NURSING EXAM 2 TEST BANK WITH 100% PRECISE ANSWERS 2024-2025 LATEST UPDATED GRADED A+ EXAM, Exams of Nursing

Download NURSING EXAM 2 TEST BANK WITH 100% PRECISE ANSWERS 2024-2025 LATEST UPDATED GRADED A+ EXAM and more Exams Nursing in PDF only on Docsity! NURSING EXAM 2 TEST BANK WITH 100% PRECISE ANSWERS 2024-2025 LATEST UPDATED GRADED A+ EXAM. A client is seen in an urgent care clinic for a broken leg which was splinted and client sent home. The client called their primary care health care provider to find out what should be done after the injury. The doctor directed the client to the emergency room where an orthopedic surgeon was consulted and performed surgery to place a pin in the leg. What kind of care was provided to this client when care was transferred from the emergency room health care provider to the orthopedic surgeon? A) primary care B) secondary care C) tertiary care D) quaternary care - precise answer B A client has just turned 50 and is persuaded by the spouse to have a complete physical examination. The client makes an appointment with the family doctor to determine their current state of health. What level of care is this client seeking? A) primary care B) secondary care C) tertiary care D) quaternary care - precise answer A A customer purchases a plane ticket and flies overseas to Germany. While in Germany, the individual becomes ill and travels back to the United States to be seen by primary care health care provider. Once seen by the primary health care provider, the client is placed in isolation at a nearby hospital. Which challenge of the health care delivery system correlates with this situation? A) ensuring access to care for all human beings B) providing both preventive and curative services C) responding to actual and future epidemics D) enabling optimal health essential to high quality of life - precise answer C A 95-year-old client is admitted to the hospital with dehydration secondary to a fall that occurred 3 days prior to admission. The client's adult child found the client on the floor. The client was unable to reach a phone to call for help. At the hospital, health care providers stated that the client was not a candidate for surgery due to the client's age and anticipated quality of life. Which challenge of the health care delivery system correlates with the situation? A) allowing consumer participation in the provision of health care services B) determining the optimal balance between illness treatment and quality of life C) providing both preventive and curative services D) attaining an effective system using governmental support and private resources - precise answer B A 25-year-old adult graduates from college and obtains a job working for a bank that offers a good salary, good hours, and medical and dental benefits. Which type of health care funding model would best describe the medical benefits provided by the employee and employer? A) The national health service model B) The mandated insurance model C) The Medicaid insurance model D) The entrepreneurial insurance model - precise answer D A 45-year-old individual has been transferred to Japan for work and has elected to utilize Japan's national health service model as insurance. Where does the national health service model get funding? A) general tax revenues B) nonprofit insurance funds C) individual purchase D) income tax revenues - precise answer A A worker in Brazil utilizes the mandated health insurance model for health care insurance. When describing the mandated health insurance model to an American friend, the worker will discuss the funding occurs through which revenue source? A) income tax revenues B) nonprofit insurance funds C) individual purchase D) general tax revenues - precise answer B Which topics would be appropriate to include in this presentation? Select all that apply. A) Percentage of rise in health care cost when compared to rate of inflation. B) Impact of limited choice of health care providers willing to see clients with certain healthcare plans. C) Disproportion of health insurance cost from entry level worker making low wages compared to those in upper management. D) Workers with no health insurance ignoring manifestation of disease until it becomes life-threatening. E) Increase use of alternative medical practices rather than seeking care from a health care provider because of cost differences. - precise answer A,C,D While attending a high school career fair, a nurse is asked "Why does no one want to be a nurse anymore?" Which would be the best reply, based on the health care workforce 2015 report? A) "Not true. There are thousands of nurses in the U. S." B) "The shortage relates only to the fact that more people are living longer and have more chronic diseases." C) "Today's nurses don't want to work the usual 40 hour/week." D) "There is not enough people interested in the profession so we attend events like this career fair to encourage you to considered nursing." - precise answer D When asked by a foreign exchange student why health care costs are so high when compared to their small country, the parents of the American student identifies which sources to be responsible for the higher cost of health care? A) American nurses demand higher pay than the nurses in their small country. B) The increased use of highly technical equipment and expensive medications fuels rising costs. C) The internet is utilized by many clients who ultimately demand the most expensive diagnostic tests, meals, and medications. D) Overall, the U. S. just takes better care of their people than most other countries. - precise answer B A nurse is explaining to a client about standardized methods for managing their COPD. The client is not "on board" since they think that more expensive treatment and medications would make them "better." Every day this nurse maps out expected interventions along with discharge planning and instructions. Once the client has reached the "desired outcome," this nurse recommends discharge to home. Which hospital department has this client been working with? A) social services B) risk management C) case management D) legal department - precise answer C A nursing student (NS) is reading a research article entitled, "Changing the model of care delivery: This NS is considering working for an organization after graduation that will allow them to deliver holistic care so the care the client receives will be coordinated and not fragmented. Which delivery model is this NS looking for? A) functional nursing B) team nursing C) total patient care nursing D) modular nursing - precise answer C When discussing "Obamacare" in a classroom discussion, many students identified which outcomes as being positive following implementation of the Affordable Care Act (ACA)? Select all that apply. A) Young adults (ages 19 to 26 years) were able to stay on the health insurance policy of their parents. B) Availability of more free-standing specialty