Foundations Clinical Exam

1. Consumers are more knowledgeable about health and illness and are becoming more vocal in their desire for high-quality care.

True

False

Consumers are searching via the web on diseases and illnesses more and more.

Explanation

Consumers are searching via the web on diseases and illnesses more and more.

2. The Nursing Code of Ethics includes...(check all the apply)

Advocacy

Responsibility

Accountability

Confidentiality

The Nursing Code of Ethics is a set of principles that guide the professional conduct of nurses. Advocacy is included to emphasize the importance of nurses advocating for their patients' rights and needs. Responsibility is included to highlight the duty of nurses to provide safe and competent care. Accountability is included to emphasize the need for nurses to be answerable for their actions and decisions. Confidentiality is included to stress the importance of maintaining patient privacy and protecting sensitive information.

Explanation

The Nursing Code of Ethics is a set of principles that guide the professional conduct of nurses. Advocacy is included to emphasize the importance of nurses advocating for their patients' rights and needs. Responsibility is included to highlight the duty of nurses to provide safe and competent care. Accountability is included to emphasize the need for nurses to be answerable for their actions and decisions. Confidentiality is included to stress the importance of maintaining patient privacy and protecting sensitive information.

Submit

3. What is required for you to manage the wide variety of problems associated with groups of clients?

Skillful, prioritized decision making skills (critical thinking skills)

Self-regulation)

Explanation

Evaluation

B,C,and D are 3 of the 6 Critical thinking skills; along with Interpretation, Analysis, and Inference.

Explanation

B,C,and D are 3 of the 6 Critical thinking skills; along with Interpretation, Analysis, and Inference.

4. If a student harms a client as a direct result of his or her actions or lack of action, the student, instructor, hospital or health care facility, and university or educational institution generally share the liability for the incorrect action.

True

False

If a student harms a client due to their actions or lack of action, multiple parties can be held liable for the incorrect action. This includes the student themselves, the instructor who is responsible for their supervision and guidance, the hospital or healthcare facility where the incident occurred, and the university or educational institution that oversees the student's training. Therefore, the statement "the student, instructor, hospital or health care facility, and university or educational institution generally share the liability for the incorrect action" is true.

Explanation

If a student harms a client due to their actions or lack of action, multiple parties can be held liable for the incorrect action. This includes the student themselves, the instructor who is responsible for their supervision and guidance, the hospital or healthcare facility where the incident occurred, and the university or educational institution that oversees the student's training. Therefore, the statement "the student, instructor, hospital or health care facility, and university or educational institution generally share the liability for the incorrect action" is true.

5. Foundations for professional nursing practice comes from?

Theories of nursing, scientific nursing, relevance to basic social values, professional autonomy, a sense of commitment, community, and a code of ethics.

The client, their family, and the community.

Art and Science of Nursing

Florence Nightingale

A embodies B,C, and D.

Explanation

A embodies B,C, and D.

6. During times of great grief, what can be especially therapeutic?

Asking relevant questions

Using Silence

Providing Information

Using humor

Sometimes they just need a moment to to think and gain insight. Being comfortable with this takes time and experience.

Explanation

Sometimes they just need a moment to to think and gain insight. Being comfortable with this takes time and experience.

7. ___________ questions allow the client to take the conversational lead and introduce pertinent information about a topic.

Closed

Open-ended

Leading

Perceptual

Closed are yes no questions. I made the last 2 up. :-)

Explanation

Closed are yes no questions. I made the last 2 up. :-)

8. Who was the founder of modern nursing who first organized a program for training nurses and advocated for cleanliness, good nutrition, and fresh air as a method of disease prevention?

Patricia Benner

Florence Nightingale

Louis Pateur

Ignaz Semmelweis

Florence Nightingale is the correct answer because she is widely recognized as the founder of modern nursing. She established the first organized program for training nurses and was a strong advocate for cleanliness, good nutrition, and fresh air as effective methods of disease prevention. Nightingale's pioneering work during the Crimean War revolutionized nursing and laid the foundation for modern healthcare practices.

Explanation

Florence Nightingale is the correct answer because she is widely recognized as the founder of modern nursing. She established the first organized program for training nurses and was a strong advocate for cleanliness, good nutrition, and fresh air as effective methods of disease prevention. Nightingale's pioneering work during the Crimean War revolutionized nursing and laid the foundation for modern healthcare practices.

9. Self-disclosures are subjectively true, personal experiences about the self that are intentionally revealed to another person to benefit only the patient not the nurse. It shows clients that the nurse understands their experiences and their experiences are not unique.

True

False

Remember it is all about the patient at all times. When faced with tough times, it helps to connect with the patient with similar situational stories and letting them know they are not alone, but NEVER is it ok to make it up!

Explanation

Remember it is all about the patient at all times. When faced with tough times, it helps to connect with the patient with similar situational stories and letting them know they are not alone, but NEVER is it ok to make it up!

10. ________ refers to taking positive actions to help others with the understanding that the best interests of the client remain more important than self-interest. This encourages the urge to do good for others.

Beneficence

Justice

Fidelity

Nonmaleficence

Unless life threatening, the priorities of the client always come first.

Explanation

Unless life threatening, the priorities of the client always come first.

11. Which phase is used to explain the purpose of the interview?

Working

Orientation

Termination

Terminal

Orientation is the phase used to explain the purpose of the interview. During the orientation phase, the interviewer provides an overview of the interview process, explains the purpose of the interview, and sets expectations for both the interviewer and the interviewee. This phase helps to establish a comfortable and productive environment for the interview, ensuring that both parties understand the objectives and goals of the interview.

Explanation

Orientation is the phase used to explain the purpose of the interview. During the orientation phase, the interviewer provides an overview of the interview process, explains the purpose of the interview, and sets expectations for both the interviewer and the interviewee. This phase helps to establish a comfortable and productive environment for the interview, ensuring that both parties understand the objectives and goals of the interview.

12. What association approves the definition and diagnostic labels that are used in a nursing diagnosis?

MANDA

ANA

NANDA-I

Pam :-)

North American Nursing Diagnosis Association-International

Explanation

North American Nursing Diagnosis Association-International

13. What is the definition of Nursing?

A profession based on knowledge, the protection, promotion, and restoration of health through the diagnosis of diseases.

A theoretical body of knowledge leading to defined skills, abilities, and norms

A scientific evidence based practice that focuses on the client as a whole.

The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.

A- Diagnosis of diseases is out of a nurse scope of practice. D embodies B and C

Explanation

A- Diagnosis of diseases is out of a nurse scope of practice. D embodies B and C

14. Which statement reflects sharing hope in an appropriate way as would be used by the professional Nurse?

"I believe you will find a way to face your situation, because I've seen your courage and creativity in the past."

"I know it seems like everything is doomed, but hold on because your gonna be ok and get through this just fine."

"Your gonna make it. Don't think about death, your treatment is going to save your life.'

"I'm so sorry, is there anything I can do for you?"

The first is the only one that gives hope with out false assurance. Telling someone it will be ok when it may not be can ruin the trust the patient or their family have for you. No one really knows what is going to happen and how the patient will feel about it in the future. The last statement is good, but doesn't refect hope.

Explanation

The first is the only one that gives hope with out false assurance. Telling someone it will be ok when it may not be can ruin the trust the patient or their family have for you. No one really knows what is going to happen and how the patient will feel about it in the future. The last statement is good, but doesn't refect hope.

15. ________ tells the other persons that they need or want to know so they are able to make decisions, experience less anxiety, and feel safe and secure.

Clarifying

Focusing

Providing Information

Paraphrasing

Providing Information is the correct answer because it involves sharing necessary details or knowledge with others, enabling them to make informed decisions and reducing their anxiety. By providing information, individuals can feel more secure and confident in their choices, as they have access to the relevant facts and insights. This communication approach helps create a sense of transparency and trust among individuals involved in the conversation.

Explanation

Providing Information is the correct answer because it involves sharing necessary details or knowledge with others, enabling them to make informed decisions and reducing their anxiety. By providing information, individuals can feel more secure and confident in their choices, as they have access to the relevant facts and insights. This communication approach helps create a sense of transparency and trust among individuals involved in the conversation.

