Question 1

A patient tells the nurse, "I have an advance directive that I want you to follow." Which of the following will this document provide for the nurse?

Accepted Answer

An advance directive is a legal document that provides guidance on the patient's healthcare preferences in the event that they become mentally incapacitated and unable to make decisions for themselves. It typically includes information about medical treatments and life-sustaining measures the patient would want or not want, as well as the appointment of a healthcare proxy or agent to make decisions on their behalf. It does not provide a complete plan of care, answers to all care dilemmas, or directions for when to use universal precautions.

Question 2

The nurse is reviewing the outcome of patient care that was provided. Which of the following nursing process steps should the nurse use next?

Accepted Answer

After providing patient care, the next step in the nursing process is evaluation, which involves determining whether the goals and outcomes that were set have been achieved. This step is crucial in determining the effectiveness of the nursing interventions and identifying any necessary changes to the care plan. Assessment and planning are completed before implementation, which is the step of actually carrying out the care plan.

Question 3

Choose the  Select all that apply.

Accepted Answer

The answer of Choose the  Select all that apply.
...

Question 4

Arrange in order the steps the nurse would take to create a focused assessment for a patient with type II diabetes.  Click and drag the options below to move them up or down.
A)Nurse notes patient is reluctant to draw up insulin in syringe.
B)Nurse assesses what the patient already knows.
C)Nurse has patient practice drawing up insulin.
D)Nurse calls in diabetic educator.
E)Nurse notes patient is not aware of differences of hypo- and hyperglycemia.

Accepted Answer

The answer of Arrange in order the steps the nurse...

Question 5

A patient tells the nurse, "I have pain in my leg when I stand too long." This information would be considered which of the following?

Accepted Answer

This statement is based on the patient's personal experience and perception of pain, which cannot be measured or observed by the nurse. Therefore, it is considered subjective data.

Question 6

The nurse is implementing a plan of care for a patient. After providing care, what should the nurse do as the final step in the process?

Accepted Answer

Documenting the care provided is essential to ensure continuity of care and legal protection for the nurse and the facility. It also serves as a way of communicating with other healthcare providers involved in the patient's care. Reassessing the patient may be necessary, but it is not the final step in the process. Doing nothing or giving a report to the charge nurse without documenting the care provided is not sufficient.

Question 7

The nurse is preparing to provide patient care information to a group of unlicensed assistive personnel. Which type of care delivery system is this nurse most likely using to provide patient care?

Accepted Answer

In team nursing, a team of healthcare professionals with different levels of education and expertise work together to provide patient care. Unlicensed assistive personnel are often part of this team and receive guidance and direction from the registered nurse. Therefore, the nurse preparing to provide patient care information to a group of unlicensed assistive personnel is most likely using a team nursing care delivery system.

Question 8

The nurse is consulting a critical pathway to help make patient care decisions. Which type of care delivery model is this nurse most likely using to provide patient care?

Accepted Answer

The use of a critical pathway is a characteristic of case management, which is a care delivery model that focuses on coordinating and managing care across different healthcare settings and providers to ensure the best outcomes for patients. The other options (primary nursing, functional nursing, and team nursing) do not necessarily involve the use of critical pathways as a standard practice.

Question 9

While providing care to a patient, the nurse stops to assess a new patient problem. The assessment in this situation would be which of the following?

Accepted Answer

Since the nurse is only assessing a new patient problem while providing care to an existing patient, it would be a focused assessment, meaning that the assessment is specific to the issue at hand and not a full initial assessment. The assessment can be both objective (observable) and subjective (based on patient reported information), depending on the nature of the new problem.

Question 10

The nurse working on a quality improvement study wants to evaluate a patient care process. Which of the following can the nurse use to evaluate this process?

Accepted Answer

The answer of The nurse working on a quality improvement...

Question 11

Evaluate the following scenarios and choose the one that best describes an ethical nursing dilemma.