outclient surgery centers resulted in decreased health care costs. C) All 50 states expanded Medicaid coverage for persons with incomes up to 400% of the federal poverty level. D) Closing smaller healthcare organizations resulting in consolidation of care that was financially better for their out-of-pocket expenses. E) No changes were made to the choice of health care providers the client could choose to go to for care. - precise answer A,B A nurse is taking a class on nursing research. The student is preparing to defend their thesis and thinks about all the contributions that can be made to the nursing profession. Which contribution can a baccalaureate nurse provide to research in the profession of nursing? A) participating in nursing education projects B) suggesting nursing research questions C) using nursing research findings for discussion D) promoting a sense of encouragement for colleagues - precise answer B A nurse has noted what he or she thinks is a "better," more efficient way to perform central-line dressing changes. They are thinking about putting a scientific study together for research. Given this, which is the first step the nurse should take to begin the research process? A) collecting data about how other nurses change central-line dressings B) reviewing the literature on central line dressing changes C) defining variables that can be controlled during the dressing change D) raising questions about how to streamline central-line dressing changes - precise answer D The common purpose of quantitative and qualitative approaches to research is to gain an understanding. Which category does the researcher, using the quantitative approach, view as necessary to objectively distance himself or herself from subjects? A) view of truth B) view of reality C) view of relationships D) view of nursing - precise answer C A nurse is working on a doctorate degree in nursing. The nurse's employer has recently hired a group of nurses from the Philippines to help with their nursing shortage. This nurse has designed a quantitative research study looking at how foreign-born nurses view their role as "care provider". This is an example of what emphasis on quantitative research nursing practice focuses on? A) demonstrating an empirical, analytical emphasis B) demonstrating a human, science emphasis C) demonstrating an empirical, science emphasis When trying to identify how to write conclusions and implications regarding their research study, a nurse researcher discusses with the mentor the factors involved with the project. Which factor best describes differences related to quantitative and qualitative research findings when writing conclusions for the written thesis? A) The quantitative approach utilizes more statistical analysis than do qualitative studies. B) The quantitative approach utilizes a theoretical approach; the qualitative approach uses development of new nursing knowledge. C) Qualitative studies provide a foundation for future hypothesis testing; quantitative studies do not. D) Qualitative studies have more generalizations than do quantitative studies. - precise answer B A nurse working in the emergency department is designing a research topic related to workplace hazards. Which professional associations/ governmental agencies conducts ongoing studies related to workplace hazards for nurses and may provide a wealth of knowledge for this nurse researcher? A) Oncology Nursing Society B) American Nurses Association C) American Association of Critical Care Nurses D) National Institute for Nursing Research - precise answer B Research utilization model is a term that a nurse was trying to define, but the nurse could not come to grips with what it meant to the profession of nursing. In trying to determine the importance of the concept, the nurse came across a model where a five-phase, critical-thinking and decision- making process assists the individual practitioner in using published research. Which model uses published research? A) Stetler's research utilization model B) Theory of diffusion of innovations C) Iowa model D) Thunder project by AACN - precise answer A A nurse has gone back to school to complete a Master's degree in nursing education and is currently taking a research class. Since the nurse works on an orthopedic unit, they have an extreme interest in studying music therapy as a way to decrease pain. Which step in the research would be the next item to address? A) Financial cost of hiring a music therapist. B) Identify resources (type of music) available for implementation. C) Perform a literature review to provide general background and see if this topic has been studied. D) Establish tentative hypotheses for the focus of the research. - precise answer C A nurse researcher has developed a hypothesis. Now they are evaluating the type of research design suitable for the study. They basically want to manipulate two specific variables on other variables. In consultation with their faculty advisor, which research design would be best for the proposed research hypothesis? A) a descriptive design B) an experimental design C) an historical design D) ethnographic research - precise answer B A nurse has developed a research study on her clinical unit. They are anxious to get started. However, before they can begin the actual data collection, what step in the research design must occur? A) Obtain approval from the institution and obtain client informed consent. B) Develop a data gathering instrument from scratch ensuring it is specific to the hypothesis. C) Seek counsel with risk management to review any critical incident they anticipate might occur. D) Find someone to collect data from the clients so objectivity can be maintained. - precise answer A A nurse is utilizing Rogers' Diffusion of Innovations theory to study the use of "slick sheet" system to assist nurses in turning immobile clients. The nurse is visiting with their colleagues asking further opinions about trying the "slick sheet" for one month. The nurse is in which stage of the Rogers' theory of Diffusion of Innovations process? A) Stage 1—Knowledge B) Stage 2—Persuasion C) Stage 3—Decision D) Stage 5—Confirmation - precise answer B A nurse has developed a research project utilizing a "Sleek Sheet" system looking for ways to decrease nurses' back strain when repositioning immobile clients. This nurse is using the "Stetler Model of Evidence-Based Practice." After gathering data for 2 months, analysis of data is performed. At this phase, the manager wants to extend the pilot study to other nursing units. Which phase in the Stetler Model of Evidence-Based Practice has the research project reached? A) Phase II—V alidation. B) Phase III—Comparative Evaluation C) Phase IV—Translation/application D) Phase V—Evaluation - precise answer D A Filipino nurse practices nursing in a hospital in the United States. In looking at the definition of cultural competence, a life-long