16. Respect for _________ refers to the commitment to include clients in decisions about all aspects of care.

Beneficence

Autonomy

Justice

Fidelity

Treating clients as a part of their care plan shows them respect and gives them some control.

Explanation

Treating clients as a part of their care plan shows them respect and gives them some control.

17. The correct way to "sign" your name when charting is First name, Last Name, Position, and then /facility. Ex: Dazhia Valdez, S.N./ARCC

True

False

The correct way to sign your name when charting is by first writing your first name, followed by your last name, then your position, and finally the name of the facility you are associated with. For example, Dazhia Valdez, S.N./ARCC. This format ensures that your name and position are clearly identified, and also provides information about the facility you are affiliated with.

Explanation

The correct way to sign your name when charting is by first writing your first name, followed by your last name, then your position, and finally the name of the facility you are associated with. For example, Dazhia Valdez, S.N./ARCC. This format ensures that your name and position are clearly identified, and also provides information about the facility you are affiliated with.

18. In a malpractice lawsuit, what measures nursing conduct and determines whether the nurse acted as any reasonably prudent nurse would act under the same or similar circumstances?

An expert Nurse's testimony

The Staff Nurse

Nursing Standards of Care

A Jury of Peers

Nursing Standards of Care are measures that determine whether a nurse acted as any reasonably prudent nurse would act under the same or similar circumstances in a malpractice lawsuit. These standards outline the expected level of care and professional conduct that nurses should adhere to when providing patient care. They are established by professional nursing organizations and regulatory bodies to ensure the safety and well-being of patients. In a malpractice case, the nursing standards of care are used as a benchmark to assess whether the nurse's actions were in line with what is considered reasonable and appropriate in the nursing profession.

Explanation

Nursing Standards of Care are measures that determine whether a nurse acted as any reasonably prudent nurse would act under the same or similar circumstances in a malpractice lawsuit. These standards outline the expected level of care and professional conduct that nurses should adhere to when providing patient care. They are established by professional nursing organizations and regulatory bodies to ensure the safety and well-being of patients. In a malpractice case, the nursing standards of care are used as a benchmark to assess whether the nurse's actions were in line with what is considered reasonable and appropriate in the nursing profession.

19. Clinical decision-making skills separate professional nurses from technical and ancillary staff.

True

False

Clinical decision-making skills are an essential aspect of professional nursing practice. These skills involve the ability to critically analyze patient data, identify problems, and make informed decisions about appropriate interventions and treatments. By possessing these skills, professional nurses are able to provide safe and effective care to their patients. In contrast, technical and ancillary staff typically do not have the same level of training or expertise in clinical decision-making, which is why this skill set sets professional nurses apart from them. Therefore, the statement that clinical decision-making skills separate professional nurses from technical and ancillary staff is true.

Explanation

Clinical decision-making skills are an essential aspect of professional nursing practice. These skills involve the ability to critically analyze patient data, identify problems, and make informed decisions about appropriate interventions and treatments. By possessing these skills, professional nurses are able to provide safe and effective care to their patients. In contrast, technical and ancillary staff typically do not have the same level of training or expertise in clinical decision-making, which is why this skill set sets professional nurses apart from them. Therefore, the statement that clinical decision-making skills separate professional nurses from technical and ancillary staff is true.

20. Which phase is used to obtain a health history?

Terminal

Working

Orientation

Termination

The correct answer is Working. In the working phase of a healthcare interaction, the healthcare provider obtains a health history from the patient. This phase involves gathering information about the patient's current health status, medical history, and any relevant symptoms or concerns. It is an essential part of the assessment process and helps the healthcare provider understand the patient's health needs and develop an appropriate care plan. The working phase typically occurs after the orientation phase, where the initial introduction and rapport-building take place.

Explanation

The correct answer is Working. In the working phase of a healthcare interaction, the healthcare provider obtains a health history from the patient. This phase involves gathering information about the patient's current health status, medical history, and any relevant symptoms or concerns. It is an essential part of the assessment process and helps the healthcare provider understand the patient's health needs and develop an appropriate care plan. The working phase typically occurs after the orientation phase, where the initial introduction and rapport-building take place.

21. Nurses share observations with clients to help start conversations with quiet or withdrawn persons that are not assumptions. Which statement is appropriate for this situation?

"What's wrong, you look a mess!!!"

"Who peed in your lucky charms crabby pants?"

"You seemed depressed, wanna talk about it?"

"You seem different, is there anything you would like to talk about?"

The first two are just rude, and the third is almost ok, but it is an assumption that they are depresses. They could just be tired. The fourth states an OBSERVATION and provides open support. This statement is the less likely for miscommunication and offense.

Explanation

The first two are just rude, and the third is almost ok, but it is an assumption that they are depresses. They could just be tired. The fourth states an OBSERVATION and provides open support. This statement is the less likely for miscommunication and offense.

22. Which is one of the nurse's most potent forms of communication?

Using Touch

Sharing Humor

Sharing Feelings

Sharing Hope

When used appropriately touch not only communicates caring, but comfort and security in an instant.

Explanation

When used appropriately touch not only communicates caring, but comfort and security in an instant.

23. Confrontation can be used in a therapeutic way to help the other person become more aware of inconsistencies in his or her feelings, attitudes, beliefs, and behaviors.

True

False

Confrontation, when used in a therapeutic manner, can be an effective tool to bring awareness to inconsistencies in a person's feelings, attitudes, beliefs, and behaviors. By gently pointing out these inconsistencies, individuals can gain insight into their own thoughts and actions, which can lead to personal growth and change. This approach promotes self-reflection and encourages individuals to explore and understand their own motivations and behaviors.

Explanation

Confrontation, when used in a therapeutic manner, can be an effective tool to bring awareness to inconsistencies in a person's feelings, attitudes, beliefs, and behaviors. By gently pointing out these inconsistencies, individuals can gain insight into their own thoughts and actions, which can lead to personal growth and change. This approach promotes self-reflection and encourages individuals to explore and understand their own motivations and behaviors.

24. Criteria set by a national multidisciplinary committee make every effort to ensure _________, or fairness, by ranking recipients according to need.

Justice

Fidelity

Fairness

Honor

The correct answer is Justice. In this context, the criteria set by the national multidisciplinary committee aim to ensure justice or fairness by ranking recipients according to their need. Justice refers to the principle of treating individuals fairly and impartially, and in this case, it is used to ensure that resources are allocated to those who need them the most.

Explanation

The correct answer is Justice. In this context, the criteria set by the national multidisciplinary committee aim to ensure justice or fairness by ranking recipients according to their need. Justice refers to the principle of treating individuals fairly and impartially, and in this case, it is used to ensure that resources are allocated to those who need them the most.

25. The ________ is a set of guiding principles that all members of a profession accept. A collective statement about the group's expectations and standards of behavior. They act as guidelines to assist professional groups when questions arise about correct practice or behavior.

Nursing Practice Acts

Nursing Code of Ethics

Facility Policy

Law

The nursing code of ethics is a set of guiding principles that all members of the nursing profession accept. It serves as a collective statement about the expectations and standards of behavior for nurses. The code acts as a guideline to assist nurses when questions arise about correct practice or behavior. It helps to ensure that nurses uphold the highest standards of care, ethical decision-making, and professionalism in their practice.

Explanation

The nursing code of ethics is a set of guiding principles that all members of the nursing profession accept. It serves as a collective statement about the expectations and standards of behavior for nurses. The code acts as a guideline to assist nurses when questions arise about correct practice or behavior. It helps to ensure that nurses uphold the highest standards of care, ethical decision-making, and professionalism in their practice.

26. Clients have problems for which no textbook answers exist.

True

False

The statement suggests that clients often face unique or complex problems that cannot be solved by simply referring to a textbook. This implies that their problems require creative and innovative solutions tailored to their specific circumstances. Therefore, the correct answer is true, indicating that textbook answers are not always applicable to the problems clients encounter.

Explanation

The statement suggests that clients often face unique or complex problems that cannot be solved by simply referring to a textbook. This implies that their problems require creative and innovative solutions tailored to their specific circumstances. Therefore, the correct answer is true, indicating that textbook answers are not always applicable to the problems clients encounter.

