Nursing Quizzes – Flashcards
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What could eventually change the historical status of nursing as a female-dominated profession?
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More male graduates of basic nursing programs entering the workplace
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The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when...
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the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice
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What best describes trends in nursing education?
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Numbers of RNs with bachelor's and higher degrees are increasing
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Despite the variety of work settings available to the RN, data indicate that the primary work site for RNs is...
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acute care hospitals
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What are the cornerstones of community health nursing (CHN)?
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Prevention and community education are the cornerstones of CHN
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The major benefit of serving as a military nurse is...
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the financial support to seek advanced degrees
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What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses?
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Outcomes were better in hospitals with more BSN-prepared nurses
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One important advantage of the evolution of nursing informatics is that...
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informatics nurses are best able to design systems with the needs and skills of nurses who use them in mind
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NPs are advanced practice nurses who
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can diagnose and treat common and chronic conditions
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Hospice and palliative care nursing is a rapidly developing specialty in nursing. Which facts have contributed to this growth?
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-End-of-life care is largely the responsibility of nurses -End-of-life needs are expected to increase with the aging population -Hospice and palliative care nurses work in a variety of settings
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Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education?
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Florence Nightingale
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To which early nursing leader is attributed the founding of the American Red Cross?
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Clara Barton
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What was the most significant impact on the profession of nursing made by Mary Breckenridge in her role as a frontier nurse?
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She demonstrated that nurses could provide primary care in rural settings
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What specialty of nursing was considered well suited for men at a time when other areas were excluding men from practicing?
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Psychiatric nursing
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When surveyed, which profession was chosen by the general public as highest in honesty and ethics?
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Nurse
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What was the most important influence of war on nursing?
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Nurses were able to perform medical procedures during war
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Florence Nightingale is often credited as being the first nurse researcher. This designation is based on
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her use of data on the morbidity and mortality of soldiers in hospitals in Scutari
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The diversity of the population entering the health care system is a challenge for nurses because
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ethnic minority nurses do not yet meet the same proportions in the profession as in the general population
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Margaret Sanger, as a nurse and activist, worked on the Lower East Side of New York City in the early 1900s with immigrant women. What was the focus of her work?
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Safe contraception and family planning for women
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Provisions of the Affordable Care Act include
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-children up to age 26 being allowed to stay on parents' insurance -disallowing denial of coverage for children and teens' preexisting conditions -the right to appeal coverage decisions -recommended preventative services without out-of-pocket cost to consumers
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Which of the following was recognized earliest as a true profession?
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Ministry
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A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other?
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Mentoring nursing students and novice nurses
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The nursing profession has experienced barriers to professionalism. Which of the following is the primary current barrier to nursing's professionalism?
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Variability of educational backgrounds of nurses
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A barrier to professionalism attributed to nursing's roots in altruism is illustrated when a nurse
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feels guilty for expecting to be paid well for work
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One of the characteristics of a profession identified by Kelly was "there is an organization (association) that encourages and supports high standards of practice." Which of the following illustrates a concern for nursing meeting this characteristic?
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The membership of the ANA is less than 10% of all nurses
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Which American university opened the first nursing school as a separate department within the university?
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Yale
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Is a bachelor's of science in nursing (BSN) education recommended by professional organizations as preparation for entry into practice?
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Yes
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What recommendation made by the 1965 American Nurses Association (ANA) position paper and other position papers of national nursing organizations is still an issue today?
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Minimum preparation for professional nursing practice should be the BSN degree
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What type of basic nursing education program graduates the largest number of RNs in the United States today?
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Associate degree programs
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All levels of nursing educational programs can be accredited by which organization?
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Accreditation Commission for Education in Nursing (ACEN)
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Florence Nightingale established a school of nursing based on what innovative principles?
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-The nursing school should be affiliated with a teaching hospital but independent of it -Professional nurses should be paid for their instruction in the school -The curriculum should include theory and practical experience
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Which of the following is not included as an overarching goal of Healthy People 2020?
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Lengthening the average lifespan by a decade
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Which of the following is characteristic of public agencies?
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They provide health care services at the national, state, and local levels
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What organization is not a public agency?
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American Red Cross
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A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a...
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not-for-profit agency
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An agency that treats temporary health dysfunction requiring intervention to prevent complications is providing which level of health care?
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Secondary care
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What is a responsibility of many nurse executives (chief nursing officers)?
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Participating as a member of the board of directors
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Differences between treatment outcomes for different populations are known as...
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health care disparities
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Which of the following is not recognized as part of the role of the nurse as a member of the health care team?
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Performance of physician functions under direct supervision of a physician
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Which of the following is a characteristic of the team model of nursing care delivery?
