
| What is true about theory based nursing practice? | it defines the uniqueness of nursing practice from other disciplines |
| What are some phases of Peplau's nurse-patient interpersonal relationship? | Orientation, Working, Resolution |
| How do you properly establish the nurse-patient relationship according to Peplau? | an interaction between pt and nurse must happen, nurse helps pt reduce anxiety, there are 4 phases |
| What characteristic would a nurse look for in a well written literature review? | includes an argument about why the author wanted to conduct a study/report on the clinical topic |
| Which activity is included in primary prevention? | health education programs, protection from occupational hazards, physical fitness activities |
| When was the primary nursing model of care adopted | during the 1970s |
| As a science, which component does nursing rely on? | current research |
| While teaching about QSEN competencies, the nurse states, "This competency uses tools such as flowcharts and diagrams to make the process of care explicit" What QSEN is the nurse referring to? | Quality improvement |
| What is evidence based practice? | optimal patient care based on research |
| Which principle of Leininger's theory would the nurse use to develop a diet plan for a Hindu patient who is vegetarian? | integrate the patients beliefs and values into the care plan |
| What phrase is related to Leininger's theory? | caring for patients with unique cultures |
| What question would help a group of nurses evaluate the results after applying evidence based practice? | How effective was the practice change in the clinical setting? |
| What first step occurs in health promotion, wellness education, and illness prevention? | identifying risk factors |
| A patient is scheduled for surgery, before the surgery the patient read the consent form and signed it. This is an example of what principle? | Autonomy because it refers to the commitment to included patients in decisions about all aspects of care |
| Define beneficence | all interventions should consider the patients best interest, it is more important than self interest, (benefits) |
| Define nonmaleficene | the health care provider should weigh the risks and benefits of the intervention before delivering it, avoidance of harm or hurt (no mal = no bad) |
| What is a correct statement for beneficence? | taking positive action to help others |
| Nurse is assessing a patient with multiple myeloma and needs a bone transplant. The patient does not have insurance and cannot pay out of pocket for the surgery. Which ethical principle would be discussed regarding the patients condition? | Justice because justice involves the discussion about health insurance, hospital locations, and organ transplants |
| While caring for patients in a clinical setting, the nurse tells the patients that all patients receive the same treatment no matter financial status or cultural background. Which ethical principle is the nurse doing? | Justice because patients are due equal treatment |
| When caring for a patient, which action would the nurse preform to maintain the standards of fidelity? | be punctual, monitor patients response to a medication, revise the care plan to provide pain relief to the patient |
| What is true about ethical dilemmas? | the should be processed carefully to reduce distress and controversy, it cannot be resolved solely with scientific data, resolving them is similar to the nursing process |
| Which measure should the nurse adopt to ensure ethical nursing care when dealing with the values of a patient? | be clear about personal values, maintain cultural competence, attempt to resolve differing opinions |
| What sources are responsible for the formation of values in an individual? | schools, governments, social institutions, religion |
| Which organizations address the quality of health care documentation? | The Joint Commission and Nation Committee for Quality Assurance |
| Which nursing standards of care practice would the nurse adopt while caring for a patient with a lung infection? | planning, diagnosis, assessment |
| What are some examples of a nurse showing respect for patient autonomy? | making sure the patient understands all the risks of the medical procedure, including patient in all care decisions, has read/signed/understands the consent form, getting consent before doing anything |
| The patient is having a surgery, what intervention is preformed out of respect for the patients autonomy? | review the surgical procedure, explain the risks and benefits of the procedure, sign the consent form |
| Which attributes are in the nursing code of ethics? | Advocacy, Responsibility, Accountability, Confidentiality |
| Preparing a plan to manage the pain of the patient and monitoring responses, is an example of what and why? | Fidelity because it is the agreement to make and keep promises of being a nurse |
| What is the second key step of resolving an ethical dilemma? | gather information relevant to the case |
