Unit 1 Flashcards

Which of the following are examples of restorative healthcare? SATA

1. Home Health
2. Rehab Fac.
3. Skilled Nursing Fac.
4. Oncology Center

Which of the following health care financing mechanisms are federally funded? (SATA)

1. PPO
2. Medicare
3. Long-term Care Insurance
4. EPO
5. Medicaid

A nurse's personal philosophy is developed by learning through which of the following? (Select all that apply.)
A) Environment
B) Interpersonal relationships
C) Formal and informal education

D) Religion and Culture

E) How a person interacts with the environment

Which of the following is a responsibility of the State Licensing boards?

1. Monitoring EBP practice for clients who have a specific dx.
2. Ensuring providers comply with regulations
3. Set quality standards for accrediting health care facilities
4. Determining if meds are safe for clients

Which of the following are tertiary care settings? (SATA)

1. ICU
2. Oncology tx center
3. Burn center
4. Cardiac rehab
5. Home health

Which of the following clients needs a referral to a social worker? (SATA)

1. Terminally ill client requesting hospice at home
2. A client asking about community resources available for older adults
3. A client wanting her child baptized before sx.
4. A client requesting an electric wheelchair for after discharge
5. A client that doesn't understand how to use a nebulizer

A goal for a p/t who has difficulty with self feeding due to rheumatoid arthritis is to use adaptive devices. The nurse caring for the client should initiate a referral to which of the following members of the care team?

1. Social Worker
2. CNA
3. Registered Dietician
4. Occupational Therapist

Which of the following members of the care team can assist a p/t in understanding the effects of their meds.? (SATA)

1. Provider
2. CNA
3. Pharmacist
4. RN
5. Respiratory therapist

A p/t who has problems swallowing due to a CVA needs a referral to which care team member?

1. Social Worker
2. CNA
3. Occupational therapist
4. Speech pathologist

When giving examples of the duties a CNA performs which of the following should be included? (SATA)

1. Bathing
2. Ambulating
3. Toileting
4. Determining pain level
5. Measuring vital signs

A p/t decides not to have a sx even if it means it can save his life. The nurse understands this is which type of ethical principle?

1. Fidelity
2. Autonomy
3. Justice
4. Nonmaleficence

A nurse offers pain meds to a postoperative p/t prior to ambulation. This is an example of what kind of ethical principle?

1. Fidelity
2. Autonomy
3. Justice
4. Beneficence

All p/t's waiting on a kidney transplant have to meet the same qualifications. This is an example of what ethical principle?

1. Fidelity
2. Autonomy
3. Justice
4. Nonmaleficence

A nurse questions a rx due to a p/t's age and unstable status. Which ethical principle is this?

1. Fidelity
2. Autonomy
3. Justice
4. Nonmaleficence

Which of the following could be described as an ethical dilemma?

1. A nurse shows signs of chemical impairment
2. A nurse threatening to use restraints on a p/t if they don't stay in bed
3. A family has mixed feelings about tube feeding their terminally ill father
4. A terminally ill p/t who hesitates to name her spouse as her power of attorney

An AP threatens to diaper a client if he doesn't use the urinal properly. Which of the following torts are they committing?

1. Assault
2. Battery
3. False Imprisonment
4. Invasion of privacy

A p/t wish to leave the hospital AMA. The nurse prepares to give a sedative along with his normal meds to keep him at the hospital. Which tort is she about to commit?

1. Assault
2. False imprisonment
3. Negligence
4. Breach of confidentiality

Which of the following statements indicates an understanding of advanced directives?

1. I'd rather have my bro make decisions for me, but I know it has to be my wife.
2. I know they won't go ahead with the sx unless I prepare these forms
3. I plan to write that I don't want them to put me on a breathing machine.
4. I will get my PCP to approve my plan before I turn it in at the hospital.

