NUR 2058 Dimensions Of Nursing Final Exam
Dimensions Final Exam
- True or False: Energy Systems in the body are used by both conventional and integrative medicine.
- Select the most effective method that nurses can use to gain power over their practice.
- An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is:
- What is the purpose of spiritual modes of healing?
- True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the Department of Health.
- Which best describes The Leapfrog Group and its recommendations?
- A client’s blood pressure of 180/110 mmHg is an example of which of the following?
- With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching?
- What is the definition of the ethical principle of nonmaleficence?
- These characteristics are difficult to identify, but have an even more profound effect on an individual’s cultural identity.
- Which of the following is a key element to effective education of nursing students?
- Which of the following would NOT be considered an invasion of privacy:
- Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine?
- Which of the following is not a characteristic of Integrative medicine?
- When reviewing the term spirituality, which of the following would not be included in its definition?
- This is the single most obvious barrier to providing culturally competent care.
- Which situation is the nurse allowed to breech a client’s right of confidentiality?
- Which of the following best describes conventional and integrative medicine?
- Which characteristic is required in a person to be able to resolve difficult crises?
- Where would a nurse look to find their scope of practice as defined by state law?
- Identify an important aspect of the role of forensic psychiatric nurses
The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor?
- A) Each hospital establishes its own policy regarding spirituality.
B) The American Association of Colleges of Nursing mandates a policy related to spirituality in health care
C) The Joint Commission has a standard of patient care with inclusion of spirituality.
D) Spirituality remains at the discretion of the chaplain or pastoral care.
What is the first step in the delegation process?
- A) Allowing the person to observe the RN performing the task before making the assignment
B) Determining the skill level of the person to whom the task is to be delegated
C) Obtaining permission from the client for another care provider to help with the care
D) Instructing the person to whom the task is delegated about the assignment
What is the most important element for the nurse navigator to include in the planning of care for a client?
- A) The client’s perceptions and beliefs about the disease process and the modalities of treatment
B) The distance the client lives from the primary health-care facility
C) The age difference between the client and the nurse
D) What type of insurance coverage the client has
Identify a secured setting for the practice of forensic nursing.
- A) Crime scenes
B) Women’s shelters
C) Emergency rooms
D) Correctional institutions
What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data?
- A) A failure to determine the impact nurses have on outcomes
B) The inability to identify what the nursing staff actually does
C) The establishment of appropriate reimbursement for nursing activities
D) A decrease in the number of nursing diagnoses
A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.
- A) Sets up a time and place for a one-on-one meeting with the staff nurse
B) Arranges for the transfer of the staff nurse to the night shift
C) Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleagues
D) Notes that the vocal staff nurse is not intelligent enough to understand the situation, and disregards her comments as worthless
When do most health-care expenditures occur in a person’s life?
- A) As old age sets in due to the development of multiple chronic illnesses
B) During the last 6 months of life
C) During childhood due to the large number of broken bones and traumatic injuries
D) During and shortly after being born
Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medical-surgical unit from the outpatient clinic?
- A) Completing the admission vital signs and assessment on a 44-year-old woman who just returned from the post anesthesia care unit after nephrectomy
B) Obtaining a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion
C) Changing the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries
D) Assisting a 72-year-old man 1 day post–cerebrovascular accident with dysphagia to eat lunch
What is the primary goal of the nurse navigator role?
- A) Lower the risk factors that cause poor or adverse client outcomes
B) Elimination of the barriers to care to make moving through the treatment maze easier
C) Starting a business by combining nursing experience and knowledge with business knowledge
D) Provide health care for inmates in correctional facilities such as juvenile centers, jails, and prisons
True or False: It is estimated that 98,000 people die per year due to adverse events & medical errors in hospitals.
- A) False
Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.
- A) Aggressive
Which nursing intervention is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of Spiritual Distress?
- A) Explain the nurse’s religious beliefs and values immediately when requested to do so by the client.
B) Contact an appropriate spiritual leader or community for conduct of spiritual rituals sought by the client.
C) Express a willingness to assist and cooperate with religious practices that are not detrimental to the client’s health in the treatment setting.
D) Communicate acceptance of the client’s spiritual needs and acknowledge their importance.
When does the encoding process of communication take place?
- A) The message is sent in a way that causes confusion in the receiver.
B) The receiver thinks about the information, understands it, and forms an idea based on the message.
C) The sender sends the message.
D) The receiver responds to the message and gives feedback.
Who is called the “father of modern medicine”?
