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What is the major difference between nursing students today and nursing students 50 years ago?
What is the major difference between nursing students today and nursing students 50 years ago?
The nurse is caring for a diabetic patient who expresses the desire to learn more about a diabetic diet in an attempt to gain better control of his blood sugar. The nurses actions will be based on which non-nursing theory?
The nurse is caring for a diabetic patient who expresses the desire to learn more about a diabetic diet in an attempt to gain better control of his blood sugar. The nurses actions will be based on which non-nursing theory?
The Quality and Safety Education for Nurses Initiative (QSEN) has identified which key competencies for nurses? Select all that apply.
The Quality and Safety Education for Nurses Initiative (QSEN) has identified which key competencies for nurses? Select all that apply.
The nurse is caring for a patient who is on a ventilator. The nurse is bathing the patient and talking to them as she is carrying out care, as well as telling the patient what is going to happen next. The nurse speaks to the patient in a soothing manner. The nurse is acting in which role? (Select all that apply)
The nurse is caring for a patient who is on a ventilator. The nurse is bathing the patient and talking to them as she is carrying out care, as well as telling the patient what is going to happen next. The nurse speaks to the patient in a soothing manner. The nurse is acting in which role? (Select all that apply)
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The nurse offers a patient two possible times to ambulate as the physician has ordered. The nurse is acting in which nursing role?
The nurse offers a patient two possible times to ambulate as the physician has ordered. The nurse is acting in which nursing role?
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The nurse is performing an extensive dressing change on a burn patient. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?
The nurse is performing an extensive dressing change on a burn patient. The nurse explains each step as it is being performed. The nurse is acting in which role by providing explanation of each step?
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What type of nursing program would allow a student with a 4-year degree in psychology to enter and complete a baccalaureate degree in nursing, take the NCLEX examination, and transition into a masters in nursing program?
What type of nursing program would allow a student with a 4-year degree in psychology to enter and complete a baccalaureate degree in nursing, take the NCLEX examination, and transition into a masters in nursing program?
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A prospective nursing student desires a career that will allow him to provide patient care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student?
A prospective nursing student desires a career that will allow him to provide patient care and to assist professional nurses with routine technical procedures. The prospective student needs to be employed in a full-time position quickly due to economic hardship. What type of nursing program would best suit this student?
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Nurses that enlist their services to the military are able to do so thanks to the work of which organizer of healthcare?
Nurses that enlist their services to the military are able to do so thanks to the work of which organizer of healthcare?
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Due to the rising cost of healthcare services, many procedures and treatments are being delivered in what type of setting?
Due to the rising cost of healthcare services, many procedures and treatments are being delivered in what type of setting?
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The nurse in a rehabilitative facility makes certain the patient he is caring for is participating in group activities that are of interest to the patient. The nurse is ensuring which patient need is met?
The nurse in a rehabilitative facility makes certain the patient he is caring for is participating in group activities that are of interest to the patient. The nurse is ensuring which patient need is met?
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The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating?
The nurse is caring for a postoperative patient. The nurse administers a pain medication prescribed on a prn basis by the physician. What best describes the type of intervention the nurse is demonstrating?
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A nurse in the community has been asked to join an organization based on the leadership abilities she has demonstrated both in her facility of employment and community-based activities. What organization best describes this process?
A nurse in the community has been asked to join an organization based on the leadership abilities she has demonstrated both in her facility of employment and community-based activities. What organization best describes this process?
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During the Christian era, nursing care excluded which area?
During the Christian era, nursing care excluded which area?
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The nurse is caring for a postoperative patient. The physician has written orders for a pain medication. The order gives a dosage range for the amount the nurse may give depending on the severity of the patients pain. This type of functioning within the healthcare team is called:
The nurse is caring for a postoperative patient. The physician has written orders for a pain medication. The order gives a dosage range for the amount the nurse may give depending on the severity of the patients pain. This type of functioning within the healthcare team is called:
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Which of the following is an appropriately stated nursing intervention?
