Study guide 2

Question 1

Which is the best definition of paradigm for the nurse to use when teaching a group about this concept?

Answer 1

Frame of reference

A model, theory, perception, assumption or frame of reference

Question 2

Which is the basis of most nursing paradigms?

Answer 2

Learning through theoretical or clinical experiences

Question 3

The increasing use of licensed practical nurses (LPNs) in management positions, especially in long-term care facilities, is an example of which concept?

Answer 3

Paradigm Shift

Question 4

Why is critical thinking necessary for the nurse to identify and understand paradigms that exist in nursing practice?

Answer 4

Allows you to be skeptical of quick fix solutions, single answer to problems or claims of universal truths. Allows to become open to alternative of looking at or behaving personally and professionally.

Question 5

The nurse applies Maslow’s hierarchy of needs to which aspect of care?

Answer 5

Human Behavior

Question 6

The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying. The nurse recognizes this patient is operating on which level of Maslow’s hierarchy of needs?

Answer 6

Safety

Question 7

The caring LPN manager avoids which approach when dealing with staff?

Answer 7

Judging

Question 8

The student nurse experiences a paradigm shift because of increasing knowledge and finds the result of the shift is represented by which concept?

Answer 8

Watson’s nursing theory “Nursing: human science and human care”

Question 9

The nurse manager learns that one of the staff nurses on the unit has a substance addiction and is arriving at work under the influence of the substance. Using Watson’s theory, how should the nurse manager deal with this staff member?

Answer 9

Confront the nurse privately, order drug testing, and suggest a substance abuse program.

Question 10

The nurse makes the decision to return to school to obtain a Bachelor of Science degree in nursing. Which theme of critical thinking is the nurse displaying?

Answer 10

CRITICAL THINKING IS A PROCESS, NOT AN OUTCOME

Question 11

The nursing assistant asks the nurse to explain the meaning of advocacy. Which fundamental principle of advocacy should the nurse include in the response?

Answer 11

Requires skill and caring, you need to have a clear understanding of who you are since your thinking will need to be at it’s best. Advocacy needs critical thinking.

Question 12

The nurse is caring for a patient with HIV who is known to have infected others because of unsafe sexual practices. Which is the nurse’s priority action to advocate for this client and others with whom he may have a relationship?

Answer 12

Practice Safe care

Question 13

The charge nurse is preparing assignments when one of the staff nurses requests not to be assigned a specific patient, using a derogatory name to refer to the patient’s ethnicity. Which is the charge nurse’s best response?

Answer 13

Recognize the difference and uniqueness of each person. Embrace diversity and reject prejudice

Question 14

Which patient rights is the nurse likely to be called to advocate for?

Answer 14

Informing and supporting patients to make their best decisions for their personal health

Question 15

What can you tell me about the U.S. healthcare?

Answer 15

Is a combination of Public and private organizations that offer cost-effective quality health care

Question 16

Why is it important for nurses to have some understanding of health-care issues in the United States?

Answer 16

Safe practices, determine services you can provide. Reimbursement often influences services an agency can offer

Question 17

The nurse is attending a class on insurance and learns about Medicaid, which is financed by which level of government?

Answer 17

Federal government

Question 18

What is a major source of stress on the current U.S. health-care system?

Answer 18

Medical/nursing mistakes, bad outcomes and liability management

Question 19

What roles are appropriate for the LPN to participate in?

Answer 19

Clinician

Manager

Advocate

Educator

Counselor

Consultant

Researcher as support staff

Collaborator

Question 20

The patient asks the nurse how most people can afford medical insurance. The nurse explains many people get medical insurance from what source?

Answer 20

The employer

Question 21

The patient tells the nurse that his insurance company requires him to pick a primary provider and asks what that means. The nurse explains that a primary provider means choosing what?

Answer 21

The doctor

Question 22

The LPN requires what skills to successfully manage care?

Answer 22

The ability to organize and prioritize tasks

Question 23

The nurse is caring for a patient who will be discharged from acute care to home. How can the nurse best advocate for this client?

Answer 23

Arranging for Meals on Wheels to provide in-home meals.

Question 24

What kind of patients would be appropriately transferred to an assisted living facility by the nurse and why?

Answer 24

The patient who needs minimal assistance in performing activities of daily living but cannot live alone.

Question 25

The U.S. health-care system is based on which fiscal approach?

Answer 25

Ability to pay determines access to care.

Question 26

The nurse assists a patient to receive hospice care for a terminal illness, which is classified as what level of health-care service?

Answer 26

Tertiary

Question 27

The nurse works in a clinic and provides classes to reduce the spread of sexually transmitted infections (STIs) and unwanted pregnancy. At which level of health-care services are these classes?

Answer 27

Primary

Question 28

What would qualify a patient to have Medicare as their health insurance?

Answer 28

Medicare (federal payment for citizens older than 65 years old)

Question 29

The nurse evaluates different health-care systems and determines that those delivering safe and high-quality care require what?

Answer 29

Health professionals such as nurses, physicians, occupational and physical therapists.

