Final Flashcards
(121 cards)
1
Q
What is the name of the organizational structure that arranges services and departments according to their function?
A
Functional
2
Q
When incorporating the five rights of delegation, the right task is used in which situation?
A
When the CNA reinforces the use of the incentive spirometer to the patient
3
Q
Please identify the required elements of informed consent:
(SATA)
A
a. Patient given information about the procedure, and questions answered
b. Patient is competent
c. Consent is given voluntarily
4
Q
Looking at the hierarchy of evidence of the choices below, which has the highest validity, or carries the most strength?
A
Double blind randomized controlled studies
5
Q
Why is the team assessment questionnaire used?
A
To evaluate a team’s effectiveness
6
Q
When leading a team, a high-performing leader is seen as which type of leader?
A
A problem solver
7
Q
What is the greatest benefit to the organization from improved patient satisfaction?
A
Greater employee satisfaction
8
Q
Identify the rights of delegation.
A
Right person
Right circumstance
Right task
Right communication
Right supervision
9
Q
Which of the following can only be done by an RN?
A
Patient teaching of wound care
10
Q
What is the principle behind lien culture?
A
All processes contain waste
11
Q
An effective team leader will:
SATA
A
Organize the team
Articulate clear goals
States clear goals
12
Q
Select the true statements about the Nurse Practice Act. (SATA)
A
Sets educational standards
Sets educational requirements
Sets licensing requirements
Sets up the structure of the Nevada State Board of Nursing
13
Q
What is the name of the decision-making model that describes the integration of research evidence with clinical experience to improve patient outcomes?
A
Evidence-based practice
14
Q
Beneficence
A
Duty to do good
15
Q
Nonmaleficence
A
Avoiding deliberate harm
16
Q
Values
A
Personal beliefs about the worth of an idea
17
Q
Bioethics
A
Ethics within the field of healthcare
18
Q
Fidelity
A
Keeping promises
19
Q
Ethics
A
Right or wrong; good or bad
20
Q
A nurse is participating in a hospital-sponsored disaster simulation in which a toxic substance is released into a crowded stadium. This is the second simulation she has
been a part of this year. Why is this simulation done?
A
It is required by the Joint Commission
21
Q
An older man arrives in triage disoriented and tachypneic. His skin is hot and dry. His wife states he was fine earlier today. What is the first action the nurse should take?
A
Assess the complete set of vital signs.
22
Q
A client who has terminal cancer decides to discontinue all current treatment. Which action reflects the approach the nurse should take?
A
ask the client to discuss the situation
23
Q
A nurse is observing client care provided by an AP (assistive personnel). Which of the following actions should prompt the nurse to intervene?
A
The AP applies OTC moisturizing cream to the feet of a client who has diabetes mellitus.
24
Q
A nurse manager is preparing a program about managing conflict for nurses on the unit. Which of the following is an example of interpersonal conflict?
A
Nurses on the unit disagree about what time of day daily client weights should be obtained.
25
When delegating to an LPN, what are the two important considerations for the RN? (SATA)
The state nurse practice act for the LPN
The hospital policies and procedures or restrictions for the LPN
26
A nurse follows a policy that was developed based on current evidence for the delivery of care for her patient. What is this decision-making model called?
Evidence-based practice
27
What is the focus of clinical ladders?
The concept of reward for growth in nursing
28
Team Nursing
A group of staff members led by a nurse to provide care
29
Primary Nursing
One nurse assumes 24-hour responsibility for the care of a group of patients
30
Case Management
A model that mixes both process and care delivery
31
Total Patient Care
One nurse assumes shift accountability for the complete care for a group of patients
32
Which of these examples demonstrates the ethical principle of justice?
Arranging for a translator to be present prior to a conversation with the Nurse Practitioner regarding the diagnosis and treatment plan for a non-English speaking patient.
33
To promote health and quality of life by preventing and controlling disease, injury, and disability. This is the mission statement of which agency?
The Centers for Disease Control (CDC)
34
A novice nurse demonstrates a willingness to make decisions and take ownership for those decisions. She is demonstrating which of the following?
Accountability
35
Choose the best statement describing negligence.
Failure to exercise the proper degree of care required by the circumstances.
36
In terms of HIPAA, as a new nurse, which of the following statements by the newly licensed nurse would indicate a need for further education? (SATA)
Information about a client can be disclosed to family members at any time
HIPAA established regulations of individually identifiable health information and electronic or written form
Personal health information is not confidential anymore
37
When planning delegation tasks to assistive personnel (AP), a nurse considers the five rights of delegation. When choosing the right person for the task, you should focus on:
The assistive personnel (AP) has the knowledge and skill to perform the task.
