NSG 252 Exam 1 Questions With Complete Solutions
1918: Vassar Training Camp- Anne Goodrich RN Correct
Answers »Offered pre-nurse training
»Produced higher quality and better educated nurses than
hospital schools
»First real push for higher education for nurses
3 components of NANDA nursing diagnosis Correct Answers -
Diagnosis: The problem & definition; describe client's health
problem
-Etiology: Identifies one or more probable causes of health
problem
-Defining characteristics: Cluster of signs & symptoms that
indicate presence of a particular diagnostic level
3 core functions of Quality Improvement Organization (QIO)
Correct Answers 1.Improve quality of care for beneficiaries.
2.Protect the integrity of the Medicare Trust Fund by ensuring
that Medicare pays only for services and goods that are
reasonable and necessary and that are provided in the most
appropriate setting.
3.Protecting beneficiaries by expeditiously addressing individual
complaints
3 Focus Areas of The Agency for Healthcare Research and
Quality (AHRQ) Correct Answers »Safety and quality: risk
reduction by promoting quality care
»Effectiveness: improved health outcomes by using evidence to
make informed health care decisions
,»Efficiency: translating research into practice to increase access
and to decrease costs
4 concepts in advocating for patient/family engagement and
empowerment Correct Answers Dignity and respect
Information sharing
Participation
Collaboration
4 levels of nursing education in Ohio Correct Answers
»Diploma
»Associates Degree
»Baccalaureate degree programs
»Direct Entry MSN pre-licensure (individuals with BS or BA)
5 Steps of Nursing Process (ADPIE) Correct Answers
•Assessment
•Diagnosis/Analysis
•Planning
•Implementation
•Evaluation
6 aims for healthcare improvement Correct Answers Care
should be...
»Safe: Avoiding harm to patients from the care that is intended
to help them.
»Effective: Provide services based on scientific knowledge to all
who could benefit and refraining from providing services to
those not likely to benefit (avoiding underuse and misuse,
respectively).
,»Patient-centered: Providing care that is respectful of and
responsive to individual patient preferences, needs, and values
and ensuring that patient values guide all clinical decisions.
»Timely: Reducing waits and sometimes harmful delays for both
those who receive and those who give care.
»Efficient: Avoiding waste, including waste of equipment,
supplies, ideas, and energy.
»Equitable: Providing care that does not vary in quality because
of personal characteristics such as gender, ethnicity, geographic
location, and socioeconomic status.
6 primary sources of power Correct Answers ▪Referent
▪Expert
▪Reward
▪Coercive
▪Legitimate
▪Collective
A Critical Thinking Model for Clinical Decision Making:
Components Correct Answers •Competence
•Specific knowledge base
•Experience
•The nursing process competency
•Attitudes for critical thinking
•Standards for critical thinking
A nurse assesses that a patient has not voided in 6 hours. Which
question should the nurse ask to assist in establishing a nursing
diagnosis of Urinary retention?
a. "Are you able to walk to the bathroom by yourself?"
b. "When was the last time you took your medicine?"
, c. "Do you have a safety rail in your bathroom at home?"
d. "Do you feel like you need to go to the bathroom?" Correct
Answers d
A nurse is caring for a patient in the hospital. When should the
nurse begin discharge planning?
a. When the patient is ready.
b. After an order is written/prescribed.
c. Upon admission to the hospital.
d. When the patient is ready. Correct Answers c
A nurse is overseeing the care of patients diagnosed with either
severe diabetes or with heart failure. The purpose of this nursing
model is to improve cost-effectiveness and quality of care.
Which nursing care delivery model is the nurse using?
a. Team Nursing
b. Case Management
c. Total patient care
d. Primary Nursing Correct Answers b
A nurse is providing home care to a home-bound patient treated
with intravenous (IV) therapy and enteral nutrition. What is the
home health nurse's primary objective?
a. Counseling
b. Education
c. Screening
d. Dependence on the nurse Correct Answers b
A nurse is using a critical thinking model to provide care. Which
component is first element implemented when helping a nurse
make clinical decisions?
