NURSING 1126Final Review Questions and Answers Latest Updated,100% CORRECT

NURSING 1126Final Review Questions and Answers Latest Updated Professionalism 5 Questions When reviewing the Concept Analysis Diagram for Evidence Based Practice, which are identified as interrelated concepts? Quality Improvement, Health Information Technology, Health Policy While in the cafeteria, a nurse overhears two unlicensed assistive personnel (UAPs) from the medical surgical unit discussing a hospitalized client. Which of the following is the priority nursing action? Quietly tell the UAPs that this is not appropriate A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse’s responsibilities? Explaining the operative procedure, risks, and benefits. An unlicensed assistive personnel (UAP) comes to work with a new set of artificial nails. The nurse takes the UAP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate? EBP shows that there is high risk of infection for our clients associated with artificial nails. A client who recently had a cerebral vascular accident is having difficulty swallowing. Which member of the healthcare team should the nurse initiate a referral to so that they may evaluate the client’s swallowing status? Speech Language Pathologist The components of a professional identity in nursing include which attributes? Competence, Accountability, Advocacy The scope of professional nursing practice is determined by the rules prompted and supported by which organization? State Board of Nursing The qualities of leadership, clinical expertise and judgment, and lifelong learning would best describe which type of nurse? Professional A licensed practical-vocational nurse asks the registered nurse preceptor what could be done to become more professional. What is the preceptor’s best response? Attend nursing educational meetings One of the first researchers to document evidence-based practice for nursing was Florence Nightingale. What did Nightingale incorporate into her practice that made her practice different from her colleagues? Nightingale based her nursing practice on her findings The ANA outlines expectations of the nursing profession in the: Social Policy Statement Recommendations published in the IOMs report The future of nursing: Leading change, advancing health include that nurses: Teach, advocate, assess, and nurture Nursing demonstrates dedication to improving public health through: Scope of practice A nurse uses effective strategies to communicate and handle conflict with nurses and other health care professionals. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating? Teamwork and Collaboration A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive? In-service education A nurse listens to a patient’s lungs and determines that the patient needs to cough and deep breath. The nurse has the patient cough and deep breath. Which concept did the nurse demonstrate? Autonomy A registered nurse is required to participate in a simulation to learn how to triage patients who are arriving to the hospital after exposure to an unknown gas. This is an example of a response to what type of influence on nursing? Professionalism A nurse is an advanced practice registered nurse (APRN) who care for geriatrics. This nurse is which type of advanced practice nurse? Clinical Nurse Specialist A patient does not want the treatment that was prescribed. The nurse helps the patient talk to the primary health care provider and even talks to the primary health provider when needed. The nurse is acting in which professional role? Advocate A nurse must follow legal laws that protect public health, safety, and welfare. Which law is the nurse following? Nurse Practice Act A nurse is directing the care and staffing of three cardiac units. The nurse is practicing in which nursing role? Nurse Administrator A nurse is presenting at an interdisciplinary meeting about the multiple external forces that are influencing nursing today. Which examples should the nurse include? Health care reform, threat of bioterrorism, population demographics, and nursing shortage A nurse is teaching the staff about the characteristics of a profession. Which information should the nurse include? Extended Education, Theoretical body of knowledge, Code of Ethics for Practice, and Provision of Specific Service A nurse is teaching the staff about Quality and Safety Education in Nursing, which identified six competencies for nursing. Which information should the nurse include in the teaching session? Informatics, Safety, and Quality improvement A nurse wants to become an advanced practice registered nurse (APRN) and have a higher degree of independence. Which advanced roles could the nurse pursue? Clinical nurse specialist, Nurse practitioner, nurse midwife, and nurse anesthetist Evidence Based Practice (4 Questions) Which organization is preparing future nurses to have the knowledge, skills, and attitudes (KSA) of evidence-based practices necessary to continuously improve the quality and safety of the health care systems within which they work? Quality and Safety Education for Nurses (QSEN) A registered nurse questioned the nurses on the neonatal intensive care unit about the practice of kangaroo care for neonates. The nurse had read literature supporting the praceice. But the nurses that work on the neonate unit stated that they had never done anything like that at their institution. The nurse continued to ask questions and began a literature review. Which behavior was the nurse demonstrating? Evidenced-based practice A registered nurse wants to review the latest information regarding prevention