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Test bank for community public health nursing evidence for practice 4TH edition demarco walsh - Copy.pdf
Test bank for community public health nursing evidence for practice 4TH editi...robinsonayot
Test bank for community public health nursing evidence for practice 4TH edition demarco walsh - Copy.pdf
Test bank for community public health nursing evidence for practice 4TH edition demarco walsh - Copy.pdf
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
TEST BANK FOR Old's Maternal-Newborn Nursing and Women's Health,.pdfnursing premium
A Test bank is a ready-made electronic Q&A testing resource that is tailored to the contents of an individual textbook. Feedback is often provided on answers given by students, containing page references to the book.
HS410 Unit 6 Quality Management - DiscussionDiscussionThi.docxAlysonDuongtw
HS410 Unit 6: Quality Management - Discussion
Discussion
This is a graded Discussion
. Please refer to the Discussion Board Grading Rubric in Course Home / Grading Rubrics.
Respond to all of the following questions and be sure to respond to two of your other classmates’ postings:
1.
What are the steps in the quality improvement model and how is benchmarking involved?
2. What are the stages in which data quality errors found in a health record most commonly occur?
3. What is the definition of risk management?
4. What are the parts of an effective risk management program?
5. What is utilization review and why is it important in healthcare?
6. What is the process of utilization review?
Please paper should be 400-500 words and in an essay format, strictly on topic, original with real scholar references to support your answers.
NO PHARGIARISM PLEASE!
This is the Chapter reading for this assignment:
Read Chapter 7 in
Today’s Health Information Management
.
INTRODUCTION
Quality health care “means doing the right thing at the right time, in the right way, for the right person, and getting the best possible results.”1 The term quality, by definition, can mean excellence, status, or grade; thus, it can be measured and quantified. The patient, and perhaps the patient's family, may interpret quality health care differently from the way that health care providers interpret it. Therefore, it is important to determine—if possible—what is “right” and what is “wrong” with regard to quality health care. The study and analysis of health care are important to maintain a level of quality that is satisfactory to all parties involved. As a result of the current focus on patient safety, and in an attempt to reduce deaths and complications, providing the best quality health care while maintaining cost controls has become a challenge to all involved. Current quality initiatives are multifaceted and include government-directed, private sectorsupported, and consumer-driven projects.
This chapter explores the historical development of health care quality including a review of the important pioneers and the tools they developed. Their work has been studied, refined, and widely used in a variety of applications related to performance-improvement activities. Risk management is discussed, with emphasis on the importance of coordination with quality activities. The evolution of utilization management is also reviewed, with a focus on its relationship to quality management.
In addition, this chapter explores current trends in data collection and storage, and their application to improvements in quality care and patient safety. Current events are identified that influence and provide direction to legislative support and funding. This chapter also provides multiple tips and tools for both personal and institutional use.
DATA QUALITY
Data quality refers to the high grade, superiority, or excellence of data. Data quality is intertwined with the concept of.
Test Bank For Timby's Introductory Medical-Surgical Nursing, 13th Edition by ...nursing premium
A Test bank is a ready-made electronic Q&A testing resource that is tailored to the contents of an individual textbook. Feedback is often provided on answers given by students, containing page references to the book.
You will collaborate with two of your classmates to share ideas and walthamcoretta
You will collaborate with two of your classmates to share ideas and offer feedback and suggestions to one another in an informal setting. This collaboration within your group will assist you in further developing your Change Proposal to be submitted for feedback from your instructor next week.
Peers submission attached below.. please provide feedback and suggestions individually!!
Peer 1:
Victoria Lyons posted
IV. Implementation Plan
Assess the factors that are likely to affect the implementation of your recommended activities
Many stroke patients require rehabilitation after their hospitalization and many patients get readmitted from post-acute care facilities, educating these facilities could decrease the readmission rate however rehabilitation facilities are often short-staffed and may not have money for education amongst the staff
Identify evidence-based rationales to propose how you will address them, incorporating your identified change theory. Your plan should encompass the following with evidence to support your rationale:
Technological challenges
Stroke patients require adequate follow-up care with their health provider team, tele-health is a great way to provide these follow-up appointments however stroke patients may not be able to navigate computers to be able to do these appointments as they frequently have deficits.
Stroke health care providers would have to learn how to use tele-health and there may be push back to using it due to health care providers typically using hands on assessment skills, they may not find assessing patients this way adequate. Finding a group of health care providers that are willing to start treating patients this way is the first step.
Institutional structures
Changes in hospitals do not happen overnight. At my state run hospital it seems to take forever to get any changes made. Implementing education regarding how to reduce stroke readmissions would require research and then approval from many different committees to even be approved for implementation. Once approved then it has to be sent all to all hospital staff involved. Examples of committees that a hospital will have and that any changes would have to go through are finance, safety and quality, strategic planning, and audit and compliance committee (Price, 2018).
Strategies for building buy-in-among different stakeholders, including nursing
Doctors, nurse practitioners, physician assistants, physical therapists, social workers, and case managers will need to be on board with the change process. Historically nurses have a hard time with change.
Financial trends and anticipation of the availability of human resource and project funding
Implementing tele-health and training to decrease stroke readmission, mostly education and new ways to check that everything a patient needs, will cost money which the institution will have to be prepared to put into their budget. Institutions get penalized financially for readmis ...
Running Head PERTINENT HEALTHCARE ISSUE1PERTINENT HEALTHCAR.docxtodd581
Running Head: PERTINENT HEALTHCARE ISSUE 1
PERTINENT HEALTHCARE ISSUE 2
Analysis of Pertinent Healthcare Issue
Students Name:
Institutional Affiliation:
Impact of increasing cost in a health organization
Introduction
The cost of receiving healthcare service is becoming a serious national healthcare concern. It has been established that the United States spend more on healthcare, in relation to the national income than any other industrialized nation. However, achieving minimum cost means having to make certain hard compromises which have never been easy. For example, low expenditure on research and development, limitation in terms of the choices of health coverage or healthcare providers and having to wait for long before using new technologies. The health system has gone through a series of transformational changes that has seen the cost of healthcare provision sky-rocket. The most affected are among the 41 million uninsured Americans who are unable to cater for the cost of insurance as well as the underinsured whose coverage program cannot cater for their overall health needs. The major catalyst behind the rising cost of healthcare has been; the rising number of aging population that take great benefit from the technologies created for lengthening life span, lifestyle choices like adoption of sedentary lifestyle and unhealthy eating habits resulting to obesity and cardiovascular disorders among others.
Cost impact on health organization.
Increasing cost has impacted the national health organization/system in so many ways. The impacts are not only experienced by the patients but the providers, employers, payers (insurance bodies) and even other employees within the health organization. Firstly, an array of transformational changes has been made i.e. payment transformation where a shift has been made from volume-based (fee-for service payment) which has high cost implications to value-based models and also the development of primary care in attempt to counter increasing cost. The turnover of healthcare providers has also faced a fair share of cost impact. The providers burdened by the feeling of denying patients services due to inability to cater for cost or lack of insurance loses meaning of services and morale to continue with the service. Consequently, advancement in training and education improve the providers’ patient service and more enhanced application of Evidence-Based practice appears costly and unaffiliated hence promoting low morale. Morbidity and mortality cases has been on the rise. Advanced technology used in diagnosis/treatment of serious medical conditions has become expensive and some of them are not covered by the insurance (core payments) hence late interventions taken after serious damage. The is also an indication of lowered patient engagement as far healthcare decision making is concerned since patients with financial challenge have limited options and are sometimes forced to comply with the physici.
