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NURS 201 FINAL EXAM (FIRST VERSION)
A nurse uses Evidence-Based Practice (EBP) to provide quality nursing care. What is the best rationale for the nurse's behavior? ---------CORRECT ANSWER-----------------EBP can be used as a guide for nurses in making clinical decisions. While providing patient care in the hospital, the nurse is responsible, both professionally and legally, for the selecting appropriate care interventions and implementing them according to nursing standards. Which concept does this describe? ---------CORRECT ANSWER-----------------Accountability A nurse is using theoretical knowledge in nursing practice to provide patient care. Which of the following behaviors will increase the nurse's theoretical knowledge? ---------CORRECT ANSWER-----------------Reading about different nursing concepts. A patient is scheduled for abdominal surgery this afternoon. As the nurse is preparing to obtain the informed consent, the patient says, "I have no idea what is going to happen. I couldn't ask any questions when the doctor was here." The nurse decides not to allow the patient to sign the consent form and notifies the health care provider of the situation. Which professional role is the nurse displaying? ---------CORRECT ANSWER----------------- Patient advocate
The __________ is the most independently functioning nursing role: --------- CORRECT ANSWER-----------------Advanced Practice Registered Nurse The principle of autonomy in nursing involves: ---------CORRECT ANSWER-----------------The initiation of independent nursing interventions without medical orders. A patient is admitted to the hospital with possible methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation until cultures can be obtained. During the isolation process, the nurse encourages the patient's family to visit. Which level of Maslow's hierarchy of needs is the nurse promoting when the family is encouraged to visit? ---------CORRECT ANSWER-----------------Third level (Love and belonging) Which of the following represents a method of tertiary prevention? --------- CORRECT ANSWER-----------------Physical therapy (PT) and occupational therapy (OT) after a rock climbing accident with head trauma Health promotion programs are designed to help patients: --------- CORRECT ANSWER-----------------All of the above Maintain maximal function Reduce the need to use more expensive health care services Reduce the incidence of disease
A graduate of a baccalaureate degree program plans to start working as a registered nurse (RN) in the emergency department. Which action must the nurse take first? ---------CORRECT ANSWER-----------------Pass the National Council Licensure Examination. For the PICOT question shown below, which component represents the "P"? In laboring patient pursuing vaginal delivery, does the use of a squatting position reduce the need for episiotomy compared to standard lithotomy position after 4 or more hours of labor? ---------CORRECT ANSWER--------- --------Laboring patients A nurse identifies a clinical problem related to pressure injuries on a Medical/Surgical unit. Which step should the nurse take next in the research process? ---------CORRECT ANSWER-----------------Develop a hypothesis. The advanced practice registered nurse (APRN) is caring for a pregnant woman ready to deliver. Which type of APRN would care for this client? ---- -----CORRECT ANSWER-----------------Certified Nurse Midwife Which point about restorative care is accurate? ---------CORRECT ANSWER-----------------Restorative care can be provided through home health care, rehabilitation, or extended care facilities. A nurse is teaching the staff about Benner's levels of proficiency. In which order should the nurse place the levels from beginning level to ending level?
- Expert
- Novice
- Proficient
- Competent
- Advanced beginner ---------CORRECT ANSWER-----------------2,5,4,3, A bill has been submitted to the Wisconsin House of Representatives that is designed to reduce health care costs by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1. What should the nurse realize about this bill? - --------CORRECT ANSWER-----------------The individual nurse can influence legislative decisions and policy-making. A nurse is teaching a family about health care plans available at Healthcare.gov. Which information from the nurse indicates a correct understanding of the Affordable Care Act? ---------CORRECT ANSWER----- ------------Adult children up to age 26 are allowed coverage on the parent's plan. An example of an extended care facility is a: ---------CORRECT ANSWER-- ---------------Skilled nursing facility Which theory focuses on developing the interpersonal relationships between the nurse, client, and the client's family? ---------CORRECT ANSWER-----------------Peplau's theory A nurse is preparing a teaching session about contemporary issues in nursing. Which examples should the nurse include? (Select all that apply) -- -------CORRECT ANSWER-----------------Human rights Medically underserved
A nurse is using Maslow's Hierarchy of Needs to prioritize care. Place the levels of the hierarchy in order from highest to lowest priority.