Which of the following is an appropriately stated nursing intervention?
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All members of the healthcare team are encouraged to read and contribute to the individual plans of care for their patients. Which of the following healthcare providers develops the plan of care?
All members of the healthcare team are encouraged to read and contribute to the individual plans of care for their patients. Which of the following healthcare providers develops the plan of care?
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Current trends in nursing practice include the development of
Current trends in nursing practice include the development of
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The Standards of Practice provide nurses with
The Standards of Practice provide nurses with
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A nurse receives an x-ray report on a newly admitted patient suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?
A nurse receives an x-ray report on a newly admitted patient suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?
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A nurse is caring for a young victim of a terrorist attack. During the rehabilitative process, the nurse assists the patient in bathing and dressing. The role the nurse is engaged in is
A nurse is caring for a young victim of a terrorist attack. During the rehabilitative process, the nurse assists the patient in bathing and dressing. The role the nurse is engaged in is
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A student is choosing her educational path and desires a nursing degree that has a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program?
A student is choosing her educational path and desires a nursing degree that has a track that contains community nursing and leadership, as well as liberal arts. The student would best be suited in which type of program?
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The director of nursing (DON) of a major hospital is searching to hire a nurse with a strong technical background to care for patients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing?
The director of nursing (DON) of a major hospital is searching to hire a nurse with a strong technical background to care for patients on a busy surgical unit. The DON is most likely going to hire a nurse prepared at which level of nursing?
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A nursing student begins to speak using medical terminology. This is considered to be part of which process?
A nursing student begins to speak using medical terminology. This is considered to be part of which process?
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Which of the following factors has most influenced how nurses practice their profession?
Which of the following factors has most influenced how nurses practice their profession?
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The first nursing journal owned, operated, and published by nurses was
The first nursing journal owned, operated, and published by nurses was
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Advocating for financial support for university-based schools of nursing was noted in which government document?
Advocating for financial support for university-based schools of nursing was noted in which government document?
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The need for university-based nursing education programs was brought to light during which important historical time?
The need for university-based nursing education programs was brought to light during which important historical time?
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The Henry Street Settlement was founded by
The Henry Street Settlement was founded by
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The Nurse Corps of the United States Army was established by
The Nurse Corps of the United States Army was established by
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Florence Nightingale classified sick nursing as
Florence Nightingale classified sick nursing as
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The purpose of nursing was shaped by which of the following eras?
The purpose of nursing was shaped by which of the following eras?
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A nurse is preparing to administer a medication ordered by the surgeon in a dose much higher than is recommended. What action should the nurse take?
A nurse is preparing to administer a medication ordered by the surgeon in a dose much higher than is recommended. What action should the nurse take?
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When the nurse inserts an ordered urinary catheter into the patients urethra after the patient has refused the procedure and the patient suffers an injury, the patient may sue the nurse for which type of tort?
When the nurse inserts an ordered urinary catheter into the patients urethra after the patient has refused the procedure and the patient suffers an injury, the patient may sue the nurse for which type of tort?
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A baccalaureate-prepared nurse is applying for a nurse practitioner position. The nurse is
A baccalaureate-prepared nurse is applying for a nurse practitioner position. The nurse is
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A nurse fails to administer a medication that prevents seizures, and the patient has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of?
A nurse fails to administer a medication that prevents seizures, and the patient has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of?
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A post-anesthesia nurse is reporting about the patient to the intensive care unit nurse in the elevator. There are staff members and visitors in the elevator. The nurse is
A post-anesthesia nurse is reporting about the patient to the intensive care unit nurse in the elevator. There are staff members and visitors in the elevator. The nurse is
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When the nurse informs a patients employer of his autoimmune deficiency disease, the nurse is committing the tort of
When the nurse informs a patients employer of his autoimmune deficiency disease, the nurse is committing the tort of
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A nurse states to the patient that she will keep her free of pain. However, her family wishes to try a treatment to prolong her life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?
