NUR 256 EXAM 1 FREQUENTLY TESTED COMPLETE QUESTIONS WITH CORRECT DETAILED SOLUTIONS|| A+ GRADED!!!UPDATED >>

NUR 256 EXAM 1 FREQUENTLY TESTED COMPLETE QUESTIONS WITH CORRECT DETAILED SOLUTIONS|| A+ GRADED!!!UPDATED >> Cultural humility is achieved through: A) embracing the cultures of others. B) regular self-evaluation of biases. C) tolerance of the cultural diverse. D) caring for the culturally diverse. - ANSWER B The most likely reason a 9-year-old child cries and refuses to cooperate with an injection is: A) the child's past experiences with injections. B) the environment the child finds himself in, such as a hospital emergency room. C) the precipitating event, such as a fall that resulted in the need for a local anesthetic. D) the nurse's verbal and nonverbal communication with the child about the injection. - ANSWER A The most important concept to remember when using both verbal and nonverbal communication is that: A) people are more likely to accept verbal messages than nonverbal ones. B) nonverbal messages are accepted as true more often than verbal ones. C) touch as a nonverbal form of communication should be avoided. D) avoiding eye contact is viewed as being untruthful by all cultures. - ANSWER B The primary goals of good relationship building and client care are best achieved when all members of the interprofessional care team: A) have identified the team's leader. B) are experts in their field of care. C) have developed a trusting relationship. D) recognize their role in the client's care. - ANSWER C When a client expresses doubt whether a complicated procedure will actually help his condition, the nurse best avoids blocking the communication by responding: A) "I can understand your concern. We can talk more about it whenever you want." B) "Your physician has performed this procedure many times and with great success." C) "What makes you doubt that your condition will benefit from having the procedure done?" D) "Would you like me to arrange for someone who has had the procedure talk to you about it?" - ANSWER C Nursing's primary concern related to the appropriate use of social media is to preserve: A) confidentiality. B) professionalism. C) cultural sensitivity. D) effective communication. - ANSWER A The clinical nurse leader (CNL) is best prepared to assume which of the following nursing roles? A) Responsibility for the evaluation of a client's plan of care B) Preoperative assessments on clients requiring surgical interventions C) Research to provide evidence-based practice regarding neonatal feeding practices D) Acting as advocate for an elderly, cognitively impaired client hospitalized with gastrointestinal pain - ANSWER A What event in American history influenced the role African-American women have played in the nursing profession? A)The creation of the U.S. Marine Hospital Service in 1798 B) The Civil War, beginning in 1861 C) The Army Nurse Corps, established in 1901 D) The North Carolina Nurse Practice Act of 1903 - ANSWER B In the Middle Ages (467 BCE to 1450 AD), women delivered food, medicine, and care to the community's ill based on the: A) Christian concepts of charity and the sanctity of human life. B) need to make offerings to the gods in exchange for good health. C) emphasis being placed on the patient-centered approach to health care. D) emerging understanding of the importance of hygiene and sanitation. - ANSWER A Which of the following interventions best demonstrates that a nursing administrator understands the challenges currently facing the professional nurse regarding patient safety? A) Supporting nursing interventions directed towards providing holistic care to both the client and his/her support system B) Requiring representation of the nursing staff in any discussion related to the redesign of patient care environments C) Requiring that staffing and schedules accommodate the attendance at mandatory in-services focusing on interprofessional care collaboration D) Supporting the right of the registered nurse to appropriately act as an advocate when a family disagrees with a client's wishes to limit visitors. - ANSWER C There is increasing evidence that nursing needs to address the ability of its members to provide high-quality, effective care as patient-centered care needs intensify. Which nursing behavior demonstrates an understanding of how these needs will be best initially met? A) Enrolling in a Masters of Nursing Education graduate program B) Volunteering to provide community health screening at a senior citizen center C) Becoming politically active regarding the delivery of health care on the national level D) Regularly speaking to groups of high school students regarding the profession of nursing - ANSWER A The image that best serves today's profession of nursing is one that portrays: A) skill and caring. B) trust and belief. C) honesty and loyalty. D) dependability and charity. - ANSWER B The play Miss Evers' Boys was one of the first literary presentations that depicted nurses as: A) trained professionals. B) caring and charitable. C) client advocates. D) self-sacrificing. - ANSWER C Which of the current perceptions of nursing most likely accounts for the lagging numbers of males in the profession? A) Poor income potential B) Work is routine and boring C) Lack of professional autonomy D) Viewed as a female profession - ANSWER D The ability to maintain appropriate professional boundaries and preserve nurse-client confidences has been most severely impacted by: A) the misuse of social media forums by nurses. B) the hesitation of state boards of nursing to discipline offenders. C) the courts' reluctance to uphold legal decisions involving professional boundaries. D) the nursing profession's inability to adequately define unacceptable behaviors. - ANSWER A A staff nurse routinely finds it difficult to receive clarification on prescriptions and orders written by a particular member of the medical staff. When numerous attempts to deal directly with the physician fail, the nurse