journey that requires the elimination of ethnocentrism (belief that one's way is best) and an unconditional acceptance of cultural diversity, the nurse is moved to provide an in-service on cultural factors to enhance nursing care. Which step to acquire cultural competence involves learning how to read verbal and nonverbal messages? A) becoming culturally aware B) learning specific communication strategies C) identifying biases in one's own self D) interacting with different cultures - precise answer B A hospital administrator was making rounds on the "off" (night) shift and noted a nurse who they considered to be culturally competent. What quality did this nurse display that lead the administrator to categorize them a being a culturally competent nurse? A) attempting to provide privacy when culture dictates it B) greeting clients the first time they meet C) making clients and colleagues feel cared for and appreciated D) passively listening to those whom the nurse does not understand - precise answer C A nurse reviews nursing models specifically related to culturally diverse groups of client populations as a part of their journal study project. Which model indicates socialization is the focus to care for culturally diverse groups? student eating alone in the cafeteria (classmates are all eating at a different table); studying alone in the library where classmates have joined various study groups; spends little time visiting with nurses on the clinical unit when their clients are sleeping. What term best describes what this student is experiencing? A) cultural diffusion B) cultural blindness C) cultural identity D) culture shock - precise answer D During nursing fundamentals class, the professor begins by stating the most recent data from U.S. Census Bureau (2011) related to growth of various ethnic groups. The students are asked to vote for which group represents the fastest growth rate of ethnic groups (thereby leading to rise of this minority nursing population)? Which groups of students correctly answered this question? A) Group 1 voted American Indian/Alaskan Native. B) Group 2 voted Black/African American. C) Group 3 voted Hispanic/Latino. D) Group 4 voted Asian or Native Hawaiian/Pacific Islander. - precise answer D During the first lecture in the [Nursing] Professional Developmental class, the faculty discuss the 2015 National Workforce Survey of Registered Nurses. One student who was of Hispanic nationality asked, "I know lots of Hispanic/Latino people living in this area. How many licensed nurses are currently working as an RN in the U. S.? What is the most accurate answer the faculty can give to this question? A) Less than 1% of the nursing workforce is of Hispanic/Latino decent. B) About 3% of the national workforce of RNs are Hispanic/Latino. C) Black/African Americans are the largest ethnic group of nurses. D) Sadly, this ethnic culture rarely go to college let alone nursing school. - precise answer B A nurse is studying anthropology in the humanities class to fulfill a general education requirement. In the student's nursing studies, the student is learning about Culture-Specific and Culturally Congruent Care as it applies to nursing. Which example below would be considered a culturally congruent care? Select all that apply. A) Having the Native American tribes spiritual leader (shaman) perform a specific healing ceremony immediately following surgery. B) Serving "hot" and "cold" foods and beverages to a Chinese woman who is hospitalized for brachytherapy to treat cervical cancer. C) Turning on soft music to drown out the noise at the nursing station for an elderly Puerto Rican client. D) Allowing the family of an Eastern Indian client to bring in remedies made from vegetables following amputation for gangrene of the foot. - precise answer B,D A nurse educator attends a conference focused on teaching nursing models specifically related to culturally diverse groups of populations. This educator got into a discussion with other attendees about development of a deep self-awareness of personal existence, feelings, ideas, and emotions while not allowing these to influence actions/interventions when working with persons from other cultures. This discussion group is primarily talking about which transcultural nursing theory? A) Leininger's sunrise model and theory of culture care diversity and universality B) Purnell's model for cultural competence C) Spector's model of heritage consistency D) Giger and Davidhizar's transcultural assessment model - precise answer B When caring for an individual of Japanese culture who speaks primarily Japanese, what should the nurse due prior to performing the initial physical assessment? Select all that apply. A) Ask the client for permission to touch them. B) Call their American-raised children and ask if there is anything you (the nurse) should know before during a complete head-to-toe assessment. C) Contact an interpreter to attend the first assessment so factual information about their signs/symptoms can be shared. D) Rely on the unlicensed assistant personnel (UAP), who is also of Asian descent, to help you perform the assessment for the first time. E) Ask family members who know ESL to translate word-for-word what information you (the nurse) are trying to obtain. - precise answer A,C An elderly Chinese man reporting chest pain was brought to the Emergency Department by family. As the female RN started to lift his shirt to place a stethoscope on his chest, he grabbed her arm and stopped her. The nurse should perform which step next in order to provide safe, effective care to this client? A) Ask a male nurse working in the ED to help with the assessment. B) Assess the client for mental changes that may indicate a stroke. C) Apologize and call for an approved language interpreting service to have them explain what interventions she wants to provide with his cooperation. D) Find family members and ask if the person can speak English and Chinese. If so, ask them to interpret what you are going to assess. - precise answer C A nurse who is a devout Roman Catholic is assigned to care for an older adult client from Brazil. The client became ill while vising family in the United States. The ED diagnosed pancreatic cancer with metastasis throughout the client's body. Upon entry into the room, the nurse notes the client's eyes are closed but is moving her lips while touching beads. What action by the nurse would be appropriate at this time? A) Withdraw from the room and give the client plenty of time to say her prayers. B) Ask the hospital chaplain (not a priest) to come handle this situation since you are too busy to stay with the client. C) Let the staff know to keep the noise low outside this client's room. D) Stay with the client, sitting close by the bed, being with the client. If comfortable, ask permission and say prayers with her. - precise answer D A young female nurse has decided to embark on an