Nursing Concepts – Quizzes (FINAL) – Flashcards
Unlock all answers in this set
Unlock answersquestion
Which organization provides federal funding for research?
answer
National Institute of Nursing Research
question
What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?
answer
Theories
question
Institutional review boards determine whether research studies involving human subjects will:
answer
Cause Harm
question
If a nurse applies Nightingale's theory to current practice, the nurse's first step will be to evaluate the hospital room's air quality and secondly to:
answer
arrange for ... outside and keeping window's open
question
Which nursing theory might a nurse use as a conceptual framework to determine how to meet the needs of immigrants while ensuring provision of high-quality and culturally sensitive care?
answer
Madeleine Leininger's Nursing Theory
question
A potential nursing student is visiting the website of some nursing programs and notes that the school states, "The curriculum is built on the Essentials of Baccalaureate Education to ensure that this nursing program meets the standards set for educating nurses at the baccalaureate level." Which organization oversees professional nursing programs and establishes these essentials?
answer
AACN
question
A nursing student scores 95% on the written examination for the adult health course. To be successful in this course, this same student must then perform an indwelling catheter insertion and wound care in a simulated environment meeting core competencies. The student asks, "What are core competencies?" The nursing instructor replies, "Core competencies are:
answer
those skills necessary for safe competent nursing practice
question
The practice of nurses, nursing students, and faculty is affected by demographic changes due to:
answer
an epidemic of obesity in children and adults
question
The oldest, most traditional nursing program that prepares a candidate for RN licensure is the hospital-based _____ program.
answer
diploma
question
The new trend in nursing education that is consistent with real-world practice is focused on:
answer
competency outcomes
question
One of the major trends that currently influences nursing education and practice is:
answer
incivility or disregard of others' rights in schools and in the work place
question
Nursing care during the civil war was:
answer
plagued by communicable diseases made worse by unsanitary conditions
question
Potential nursing students are concerned about choosing a profession with job security and ask, "because more are choosing nursing...will I have job?" - answers on basis of the U.S. Bureau of Labor Statistics prediction, that by 2020,
answer
the total number of RNs will not meet the demand for the workforce number required
question
a bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head in as artistic representation of nurses who served in which war?
answer
Vietnam War
question
A comparison of nursing in the 1980's versus nursing in the 1990s reveals that:
answer
the demand for advanced practice nurses increased in the 1980s and the 1990s as a result of the economy and concern about the health of the nation
question
What effect did the movie One Flew Over the Cuckoo's Nest have on health care?
answer
the public and the nursing profession were made aware of the right to vulnerable populations
question
The International Council of Nursing declared that the term nurse represents:
answer
only registered nurses at all levels of education
question
Which bill provided for construction of hospitals?
answer
Hill-Burton Act
question
The practice of public health nursing and the Henry Street Settlement are credited to:
answer
Lillian Wald
question
While one is visiting Arlington National Cemetery, a large limestone statue, the Spirit of Nursing, can be seen. This statue honors:
answer
all military nurses for their bravery and compassion
question
The cross often portrayed on nursing pins today was derived from the cross:
answer
that identified monks and knights as Christian warriors
question
A family requests that no additional heroic measures be instituted for their terminally ill mother who has advance directives in place. The nurse respects this decision in keeping with the principle of:
answer
Autonomy
question
An older adult client is comatose and had one electroencephalogram that indicated no activity. The daughter is very distraught and notices her mother's hand moves when she is talking to her. The daughter asks the nurse, "Is mother responding to my voice?" The nurse, attempting to console the daughter, knows the movement was involuntary but states, "It does appear she did." The nurse is violating which principle of ethics?
answer
Veracity
question
In attempting to decide which services should be offered to a community, the public health nurse decides to implement hypertension screening and treatment because most of the residents are hypertensive. This decision is based on the principle of:
answer
Utilitarianism
question
The nurse who admits making a medication error and immediately files an incident report is demonstrating:
answer
Accountability
question
While assisting in the labor and delivery room, a nurse is helping to stimulate a newborn infant who is not breathing well. The nurse stumbles, allowing the baby to fall to the floor, resulting in the infant's death. This situation is referred to as:
answer
a sentinel event
question
A nurse is checking orders at the front desk when a visitor asks the room number of his father. The nurse leaves the chart open while looking up the room number on the computer, allowing the visitor to read the patient's recent x-ray report. Which law would protect this client from others having access to his or her medical information?
answer
Health Insurance Portability and Accountability Act of 1996
question
A nurse is caring for a client with hypertension whose blood pressure has increased by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the physician. The nurse is at risk for being charged with:
answer
Negligence
question
When the client is unable to make medical decisions for himself or herself, authorization that allows another person to make these decisions is called:
answer
Durable Power of attorney
question
Which statement regarding informed consent is correct? Informed consent:
answer
must reveal expected benefits
question
A patient is concerned about using a health maintenance organization (HMO) for health care and knows that The Joint Commission accredits hospitals and ensures quality care. The patient asks the nurse how HMOs are accredited. The nurse informs the patient that HMOs have an accrediting agency known as the:
answer
The Joint Commission.
