Final Exam

Question 1

The nursing unit director exhibits the definition of leadership in which of the following responses?

Answer 1

The nurse manager meets with the staff to discuss the concern and identify solutions.

Question 2

The nurse who is certified as a Critical Care Registered Nurse (CCRN™) represents the unit on the organizational performance improvement team. This is an example of which type of leadership?

Answer 2

Informal

Question 3

The hospital must reduce the number of readmissions from 11% to 8% in the next year. Which of the following best represents the transformational leadership style in accomplishing this goal?

Answer 3

The director of quality develops a vision statement and action plan to achieve the goal. The director works directly with the involved departments to implement the action plan.

Question 4

The new director of case management assessed the need to improve the organization’s patient satisfaction with the discharge process. Which statement below illustrates the vision that would lead the team to this goal?

Answer 4

“The department will deliver reliable, collaborative, and compassionate discharge planning services to all patients.”

Question 5

The clinical nurse leader needs to identify the staff who must go home due to low census. Which answer below describes a democratic style of decision making?

Answer 5

The clinical nurse leader asks the group if any of them would like the opportunity to go home and selects staff who volunteer.

Question 6

According to situational and contingency theory, which statement is true?

Answer 6

The theory challenges the concept that one leadership style is always best.

Question 7

To be an effective nursing leader today requires effective collaboration, which is modeled by which answer below?

Answer 7

The nursing manager of the observation unit worked with the psychology department and physical therapy to develop a motivational plan for patients on the unit.

Question 8

What are the main features of complex adaptive systems that are relevant to nursing leadership? (Select all that apply.)

Answer 8

Focused on creating organizational change and looking at the whole versus individual parts.
Non-linear and dynamic in nature, versus a static process.

Question 9

A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with which principle?

Answer 9

Autonomy

Question 10

A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, “Do you think when he moves his hands he is responding to my voice?” The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, “He can hear you, and it appears he did respond to your voice.” The nurse is violating which principle of ethics?

Answer 10

Veracity

Question 11

The nurse is faced with an ethical issue. When assessing the ethical issue, which action should the nurse perform first?

Answer 11

Ask, “What is the issue?”

Question 12

A nursing student is conducting a survey of fellow nursing students. Which ethical concept is the student following when calculating the risk-to-benefit ratio and concluding that no harmful effects were associated with a survey?

Answer 12

Beneficence

Question 13

A nurse on the unit makes an error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics?

Answer 13

Fidelity

Question 14

An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle?

Answer 14

Deontology

Question 15

A drug-addicted nurse switches a patient’s morphine injection with normal saline so that the nurse can use the morphine. The nurse is violating which principles of ethics? (Select all that apply.)

Answer 15

Autonomy
Utilitarianism
Beneficence
Veracity

Question 16

One of the first nurse researchers to document evidence-based practice for nursing was Florence Nightingale. What did Nightingale incorporate into her practice that made her practice different from her colleagues?

Answer 16

Nightingale based her nursing practice on her findings.

Question 17

The nurse administrator is doing a study that entails gathering data about new employees over a 10-year period. Which research method would be the best one to use for this type of study?

Answer 17

Quantitative longitude cohort

Question 18

The nurse in the outpatient setting would like to conduct a research study that compares patients who take tramadol (Ultracet) to patients who take oxycodone hydrochloride and acetaminophen (Percocet) for managing back pain. Which quantitative research method should yield the best results?

Answer 18

Controlled study

Question 19

The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with?

Answer 19

Experimental

Question 20

How does the Iowa model transcend mere nursing care? (Select all that apply.)

Answer 20

It includes formalized internal feedback loops.
Its triggers can have their origins practically anywhere.
It implies a layer of policy development.
It addresses multiple disciplines’ impacts on quality.

Question 21

Which statements are true about the Iowa model of EBP? (Select all that apply.)

Answer 21

It prioritizes pressing items of interest related to quality of care.
It identifies triggers capable of posing hazard or benefit.

Question 22

The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider when conducting research that yields solid EBP? (Select all that apply.)

Answer 22

Search the literature to uncover evidence to answer the question.
Evaluate the outcome.
Evaluate the evidence found.
Develop an answerable question.
Apply the evidence to the practice situation.

Question 23

Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when making which statement?

Answer 23

“Health care needs are best met with a collaborative effort.”

Question 24

For children and teens, which model includes school-based services?

Answer 24

Social

Question 25

Medical models coorinate medical services and were taditionally designed fulfill which function?

Answer 25

Be diagnosis specific

Question 26

The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. What is the nurse’s best response?

Answer 26

“Care coordination allows health care services to work together in the community.”

Question 27

Nurses work to serve the population, and they know that which priority population needs to be served by care coordination?

