Foundations and Adult Health Nursing Test Bank

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Questions and Answers

Which nursing concept focuses on the relationships between nursing, patients, health, and the environment?

Evaluation of patient care
Nursing models (correct)
Care plans
Health care provider's orders

Which of the following nursing strategies aims to reduce the number of employees while maintaining quality patient care?

Cross-training (correct)
Team nursing
Use of critical pathways
Case management

What is the primary purpose of licensing laws for LPN/LVNs?

To limit the number of LPN/LVNs
To increase revenue for the state board of nursing
Prevention of malpractice
Protection of the public from unqualified people (correct)

According to Maslow's hierarchy of needs, which premise underlies the organization of human needs?

Basic needs must be met before the next level of needs can be met. (B) Signup and view all the answers

What is the first step in a legal case where a nurse is involved?

Complaint (C) Signup and view all the answers

What legal concept describes the nurse's responsibility for a patient's care in an acute care setting?

Nurse-patient relationship (A) Signup and view all the answers

Which of the following is NOT a component considered in nursing models?

The patient's financial resources (A) Signup and view all the answers

Which nursing strategy aims to improve efficiency by standardizing care for specific diagnoses?

Use of critical pathways (A) Signup and view all the answers

Which of the following best defines 'standard of care'?

The general guidelines for all nursing interventions (D) Signup and view all the answers

What is a potential consequence of inadequate LPN/LVN licensing regulations?

Compromised patient care (C) Signup and view all the answers

What is a 'deposition' in the context of a legal case involving a nurse?

Questioning of witnesses by attorneys (D) Signup and view all the answers

What does the term 'advocacy' mean in the context of nursing?

The nurse's obligation to act for the patient's best interest (B) Signup and view all the answers

Which aspect of Maslow's hierarchy of needs emphasizes the pursuit of personal growth and fulfillment?

Self-actualization needs (D) Signup and view all the answers

What legal concept is most directly related to the nurse's accountability for their actions?

Advocacy (A) Signup and view all the answers

Which of these is NOT a legal concept related to nursing practice?

Nursing process (A) Signup and view all the answers

Which of the following best describes the purpose of a 'summons' in a legal case?

To notify the defendant of the legal action (D) Signup and view all the answers

Which of the following must be present for a court to find a nurse liable for malpractice?

A nurse-patient relationship exists. (A), The nurse failed to perform in a reasonable manner. (D) Signup and view all the answers

What defines acts that are required, permitted, or prohibited in nursing care?

Standards of care (D) Signup and view all the answers

What is the primary difference between a nurse's values and standards of care?

Values are personal beliefs, while standards of care are established guidelines. (D) Signup and view all the answers

Which of the following is NOT a necessary element for a court to find a nurse liable for malpractice?

The nurse acted negligently (D) Signup and view all the answers

Which document outlines patients' expectations regarding healthcare services?

American Hospital Association’s Patient’s Bill of Rights (D) Signup and view all the answers

Which of these options best describes the concept of 'duty' in the context of nursing malpractice?

The nurse's obligation to provide competent and safe care. (C) Signup and view all the answers

Which of the following is NOT a key element for a court to determine if a nurse is liable for malpractice?

The nurse acted with intent to harm the patient. (A) Signup and view all the answers

What is the primary legal doctrine that requires a patient's informed consent before an invasive medical procedure?

Doctrine of Informed Consent (D) Signup and view all the answers

Which of the following is NOT required before a thoracentesis procedure is performed?

Surgical checklist (A) Signup and view all the answers

How do values influence a nurse's actions during a patient's care?

Values guide the nurse's decisions and behaviors. (A) Signup and view all the answers

Which of the following is the best definition of 'standards of care' in nursing?

General principles of nursing practice that guide care delivery. (A) Signup and view all the answers

A nurse's ethical obligation to protect and maintain the confidentiality of patient information is referred to as:

Confidentiality (D) Signup and view all the answers

What ethical principle is violated when a nurse shares information about a patient's medical condition with unauthorized individuals?

Confidentiality (D) Signup and view all the answers

Why is a physical assessment crucial before a thoracentesis procedure?

To identify any potential complications from the procedure (A), To determine the proper location for the procedure (B), To determine if the patient is a good candidate for the procedure (C) Signup and view all the answers

Which of the following is NOT a component of the Doctrine of Informed Consent?

A guarantee of a positive outcome (A) Signup and view all the answers

Which of the following actions could be considered a breach of patient confidentiality?

Sharing a patient's medical information with a close friend (A) Signup and view all the answers

Which of the following documents was published by the ANA in 1965 and defined two levels of nursing practice?

Position paper (C) Signup and view all the answers

What is the primary function of the wellness/illness continuum?

To represent the range of a person's overall health and well-being. (A) Signup and view all the answers

Which of the following is NOT a factor influencing the wellness/illness continuum?

A fixed and unchanging concept (A) Signup and view all the answers

According to Maslow's Hierarchy of Needs, which need is considered the most fundamental and essential for an individual's survival?

Physiological (C) Signup and view all the answers

What is the minimum score required to pass the licensing examination for vocational school graduates, allowing them to be awarded a license recognized by all states?

A score of 'Pass' only (C) Signup and view all the answers

What is the most important factor that determines an individual's behavior, according to Maslow's theory?

Their attempts to satisfy their essential human needs. (C) Signup and view all the answers

Which level of nursing practice was defined as the 'Technical nurse' in the 1965 ANA position paper?

Licensed Practical Nurse (B) Signup and view all the answers

Which of the following best describes a 'Nurse Practice Act'?

A legal document outlining the scope of practice for nurses in a specific jurisdiction. (B) Signup and view all the answers

What does documentation of the type of care provided primarily demonstrate?

Interventions were carried out to address the patient’s requirements. (A) Signup and view all the answers

Why is thorough documentation crucial in managed care settings?

Because only documented patient care is eligible for reimbursement. (A) Signup and view all the answers

What type of documentation method does a nurse use when only recording changes in patient conditions and new issues?

Charting by exception (D) Signup and view all the answers

What might be a consequence of insufficient documentation in patient care?

Increased likelihood of successful legal claims. (A) Signup and view all the answers

How does the prospective payment system affect documentation in hospitals?

Only documented care aligns cost with patient diagnosis and treatment. (D) Signup and view all the answers

What is a common misconception about the documentation signature in healthcare?

It guarantees no liability exists for the signer. (C) Signup and view all the answers

Which characteristic is associated with the charting by exception method?

Focus on significant changes and deviations only. (D) Signup and view all the answers

When documenting interventions, what is NOT typically included?

Personal opinions about the patient. (A) Signup and view all the answers

Flashcards

Nursing models

Theories based on the relationship among nursing, patients, health, and environment.

Cross-training

A system to train employees to perform multiple roles, reducing staff numbers without compromising care quality.