nursing final

Clara barton

The American Red Cross is established by __.

spelman college, atlanta, Georgia

The first diploma nursing program for blacks is established at __.

personal and public hygiene

The Mosaic Code is one of the oldest sources of what type of health promotion?

The Civil War, beginning in 1861

What event in American history influenced the role black women have played in the nursing profession?

Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration

Which intervention best demonstrates that a nursing administrator understands the challenges currently facing the professional nurse regarding patient safety?

Recruitment enticements for nursing faculty positions, Support for those enrolled in master’s and doctoral nursing programs, The establishment of retention programs focused on existing nursing faculty

In order to meet the projected need for professional nurses, what area of concern is funded by the Nurse Reinvestment Act of 2002? (Select all that apply.)

trust and belief

The image that best serves today’s profession of nursing is one that portrays what characteristics?

client advocates

The play Miss Evers’ Boys was one of the first literary presentations that depicted nurses in what role?

The frequent misuse of social media forums by nurses

The ability to maintain appropriate professional boundaries and preserve nurse-client confidences has been most severely impacted by what factor?

Treatment of syphilis, Focuses on the infamous Tuskegee experiment, Dramatizes an ethical nursing dilemma, Involves the administration of penicillin as a treatment modality

Which statement accurately describes elements concerning the play Miss Evers’ Boys? (Select all that apply.)

Preparing more nurses with advanced nursing degrees, Facilitating nurses in practicing to the full scope of their educational preparation, Improving data collection to support nursing workforce planning, Supporting the nursing role in the interdisciplinary health care team

Which intervention is associated with a focus of The Institute of Medicine’s The Future of Nursing report? (Select all that apply.)

Code of Ethics for Nurses with Interpretive Statements

A nurse can find guidance in managing ethical nursing issues in the ANA’s __.

simulation (standardized patient)

When clinical settings are limited, faculty can best assess competence associated with entry level clinical skills by implementing __ assessments.

mutual recoginition model

The mobility of nurses and the growing area of telehealth have resulted in the development of a new licensing model called the __

Providing the public with protection against poorly trained nurses

What is the primary purpose of nursing licensure?

The RN title is defined and protected by the purpose of the nurse practice act.

A nursing student is telling peers about a scheduled appointment with a primary care provider. The student says, “One of the office staff came to take my blood pressure” and said, “I will be your nurse today.” “I noticed the name tag said nursing technician.” Which of the following is the best response the student should make when explaining the implications of the nurse practice acts related to the technician’s statement?

pediatrics, adult health, adult psychiatric and mental health

Which of the following is an area of clinical specialist nursing for which the American Nurses Credentialing Center (ANCC) offers a certifying examination? (Select all that apply.)

Administered by state-associated boards, Establishes minimal levels of practice, Is granted by governmental legislation

What characteristic applies to the process of licensure? (Select all that apply.)

nursing theory

In nursing the term conceptual model is often used interchangeably with the term __.

Margaret Newman

The phrase “expanding consciousness” defines health in the nursing theory attributed to __.

They guide the nursing process in the effective delivery of nursing care.

What is the primary benefit nursing theories have provided the profession?

evidence-based practice

Currently, __ is the major driving force in the delivery of health care

Qualitative design

If a nursing research project strives to discover new information concerning client care practices, this project is said to be what kind of model?

Designing research studies

Regarding nursing research, when is the role of the clinical nurse specialist (CNS) best utilized?

Abstract and discussion

A novice nurse reading a research article should first concentrate on which sections of the article?

Providing client care that helps ensure positive health outcomes

When hospitals receive payment for services based on the pay-for-performance model, what is the nurses’ role?

Providing a postsurgical client with education regarding the early signs of incisional infection

An example of nursing’s influence on outcome management through consumer empowerment would include what intervention?

Responsiveness of hospital staff, Cleanliness and quietness of hospital environment, Communication with nurses, Discharge information

What component is included in the Hospital Consumer Assessment of Health Care Providers and Systems survey? (Select all that apply.)

The public’s willingness to seek services for various health care providers, The general perception of the worth and values of health care services, Rate of reimbursement for nurse practitioners, Job opportunities for salaried health care providers

What area of professional nursing is directly affected by changes in financing of health care services? (Select all that apply.)

breach of duty

__ occurs when a standard of care is not met by the responsible caregiver.

malpractice

__ occurs when a professional fails to meet the standard of conduct required of all similar professionals.

Attending an in-service on evidence-based practice on urinary catheter care

Which nursing action best complies with the expectations for nursing care defined by the “never events” identified by the 2012 Rules of Participation for Hospitals?