Running Head PERTINENT HEALTHCARE ISSUE1PERTINENT HEALTHCAR.docxglendar3
Running Head: PERTINENT HEALTHCARE ISSUE 1
PERTINENT HEALTHCARE ISSUE 2
Analysis of Pertinent Healthcare Issue
Students Name:
Institutional Affiliation:
Impact of increasing cost in a health organization
Introduction
The cost of receiving healthcare service is becoming a serious national healthcare concern. It has been established that the United States spend more on healthcare, in relation to the national income than any other industrialized nation. However, achieving minimum cost means having to make certain hard compromises which have never been easy. For example, low expenditure on research and development, limitation in terms of the choices of health coverage or healthcare providers and having to wait for long before using new technologies. The health system has gone through a series of transformational changes that has seen the cost of healthcare provision sky-rocket. The most affected are among the 41 million uninsured Americans who are unable to cater for the cost of insurance as well as the underinsured whose coverage program cannot cater for their overall health needs. The major catalyst behind the rising cost of healthcare has been; the rising number of aging population that take great benefit from the technologies created for lengthening life span, lifestyle choices like adoption of sedentary lifestyle and unhealthy eating habits resulting to obesity and cardiovascular disorders among others.
Cost impact on health organization.
Increasing cost has impacted the national health organization/system in so many ways. The impacts are not only experienced by the patients but the providers, employers, payers (insurance bodies) and even other employees within the health organization. Firstly, an array of transformational changes has been made i.e. payment transformation where a shift has been made from volume-based (fee-for service payment) which has high cost implications to value-based models and also the development of primary care in attempt to counter increasing cost. The turnover of healthcare providers has also faced a fair share of cost impact. The providers burdened by the feeling of denying patients services due to inability to cater for cost or lack of insurance loses meaning of services and morale to continue with the service. Consequently, advancement in training and education improve the providers’ patient service and more enhanced application of Evidence-Based practice appears costly and unaffiliated hence promoting low morale. Morbidity and mortality cases has been on the rise. Advanced technology used in diagnosis/treatment of serious medical conditions has become expensive and some of them are not covered by the insurance (core payments) hence late interventions taken after serious damage. The is also an indication of lowered patient engagement as far healthcare decision making is concerned since patients with financial challenge have limited options and are sometimes forced to comply with the physici.
1
Management Of Care
Chamberlain University
NR452: Capstone
Professor Alison Colvin.
Date: November 23, 2022.
Management of Care
Management of care involves organizing, prioritizing, maintaining strict patient confidentiality, providing patient with efficient care, education to patient and families, risk stratification, coordination of care transition and medication management. Patient care management is provided to client by nurses and other health care professionals “Management of the critically injured patient is optimized by a coordinated team effort in an organized trauma system that allow for rapid assessment and initiation of life- preserving therapies. (Cantrell, E., & Doucet, J. 2018). Effective patient care management can impact patient heath more positively, when all healthcare professionals work together to provide quality care in promoting patient centered care. Adequate patient care can prevent readmission or admission, also can reduce distress, total cost of care, improve self-management, disease control and patient overall health.
Patient care is important to patient because its ensure that patient receive the needed possible care they deserve when in the hospital and out of the hospital, patient will feel their demand is understood and listened to if they health needs are met and understood by professionals that know how to manage their health care needs, health care management team member work together to ensure patient safety through effective communication and collaboration, advocating for patient by connecting patient to community and social services resources that will promote their health care needs can be beneficial to patient, environmental and home risk assessment, and effective facilitation of communication between members of the healthcare team.
Nurses play a role in managing a patient health, roles such as: Critical thinking skills, in this case the nurse can recognize any shift in patient health status which plays a significant role in decision making and patient centered care. Time management: delegation, prioritization such as knowing what to do first, what is important, and knowing what task is more important for the patient at a particular time. Patient education is also one of the many role’s nurses do to educate patient on what to expect during a procedure, or during recovery, also teachings on complications or adverse effects of a medication. Clinical reasoning and judgement which will promote quality of health through patient centered care that addresses patient specific health care needs. Holman, H. C., Williams, “et al”. (2019).
References
Cantrell, E., & Doucet, J. (2018). Initial Management of Life-Threatening Trauma.
DeckerMed Critical Care of the Surgical Patient.
https://doi.org/10.2310/7ccsp.2129
Holman, H. C., Williams, D., Johnson, J., Sommer, S., Ball, B. S., Lemon, T.,
& Assessment Technologies Institute. (2019). Nursing leadership
an.
1
Hospital Readmission Rates
Kaylee Chauvin
West Coast University
NURS 350: Research in Nursing
Mrs. Sandy Daisley
September 5th, 2021
2
Hospital Readmission Rates
Hospital readmission is characterized as an emergency clinic affirmation that happens
inside a predefined time after release from the principal confirmation. The re-hospitalization rate
was considered a sign of the eminence of the hospital's clinic and was displayed to reflect a
measure of patient attention. Re-hospitalization results in longer hospital stays and more
emergency clinic resource use. An increase in readmission rates and increasing the use of
innovation, leads to increased incomes, even if the consideration may mean that it may not be
effective. Re-hospitalization is an exorbitant cost for the clinic. Rather than spending money on
complex systems and high-severity patients, clinics can level assets by providing more start-up
confirmations for low-severity patients, or with appropriate release programs. You can invest in
reducing readmissions. Various procedures are used to solve the readmission rate problem, as
outlined in the PICOT question. It is used to determine best practices for working on results
within a month.
Description and background information
Once patients are released from the medical clinic, they imagine going through their days
recovering a lot at home until they improve (Upadhyay et al., 2019). Lamentably, for some
elderly patients, that does not occur. Medical clinic readmission for elderly patients is not just
distressing; however, it can likewise negatively affect a patient's general well-being. The
additional time a patient is in a clinic, the more probable they are to create genuine, conceivably
hazardous diseases, for example, medical clinic procured pneumonia. Finding a way ways to
decrease clinic readmissions in the elderly is fundamental. In addition to the fact that it protects
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very true!
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we are interested in the nursing procedures (interventions)
3
the clinic from potential Medicare fines, however, it helps keep probably the weakest individuals
from the community (the elderly) strong and healthy.
Various strategies are used to address the issue of readmission rates. Framing partnership
with nearby medical clinics and different suppliers, helps make the recuperation interaction
simpler for elderly patients. At the point when they are released from the clinic, they're ready to
rapidly and easily find doctors, home medical care groups, and emergency clinics that not
exclusively will give quality therapy however that approach all past clinical records and
important data. Elderly patients can without much of a stretch become overpowered when given
a lengthy discharge document (Bjorvatn, 2013). HCPs should attempt to keep release guidelines
simple to peruse and clear. Neglecting to plan follow-u ...
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Kozier and Erbs Fundamentals of Nursing 8th Edition Berman Test Bank
1. Exam
Name___________________________________
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1) A client wishes to discontinue treatment for his cancer. Acting as the client advocate, the nurse
makes this statement to the client's physician:
1)
A) "The family must be involved in this decision."
B) "The client is making his own decision."
C) "Let's educate the family about the consequences of this decision."
D) "The client would benefit from additional information about treatment options."
Answer: B
Explanation: A) A client advocate acts to protect the client and may represent the client's needs and
wishes to other health professionals, such as relaying the client's wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application
B) A client advocate acts to protect the client and may represent the client's needs and
wishes to other health professionals, such as relaying the client's wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application
C) A client advocate acts to protect the client and may represent the client's needs and
wishes to other health professionals, such as relaying the client's wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application
D) A client advocate acts to protect the client and may represent the client's needs and
wishes to other health professionals, such as relaying the client's wishes for
information to the physician. Providing additional information to the client about
treatment options and bringing the family into the decision-making process would
be examples of the nurse acting as teacher or counselor.
