NUR 2058 Dimensions Of Nursing Exam 2
Quiz 2 Key Concepts
What is critical thinking?
What is all included in the nursing process?
Think of examples for the nursing process.
What are some strategies for learning preferences?
Think of examples of different learning preferences.
What does the Benner model consist of?
Know each of the levels and examples.
What is a theory and how is it used in nursing?
What are the key concepts common to nursing models?
What is general systems theory?
What is an Open system?
With the Orem model, self-care model what are the differences between wholly compensated care, partially compensated care & supportive developmental care
What is The King Model of Goal Attainment and who developed it?
What are some examples of primary, secondary, and tertiary interventions?
What are the middle-range theories and models?
With the Neuman Model what are the different types of Interventions that can be used?
What is the code of ethics, how was it developed and how does it help nurses?
What is the system of morals?
Define these terms:
What are the steps for the ethical decision-making process?
How is confidentiality used in genetic and mandatory screening?
What happens when the donor is a child?
What is the difference between passive and active euthanasia?
What is the issue of self-determination with euthanasia?
What is the nurses legally protected for reporting child abuse?
What is civil and tort law?
What is malpractice? Think of examples
What are the definitions of these intentional torts: assault, battery, false imprisonment, abandonment, and intentional infliction of emotional distress?
What is the nurse’s duty with informed consents?
What are advance directives?
What does a durable power of attorney do?
How does the Good Samaritan Act protect nurses?
Dimensions Final Exam
1. True or False: Energy Systems in the body are used by both conventional and integrative medicine.
2. Select the most effective method that nurses can use to gain power over their practice.
B) Join professional organizations in large numbers.
3. An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is:
D) Sentinel event
4. What is the purpose of spiritual modes of healing?
A) They enhance comfort and produce an inner peace with disability or death.
5. True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the
Department of Health.
6. Which best describes The Leapfrog Group and its recommendations?
A) The gold standard for comparison of hospital performance
7. A client’s blood pressure of 180/110 mmHg is an example of which of the following?
8. With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching?
D) A client who is quietly reading a book
9. What is the definition of the ethical principle of nonmaleficence?
D) Health-care workers avoiding harm to clients
10. These characteristics are difficult to identify, but have an even more profound effect on an individual's cultural identity.
D) Gender issues and residential status
11. Which of the following is a key element to effective education of nursing students?
D) High-quality interpersonal relationships between students and teachers
12. Which of the following would NOT be considered an invasion of privacy: C) Notifying the police of Mr. Brown’s gunshot wound
13. Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine?
A) Inquire what complimentary practices the client is using to insure client safety.
14. Which of the following is not a characteristic of Integrative medicine?
A) Emphasis is placed on diagnosis and cure based on physical symptoms
15. When reviewing the term spirituality, which of the following would not be included in its definition?
C) A person with spiritual needs must participate in religious rituals and practices.
16. This is the single most obvious barrier to providing culturally competent care.
17. Which situation is the nurse allowed to breech a client’s right of confidentiality?
A) A 32-year-old comes to the emergency room for wounds sustained by a knife.
18. Which of the following best describes conventional and integrative medicine?
D) Conventional medicine primarily uses therapy from the outside and integrative from within.
19. Which characteristic is required in a person to be able to resolve difficult crises?
D) Uses newly developed coping skills to resolve future crises
20. Where would a nurse look to find their scope of practice as defined by state law?
C) Nurse Practice Act
21. Identify an important aspect of the role of forensic psychiatric nurses
B) Identify changes in behaviors linking criminals to criminal offenses.
22. The student nurse asks, “Why is there such an emphasis on spirituality in health care?” Which of the following is the most appropriate response by the nurse preceptor?
C) The Joint Commission has a standard of patient care with inclusion of spirituality.
23. What is the first step in the delegation process?
B) Determining the skill level of the person to whom the task is to be delegated
24. What is the most important element for the nurse navigator to include in the planning of care for a client? A) The client’s perceptions and beliefs about the disease process and the modalities of treatment
25. Identify a secured setting for the practice of forensic nursing. D) Correctional institutions
26. What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data?
C) The establishment of appropriate reimbursement for nursing activities
27. A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.
A) Sets up a time and place for a one-on-one meeting with the staff nurse
28. When do most health-care expenditures occur in a person’s life?
A) As old age sets in due to the development of multiple chronic illnesses
29. Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medical- surgical unit from the outpatient clinic?