A nurse should take which of the following actions regarding informed consent? (SATA)

1. Make sure the surgeon obtained the p/t's consent
2. Witness the p/t's signature on the consent form
3. Explain the risk and benefits of the procedure
4. Describe the consequences of not having the procedure
5. Tell the p/t about alternatives to having the surgery

A nurse notices another nurse seems drowsy and unfocused for the last week and then finds her asleep in the break room while not on break. What should the nurse do?

1. Alert the ANA
2. Fill out an incident report
3. Report observations to the nurse manager of the unit
4. Leave the nurse alone to sleep

A nurse preparing a change-of-shift report should include which of the following?

1. Input and output for the shift
2. Bp from the previous day
3. Bone scan scheduled for today
4. Med routine from the MAR

A nurse is discussing the HIPPA privacy rule during an orientation. Which of the following info should be included? (SATA)

1. A single password is provided for all the nurses on the same unit
2. Family members should provide a code prior to receiving info regarding the health of a p/t
3. Communication of a p/t's info. can occur at the nurses station
4. A p/t can request a copy of her medical record
5. A nurse may copy a p/t's med record for transfer to another facility

Which of the following legal guidelines should be followed when documenting in a p/t's record? (SATA)

1. Cover errors with white out
2. Put the date/time on all entries
3. Document objective data. Leave out opinions
4. Use as many abbreviations as possible
5. Wait until the end of the shift to document

Which of the following require the completion of an incident report? (SATA)

1. Med error
2. Needlestick
3. Conflict w/ provider and nursing staff
4. Omission of rx
5. Complaint from p/t's family member

A nurse is receiving a providers rx by phone. Which of the following actions are appropriate? (SATA)

1. Repeat the details of the rx back to the provider
2. Have another nurse listen to the phone rx
3. Obtain the providers signature for the rx within 24 hours
4. Decline the verbal rx bc it is not an emergency
5. Tell the charge nurse that the provider has rx morphine by phone

Which of the following p/t needs does the nurse assign to AP?

1. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
2. Reinforce teaching with a client who is learning to walk with a quad cane
3. Reapplying a condom catheter for a p/t who is incontinent
4. Applying a sterile dressing to a pressure ulcer

A p/t is awaiting transfer to the PACU after thoracic sx. Which staff member can take him?

1. Charge nurse
2. RN
3. LPN
4. AP

A nurse is delegating the ambulation of a p/t who had knee sx 5 days ago to an AP. Which info. should be shared with the AP? (SATA)

1. The roommate ambulates independently
2. The client ambulates with his slippers over his compression socks
3. The client uses a walker when ambulating
4. The client had pain meds 30 min. ago
5. The client is allergic to codeine
6. The client ate 50% of his breakfast this morning

An RN is making assignments for a PN at the beginning of her shift. Which ones should the PN question?

1. Assist a p/t 24 hour post-op to use an incentive spirometer
2. Collecting a clean catch urine specimen from a p/t who has a wound infection
3. Providing nasopharyngeal suctioning for a client who has pneumonia
4. Teaching a client who has asthma how to use a metered-dose inhaler

A nurse is conducting a program about delegation, Which of the following elements should she include when presenting the 5 rights of delegation? (SATA)

1. Right Client
2. Right supervision and evaluation
3. Right direction and communication
4. Right time
5. Right circumstances

By the second day a p/t has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?

1. Reassess the client to determine the reasons for inadequate pain relief
2. Wait to see if the pain lessens in the next 24 hours
3. Change the plan of care to include different pain relief interventions
4. Teach the p/t about the plan of care for managing pain

A newly licensed nurse notices her p/t is 2 hours late getting his PRN pain med and the p/t says he is in pain. The nurse asks the charge nurse to observe her preparing and administering the med. The nurse checks with the p/t 40 min later and he says he is better. The charge nurse tells the new nurse she left out which of the following steps in the nursing process?