Implementation
Psychosocial integrity
Application
2) Explaining the present economic challenges to students in the community health course, the nurse
educator would emphasize the importance of nurses being familiar with which of the following?
2)
A) Advances in science and technology
B) Emphasis shift from inpatient to outpatient care
C) Diagnostic-related groups (DRGs)
D) Consumer representatives on governing boards of nursing associations and regulatory
agencies
Answer: B
1
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2. Explanation: A) Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application
B) Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application
C) Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application
D) Economics is one of the social forces currently influencing the profession of
nursing. As a result of the shift from inpatient to outpatient care, more nurses are
being employed in community-based health settings. Other forces include
consumer demands, family structure, and science and technology. DRGs are a
classification system that categorically establishes pretreatment billing based on
diagnosis. Though this is an aspect of economic factors affecting nursing, it is not
the underlying cause of more personnel being employed in community-based
settings.
Evaluation
Safe, effective care environment
Application
2
3. 3) The nurse practitioner is working with the staff nurse to change the plan of care for a client. This is
an example of which of the ANA standards of practice?
3)
A) Planning B) Implementation
C) Outcomes identification D) Assessment
Answer: B
Explanation: A) Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client's care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application
B) Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client's care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application
C) Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client's care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application
D) Consultation-as in advanced practice nurses and staff nurses working together-is
a way for those involved with the client's care to influence the plan, enhance the
abilities of others, and effect change. Consultation is part of Standard 5:
Implementation. Assessment deals with data collection. Outcomes identification
sets identified goals for a plan specific to the client or situation. Planning prescribes
strategies and alternatives to attain expected outcomes.
Implementation
Safe, effective care environment
Application
4) A nurse has decided to focus on educating the community about health promotion and wellness.
Which of the following would be an example of this?
4)
A) Holding classes on prevention of sexually transmitted disease
B) Initiating prenatal and infant care
C) Implementing an exercise class for clients who have had a stroke
D) Teaching a class about home accident prevention
Answer: D
3
4. Explanation: A) Wellness is a process that engages in activities and behaviors that enhance quality
of life and maximize personal potential. This involves individual and community
activities to enhance healthy lifestyles such as improving nutrition and physical
fitness, preventing drug and alcohol misuse, restricting smoking, and preventing
accidents in the home and workplace. The goal of illness prevention is to maintain
optimal health by preventing disease-which would include immunization,
prenatal and infant care, and prevention of sexually transmitted disease. Teaching
clients about recovery activities, such as exercises that accelerate recovery after a
stroke, would focus on health restoration.
Implementation
Health promotion and maintenance
Application
B) Wellness is a process that engages in activities and behaviors that enhance quality
of life and maximize personal potential. This involves individual and community
activities to enhance healthy lifestyles such as improving nutrition and physical
fitness, preventing drug and alcohol misuse, restricting smoking, and preventing
accidents in the home and workplace. The goal of illness prevention is to maintain
optimal health by preventing disease-which would include immunization,
prenatal and infant care, and prevention of sexually transmitted disease. Teaching
clients about recovery activities, such as exercises that accelerate recovery after a
stroke, would focus on health restoration.
Implementation
Health promotion and maintenance
Application
C) Wellness is a process that engages in activities and behaviors that enhance quality
of life and maximize personal potential. This involves individual and community
activities to enhance healthy lifestyles such as improving nutrition and physical
fitness, preventing drug and alcohol misuse, restricting smoking, and preventing
accidents in the home and workplace. The goal of illness prevention is to maintain
optimal health by preventing disease-which would include immunization,
prenatal and infant care, and prevention of sexually transmitted disease. Teaching
clients about recovery activities, such as exercises that accelerate recovery after a
stroke, would focus on health restoration.
Implementation
Health promotion and maintenance
Application
D) Wellness is a process that engages in activities and behaviors that enhance quality
of life and maximize personal potential. This involves individual and community
activities to enhance healthy lifestyles such as improving nutrition and physical
fitness, preventing drug and alcohol misuse, restricting smoking, and preventing
accidents in the home and workplace. The goal of illness prevention is to maintain
optimal health by preventing disease-which would include immunization,
prenatal and infant care, and prevention of sexually transmitted disease. Teaching
clients about recovery activities, such as exercises that accelerate recovery after a
stroke, would focus on health restoration.
Implementation
Health promotion and maintenance
Application
4
5. 5) A nurse is careful to cover the client during a bath. This action describes which of the following
nursing roles?
5)
A) Client advocate B) Communicator C) Teacher D) Caregiver
Answer: D
Explanation: A) The caregiver role includes those activities that assist the client physically and
psychologically while preserving the client's dignity. As a communicator, the
nurse identifies client problems, then communicates these verbally or in writing to
other members of the health team. As a teacher, the nurse helps clients learn about
their health and the health care procedures they need to perform to maintain or
restore their health. A client advocate acts to protect clients and represents their
needs and wishes to other health professionals.
Implementation
Safe, effective care environment
Application
B) The caregiver role includes those activities that assist the client physically and
psychologically while preserving the client's dignity. As a communicator, the
nurse identifies client problems, then communicates these verbally or in writing to
other members of the health team. As a teacher, the nurse helps clients learn about
their health and the health care procedures they need to perform to maintain or
restore their health. A client advocate acts to protect clients and represents their
needs and wishes to other health professionals.
Implementation
Safe, effective care environment
Application
C) The caregiver role includes those activities that assist the client physically and
psychologically while preserving the client's dignity. As a communicator, the
nurse identifies client problems, then communicates these verbally or in writing to
other members of the health team. As a teacher, the nurse helps clients learn about
their health and the health care procedures they need to perform to maintain or
restore their health. A client advocate acts to protect clients and represents their
needs and wishes to other health professionals.
Implementation
Safe, effective care environment
Application
D) The caregiver role includes those activities that assist the client physically and
psychologically while preserving the client's dignity. As a communicator, the
nurse identifies client problems, then communicates these verbally or in writing to
other members of the health team. As a teacher, the nurse helps clients learn about
their health and the health care procedures they need to perform to maintain or
restore their health. A client advocate acts to protect clients and represents their
needs and wishes to other health professionals.
Implementation
Safe, effective care environment
Application
6) Throughout the course of the nursing program, professionalism is exemplified by the faculty. The
student nurse practices professionalism by which of the following?
6)
A) Maintaining specific character and spirit
B) Learning about the influences of Florence Nightingale
C) Promising to uphold the standards of the profession
D) Acquiring characteristics considered to be professional
Answer: A
5
6. Explanation: A) Professionalism refers to professional character, spirit, or methods. It is a set of
attributes and a way of life that implies responsibility and commitment. Florence
Nightingale influenced nursing professionalism a great deal, but simply learning
about her influence does not constitute professionalism because it refers to a way
of life. Professionalization is the process of becoming professional, which is
acquiring characteristics considered to be professional and upholding the
standards of a profession.
Implementation
Safe, effective care environment
Analysis
B) Professionalism refers to professional character, spirit, or methods. It is a set of
attributes and a way of life that implies responsibility and commitment. Florence
Nightingale influenced nursing professionalism a great deal, but simply learning
about her influence does not constitute professionalism because it refers to a way
of life. Professionalization is the process of becoming professional, which is
acquiring characteristics considered to be professional and upholding the
standards of a profession.
Implementation
Safe, effective care environment
Analysis
C) Professionalism refers to professional character, spirit, or methods. It is a set of
attributes and a way of life that implies responsibility and commitment. Florence
Nightingale influenced nursing professionalism a great deal, but simply learning
about her influence does not constitute professionalism because it refers to a way
of life. Professionalization is the process of becoming professional, which is
acquiring characteristics considered to be professional and upholding the
standards of a profession.
