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TEST BANK Professional Nursing Concepts II - RNSG 1126 Final Exam
Review Professional Nursing Concepts II - RNSG 1126 Final Exam
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TEST BANK Professional Nursing Concepts II - RNSG 1126 Final Exam Review, Exams of Nursing
TEST BANK Professional Nursing Concepts II - RNSG 1126 Final Exam Review
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ERIC MUTHONI DOCUMENT TEST BANK Professional Nursing Concepts II - RNSG 1126 Final Exam Review Professional Nursing Concepts II - RNSG 1126 Final Exam Review ATI Medical-Surgical sity)
ERIC MUTHONI DOCUMENT
A licensed practical–vocational nurse asks the registered nurse preceptor what could be done to become more professional. What is the preceptor’s best response?
One of the first researchers to document evidence–based practice for nursing was Florence Nightingale. What did Nightingale incorporate into her practice that made her practice different from her colleagues? Nightingale based her nursing practice on her findings The ANA outlines expectations of the nursing profession in the: Social Policy Statement Recommendations published in the lOMs report The future of nursing: Leading change, advancing health include that nurses: Teach, advocate, assess, and nurture Nursing demonstrates dedication to improving public health through: Scope of practice A nurse uses effective strategies to communicate and handle conflict with nurses and other health care professionals. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating? Teamwork and Collaboration A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive? ln–service education A nurse listens to a patient’s lungs and determines that the patient needs to cough and deep breath. The nurse has the patient cough and deep breath. Which concept did the nurse demonstrate? Autonomy A registered nurse is required to participate in a simulation to learn how to triage patients who are arriving to the hospital after exposure to an unknown gas. This is an example of a response to what type of influence on nursing? Professionalism A nurse is an advanced practice registered nurse (APRN) who care for geriatrics. This nurse is which type of advanced practice nurse? Clinical Nurse Specialist A patient does not want the treatment that was prescribed. The nurse helps
Advocate A nurse must follow legal laws that protect public health, safety, and welfare. Which law is the nurse following? Nurse Practice Act A nurse is directing the care and staffing of three cardiac units. The nurse is practicing in which nursing role? Nurse Administrator A nurse is presenting at an interdisciplinary meeting about the multiple external forces that are influencing nursing today. Which examples should the nurse include? Health care reform, threat of bioterrorism, population demographics, and nursing shortage A nurse is teaching the staff about the characteristics of a profession. Which information should the nurse include? Extended Education, Theoretical body of knowledge, Code of Ethics for Practice, and Provision of Specific Service A nurse is teaching the staff about Quality and Safety Education in Nursing, which identified six competencies for nursing. Which information should the nurse include in the teaching session? lnformatics, Safety, and Quality improvement A nurse wants to become an advanced practice registered nurse (APRN) and have a higher degree of independence. Which advanced roles could the nurse pursue? Clinical nurse specialist, Nurse practitioner, nurse midwife, and nurse anesthetist Evidence Based Practice (4 Questions) Which organization is preparing future nurses to have the knowledge, skills, and attitudes (KSA) of evidence–based practices necessary to continuously improve the quality and safety of the health care systems within which they work? Quality and Safety Education for Nurses (QSEN) A registered nurse questioned the nurses on the neonatal intensive care unit about the practice of kangaroo care for neonates. The nurse had read
literature supporting the praceice. But the nurses that work on the neonate unit stated that they had never done anything like that at their institution. The nurse continued to ask questions and began a literature review. Which behavior was the nurse demonstrating? Evidenced–based practice A registered nurse wants to review the latest information regarding prevention of a health care acquired infection. Where is the best place for the nurse to obtain this information?
