Exam 1 2.0

Question 1

a group of nursing students are discussing the impact of non-nursing theories in clinical practice. the students would be correct if they chose which theory to prioritize patient care?

Answer 1

Maslow’s hierarchy of needs

Question 2

A nursing student is preparing study notes from a recent lecture in nursing history. The student would credit Florence Nightingale for which definition of nursing?

Answer 2

The imbalance between the patient and the environment decreases the capacity for health.

Question 3

The nurse identifies which nurse established the American Red Cross during the Civil War?

Answer 3

Clara Barton

Question 4

The nursing instructor is researching the five proficiencies regarded as essential for students and professionals. The nursing instructor identifies which organization would be found to have added safety as a sixth competency?

Answer 4

Quality and Safety Education for Nurses (QSEN)

Question 5

The nurse manager is interviewing graduate nurses to fill existing staffing vacancies. When hiring graduate nurses, the nurse manager realizes that they will probably not be considered “competent” until they complete which task?

Answer 5

They have worked 2 to 3 years.

Question 6

The prospective student is considering options for beginning a career in nursing. Which degree would best match the student’s desire to conduct research at the university level?

Answer 6

Doctor of Philosophy in Nursing (PhD)

Question 7

During a staff meeting, the nurse manager announces that the hospital will be seeking Magnet status. To explain the requirements for this award, the nurse manager will contact which organization?

Answer 7

American Nurses Credentialing Center (ANCC)

Question 8

The nurse is caring for a patient who refuses two units of packed red blood cells. When the nurse notifies the health care provider of the patient’s decision, the nurse is acting in which role?

Answer 8

Advocate

Question 9

The nursing student develops a plan of care based on a recently published article describing the effects of bed rest on a patient’s calcium blood levels. When creating the plan of care, the nursing student has the obligation to consider which action?

Answer 9

Critically appraise the evidence and determine validity.

Question 10

The nurse is delegating frequent blood pressure measurements for a patient admitted with a gunshot wound to a licensed practical nurse. When delegating, the nurse understands which fact?

Answer 10

He/she retains ultimate responsibility for patient care and supervision is needed.

Question 11

The nurse is preparing to discharge a patient admitted with fever of unknown origin. The patient states, “I never got past the fifth grade in school. Don’t read much. Never saw much sense in it. But I do OK. I can read most stuff. But my doctor explains things good and doesn’t think that my sickness is serious.” Considering this patient response, what action should the nurse carry out?

Answer 11

Expect that the patient may return to the hospital if the discharge process is poorly done.

Question 12

A nurse is caring for a patient who lost a large amount of blood during childbirth. The nurse provides the opportunity for the patient to maintain her activity level while providing adequate periods of rest and encouragement. Which nursing theory would the nurse most likely choose as a framework for addressing the fatigue associated with the low blood count?

Answer 12

Roy’s Adaptation Model

Question 13

The nurse recognizes which nursing theorist who described the relationship between the nurse and the patient as an interpersonal and therapeutic process?

Answer 13

Hildegard Peplau

Question 14

When a nursing class volunteers to serve hot meals at a local homeless shelter on a Saturday afternoon, which term identifies this focus on serving the community?

Answer 14

Altruism

Question 15

A patient is being discharged from the hospital with wound care dressing changes. The nurse recommends a referral for home health nursing care. The nurse is using which standard of practice?

Answer 15

Planning

Question 16

The nurse administers a medication to the patient and then realizes that the medication had been discontinued. The error is immediately reported to the physician. The nurse recognizes which term that identifies complying with the standards of professional performance?

Answer 16

Ethics

Question 17

A newly licensed registered nurse is curious about the scope of care that he or she has in caring for patients undergoing conscious sedation. Which would be the best source of information for this nurse?

Answer 17

Nurse Practice Act

Question 18

The nursing student is writing a paper about the direct patient care role of advanced practice nurses. Which advanced practice role would the student include in the report?

Answer 18

Clinical Nurse Specialist

Question 19

The nurse is determining the patient care assignments for a nursing unit. The nurse knows which responsibility may be delegated to the licensed practical nurse?

