Brown Mackie College: Intro to Nursing (chapters 1-6) – Flashcards

Match the advance practice nurse specialty with the statement about the role. ___1.Clinical nurse specialist ___2.Nurse anesthetist ___3.Nurse practitioner ___4.Nurse-midwife a.Provides independent care including pregnancy and gynecological services. b.Expert clinician in a specialized area of practice such as adult diabetes care. c.Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or who have chronic conditions. d.Provides care and services under the supervision of an anesthesiologist.

You are preparing a presentation for your nursing course on the topic of professional standards of care. Which statement(s) best describe(s) professional standards of care? (Select all that apply.) 1.Describe a competent level of behavior in the professional role 2.Protect the patient's confidentiality 3.Are based on scientific research 4.Ensure patient-centered care for all patients 5.Define the principles of right and wrong to provide patient care

A nurse on the unit previously gave pain medication to the patient for incisional pain, which the patient rated as 7 out of 10 on the pain scale. The nurse now checks on the patient 30 minutes later and documents that the patient now rates the pain as a 1 out of 10 on the pain scale. Which standard of practice did the nurse perform? 1.Diagnosis 2.Evaluation 3.Assessment 4.Implementation

A patient on the surgical unit develops a surgical wound infection. The nurse irrigates the surgical wound and changes the dressing every 8 hours. Which standard of practice is performed? 1.Planning 2.Evaluation 3.Assessment 4.Implementation

The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? 1.Educator 2.Advocate 3.Caregiver 4.Case manager

The nurse attends the interdisciplinary team meeting as director of the cardiac service line. The director presents information on the budget for the service line and the strategic directions for the next fiscal year. The nurse is acting in what professional role? 1.Educator 2.Nurse administrator 3.Nurse manager 4.Caregiver

A nurse conducted a literature review on effective methods for patient teaching. Based on the literature search, the nurse develops a unit-based protocol for using the Teach Back method when providing patient teaching. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1.Patient-centered care 2.Safety 3.Teamwork and collaboration 4.Evidence-based practice

A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1.Patient-centered care 2.Safety 3.Teamwork and collaboration 4.Informatics

The nurses on an acute care medical floor notice an increase in the number of patient falls. The unit introduces a new patient rounding program. The nurse assigned to the project gathers data to monitor the effectiveness of the rounding program over a 6-month period. The nurse is practicing in which nursing role? 1.Nurse manager 2.Nurse administrator 3.Nurse educator 4.Nurse researcher

Nurses at a large medical center are participating in an education program led by staff educators to learn how to use an intravenous infusion pump to administer medications safely. This is which type of education? 1.Continuing education 2.Graduate education 3.In-service education 4.Professional registered nurse education

You are caring for a patient who has just suffered a mild heart attack. You are developing his discharge education plan. Which statement by the patient indicates his readiness to change his behavior? 1."I don't think I really had a heart attack." 2."I already exercise 3 times a week." 3."I know my dad died early from heart disease." 4."I travel too much to eat healthy."

____________ is behavior that is motivated by the desire to increase well-being and actualize human health potential, whereas _______________ is behavior that is motivated by a desire to avoid illness, detect it early, or maintain function within the constraints of an illness.

You are caring for a patient who was a victim of intimate partner violence. She tells you that she is very concerned about where she will stay once she leaves the hospital. According to Maslow's hierarchy of needs, with which level of needs are you most concerned? 1.Physiological 2.Self-actualization 3.Love and belongingness 4.Safety and security

Which of the following variables influence a patient's health beliefs and practices? (Select all that apply.) 1.Developmental stage 2.Emotional factors 3.Family practices 4.Genetic background

A 50-year-old woman decides to have an annual mammogram. Which level of prevention is this patient practicing? 1.Primary prevention 2.Secondary prevention 3.Tertiary prevention 4.Rehabilitation

A 55-year-old patient is being discharged from the hospital after a heart attack. He is being referred to a cardiac program where he will receive education on healthy eating, exercise, and stress reduction. This is an example of: 1.Primary prevention 2.Secondary prevention 3.Tertiary prevention 4.Rehabilitation

A ___________ ______________ is any situation, habit, environmental condition, physiological condition, or other variable that increases the vulnerability of an individual to an illness.

