question

The nurse providing care on a unit using functional nursing would carry out which activity?

answer

administer medications to all clients.

question

What is the goal of case management in nursing?

answer

to provide clients with necessary, cost effective care.

question

Why must the nurse follow the agency's policies and procedures?

answer

The agencies policies and procedures are the legal framework of nursing.

question

Which nursing action would be most characteristic of a patient advocate?

answer

assisting the patient to obtain information to make a decision.

question

Which characteristic of a profession has traditionally been associated with nursing?

answer

service to society.

question

Which best defines collective bargaining for nurses?

answer

a negotiations process between nurse employee and management.

question

Which approach should the nurse use when planning assignments for a nursing team?

answer

Assignments should be based on patient needs and the expertise of the personnel.

question

Which statement describes a primary characteristic of a profession as it exists in nursing?

answer

Nurses are capable of autonomous decision making.

question

What action reflects that the nurse is a member of a discipline?

answer

tells the patient the nurses name.

question

What is the major advantage of the team nursing model for delivery of nursing care?

answer

to facilitate the use of ancillary staff to provide effective care.

question

Who is leader in team nursing

answer

the RN

question

Nurses in which group specialize in primary care?

answer

nurse practitioners

question

The nurse delegates the responsibility for completing intake and output sheets to the nurses aide working on the team. Which instructions by the nurse to the aid indicates proper use of the principles of delegation?

answer

Tally all patients intake and output sheets for the shift by 3pm

question

Which of the following is a creative decision making approach that generate multiple alternative choices?

answer

brainstorming

question

Goal of consensus

answer

get people to agree on one approach

question

Compromising in decision making

answer

means that no one gets exactly what they think is correct, but everyone does get some of what they want.

question

Negotiating

answer

no one gets everything they want, but more people meet their prior needs.

question

What action reflects the educational competencies of the associate degree nurse?

answer

provides direct patient care across the health care continuum

question

What best explains the concept of differentiated practice?

answer

Nursing staff assume roles and responsibilities appropriate for their level of education and experience.

question

case management method most often uses...

answer

critical pathways

question

critical pathways

answer

multidisciplinary care plans that include client problems, key interventions, and expected outcomes within an established time frame

question

During cardiac arrest in an ICU, the charge nurse instructs one RN to take over the care of two patients, another RN to assist with the intubation, and a third RN to draw up medications for the doc. Which management style is the charge nurse exhibiting?

answer

authoritarian

question

Coercive manager

answer

would associate reward or punishment with performance of assigned duties.

question

Democratic manager

answer

would involve the other members of the care team in decision making.

question

Multicratic manager

answer

would share decision making with one or more associates, but not submit choices to the entire team.

question

Which nursing activity illustrates a cost containment measure aimed at improving patient care?

answer

coordinating patient care using critical pathways that are based on expected outcomes

question

A nurse who is a new grad has been the recipient of repeated sarcastic remarks by a nurse who is experienced. Which conflict management technique should the new nurse use in responding to the experienced nurse?

answer

confrontation

question

Which activity by the charge nurse demonstrates the most effective use of self in time management?

answer

determine priorities and delegate activities to staff nurses.

question

The nurse manager observes an increase in incident reports related to patient falls on the unit. Which is the manager's best approach to solving this problem?

answer

form a team of a nurse, an aide, a housekeeper and a physical therapist to investigate the problem.1

question

Which is a major principle underlying primary nursing? Primary nursing relies on...

answer

the nurse giving the care directly

question

how is a record audit used to evaluate nursing care

answer

nursing documentation is compared to established standards

question

Several new critical pathways are being piloted by a small hospital. Although the nurses like the pathways because they will save time, the physicians dislike them, saying the pathways resemble cookbook medicine. Which conflict management strategy would be the most approrpiate in this situation?

answer

collaborating

question

collaborating

answer

encourages both creative and assertive problem solving for the benefit of the patient

question

What is the principle criticism of functional nursing?

answer

Patient care is fragmented

question

Functional nursing

answer

the patient will have different personnel interacting with them and no one nurse has the complete picture of the patient.