27. Reflecting on your experiences, identifying the ways you can improve your own performance and what will make you feel that you have been successful describes which critical thinking skill?

Interpretation

Evaluation

Analysis

Self-regulation

Self-regulation is the ability to reflect on one's experiences, identify areas for improvement, and set goals for success. It involves being aware of one's own performance and taking responsibility for making necessary changes. This critical thinking skill requires self-awareness, self-control, and the ability to self-assess in order to continuously improve and achieve personal success.

Explanation

Self-regulation is the ability to reflect on one's experiences, identify areas for improvement, and set goals for success. It involves being aware of one's own performance and taking responsibility for making necessary changes. This critical thinking skill requires self-awareness, self-control, and the ability to self-assess in order to continuously improve and achieve personal success.

28. Who first recommended 1) a systematic method of assessing clients 2) individualized care based on the client's needs and preferences and 3) confidentiality?

Florence Nightingale

Louis Pasteur

Mary Mahoney

Isabel Hampton Robb

Florence Nightingale is the correct answer because she is widely recognized as the founder of modern nursing and made significant contributions to the field. She emphasized the importance of assessing clients systematically, providing individualized care based on their needs and preferences, and maintaining confidentiality. Nightingale's work revolutionized nursing practices and laid the foundation for contemporary nursing principles.

Explanation

Florence Nightingale is the correct answer because she is widely recognized as the founder of modern nursing and made significant contributions to the field. She emphasized the importance of assessing clients systematically, providing individualized care based on their needs and preferences, and maintaining confidentiality. Nightingale's work revolutionized nursing practices and laid the foundation for contemporary nursing principles.

29. The health care facility is aimed towards improving patients lives, of the options, what is their main priority?

Infection control

Risk of Falls

Disease Prevention

Safety

Safety embodies all other answers

Explanation

Safety embodies all other answers

30. The Nurse is responsible for protecting the client from physical and emotional injury by continually assessing for and eliminating safety hazards. Some of these hazards, that are within the scope of a nurse, may include...(choose all that apply)

Medication errors

Improper client transfers

Client falls

Incorrect procedures

Nurses are responsible for ALL preventive measures.

Explanation

Nurses are responsible for ALL preventive measures.

Submit

31. Asking too many questions is sometimes dehumanizing.

True

False

Asking too many questions can make them feel like a test subject and like you have no respect for their personal lives; prying.

Explanation

Asking too many questions can make them feel like a test subject and like you have no respect for their personal lives; prying.

32. An example of respect for Autonomy is...

Ambulating a client to the restroom

Asking the client if they can help position themselves

The consent that clients read and sign before surgery

Writing daily goals on white board

C shows that the patient that we are asking for permission from them before doing anything to them. It is their body not ours.

Explanation

C shows that the patient that we are asking for permission from them before doing anything to them. It is their body not ours.

33. Regulatory law...

Are a kind of law passed within a company.

Are more like guidelines.

Are made in courts when individual legal cases are decided.

Reflects decisions made by administrative bodies such as State Board of Nursing when they pass rules and regulations.

Regulatory law refers to the body of laws and regulations created by administrative bodies, such as the State Board of Nursing, when they pass rules and regulations. These laws are specifically designed to govern and regulate certain industries or activities, ensuring compliance with standards, promoting public safety, and protecting the rights and interests of individuals. Unlike laws passed within a company or guidelines, regulatory laws have legal authority and are enforceable. They are not made in courts when individual legal cases are decided but rather reflect the decisions made by administrative bodies.

Explanation

Regulatory law refers to the body of laws and regulations created by administrative bodies, such as the State Board of Nursing, when they pass rules and regulations. These laws are specifically designed to govern and regulate certain industries or activities, ensuring compliance with standards, promoting public safety, and protecting the rights and interests of individuals. Unlike laws passed within a company or guidelines, regulatory laws have legal authority and are enforceable. They are not made in courts when individual legal cases are decided but rather reflect the decisions made by administrative bodies.

34. The complex critical thinking level involves...

Students thinking concretely on the basis of a set of rules or principles; step-by-step procedures.

Individual analyzes and examines choices more independently, learning that each solution has benifits and risks that one learns to weigh before making a final decision.

Individual anticipates needs and makes choices independently

Maybe some one will die and maybe not.

The complex critical thinking level involves individuals analyzing and examining choices more independently, learning that each solution has benefits and risks that one learns to weigh before making a final decision. This level requires the ability to think critically and consider multiple perspectives, evaluating the potential outcomes and consequences of different choices. It emphasizes independent thinking and decision-making based on a thorough evaluation of the available options.

Explanation

The complex critical thinking level involves individuals analyzing and examining choices more independently, learning that each solution has benefits and risks that one learns to weigh before making a final decision. This level requires the ability to think critically and consider multiple perspectives, evaluating the potential outcomes and consequences of different choices. It emphasizes independent thinking and decision-making based on a thorough evaluation of the available options.

35. The professional RN provides a specified service according to standards of practice and follows a code of ethics outlined by the ANA is termed...

Definition of Nursing

Nursing Practice

The center of a Nurse's Practice

Art and Science of nursing

Nursing Practice is the only option that is an act (i.e. RN provides....follows... are all words that imply action)

Explanation

Nursing Practice is the only option that is an act (i.e. RN provides....follows... are all words that imply action)

36. So, an example of beneficence would be...

Although it may hurt, Giving a child a shot to prevent Pertussis.

A client with respiratory distress tells you they can't stand the itchy rash they have more than the need to breath so you focus on that.

Ignoring the clients verbalization of pain because they are hypertensive.

Giving a child the flu vaccination using the nasal spray when they are afraid of shots.

Beneficence refers to the act of doing good or promoting the well-being of others. In the given options, giving a child the flu vaccination using the nasal spray when they are afraid of shots demonstrates beneficence. By choosing an alternative method of administering the vaccine, the healthcare provider is considering the child's fear and minimizing their distress, while still providing them with the necessary protection against the flu. This action shows a commitment to the child's well-being and is an example of beneficence.

Explanation

Beneficence refers to the act of doing good or promoting the well-being of others. In the given options, giving a child the flu vaccination using the nasal spray when they are afraid of shots demonstrates beneficence. By choosing an alternative method of administering the vaccine, the healthcare provider is considering the child's fear and minimizing their distress, while still providing them with the necessary protection against the flu. This action shows a commitment to the child's well-being and is an example of beneficence.

37. As a method of data collection, an interview is broken up into phases, which are...(choose all that apply)

Terminal

Orientation

Working

Termination

An interview as a method of data collection is broken up into phases. The first phase is the Orientation phase, where the interviewer introduces themselves, explains the purpose of the interview, and sets the tone for the conversation. The second phase is the Working phase, where the interviewer asks questions and gathers information from the interviewee. This is the main part of the interview where data is collected. The final phase is the Termination phase, where the interviewer concludes the interview, thanks the interviewee for their time, and wraps up any remaining details. Therefore, the correct phases for an interview as a method of data collection are Orientation, Working, and Termination.

Explanation

An interview as a method of data collection is broken up into phases. The first phase is the Orientation phase, where the interviewer introduces themselves, explains the purpose of the interview, and sets the tone for the conversation. The second phase is the Working phase, where the interviewer asks questions and gathers information from the interviewee. This is the main part of the interview where data is collected. The final phase is the Termination phase, where the interviewer concludes the interview, thanks the interviewee for their time, and wraps up any remaining details. Therefore, the correct phases for an interview as a method of data collection are Orientation, Working, and Termination.

Submit

38. _______ oversee Nurse Practice Acts (NPAs) by regulating the scope of nursing practice and protect health, safety, and welfare including shielding the public from unqualified and unsafe nurses.

Code of Ethics

ANA

State Boards of Nursing

Staff Nurse

Each state has the right to designate responsibility to nurses as it sees fit.

Explanation

Each state has the right to designate responsibility to nurses as it sees fit.

39. Techniques that are specific responses that encourage the expression of feelings and ideas and convey acceptance and respect are...

Empathetic

Sympathetic

Therapeutic

Healthy

Therapeutic embodies all answers

Explanation

Therapeutic embodies all answers

40. What is an example of a closed question?

Have you ever had an STI?

