Exam 1 - Fundamentals ch 1-8, Questions with accurate answers. 100% proven pass rate. Graded A+

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Which nurse most likely kept records on sanitation techniques and the effects on health? a. Florence Nightingale b. Mary Nutting c. Clara Barton d. Lillian Wald - ✔✔ANS: A Nightingale was... the first practicing nurse epidemiologist. Her statistical analyses connected poor sanitation with cholera and dysentery. The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following? a. Assessment b. Diagnosis c. Planning d. Implementation - ✔✔ANS: C An experienced medical-surgical nurse chooses to work in obstetrics. Which level of proficiency is the nurse upon initial transition to the obstetrical floor? a. Novice b. Proficient c. Competent d. Advanced beginner - ✔✔ANS: A A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating? a. Licensure b. Autonomy c. Certification d. Accountability - ✔✔ANS: B Autonomy is an essential element of professional nursing that involves the initiation of independent nursing interventions without medical orders. In the hospital where you work as a registered nurse, nursing tasks are specialized. You are responsible for performing ordered treatments, such as giving injections, taking blood draws, and taking vital signs. A licensed practical nurse distributes medications to patients. A nursing assistant gives bed baths and makes the beds. This is an example of which model of nursing care? a. Case method b. Functional nursing c. Team nursing d. Primary Nursing - ✔✔ANS: B SATA. Which of the following are factors that had a strong influence on the evolution of professional nursing? a. Buddhism b. Societal beliefs c. Architecture d. Christianity e. The marketplace f. The military - ✔✔ANS: B, D, F SATA. Which of the following were acknowledged by the American Nurses Association (ANA) in 2010 as key characteristics of registered nursing? a. Nursing practice is the same for every nurse. b. Nurses coordinate care by establishing partnerships. c. Caring is central to the practice of the registered nurse. d. Registered nurses use a corporate process to plan and provide care to their healthcare consumers. e. A strong link exists between the work environment and the nurse's ability to achieve optimal outcomes. f. The profitability of the healthcare facility is central to the practice of the registered nurse. - ✔✔ANS: B, C, D A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive? a. Graduate education b. Inservice education c. Continuing education d. Registered nurse education - ✔✔ANS: C A nurse identifies gaps between local and best practices. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating? a. Safety b. Patient-centered care c. Quality improvement d. Teamwork and collaboration - ✔✔ANS: C SATA. Which of the following are responsibilities of each state's board of nursing? a. Determining the salaries of nurses working in the state b. Approving nursing education programs c. Establishing criteria that allow a person to be licensed as a registered nurse d. Hiring instructors for schools of nursing in the state e. Developing rules and regulations for guidance to nurses f. Enforcing the rules that govern nursing - ✔✔ANS: B, C, E, F Which of the following is a recommendation for healthcare reform that the American Nurses Association (ANA) published in 2008? a. Provide universal access to essential healthcare services for all citizens and residents. b. Privatize the entire healthcare system. C. Shift the priority from health promotion to illness care. D. Establish a three-payer system for financing healthcare. - ✔✔ANS: A The nurse has just been assigned to the clinical care of a newly admitted patient. To know how to best care for the patient, the nurse uses the nursing process. Which step would the nurse probably do first? a. Assessment b. Diagnosis c. Plan outcomes d. Plan interventions - ✔✔ANS: A How does nursing diagnosis differ from a medical diagnosis? A nursing diagnosis is a. Terminology for the client's disease or injury b. A part of the client's medical diagnosis c. The client's presenting signs and symptoms d. A client's response to a health problem - ✔✔ANS: D A nurse admits a patient to the unit after completing a comprehensive interview and physical examination. To develop a nursing diagnosis, the nurse must now a. Analyze the assessment data b. Consult standards of care c. Decide which interventions are appropriate d. Ask the client's perceptions of her health problem - ✔✔ANS: A The nurse developed a care plan for a patient to help prevent Impaired Skin Integrity. She has made sure that nursing assistive personnel change the patient's position every 2 hours. In the evaluation phase of the nursing process, which of the following would the nurse do first? a. Determine whether she has gathered enough assessment data. b. Judge whether the interventions achieved the stated outcomes. c. Follow up to verify that care for the nursing diagnosis was given. d. Decide whether the nursing diagnosis was accurate for the patient's condition. - ✔✔ANS: B In caring for a patient with comorbidities, the nurse draws upon her knowledge of diabetes and skin integrity. In a spirit of inquiry, she looks up the latest guidelines for providing skin care and includes them in the plan of care. The nurse provides skin care according to the procedural guidelines and begins regular monitoring to evaluate the effectiveness of the interventions. These activities are best described as a. Full-spectrum nursing b. Critical thinking c. Nursing process d. Nursing knowledge - ✔✔ANS: A Full-spectrum nursing (1) involves the use of critical thinking, nursing knowledge, nursing process, and patient situation. Although the other answers are important for planning and delivering nursing care, they do not reflect all the nurse has demonstrated. Most nurses see nursing as focusing on the entire person and his response to cellular changes. This global perspective of nursing is known as a nursing: a. Framework b. Theory c. Model d. Paradigm - ✔✔ANS: D A patient is at risk for dehydration. Because of this, the nurse plans to monitor the patient's intake and output and to check skin turgor every 4 hours. Which of the following processes does this illustrate? a. Deductive reasoning b. Inductive reasoning c. Intuition (inspiration) d. Data analysis - ✔✔ANS: A Rationale: Deduction starts with a general premise (that fluid imbalance may cause dehydration; and that decreased skin turgor is a sign of dehydration); it proceeds to a specific conclusion (that the nurse should monitor intake and output and check skin turgor) You are interested in researching the unique role or function that nurses perform and the basic needs of patients that they address. You should investigate the theory of which of the following nursing theorists? a. Florence Nightingale b. Virginia Henderson c. Hildegard Peplau d. Nola Pender - ✔✔ANS: B You are looking for a narrowly focused nursing construct that will specifically guide how you approach teaching patients self-care just before discharge from the hospital. Which of the following should you consider? a. Grand theories b. Clinical practice theories c. Conceptual frameworks d. Conceptual models - ✔✔ANS: B Which of the following are the four essential concepts of a nursing theory? a. Nurse, context, patient, and health b. Caring, person, theory, and nursing c. Health, setting, patient, and treatment d. Person, environment, health, and nursing - ✔✔ANS: D What is the role of the Joint Commission in regard to patient assessment? The Joint Commission a. States what assessments are collected by individuals with different credentials b. Regulates the time frames for when assessments should be completed c. Identifies how data are to be collected and documented d. Sets standards for what and when to assess the patients - ✔✔ANS: D [Show More]

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