CPEN FINAL exam questions with verified answers.

CPEN FINAL According to the nurse's Code of Ethics, the hallmark of nursing practice is - Correct answer accountability" "An important step in preventing legal action against the nurse - Correct answer Develop caring, therapeutic relationships with patients and their families" "What is the function of the National Council of State Boards of Nursing (NCSBN)? - Correct answer Developing the NCLEX-RN" licensing examinations" "Who sets educational standards for nursing licensure? - Correct answer State Boards of Nursing (SBN)" "A graduate with a BSN from an accredited nursing program in Pittsburgh and took the NCLEX-RN licensure exam in Philly (where he lives) and pass - He is licensed to practice as a registered nurse in PA. Next, he moves to California to start a new job. How can he get a license to practice nursing in California? - Correct answer Apply for licensure by endorsement and pay a registration fee to receive a California nursing license." "The RN delegates changing a indwelling urinary catheter to a licensed practical/vocational nurse (LPN/LVN). Then, the patient developed a urinary tract infection. Which of the following statements is true? - Correct answer The RN is responsible for acts he/ she delegates." "Which of the following is an acceptable reason for breaking a patient's confidentiality? - Correct answer Reporting certain diseases and/or abuse/neglect to public health authority" "Which of the following constitute the essential characteristics for a malpractice lawsuit due to negligence? (Select all that apply.) - Correct answer Harm to an individual has occurred. The nurse assumed the responsibility for the patient's care. The nurse is found to have failed to meet the standard of care. The harm to the patient must be shown to have been caused by the failure to meet the standard of care." "In which of the following situations should the legality of an informed consent be questioned? - Correct answer Patient who received a preoperative dose of Demerol and is "sleepy" when asked to give consent" "Which of the following is a nursing responsibility regarding informed consent? - Correct answer Serving as a witness, ensuring that the patient does not feel coerced into a decision" "A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to - Correct answer communicate with a patient (hiding the medication)." "Which patient rights is guaranteed by HIPPA? - Correct answer Patients are protected against medical records being indiscriminately shared." "The nurse caring for a patient states, "Your blood pressure is dangerously high. Are you taking antihypertensive medicine?" The patient states, "I can't afford my medicine. I have no insurance." The nurse tells her colleague: "I feel really sorry for that patient. I wish it wasn't against policy to give her money." The nurse wants to help and posts a message on Facebook that any donations would be appreciated to help a waitress who works at the cafeteria next door to the hospital buy her medications. The nurse posts that "She was so sick last evening when she came to the ED. Pleases help and donate if you can." Did this nurse violated the pts HIPPA rights? - Correct answer yes" "A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best? - Correct answer "No, posting pictures of patients and families on social media sites is not acceptable."" "A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. The nurse's best response to this request is to.... - Correct answer Refuse to give the information, Remind the caller about HIPPA protections" "The nurse giving medications to a patient notes that an order for a medication is much larger than the typical dose given. The nurse looks up the medication in a pharmacology database and learns the prescribed dose is too large. Which action should the nurse take? - Correct answer Notifying the physician of these findings & verifying the order before giving the medication" "Which of the following is an important step in preventing legal action against the nurse? - Correct answer Develop caring, therapeutic relationships with patients." "ANA Code of Ethics are based on - Correct answer autonomy" "To use an ethical decision-making model, which step should the nurse perform first? - Correct answer Identify the ethical dilemma in the case" "Which document guides RNs in all practice settings regarding their specific responsibilities and obligations to their patients and others they serve? - Correct answer ANA's Code of Ethics for Nurses with Interpretive Statements" "According to the nurse's Code of Ethics, the hallmark of nursing practice is - Correct answer accountability." "In a clinical setting, professional ethics should override personal morals and values. - Correct answer True" "Allowing a patient to refuse chemotherapy is based on a belief in the ethical principle of - Correct answer autonomy" "A nurse is turning a patient to prevent pressure ulcers. The patient complains that the nurse is hurting him. The nurse explains the reason for the turning schedule and asks the patient if it is ok to complete the task. Turning this patient supports the ethical principle of - Correct answer nonmaleficence" "Answering a terminally ill patient's questions about his or her condition honestly is based on a belief in the ethical principle of - Correct