Implementation
Safe, effective care environment
Analysis
D) Professionalism refers to professional character, spirit, or methods. It is a set of
attributes and a way of life that implies responsibility and commitment. Florence
Nightingale influenced nursing professionalism a great deal, but simply learning
about her influence does not constitute professionalism because it refers to a way
of life. Professionalization is the process of becoming professional, which is
acquiring characteristics considered to be professional and upholding the
standards of a profession.
Implementation
Safe, effective care environment
Analysis
6
7. 7) A student nurse has set up study groups, complete with objectives and goals for each session. This
student is practicing which attribute of organization?
7)
A) Governance B) Service orientation
C) Socialization D) Specialized education
Answer: C
Explanation: A) Socialization involves learning to behave, feel, and see the world in a manner
similar to other persons occupying the same role. The goal is to instill in others the
norms, values, attitudes, and behaviors deemed essential. One of the most
powerful mechanisms of professional socialization is interacting with fellow
students and becoming bound together by feelings of mutual cooperation, support,
and solidarity. Governance is the establishment and maintenance of social,
political, and economic arrangements by which practitioners control their practice,
working conditions, and professional affairs. Service orientation differentiates
nursing from an occupation pursued primarily for profit. Specialized education is
an important aspect of professional status and is focused on the course of study
and curriculum particular to the profession.
Evaluation
Safe, effective care environment
Application
B) Socialization involves learning to behave, feel, and see the world in a manner
similar to other persons occupying the same role. The goal is to instill in others the
norms, values, attitudes, and behaviors deemed essential. One of the most
powerful mechanisms of professional socialization is interacting with fellow
students and becoming bound together by feelings of mutual cooperation, support,
and solidarity. Governance is the establishment and maintenance of social,
political, and economic arrangements by which practitioners control their practice,
working conditions, and professional affairs. Service orientation differentiates
nursing from an occupation pursued primarily for profit. Specialized education is
an important aspect of professional status and is focused on the course of study
and curriculum particular to the profession.
Evaluation
Safe, effective care environment
Application
C) Socialization involves learning to behave, feel, and see the world in a manner
similar to other persons occupying the same role. The goal is to instill in others the
norms, values, attitudes, and behaviors deemed essential. One of the most
powerful mechanisms of professional socialization is interacting with fellow
students and becoming bound together by feelings of mutual cooperation, support,
and solidarity. Governance is the establishment and maintenance of social,
political, and economic arrangements by which practitioners control their practice,
working conditions, and professional affairs. Service orientation differentiates
nursing from an occupation pursued primarily for profit. Specialized education is
an important aspect of professional status and is focused on the course of study
and curriculum particular to the profession.
Evaluation
Safe, effective care environment
Application
7
8. D) Socialization involves learning to behave, feel, and see the world in a manner
similar to other persons occupying the same role. The goal is to instill in others the
norms, values, attitudes, and behaviors deemed essential. One of the most
powerful mechanisms of professional socialization is interacting with fellow
students and becoming bound together by feelings of mutual cooperation, support,
and solidarity. Governance is the establishment and maintenance of social,
political, and economic arrangements by which practitioners control their practice,
working conditions, and professional affairs. Service orientation differentiates
nursing from an occupation pursued primarily for profit. Specialized education is
an important aspect of professional status and is focused on the course of study
and curriculum particular to the profession.
Evaluation
Safe, effective care environment
Application
8) The advanced practice nurse refers the client to physical therapy for further rehabilitation. This is
an example of which of the ANA standards of practice?
8)
A) Assessment B) Implementation
C) Planning D) Diagnosis
Answer: B
Explanation: A) Standard 5: Implementation includes prescriptive authority and treatment, which
would include a referral for further treatment and therapy in accordance with state
and federal laws and regulations. Assessment is data collection. Diagnosis
analyzes the assessment data. Planning prescribes strategies and alternatives to
reach the expected goals.
Implementation
Safe, effective care environment
Application
B) Standard 5: Implementation includes prescriptive authority and treatment, which
would include a referral for further treatment and therapy in accordance with state
and federal laws and regulations. Assessment is data collection. Diagnosis
analyzes the assessment data. Planning prescribes strategies and alternatives to
reach the expected goals.
Implementation
Safe, effective care environment
Application
C) Standard 5: Implementation includes prescriptive authority and treatment, which
would include a referral for further treatment and therapy in accordance with state
and federal laws and regulations. Assessment is data collection. Diagnosis
analyzes the assessment data. Planning prescribes strategies and alternatives to
reach the expected goals.
Implementation
Safe, effective care environment
Application
D) Standard 5: Implementation includes prescriptive authority and treatment, which
would include a referral for further treatment and therapy in accordance with state
and federal laws and regulations. Assessment is data collection. Diagnosis
analyzes the assessment data. Planning prescribes strategies and alternatives to
reach the expected goals.
Implementation
Safe, effective care environment
Application
8
9. 9) The client recovered to a greater level that what was previously expected. The staff nurse
responsible for the client's care is following which of the ANA standards of practice?
9)
A) Implementation B) Diagnosis
C) Evaluation D) Planning
Answer: C
Explanation: A) Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.
Since the progress was recovery in this case, and at a greater level than
expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes
the assessment data to determine problems. Planning involves prescribing
strategies and alternatives to attain expected outcomes. Implementation consists of
coordinating care, teaching, consultation, prescriptive authority, and
treatment/evaluation.
Evaluation
Safe, effective care environment
Analysis
B) Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.
Since the progress was recovery in this case, and at a greater level than
expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes
the assessment data to determine problems. Planning involves prescribing
strategies and alternatives to attain expected outcomes. Implementation consists of
coordinating care, teaching, consultation, prescriptive authority, and
treatment/evaluation.
Evaluation
Safe, effective care environment
Analysis
C) Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.
Since the progress was recovery in this case, and at a greater level than
expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes
the assessment data to determine problems. Planning involves prescribing
strategies and alternatives to attain expected outcomes. Implementation consists of
coordinating care, teaching, consultation, prescriptive authority, and
treatment/evaluation.
Evaluation
Safe, effective care environment
Analysis
D) Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.
Since the progress was recovery in this case, and at a greater level than
expectations, the nurse would be evaluating the plan of care. Diagnosis analyzes
the assessment data to determine problems. Planning involves prescribing
strategies and alternatives to attain expected outcomes. Implementation consists of
coordinating care, teaching, consultation, prescriptive authority, and
treatment/evaluation.
Evaluation
Safe, effective care environment
Analysis
9
10. 10) The term patient usually implies that the person is: 10)
A) Proactive in his or her health care needs. B) Using a service or commodity.
C) A collaborator in his or her care. D) Seeking assistance because of illness.
Answer: D
Explanation: A) The word patient comes from a Latin word meaning "to suffer" or "to bear."
Usually, people become patients when they seek assistance because of illness or for
surgery. Some nurses believe that the word patient implies passive acceptance of
the decisions and care of health professionals, which would be opposite of being
proactive in one's health care needs. The term client presents the recipient of health
care as a collaborator in that care, along with the people who are providing service.
A consumer is an individual, a group of people, or a community that uses a service
or commodity.
Implementation
Safe, effective care environment
Application
B) The word patient comes from a Latin word meaning "to suffer" or "to bear."
Usually, people become patients when they seek assistance because of illness or for
surgery. Some nurses believe that the word patient implies passive acceptance of
the decisions and care of health professionals, which would be opposite of being
proactive in one's health care needs. The term client presents the recipient of health
care as a collaborator in that care, along with the people who are providing service.