international nursing experience by accepting a very lucrative offer to work in a hospital in Saudi Arabia for one year. Once she arrives in Saudi Arabia, where is the first place this nurse should visit? A) hospital employment office B) hotel where she is assigned to live C) U. S. consulate or embassy D) postal office to register her nursing license - precise answer C An adjunct clinical faculty member is meeting with her fellow peers during the lunch hour. The faculty member is concerned about one of their students who is of Asian culture. The faculty expresses concern that the student's outward appearance is "cold and distant" since the student will When the nurse analyzes accountability to themselves, which question provides a self-assessment of professional accountability? A) Should I seek additional preparation (education) for that role? B) If I am not satisfied with that job description, am I seeking appropriate ways to change it? C) Am I working in accordance with the policies and procedures of the institution? D) Am I complying with the ethical code of the profession? - precise answer A When the nurse analyzes accountability to the profession, which question best provides a self-assessment of professional accountability? A) In areas where I am dissatisfied, am I seeking alternative modes of action or thought? B) Should I withdraw from that role until I receive additional preparation? C) Am I working within the profession to improve practice, education, or research? D) Am I working in accordance with the policies and procedures of the institution? - precise answer C When the nurse analyzes accountability to the agency, which question best provides a self-assessment of professional accountability? A) Am I seeking to ensure that I am practicing under safe, if not optimal, conditions? B) Am I incorporating what I know of nursing theory and research into my practice in this situation? C) Am I complying with the ethical code of the profession? D) Am I acting in accordance with my own ethical code and that of the profession? - precise answer A A nurse is working on a busy medical-surgical unit. They are caring for 6 clients with the help of an LPN. The nurse is behind schedule for giving medication. The nurse begins to hand an IV push medication to the LPN for them to administer. But then the nurse recognizes this is outside the scope of practice for LPNs. This is an example of which trait possessed by RNs to be accountable to standards of practice? A) ethical B) autonomy C) authority D) competence - precise answer D A nurse in a rural area comes to work to find that he/she is the only nurse for the shift to care for 12 clients. The nurse believes this is too many clients to care for on a busy night in the medical-surgical area and calls the supervisor. Which form of accountability is best illustrated in this example? A) accountability to the profession B) accountability to the agency C) accountability to self D) accountability to third-party payer - precise answer C When the nurse analyzes accountability to the public, which question best provides a self-assessment of professional accountability? A) Am I seeking to ensure that I am practicing under safe, if not optimal, conditions? B) Am I speaking out against abuses I see in health and nursing care? C) Am I satisfied with my chosen profession? D) Should I seek additional preparation for that role? - precise answer B A nurse practitioner who works in the hospital of a large suburban city is accountable for a health care practice involving 30 clients. A student nurse asks the practitioner "Which professional organization set up practice standards for service, practice, and education?" Which agency would be a correct response to this question? A) The American Nurses Association (ANA) B) Institute of Medicine (IOM) C) The National Council of State Boards of Nursing (NCSBN) D) The Joint Commission - precise answer A Peer review activities are monthly occurrences on the medical-surgical unit of the local hospital. Which statement best describes the primary outcome for peer reviews? A) awareness of personnel concerns B) improved quality of client care C) awareness of practice concerns D) increased employee professionalism - precise answer D A nurse is working on a busy rehab unit caring for an immobile older adult client who has 3rd degree decubital ulcers on the sacral area. The health care provider has ordered the wound packed with a sugar/betadine paste "like in the old days." The RN recognizes this practice as not being based on research and not considered an appropriate treatment for this type of wound. What is the next step intervention the RN should make? A) Research and find solid knowledge on current evidence-based practice (EBP) treatment options. B) Confront the health care provider at the nurse's station and refuse to carry out their order. C) Ask a peer to perform the treatment since the RN has never seen this done before. D) Document in the medical records the rationale as to why the prescribed order was not implemented. - precise answer A Which clients would the RN consider delegating the task of assisting with feeding to the UAP? Select all that apply. A) Client with mobility problems related to a sacral spinal cord injury many years ago. B) Client with new onset right-sided CVA with paralysis on left side and some speech difficulties. C) Client with Multiple Sclerosis who is confined to a wheelchair for mobility. D) Client with terminal lung cancer with metastasis to liver and bone having difficultly controlling their bowel/bladder. E) Client admitted in acute respiratory failure who is on 40% oxygen via venti-mask who is struggling to breathe and maintain oxygen saturation levels. - precise answer A,C,D A hospital infectious disease department has noted a sharp rise in ventilator acquired pneumonia (VAP). The Infectious disease nurses spent some time monitoring the ICU areas observing hand hygiene and suctioning techniques of the staff. After several weeks, a trend was noted related to noncompliance with proper handwashing and poor sterile technique when suctioning ventilated clients. Education was provided to all staff. Evaluation was initiated and overall compliance with policy resulted in decrease in VAP. This is an example of which type of accountability? A hospice nurse has taken medications to a client's home for the purposes of pain control. A client dies, and the nurse is forced to flush all narcotic agents down the toilet to avoid use by any other person. What is the immediate effect on the environment? A) drinking water contamination B) increase in water pollution C) changes to wildlife habitats D) unforeseen human illness - precise answer A After a busy day at the office, the nurse comes home and begins to make dinner. Currently, they are the only person home and are enjoying a few moments to relax and unwind from their busy day. This time to relax and release