PNCB PC 100 FULL SOLUTION STUDY GUIDE
◉ *A Native American patient is admitted with sepsis from a urinary
tract infection. The patient is very weak and unable to ambulate
much further than her room. The patient tells the CNL that she is
very discouraged and feels that she is not able to get better because
she is unable to touch "mother earth" with her feet. The CNL gathers
some dirt, grass, and flowers from outside the hospital and places it
in a bucket. The CNL brings the bucket in the patient's room and
helps her to stand on the dirt. Which of the following best describes
what the CNL is demonstrating?*
A. Cultural knowledge
B. Cultural awareness
C. Cultural skills
D. Cultural management.
Answer: Answer C—Rationale: Cultural skills are described as the
ability to identify, assess, and incorporate the values, beliefs, and
cultural customs of an individual.
◉ *A nurse comes to you with a concern about a telephone order
she received from a doctor. The doctor asked her to review a
physician order for life-sustaining treatment (POLST) form with a
client, then sign and place it in his chart. The nurse is uncertain if
this is in her scope of practice. You advise the nurse to:*
,A. Complete the form as ordered by the MD
B. Review the hospital's policy and procedure manual, and handle
per policy
C. Review the State Board of Nursing Scope of Practice and handle
according to your
scope of practice
D. All of the above.
Answer: Answer C—Rationale: The CNL should identify the State
Board of Nursing as the correct source of any scope of practice
questions, and advise the nurse that it is not within her scope.
◉ *How can a CNL help to identify the general discharge needs of
patients on his or her unit?*
A. Coordinate outpatient care and follow-up appointments
B. Assess protective and predictive factors of patient health
C. Discuss with each team's doctors the anticipated discharge needs
of their patients
D. Approach staff nurses about their patients' discharge needs..
Answer: Answer B—Rationale: Assessing protective and predictive
factors of patient health is the best way a CNL can identify potential
needs or issues with patient discharges
,◉ *Lisa, a CNL, is educating the staff on the effects of long-term bed
rest. A majority of these patients have been on bed rest with a
shortened cervix since 25 weeks gestation. Which of the following
statements is true?*
A. Bed rest is psychologically healthy.
B. Music therapy can ease the psychological effects of bed rest.
C. Bed rest prevents deep vein thrombosis (DVT).
D. Bed rest has been proven to prevent preterm labor..
Answer: Answer B—Rationale: Bed rest can be detrimental to a
mother's psychological well-being, because there is separation
between the patient and her family. The patient can also experience
financial burdens, which put a strain on the family. Currently, there is
no evidence that bed rest prevents preterm labor.
◉ *Recently, several major practice changes have been implemented
hospital-wide at your facility. While all of these changes are evidence
based, some of the practice changes have been received by the staff
on your unit with strong resistance and poor compliance. As the
CNL, you recognize that the best way to approach this issue is to:*
A. Have the unit manager write-up noncompliant staff
B. Advocate to have the policies altered or revoked
C. Form a task force of involved parties to identify barriers to
compliance
, D. Re-educate staff on the policies and their importance.
Answer: Answer C—Rationale: While any of these interventions may
be appropriate, when addressing any issue, especially issues with
strong opinions and various stakeholders, it is critical that the CNL
solicit input from all invested players.
◉ *Ongoing risk reduction and patient safety efforts are an
important component of:*
A. Quality improvement (QI)
B. Knowledge management
C. Change theory
D. Complexity theory.
Answer: Answer A—Rationale: Ongoing risk reduction and patient
safety monitoring are components of QI.
◉ *You are in the process of initiating a mobility team and protocol
on your unit. What members of the interdisciplinary team should be
considered?*
A. Nursing staff, physical therapist, nurse manager, occupational
therapist, CNL, clinical nurse specialist, and physician
B. Physical therapist, physician, nursing assistants, manager, and
CNL
◉ *A Native American patient is admitted with sepsis from a urinary
tract infection. The patient is very weak and unable to ambulate
much further than her room. The patient tells the CNL that she is
very discouraged and feels that she is not able to get better because
she is unable to touch "mother earth" with her feet. The CNL gathers
some dirt, grass, and flowers from outside the hospital and places it
in a bucket. The CNL brings the bucket in the patient's room and
helps her to stand on the dirt. Which of the following best describes
what the CNL is demonstrating?*
A. Cultural knowledge
B. Cultural awareness
C. Cultural skills
D. Cultural management.
Answer: Answer C—Rationale: Cultural skills are described as the
ability to identify, assess, and incorporate the values, beliefs, and
cultural customs of an individual.
◉ *A nurse comes to you with a concern about a telephone order
she received from a doctor. The doctor asked her to review a
physician order for life-sustaining treatment (POLST) form with a
client, then sign and place it in his chart. The nurse is uncertain if
this is in her scope of practice. You advise the nurse to:*
,A. Complete the form as ordered by the MD
B. Review the hospital's policy and procedure manual, and handle
per policy
C. Review the State Board of Nursing Scope of Practice and handle
according to your
scope of practice
D. All of the above.
Answer: Answer C—Rationale: The CNL should identify the State
Board of Nursing as the correct source of any scope of practice
questions, and advise the nurse that it is not within her scope.
◉ *How can a CNL help to identify the general discharge needs of
patients on his or her unit?*
A. Coordinate outpatient care and follow-up appointments
B. Assess protective and predictive factors of patient health
C. Discuss with each team's doctors the anticipated discharge needs
of their patients
D. Approach staff nurses about their patients' discharge needs..
Answer: Answer B—Rationale: Assessing protective and predictive
factors of patient health is the best way a CNL can identify potential
needs or issues with patient discharges
,◉ *Lisa, a CNL, is educating the staff on the effects of long-term bed
rest. A majority of these patients have been on bed rest with a
shortened cervix since 25 weeks gestation. Which of the following
statements is true?*
A. Bed rest is psychologically healthy.
B. Music therapy can ease the psychological effects of bed rest.
C. Bed rest prevents deep vein thrombosis (DVT).
D. Bed rest has been proven to prevent preterm labor..
Answer: Answer B—Rationale: Bed rest can be detrimental to a
mother's psychological well-being, because there is separation
between the patient and her family. The patient can also experience
financial burdens, which put a strain on the family. Currently, there is
no evidence that bed rest prevents preterm labor.
◉ *Recently, several major practice changes have been implemented
hospital-wide at your facility. While all of these changes are evidence
based, some of the practice changes have been received by the staff
on your unit with strong resistance and poor compliance. As the
CNL, you recognize that the best way to approach this issue is to:*
A. Have the unit manager write-up noncompliant staff
B. Advocate to have the policies altered or revoked
C. Form a task force of involved parties to identify barriers to
compliance
, D. Re-educate staff on the policies and their importance.
Answer: Answer C—Rationale: While any of these interventions may
be appropriate, when addressing any issue, especially issues with
strong opinions and various stakeholders, it is critical that the CNL
solicit input from all invested players.
◉ *Ongoing risk reduction and patient safety efforts are an
important component of:*
A. Quality improvement (QI)
B. Knowledge management
C. Change theory
D. Complexity theory.
Answer: Answer A—Rationale: Ongoing risk reduction and patient
safety monitoring are components of QI.
◉ *You are in the process of initiating a mobility team and protocol
on your unit. What members of the interdisciplinary team should be
considered?*
A. Nursing staff, physical therapist, nurse manager, occupational
therapist, CNL, clinical nurse specialist, and physician
B. Physical therapist, physician, nursing assistants, manager, and
CNL