A consumer is an individual, a group of people, or a community that uses a service
or commodity.
Implementation
Safe, effective care environment
Application
C) The word patient comes from a Latin word meaning "to suffer" or "to bear."
Usually, people become patients when they seek assistance because of illness or for
surgery. Some nurses believe that the word patient implies passive acceptance of
the decisions and care of health professionals, which would be opposite of being
proactive in one's health care needs. The term client presents the recipient of health
care as a collaborator in that care, along with the people who are providing service.
A consumer is an individual, a group of people, or a community that uses a service
or commodity.
Implementation
Safe, effective care environment
Application
D) The word patient comes from a Latin word meaning "to suffer" or "to bear."
Usually, people become patients when they seek assistance because of illness or for
surgery. Some nurses believe that the word patient implies passive acceptance of
the decisions and care of health professionals, which would be opposite of being
proactive in one's health care needs. The term client presents the recipient of health
care as a collaborator in that care, along with the people who are providing service.
A consumer is an individual, a group of people, or a community that uses a service
or commodity.
Implementation
Safe, effective care environment
Application
10
11. 11) A practicing RN decides that attending an upcoming workshop about new pharmacological
treatments would benefit his or her practice. This RN is modeling which of the standards of
professional performance?
11)
A) Professional practice evaluation B) Quality of practice
C) Research D) Education
Answer: A
Explanation: A) Standards of professional performance describe a competent level of behavior in
the professional role. Professional practice evaluation, Standard 9, is behavior that
evaluates one's own nursing practice in relation to professional practice standards
and guidelines, relevant statutes, rules, and regulations. Deciding to enhance one's
current knowledge base, in relationship to one's own practice, would describe this
standard. Quality of practice is a systematic approach to enhance the quality and
effectiveness of nursing practice. Education is knowledge attainment and
competency that reflects current nursing practice. Research integrates research
findings into practice.
Implementation
Safe, effective care environment
Application
B) Standards of professional performance describe a competent level of behavior in
the professional role. Professional practice evaluation, Standard 9, is behavior that
evaluates one's own nursing practice in relation to professional practice standards
and guidelines, relevant statutes, rules, and regulations. Deciding to enhance one's
current knowledge base, in relationship to one's own practice, would describe this
standard. Quality of practice is a systematic approach to enhance the quality and
effectiveness of nursing practice. Education is knowledge attainment and
competency that reflects current nursing practice. Research integrates research
findings into practice.
Implementation
Safe, effective care environment
Application
C) Standards of professional performance describe a competent level of behavior in
the professional role. Professional practice evaluation, Standard 9, is behavior that
evaluates one's own nursing practice in relation to professional practice standards
and guidelines, relevant statutes, rules, and regulations. Deciding to enhance one's
current knowledge base, in relationship to one's own practice, would describe this
standard. Quality of practice is a systematic approach to enhance the quality and
effectiveness of nursing practice. Education is knowledge attainment and
competency that reflects current nursing practice. Research integrates research
findings into practice.
Implementation
Safe, effective care environment
Application
11
12. D) Standards of professional performance describe a competent level of behavior in
the professional role. Professional practice evaluation, Standard 9, is behavior that
evaluates one's own nursing practice in relation to professional practice standards
and guidelines, relevant statutes, rules, and regulations. Deciding to enhance one's
current knowledge base, in relationship to one's own practice, would describe this
standard. Quality of practice is a systematic approach to enhance the quality and
effectiveness of nursing practice. Education is knowledge attainment and
competency that reflects current nursing practice. Research integrates research
findings into practice.
Implementation
Safe, effective care environment
Application
12) A nurse is working closely with a client regarding a chemotherapy regimen, providing
consultation, education, and direction for the client and the client's family. This nurse would most
likely be certified as which of the following?
12)
A) Nurse entrepreneur B) Clinical nurse specialist
C) Nurse educator D) Nurse practitioner
Answer: B
Explanation: A) A clinical nurse specialist has an advanced degree or expertise and is considered to
be an expert in a specialized area of practice (oncology in this case). The nurse
provides direct client care, educates others, consults, conducts research, and
manages care. A nurse practitioner has an advanced education, is a graduate of a
nurse practitioner program, and usually deals with nonemergency acute or chronic
illness and provides primary ambulatory care. The nurse educator is responsible
for classroom and often clinical teaching. A nurse entrepreneur usually has an
advanced degree, manages a health-related business, and may be involved in
education, consultation, or research.
Implementation
Safe, effective care environment
Application
B) A clinical nurse specialist has an advanced degree or expertise and is considered to
be an expert in a specialized area of practice (oncology in this case). The nurse
provides direct client care, educates others, consults, conducts research, and
manages care. A nurse practitioner has an advanced education, is a graduate of a
nurse practitioner program, and usually deals with nonemergency acute or chronic
illness and provides primary ambulatory care. The nurse educator is responsible
for classroom and often clinical teaching. A nurse entrepreneur usually has an
advanced degree, manages a health-related business, and may be involved in
education, consultation, or research.
Implementation
Safe, effective care environment
Application
12
13. C) A clinical nurse specialist has an advanced degree or expertise and is considered to
be an expert in a specialized area of practice (oncology in this case). The nurse
provides direct client care, educates others, consults, conducts research, and
manages care. A nurse practitioner has an advanced education, is a graduate of a
nurse practitioner program, and usually deals with nonemergency acute or chronic
illness and provides primary ambulatory care. The nurse educator is responsible
for classroom and often clinical teaching. A nurse entrepreneur usually has an
advanced degree, manages a health-related business, and may be involved in
education, consultation, or research.
Implementation
Safe, effective care environment
Application
D) A clinical nurse specialist has an advanced degree or expertise and is considered to
be an expert in a specialized area of practice (oncology in this case). The nurse
provides direct client care, educates others, consults, conducts research, and
manages care. A nurse practitioner has an advanced education, is a graduate of a
nurse practitioner program, and usually deals with nonemergency acute or chronic
illness and provides primary ambulatory care. The nurse educator is responsible
for classroom and often clinical teaching. A nurse entrepreneur usually has an
advanced degree, manages a health-related business, and may be involved in
education, consultation, or research.
Implementation
Safe, effective care environment
Application
13
14. 13) Nursing students offer free occult blood screening at a community health fair. This activity would
be an example of which area of nursing practice?
13)
A) Promoting health and wellness B) Restoring health
C) Illness prevention D) Rehabilitation
Answer: B
Explanation: A) Restoring health focuses on the ill client, and it extends from early detection (such
as checking for occult blood in feces) through helping the client during the
recovery period. Health promotion and wellness activities enhance the quality of
life and maximize personal potential. Rehabilitation is an activity of health
restoration.
Implementation
Health promotion and maintenance
Application
B) Restoring health focuses on the ill client, and it extends from early detection (such
as checking for occult blood in feces) through helping the client during the
recovery period. Health promotion and wellness activities enhance the quality of
life and maximize personal potential. Rehabilitation is an activity of health
restoration.
Implementation
Health promotion and maintenance
Application
C) Restoring health focuses on the ill client, and it extends from early detection (such
as checking for occult blood in feces) through helping the client during the
recovery period. Health promotion and wellness activities enhance the quality of
life and maximize personal potential. Rehabilitation is an activity of health
restoration.
Implementation
Health promotion and maintenance
Application
D) Restoring health focuses on the ill client, and it extends from early detection (such
as checking for occult blood in feces) through helping the client during the
recovery period. Health promotion and wellness activities enhance the quality of
life and maximize personal potential. Rehabilitation is an activity of health
restoration.
Implementation
Health promotion and maintenance
Application
14) A seasoned nurse who acts as a mentor for a new graduate is practicing which of the standards of
professional performance?
