Fundamentals of Nursing Care Test Bank PDF 4th Edition

Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023), Chapter 1-38 | All Chapters written by AllStudyGuides The Marketplace to Buy and Sell your Study Material At Stuvia, you will find the best notes, summaries, flashcards & other study material. Sea...

Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023), Chapter 1-38 | All Chapters written by AllStudyGuides The Marketplace to Buy and Sell your Study Material At Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for your school or uni and find the study material you need. www.stuvia.com Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material TEST BANK Davis Advantage for Fundamentals of Nursing Care Concepts, Connections & Skills Marti Burton, and David Smith 4th Edition Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Table of Contents Chapter 01 The Vista of Nursing Chapter 02 Health-Care Delivery, Settings, and Economics Chapter 03 Ethics, Law, and Delegation in Nursing Chapter 04 The Nursing Process: Critical Thinking, Decision Making, and Clinical Judgment Chapter 05 Documentation Chapter 06 Communication and Relationships Chapter 07 Promoting Health and Wellness Chapter 08 Ethnic, Cultural, and Spiritual Aspects of Care Chapter 09 Growth and Development Throughout the Life Span Chapter 10 Loss, Grief, and Dying Chapter 11 Complementary and Alternative Medicine Chapter 12 Patient Teaching Chapter 13 Safety Chapter 14 Medical Asepsis and Infection Control Chapter 15 Personal Care Chapter 16 Moving and Positioning Patients Chapter 17 Vital Signs Chapter 18 Applying Heat and Cold Therapies Chapter 19 Pain Management, Rest, and Restorative Sleep Chapter 20 Admission, Transfer, and Discharge Chapter 21 Physical Assessment Chapter 22 Surgical Asepsis Chapter 23 Nutrition Chapter 24 Nutritional Care and Support Chapter 25 Diagnostic Tests Chapter 26 Wound Care Chapter 27 Musculoskeletal Care Chapter 28 Respiratory Care Chapter 29 Fluids, Electrolytes, and Introduction to Acid–Base Balance Chapter 30 Bowel Elimination and Care Chapter 31 Urinary Elimination and Care Chapter 32 Care of Elderly Patients Chapter 33 Care of the Surgical Patient Chapter 34 Phlebotomy and Blood Specimens Chapter 35 Researching and Preparing Medications Chapter 36 Administering Oral, Topical, and Mucosal Medications Chapter 37 Administering Intradermal, Subcutaneous, and Intramuscular Injections Chapter 38 Intravenous Therapy Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal 1 16 32 48 64 81 96 111 126 142 158 175 191 208 224 241 258 274 289 306 323 339 355 372 389 406 425 443 459 475 492 510 527 545 563 580 598 614 Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 1: The Vista of Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. An LPN nursing student is reviewing requirements related to nurse practice acts. Which statement provides the most accurate description of individual state nurse practice acts? 1. Nurse practice acts are regulated by the federal government. 2. Nurse practice acts have identical role regulations for LPNs and RNs. 3. Differences exist between scope of practice and/or educational requirements. 4. State governments provide the content for each nurse practice act. 2. Which priority information should the nurse review in the state nurse practice act in order to deliver care within the scope of practice? 1. Verify educational background. 2. Confirm length of licensure. 3. Review principles of delegation. 4. Note members of the board of nursing (BON). 3. A nurse is discussing how evidence-based practice (EBP) can help improve delivery of care to patients. Which statement best describes EBP? 1. EBP requires that the nurse use government databases to obtain information. 2. EBP focuses on long-term results to improve outcomes. 3. EBP research does not have to be peer reviewed. 4. EBP establishes a methodological approach to improve outcomes. 4. The LPN/LVN nurse is interested in being able to function as an advanced nurse practitioner. Which educational plan best describes a pathway to advanced nursing practice? 1. Working in a long-term facility while going back to school to get a diploma in BSN program 2. Continuing to work in an acute care facility and applying to a PVN to ADN program 3. Applying to a university to a BSN program after one year of clinical practice 4. Continuing to work as an LPN/LVN for a few years and then reassess interest 5. A student nurse is reviewing characteristics associated with the nursing profession. Which option best represents Watson’s theory of nursing as it relates to nursing characteristics? 1. Individualization of care 2. Coordinating care 3. Integration of information 4. Admit one’s mistakes 6. A student nurse is being evaluated by a nursing instructor. Which situation warrants immediate action? 1. The student nurse has come back from a break a few minutes late. 2. The student nurse is asking the patient when family members will arrive. 3. The student nurse forgot to bring a stethoscope to clinical. 4. The student nurse is using a personal cell phone while in the clinical environment. 7. Which statement best addresses the core concepts of QSEN as they relate to knowledge, skills, and attitude (KSA)? 1. Awareness of cultural diversity leads to bias. 2. Coordination of care is based on effective communication. 3. Quality care is based on patient preference. ______________________________________________________________________________________________ 1|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 4. Application of generalized nursing care plans leads to improved practice. 8. A student nurse is looking to incorporate cultural diversity in the plan of care for a group of patients. Which nursing theorist should the student nurse research? 1. Imogene King 2. Madeleine Leininger 3. Jean Watson 4. Betty Neuman 9. A student nurse is preparing to sit for National Council Licensure Examination for Practical Nursing. Which statement indicates that additional teaching is needed as it relates to NCLEX-PN? 1. The test includes a clinical component. 2. The test is delivered online. 3. Results of the test are shared with each state board of nursing. 4. The test is based on a specific detailed test plan. 10. A high school graduate plans to attend a one-plus-one program. How should this student explain the program to her friends? 1. “I can have my LPN courses applied to a baccalaureate degree.” 2. “My courses from the LPN program will be placed toward an associate degree.” 3. “I can apply to a master of science in nursing degree program after two years.” 4. “I’ll become an LPN first and then take another year of classes while I work as a nurse.” 11. A licensed practical nurse (LPN) has applied and completed an associate degree program in nursing and passed RN licensure. Which statement indicates that additional information is needed as it relates to graduate studies in nursing? 1. The nurse will not have to take additional licensure exams in nursing. 2. The nurse needs to continue completing professional education activities. 3. The nurse can continue to work while pursuing graduate studies. 4. The nurse does not have to submit paperwork related to licensure. 12. While providing medications, a nurse realizes that an incorrect dose was given to a patient. Which characteristic does the nurse demonstrate when reporting the error to the manager? 1. Being caring 2. Being honest 3. Being organized 4. Being responsible 13. A nurse notes that a patient’s blood pressure has dropped. The patient has nausea, dizziness, and abdominal pain. Which characteristic does the nurse demonstrate when the health-care provider (HCP) is notified of the patient’s condition? 1. Being caring 2. Being honest 3. Being organized 4. Being responsible 14. A nurse provides care and meets the needs of a patient until the patient is able to resume self-care. Which nursing theory is this nurse implementing? 1. Levine 2. Johnson 3. Neuman 4. Henderson ______________________________________________________________________________________________ 2|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 15. A nurse is working with a patient who is considered to be a high fall risk. Which priority action should the nurse implement? 1. Secure a bed alarm. 2. Assist the patient to the bathroom as needed. 3. Place the call bell in reach. 4. Place one side rail while the patient is in bed. 16. A nurse reviews a new medication prescribed for a patient and contacts the pharmacy to ask questions about the prescribed dose and route. Which behavior does the nurse demonstrate in this situation? 1. Safety 2. Quality 3. Teamwork 4. Collaboration Multiple Response Identify one or more choices that best complete the statement or answer the question. 17. A manager reviews the organizational policy about unprofessional conduct. Which actions should the manager describe that would lead to revoking or suspending a nursing license? Select all that apply. 1. Accidentally causing a skin tear on a frail elderly patient 2. Conduct that violates the nurse practice act 3. Documenting patient care at the end of the shift 4. The use of drugs or alcohol while on duty 5. Failure to supervise nursing assistants and unlicensed assistive personnel 18. The Quality and Safety Education for Nurses (QSEN) project was established to equip the next generation of nurses to help make needed changes in health care. Which are included in the six prelicensure knowledge, skills, and attitudes (KSAs) for nursing and graduate students? Select all that apply. 1. Patient-centered care 2. Appearance 3. Leadership 4. Teamwork and collaboration 5. Evidence-based practice 19. A group of nursing students are discussing methods to improve clinical judgment. Which activities may help support the development of clinical judgment? Select all that apply. 