Medical vendors such as supplies of linens, foods, medications, and supplies.

Ancillary service professionals such as food, maintenance, and business office services.

Question 30

The nurse delivers safer health care using electronic medical records because of what feature?

Answer 30

Improved accuracy in reading documentation

Question 31

How does the nurse demonstrate compliance with the Health Insurance Portability and Accountability Act (HIPAA)?

Answer 31

Steps LPNs can use to protect health information in a work environment include keeping login information private and secure, logging out of screens before leaving any documentation station, and positioning the computer screen away from eyes that might be watching but do not have a need to know.

Question 32

How can the nurse reduce the spread of infection related to the use of the computer?

Answer 32

By cleaning the mouse and keyboard regularly

Question 33

The nurse talks to the nurse manager to suggest making changes to the way a procedure is performed, and the manager asks whether this change is evidence-based. What does the manager mean by evidence-based?

Answer 33

The manager is referring to the use of current research that demonstrates improved outcomes in patient care.

Question 34

The nurse assesses the patient’s health literacy by doing what?

Answer 34

The nurse is assessing the level of comprehension of the patient

Question 35

The nurse manager is working on compiling a budget for the next fiscal year. Which software will work best for this purpose?

Answer 35

Spreadsheets are the most common form of numerical data management in the workplace.

Question 36

The nurse is working in the hospital when a tornado causes a power outage. How will the nurse manage documentation of care until the computer system returns?

Answer 36

Document care in a paper patient record according to facility policy.

Question 37

When writing a work-related e-mail, what is the best guideline for the nurse to follow related to length?

Answer 37

Get to the point and write only what is necessary.

Question 38

The nurse manager is given a fax machine to receive physician orders and fax patient information to physicians’ offices. Where is the best place for the nurse manager to place the new machine?

Answer 38

Behind the nurse’s desk on the unit.

Question 39

Why does the nurse manager prefer e-mail when communicating with multiple recipients?

Answer 39

The letter can be sent to multiple recipients at one time with no extra effort.

Question 40

The nurse wants to attend a teleconference, but the cost to do so is too high. Which might the nurse explore to help reduce the cost?

Answer 40

Multiple nurses may be able to attend for one fee.

Question 41

Which are the advantages in providing patient care using an electronic medical record?

Answer 41

Accessibility of medical record by multiple people

Faster reporting of diagnostic study results

Easier readability of documentation

Error reduction

Question 42

How do computers and nursing informatics improve patient care?

Answer 42

Learning more about best practices

Acting as monitor to protect patient safety

Providing easy access to new knowledge

Question 43

The instructor asks the student nurse a question, and the student responds by saying, “I studied, but I don’t know the answer to that question.” Which kind of thinking is the student displaying with this response?

Answer 43

Critical thinking

Question 44

The nurse listens as a patient relates to having had multiple abortions. While the nurse does not personally believe abortion should be legal, the nurse respects the patient’s beliefs and opinion. What is this nurse demonstrating?

Answer 44

Tolerance

Question 45

How would a nurse demonstrate that they are thinking critically?

Answer 45

Questioning a physician regarding a rationale for a patient

Question 46

The nurse is dealing with a problem at work and has been focused on finding solutions. After a good night’s sleep, the nurse wakes up with a solution. How did sleeping help the nurse solve the problem?

Answer 46

It was letting-go time

Question 47

The nurse is one of five nurses selected to brainstorm solutions to a problem on the unit. The group sits quietly to relax for 2 minutes, then sets a time. What would the group do next?

Answer 47

Have someone write down all ideas produced by the group

Question 48

The nurse is trying to solve a problem and begins by brainstorming, being as creative as possible. Next the nurse looks at all of the ideas to determine whether there are any workable solutions in the written list. The nurse decides to take a break from problem-solving and returns after a pleasant afternoon with friends to think about the problem more deeply. What actions represent letting go?

Answer 48

Spending the afternoon with friends

Question 49

The graduate nurse takes a new job and meets many nurses who are very knowledgeable and experienced. After 1 week at the new job, the graduate nurse realizes how much he or she learned. What does this demonstrate?

Answer 49

Serendipity

Question 50

The nurse with strong critical thinking skills accepts information without question from what source?

Answer 50

No one, no single source should be blindly accepted as correct without question or finding other sources to support.

Question 50

When a patient complains of sudden onset left-sided chest pain, the nurse asks questions to better understand the pain and collects data such as vital signs, ECG, and breath sounds to determine the possible cause of the pain. Once data are analyzed, the nurse develops a plan and begins to intervene. What has this nurse demonstrated?

Answer 50

Critical Thinking

Question 51

What actions might lead a nurse to believe a coworker is not a good critical thinker?

Answer 51

Consistently follows the charge nurse’s direction without question.

Question 51

What is the primary reason the nurse needs to be a skilled critical thinker?

Answer 51

To provide excellent patient care

Question 52

For what purposes might the nurse use brainstorming?

Answer 52

*To find solutions

*To create plans

*To discover new ideas