Accepted Answer

This scenario involves a patient's confidentiality and the ethical obligation of a nurse to maintain privacy. Disclosing the patient's sexual behavior without their consent may also lead to discrimination and prejudice. This presents a conflict between the duty to maintain confidentiality and the responsibility to prevent harm to others.

Question 12

A graduate nurse is attending a seminar regarding the role of the nurse as a patient advocate. After the session, the students engage in a discussion. Which of the following statements by the graduate nurse indicates the need for further education?

Accepted Answer

Patient advocates do not have the authority to make decisions for the patient. The role of a patient advocate is to support and empower the patient in making informed decisions and ensuring that their wishes are respected. This statement indicates a misunderstanding of the nurse's role as a patient advocate and the need for further education.

Question 13

Patient chart audits provide the nurses with information that impacts the future outcomes of patient care. What should the nurses do with this information?

Accepted Answer

Nurses should use the information from patient chart audits to create an action plan to address any negative findings. This will help improve the quality of patient care and outcomes. Doing nothing or just filing the information for comparison with future audits is not an effective way to improve patient care. Submitting it to the accrediting body may be required by the agency's policies and procedures, but it is not the best choice for using the information to improve patient care.

Question 14

A patient care issue has been raised about the actions taken by a nurse who was asked to provide care to a patient whose healthcare decisions were considered controversial. The unit's nurse manager is concerned that care was not appropriately provided. Which of the following should be consulted to protect the patient and to evaluate the care in question?

Accepted Answer

The answer of A patient care issue has been raised...

Question 15

The nurse is creating outcome criteria for the nursing diagnoses for a patient. Which of the following should the nurse include when creating the criteria?

Accepted Answer

Outcome criteria should be written to address the patient, be time-specific (with a specific date or time frame), and be measurable (using specific quantifiable data or observations). They should not be written as nursing goals, statements, or limited to psychomotor domain only.

Question 16

A nurse has delegated the collection of vital signs, including blood pressure readings, to two unlicensed assistive personnel. The delegation of this work means the nurse is

Accepted Answer

Delegation does not relieve the nurse of accountability for the care provided by the unlicensed assistive personnel. The nurse is ultimately responsible for ensuring that the delegated task is performed safely and correctly.

Question 17

The nurse is preparing a patient to go home. Which of the following skills are the most important for the nurse in order to adequately prepare this patient?

Accepted Answer

Familiarity with adult learning principles is crucial for effectively educating patients about their care and ensuring they understand how to manage their health at home.

Question 18

At the completion of an assessment, the nurse chooses a nursing diagnosis that best defines the patient's health problems. Which type of clinical judgment will this nurse use?

Accepted Answer

Diagnostic reasoning is the process of determining a patient's health status after considering various pieces of information and evidence. It involves identifying patterns, making inferences, and drawing conclusions about a patient's health problems, which aligns with the scenario of choosing a nursing diagnosis after an assessment.

Question 19

Core competencies in nursing are essential to meet the challenges of upcoming patient populations and expanding technologies to provide safe and effective nursing care. All of the following choices are parts of core competencies. Choose the best description that designates the competency of providing patient centered-care.

Accepted Answer

Providing patient-centered care involves identifying and respecting a patient's differences, values, preferences, and expressed needs. This competency is focused on ensuring that the care provided is tailored to the patient's individual needs and preferences, and that the patient is involved in their care decisions.

Question 20

A nurse has met a patient who can provide season passes for the upcoming football season at a discounted price. The nurse offers to provide home care for one week in exchange for the discounted tickets as a present to her boyfriend. The nurse is in violation of which standard(s)?  Select all that apply.

Accepted Answer

The nurse is violating professional boundaries by using her position and relationship with the patient to obtain personal gain. This behavior goes against the ethical principles of nursing and could compromise patient care. The nurse is also potentially violating state nurse practice acts, which often prohibit nurses from engaging in business deals or exchanges with patients. HIPAA and hospital-specific protocols are not directly applicable in this situation. While the ANA standards promote ethical behavior and professional conduct, they are not specifically violated in this case.

Quiz 1: Medical-Surgical Nursing in the 21st Century