- A) Hippocrates
B) Emperor Darius
C) Cyrus the Great
D) William Harvey
Identify the task that may be delegated to an LPN (LVN) if all of the clients are stable.
- A) Developing the nursing diagnosis for a newly admitted client
B) Turning a client with a CVA every 2 hours
C) Teaching a new diabetic patient how to administer insulin injections
D) Adding potassium to an intravenous (IV) bag of D6W that was already hanging
A patient is anxious about a procedure. Knowing the patient loves the beach, the nurse instructs them to close their eyes and picture the ocean, sand, and rays of the sun. Which of the following practices is the nurse implementing?
- A) Transcendental Meditation
B) Guided Imagery
C) Therapeutic Talking
Identify the primary change that increased the need for many more certified RN-coders and certified RN-auditors.
- A) The development of new oversight procedures for Medicare and Medicaid
B) The switch to the new ICD-10 coding system
C) The new regulations that came into effect with the Affordable Care Act
D) The closing of many college programs that teach or offer degrees in health-care coding
Identify the four concepts that are common in most nursing theories.
- A) Client, health, environment, nursing
B) Hospital, nursing home, clinic, physician’s office
C) Nurse, physician, client, other providers
D) Care, adaptation, system, cure
Which of the following demonstrates the planning phase of the nursing process?
- A) The nurse specifies short and long term outcomes for the client
B) The nurse determines whether or not the client’s short term outcomes were met
C) The nurse performs a physical exam and collects a health history
D) The nurse identifies that the client is at risk for pressure ulcers
What is the best way to increase the motivation to learn in the elderly population?
- A) Use negative reinforcements when an elderly person does not change behavior appropriately
B) Link positive reinforcement to changes in behavior.
C) Ignore their life experiences so that the learning is not contaminated by misinformation from the past.
D) Use the power disparity between the teacher and the client to reinforce basic principles
Why is it important for nurses in general practice to have an awareness of forensic knowledge?
- A) They may one day wish to become certified in forensic nursing
B) Forensic knowledge is a part of nursing curricula and is necessary for passing the National Council Licensure Examination
C) Nurses are often in positions to report crimes or preserve evidence.
D) With the increasing involvement of nurses in malpractice suits, forensic knowledge will help them win their cases
Why is term healing preferred to medicine when referring to alternative and complementary modalities?
- A) Clients might associate alternative treatments with hospital care.
B) Nurses have had a strong influence in naming this modality.
C) The treatments are based on holistic philosophies that go beyond treatment or cure of the physiological dimensions of care.
D) Medicine implies that only physicians can carry out the treatment
An example of civility in the classroom consists of keeping cell phones on silent and using proper cell phone etiquette?
- A) False
What primary skills are required of the nurse to provide cultural competent care?
- A) All of the above
Both nursing models and theories help explain and direct nursing actions.
- A) True
Which of the following statements is most accurate about the vast majority of the elderly?
- A) They make up the single largest expenditure for the federal government budget
B) They are relatively healthy and most manage their chronic conditions at home
C) They all have chronic diseases and are in assisted-care facilities.
D) They have high levels of depression and are usually in bad spirits.
Although the assessment techniques used for different individuals may be identical, the nurse needs to know the basic biological and physical variations among ethnic groups.
- A) True
The client’s short term outcome was to sit up in a chair at bedside for 30 minutes. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this?
- A) Evaluation
This lengthy assessment tool provides a thorough overview of a client’s culture.
- A) Minority Model
B) Purnell’s Model
C) Non-English Model
D) Bio-Cultural Model
True or False: By law, supplements are regulated be the Food and Drug Administration (FDA)
- A) False
Which of the following describes Callista Roy’s definition of nursing as indicated in her nursing model?
- A) Multistep process that helps the client adapt and reach the highest level of functioning
B) Assistance in self-care activities to help the client achieve health
C) Dynamic process that identifies and meets the client’s health-care needs
D) Identifies boundary disruption and helps clients in activities to restore stability.
An ethical code does which of the following?
- A) dictates decisions
B) provides a framework for decision-making
C) sets firm rules
D) provides a group of legally binding values
To which individual can the charge nurse delegate the task of completing the history and physical assessment for a newly admitted client?
- A) LPN
B) CNA, level II
C) CNA, level III
A client sustained a complete C2 spinal cord injury after a motor vehicle crash. He is unable to move bilateral upper and lower extremities. He requires total nursing care including assistance eating, turning, and voiding. Which of the following describes the level of care the nurse provides according to Orem’s self-care model?
