NSG 252 CH 1, 2, 6, 7, 24, & 39 REVIEW QUESTIONS
You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for
professional registered nurses to guide care decisions. A nonnursing colleague asks
about this code. Which of the following statements best describes this code? - Answers
-Defines the principles of right and wrong to provide patient care Correct
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 for your patients.
The code serves as a guide for carrying out nursing responsibilities to provide quality
nursing care and the ethical obligations of the profession.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, auscultates her lung sounds, listens to her heart sounds,
determines her level of comfort, and collects blood and sputum samples for analysis.
Which standard of practice is performed? - Answers -Assessment
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
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? - Answers -Implementation
Implementation is completing coordinating care and the prescribed plan of care.
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 the family. The nurse is acting as the patient's: -
Answers -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.
Evidence-based practice is defined as: - Answers -A problem-solving approach that
integrates best current evidence with clinical practice
Evidence-based practice integrates best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care.
The examination for registered nurse licensure is exactly the same in every state in the
United States. This examination: - Answers -Provides a minimal standard of knowledge
for a registered nurse in practice
,Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? - Answers
-Caregiver, patient advocate, health promotion
Advanced practice registered nurses generally: - Answers -Function Independently
Advanced practice registered nurse functions independently as a clinician, educator,
case manager, consultant, and researcher within his or her area of practice to plan or
improve the quality of nursing care for the patient and family.
Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform? - Answers -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.
Which of the following nursing roles may have prescriptive authority in their practice? -
Answers -Nurse practitioner and certified clinical nurse specialist
A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency? - Answers -Informatics
Using decision support systems is one example of using and gaining competency in
informatics.
A nurse is caring for an older-adult couple in a community-based assisted living facility.
During the family assessment he notes that the couple has many expired medications
and multiple medications for their respective chronic illnesses. They note that they go to
two different health care providers. The nurse begins to work with the couple to
determine what they know about their medications and helps them decide on one care
provider rather than two. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency? - Answers -Safety
Helping the patients understand the consequences and complications of multiple
medications helps to build the competency in safety.
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? - Answers -Nurse
Researcher
The nurse researcher investigates problems to improve nursing care and to 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.
,Nurses at a community hospital are in an 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? - Answers -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.
Which of the following is an example of the principle of patient-centered care focused on
continuity and transition? - Answers -The nurse is teaching the patient how to change
the wound dressing at home
Nursing interventions focused on transition and continuity provide patients with
information about medications to take, dietary or treatment plans to follow, and danger
signals for which to look after hospitalization or treatment. These interventions also
provide patients and families with health care resources after discharge.
Which activity performed by the nurse is related to maintaining competency in nursing
practice? - Answers -Attending a review course in preparation for the certification
examination
Maintaining ongoing competency is a nurse's responsibility. Earning certification in a
specialty area is one mechanism that demonstrates competency. Specialty certification
has been shown to be positively related to patient safety.
The patient tells the nurse that she is enrolled in a preferred provider organization
(PPO) but does not understand what this is. What is the nurse's best explanation of a
PPO? - Answers -This health plan provides you with a preferred list of physicians,
hospitals, and providers from which you can choose
Preferred provider organization (PPO) plans limit the enrollee's choice to a list of
preferred providers such as hospitals and physicians. A participant pays more to use a
provider not on the preferred list. PPO plans focus on health maintenance.
Which of the following is an example of the nurse participating in primary care activities?
- Answers -Providing prenatal teaching on nutrition to a pregnant woman during the first
trimester
Primary care activities are focused on health promotion. Health-promotion programs
contribute to quality health care by helping patients acquire healthier lifestyles. Health-
promotion activities keep people healthy through exercise, good nutrition, rest, and
adopting positive health attitudes.
Nurses on a nursing unit are discussing the processes that led up to a near-miss error
on the clinical unit. They are outlining strategies that will prevent this in the future. This
is an example of nurses working on what issue in the health care system? - Answers -
Patient Safety
, Near-miss events are events that could have caused a problem with patient safety had
they not been stopped before patient harm occurred. Nurses who investigate ways to
prevent near-miss events work on issues surrounding patient safety.