of a health care acquired infection. Where is the best place for the nurse to obtain this information? Latest edition of a nursing textbook Which of the following research approaches is an example of an exploratory type of research? Refining a hypothesis on the relationships among phenomena The Health Information Portability and Accountability Act (HIPAA), implemented in 2003, may influence nursing research in the area of: How the data will be obtained and protected The expected research role for the baccalaureate-prepared nurse is to: Identify clinical nursing problems in practice When a nurse researcher distributes an explanatory information sheet to subjects solicited for participation in her study, which of the following ethical principles that guide research is this researcher using? Informed consent The nurse takes on ethical responsibilities when conducting research with human subjects. Which of the following violates an ethical responsibility associated with informed consent? Using data obtained before the initiation of the study Nurses need to become familiar with the elements of a research publication. A brief explanation of the type of measurement to be used is found in which section of a study? Methods After identifying the problem, the next step in the research process is to: Review the literature A sample of orthopedic clients varies greatly in their requests for postsurgical analgesics. Which type of nursing research would best examine a prospective group of clients in determining what factors affect their alterations in comfort? Correlational research Which of the following research topics best lends itself to the experimental research process method? Employing humor as an intervention with clients who are recovering from orthopedic surgery The nurse is looking at different strategies for learning and incorporating new information into practice. A strategy that uses problem-solving is demonstrated by: Trying different types of colostomy dressings for maximum therapeutic effect A nurse researcher has completed a study involving the use of intravenous analgesics for postsurgical discomfort. The description of the 16 clients used for the study would best be written in which part of the research report? Methods section A nurse reads about a case study involving the potential positive effects of the early stimulation of posthead-injury clients. Which of the following questions should be a priority consideration before use of the research results? Are the clients in the study similar to clients I work with? An example of a predictive type of question that a nurse might use for research is which of the following? If guided imagery is used, will stress levels be reduced? A nurse routinely uses therapeutic touch when caring for postoperative clients with incisional pain. Occasionally a client will show reluctance when the intervention is offered. The nurses best response in such a situation is to: Research for alternative interventions that will be better received by the client The dressing covering the pressure ulcer on a clients heel frequently becomes loosened and requires repeated reinforcement. The nurse asks, What can be done to improve the adhering properties of this type of dressing? The nurse has just formulated a: Problem-focused triggered question A 15-year-old patient was admitted to the hospital with a bowel obstruction. The patient underwent surgery and was experiencing postoperative pain. The nurse caring for the patient had recently read a research article in which a study had been done with neonatal patients and the use of therapeutic touch to assist with pain control. Which factor is most important for the nurse to consider in this case when applying research to clinical practice? The patient’s preference A nurse using evidence-based practice to provide care. Which action should the nurse take first? Ask a clinical question The nurse manager of a 30-bed medical surgical unit has noticed that the fall rate of postoperative patients has increased in the past 2 months. The nurse manager wants to address this situation using evidence-based practice. Which type of trigger did the nurse manager use? Problem-focused trigger A registered nurse who works for a surgical intensive care unit has recently read several articles in professional nursing journals about the use of quiet time in the ICU to enhance patient outcomes. The nurse would like to apply the research findings to the unit. How did th nurse formulate the clinical question? Knowledge-focused trigger A nurse manager has suggested that a nurse formulate a PICO question to clarify the topic before doing to literature review. When the nurse asks what the acronym PICO stands for, how should the nurse manager respond? Patient, Intervention, comparison, and outcome A nurse working on a PICO question has found a large amount of literature available on the topic with multiple studies that have been published. Which type of study should have the best evidence? Meta-analysis of randomized control trials A registered nurse is concerned about the patient’s perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer. Which is the most appropriate type of research study the nurse should use to gather information about this situation? Qualitative study A nurse works for a facility in which the facility sends information to The National Data Base for Nursing Quality Improvement (NDNQI) regarding patient falls, pressure ulcer, and nursing satisfaction. The nurse works at which facility? A magnet-designated hospital A student nurse is looking for a research articles that can be