NR222 Health and Wellness Final Exam:NR222
Final Exam: Questions & Answers
* Health care reform will bring changes in the emphasis of care. Which of
the following models is expected from health care reform?
(Ans- Moving from an acute illness to a health promotion, illness prevention
model.
Health care reform also affects how health care is delivered. There is
greater emphasis on health promotion, disease prevention, and
management of illness.
The nurses on an acute care medical floor notice an increase in pressure
ulcer formation in their patients. A nurse consultant decides to compare two
types of treatment. The first is the procedure currently used to assess for
pressure ulcer risk. The second uses a new assessment instrument to
identify at-risk patients. Given this information, the nurse consultant
exemplifies which career?
(Ans- Nurse researcher.
The nurse researcher investigates problems by applying evidence-based
practice or by conducting research to improve nursing care and further
define and expand the scope of nursing practice. He or she often works in
an academic setting, hospital, or independent professional or community
service agency.
An 18-year-old woman is in the emergency department with fever and
cough. The nurse obtains her vital signs, listens to her lung and heart
sounds, determines her level of comfort, and collects blood and sputum
samples for analysis. Which standard of practice is performed?
(Ans- Assessment.
Assessment is the collection of comprehensive data pertinent to the
patient's health and/or the situation.
,A nurse is caring for a patient with end-stage lung disease. The patient
wants to go home on oxygen and be comfortable. The family wants the
patient to have a new surgical procedure. The nurse explains the risk and
benefits of the surgery to the family and discusses the patient's wishes with
them. The nurse is acting as the patient's:
(Ans- Advocate.
An advocate protects the patient's human and legal right to make choices
about his or her care. An advocate may also provide additional information
to help a patient decide whether or not to accept a treatment or find an
interpreter to help family members communicate their concerns.
A nurse meets with the registered dietician and physical therapist to
develop a plan of care that focuses on improving nutrition and mobility for a
patient. This is an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
(Ans- Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This
competency focuses on the nurse functioning effectively within nursing and
interprofessional teams, fostering open communication, mutual respect,
and shared decision making to achieve quality patient care.
Match the advance practice nurse specialty with the statement about the
role.
(Ans- Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
,Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or who have
chronic conditions.
Nurse-midwife
Provides independent care including pregnancy and gynecological
services.
The examination for registered nurse (RN) licensure is exactly the same in
every state in the United States. This examination:
(Ans- Provides a minimal standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless
of educational preparation, the examination for RN licensure is exactly the
same in every state in the United States.
You are preparing a presentation for your classmates regarding the clinical
care coordination conference for a patient with terminal cancer. As part of
the preparation you have your classmates read the Nursing Code of Ethics
for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which of the following statements best describes
this code?
(Ans- Defines the principles of right and wrong to provide patient care.
When giving care, it is essential to provide a specified service according to
standards of practice and to follow a code of ethics. The code of ethics is
the philosophical ideals of right and wrong that define the principles you will
use to provide care to your patients. It serves as a guide for carrying out
nursing responsibilities to provide quality nursing care and the ethical
obligations of the profession.
Nurses in an acute care hospital are attending a unit based education
program to learn how to use a new pressure-relieving device for patients at
risk for pressure ulcers. This is which type of education?
(Ans- In-service education.
, In-service education programs are instruction or training provided by a
health care agency or institution. An in-service program is held in the
institution and is designed to increase the knowledge, skills, and
competencies of nurses and other health care professionals employed by
the institution.
The nurse spends time with the patient and family reviewing the dressing
change procedure for the patient's wound. The patient's spouse
demonstrates how to change the dressing. The nurse is acting in which
professional role?
(Ans- Educator.
The nurse is demonstrating the role of educator. An educator explains
concepts and facts about health, describes the reason for routine care
activities, demonstrates procedures such as home care activities,
reinforces learning or patient behavior, and evaluates the patient's progress
in learning through return demonstration.
Which of the following Internet resources available can assist consumers
when comparing quality care measures?
(Ans- Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document
hospitals' quality of care and patient satisfaction. WebMD is an Internet
source that is disease/condition specific. The Magnet Recognition Program
is a hospital-initiated recognition that assesses quality of nursing care and
patient safety.
A patient in the emergency department has developed wheezing and
shortness of breath. The nurse gives the ordered medicated nebulizer
treatment now and in 4 hours. Which standard of practice is performed?
(Ans- Implementation.
Final Exam: Questions & Answers
* Health care reform will bring changes in the emphasis of care. Which of
the following models is expected from health care reform?