Which of the following statements is true regarding Magnet status recognition for a
hospital? - Answers -Magnet is a special designation for hospitals that achieve
excellence in nursing practice.
Magnet status is a process and review in which hospitals participate that shows
achievement of excellence in nursing practice. The designation is given by the
American Nurses Credentialing Center and focuses on demonstration of quality patient
care, nursing excellence, and innovations in professional practice.
Which statement made by the nurse is an example of applying the principle of patient-
centered care while focusing on alleviation of a patient's fear and anxiety? - Answers -
"Let's talk about the concerns that you have about going home."
Interventions that focus on alleviation of fear and anxiety are related to allowing the
patient and family time to express fears and concerns, understand the impact that
illness will have on the patient's ability to care for himself or herself, and often express
worries about ability to pay for medical care. Identifying staff that can help with payment
plans alleviates fear and anxiety.
Which of the following is/are characteristics of managed care systems? - Answers -
Provider receives a predetermined payment for each patient in the program.
System tries to reduce costs while keeping patients healthy.
Focus of care is on prevention and early intervention.
Managed care programs have administrative control over primary health care services
for a defined patient population. The provider or health care system receives a
predetermined capitated payment for each patient enrolled in the program. In this case
the managed care organization assumes financial risk in addition to providing patient
care. The focus of care of the organization shifts from individual illness care to
prevention, early intervention, and outpatient care. If people stay healthy, the cost of
medical care declines. Systems of managed care focus on containing or reducing costs,
increasing patient satisfaction, and improving the health or functional status of the
individual.
Which of the following nursing activities is found in a tertiary health care environment? -
Answers -Admitting a patient following open heart surgery to the cardiovascular
intensive care unit
Tertiary health care is focused on treatment of disease and illness. Tertiary health care
takes place in intensive care and subacute care units. Emergency departments are part
of secondary acute care. Preventive and health-promotion activities are part of primary
care.
Which of the following activities performed by the nurse is/are focused on the patient-
centered care principle of physical comfort? - Answers -Providing a back rub at
bedtime.
You are participating in a clinical care coordination conference for a patient with terminal
cancer. You talk with your colleagues about using the nursing code of ethics for
professional registered nurses to guide care decisions. A nonnursing colleague asks
about this code. Which of the following statements best describes this code? - Answers
-Defines the principles of right and wrong to provide patient care Correct
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 for your patients.
The code serves as a guide for carrying out nursing responsibilities to provide quality
nursing care and the ethical obligations of the profession.
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, auscultates her lung sounds, listens to her heart sounds,
determines her level of comfort, and collects blood and sputum samples for analysis.
Which standard of practice is performed? - Answers -Assessment
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
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? - Answers -Implementation
Implementation is completing coordinating care and the prescribed plan of care.
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 the family. The nurse is acting as the patient's: -
Answers -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.
Evidence-based practice is defined as: - Answers -A problem-solving approach that
integrates best current evidence with clinical practice
Evidence-based practice integrates best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care.
The examination for registered nurse licensure is exactly the same in every state in the
United States. This examination: - Answers -Provides a minimal standard of knowledge
for a registered nurse in practice
,Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? - Answers
-Caregiver, patient advocate, health promotion
Advanced practice registered nurses generally: - Answers -Function Independently
Advanced practice registered nurse functions independently as a clinician, educator,
case manager, consultant, and researcher within his or her area of practice to plan or
improve the quality of nursing care for the patient and family.
Health care reform will bring changes in the emphasis of care. Which of the following
models is expected from health care reform? - Answers -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.
Which of the following nursing roles may have prescriptive authority in their practice? -
Answers -Nurse practitioner and certified clinical nurse specialist
A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency? - Answers -Informatics
Using decision support systems is one example of using and gaining competency in
informatics.
A nurse is caring for an older-adult couple in a community-based assisted living facility.
During the family assessment he notes that the couple has many expired medications
and multiple medications for their respective chronic illnesses. They note that they go to
two different health care providers. The nurse begins to work with the couple to
determine what they know about their medications and helps them decide on one care
provider rather than two. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency? - Answers -Safety
Helping the patients understand the consequences and complications of multiple
medications helps to build the competency in safety.