Answer 27

Most vulnerable and the frail.

Question 28

A nursing instructor is talking about care coordination with nursing students. The instructor stresses which of the following to the students concerning care coordination?

Answer 28

“Collaboration is a significant part of care coordination.”

Question 29

Care coordination models should be adopted in health care facilities. If models are not put into practice, the shortcomings of the health care system may display which of the following items? (Select all that apply.)

Answer 29

Fragmented services
Cost inefficiencies
Poor health outcomes

Question 30

The nurse is caring for a Chinese patient diagnosed with cancer who is suffering from pain, yet refuses analgesia administration. What type of health disparities is this patient exhibiting?

Answer 30

Avoidable and unacceptable

Question 31

An experienced nurse tells the student nurse, “I have found that most Hispanic immigrants live in unsanitary conditions but are hard workers.” How should the student nurse best classify this statement?

Answer 31

Stereotyping

Question 32

Which type of health disparities are most frequently encountered by nurses in clinical and community settings?

Answer 32

Avoidable and unacceptable

Question 33

The nurse is caring for diverse population groups at a health clinic. Which of the following patients demonstrates a potential health disparity group?

Answer 33

A 30-year-old immigrant who does not speak English.

Question 34

Which is the best strategy the nurse manager should include when working to reduce health care disparities on a medical-surgical unit?

Answer 34

Increase interpreter availability

Question 35

A new nurse requires further teaching when failing to identify which practice as a health disparity?

Answer 35

Frequent fast food meals

Question 36

Before beginning work on a culturally diverse hospital unit, the nurse should perform which action first?

Answer 36

Improve self-awareness of one’s own biases

Question 37

The nurse who has been hired to work on an oncology unit identifies which group of women as being at highest risk of developing breast cancer?

Answer 37

Asian

Question 38

A healthcare provider whose native country is India is explaining the treatment plan to a patient. The patient tells the nurse she is having trouble understanding the provider but is embarrassed about asking to repeat the information over and over. The nurse should assess for which results due to this disparity in provider-patient communication? (Select all that apply.)

Answer 38

Patient dissatisfaction

Poor adherence

Question 39

The nurse in the immunization clinic should place emphasis on educating and reaching which groups about the disease preventing effects of immunizations? (Select all that apply.)

Answer 39

African American
Lower income
Middle income

Question 40

A definition of health policy includes which of the following elements?

Answer 40

Public policy made to support health- related goals

Question 41

Which branch of government is responsible for the execution of laws passed by legislatures?

Answer 41

Executive

Question 42

Which level of government is responsible for the regulation of a nurse’s license?

Answer 42

State government

Question 43

Which of the following components are included in health policy at the state level?

Answer 43

Scope of nursing practice

Question 44

Which of the following is the intent of HIPAA?

Answer 44

Limit the ability of health care providers to sell patient information to outside sources

Question 45

Nurses can be health advocates in which of the following ways? (Select all that apply.)

Answer 45

Supporting their professional nursing organization when discussing upcoming legislation
Rallying for coverage for childhood immunizations
Arranging for a patient to meet with case management for home health care

Question 46

A nursing student is preparing a care plan for an assigned patient. When accessing the electronic medical record, what is acceptable information to view? (Select all that apply.)

Answer 46

Laboratory data of the assigned patient
The patient’s age, date of birth, and gender
The history and physical of the assigned patient

Question 47

The new nurse correctly defines a law when stating which information?

Answer 47

“Law’s rule is enacted by a government agency that defines what must be done in a given circumstance.”

Question 48

Which of the following is true about health care legislation?

Answer 48

The power of the US Constitution does not have a direct relationship to health care and reserves most of the power to the states.

Question 49

Which is an example of the regulatory power to make law?

Answer 49

Centers for Medicare and Medicaid Services (CMS) enacting rules for restraint and seclusion for participating hospitals.

Question 50

What is one of the major attributes of health care law?

Answer 50

It defines the expected behavior of person in the business of health care

Question 51

The admission personnel working to comply with the Patient Self Determination Act of 1991 would do which of the following?

Answer 51

Ask the patient or representative if the patient has an advanced directive and inform them of their right to participate in their medical decisions.

Question 52

Which of the following is an example of a nurse violating the Health Insurance Portability and Accountability Act (HIPAA) of 1996?

Answer 52

The nurse asks the unit clerk to look up lab values for her relative recently admitted to the hospital.

Question 53

In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)?

Answer 53

A patient with chest pain is triaged directly to a room for evaluation and registration information is obtained after the patient is stabilized.

Question 54

Which of the following is false regarding state licensure laws?

Answer 54

Licensure is not necessary if the individual has completed training.