emotional feelings helps foster which type of health? A) psychological B) physical C) social D) global - precise answer A A group of colleagues in the hospital workplace formed a partnership committee to look at toxic work environments at the hospital. After many meetings, the group has reached the point where they have engaged in meaningful dialogue. Their next step was to develop an educational in- service whereby the group would foster all interested persons on the journey to continuously learn and grow as supportive colleagues? Which basic partnership principle is this outcome focusing on? A) balance B) intention C) trust D) potential - precise answer D A local church has asked for volunteers (including a nurse) to assist with a group of teens in promoting healthy lifestyles.Several weeks into the voluntary program, the group (including the nurse) shares some observations about the group members. Which behaviors discussed alerts the group that one member might be displaying a precursor to violence? Select all that apply. A) likes to sit away from others B) fascination with playing violent video games C) inappropriate angry outbursts D) making fun of others E) teasing females by hiding their purses - precise answer B,C Which environmental factor in the hospital workplace can contribute to and impair a nurse's health? A) sharps disposal container that is full B) nonlatex gloves used throughout the hospital C) malnourished client D) wearing a surgical mask throughout a long procedure - precise answer A An unlicensed assistive personnel (UAP) member of the health care team has developed a latex allergy. The nurse has met with the UAP and discussed what prevention strategies the individual needs to take to remain safe. Which strategy would be best for preventing latex allergies? A) encourage use of soap and water for hand washing B) make alcohol-based hand cleansers accessible C) use latex-free gloves exclusively when gloves are needed D) persuade employer to remove nonlatex-containing supplies - precise answer C An occupational health nurse is presenting a seminar on environmental factors and the quality of human health. Which signs/symptoms shared by an audience member leads the nurse to suspect they may be exposed to air pollution? Select all that apply. A) Just walking to the microphone brings on shortness of breath. B) Has been out sick with pneumonia three times in the past year. C) Noticeable joint abnormalities on hands, bilaterally. D) States they have developed "asthma" in the past year requiring inhalers. E) Spouse complains that their snoring has gotten louder in the past year. - precise answer A,B,D An occupational health nurse is presenting a seminar on environmental factors and the quality of human health. This hospital is considered a "Magnet Hospital" model. These hospitals provide empowering environments for nurses. Which statement would be considered an essential element displayed by the nursing staff in this hospital? A) perceived chronic understaffing offering bonus for nursing working overtime B) clinical competence in colleagues who engage in research activities C) control of policy and procedures rests with an administrative committee D) nurse and health care provider competition to challenge up-to-date EBP - precise answer B Which energy-conserving strategies can impact positively on the home environment of a client? A) close blinds, shades, and curtains during the summer B) limit vehicle warm-ups to 30 seconds C) buy canned soup instead of instant soups D) mow the lawn in the evening - precise answer A A nurse was discussing the environment with a local nursery worker when purchasing plants for the garden. On the way home, the nurse begins to think about how the environment affects all of us. When looking at the global environment, which global problem can be attributed to placing a demand on the environment for more food, water, and space? A) global warming due to melting of icebergs B) increased population growth C) pollution caused by automobiles D) age of convergence (when income of poorer nations exceeds that of rich nations) - precise answer B In Haiti, a hurricane has brought about a large death toll, especially due to the heavy rains afterward. Many victims lived in a new "flood plain" area since rainforest trees were cut down, making way for the building of structures. The text would consider this which type of "environmental surprise." A) discontinuity B) synergy C) unnoticed trend D) catastrophe - precise answer B A client is interested in learning more ways to promote a healthy lifestyle. Which processes would be a way to introduce simplification into their life? Select all that apply. A) purchasing trendy outfits that are fun and disposable B) incorporating more organic, natural foods into their daily diet C) channeling work and spare time to bring out creativity D) commuting to work using subway system rather than individual automobile C) electronic documentation app D) hospital provided computer tablet - precise answer D A nurse is interested in pursuing further education in nursing informatics. While researching the educational programs from various universities, the nurse finds that a degree in informatics nurse specialist will require which type of schooling? Which degree does the informatics nurse specialist hold as the minimum requirement? A) associate's degree B) master's degree C) baccalaureate degree D) doctorate degree - precise answer B A nurse attends a conference and learns about the area of nursing informatics. The nurse has always been interested in helping to develop a nursing assessment program that would more clearly allow for detailed documentation of clinical practice. Which degree does the informatics innovator hold as the minimum requirement? A) doctorate degree B) master's degree C) baccalaureate degree D) associate's degree - precise answer A A nurse utilizes the nursing process to take care of clients in a busy ICU surgical unit in a suburban hospital. The nurse uses bedside and handheld monitors to collect a variety of information, including blood glucose level, clotting time, electrocardiograph rhythm, cardiac output, blood pressure, oxygen saturation of hemoglobin, and temperature. For which part of the nursing process does the nurse use the above technology? A) Assessment B) Planning C) Implementation D) Evaluation - precise answer A A Hispanic client comes to the hospital in pain and is admitted to the ER due to cholecystitis. The client does not speak any English. An interpreter had been used during the course of treatment, and now the client is ready to be discharged. Which technology best assists the nurse in client teaching during the discharge process for a client such as this? A) care plans generated by software programs based on nursing diagnosis B) computerized documentation through the use of handheld computers C) software that translates client educational