most appropriately manages the problem by: A) making it known to the nurse manager that they will no longer accept the physician's clients as patients. B) documenting the problem in terms of client safety concerns and forwarding the information to both the nursing manager and chief of medical staff. C) informing the clients that any dissatisfaction with their care should be directed towards their physician for resolution. D) presenting the issues to the unit's entire nursing staff so that a unified plan can be developed to ensure the safety of the physician's clients. - ANSWER B Which educational intervention demonstrates the most acceptable application of technology as a trend that is currently influencing nursing education as well as client safety? A) Scheduling an orientation session on computer-based documentation for each freshman nursing student B) Providing a list of acceptable Internet sites to use as resources for medication administration C) Requiring each student to have access to a personal laptop computer installed with all required software D) Allowing pre- and postclinical written assignments to be submitted electronically - ANSWER B Increasing professional and personal responsibility has been identified as an issue influencing the education of today's nursing professional. Which of the following has the greatest impact on client safety in the acute care setting? A) Requiring all nurse managers to possess at least a Bachelor's degree in nursing (BSN) B) Scheduling mandatory competency assessments on all shifts to facilitate compliance C) Offering monetary incentives to nursing staff who earn appropriate certifications D) Providing nursing staff with classes that focus on effective communication skills - ANSWER B A nurse manager recognizes which of the following as an example of a desirable practice-based competency outcome for a recently licensed registered nurse? The novice nurse: A) demonstrates excellent communication and interpersonal skills. B) meets orientation expectations 1 week ahead of schedule. C) has no absences during the required probationary employment period. D) asks for a work schedule that supports enrollment in an advanced nursing program. - ANSWER B The nursing faculty incorporates which practice-based learning activity in order to meet the students' need to learn about the sociodemographics currently present among today's population? A) Inclusion of a geriatric experience as a clinical requirement of all nursing students B) Participation in a panel discussion on the political agendas of several national nursing organizations C) Creation of a poster that compares and contrasts Medicaid and private insurance health care coverage D) Preparing a care plan that addresses the needs of an immigrant client with limited English language skills - ANSWER A A social issue that is currently having a very negative impact on the learning environment in classrooms can be best minimized by initially: A) presenting information using a variety of methods so that all learning styles will be addressed. B) requiring that electronic devices be turned off when entering a classroom or other learning environment. C) presenting information on the proper use of social media by nursing students as it impacts client confidentiality. D) defining behaviors that will not be tolerated in the classroom since they do not demonstrate respect or civility. - ANSWER D What factor qualifies nursing to be defined as a profession? A) Existence of a substantial body of nursing knowledge B) Regular collaboration with members of the medical profession C) Implementation of the nursing process in the delivery of care D) Engagement in the management of unlicensed nursing care givers - ANSWER A The question that is being focused on during the implementation of the scientific process is referred to as the: A) method. B) theory. C) result. D) hypothesis. - ANSWER D A theory meets the criteria of fruitfulness when it: A) includes all concepts related to the area of interest. B) generates new directions for future research. C) is easily understood and replicated. D) is reflective of its scientific basis. - ANSWER B When a nurse places clean linen on the bed of a comatose client, which nursing theory is being implemented? A) Roy's Adaptation Model B) Nightingale's Theory of Practice C) Rogers' Science of Unitary Human Beings D) Peplau's Interpersonal Relations as a Nursing Process - ANSWER B The primary benefit nursing theories have provided the profession is to: A) add additional information to the body of nursing knowledge. B) guide the nursing process in the effective delivery of nursing care. C) encourage the use of scientific inquiry when planning client care. D) focus on future research related to nursing care. - ANSWER B The primary reason nurses engage in research is to: A) achieve equal status with other health care sciences. B) provide the most appropriate evidence-based client care. C) advance the profession of nursing in the eyes of the public. D) collaborate with other members of the science community. - ANSWER B If a nursing research project strives to discover new information concerning client care practices, this project is said to be a model of: A) quantitative design. B) qualitative design. C) a pilot study. D) triangulation. - ANSWER B When researching an aspect of human grief response, the nurse researcher will likely select which method of qualitative design? A) Ethnography B) Meta-analysis C) Phenomenology D) Needs assessment - ANSWER C Regarding nursing research, the role of the clinical nurse specialist (CNS) is best utilized when: A) recruiting participants for specific studies. B) identifying clinical care problems. C) designing research studies. D) collecting research data. - ANSWER C A novice nurse reading a research article should first concentrate on which sections of the article? A) Abstract and discussion B) Study design and methods C) Future implications and acknowledgment D) Introduction and results - ANSWER A An example of a member of a marginalized population would include: A) a homeless lesbian. B) a diabetic Hispanic. C) a schizophrenic Native American. D) a blind African American. - ANSWER A Which statement about racially or ethnically diverse populations is true? A) They are generally ill prepared to accept American values and beliefs. B) Language is a barrier that usually takes generations to overcome. C) They are often members of the lower socioeconomic class. D) Education is seldom a priority for these immigrants. - ANSWER C Acceptance of others regardless of their cultural background is referred to as: A) respect. B) tolerance. C) stereotyping. D) enculturation. - ANSWER B A nursing school best demonstrates an understanding of strategies that support recruitment of minority nursing students when it: A) arranges for campus housing for all minority students. B) offers a number of scholarships reserved for minority students. C) offers remediation to those for whom English is a second language. D) provides same-culture mentors from among faculty and student populations. - ANSWER D A nurse is assessing a Chinese child and notices a 5-inch circular bruise on the body. The nurse realizes that this finding is indicative of: - ANSWER cupping to remove colds and coughs Barriers to mainstream health care include lack of transportation and disrespectful treatment for a group of economically deprived, undeserved individuals living in a remote area. A mobile clinic provides blood pressure screening, minor first aid, and blood glucose check. This group of individuals is best described as: - ANSWER marginalized A Mexican-American patient is attacked and beaten. This patient is at risk for fright disease which is also known as - ANSWER susto Higher costs of health care coupled with lower wages for this group have prevents most of them from seeking health care. - ANSWER minorities A nurse is submitting a grant application to improve access to health care and mortality for minority groups. The grant focuses on the 6 causes of death that are identified as priorities for minorities which are: - ANSWER Cancer Cardiovascular disease and stroke Chemical dependency Diabetes Homicides and accidents Infant mortality While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values: - ANSWER cultural competence One of the major trends that currently influences nursing education and practice is - ANSWER incivility or disregard of others' rights in schools and in the work place What is the biggest factor in multicultural care? - ANSWER language The new trend in nursing education that is consistent with real-world practice is focused on - ANSWER competency outcomes The practice of nurses, nursing students and faculty is affected by demographic changes due to - ANSWER an epidemic of obesity in children and adults Which organization oversees professional nursing programs and establishes these essentials like curriculum? - ANSWER American Association of Colleges of Nursing The oldest, most traditional nursing program that prepares a candidates for RN licensure is the hospital-based ____ program. - ANSWER diploma An agency of the U.S. Department of Health and Human Services that aims to improve the outcomes and quality of health care, reduce its costs, address patient safety and medical errors, and broaden access to effective services - ANSWER Agency for Healthcare Research and Quality (AHRQ) What are some examples of EBP? - ANSWER o research findings o research reviews o evidence based theory o integration of that evidence with clinical expertise o patient preferences and values __________ became a major driving force in the disciplinary life of clinicians, students, educators, administrators, and policymakers in the second decade of the 21st century - ANSWER EBP _____ ways to translate research into practice; is a major concern (best ways to incorporate best evidence into practice) - ANSWER Translation science: a RN with graduate preparation in a specialized area of nursing practice and an expert clinician with additional responsibility for education and research. • Assess an agent's readiness for research utilization • Consult with staff to identify clinical problems • Help staff discover, implement, and evaluate findings that improve health care delivery, important to EBP - ANSWER CNS (Clinical Nurse Specialist) an advanced practice purse who is doctorally prepared and directs and participates in clinical research - ANSWER clinical nurse researcher an advanced practice nurse who provides direct care to clients and participates in health education research - ANSWER clinical nurse specialist an evidence based guide to clincal practice developed by experts in a particular field for direct application in clincal environments - ANSWER clinical practice guideline Focused on culture - ANSWER Ethnography Research focus on safety - ANSWER Agency for Healthcare Research and Quality (AHRQ) Focused on lived experience - ANSWER Phenomenology Group focuses on research emphasis - ANSWER National Institute of Nursing Research (NINR) Mid-range theory - ANSWER grounded theory artifacts, productions, attestations, or other examples that demonstrate what an individual's knowledge, skills or valued attributes are - ANSWER evidence The setting, services, patient, environment, and professional and social interactions surrounding the delivery of patient interventions - ANSWER context of care A conclusion that can be drawn about the conduct of the research based on an analysis of the research design and methods - ANSWER research validity A form of systematic review that uses statistical methods to combine the results of several research studies - ANSWER meta-analysis The two minority groups with the fewest nurses are: - ANSWER American Indian and Island Pacifiers The average life expectancy for African-Americans is ____ years less than for Caucasians. - ANSWER 5 Marginalized populations includes - ANSWER lesbians, gay, recently arrived immigrants, older adults