- Physiological
- Self-esteem
- Self-actualization
- Safety and security
- Love and belonging ---------CORRECT ANSWER-----------------1,4,5,2, A patient newly diagnosed with hypertension will be discharged in the next day or so. The nurse is teaching the patient how to measure their blood pressure using an automatic sphygmomanometer. Which nursing theory is the nurse utilizing? ---------CORRECT ANSWER-----------------Orem's theory A nurse is using a nursing metaparadigm to define nursing. Which concepts will the nurse include? (Select all that apply.) ---------CORRECT ANSWER-----------------Nursing Health Environment Person Which scenario is a perfect example of primary prevention? --------- CORRECT ANSWER-----------------An infant receiving the rotavirus vaccination in the hospital. A nurse administers vaccinations to children and adults at the local health department. Which type of health care is the nurse providing? --------- CORRECT ANSWER-----------------Preventive care
Which of the following represents a recommended method of secondary prevention? ---------CORRECT ANSWER-----------------Yearly mammograms Which of the following sets of standards acts as a guide that outlines principles of right and wrong when providing care to patients? --------- CORRECT ANSWER-----------------Code of ethics The Nurse Educator is teaching a class on nursing theory. One student asks, "Why do we need to know this? It's not like it really affect patients." What is the instructor's best response to the student? ---------CORRECT ANSWER-----------------"Theories help explain why nurses do what they do." Which of the following career opportunities are possible in nursing? --------- CORRECT ANSWER-----------------All of the above Entrepreneurship Clinical practice Research One of the factors contributing to the nursing shortage in the United States is: ---------CORRECT ANSWER-----------------The increased need for healthcare services for aging Baby Boomers A nurse has compassion fatigue. What is the nurse experiencing? --------- CORRECT ANSWER-----------------Burnout and secondary traumatic stress
A nurse is caring for a patient in the oncology unit of the hospital. When should the nurse begin discharge planning for the patient? --------- CORRECT ANSWER-----------------When the patient is admitted to the hospital. A nurse with more than 3 years of experience on the same unit who can readily transfer knowledge gained from a variety of previous experiences to a clinical situation would be considered
according to Benner's Model. ---------CORRECT ANSWER----------------- Proficient Which of the following statements supports the idea that nursing is a profession and not just a job? ---------CORRECT ANSWER----------------- Nursing has a theoretical body of knowledge leading to defined skills, abilities and norms. While assessing the patient, the nurse notices that their respiratory rate is increased, the tip of the nose is becoming cyanotic, and the patient appears to be in distress. The nurse finds that the patient's pulse rate is 150 beats per minute. According to Maslow's Hierarchy of Needs, which patient need should the nurse address first? ---------CORRECT ANSWER--- --------------The patient's raid breathing and cyanosis A nurse is using nursing theory and the nursing process to plan care. How will the nurse use nursing theory and the nursing process in their practice? ---------CORRECT ANSWER-----------------Nursing theory can influence how a nurse uses the nursing process.
Which of the following nurses would participate in the development of nursing policies and procedures on a hospital unit? ---------CORRECT ANSWER-----------------Nurse Educator The nurse is caring for a patient who is experiencing continuous abdominal bleeding. The health care provider prescribes blood transfusions. The patient's religious beliefs do not allow the use of blood products. The nurse contacts the health care provider to request an alternative treatment. Which nursing theory is the nurse using? ---------CORRECT ANSWER----------------
- Leininger's theory A nurse wants to become an Advanced Practice Registered Nurse (APRN). Which career options should the nurse consider? (Select all that apply) ----- ----CORRECT ANSWER-----------------Certified Nurse-Midwife Certified Registered Nurse Anesthetist Clinical Nurse Specialist The nurse has a goal of becoming a Certified Registered Nurse Anesthetist (CRNA). Which of the following is true about the CRNA role? --------- CORRECT ANSWER-----------------The CRNA works under the guidance of an anesthesiologist. A Nurse Educator is teaching a group of nursing students about Nurse Practice Acts (NPAs). Which information is most important for the nurse to include in the lesson about nurse practice acts? ---------CORRECT ANSWER-----------------Nurse Practice Acts are designed to protect the public.
The home health nurse listens to the patient's concerns about having heart surgery. The nurse explains the different surgical procedures and other options, like cardiac rehabilitation. After several visits, the patient wants cardiac rehabilitation. The nurse notifies the health care provider and sets up a referral. Which theory is the nurse using? ---------CORRECT ANSWER-----------------Peplau's theory A student nurse hears a fellow student state that anybody can be a nurse because automated infusion devices and electronic monitoring make it easy to care for patients. What is the nurse's best response? --------- CORRECT ANSWER-----------------"High tech devices must be combined with nursing judgment to provide quality care." A nurse wants to change a patient procedure in the labor & delivery department. Which is the best action for the nurse take to find research evidence to support this practice change? ---------CORRECT ANSWER------ -----------Formulate a PICOT question before beginning the research. The nurse is reviewing a research article on a patient care topic. Which section of the article will give the nurse an overview of its content? --------- CORRECT ANSWER-----------------Abstract Which statement of the client speaks to the self-esteem need based on Maslow's hierarchy of needs? ---------CORRECT ANSWER-----------------"I tend to worry about every little thing because I can't do anything right."
