You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why thi...
Fundamentals Final (Evolve) Questions
& A nswers
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation
you have your classmates read the Nursing Code of Ethics for Professional Registered
Nurses. Your instructor asks the class why this document is important. Which of the
following statements best describes this code? - ANSWERSDefines the principles of
right and wrong to provide patient care Correct.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of
comfort, and collects blood and sputum samples for analysis. Which standard of
practice is performed? - ANSWERSAssessment
A patient in the emergency department has developed wheezing and shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours.
Which standard of practice is performed? - ANSWERSImplementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and benefits of the surgery to the family
and discusses the patient's wishes with them. The nurse is acting as the patient's: -
ANSWERSAdvocate
The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to change
the dressing. The nurse is acting in which professional role? - ANSWERSEducator
The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination: - ANSWERSProvides a minimal standard of
knowledge for an RN in practice
Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform? - ANSWERSMoving from an acute illness
to a health promotion, illness prevention model
A nurse meets with the registered dietician and physical therapist to develop a plan of
care that focuses on improving nutrition and mobility for a patient. This is an example of
which Quality and Safety in the Education of Nurses (QSEN) competency? -
ANSWERSTeamwork and collaboration
,A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency? - ANSWERSInformatics
The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career? - ANSWERSNurse
researcher
Nurses in an acute care hospital are attending a unit based education program to learn
how to use a new pressure-relieving device for patients at risk for pressure ulcers. This
is which type of education? - ANSWERSIn-service education
Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? (Select all
that apply.) - ANSWERSCaregiver,
Autonomy and accountability,
Patient advocate,
Health promotion
Which of the following Internet resources available can assist consumers when
comparing quality care measures? (Select all that apply.) - ANSWERSHospital
Compare, Hospital Consumer Assessment of Healthcare
A community center is presenting a nurse-led program on the Patient Protection and
Affordable Care Act. Which statement made by a participant indicates a need for further
teaching? - ANSWERSAs long as my son is a full-time student in College, I will be able
to keep him on my health insurance until he is 26 years old."
Which activity performed by a nurse is related to maintaining competency in nursing
practice? - ANSWERSAttending a review course in preparation for a certification
examination
A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but
does not understand what this is. What is the nurse's best explanation of a PPO? -
ANSWERSThis health plan gives you with a list of physicians and hospitals from which
you can choose
Nurses on a nursing unit are discussing the processes that led up to a near-miss error
on the clinical unit. They are outlining strategies that will prevent this in the future. This
is an example of nurses working on what issue in the health care system? -
ANSWERSPatient safety
,Which of the following statements is true regarding Magnet status recognition for a
hospital? - ANSWERSMagnet is a special designation for hospitals that achieve
excellence in nursing practice
A group of staff nurses notice an increased incidence of medication errors on their unit.
After further investigation it is determined that the nurses are not consistently identifying
the patient correctly. A change is needed quickly. What type of quality improvement
method would be most appropriate? - ANSWERSRapid-improvement event
A nurse is providing restorative care to a patient following an extended hospitalization
for an acute illness. Which of the following is an appropriate goal for restorative care? -
ANSWERSPatient will be able to walk 200 feet without shortness of breath
A nurse is presenting information to a management class of nursing students on the
topic of financial reimbursement for achievement of established, measurable patient
outcomes. The nurse is presenting information to the class on which topic? -
ANSWERSPay for performance
A nurse is using data collected from the unit to monitor the incidence of falls after the
unit implemented a new fall protocol. The nurse is working in which area? -
ANSWERSQuality improvement
The nurses on a medical unit have seen an increase in the number of pressure ulcers
that develop in their patients. They decide to initiate a quality improvement project using
the Plan-Do-Study-Act (PDSA) model. Which of the following is an example of "Do"
from that model? - ANSWERSBased on findings from patients who developed ulcers,
implementing an evidence-based skin care protocol.
A nurse is using the Plan-Do-Study-Act (PDSA) strategy to do a quality improvement
project to decrease patient falls on a nursing unit. What is the correct sequence for
PDSA?
1. Bedside change of shift report is piloted on two medical-surgical units
2. Patient satisfaction levels after implementation of the bedside report are compared to
patient satisfaction levels before the change
3. The nursing council develops a strategy for bedside change of shift report
4. After modifications are made in the shift report elements, bedside shift report is
implemented on all nursing units - ANSWERS3, 1, 2, 4
Which of the following are examples of the nurse participating in primary care activities?
(Select all that apply.) - ANSWERSProviding prenatal teaching on nutrition to a
pregnant woman during the first trimester.
Assessing the nutritional status of older adults who come to the community center for
lunch.
Teaching a class to parents at the local grade school about the importance of
immunizations.
, Which of the following are characteristics of managed care systems? -
ANSWERSProvider receives a predetermined payment for each patient in the program.
System tries to reduce costs while keeping patients healthy.
Focus of care is on prevention and early intervention.
Which of the following nursing activities is provided in a secondary health care
environment? (Select all that apply.) - ANSWERSChanging the postoperative dressing
for a patient on a medical-surgical unit.
Doing endotracheal suctioning for a patient on a ventilator in the medical intensive care
unit.
The nursing staff is developing a quality program. Which of the following are nursing-
sensitive indicators from the National Database of Nursing Quality Indicators (NDNQI)
that the nurses can use to measure patient safety and quality for the unit? (Select all
that apply.) - ANSWERSUse of physical restraints
Pain assessment, intervention, and reassessment.
Patient satisfaction with food preparation
Registered nurse (RN) education and certification.
A community nurse in a diverse community is working with health care professionals to
provide for prenatal care for under employed and under insured South African women.
Which overall goal of Healthy People 2020 does this represent? - ANSWERSIncrease
life expectancy and quality of life and to eliminate health disparities
Vulnerable populations of patients are those who are more likely to develop health
problems as a result of: - ANSWERSExcess risks, limits in access to health care
services, and dependency on others for care
Following a community assessment that focused on adolescent health behaviors, the
nurse determines that a large number of adolescents smoke and designs a smoking
cessation at the youth community center. This is an example of which nursing role: -
ANSWERSCounselor
A nursing student is giving a presentation to a group of other nursing students about the
needs of patients with mental illnesses in the community. The nursing professor needs
to clarify the student's presentation when the student states: - ANSWERS"The majority
of patients with mental illnesses live in long-term care settings."
A patient is worried about her 76 year old grandmother who is in very good health and
wants to live at home. The patient's concerns are related to her grandmother's safety.
The neighborhood does not have a lot of crime. Using this scenario, which of the
following are the most relevant to assess for safety? - ANSWERSLighting, locks, clutter,
medications
The nurse in a new community based clinic is requested to complete a community
assessment. What is the order for completing this assessment?
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