Exam 1: The Journey Begins: Becoming a Professional Nurse of Excellence

Which of the following is a characteristic of a profession?

A. Requires little formal education
B. Has a theoretical body of knowledge
C. Has no specific standards of practice
D. Does not require a code of ethics

Has a theoretical body of knowledge

Which characteristics are associated with a professional nurse? Select all that apply.

A. Integrity and honesty
B. Reliability
C.Poise
D. Lack of accountability
E. Professional development
F. Pursuit of quality

A,B,C,E,F

A nurse demonstrates poise when the nurse:

A. Becomes visibly upset when a patient is difficult
B. Remains calm and composed under pressure
C. Avoids making decisions independently
D. Allows others to handle stressful situations

B. Remains calm and composed under pressure

What does ANA stand for?

A. American Nursing Administration
B. American Nurses Association
C. Association of Nursing Assistants
D. American National Association

American Nurses Association

What is the purpose of a profession's scope and standards of practice?

A. To define the profession's scope and standards
B. To eliminate the need for professional judgment
C. To replace the nurse's code of ethics
D. To allow nurses to avoid accountability

To define the profession's scope and standards

Which statement best describes Nursing’s Social Policy Statement?

A. It describes the definition and social responsibilities of nursing
B. It establishes the five rights of delegation
C. It lists the nursing dress code
D. It describes medication administration procedures

It describes the definition and social responsibilities of nursing

A nurse provides care while respecting the dignity, worth, and unique attributes of every person. Which provision is demonstrated?

A. Provision 1
B. Provision 2
C. Provision 4
D. Provision 5

Provision 1

What is the nurse's primary commitment according to Provision 2?

A. The healthcare organization
B. The patient's family
C. The patient
D. Other healthcare professionals

The patient

Which statement best describes Provision 4?

A. The nurse's primary commitment is to the patient
B. The nurse has authority, accountability, and responsibility for nursing practice
C. The nurse must always follow another healthcare professional's decisions
D. The nurse may transfer accountability to another team member

The nurse has authority, accountability, and responsibility for nursing practice

Which statement correctly describes delegation?

A. Transferring accountability to another person
B. Transferring authority and responsibility for a task while retaining accountability
C. Transferring all nursing responsibilities to assistive personnel
D. Allowing another person to make all nursing decisions

Transferring authority and responsibility for a task while retaining accountability

Which are the Five Rights of Delegation? Select all that apply.

A. Right task
B. Right circumstance
C.Right person
D. Right diagnosis
E. Right directions and communication
F. Right supervision and evaluation

A,B,C,E,F

Which statement about responsibility and accountability is correct?

A. Neither responsibility nor accountability can be delegated
B. Accountability can be delegated, but responsibility cannot
C. Responsibility can be delegated, but accountability cannot
D. Both responsibility and accountability must always be delegated together

Responsibility can be delegated, but accountability cannot

The RN delegates a task to another team member. Who remains accountable for the outcome?

A. The patient
B. The team member receiving the task
C. The nurse who delegated the task
D. The healthcare provider

The nurse who delegated the task

Which factors should an RN consider when deciding whether a task can be delegated? Select all that apply.

A. The patient's needs and condition
B. Potential for harm
C. Stability of the patient's condition
D. Complexity of the task
E. Predictability of the outcome
F. Abilities of the staff receiving the task

G.All of the above

all of the above

Which task should NOT be delegated by an RN?

A. Checking vital signs on a stable patient
B. Repositioning a patient in bed
C. Performing an assessment
D. Providing oral care

Performing an assessment

Which activities are responsibilities that an RN cannot delegate? Select all that apply.

A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
E. Patient education
F. Tasks requiring clinical judgment and critical thinking

G.All of the above

All of the above

Which statement about LPN/LVN and nursing assistive personnel (NAP/AP) is correct?

A. RNs may delegate to LPN/LVNs and appropriate assistive personnel
B. LPN/LVNs cannot delegate tasks to assistive personnel
C. Assistive personnel can independently perform the nursing process
D. RNs can delegate clinical judgment to assistive personnel

RNs may delegate to LPN/LVNs and appropriate assistive personnel

Why is interprofessional collaboration important in providing safe patient care?

A. Patients are becoming less complex and require fewer healthcare professionals
B. Increasing complexity of patient conditions and treatments creates a greater need for collaboration and communication
C. It allows nurses to transfer accountability to other professionals
D. It eliminates the need for communication between healthcare professionals

Increasing complexity of patient conditions and treatments creates a greater need for collaboration and communication

Which are barriers to interprofessional collaboration? Select all that apply.

A. Miscommunication
B. Distrust
C. Lack of respect among provider types
D. Different levels of perceived importance
E. Understanding each other's roles
F. Misunderstanding each other's roles

G.All of the above

All of the above

Which statement best reflects professional nursing behavior?

A. Professional appearance and behavior are part of demonstrating professionalism
B. Professionalism only matters when providing direct patient care
C. A nurse's behavior outside patient care has no connection to professionalism
D. Professional conduct is optional as long as the nurse performs clinical skills correctly

Professional appearance and behavior are part of demonstrating professionalism

Which behavior would be considered an example of unprofessionalism/misconduct?

A. Demonstrating integrity
B. Maintaining professional appearance
C. Acting disrespectfully toward others
D. Accepting accountability for one's actions

Acting disrespectfully toward others

An RN asks an assistive personnel to obtain vital signs on a stable patient. The RN gives clear instructions and later evaluates the results. Which delegation rights are being demonstrated? Select all that apply.

A. Right task
B. Right circumstance
C. Right person
D. Right directions and communication
E. Right supervision and evaluation
F. Right diagnosis

A,B,C,D,E

An RN tells an LPN to reinforce teaching that has already been provided to a patient. Why is this appropriate?

A. LPNs can perform the entire nursing process
B. LPNs may reinforce patient education
C. LPNs can independently develop the patient's teaching plan
D. Patient education can never be delegated

LPNs may reinforce patient education

An RN delegates a task to an AP. The AP is responsible for performing the task correctly. The RN is still responsible for the outcome. Which concept does this demonstrate?

A. Accountability cannot be delegated
B. Responsibility cannot be delegated
C. Neither responsibility nor accountability can be delegated
D. Supervision eliminates accountability

Accountability cannot be delegated

A nurse is caring for a patient whose condition and treatment are becoming increasingly complex. Which action would best support safe care?

A. Limit communication with other healthcare professionals
B. Work independently whenever possible
C. Participate in interprofessional collaboration and communication
D. Delegate all patient-care decisions to assistive personnel

Participate in interprofessional collaboration and communication