NURA 303 EXAM 1 QUESTIONS &
ANSWERS SOLVED 100% CORRECT!!
1 of 113
Term
A quality-assurance program reveals a higher incidence of falls and
other safety violations on a particular unit. A nurse manager states,
"We'd better find the people responsible for these errors and see if
we can replace them." This is an example of:
A. Quality by inspection
B. Quality by punishment
C. Quality by surveillance
D. Quality by opportunity
Give this one a try later!
, b. Unlike quality assurance, quality improvement is internally driven, focuses on
patient care rather than organizational structure, focuses on processes rather
than people, and has no end points. Its goal is improving quality rather than
assuring quality. Process evaluation and outcome evaluation are types of quality-
assurance programs.
a. Quality by inspection focuses on finding deficient workers and removing
them. Quality as opportunity focuses on finding opportunities for
improvement and fosters an environment that thrives on teamwork, with
people sharing the skills and lessons they have learned. Quality by
punishment and quality by surveillance are not quality-assurance methods
used in the health care field.
a. 2, 4, 1, 3. Because basic needs must be met before a person can focus on
higher ones, patient needs may be prioritized according to Maslow's hierarchy:
(1) physiologic needs, (2) safety needs, (3) love and belonging needs, (4) self-
esteem needs, and (5) self-actualization needs. #2 is an example of a physiologic
need, #4 is an example of a love and belonging need, #1 is an example of a self-
esteem need, and #3 is an example of a self-actualization need.
d. Altered Health Maintenance is a nursing problem, because the diagnosis
describes a problem that can be treated by nurses within the scope of
independent nursing practice. Collaborative and interdisciplinary problems
require a teamwork approach with other health care professionals to resolve the
problem. A medical problem is a traumatic or disease condition validated by
medical diagnostic studies.
Don't know?
2 of 113
Term
,When interacting with a patient, the nurse answers, "I am sure
everything will be fine. You have nothing to worry about." This is an
example of what type of inappropriate communication technique?
A. Cliché
B. Giving advice
C. Being judgmental
D. Changing the subject
Give this one a try later!
d. The patient has the right to indicate whom he would like to be present for the
nursing history and exam. The nurse should neither presume that he wants his
wife there nor that he does not want her there. Similarly, the choice belongs to
the patient, not the wife.
a. Telling a patient that everything is going to be all right is a cliché. This
statement gives false assurance and gives the patient the impression that
the nurse is not interested in the patient's condition.
c. Knowledge is Information that is synthesized so that relationships are
identified. Data refer to discrete entities that are described without
interpretation. Information is data that have been interpreted, organized, or
structured. Wisdom is the appropriate use of knowledge to manage and solve
human problems.
d. Requesting specific information regarding complications of diabetes will elicit
specific information to guide the nurse in further interview questions and specific
assessment techniques.
Don't know?
3 of 113
, Term
The nurse is surprised to detect an elevated temperature (102°F) in a
patient scheduled for surgery. The patient has been afebrile and
shows no other signs of being febrile. What is the priority nursing
action?
A. Inform the charge nurse.
B. Inform the surgeon.
C. Validate the finding.
D. Document the finding.
Give this one a try later!
b. The nurse should immediately clarify what he or she can and cannot do. Since
the primary reason for refusing to help is linked to the responsibility to protect
patient privacy and confidentiality, the nurse should not begin by mentioning the
real penalties linked to abuses of privacy. Finally, it is appropriate to ask about
Sue and her worries, but this should be done after the nurse clarifies what he or
she is able to do.
b. The nurse should not use dittos, erasures, or correcting fluids when correcting
documentation; block out a mistake with a permanent marker; or remove a page
with an error and rewrite the data on a new page. To correct an error after it has
been entered, the nurse should mark the entry "mistaken entry," add the correct
information, and date and initial the entry. If the nurse records information in the
wrong chart, the nurse should write "mistaken entry—wrong chart" and sign off.
The nurse should follow similar guidelines in electronic records.
c. The nurse should not delegate this nursing admission assessment because only
nurses can perform this intervention. The nurse should seek clarification for this
policy from the nursing administration.