The nurse fails repeatedly to document a client’s response to pain medication.

Which of the following situations fails to meet the criteria for establishing nursing negligence or malpractice?

When the situation is determined to be an emergency

In what situation may a nurse deliver care that is not considered at the level of required standard of care?

reporting, monitoring, communication, safety

Which situation frequently results in a nursing negligence claim? (Select all that apply.)

falsification of nursing records, Medicare fraud, practicing without a valid license, Misappropriation of a patient’s personal belongings

Which incidences are the basis for disciplinary action by state boards of nursing? (Select all that apply.)

Vascular catheter-associated infection, Hypoglycemic coma, Catheter-associated urinary tract infection (UTI), A Stage III pressure ulcer

What hospital-acquired conditions would meet the criteria for nonpayment? (Select all that apply.)

caring

Fidelity is based on the virtue of __.

values

The customs and behaviors that society regards as desirable are called __.

A nurse reflects on the question, “What would be important to me if I was told my cancer was terminal?”

Which scenario demonstrates a nurse engaging in value clarification?

school age

Normally, by what developmental milestone is a person expected to have learned there are consequences for making bad decisions?

Driving within the speed limit in order to avoid getting a speeding ticket

Which scenario demonstrates the preconventional level of moral development?

to prevent illness, to alleviate suffering, to promote health, to restore health

What are the nurse’s fundamental responsibilities as described by the International Council of Nurses Code of Ethics? (Select all that apply.)

nursing assistive personnel

The American Nurses Association (ANA)’s Principles for Delegation provides nurses with guidance when delegating patient care to __.

Principles for Nursing Documentation

__ focuses on managing the increasingly complex requirements of documenting patient care activities.

A client feels pressured by a health care provider into agreeing to a specific medical procedure.

What is the best example of a situation where a nurse could demonstrate workforce advocacy?

Physical environment, social factors, staffing, workflow design

What elements are considered when addressing workforce advocacy? (Select all that apply.)

meaningful use

__ is the term used to define the capabilities and standards that an electronic health records system must be capable of utilizing in order to qualify for financial incentives provided by Medicare.

information technology

Information is stored, retrieved, communicated, and managed using hardware and software that is collectively referred to as __.

Becoming proficient users of the electronic tools

What important change have nurses implemented regarding their clinical care of patients was required by the use of point-of-care technology?

Potential clients must be well educated concerning the use and reliability of health care technologies.

How can nursing best ensure effective use of point-of-care advanced technologies in the future?

compassion

When considering the philosophy and values of a health care facility, __ is the highest priority.

Ability to persuade others

Which skill is most important for a nurse to possess when attempting to exercise or earn informal power within an organization?

Asks, “What will you do differently the next time this situation occurs?”, Approach the conversation in a nonjudgmental fashion, Begin the discussion with a personal interpretation of the situation.

What interventions will a nurse manager implement when coaching a newly licensed nurse regarding the way a patient’s complaint was handled? (Select all that apply.)

Attention is paid to fostering excellent nurse-physician relationships, Respect is given to and expected by all members of the health care team, Professional development opportunities made available at the facility.

Which situations have been identified as positive factors in achieving job satisfaction among nurses? (Select all that apply.)

Ethical treatment of all patients and staff, Teamwork to deliver quality care, Commitment to professional excellence, Utilization of innovated service delivery methods

Which characteristics are expected to be represented in a health care facility’s mission statement? (Select all that apply.)

communication

Relaying information using words, letters, symbols, or body language is referred to as __.

sender

Anyone who wishes to convey an idea or concept to others is referred to as a __.

Have developed a trusting nurse-client relationship

The primary goals of good relationship building, and client care are best achieved when all members of the interprofessional care team have achieved what?

Kept refocusing the discussion to the patient’s needs associated with ambulation, Kept culturally appropriate eye contact with the family member while discussing the issues, Moved the discussion to the privacy of the patient’s room

What observations made by the nurse manager indicate that a nurse demonstrated positive conflict management interventions when a patient’s family member angrily accuses the nurse of neglecting the patient’s need to be ambulated more frequently? (Select all that apply.)

supervision

The active process of directing, guiding, and influencing the outcome of an individual’s performance of an activity or task is referred to as __.

The nurse’s confidence in his or her ability to delegate appropriately

What is the most basic factor contributing to the effective supervision of unlicensed assistive personnel (UAP) by the nurse?

