lOMoARcPSD|25701531
, lOMoARcPSD|25701531
1.
Staff nurses in an ICU setting have noticed that their patients required lower and fewer doses of
analgesia when noise levels on the unit were consciously reduced. They informed an advanced practice
RN of this and asked the APRN to quantify the effects of noise on the pain levels of hospitalized
patients. How does this demonstrate a role of the APRN?
A)
Involving patients in their care while hospitalized
om
B)
Contributing to the scientific basis of nursing practice
C)
Critiquing the quality of patient care
.c
D)
Explaining medical studies to patients and RNs
Ans:
B
ks
Feedback:
an
Research is within the purview of the APRN. The activity described does not exemplify explaining
studies to RNs, critiquing care, or involving patients in their care.
tb
2.
es
Nurses now have the option to practice in a variety of settings and one of the fastest growing
venues of practice for the nurse in today’s health care environment is home health care. What is
the main basis for the growth in this health care setting?
Bt
A)
Chronic nursing shortage
B)
Western focus on treatment of disease
C)
Nurses’ preferences for day shifts instead of evening or night shifts
D)
Discharge of patients who are more critically ill
Ans:
D
Feedback:
With shorter hospital stays and increased use of outpatient health care services, more nursing
care is provided in the home and community setting. The other answers are incorrect because
they are not the basis for the growth in nursing care delivered in the home setting.
, lOMoARcPSD|25701531
3.
Nurses have different educational backgrounds and function under many titles in their practice
setting. If a nurse practicing in an oncology clinic had the goal of improving patient outcomes and
nursing care by influencing the patient, the nurse, and the health care system, what would most
accurately describe this nurse’s title?
A)
Nursing care expert
B)
Clinical nurse specialist
C)
om
Nurse manager
D)
Staff nurse
Ans:
B
.c
Feedback: ks
Clinical nurse specialists are prepared as specialists who practice within a circumscribed area of care
(e.g., cardiovascular, oncology). They define their roles as having five major components: clinical
practice, education, management, consultation, and research. The other answers are incorrect because
an
they are not the most accurate titles for this nurse.
tb
4.
Nursing continues to recognize and participate in collaboration with other health care disciplines to
meet the complex needs of the patient. Which of the following is the best example of a collaborative
es
practice model?
A)
The nurse and the physician jointly making clinical decisions.
B)
Bt
The nurse accompanying the physician on rounds.
C)
The nurse making a referral on behalf of the patient.
D)
The nurse attending an appointment with the patient.
Ans:
A
Feedback:
The collaborative model, or a variation of it, promotes shared participation,
responsibility, and accountability in a health care environment that is striving to meet the
complex health care needs of the public. The other answers are incorrect because they are
not examples of a collaborative practice model.
, lOMoARcPSD|25701531
5.
A hospice nurse is caring for a patient who is dying of lymphoma. According to Maslow’s hierarchy of
needs, what dimension of care should the nurse consider primary in importance when caring for a
dying patient?
A)
Spiritual
B)
Social
C)
Physiologic
om
D)
Emotional
Ans:
C
.c
Feedback:
ks
Maslow ranked human needs as follows: physiologic needs; safety and security; sense of belonging and
affection; esteem and self-respect; and self-actualization, which includes self-fulfillment, desire to
know and understand, and aesthetic needs. Such a hierarchy of needs is a useful framework that can be
applied to the various nursing models for assessment of a patient’s strengths, limitations, and need for
an
nursing interventions. The other answers are incorrect because they are not of primary importance
when caring for a dying patient, though each should certainly be addressed.
tb
6.
A nurse is planning a medical patient’s care with consideration of Maslow’s hierarchy of needs. Within
this framework of understanding, what would be the nurse’s first priority?
es
A)
Allowing the family to see a newly admitted patient
B)
Bt
Ambulating the patient in the hallway
C)
Administering pain medication
D)
Teaching the patient to self-administer insulin safely
Ans:
C
Feedback:
In Maslow’s hierarchy of needs, pain relief addresses the patient’s basic physiologic need. Activity,
such as ambulation, is a higher level need above the physiologic need. Allowing the patient to see
family addresses a higher level need related to love and belonging. Teaching the patient is also a
higher level need related to the desire to know and understand and is not appropriate at this time, as
the basic physiologic need of pain control must be addressed before the patient can address these
higher level needs.