B) Obtaining a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion
30. What is the primary goal of the nurse navigator role?
B) Elimination of the barriers to care to make moving through the treatment maze easier
31. True or False: It is estimated that 98,000 people die per year due to adverse events & medical errors in hospitals.
32. Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.
33. Which nursing intervention is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of Spiritual Distress?
A) Explain the nurse’s religious beliefs and values immediately when requested to do so by the client.
34. When does the encoding process of communication take place?
B) The receiver thinks about the information, understands it, and forms an idea based on the message.
35. Who is called the “father of modern medicine”? A) Hippocrates
36. Identify the task that may be delegated to an LPN (LVN) if all of the clients are stable. B) Turning a client with a CVA every 2 hours
37. A patient is anxious about a procedure. Knowing the patient loves the beach, the nurse instructs them to close their eyes and picture the ocean, sand, and rays of the sun. Which of the following practices is the nurse implementing?
B) Guided Imagery
38. Identify the primary change that increased the need for many more certified RN-coders and certified RN- auditors.
B) The switch to the new ICD-10 coding system
39. Identify the four concepts that are common in most nursing theories. A) Client, health, environment, nursing
40. Which of the following demonstrates the planning phase of the nursing process? A) The nurse specifies short and long term outcomes for the client
41. What is the best way to increase the motivation to learn in the elderly population? B) Link positive reinforcement to changes in behavior.
42. Why is it important for nurses in general practice to have an awareness of forensic knowledge? C) Nurses are often in positions to report crimes or preserve evidence.
43. Why is term healing preferred to medicine when referring to alternative and complementary modalities?
C) The treatments are based on holistic philosophies that go beyond treatment or cure of the physiological dimensions of care.
44. An example of civility in the classroom consists of keeping cell phones on silent and using proper cell phone etiquette?
45. What primary skills are required of the nurse to provide cultural competent care? A) All of the above
46. Both nursing models and theories help explain and direct nursing actions. A) True
47. Which of the following statements is most accurate about the vast majority of the elderly? B) They are relatively healthy and most manage their chronic conditions at home
48. Although the assessment techniques used for different individuals may be identical, the nurse needs to know the basic biological and physical variations among ethnic groups.
49. The client’s short term outcome was to sit up in a chair at bedside for 30 minutes. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this?
50. This lengthy assessment tool provides a thorough overview of a client’s culture. B) Purnell’s Model
51. True or False: By law, supplements are regulated be the Food and Drug Administration (FDA) A) False
52. Which of the following describes Callista Roy’s definition of nursing as indicated in her nursing model? A) Multistep process that helps the client adapt and reach the highest level of functioning
53. An ethical code does which of the following? B) provides a framework for decision-making
54. To which individual can the charge nurse delegate the task of completing the history and physical assessment for a newly admitted client?
A client sustained a complete C2 spinal cord injury after a motor vehicle crash. He is unable to move bilateral upper and lower extremities. He requires total nursing care including assistance eating, turning, and voiding. Which of the following describes the level of care the nurse provides according to Orem’s self-care model?
D) Wholly compensated care
56. Function in nursing informatics focuses on which of the following?
D) How the management and processing of information helps nurses enter, organize, or retrieve information
57. Identify the best method for a nurse to acknowledge a client’s autonomy
D) Know and understand the state’s laws that address living wills
58. Select the most appropriate client for the RN to assign to the CNA/UAP (unlicensed assistive personnel). B) A client with difficulty walking and requires assistance to the bathroom
59. What is best described as the concepts, ideals, behaviors, and significant themes that give meaning to a person’s life?
60. Which of the following is known as a healing practice that uses the human energy system? B) Therapeutic Touch
61. The analysis that tracks events leading to error, identifies faulty systems and processes, and develops a plan to prevent further error in a blame-free environment is called:
B) Root Cause Analysis
62. Nurses who learn about another person's culture is enough to guarantee the nurse will have cultural awareness.
63. Using errors as learning opportunities is a key element in building which of the following? D) Just culture organization
Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates they are appropriate and successful.