answer veracity" "A school nurse teaching school-aged children about hand hygiene is an example of which ethical principle? - Correct answer autonomy" "Taking a geriatric patient to the recreation room at a promised time is based on the belief in the ethical principle of - Correct answer fidelity" "When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of - Correct answer beneficence" "The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles? - Correct answer Justice" "A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged due to an inability to pay for care is applying which ethical principle? - Correct answer Justice" "Collaboration among health care professionals most importantly results in - Correct answer positive patient outcomes" "Which of the following is an important outcome of the "orientation" phase of the nurse-pt relationship? - Correct answer trust" "Which behaviors help patients to develop trust? - Correct answer conveying acceptance of the patient in with a nonjudgmental attitude" "Which of the following best illustrates nonjudgmental acceptance of the patient? - Correct answer Demonstrating caring behavior in spite of negative feelings" "Which questions will help the nurse plan culturally congruent care? (Select all that apply) - Correct answer "What do smiles, nods, and hand gestures mean?" "How should I address you?" "What do you like to eat when you are sick?" "Who is involved in making decisions about health care?"" "•An English-speaking nurse gave a non-English-speaking patient instructions about preparing an abdominal surgical site. •The nurse showed the patient how the bottle of iodine was to be used in cleansing the area. •The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. •When the nurse left the room, the patient promptly drank the bottle of iodine. Which action would be most effective in preventing this error? - Correct answer Using a medical interpreter to give the preoperative instructions" "A newly diagnosed diabetic Pt states "I have very definite likes and dislikes when it comes to food. Am I going to have to eat only certain foods, or will I have some choice?" The nurse responds, "I will request a dietary consultation to include your preferences and still come up with a good diet for controlling your diabetes. If you want, you can start thinking about or writing a list of your likes and dislikes. What phase of the nurse-patient relationship is this? - Correct answer Working phase" "A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship? - Correct answer "You must be happy to go home. Over the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions."" "The nurse and patient may experience sadness during the termination phase. How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship? - Correct answer Emphasizing the achievements the patient has made, including the ability for self-care" "Which is true of verbal and non-verbal communication? - Correct answer Non-verbal communication is usually a more reliable message than words" "Which of the following could be considered congruent communication? - Correct answer The nurse manager sits with you in the nurse's lounge and asks, "Is there anything you would like to talk about?"" "A 4-year-old child is going to have an abdominal x-ray examination. The child asks, "Why do they have to do this? Will it hurt?" Which of the following is the most appropriate response by the nurse? - Correct answer ´"You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt."" "A nurse is irrigating pressure ulcers on a patient's coccyx. When the patient asks how they are healing, the nurse grimaces and says, "Oh, they're doing just fine." This is - Correct answer incongruence between verbal and nonverbal messages" "Which of the following are examples of open-ended questions? (Select all that apply) - Correct answer "How are you?" "How do you feel about staying with your daughter?" "What would you like to discuss today while we take a walk?"" "Within nurse-patient communication, the use of silence can - Correct answer provide the nurse with an opportunity to complete the patient's care" "A new mother says, "My baby is being kept in the nursery. I'm really worried about him. I'm worried that the separation will interfere with breastfeeding." The most appropriate response by the nurse is, - Correct answer "I can see you're upset about this, but to be honest with you, I'm a new nurse here, and I'm not sure how I can help you."" "In which of the following examples is the nurse demonstrating empathy for the postoperative mastectomy patient? - Correct answer "I know how you feel; I also had breast cancer."" "´A patient states, "The thing that scares me the most about surgery is the spinal anesthesia. I'm afraid it'll leave me paralyzed." ´The nurse responds, "Everything will be fine. The anesthesiologists are very skilled in administering spinal anesthesia." The nurse's response is an example of a communication breakdown known as..... - Correct answer using value statements" "The nurse plans to teach a patient about the care of her mastectomy site. The nurse finds the patient crying. The best response by the nurse is, - Correct answer "I see you are upset. Is there something on your mind you'd like to talk about?"" "A patient demonstrates obvious regression in the ability to perform self-care during the