used to complete a research paper. Where can the nursing student look to quickly find out if an article is research or clinically based? Abstract A nurse working in an acute care setting wanted to determine the most accurate way to take patients temperatures. The nurse noticed that the tympanic thermometers use by the unit were often not accurate. The nurse found that the literature showed tympanic thermometers were not the most accurate method of obtaining a temperature. The nurse wants to change the nursing practice of the unit. What is the nurses most logical next step? Share the findings with the nursing policy and procedure committee After a practice change has taken place in an organization because of a nurse following evidence-based practice in a task force, which final step should the nurse take? Evaluate The nursing unit staff used evidence-based practice to implement a practice change. What is the next step in the process the nursing staff should implement? Measure outcomes At a health care organization, patients are turned every 2 hours to help prevent pressure ulcers. Because of this nursing intervention, patients exhibit far fewer pressure ulcers than the national average. Which term should the nurse use to describe this finding? Nursing-sensitive outcome The quality improvement or performance improvement (QI/PI) process should begin at which level of nursing? Staf f nurse The nurse is investigating an area of practice in which no research evidence is available. What types of non-research information should the nurse consider? (Select all that apply) Performance improvement and risk management date International, national, and local standards Benchmarking Retrospective or concurrent chart reviews A nurse is describing types of performance improvement models. Which information should the nurse include? (Select all that apply) Six Sigma Balanced scorecard Plan-Do-Study-Act Root cause analysis The nurse administrator is doing a study that entails gathering data about new employees over a 10-year period. Which research method would be the best one to use for this type of study? Quantitative longitude cohort The nurse in the outpatient setting would like to conduct a research study that compares patients who take tramadol (Ultracet) to patients who take oxycodone hydrochloride and acetaminophen (Percocet) for managing back pain. Which quantitative research method should yield the best results? Controlled study The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with? Experimental The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider research that yields solid EBP? (Select all that apply) Search the literature to uncover evidence to answer the question Evaluate the outcome Evaluate the evidence found Develop an answerable question Apply the evidence to the practice situation Clinical Judgment (2 questions) A student nurse is studying clinical judgment theories and is working with Tanners Model of Clinical Judgment. The student nurse can generalize the process as a reflective process where the nurse notices, interprets, responds, and reflects in action. The nurse is implementing a plan of care for a patient newly diagnosed with type 2 diabetes mellitus. The plan includes educating the patient about diet choices. The patient states that they enjoy exercising and understand the need to diet; however, they can’t see living without chocolate on a daily basis. Using the principles of responding in the Model of Clinical Judgment, how would the nurse proceed with the teaching? The nurse examines the patient’s daily glucose log and incorporates the snack into the time of day that has the lowest readings. The nurse then follows up and evaluates the response in 1 week. A new graduate nurse (GN) is working with an experienced nurse to chart assessment findings. The GN notes that the physical therapist wrote on the chart that the patient is lazy and did not want to participate in assigned therapies this AM. The experienced nurse asks the GN what may be going on here. What is the best explanation for this statement? Data on the chart can sometimes be documented in a biased manner. A home care nurse receives a physician order for a medication that the patient does not want to take because the patient has a history of side effects from this medication. The nurse carefully listens to the patient, considers it in light of the patient’s condition, questions its appropriateness, and examines alternative treatments. This nurse would most likely call the physician, explain rationale, and suggest a different medication. A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan? On admission, along with the initial assessment A nurse has designed an individualized nursing care plan for a patient, but the patient is not meeting goals. Further assessment reveals that the patient is not following through on many items. Which action by the nurse would be best for determining the cause of the problem? Determine whether the patient agrees with the care plan. A GN appears to be second-guessing herself and is constantly calling on the other nurses to double-check their plan of care or rehearse what they will say to the doctor before she call on the patients behalf. This seems to be annoying some of the nurses coworkers. The nurse managers best response to this situation is to explain to coworkers that this is a characteristic of critical thinking and is important for the GN to improve reasoning skills. A nurse has committed a serious medication error and has reported their error to the hospital’s adverse medication error hotline as well as to the unit