question

An associate degree nurse who is a member of a nursing team observes a change in patient condition. Who should the nurse inform first?

answer

LEADER

question

.a RELATIONSHIP with which individual would best enable the novice nurse to model personal behaviors and become socialized into the professional role?

answer

mentor

question

A unit nurse believes that there are too few staff members to adequately attend to all patients. What action should the nurse take first to initiate change?

answer

Discuss the personnel situation with the nursing supervisor.

question

The nurse has assessed that a patient who is to be discharged from a health care facility is unable to live alone at home. Which standard of care has the highest priority?

answer

Collaboration

question

Collaboration

answer

act of working jointly

question

How are the nursing process and the planned change process similar?

answer

follow the same systematic process, with the first step being ASSESSMENT

question

Planned change

answer

an intended, purposive attempt by an individual, group, organization, or larger social system to influence its own status quo or that of another organism or a situation

question

nursing process

answer

method RNs use to plan & deliver nursing care in 5 steps: assesment, nursing, diagnoses, planning, implementation, evaluation

question

Which is the best definition of the Nursing Outcome Classification System?

answer

A list of indicators that suggest the change in a patients condition.

question

Nursing Outcomes Classification System

answer

NOC. Using standardized terminology and measures to evaluate effects of nursing interventions. Each outcome label has a definition, a target outcome rating, a list of indicators, and a 5-point Likert scale to measure changes(+,-, or lack of).

question

What is Mary Mahoney best known for?

answer

first black graduate of an American Nursing school

question

Dorothea L Dix

answer

first superintendent of Women Nurses for all military hospitals during the Civil War.

question

Mary Breckinridge

answer

first nurse to provide family health care to rural populations.

question

Isabel Hampton Robb

answer

leader and activist in the development of nursing through education. She founded John Hopkins School of Nursing and became it's first professor.

question

Which concept is associated with Florence Nightingale's nursing philosophy?

answer

environment and sanitation

question

sister Callista Roy and Myra Levine

answer

associated with the concept of adaptation

question

Imogene King

answer

is associated with the concept of open systems.

question

Dorothea Orem

answer

associated with self care

question

Which is a major focus of most clinically related specialty nursing associations?

answer

continuing education

question

mission of National League for Nursing

answer

to promote health and the quality of health care by supporting effective nursing education and practice.

question

Mission of American Nurses Association

answer

to improve health care by ensuring high standards of nursing and promoting the professional development of nurses.

question

International Council of Nurses

answer

international organization for professional nursing with membership consisting of national nursing assocations.

question

What is the primary purpose of accreditation of an academic nursing program?

answer

to establish excellence in the program

question

in what way did the Pew Health Professions Commission reports affect helath care professionals?

answer

Decreasing the number of health care professionals, including nurses.

question

The first organized schools of nursing in the US were developed following what war?

answer

Civil War

question

Which was the most important recommendation of Nursing for the Future (Brown Report 1948)?

answer

Recommended a college or university education for nurses.

question

What was an outcome of the study Health Professions Education for the Future: Schools in Service to the Nation (1993)

answer

It emphasized the need for increased numbers of advanced practice nurses.

question

What is the basic responsibility assumed by the National League for Nursing Accrediting Commission

answer

validating the quality of nursing education programs.

question

Which factor influenced the development of associate degree nursing programs?

answer

The Cadet Nurse Corps

question

How can health care providers best meet the challenge of Healthy People 2010 in the area of environmental health protection?

answer

Promote healthy lifestyles

question

Which best describes a baccalaureate degree program in nursing?

answer

the degree candidate must meet the university graduation requirements

question

Which organization represents the nursing profession to allied health groups, national and international organizations, government bodies, and the public?

answer

American Nurses Association

question

With what accomplishment has Florence Nightingale been credited?

answer

influencing reform in nursing education

question

Annie Goodrich

answer

served with Wald; known as outstanding nursing educator; appointed as a state inspector of nursing schools; dean of army nursing school.