Whether the client’s physical condition is considered stable at the time

Which factor has the greatest impact on whether safe delegation of nursing tasks is possible?

patient outcome

A __ is a measurable condition that results from interventions that can be either positive or negative in nature.

The client acuity levels

When considering staffing needs, what is the registered nurse’s (RN) primary concern?

functional

The implementation of a “Medication Nurse” is an example of what nursing care delivery model?

It is the end result of interventions provided by the health care team.

When considering clinical pathways, the nurse recognizes what definition of an outcome as appropriate?

Two patients are in the ER department with orders to be admitted as soon as a bed is available., Five patients will be admitted for scheduled surgeries tomorrow between 7 and 8 am., Seven patients have been written discharge orders by their physicians.

When considering nursing care what events are associated with the term “churning” and responsible for up to 70% of nursing care on a typical 20 bed medical-surgical unit? (Select all that apply.)

stabilization, transition

What are the primary foci for nurses caring for patients currently being admitted to acute care facilities that make traditional nursing models less effective? (Select all that apply.)

The facility’s most commonly treated diagnoses, Accepted standards of specialized nursing care, The most costly diagnoses treated by the facility’s staff

What factors will be focal considerations when a facility begins developing its own set of clinical pathways? (Select all that apply.)

customer

A __ is an individual or group who seek a product or service and whose needs and expectations to determine the quality of the service.

Asking a wound care team nurse how to best educate a client on wound prevention

Which nursing activity best demonstrates the quality management principle of “all one team”?

Create a unit culture where asking questions about health care interventions is encouraged.

How can a nurse manager best foster high-quality and safe nursing care among the nursing staff?

The institution has earned The Joint Commission (TJC) accreditation.

Health care institutions are automatically approved by The Centers for Medicare & Medicaid Services (CMS) under what circumstance?

Signs and symptoms of both hypo- and hyperglycemia

Which example of discharge teaching addresses a never event as identified by The Centers for Medicare & Medicaid Services?

Shares a patient’s religious food preferences with members of the health care team, Attends an in-service on a piece of equipment new to the unit, Asks for assistance when transferring a large patient onto a stretcher, Encourages a patient newly diagnosed with terminal cancer to talk about their end-of-life concerns

Which actions demonstrate a nurse’s understanding and implementation of QSEN’s competencies? (Select all that apply.)

Site of implanted cardiac electronic device (CIED), Abdominal incision site associated with bariatric surgery, Catheter-associated urinary tract infection, Coronary artery bypass graft site

Which infections are currently considered a Never Event by Medicare and Medicaid? (Select all that apply.)

Striving to remove indwelling urinary catheters as soon as possible, Creating mandatory competencies associated with the care of surgical incisions, Instituting sterile technique policies related to the care of central lines, Implementing current WHO hand washing guidelines

According to the national Patient Safety goals, how can nursing reduce the risk of patients developing associated infections? (Select all that apply.)

health policy

A course of action undertaken by governments or health care organizations to achieve a particular health outcome is referred to as a __.

Be active in local politics by lobbying city policymakers on health and wellness issues.

What is the most effective means for a nurse to impact the health and wellness of those being cared for at a local hospital?

The creation of Diagnosis-Related Groups (DRGs) (1983)

The nurse’s role in the process of utilization review was a direct result of which federal health policy?

Robert Wood Johnson Foundation

What is a reliable private source of information about major health issues and associated cultural concerns?

Be persistent by using various accepted forms of communication., Be brief and concise about what you want to communicate., Be sure to identify yourself by name and address., Be specific about the issue you are communication about.

Guidelines supported by the American Nursing Association (ANA) for communicating with government policy members include what statements? (Select all that apply.)

nursing licensure, health insurance exchanges, children’s health insurance program (CHIP), medicaid programs

Examples of state health policies would include what? (Select all that apply.)

Providing a PRN analgesic to a restless, cognitively impaired patient recovering from surgery

Which nursing action best demonstrates clinical nursing judgement?

Collecting objective client related data

Considering Tanner’s clinical judgement model and the nursing process, what nursing activity is best associated with the both the process of noticing and assessment?

reasoning

A nursing student is discussing their patient’s emotional reaction to a new diagnosis of congested heart failure at a post-clinical briefing. By engaging in this learning activity, the student is developing what clinical aspect of “thinking like a nurse”?

Has ten years of experience working with post–surgical orthopedic patients., Regularly mentor’s novice nurses on developing professional intuition., Has earned the Orthopaedic Nurse certification (ONC).

What characteristics strongly suggests a nurse possesses the qualities required of sound clinical nursing judgement and reasoning skills? (Select all that apply.)