1. Performing clinical skill in a rote manner 2. Incorporating experience into future practice 3. Maintaining time management schedule 4. Answering call bells promptly 5. Trending results of patient lab data 20. A manager is preparing an annual performance review for a new nurse. Which behaviors indicate that the nurse is demonstrating professional behaviors? Select all that apply. 1. Arrives to work on time 2. Identifies the mistakes of others 3. Asks for help when appropriate 4. Covers patient care assignments for other nurses 5. Adheres to the required length of time for breaks ______________________________________________________________________________________________ 3|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 21. A nurse is receiving an evaluation from the nurse manager related to professional behaviors. Which observations warrant immediate action? Select all that apply. 1. Wears the same uniform to work several days in a row 2. Leaves late when staffing demands are increased 3. Forgets to bring stethoscope to work frequently 4. Participates in team activities 5. Takes extended breaks during the shift 22. A nurse wants to use evidence-based practice (EBP) to improve nursing care. What actions should the nurse include to improve health outcomes based on EBP? Select all that apply. 1. Review appropriate clinical research 2. Rely on personal experience 3. Keep current with protocols 4. Rely on health-care provider (HCP) for direction 5. Use a scientific approach to problem solving ______________________________________________________________________________________________ 4|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 1: The Vista of Nursing Answer Section MULTIPLE CHOICE 1. ANS: 3 Chapter: Chapter 1, The Vista of Nursing Objective: 8. Define the scope of practice. Page: 4 Heading: Nurse Practice Acts and Scope of Practice Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. Nurse practice acts are regulated by individual state governments, not at the federal level. This is incorrect. Nurse practice acts can vary from state to state; therefore, they are not identical in scope of practice. This is correct. Nurse practice acts specify requirements for scope of practice and educational background, which can differ among individual states. This is incorrect. The board of nursing in each state determines and enforces the nurse practice act in each state. PTS: 1 CON: Professionalism 2. ANS: 3 Chapter: Chapter 1, The Vista of Nursing Objective: 15. Discuss information found in the Connection features in this chapter. Page: 8 Heading: Supervision/Delegation Connection Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. Although the nurse practice act provides information about the educational requirements for defined nursing roles, this is not the priority information to be reviewed at this time. This is incorrect. Confirming the length of a nursing license is not the priority information to be reviewed at this time. This is correct. Principles of delegation should be reviewed by the nurse because they will directly affect level of practice and delivery of care. This is incorrect. Knowing the composition of the BON is not the priority at this time. PTS: 1 CON: Professionalism ______________________________________________________________________________________________ 5|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 3. ANS: 4 Chapter: Chapter 1, The Vista of Nursing Objective: 1. Define various terms associated with nursing practice. Page: 9 Heading: Trends in Nursing Practice > Evidence-Based Practice Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Evidence-Based Practice Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. EBP is based on databases and Web sites that are professionally reviewed and organized. It is not limited to government databases. This is incorrect. EBP methodology is not based on long-term results but rather looks at the analysis of both short-term and long-term data. This is incorrect. EBP focuses on research data that has been peer reviewed and analyzed based on organized hierarchy of evidence. This is correct. EBP uses research as a problem-solving approach to help deliver health care and improve patient outcomes. PTS: 1 CON: Evidence-Based Practice 4. ANS: 2 Chapter: Chapter 1, The Vista of Nursing Objective: 5. Describe the four pathways for nursing education. Page: 4 Heading: Advancing Your Career Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. To become an advanced practice nurse, one must complete a graduate degree. Pursuing a diploma to BSN degree would not be the best approach because there are few diploma programs available at this time. This is correct. Continuing to work in an acute care facility will add to clinical background, and applying to a bridge/transition program will build on prior LPN/LVN knowledge and skill. This is incorrect. The LPN/LVN can both attend school and continue to work in order to build on clinical experience. Additional coursework may be needed to apply to a BSN in a university setting, which may further extend the timeline. This is incorrect. This option extends the timeline and suggests that the nurse’s interest may change over time. PTS: 1 CON: Professionalism 5. ANS: 1 Chapter: Chapter 1, The Vista of Nursing ______________________________________________________________________________________________ 6|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Objective: 9. Describe four characteristics of nurses. Page: 6 Heading: Characteristics of Nurses >Being Caring Integrated Processes: Caring Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Caring Difficulty: Moderate Feedback 1 2 3 4 This is correct. Watson’s theory of nursing is based on caring, which is one of the four characteristics associated with nursing. Individualization of care demonstrates a caring approach. This is incorrect. Coordinating care is related to being responsible, which is one of the four characteristics associated with nursing. This is incorrect. Integration of information relates to being organized, which is another of the four characteristics associated with nursing. This is incorrect. Admitting one’s mistakes relates to being honest, which is another of the four characteristics associated with nursing. PTS: 1 CON: Professionalism 6. ANS: 4 Chapter: Chapter 1, The Vista of Nursing Objective: 15. Discuss information found in the Connection features in this chapter. Page: 7 Heading: Professional Appearance and Behavior Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Easy Feedback 1 2 3 4 This is incorrect. Although the student nurse should come back on time from a break, being a few minutes late does not warrant immediate action. This is incorrect. This communication does not warrant immediate action because it represents a therapeutic exchange between the student nurse and patient. This is incorrect. Bringing equipment is a responsibility of the student nurse but it does not require immediate action at this time and can be discussed later. This is correct. The student nurse should not use a personal cell phone while in the clinical setting. This finding requires immediate action. PTS: 1 CON: Professionalism 7. ANS: 2 Chapter: Chapter 1, The Vista of Nursing Objective: 17. Describe trends in nursing practice, including evidence-based practice & QSEN. Page: 10 ______________________________________________________________________________________________ 7|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Heading: Quality and Safety Education for Nurses Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. Awareness of cultural diversity does not lead to bias but can help to resolve underlying issues and improve delivery of patient-centered care. This is correct. Coordination of care based on effective communication is an example of teamwork and collaboration, which leads to improved health outcomes. This is incorrect. Although patient preference is recognized as a factor in the delivery of patient-centered care, quality care improvement focuses on continued review and evaluation of data collection. This is incorrect. Patient-centered care focuses on the use of individualized care plans to help improve patient outcomes. PTS: 1 CON: Professionalism 8. ANS: 2 Chapter: Chapter 1, The Vista of Nursing Objective: 13. Discuss selected nursing theories and theorists. Page: 9 -10 Heading: Nursing Theories and Theorists Integrated Processes: Teaching and Learning Client Need: Culture and Spirituality Cognitive Level: Comprehension [Understanding] Concept: Self Difficulty: Easy Feedback 1 2 3 4 This is incorrect. Imogene King’s theory is based on goal attainment. This is correct. Madeleine Leininger’s theory includes cultural diversity and universality. This is incorrect. Jean Watson’s theory is based on caring. This is incorrect. Betty Neuman’s theory is based on general systems theory. PTS: 1 CON: Self 9. ANS: 1 Chapter: Chapter 1, The Vista of Nursing Objective: 5. Differentiate four pathways for entering nursing education. Page: 3 Heading: Licensed Practical/Vocational Nurse Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback ______________________________________________________________________________________________ 8|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 1 2 3 4 This is correct. There is no clinical component on the NCLEX-PN test but rather required clinical hours and classes that must be completed prior to being eligible to sit for licensure. This is incorrect. The NCLEX-PN test is delivered online. This is incorrect. The results of the NCLEX-PN test are shared with each state board of nursing. This is incorrect. The NCLEX-PN is a specific detailed test plan based on patient needs and integrated processes of nursing. PTS: 1 CON: Professionalism 10. ANS: 4 Chapter: Chapter 1, The Vista of Nursing Objective: 6. Discuss career ladders and specialization in nursing. Page: 4 Heading: Advancing Your Career Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. The LPN courses can be applied to a PN to BSN program. This is incorrect. The LPN courses can be applied to a PN to ADN program. This is incorrect. The LPN would need to achieve