- A) Partially compensated care
B) Supportive developmental care
D) Wholly compensated care
Function in nursing informatics focuses on which of the following?
- A) A well-articulated theoretical basis to guide the gathering of data
B) Areas of research that lead to new knowledge
C) The levels of special interest, including technology and concepts of nursing theory
D) How the management and processing of information helps nurses enter, organize, or retrieve information
Identify the best method for a nurse to acknowledge a client’s autonomy
- A) Incorporate the ethical principle of paternalism into all client care activities
B) Follow only the instructions of the client’s family
C) Use the ethical principle of best interest when making decisions about the client’s care needs
D) Know and understand the state’s laws that address living wills
Select the most appropriate client for the RN to assign to the CNA/UAP (unlicensed assistive personnel).
- A) A client with a percutaneous endoscopic gastrostomy tube who is receiving continuous tube feedings
B) A client with difficulty walking and requires assistance to the bathroom
C) A client with difficulty swallowing food and fluids
D) A client with a colostomy who requires irrigations
What is best described as the concepts, ideals, behaviors, and significant themes that give meaning to a person’s life?
- A) Laws
Which of the following is known as a healing practice that uses the human energy system?
- A) Visualization
B) Therapeutic Touch
D) Guided Imagery
The analysis that tracks events leading to error, identifies faulty systems and processes, and develops a plan to prevent further error in a blame-free environment is called:
- A) Quality Improvement
B) Root Cause Analysis
C) Case Management
Nurses who learn about another person’s culture is enough to guarantee the nurse will have cultural awareness.
- A) False
Using errors as learning opportunities is a key element in building which of the following?
- A) Magnet hospital
B) Shared decision-making environment
C) system of improvements and quality care
D) Just culture organization
Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates they are appropriate and successful.
- A) True
Which of the following is considered the best preferred strategy to dealing with conflict?
- A) Choose your battles
B) Confront the conflict
C) Postpone the conflict
D) Ignore the conflict
Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?
- A) “The RN who delegates is also responsible for education about the task to be performed.”
B) “When nurses delegate, they are delegating nursing.”
C) “Assessing clients is a task of the RN.”
D) “The tasks delegated should have expected and predictable outcomes.”
Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
- A) “I am the manager and we will do it my way.”
B) “You have made some good points, but I have another suggestion.”
C) “I’m sorry, but your suggestion was useless to solving the problem.”
D) “I really don’t care; do it the way you think is best.”
A physician writes a DNR order for a competent client. Which individual may give permission for this order?
- A) The client’s next of kin
B) The client
C) The client’s spouse
D) The client’s only child
A client asks what the Affordable Care Act is. What best explains this act?
- A) “The law requires that most of the assets be absorbed.”
B) “The law is only for those on Medicare Part D.”
C) “The law has been written for those seniors who are under Medicaid.”
D) “The law has been written for those of all ages for a positive outcome.”
Clients may develop this when they view that the nurse is an authority figure or expert in health-care matters.
- A) Passive Obedience
B) Active Obedience
C) Health Care Aversion
D) Communication Synergy
Which is the principle upon which Nightingale’s spirituality was based?
- A) Scientific rationalism
B) A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality
C) Adherence to a set of rules of behavior, the participation in prescribed rituals, prayer, and the study of sacred texts
D) The beliefs of her Unitarian and Anglican parents
Client Satisfaction is not another way to measure quality of care.
- A) False
What is one disadvantage to the electronic health care system that health care workers are concerned about?
- A) Computer glitches
B) Inexpensive computer systems
C) Improved communication
D) May be used by multiple users at one time
Which is not part of the role of the forensic correctional nurse?
- A) Provide health screenings
B) Respond to emergency situations
C) Prescribe medications
D) Develop health-care plans
The nurse identifies a problem list for the client. Which of the following phases of the nursing process is this a part of?
- A) Assessment
What is the federally funded national health insurance program in the United States for people older than 65 years?
- A) Medicare
B) Exclusive Provider Organization
C) Long-term care insurance
T.S is a 75 year old man who sustained a left hip fracture after a fall. He is normally independent and lives at home with his wife who suffers from dementia. He currently requires a heavy assist of 2 to pivot transfer to a chair. He is not currently ambulating more than a few steps with a walker. His goal is to go back home to help care for his wife. Which of the following is the most appropriate hospital discharge plan for T.S.?
- A) Rehabilitation Center
B) Long-term care facility
C) Home with homecare
D) Assisted living
What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?