Answer 19

Administering oral medications

Question 20

The nursing student is taking a class in Nursing Research. In class the student has learned which term that identifies the most abstract level of knowledge?

Answer 20

Metaparadigm

Question 21

The nurse recognizes which statements contribute to the understanding that nursing is considered a profession?

Answer 21

-Nursing requires specialized training.
-Nursing has a specialized body of knowledge.
-Nurses make independent decisions within their scope of practice.

Question 22

The Institute of Medicine (IOM) Report identified several goals for nursing in the United States. The nurse identifies that the IOM offered which suggestions?

Answer 22

-Nurses should practice to the full extent of their education.
-Nursing education should demonstrate seamless progression.
-Policy making requires better data collection and information infrastructure.

Question 23

The nurse is caring for a patient admitted for the removal of an infected appendix. Which actions by the nurse would indicate an understanding of the 2018 hospital safety goals?

Answer 23

-Places an identification band on the right arm.
-Marks the surgical site with a black-felt pen.
-Checks medications three times before administration.

Question 24

The nurse is conducting a health assessment on a patient from a foreign country. Which concepts should be addressed by the nurse during the interview?

Answer 24

-Food preferences
-Religious practices
-Health beliefs
-Family orientation

Question 25

The nurse is caring for a patient who is under arrest for murder and is attempting to perform nursing care duties while, at the same time, feeling a sense of repugnance toward the patient. The nurse recognizes this situation is identified by which term?

Answer 25

Value conflict

Question 26

While helping patients with values clarification and care decisions, the nurse should complete which action?

Answer 26

Provide information so the patient can make informed decisions.

Question 27

A patient with terminal cancer says to the nurse, “I just don’t know if I should allow CPR in the event I quit breathing. What do you think?” Which statement by the nurse would be most beneficial to the patient?

Answer 27

“Let’s talk about what CPR means to you.”

Question 28

The nurse is observed sitting at the bedside of a patient discussing the nursing care plan for the shift. The nurse identifies which theory or model most accurately reflects this nurse-patient relationship?

Answer 28

Swanson’s Theory of Caring

Question 29

The student nurse is planning care for a patient who believes that Western medicine is effective but not always accurate and recognizes which nursing theory would best explain the patient’s health practices?

Answer 29

Theory of Cultural Care Diversity and Universality

Question 30

The nurse identifies which nursing theorist/theorists who describes/describe the nurse-patient relationship as a situation in which the nurse and patient share the lived experience of caring?

Answer 30

Anne Boykin & Savina Schoenhofer

Question 31

The nurse on a busy medical-surgical floor contacts a social worker requesting a home care referral prior to a patient’s discharge. This action is best illustrated by which of Swanson’s five caring processes?

Answer 31

Enabling

Question 32

Which action observed by a nurse manager is not indicative of the qualities and behaviors of caring?

Answer 32

A staff nurse orders extra desserts for a patient diagnosed with morbid obesity.

Question 33

The nurse recognizes that when developing a nursing practice, it is important for the nurse to: carry out which action?

Answer 33

Be exposed to negative as well as positive role models.

Question 34

The nurse is discussing the use of a values clarification tool with a patient. The patient asks, “What is the goal of the values clarification tool?” Which is the best response by the nurse?

Answer 34

“The tool will assist you in prioritizing your value preferences and help you make decisions.”

Question 35

The nurse knows providing care that is consistent and predictable can make the health care experience less intimidating for the patient. What additional action can the nurse take to enhance this experience?

Answer 35

Explaining what is going to take place beforehand

Question 36

When planning to change a dressing on an anxious patient, the nurse recognizes which to be the best approach?

Answer 36

Schedule a time in collaboration with the patient.

Question 37

Collaborating effectively with patients to find treatment methods that are congruent with the patients’ belief systems and that promote healthy outcomes is an approach that requires the nurse to include which activity?

Answer 37

Listen carefully to how the patient’s beliefs impact their health beliefs.

Question 38

The nurse is caring for a patient scheduled for heart surgery. Which statement made by the patient requires further discussion?

Answer 38

“My friend died on the operating table several months ago.”

Question 39

The nurse recognizes that a vital aspect of providing effective and appropriate nursing care is being able to actively listen to a patient and then demonstrates this concept when carrying out which activity?