Employing humor as an intervention with clients who are recovering from orthopedic surgery
The nurse is looking at different strategies for learning and incorporating new information into practice. A strategy that uses problem–solving is demonstrated by: Trying different types of colostomy dressings for maximum therapeutic effect A nurse researcher has completed a study involving the use of intravenous analgesics for postsurgical discomfort. The description of the 16 clients used for the study would best be written in which part of the research report? Methods section A nurse reads about a case study involving the potential positive effects of the early stimulation of posthead–injury clients. Which of the following questions should be a priority consideration before use of the research results? Are the clients in the study similar to clients l work with? An example of a predictive type of question that a nurse might use for research is which of the following? lf guided imagery is used, will stress levels be reduced? A nurse routinely uses therapeutic touch when caring for postoperative clients with incisional pain. Occasionally a client will show reluctance when the intervention is offered. The nurses best response in such a situation is to: Research for alternative interventions that will be better received by the client The dressing covering the pressure ulcer on a clients heel frequently becomes loosened and requires repeated reinforcement. The nurse asks, What can be done to improve the adhering properties of this type of dressing? The nurse has just formulated a: Problem–focused triggered question A 15–year–old patient was admitted to the hospital with a bowel obstruction. The patient underwent surgery and was experiencing postoperative pain. The nurse caring for the patient had recently read a
The nurse manager of a 30–bed medical surgical unit has noticed that the fall rate of postoperative patients has increased in the past 2 months. The nurse manager wants to address this situation using evidence–based practice. Which type of trigger did the nurse manager use? Problem–focused trigger A registered nurse who works for a surgical intensive care unit has recently read several articles in professional nursing journals about the use of quiet time in the lCU to enhance patient outcomes. The nurse would like to apply the research findings to the unit. How did th nurse formulate the clinical question? Knowledge–focused trigger A nurse manager has suggested that a nurse formulate a PlCO question to clarify the topic before doing to literature review. When the nurse asks what the acronym PlCO stands for, how should the nurse manager respond? Patient, lntervention, comparison, and outcome A nurse working on a PlCO question has found a large amount of literature available on the topic with multiple studies that have been published. Which type of study should have the best evidence? Meta–analysis of randomized control trials A registered nurse is concerned about the patient’s perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer. Which is the most appropriate type of research study the nurse should use to gather information about this situation? Qualitative study A nurse works for a facility in which the facility sends information to The National Data Base for Nursing Quality lmprovement (NDNQl) regarding patient falls, pressure ulcer, and nursing satisfaction. The nurse works at which facility? A magnet–designated hospital A student nurse is looking for a research articles that can be used to complete a research paper. Where can the nursing student look to quickly find out if an article is research or clinically based?
Abstract A nurse working in an acute care setting wanted to determine the most accurate way to take patients temperatures. The nurse noticed that the tympanic thermometers use by the unit were often not accurate. The nurse found that the literature showed tympanic thermometers were not the most accurate method of obtaining a temperature. The nurse wants to change the nursing practice of the unit. What is the nurses most logical next step?
The nurse administrator is doing a study that entails gathering data about new employees over a 10–year period. Which research method would be the best one to use for this type of study? Quantitative longitude cohort
The nurse in the outpatient setting would like to conduct a research study that compares patients who take tramadol (Ultracet) to patients who take oxycodone hydrochloride and acetaminophen (Percocet) for managing back pain. Which quantitative research method should yield the best results? Controlled study The nurse in the psychiatric unit is involved in a research study for a depression medication. ln the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with? Experimental The nurse is conducting a review of the literature for pain management techniques. Which of the following would the nurse consider research that yields solid EBP? (Select all that apply) Search the literature to uncover evidence to answer the question Evaluate the outcome Evaluate the evidence found Develop an answerable question Apply the evidence to the practice situation Clinical Judgment (2 questions) A student nurse is studying clinical judgment theories and is working with Tanners Model of Clinical Judgment. The student nurse can generalize the process as a reflective process where the nurse notices, interprets, responds, and reflects in action. The nurse is implementing a plan of care for a patient newly diagnosed with type 2 diabetes mellitus. The plan includes educating the patient about diet choices. The patient states that they enjoy exercising and understand the need to diet; however, they can’t see living without chocolate on a daily basis. Using the principles of responding in the Model of Clinical Judgment, how would the nurse proceed with the teaching? The nurse examines the patient’s daily glucose log and incorporates the snack into the time of day that has the lowest readings. The nurse then follows up and evaluates the response in 1 week.
A home care nurse receives a physician order for a medication that the patient does not want to take because the patient has a history of side effects from this medication. The nurse carefully listens to the patient, considers it in light of the patient’s condition, questions its appropriateness, and examines alternative treatments. This nurse would most likely call the physician, explain rationale, and suggest a different medication. A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan? On admission, along with the initial assessment A nurse has designed an individualized nursing care plan for a patient, but the patient is not meeting goals. Further assessment reveals that the patient is not following through on many items. Which action by the nurse would be best for determining the cause of the problem? Determine whether the patient agrees with the care plan. A GN appears to be second–guessing herself and is constantly calling on the other nurses to double–check their plan of care or rehearse what they will say to the doctor before she call on the patients behalf. This seems to be annoying some of the nurses coworkers. The nurse managers best response to this situation is to explain to coworkers that this is a characteristic of critical thinking and is important for the GN to improve reasoning skills. A nurse has committed a serious medication error and has reported their error to the hospital’s adverse medication error hotline as well as to the unit manager. The manager is a firm believer in developing critical thinking skills. From this standpoint, what action by the manager would best nurture this ability in the nurse who made the error? Have the nurse present an in–service related to the cause of the error. A nursing instructor assigns their clinical group the task of writing a journal depicting the students clinical day. What is the most likely rationale for this assignment? Journaling allows reflection, an important critical thinking skill. A charge nurse is observing a newly licensed nurse administer medications to a client. Which of the following actions by the newly licensed nurse should prompt the charge nurse to intervene?
Documents medication administration prior to administering it A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?