manager. The manager is a firm believer in developing critical thinking skills. From this standpoint, what action by the manager would best nurture this ability in the nurse who made the error? Have the nurse present an in-service related to the cause of the error. A nursing instructor assigns their clinical group the task of writing a journal depicting the students clinical day. What is the most likely rationale for this assignment? Journaling allows reflection, an important critical thinking skill. A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene? Documents medication administration prior to administering it A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first? Assess the patient A nurse is preparing to transfer a client from a bed to a chair. Which of the following actions should the nurse take first? Determine if the client can bear weight A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions? “I will place a grab bar in my shower to use when I bathe.” A home health nurse is assessing an older adult client who reports falling a couple of time over the past week Which of the following findings should the nurse suspect is contributing to the client falling? The client takes alprazolam When providing patient care, the nurse understands the importance of knowing the aspects of a culture safety in a healthcare organization. Which of the following is a component of a culture of safety? Communication A patient has died as a result of an unexpected outcome after a surgical complication. Which level of error is the nurse responsible for reporting? Sentinel event The nurse is continuously assessing the patient’s response to pain medication. According to Tanner’s Model of Clinical Judgment, which aspect of clinical judgment is the nurse using in practice? Reflecting The patient tells the nurse that the prescribed pain medication, hydrocodone 5mg, is not strong enough. The nurse tells the patient that hydrocodone is the only medication ordered and the patient cannot receive anything else at this time. The nurse used which level of critical thinking? Basic The nurse accidently administered double the dosage of pain medication to a patient. Which type of error did the nurse commit? Treatment error Safety (7 questions) A sentinel event refers to an event that signals the need for immediate investigation and response. The nurse is caring for a patient experiencing an allergic reaction to a bee sting who has an order for BenaDRYL. The only medication in the patient’s medication bin is labeled BenaZEPRIL. The nurse contacts the pharmacy for the correct medication to avoid what type of error? Treatment The strategy to avoid medication errors endorsed by the Institute for Safe Medication Practices (ISMP) to differentiate products with look-alike names is referred to as tallman lettering. Prior to drug administration the nurse reviews the seven rights, which include right patient, right medication, right time, right dose, right education, right documentation, and right Route Essential elements of a standard order set to verify a medication order include metric dose/strength. To promote safety, the nurse manager sensitive to point of care (sharp end) and systems level (blunt end) exemplars works closely with staff to address the point of care exemplars such as fall prevention. Aspects of safety culture that contribute to a culture of safety in a health care organization include communication. A staff nurse reports a medication error, failure to administer a medication at the scheduled time. An appropriate response of the charge nurse would be We’ll do a root cause analysis. To promote a safety culture, the nurse manager preparing the staff schedule considers the anticipated census in planning the number and experience of staff on any given shift. The human factor primarily addressed with this consideration is/are workload fluctuations. Patient Centered Care (6 questions) The patient’s perception of his or her care is not as important as the outcome of the care. False Two nurses are discussing health care quality. They agree on the statement that health care quality requires collaboration of multiple health care agencies. A student nurse is talking with his instructor. The student asks how quality of care is evaluated. The best response by the instructor is Quality of care is evaluated on the basis of process and outcomes. 4. The focus for The Joint Commission (TJC) is and in the delivery of health care. safety; quality A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student says, Quality is seen and unseen in health care. The focus of quality health care should be on which of the following items? (Select all that apply.) Excellent services Comprehensive communication Health team collaboration Culturally competent care What are the major attributes of health care quality? (Select all that apply.) Conforms to standards Sound decision making Identifies adverse events A nurse is working in a health care clinic. She loves her work because of all the different people she meets. She professes to care for all of them and states that she understands them because she realizes which of the following is true? Each person has a unique background. Madeleine Leininger identifies the concept of care as the essence and unifying domain that sets nursing apart from other health care disciplines. Which of the following is true in her view? Caring depends on communication. Nurses care for a variety of patients. What is an activity that best demonstrates the caring role of a nurse? Staying with a patient and developing a plan of care before surgery