1. Assessment
2. Planning
3. Intervention
4. Evaluation

Which of the following is objective data in relation to the nursing process? (SATA)

1. Respiratory rate is 22/min with even, unlabored respirations
2. The p/t's partner states the p/t hurts after walking for 10 min
3. Pain in 3/10
4. Skin is pink, warm, and dry
5. The AP reports the p/t walked with a limp

Which of the following interventions do not require a providers rx? (SATA)

1. Writing a rx for morphine
2. inserting an NG tube
3. Showing a client how to use progressive muscle relaxation
4. Performing a daily bath after the evening meal
5. Repositioning a p/t every 2 hours to reduce pressure ulcer risk

Which of the following statements by a newly hired nurse should be identified as appropriate for the planning step of the nursing process?

1. I will determine the most important client problems that we should address
2. I will review the past medical hx on the clients record to get more info.
3. I will go carry out the new rx's from the provider
4. I will ask the client if his nausea has resolved

Which nursing actions demonstrate the aim of nursing to promote health? (Select all that apply.)

a)Administering an insulin shot to a diabetic patient
b)Helping a person with paraplegia learn how to use a wheelchair
c)Serving as a role model of health for patients by maintaining a healthy weight
d)Facilitating decisions about lifestyles that would enhance the well-being of a teenager
e)Increasing student awareness of sexually transmitted diseases by distributing informational pamphlets at a college health center
f)Performing diagnostic measurements and examinations in an outpatient setting

A nursing student understands which of the following is true of concepts?

a)Concepts provide a means of testing knowledge.
b)Concepts describe objects, properties, and events and relationships among them.
c)Concepts differentiate nursing from other disciplines.
d)Concepts are derived through deductive and inductive reasoning.

If a nurse describes a study of people, and the nursing profession including: studies of education, policy development, ethics, and nursing history, then what is the nurse defining?

a)Nursing research
b)Maslow's theory
c)Nursing theory
d)Adaptation theory

The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals?

a)To faciliate coping
b)To restore health
c)To promote health
d)To prevent illness

A nursing student is describing nursing concepts in class. The student states that these concepts can be put together, along with the relationships described among the concepts. The nursing instructor knows that the student is describing which of the following?

a)Deductive reasoning
b)Theory
c)Inductive reasoning
d)Concepts

A nursing student is describing building nursing theory during a fundamentals nursing class. The student describes that a theory can be built by looking at an idea as a whole and then breaking the idea down into smaller, more specific ideas. The nursing instructor knows that the student is describing which of the following?

a)Inductive reasoning
b)Deductive reasoning
c)Theory
d)Concepts

A nurse is discussing the history of the profession with a client and describes that a shift in societal focus from religion to warfare had a negative impact on nursing due to which of the following?

When a researcher begins to form plans for a research project, the researcher must decide on the method for conducting the research. The nurse researcher that plans to emphasize collection of narrative data and the analysis would select which of the following methods of research?

A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "I read a research article about the importance of beans in the Latino diet. The findings from the study suggested that inclusion of meat and beans in the diet would help in the development of muscles and bones." The information that the client is expressing is known as what?

What is the central theme of Florence Nightingale’s nursing theory?

A person practicing nursing in the 1950s would most likely have been influenced by what trend?

The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse?
a)The RN collaborates with spiritual healers.
b)The RN prays with clients.
c)The RN collects comprehensive data.
d)The RN provides spiritual counseling.

Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings?
a)Critical care units
b)Long-term care settings
c)Hospital settings
d)Community-based settings

The nursing instructor is explaining sources of knowledge to a group of nursing students. The nursing instructor describes "some knowledge is gained from someone with a great deal of perceived experience." One of the students correctly describes this source as being:
a)Traditional knowledge
b)Authoritative knowledge
c)Philosophy knowledge
d)Scientific knowledge

Which group of nurses would be least likely involved in direct research? Select all that apply.
a)Clinical Nurse Specialists
b)Student nurses
c)Nurses at the PhD level
d)Novice nurses
e)Nurse Practitioners

How would a student nurse define a conceptual framework?
a)A foundation for nursing skills and care.
b)A group if interrelated objects that follow a pattern.
c)A set of phenomena and related abstractions.
d)An explanation of nursing and nursing practice.