Which of the following factors would not contribute to health disparities in vulnerable populations ---------CORRECT ANSWER-----------------Access to safe housing Which nurse most likely kept records on sanitation techniques and the effects on health? ---------CORRECT ANSWER-----------------Florence Nightingale At which level of care would the nurse include family planning services like birth control and sexual health education? ---------CORRECT ANSWER------ -----------Primary care The nurse is caring for a patient with diabetes who does not regularly check their blood glucose or administer daily insulin injections. The nurse reviews Orem's Theory and decides to ask the patient questions to determine why they are not managing their condition as instructed. Why is the nurse using Orem's Theory to plan this patient's care? ---------CORRECT ANSWER------ -----------Orem's theory is useful in designing interventions to promote self- care. A client with renal failure wants to go back home, but the family members want the client to undergo a kidney transplant. The nurse gives details about the possible threats and benefits of the surgery to the family and informs them that the client wants to stay home. Which role does the nurse play here? - --------CORRECT ANSWER-----------------Advocate Which of the following is true about nursing theory? ---------CORRECT ANSWER-----------------A nursing theory can help identify the focus, means, and goals of nursing practice.
had a similar procedure last year. I can tell you what I went through if you want." The nurse learns about cultural issues involved in the patient's health care belief system and enables patients and families to achieve meaningful and supportive care. Which concept is the nurse demonstrating? --------- CORRECT ANSWER-----------------Culturally congruent care All of the following are benefits of providing culturally competent care EXCEPT: ---------CORRECT ANSWER-----------------Ensures an adequate number of interpreters in all clinical settings Which action indicates the nurse is meeting a primary goal of culturally competent care for marginalized patients? ---------CORRECT ANSWER----- ------------Provides care to transgender patients. A patient has been overweight for most of their life. They have tried dieting in the past and have lost weight, but then immediately regained the weight once they stopped dieting. The patient is visiting the weight loss clinic because they have decided to join a health club. The patient states that they will join in 3 months, right after the holidays. Which stage of the Transtheoretical Model of Change is the patient currently in? --------- CORRECT ANSWER-----------------Contemplation A ____________________ is "the observed outcome of critical thinking and decision making". ---------CORRECT ANSWER-----------------Clinical judgement
A nurse is using the World Health Organization definition of health to provide care. Which area will the nurse focus on while providing care? ------ ---CORRECT ANSWER-----------------Providing care that involves the whole person A nurse is caring for an immigrant with low income. Which information should the nurse consider when planning care for this patient? --------- CORRECT ANSWER-----------------There is an increased incidence of disease. The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventive care is the nurse providing? -- -------CORRECT ANSWER-----------------Primary prevention A charge nurse is supervising the care provided by a new nurse. Which action by the new nurse requires the charge nurse to intervene? --------- CORRECT ANSWER-----------------Making a clinical decision based on assessments completed during the previous shift The patient is reporting moderate pain that was not relieved by the last dose of pain medication. The patient is not due for another dose of medication for another 3 hours. The nurse repositions the patient in bed, asks what type of music the patient likes to listen to, and sets the television to the channel playing calming images of beaches at sunset. Which health care model is the nurse using? ---------CORRECT ANSWER----------------- Holistic health model Which action demonstrates a nurse utilizing reflection to improve clinical decision making? ---------CORRECT ANSWER-----------------Improves a plan of care while thinking back on interventions effectiveness.
Upon assessment of a client with cirrhosis, the nurse finds that the patient has quit drinking and has been alcohol free for the past 2 years. Which stage of the Transtheoretical Model of Change is the patient in based on the nurse's assessment findings? ---------CORRECT ANSWER----------------- Maintenance A nurse is beginning to use patient-centered care and cultural competence to improve nursing care. Which step should the nurse take first in achieving cultural awareness? ---------CORRECT ANSWER-----------------Assessing their own biases and attitude According to Watson's Theory, in which practice is the nurse LEAST likely to engage? ---------CORRECT ANSWER-----------------Curing the disease before engaging in care of the patient The patient is afraid to have a bedside surgical procedure. The nurse sits with the patient and asks about their fears. During the procedure, the nurse stays with the patient, explains each step in plain language, and shares encouraging words. What type of caring is the nurse displaying? --------- CORRECT ANSWER-----------------Providing a presence Which of the following is a carative factor associated with Watson's model? ---------CORRECT ANSWER-----------------Instilling faith-hope While completing a health history interview, the nurse finds that a patient has several risk factors for developing heart disease. How should the nurse interpret this finding? ---------CORRECT ANSWER-----------------The patient's chances of developing heart disease are increased.
A patient diagnosed with chronic lung disease states "I would be better off dead." The nurse learns that the patient has recently become unemployed because of his need for continuous oxygen. The patient's spouse will have to go to work to support the family. Which action should the nurse take first? ---------CORRECT ANSWER-----------------Develop a plan of care for the family. A nurse is pulled from the surgical unit to work on the oncology unit. Which action by the nurse displays humility and responsibility? ---------CORRECT ANSWER-----------------Asking for an orientation to the unit Which nursing action for a surgical patient in pain is most indicative of critical thinking? ---------CORRECT ANSWER-----------------Asking the patient what pharmacological and nonpharmacological pain relief methods have worked in the past A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first? ---------CORRECT ANSWER-----------------Not eating A client has been prescribed a blood transfusion due to low H&H. The client's family member informs the nurse that blood transfusions are not permitted in their faith. Which action should the nurse take to handle the situation? ---------CORRECT ANSWER-----------------Inform the provider and withhold the blood. Caring influences the way patients ______________