working phase. Which response by the nurse is most appropriate? - Correct answer Patience and understanding because regression is a defense mechanism when confronted with a stressor" "A contemporary view of the sick role includes - Correct answer patient as partner with the health care provider" "What is the primary difference between acute illness and chronic illness? - Correct answer In acute illness, symptoms begin suddenly, progress quickly, and subside quickly" "Which statement about acute illness is true? - Correct answer Most people with acute illness return to their previous level of wellness" "Which illness has the characteristics of a chronic illness? - Correct answer Lupus" "Which disorder has the characteristics of an acute illness? - Correct answer Influenza" "A patient states, "I have knowledge about my diet and how to do my insulin injections, so I can get on with my life." In which stage of illness is this patient? - Correct answer Acceptance and participation" "A patient is in the intensive care unit after a myocardial infarction and refuses to stay in bed, saying, "I have to be up and walking around. When I stayed in bed after having my babies 40 years ago, I got so weak I could hardly move." This patient's illness behavior is being influenced by: - Correct answer her past experiences" "An English-speaking nurse gave a non-English-speaking patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of iodine was to be used in cleansing the surgical area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of povidone-iodine. Which action would be most effective in preventing this error? - Correct answer Using a medical interpreter to give the preoperative instructions" "A young girl from a Middle Eastern country is in the process of dying. ■Her parents ask the nurses to allow her to be prepared for death by being dressed in a specific garment and headdress each day, as she is dying. ■The parents cannot be there every day to do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally competent care? Which actions by the nurses demonstrate culturally competent care? - Correct answer Learning how to apply the garment and headdress properly and documenting it in her chart and discussing it at shift change." "Which questions will aid the nurse in planning culturally congruent care? (Select all that apply.) - Correct answer "What do smiles, nods, and hand gestures mean?" "How should I address you?" "What do you like to eat when you are sick?" "Who is involved in making decisions about health care?"" "A Caucasian nurse is caring for a Native American after a stroke. The nurse finds the patient sleeping while holding several small feathers bound by a beaded leather thong. The nurse should consider the possibility that this is - Correct answer an important item used in native healing practices" "Hospice care is indicated for ..... - Correct answer Individuals who no longer want treatment or whose illness has stopped responding to treatment" "Which of the following is true of Palliative care? - Correct answer People are eligible to receive palliative care for as long as they have a life threatening or life limiting illness" "Which of the following patients is likely to benefit most from referral for case management? - Correct answer Elderly patient with total hip replacement" "Health promotion differs from illness prevention in that health promotion - Correct answer occurs before the identification of disease risk factors." "The purpose of continuous quality improvement (CQI) is to - Correct answer monitor processes involved in the provision of safe, effective care for patients." "Which of the following is not recognized as part of the role of the nurse as a member of the health care team? - Correct answer Performance of physician functions under direct supervision of a physician" "Which of the following is not included as an overarching goal of Healthy People 2020? - Correct answer Eliminating health disparities" "The school health clinic treats common health problems, as well as conducting health promotion and illness prevention activities. The clinic provides which level of health care? - Correct answer Primary Care" "Which of the following is an example of rehabilitation and disease management? - Correct answer Teaching patients with newly diagnosed diabetes the signs of hypoglycemia and hyperglycemia" "Which of the following is an example of health promotion? - Correct answer Talking to a women's church group about having an annual mammogram" "Which of the following is an example of illness prevention? - Correct answer Encouraging women at a health fair to have an annual mammogram" "A nurse caring for a preoperative patient is told by the patient, "The doctor just had me sign a paper. I wish I knew what it was all about." The nurse reports this to the physician. The nursing role adopted by the nurse is - Correct answer patient advocate" ": A hospital standard states, "All intravenous (IV) sites must be rotated every 72 hours." The nurse who assesses and records variations from this standard is fulfilling which role of nursing? - Correct answer Quality Management" "Differences between treatment outcomes for different populations are known as - Correct answer health care disparities" "Which of the following areas experience serious disparities in health care access and