How are you feeling?

What kind of symptoms are you feeling?

Do you have any questions?

The question "Have you ever had an STI?" is an example of a closed question because it can be answered with a simple "yes" or "no" response. Closed questions typically have limited answer options and do not require the respondent to provide detailed information or explanations.

Explanation

The question "Have you ever had an STI?" is an example of a closed question because it can be answered with a simple "yes" or "no" response. Closed questions typically have limited answer options and do not require the respondent to provide detailed information or explanations.

41. An example of a result of a Common Law within the health care field is...

Informed Consent and the clients right to refuse treatment

Non maleficence

Row vs. Wade

Values Clarification

Informed Consent and the clients right to refuse treatment is an example of a result of a Common Law within the health care field. Common Law refers to legal principles and precedents that are developed through court decisions rather than through statutes. Informed consent is a legal concept that requires healthcare providers to provide patients with all necessary information about a medical procedure or treatment so that they can make an informed decision. The right to refuse treatment is also a legal principle that allows patients to decline medical interventions if they do not wish to undergo them. These principles protect the autonomy and rights of patients in healthcare decision-making.

Explanation

Informed Consent and the clients right to refuse treatment is an example of a result of a Common Law within the health care field. Common Law refers to legal principles and precedents that are developed through court decisions rather than through statutes. Informed consent is a legal concept that requires healthcare providers to provide patients with all necessary information about a medical procedure or treatment so that they can make an informed decision. The right to refuse treatment is also a legal principle that allows patients to decline medical interventions if they do not wish to undergo them. These principles protect the autonomy and rights of patients in healthcare decision-making.

42. Which statement is correct when documenting in DAR format?

1030 Pt states stomach hurts like hell. Pt rates pain as a 9 on a scale of 0-10. Pt guards her lower stomach. Pt bladder felt distended upon palpation and had urinary output of 3ml since 0900.

1030 Pt states "My stomach hurts like hell!" Pt rates pain as a 9 on a scale of 0-10. Pt guards her LLQ and RLQ. Pt bladder felt distended upon palpation and had urinary output of 3ml since 0900.

1030 Pt states "My stomach hurts like hell!" Pt seems to guards her LLQ and RLQ. Pt bladder felt distended upon palpation and had urinary output of 3ml since 9am.

1030 Pt states "My stomach hurts like hell!" Pt guards her LLQ and RLQ. Pt bladder felt distended upon palpation and had urinary output of 3cc since 0900.

Must be military time, metric units, pt direct statement in quotes, do not use words like seems, and approved abbreviations only.

Explanation

Must be military time, metric units, pt direct statement in quotes, do not use words like seems, and approved abbreviations only.

43. The commitment to provide least harmful interventions illustrates___________.

Maleficence

Justice

Care

Nonmaleficence

The commitment to provide least harmful interventions illustrates nonmaleficence. Nonmaleficence is the ethical principle that emphasizes the obligation to do no harm to others. In the context of healthcare, it means that healthcare professionals should strive to minimize the potential harm caused by their interventions or treatments. By prioritizing the least harmful interventions, healthcare providers demonstrate their commitment to upholding the principle of nonmaleficence and ensuring the well-being and safety of their patients.

Explanation

The commitment to provide least harmful interventions illustrates nonmaleficence. Nonmaleficence is the ethical principle that emphasizes the obligation to do no harm to others. In the context of healthcare, it means that healthcare professionals should strive to minimize the potential harm caused by their interventions or treatments. By prioritizing the least harmful interventions, healthcare providers demonstrate their commitment to upholding the principle of nonmaleficence and ensuring the well-being and safety of their patients.

44. What method of recording is used to focus chart?

SOAPIE

DAR

PIE

SOAP

Data Action Response. This is the method we will use in the nursing field most often to chart our focused assessments. Remember the data is subjective and objective, the action is what we did, and the response is only of the Pt.

Explanation

Data Action Response. This is the method we will use in the nursing field most often to chart our focused assessments. Remember the data is subjective and objective, the action is what we did, and the response is only of the Pt.

45. In the question, "Does the use of therpeutic distraction compared with standard reorientation to the environment reduce the incidence of wandering in clients with dementia?" What would fall under the in O PICO?

Use of therapeutic distraction

Clients with dementia

Standard reorientation

Reduce the incidence of wandering?

The given correct answer for this question is "reduce the incidence of wandering." In the PICO framework, the "O" stands for the outcome or the result that is being measured or evaluated. In this case, the outcome being evaluated is the reduction in the incidence of wandering in clients with dementia.

Explanation

The given correct answer for this question is "reduce the incidence of wandering." In the PICO framework, the "O" stands for the outcome or the result that is being measured or evaluated. In this case, the outcome being evaluated is the reduction in the incidence of wandering in clients with dementia.

46. Looking at all situations objectively, using criteria (expected outcomes, pain characteristics, learning objectives) to determine results of nursing actions, reflecting on your own behavior describes which critical thinking skill?

Analysis

Evaluation

Self-regulation

Inference

Evaluation is the correct answer because it involves looking at all situations objectively and using criteria to determine the results of nursing actions. It also includes reflecting on one's own behavior, which is an important aspect of self-regulation. Analysis involves breaking down complex information, while inference involves drawing conclusions based on evidence.

Explanation

Evaluation is the correct answer because it involves looking at all situations objectively and using criteria to determine the results of nursing actions. It also includes reflecting on one's own behavior, which is an important aspect of self-regulation. Analysis involves breaking down complex information, while inference involves drawing conclusions based on evidence.

47. Pick the correct sources of data and their definitions. (choose all that apply)

Subjective- observations or measurements of a client's health status

Objective- observations or measurements of a client's health status

Subjective- client's verbal descriptions of their health problem

Objective- client's verbal descriptions of their health problem

The correct answer includes the definition of Objective data as observations or measurements of a client's health status. This refers to information that can be objectively measured or observed, such as vital signs, laboratory results, or physical examination findings.

The correct answer also includes the definition of Subjective data as the client's verbal descriptions of their health problem. This refers to information that is based on the client's own perception or experience, such as their symptoms, feelings, or concerns.

Together, these sources of data provide a comprehensive view of the client's health status, combining both objective and subjective information.

Explanation

The correct answer includes the definition of Objective data as observations or measurements of a client's health status. This refers to information that can be objectively measured or observed, such as vital signs, laboratory results, or physical examination findings.

The correct answer also includes the definition of Subjective data as the client's verbal descriptions of their health problem. This refers to information that is based on the client's own perception or experience, such as their symptoms, feelings, or concerns.

Together, these sources of data provide a comprehensive view of the client's health status, combining both objective and subjective information.

Submit

48. A ______ is a personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior.

Opinion

Standard

Subjective view

Value

Key word in the definition is WORTH. To give something value would mean to give it worth.

Explanation

Key word in the definition is WORTH. To give something value would mean to give it worth.

49. A _________ is a question regarding new information available on a topic.

Problem-focused trigger

Situation-focused trigger

Care-focused trigger

Knowledge-focused trigger

A knowledge-focused trigger is a question that pertains to new information that is available on a particular topic. This type of trigger is specifically aimed at expanding one's knowledge and understanding of a subject by seeking out and acquiring new information. It prompts individuals to explore and learn about the latest developments, research, or insights related to a specific topic or area of interest.

Explanation

A knowledge-focused trigger is a question that pertains to new information that is available on a particular topic. This type of trigger is specifically aimed at expanding one's knowledge and understanding of a subject by seeking out and acquiring new information. It prompts individuals to explore and learn about the latest developments, research, or insights related to a specific topic or area of interest.

50. The critical thinking model by Kataoka-Yahiro and Saylor has 3 levels, they are: (Choose all that apply)

Commitment

Basic

Medium

Complex

The critical thinking model by Kataoka-Yahiro and Saylor consists of three levels: commitment, basic, and complex. These levels represent different stages of critical thinking development. Commitment level involves making a decision or taking action based on critical thinking. Basic level includes understanding and applying basic critical thinking skills. Complex level requires advanced critical thinking skills, such as analyzing and evaluating complex information. Therefore, the correct answer includes all three levels: commitment, basic, and complex.

