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Nursing Today 9th 10th Edition Zerwekh Test Bank

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Nursing Today 9th 10th Edition Zerwekh Test Bank

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Nursing Today 9th 10th Edition Zerwekh Test Bank

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 impt. Which of the following best describes this code?

1. improves self-health care
2. protects patients confidentiality
3. ensures identical care to all patients
4. defines the principles of right and wrong to provide patient care - ANSWER: 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.

An 18 yr. old woman 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?

1. Diagnosis
2. Evaluation
3. Assessment
4. Implementation - ANSWER: Assessment is the collection of comprehensive data pertinent to the
patient's health and the situation.

A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and in 4 hrs. Which standard of practice is
performed?

1. Planning
2. Evaluation
3. Assessment
4. Implementation - ANSWER: Implementation is completing coordinating care and completing the
prescribed plan of care.

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 discuss the patient's wishes with them.
The nurse is acting as the patients:

1. Education
2. Advocate
3. Caregiver
4. Case Manager - ANSWER: 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.

The nurse spends time with the patient and family receiving 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?

, 1. Educator
2. Advocate
3. Caregiver
4. Case Manager - ANSWER: 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 home-care activities, reinforces learning or patient behavior, and evaluates the
patient's progress in learning through return demonstration.

The examination for registered nurse (RN) licensure is exactly the same in every state in the US. This
examination:

1. Guarantees safe nursing care for all patients
2. Ensures standard nursing care for all patients
3. Ensures that honest and ethical care is provided
4. Provides a minimal standard of knowledge for an RN in practice - ANSWER: 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.

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

1. Caregiver
2. Autonomy and Accountability
3. Patient advocate
4. Health Promotion
5. Lobbyist - ANSWER: 1. Caregiver
2. Autonomy and Accountability
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 are part of professionalism that guides nursing practice.

Health care reform will bring changes in the emphasis of care. Which of the following 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 an acute illness to a disease management model
4. Moving from a chronic care to an illness prevention model - ANSWER: 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.

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 Eduction of Nurses (QSEN) competency?

1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics - ANSWER: 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.

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