outcomes for black and brown US citizens? (Select all that apply.) - Correct answer Infant mortality Cardiovascular disease Immunizations" ""Escape Fire" addressed problems with over-medication of patients in pain. What is one of the effective strategies the US military has used to address this problem? - Correct answer supplemented or replaced prescription drugs with complementary &alternative treatments such as physical therapy, yoga, meditation, and acupuncture" "According to the video "Escape Fire" roughly 75% of healthcare spending goes to treating preventable diseases. What solutions does "Escape Fire" suggest in order to live healthier lives? (Select all that apply). - Correct answer Disease Prevention Holistic approach to healthcare Support from workplaces, communities, and our healthcare system" "roughly 75% of healthcare spending goes to treating preventable diseases. What solutions does "Escape Fire" suggest in order to live healthier lives? (Select all that apply). - Correct answer disease prevention holistic approach to healthcare support from workplaces, communities, and our healthcare systems" "What is one of the effective strategies the military has used to address Over-medication of injured combat vets? - Correct answer supplemented or replaced prescription drugs with complementary & alternative treatment methodologies such as physical therapy, yoga, meditation, and acupuncture" "Which of the following are included in the ANA's Nursing's Agenda for the Future? (Select all that apply.) - Correct answer Health care is a basic human right. Health policies should be based on outcomes research. Health care should provide more balance by including preventive and community care. All people should have access to an all-inclusive package of health care." "How could changes in world population affect health? - Correct answer Feeding, immunizing, and providing clean water will become an overwhelming task." "One of the characteristics of a profession identified by Kelly was "there is an organization (association) that encourages and supports high standards of practice." Which of the following is a concern for the nursing profession meeting this characteristic? - Correct answer The membership of the ANA is less than 10% of all nurses" "Why is accreditation of nursing education programs important? (select all that apply) - Correct answer It assures students that their educational program is offering quality education. Acceptance into graduate programs in nursing depends on graduation from an accredited program. It serves as a stimulus for programs to initiate periodic self-examination and self-improvement" "Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks. Each member contributes based on his or her area of expertise but also recognize other members' strengths. Which of the QSEN competencies is being demonstrated? - Correct answer teamwork and collaboration" "In 2002 which major American corporation partnered with nursing to design a media campaign to promote the image of nursing? - Correct answer Johnson & Johnson" "A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other? - Correct answer mentoring nursing students and novice nurses" "What is the difference between an occupation and a profession? - Correct answer A profession requires a duty to serve" "What do we know about the outcomes of patients cared for in hospitals with more BSN-prepared nurses, as compared to patients in hospitals with a lower percentage of BSN-prepared nurses? - Correct answer Outcomes were better in hospitals with more BSN-prepared nurses" "Which of the following is the primary distinction between licensure and certification? - Correct answer Certification validates a high level of proficiency." "Which of the following is the World Health Organization's definition of "health"? - Correct answer Physical, mental, and social well-being, not just the absence of disease or infirmity" "The Institute of Medicine (2011) Future of Nursing Report recommends: - Correct answer Increasing the proportion of nurses with a BSN to 80% by the year 2020. They also want a system of quality care accessible to the diverse population" "What is meant by the term "evidence-based practice (EBP)"? - Correct answer Applying research findings; patient care data, preferences, and values; and nursing expertise to nursing practice" "Evidence-based nursing practice involves which of the following? (Select all that apply.) - Correct answer The use of the best evidence available supporting the interventions -The expertise of the professional nurse -The preferences of the individual patients and their families" "Which of the following is not considered a Quality and Safety Education for Nurses (QSEN) competency? - Correct answer Reducing waste" "Quality and Safety Competencies - Correct answer Patient/Family centered care, teamwork and collaboration, Safety" "Which of the following is believed to be a characteristic of a profession? - Correct answer Members have autonomy." "What is an accurate statement regarding nurse certification? - Correct answer Certification validates knowledge, skills, and abilities." "what is the role of the occupational safety and health administration (OSHA) in the workplace? - Correct answer they regulate workplace safety and provide protection for people who report workplace safety problems" "