NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunitie, Exams of Nursing

Download NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunitie and more Exams Nursing in PDF only on Docsity! NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A MULTIPLE CHOICE 1. The primary focus of the care provider role for the nurse involves: a. using the nursing process to provide guidance to the patient in recovery. b. encouraging consumer self-responsibility and emphasizing health promotion/maintenance. c. focusing on increasing satisfaction among professional nurses. d. advancing nursing practice through research. ANS: A Correct: The primary focus of the care provider’s role is to use the nursing process in caring for patients. Incorrect: b. Encouraging consumer self-responsibility and emphasizing health promotion/maintenance constitute the educator and counselor roles of the nurse, not the primary role. c. The role of the care provider is not to increase satisfaction among professional nurses; this is included as part of the nurse manager’s role. d. Advancing nursing practice through research is the role of the nurse researcher. NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A DIF: Comprehension REF: pp. 462-463 2. A nurse researcher is attempting to describe the demographics of today’s RNs and reports that: a. less than half of all RNs work in hospital settings. b. due to aging of workforce, less than 40% continue to work full time. c. Approximately 80% of RNs are employed in nursing. d. most nurses are initially graduating with a bachelor’s degree. ANS: C Correct: Approximately 80% of RNs remain employed in nursing. Incorrect: a. More than half (62.2%) of all RNs work in a hospital setting. b. About 63.2% of RNs are employed full time in the profession. d. A substantial number (45.4%) of nurses graduate from associate degree nursing programs compared to 34.2% BSN and 20.4% diploma. DIF: Comprehension REF: p. 466 3. 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 NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A Correct: The role of the case manager includes coordination of resources to achieve the best outcomes based on quality, access, and cost. Incorrect: a. The role of the informatics specialist includes managing and processing health care information. b. The educator role includes teaching and does not include coordination of resources. d. The quality manager addresses the need for health care providers to assess opportunities for process improvement, to implement changes, and to measure outcomes. DIF: Comprehension REF: p. 471 6. A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementia. The nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer’s assisted living facility upon discharge. The role of this nurse is the: a. informatics specialist. b. educator. c. case manager. d. quality manager. ANS: C NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A Correct: The role of the case manager includes coordination of resources to achieve the best outcomes based on quality, access, and cost. Incorrect: a. The role of the informatics specialist includes managing and processing health care information. b. The educator role includes teaching and does not include coordination of resources. d. The quality manager addresses the need for health care providers to assess opportunities for process improvement, to implement changes, and to measure outcomes. DIF: Knowledge REF: p. 471 7. An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in nursing. a. triage b. forensic c. flight d. entrepreneurial ANS: B Correct: The forensic nurse provides direct services to clients and consults with and serves as NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A an expert witness for medical and law enforcement. Incorrect: a. A triage nurse provides a decision on what level of care a client involved in a mass disaster will receive and determines priority of order patients. c. The role of the flight nurse is to care for diverse clients in an autonomous practice while using the opportunity to apply advanced skills. d. The entrepreneurial nurse would not be employed in this capacity. DIF: Comprehension REF: p. 472 8. The forensic nurse would most likely be involved in: a. performing an assessment of rape victim and collecting specimens needed for court. b. assigning a patient with chest pain to be seen first, followed by a patient with an insect bite of unknown origin with red streaks but no respiratory distress. c. assessing a patient at home by asking the patient to place a receiver over the pacemaker to evaluate capture of pacing stimuli and transmitting the results to another state where nurse located. d. performing pediatric life support at the scene of an accident to stabilize then transport via helicopter to the nearest trauma center. NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A Correct: The role of the change agent consists of assessing health care delivery issues and creating solutions to improve health care delivery. Incorrect: b. The educator does not assess this type of issue in terms of delays in care provided c. The manager is not involved in the assessment and implementation of health care delivery problems. The manager would represent part of the solution to the issue but would not serve as the assessor or implementer. d. The coordinator of care is one who would arrange for the translator to attend to the patient; the coordinator would not assess the issues that surround delays in health care delivery. DIF: Comprehension REF: p. 463 NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A 11. A nurse tallies the patient satisfaction surveys and approves the use of an agency nurse because of the high census. This nurse is involved in which nursing role? a. Change agent b. Educator c. Manager d. Coordinator ANS: C Correct: The manager is the one who assesses the need for staffing and must justify this in a substantial way. Through this approach the manager indirectly provides care for patients and families. Incorrect: a. This example does not reflect changes in health care delivery in the area of increasing staff to accommodate the higher census. b. The role of educator is not to increase staffing. d. The coordinator coordinates the care of patients, not the staffing of nurses. DIF: Comprehension REF: p. 463 12. In differentiating between interprofessional and multidisciplinary: a. multidisciplinary refers to the care of many diverse patients by one discipline. NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A b. interprofessional involves members of many disciplines working together to provide patient care to a distinct population. c. interprofessional refers to members of the same discipline working together to provide patient care to a distinct population. d. interprofessional is the use of multiple interventions by nurses with varying levels of education. ANS: B Correct: Interprofessional, as related to member roles, involves members of many disciplines working together to provide patient care to a distinct population. Incorrect: a. The definition of multidisciplinary is not “the care of many patients by one discipline.” c. Interprofessional refers to members working together and not “the same discipline working as one to provide patient care.” d. Interprofessional does not describe the use of multiple interventions. DIF: Knowledge REF: pp. 