| How can a nurse negotiate differences in opinion with a patient? | be clear about their values |
| A patient has sprained their ankle, the nurse tells them to keep the leg elevated and apply ice. What standard of practice is the nurse preforming? | Implementation |
| What statements best describe the consent form? | it can be signed by an emancipated minor, it signifies that the patient knows exactly what the procedure is, have to be 18 or emancipated, have to be of sound mind, it is usually obtained by the healthcare provider not the nurse. |
| The nurse failed to obtain the consent form before doing a procedure on a patient. Which tort is the nurse preforming? | battery and negligence |
| Which document is classified as an advanced directive? | living wills, healthcare proxies, and durable powers of attorney for healthcare |
| What action is a common act of negligence? | failure to follow prescriptions, failure to document monitoring, failure to follow policies and guidelines |
| The nurse is explaining the Americans with Disabilities Act to a patient with HIV, What information should the nurse include? | people who are asymptomatic also fall under the category of disabled, they have the right to decide if they want to disclose their infection-healthcare providers also have that choice, ADA wants = opportunities for people with disabilities |
| Hospital administrators have warned the health care team about the invasion of a patients privacy. What could be a reason for this warning? | the nurse read text messages on the patients cell phone |
| A nurse provided a detailed summary of the patients condition to the patients family without consent from the patient. The nurse also gave the patient a shot even though the patient refused. What tort is the nurse guilty of? | Battery and invasion of privacy |
| When caring for a child patient the nurse notices several bruises and the child appears scared of the parents. Which laws obligate the nurse to report suspected abuse to law enforcement? | public health laws |
| What legal source of standard care should nurses refer to to deliver safe health care? | policies and procedures of the hospital, State Nurse Practice Act, the Joint Commission manual, the ANA standards of nursing practice |
| When is a living will invoked? | when the patient is in terminal condition or is in a persistent vegetative state |
| What is meant by "critical thinking" and why is it important to the role of the nurse? | it is the disciplined, intellectual process of applying skillful reasoning as a guide to belief of action; Gather info, come to conclusions, identify the problems, Think of several different actions they might take to help solve or relieve the problem |
| State the seven critical thinking concepts and give an example of each critical thinking behavior | Truth Seeking (finding answers), Open Mindedness (a patient with different beliefs than you), Analyticity(see data and come to conclusions), Systematicity, Self-confidence (don't be afraid to question), Inquisitiveness, Maturity |
| How is critical thinking used in decision making | Specific knowledge base, Experience, The nursing process competency, Attitudes for critical thinking. Coming up with a plan and dissecting it asking questions. |
| What attitudes will you need for critical thinking and decision making? | Confidence, Independent thinking, Fairness, Responsibility and accountability, Risk taking, Discipline, Perseverance, Creativity, Curiosity, Integrity, Humility |
| What are some tools to improve critical thinking? | journaling, concept mapping, case study discussion, and collaboration |
| Name three domains of learning | Cognitive learning, Affective learning, Psychomotor learning |
| How can the domains be applied to learning by nursing students in the classroom. in the lab, and in the clinical setting? | cognitive is classroom, affective is lab, and psychomotor is clinical |
| State the cognitive learning behaviors from simple to complex according to Bloom | create, evaluate, analyze, apply, understand, remember= assessment, nursing diagnosis, planning, implementation, evaluation |
| How do cognitive learning behaviors apply to student learning | it is the critical thinking of nursing |
| Student labs and clinical experiences utilized psychomotor learning. Give an example of skills you might learn as a student that would utilize psychomotor learning. | clinical experience actually doing the exercises. |
| How does motivation influence the learning outcome | if the student is not motivated to learn the student will not learn |
| Cognitive learning | Includes all intellectual behaviors and requires thinking. Remember, Understand, Apply, Analyze, Evaluate, Create |
| Affective Learning | Teaching methods: 1:1 Listen Discussion group Role plays |