ANSWERS SOLVED 100% CORRECT!!
1 of 113
Term
A quality-assurance program reveals a higher incidence of falls and
other safety violations on a particular unit. A nurse manager states,
"We'd better find the people responsible for these errors and see if
we can replace them." This is an example of:
A. Quality by inspection
B. Quality by punishment
C. Quality by surveillance
D. Quality by opportunity
Give this one a try later!
, b. Unlike quality assurance, quality improvement is internally driven, focuses on
patient care rather than organizational structure, focuses on processes rather
than people, and has no end points. Its goal is improving quality rather than
assuring quality. Process evaluation and outcome evaluation are types of quality-
assurance programs.
a. Quality by inspection focuses on finding deficient workers and removing
them. Quality as opportunity focuses on finding opportunities for
improvement and fosters an environment that thrives on teamwork, with
people sharing the skills and lessons they have learned. Quality by
punishment and quality by surveillance are not quality-assurance methods
used in the health care field.
a. 2, 4, 1, 3. Because basic needs must be met before a person can focus on
higher ones, patient needs may be prioritized according to Maslow's hierarchy:
(1) physiologic needs, (2) safety needs, (3) love and belonging needs, (4) self-
esteem needs, and (5) self-actualization needs. #2 is an example of a physiologic
need, #4 is an example of a love and belonging need, #1 is an example of a self-
esteem need, and #3 is an example of a self-actualization need.
d. Altered Health Maintenance is a nursing problem, because the diagnosis
describes a problem that can be treated by nurses within the scope of
independent nursing practice. Collaborative and interdisciplinary problems
require a teamwork approach with other health care professionals to resolve the
problem. A medical problem is a traumatic or disease condition validated by
medical diagnostic studies.
Don't know?
2 of 113
Term
,When interacting with a patient, the nurse answers, "I am sure
everything will be fine. You have nothing to worry about." This is an
example of what type of inappropriate communication technique?
A. Cliché
B. Giving advice
C. Being judgmental
D. Changing the subject
Give this one a try later!
d. The patient has the right to indicate whom he would like to be present for the
nursing history and exam. The nurse should neither presume that he wants his
wife there nor that he does not want her there. Similarly, the choice belongs to
the patient, not the wife.
a. Telling a patient that everything is going to be all right is a cliché. This
statement gives false assurance and gives the patient the impression that
the nurse is not interested in the patient's condition.
c. Knowledge is Information that is synthesized so that relationships are
identified. Data refer to discrete entities that are described without
interpretation. Information is data that have been interpreted, organized, or
structured. Wisdom is the appropriate use of knowledge to manage and solve
human problems.
d. Requesting specific information regarding complications of diabetes will elicit
specific information to guide the nurse in further interview questions and specific
assessment techniques.
Don't know?
3 of 113
, Term
The nurse is surprised to detect an elevated temperature (102°F) in a
patient scheduled for surgery. The patient has been afebrile and
shows no other signs of being febrile. What is the priority nursing
action?
A. Inform the charge nurse.
B. Inform the surgeon.
C. Validate the finding.
D. Document the finding.
Give this one a try later!
b. The nurse should immediately clarify what he or she can and cannot do. Since
the primary reason for refusing to help is linked to the responsibility to protect
patient privacy and confidentiality, the nurse should not begin by mentioning the
real penalties linked to abuses of privacy. Finally, it is appropriate to ask about
Sue and her worries, but this should be done after the nurse clarifies what he or
she is able to do.
b. The nurse should not use dittos, erasures, or correcting fluids when correcting
documentation; block out a mistake with a permanent marker; or remove a page
with an error and rewrite the data on a new page. To correct an error after it has
been entered, the nurse should mark the entry "mistaken entry," add the correct
information, and date and initial the entry. If the nurse records information in the
wrong chart, the nurse should write "mistaken entry—wrong chart" and sign off.
The nurse should follow similar guidelines in electronic records.
c. The nurse should not delegate this nursing admission assessment because only
nurses can perform this intervention. The nurse should seek clarification for this
policy from the nursing administration.
