PN 101 Exam 1 with verified |||| |||| |||| |||| |||| ||||
solutions & rationales |||| ||||
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
|||| ||||
solutions & rationales |||| ||||
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
|||| ||||