Which of the following would indicate that the nurse has established a level of mutual problem solving? The nurse helps the patient develop questions to ask the health care provider. The patient was hospitalized with pneumonia. He had always been very healthy and was concerned that now his family would have to take care of him. During one conversation the nurse said to him, This gives the ones who love you a chance to show you how much they care for you. The comment that the nurse made best demonstrated which behavior? Encouraging manner A registered nurse who works for an orthopedic unit of an acute care hospital makes hourly rounds on his patients. He also closes the door and pulls the curtains around the beds of patients in semiprivate rooms before exposing them for treatments. This is an example of which of the following behaviors? Healing environment A registered nurse who worked in an extended care facility could see that a patient was in the process of dying. The lab technician came to draw his blood. The nurse requested that the blood draw be postponed for a while so that the patient’s wife, who was at his bedside, could spend some quiet time with her husband. This is an example of which caring behavior? Providing presence A female patient has just found a large lump in her breast. The health care provider needs to perform a breast biopsy. The nurse assists the patient into the proper position and offers support during the biopsy. What is the nurse doing? Providing a sense of presence A nurse enters a patient’s room and is very methodical in her assessment skills and in providing a safe environment, but only speaks with the patient when necessary to gather data. This nurse is: most likely a product of a less caring environment. The patient was admitted to the hospital with advanced-stage cancer. As the nurse was admitting her, the patient told her about how her little dog learned a new trick and could play dead when she said bang-bang. Why did the nurse listen attentively to the patient’s story? She knew it was a way to know and respond to what matters to the patient. When individuals become ill, there may be a story about the meaning of the illness. When a nurse listens, the patient is: able to break the distress of illness. One of the five caring processes described by Swanson (1991) is knowing the patient. The concept comprises both a nurse understanding of a specific patient and subsequent selection of interventions. To become adept at knowing patients early, what should the nurse do? Reflect about your patient interactions and evaluations. The relief of pain and suffering give a patient comfort, dignity, respect, and peace. To enhance the therapeutic environment, what should the nurse do? Make the environment a place to soothe mind, body, and spirit. The ANA, National League for Nursing, AONE, and American Association of Colleges of Nursing recommend strategies to reverse the current nursing shortage. A number of the strategies have potential for creating work environments that enable nurses to demonstrate more caring behaviors. Which of the following provisions is advocated to create a more desirable work environment? Provide nurses with autonomy over their practice. Nurses demonstrate caring behaviors when they do which of the following? (Select all that apply.) Give clear explanations. Ask permission before doing something to the patient. Ethical & Legal (9 questions) A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with the principle of Autonomy A male patient suffered a brain injury from a motor vehicle accident and has no brain activity. The spouse has come up to see the patient every day for the past 2 months. She asks the nurse, Do you think when he moves his hands he is responding to my voice? The nurse feels bad because she believes the movements are involuntary, and the prognosis is grim for this patient. She states, He can hear you, and it appears he did respond to your voice. The nurse is violating which principle of ethics? Veracity The nurse is faced with an ethical issue. When assessing the ethical issue, the nurse must first ask, What is the issue? A nursing student is doing a survey of fellow nursing students. Which ethical concept is the student following when calculating the risk-to-benefit ratio and concluding that no harmful effects were associated with a survey? Beneficence A nurse on the unit makes a error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics? Fidelity An unconscious patient is treated in the emergency department for head trauma. The patient is unconscious and on life support for 2 weeks prior to making a full recovery. The initial actions of the medical team are based on which ethical principle? Deontology A 28-year-old married woman received word that she is pregnant. Sadly, the patient is not able to carry the pregnancy because she suffers from long QT syndrome, which causes an abnormality of the heart, meaning any rush of adrenaline could prove fatal. The pregnant patient states, I want to have this baby. The nurse realizes that this is a conflict that involves the ethical principle of utilitarianism. Health Care Law A law is defined as a rule enacted by a government agency that defines what must be done in a given circumstance. Which of the following is true about health care legislation? The power of the US Constitution does not have a direct relationship to health care and reserves most of the power to the states. An example of the regulatory power to make law is the Centers for Medicare and Medicaid Services (CMS) enacting rules for restraint and seclusion for participating