question

Mildred Montag

answer

Established first Associate Degree nursing program

question

Which source of law empowers state boards of nursing to formulate and enforce their regulations?

answer

statutory law

question

Administrative Law

answer

state boards of nursing administer their regulations via

question

Common Law

answer

refers to cases that have been ruled on in court and are known to set precedence (aka case law)

question

Statutory Law

answer

source of law that empowers state boards to formulate and enforce their regulations.

question

The nurse discovers an employee fondling and kissing a patient. What action should the nurse take?

answer

dismiss the employee from the room and notify the shift supervisor

question

What type of charge can be brought against a nurse who slaps a patient's face?

answer

Battery

question

Assualt

answer

saying or doing something to make a person genuinely afraid that he/she will be touched without consent.

question

misdemeanor

answer

type of criminal offense

question

Negligence

answer

failure to act as a reasonably prudent nurse would act in the same situation

question

What is a reason for state licensure of nurses.

answer

to protect the safety of the patient

question

The nurse notes that a patient's physician has prescribed a medication dose that exceeds the manufacturers recommended dosage range. What is the first action the nurse should take?

answer

Question the physician who ordered the med

question

A nurse's medication error causes the death of a patient. Under which catagory of law could the nurse be charged?

answer

criminal

question

in which situation is the nurse acting as a patient advocate? The nurse...

answer

arranges a change of visiting hours when a patient's children cannot visit during normal hours.

question

Which best describes the approach that the nurse should take when serving as an expert witness at a trail?

answer

Be brief and direct when answering questions.

question

Betty Neuman and Sister Callista Roy developed their nursing models based on which type of theory?

answer

Systems Theory

question

Systems Theory

answer

a way of thinking about organizations and management problems from a systems point of view

question

How does a patient demonstrate autonomy? The patient

answer

makes her/his own choice.

question

What is an example of nonmaleficence

answer

A patients skin integrity is broken when a nurse pulls the patient up in bed

question

nonmaleficence

answer

the duty to do no INTENTIONAL harm

question

What impact do sunset laws have on the practice of nursing?

answer

Nurses can initiate changes in to nurse practice act to ensure correlation with current practice.

question

Sunset Laws

answer

state laws enacted to ensure that legislation is current and reflects the needs of the public.

question

A nurse who participates in active euthanasia of a patient faces liability under which catagory of law?

answer

criminal

question

How are health care professionals affected by Good Samaritian laws? Under most laws....

answer

health care professionals are free from liability when assisting individuals who are accident victims.

question

The Omnibus Budget Reconciliation Act of 1987 regulates the educaiton and certification of which health care worker?

answer

nursing assistant

question

Assisted suicide is a factor involving which end of life issue

answer

Active euthanasia

question

Which religious group typically refuses autopsy?

answer

Jehovah Witness

question

Which statement best describes the American Nurses Association Standards of Clinical Nursing Practice

answer

They provide criteria for evaluating the quality of nursing care.

question

Which action constitutes active euthanasia?

answer

Giving a patient who is terminally ill and in respiratory distress a large dose of IV morphine for pain

question

According to A Patients Bill of Rights, what is the meaning of informed consent for surgery?

answer

The physician is responsible for telling the patient the plan for surgery.

question

A patient tells the nurse he wants to review his own chart. What is the first action the nurse should take?

answer

Ask the patient what information he is seeking.

question

Which nurse theorist established the Core of Nursing as a caring-healing health model?

answer

Jean Watson

question

Sister Callista Roy

answer

developed an adaptation model.

question

Imogene King

answer

developed an open systems approach

question

Madeleine Leininger

answer

developed a caring model with an emphasis on transcultural approach

question

What is the purpose of the ANA Code for nurses?

answer

to provide nurses with guidelines for professonal behavior and decison making.

question

Which organization maintains that nurse should not participate in assisted suicide?

answer

American Nurses Association

question

Which was the first state to enact whistle blower protection for health care workers?

