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Exam (elaborations)

ROLE AND SCOPE EXAM 2

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ROLE AND SCOPE EXAM 2 Question 1 0 out of 1 points Identify the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project. Question 2 1 out of 1 points The Robert Wood Johnson Foundation has recommended the following: (Select all that apply). Question 3 0 out of 1 points Identify the health-care area in which the use of computers has improved the efficiency of care. Question 4 1 out of 1 points Identify what a new graduate nurse who is having unresolved role conflicts may experience. Question 5 0.33333 out of 1 points Which element(s) is (are) a QSEN competency? SELECT ALL THAT APPLY. Question 6 1 out of 1 points What are rules of conduct that protect the community and society overall? Question 7 1 out of 1 points What may cause some people to make responses that seem inappropriate or over emotional? Question 8 1 out of 1 points Which is a Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement for client education? Question 9 1 out of 1 points What is an important role that the nursing process fulfills in professional nursing? Question 10 0 out of 1 points Identify the most appropriate political activities for nurses at the state level. Question 11 0 out of 1 points Statistically, which factor is most likely to increase a client’s motivation to learn? Question 12 1 out of 1 points Identify the most important element in nursing’s attempt to gain full autonomy of practice. Question 13 0 out of 1 points After assessing an older adult client in long-term care who has been slowly deteriorating for weeks, the nurse manager calls the family and asks them to come in, as the client is dying. What are the nurse manager’s decision and actions based on? Question 14 1 out of 1 points Which step of the nursing process identifies the success or failure of the plan of care developed by a nurse? Question 15 1 out of 1 points What is a recommended method for nurses to prepare for future professional practice? Question 16 1 out of 1 points The nurse manager decides to involve those to be affected by change early in the change management process. What can positively result in? conflict Question 17 1 out of 1 points The oxygen saturation for a client with acute infective bronchitis drops to 84%, and the client develops severe dyspnea. There is a standing order for a handheld nebulizer (HHN) treatment PRN for shortness of breath. The respiratory therapy department is designated to give all respiratory treatments in the facility. When the nurse calls the respiratory therapist, he states that he has several more treatments to give but he should be there in 10 or 15 minutes. Which action by the nurse is most appropriate at this time? Question 18 1 out of 1 points Which activity tends to increase nurses’ satisfaction during work? Taking time to talk with clients about their needs Question 19 0 out of 1 points What is the primary concern that some health-care providers have in the use of computers in client care? b. the training and knowledge required by nurses to use the system effectively · Question 20 0 out of 1 points Nurses must understand which principle of the Nurse-Family Partnership? · Question 21 1 out of 1 points Identify the primary position advocated by the 1965 ANA Position Paper on Education for Nurses. ANS: baccalaureate education should be the basic level of preparation for professional nurse · Question 22 1 out of 1 points As nurses achieve increased professional autonomy, what must they also accept? ANS: ethical accountability · Question 23 1 out of 1 points Identify the underlying premise for evidence-based practice. ANS: Practice based on research produces better patient outcomes · Question 24 1 out of 1 points Identify the element that is the best indicator of increasing accountability in the profession of nursing. ANS: Demonstration of competency and high-quality care through peer review · Question 25 1 out of 1 points A leader with a low relationship/low task orientation presents a leadership style that is most similar to which leadership approach? ANS; Laissez-faire · Question 26 1 out of 1 points You overhear a newly graduated nurse telling one of your colleagues that leadership and management belong to the unit manager and not to her. Your response demonstrates understanding that the what about the perception of the new graduate? ANS: Would benefit from further understanding of her role as a professional, whose influence may affect the decision making of patients, colleagues, and other professionals. · Question 27 1 out of 1 points Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication? ANS: You have made some good points, but I have another suggestion · Question 28 0 out of 1 points The CEO asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit. The nurse manager explains that nursing research has validated which statement about a low nurse-to-client ratio? ANS: Improves outcomes · Question 