(Ans- Moving from an acute illness to a health promotion, illness prevention
model.
Health care reform also affects how health care is delivered. There is
greater emphasis on health promotion, disease prevention, and
management of illness.
The nurses on an acute care medical floor notice an increase in pressure
ulcer formation in their patients. A nurse consultant decides to compare two
types of treatment. The first is the procedure currently used to assess for
pressure ulcer risk. The second uses a new assessment instrument to
identify at-risk patients. Given this information, the nurse consultant
exemplifies which career?
(Ans- Nurse researcher.
The nurse researcher investigates problems by applying evidence-based
practice or by conducting research to improve nursing care and further
define and expand the scope of nursing practice. He or she often works in
an academic setting, hospital, or independent professional or community
service agency.
An 18-year-old woman is in the emergency department with fever and
cough. The nurse obtains her vital signs, listens to her lung and heart
sounds, determines her level of comfort, and collects blood and sputum
samples for analysis. Which standard of practice is performed?
(Ans- Assessment.
Assessment is the collection of comprehensive data pertinent to the
patient's health and/or the situation.
,A nurse is caring for a patient with end-stage lung disease. The patient
wants to go home on oxygen and be comfortable. The family wants the
patient to have a new surgical procedure. The nurse explains the risk and
benefits of the surgery to the family and discusses the patient's wishes with
them. The nurse is acting as the patient's:
(Ans- Advocate.
An advocate protects the patient's human and legal right to make choices
about his or her care. An advocate may also provide additional information
to help a patient decide whether or not to accept a treatment or find an
interpreter to help family members communicate their concerns.
A nurse meets with the registered dietician and physical therapist to
develop a plan of care that focuses on improving nutrition and mobility for a
patient. This is an example of which Quality and Safety in the Education of
Nurses (QSEN) competency?
(Ans- Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This
competency focuses on the nurse functioning effectively within nursing and
interprofessional teams, fostering open communication, mutual respect,
and shared decision making to achieve quality patient care.
Match the advance practice nurse specialty with the statement about the
role.
(Ans- Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
,Provides comprehensive care, usually in a primary care setting, directly
managing the medical care of patients who are healthy or who have
chronic conditions.
Nurse-midwife
Provides independent care including pregnancy and gynecological
services.
The examination for registered nurse (RN) licensure is exactly the same in
every state in the United States. This examination:
(Ans- Provides a minimal standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless
of educational preparation, the examination for RN licensure is exactly the
same in every state in the United States.
You are preparing a presentation for your classmates regarding the clinical
care coordination conference for a patient with terminal cancer. As part of
the preparation you have your classmates read the Nursing Code of Ethics
for Professional Registered Nurses. Your instructor asks the class why this
document is important. Which of the following statements best describes
this code?
(Ans- Defines the principles of right and wrong to provide patient care.
When giving care, it is essential to provide a specified service according to
standards of practice and to follow a code of ethics. The code of ethics is
the philosophical ideals of right and wrong that define the principles you will
use to provide care to your patients. It serves as a guide for carrying out
nursing responsibilities to provide quality nursing care and the ethical
obligations of the profession.
Nurses in an acute care hospital are attending a unit based education
program to learn how to use a new pressure-relieving device for patients at
risk for pressure ulcers. This is which type of education?
(Ans- In-service education.
, In-service education programs are instruction or training provided by a
health care agency or institution. An in-service program is held in the
institution and is designed to increase the knowledge, skills, and
competencies of nurses and other health care professionals employed by
the institution.
The nurse spends time with the patient and family reviewing the dressing
change procedure for the patient's wound. The patient's spouse
demonstrates how to change the dressing. The nurse is acting in which
professional role?
(Ans- Educator.
The nurse is demonstrating the role of educator. An educator explains
concepts and facts about health, describes the reason for routine care
activities, demonstrates procedures such as home care activities,
reinforces learning or patient behavior, and evaluates the patient's progress
in learning through return demonstration.
Which of the following Internet resources available can assist consumers
when comparing quality care measures?
(Ans- Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document
hospitals' quality of care and patient satisfaction. WebMD is an Internet
source that is disease/condition specific. The Magnet Recognition Program
is a hospital-initiated recognition that assesses quality of nursing care and
patient safety.
A patient in the emergency department has developed wheezing and
shortness of breath. The nurse gives the ordered medicated nebulizer
treatment now and in 4 hours. Which standard of practice is performed?
(Ans- Implementation.