a baccalaureate degree before applying to an MSN program. This is correct. The one-plus-one program is offered at community and state colleges. In this program the student becomes an LPN in the first year and can work as a nurse while taking courses in preparation to take the NCLEX-RN exam as a registered nurse. PTS: 1 CON: Professionalism 11. ANS: 4 Chapter: Chapter 1, The Vista of Nursing Objective: 6. Discuss career ladders and specialization in nursing. Page: 5 Heading: Being a Lifelong Learner Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate Feedback 1 2 3 This is incorrect. The RN license is the highest nursing license for a registered nurse. This is incorrect. The nurse must continue lifelong learning activities while holding a nursing license to meet requirements of continued licensure. This is incorrect. The nurse can continue to work while enrolled in graduate studies based on individual preference. ______________________________________________________________________________________________ 9|Page Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 4 This is correct. The nurse must continue to submit up-to-date paperwork related to current nursing licensure while pursuing graduate studies. PTS: 1 CON: Professionalism 12. ANS: 2 Chapter: Chapter 1, The Vista of Nursing Objective: 9. Describe four characteristics of nurses. Page: 6-7 Heading: Characteristics of Nurses Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application [Applying] Concept: Safety Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. When caring, nurses respond to patients in a way that confirms their individuality, emotions, and needs. This is correct. Being honest means admitting when a mistake is made and following up with appropriate actions. This is incorrect. Being organized means keeping track of all of the information and needs for assigned patients. This is incorrect. Being responsible means caring for patients’ needs, helping families, and noticing changes in the patient’s condition. PTS: 1 CON: Safety 13. ANS: 4 Chapter: Chapter 1, The Vista of Nursing Objective: 9. Describe four characteristics of nurses. Page: 6-7 Heading: Characteristics of Nurses Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application [Applying] Concept: Collaboration Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. When caring, nurses respond to patients in a way that confirms their individuality, emotions, and needs. This is incorrect. Being honest means admitting when a mistake is made and following up with appropriate actions. This is incorrect. Being organized means keeping track of all of the information and needs for assigned patients. This is correct. Being responsible means caring for patients’ needs, helping families, and noticing changes in the patient’s condition. PTS: 1 CON: Collaboration ______________________________________________________________________________________________ 10 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 14. ANS: 4 Chapter: Chapter 1, The Vista of Nursing Objective: 13. Discuss selected nursing theories and theorists. Page: 9 Heading: Nursing Theories and Theorists Integrated Processes: Caring Client Need: Basic Care and Comfort Cognitive Level: Application [Applying] Concept: Patient-Centered Care Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. Myra Levine’s theory is a conservation model, which is designed to promote adaptation of the person while maintaining wholeness or health. This is incorrect. Dorothy Johnson developed the behavioral system model, which incorporates five principles of systems thinking to establish a balance or equilibrium in the person. This is incorrect. Betty Neuman’s systems model is based on general systems theory and reflects the nature of living organisms as open systems. This is correct. Virginia Henderson’s theory is built on 14 basic needs addressed by nursing care and defines nursing as doing for patients what they cannot do for themselves. PTS: 1 CON: Patient-Centered Care 15. ANS: 1 Chapter: Chapter 1, The Vista of Nursing Objective: 16. Identify specific safety information. Page: 4 Heading: Nurse Practice Acts and Scope of Practice Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Analysis [Analyzing] Concept: Safety Difficulty: Difficult Feedback 1 2 3 4 This is correct. As the patient has been assessed as a fall risk, the nurse should obtain a bed alarm to prevent possible falls and assist in notification of a potential problem. This is incorrect. The nurse should assist the patient to the bathroom each time, not as needed, if the patient is assessed as a fall risk. This is incorrect. Although the call bell should be given to the patient, it is not the priority because it will not affect patient mobility and thus the patient can still be at risk for a fall. This is incorrect. Placing one side rail up is an example of a restraint and, as such, that should not be implemented without further assessment and documentation. PTS: 1 CON: Safety 16. ANS: 1 Chapter: Chapter 1, The Vista of Nursing Objective: 17. Describe trends in nursing practice, including evidence-based practice & QSEN. Page: 10-11 ______________________________________________________________________________________________ 11 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Heading: Trends in Nursing Practice >Quality and Safety Education for Nurses Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Physiological Integrity: Pharmacological Therapies Cognitive Level: Application [Applying] Concept: Clinical Judgment Difficulty: Moderate Feedback 1 2 3 4 This is correct. Preventing risk and harm to patients demonstrates safety. This is incorrect. Quality requires a review and evaluation of care provided to improve processes. This is incorrect. Teamwork requires functioning effectively within the nursing team and with other professionals. This is incorrect. Collaboration requires functioning effectively within the nursing team and with other professionals. PTS: 1 CON: Clinical Judgment MULTIPLE RESPONSE 17. ANS: 2, 4, 5 Chapter: Chapter 1, The Vista of Nursing Objective: 12. Discuss unprofessional conduct and its consequences. Page: 8 Heading: Box 1.4 Professional Appearance and Behavior Integrated Processes: N/A Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Addiction | Professionalism Difficulty: Moderate 1 2 3 4 5 Feedback This is incorrect. Some examples of unprofessional conduct that could result in the loss of nursing license are use of drugs or alcohol in a way that could endanger patients, diversion of drugs from prescribed patient to personal use, and failure to adequately care for patients or conform to minimum standards of nursing practice. This is correct. Some examples of unprofessional conduct that could result in the loss of nursing license are use of drugs or alcohol in a way that could endanger patients, diversion of drugs from prescribed patient to personal use, failure to supervise nursing assistants and unlicensed assistive personnel adequately, and failure to adequately care for patients or conform to minimum standards of nursing practice. This is incorrect. Unprofessional conduct that could result in the loss of nursing license includes failure to supervise nursing assistants and unlicensed assistive personnel adequately and failure to adequately care for patients or conform to minimum standards of nursing practice. This is correct. One example of unprofessional conduct that could result in the loss of nursing license is use of drugs or alcohol in a way that could endanger patients. This is correct. Failure to supervise nursing assistants and unlicensed assistive personnel adequately is an example of unprofessional conduct that could result in loss of nursing license. ______________________________________________________________________________________________ 12 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ PTS: 1 CON: Addiction | Professionalism 18. ANS: 1, 4, 5 Chapter: Chapter 1, The Vista of Nursing Objective: 17. Describe trends in nursing practice, including evidence-based practice and QSEN. Page: 10-11 Heading: Trends in Nursing Practice > Quality and Safety Education for Nurses Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Knowledge [Remembering] Concept: Professionalism Difficulty: Easy 1 2 3 4 5 Feedback This is correct. QSEN focuses on these six prelicensure KSAs, which include patientcentered care. This is incorrect. QSEN focuses on these six prelicensure KSAs, but appearance is not included in these KSAs. This is incorrect. QSEN focuses on these six prelicensure KSAs; however, leadership is not included in these KSAs. This is correct. QSEN focuses on these six prelicensure KSAs. One of these includes teamwork and collaboration. This is correct. QSEN focuses on these six prelicensure KSAs, including evidence-based practice. PTS: 1 CON: Professionalism 19. ANS: 2, 5 Chapter: Chapter 1, The Vista of Nursing Objective: 15. Discuss information found in the Connection features in this chapter. Page: 11 Heading: Clinical Judgment in Action Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Clinical Judgment Difficulty: Difficult 1 2 3 4 5 Feedback This is incorrect. Performing clinical skills in a rote manner does not allow the nurse to assess and interpret information and improvement of outcomes. This is correct. By incorporating information obtained from clinical experience, the nurse will be able to improve future practice. This is incorrect. Maintaining time management schedules does not directly relate to the development of clinical judgment but does correlate with development of organization. This is incorrect. Answering call bells promptly does not relate to the development of clinical judgment. This is correct. Trending patient lab data helps the nurse to interpret and analyze information leading to the development of clinical judgment. ______________________________________________________________________________________________ 13 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ PTS: 1 CON: Clinical Judgment 20. ANS: 1, 3, 4, 5 Chapter: Chapter 1, The Vista of Nursing Objective: 10. Evaluate professional appearance and behavior. Page: 8 Heading: Box 1.4 Professional Appearance and Behavior Integrated Processes: Teaching and Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. Arriving to work on time is an example of professional behavior. This is incorrect. Criticizing others is not a professional behavior. This is correct. Asking for help and offering to help others are professional behaviors. This is correct. Assuming the responsibility for others’ assignments is a professional behavior. This is correct. Taking breaks and lunch on time and returning on time are professional behaviors. PTS: 1 CON: Professionalism 21. ANS: 1, 3, 5 Chapter: Chapter 1, The Vista of Nursing Objective: 10. Evaluate professional appearance and behavior. Page: 8 Heading: Box 1.4 Professional Appearance and Behavior Integrated Processes: Clinical Problem-Solving Process: Nursing Process Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. This warrants immediate action because hygiene should be maintained. This is incorrect. This does not warrant immediate action. This is correct. This requires immediate action because the nurse should make sure they have required items for performing patient care, such as a stethoscope and a watch. This is incorrect. This does not warrant immediate action. This is correct. This requires immediate action because the nurse should take breaks on time and return on time so that others can go at their assigned times. PTS: 1 CON: Professionalism ______________________________________________________________________________________________ 14 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 22. ANS: 1, 3, 5 Chapter: Chapter 1, The Vista of Nursing Objective: 15. Discuss information found in the Connection features in this chapter. Page: 9 Heading: Evidence-Based Practice Integrated Processes: Clinical Problem-Solving Process: Nursing Process Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Evidence-Based Practice Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. Nurses use evidence-based practice (EBP) as a problem-solving approach to delivering health care. This approach uses the best evidence from nursing research studies and patient care data; it also considers the patient’s preferences and values. In other words, research is very important in determining what care is appropriate for certain situations; however, making the care fit a patient’s preferences and values is just as important. This is incorrect. Although personal experience can be helpful, EBP does rely on the analysis of clinical research data. This is correct. The nurse should keep current with protocols. This is incorrect. The nurse should not rely solely on the HCP for direction related to EBP practice. This is correct. Nurses use evidence-based practice (EBP) as a problem-solving approach to delivering health care. This approach uses the best evidence from nursing research studies and patient care data; it also considers the patient’s preferences and values. In other words, research is very important in determining what care is appropriate for certain situations; however, making the care fit a patient’s preferences and values is just as important. PTS: 1 CON: Evidence-Based Practice ______________________________________________________________________________________________ 15 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 2: Health-Care Delivery, Settings, and Economics Multiple Choice Identify the choice that best completes the statement or answers the question. 1. In an inpatient setting a patient has had a surgical repair of a superficial laceration incurred during a motor vehicle accident. Insurance has been filed and the claim has been rejected. The patient asks the nurse why the claim was not accepted. What is the best nursing response? 1. Documentation was insufficient. 2. Patient care setting was not appropriate. 3. Procedure was not considered medically necessary. 4. It was not a covered service on the patient’s plan. 2. A health-care organization uses a system of health-care delivery aimed at managing the cost and quality of access to health care. Which type of delivery system should the nurse review prior to arriving for an interview for a position? 1. Medicaid 2. Medicare 3. Managed care 4. Private insurance 3. A nurse reviews the purpose and functions of a skilled nursing facility (SNF) with a new nurse colleague. Which statement by the new nurse indicates that additional teaching about an SNF is required? 1. “Medicare will most likely pay for my patient’s care at the SNF.” 2. “I hope that my patient gets to return home after going to the SNF.” 3. “My patient will never get to go home again if he’s transferred to an SNF.” 4. “My patient will receive skilled nursing care, such as physical therapy as needed.” 4. A nurse is preparing to transfer a patient to a skilled nursing facility (SNF). For which reason will this patient’s Medicare policy pay for the care at the SNF? 1. The patient stays longer than 100 days per year. 2. The patient enters the SNF within 60 days of a hospitalization. 3. The patient has been hospitalized for at least 1 day before admission. 4. The patient makes regular progress as documented by medical professionals. 5. A charge nurse observes a staff nurse prepare to transfer a patient to a rehabilitation facility. For which statement should the charge nurse intervene when hearing the staff member explain about this type of care setting? 1. “You will receive intensive therapy services while you’re here.” 2. “You must participate in at least 6 hours of therapy each day.” 3. “You will be seen by a physician who specializes in rehabilitation.” 4. “If you get sick while you’re here, we can transfer you to the hospital.” 6. An adult patient requires a laparoscopic cholecystectomy to be performed. Which clinical facility would be best suited for the procedure? 1. Acute care facility 2. Outpatient clinic setting 3. Physician’s office 4. Ambulatory surgery center 7. A patient has been referred to cardiac rehabilitation post-cardiac event. Which essential service would be provided to the patient? ______________________________________________________________________________________________ 16 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 1. 2. 3. 4. Dietary counseling Echocardiogram Laboratory testing for cardiac enzymes Occupational therapy 8. A patient wants to remain at home yet still receive health-care services for an ulceration of the left foot. Which option should the nurse suggest to the patient based on stated concern? 1. Arrange for the patient to go to the local health department. 2. Arrange for the patient to be placed temporarily in rehab. 3. Obtain a referral for home health services. 4. Continue to keep office appointments with health-care provider (HCP). 9. A nurse is reviewing requests from multiple patients for hospice care. Which factor would alert the nurse that hospice care is not indicated for a patient? 1. Patient is admitted for acute appendectomy after rupture of the appendix. 2. Patient has received a terminal medical diagnosis. 3. Patient is seeking palliative care. 4. Patient does not require any additional surgical or medical treatment for cure. 10. A nursing medical unit has 20 beds and the following staffing: 1 RN, 2 LPNs, and 2 CNAs. Which type of nursing delivery system is best utilized to provide services? 1. Primary care nursing 2. Patient-centered care 3. Team nursing 4. Triage 11. A group of nurses assigned to a unit are discussing methods of nursing supervision. Which option represents best practice? 1. Use of a formal approach 2. Limiting conversation 3. Maintaining strict control 4. Providing positive direction 12. A nurse is reviewing a family’s health insurance, which is provided under the Affordable Care Act (ACA). Which statement is correct as it relates to ACA? 1. The son, age 25, is covered. 2. Vaccinations are not covered services. 3. Preexisting conditions are not covered. 4. Mammograms are not covered services. 13. A patient is admitted to the hospital for an appendectomy identified by a diagnosis-related group (DRG). What information does the DRG provide? 1. Economic reimbursement to the hospital for costs associated with DRG 2. Specifics of cost of nursing care related to the DRG 3. Types of procedures that are allowed for an inpatient stay related to that DRG 4. List of complications that can occur based on the DRG 14. A patient calls the family clinic stating that he has Medicaid coverage, is visiting his family, lives out of state, and needs to see a health-care provider (HCP). Which information should the nurse provide to the patient related to insurance coverage? 1. Preapproval is needed. 2. Amount of benefit may vary. ______________________________________________________________________________________________ 17 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 3. Copay is required for all services. 4. Go to the emergency room. 15. A nurse manager is reviewing risk management data collected for the care area after the staff attended an educational program on health-care collaboration. Which outcome indicates that this program has been successful? 1. Number of patient falls were reduced by 85%. 2. Two patients were readmitted for wound infections. 3. There were the same number of medication errors as in previous month. 4. Five patients were delayed discharge because of catheter-related infections. 16. The department of nursing in a large hospital implements Team STEPPS on all of the care areas. Which is an expected outcome from this program? 1. Reports of incivility 2. Enhanced teamwork 3. Increased absenteeism 4. Inappropriate delegation 17. A patient asks the nurse why they must get a referral from their health-care provider (HCP) to see another physician for treatment of an eye problem. What is the best response by the nurse? 