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? - Answers -Nurse
Researcher
The nurse researcher investigates problems to improve nursing care and to 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.
,Nurses at a community hospital are in an 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? - Answers -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.
Which of the following is an example of the principle of patient-centered care focused on
continuity and transition? - Answers -The nurse is teaching the patient how to change
the wound dressing at home
Nursing interventions focused on transition and continuity provide patients with
information about medications to take, dietary or treatment plans to follow, and danger
signals for which to look after hospitalization or treatment. These interventions also
provide patients and families with health care resources after discharge.
Which activity performed by the nurse is related to maintaining competency in nursing
practice? - Answers -Attending a review course in preparation for the certification
examination
Maintaining ongoing competency is a nurse's responsibility. Earning certification in a
specialty area is one mechanism that demonstrates competency. Specialty certification
has been shown to be positively related to patient safety.
The patient tells the nurse that she is enrolled in a preferred provider organization
(PPO) but does not understand what this is. What is the nurse's best explanation of a
PPO? - Answers -This health plan provides you with a preferred list of physicians,
hospitals, and providers from which you can choose
Preferred provider organization (PPO) plans limit the enrollee's choice to a list of
preferred providers such as hospitals and physicians. A participant pays more to use a
provider not on the preferred list. PPO plans focus on health maintenance.
Which of the following is an example of the nurse participating in primary care activities?
- Answers -Providing prenatal teaching on nutrition to a pregnant woman during the first
trimester
Primary care activities are focused on health promotion. Health-promotion programs
contribute to quality health care by helping patients acquire healthier lifestyles. Health-
promotion activities keep people healthy through exercise, good nutrition, rest, and
adopting positive health attitudes.
Nurses on a nursing unit are discussing the processes that led up to a near-miss error
on the clinical unit. They are outlining strategies that will prevent this in the future. This
is an example of nurses working on what issue in the health care system? - Answers -
Patient Safety
, Near-miss events are events that could have caused a problem with patient safety had
they not been stopped before patient harm occurred. Nurses who investigate ways to
prevent near-miss events work on issues surrounding patient safety.
Which of the following statements is true regarding Magnet status recognition for a
hospital? - Answers -Magnet is a special designation for hospitals that achieve
excellence in nursing practice.
Magnet status is a process and review in which hospitals participate that shows
achievement of excellence in nursing practice. The designation is given by the
American Nurses Credentialing Center and focuses on demonstration of quality patient
care, nursing excellence, and innovations in professional practice.
Which statement made by the nurse is an example of applying the principle of patient-
centered care while focusing on alleviation of a patient's fear and anxiety? - Answers -
"Let's talk about the concerns that you have about going home."
Interventions that focus on alleviation of fear and anxiety are related to allowing the
patient and family time to express fears and concerns, understand the impact that
illness will have on the patient's ability to care for himself or herself, and often express
worries about ability to pay for medical care. Identifying staff that can help with payment
plans alleviates fear and anxiety.
Which of the following is/are characteristics of managed care systems? - Answers -
Provider receives a predetermined payment for each patient in the program.
System tries to reduce costs while keeping patients healthy.
Focus of care is on prevention and early intervention.
Managed care programs have administrative control over primary health care services
for a defined patient population. The provider or health care system receives a
predetermined capitated payment for each patient enrolled in the program. In this case
the managed care organization assumes financial risk in addition to providing patient
care. The focus of care of the organization shifts from individual illness care to
prevention, early intervention, and outpatient care. If people stay healthy, the cost of
medical care declines. Systems of managed care focus on containing or reducing costs,
increasing patient satisfaction, and improving the health or functional status of the
individual.
Which of the following nursing activities is found in a tertiary health care environment? -
Answers -Admitting a patient following open heart surgery to the cardiovascular
intensive care unit
Tertiary health care is focused on treatment of disease and illness. Tertiary health care
takes place in intensive care and subacute care units. Emergency departments are part
of secondary acute care. Preventive and health-promotion activities are part of primary
care.
Which of the following activities performed by the nurse is/are focused on the patient-
centered care principle of physical comfort? - Answers -Providing a back rub at
bedtime.