materials into multiple languages D) software allowing access to x-rays in digital format to be read by radiologists - precise answer C The nurse is caring for six clients. All the clients need medication passed at 0900. The nurse relies on which technology to prevent making a medication error? A) Personal digital assistant (PDA) B) Handheld computers C) Computerized medication-dispensing stations (CMDS) D) Pharmaceutical software programs - precise answer C A nurse works only when needed on a hospital floor (prn) and is frustrated by the constant in-services they have to attend relating to equipment. The nurse has several children and lives at least 1 hour away from work. What is the challenge of technology in the workplace that this nurse is experiencing? A) balancing technology with life B) ethical decisions regarding technology C) accessing information D) struggling to stay abreast of new technologies - precise answer D A case manager is working for an insurance company and is doing research on ethical considerations from a payer's view. Which technology involves ethical concerns regarding access issues relating to items for which the insurance company does not pay? A) use of technology 24/7 B) stem cell therapy and research C) use of robotics in health care D) genetically designed medications - precise answer D A client is interested in pursuing a test to determine if there is a predisposition to breast cancer since it is in the family history. Which technology relates to ethical and legal concerns regarding right to privacy issues when specific innovative testing is performed? A) stem cell research B) electronic medical record C) genetic testing D) HIPPA violations - precise answer C A client gives permission to have the hospital bill the insurance company for surgery that the client is undergoing. A friend works at this hospital and the client wonders if the friend would print off a report. Which provides the best answer regarding ethical concerns relating to the misuse of client information? A) Electronic Medical Record B) HIPPA violations C) Data security issues D) Documentation issues - precise answer B Which scenario best describes one of the hazards of using electronic health records (EHR)? A) Every item documented utilizes the same standard terminology. B) Increase usage of paper since the majority of nurse's print off computerized reports to help with organizing their day. C) During a weather power outage, the nurses document simplified noted on assessment findings which may be entered into HER later. D) Nurses receive multiple reminders of care regarding procedures they have missed or are late in providing. - precise answer C The nurse in the intensive care unit (ICU) has a client with multiple IVs for several different medications that the client has been prescribed. For which part of the nursing process does the nurse use the technology of computerized IV pumps to help calculate mcg/kg/min for a vasopressor drug prior to hanging the medication? A) assessment B) planning C) implementation D) evaluation - precise answer C A client receives their breakfast tray, which was delivered to the unit by the nursing bot while nursing staff perform other more important clinical duties. In addition, a surgeon performs surgery on a client at another hospital while manipulating the instruments from the urban hospital where the surgeon A victim of a motor vehicle accident who is seen in the emergency room of a rural hospital can receive consultation from a trauma team at a larger urban trauma center by way of video technology. This is an example of which type of consumer health informatics services? A) Telemedicine B) Telehealth C) Telemonitoring D) Education informatics - precise answer A A nurse in the ICU spends much of the time in front of the computer monitoring their clients. An ECG alarm goes off that looks like ventricular tachycardia. The nurse goes into the room and gives the client a precordial thump (that results in a fractured sternum). The client screams. Later on, the family is overheard discussing legal actions. Which best describes what happened in this incident that could be avoided in the future? A) Nurse should have called a "code blue" before the precordial thump. B) Nurse should have administered epinephrine 1 mg per IV prior to the thump. C) Nurse should have watched the monitor for at least 30 seconds prior to any intervention. D) Nurse should have performed an assessment of the client rather than focus solely on the machinery. - precise answer D The nurse in a health care provider's office looks at the charts for the next day to determine who is coming to the health care provider's office to plan for the day. The nurse begins to think about one particular individual who recently lost their spouse. The nurse is looking forward to visiting with this person about how they are handling the loss. When thinking about this person, how would the nurse best define this person as an individual? A) two or more individuals who depend on one another B) groups of people with common interest with open communication C) recipient of nursing care unique and continuously evolving D) a person progressing through life - precise answer C A family is in crisis from an automobile accident that has seriously injured three of the family members. A nurse who works in rehab uses which of the following to best describe the definition of families from Artinian's perspective? A) a group of people with a common interest with open communication B) a combination of people who work in the same area C) an organized whole; individuals are parts of the system and are interdependent D) a recipient of nursing care who is unique and continuously evolving - precise answer C A group of students in their second year of nursing school joins the Student Nurses' Association. The chairperson of the group discusses the need for volunteers to help out at the health fair. This group of students have .open communication networks between the structure and function of the organization working towards the greater good of the societal systems? Which word best describes this relationship of the organization?A) community B) individual C) family D) system - precise answer A A nurse working in the outclient clinic identifies a concern regarding a community suburb when the health care provider mentions to the nurse that this was the fifth case of Lyme disease seen from this community suburb. Which theory demonstrates the conceptual model that best fits when the nurse thinks of the community as being in need or the recipient of care? A) geopolitical model B) perception as community model from a human becoming perspective C) human field-environment model D) systems model of community as client - precise answer D A client comes to the hospital and is being treated for breast cancer. The client's sister visits and is interested in her sister's history after she left home. The