Explanation

The critical thinking model by Kataoka-Yahiro and Saylor consists of three levels: commitment, basic, and complex. These levels represent different stages of critical thinking development. Commitment level involves making a decision or taking action based on critical thinking. Basic level includes understanding and applying basic critical thinking skills. Complex level requires advanced critical thinking skills, such as analyzing and evaluating complex information. Therefore, the correct answer includes all three levels: commitment, basic, and complex.

Submit

51. Decision making...(choose all that apply)

Is a product of critical thinking

Recognizes and defines the problem or situation

Tests possible options

Is always black and white

Decision making is a complex process that involves critical thinking. It requires recognizing and defining the problem or situation at hand and then exploring and testing possible options to arrive at the best course of action. It is not always black and white, as decisions often involve weighing different factors and considering various perspectives.

Explanation

Decision making is a complex process that involves critical thinking. It requires recognizing and defining the problem or situation at hand and then exploring and testing possible options to arrive at the best course of action. It is not always black and white, as decisions often involve weighing different factors and considering various perspectives.

Submit

52. _________ diagnosis describes human responses to health conditions/life processes that will possibly develop in a vulnerable individual, family, or community.

Actual

Risk

Health promotion

Wellness

The correct answer is "risk" because it refers to the identification of potential health problems or complications that may arise in a vulnerable individual, family, or community. Risk diagnosis focuses on assessing and predicting the likelihood of these health conditions or life processes developing, allowing for appropriate interventions to prevent or minimize their impact. This type of diagnosis helps healthcare professionals identify and address potential health risks before they become actual health problems.

Explanation

The correct answer is "risk" because it refers to the identification of potential health problems or complications that may arise in a vulnerable individual, family, or community. Risk diagnosis focuses on assessing and predicting the likelihood of these health conditions or life processes developing, allowing for appropriate interventions to prevent or minimize their impact. This type of diagnosis helps healthcare professionals identify and address potential health risks before they become actual health problems.

53. What are examples of needs of the consumer in regards to the health care field? (Choose all that apply)

High-quality Care

Cultural Diversity

Better Online resources for self diagnostic and treatment

Health Promotion and Wellness

Consumers diagnosing themselves and trying to treat that diagnosis impedes on their need for safety.

Explanation

Consumers diagnosing themselves and trying to treat that diagnosis impedes on their need for safety.

Submit

54. What are some examples of Health Promotion and Wellness in which Nurses can educate their patients? (choose all that apply)

Self Diagnosis

Exercise

Self Treatment

Hygiene

We should never encourage self diagnosis or treatment. Patients do not usually have the education required for this.

Explanation

We should never encourage self diagnosis or treatment. Patients do not usually have the education required for this.

Submit

55. _____ sets the Standards of Professional Performance that include Quality of Practice, Education, Professional Practice Evaluation, Collegiality, Collaboration, Ethics, Research, Resource Utilization, Leadership and ADPIE.

ANA

State Board of Nursing

Code of Ethics

Yo momma! [ just a lil comic relief :-) ]

State Board of Nursing sets the scope of nursing, Code of Ethics is how we conduct ourselves in a professional manner besides doing our jobs, and yo momma...well that depends on yo momma!

Explanation

State Board of Nursing sets the scope of nursing, Code of Ethics is how we conduct ourselves in a professional manner besides doing our jobs, and yo momma...well that depends on yo momma!

56. An example of clarifying would be...

"We've talked a lot about your medications, but let's look more closely at the trouble you're having in taking them on time."

"So you feel angry that the earlier nurse did not knock before entering and you want to talk to the charge nurse about it."

"I'm not sure I understand what you mean by 'sicker than usual.' What is different now?"

"Let me know if you need anything, I'm here for you no matter what."

Clarifying checks whether understanding is accurate by restating an unclear or ambiguous message to clarify the sender's meaning. This gets confused with paraphrasing (answer B). The difference is in the goal of the statement. Clarifying is used when a more specific meaning is needed and paraphrasing is used to make sure you actually understand what they are saying.

Explanation

Clarifying checks whether understanding is accurate by restating an unclear or ambiguous message to clarify the sender's meaning. This gets confused with paraphrasing (answer B). The difference is in the goal of the statement. Clarifying is used when a more specific meaning is needed and paraphrasing is used to make sure you actually understand what they are saying.

57. The difference between summarizing and paraphrasing is...

Nothing

Summarizing is used more as a review of key aspects that bring a sense of satisfaction and closure and clarifies expectations

Paraphrasing is used more as a review of key aspects that bring a sense of satisfaction and closure and clarifies expectations

Paraphrasing briefly restates the patients point

Paraphrasing and summarizing both briefly restate the patients point

Explanation

Paraphrasing and summarizing both briefly restate the patients point

58. Nursing standards of care set out in...(check all that apply)

Federal and State Laws

Every states Nurse Practice Acts

Professional and Specialty Nursing Institutions

Policies and Procedures established by the health care facility

Nursing standards of care are established by various entities including Federal and State Laws, every state's Nurse Practice Acts, Professional and Specialty Nursing Institutions, and Policies and Procedures established by the healthcare facility. These standards ensure that nurses provide safe, effective, and ethical care to their patients. Federal and State Laws provide legal guidelines and regulations for nursing practice, while Nurse Practice Acts outline the scope of practice for nurses in each state. Professional and Specialty Nursing Institutions develop standards and guidelines specific to different areas of nursing. Finally, Policies and Procedures established by healthcare facilities ensure consistency and quality in nursing care delivery.

Explanation

Nursing standards of care are established by various entities including Federal and State Laws, every state's Nurse Practice Acts, Professional and Specialty Nursing Institutions, and Policies and Procedures established by the healthcare facility. These standards ensure that nurses provide safe, effective, and ethical care to their patients. Federal and State Laws provide legal guidelines and regulations for nursing practice, while Nurse Practice Acts outline the scope of practice for nurses in each state. Professional and Specialty Nursing Institutions develop standards and guidelines specific to different areas of nursing. Finally, Policies and Procedures established by healthcare facilities ensure consistency and quality in nursing care delivery.

Submit

59. Which phase is used to give clues to the interview coming to an end, summarize the collected data, and allow time for questions?

Terminal

Orientation

Working

Termination

The phase used to give clues to the interview coming to an end, summarize the collected data, and allow time for questions is called "Termination". This phase signifies the conclusion of the interview process and provides an opportunity for the interviewer to wrap up the discussion, summarize the information gathered, and address any remaining queries from the interviewee.

Explanation

The phase used to give clues to the interview coming to an end, summarize the collected data, and allow time for questions is called "Termination". This phase signifies the conclusion of the interview process and provides an opportunity for the interviewer to wrap up the discussion, summarize the information gathered, and address any remaining queries from the interviewee.

60. The Fourth step in the researh process is...

Conceive the study

Design the study

Conduct the study

Analyze the study

Use the study

You may think Analyzing would be before conducting but this type of "analyzing" refers to gathering all the info collected and looking at it to determine any relevant finding that might be applied or used in everyday life or practice.

Explanation

You may think Analyzing would be before conducting but this type of "analyzing" refers to gathering all the info collected and looking at it to determine any relevant finding that might be applied or used in everyday life or practice.

61. What format is used when forming a clinical question for Evidence-based Practice?

EBP

SOAPIE

PICO

ADPIE

P-atient population of interest(age, gender, ehtnicity, ect)
I-ntervention of interest(treament, diagnostic test)
C-omparison of interest(usual standard of care)
O-utcome(results wish to achieve)

Explanation

P-atient population of interest(age, gender, ehtnicity, ect)
I-ntervention of interest(treament, diagnostic test)
C-omparison of interest(usual standard of care)
O-utcome(results wish to achieve)

62. _______ diagnosis describes human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement.

Risk

Wellness

Actual

Health promotion

The correct answer is "wellness." Wellness diagnosis refers to the assessment of human responses to levels of wellness in an individual, family, or community that have the potential for improvement or enhancement. It focuses on identifying areas where individuals or communities can make positive changes to enhance their overall well-being and quality of life.

