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Professional Health > Final > Flashcards

Final Flashcards

1
Q

Despite the variety of work settings available to the RN, data from 2008 indicate that the primary work site for RN is?

A

Acute care hospitals

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2
Q

Which of the following nursing roles is NOT considered an advance practice role?

A

community health nurse

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3
Q

The clinical nurse leader (CNL) is a recently proposed role.
The responsibilities of the person in this role include which of
the following?

A

Oversee and manage care delivery in specific settings

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4
Q

To which early nursing leader is attributed the founding of the American red cross?

A

clara barton

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5
Q

Which of the following nursing leaders, because of her work in the Henry Street Settlement, is considered the founder of
public health nursing?

A

lilian wald

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6
Q

Which early nursing organization is credited with first

recommending state registration for nurses?

A

International council of nurses (ICN)

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7
Q

The diversity of the population entering the health care

system is a challenge for nurses because?

A

ethnic minority group nurses are approximately 12% of

nurses

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8
Q

The nursing profession has experienced barriers to

professionalism. Which of the following is the primary current barrier to nursings professionalism?

A

variability of educational backgrounds of nurses

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9
Q

A barrier to professionalism attributed to nursings roots in altruism is illustrated when a nurse

A

feels guilty for expecting to be paid well for work

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10
Q

The document that provides professional standards and a framework for professional decision making that ensures decisions are made with the highest integrity is the?

A

code of ethics

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11
Q

The process of professionalization of an occupation typically follows a pattern of developmental stages. One of the stages is collective identity. Which of the following is an example of collective identity?

A

legal right to practice profession to protect unique skills from outsiders

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12
Q

Which of the following is true about bachelors of science in nursing (BSN) education?

A

it is recommended by professional organizations as

preparation for entry into practice

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13
Q

Which type of basic nursing education program graduates the largest number of RNs in the United States today?

A

Associate degree programs (Mildred Montag)

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14
Q 
Which recommendation made by the 1965 American
 Nurses Association (ANA) position paper and other position papers of national nursing organizations is still an issue today?
A

Minimum preparation for professional nursing practice should

be the BSN degree.

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15
Q

The purpose of mandatory continuing education for license renewal is to

A

ensure that nurses remain up to date in knowledge.

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16
Q

Which of the following is the primary distinction between licensure and certification?

A

Certification validates a high level of proficiency.

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17
Q

Which of the following is an example of Orems self-care theory?

A

Assisting a disoriented patient with a bath

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18
Q

Which of the following is an example of formal socialization into the profession of nursing?

A

Starting an intravenous (IV) line in the simulation laboratory
under faculty guidance

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19
Q

Which of the following is an example of informal socialization into a profession?

A

Nurses discussing a patient care issue in the presence of other
nurses

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20
Q

The legal definition of nursing for any particular state can be found in the

A

➔ state nurse practice act

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21
Q

Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle
of

A

autonomy

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22
Q

Respecting an elderly woman’s decision to stay in her own home is based on a belief in the ethical principle of

A

autonomy

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23
Q

Which of the following ethical theories is illustrated by the
example of following the Golden Rule, “Do unto others as you
wish them to do unto you”?

A

deontology

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24
Q

A homeless man sleeps on a park bench and eats one meal a day at a shelter. Which is the lowest level of Maslow’s basic needs he does not meet?

A

basic physiologic needs

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25
Q

Which of the following describes one of the five levels of human needs identified by Maslow?

a. Equilibration
b. Love and belonging
c. Growth and development
d. Adaptation

A

love and belonging

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26
Q

A school-aged child with spina bifida uses a wheelchair, attends school, and is actively involved in Scouting and science club. This child is meeting which of Maslow’s basic needs?

A

love and belonging needs

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27
Q

Which of the following is true of Maslow’s basic need of self- actualization?

A

People use their abilities to the fullest extent possible and are
true to their nature.

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28
Q

Bandura’s theory of self-efficacy described people’s
response to health-related behaviors. Which of the following
was a major premise of this theory?

A

Belief in self as having the ability to improve health is

important in changing health behaviors.

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29
Q

Which statement by an obese individual could be assessed as perceiving self-efficacy?

A

“I believe I can stay on this diet as long as necessary.”

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30
Q

Which one of the following guiding principles helps explain nursing’s holistic approach?

A

nursing care considers mind, body, and spirit.

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31
Q

Peplaus theory focuses on the therapeutic relationship as the key to successful nursing intervention. Which of the following is correct about Peplaus theory?

A

the theory describes six key nursing roles that are flexibly
used, depending on the practice setting.