answer

New Jersey

question

Which of the following is a responsibility of state boards of nursing in the US

answer

examining and licensing qualified candidates

question

What is an advantage of using specific nursing theories for research and practice rather than using theories from nonnursing professions?

answer

nursing theory is necessary for the continued development of the discipline

question

What ethical theory argues that, if an act produces a good outcome, then the act itself is good

answer

Utilitarianism

question

Deontology

answer

based on moral rules and unchanging principles

question

An attorney who is reviewing past malpractice cases that have been ruled on in courst is studying which type of legal issue?

answer

common law

question

A nurse who opposes abortion is offered a position at a medical center where pregnancies may be terminated. Which decision about accepting this position is most appropriate for the nurse?

answer

decline the position and seek employment elsewhere

question

What is a purpose of state nurse practice acts?

answer

to legally define the range of nursing practice

question

Which ethical principle is the staff nurse working under when reporting chronic understaffing to the state nurses assocation?

answer

Fidelity (obligation to be faithful to the agreements, commitments, and responsibilities that one makes to oneself and others.

question

Veracity

answer

telling the truth

question

Which element negates a contract between a nurse and an employer?

answer

a contract does not delineate the responsibilities of the nurse. Contract MUST define the responsibilities of both parties.

question

Which best describes the goal of nursing in Virginia Henderson's theory of nursing?

answer

to care for and help the patient attain independence and self care.

question

What is the primary responsibility of the employer to provide a safe environment for a newly emplyed nurst who is allergic to latex?

answer

provide latex free equipment on the nurse's unit

question

What is a component of competency-based orientation?

answer

Testing to determine the skills of a new graduate.

question

What is the overall goal of managed care?

answer

to contain health care costs

question

Since the 1960s, what has been a primary issue about health care in the US that has led to movement for a national public policy on health care?

answer

Access to health care services.

question

One method of containing health care costs is to reduce the number of hospital days required for treatment. What implications does this method have for delivery of health care?

answer

patients will require more intensive acute care in the home setting.

question

In which health care setting can a patient undergo minor sugery and be discharged in less than 24 hours?

answer

ambulatory

question

Which is a characteristic of a for-profit health care agency?

answer

makes payments to shareholders out of revenues earned.

question

Which functional attribute of the organization best fosters professtional nursing care?

answer

strong institutional commitment to quality

question

Which benefit does the consumer recieve as a participant in a health maintenance organization?

answer

access to a broad range of preventive and treatment services.

question

A patient with symptoms of a heart attack is admitted to what type of facility?

answer

Secondary care

question

Primary Care

answer

includes preventive care, routine health maintenance and care for illnesses

question

Secondary Care

answer

includes emergency care and acute care

question

Tertiary Care

answer

includes long term care and rehab

question

managed care

answer

cost containment system for health care delivery

question

A nursing bill is introduced into Congress. When are members of professional organizations formally asked to express views about the legislation?

answer

While the bill is before the appropriate committee

question

Why is it important for the nurse to provide culturally sensitive care to a person?

answer

Culture influences a person's response to illness and health care.

question

Which nursing action is an example of primary care?

answer

teaching a patient about weight control and stress reduction

question

What does the Joint Commission on Accreditation of Healthcare Organizations evaluate as part of it's accreditation process?

answer

adequacy of nurse staffing

question

Knowledgeable health care consumers are responsible for which change in the health care system?

answer

provision of wellness services.

question

What is capitation?

answer

Method of health care financing paid on a per member per month baisis.

question

Some managed care organizaitons have set limits on information physicians can discuss with plan members regarding select, expensive treatments. What term defines these restrictions?

answer

Gag order

question

Which regulatory agency identifies policies and procedures for avoiding a hazardous employee environment?

answer

OSHA

question

A nurse who follows standards of care for professional practice would perform which action

answer

Document that the patient's wishes conflict with the physician's orders.

question

Which is one of the most significant demographic forces influencing health care delivery?

answer

the increasing population of older adults.

question

Which is the most effective way for nurses to improve the delivery of health care?

answer

understand and become involved in public policy formulation

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