Exam 1 for PN 101 Questions and Answers 100% Verified 2023

Exam 1 for PN 101 Questions and Answers 100% Verified 2023 The nurse describes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following? A) Assessment B) diagnosis C) planning D) implementation ANS: C In planning the RN develops a plan that prescribes strategies and alternatives to attain expected outcomes. A nurse assesess a patients fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating? A) Licensure B)Autonomy C) certification D) Accountability ANS: B Autotomy is an essential element of the professional nursing that involves the initiation of independent nursing interventions without medical orders. A nurse identifies the gaps between local and best practices. Which quality and safety education for nurses (QSEN) competency is the nurse demonstrating? A) Safety B) Patient- centered care C) Team work and collaboration ANS: C Quality improvement identifies gaps between local and best practices. Safety minimizes risk of harm to patients and providers through both system effectiveness and individual performance. Patient- centered care recognizes the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. Teamwork and collaboration allows effective functioning within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision making. An example of a violation to criminal law by a nurse is: A) Taking a controlled substance from agency supply for personal use. B)Accidentally administering a drug to the wrong C) Advising a patient to sue the doctor for a supposed mistake the doctor made D) Writing a letter to the newspaper outlining questionable or unsafe hospital practices ANS: A Theft of a controlled substance is a federal crime and consequently a crime against society A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? a. Manager b. Patient educator c. Patient advocate d. Clinical nurse specialist ANS: C As a patient advocate, the nurse protects the patient's human and legal rights, including the right of the patient to understand procedures before signing permits. Although nurses can be educators, it is the responsibility of the surgeon to provide education for the patient in preparation for surgery, and it is the nurse's responsibility to notify the health care provider if the patient is not properly educated. Managers coordinate the activities of members of the nursing staff in delivering nursing care, and clinical nurse specialists are experts in a specialized area of nursing practice in a variety of settings A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts? a. Protects the nurse b. Protects the public c. Protects the provider d. Protects the hospital ANS: B The nurse practice acts regulate the scope of nursing practice and protect public health, safety, and welfare. They do not protect the nurse, provider, or hospital A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? a. Code of ethics b. Standards of practice c. Standards of professional performance d. Quality and safety education for nurses ANS: A 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. The Standards of Practice describe a competent level of nursing care. The ANA Standards of Professional Performance describe a competent level of behavior in the professional role. Quality and safety education for nurses addresses the challenge to prepare nurses with the competencies needed to continuously improve the quality of care in their work environments While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept does this describe? a. Autonomy b. Accountability c. Patient advocacy d. Patient education ANS: B Accountability means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided. Autonomy is an essential element of professional nursing that involves the initiation of independent nursing interventions without medical orders.As a patient advocate, the nurse protects the patient's human and legal rights and provides assistance in asserting these rights if the need arises. As an educator, the nurse explains concepts and facts about health, describes the reasons for routine care activities, demonstrates procedures such as self-care activities, reinforces learning or patient behavior, and evaluates the patient's progress in learning The nurse administering pain medication every 4 hours is an example of which aspect of patient care? A) Assessment data B) Nursing diagnosis C) Patient outcome D) Nursing intervention ANS: D Interventions are activities that will help the patient achieve a goal, such as administering pain-relieving medication. An example of assessment data might be, Patient reports pain is a 5 on a 1 to 10 scale. The nursing diagnosis would be Pain. The nurse might define the patient outcome in this scenario as, The patient will state the level of pain is less than 4 The nurse is participating in a care plan for a patient to help prevent Impaired Skin Integrity. She has made sure that nursing assistive personnel change the patients position every 2 hours. In the evaluation phase of the nursing process, which of the following would the nurse do first? A)Determine whether she has gathered enough assessment data. B)Judge whether the interventions achieved the stated outcomes. C)Follow up to verify that care for the nursing diagnosis was given. D)Decide whether the nursing diagnosis was accurate for the patients condition. ANS: B The evaluation phase judges whether the interventions were effective in achieving the desired outcomes and helped to alleviate the nursing diagnosis. This must be done before examining the nursing process steps and revising the care plan. A patient who is very angry and is leaving the hospital against medical advice (AMA) demands to have the medical chart to take, because it is her personal property. An appropriate response would be: A) Certainly, This hospital doesn't need to keep is if you are leaving and will not be returning here. B) You are entitled to the information in your chart, but the chart is the property of the hospital. I will see about having a copy made for you. C) The information in your chart is confidential, and you cannot leave this facility with it. D) Because you are leaving against medical advice of your physician, you may not have the chart. ANS: B The chart is the property of the facility, but the patient has a legal right to the information in it even if she is leaving AMA. A nurse enters a notation in a patients chart but then discovers that the notation was made in the wrong chart. The nurse correctly: A) draws a single line through the notation so that it is still readable and writes mistaken entry, his signature, and the date and time. B) removes the page on which the error is written and rewrites the other correct notes C) blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin wrong patient, his signature, and the date and time. D) whites out the wrong entry and writes the note in the chart of the correct patient. ANS: A When an error is made, no attempt to hide or obliterate the error should be made, because this may be questioned in a court of law.