A nurse states to the patient that she will keep her free of pain. However, her family wishes to try a treatment to prolong her life that may necessitate withholding pain medication. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?
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An oncology patient in an outpatient chemotherapy clinic asks several questions regarding his care and treatment. The nurse explains the clinics routine, typical side effects of the chemotherapy, and ways to decrease the number of side effects experienced. What characteristic is the nurse demonstrating?
An oncology patient in an outpatient chemotherapy clinic asks several questions regarding his care and treatment. The nurse explains the clinics routine, typical side effects of the chemotherapy, and ways to decrease the number of side effects experienced. What characteristic is the nurse demonstrating?
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The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of
The foundation for decisions about resource allocation throughout a society or group is based on the ethical principle of
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The patient being admitted to the oncology unit conveys his wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the patient that it would be in his best interest to obtain which document?
The patient being admitted to the oncology unit conveys his wishes regarding resuscitation in the event of cardiopulmonary arrest. The nurse advises the patient that it would be in his best interest to obtain which document?
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A legal document that states a patients health-related wishessuch as a preference for pain management if the patient becomes terminally illand also allows the patients daughter to direct his or her care, is a(an)
A legal document that states a patients health-related wishessuch as a preference for pain management if the patient becomes terminally illand also allows the patients daughter to direct his or her care, is a(an)
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A patient is in a persistent vegetative state. The patient has no immediate family and is a ward of the state. Under these circumstances, who will speak on her behalf?
A patient is in a persistent vegetative state. The patient has no immediate family and is a ward of the state. Under these circumstances, who will speak on her behalf?
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An 83-year-old woman who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. This is an example of what ethical principle?
An 83-year-old woman who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. This is an example of what ethical principle?
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An emergency department nurse and healthcare team, caring for a 2-year-old, semiconscious child with numerous fractures and evidence of cigarette burns, suspect child abuse. The nurse reports the family to the child abuse hotline. The nurse is following which ethical principle?
An emergency department nurse and healthcare team, caring for a 2-year-old, semiconscious child with numerous fractures and evidence of cigarette burns, suspect child abuse. The nurse reports the family to the child abuse hotline. The nurse is following which ethical principle?
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A home care nurse visits a patient who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean. During the assessment the nurse notes that the patient is wet with urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the patient, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework?
A home care nurse visits a patient who is confined to bed and is cared for by her daughter. The daughter is known to suffer from chemical dependence. The home is cluttered and unclean. During the assessment the nurse notes that the patient is wet with urine and has dried feces on her buttocks, and demonstrates signs of dehydration. After caring for the patient, the nurse contacts the physician and reports the incident to Adult Protective Services. This is an example of which ethical framework?
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A nurse is caring for a 28-year-old woman who has delivered a baby by cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which of the following ethical frameworks?
A nurse is caring for a 28-year-old woman who has delivered a baby by cesarean section. She describes her pain as a 9. The nurse medicates her for pain. This is an example of which of the following ethical frameworks?
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The American Nurses Associations Code of Ethics for Nurses
The American Nurses Associations Code of Ethics for Nurses
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A nurse is caring for a patient who is a practicing Jehovahs Witness. The physician orders 2 units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the patients beliefs even though his blood counts are very low. What is the best description of the nurses intentions?
A nurse is caring for a patient who is a practicing Jehovahs Witness. The physician orders 2 units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the patients beliefs even though his blood counts are very low. What is the best description of the nurses intentions?
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To practice ethically, the nurse should
To practice ethically, the nurse should
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A hospital owned by a Catholic order of nuns will not allow tubal ligations to be performed. This is considered to be
A hospital owned by a Catholic order of nuns will not allow tubal ligations to be performed. This is considered to be
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A nurse is of the Catholic faith and votes pro-life. He is considered to have
A nurse is of the Catholic faith and votes pro-life. He is considered to have
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A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief?