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Each member of the team uses his or her abilities to the fullest in patient care
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The care delivery model in which a registered nurse provides direct care and also has 24-hour responsibility for updating the patient's plan of care is known as...
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primary nursing
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What patient is likely to benefit most from referral for case management?
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Elderly patient with total hip replacement
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What is the relevance of the concepts of supply and demand, free market, and price sensitivity with regard to health care costs?
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Consumer insensitivity to costs has increased demand for health care services
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What service is covered by Medicare, part D?
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Prescription drug costs
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The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts?
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They determine the educational requirements for licensure
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The most common reason that nurses are disciplined by the state board of nursing is...
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practicing while impaired
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What is the primary function of the National Council of State Boards of Nursing (NCSBN)?
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Developing the NCLEX-RN and NCLEX-PN licensing examinations
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Which of the following nursing responsibilities can never be delegated?
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Accountability
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The RN delegates changing a sterile dressing over a central line to a licensed practical/vocational nurse (LPN/LVN). The LPN/LVN contaminated the site during the dressing change, and an infection developed in the patient. Which of the following statements is true?
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The RN is ultimately responsible for acts he or she delegates
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In what situation should the legality of an informed consent be questioned?
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Patient who received a preoperative dose of Demerol before giving consent
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What action is acceptable as an exception to a nurse's obligation regarding confidentiality?
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Reporting certain diseases to public health authority
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Which patient rights are guaranteed by HIPAA?
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Patients are protected against medical records being indiscriminately shared
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The Patient Self-Determination Act of 1991, as implemented today, is known as providing...
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advance directives
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Which of the following is an important step in preventing legal action against the nurse?
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Develop caring, therapeutic relationships with patients
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What nursing role is not considered an advanced practice role?
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Community health nurse
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The clinical nurse leader (CNL) is a recently proposed role. The responsibilities of the person in this role include which of the following?
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Oversee and manage care delivery in specific settings
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The American Nurses Association (ANA) serves as the...
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professional organization for all nurses regardless of practice setting or level of practice
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A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse?
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The nurse must join a union to be employed there
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Has the rate of aging of RNs slowed or sped up in the past 30 years?
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The rate of aging of RNs has slowed for the first time in the past 30 years
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Respecting an elderly woman's decision to stay in her own home is based on a belief in the ethical principle of
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autonomy
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A school nurse teaching school-aged children about water safety is an example of which ethical principle?
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Beneficence
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A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged to reduce hospital cost is relying on which ethical principle?
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Justice
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A patient who is terminally ill is experiencing great pain. To relieve the patient's suffering, the nurse needs to administer larger doses of morphine. This relieves the pain but also inhibits respiration. Which principle justifies the risk of harm?
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Double effect
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Taking a pediatric patient to the playroom on a promised time and day is based on the belief in the ethical principle of
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fidelity
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Answering a terminally ill child's questions about his or her condition honestly is based on a belief in the ethical principle of
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veracity
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What is the best description of a code of ethics?
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A document that permits others to know what principles guide professional decision making
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What are activities in the ethical decision making process?
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-Determine if the people who are affected by the dilemma have value conflicts. - Brainstorm with others involved to identify all possible solutions. - Evaluate the action taken to determine whether it accomplished its purpose.
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A patient in whom metastatic cancer is diagnosed tells the nurse, "God has never let me down before. I'll pray for strength." This patient's illness behavior is being influenced by
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spirituality
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A patient in whom cancer has just been diagnosed tells the nurse, "Just get out of here and leave me alone! Let me suffer alone. God is punishing me." The nurse determines that the most appropriate nursing diagnosis for this patient is
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spiritual distress
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Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?
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Consider patients' religious beliefs when planning care
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A Caucasian nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping while holding several small feathers bound by a beaded leather thong. The nurse should consider the possibility that this is
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an important item used in native healing practices
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A young girl from a Middle Eastern country is in the process of dying. Her parents ask the nurses to allow her to be prepared for death by being dressed in a specific garment and headdress every day. The parents cannot be there every day to do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally competent care?
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Learning how to apply the garment and headdress properly
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An English-speaking nurse gave a non-English-speaking Asian patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of povidone-iodine was to be used in cleansing the area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of povidone-iodine. Which action would be most effective in preventing this error?
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Using a medical interpreter to give the preoperative instructions
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The best definition of ethnocentrism is
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a tendency to view your own culture as superior to others
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What will aid the nurse in planning culturally congruent care?
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- "What do smiles, nods, and hand gestures mean?" -"How are you usually addressed?" - "What is eaten when one is sick?" - "Who is involved in making decisions about health care?"