client's sister doesn't know much the client's life in the last 10 years because she moved away to a city in another state. The client had an abortion in the past and has never told anyone. When working with families, what ethical issue can best describe a violation of the client's privacy if information is presented to a family member without the client's permission? A) confidentiality and privacy of one's health care information B) family needs over individual client's needs C) individual client's needs over family needs D) adding family stressors to situation - precise answer A A nurse in an occupational work setting notices unusual behavior from a worker who has been "ill" for several weeks. After returning to work, the nurse notices bruising to the face and a broken arm, for which the employee states, "It was just an accident." The nurse suspects abuse but does not confront the client at the time. One month later, the client is on life support due to a traumatic brain injury. Which nursing specialty would be best prepared to handle this case if something like this were to happen again? A) Armed Forces nursing B) school nursing C) forensic nursing D) nursing the Incarcerated - precise answer C A nurse working on the medical-surgical unit uses the change/stability models of nursing as their main practice philosophy. Which model would this nurse be using if they believe that the family is a social system made up of a group of interacting individuals focusing on goal attainment? A) Parse's human becoming model B) Newman's theory of health as expanding consciousness C) King's systems interaction model D) Neuman's health care systems model - precise answer C A nurse in graduate school is focusing their research on community nursing. Which perspective best represents the individual as the basic unit of the community; that is, the community is a number of separate individuals? A) aggregate perspective B) human system perspective C) unitary perspective D) human field perspective - precise answer A A nurse practitioner is caring for an elderly client who has developed renal failure. Which actions demonstrate the practitioner's belief in practicing patient-and family-centered care (PFCC)? Select all that apply. A) Listen to the client and family members during the visit as they express changes in activity levels. searching for a provider who will care for the entire family and focus on maintaining their health. If a health care provider practices The Friedman family assessment model, which statements accurately represent their practice model? Select all that apply. A) Assessing and meeting the emotional needs of the client is the priority. B) The client is seen as an individual within the family context that has a need for nursing care. C) The incorporation of social events will improve "moods" for both that client and their caretakers. D) The family as a whole equal's one unit of care focused on positive outcomes. E) The client's coping mechanisms may irritate the family members caring for them. - precise answer B,D A pediatric nurse practitioner (NP) has been asked by parents of a 16-year old male to assess him for possible illicit drug abuse. They have noticed his grades are dropping, he seems to "hang" with a different peer group, he disobeys curfew rules, etc. If the NP uses Parse human becoming as their model for nursing practice, which interventions would they implement? Select all that apply. A) The NP would expend energy with the teen to uncover the meaning that underlies the behaviors changes the parents have identified. B) The NP would truly be present with the family as they express concerns that would ultimately reveal the meaning behind the teen's changes of behavior. C) The NP would intervene to facilitate re-patterning the family into a higher level of consciousness. D) The NP would focus on understanding all mechanisms that affect the life process of the teen, one of which is the family. E) The nurse would consid - precise answer A,B Home health nurses are working with a child born premature who is now dependent on a ventilator for breathing. The nurse caring for the child has researched the topic of technology-dependent children and what effects this may have on both the child and their parents. Which statement best describes the nurses findings? A) Maternal depression symptoms were significantly reduced when the child is no longer dependent on technology. B) Normalization of family function did not improve when the child is no longer dependent on technology. C) An increase in maternal depressive symptoms occurred when the child remained dependent on technology for an extended period. D) The child began demonstrating depressive symptoms when they remained dependent on technology for an extended period. - precise answer A A high school nurse is suspicious that one student is anorexic. The student has sunken eyes, pale skin color, and is wearing "baggy" clothing to conceal weight loss. If this nurse practice is based on Orem's self-care deficit theory, what interventions would the nurse implement? A) Offer education about eating disorders. B) Assess the student and family for their ability to access physical and mental health services independently. C) Work to build trust and rapport with the family unit and collaborate with the family to set goals. D) See that the health status of the student was a manifestation of the pattern of the whole. - precise answer B Two college students committed suicide the week before final exams. It appears that the students were not doing very well and knew they were going to lose their scholarships. The professional nurse for the college is developing a program to increase awareness of resources and services available to students, free of charge, to help them resolve the problems. This is an example of which type of preventive strategy? A) primary B) secondary C) tertiary D) acute crisis - precise answer A A nurse in a busy orthopedic health care provider's office looks for ways to improve client education and begins investigating the concepts of teaching and learning. What is the rationale for identifying clients as "experts" in the client education process? A) The client is an expert on how issues affect him or her. B) The client is an expert on what he or she needs to know. C) The client is an expert on alterations in health. D) The client is an expert on how to learn. - precise answer A A nurse in an outpatient surgery center looks for ways to improve client education at discharge and explores the concepts of teaching and learning. What is the rationale for identifying nurses as "experts" in the client education process? A) Nurses help clients to teach. B) Nurses are experts in assessing clients. C) Nurses are experts on how issues affect clients so that mistakes won't occur. D) Nurses can help clients learn new action and problem-solving skills. - precise answer D A client asks the nurse to