A 30-year-old woman has just found out that her mother has been diagnosed with breast cancer. This is an example of which type of risk factor for the 30-year-old? 1.Age 2.Lifestyle 3.Genetic 4.Environment

A 45-year-old woman diagnosed with depression states, "I don't understand why everyone thinks I should seek counseling." This is an example of which state of behavior change? 1.Precontemplation 2.Contemplation 3.Preparation 4.Maintenance

Which of the following are examples of external variables influencing illness behavior? (Select all that apply.) 1.Social group 2.Cultural background 3.Patient perception of the illness 4.Accessibility of health care

Which health care activity is an example of preventive care? 1.A patient visits the emergency department following a fall at home. 2.The home care nurse visits the patient twice a week for wound care. 3.An older couple visits their health care provider for their annual influenza vaccine. 4.A patient makes an appointment for routine screening mammography.

Which of the following is an activity of patient-centered care focused on information communication and education? 1.The nurse explains to the patient and family the surgical procedure and what to expect before and after surgery. 2.The nurse provides privacy to the patient and family as they are talking with the health care provider about the treatment plan. 3.The nurse sits and talks with the patient who is expressing fear about the diagnosis of cancer. 4.The nurse responds promptly and brings the patient pain medication within 10 minutes of the patient's request.

Which of the following are true statements about Magnet recognition for hospitals? (Select all that apply.) 1.The Magnet model is comprised of eight interrelated concepts focused on leadership competencies. 2.Nurses within Magnet facilities collect data on nurse-sensitive outcomes. 3.The work environment promotes a sense of empowerment and autonomy of nurses. 4.Magnet recognition is a designation for hospitals that are able to maintain a low registered nurse (RN) vacancy rate.

Which of the following are examples of primary care health services? (Select all that apply.) 1.Setting an appointment with the nurse practitioner after having pregnancy confirmed 2.Outpatient surgery for repair of inguinal hernia 3.Attending cardiac rehabilitation classes at the local hospital 4.Attending exercise classes weekly at the local health fitness center 5.Bringing in the newborn for well-baby visits

Which statement made by the patient about patient-centered medical homes shows the need for further teaching? 1."My doctor told me that participating in the patient-centered medical home will improve the coordination of all my specialists." 2."I will need to stay in the patient-centered medical home while I am getting my treatment for my leg infection." 3."My primary care doctor will coordinate all the care of all the specialists that I see." 4."My care seems to be more efficient and effective since I became part of the patient-centered medical home."

Which of the following people is most likely to benefit from participation in respite care? 1.Mr. Wilson, who was discharged last week with repair of a fractured hip from a fall 2.Mrs. Allen, who is the caregiver for her husband with Alzheimer's disease 3.Mrs. Bradley, who is the mother of an 8-year-old child with chronic asthma 4.Mr. Hilliard, who has diabetes mellitus and a left-heel pressure ulcer

Which of the following are examples of nursing-sensitive quality indicators or outcomes? (Select all that apply.) 1.Nurse turnover rate 2.Central line-associated bloodstream infections 3.Pressure ulcers 4.Influenza cases 5.Patient falls with injury 6.Postoperative respiratory infections

A patient is receiving health care by a health care provider using a traditional fee-for-service plan. Payment for the health care provider was computed after the patient received services. Which type of health care plan does the patient have? 1.Health maintenance organization (HMO) 2.Preferred provider organization (PPO) 3.Private insurance 4.Medicaid

A patient asks you about Medicare coverage of home health nurse visits. To help explain this benefit, you provide the patient with an information handout on which Medicare part? 1.Part A 2.Part B 3.Part C 4.Part D

A nurse working in tertiary care would work in which of the following settings? 1.Hospice unit 2.Intensive care unit 3.Occupational health clinic 4.Cardiac rehabilitation center

When health care is provided in a community-based practice setting, what is (are) the overall goal(s) of Healthy People 2020? 1.Assess the health care needs of individuals, families, and communities. 2.Develop and implement public health policies and improve access to care. 3.Gather information on incidence rates of certain diseases and social problems. 4.Increase life expectancy and quality of life and eliminate health disparities.

