Nursing Advocacy and Evidence-Based Practice, Exams of Nursing

Download Nursing Advocacy and Evidence-Based Practice and more Exams Nursing in PDF only on Docsity! NUR 2868 Role & Scope Exam 2 Questions and Answers Rasmussen College KEY: Notes Answers Additional notes at the bottom :) 1) A laboring client has given her nurse a “birth plan” with which the nurse does not agree. However, the nurse wants to adhere the recommendations of the Quality, Safety, and Education for nurses (QSEN) competencies. According to QSEN, what should she do? -client is source of control 2) The nurse overhears the client on the telephone, saying he is being discharged but that he does not feel ready to go home. What is the priority action of the nurse? -Assess the patient 3) A nurse is preparing to administer a prescribed medication to a client. In which of the following ways can the nurse demonstrate advocacy for the client’s rights? - Ensuring the client is properly informed of the medication that he is about to take. 4) What is “the degree to which individuals have the capacity to obtain, process, and understand basic health information?” -Health Literacy 5) The Joint Commission has put together a group of National Patient Safety Goals to protect clients and improve care. Which are included in these goals? (SATA) -Identify patient’s correctly -Improve the effectiveness of communication among caregivers -safety of using medications -reduce the risk of infections -hospital identifies safety risks 6) On a busy night, the supervisor of the Emergency Department finds herself short two staff nurses. She requests help from another floor, and they send her an LPN. Which assignment to the LPN violates the standards of safe delegation? -admission assessment 7) A nurse is caring for a client who has brought her colicky baby to the outpatient clinic. The nurse does not understand why the client smiles, but does not look at the printed materials that the nurse is handing her, saying “I don’t need that.” The nurse knows the information has been written at a 7th grade reading level. What issue is the nurse failing to recognize? 16) The nurse is caring for a client who practices vegetarianism. How should the nurse best advocate for the client’s dietary needs? -ask what he likes 17) A nurse manager is preparing to conduct a quantitative research study on the rate of falls in the unit. In order to be certain, the research is based upon patient centered outcomes, what does the nurse need to know? -research should be focused 18) A nurse is teaching a client about a new diagnosis of diabetes mellitus. The nurse says, “Your hyperglycemia is a disorder of carbohydrate metabolism caused by an insufficiencies of your pancreas to secrete the proper amounts of insulin.” The client appears confused. What does the nurse need to do to improve the clients understanding? - avoid medical jargon or use less medical jargon 19) A nurse was hospitalized for abdominal pain at the medical center where she was employed. One week later, the nurse manager asks a charge nurse what the final diagnosis was. Which of the following is the most appropriate response on the part of the charge nurse? -Decline answer -something with the word “confidential” in it 20) The nurse is assigned to care for four patients in the ER. Which of the following patients should the nurse see first? -chest pain 21) A graduate nurse is applying for a position at several health care agencies. The nurse wants to work for a government sponsored agency. To which hospital should the nurse apply? -Veterans Hospital 22) A nurse manager tells two RNs on her unit that she is impressed with their critical thinking skills. She tells them of a new Leadership Development course and that they would be excellent candidates for this training. What management style is the nurse manager using? -Transformational 23) A nurse attended a conference on an exciting new policy for preventing Catheter- Associated Tract Infections (CAUTI). When changing the policy, the nurse made modifications to CAUTI prevention be more appropriate for the unit. Which stage of Rogers’ Diffusion Theory did the nurse use? -Implementation 24) A nurse relocates from a rural community to an urban neighborhood. She notices a 24- hour gym, 2 day spas, and an organic grocery store within walking distance from her new home. To what social factor does the nurse attribute this? -social is becoming more fitness….something like that 25) A nurse is participating in a management course. For the class, she has to attend a State legislative session regarding the new role of patient care technicians. Why would nurses be involved in shaping public policy? -Nurses are close to patient and family 26) A new nurse is overheard by her preceptor saying she cannot get involved in health care policy because it goes against her nature as a compassionate caregiver. What should the preceptor tell her? -answer is NOT telling her she has time, eliminate that one 27) A nurse is working in an outpatient clinic with a new physician who is eager to recruit clients into a research study. The physician tells the nurse to have each client sign the consent form with every new admission to the clinic’s services. The nurse refuses to do so, saying it violates ANA code of Ethics. Which principle is being violated? -self-determination, consent, autonomy 28) A nurse asks her nurse-manager why she should be using Evidence Based Practice. What is the best response of the manager? -nursing science and physical needs 29) The nurse is preparing a client for an invasive surgical procedure. What is the nurse’s legal responsibility regarding consent? -Make sure it is in clients chart -ensure signed consent is in packet…? 30) The nurse is providing palliative care for a client in a long-term care facility. Which of the following actions is an example of patient advocacy? -notifies of hospice.. -communicate / check POC 31) Individual nurses may apply research findings to their own practice. In which activities may the registered nurse participate? SATA -Collects data, educate -journals, conferences, educational programs and media are used as well as literature reviews. -think about subscribing to nursing research journals -think about practice journals with a research column -can a nurse provide an example of research finding -can u bring journal with example of research report -go to a conference -recall research in media -READ THIS QUESTION CAREFULLY 32) Healthcare professionals need to use EBP in the midst of an ever-expanding scientific knowledge base. According to the institute of medicine (IOM), all nurses need to be educated in EBP and should be able to do which of the following? SATA -Formulate clinical questions, research resources, new standards, population 33) An experienced nurse wants to become more active in politics. What actions can the nurse take? SATA -hold position -engage and campaign 34) A new public health nurse is writing a paper for her baccalaureate class. She asks her preceptor to review it. Which statement in the paper is incorrect and needs revision? -public health focuses on patient care not community 35) A nurse is caring for a client who was injured while visiting from a foreign country. The nurse understands that their language difference may cause what issue? -Barrier to communication 36) A nurse is serving on a community task force that has a particular focus of providing better internet services to the rural areas of the county. What will closing the digital divide do for the rural clients? -improve health literacy 37) A nurse is caring for a client who is 24 hours post op following a hysterectomy. The client is tolerating clear liquids but is requesting solid food. What should the nurse do to practice advocacy for the client? -assess bowel sounds , SBAR 38) The nurse is caring for a post-operative surgical client with a history of drug addiction. Which of the following must the nurse consider in planning care? (SATA) -patient has rights to pain it’s not nurse refuse? Something like that lol -right assessment -advocate -pain management 39) A nurse is writing an essay on transcultural nursing for her graduate degree. Which fact should she be sure to include? -“ % of minority nurses doesn’t reflect the national population trends” The Leapfrog Group  a consortium of employers and organizations that buys health care, works to prevent mistakes in health care and improve the quality and affordability of health care.  It supports informed healthcare decisions by those using and paying for health care and promoting high-value health care through incentives and rewards  Hospitals and other healthcare organizations will increasingly be called upon to provide value for their services.