Which concept is not one of the four central concepts in nursing practice?
a)Person
b)Nursing
c)Environment
d)Spirituality

A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). The nurse explains to the client that COPD is a chronic disease. Why is COPD considered a chronic disease?

a)It is a sequela of acute illness.
b)It takes a long time to cure.
c)It has a gradual onset and lasts for a long time.
d)It persists for a long time.

What is the definition of wellness?

a)a desire to be without disease
b)an active state of being healthy
c)being without disease
d)maximizing the state in which you live

The nursing instructor is teaching about nursing theories. Students are asked to identify facts related to nursing theory. Which of the following facts are true regarding nursing theory? (Select all that apply.)

a)Nursing theories are written in technical language and should be studied by those with higher educational levels.
b)Nursing theory provides a focus for care that is delivered to clients.
c)Nursing theories may be descriptive or prescriptive.
d)The ultimate outcome for nursing theory is improved client care.
e)Nursing theory provides a rationale for the care that nurses provide.

A nurse is planning to participate in a research project and is looking for information about what is already known about the topic. The nurse is involved in which step of the research process?

a)problem area identification
b)scientific literature review
c)problem statement formulation
d)identification of theoretical framework

A nurse is preparing a seminar for a nursing research symposium. As part of the presentation, the nurse plans to discuss the history surrounding the development of nursing research. When describing the research that occurred during the early half of the twentieth century, which area would the nurse describe as being the focus?

a)nursing education
b)treatment issues
c)available nurse supply
d)client care

A nurse must possess several characteristics in order to be successful in this profession. Secondary to critical thinking skills, which of the following is of great value?

a)advocating for the client at all times
b)educational attainment such as Master's of Nursing
c)delegation of responsibilities
d)good teamwork and team-building skills

The nursing student who has diarrhea before every test and every clinical understands that this is not a healthy behavior. The student is aware that this negative effect can impact overall health. The nurse recognizes that this student needs to focus on which of the following dimensions of health?

a)Sociocultural dimension
b)Emotional dimension
c)Intellectual dimension
d)Physical dimension

Marjory Gordon developed the concept of functional health patterns to help organize nursing information in a holistic way. Which functional health pattern focuses on health values and beliefs?

a)Self-perception
b)Elimination
c)Health perception–health management
d)Cognitive-perceptual

The nurse notes the initials APRN after a nurse who is ordering a client's medications. According to ANA standards of nursing practice, which of the following is the correct action by the nurse?
a)Ask the nursing manager what APRN means.
b)Contact the client's physician for medication orders.
c)Report the nurse to the state board of nursing.
d)No action is needed. This is within the ANA standards for APRNs.

Which of the following best exemplifies the role of the nurse as educator?
a)a nurse referring a client to outpatient services
b)a nurse allowing a client to verbalize fears of death
c)a nurse discussing side effects of a medication with a client
d)a nurse researching the best way to provide care

Following the identification of a researchable problem, what must the nurse do?
a)Select literature relevant to the problem.
b)Determine a source appropriate to collect data.
c)Obtain a list of possible outcomes.
d)Evaluate the number of ways to collect data.

Standards for ethical practice for nurses are primarily laid out by what organization?
a)International Council of Nurses
b)World Health Organization
c)American Hospital Association
d)American Nurses Association

Which of the following is a characteristic of nursing practiced from early civilization to the 16th century?

a)The physician was the priest who treated disease with prayer.
b)The nurse was a nun committed to caring for the needy and homeless.
c)Nursing changed from a spiritual focus to an emphasis on knowledge expansion.
d)Most early civilizations believed that illness had supernatural causes.