462-463 13. A person from an underrepresented background in nursing is interested in entering nursing school and researches the ethnicity, age, and gender make-up of the nursing profession and finds: NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A doctrine of the denomination being served. d. this role is recognized by the American Nurses Association (ANA) as a specialty with a defined set of practice guidelines. ANS: D Correct: The role of parish nurse has become a recognized specialty in a growing professional practice. In 1988, the ANA established the scope and standards of this professional practice. Incorrect: a. No further examination is needed for this role. b. Parish nursing is not an advanced practice role. c. The parish nurse incorporates the values and spiritual dimension of the human being into the practice of nursing and health promotion. DIF: Comprehension REF: p. 472 16. A nurse is responsible for determining the incidence rates of hospital-acquired diarrhea on a pediatric ward after receiving reports that five children admitted with uncontrolled asthma had developed diarrhea while hospitalized. The nurse is working in the role of: a. uality management. b. infection control. NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A c. occupational health. d. forensics. ANS: B Correct: The infection control nurse is concerned with incidence of infections within the hospital. Incorrect: a. The quality control nurse ensures that patient outcomes meet established standards. c. Occupational health nurses are concerned with health of employees. d. Forensic nurses focus on trauma, abuse, and violence. DIF: Application REF: p. 468 17. A nurse working in a factory performs routine hearing tests for employees. The factory uses 90 dB as the safe limit for an 8-hour day’s exposure to machine noise rather than 85 dB as recommended by the Occupational Safety and Health Administration. The nurse is functioning in the role of: a. quality management. b. informatics nurse specialist. c. occupational health nurse. d. case manager. NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A ANS: C Correct: The nurse in the role of occupational health focuses on health promotion and disease control of employees. Incorrect: a. The nurse functioning in the quality management ensures that patient outcomes meet established standards. b. The informatics nurse specialist focuses on management and processing of health care information. d. Case managers coordinate resources to meet desired patient outcomes. DIF: Application REF: p. 469 18. People are living longer and with older age comes a higher risk of terminal illness. Many individuals have chosen to maximize their quality of life but stop aggressive life-sustaining treatments. Nurses who work with terminally ill patients and their families to provide end- of- life care, pain management, and family support are practicing in which role? a. Hospice b. Infection control c. Coordinator d. Case manager NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A 20. A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse? a. Continue to study to keep skills current and wait for desired position. b. Return to college until a position in labor or delivery opens. c. Accept another nursing position and transfer into labor and delivery when a position is available. d. Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer. ANS: C NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A Correct: Entry level positions in labor and delivery may be difficulty to find. Accepting a position in another area of the hospital will allow the novice nurse an opportunity to improve her skills and develop clinical decision-making as she waits for an open position in labor and delivery. Incorrect: a. Lifelong learning is always important for all nurses and reviewing materials will keep the nurse up to date; however, much is to be gained with experience. b. Returning to school until a position in labor and delivery is available may prolong the wait time because lateral transfers from one department to another are usually before outside hires. d. Practicing obstetrical skills in a simulation lab on campus will help retain essential skills but will not help the nurse gain initial entry into the system. DIF: Comprehension REF: p. 467 21. A nurse has critical care experience and is proficient in advanced cardiac life support. She often helps to lead “codes” and is an expert clinician with superior health assessment skills. Enjoying a challenge of a fast-paced environment with autonomy, this nurse would best be suited for which nursing role? a. Flight nurse NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A b. Home health nurse c. Hospice nurse d. Occupational health nurse ANS: A Correct: An experienced nurse with critical care experience and a desire to practice in a complex dynamic health care environment requiring clinical decision-making would thrive as a flight nurse. Incorrect: b. Home health nurses practice in a more stable setting, the patient’s home. And although autonomy is a key factor, the thrill of the unknown next patient is less intense. c. Hospice nurses provide end-of-life care that is palliative rather than curative. d. The occupational health nurse’s focus is on employees such as factory workers. DIF: Application REF: p. 471 22. The role of the Clinical Nurse Leader (CNL) would include: a. diagnosing a patient with pneumonia and prescribing antibiotics. b. teaching members of a faith community how to avoid skin cancer and referring those with suspicious lesions. c. participating in the team who is investigating possible abuse of elderly persons NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A c. nursing administrator. d. certified nurse-midwife. e. clinical nurse specialist. ANS: B, D, E Correct: b. A nurse practitioner requires preparation at the master’s degree level. d. A certified nurse-midwife requires preparation at the master’s degree level. e. A clinical nurse specialist requires preparation at the master’s degree level. Incorrect: a. A clinical nurse leader is not prepared at a master’s level and is not considered an advanced practice role. c. A nursing administrator is not prepared at a master’s level and is not considered an advanced practice role. DIF: Knowledge REF: pp. 474-476 3. A new role, the clinical nurse leader: (Select all that apply.) a. is a generalist prepared at the master’s level. b. provides care at the bedside for complex patients. c. identifies the best resources at the lowest price to achieve best health outcomes NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A for a client. d. serves as care coordinator whose practice is limited to acute care settings. e. is an advanced practice nurse with an earned doctorate in nursing. ANS: A, B Correct: a. Clinical nurse leaders are prepared as generalists at the master’s level. b. Clinical nurse leaders provide care to complex patients, change care plans as needed, and coordinate care to a group of patients. Incorrect: c. The case manager identifies the best resources at the lowest price to achieve best health outcomes for a client. d. Clinical nurse leaders practice in any setting. e. Clinical nurse leaders are not advanced practice nurses. DIF: Application REF: p. 473 NUR 1211 Intro to Nursing - Chapter 26: Contemporary Nursing Roles and Career Opportunities Test Bank Q&A