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NURS Exam 1
| Question | Answer |
|---|---|
| Theory is essential to nursing practice because it Explains relationships b/t concepts Predicts patient behavior Forms health care legislation Guides nursing practice Contributes to nursing knowledge Provides a means of assessing patient vital signs | Explains relationships between concepts. Predicts patient behaviors in situations. Guides nursing practice. Contributes to nursing knowledge. |
| The components of the nursing metaparadigm include: Health, theory, concepts, and environment Person, health, environment, and nursing Nurses, physicians, health, and patient needs Person, health, environment, and theory | Person, health, environment, and nursing |
| Prescriptive theory | Addresses nursing interventions for a phenomena, guide practice change, and predict consequences. Ex: Wiedenbach's theory of the helping art of nursing |
| Shared theory | Applies theory from other disciplines to nursing practice. Ex: Paiget's theory of cognitive development |
| Practice theory | Specific to a particular situation; brings theory to the bedside. Ex: Pain management protocol for patients recovering from cardiac surgery |
| Definition of Phenomenon | An observable fact that can be perceived through the senses and explained. Ex: caring, self-care, patient response to stress |
| Grand theory | Very abstract; attempts to describe nursing in a global context. Ex: King's theory of goal attainment |
| Descriptive theory | Describes a phenomena and identifies circumstances in which the phenomena occur. Ex: theories of growth and development |
| Middle-range theory | Addresses a specific phenomenon and reflects practice. Ex: Kolcaba's theory of comfort |
| Which related to theorbased nurspract? Evid-based pract results from theor-testing res. Nurs theor difs it from other jobs theor+pract promo. coord. care deliv Nurs theor don't change Nurs process used in plan patient care Nurs knowl->gen. by theor | Evidence-based practice results from theory-testing research. Nursing theory differentiates nursing from other disciplines. Integrating theory into practice promotes coordinated care delivery. Nursing knowledge is generated by theory. |
| Which of the following categories of shared theories would be most appropriate for a patient who is grieving the loss of a spouse? Psychosocial Biomedical Leadership Developmental | Psychosocial |
| Henderson | Based on 14 activities, the nurse should assist patients with meeting needs until they are able to do so independently. |
| King | Based on the belief that nurses should work with patients to develop goals for care. |
| Neuman | Based on the theory that focuses on wellness and prevention of disease. |
| Orem | Based on the belief that people who participate in self-care activities are more likely to improve their health outcomes. |
| A nurse ensures that each patient’s room is clean, well ventilated, and free from clutter, excessive noise, and extremes in temperature. Which theorist’s work is the nurse practicing in this example? King Henderson Nightingale Orem | Nightingale |
| A nurse is caring for a patient who recently lost a leg in a motor vehicle accident. The nurse best assists the patient to cope with this situation by applying which of the following theories? Watson Levine Roy Johnson | Roy |
| Which nurs theory a nurse use as a conceptual framework to determ how to meet needs of immigrants&ensure provision of high quality and culturally sensitive care? Leininger's nurs theory Orem's nurs theory Roger's nurs theory Peplau's nurs theory | Madeleine Leininger's nursing theory |
| Discharge care to new mom-which consistent w Meleis' transitions theory result in a healthy transition? Allow expression of concerns&emotions Provide educ Provide info ab support group for new parents Identify avail support Discuss child expense | Allowing the expression of concerns and emotions Providing education Providing information about a support group for new parents Identifying available support |
| Nurse-midwife | Provides independent care including pregnancy and gynecological services. |
| Clinical nurse specialist | Expert clinician in a specialized area of practice such as adult diabetes care. |
| Nurse practitioner | Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or who have chronic conditions. |
| Nurse anesthetist | Provides care and services under the supervision of an anesthesiologist. |
| A woman is in the er with a fever&cough. The nurse obtains vital signs, listens to lung and heart, determines her comfort, and collects blood and sputum samples. Which standard of practice is performed? Diagnosis Evaluation Assessment Implementation | Assessment |
| A patient in the er has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? Planning Evaluation Assessment Implementation | Implementation |
| Benchmarks | Goals that are set to determine at what level the outcome indicators should be met. |