A nursing student demonstrates correct understanding of community health nursing when explaining that a nursing approach merges knowledge from professional nursing theories and which of the following? (Select all that apply.) 1.Population sciences 2.Public health sciences 3.Environmental sciences 4.Mental health sciences

While assessing an immigrant community, the nurse identifies that the children are undervaccinated. In addition, she notes that there is a health clinic within a 3-mile radius. The nurse meets with the community leaders and explains the need for immunizations and educates them about the location of the clinic and the process for accessing health care resources. Together they develop a plan for improving the rate of vaccinations. Which of the following practices is the nurse providing? (Select all that apply.) 1.Developing community resources 2.Teaching the community about illnesses 3.Promoting autonomy and decision making 4.Improving the health care of the children in the community

An 82-year-old patient who experienced a stroke and will be using a wheelchair is being discharged home from the hospital. The family wants to care for the patient at home but does not have the resources for 24-hour care. The community-based nurse working as a case manager intervenes by: 1.Telling the family that a long-term-care facility would be the best choice for a patient in a wheel chair. 2.Making multiple referrals to a variety of community-based services. 3.Organizing a community fund-raising event to pay for needed services. 4.Contacting local nurses in the community to provide assistance to the family.

A community health nursing instructor and a group of students are organizing a health fair for the homeless population in a large urban setting. Funding is very limited and will not cover cost for space or transportation. Assuming that space is available at no cost at the following sites, where should the students suggest that the health fair be located? 1.At the city's homeless shelter 2.At the inner-city church 3.At the largest inner-city police station 4.At the local community college

What are the major health care problems in older adults in community settings? 1.Chronic illness, sensory loss, substance abuse. 2.Acute illness, sensory loss, and abandonment. 3.Poverty, acute illness, and inadequate support systems. 4.Acute illness, inadequate support systems, and substance abuse.

Which actions display effective nursing practice in the community? (Select all that apply.) 1.Educating families of young children about the effects of lead paint in the home 2.Conducting a blood pressure clinic at a senior health care center 3.Prescribing treatments for patients when physicians are unable 4.Forming partnerships with families in the community to share common goals

A high school in the community has an increase in the number of pregnant and new adolescent mothers. The community health nurse works with the school district to design and teach classes about nutrition during pregnancy, infant care, child safety, and time management. This an example of which community nursing competency? 1.Caregiver 2.Case manager 3.Consultant 4.Educator

The community health nursing student is correct when he states that the three key elements needed to be incorporated in a community assessment are: 1.Individuals and families, community, and sociopolitical system. 2.People, population growth, and health care systems. 3.Geographical boundary, neighborhoods, and social systems. 4.Geographical boundary, health care systems, and political systems.

Following a community assessment, the nurse identifies an area near an industrial park with increased respiratory illnesses. The community asks the nurse to come and speak about environmental trends associated with respiratory disease and how the community can reduce its risks. This is an example of which competencies? (Select all that apply.) 1.Caregiver 2.Case manager 3.Epidemiologist 4.Educator

Your adult patient is scheduled for an x-ray film of the head. He is refusing to go, despite the fact that the x-ray film will give vital information related to his chief complaint of a headache. The nurse learns of the patient's refusal and comes in to the patient's room saying, "If you don't go to this x-ray, I'll have to give you a shot to put you out." In your opinion, has the nurse committed a legal mistake? 1.No, the nurse is acting in the best interests of the patient who needs the test to treat him. 2.No, the nurse is merely trying to help the patient understand the necessity of cooperating with the ordered treatment regimen. 3.Yes, the nurse may have committed an assault on the patient by verbally threatening him. 4.Yes, the nurse may have committed malpractice by forcing the patient to do something against his will.

A nurse has received a letter from the State Board of Nursing in which he practices that he has been placed on probation and that his license is suspended. The nurse has received no other information about this action. What, if any, claims does this nurse have? 1.The nurse has a claim against the State Board of Nursing for a violation of his right to privacy. 2.The nurse has a claim against the State Board of Nursing for violating his rights to due process. 3.The nurse has a claim against the hospital where he works for failing to represent him in a civil law suit. 4.The nurse has no claim against the State Board of Nursing and the hospital.