question
A nonprofit organization that distributes to governmental agencies, the public, business, and health care professionals knowledge related to health care for the purpose of improving health is the:
answer
Institute of Medicine
question
Regardless of the term used to describe quality health care, the focus of quality is:
answer
what the consumer needs and wants
question
An organization's emergency preparedness task force meets to discuss how it should react in case of a terrorist attack and develops a disaster evacuation plan that details how each department will assist individuals in reaching safety. This type of diagram is referred to as a(n):
answer
Deployment chart
question
Nurses in a home health agency are implementing a policy to include input from the patient in the patient's plan of care. This action by the nurses represents:
answer
Patient-Centered Care
question
Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks. Each member contributes based on their area of expertise but also recognize other members' strengths. Which of the QSEN competencies are being demonstrated?
answer
Team work and collaboration
question
Which of the following statements concerning the Institute of Medicine (IOM) competencies is correct?
answer
The competencies address both individual and system approaches to transform care.
question
A person who practices the Law of Cure in homeopathy would consider treatment to be effective when the pain:
answer
in the right lung has moved to the gallbladder.
question
A practitioner of Ayurveda assesses a person and identifies him or her as a perfectionist who follows a strict schedule. The nurse observes the person to be short-tempered and to have acne. The patient's chief complaint is, "I have a lot of stomach pain." Based on Ayurveda, this individual has the metabolic body type called:
answer
Pitta
question
A young adult on a limited income who is having back pain states, "I want to see a chiropractor, but I don't have any money. However, I do have health insurance." The most appropriate response that the nurse can provide is:
answer
"Most insurance companies will pay for chiropractic treatment."
question
A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
answer
Reflexology
question
The use of plants in conventional modern medicine is evidenced by the drug atropine, which is derived from which plant?
answer
Atropa belladonna
question
Complementary alternative medicine (CAM) is gaining popularity in Western society because: (Select all that apply.) 1. Consumers want knowledgeable, trained physicians to control their care. 2. CAM consumers want personalized care. 3. Quantity, rather than quality, of life is most important in Western society. 4. Consumers have access to evidence that support CAMs. 5. Consumers want to remain indifferent to the health care provider.
answer
2,4
question
A patient who is interested in herbal medicine attends a seminar to learn more about complementary alternative medicine (CAM). The patient learns that a common belief related to all CAMs includes that: (Select all that apply.) 1. The body is not able to repair itself; thus, natural remedies are used to inhibit the immune system. 2. Many different CAMs that focus on specific body parts and the mind are needed. 3. The focus of CAM is on an intervention for the diseased body part. 4. Each CAM treatment is unique to the person who is being treated. 5. Health promotion is incorporated into CAM.
answer
4,5
question
While making patient rounds, the charge nurse is told that a staff nurse sat in the room with the family and watched television, causing the patient's medications to be late. When communicating with the staff nurse, the charge nurse states, "I will not tolerate lazy disorganized nurses on my unit. Either join my team or leave, and I don't want to hear any of your excuses." Which type of communication did the manager use?
answer
Aggressive
question
A charge nurse has asked for the upcoming holiday off. The nurse manager calls her into the office and states, "The unit must be covered. Do you have any suggestions on how to cover it?" The charge nurse assumes her boss is upset with her for asking for the day off because she never asks her opinion on staffing. Which of the following elements most likely influenced the communication process?
answer
Interpretation
question
Which statement accurately describes communication?
answer
When the receiver becomes the sender, the subcomponent of communication that is in use is feed back.
question
A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which question would retrieve the most valuable information about health practices?
answer
"Can you tell me about your exercise practices?"
question
The Health Insurance Portability and Accountability Act (HIPAA, 1996) provides:
answer
regulations to ensure privacy and security of patient data.
question
A nurse is preparing a presentation and is reviewing websites to collect information on stem cell research. One site does not contain headings to direct the reader, and hyperlinks do not connect to the stated information. Which criterion to establish a reputable website is missing?
answer
Usability
question
Consumers are concerned with security issues related to their confidential health information when placed in an electronic health record (EHR). However, when the security of the EHR is compared with that of paper-and-pencil records, the EHR is:
answer
More Secure
question
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
answer
MEDLINE database
question
A nurse who is teaching a class to introduce telehealth to the staff would include which example?
answer
A nurse watches remotely from Indiana while a patient in Wyoming performs a peritoneal dialysis to ensure that all steps are being followed correctly.