Explanation

The correct answer is "wellness." Wellness diagnosis refers to the assessment of human responses to levels of wellness in an individual, family, or community that have the potential for improvement or enhancement. It focuses on identifying areas where individuals or communities can make positive changes to enhance their overall well-being and quality of life.

63. The statement that best reflects empathy is...

"That incision looks like it hurts, do you want some pain medication?"

"I know you don't feel well, but if you don't get out of bed you could develop pneumonia and we don't want that."

"It must be very frustrating to know what you want and not be able to do it."

"I am so sorry for your loss, if I could take your place I would."

While all the answers are not bad, C is the only one that conforms with the definition of empathy or the ability to UNDERSTAND and ACCEPT another person's reality, to accurately PERCEIVE FEELINGS and to COMMUNICATE this understanding to the other.

Explanation

While all the answers are not bad, C is the only one that conforms with the definition of empathy or the ability to UNDERSTAND and ACCEPT another person's reality, to accurately PERCEIVE FEELINGS and to COMMUNICATE this understanding to the other.

64. ________ refers to the agreement to keep promises.

Justice

Fidelity

Commitment

Responsibility

Commitment is actually sticking to it and responsibility is the reason you do it. Justice is why you do it for all and not just one=fairness

Explanation

Commitment is actually sticking to it and responsibility is the reason you do it. Justice is why you do it for all and not just one=fairness

65. ________ diagnosis describes human responses to health conditions or life processes that exist in an individual, family, or community.

Risk

Actual

Health promotion

Wellness

Actual diagnosis describes human responses to health conditions or life processes that exist in an individual, family, or community. This means that it focuses on the current health conditions or processes that are present and affecting the individual, family, or community. It involves identifying and addressing the actual health issues or concerns that are being experienced, rather than potential or future risks, health promotion, or wellness activities.

Explanation

Actual diagnosis describes human responses to health conditions or life processes that exist in an individual, family, or community. This means that it focuses on the current health conditions or processes that are present and affecting the individual, family, or community. It involves identifying and addressing the actual health issues or concerns that are being experienced, rather than potential or future risks, health promotion, or wellness activities.

66. __________ diagnosis is a clinical judgment of a person's, family's, or community's motivation and desire to increase well-being and actualize human health potential.

Risk

Actual

Health promotion

Wellness

Health promotion diagnosis is a clinical judgment of a person's, family's, or community's motivation and desire to increase well-being and actualize human health potential. This type of diagnosis focuses on identifying individuals or groups who are actively seeking to improve their health and well-being, and it involves assessing their motivation, readiness, and commitment to making positive changes in their lives. The goal of health promotion diagnosis is to support and empower individuals or communities in achieving their health goals and promoting overall wellness.

Explanation

Health promotion diagnosis is a clinical judgment of a person's, family's, or community's motivation and desire to increase well-being and actualize human health potential. This type of diagnosis focuses on identifying individuals or groups who are actively seeking to improve their health and well-being, and it involves assessing their motivation, readiness, and commitment to making positive changes in their lives. The goal of health promotion diagnosis is to support and empower individuals or communities in achieving their health goals and promoting overall wellness.

67. Anonymity occurs when the researcher knows the participant liked to the data and goes to every extent to make sure no one else can find out their identity.

True

False

Anonymity occurs when even the researcher cannot link the subject to the data.

Explanation

Anonymity occurs when even the researcher cannot link the subject to the data.

68. In the question, "Does the use of therpeutic distraction compared with standard reorientation to the environment reduce the incidence of wandering in clients with dementia?" What would fall under the P in PICO?

Use of therapeutic distraction

Clients with dementia

Standard reorientation

Reduce the incidence of wandering?

The P in PICO stands for "Population" or "Patient". In this case, the population or patient group being referred to is "clients with dementia".

Explanation

The P in PICO stands for "Population" or "Patient". In this case, the population or patient group being referred to is "clients with dementia".

69. Choose the words that describe a good critical thinker? (choose all that apply)

Truth Seeking

Open-minded

Self-confident

Mature

also: Analytic, Systematic, and Inquisitive

Explanation

also: Analytic, Systematic, and Inquisitive

Submit

70. What are the types of nursing diagnosis called?(choose all that apply)

Actual

Risk

Wellness

Health Promotion

The types of nursing diagnosis are categorized into four main types: actual, risk, wellness, and health promotion. Actual nursing diagnosis refers to a problem that currently exists and requires nursing interventions. Risk nursing diagnosis identifies potential problems that a patient may develop if appropriate interventions are not implemented. Wellness nursing diagnosis focuses on promoting and maintaining a patient's overall well-being. Health promotion nursing diagnosis involves identifying a patient's motivation to improve their health and providing support for their efforts.

Explanation

The types of nursing diagnosis are categorized into four main types: actual, risk, wellness, and health promotion. Actual nursing diagnosis refers to a problem that currently exists and requires nursing interventions. Risk nursing diagnosis identifies potential problems that a patient may develop if appropriate interventions are not implemented. Wellness nursing diagnosis focuses on promoting and maintaining a patient's overall well-being. Health promotion nursing diagnosis involves identifying a patient's motivation to improve their health and providing support for their efforts.

Submit

71. A nursing diagnosis is...(choose all that apply)

A clinical judgment about responses

A statement about actual or potential responses that the nurse is licensed to treat

The basis for selection of nursing interventions

A treatment plan given by the nurse to be performed by the nurse

diagnosis does not include interventions (treatment plan)

Explanation

diagnosis does not include interventions (treatment plan)

Submit

72. Conceiving the study is that same as (within the nursing process)...

Study design

Data Analysis

Use of the findings

Problem Identification

See Table 5-2 pg 64. I put this in here just in case she flip flops terms. Its good to see the connection.

Explanation

See Table 5-2 pg 64. I put this in here just in case she flip flops terms. Its good to see the connection.

73. ________ is an approach to the continuous study and improvement of the processes of providing health care services to meet the needs of clients and others.

Quality data

Performance improvement

Quality improvement

Criticizing

*remember quality improvement and evidence-based practice go hand in hand Once again, don't think it will be on the test but it's good to at least see it once.

Explanation

*remember quality improvement and evidence-based practice go hand in hand Once again, don't think it will be on the test but it's good to at least see it once.

74. In the question, "Does the use of therpeutic distraction compared with standard reorientation to the environment reduce the incidence of wandering in clients with dementia?" What would fall under the in C PICO?

Use of therapeutic distraction

Clients with dementia

Standard reorientation

Reduce the incidence of wandering?

The answer "standard reorientation" falls under the "C" in the PICO framework. In this question, the "C" represents the comparison group or intervention being compared to the use of therapeutic distraction. The question is asking whether the use of therapeutic distraction is more effective in reducing the incidence of wandering in clients with dementia compared to standard reorientation.

Explanation

The answer "standard reorientation" falls under the "C" in the PICO framework. In this question, the "C" represents the comparison group or intervention being compared to the use of therapeutic distraction. The question is asking whether the use of therapeutic distraction is more effective in reducing the incidence of wandering in clients with dementia compared to standard reorientation.

75. Being open minded as you look at info about a client, not making careles assumptions, and determining if the data reveals what you believe is true, or if there are other options describes which critical thinking skill?

Evaluation

Explanation

Analysis

Inference

Analysis is the correct critical thinking skill described in the question. Analysis involves carefully examining information, avoiding making careless assumptions, and evaluating whether the data supports one's beliefs or if there are other possibilities. It requires being open-minded and objective in the evaluation process. Evaluation, on the other hand, involves making judgments and assessments based on criteria, while inference is the process of drawing conclusions based on evidence or reasoning.

Explanation

Analysis is the correct critical thinking skill described in the question. Analysis involves carefully examining information, avoiding making careless assumptions, and evaluating whether the data supports one's beliefs or if there are other possibilities. It requires being open-minded and objective in the evaluation process. Evaluation, on the other hand, involves making judgments and assessments based on criteria, while inference is the process of drawing conclusions based on evidence or reasoning.