A patient's daughter is speaking to the nurse caring for her father. The daughter has presented the nurse with a document identifying her as the spokesperson for the patient when he is no longer capable of speaking for himself. Which of the following best characterizes the daughter's legal relationship with her ailing father? 1.Health care proxy 2.Legal Samaritan 3.Guardian ad litem 4.Attorney

A patient is discussing her surgery with her surgeon. The physician leaves and asks you to have the patient sign the consent form in a few hours. Which statement made by the patient indicates that informed consent has likely been achieved? 1.The patient states that the doctor has told her there is nothing more they can do and she is going home. 2.The patient states that she has not spoken with her surgeon at all today. 3.The patient states that her surgeon has told her that she doesn't need surgery. 4.The patient states that she is having surgery on her leg in the morning and that she will have some pain and bleeding for a few days.

A nurse believes that a pediatric patient has been the victim of abuse based on verbal statements and scarring noted on the patient's abdomen and legs. Which of the following is the best action for the nurse to take? 1.Do nothing but document the patient's condition 2.Contact the patient's family 3.Contact the patient's teacher 4.Contact the Child Abuse Hotline

A health care provider has written an order for a patient to receive a medication every 6 hours for 7 days. You note that the patient has indicated that she is allergic to this medication (rash, shortness of breath). Which of the following should you do first? 1.Contact the health care provider 2.Contact the pharmacist 3.Place a "hold" note on the medication administration record (MAR) 4.Contact the nursing supervisor

A patient's visitor has fallen in the patient's room. Which of the following is the most appropriate action for the nurse to take? 1.Call the nursing supervisor 2.Assist the visitor and document with an occurrence report 3.Assist the visitor and, if there is no injury, document nothing 4.Assist the visitor and document the occurrence in the patient's chart

One of the elements of professional negligence is the failure to act according to the standard of care or breach of duty. Standard of care may best be defined as which of the following? (Select all that apply.) 1.Nursing competence as defined by the State Nurse Practice Act 2.Giving nursing care in the most expedient and timely way possible 3.The degree of nursing judgment and skill given by a reasonably prudent nurse under similar circumstances 4.Providing health services according to community expectations and ordinances

Although you normally work in a hospital setting, you have volunteered at a homeless shelter at a blood pressure clinic. If an incident occurs at the blood pressure clinic, what is your most likely liability protection provider? 1.Your employer hospital malpractice insurance 2.Your home insurance 3.Your professional liability insurance 4.No one (There is a small likelihood that a nurse will be sued in this type of situation.)

You are the night shift nurse for a hospital nursing division of 40 acutely ill postoperative patients. The staffing for the night shift is you plus two patient care technicians. Based on the end-of-shift report, the current staffing, and your assessment of the patients, you have determined that there is insufficient staff to safely take care of the patients on this nursing division. What is the best action for you to take? 1.Leave the nursing division immediately and go home 2.Contact the nursing supervisor, inform him or her of the situation, and leave the nursing division 3.Contact the chief of medicine and inform her or him of the situation and document it 4.Contact the nursing supervisor, inform him or her of the situation, and document it.

Ethical dilemmas often arise over a conflict of opinions. Each of the following steps constitutes a correct step to take toward resolution of an ethical dilemma. Indicate the order in which these steps should be taken. 1.Clarify your own values about the issue. 2.Call a meeting in which those involved in the dilemma can discuss (negotiate) the possible solutions to the dilemma. 3.State the problem clearly in a way that all involved can understand. 4.Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma.

According to annual assessments performed by the Federal Government, certain groups of people in the United States have poor or no access to health care. You decide to write an editorial to your local newspaper expressing your opinion about this situation. Which ethical principle would you incorporate into your editorial? 1.Accountability because as the nurse you are accountable for the well-being of all patient groups 2.Respect for autonomy because autonomy is violated if care is not accessible 3.Ethics of care because the caring action would be to provide resource access for all 4.Justice since this concept addresses questions about the fair distribution of health care resources

You have agreed to serve on a Policy and Procedure committee at your hospital, representing the voice of bedside nurses from your unit. The committee is discussing a revision to the staffing ratio policy at your hospital by discussing these questions: How many patients can a nurse safely and effectively care for on your unit? Does the ANA professional code of ethics support your concerns about staffing ratios? Indicate the best answer. 1.No, the code describes philosophical principles that are important to ethical discourse but unrelated to staffing ratios. 2.Yes, the code supports nurses' participation in conditions of employment, including the promotion of quality health care using both individual and collective action. 3.No, to support staffing ratio discussions the ANA publishes journals containing research about best practices in a variety of health care settings 4.No, the code is not necessary for this discussion since historical foundations of nursing as defined by Florence Nightingale established staffing ratios before the ANA code of ethics.

