PNC II Exam 1 Review Questions And Answers With Verified Solutions

Nursing is a profession in a rapidly changing healthcare environment. The most important reason for the nurse to develop critical thinking and clinical reasoning is: a. to be able to employ the nursing process in patient care. b. that the licensing examination requires nurses to be adept at critical thinking. c. because patients deserve experts who know how to care for them. d. to provide quality care with nursing ability and knowledge. - ANS-d. to provide quality care with nursing ability and knowledge. A home health nurse reviews the nursing care with the patient and family and then mutually discusses the expected outcomes of the nursing care to be provided. Which step of the nursing process is the nurse illustrating? a. Diagnosing b. Planning c. Implementing d. Evaluating - ANS-b. Planning The nurse maintains a journal in which to reflect on the nurse's clinical practice. Which entry is an example of reflection for action? a. "The client's son reported to me that the client needed medication for postoperative pain." b. "It has been over 4 hours since I have medicated the client for pain." c. "I obtained the medication. When I got to the room, the client was sleeping. I refused to give the medication." d. "Next time I will assess the client before obtaining the medication." - ANS-d. "Next time I will assess the client before obtaining the medication." On walking into the room of a client, an experienced nurse has a strong sense that something is going wrong with the client. Which type of clinical decision making is the nurse demonstrating? a. Trial-and-error problem solving b. Intuitive thinking c. Scientific problem solving d. Methodical reasoning - ANS-b. Intuitive thinking What is the most important reason for the nurse to develop critical thinking and clinical reasoning? a. To be able to employ the nursing process in client care b. To meet the requirements of the licensing examination c. To become the experts in care whom clients deserve d. To provide quality care with nursing ability and knowledge - ANS-d. To provide quality care with nursing ability and knowledge Which of the following group of terms best describes the nursing process? a. nursing goals, medical terminology, linear b. nurse-centered, single focus, blended skills c. patient-centered, systematic, outcomes-oriented d. family-centered, single point in time, intuitive - ANS-c. patient-centered, systematic, outcomes-oriented Members of the staff on a hospital unit are critical of a patient's family who has different cultural beliefs about health and illness. A student assigned to the patient does not agree, based on her care of the patient and family. What critical thinking attitude is the student demonstrating? a. being curious and persevering b. being creative c. demonstrating confidence d. thinking independently - ANS-d. thinking independently During the first half of the 20th century, a change in the structure of society resulted in changed roles for women and, in turn, for nursing. What was one of these changes? a. More women retired from the workforce to raise families. b. Women became more dependent and sought higher education. c. The focus of nursing changed to "hands-on training." d. Nursing research was conducted and published. - ANS-d. Nursing research was conducted and published. Information is collected for analysis in both quantitative and qualitative research. What is the information called? a. Surveys b. Answers c. Interviews d. Data - ANS-d. Data Where in a research journal article is the abstract located? a. In the introduction b. In the methods section c. After the references d. At the beginning - ANS-d. At the beginning One of the primary focuses of nursing research is to a. Quantify outcomes related to patients b. Determine outcomes for patients c. Generate knowledge to guide practice d. Prevent further disease and death - ANS-c. Generate knowledge to guide practice Who is considered to be the first nursing theorist who conceptualized nursing in terms of manipulating the environment? a. Florence Nightingale b. Sister Callista Roy c. Dorothea Orem d. Lydia Hall - ANS-a. Florence Nightingale 1. Nursing research is linked most closely to a. Propositions b. Outcome measures c. Treatments d. Nursing process - ANS-d. Nursing process What is the ultimate goal of expanding nursing knowledge through nursing research? a. Learn improved ways to promote and maintain health b. Develop technology to provide hands-on nursing care c. Apply knowledge to become independent practitioners d. Become full-fledged partners with other care providers - ANS-a. Learn improved ways to promote and maintain health A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse? a. Assault b. Battery c. Fraud d. Negligence - ANS-d. Negligence A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? a. Civil b. Private c. Public d. Criminal - ANS-d. Criminal A student nurse is working in the library on her plan of care for a clinical assignment.