teach her some ways to hold her baby when she breast-feeds since the baby is not latching on appropriately. The client is frustrated and appears snappy to the nurse. The nurse replies that she will have to come back in 10 minutes and will bring some information that will be helpful to the client. In 10 minutes, the nurse returns with a booklet and some materials to teach the client. The client appears more relaxed and is able to listen to the suggestions that the nurse makes. What major communication concept involves the feelings of self-worth that come with a successful teaching-learning process? A) mutuality B) respect C) genuineness D) empathy - precise answer B A health care provider states that a client will be going home in 3 days and that education is needed regarding home administration of oxygen. The nurse evaluates the client and determines that the client is having anxiety about going home because of their "inability to breathe well." The nurse listens to the client's concerns and determines that teaching will need to occur the next day after these concerns are discussed. The nurse in this situation was real, open, honest, and caring to the client. Which communication concept was used by the nurse?A) respect B) mutuality C) empathy D) genuineness - precise answer D A) The client understands the educational material. B) The client has mastered a particular health care skill. C) The client uses the new information or skill effectively. D) The client must be validated by persons significant to the client. - precise answer D A client receives feedback on her breast-feeding technique by the lactation consultant. Constructive feedback such as this causes what to occur in learners? A) Learners present more questions. B) Learners learn faster. C) Learners identify barriers. D) Learners want to learn more. - precise answer D A nurse and client require effective communication in the client education process. A nurse who is trying to improve communication skills identifies three concepts that facilitate teaching-learning. Which concept looks at the perceiving each other as real and as genuinely human, open, honest, and caring in their responses to each other and will generate effective educational plans as a result? A) respect B) empathy C) mutuality D) genuineness - precise answer D A student nurse takes a test and is relieved when receiving a perfect score for her test on theories and models in nursing. Which model uses the central concern as the communicative understandings of meanings given by people who live within the situation? A) Watson's model of nursing B) Bruner's learning models C) Benner's novice-to-expert model D) Diekelmann's phenomenological model of curriculum - precise answer D When visiting with a cancer client and their family, the nurse realizes they are doing extensive research on the internet. The nurse shares with them how to find legitimate sources of information on their disease process. Which computer site evaluation tips should they share in terms of how to spot an unsuitable source? Select all that apply. A) Product declares "shark cartilage" will slow the process of cancer replication. B) Site was placed 10 years prior but has no updates since then posted. C) Site has lots of testimonials declaring the product is beneficial but no way to follow-up with clientele. D) Website was located on a governmental source funded by National Cancer Institute. E) Site is run by a nonprofit organization that only discusses one disease (i.e. American Cancer Society). - precise answer A,B,C Which examples demonstrate the implementation of motivational strategies for learning when working with a female client who had a left radical mastectomy and primarily speaks Spanish? Select all that apply. A) Asking the client how they plan on increasing the flexibility of their left arm. B) Providing literature in Spanish related to nutritional needs to help promote wound healing. C) Waiting for family to arrive before removing their dressing so all can see the wound. D) Placing reading materials in the room quietly so as not to wake up the resting client. E) Providing a list of medications and time they need to take them as there are being discharged off the unit. - precise answer A,B A nurse is discharging a client following inclient care for a stroke. The client and his significant other are able to verbalize side effects of new medications and the signs/symptoms of a stroke. However, they insist they will not pay for an ambulance ride to the hospital if they have another "episode." How can this nurse intervene for the safety of this client? Select all that apply. A) Contact immediate family to let them know that transporting a client with symptoms of a stroke could have life-threatening consequences. B) Notify their home health nurse so they can reinforce the information about call 911 when first notice symptoms of a stroke. C) Deny their discharge and notify the nursing supervisor to come help intervene with this family teaching. D) Refer the client and significant other to a community-based stroke education program which will reinforce teachings. E) Re-teach this material and then document cl - precise answer A,B,D,E Which client scenario would meet the federal-funded core measures concerning core client documented education of the Centers for Medicare and Medicaid Services (CMS)? Select all that apply. A) Bonding measures observed on a new mother who delivered twins less than 12 hours ago. B) Smoking cessation education provider to client recovering from myocardial infarction. C) Infection control measures to implement at home following conversion of HIV status. D) Encouraging a heart failure client to weigh themselves daily to monitor effective management of current prescribed medications. E) Reviewing possible side effects when client are discharged with new "home" medication prescriptions. - precise answer B,D,E An elderly client has multiple disease processes. They see a cardiologist for HF management, a nephrologist for impaired renal function, a rheumatologist for advanced arthritis, etc. The primary role of the nurse managing their care revolves around which concept? A) Ensure safety across the continuum of care, esp. regarding their medications. B) Ability to get the client to each scheduled healthcare provider appointment on time. C) Arrange for client to participate in activity enhancement classes at the local senior citizen center at least three times/week. D) Provide opportunities for their socialization needs by encouraging them to attend community activities. - precise answer A A nurse is caring for a client who was newly diagnosed with diabetes. The client is insulin-dependent and due to be discharged in 2 days. Prior to educating them about insulin administration, the nurse should assess which factors? Select all that apply. A) Ability to read teaching materials. B) Ability to perform find-motor hand coordination.