*6 roles = 6 letters in peplau

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32
Q

The nurse has established a relationship with a patient in whom asthma was recently diagnosed. Through their interactions, the nurse helps the patient understand the mechanism of asthma and develop the skills to use a spacer with the inhaler. The nurse could be basing care on the theory

A

of Peplau (interpersonal relationship)

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33
Q

Dissemination of findings may involve which of the
following activities?
(Select all that apply.)

A
  • Manuscript reviewed by peers
  • Oral presentation of findings at annual conference of the
    Society of Pediatric Nurses
  • Poster presentation at regional conference of Sigma Theta Tau
    International
  • Publication of findings in Western Journal of Nursing Research
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34
Q

Which of the following statements describes the purpose of the nursing process?

A

process used to identify and solve patient problems

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35
Q

which of the following is an independent nursing

intervention?

A

teaching a patient with congestive heart failure to weigh

herself daily

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36
Q

Which of the following represents an interdependent

nursing action?

A

participating in a code (cardiac arrest response)

37
Q

When should the preparation for the termination phase of the nurse-patient relationship begin?

A

in the orientation phase

38
Q

what is the most important information the nurse should share with the patient during the orientation phase?

A

name, credentials, and extent of responsibility

39
Q

The nurse says to a newly diagnosed diabetic patient, I will be working with you during your 3-day stay to help you practice
insulin injections and to review your new diet. Im wondering if
we could find a time of day to begin the teaching sessions that is good for us. This conversation would occur in which phase of
the nurse-patient relationship?

A

orientation phase

40
Q

A newly diagnosed diabetic patient states I have very definite likes and dislikes when it comes to food. Am I going to have to eat only certain foods, or will I have some choice? The nurse responds, Why dont you give me a list of your likes and dislikes? I will consult with the dietitian about how to include your preferences and still come up with a good diet for you. What
phase of the nurse-patient relationship is this?

A

working phase

41
Q

one of the most important outcomes of the orientation
phase of the nurse-patient relationship is the development of
mutual

A

trust

42
Q

which behaviors help patients develop trust in the nurse?

A

conveying acceptance of the patient and a nonjudgemental attitude

43
Q

Which of the following suggests that a successful contract
has been established between the nurse and patient in the
orientation phase of the nurse-patient relationship?

A

patient has agreed to learn to change his colostomy bag

44
Q

which behaviors foster active listening?

(Select all that apply.)

A
  • encouraging the speaker by saying, tell me more
  • sitting in open posture such as learning forward
  • good eye contact at eye level and nodding of the head
45
Q

what is the primary difference between acute illness and chronic illness?

A

in acute illness, symptoms begin suddenly, progress quickly,

and subside quickly

46
Q

which illness has the characteristic of an acute illness?

A

influenza

47
Q

which illness has the characteristic of a chronic illness?

A

lupus

48
Q

A patient w/ diabetes who refuses to change eating patterns may be in which stage of adjustment?

A

denial and disbelief

49
Q

A patient tells the nurse, “I’ll let you do whatever you think
is best for me.” The patient does very little independently
without calling for assistance. The nurses conclude that the
patient is demonstrating which personality characteristic?

A

dependence

50
Q

A patient was diagnosed with ovarian cancer 5 years ago. She underwent chemotherapy and radiotherapy, but cancer returned 2 years ago with metastases to the bone and possibly the lung. She says the cancer is “no longer curable, but treatable.” During this time the patient’s daughter was critically injured in a car accident and now lives with a traumatic brain injury, needing round-the-clock care. Her husband had an affair. She continues to work and volunteers with various community groups. Which phenomenon is the patient demonstrating?

A

resilience

51
Q

A patient in whom metastatic cancer is diagnosed tells the
nurse, “God has never let me down before. I’ll pray for
strength.” This patient’s illness behavior is being influenced by

A

spirituality

52
Q

A patient is in the intensive care unit after a myocardial
infarction and refuses to stay in bed, saying, “I have to be up and walking around. When I stayed in bed after having my babies 40 years ago, I got so weak I could hardly move.” This patient’s illness behavior is being influenced by

A

EXTERNAL:

past experiences

53
Q

Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?

A

consider patients religious beliefs when planning care

54
Q

Why is a basic understanding of ethnopharmacology part of being a culturally competent nurse?

A

significant differences among ethnic groups have been found

in relation to the effects of medications

55
Q

the best definition of ethnocentrism is

A

a tendency to view your own culture as superior to others

56
Q

which of the following is an example of health promotion and

maintenance?

A

talking to a womens church group about having an annual

mammogram

57
Q

health promotion differs from illness prevention in that

health promotion

A

occurs before the identification of disease risk factors

58
Q

the school health clinic treats common health problems, as
well as conducting health promotion and illness prevention
activities. the clinic provides which level of health care?

