NR222 Health and Wellness Final Exam
Health care reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform? - 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.
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? - Nurse
researcher.
The nurse researcher investigates problems by applying evidence-based practice or
by conducting research to improve nursing care and 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.
An 18-year-old woman is in the emergency department with fever and cough. The
nurse obtains her vital signs, listens to her lung and heart sounds, determines her
level of comfort, and collects blood and sputum samples for analysis. Which
standard of practice is performed? - Assessment.
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
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 them. The nurse is acting as the
patient's: - 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.
,A nurse meets with the registered dietician and physical therapist to develop a plan
of care that focuses on improving nutrition and mobility for a patient. This is an
example of which Quality and Safety in the Education of Nurses (QSEN)
competency? - Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This
competency focuses on the nurse functioning effectively within nursing and
interprofessional teams, fostering open communication, mutual respect, and shared
decision making to achieve quality patient care.
Match the advance practice nurse specialty with the statement about the role. -
Clinical nurse specialist-
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist-
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner-
Provides comprehensive care, usually in a primary care setting, directly managing
the medical care of patients who are healthy or who have chronic conditions.
Nurse-midwife-
Provides independent care including pregnancy and gynecological services.
The examination for registered nurse (RN) licensure is exactly the same in every
state in the United States. This examination: - Provides a minimal standard of
knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of
educational preparation, the examination for RN licensure is exactly the same in
every state in the United States.
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the
preparation you have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. Your instructor asks the class why this document
is important. Which of the following statements best describes this code? - Defines
the principles of right and wrong to provide patient care.
,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 to your patients. It serves as a guide for carrying out nursing
responsibilities to provide quality nursing care and the ethical obligations of the
profession.
Nurses in an acute care hospital are attending a unit based 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? - 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.
The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to
change the dressing. The nurse is acting in which professional role? - Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and
facts about health, describes the reason for routine care activities, demonstrates
procedures such as home care activities, reinforces learning or patient behavior,
and evaluates the patient's progress in learning through return demonstration.
Which of the following Internet resources available can assist consumers when
comparing quality care measures? - Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals'
quality of care and patient satisfaction. WebMD is an Internet source that is
disease/condition specific. The Magnet Recognition Program is a hospital-initiated
recognition that assesses quality of nursing care and patient safety.
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? - Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
, Contemporary nursing requires that the nurse has knowledge and skills for a
variety of professional roles and responsibilities. Which of the following are
examples? - Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
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? - Informatics.
Using decision support systems is one example of using informatics and gaining
competency in informatics.
* Which statement made by a nurse shows that the nurse is engaging in an activity
to help cope with secondary traumatic stress and burnout? - "I am enjoying my
quilting group that meets each week at my church."
Nurses experience secondary traumatic stress and burnout. Personal strategies to
help prevent or cope with secondary traumatic stress or burnout include healthy
eating, making time for yourself to pursue personal interests, getting plenty of
sleep, and regular exercise and relaxation.
* The nurse assesses the following risk factors for coronary artery disease (CAD)
in a female patient. Which factors are classified as genetic and physiological? -
Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those related to heredity, genetic
predisposition to an illness, or those that involve the physical functioning of the
body. Certain physical conditions such as being pregnant or overweight place
increased stress on physiological systems (e.g., the circulatory system), increasing
susceptibility to illness in these areas. A person with a family history of diabetes
mellitus is at risk for developing the disease later in life because of a hereditary and
genetic predisposition to the disease.
* Based on the transtheoretical model of change, what is the most appropriate
response to a patient who states: "Me, stop smoking? I've been smoking since I
Health care reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform? - 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.
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? - Nurse
researcher.
The nurse researcher investigates problems by applying evidence-based practice or
by conducting research to improve nursing care and 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.
An 18-year-old woman is in the emergency department with fever and cough. The
nurse obtains her vital signs, listens to her lung and heart sounds, determines her
level of comfort, and collects blood and sputum samples for analysis. Which
standard of practice is performed? - Assessment.
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
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 them. The nurse is acting as the
patient's: - 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.
,A nurse meets with the registered dietician and physical therapist to develop a plan
of care that focuses on improving nutrition and mobility for a patient. This is an
example of which Quality and Safety in the Education of Nurses (QSEN)
competency? - Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This
competency focuses on the nurse functioning effectively within nursing and
interprofessional teams, fostering open communication, mutual respect, and shared
decision making to achieve quality patient care.
Match the advance practice nurse specialty with the statement about the role. -
Clinical nurse specialist-
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist-
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner-
Provides comprehensive care, usually in a primary care setting, directly managing
the medical care of patients who are healthy or who have chronic conditions.
Nurse-midwife-
Provides independent care including pregnancy and gynecological services.
The examination for registered nurse (RN) licensure is exactly the same in every
state in the United States. This examination: - Provides a minimal standard of
knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of
educational preparation, the examination for RN licensure is exactly the same in
every state in the United States.
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the
preparation you have your classmates read the Nursing Code of Ethics for
Professional Registered Nurses. Your instructor asks the class why this document
is important. Which of the following statements best describes this code? - Defines
the principles of right and wrong to provide patient care.
,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 to your patients. It serves as a guide for carrying out nursing
responsibilities to provide quality nursing care and the ethical obligations of the
profession.
Nurses in an acute care hospital are attending a unit based 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? - 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.
The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to
change the dressing. The nurse is acting in which professional role? - Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and
facts about health, describes the reason for routine care activities, demonstrates
procedures such as home care activities, reinforces learning or patient behavior,
and evaluates the patient's progress in learning through return demonstration.
Which of the following Internet resources available can assist consumers when
comparing quality care measures? - Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals'
quality of care and patient satisfaction. WebMD is an Internet source that is
disease/condition specific. The Magnet Recognition Program is a hospital-initiated
recognition that assesses quality of nursing care and patient safety.
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? - Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
, Contemporary nursing requires that the nurse has knowledge and skills for a
variety of professional roles and responsibilities. Which of the following are
examples? - Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
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? - Informatics.
Using decision support systems is one example of using informatics and gaining
competency in informatics.
* Which statement made by a nurse shows that the nurse is engaging in an activity
to help cope with secondary traumatic stress and burnout? - "I am enjoying my
quilting group that meets each week at my church."
Nurses experience secondary traumatic stress and burnout. Personal strategies to
help prevent or cope with secondary traumatic stress or burnout include healthy
eating, making time for yourself to pursue personal interests, getting plenty of
sleep, and regular exercise and relaxation.
* The nurse assesses the following risk factors for coronary artery disease (CAD)
in a female patient. Which factors are classified as genetic and physiological? -
Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those related to heredity, genetic
predisposition to an illness, or those that involve the physical functioning of the
body. Certain physical conditions such as being pregnant or overweight place
increased stress on physiological systems (e.g., the circulatory system), increasing
susceptibility to illness in these areas. A person with a family history of diabetes
mellitus is at risk for developing the disease later in life because of a hereditary and
genetic predisposition to the disease.
* Based on the transtheoretical model of change, what is the most appropriate
response to a patient who states: "Me, stop smoking? I've been smoking since I