A nurse believes that abortion is an acceptable option if a pregnancy results from a situation of rape. What is the best description of this belief?
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Ethics is best defined as
Ethics is best defined as
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A child on a pediatric unit hits one of the other children and subsequently has video game privileges revoked for the rest of the day. The next day the same child plays with the other children without any problems in order to avoid losing video game privileges again. According to Kohlberg, the child is demonstrating what stage of development?
A child on a pediatric unit hits one of the other children and subsequently has video game privileges revoked for the rest of the day. The next day the same child plays with the other children without any problems in order to avoid losing video game privileges again. According to Kohlberg, the child is demonstrating what stage of development?
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During adolescence, values are primarily formed from
During adolescence, values are primarily formed from
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How are values converted from knowledge into messages which can then be processed as information?
How are values converted from knowledge into messages which can then be processed as information?
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The purpose of a values inquiry discussion with a group of nursing students is to
The purpose of a values inquiry discussion with a group of nursing students is to
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The differences between the pro-life and abortion rights movement is an example of
The differences between the pro-life and abortion rights movement is an example of
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A dying patient tells the nurse that he doesnt want to see his family because he doesnt want to cause them more sadness. Which action by the nurse is most appropriate?
A dying patient tells the nurse that he doesnt want to see his family because he doesnt want to cause them more sadness. Which action by the nurse is most appropriate?
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A hospice nurse is caring for a patient with terminal cancer. The family would like the patient to continue aggressive therapy to treat the cancer, but the patient has voiced to the nurse that, after much thought, he does not want to pursue any further treatment. The nurse speaks to the family about the patients wishes, condition, and terminal state. This action is most likely derived from which nursing obligation?
A hospice nurse is caring for a patient with terminal cancer. The family would like the patient to continue aggressive therapy to treat the cancer, but the patient has voiced to the nurse that, after much thought, he does not want to pursue any further treatment. The nurse speaks to the family about the patients wishes, condition, and terminal state. This action is most likely derived from which nursing obligation?
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Study Notes
Chapter 01 - The Profession of Nursing
- Today's nursing students are more diverse than 50 years ago, frequently having other career experience, and often balancing family responsibilities.
- Nurses use non-nursing theories like Change Theory to address patient needs for change (for example, learning about a diabetic diet).
- The QSEN (Quality and Safety Education for Nurses) initiative highlights competencies like patient-centered care, teamwork, evidence-based practice, and quality improvement.
- Nurses act as caregivers, communicators, and educators in various situations, such as providing soothing discussion during patient care or explaining procedures.
- Nurses coordinate and manage patient care, such as offering choices for interventions.
- The educator role involves explaining care steps.
- Graduate entry programs allow individuals with non-nursing degrees to pursue a Master's or Doctorate in Nursing after becoming registered nurses.
- Licensed Practical/Vocational nursing programs offer a 1-year track to become an LPN/LVN.
- Dorothea Dix established the Nurse Corps during the Civil War.
- Outpatient facilities are increasing due to healthcare costs.
- Meeting patient needs, as outlined by Maslow's hierarchy, is important. It involves prioritizing needs (e.g., love and belonging is prioritized over safety and security).
- Nurse-prescribed interventions (e.g., turning a patient) and physician-prescribed interventions (e.g., medication orders) collectively comprise collaborative interventions.
- The Registered Nurse develops the plan of care, documenting it in the patient record.
- Current trends include birthing centers and home/community healthcare.
- Standards of practice are guidelines for providing nursing care.
- Communication is a key nursing role, exemplified by reporting x-ray results to a physician.
- The caregiver role involves providing direct care to patients.
- The baccalaureate program provides a strong foundation in liberal arts and is suitable for those wanting a focus on community nursing and leadership.
- Associate-level nursing is suitable for individuals who need a technical background, often seeking positions such as surgical unit nursing. This is an option suited for those with a technical focus.
- Socialization is how nursing students internalize the role and its terminology.
