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Fundamentals ch 1-18
quiz review
| Question | Answer |
|---|---|
| Learn to deliver care with compassion, caring and with respect for each patient's dignity and personhood. | Nursing as an art |
| Based on a body of knowledge and evidence-based that are continually changing with new discoveries and innovations. | Nursing as a science |
| What is patient-centered care? | Individualized care |
| What are the six standards of practice? | 1. Assessment 2. Diagnosis ( problems) 3. Outcomes identification 4. Planning 5. Implementation 6. Evaluation. |
| What is the foundation of clinical decision making? | The nursing process. |
| A beginning nursing student or any nurse entering a situation in which there is no previous level of experience is called? | A novice |
| A nurse who has had some level of experience with the situation is called? | An advanced beginner. |
| A nurse who has had been in the same clinical position for 2-3 years. | Competent |
| A nurse with more than 2-3 years of experience in the same clinical position. | Proficient |
| A nurse with diverse experience who has an intuitive grasp of an existing or potential clinical problem. | Expert |
| The registered nurse collects pertinent data and information relative to the healthcare consumer's health or the situation. | Assessment |
| The registered nurse analyzes the assessment data to determine the actual or potential diagnosis, problems, and issues. | Diagnosis |
| The registered nurse identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. | Planning |
| The registered nurse develops a plan encompassing strategies to achieve expected outcomes. | Implementation |
| The registered nurse evaluates progress toward attainment of goals and outcomes | Evaluation |
| The registered nurse integrates ethics in all aspect of practice. | Ethics |
| The registered nurse demonstrates advocacy in all roles and settings. | Advocacy |
| The registered nurse practices with cultural humility and inclusiveness | Respectful and equitable practice |
| The registered nurse communicates effectively in all areas of professional practice. | Communication |
| The registered nurse collaborates with health care consumers and other key stakeholders. | Collaboration |
| The registered nurse leads within the professional practice that reflects current nursing practice and promotes futuristic thinking. | Leadership |
| The registered nurse seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. | Educations |
| The registered nurse integrates scholarship, evidence, and research findings into practice. | Scholarly inquiry |
| The registered nurse contributes to quality nursing practice. | Quality of practice |
| The registered nurse evaluates one's own and others' nursing practice. | Resource stewardship |
| The registered nurse practices in a manner that advances environmental safety and health. | Environmental Health |
| A statement of philosophical ideals of right and wrong that define the principles you will use to provide care to your patients. | Code of ethics |
| American association of colleges of nursing essential domains | Domain 1: Knowledge for nursing practice. Domain 2: Person-Centered care Domain 3: Population health Domain 4: Scholarship for nursing practice. Domain 5: Quality and safety. Domain 6: Interprofessional Partnerships. Domain 7: Systems-based practice |
| 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 N | Defines the principles of right and wrong to provide patient care. |
| 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 operation to the family | Advocate |
| 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? | Educator |
| The examination for RN licensure is the same in every state in the United States. This examination: | Provides the minimal standard of knowledge for an RN in practice |
| Contemporary nursing requires that the nurse have 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.) | Caregiver, Autonomy, Patient advocate, Health promotion |
| Expert clinician in a specialized area of practice such as adult diabetes care | Clinical nurse specialist |
| Plans and delivers anesthesia and pain management to patients across the life span | Nurse anesthetist |
| Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions | Nurse practitioner |
| Provides independent care, including pregnancy and gynecological services | Nurse-midwife |
| Health care reform will bring changes in the emphasis of care. Which of these models is expected from health care reform? | Moving from an acute illness to a health promotion, illness prevention model |
| The nurse manager meets with the registered nursing staff about an increase in urinary tract infections in patients with a Foley catheter. The staff work together to review the literature on catheter-associated urinary tract infections (CAUTIs), identifie | Quality improvement |
| A critical care nurse is using a new research-based intervention to correctly position patients who are on ventilators to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which QSEN competency? | Evidence-based practice |
| 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 se | Nurse researcher |
| Nursing actions: | 1. Dependent -physician 2. Independent- nurse 3. Interdependent/collaborative - PT(physical therapist) |
| Nursing is described as a profession because nurses: | Practice autonomy |
| Who contributed to the standards of nursing care, and was the first epedimiologist? | Florence Nightingale |
| Founder of the American Red Cross | Clara Barton |
| Organized hospitals and ambulance services appointed nurses and walked abandoned battlefields looking for wounded soldiers. | Mother Bickerdyke and Dorthea Dix |
| Open henry street settlement to care for the poor people in tenements in new york city. | Lillian Wald & Mary Brewster |
| Nurses are | educators, communicators, and managers |
| Interdependent: The patient has hip replacement. And the doctor wrote that the patient should get out of bed. | Physical therapist ( bringing someone else from another discipline. |
| • Adult screenings for blood pressure, cholesterol, tobacco use, and cancer • Pediatric screenings for hearing, vision, autism, and developmental disorders • HIV screening for adults at higher risk • Wellness visits • Immunizations • Diet counseling | Preventative care |
| • Diagnosis and treatment of common illnesses • Ongoing management of chronic health problems • Prenatal care • Well-baby care • Family planning • Patient-centered medical home care | Primary care (health promotion) |
| • Urgent care; hospital emergency care • Acute medical-surgical care: ambulatory care, outpatient surgery, hospital • Radiological procedures | Secondary (acute care) |