76. Elements of professional communication involve...(choose all that apply)

Courtesy

Use of Names

Trustworthiness

Autonomy and Responsibility

Assertiveness

The elements of professional communication involve courtesy, use of names, trustworthiness, autonomy and responsibility, and assertiveness. These elements are important in maintaining a respectful and effective communication environment in a professional setting. Courtesy ensures that individuals treat each other with respect and politeness. Using names helps to create a personal connection and shows that individuals are acknowledged and valued. Trustworthiness is crucial for building credibility and fostering open communication. Autonomy and responsibility involve taking ownership of tasks and being accountable for one's actions. Assertiveness allows individuals to express their thoughts and opinions confidently and respectfully.

Explanation

The elements of professional communication involve courtesy, use of names, trustworthiness, autonomy and responsibility, and assertiveness. These elements are important in maintaining a respectful and effective communication environment in a professional setting. Courtesy ensures that individuals treat each other with respect and politeness. Using names helps to create a personal connection and shows that individuals are acknowledged and valued. Trustworthiness is crucial for building credibility and fostering open communication. Autonomy and responsibility involve taking ownership of tasks and being accountable for one's actions. Assertiveness allows individuals to express their thoughts and opinions confidently and respectfully.

Submit

77. One of the guidelines for quality documentation is Factual, this means...

The information must be subjective and objective

The information must be subjective only

The information must be objective only

The information, whether subjective or objective, will vary depending on the circumstances

Factual means it can be measured so the information must be objective.

Explanation

Factual means it can be measured so the information must be objective.

78. In the question, "Does the use of therpeutic distraction compared with standard reorientation to the environment reduce the incidence of wandering in clients with dementia?" What would fall under the in I PICO?

Use of therapeutic distraction

Clients with dementia

Standard reorientation

Reduce the incidence of wandering?

The "use of therapeutic distraction" would fall under the "I" in PICO. PICO stands for Population, Intervention, Comparison, and Outcome. In this case, the population is clients with dementia, the intervention is the use of therapeutic distraction, the comparison is standard reorientation to the environment, and the outcome is the reduction of the incidence of wandering.

Explanation

The "use of therapeutic distraction" would fall under the "I" in PICO. PICO stands for Population, Intervention, Comparison, and Outcome. In this case, the population is clients with dementia, the intervention is the use of therapeutic distraction, the comparison is standard reorientation to the environment, and the outcome is the reduction of the incidence of wandering.

79. The basic critical thinking level involves...

Students thinking concretely on the basis of a set of rules or principles; step-by-step procedures.

Individual anticipates needs and makes choices independently

Individual analyzes and examines choices more independently, learning that each solution has benifits and risks that one learns to weigh before making a final decision.

Basically the possibility that someone might die! (more comic relief and a hint)

The basic critical thinking level involves students thinking concretely on the basis of a set of rules or principles and using step-by-step procedures. This level suggests that students are able to follow a logical sequence of steps and apply a set of established rules or principles to solve problems or make decisions. It implies that students are not yet able to anticipate needs, make choices independently, or analyze and examine choices more independently. The other options mentioned in the question, such as individuals making choices independently or learning to weigh benefits and risks, are characteristics of higher levels of critical thinking.

Explanation

The basic critical thinking level involves students thinking concretely on the basis of a set of rules or principles and using step-by-step procedures. This level suggests that students are able to follow a logical sequence of steps and apply a set of established rules or principles to solve problems or make decisions. It implies that students are not yet able to anticipate needs, make choices independently, or analyze and examine choices more independently. The other options mentioned in the question, such as individuals making choices independently or learning to weigh benefits and risks, are characteristics of higher levels of critical thinking.

80. In order to complete a nursing health history you need to identify patterns of info about a client's health and illness by collecting data from which health dimensions?(choose all that apply)

Emotional

Social and spiritual

Physical and developmental

Intellectual

Just know like everything else we do, compare information to EVERYTHING collected about the pt. Including biographical, reason for seeking health care, client expectation,etc to identify patterns.

Explanation

Just know like everything else we do, compare information to EVERYTHING collected about the pt. Including biographical, reason for seeking health care, client expectation,etc to identify patterns.

Submit

81. What is effected by a clients culture? Choose all that apply

Nurse client relationship

Care Cost

Care effectiveness

Client Safety

Culture changes everything! Just know that and you'll do fine! ;-)

Explanation

Culture changes everything! Just know that and you'll do fine! ;-)

Submit

82. In older persons, touch...(choose all that apply)

Increases a sense of safety

Increases self-confidence

Decreases anxiety

Decreases blood pressure

decreased BP would be affected by the decreased anxiety not the touch itself

Explanation

decreased BP would be affected by the decreased anxiety not the touch itself

Submit

83. There are 11 attitudes that are central features of a critical thinker. Choose all the answers below that are included.

Authority

Happy

Risk Taking

Creativity

Loving

Being happy and loving have nothing to do with being a critical thinking although it is nice. see pg 223 table 15-3

Explanation

Being happy and loving have nothing to do with being a critical thinking although it is nice. see pg 223 table 15-3

Submit

84. What are the forms of touch? (choose all that apply)

Comfort

Secure

Protective

Benign

The forms of touch mentioned in the question are comfort and protective. Comfort touch refers to a gentle, soothing touch that provides emotional support and reassurance. Protective touch, on the other hand, involves physical contact that is meant to safeguard or shield someone from harm or danger. These forms of touch can play significant roles in human interaction and relationships, promoting feelings of safety, trust, and well-being.

Explanation

The forms of touch mentioned in the question are comfort and protective. Comfort touch refers to a gentle, soothing touch that provides emotional support and reassurance. Protective touch, on the other hand, involves physical contact that is meant to safeguard or shield someone from harm or danger. These forms of touch can play significant roles in human interaction and relationships, promoting feelings of safety, trust, and well-being.

Submit

85. Confrontation...(choose all that apply)

Can be used with any client

Improves client self-awareness

Helps the client recognize growth

Helps the client deal with important issues

confrontation should only be used with clients in which trust has been established, gently; with sensitivity.

Explanation

confrontation should only be used with clients in which trust has been established, gently; with sensitivity.

Submit

86. ________results from judicial decisions made in courts when individual legal cases are decided.

Civil law

Statutory law

Common law

Standards of Care

Common law refers to the body of law that is derived from judicial decisions made in courts. It is based on the principle of precedent, where previous court decisions serve as a guide for future cases. Common law is developed and refined over time through the decisions made by judges, rather than being codified in statutes or legislation. This allows for flexibility and adaptability in the legal system, as it can evolve to reflect changing societal norms and values. Therefore, common law is the correct answer as it directly relates to judicial decisions made in courts.

Explanation

Common law refers to the body of law that is derived from judicial decisions made in courts. It is based on the principle of precedent, where previous court decisions serve as a guide for future cases. Common law is developed and refined over time through the decisions made by judges, rather than being codified in statutes or legislation. This allows for flexibility and adaptability in the legal system, as it can evolve to reflect changing societal norms and values. Therefore, common law is the correct answer as it directly relates to judicial decisions made in courts.

87. Nursing is a work of intimacy that requires a sense of value. Choose all the statements that reflect value in the nursing profession.

It is important not to lose focus on what yours are and not to let others change that view.

It is important to have clarity about your own all the while respecting those of others whose values differ from yours.

You agree to provide care to your clients solely on the basis of their need for your service.

Nursing practice requires you to be in contact with clients not only physically but also emotionally, psychologically, and spiritually.

understanding your values is very important but you should still remain open minded and flexible.

Explanation

understanding your values is very important but you should still remain open minded and flexible.

Submit

88. Before conducting any study with human subjects, the researcher obtains approvals from the agency's human subjects committee or ________....

ANA

IRB

NPA

SNA

IRB Institutional Review Board reviews all studies conducted in the institution to ensure that ethical principles, including the rights of human subjects, are followed.

Explanation

IRB Institutional Review Board reviews all studies conducted in the institution to ensure that ethical principles, including the rights of human subjects, are followed.