1. “HMO plans require preapproval authorization.” 2. “Switch over to another HMO.” 3. “Let your primary care doctor handle the issue.” 4. “Capitation costs limit the number of referrals the HCP can make.” 18. A patient is concerned that the health insurance plan will not cover a diagnostic test. Which information should the nurse explain about medical necessity? 1. “The insurer will cover the test if they like the physician.” 2. “Most tests are covered even if they have no connection to the health problem.” 3. “If the test is found reasonable and necessary for your illness, it will be covered.” 4. “There is no guarantee that any test will be covered. It depends on the reviewer.” 19. An older patient is being released from the hospital after treatment for a deep vein thrombosis (DVT). The patient lives alone and intends to return to the prior dwelling but needs additional care. Which type of facility does the nurse expect the patient to be transferred to? 1. Independent living facility 2. Skilled nursing unit 3. Memory care unit 4. Long-term care unit 20. A patient has had an endoscopy as an outpatient in a hospital setting and requires additional observation after the procedure. Which type of order would the nurse expect the health-care provider to write? 1. Admit for observation. 2. Admit to the hospital as an inpatient. 3. Transfer to the emergency room. 4. Arrange for home health visits. Multiple Response Identify one or more choices that best complete the statement or answer the question. 21. A nurse manager is reviewing the unit budget to determine the number of new positions needed for the next fiscal year. Which would the manager use to help guide decisions about patient care? Select all that apply. ______________________________________________________________________________________________ 18 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 1. 2. 3. 4. 5. Appropriate level of care Type of health insurance Medical necessity Location of the facility Education of the staff 22. A patient no longer needs care in an acute care facility. What should be considered to ensure this patient continues to receive the most appropriate level of care? Select all that apply. 1. Cost 2. Safety 3. Location 4. Activities 5. Effectiveness 23. A nurse manager is looking at delegation procedures on the nursing unit. Which actions would serve as bestpractice methods of delegation? Select all that apply. 1. Maintain strict control over individuals. 2. Offer praise as warranted. 3. Use respect as a core principle. 4. Emphasize that the nursing staff is there is help one another. 5. Correct each minor variance. 24. A nurse is taking care of a patient who has Medicare A and D. What type of benefits does the patient have? Select all that apply. 1. Prescription services 2. HMO provider 3. Hospitalization coverage 4. Supplemental insurance 5. Hospice coverage ______________________________________________________________________________________________ 19 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 2: Health-Care Delivery, Settings, and Economics Answer Section MULTIPLE CHOICE 1. ANS: 2 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective:1. Define various terms associated with health-care delivery and economics. Page: 17 Heading: Determining the Delivery of Effective Care Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Health-Care Policy | Health-Care System Difficulty: Difficult Feedback 1 2 3 4 This is incorrect. There is insufficient evidence to support this response from the nurse. This is correct. Because the surgical repair was based on a superficial laceration, the selection of an inpatient setting is not an appropriate environment to provide the service. This is incorrect. Surgical repair of a laceration is considered a medically necessary treatment. This is incorrect. There is insufficient evidence to support this response from the nurse. PTS: 1 CON: Health-Care Policy | Health-Care System 2. ANS: 3 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 10. Describe various types of private health insurance. Page: 17 Heading: Determining the Delivery of Effective Care Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. Medicaid is a federal-state program in which the federal government helps states pay for the health care of those with an income below the poverty level, as well as certain other individuals. This is incorrect. Medicare is the federal government’s health insurance program for people older than 65 years or those with certain disabilities or conditions. This is correct. Managed care is defined as a system of health-care delivery aimed at managing the cost and quality of access to health care. This is incorrect. Private insurance is insurance that is provided by a number of companies and purchased by the individual or his or her employer. PTS: 1 CON: Health-Care System ______________________________________________________________________________________________ 20 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 3. ANS: 3 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 5. Describe inpatient health-care settings and their services. Page: 18 Heading: Determining the Delivery of Effective Care > Skilled Nursing Facility Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. An SNF level of care is usually covered by Medicare and most private insurances. This is incorrect. Patients may stay in an SNF for a few days or as long as 100 days, but they eventually move to a rehabilitation facility, nursing home, or home setting. This is correct. The patient will eventually move to a rehabilitation facility, nursing home, or home setting after the required number of days, up to 100. This is incorrect. SNF care consists of skilled nursing care and physical, occupational, and speech therapy as needed. PTS: 1 CON: Health-Care System 4. ANS: 4 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 5. Describe inpatient health-care settings and their services. Page: 18 Heading: Determining the Delivery of Effective Care > Skilled Nursing Facility Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements. There is a 100-day stay maximum per year related to any one hospitalization and diagnosis. This is incorrect. An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements. The patient must enter the nursing home within 30 days of a hospitalization. This is incorrect. Medicare will pay for SNF care if the patient was hospitalized for at least 3 days prior to admission. This is correct. An SNF level of care is usually covered by Medicare and most private insurances, but there are certain requirements. The patient must be making regular progress as documented by medical professionals. PTS: 1 CON: Health-Care System 5. ANS: 2 ______________________________________________________________________________________________ 21 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 7. Explain two types of rehabilitation services. Page: 18 Heading: Determining the Delivery of Effective Care > Rehabilitation Facility Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. Rehabilitation is a level of care in which the patient can receive intense physical, occupational, and speech therapy services. This is correct. As a rule of thumb, the patient must be capable of participating in at least 3 hours of therapy a day to be admitted to a rehabilitation facility. This is incorrect. A physician specialist in physical medicine and rehabilitation oversees the patient’s care during his or her stay. This is incorrect. If the patient becomes ill or has other medical problems while in rehabilitation, the patient will be transferred back to an acute care hospital. PTS: 1 CON: Health-Care System 6. ANS: 4 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 6. Describe outpatient health-care settings and their services. Page: 19 Heading: Determining the Delivery of Effective Care > Outpatient Care > Hospital Outpatient Department Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application [Applying] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. A laparoscopic cholecystectomy does not have to be performed in an acute care setting. This is incorrect. A laparoscopic cholecystectomy is not performed in an outpatient clinic setting. This is incorrect. A laparoscopic cholecystectomy is not performed in a physician’s office. This is correct. A laparoscopic cholecystectomy can be performed in an ambulatory surgical center that is specifically designed to provide surgical care services. PTS: 1 CON: Health-Care System 7. ANS: 1 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 7. Explain two types of rehabilitation services. Page: 20 Heading: Cardiac Rehabilitation Integrated Processes: Teaching and Learning ______________________________________________________________________________________________ 22 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Health Promotion | Difficulty: Moderate Feedback 1 2 3 4 This is correct. Nutrition (dietary) counseling is a critical part of cardiac rehabilitation. This is incorrect. An echocardiogram is a diagnostic test that is not included in the cardiac rehabilitation process. This is incorrect. Laboratory testing of cardiac enzymes is not included in the cardiac rehabilitation process. This is incorrect. Exercise, nutrition (dietary) modification, medication, and disease counseling are essential elements of cardiac rehabilitation process. PTS: 1 CON: Health Promotion | Teaching and Learning 8. ANS: 3 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 6. Describe outpatient health-care settings and their services. Page: 20 Heading: Home Health Care Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Clinical Judgment | Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. This response does not address the patient’s primary concern of wanting to receive treatment at home. This is incorrect. This response does not address the patient’s primary concern of wanting to receive treatment at home. This is correct. This response focuses on the