14)
A) Evaluation B) Collegiality C) Collaboration D) Leadership
Answer: B
Explanation: A) Collegiality describes interaction with and contributions to the professional
development of peers and colleagues, which is what a mentoring relationship
would involve. Collaboration involves working with the client, the family, and
others in the conduct of nursing practice. Leadership provides direction in a
professional practice setting, and evaluation involves a comparison between one's
own nursing practice and professional practice standards.
Implementation
Safe, effective environment of care
Application
14
15. B) Collegiality describes interaction with and contributions to the professional
development of peers and colleagues, which is what a mentoring relationship
would involve. Collaboration involves working with the client, the family, and
others in the conduct of nursing practice. Leadership provides direction in a
professional practice setting, and evaluation involves a comparison between one's
own nursing practice and professional practice standards.
Implementation
Safe, effective environment of care
Application
C) Collegiality describes interaction with and contributions to the professional
development of peers and colleagues, which is what a mentoring relationship
would involve. Collaboration involves working with the client, the family, and
others in the conduct of nursing practice. Leadership provides direction in a
professional practice setting, and evaluation involves a comparison between one's
own nursing practice and professional practice standards.
Implementation
Safe, effective environment of care
Application
D) Collegiality describes interaction with and contributions to the professional
development of peers and colleagues, which is what a mentoring relationship
would involve. Collaboration involves working with the client, the family, and
others in the conduct of nursing practice. Leadership provides direction in a
professional practice setting, and evaluation involves a comparison between one's
own nursing practice and professional practice standards.
Implementation
Safe, effective environment of care
Application
15) The nurse is caring for several acutely ill clients during the shift. Which of the following is an
example of the nurse practicing the professional criteria of autonomy?
15)
A) Communicating with peers when help is needed
B) Delivering medications and prescribed treatments in a timely manner
C) Deciding to prioritize care according to client needs
D) Complaining to the supervisor about high acuity level and staff-to-client ratio
Answer: C
Explanation: A) Autonomy in nursing means independence at work, responsibility, and
accountability for one's actions. Making decisions about which client requires care
according to needs is an example of autonomy. Carrying out physician orders
would be an example of nursing care, but not independence. Communication is
important in any profession as well as making concerns known to supervisors, but
these are not examples of controlling activity-a hallmark of autonomy.
Evaluation
Safe, effective care environment
Application
B) Autonomy in nursing means independence at work, responsibility, and
accountability for one's actions. Making decisions about which client requires care
according to needs is an example of autonomy. Carrying out physician orders
would be an example of nursing care, but not independence. Communication is
important in any profession as well as making concerns known to supervisors, but
these are not examples of controlling activity-a hallmark of autonomy.
Evaluation
Safe, effective care environment
Application
15
16. C) Autonomy in nursing means independence at work, responsibility, and
accountability for one's actions. Making decisions about which client requires care
according to needs is an example of autonomy. Carrying out physician orders
would be an example of nursing care, but not independence. Communication is
important in any profession as well as making concerns known to supervisors, but
these are not examples of controlling activity-a hallmark of autonomy.
Evaluation
Safe, effective care environment
Application
D) Autonomy in nursing means independence at work, responsibility, and
accountability for one's actions. Making decisions about which client requires care
according to needs is an example of autonomy. Carrying out physician orders
would be an example of nursing care, but not independence. Communication is
important in any profession as well as making concerns known to supervisors, but
these are not examples of controlling activity-a hallmark of autonomy.
Evaluation
Safe, effective care environment
Application
16) A nursing program utilizes nurse preceptors in some of its clinical experiences. These nurses are
considered proficient in their clinical area. According to Benner's stages of nursing expertise, these
nurses would belong to which stage?
16)
A) Stage II B) Stage III C) Stage IV D) Stage V
Answer: C
Explanation: A) Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a
holistic understanding of the client, which improves decision making and focuses
on long-term goals. Stage II is advanced beginner. The person demonstrates
marginally acceptable performance. Stage III is competent. The nurse has 2 or 3
years of experience and demonstrates organizational/planning abilities. Stage V is
considered expert. Performance is fluid, flexible, and highly proficient. The expert
nurse no longer requires rules, guidelines, or maxims to connect an understanding
of the situation to appropriate action. This person has highly intuitive and analytic
abilities in new situations.
Assessment
Safe, effective care environment
Analysis
B) Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a
holistic understanding of the client, which improves decision making and focuses
on long-term goals. Stage II is advanced beginner. The person demonstrates
marginally acceptable performance. Stage III is competent. The nurse has 2 or 3
years of experience and demonstrates organizational/planning abilities. Stage V is
considered expert. Performance is fluid, flexible, and highly proficient. The expert
nurse no longer requires rules, guidelines, or maxims to connect an understanding
of the situation to appropriate action. This person has highly intuitive and analytic
abilities in new situations.
Assessment
Safe, effective care environment
Analysis
16
17. C) Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a
holistic understanding of the client, which improves decision making and focuses
on long-term goals. Stage II is advanced beginner. The person demonstrates
marginally acceptable performance. Stage III is competent. The nurse has 2 or 3
years of experience and demonstrates organizational/planning abilities. Stage V is
considered expert. Performance is fluid, flexible, and highly proficient. The expert
nurse no longer requires rules, guidelines, or maxims to connect an understanding
of the situation to appropriate action. This person has highly intuitive and analytic
abilities in new situations.
Assessment
Safe, effective care environment
Analysis
D) Stage IV is a proficiency stage. The person has 3 to 5 years of experience and has a
holistic understanding of the client, which improves decision making and focuses
on long-term goals. Stage II is advanced beginner. The person demonstrates
marginally acceptable performance. Stage III is competent. The nurse has 2 or 3
years of experience and demonstrates organizational/planning abilities. Stage V is
considered expert. Performance is fluid, flexible, and highly proficient. The expert
nurse no longer requires rules, guidelines, or maxims to connect an understanding
of the situation to appropriate action. This person has highly intuitive and analytic
abilities in new situations.
Assessment
Safe, effective care environment
Analysis
17) The nurse has assumed the responsibilities of case manager. Which of the following would these
include?
17)
A) Delegating activities to other nurses
B) Managing an acute hospital stay
C) Evaluating performance of ancillary workers
D) Identifying areas of client concern or problems
Answer: B
Explanation: A) The case manager oversees the care of a specific caseload or may act as the primary
nurse to provide some level of direct care to the client and family. Responsibilities
may vary from managing acute hospitalizations to managing high-cost clients or
case types. Delegating activities to other nurses and evaluating performance of
ancillary workers are responsibilities of the nurse manager. Identifying areas of
researchable problems would fall to the research consumer.
Evaluation
Safe, effective care environment
Application
B) The case manager oversees the care of a specific caseload or may act as the primary
nurse to provide some level of direct care to the client and family. Responsibilities
may vary from managing acute hospitalizations to managing high-cost clients or
case types. Delegating activities to other nurses and evaluating performance of
ancillary workers are responsibilities of the nurse manager. Identifying areas of
researchable problems would fall to the research consumer.
Evaluation
Safe, effective care environment
Application
17
18. C) The case manager oversees the care of a specific caseload or may act as the primary
nurse to provide some level of direct care to the client and family. Responsibilities
may vary from managing acute hospitalizations to managing high-cost clients or
case types. Delegating activities to other nurses and evaluating performance of
ancillary workers are responsibilities of the nurse manager. Identifying areas of
researchable problems would fall to the research consumer.