38
Autonomy is an ethical principle that can be applied to which clinical situation?
The patient refusing hemodialysis after years of treatment
39
Delegation
The transfer of the responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome.
40
Accountability
The willingness to express ownership; the core of shared governance.
41
Ownership
The recognition and acceptance of the importance of everyone’s work.
42
Assignment
The delegation of work to a selected group of patient caregivers.
43
Decision-making
Using a step-by-step process, otherwise known as the ADPIE, to determine a course of action.
44
The charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider? (SATA)
Acuity of the patient
Experience of the nurse
The staff mix (ex: RN, LPN, UAP)
Care delivery model used on the unit
45
A registered nurse precepting a newly licensed nurse is assisting her with delegation. Which of the following statements by the nurse explains the purpose of delegation?
Delegation permits a designated individual to meet a goal on your behalf.
46
Threatening behavior toward a patient is known as:
Assault
47
A nurse checks with assistive personnel on the unit throughout the shift to determine if delegated tasks are being completed. By doing this, the nurse is demonstrating which of the rights of delegation?
Right supervision
48
A nurse administers an incorrect medication to a client. The nurse determines that the client has not experienced any side effects as a result of the error and does not complete an incident report. From the following choices, which ethical principle did the nurse violate?
Justice
49
A nurse on a medical-surgical unit is assigning tasks to assistive personnel (AP).
Which of the following tasks should the nurse delegate to the CNA? Rather than the assistive personnel? (SATA)
Ambulate a client who has a cane
Assist in transferring a client to a stretcher
Record urinary output
50
A written description of a course of action is called:
policy
51
A document that allows a competent person to make choices about healthcare before need is called?
An advanced directive or living will
52
If an RN does not complete a required course on a unit, what ethical principle does she or he risk violating?
Nonmaleficence
53
What is the term for the type of scheduling that occurs by the nursing office?
Centralized scheduling
54
How often are nursing job appraisals usually completed?
every year
55
Who determines that a hospital must provide the right number of competent staff to meet the needs of the patient?
the Joint Commission
56
Horizontal violence
An act of aggression towards another colleague (verbal abuse, threats, or battery)
57
Vertical violence
Hostile or aggressive behavior which occurs between two or more persons on different levels of the hierarchy.
58
Battery
The intentional act of causing physical harm to someone
59
Sexual harassment
Making unwelcome and inappropriate sexual remarks or physical
advances in a workplace or other professional or social situation
60
Employee Assistance Program (EAP)
A confidential, short-term counseling service for employees with personal problems that affect their work performance.
61
The mission of the Joint Commission:
To continuously improve the safety and quality of care.
62
The nurse demonstrates the ethical principle of fidelity by doing which of the following?
Keeping an appointment with a client
63
Which federal law prohibits employment discrimination based on race, color, religion, sex, or national origin?
Title VII (Title 7) of Civil Rights Act of 1964
64
Call-Out
A strategy used to communicate important or critical information
65
Communication
The basic principles of sending and receiving information
66
Hand-Off
The transfer of information along with authority and responsibility during transitions in care across the continuum.
67
Professional Communication
That sets the tone of management style and often the tone of the unit
68
The organ procurement and transplant network is a ______ network.
federal
69
The best definition for core measures?
National standards of care and treatment for certain medical conditions
70
Which level of manager is responsible for supervising the work of non-managerial personnel and the day-to-day activities of a specific work unit?
The first-level manager
71
Who develops the NCLEX examination?
The National Council of State Boards of Nursing
72
A visual means of determining the level of centralization or decentralization in an organization is called?
An organizational chart
73
Root cause analysis is?
A retrospective review of an event
74
While preparing to administer an intramuscular medication, the patient states he does not want the medication. The nurse knows that the medication is important to the patient and gives the injection of the medication. This is considered what?
Battery
75
A closed-loop communication system is one that helps ensure the information conveyed by the sender is understood by the receiver. This is known as?
Check – Back
76
A nurse is caring for an older adult patient who is disoriented and has a history of falls. The 3 actions the nurse should take are:
(SATA)
Apply an ambulation alarm to the patient
Perform hourly rounding
Ask the family to stay and watch their loved one
77
A nurse is receiving change of shift report at the start of the shift. Which patient should the nurse prioritize?
The client expressing thoughts of suicide
78
A nurse enters a client’s room and finds the client pulseless. The family has requested a DNR order from the provider, but the DNR order is not written.
Legally, what should the nurse do?
begin CPR
79
A nurse manager is working with a nurse who is on orientation to the unit. Which of the following actions by the nurse indicates the nurse manager should intervene?
The nurse uses the client’s telephone number as one form of identification when administering medications to the client
80
What is the name of the federal agency responsible for developing new knowledge and practice of occupational safety and health?