Chapter 02 - The Nurse's Role in Healthcare Quality and Patient Safety
- A top-down flowchart sequences steps for a process like medication administration.
- The Institute of Medicine disseminates health knowledge.
- Root cause analysis identifies factors contributing to errors or variations in care..
- Control charts display data trends to identify patterns over time in assessments or compliance.
- Quality focuses on what patients need.
- Early quality assurance was largely reactive; present-day quality improvement is proactive.
- A deployment flowchart details steps, people, and departments involved in a process such as disaster evacuation.
- Critical pathways standardize treatment and guide daily care for specific conditions (like heart failure).
- A run plot shows data changes over time, useful in evaluating patient satisfaction.
- Pareto charts visually rank the frequency of problem causes in descending order (e.g., infection control).
Chapter 03 - Values, Ethics, and Legal Issues
- Nurse's must clarify orders that appear unsafe/incorrect.
- Battery involves performing a procedure without consent.
- Nurses need advanced practice licenses to practice beyond their scope.
- Civil law may be involved in malpractice cases.
- Confidentiality means maintaining patient privacy; discussions in public areas are inappropriate.
- A nurse breaches confidentiality if they share a patients information with others outside the clinical setting.
- Ethical dilemmas arise when patient values conflict, like between pain management and prolonging life.
- Fidelity involves keeping promises and commitments.
- Veracity involves honesty and truth-telling.
- Decision-making about resources relies on the principle of Justice.
- A living will describes a patients healthcare preferences if they cannot speak for themselves.
- Surrogate decision makers represent patients who cannot participate in their care.
- Autonomy reflects patient self-determination in healthcare choices.
- Nonmaleficence is avoiding harm or preventing harm.
- Beneficence promotes well-being and doing good.
- Values are long-lasting standards for decision-making.
- Values clarification helps identify one's personal values and ranking.
- Patient attitudes can be influenced by the environment.
- Socialization significantly influences a nurses values.
- Institutional policy, such as a Catholic hospital's stance on tubal ligation, is separate from individual values.
- Ethical considerations may conflict with personal beliefs.
- Kohlberg's first-level preconventional stage is about obedience and avoiding punishment.
- Adolescent values are primarily formed from peer groups.
- Values are converted into messages through institutions like religion.
- Values inquiry explores social issues and related values.
- Nurses must support patient autonomous decisions.
- Hospice nurses must respect patient wishes.
- The ANA's Code of Ethics directs a nurses responsibilities.
Chapter 04 - Nursing Research and Evidence-Based Care
- The Cumulative Index of Nursing and Allied Health Literature is a valuable resource for nursing research.
- Evidence-based practice gained prominence in the early 2000s.
- Research findings are shared to enable application, encourage replication, and validate conclusions.
- Independent variables can be manipulated in experimental studies.
- A well-formed research problem statement expresses a relationship between variables, identifies a study population, and suggests testing.
- Networking is important for nurses to share ideas and build collaborations.
- Qualitative research can investigate attitudes and perspectives.
- Protection of human subjects is a key concern in research.
- Nursing research focuses on issues impacting care, generating knowledge, and promoting best practices.
- A hypothesis is an assertion about a possible effect.
- Evaluating a research study, rather than conducting it, helps nurses apply knowledge.
- The core goal of nursing research is to generate knowledge for practice.
- Evidence-based practice uses outcome studies to inform care.
- Nursing research relates closely to the nursing process and has similarities.
- A hypothesis is an answer to a research question.
- A strong understanding of research methods, including study critiquing, is crucial for nurses.
- Nursing research primarily contributes to developing knowledge that guides practice.
- Evidence-based research bridges nursing theory and application.
- A conceptual framework, which is based on propositions, is a guide or model for nursing practice.
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Description
Explore the diverse and evolving field of nursing in this quiz covering Chapter 01. Learn about essential nursing roles, competencies from the QSEN initiative, and the journey from other careers into nursing education. This quiz offers insights into patient care, teamwork, and evidence-based practice.