Evaluation
Safe, effective care environment
Application
D) The case manager oversees the care of a specific caseload or may act as the primary
nurse to provide some level of direct care to the client and family. Responsibilities
may vary from managing acute hospitalizations to managing high-cost clients or
case types. Delegating activities to other nurses and evaluating performance of
ancillary workers are responsibilities of the nurse manager. Identifying areas of
researchable problems would fall to the research consumer.
Evaluation
Safe, effective care environment
Application
18) In alignment with the contributions of Florence Nightingale, the Vietnam Women's Memorial was
established to honor which of the following?
18)
A) The image of the angel of mercy
B) Surgical advancements and the use of anesthetic agents
C) The memory of Ms. Nightingale
D) Those who brought a human touch to the suffering and dying
Answer: D
Explanation: A) The Vietnam Women's Memorial was established to "honor the women who
served and also for the families who lost loved ones during the war...to let them
know about the women who provided comfort, care and a human touch for those
who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.).
Florence Nightingale brought respectability to the nursing profession, and her
contributions allowed nurses to be viewed as noble, compassionate, moral,
religious, dedicated, and self-sacrificing. The image of the guardian angel or angel
of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's
work. The monument "The Spirit of Nursing" stands in Arlington National
Cemetery, honoring nurses who served in World War I-a time of progress in
health care, particularly in the field of surgery.
Assessment
Safe, effective care environment
Application
18
19. B) The Vietnam Women's Memorial was established to "honor the women who
served and also for the families who lost loved ones during the war...to let them
know about the women who provided comfort, care and a human touch for those
who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.).
Florence Nightingale brought respectability to the nursing profession, and her
contributions allowed nurses to be viewed as noble, compassionate, moral,
religious, dedicated, and self-sacrificing. The image of the guardian angel or angel
of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's
work. The monument "The Spirit of Nursing" stands in Arlington National
Cemetery, honoring nurses who served in World War I-a time of progress in
health care, particularly in the field of surgery.
Assessment
Safe, effective care environment
Application
C) The Vietnam Women's Memorial was established to "honor the women who
served and also for the families who lost loved ones during the war...to let them
know about the women who provided comfort, care and a human touch for those
who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.).
Florence Nightingale brought respectability to the nursing profession, and her
contributions allowed nurses to be viewed as noble, compassionate, moral,
religious, dedicated, and self-sacrificing. The image of the guardian angel or angel
of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's
work. The monument "The Spirit of Nursing" stands in Arlington National
Cemetery, honoring nurses who served in World War I-a time of progress in
health care, particularly in the field of surgery.
Assessment
Safe, effective care environment
Application
D) The Vietnam Women's Memorial was established to "honor the women who
served and also for the families who lost loved ones during the war...to let them
know about the women who provided comfort, care and a human touch for those
who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.).
Florence Nightingale brought respectability to the nursing profession, and her
contributions allowed nurses to be viewed as noble, compassionate, moral,
religious, dedicated, and self-sacrificing. The image of the guardian angel or angel
of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's
work. The monument "The Spirit of Nursing" stands in Arlington National
Cemetery, honoring nurses who served in World War I-a time of progress in
health care, particularly in the field of surgery.
Assessment
Safe, effective care environment
Application
19
20. 19) The client questions information gathered from a website. Which of the following is the best
response by the nurse to these questions?
19)
A) "Don't trust anything you haven't received from our office."
B) "Information from the Internet isn't accurate."
C) "Bring your information to the clinic so we can go through it together."
D) "We'll have to check this information with your physician."
Answer: C
Explanation: A) Nurses may need to interpret Internet sources of information to clients and their
families. Though not all Internet-based information is accurate, some may be high
quality and valid. Nurses need to become information brokers so they, not just the
physician, can help clients access and evaluate information to determine its
usefulness.
Evaluation
Safe, effective care environment
Analysis
B) Nurses may need to interpret Internet sources of information to clients and their
families. Though not all Internet-based information is accurate, some may be high
quality and valid. Nurses need to become information brokers so they, not just the
physician, can help clients access and evaluate information to determine its
usefulness.
Evaluation
Safe, effective care environment
Analysis
C) Nurses may need to interpret Internet sources of information to clients and their
families. Though not all Internet-based information is accurate, some may be high
quality and valid. Nurses need to become information brokers so they, not just the
physician, can help clients access and evaluate information to determine its
usefulness.
Evaluation
Safe, effective care environment
Analysis
D) Nurses may need to interpret Internet sources of information to clients and their
families. Though not all Internet-based information is accurate, some may be high
quality and valid. Nurses need to become information brokers so they, not just the
physician, can help clients access and evaluate information to determine its
usefulness.
Evaluation
Safe, effective care environment
Analysis
20) A new graduate has starting working in a state other than the one in which the nursing education
program was located. Which of the following should this nurse consult in order to understand the
implications of this change of venue?
20)
A) American Nurses Association (ANA)
B) Nurse State Practice Act
C) National Council of State Boards of Nursing (NCSBN)
D) National League for Nursing (NLN)
Answer: B
20
21. Explanation: A) Nurse practice acts regulate the practice of nursing in the United States and
Canada. Each state and each province has its own act. Nurses are responsible for
knowing their state's nurse practice act as it governs their practice. The ANA is the
professional organization of nursing, the NLN is responsible for accrediting
schools of nursing, and the NCSBN handles licensure of professional nurses.
Implementation
Safe, effective care environment
Application
B) Nurse practice acts regulate the practice of nursing in the United States and
Canada. Each state and each province has its own act. Nurses are responsible for
knowing their state's nurse practice act as it governs their practice. The ANA is the
professional organization of nursing, the NLN is responsible for accrediting
schools of nursing, and the NCSBN handles licensure of professional nurses.
Implementation
Safe, effective care environment
Application
C) Nurse practice acts regulate the practice of nursing in the United States and
Canada. Each state and each province has its own act. Nurses are responsible for
knowing their state's nurse practice act as it governs their practice. The ANA is the
professional organization of nursing, the NLN is responsible for accrediting
schools of nursing, and the NCSBN handles licensure of professional nurses.
Implementation
Safe, effective care environment
Application
D) Nurse practice acts regulate the practice of nursing in the United States and
Canada. Each state and each province has its own act. Nurses are responsible for
knowing their state's nurse practice act as it governs their practice. The ANA is the
professional organization of nursing, the NLN is responsible for accrediting
schools of nursing, and the NCSBN handles licensure of professional nurses.
Implementation
Safe, effective care environment
Application
21) Which of the following nurse leaders campaigned for the legislation that allows nurses, rather than
physicians, to control the nursing profession?
21)
A) Lavinia Dock B) Margaret Higgins Sanger
C) Virginia Henderson D) Mary Breckinridge
Answer: A
Explanation: A) Lavinia Dock was a feminist, writer, and activist. She participated in protest
movements for women's rights that resulted in passage of the 19th Amendment,
which allowed women the right to vote. In addition, Dock campaigned for
legislation to allow nurses, rather than physicians, to control their profession. Mary
Breckinridge established the Frontier Nursing Service. Margaret Higgins Sanger is
considered the founder of Planned Parenthood. Virginia Henderson was one of the
first modern nurses to define nursing (1966).
Assessment
Safe, effective care environment
Application
21
22. B) Lavinia Dock was a feminist, writer, and activist. She participated in protest
movements for women's rights that resulted in passage of the 19th Amendment,
which allowed women the right to vote. In addition, Dock campaigned for
legislation to allow nurses, rather than physicians, to control their profession. Mary
Breckinridge established the Frontier Nursing Service. Margaret Higgins Sanger is
considered the founder of Planned Parenthood. Virginia Henderson was one of the
first modern nurses to define nursing (1966).