1918: Vassar Training Camp- Anne Goodrich RN Correct
Answers »Offered pre-nurse training
»Produced higher quality and better educated nurses than
hospital schools
»First real push for higher education for nurses
3 components of NANDA nursing diagnosis Correct Answers -
Diagnosis: The problem & definition; describe client's health
problem
-Etiology: Identifies one or more probable causes of health
problem
-Defining characteristics: Cluster of signs & symptoms that
indicate presence of a particular diagnostic level
3 core functions of Quality Improvement Organization (QIO)
Correct Answers 1.Improve quality of care for beneficiaries.
2.Protect the integrity of the Medicare Trust Fund by ensuring
that Medicare pays only for services and goods that are
reasonable and necessary and that are provided in the most
appropriate setting.
3.Protecting beneficiaries by expeditiously addressing individual
complaints
3 Focus Areas of The Agency for Healthcare Research and
Quality (AHRQ) Correct Answers »Safety and quality: risk
reduction by promoting quality care
»Effectiveness: improved health outcomes by using evidence to
make informed health care decisions
,»Efficiency: translating research into practice to increase access
and to decrease costs
4 concepts in advocating for patient/family engagement and
empowerment Correct Answers Dignity and respect
Information sharing
Participation
Collaboration
4 levels of nursing education in Ohio Correct Answers
»Diploma
»Associates Degree
»Baccalaureate degree programs
»Direct Entry MSN pre-licensure (individuals with BS or BA)
5 Steps of Nursing Process (ADPIE) Correct Answers
•Assessment
•Diagnosis/Analysis
•Planning
•Implementation
•Evaluation
6 aims for healthcare improvement Correct Answers Care
should be...
»Safe: Avoiding harm to patients from the care that is intended
to help them.
»Effective: Provide services based on scientific knowledge to all
who could benefit and refraining from providing services to
those not likely to benefit (avoiding underuse and misuse,
respectively).
,»Patient-centered: Providing care that is respectful of and
responsive to individual patient preferences, needs, and values
and ensuring that patient values guide all clinical decisions.
»Timely: Reducing waits and sometimes harmful delays for both
those who receive and those who give care.
»Efficient: Avoiding waste, including waste of equipment,
supplies, ideas, and energy.
»Equitable: Providing care that does not vary in quality because
of personal characteristics such as gender, ethnicity, geographic
location, and socioeconomic status.
6 primary sources of power Correct Answers ▪Referent
▪Expert
▪Reward
▪Coercive
▪Legitimate
▪Collective
A Critical Thinking Model for Clinical Decision Making:
Components Correct Answers •Competence
•Specific knowledge base
•Experience
•The nursing process competency
•Attitudes for critical thinking
•Standards for critical thinking
A nurse assesses that a patient has not voided in 6 hours. Which
question should the nurse ask to assist in establishing a nursing
diagnosis of Urinary retention?
a. "Are you able to walk to the bathroom by yourself?"
b. "When was the last time you took your medicine?"
, c. "Do you have a safety rail in your bathroom at home?"
d. "Do you feel like you need to go to the bathroom?" Correct
Answers d
A nurse is caring for a patient in the hospital. When should the
nurse begin discharge planning?
a. When the patient is ready.
b. After an order is written/prescribed.
c. Upon admission to the hospital.
d. When the patient is ready. Correct Answers c
A nurse is overseeing the care of patients diagnosed with either
severe diabetes or with heart failure. The purpose of this nursing
model is to improve cost-effectiveness and quality of care.
Which nursing care delivery model is the nurse using?
a. Team Nursing
b. Case Management
c. Total patient care
d. Primary Nursing Correct Answers b
A nurse is providing home care to a home-bound patient treated
with intravenous (IV) therapy and enteral nutrition. What is the
home health nurse's primary objective?
a. Counseling
b. Education
c. Screening
d. Dependence on the nurse Correct Answers b
A nurse is using a critical thinking model to provide care. Which
component is first element implemented when helping a nurse
make clinical decisions?
