Final Exam Nursing Dimensions

Dimensions Final Exam 1. True or False: Energy Systems in the body are used by both conventional and integrative medicine. B) False 2. Select the most effective method that nurses can use to gain power over their practice. B) Join professional organizations in large numbers. 3. An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is: D) Sentinel event 4. What is the purpose of spiritual modes of healing? A) They enhance comfort and produce an inner peace with disability or death. 5. True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the Department of Health. A) False 6. Which best describes The Leapfrog Group and its recommendations? A) The gold standard for comparison of hospital performance 7. A client’s blood pressure of 180/110 mmHg is an example of which of the following? C) Data 8. With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching? D) A client who is quietly reading a book 9. What is the definition of the ethical principle of nonmaleficence? D) Health-care workers avoiding harm to clients 10. These characteristics are difficult to identify, but have an even more profound effect on an individual's cultural identity. D) Gender issues and residential status 11. Which of the following is a key element to effective education of nursing students? D) High-quality interpersonal relationships between students and teachers 12. Which of the following would NOT be considered an invasion of privacy: C) Notifying the police of Mr. Brown’s gunshot wound 13. Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine? A) Inquire what complimentary practices the client is using to insure client safety. 14. Which of the following is not a characteristic of Integrative medicine? A) Emphasis is placed on diagnosis and cure based on physical symptoms 15. When reviewing the term spirituality, which of the following would not be included in its definition? C) A person with spiritual needs must participate in religious rituals and practices. 16. This is the single most obvious barrier to providing culturally competent care. D) Language 17. Which situation is the nurse allowed to breech a client’s right of confidentiality? A) A 32-year-old comes to the emergency room for wounds sustained by a knife. 18. Which of the following best describes conventional and integrative medicine? D) Conventional medicine primarily uses therapy from the outside and integrative from within. 19. Which characteristic is required in a person to be able to resolve difficult crises? D) Uses newly developed coping skills to resolve future crises 20. Where would a nurse look to find their scope of practice as defined by state law? C) Nurse Practice Act 21. Identify an important aspect of the role of forensic psychiatric nurses B) Identify changes in behaviors linking criminals to criminal offenses. 22. The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor? A) Each hospital establishes its own policy regarding spirituality. B) The American Association of Colleges of Nursing mandates a policy related to spirituality in health care C) The Joint Commission has a standard of patient care with inclusion of spirituality. D) Spirituality remains at the discretion of the chaplain or pastoral care. Table for Individual Question Feedback Points Earned: 0.0/1.0 Correct Answer(s): C 23. What is the first step in the delegation process? A) Allowing the person to observe the RN performing the task before making the assignment B) Determining the skill level of the person to whom the task is to be delegated C) Obtaining permission from the client for another care provider to help with the care D) Instructing the person to whom the task is delegated about the assignment Table for Individual Question Feedback Points Earned: 0.0/1.0 Correct Answer(s): B 24. What is the most important element for the nurse navigator to include in the planning of care for a client? A) The client’s perceptions and beliefs about the disease process and the modalities of treatment B) The distance the client lives from the primary health-care facility C) The age difference between the client and the nurse D) What type of insurance coverage the client has Table for Individual Question Feedback Points Earned: 1.0/1.0 Correct Answer(s): A 25. Identify a secured setting for the practice of forensic nursing. A) Crime scenes B) Women’s shelters C) Emergency rooms D) Correctional institutions Table for Individual Question Feedback Points Earned: 0.0/1.0 Correct Answer(s): D 26. What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data? A) A failure to determine the impact nurses have on outcomes B) The inability to identify what the nursing staff actually does C) The establishment of appropriate reimbursement for nursing activities D) A decrease in the number of nursing diagnoses Table for Individual Question Feedback Points Earned: 0.0/1.0 Correct Answer(s): C 27. A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution. A) Sets up a time and place for a one-on-one meeting with the staff nurse B) Arranges for the transfer of the staff nurse to the night shift C) Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleagues D) Notes that the vocal staff nurse is not intelligent enough to understand the situation, and disregards her comments as worthless Table for Individual Question Feedback Points Earned: 1.0/1.0 Correct Answer(s): A 28. When do most health-care expenditures occur in a person’s life? A) As old age sets in due to the development of multiple chronic illnesses B) During the last 6 months of life C) During childhood due to the large number of broken bones and traumatic injuries D) During and shortly after being born Table for Individual Question Feedback Points Earned: 0.0/1.0 Correct Answer(s): A 29. Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medicalsurgical unit from the outpatient clinic? A) Completing the admission vital signs and assessment on a 44-year-old woman who just returned from the post anesthesia care unit after nephrectomy B) Obtaining a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion C) Changing the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries D) Assisting a 72-year-old man 1 day post–cerebrovascular accident with dysphagia to eat lunch Table for Individual Question Feedback Points Earned: 0.0/1.0 Correct Answer(s): B 30. What is the primary goal of the nurse navigator role? A) Lower the risk factors that cause poor or adverse client outcomes B) Elimination of the barriers to care to make moving through the treatment maze easier C) Starting a business by combining nursing experience and knowledge with business knowledge D) Provide health care for inmates in correctional facilities such as juvenile centers, jails, and prisons Table for Individual Question Feedback