Fundamentals of Nursing: Chapters 1,2,3,4,& 5 Questions and Correct Solutions

Chapter 1 Questions - 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. What best describes this code? - Defines the principles of right and wrong to provide patient care An 18 year old woman is the ER with fever and cough. the nurse obtains her vital signs, listens to lung and heart sounds determines level of comfort, collects blood and sputum. which standard of practice is performed? - assessment A patient in the ER 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 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 tot have a new surgical procedure. the nurse explains the risk and benefits of the surgery to the family and discusses the patients wishes with them. the nurse is acting as the patients - advocate the nurse spends time with the patient and family reviewing the dressing change procedure for the patients wound. the patients spouse demonstrates how to change the dressing. the nurse is acting in which role? - educator The exam for RN licensure is exactly the same in every state. This examination: - provides a minimal standard of knowledge for an RN 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? (Select all that apply.) Caregiver Autonomy and accountability Patient advocate Health promotion Lobbyist - Caregiver Autonomy and accountability Patient advocate Health promotion Each of these roles includes activities for the professional nurse. Each of these is used in direct care or is part of professionalism that guides nursing practice Match the advanced practice nurse specialty with the statement about the role: Provides independent care including pregnancy and gynecological services 1. Clinical nurse specialist 2. Nurse anesthetist 3. Nurse practitioner 4. Nurse-midwife - 4. Nurse-midwife Match the advance practice nurse specialty with the statement about the role: Expert clinician in a specialized area of practice such as adult diabetes care 1. Clinical nurse specialist 2. Nurse anesthetist 3. Nurse practitioner 4. Nurse-midwife - 1. Clinical nurse specialist Match the advance practice nurse specialty with the statement about the role: Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or who have chronic conditions 1. Clinical nurse specialist 2. Nurse anesthetist 3. Nurse practitioner 4. Nurse-midwife - 3. Nurse practitioner Match the advance practice nurse specialty with the statement about the role: Provides care and services under the supervision of an anesthesiologist. 1. Clinical nurse specialist 2. Nurse anesthetist 3. Nurse practitioner 4. Nurse-midwife - 2. Nurse anesthetist Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? 1. Moving from an acute illness to a health promotion, illness prevention model 2. Moving from illness prevention to a health promotion model 3. Moving from an acute illness to a disease management model 4. Moving from a chronic care to an illness prevention model - 1. Moving from an acute illness to a health promotion, illness prevention model A nurse meets with the registered dietitian 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? 1. Patient-centered care 2. Safety 3. Teamwork and collaborative 4. Informatics - 3. Teamwork and collaborative 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? 1. Patient-centered care 2. Safety 3. Teamwork and collaboration 4. Informatics - 4. Informatics