NUR 1025 EXAM 1 UPDATED PRACTICE
QUESTIONS WITH 100% CORRECT ANSWERS
Nursing workforce issues
• Nursing students
• Staffing and nurse-to-patient ratios
• Nursing assignments
• Patient abandonment
• Nurse delegation
Risk management and performance/quality improvement
• Identifying possible risks
• Analyzing risks
• Acting to reduce risks
• Evaluating the steps take to reduce risks
• Quality improvement
• Patient safety and improved care are the goals
Professional Responsibilities and Roles
-Autonomy and Accountability:
-Educator
-Caregiver
-Advocate
-Communicator
-Manager
Autonomy and Accountability:
have initiation of independent nursing interventions without medical orders. Responsible
professionally and legally for the type and quality of nursing care provided.
advocate
protects patient's human and legal rights and provide assistance in asserting these rights. Secure
patient health care rights.
Caregiver
help patients maintain and regain health, manage disease and symptoms, and attain a maximal
level of function and independence. Restore patients emotional, spiritual a social well-being.
educator
explain concepts and facts about health, describe reason for routine care activities, demonstrate
procedures, reinforce learning or patient behavior, and evaluate progress in learning.
,communicator
essential to routinely communicate with patients, to advocate, give emotional support, and make
decisions with patients and family.
manager
establish environment for collaborate patient-center care with positive patient outcome.
Coordinate activities of members of nursing staff. Creates a nursing environment that reflects the
mission and values of the health care organization.
Advanced Practice Registered Nurses
the most independently functioning nurse. An APRN has a master's degree or Doctor of Nursing
Practice (DNP) degree in nursing; advanced education in pathophysiology, pharmacology, and
physical assessment; and certification and expertise in a specialized area of practice
Clinical Nurse Specialist
APRN who is an expert clinician in a specialized area of practice. The specialty may be
identified by a population (e.g., geriatrics), setting (e.g., critical care), disease specialty (e.g.,
diabetes), type of care (e.g., rehabilitation), or type of problem (e.g., pain). Clinical nurse
specialists provide diagnosis, treatment, and ongoing management of patients in all health care
settings. They also provide expertise and support to nurses caring for patients at the bedside, help
drive practice changes throughout an organization, and ensure the use of best practices and
evidence-based care to achieve the best possible patient
Nurse Practitioner
APRN who provides comprehensive health care to a group of patients in an inpatient, outpatient,
ambulatory care, or community-based setting. This care includes assessment, diagnosis,
planning, and treatment; monitoring ongoing health status; evaluation of therapies; and health
education. Some NPs provide care to acutely ill patients in hospital settings, including critical
care units. Other NPs provide comprehensive care, directly managing the nursing and medical
care of patients who are healthy or who have chronic conditions. It is important to review state
regulations for advanced practice. Some states require the NP to have a collaborative provider
agreement with an agency or physician/physician group to treat a specific group of patients;
other states do not.
Certified Nurse-Midwife:
APRN who is also educated in midwifery and is certified by the American College of Nurse-
Midwives (ACNM). The scope of practice of nurse-midwifery has been defined by the ACNM
(2011) as encompassing a full range of primary health care services for women from adolescence
beyond menopause. These services include primary care; gynecologic and family planning
services; preconception care; care during pregnancy, childbirth, and the postpartum period; care
of the normal newborn during the first 28 days of life; and treatment of male partners for
sexually transmied infections (ACNM, 2011). The nurse-midwife conducts physical
, examinations; prescribes medications, including controlled substances and contraceptive
methods; admits, manages, and discharges patients; orders and interprets laboratory and
diagnostic tests; and orders the use of medical devices.
Certified Registered Nurse Anesthetist
advanced education from a nurse anesthesia-accredited program. Before applying to a nurse
anesthesia program, a nurse must have at least 1 year of critical care or emergency experience.
Nurse anesthetists' practice both autonomously and in collaboration with a variety of health care
providers on the interprofessional team to deliver high-quality, holistic, evidence- based
anesthesia and pain care services (American Association of Nurse Anesthetists, 2017). CRNAs
practice under the guidance and supervision of an anesthesiologist, a physician with advanced
knowledge of surgical anesthesia.
Nurse educator
works primarily in schools of nursing, staff development departments of health care agencies,
and patient education departments. Nurse educators need experience in clinical practice to
provide them with practical skills and theoretical knowledge. A faculty member in a nursing
program educates students to become professional nurses. Nursing faculty members are
responsible for teaching current nursing practice; trends; theory; and necessary skills in
classroom, laboratories, and clinical settings. Nursing faculty have graduate degrees such as a
master's degree in nursing or an earned doctorate in nursing or related field. Generally, they have
a specific clinical, administrative, or research specialty and advanced clinical experience.
Nurse administrator
patient care and the delivery of specific nursing services within a health care agency. Nursing
administration begins with positions such as clinical care coordinators. Experience and additional
education sometimes lead to a middle-management position such as nurse manager of a specific
patient care area or house supervisor or to an upper-management position such as an associate
director or director of nursing services.
Nurse Researcher
conducts evidence-based practice and research to improve nursing care and further define and
expand the scope of nursing practice. She or he often works in an academic seeking, hospital, or
independent professional or community service agency. The preferred educational requirement is
a doctoral degree, with at least a master's degree in nursing.