- A) Death of a client may indicate that the care they were providing was insufficient
B) Their education has focused them on keeping clients alive and promoting health.
C) They have an internal conflict in coping with their own fears of death.
D) They become very emotional when clients they are caring for die.
What is the most effective method nurses can use to gain power over nursing practice?
- A) Confront hospital administrators about inadequate staffing
B) Leave the nursing profession when better jobs are available
C) Join professional organizations in large numbers
D) Use union tactics to increase salaries
The establishment of a professional organization is one of the most important defining characteristics of a profession.
- A) False
Why is heritage consistency important to cultural groups?
- A) It allows them to advance within the larger culture
B) It allows them to retain many of their cultural elements
C) It allows them to fit in with the larger culture
D) All of the above
Identify the term used when a person lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality.
- A) Religion
True or False: Total quality improvement is based upon the organization with the higher-quality service that will capture a greater share of the market than competitors with lower-quality services.
- A) False
Which of the following is not a reason the State Board of Nursing may revoke a nursing license?
- A) Conviction of a serious crime
B) Ethical conduct in the practice of nursing
C) Use of illegal drugs while providing client care
D) Failure to renew a nursing license while still practicing nursing
What would be a characteristic of the ideal electronic health care record?
- A) The system is unique to the institution it resides in.
B) It reflects only the past medical history.
C) The system reflects the lifelong, continuous record of all care the client has received.
D) It depicts the current health status, but does not provide the medical history
The type of reimbursement system that pays a fixed-rate based on diagnosis (or DRG) is called what:
- A) Capitated Payment System
B) Managed Care Organization
C) Preferred Provider Organization
D) Prospective Payment System
Which of the following organizations provides nursing with a code of ethics?
- A) Institute of Medicine
B) Department of Health
C) Board of Nursing
D) American Nurses Association
Which of the following reasons is not a reason for the increasing use of alternative and complementary healing practices?
- A) Desire for greater control over one’s health
B) Traditions passed on from parents
C) Belief in the effectiveness of alternative therapies
D) Dissatisfaction with conventional health care
Identify the primary driving force behind the development and use of telehealth or telemedicine.
- A) Easy access to computers
B) Consumer concerns about access to health care
C) Increase sophistication of physicians’ computers skills
D) Large segments of the population located in congested urban areas
The establishment of a professional organization is insignificant in defining characteristics of a profession.
- A) True
A registered nurse (RN) is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the unit staff that includes two RNs, two licensed practical nurses (LPNs), and one certified nursing assistant (CNA) or UAP (unlicensed assistive personnel) ?
- A) Skill level of each staff member
B) Staff preferences for specific clients
C) Distance of client rooms from the nurses’ station
D) Developmental needs of clients
What is acute care of sick persons that is provided in hospitals called?
- A) Primary intervention
B) Assistive intervention
C) Secondary intervention
D) Tertiary intervention
Identify the characteristics of a task that is to be delegated that would require it to be assigned to an RN.
- A) The task is routine in nature and follows hospital policies.
B) The client is relatively stable.
C) The client requires a dressing change at the beginning of the shift.
D) The task requires decision-making to complete it.
Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful.
- A) True
Identify the health-care area in which the use of computers has improved the efficiency of care.
- A) Physician record keeping
B) Interdepartmental communication
D) Medication administration
What is a major benefit for the elderly who now have easy access to and use of technology such as the Internet and smartphones?
- A) They can reach hospitals and family if they need help.
B) They generally are so confused by the technology, they abandon it.
C) They have opportunities to obtain screening and treatment that they might not otherwise seek.
D) They now have a new source of entertainment to keep their minds active and delay the effects of dementia.
This federally funded program is known for financing a large portion of maternal and child care for the poor.
- A) Medicaid
C) Preferred Provider Organization (PPO)
D) Exclusive Provider Organization (EPO)
What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project?
- A) Focus nursing education on competencies to reduce the number of medical errors
B) Increase the number of students in nursing programs
C) Shift nursing education to a more medical model due to increased client acuity
D) Decrease the number of associate degree nursing programs
Which behavior indicates that a nurse, who is forced to confront a conflict situation, is using a submissive approach to communication?
- A) Refers the problem to a supervisor
B) Confronts the other person loudly and in front of an audience
C) Uses the incident as a threat
D) Sets up a one-on-one meeting at a specific time
What advantage does the electronic health record system have over traditional paper systems?
- A) More portable
B) Fewer privacy issues
D) Reduces redundancy