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NUR2868 EXAM RS STUDY GUIDE WITH
COMPLETE SOLUTIONS A+ GRADE 2024
Question 1 0 out of 1 points Identify the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project. c. focus nursing education on competencies to reduce the number of medical errors Question 2 1 out of 1 points The Robert Wood Johnson Foundation has recommended the following: (Select all that apply). Question 3 0 out of 1 points Identify the health-care area in which the use of computers has improved the efficiency of care. a. documentation Question 4 1 out of 1 points Identify what a new graduate nurse who is having unresolved role conflicts may experience. d. high levels of anxiety Question 5 0.33333 out of 1 points Which element(s) is (are) a QSEN competency? SELECT ALL THAT APPLY. a. quality improvement c. teamwork and collaboration d. Informatics Question 6 1 out of 1 points What are rules of conduct that protect the community and society overall? c. laws Question 7 1 out of 1 points What may cause some people to make responses that seem inappropriate or over emotional? a. the lack of an opportunity to develop coping skills
Which step of the nursing process identifies the success or failure of the plan of care developed by a nurse? evaluation Question 15 1 out of 1 points What is a recommended method for nurses to prepare for future professional practice? understand and explore issues involved in professionalism as nurses Question 16 1 out of 1 points The nurse manager decides to involve those to be affected by change early in the change management process. What can positively result in? conflict Question 17 1 out of 1 points The oxygen saturation for a client with acute infective bronchitis drops to 84%, and the client develops severe dyspnea. There is a standing order for a handheld nebulizer (HHN) treatment PRN for shortness of breath. The respiratory therapy department is designated to give all respiratory treatments in the facility. When the nurse calls the respiratory therapist, he states that he has several more treatments to give but he should be there in 10 or 15 minutes. Which action by the nurse is most appropriate at this time? do not wait for the respiratory therapist, give the HHN treatment himself or herself Question 18 1 out of 1 points Which activity tends to increase nurses’ satisfaction during work?
Taking time to talk with clients about their needs Question 19 0 out of 1 points What is the primary concern that some health-care providers have in the use of computers in client care? b. the training and knowledge required by nurses to use the system effectively · Question 20 0 out of 1 points Nurses must understand which principle of the Nurse-Family Partnership? · Question 21 1 out of 1 points Identify the primary position advocated by the 1965 ANA Position Paper on Education for Nurses. ANS: baccalaureate education should be the basic level of preparation for professional nurse · Question 22 1 out of 1 points As nurses achieve increased professional autonomy, what must they also accept? ANS: ethical accountability · Question 23 1 out of 1 points
Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication? ANS: You have made some good points, but I have another suggestion · Question 28 0 out of 1 points The CEO asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit. The nurse manager explains that nursing research has validated which statement about a low nurse-to-client ratio? ANS: Improves outcomes · Question 29 1 out of 1 points Why do many new nurses ignore the signs of burnout? ANS: they're worried that they spent time, money and energy on a career they no longer want. · Question 30
What role does anger play in communication? ANS: It can be used positively to produce change. · Question 31 What statement is true regarding the relationship between nurses and legislators? SELECT ALL THAT APPLY. ANS: The government should be interested in health matters when a problem affects a specific group or a whole population. Political solutions can be achieved at both the federal and state levels. Question 32 During a staff meeting, an elderly physician is very negative about recent changes on the unit. He indicates that the nurses are not working hard enough. How can the unit manager most appropriately deal with this situation? ANS: Allow the physician to express his or her opinions and then ask for input from others at the meeting · Question 33 Why is the term healing preferred to medicine when referring to alternative and complementary methods of care? ANS: because the alternative and complementary modalities typically are based in holistic philosophies
What is the first step in the process of critical thinking? ANS: Identify the problem · Question 39 1 out of 1 points Provision number 7 of the 2001 Code of Ethics for Nurses states: “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.” On which ethical principle is this statement primarily based? ANS: accountability · Question 40 0 out of 1 points A family is keeping vigil at a critically ill client's bedside. Other, distant family members, not yet able to come, call the unit continuously, asking for updates and wanting to express concern. You speak with the distant family members and suggest that you are going to refer them to the hospital social worker, whose role is to work with such situations. What role are you assuming through this action? ANS: manager · Question 41 1 out of 1 points Which characteristic is required in a person who is able to resolve difficult crises? ANS: Uses newly developed coping skills to resolve future crises · Question 42