Assessment
Safe, effective care environment
Application
C) Lavinia Dock was a feminist, writer, and activist. She participated in protest
movements for women's rights that resulted in passage of the 19th Amendment,
which allowed women the right to vote. In addition, Dock campaigned for
legislation to allow nurses, rather than physicians, to control their profession. Mary
Breckinridge established the Frontier Nursing Service. Margaret Higgins Sanger is
considered the founder of Planned Parenthood. Virginia Henderson was one of the
first modern nurses to define nursing (1966).
Assessment
Safe, effective care environment
Application
D) Lavinia Dock was a feminist, writer, and activist. She participated in protest
movements for women's rights that resulted in passage of the 19th Amendment,
which allowed women the right to vote. In addition, Dock campaigned for
legislation to allow nurses, rather than physicians, to control their profession. Mary
Breckinridge established the Frontier Nursing Service. Margaret Higgins Sanger is
considered the founder of Planned Parenthood. Virginia Henderson was one of the
first modern nurses to define nursing (1966).
Assessment
Safe, effective care environment
Application
22) Public health and health promotion roles for nurses are components of nursing envisioned by
which of the following nurse leaders?
22)
A) Lillian Wald B) Clara Barton
C) Mary Brewster D) Florence Nightingale
Answer: D
Explanation: A) Florence Nightingale's vision of nursing included public health and health
promotion roles for nurses, but it was only partly addressed in the early days of
nursing. Her focus tended to be on developing the profession within the hospitals.
Clara Barton is noted for establishing the American Red Cross. She persuaded
Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could
perform humanitarian efforts in times of peace. Lillian Wald is considered the
founder of public health nursing. She and Mary Brewster were the first to offer
trained nursing services to the poor in the New York slums and developed the
Visiting Nurse Service, along with the Henry Street Settlement.
Implementation
Safe, effective care environment
Analysis
22
23. B) Florence Nightingale's vision of nursing included public health and health
promotion roles for nurses, but it was only partly addressed in the early days of
nursing. Her focus tended to be on developing the profession within the hospitals.
Clara Barton is noted for establishing the American Red Cross. She persuaded
Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could
perform humanitarian efforts in times of peace. Lillian Wald is considered the
founder of public health nursing. She and Mary Brewster were the first to offer
trained nursing services to the poor in the New York slums and developed the
Visiting Nurse Service, along with the Henry Street Settlement.
Implementation
Safe, effective care environment
Analysis
C) Florence Nightingale's vision of nursing included public health and health
promotion roles for nurses, but it was only partly addressed in the early days of
nursing. Her focus tended to be on developing the profession within the hospitals.
Clara Barton is noted for establishing the American Red Cross. She persuaded
Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could
perform humanitarian efforts in times of peace. Lillian Wald is considered the
founder of public health nursing. She and Mary Brewster were the first to offer
trained nursing services to the poor in the New York slums and developed the
Visiting Nurse Service, along with the Henry Street Settlement.
Implementation
Safe, effective care environment
Analysis
D) Florence Nightingale's vision of nursing included public health and health
promotion roles for nurses, but it was only partly addressed in the early days of
nursing. Her focus tended to be on developing the profession within the hospitals.
Clara Barton is noted for establishing the American Red Cross. She persuaded
Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could
perform humanitarian efforts in times of peace. Lillian Wald is considered the
founder of public health nursing. She and Mary Brewster were the first to offer
trained nursing services to the poor in the New York slums and developed the
Visiting Nurse Service, along with the Henry Street Settlement.
Implementation
Safe, effective care environment
Analysis
23) The community health nurse is working primarily with teenage mothers and their children. The
nurse recognizes that these clients have increased vulnerability, mainly due to which of the
following?
23)
A) Normal difficulties of adolescence
B) Increased poverty
C) Distance separation from their nuclear families
D) Raising children without the support of family
Answer: A
Explanation: A) Teenage mothers have the normal needs of teenagers as well as those of new
mothers, with motherhood compounding the difficulties of adolescence. Though
many teenage mothers are raising children alone, without the support of the baby's
father or perhaps their own family, and many live in poverty, all are vulnerable
because of their age.
Assessment
Psychosocial integrity
Evaluation
23
24. B) Teenage mothers have the normal needs of teenagers as well as those of new
mothers, with motherhood compounding the difficulties of adolescence. Though
many teenage mothers are raising children alone, without the support of the baby's
father or perhaps their own family, and many live in poverty, all are vulnerable
because of their age.
Assessment
Psychosocial integrity
Evaluation
C) Teenage mothers have the normal needs of teenagers as well as those of new
mothers, with motherhood compounding the difficulties of adolescence. Though
many teenage mothers are raising children alone, without the support of the baby's
father or perhaps their own family, and many live in poverty, all are vulnerable
because of their age.
Assessment
Psychosocial integrity
Evaluation
D) Teenage mothers have the normal needs of teenagers as well as those of new
mothers, with motherhood compounding the difficulties of adolescence. Though
many teenage mothers are raising children alone, without the support of the baby's
father or perhaps their own family, and many live in poverty, all are vulnerable
because of their age.
Assessment
Psychosocial integrity
Evaluation
SHORT ANSWER. Write the word or phrase that best completes each statement or answers the question.
24) Organize these events in chronological order, beginning with the earliest (1) and ending
with the most recent (5):
_______ The Order of Deaconesses opens a small hospital in Kaiserswerth, Germany.
_______ The Knights of St. Lazarus dedicate themselves to the care of people with
leprosy, syphilis, and chronic skin conditions.
_______ Harriet Tubman provides care to slaves fleeing on the Underground Railroad.
_______ The Cadet Nurse Corps is established.
_______ Florence Nightingale administers to soldiers during the Crimean War.
24)
Answer: 2, 1, 4, 5, 3
Explanation: Religion played a significant role in the development of nursing. The Crusades
saw the formation of several orders of knights who provided care to the sick
and injured, including the Knights of St. Lazarus. In 1836, Theodore Fliedner
reinstituted the Order of Deaconesses and opened a small hospital and training
school in Kaiserswerth, Germany, where Florence Nightingale received her
training. During the Crimean War (1854-1856), Ms. Nightingale administered to
the soldiers following a request by Sir Sidney Herbert of the British War
Department. During the American Civil War (1861-1865), Harriet Tubman
(among other nurses) administered to the care of slaves and injured soldiers.
World War II casualties created an acute shortage of care, and the Cadet Nurse
Corps was established in response to the shortage of nurses.
Assessment
Safe, effective care environment resource management
Application
24
25. 25) Which of the following themes are common in the definitions of nursing? (Select all that
apply.)
_______ Adaptive
_______ Client centered
_______ Goal directed according to the needs of the client
_______ Diagnosis and treatment of disease
_______ An art
_______ A science
25)
Answer: Adaptive, Client centered, An art, A science
Explanation: Adaptive; client centered; art; science; holistic; caring; concerned with health
promotion, health maintenance, and health restoration; and a helping profession
are themes that are common to many definitions formulated about nursing. In
1973, the American Nurses Association (ANA) described nursing practice as
goal oriented and adaptable to the needs of the individual, the family, and the
community (not just the client). In 1980, the ANA's definition was changed to
"Nursing is the diagnosis and treatment of the human responses to actual or
potential health problems." Diagnosis and treatment of disease is a definition of
the medical model.
Implementation
Safe, effective care environment
Application
25
26. Answer Key
Testname: C1
1) B
2) B
3) B
4) D
5) D
6) A
7) C
8) B
9) C
10) D
11) A
12) B
13) B
14) B
15) C
16) C
17) B
18) D
19) C
20) B
21) A
22) D
23) A
24) 2, 1, 4, 5, 3
25) Adaptive, Client centered, An art, A science
26
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