| Psychomotor learning | Acquiring skills that include the integration of mental/muscular activity. Fundamental, Perception, Guided response, Adaptation, Origination, Demo, Practice, Return demo with feedback, Learner uses new skills under supervision, Independent |
| Who was the founder of the red cross? | Clara Barton |
| What is the Nursing Process? | Standard for nursing practice |
| Which Standard of Professional Performance applies when you maintain confidentiality of patient information? | Quality of care or ethics im not sure |
| A nurse has lost her license for diversion of controlled substances. What does this tell you? | The nurse was probably not following the treatment plan of the HPRP |
| Which critical thinking attitude would the nurse possess to ID new solutions to patient related problems? | creativity |
| What activity is involved with the assessment phase of the nursing process? | asking the patient about the complaint, inquiring about the patients current meds, asking about the patients past and family medical records |
| According to R.W. Paul, which intellectual standard would the nurse have for critical thinking? | clear, plausible, complete |
| A nurse is examining a patients wound. What describes a good critical thinker? | analytic, systematic, inquisitive |
| A patient needs a Foley catheter to be inserted, so the nurse reads the procedure manual for the review on how to insert it. Which level of critical thinking is the nurse using? | basic critical thinking |
| What traits are an obstacle in critical thinking? | over confidence, biased views, failure to accept mistakes |
| When a patient plan is not working and revision is needed what aspect of critical thinking did the nursing student display? | creativity |
| A nursing student is nervous caring for a schizophrenic patient for the first time. How should the nurse develop confidence to care for the patient? | discuss with a nursing instructor |
| What will help the nurse apply critical thinking skills in the day to day routine in an acute care setting? | discipline, responsibility, and perseverance |
| The nurse finds that the patient has incision pain, fever, and nausea. With that info the nurse concludes that the patient has an infection at the surgical sight. Which critical thinking skills has the nurse applied? | analysis |
| A nurse lost a child patient, when trying to talk to the mother, the mother said "You can't make me feel better; you don't know what its like to lose a child." How should a nurse reflect and learn from that experience? | journaling: the nurse should describe all that was done to save the child, how they tried to restore BP what was used and questions about the child's response, what it meant to the nurse, how to deal with the patients death, what the nurse said |
| Which method would the student nurse use to reflect on and analyze the students own thoughts, action, and knowledge? | reflective journaling |
| The nurse assessing the patient notices several genital lesions and suspects that the patient has multiple sexual partners. How would the nurse obtain more info on the patient? | be honest, use tact, ask objective questions |
| Which skill is unique to the commitment level of critical thinking | anticipating when to make decisions without others assistance |
| The use of the pain scale is an example of which intellectual standard? | consistent |
| Which teaching method has the nurse employed by showing a patient how to use a sphygmomanometer to record BP and ask the patient to preform the procedure to confirm understanding? | return demonstration |
| Which method is appropriate to teach a patient how to administer insulin? | demonstration and return demonstration |
| Which teaching method would a nurse use to teach little kids how to wash their hands? | use roll play, questions and explanation, encourage the children to learn together through short stories and pictures |
| When preparing a teaching plan for nutrition and a healthy diet what factors should be considered? | the patients educational status, the financial status of the patient, the culture of the patient, the willingness of the patient to do it |
| The nurse is applying which teaching technique when allowing a patient to actively apply knowledge in controlled situations? | role play |
| The nurse is teaching the patient about diabetes. What statement made by the patient indicates the affective domain of learning? | "I would like to participate in the discussion about the treatment plan." |
| While caring for a patient with cancer, which nurse statement demonstrates the evaluation level of cognitive learning? | I will measure the outcomes of meds and I will assess the adverse affects of radiation therapy |
| The nurse has to teach obese patients about proper eating. Where would be an ideal setting to impart this teaching? | classroom |
| Which quality will enable the patient to preform dressing changes at home? | strength, sensory acuity, coordination |
| Which domain is required for learning to use a walker? | psychomotor domain |
Created by:
alexs13