Nursing Practice Exam: Comprehensive Guide to Nursing Concepts and Competencies, Exams of Nursing

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Nursing Practice Exam 35 Questions with Verified Answers

Nursing - CORRECT ANSWER is defined as a protection promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations (American Nurses Association (ANA), 2010b) Nursing Historical Events - CORRECT ANSWER 1860 Florence Nightingale notes on nursing • Established first nursing philosophy based on health maintenance and restoration • Developed the first program for training nurses • Use EBP in her practice Modern influences in Nursing - CORRECT ANSWER Early 20th century nurses expanded and advanced practice roles were established - In the early 1950s specialty nursing organizations formed - Social influence • Health care reform • Women health care • Human rights • Threat of bioterrorism • Nursing Shortage Consumer influence - CORRECT ANSWER Culture diversity • Healthy people.gov - Safety • National patient safety goals - Health promotion and wellness • Exercise

• Nutrition Nursing as a Profession - CORRECT ANSWER A profession requires an extended education of its members • A profession has a theoretical body of knowledge leading to define skills abilities and norms • A profession provides a specific service • Members of a profession have autonomy in decision-making and practice • The profession as a whole has a code of ethics and practice Scope and Standards of Practice - CORRECT ANSWER Standard of Practice
• Standards of professional performance
• Code of Ethics ANA Standard of Nursing Practic - CORRECT ANSWER 1. Assessment 2. Diagnosis

3. Outcomes identifications 4. Planning 5. Implementation 6. Evaluation

ANA Standard of Professional Performance - CORRECT ANSWER 1. Quality of practice 2. Education 3. Professional practice evaluation 4. Collegiality 5. Collaboration 6. Ethics 7. Research 8. Resource utilization 9. Leadership Responsibilities and Roles of a Nurse - CORRECT ANSWER Autonomy and Accountability • Caregiver • Advocate • Educator • Communicator • Manager • Career development Nursing Education - CORRECT ANSWER RN program - AD -2 year program - BSN- 4 year program - MSN • Educator • Administrator • Advance practice Nurse (NP, CNS, Mid-wife) - DSN/DNP Licensure: NCLEX-RN - CORRECT ANSWER National Council Licensure Exam for Registered Nurses - Given by each State Board of Nursing - The same in every state - Provides a standardized minimum knowledge base for nurses Certification - CORRECT ANSWER In a specific area of practice - Minimum requirements are set based on the certification - Maintain by ongoing CEU Continuing education - CORRECT ANSWER Formal educational programs - Update knowledge on latest research and practices - Teaches new skills In-Service education - CORRECT ANSWER Instructional or training program Clinical Nurse Specialist - CORRECT ANSWER Expert clinician in specialized area - Educators, consultants and researchers Nurse Practitioner - CORRECT ANSWER Care for clients in an ambulatory setting - Acute care, family, pediatric, women, and geriatric Certified Nurse-Midwife - CORRECT ANSWER Care of women during pregnancy, labor and delivery - Care of new born, GYN services, family planning Certified Registered Nurse Anesthetist - CORRECT ANSWER Provide surgical anesthesia under the guidance and supervision of an anesthesiologist

Educator - CORRECT ANSWER Works in schools, staff development, and education departments - Doctorate or advanced degrees in nursing, education, or administration Administrator - CORRECT ANSWER Assistant nurse manager, manager, director, Chief nurse executive. - Holds a masters degree in business, hospital administration or public health Researcher - CORRECT ANSWER Investigate problems to improve nursing care - Academic setting, hospitals - Masters or doctoral degree Nursing Organizations - CORRECT ANSWER American Association of College Nurses (AACN) • National League of Nurses • Accreditation Commission for Education in Nursing, Inc. ( formally NLNAC) • American Nurses Association(ANA)

• National Student Nurses Association Quality and Safety Education for Nurses (QSEN) - CORRECT ANSWER Patient - Centered Care • Teamwork and Collaboration • Evidence-Based Practice • Quality Improvement • Safety • Informatics Quality and Performance Improvement - CORRECT ANSWER Every health care organization gathers data on health outcome measures as a way to gauge their quality of care. • Quality Improvement - Medication delivery - Fall management • Performance Management - Ulcers - VAP - Hospital acquired infections Evidence - Based Practice (EBP - CORRECT ANSWER A problem solving approach to clinical practice
• Integrates the best evidence, clinical expertise, and values in decision making Step of Evidence-Based Practice - CORRECT ANSWER 1. Ask a clinical question 2. Collect the most relevant and best evidence 3. Critically evaluate the evidence you collected 4. Integrate all evidence with ones clinical expertise and client preference and values in making a practice decision or change. 5. Evaluate the practice decision or change Ask a clinical question - CORRECT ANSWER Problem on interest - Time consuming
• Costly

PICO Question - CORRECT ANSWER - P= patient population of interest - I= intervention of interest - C= comparison of interest - O= outcome Collect the Best Evidence - CORRECT ANSWER - Research journals • AHRQ • CINAL MEDLINE • National Guideline Clearinghouse - Nursing journals • AJN • AACN - Peer-reviewed journal Evaluation of the Evidence - CORRECT ANSWER - Analyzing the data - Determine the value and feasibility in making practice change - Evaluate scientific merit and clinical applicabilty - Careful review of the article Integrate the Evidence - CORRECT ANSWER - Evidence is strong and appropriate for practice change - Incorporate the research in the plan of care for the client - Meet with policy and procedure makers - Pilot study Evaluation - CORRECT ANSWER Does the intervention work? - Is it effective - Track effectiveness in intervals 3-6-12 months Nursing Research - CORRECT ANSWER Nursing research provides a way for nursing questions and problems to be studied in broader context. • Identify new knowledge • Improve professional education and practice • Use resources effectively Outcomes Management Research - CORRECT ANSWER Designed to assess and document the effectiveness of health care services and interventions • A response of the health care industry to demands from policy makers, insurers, and public - Examples: Central line infections, fall's, HAI's Research Process - CORRECT ANSWER Study with human subjects - Institutional review board (IRB)

• Informed consent - Full disclosure of purpose - Full understanding - Free choice
• Confidentiality - Guarantees information provided will no identify the subject or give information to people outside the research team
• Anonymity - Cannot link subject to data