Answer 39

Practices and develops this skill over many years.

Question 40

The nurse is caring for a patient with lung disease. The patient tells the nurse that the most important thing to do during the shift is to walk down to the nurses’ station and back without having shortness of breath. The patient’s request is an example of which nursing theory?

Answer 40

Swanson’s Theory of Caring

Question 41

When the nurse is dealing with the concept of beliefs and values, the nurse recognizes which type is based in the unconscious?

Answer 41

Zero-order beliefs

Question 42

A nurse working in a dermatology clinic observes that a patient of Mexican-American descent typically arrives 10 to 15 minutes late to every appointment. Based on an understanding of first-order beliefs, what characteristics can the nurse associate with this level of beliefs?

Answer 42

-First-order beliefs serve as the basis of a person’s belief system.
-People seldom question their first-order beliefs.
-Challenging a patient’s first-order beliefs may cause cognitive upset.

Question 43

When dealing with patient who has a values conflict in which substance abuse or an addiction is involved, the nurse should conduct an assessment interview and use which techniques that will make the interview most effective?

Answer 43

-Listen for subtle signs of denial.
-Use a matter-of-fact approach to inform the patient.
-Provide straightforward information.
-Avoid direct confrontation.

Question 44

Caring, according to the American Nurses Association (ANA) Code of Ethics (2015), is having concern or regard for that which affects the welfare of another. The nurse recognizes that as a profession, nursing can trace its earliest beginnings to what types of nurturing activities that demonstrate care?

Answer 44

-Active listening
-Advocating for the vulnerable
-Valuing all individuals
-Attempting to relieve pain

Question 45

Touch is the intentional physical contact between two or more people and it is deemed to be an essential and universal component of nursing care. The nurse knows that task-oriented touch occurs during which activities?

Answer 45

-Giving the patient an injection to treat discomfort
-Starting an intravenous (IV) line for fluid administration
-Inserting a nasogastric tube to decompress the patient’s stomach

Question 46

The nurse recognizes that after several years of work in the emergency room, compassion fatigue has developed. What symptoms associated with this condition would the nurse be experiencing?

Answer 46

-Chronic depression
-Poor concentration
-Feeling detached from patients

Question 47

The nurse identifies the concept of enduring ideas about what a person considers desirable or has worth in life is known by which term?

Answer 47

Values

Question 48

A group of nursing students are discussing the history of nursing to a staff nurse. When a student states, “Yeah, nurses used to be called the doctors’ handmaidens.” the staff nurse recognizes that this comment is identified by which term?

Answer 48

Stereotype

Question 49

A values system is a set of somewhat consistent values and measures that are organized hierarchically into a belief system on a continuum of relative importance. The nurse knows that a value system is also identified by which concept?

Answer 49

It is culturally based.

Question 50

The nurse is caring for an adult patient with a recent below-the-knee amputation. During shift report, the nurse reports that the patient has urinated in the bed multiple times since the surgery. The nurse knows which defense mechanism best describes this behavior?

Answer 50

Regression

Question 51

A female patient is admitted to the emergency department after being raped by a neighbor. The patient refuses to discuss the circumstances surrounding the event with the sexual assault nurse examiner. The nurse identifies that the patient is utilizing which defense mechanism?

Answer 51

Suppression

Question 52

A patient calls the nurse to report the smell of cigarette smoke in the bathroom. The nurse recognizes that this component of the communication process is identified by which term?

Answer 52

Referent

Question 53

The nurse manager sends an e-mail to the nursing staff as a reminder for a scheduled monthly meeting. In doing so, the nurse manager understands that e-mail could result in which issue?

Answer 53

It has the potential for miscommunication.

Question 54

The nursing student has been assigned to help feed patients at lunch time. Which nursing intervention would be most effective when assisting a blind patient to eat a meal?

Answer 54

Describe the food arrangement using the numbers on a clock.

Question 55

The nurse observes a confused patient pacing back and forth in the dining room. The patient yells, “The doctor is going to make us all drink poison!” The most appropriate intervention by the nurse at this time would be to take what action?

Answer 55

Quietly ask the patient to explain the statement.