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Exam (elaborations)

RNSG 1413 - exam 1 2025/2026 chapter review questions & case studies

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RNSG 1413 - exam 1 2025/2026 chapter review questions & case studies

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RNSG 1413
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RNSG 1413

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April 22, 2025
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RNSG 1413 - exam 1 chapter review questions & case
studies

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 statement best describes this
code?

1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care
4. 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 high-quality nursing care and
the ethical obligations of the profession


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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 operation
to the family and discusses the patient's wishes with them. The nurse is acting as the patient's:

1. Educator 2. Advocate 3. Caregiver 4. Communicator

,2. Advocate

An advocate protects patients' human and legal right to make choices about their 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.


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The nurse spends time with a patient and family reviewing a 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?

1. Educator 2. Advocate 3. Caregiver 4. Communicator
1. 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 homecare activities, reinforces learning or patient
behavior, and evaluates the patient's progress in learning through return demonstration


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The examination for RN licensure is the same in every state in the United States. This examination:

1. Guarantees safe nursing care for all patients
2. Ensures standard nursing care for all patients
3. Provides the minimal standard of knowledge for an RN in practice
4. Guarantees standardized education across all prelicensure programs
3. Provides the 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.


Contemporary nursing requires that the nurse have knowledge and skills for a variety of professional roles and
responsibilities. Which of the following are examples of these roles and responsibilities? (Select all that apply.)

1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor
Answers: 1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion

Each of these roles or skills includes activities for the professional nurse. Each of these is used in direct care or is part of
the professionalism that guides nursing practice.


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Match the advanced practice nurse specialty with the statement about the role.

1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife

, a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are
healthy or have chronic conditions
d. Plans and delivers anesthesia and pain management to patients across the life span
1b, 2d, 3c, 4a.

The role statements describe the activities performed and the role of the advanced practice nurse specialty.
Nurse-midwives care for women who are pregnant or have women's health needs. Clinical nurse specialists typically see
hospitalized patients with a specific type of illness or health problem. Nurse practitioners usually practice in a primary care
setting and care for patients who are healthy or have minor acute or stable chronic conditions. Certified nurse anesthetists
care for patients during the surgical experience and administer anesthesia during surgery


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Health care reform will bring changes in the emphasis of care. Which of these models is expected from health care
reform?

1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model
Answer: 1.
Health care reform also affects how health care is delivered. There is greater emphasis on health promotion, disease
prevention, and management of illness.


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