patient’s primary concern and allows for nursing care to be provided in the home setting. This is incorrect. This response does not address the patient’s primary concern of wanting to receive treatment at home. PTS: 1 CON: Clinical Judgment | Health-Care System 9. ANS: 1 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 8. Distinguish between types of nursing care delivery systems. Page: 21 Heading: Hospice Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Health-Care System Difficulty: Moderate Feedback ______________________________________________________________________________________________ 23 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 1 2 3 4 This is correct. Hospice services are for those individuals who have received a terminal diagnosis (6 months or less to live), are seeking palliative care, want to remain pain free, and/or are no longer seeking treatment to cure or treat the disease. This patient has had a surgical intervention for an acute disease process. This is incorrect. Hospice services are for those individuals who have received a terminal diagnosis (6 months or less to live), are seeking palliative care, want to remain pain free, and/or are no longer seeking treatment to cure or treat the disease. This is incorrect. Hospice services are for those individuals who have received a terminal diagnosis (6 months or less to live), are seeking palliative care, want to remain pain free, and/or are no longer seeking treatment to cure or treat the disease. This is incorrect. Hospice services are for those individuals who have received a terminal diagnosis (6 months or less to live), are seeking palliative care, want to remain pain free, and/or are no longer seeking treatment to cure or treat the disease. PTS: 1 CON: Health-Care System 10. ANS: 3 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 8. Distinguish between types of nursing care delivery systems. Page: 21-22 Heading: Delivery of Nursing Care >Team Nursing Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Health-Care System Difficulty: Difficult Feedback 1 2 3 4 This is incorrect. In primary care nursing, one nurse is responsible for all aspects of nursing care. Based on the available staffing mix, there are insufficient nurses to be able to implement this type of care. This is incorrect. In patient-centered care, the interactions are focused on limiting the number of staff that come in direct contact with more acute care patients. This is correct. Based on the available staffing mix, a team nursing approach would represent the best delivery of services to the patients on this unit. This is incorrect. Triage is a medical system used to assess and evaluate patients for treatment based on acuity. It is used in emergent care situations. PTS: 1 CON: Health-Care System 11. ANS: 4 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 11. Discussion information found in the Connection features of the chapter. Page: 23 Heading: Supervision/Delegation Connection >The Secret to Good Supervision Integrated Processes: Teaching/Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Leadership and Management Difficulty: Moderate ______________________________________________________________________________________________ 24 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Feedback 1 2 3 4 This is incorrect. Best supervision requires both formal and informal approaches to promote a good working environment. This is incorrect. Limiting conversation will lead to poor supervision because it will affect communication. This is incorrect. Maintaining strict control will lead to a poor working environment. This is correct. Providing positive direction will help promote a positive working environment. PTS: 1 CON: Leadership and Management 12. ANS: 1 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 1. Define various terms associated with health-care delivery and economics. Page: 23 -24 Heading: Health-Care Economics > Affordable Care Act Integrated Processes: Teaching/Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is correct. Under the ACA, children up to age 26 are covered under their parents’ insurance. This is incorrect. Under the ACA, vaccinations are covered services. This is incorrect. Under the ACA, preexisting conditions are covered. This is incorrect. Under the ACA, mammograms are covered services because they are considered to be preventive measures. PTS: 1 CON: Health-Care System 13. ANS: 1 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 1. Define various terms associated with health-care delivery and economics. Page: 24 Heading: Public Health Insurance Integrated Processes: Teaching/Learning Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 This is correct. DRG provides the economic reimbursement to the hospital of allowed costs for a specific medical diagnosis. This is incorrect. DRG does not specify the nursing cost but rather includes all nursing care, tests, treatment, and teaching associated with a specific medical diagnosis. ______________________________________________________________________________________________ 25 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 3 4 This is incorrect. The DRG does not specify the types of procedures that are allowed in the inpatient setting but rather provides economic reimbursement based on the treatment of the specific medical diagnosis. This is incorrect. The DRG does not provide a list of complications but rather provides the economic reimbursement costs associated with the specific medical diagnosis. PTS: 1 CON: Health-Care System 14. ANS: 2 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 9. Contrast Medicare and Medicaid. Page: 24 Heading: Medicaid Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Health-Care System Difficulty: Difficult Feedback 1 2 3 4 This is incorrect. Medicaid does not require preapproval for health-care services. This is correct. Because the patient is out of state, and Medicaid is a federal-based program, benefits may vary from state to state. This is incorrect. Medicaid does not require a copay for all services. This is incorrect. There is insufficient information provided for the nurse to tell the patient to go to the emergency room for health-care services. PTS: 1 CON: Health-Care System 15. ANS: 1 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 2. Discuss health-care collaboration and how it links to patient safety. Page: 15 Heading: The Health-Care- Team >Collaboration of the Health-Care-Team Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism | Collaboration Difficulty: Moderate Feedback 1 2 3 4 This is correct. When health-care workers collaborate with one another, one of the most positive outcomes is improved patient safety. Poor-quality care occurs, along with a higher rate of preventable errors, when health-care personnel act alone, or in a “silo.” This is incorrect. Collaboration improves the quality of care, and infections should be reduced. This is incorrect. Medication errors are preventable, which will improve with collaboration. This is incorrect. Catheter-related infections are preventable, which will improve with collaboration. ______________________________________________________________________________________________ 26 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ PTS: 1 CON: Professionalism | Collaboration 16. ANS: 2 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 2. Discuss health-care collaboration and how it links to patient safety. Page: 16 Heading: The Health Care Team > Collaboration of the Health Care Team Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Professionalism | Collaboration Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. If Team STEPPS is implemented, communication and teamwork will improve. Incivility should be reduced. This is correct. The program, called Team STEPPS, uses evidence-based teamwork to improve communication and teamwork skills. This, in turn, eliminates barriers to quality and safety. This is incorrect. If Team STEPPS is implemented, communication and teamwork will improve. There is no data to suggest that absenteeism will increase because of this program. This is incorrect. If Team STEPPS is implemented, communication and teamwork will improve. Delegation should be appropriate with this program. PTS: 1 CON: Professionalism | Collaboration 17. ANS: 1 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 10. Discuss various types of private health insurance. Page: 24-25 Heading: Private Health Insurance Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care Systems Difficulty: Moderate Feedback 1 2 3 4 This is correct. HMOs are set up to require preapproval authorization for referrals from a primary care provider (PCP). This is incorrect. All HMOs are set up with preapproval authorization for referrals from a primary care provider (PCP), so there is no benefit to changing HMOs for this reason. This is incorrect. A referral should be made to a specialist in order to treat specific medical problems in an HMO. This is incorrect. Capitation refers to the payment system used in HMO systems; it does not prevent appropriate referrals for specialized services. PTS: 1 CON: Health-Care Systems ______________________________________________________________________________________________ 27 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 18. ANS: 3 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 3. Identify the two most important factors in health-care delivery and economics. Page: 17 Heading: Determining the Delivery of Effective Care > Medical Necessity Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Communication | Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. Medical necessity must be proved for reimbursement to occur. It has nothing to do with the physician being liked by the health plan. This is incorrect. Tests will be covered if they are found necessary to the diagnosis or treatment of an illness. This is correct. Insurers determine medical necessity by comparing the patient’s