| • Highly specialized: intensive care, inpatient psychiatric facilities • Specialty care (such as neurology, cardiology, rheumatology, dermatology, oncology) | Tertiary care |
| • Rehabilitation programs (such as cardiovascular, pulmonary, orthopedic) • Sports medicine • Spinal cord injury programs • Home care | Restorative care |
| • Long-term care: assisted living, nursing centers • Psychiatric and older-adult day care | Continuing care |
| Comprehensive programs integrate health promotion principles into a school curriculum. Services emphasize program management, interprofessional collaboration, and community health principles. | School health |
| The workplace is an important setting for delivering comprehensive health protection, health promotion, and disease and accident prevention programs. | Occupational health |
| Provide primary health care and diagnose and treat acute and chronic illnesses. | Physicians' offices |
| Nurse-managed clinics or centers deliver nursing services with a focus on health promotion and health education, chronic disease assessment and management, and support for self-care and caregivers. | Nurse-managed clinics |
| Nurses deliver health care services to patients (e.g., older adults or those unable to leave their homes) within their own religious communities. | Block and parish nursing |
| Provide comprehensive and cost-effective primary care and supportive services that promote access to health care. | Community centers |
| Emphasizes the role of a transition coach in managing/facilitating the discharge of a patient to home or to a rehabilitation center. | Coleman’s “care transitions program” |
| Emphasizes comprehensive discharge planning and follow-up for older adults who are chronically ill. | Naylor’s “transitional care model” |
| The interprofessional team is headed by both a nurse practitioner and a social worker. | High-intensity care model (grace model) |
| Which nurse most likely kept records on sanitation techniques and the effects on health? | Florence Nightingale :Nightingale was the first practicing nurse epidemiologist. Her statistical analyses connected poor sanitation with cholera and dysentery. Mary Nutting, Clara Barton, and Lillian Wald came after Nightingale, each contributing to th |
| The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following? | Planning :In planning, the registered nurse develops a plan that prescribes strategies and alternatives to attain expected outcomes. During assessment, the registered nurse collects comprehensive data pertinent to the patient’s health and/or the situat |
| An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor? | Novice |
| A nurse assesses a patient’s fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating? | Autonomy |
| A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing? | Manager |
| The nurse has been working in the clinical setting for several years as an advanced practice nurse. However, the nurse has a strong desire to pursue research and theory development. To fulfill this desire, which program should the nurse attend? | Doctor of Philosophy degree (PhD) |
| A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive? | Continuing education |
| A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating? | Quality improvement |
| A nurse has compassion fatigue. What is the nurse experiencing? | Burnout and secondary traumatic stress |
| A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, ―I have no idea what is going to happen. I couldn’t ask any questions. ‖ The nurse does not allow the patient to sign the permit and noti | Patient advocate |
| The patient requires routine gynecological services after giving birth to her son, and while seeing the nurse-midwife, the patient asks for a referral to a pediatrician for the newborn. Which action should the nurse-midwife take initially? | Offer to provide the newborn care. |
| The nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate for a CRNA? | Works under the guidance of an anesthesiologist. |
| A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts? | Protects the public. |
| A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. What should the nurse realize? | The individual nurse can influence legislative decisions. |
| A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? | Code of ethics |
| A graduate of a baccalaureate degree program plans to start working as a registered nurse (RN) in the emergency department. Which action must the nurse take first? | Pass the National Council Licensure Examination. |
| While providing care to a patient, the nurse is responsible, both professionally and legally, for the appropriateness and proper execution of the care. Which concept does this describe? | Accountability |
| A nurse is teaching the staff about Benner’s levels of proficiency. In which order should the nurses place the levels from beginning level to ending level. 1. Expert 2. Novice 3. Proficient 4. Competent 5. Advanced beginner | 2, 5, 4, 3, 1 |
| A nurse is preparing a teaching session about contemporary influences on nursing. Which examples should the nurse include? (Select all that apply.) | a. Human rights b. Affordable Care Act c. Demographic changes d. Medically underserved |
| After licensure, the nurse wants to stay current in knowledge and skills. Which programs are the most common ways nurses can do this? (Select all that apply.) | b. Inservice education d. Continuing education |
| A nurse wants to become an advanced practice registered nurse. Which options should the nurse consider? (Select all that apply.) | c. Certified nurse-midwife d. Clinical nurse specialist e. Certified nurse practitioner |
| The nurse manager from the oncology unit has had two callouts; the orthopedic unit has had multiple discharges and probably will have to cancel one or two of its nurses. The orthopedic unit has agreed to ―float‖ two of its nurses to the oncology unit if | a. Autonomy c. Accountability e. Teamwork and collaboration |
| The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient? | Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost. |
| A nurse is teaching the staff about integrated health care systems. Which model of care should the nurse include in the teaching about seam-less care delivery? | The patient-centered medical home model |
| A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act? | Adult children up to age 26 are allowed coverage on the parent’s plan. |
| A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning? | Upon admission to the hospital. |
| The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work? | Restorative |
Created by:
yolanda.olivera001
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