A

primary care

59
Q

HEALTH PROMOTION VS ILLNESS PREVENTION

Disease and treatment

A

Health promotion and maintenance, including early detection Illness prevention
Diagnosis and treatment
Rehabilitation and long-term care

60
Q

what service is covered by medicare, part D?

A
  • prescription drug costs

* part D= drug cost

61
Q

which of the following is an example of rehabilitation and disease management?

A

teaching patients with newly diagnosed diabetes the signs of

hypo/hyperglycemia

62
Q

which of the following is not included as an overarching goal
of healthy people 2020?

A

lengthening the average lifespan by a decade

63
Q

The area of philosophy that deals with the regulation and control of people living in society to preserve prosperity, defend rights, and augment resources is known as

A

politics

64
Q

a nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in

A

politics

65
Q

The principles and values that govern actions directed at
influencing and determining decisions, actions, and other
matters are known as

A

policy

66
Q

a variety of benefits result from membership in professional
organizations, including
(select all that apply)

A
  • availability of practice guidelines to influence policy
    development
  • continuing education opportunities
  • opportunities to develop personal leadership skills
67
Q

a nurse is contemplating a political leadership position and
wonders if she/he has the desired characteristics to make a
good leader. which of the following traits is inconsistent with a good leader?

A

solved problems methodically using a strict model

68
Q

the most critical aspect of nurses becoming personally

political is

A

being informed of social and political issues

69
Q

a nurse was appointed to a governing board of a

governmental agency and then ran for an elective office. the nurse is known as a

A

nurse politician

70
Q

What is meant by “workplace incivility”?

A

a setting where colleagues bully, intimidate, or use aggression
toward each other

71
Q

According to Cooper, what is one important measure nurses can take to reduce burnout?

A

being aware of stressors and acting on them

72
Q

What is the focus of the Truth about nursing campaign?

A

changing how the world thinks of nursing and protecting its image

73
Q

which medical conditions can be linked to decreases in environmental quality (select all that apply)

A
  • chronic respiratory disease
  • allergies
  • cancers
74
Q

approximately what percentage of todays nurses belong to

the ANA?

A

10%

75
Q

What is the most important action a nurse can take to help further the profession of nursing?

A

joining a professional organization like the ANA

76
Q

Black illustrates concepts of preventing burnout by using the example of a flight attendant instructing persons to put your own oxygen mask on first. What does this statement mean?

A

Taking care of yourself will enable you to be a better nurse.

77
Q

The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts?

A

They determine the educational requirements for licensure.

78
Q

An 18-month-old child has been in three foster homes within the past 9 months. When the child is seen for a well-child visit, the nurse notices the child vigilantly watches everyone. This child may not have which of Maslow’s basic needs met?

a. Basic physiologic needs
b. Safety needs
c. Love and belonging needs
d. Self-actualization

A

ANS: B safety needs

79
Q

An adult has difficulty initiating a conversation, and in working with others always agrees with them because “My opinion is not important.” Which of Maslow’s basic needs is not being met by this person?

a. Basic physiologic needs
b. Love and belonging needs
c. Esteem needs
d. Self-actualization

A

c. esteem needs

80
Q

according to the nurses code of ethics, the hallmark of nursing practice is

A

accountability

81
Q

which of the following is a part of the history of doctoral education in nursing?

A

The nurse scientist program was discontinued after more universities began offering doctoral programs in nursing

82
Q

Which of the following describes the primary difference between nursing diagnoses and medical diagnoses?

A

Nursing diagnoses identify problems that can be treated with independent nursing actions.

83
Q
  1. The nurse and patient may experience sadness during the termination phase. How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship?
A

Emphasizing the achievements the patient has made, including the ability for self-care

84
Q

A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship?

A

During the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions.

85
Q

The patient says to the nurse, The staff treats me like Im a child. Everyone tells me what to do. No one ever asks my opinion. After all, it is my body. Which response by the nurse indicates active listening?

A

Let me see if I understand. It bothers you not to be recognized for your abilities to handle your life. I can discuss this with the staff if you wish so that everyone involves you in planning your care.

86
Q

Primary reason for hospital- based nursing education programs was to

A

staff the hospital that operated the education program

87
Q

despite the caring efforts of early public health nurses in the Henry Street Settlement, racial disparity left people underserved. Which of the following African American PHN was instrumental in providing excellent nursing care to underserved families despite these social challenges?

A

Jessie Sleet Scales

88
Q

earliest nursing educators in the world

A

Mary Adelaide Nutting

Professional Health (1 decks)

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