NR222 Health and Wellness Final Exam (100% correct and graded A+)

* Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? - Moving from an acute illness to a health promotion, illness prevention model. Health care reform also affects how health care is delivered. There is greater emphasis on health promotion, disease prevention, and management of illness. The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? - Nurse researcher. The nurse researcher investigates problems by applying evidence-based practice or by conducting research to improve nursing care and further define and expand the scope of nursing practice. He or she often works in an academic setting, hospital, or independent professional or community service agency. An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? - Assessment. Assessment is the collection of comprehensive data pertinent to the patient's health and/or the situation. 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 surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: - Advocate. An advocate protects the patient's human and legal right to make choices about his or her 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.A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? - Teamwork and collaboration. This is an example of the competency of teamwork and collaboration. This competency focuses on the nurse functioning effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care. Match the advance practice nurse specialty with the statement about the role. - Clinical nurse specialist Expert clinician in a specialized area of practice such as adult diabetes Nurse anesthetist Provides care and services under the supervision of an anesthesiologist. Nurse practitioner Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or who have chronic conditions. Nurse-midwife Provides independent care including pregnancy and gynecological services. The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination: - Provides a 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. 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 isimportant. Which of the following statements best describes this code? - 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 quality nursing care and the ethical obligations of the profession. Nurses in an acute care hospital are attending a unit based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? - In-service education. In-service education programs are instruction or training provided by a health care agency or institution. An in-service program is held in the institution and is designed to increase the knowledge, skills, and competencies of nurses and other health care professionals employed by the institution. The nurse spends time with the patient and family reviewing the 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? - Educator