hospitals One of the major attributes of health care law is it defines the expected behavior of persons in the business of health care. The admission personnel working to comply with the Patient Self Determination Act of 1991 would do which of the following? Ask the patient or representative if the patient has an advanced directive and advise them of their right to participate in their medical decisions. Which of the following is an example of a nurse violating the Health Insurance Portability and Accountability Act (HIPAA) of 1996? The nurse asks the unit clerk to look up lab values for her relative recently admitted to the hospital. In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)? A patient with chest pain is triaged directly to a room for evaluation and registration information is obtained after the patient is stabilized. Which of the following is false regarding state licensure laws? Licensure is not necessary if the individual has completed training. Communication (8 questions) Critical Thinking: A patient states, I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn’t rested well. Which response by the nurse would be an example of interpersonal therapeutic communication? Can you give me an example of what you mean by a bad nightmare? A patient state that everything has been going great; however, the nurse observe the patient biting his nails and fidgeting. What assessment can the nurse make? The patient’s communication type is paralinguistic The nurse is admitting a patient to the medical/surgical unit. Which communication technique would be considered appropriate for this interaction? Id like to sit with you for a while to help you get comfortable talking to me. Critical Thinking: The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification? Am I correct in understanding that A patient does not make eye contact with the nurse and is folding his arms at his chest. Which aspect of communication has the nurse assessed? Nonverbal communication A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session? How shall we start today? Critical Thinking: The nurse and the patient are conversing face to face. What communication technique is this? Linguistic The nurse is using a practice model to care for patients. Which model fosters a decentralized style of government? Shared governance The nurse is using the SBAR tool when calling the physician. What should be included in the B step of the tool? The patient has a history of diabetes mellitus Nurse A tells nurse B that they did not provide adequate care to a client. Which of the following responses by nurse B demonstrates assertiveness? “I feel as though I met the standard of care. Would you tell me more about our concerns?” The nurse understands that the EHR has the potential for improving communication among healthcare providers, however, concerns for accuracy and patient confidentiality exist. True The staff nurse had a conflict with another nurse on the unit that has gone unresolved even after communication with the nurse. According to the organizational chart who should the nurse see next to try and resolve the matter? Nurse Manager The nurse is caring for a group of patients. Which patient should the nurse refer to a social worker? A patient who requires placement in an assisted living facility. The nurse is caring for a patient who has suffered a cognitive deficit. Which team member can assist the patient with cognitive perceptual skills? Occupational therapist In which nurse interaction can the SBAR communication tool be used to give a report on a patient? Nurse-social worker collaboration Nurse-physician collaboration Nurse-nurse collaboration Teamwork & Collaboration (6 questions) A newly licensed nurse is assigned to an experienced nurse for training on a medical unit of a hospital. What type of nurse-to-nurse collaboration does this assignment demonstrate? Mentoring collaboration The nurse is presenting an in-service on the importance of collaborative communication. The nurse includes which critical event identified by the Joint Commission as an outcome of poor communication among health care team members? The occurrence of a patient event resulting in death or serious injury Which patient scenario describes the best example of professional collaboration? The nurse and physician discuss the patients muscle weakness and initiate a referral for physical therapy. Which statement correctly describes the nurse’s role in collaboration? Collaboration may occur in health-related research. A nurse manager has recently overheard several negative comments made by nurses on the unit about other nurses on the unit. The manager recognizes that the nurses are exhibiting what type of behavior that is detrimental to collaboration? Lateral violence The nurse and physician are explaining the home care that will be needed by a patient after discharge. The patients spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse? What concerns do you have about the prescribed care? The nurse is caring for a patient with a progressive, degenerative muscle illness. The patient states that she would like to remain in her home with her daughter as long as possible. What action should the nurse take? Discuss resources to help the patient and make appropriate referrals. A patient has been admitted to an acute care hospital unit. The nurse explains the hospital philosophy that the patient be an active part of planning their care. The patient verbalizes understanding of this request when they make which statement? We can work together to adjust my plan as we need to. The management of a community