Nursing Concepts – Quizzes (FINAL)

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National Institute of Nursing Research
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Which organization provides federal funding for research?
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Theories
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What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?
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Cause Harm
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Institutional review boards determine whether research studies involving human subjects will:
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arrange for … outside and keeping window’s open
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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:
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Madeleine Leininger’s Nursing Theory
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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?
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AACN
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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?
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those skills necessary for safe competent nursing practice
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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:
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an epidemic of obesity in children and adults
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The practice of nurses, nursing students, and faculty is affected by demographic changes due to:
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diploma
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The oldest, most traditional nursing program that prepares a candidate for RN licensure is the hospital-based _____ program.
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competency outcomes
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The new trend in nursing education that is consistent with real-world practice is focused on:
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incivility or disregard of others’ rights in schools and in the work place
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One of the major trends that currently influences nursing education and practice is:
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plagued by communicable diseases made worse by unsanitary conditions
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Nursing care during the civil war was:
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the total number of RNs will not meet the demand for the workforce number required
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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,
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Vietnam War
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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?
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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
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A comparison of nursing in the 1980’s versus nursing in the 1990s reveals that:
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the public and the nursing profession were made aware of the right to vulnerable populations
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What effect did the movie One Flew Over the Cuckoo’s Nest have on health care?
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only registered nurses at all levels of education
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The International Council of Nursing declared that the term nurse represents:
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Hill-Burton Act
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Which bill provided for construction of hospitals?
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Lillian Wald
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The practice of public health nursing and the Henry Street Settlement are credited to:
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all military nurses for their bravery and compassion
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While one is visiting Arlington National Cemetery, a large limestone statue, the Spirit of Nursing, can be seen. This statue honors:
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that identified monks and knights as Christian warriors
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The cross often portrayed on nursing pins today was derived from the cross:
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Autonomy
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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:
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Veracity
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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?
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Utilitarianism
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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:
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Accountability
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The nurse who admits making a medication error and immediately files an incident report is demonstrating:
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a sentinel event
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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:
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Health Insurance Portability and Accountability Act of 1996
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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?
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Negligence
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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:
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Durable Power of attorney
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When the client is unable to make medical decisions for himself or herself, authorization that allows another person to make these decisions is called:
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must reveal expected benefits
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Which statement regarding informed consent is correct? Informed consent:
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The Joint Commission.
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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:
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Institute of Medicine
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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:
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what the consumer needs and wants
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Regardless of the term used to describe quality health care, the focus of quality is:
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Deployment chart
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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):
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Patient-Centered Care
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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:
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Team work and collaboration
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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?
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The competencies address both individual and system approaches to transform care.
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Which of the following statements concerning the Institute of Medicine (IOM) competencies is correct?
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in the right lung has moved to the gallbladder.
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A person who practices the Law of Cure in homeopathy would consider treatment to be effective when the pain:
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Pitta
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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:
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“Most insurance companies will pay for chiropractic treatment.”
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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:
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Reflexology
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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:
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Atropa belladonna
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The use of plants in conventional modern medicine is evidenced by the drug atropine, which is derived from which plant?
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2,4
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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.
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4,5
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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.
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Aggressive
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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?
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Interpretation
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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?
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When the receiver becomes the sender, the subcomponent of communication that is in use is feed back.
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Which statement accurately describes communication?
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“Can you tell me about your exercise practices?”
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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?
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regulations to ensure privacy and security of patient data.
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The Health Insurance Portability and Accountability Act (HIPAA, 1996) provides:
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Usability
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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?
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More Secure
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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:
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MEDLINE database
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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:
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A nurse watches remotely from Indiana while a patient in Wyoming performs a peritoneal dialysis to ensure that all steps are being followed correctly.
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A nurse who is teaching a class to introduce telehealth to the staff would include which example?
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Cupping to remove colds and coughs
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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:
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marginalized
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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:
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susto
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A Mexican-American patient is attacked and beaten. This patient is at risk for “fright disease,” which is known as:
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Mal ojo
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“evil eye”
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Bilis
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“a disease brought on by anger”
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Empacho
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“Sharp pains brought on by food lodged in the intestinal tract”
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Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.
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Which statement is true regarding health care for minorities?
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cancer
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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:
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Cultural Competence
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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:
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True
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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.
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True
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Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in language.
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Core Measures
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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:
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Never Events
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serious and costly errors in health care delivery that should never happen
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Transcultural Nursing Society
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Organizations such as the ___________ can be contacted to reach consultants for transcultural nursing
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American Indians/Asian Pacific Islanders
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The Minority groups with the fewest nurses are:
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72.7 years
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The average life expectancy for African American is
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Gays, Lesbians, older adults, Recent Immigrants
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Marginalized populations include
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American Indians are likely to be
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Present oriented
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Madeleine Leiniger
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Created the theory of Culture Care Diversity and Universality.
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Western
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Punctuality and “watching the clock” are part of what culture?
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American Indians
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may view direct eye contact as rude
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Openness
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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.
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Non-Verbal
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When verbal and nonverbal messages do not agree, the non-verbal message is more likely to be believed.
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Closed
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If the nurse asks the pt, “do you know where you are?” she is using __________ communication.
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Blocking
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When responding to a pt’s concerns with generalized answers such as “Don’t worry, ” the nurse is __________ communication.
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Accommodation
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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 ______________.
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Personal
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The professional nurse’s goal is to make pt safety a _______ priority.
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Common Cause variation
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Variation in a process that is stable and predictable and may require intervention for improvement is known as:
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Special Cause variation
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Variation in a process that is unstable and unpredictable and may not require intervention for a permanent change is known as:
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Quality Chasm Series
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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.
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The pt’s eyes
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A component of patient-centered care is to value seeing health care through:
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Communication
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Up to 66% of health care errors are related to poor ________ among health professionals.
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Constant surveillance
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Health care organizations focused on safety use __________ to manage the potentials for humans (health professionals) to make unintentional mistakes.
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Quality and Safety
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Being a respected nurse means caring, knowledge, and honesty plus commitment to:
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Quality Improvement
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Using data to monitor outcomes of care processes is a component of:
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Technologically
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The US is considered to have the world’s most _____________ advanced health care system.
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Statutory Law
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The type of law that creates a nurse practice act.
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Malpractice
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A professional’s negligent conduct is:
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Licensure
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A legal permit that serves as a means to protect public safety is
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Maintain good relationships with pts and families
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A strategy to prevent being named in a lawsuit
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State board of nursing
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Who has the authority to license nurses?
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Gross negligence
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Is a reckless act that reflects a conscious disregard for the pts welfare.
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HIPAA
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The intent of _________ is to ensure confidentiality of the pts’ health record
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Good Samaritan Immunity
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Limits a nurse’s liability or shields the nurse from malpractice for rendering emergency assistance outside the employment setting.
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The Patient Self-Determination Act
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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.
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The Nurse Practice Act
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defines nursing within the state

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