question
A nurse is assessing a Chinese child and notices 5-inch, perfectly circular bruises on the body. The nurse realizes that this finding is indicative of:
answer
Cupping to remove colds and coughs
question
Barriers to mainstream health care include lack of transportation and disrespectful treatment for a group of economically deprived, underserved individuals living in a remote area. A mobile clinic provides blood pressure screening, minor first aid, and blood glucose checks. This group of individuals is best described as:
answer
marginalized
question
A Mexican-American patient is attacked and beaten. This patient is at risk for "fright disease," which is known as:
answer
susto
question
"evil eye"
answer
Mal ojo
question
"a disease brought on by anger"
answer
Bilis
question
"Sharp pains brought on by food lodged in the intestinal tract"
answer
Empacho
question
Which statement is true regarding health care for minorities?
answer
Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.
question
A nurse is submitting a grant application to improve access to health care and mortality for minority groups. The grant focuses on the six causes of death that are identified as priorities for minorities, which include:
answer
cancer
question
While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:
answer
Cultural Competence
question
On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, hate is rated as 10 on this scale.
answer
True
question
Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in language.
answer
True
question
A patient understands that the hospital where he is currently having a procedure done is "Joint Commission" accredited. The pt asks the nurse how accreditation ensures the pats receive the best care possible. the nurse informs the patient that here are several quality initiatives required by The Joint Commission in order for the hospital to be accredited. One of these quality initiative is known as:
answer
Core Measures
question
serious and costly errors in health care delivery that should never happen
answer
Never Events
question
Organizations such as the ___________ can be contacted to reach consultants for transcultural nursing
answer
Transcultural Nursing Society
question
The Minority groups with the fewest nurses are:
answer
American Indians/Asian Pacific Islanders
question
The average life expectancy for African American is
answer
72.7 years
question
Marginalized populations include
answer
Gays, Lesbians, older adults, Recent Immigrants
question
Present oriented
answer
American Indians are likely to be
question
Created the theory of Culture Care Diversity and Universality.
answer
Madeleine Leiniger
question
Punctuality and "watching the clock" are part of what culture?
answer
Western
question
may view direct eye contact as rude
answer
American Indians
question
A nurse who is able to state her feelings honestly with no attempt made to hide or disguise the real object of a disagreement is practicing ______ in professional communication.
answer
Openness
question
When verbal and nonverbal messages do not agree, the non-verbal message is more likely to be believed.
answer
Non-Verbal
question
If the nurse asks the pt, "do you know where you are?" she is using __________ communication.
answer
Closed
question
When responding to a pt's concerns with generalized answers such as "Don't worry, " the nurse is __________ communication.
answer
Blocking
question
The nurse who most often puts aside his or her own needs for the sake of resolving conflict is using the conflict resolution style of ______________.
answer
Accommodation
question
The professional nurse's goal is to make pt safety a _______ priority.
answer
Personal
question
Variation in a process that is stable and predictable and may require intervention for improvement is known as:
answer
Common Cause variation
question
Variation in a process that is unstable and unpredictable and may not require intervention for a permanent change is known as:
answer
Special Cause variation
question
A mandate for sweeping changes in the U.S. health care system emerged from a series of revealing reports known as ________________ issued by the Institute of Medicine.
answer
Quality Chasm Series
question
A component of patient-centered care is to value seeing health care through:
answer
The pt's eyes
question
Up to 66% of health care errors are related to poor ________ among health professionals.
answer
Communication
question
Health care organizations focused on safety use __________ to manage the potentials for humans (health professionals) to make unintentional mistakes.
answer
Constant surveillance
question
Being a respected nurse means caring, knowledge, and honesty plus commitment to:
answer
Quality and Safety
question
Using data to monitor outcomes of care processes is a component of:
answer
Quality Improvement
question
The US is considered to have the world's most _____________ advanced health care system.
answer
Technologically
question
The type of law that creates a nurse practice act.
answer
Statutory Law
question
A professional's negligent conduct is:
answer
Malpractice
question
A legal permit that serves as a means to protect public safety is
answer
Licensure
question
A strategy to prevent being named in a lawsuit
answer
Maintain good relationships with pts and families
question
Who has the authority to license nurses?
answer
State board of nursing
question
Is a reckless act that reflects a conscious disregard for the pts welfare.
answer
Gross negligence
question
The intent of _________ is to ensure confidentiality of the pts' health record
answer
HIPAA
question
Limits a nurse's liability or shields the nurse from malpractice for rendering emergency assistance outside the employment setting.
answer
Good Samaritan Immunity
question
requires that federally funded hospitals (Medicare, Medicaid) inform adult patients in writing about their right to make treatment choices and to ask patients whether they have a living will or a durable power of attorney for health care.
answer
The Patient Self-Determination Act
question
defines nursing within the state
answer
The Nurse Practice Act