Levels of Health Care
Primary, Preventative, Secondary, Tertiary, Restorative Care, and Continuing Care
Preventive Care
- Improved health outcomes for an entire population
- Reduces and controls risk factors for disease. . (include: Immunizations, wellness visits, diet
counseling, adult screenings for blood pressure)
QUESTIONS WITH 100% CORRECT ANSWERS
Nursing workforce issues
• Nursing students
• Staffing and nurse-to-patient ratios
• Nursing assignments
• Patient abandonment
• Nurse delegation
Risk management and performance/quality improvement
• Identifying possible risks
• Analyzing risks
• Acting to reduce risks
• Evaluating the steps take to reduce risks
• Quality improvement
• Patient safety and improved care are the goals
Professional Responsibilities and Roles
-Autonomy and Accountability:
-Educator
-Caregiver
-Advocate
-Communicator
-Manager
Autonomy and Accountability:
have initiation of independent nursing interventions without medical orders. Responsible
professionally and legally for the type and quality of nursing care provided.
advocate
protects patient's human and legal rights and provide assistance in asserting these rights. Secure
patient health care rights.
Caregiver
help patients maintain and regain health, manage disease and symptoms, and attain a maximal
level of function and independence. Restore patients emotional, spiritual a social well-being.
educator
explain concepts and facts about health, describe reason for routine care activities, demonstrate
procedures, reinforce learning or patient behavior, and evaluate progress in learning.
,communicator
essential to routinely communicate with patients, to advocate, give emotional support, and make
decisions with patients and family.
manager
establish environment for collaborate patient-center care with positive patient outcome.
Coordinate activities of members of nursing staff. Creates a nursing environment that reflects the
mission and values of the health care organization.
Advanced Practice Registered Nurses
the most independently functioning nurse. An APRN has a master's degree or Doctor of Nursing
Practice (DNP) degree in nursing; advanced education in pathophysiology, pharmacology, and
physical assessment; and certification and expertise in a specialized area of practice
Clinical Nurse Specialist
APRN who is an expert clinician in a specialized area of practice. The specialty may be
identified by a population (e.g., geriatrics), setting (e.g., critical care), disease specialty (e.g.,
diabetes), type of care (e.g., rehabilitation), or type of problem (e.g., pain). Clinical nurse
specialists provide diagnosis, treatment, and ongoing management of patients in all health care
settings. They also provide expertise and support to nurses caring for patients at the bedside, help
drive practice changes throughout an organization, and ensure the use of best practices and
evidence-based care to achieve the best possible patient
Nurse Practitioner
APRN who provides comprehensive health care to a group of patients in an inpatient, outpatient,
ambulatory care, or community-based setting. This care includes assessment, diagnosis,
planning, and treatment; monitoring ongoing health status; evaluation of therapies; and health
education. Some NPs provide care to acutely ill patients in hospital settings, including critical
care units. Other NPs provide comprehensive care, directly managing the nursing and medical
care of patients who are healthy or who have chronic conditions. It is important to review state
regulations for advanced practice. Some states require the NP to have a collaborative provider
agreement with an agency or physician/physician group to treat a specific group of patients;
other states do not.
Certified Nurse-Midwife:
APRN who is also educated in midwifery and is certified by the American College of Nurse-
Midwives (ACNM). The scope of practice of nurse-midwifery has been defined by the ACNM
(2011) as encompassing a full range of primary health care services for women from adolescence
beyond menopause. These services include primary care; gynecologic and family planning
services; preconception care; care during pregnancy, childbirth, and the postpartum period; care
of the normal newborn during the first 28 days of life; and treatment of male partners for
sexually transmied infections (ACNM, 2011). The nurse-midwife conducts physical
, examinations; prescribes medications, including controlled substances and contraceptive
methods; admits, manages, and discharges patients; orders and interprets laboratory and
diagnostic tests; and orders the use of medical devices.
Certified Registered Nurse Anesthetist
advanced education from a nurse anesthesia-accredited program. Before applying to a nurse
anesthesia program, a nurse must have at least 1 year of critical care or emergency experience.
Nurse anesthetists' practice both autonomously and in collaboration with a variety of health care
providers on the interprofessional team to deliver high-quality, holistic, evidence- based
anesthesia and pain care services (American Association of Nurse Anesthetists, 2017). CRNAs
practice under the guidance and supervision of an anesthesiologist, a physician with advanced
knowledge of surgical anesthesia.
Nurse educator
works primarily in schools of nursing, staff development departments of health care agencies,
and patient education departments. Nurse educators need experience in clinical practice to
provide them with practical skills and theoretical knowledge. A faculty member in a nursing
program educates students to become professional nurses. Nursing faculty members are
responsible for teaching current nursing practice; trends; theory; and necessary skills in
classroom, laboratories, and clinical settings. Nursing faculty have graduate degrees such as a
master's degree in nursing or an earned doctorate in nursing or related field. Generally, they have
a specific clinical, administrative, or research specialty and advanced clinical experience.
Nurse administrator
patient care and the delivery of specific nursing services within a health care agency. Nursing
administration begins with positions such as clinical care coordinators. Experience and additional
education sometimes lead to a middle-management position such as nurse manager of a specific
patient care area or house supervisor or to an upper-management position such as an associate
director or director of nursing services.
Nurse Researcher
conducts evidence-based practice and research to improve nursing care and further define and
expand the scope of nursing practice. She or he often works in an academic seeking, hospital, or
independent professional or community service agency. The preferred educational requirement is
a doctoral degree, with at least a master's degree in nursing.
Levels of Health Care
Primary, Preventative, Secondary, Tertiary, Restorative Care, and Continuing Care
Preventive Care
- Improved health outcomes for an entire population
- Reduces and controls risk factors for disease. . (include: Immunizations, wellness visits, diet
counseling, adult screenings for blood pressure)