| Structure indicators | Reflect the setting in which care is provided and the available human and material resources. |
| Outcome (clinical) indicators | Reflect desired client outcomes related to the standard under review. |
| Process indicators | Reflect how client care is provided and are established by policies and procedures (clinical practice guidelines). |
| what are the 6 aims of healthcare quality? | safe effective patient-centered efficient timely equitable |
| which of the 6 aims of healthcare quality? Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and misuse, respectively). | effective |
| which of the 6 aims of healthcare quality? Avoiding harm to patients from the care that is intended to help them. | safe |
| which of the 6 aims of healthcare quality? Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions. | Patient-centered |
| which of the 6 aims of healthcare quality? Reducing waits and sometimes harmful delays for both those who receive and those who give care. | timely |
| which of the 6 aims of healthcare quality? Avoiding waste, including waste of equipment, supplies, ideas, and energy. | efficient |
| which of the 6 aims of healthcare quality? Providing care that does not vary in quality because of personal characteristics such as geographic location and socioeconomic status. | equitable |
| A root-cause analysis: Det. add. influen.@relation levels Only by nurses&APP's Analyzes cause&relation Variables around result of an action/occurrence Done for sentinel events&as part of the QI process Used to identify&resolve perform. deficiencies | Determines add. influences at each level of relation Analyzes possible causes&relationships that can exist Focuses on variables that surround the consequence of an action/occurrence Is commonly done for sentinel events&done as part of the QI process |
| A nurse is teaching about categories of nurse-sensitive quality indicators. The nurse should instruct the class that which of the following is included in the outcome category? Client admissions Hospital readmissions Use of restraints Staffing | Hospital readmissions |
| A nurse is teaching about categories of nurse-sensitive quality indicators. The nurse should instruct that which is included in the structure category? Pressure injury Use of restraints Catheter-associated urinary tract infections (CAUTI) Staffing | Staffing |
| Which item would be included in the process category of quality improvement? Use of restraints Hospital-acquired pressure injury (HAPI) Staffing Nursing feedback | Use of restraints |
| RCA for a client w/ a wrong site surgery. Which should the nurse ask? Client's outcome? Sequence of events that led to the wrong-site? Cause of wrong-site surgery? Incidence of wrong-site in the facility? How prevent from recurring? | What was the sequence of events that led to the wrong-site surgery? What caused the wrong-site surgery to occur? What can be done to prevent wrong-site surgeries from recurring? |
| Which are examples of sentinel events: A stage 4 pressure injury that was acquired in a health care facility Surgical procedure performed on the wrong site Client's violent partner Client elopes from healthcare facility Infant discharged to wrong fam | A stage 4 pressure injury that was acquired in a health care facility A surgical procedure that was performed on the wrong site An infant being discharged to the wrong family |
| QI initiative reducing patient falls w/ PDSA. Which represents S? Make fall prevention protocol w/ hourly rounding&bed alarms Implement protocol on one unit for 2 weeks Analyz fall rates&staff feedback after implementing Expand protocol to all units | Analyzing fall rates and staff feedback after the pilot implementation |
| Steps of evidence based practice | 0. spirit of inquiry 1. ask a clinical Q (PICOT) 2. relevant & best evidence 3. critically appraise evidence 4. integrate best evidence w/ clinical expertise & patient preferences & values 5. evaluate outcomes 6. communicate outcomes |
| All PICOT? what # kids not pay attention over last week? Does IV, compared to IA, stop wounds? In females, does using oils every morning compared to not lower # of migraines over 6 months? In Hispanic men, what interventions prevent high ch in blood? | In females over the age of 18 with chronic migraines, does using a lavender essential oil diffuser every morning compared to not using essential oils decrease the number of migraines over 6 months? |
| True or false: Evidence- based practice is another word for nursing research. true false | false |
| Categorize the following research methods as qualitative or quantitative research. Every answer should be categorized. Grounded theory research Non-experimental research Randomized controlled trial Phenomenology Surveys | qualitative: Phenomenology, Grounded theory research quantitative: Non-experimental research, Randomized controlled trial, surveys |
| scientific method in order | observation question research hypothesis conduct study analyze data draw conclusions |
Created by:
alaynak