Which of the following is the best example of a nurse demonstrating the role of caregiver?
a)reporting lab values to a client's physician
b)starting an intravenous line in the client's arm
c)assigning a room for a new hospital client
d)referring the client to a mental health clinic

A nursing student is describing nursing concepts in class. The student states that these concepts can be put together, along with the relationships described among the concepts. The nursing instructor knows that the student is describing which of the following?
a)Concepts
b)Deductive reasoning
c)Theory
d)Inductive reasoning

A nurse is providing care for three clients on a medical unit, two of whom are significantly more acute than the third. The nurse is making a concerted effort to ensure that the less acute client still receives a reasonable amount of time, attention, and care during the course of the shift. Which of the following is the nurse attempting to enact?
a)Justice
b)Beneficence
c)Nonmaleficence
d)Fidelity

Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when she reflects on the decision-making process and the role it will play in making future decisions?
a)Evaluating
b)Planning
c)Implementing
d)Diagnosing

A nurse is preparing to conduct a research study and chooses a mixed method of research. The nurse chooses this method based on the understanding that the results will:
a)identify the problem more succinctly.
b)be more holistic.
c)provide a more complex level of understanding.
d)reveal gaps in data analysis.

A nursing instructor is explaining to a group of nursing students the importance of understanding the sources of knowledge. Which of the following types of knowledge would the instructor describe as being subjective? (Select all that apply)
a)Scientific method
b)Evidence-based practice
c)Scientific knowledge
d)Traditional knowledge
e)Authoritative knowledge

A nurse researcher ensures that a research subject's privacy is protected by which method? Select all that apply.
a)Autonomy
b)Beneficence
c)Confidentiality
d)Justice
e)Anonymity

A nurse is planning to continue her education in the hopes of becoming an expert in geriatric nursing who carries out direct care. For which of the following expanded career roles is the nurse preparing?
a)Nurse manager
b)Physician assistant
c)Nurse-midwife
d)Clinical nurse specialist

Which of the following is monitored by the Quality and Safety Education for Nurses (QSEN)? Select all that apply.
a)Nursing certification
b)Quality improvement
c)Client-centered care
d)Evidence-based practice
e)Informatics

A nurse researcher is involved in an experimental research study. Which component would the nurse researcher manipulate?
a)Data analysis
b)Independent variable
c)Research design
d)Dependent variable

The registered nurse is performing a nutritional assessment to ensure that the client's diet is optimal for wound healing. The nurse's intervention can be traced back to which of nursing's key people's contributions to nursing?
a)Clara Barton
b)Dorothea Dix
c)Florence Nightingale
d)Linda Richards

The nurse is utilizing knowledge about a blood pressure medication's actions and side effects to determine whether or not to give a client, whose blood pressure is low, the prescribed blood pressure medication. What best describes the aspect of nursing demonstrated?
a)Quality improvement
b)Conduction of research
c)Science of nursing
d)Art of nursing

The nurse discussing the importance of professional nursing organizations setting standards should include which of the following statements?
a)It helps regulate nursing licensure.
b)It sets the standard for nursing research.
c)It helps identify nursing as a profession.
d)It helps to identify nurses.

A nurse providing care has a personal philosophy that nursing interventions should be instituted for clients when the clients demonstrate ineffective adaptive responses. This nurse’s philosophy is based on the theory of:
a)Imogene M. King
b)Madeline Leininger
c)Jean Watson
d)Sister Callista Roy

In today's healthcare environment nurses use theories to guide all stages of the nursing process. Which of the following are examples of ways that a nurse can utilize theories to guide client care? (Select all that apply.)
a)Make client assignments on the unit.
b)Classify client data.
c)Organize client information.
d)Analyze client situations.
e)Collect client data.

A class of nursing students is studying the history of nursing. The class learns that the founder of public health nursing is:

A nurse's personal philosophy is developed by learning through which of the following? (Select all that apply.)
A) Environment
B) Interpersonal relationships
C) Formal and informal education

D) How a person interacts with the environment