NURS 236 Exam 1 Introduction to the Healthcare Team and
Influence of Collaboration, NCLEX RN Test Plan,
Advocacy, Nursing Process and Patient-Centered Care,
Delegation, Quality and Safety, Cultural Diversity Questions
With Complete Solutions
3 essential components of quality care Correct Answers
structure evaluation or audit
- the environment in which care is provided.
- Physical facilities and equipment; organizational
characteristics, policies, and procedures; fiscal resources; and
personnel resources.
process evaluation
- the nature and sequence of activities carried out by nurses
- explicit acceptable levels of performance for nursing actions
related to the nursing process
Outcome evaluation
- measurable changes in the health status of the pt, or the end
results of nursing care.
- the critical element in evaluating care is demonstrable changes
in pt health status.
3 spiritual needs underlie all religious traditions Correct
Answers o Need for meaning and purpose.
o Need for love and relatedness.
o Need for forgiveness.
4 key principles of QI Correct Answers o Focus on systems
and processes
,o Focus on patients
o Focus on being part of the team
o Focus on use of the data
4 major client needs categories Correct Answers safe and
effective care environment
health promotion and maintenance
psychosocial integrity
physiological integrity
5 rights of delegation Correct Answers Right task
- Can it be safely delegated
- Is it the right task to delegate?
Right circumstance
- Are there appropriate resources to delegate it to someone else?
Right person
- Are you delegating it to the right person?
Right directions and communication
- Provide proper directions to person to carry it out
- Make sure they understand vital signs
- Make sure they understand how often you want it done (every
4 hours)
Right supervision and evaluation
- Monitoring/evaluating their performance
- Providing feedback if it's done right/wrong
- Intervening if it's not being done correctly (you're responsible)
,A home health nurse performs a careful safety assessment of the
home of a frail older adult to prevent harm to the patient. The
nurse's action reflects which principle of bioethics?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
E. Nonmaleficence Correct Answers E
A hospice nurse is caring for a patient with end-stage cancer.
What action demonstrates this nurse's commitment to the
principle of autonomy?
A. The nurse helps the patient prepare a durable power of
attorney document.
B. The nurse gives the patient undivided attention when
listening to concerns.
C. The nurse keeps a promise to provide a counselor for the
patient.
D. The nurse competently administers pain medication to the
patient. Correct Answers A
A nurse caring for culturally diverse patients in a health care
provider's office is aware that patients of certain cultures are
more prone to specific diseases states than the general
population. Which patients would the nurse screen for diabetes
mellitus based on the client's race?
a. A native american patient
b. An African american patient
c. An Alaska native patient
, d. An Asian patient
e. A white patient
f. A Hispanic patient Correct Answers A, C, E, F
A nurse caring for patients in an institutional setting expresses a
commitment to social justice. What action best exemplifies this
attribute?
A. Providing honest information to patients and the public
B. Promoting universal access to health care
C. Planning care in partnership with patients
D. Documenting care accurately and honestly Correct Answers
D
A nurse caring for patients in the intensive care unit develops
values from experience to form a personal code of ethics. Which
statements best describe this process? Select all that apply.
A. People are born with values.
B. Values act as standards to guide behavior.
C. Values are ranked on a continuum of importance.
D. Values influence beliefs about health and illness.
E. Value systems are not related to personal codes of conduct.
F. Nurses should not let their values influence patient care.
Correct Answers B, C, D
A nurse incorporates the "five values that epitomize the caring
professional nurse" (identified by the American Association of
Colleges of Nursing) into a home health care nursing practice.
Which attribute is best described as acting in accordance with an
appropriate code of ethics and accepted standards of practice?
Influence of Collaboration, NCLEX RN Test Plan,
Advocacy, Nursing Process and Patient-Centered Care,
Delegation, Quality and Safety, Cultural Diversity Questions
With Complete Solutions
3 essential components of quality care Correct Answers
structure evaluation or audit
- the environment in which care is provided.
- Physical facilities and equipment; organizational
characteristics, policies, and procedures; fiscal resources; and
personnel resources.
process evaluation
- the nature and sequence of activities carried out by nurses
- explicit acceptable levels of performance for nursing actions
related to the nursing process
Outcome evaluation
- measurable changes in the health status of the pt, or the end
results of nursing care.
- the critical element in evaluating care is demonstrable changes
in pt health status.
3 spiritual needs underlie all religious traditions Correct
Answers o Need for meaning and purpose.
o Need for love and relatedness.
o Need for forgiveness.
4 key principles of QI Correct Answers o Focus on systems
and processes
,o Focus on patients
o Focus on being part of the team
o Focus on use of the data
4 major client needs categories Correct Answers safe and
effective care environment
health promotion and maintenance
psychosocial integrity
physiological integrity
5 rights of delegation Correct Answers Right task
- Can it be safely delegated
- Is it the right task to delegate?
Right circumstance
- Are there appropriate resources to delegate it to someone else?
Right person
- Are you delegating it to the right person?
Right directions and communication
- Provide proper directions to person to carry it out
- Make sure they understand vital signs
- Make sure they understand how often you want it done (every
4 hours)
Right supervision and evaluation
- Monitoring/evaluating their performance
- Providing feedback if it's done right/wrong
- Intervening if it's not being done correctly (you're responsible)
,A home health nurse performs a careful safety assessment of the
home of a frail older adult to prevent harm to the patient. The
nurse's action reflects which principle of bioethics?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
E. Nonmaleficence Correct Answers E
A hospice nurse is caring for a patient with end-stage cancer.
What action demonstrates this nurse's commitment to the
principle of autonomy?
A. The nurse helps the patient prepare a durable power of
attorney document.
B. The nurse gives the patient undivided attention when
listening to concerns.
C. The nurse keeps a promise to provide a counselor for the
patient.
D. The nurse competently administers pain medication to the
patient. Correct Answers A
A nurse caring for culturally diverse patients in a health care
provider's office is aware that patients of certain cultures are
more prone to specific diseases states than the general
population. Which patients would the nurse screen for diabetes
mellitus based on the client's race?
a. A native american patient
b. An African american patient
c. An Alaska native patient
, d. An Asian patient
e. A white patient
f. A Hispanic patient Correct Answers A, C, E, F
A nurse caring for patients in an institutional setting expresses a
commitment to social justice. What action best exemplifies this
attribute?
A. Providing honest information to patients and the public
B. Promoting universal access to health care
C. Planning care in partnership with patients
D. Documenting care accurately and honestly Correct Answers
D
A nurse caring for patients in the intensive care unit develops
values from experience to form a personal code of ethics. Which
statements best describe this process? Select all that apply.
A. People are born with values.
B. Values act as standards to guide behavior.
C. Values are ranked on a continuum of importance.
D. Values influence beliefs about health and illness.
E. Value systems are not related to personal codes of conduct.
F. Nurses should not let their values influence patient care.
Correct Answers B, C, D
A nurse incorporates the "five values that epitomize the caring
professional nurse" (identified by the American Association of
Colleges of Nursing) into a home health care nursing practice.
Which attribute is best described as acting in accordance with an
appropriate code of ethics and accepted standards of practice?