29 1 out of 1 points Why do many new nurses ignore the signs of burnout? ANS: they're worried that they spent time, money and energy on a career they no longer want. · Question 30 What role does anger play in communication? ANS: It can be used positively to produce change. · Question 31 What statement is true regarding the relationship between nurses and legislators? SELECT ALL THAT APPLY. ANS: The government should be interested in health matters when a problem affects a specific group or a whole population. Political solutions can be achieved at both the federal and state levels. Question 32 During a staff meeting, an elderly physician is very negative about recent changes on the unit. He indicates that the nurses are not working hard enough. How can the unit manager most appropriately deal with this situation? ANS: Allow the physician to express his or her opinions and then ask for input from others at the meeting · Question 33 Why is the term healing preferred to medicine when referring to alternative and complementary methods of care? ANS: because the alternative and complementary modalities typically are based in holistic philosophies · Question 34 1 out of 1 points As the head of a nursing program, you always invite the ideas of your team about innovations in teaching and curriculum design, and invite participation in decisions. Many of these ideas have been implemented, and your staff members are keen to try other new ideas. You are employing what type of leadership? ANS: Transformational · Question 35 Which personality characteristics would make a person more susceptible to burnout? ANS: above average intelligence, idealistic, perfectionist · Question 36 0 out of 1 points Identify the term defined as systems of valued behaviors and beliefs. ANS: Ethics · Question 37 1 out of 1 points Which is not true of the Change of Shift SBAR report? · Question 38 0 out of 1 points What is the first step in the process of critical thinking? ANS: Identify a Question · Question 39 1 out of 1 points Provision number 7 of the 2001 Code of Ethics for Nurses states: “The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.” On which ethical principle is this statement primarily based? ANS: accountability · Question 40 0 out of 1 points A family is keeping vigil at a critically ill client's bedside. Other, distant family members, not yet able to come, call the unit continuously, asking for updates and wanting to express concern. You speak with the distant family members and suggest that you are going to refer them to the hospital social worker, whose role is to work with such situations. What role are you assuming through this action? ANS: manager · Question 41 1 out of 1 points Which characteristic is required in a person who is able to resolve difficult crises? ANS: Uses newly developed coping skills to resolve future crises · Question 42 1 out of 1 points After her first week working on a busy medical/surgical unit, a new charge nurse notes that the nurses, although highly competent, are unable to function productively as a team. What can she do to facilitate team-building on her unit? ANS: Provide an opportunity for the nurses to express their feelings and emotions. · Question 43 1 out of 1 points Select an important principle that guides managers who use a democratic leadership style. ANS: Each member of the group respects all of the other members as unique and valuable. What is the primary reason a nurse should develop learning objectives for all client teaching? ANS: ) The nurse clarifies what actions or behaviors are expected. · Question 45 1 out of 1 points What is a type of nursing education program that is conducted in junior and community colleges that is typically two years in length? ANS: Associate. · Question 46 1 out of 1 points What is the most common emotion experienced by nurses who are developing burnout? Ans: powerlessness · Question 47 1 out of 1 points What makes a problem an ethical dilemma? -conflicting moral stakes -decision maker is facing a powerful immoral stake -decision could have a moral impact on a stakeholder · Question 48 1 out of 1 points Which contribution of Florence Nightingale had the greatest impact on nursing education? ANS: Recognizing that formal, systemic education in both theory and practice was essential for the preparation of high quality nurses · Question 49 1 out of 1 points The manager of an intensive care unit wants to add nurse assistants or unlicensed persons to feed, bathe, and assist in some unit tasks. The nurses are very resistant to this idea. What is the best initial approach for the nurse manager to take to get buy-in of the nurses? ANS: Exploring the values of the RN group in relationship to this change · Question 50 1 out of 1 points Provision number 1 of the 2001 Code of Ethics for Nurses states: “The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health-care problems.” On which ethical principle is this statement primarily based? ANS: fidelity

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