clinical/medical information against accepted medical review criteria. According to government funding sources, medical necessity is defined as services or items reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. This means that the services must seem reasonable and necessary to the entity paying for them. This is incorrect. Tests found to be necessary for the diagnosis or treatment of an illness or injury will be covered. PTS: 1 CON: Communication | Health-Care System 19. ANS: 2 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 7. Explain two types of rehabilitation services. Page: 18 Heading: Determining the Delivery of Effective Care > Skilled Nursing Facility Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System Difficulty: Moderate Feedback 1 2 3 4 This is incorrect. The patient still needs some nursing services, which are not provided in an independent living facility. This is correct. A skilled nursing unit provides rehabilitation services in addition to needed nursing care. This is incorrect. There is no information indicating that the patient has memory problems. This is incorrect. The plan of care is that the patient will recover from the DVT during rehabilitation and then return to the primary dwelling. Long-term care is not indicated for this patient. PTS: 1 CON: Health-Care System ______________________________________________________________________________________________ 28 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 20. ANS: 1 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 6. Discuss outpatient health-care settings and their services. Page: 19 Heading: Hospital Outpatient Department Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Clinical Judgment Difficulty: Moderate Feedback 1 2 3 4 This is correct. Monitoring can continue for 24 to 72 hours and be classified as an observation admission following an outpatient procedure. This is incorrect. There is no current need to admit the patient as an inpatient based on continued observation. This is incorrect. There is no need to transfer the patient to the emergency department for continued observation. This is incorrect. There is insufficient information at this time to arrange for home health visits. PTS: 1 CON: Clinical Judgment MULTIPLE RESPONSE 21. ANS: 1, 3 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 3. Identify the two most important factors in health-care delivery and economics. Page: 17 Heading: Determining the Delivery of Effective Care Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System | Leadership and Management Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. When the economics of care is a foremost consideration, the appropriate level of care helps guide decisions about patient care. This is incorrect. The type of health insurance is not used to guide decisions about patient care. This is correct. When the economics of care is a foremost consideration, medical necessity helps guide decisions about patient care. This is incorrect. The location of the facility is not used to guide decisions about patient care. This is incorrect. The education of the staff is not used to guide decisions about patient care. PTS: 1 CON: Health-Care System | Leadership and Management ______________________________________________________________________________________________ 29 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 22. ANS: 1, 2, 5 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 3. Identify the two most important factors in health-care delivery and economics. Page: 17 Heading: Determining the Delivery of Effective Care Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System | Leadership and Management Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. An aspect of paying for health care requires determining an appropriate level of care to meet the patient’s needs. It is important for the patient to be cared for at the most cost-effective approach. This is correct. An aspect of paying for health care requires determining an appropriate level of care to meet the patient’s needs. It is important for care to be safe. This is incorrect. Location is not a consideration when ensuring that the patient receives the most appropriate level of care. This is incorrect. Activities are not a consideration when ensuring the patient receives the most appropriate level of care. This is correct. An aspect of paying for health care requires determining an appropriate level of care to meet the patient’s needs. It is important for care to be effective. PTS: 1 CON: Health-Care System | Leadership and Management 23. ANS: 2, 3, 4 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 11. Discuss information found in the Connection features of the chapter. Page: 23 Heading: Supervision/Delegation Connection >The Secret to Good Supervision Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System | Leadership and Management Difficulty: Moderate 1 2 3 4 Feedback This is incorrect. Maintaining strict control can lead to problems. Avoid allowing a position of supervision to go to your head. Put yourself in the place of the people you supervise. This is correct. Everyone responds well to positive comments about their work. Find positives to praise. This is correct. It is important to remember that when you supervise other nurses, you are supervising health-care professionals. Always treat them with respect and avoid being overly critical. This is correct. It is important to remember that when you supervise other nurses, you are supervising health-care professionals. You are there to help others and work together. ______________________________________________________________________________________________ 30 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 5 This is incorrect. Avoid being overcritical. PTS: 1 CON: Health-Care System | Leadership and Management 24. ANS: 1, 3, 5 Chapter: Chapter 2, Health-Care Delivery, Settings, and Economics Objective: 11. Discuss information found in the Connection features of the chapter. Page: 24 Heading: Medicare Integrated Processes: Clinical Problem-Solving Process (Nursing Process) Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Application [Applying] Concept: Health-Care System Difficulty: Moderate 1 2 3 4 5 Feedback This is correct. Part D, also known as Medicare Prescription Drug Coverage, provides payment for prescribed medications and is run by insurance companies or other private companies approved by Medicare. This is incorrect. Part C, also called Medicare Advantage Plans, are HMO health insurance plans administered by private insurance companies in place of traditional Medicare. This is correct. Part A is insurance for hospitalization, hospice, home health, and skilled nursing facility services. This is incorrect. Part B, supplementary health insurance, helps pay for outpatient services, such as health-care provider visits, laboratories, x-ray technicians, and home health nurses, and for durable medical equipment. This is correct. Part A is insurance for hospitalization, hospice, home health, and skilled nursing facility services. PTS: 1 CON: Health-Care System ______________________________________________________________________________________________ 31 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 3: Ethics, Law, and Delegation in Nursing Multiple Choice Identify the choice that best completes the statement or answers the question. 1. A nurse is monitoring a critically ill patient who does not have a do-not-attempt-resuscitation (DNAR) order on file. Family members are at bedside and ask the nurse not to call a code. What is the best nursing action? 1. Initiate a code. 2. Provide comfort measures. 3. Continue to monitor and provide support. 4. Contact hospital attorney. 2. A nurse has been reported to the board of nursing for performing skills that are outside the legal scope of practice. What should the nurse expect to occur next? 1. A lawsuit by the institution for malpractice 2. A hearing by the board of nursing to determine whether the charges are true 3. Immediate revocation of the nursing license 4. Requirement to complete a minimum of 10 continuing education units (CEUs) 3. A nurse witnesses a coworker taking a narcotic medication prescribed for a patient. Which action should the nurse take first? 1. Ask the other nurses on the unit what they would do. 2. Tell the coworker that the incident will be reported the next time it happens. 3. Offer to care for the nurse’s patients until the medication is no longer effective. 4. Report the incident to the nurse supervisor. 4. A nurse is working with a patient and family who disagree about proposed suggestion of an organ transplant for liver failure. Which action should the nurse take first? 1. Tell the family that it is the patient’s decision to make. 2. Tell the family and patient that this is just one available option. 3. Talk to the charge nurse about contacting the hospital ethics committee. 4. Call the health-care provider (HCP) and postpone the procedure. 5. An LPN/LVN is assisting an RN who is caring for a mentally competent patient with a terminal illness. The patient refuses to take prescribed medications. Which action should the nurse take? 1. Ask the RN if the physician should change the patient’s medications so they can be given intravenously. 2. Speak to the family about the patient refusing medications. 3. Report the patient’s decision to the RN in charge and the primary health-care provider (HCP) and continue to provide appropriate compassionate care. 4. Explain to the patient the unwise nature of the decision and the effect that it will have on family members. 6. A charge nurse is reviewing staff performance on the unit. Which situation requires immediate action? 1. The nurse listens to the patient complain about the hospital food. 2. The nurse tells the patient to use the call bell. 3. The nurse agrees with the patient that the individual should change health-care providers (HCP) to get better care. 4. The nurse tells the patient to call dietary to ask for a different food selection. 