After her first week working on a busy medical/surgical unit, a new charge nurse notes that the nurses, although highly competent, are unable to function productively as a team. What can she do to facilitate team-building on her unit? ANS: Provide an opportunity for the nurses to express their feelings and emotions. · Question 43 1 out of 1 points Select an important principle that guides managers who use a democratic leadership style. ANS: Each member of the group respects all of the other members as unique and valuable. What is the primary reason a nurse should develop learning objectives for all client teaching? ANS: ) The nurse clarifies what actions or behaviors are expected. · Question 45 1 out of 1 points What is a type of nursing education program that is conducted in junior and community colleges that is typically two years in length? ANS: Associate. · Question 46
Provision number 1 of the 2001 Code of Ethics for Nurses states: “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health-care problems.” On which ethical principle is this statement primarily based? ANS: fidelity Why is the input of nurses vital to legislators? ● The majority of legislators do not have health-care backgrounds What is the document that provides nurses with the right to practice and specifies the parameters of professional practice? ● Nurse Practice Act What comprises the branches found in the government at the federal level? ● Legislative, Executive, Judicial A client with cognitive impairment and gross instability, wanders continuously. Lately, she has fallen twice, and the family demands that she be restrained. As the unit manager, you have initiated a least restraint practice. What would be your best action in this situation? ● Initiate multidisciplinary and family meeting to focus on the client's needs Administration is renovating the nurse's lounge. The department asks the nursing staff to make a wish list of everything that they would like in the new lounge. This process is an example of which part of the decision-making process? ● Assessment/data collection What is the most important reason why nurses should be familiar with health-care reimbursement methods? ● It allows nurses to be informed as client advocates If all of these goals were appropriate for a client, which would have the highest priority? ● Control postoperative bleeding
Which demographic factor has the most significant effect on the health-care delivery system of the future? ● The rapidly increasing average age of the population Which action is in compliance with Crossing the Quality Chasm? ● Clients are actively encouraged to make decisions in their care It is important to the future of nursing research that clinical practice areas find ways to support scientific inquiry. What has been identified as a significant barrier to the implementation of research findings in client care? ● Nurses may feel that available research does not provide the practical solutions they are searching for ● Published research is often written in a way that is difficult to understand ● Skilled clinical nurses may not be skilled at accessing and understanding research findings What is one of the primary goals of the Affordable Care Act of 2010? ● Address inequities (lack of fairness or justice) in insurance coverage What is the best way for nurses to influence the legislative process at the federal level? ● Support main nursing organizations who can speak with a unified voice when presenting their concerns What is true about the translation of research into practice? ● It is a priority of all healthcare practitioners to better client care What approach may gain nursing support of adopting evidenced-based care related to family- centered care? ● Secure the support of key informal leaders and colleagues on the unit Identify the term that best describes the act of science of influencing public policy ● Politics A mediator noticed that tension was still evident between the nurse manager and staff members. To begin team-building what would be important for the chief nursing officer to encourage with the team? ● Work together in a respectful, civil manner
● Suggest that an interpreter explain the procedure to the client Which type of information obtained by a nurse during the assessment step in the nursing process is considered subjective data? ● A description of symptoms by the client Identify a typical response for a manager who uses laissez-faire approach to leadership when faced with a difficult decision ● Postpone making the decision in the hopes that it will resolve itself What has been identified as a significant factor in moving EBP into client care? ● Technology As a result of the Joint Commission assessment, a healthcare facility loses its accreditation. What is the primary consequence for this institution? ● Loss of funding Which step of the nursing process identifies the success or failure of the plan of care developed by a nurse? ● Evaluation Considering that research is typically new knowledge, which would be considered research? In designing a quality, safe, healthcare environment, what should be the primary emphasis? ● The client What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program? ● Solicit input from staf f members What best describes evidence-based nursing? ● Using research-based information to develop practice guidelines Select the statement by a unit manager to the vice president for nursing during a budget meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse for every 9 patients to one nurse for every7 patients. "this proposed change will..." ● Improve the quality of care for clients on the unit