National Institute for occupational safety and health
81
A newly licensed nurse is seeking advice from her preceptor about the need to purchase personal professional liability insurance. Which of the following statements should the preceptor make?
Personal liability coverage is not mandatory, but you can consider purchasing your own coverage
82
The primary focus of the American Nurses Association code of ethics for nurses is?
Guidelines for ethical care of clients by nurses
83
A nurse is caring for a client who is dying. The nurse incorporates the principle of nonmalficience into practice by taking which of the following actions?
Withholding a dose of narcotic pain medication when the client has respiratory depression.
84
What is the phrase used for the average number of days that the patient occupies a bed during a hospital stay?
The average length of stay
85
A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which is the first action the manager should take to resolve the conflict?
Identify the problem
86
What is a professional practice model (PPM)?
The description of a system that shows how nursing aligns with the mission, vision, and values of the organization.
87
Comparison information that allows organizations to evaluate their own performance in relation to others is?
Benchmark
88
The outcome measure of hospital readmission is an area of particular concern. What may help prevent hospital readmission?
Interdisciplinary team meetings
89
A client who is newly admitted requests information about advance directives. The nurse should include which of the following statements in the discussion?
I will give you a pamphlet with written information about advanced directives.
90
Workplace violence toward an employee on a different hierarchical level is known as?
Vertical violence
91
Please identify the components of documentation.
Factual, objective, and timely
92
What is the best statement that describes good Samaritan laws?
Laws stating that healthcare providers are not liable for care provided during an emergency, even if they are not trained in the care they offer.
93
The Joint Commission is a voluntary accrediting agency that is nationally recognized for its performance standards. From the list, you are to select 4 true statements.
Leads to improved patient care
Strengthens community confidence
May substitute for federal certification for Medicare and Medicaid
Strengthens and supports nursing retention and recruitment efforts
94
Why do facilities orient staff?
To promote safe and effective job performance
95
UAP
education requriements
Training is often on the job
96
CNA
education requriements
certificate program
97
LPN
education requriements
Education is approximately 12 to 18 months
98
RN
education requriements
Diploma, ADN, BSN, or higher
99
A nurse plans care for a group of clients. Which task is best delegated to the licensed practical nurse (LPN)?
To insert an indwelling urinary catheter for a client scheduled for a
cholecystectomy
100
Please select the true statements of total patient care by an RN. (select 3)
Decreases the need for supervision
Expensive
Reduces communication time
101
Advantages to using the electronic health record include:
Medical records are complete and easily accessible to healthcare providers
102
A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent. The client is alert and oriented, and he wants to discontinue use of the ventilator. This represents which ethical principle?
autonomy
103
Which interdisciplinary team members will a patient who had an uncomplicated hip replacement operation work with? (SATA)
Physical therapy
Occupational therapy
Case manager
104
You are the nursing supervisor on the 11pm-7am shift. When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic. What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient?
Recognizes the patient may have pulmonary edema and asks the physician for an order for an IV push diuretic.
105
Clinical ladders for nurses are best used in what circumstance?
Horizontal advancement for clinicians who wish to stay at the bedside
106
Novice
Rules help them perform their duties
107
Advanced beginner
Principles to guide action begin to be formulated, marginally acceptable performance
108
Competent nurse
2-3 years on the job in the same or similar duties
109
Proficient nurse
Perceives a situation as a whole rather than small parts
110
Expert nurse
Has an intuitive grasp of the situation as a result of lots of experience
111
What is short-term relief for primary caregivers, allowing them time to rest, travel, or spend time with other family or friends, called?
Respite care
112
Identify 4 challenges that the homeless population faces related to healthcare.
Lack of transportation
Lack of sanitation
Financial barriers
Healthcare eligibility
113
Why is it important to have community services for women and children in need?
To address health and social disparities, providing support and resources
114
A nurse is caring for a client with alcohol dependency. The client expresses a desire to seek help for their addiction. Which community resources should the nurse recommend to support the client in recovery?
Alcoholics Anonymous meetings (AA meetings)
115
What is the best answer for benchmark?
Standards by which others may be measured or judged
116
There are a number of groups that function within a nursing unit. Some of the groups are? (SATA)
all of the answer choices are correct
117
A student is working on a homework assignment. She believes the quickest course is the internet. Which is NOT an acceptable source?
Wikipedia
118
If a client speaks a different language, what should the nurse do?
Get an interpreter
119
An effective team member does NOT:
make decisions to provide staff with an update in a staff meeting
120
Which of the following can a CNA NOT perform:
sterile dressing
administering eye drops
121
The one thing the Joint Commission does not do:
guarantee higher salaries