7. A student nurse asks the nursing instructor about laws affecting student nursing practice. Which information should the instructor provide to the student? ______________________________________________________________________________________________ 32 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 1. 2. 3. 4. Nursing students are not subject to legal jurisdiction. Nursing students practice under the license of the nurse in the hospital setting. Nursing students are held to the same standard as licensed nurses. Nursing students practice under the instructor’s license. 8. During evening rounds a nurse finds a patient lying on the floor next to the bed. What should the nurse do first when documenting this situation? 1. Complete an incident report. 2. Document in the medical record that an incident report was completed. 3. Document in the medical record that the supervisor was notified of the incident. 4. Document the incident in the medical record but not mention an incident report was completed. 9. A nurse does not report changes in a patient’s condition, which leads to medical complications and increases the patient’s length of stay in the hospital. Which legal law has the nurse violated? 1. Malpractice 2. Abandonment 3. Negligence 4. Assault 10. An LPN/LVN takes home paperwork that contains patient information. Which disciplinary action should the nurse manager take? 1. Tell the nurse to make sure that the information is shredded. 2. Tell the nurse that if it happens again, there will be consequences. 3. Remind the nurse that the patient’s medical record is not to be removed from the hospital. 4. Tell the nurse to remove all patient identifier information and then there is no problem. 11. A charge nurse is concerned that patient information was inappropriately shared with family. Which would the nurse observe to come to this conclusion? 1. Nurse provided medication to a patient with family at bedside. 2. Nurse instructed family on the correct way to prepare an insulin syringe for injection. 3. Nurse asked family to leave the room while the patient’s abdominal dressing is changed. 4. Nurse left the computer screen with laboratory data in view at bedside with family present. 12. A nurse is caring for an adolescent patient who is married, is in the military, and has a newborn baby. Which should the nurse consider when providing care to this patient? 1. The patient’s parent needs to sign the consent form for treatment. 2. The patient can sign the informed consent form. 3. The patient’s spouse must be in attendance when completing the assessment. 4. The patient’s military supervisor should be notified of all pending treatments. 13. The legal department of a hospital is preparing a seminar to review the types of laws that must be followed while providing patient care. Which could be used as an example of a criminal law? 1. A patient being told that an opinion about care will not be considered for treatment 2. A nurse temporarily providing a patient with excessive intravenous fluid to hasten death 3. A hospital failing to report surgical site errors performed by the same health-care provider (HCP) 4. A nurse documenting that pain medication was provided even though the patient reports it was not 14. A nurse is attempting to log into the computer at work and asks another nurse to use her password because the nurse is unable to log in. What is the best nursing response? 1. Tell the nurse to try a different computer. ______________________________________________________________________________________________ 33 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 2. Provide the password to the nurse. 3. Suggest that the nurse call the hospital IT department for assistance. 4. Notify security about the nurse’s request. 15. A patient’s family member asks the nurse to disclose results of the patient’s laboratory testing. Which action should the nurse take first? 1. Ask the family member to specify which test they are interested in. 2. Ask the patient if it is okay to tell the family member. 3. Do not disclose any information to the family member. 4. Ask the health-care provider (HCP) to talk to the family. 16. A nurse is planning to move to another state. Which action should be done to ensure that the nurse can legally practice nursing in the new state? 1. Nothing; the license covers practice in all states. 2. Plan to take the NCLEX examination in the new state. 3. Contact the state board of nursing of the new state to request state licensure. 4. Ask the nurse manager to write a letter to the new state about the nurse’s performance. 17. A health-care provider (HCP) asks a nurse to have a patient sign a consent form. The patient states that he has additional questions. Which is the priority nursing action? 1. Provide the patient with hospital literature. 2. Have the patient sign the consent. 3. Answer the patient’s questions. 4. Contact the HCP. 18. A patient is being admitted to a nursing home after a hospital admission for a stroke, which has left the patient unresponsive. Which advance directive should the nurse expect to be in place during this admission? 1. Advance directive signed by the patient 2. Proxy directive 3. No advance directive 4. Living will signed by the patient Multiple Response Identify one or more choices that best complete the statement or answer the question. 19. A nurse manager is concerned about sexual harassment occurring in the care area. Which statement should be investigated further? Select all that apply. 1. “Would you please help me with one of my female patients? I need help with getting my patient to the bathroom.” 2. “If I give pain medication to your patient in room 203, what are you going to do for me?” 3. “When my patient’s physician arrives on the floor, let me know. I would like to make rounds with him.” 4. “Could you help me with my patient? She’s very large and difficult to get up.” 5. “Male nurses never carry their weight. I think they use the fact that a female patient won’t let them catheterize them as an excuse, so they don’t have to put in a urinary catheter.” 20. A nurse thinks that the patient should not be discharged from the hospital at this time because the patient lives alone and has no support services available. Which actions should the nurse take? Select all that apply. 1. Refer for psychiatric evaluation. 2. Contact the health-care provider (HCP) for social service referral. 3. Contact case management. ______________________________________________________________________________________________ 34 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ 4. Tell the patient that they can’t go home. 5. Administer a mini mental status examination. 21. A student nurse is reviewing the concept of delegation. Which statements reflect an accurate description? Select all that apply. 1. The person performing the task has prerequisite knowledge. 2. It is based on licensure and scope of practice. 3. It requires evaluation. 4. Delegation is similar to the clinical assignment. 5. Not all tasks can be delegated. 22. A student nurse asks the nursing instructor about continuing education requirements once licensed. What is the best response? Select all that apply. 1. Read nursing journals. 2. Participate in professional organizations. 3. Monitor board of nursing reports. 4. Use Google search engine to obtain information. 5. Maintain work schedule. 23. A group of nursing students are reviewing a patient’s medical record at the nurse’s station. Which immediate action is warranted by the nursing instructor? Select all that apply. 1. Determine which students have been assigned to the patient. 2. Ask the students if they have any questions. 3. Tell the students that they should not be copying personal identification information from the chart. 4. Have the students print out the patient chart information that they need. 5. Discuss concept of privacy of medical records. 24. A nursing student has completed the nursing program. What actions should the nursing student take now to obtain licensure? Select all that apply. 1. Apply for reciprocity. 2. Contact the board of nursing (BON) in the state. 3. Pay application fees. 4. Review state nurse practice act. 5. Designate LPN following signature. ______________________________________________________________________________________________ 35 | P a g e Downloaded by: allen1330636306 | [email protected] Distribution of this document is illegal Want to earn $1.236 extra per year? Stuvia.com - The Marketplace to Buy and Sell your Study Material Test Bank - Fundamentals of Nursing Care: Concepts, Connections and Skills, 4th Edition (Burton, 2023) ______________________________________________________________________________________________ Chapter 3: Ethics, Law, and Delegation in Nursing Answer Section MULTIPLE CHOICE 1. ANS: 3 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 10. Describe the professional responsibilities of nurses and nursing students. Page: 30 Heading: Do-Not-Attempt-Resuscitation Orders Integrated Processes: Communication and Documentation Client Need: Safe and Effective Care Environment: Coordinated Care Cognitive Level: Analysis [Analyzing] Concept: Professionalism Difficulty: Difficult Feedback 1 This is incorrect. There is no clinical evidence provided that supports initiating a code at the present time. 2 This is incorrect. The patient is critically ill but not terminal, so providing comfort measures does not address the patient’s critical issues. 3 This is correct. The nurse should continue to monitor and provide support to the patient and family members. 4 This is incorrect. The nurse does not have to contact the hospital attorney but rather could follow hospital policy and procedure to have the patient and family members discuss instituting a DNAR order. PTS: 1 CON: Professionalism 2. ANS: 2 Chapter: Chapter 3, Ethics, Law, and Delegation in Nursing Objective: 6. Explain how the following statutory laws affect