There has been an increase in incident reports about clients falling during the 11-7 shift. What is the nurse manager's best way to resolve the problem? ● Identify the problem Which statement is most accurate regarding evidence-based practice? ● Evidence-based practice is generally recognized across disciplines and by policymakers as state-of-the-art clinical practice. What is most accurate regarding evidence-based practice? ● Evidence-based practice is generally recognized across disciplines and by policymakers as state-of-the-art clinical practice Identify the best sources of support for nurses beliefs about health care ● Written reports and published surveys As a client care advocate, what should you regularly coach clients about as to how to stay safe at home and in the health care setting? ● Following closely the directions and orders of healthcare providers Select the most effective method that nurses can use to gain power over their practice. ● Join professional organizations in large numbers What is the first step in the process of critical thinking? ● Identify the problem Identify the best and most inclusive definition of nursing research ● A systematic process to test or discover information with the goal of improving client care Identify a valuable source of information about political issues that affect the profession of nursing ● The American Nurse The nurse manager of a rehab unit wants to purchase a new anti-embolic stocking. What should the manager do to make a high-quality decision? ● Involve the rehab staf f in the decision
27 the nurse manager of a rehab unit wants to purchase a new anti-embolic stocking to make a high quality decision the nurse manager would A involve the rehab staf f in the decision B involve the sales rep C make the decision alone D involve administration in the decision 28 during a fire drill several psychiatric clients became agitated the nurse manager quickly assigned a staff manager to each patient this autocratic style is most appropriate for A a routine problems B crisis situations C manager who prefer a telling style D followers who cannot agree on a solution 29 the nurse manager on a unit is asked by a family member of a dying Native American patient if it is possible to have a member of the patients 8 member family recite the rosary by the bedside the manager responds affirmatively the nurse is most likely exhibiting behavior related to A acculturation B ethnocentricity C cultural diversity D cultural sensitivity 30 in caring for a patient from an east Indian culture the staff expresses frustration that many family members are in the room which often interferes with care as the nurse manager you provide leadership and understanding that this behavior of the family and friends network reflects A lack of understanding of the seriousness of the patient’s illness B lack of communication between family members C the social organization of friendship and family networks of the east indian culture D lack of caring of the hospital environment by the friends and families 31 a nurse belongs to several professional organizations serving at a state level committee of 1 group and on 2 task forces at work the nurse is committed to a range of health issues this nurse exemplifies which level of professional action in nursing A vigilante
B by end behavior C self activist D political activism 32 a nurse is participating in a baccalaureate course for the class she has to attend the legislative session regarding the new rules of medications assistance nurses should be involved in shaping public policy primarily because A involvement will enable nurses to take over the healthcare system at some point in the future B other healthcare professionals are less concerned about essential needs of a client C such activities are important career builders for nurses who seek top level executive positions D they are closest to the frontline of healthcare and see how it affects clients and families 33 a charge nurse is making a shift assignment what is the primary consideration in assigning the unit staff includes RNs 2 LPNs and 1 CNA A proximity of clients room to the nurses station B scope of practice of each staf f member C staff preferences for favorite client D developmental needs of clients 34 what is the most likely reason that nurses have traditionally avoided joining unions and participating in elective bargaining A the union had little to offer nurses as far as pay and working conditions are concerned B unions were largely male dominated organization and wanted little to do with nurses C joining a union seems to contradict nursing image of dedication service and selflessness D nurses already had a great deal of control over their working condition salaries and benefits 35 a newly licensed RN is signing an employment contract with an employer identify the most important factor in the initial negotiation of that contract A discussion of important issues B posturing and negotiation of power C resolution of key conflicts D lack of willingness to work extra hours