hospital is trying to encourage a more collaborative environment among staff members. Which concept is most important for management to develop first? Highlight that no single profession can meet the needs of all patients Which activities are appropriate for the nurse to collaborate with a patient? (Select all that apply.) Health promotion activities End-of-life comfort decisions Lifestyle changes to improve health Health Promotion (10 questions) The plan of care for a patient newly diagnosed with diabetes includes health promotion with the tertiary prevention measure of foot screening techniques. When teaching a patient with a family history of hypertension about health promotion, the nurse describes blood pressure screening as prevention. Secondary The primary health care nurse would recommend screening based on known risk factors, because they can make a substantial difference in morbidity and mortality. At the well-child clinic, the nurse teaching a mother about health promotion activities describes immunizations as primary prevention. The nurse in a newly opened community health clinic is developing a program for the individuals considered at greatest risk for poor health outcomes. The group is considered the vulnerable populations. When there is evidence that supports a screening for an individual patient but not for the general population, the nurse would expect the United States Preventive Services Task Force Grading to be what? No recommendation for or against Interrelated concepts to professional nursing a nurse manager would consider when addressing concerns about the quality of health promotion include evidence. Patient Education (8 questions) The most appropriate resources to include when planning to provide patient education related to a goal in the psychomotor domain would be manikin practice sessions. The nurse educator would identify a need for further teaching when the student lists the types of learning as self-directed. When describing patient education approaches, the nurse educator would explain that informal teaching is an approach that often occurs one-to-one. Barriers to patient education the nurse considers in implementing a teaching plan include hunger and pain. Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include instructional videos. When planning to evaluate a patients satisfaction with a teaching activity, the most appropriate strategy would be to include a survey instrument. Interrelated concepts to the professional nursing role a nurse manager would consider when addressing concerns about the quality of patient education include technology. The nurse is teaching about risk factors of developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include in the teaching? Race A nurse is teaching a patient about health promotion and disease prevention. The nurse should include which of the following as an example of secondary prevention? Performing monthly breast self-exams Which of the following would the nurse identify as barriers to patient education? Select all that apply. Cultural differences, frequent interruptions, lack of time, and patient’s attitude The nurse knows that providing screenings to patients based on risk factors eliminates the possibility of the patient developing the disease. False The nurse instructs a mother on the importance of immunizations for their child and the recommended CDC vaccination schedule for the child’s age. What type of clinical management has taken place? Primary Prevention Which tertiary prevention measure should be included in the health promotion plan of care for a patient newly diagnosed with diabetes? Foot assessment techniques The nurse provides education to a patient about the signs and symptoms of hypoglycemia. After the session the patient is able to verbalize the signs and symptoms and when they should call the physician. What type of learning has taken place? Cognitive The nurse develops a teaching plan focused on weight loss for a patient who is 30 pounds overweight. Which action should the nurse take first? Ask the patient how they feel about making a change The nurse provided education to a patient on how to use a glucometer. Which of the following actions should the nurse take to evaluate patient learning? Ask the patient to demonstrate the glucometer use Health Information Technology (7 questions) The staff nurse who uses informatics in promoting quality patient care is most likely to access data in the domain of clinical health care informatics. When discussing the purposes of health care informatics with a nurse during orientation, the nurse educator would be concerned if the nurse orientee said that one purpose would be to develop a cognitive science. To design and implement a decubitus ulcer risk management protocol in the electronic health record, the informatics nurse would first determine evidence supporting decubitus ulcer risk management. The application of information processing that deals with the storage, retrieval sharing, and use of health care data, information, and knowledge for communication and decision making is the definition of health information technology. The nurse manager of a medical/surgical unit wants to increase the use of health care technology on the unit and is working with an ANA-certified informatics nurse to reduce barriers to health information exchange, including unit-specific terminology. Florence Nightingale, the first nurse informatician, sought hospital data for comparison purposes to show people how their money was spent. Exemplars of the health informatics concept include clinical research informatics.