You are working in an intensive care unit on the night shift. You have been caring for the same patient for three nights in a row. The patient's mother sleeps at the patient's bedside. Over time the mother has come to trust you, as evidenced by her long conversations with you while her child sleeps. Earlier in the week, in the presence of health care providers during morning rounds, she consented to an experimental surgical intervention for her child. But in conversation with you, she shares her doubts and confusions about the intervention. In the morning you ask the health care provider to consider an ethical consultation. What is the value of this nurse participating in discussions about ethical dilemmas? (Select all that apply.) 1.Most state laws require that ethics committees include a nurse representative. 2.The principal of beneficence promotes kindness in nurses. 3.Nurses provide unique insight about patients that can be critical to the resolution of ethical dilemmas. 4.Nurses can help articulate a patient's point of view based on specific nursing knowledge. 5.Health care providers generally do not participate in ethical discourse.

Utilitarianism is a term commonly found in ethical discourse, but it stands for only one of several different approaches to ethical discourse. Which is a true statement about the ethical philosophy of utilitarianism? 1.The value of an intervention is determined primarily by its usefulness to society. 2.The value of an intervention is culturally established based on predetermined measures. 3.The decision to provide medical care depends on a measure of the moral life of the patient. 4.Attention to relationships provides resolution to ethical dilemmas.

Ethics of care suggests that you resolve an ethical dilemma by attention to relationships. As Madeleine Leininger described it, caring is the "central and unifying domain for the body of knowledge and practices in nursing." How does it differ from other approaches to ethical dilemmas? (Select all that apply.) 1.Ethics of care applies exclusively to nursing practice. 2.Ethics of care pays special attention to the stories of the people involved in an ethical issue. 3.Ethics of care uses logic and intellectual analysis based on universal philosophical principles. 4.Ethics of care depends less on universal principles than other approaches to analyze ethical dilemmas. 5.Stories about relationships can be distracting when trying to resolve an ethical dilemma.

You are caring for a patient who will undergo a bone marrow aspiration, a difficult and painful procedure necessary to monitor the progress of recuperation after bone marrow transplantation. You are eager to minimize pain for this patient. You review the medical record for previous successful pain-management plans. You discuss the procedure with the patient. You advocate for the patient when the health care provider arrives to prepare for the procedure. Which ethical principle best describes the reasons for your actions? 1.Beneficence 2.Accountability 3.Nonmaleficence 4.Respect for autonomy

Which of the following actions is/are required of the nurse practicing advocacy? (Select all that apply.) 1.Speak up for patient care issues even when others may disagree. 2.Contribute money toward the patient's health care costs if the patient is indigent. 3.Assess the patient's point of view and prepare to articulate it. 4.Document all clinical changes in the medical record in a timely and legible way. 5.Become an active member of professional nursing organizations.

At the hospital where you work, you care for a child admitted frequently for management of cystic fibrosis. The child's family has initiated a Cystic Fibrosis Support Group page on Facebook, and they invite you to "friend" their page. Which of the following justifications would you use to explain your decision to accept or not accept the invitation? (Select all that apply.) 1.Nurse-patient boundaries may be violated, harming possibility for therapeutic relationship. 2.By accepting you could share nursing information online about the patient as a way to educate the support group. 3.Postings can easily spread to a wider audience with the potential for HIPAA violations. 4.The law prohibits your use of social networking with patients.

Ethics in nursing practice includes an embrace of accountability or the ability to justify your actions. Even though your practice is defined in part by orders written by health care providers and policies enforced by administrators, you remain ethically accountable for your actions. Which of the following actions illustrates accountability? (Select all that apply.) 1.Your patient receives a surgical procedure that is new to your facility. You ask your manager to provide an in-service about the procedure. 2.A health care provider writes orders for pain-management medication even though the patient has been free of pain for 3 days. Out of respect for the health care provider's legal responsibilities, you administer the medications. 3.During annual budget preparation at your facility, you advocate for annual pay increases for you and your peers. 4.Your patient confides in you that she has recently lost her job and is anxious about her medical bills, including her ability to pay for medications after discharge. Health care coverage is not your area of expertise, but you know that the social worker might be able to help. You initiate a consultation request.