65. Which of the following is considered the best preferred strategy to dealing with conflict? B) Confront the conflict
Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?
B) “When nurses delegate, they are delegating nursing.”
67. Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
B) “You have made some good points, but I have another suggestion.”
68. A physician writes a DNR order for a competent client. Which individual may give permission for this order? B) The client
69. A client asks what the Affordable Care Act is. What best explains this act? D) “The law has been written for those of all ages for a positive outcome.”
70. Clients may develop this when they view that the nurse is an authority figure or expert in health-care matters. A) Passive Obedience
71. Which is the principle upon which Nightingale’s spirituality was based?
B) A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality
72. Client Satisfaction is not another way to measure quality of care. A) False
73. What is one disadvantage to the electronic health care system that health care workers are concerned about? A) Computer glitches
74. Which is not part of the role of the forensic correctional nurse? C) Prescribe medications
75. The nurse identifies a problem list for the client. Which of the following phases of the nursing process is this a part of?
76. What is the federally funded national health insurance program in the United States for people older than 65 years?
77. T.S is a 75 year old man who sustained a left hip fracture after a fall. He is normally independent and lives at home with his wife who suffers from dementia. He currently requires a heavy assist of 2 to pivot transfer to a chair. He is not currently ambulating more than a few steps with a walker. His goal is to go back home to help care for his wife. Which of the following is the most appropriate hospital discharge plan for T.S.?
A) Rehabilitation Center
78. What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?
C) They have an internal conflict in coping with their own fears of death.
79. What is the most effective method nurses can use to gain power over nursing practice? C) Join professional organizations in large numbers
80. The establishment of a professional organization is one of the most important defining characteristics of a profession.
81. Why is heritage consistency important to cultural groups? A) It allows them to advance within the larger culture
B) It allows them to retain many of their cultural elements
C) It allows them to fit in with the larger culture
D) All of the above
82. Identify the term used when a person lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality.
83. True or False: Total quality improvement is based upon the organization with the higher-quality service that will capture a greater share of the market than competitors with lower-quality services.
84. Which of the following is not a reason the State Board of Nursing may revoke a nursing license? B) Ethical conduct in the practice of nursing
85. What would be a characteristic of the ideal electronic health care record?
C) The system reflects the lifelong, continuous record of all care the client has received.
86. The type of reimbursement system that pays a fixed-rate based on diagnosis (or DRG) is called what: D) Prospective Payment System
87. Which of the following organizations provides nursing with a code of ethics? D) American Nurses Association
88. Which of the following reasons is not a reason for the increasing use of alternative and complementary healing practices?
B) Traditions passed on from parents
89. Identify the primary driving force behind the development and use of telehealth or telemedicine. B) Consumer concerns about access to health care
90. The establishment of a professional organization is insignificant in defining characteristics of a profession. B) False
91. A registered nurse (RN) is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the unit staff that includes two RNs, two licensed practical nurses (LPNs), and one certified nursing assistant (CNA) or UAP (unlicensed assistive personnel) ? A) Skill level of each staff member
92. What is acute care of sick persons that is provided in hospitals called? C) Secondary intervention
93. Identify the characteristics of a task that is to be delegated that would require it to be assigned to an RN. D) The task requires decision-making to complete it.
94. Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful.
95. Identify the health-care area in which the use of computers has improved the efficiency of care. C) Documentation
96. What is a major benefit for the elderly who now have easy access to and use of technology such as the Internet and smartphones?
C) They have opportunities to obtain screening and treatment that they might not otherwise seek.
97. This federally funded program is known for financing a large portion of maternal and child care for the poor. A) Medicaid
98. What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN)
A) Focus nursing education on competencies to reduce the number of medical errors
99. Which behavior indicates that a nurse, who is forced to confront a conflict situation, is using a submissive approach to communication?
A) Refers the problem to a supervisor
100. What advantage does the electronic health record system have over traditional paper systems?
D) Reduces redundancy