, lOMoARcPSD|25701531
1.
Staff nurses in an ICU setting have noticed that their patients required lower and fewer doses of
analgesia when noise levels on the unit were consciously reduced. They informed an advanced practice
RN of this and asked the APRN to quantify the effects of noise on the pain levels of hospitalized
patients. How does this demonstrate a role of the APRN?
A)
Involving patients in their care while hospitalized
om
B)
Contributing to the scientific basis of nursing practice
C)
Critiquing the quality of patient care
.c
D)
Explaining medical studies to patients and RNs
Ans:
B
ks
Feedback:
an
Research is within the purview of the APRN. The activity described does not exemplify explaining
studies to RNs, critiquing care, or involving patients in their care.
tb
2.
es
Nurses now have the option to practice in a variety of settings and one of the fastest growing
venues of practice for the nurse in today’s health care environment is home health care. What is
the main basis for the growth in this health care setting?
Bt
A)
Chronic nursing shortage
B)
Western focus on treatment of disease
C)
Nurses’ preferences for day shifts instead of evening or night shifts
D)
Discharge of patients who are more critically ill
Ans:
D
Feedback:
With shorter hospital stays and increased use of outpatient health care services, more nursing
care is provided in the home and community setting. The other answers are incorrect because
they are not the basis for the growth in nursing care delivered in the home setting.
, lOMoARcPSD|25701531
3.
Nurses have different educational backgrounds and function under many titles in their practice
setting. If a nurse practicing in an oncology clinic had the goal of improving patient outcomes and
nursing care by influencing the patient, the nurse, and the health care system, what would most
accurately describe this nurse’s title?
A)
Nursing care expert
B)
Clinical nurse specialist
C)
om
Nurse manager
D)
Staff nurse
Ans:
B
.c
Feedback: ks
Clinical nurse specialists are prepared as specialists who practice within a circumscribed area of care
(e.g., cardiovascular, oncology). They define their roles as having five major components: clinical
practice, education, management, consultation, and research. The other answers are incorrect because
an
they are not the most accurate titles for this nurse.
tb
4.
Nursing continues to recognize and participate in collaboration with other health care disciplines to
meet the complex needs of the patient. Which of the following is the best example of a collaborative
es
practice model?
A)
The nurse and the physician jointly making clinical decisions.
B)
Bt
The nurse accompanying the physician on rounds.
C)
The nurse making a referral on behalf of the patient.
D)
The nurse attending an appointment with the patient.
Ans:
A
Feedback:
The collaborative model, or a variation of it, promotes shared participation,
responsibility, and accountability in a health care environment that is striving to meet the
complex health care needs of the public. The other answers are incorrect because they are
not examples of a collaborative practice model.
, lOMoARcPSD|25701531
5.
A hospice nurse is caring for a patient who is dying of lymphoma. According to Maslow’s hierarchy of
needs, what dimension of care should the nurse consider primary in importance when caring for a
dying patient?
A)
Spiritual
B)
Social
C)
Physiologic
om
D)
Emotional
Ans:
C
.c
Feedback:
ks
Maslow ranked human needs as follows: physiologic needs; safety and security; sense of belonging and
affection; esteem and self-respect; and self-actualization, which includes self-fulfillment, desire to
know and understand, and aesthetic needs. Such a hierarchy of needs is a useful framework that can be
applied to the various nursing models for assessment of a patient’s strengths, limitations, and need for
an
nursing interventions. The other answers are incorrect because they are not of primary importance
when caring for a dying patient, though each should certainly be addressed.
tb
6.
A nurse is planning a medical patient’s care with consideration of Maslow’s hierarchy of needs. Within
this framework of understanding, what would be the nurse’s first priority?
es
A)
Allowing the family to see a newly admitted patient
B)
Bt
Ambulating the patient in the hallway
C)
Administering pain medication
D)
Teaching the patient to self-administer insulin safely
Ans:
C
Feedback:
In Maslow’s hierarchy of needs, pain relief addresses the patient’s basic physiologic need. Activity,
such as ambulation, is a higher level need above the physiologic need. Allowing the patient to see
family addresses a higher level need related to love and belonging. Teaching the patient is also a
higher level need related to the desire to know and understand and is not appropriate at this time, as
the basic physiologic need of pain control must be addressed before the patient can address these
higher level needs.
