Exam (elaborations)
NURS1871 exam 1| Nurs 1871 CSCC Exam 1 (answered) 2023.
- Course
- NURS1871
- Institution
- Columbus State Community College
NURS1871 exam 1| Nurs 1871 CSCC Exam 1 (answered) 2023.
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NURS 1871 exam 11. 4: 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 Regis- tered Nurses.
Your instructor asks the class why this document is important. Which statement best
describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care
2. 2: 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:
1. Educator.
2. Advocate.
3. Caregiver.
4. Communicator.
3. 1: The nurse spends time with a patient and family reviewing a 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?
1. Educator
2. Advocate
3. Caregiver
4. Communicator
4. 3: The examination for registered nurse (RN) licensure is the same in every state in the
United States. This examination:
1. Guarantees safe nursing care for all patients.
2. Ensures standard nursing care for all patients.
3. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs.
5. 1, 2, 3, 4: Contemporary nursing requires that the nurse has knowledge and skills for a
variety of professional roles and responsibilities. Which of the following are examples of
these roles and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor
, NURS 1871 exam 1
6. 1b, 2d, 3c, 4a: Match the advanced practice nurse specialty with the statement about
the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist
7. 1: Health care reform will bring changes in the emphasis of care. Which of these models
is expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model
8. 3: A nurse meets with the registered dietitian 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?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Quality improvement
9. 2: A critical care nurse is using a new research-based intervention to correctly position
her ventilated patients to reduce pneumonia caused by accumulated respi- ratory secretions.
This is an example of which Quality and Safety in the Education of Nurses (QSEN)
competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement
10. 4: The nurses on an acute care medical floor notice an increase in pressure injury
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 injury risk. The second uses a
new assessment instrument to identify at-risk patients. Given this information, the nurse
consultant exemplifies which career?
, NURS 1871 exam 1
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
4. Nurse researcher
11. 3: A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dieti- tians in
an outpatient setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention
12. 3: Based on the Transtheoretical Model of Change, what is the most appropriate
response to a patient who states: "Me, stop smoking? I've been smoking since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll
see you in 1 month."
3. "What do you think is the greatest reason why stopping smoking would be
challenging for you?"
4. "I'd like you to attend a smoking-cessation class this week and use nicotine
replacement patches as directed."
13. 2, 4, 5: A nurse working on a medical patient care unit states, "I am having trouble
sleeping, and I eat nonstop when I get home. All I can think of when I get to work is how I
can't wait for my shift to be over. I wish I felt happy again." What are the best responses
from the nurse manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better soon."
2. "I know several nurses who feel this way every now and then. Tell me about the
patients you have cared for recently. Did you find it difficult to care for them?"
3. "You can take diphenhydramine over the counter to help you sleep at night."
4. "Describe for me what you do with your time when you are not working."
5. "The hospital just started a group where nurses get together to talk about their
feelings. Would you like for me to e-mail the schedule to you?"
14. 1, 5: A patient has been laid off from his construction job and has many unpaid bills.
He is going through a divorce from his marriage of 15 years and has been praying daily to
help him through this difficult time. He does not have a primary health care provider because
he has never really been sick, and his parents never took him to a physician when he was a
child. Which external variables influence the patient's health practices? (Select all that
apply.)
, NURS 1871 exam 1
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider
15. 1: A nurse is conducting a home visit with a new mom and her three children. While
in the home the nurse weighs each family member and reviews their 3-day food diary. She
checks the mom's blood pressure and encourages the mom to take the children for a 15- to
30-minute walk every day. The nurse is addressing which level of need, according to
Maslow?
1. Physiological
2. Safety and security
3. Love and belonging
4. Self-actualization
16. 1: When taking care of patients, a nurse routinely asks whether they take any
vitamins or herbal medications, encourages family members to bring in music that the
patient likes to help the patient relax, and frequently prays with her patients if that is
important to them. The nurse is practicing which model?
1. Holistic
2. Health belief
3. Transtheoretical
4. Health promotion
17. 3, 1, 5, 4, 2: Using the Transtheoretical Model of Change, order the steps that a patient
goes through to make a lifestyle change related to physical activity.
80
1. The individual recognizes that he is out of shape when his daughter asks him to walk
with her after school.
2. Eight months after beginning walking, the individual participates with his wife in a local
5K race.
3. The individual becomes angry when the physician tells him that he needs to
increase his activity to lose 30 lb.
4. The individual walks 2 to 3 miles, 5 nights a week, with his wife.
5. The individual visits the local running store to purchase walking shoes and obtain advice
on a walking plan.
18. 2, 3, 4, 5: Which of the following are symptoms of secondary traumatic stress and
burnout that commonly affect nurses? (Select all that apply.)
1. Regular participation in a book club
2. Lack of interest in exercise
3. Difficulty falling asleep
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