89. Researchers must do all except...(choose all that apply)

Protect confidentiality of participants

Provide informed consent prior to beginning

Minimize risks to subject even though risks are fully explained before beginning

Inform all participants of all information of the research unless it would cause them to become biased

Make sure participants understand they must not withdraw from the study once begun

not-available-via-ai

Explanation

not-available-via-ai

90. What are some searchable scientific literature databases and sources that can be used to develop a PICO question? (choose all that apply)

Wikipedia

CINHAL

WCCO

MEDLINE

CINHAL and MEDLINE are searchable scientific literature databases that can be used to develop a PICO question. These databases contain a wide range of scientific literature, including research articles, systematic reviews, and clinical trials, making them valuable sources for evidence-based practice. Wikipedia and WCCO, on the other hand, are not considered reliable scientific literature databases and may not provide accurate or peer-reviewed information. Therefore, they are not suitable sources for developing a PICO question.

Explanation

CINHAL and MEDLINE are searchable scientific literature databases that can be used to develop a PICO question. These databases contain a wide range of scientific literature, including research articles, systematic reviews, and clinical trials, making them valuable sources for evidence-based practice. Wikipedia and WCCO, on the other hand, are not considered reliable scientific literature databases and may not provide accurate or peer-reviewed information. Therefore, they are not suitable sources for developing a PICO question.

Submit

91. The commitment level involves...

Students thinking concretely on the basis of a set of rules or principles; step-by-step procedures.

No one dying on my watch, cuz i'm a pro!

Individual anticipates needs and makes choices independently

Individual analyzes and examines choices more independently, learning that each solution has benifits and risks that one learns to weigh before making a final decision.

The correct answer is "individual anticipates needs and makes choices independently". This answer aligns with the description provided in the question, which states that at this commitment level, individuals are able to analyze and examine choices independently and consider the benefits and risks before making a final decision. They are able to anticipate their needs and make choices without relying on external guidance or rules.

Explanation

The correct answer is "individual anticipates needs and makes choices independently". This answer aligns with the description provided in the question, which states that at this commitment level, individuals are able to analyze and examine choices independently and consider the benefits and risks before making a final decision. They are able to anticipate their needs and make choices without relying on external guidance or rules.

92. Laws that prevent harm and protect the rights of individual persons are...

Civil Laws

Criminal Laws

Statutory Laws

Presented before a judge in a court of the law

C embodies them all

Explanation

C embodies them all

93. To determine if an article is evidence based it must have...(choose all that apply)

An abstract

Introduction

Literature review or background

Manuscript narrative with purpose of statement and method/design

Results or conclusion

Clinical implications

An evidence-based article should have an abstract, which provides a summary of the study. An introduction is necessary to introduce the research topic and provide context. A literature review or background section is important to establish the existing knowledge and research gaps. A manuscript narrative with the purpose of statement and method/design is essential to explain the study's objectives and methodology. Results or conclusion sections are needed to present the findings of the study. Lastly, clinical implications are important to discuss the practical applications of the research in a clinical setting.

Explanation

An evidence-based article should have an abstract, which provides a summary of the study. An introduction is necessary to introduce the research topic and provide context. A literature review or background section is important to establish the existing knowledge and research gaps. A manuscript narrative with the purpose of statement and method/design is essential to explain the study's objectives and methodology. Results or conclusion sections are needed to present the findings of the study. Lastly, clinical implications are important to discuss the practical applications of the research in a clinical setting.

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94. Looking for patterns to categorize data and clarifying any data your uncertain about describes which critical thinking skill?

Interpretation

Analysis

Inference

Evaluation

See Table 15-1 pg. 217 (for the next 5 questions also)

Explanation

See Table 15-1 pg. 217 (for the next 5 questions also)

95. Looking at the meaning and significance of findings to see if there are relationships between findings or if the data helps you see that a problem exists describes which critical thinking skill?

Self-regulation

Analysis

Explanation

Inference

It might help to know the actual definition of Inference: to draw a conclusion from (to look into something to find something out)

Explanation

It might help to know the actual definition of Inference: to draw a conclusion from (to look into something to find something out)

96. Which statement about sharing humor is not true? (choose all that apply)

It helps provide social control, permit cognitive re-framing, and reflects social change

It improves the clients self-esteem and shows you care

It avoids causing great emotional distress after a death.

It promotes positive communication through prevention, perception, and perspective

If used as dark, negative humor as a way to deal with unbearable tension and stress it may cause emotional distress if overheard by the deceased patients loved one's.

Explanation

If used as dark, negative humor as a way to deal with unbearable tension and stress it may cause emotional distress if overheard by the deceased patients loved one's.

97. Which statement about sharing feelings is correct? (choose all that apply)

Emotions are subjective feelings.

If individuals did not express feelings, stress and illness will worsen.

It is usually inappropriate to discuss negative personal emotions such as sadness with clients

Clients are perceptive and will sense a nurse's emotions.

Emotions are subjective feelings because they are personal and can vary from person to person. If individuals did not express their feelings, stress and illness can worsen because holding in emotions can lead to negative physical and mental health effects. It is usually inappropriate to discuss negative personal emotions such as sadness with clients because it can be seen as unprofessional or burdensome for the client. Clients are perceptive and will sense a nurse's emotions, which can affect the therapeutic relationship and the client's trust in the nurse.

Explanation

Emotions are subjective feelings because they are personal and can vary from person to person. If individuals did not express their feelings, stress and illness can worsen because holding in emotions can lead to negative physical and mental health effects. It is usually inappropriate to discuss negative personal emotions such as sadness with clients because it can be seen as unprofessional or burdensome for the client. Clients are perceptive and will sense a nurse's emotions, which can affect the therapeutic relationship and the client's trust in the nurse.

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98. The patient has just explained that they have been overweight all their life and they don't understand why they have to watch what they eat and exercise now. You respond by saying ""You're not convinced you need a diet because you've stayed healthy." Your reasoning of saying this would be...

To briefly restate the patient's message

To send feedback to the patient so they know you were listening

To let the client know you were actively involved in the search for understanding

To paraphrase what they had said

Paraphrasing embodies all other answers

Explanation

Paraphrasing embodies all other answers

99. Active listening...(choose all that apply)

Means being attentive to what the client is saying both verbally and non verbally

Facilitates client communication

Involves SOLER

Is conditional to the environment and situation

The first 2 speak for themselves. SOLER is Sit facing the client Observe an open posture Lean toward the client Establish and maintain intermittent eye contact Relax and the last one, active listening is ALWAYS priority when conversing with a patient or anyone else in any situation.

Explanation

The first 2 speak for themselves. SOLER is Sit facing the client Observe an open posture Lean toward the client Establish and maintain intermittent eye contact Relax and the last one, active listening is ALWAYS priority when conversing with a patient or anyone else in any situation.

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100. Focusing centers on key elements or concepts of a message as a way to interrupt the client when they are discussing topics that may not be as important as others.

True

False

Focusing centers on key elements or concepts of a message ONLY if it does not interrupt the client while discussing an important issue. Remember the issues that are important are (for the most part) determined by the patient.

Explanation

Focusing centers on key elements or concepts of a message ONLY if it does not interrupt the client while discussing an important issue. Remember the issues that are important are (for the most part) determined by the patient.

101. Touch conveys many messages, such as affection, emotional support, encouragement, tenderness, competence, and personal attention.

True

False

Just wanted to see if u were paying attention. Touch does not display competency.

Explanation

Just wanted to see if u were paying attention. Touch does not display competency.

102. Nurse Practice Acts...(choose all that apply)

Establish educational requirements

Distinguish between nursing and medical practice

Differ from facility to facility and the Nurse is responsible for orientating him/herself at each setting.

Define the scope of nursing practice

NPAs only differ from state to state

Explanation

NPAs only differ from state to state

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103. What are the guidelines for quality documentation? (choose all that apply)

Factual

Focused

Accurate

Complete

Current

Organized

Focused Charting (DAR) is a method not a guideline.

Explanation

Focused Charting (DAR) is a method not a guideline.

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104. A ________ is one you face while caring for a client or a trend you see on a nursing unit.

Situation-focused trigger

Problem-focused trigger

Knowledge-focused trigger

Care-focused trigger

A problem-focused trigger refers to a situation or issue that arises while caring for a client or observing a trend on a nursing unit. It could be a specific problem or challenge that requires attention and intervention from the nurse. This trigger prompts the nurse to take action and find solutions to address the problem at hand.

Explanation

A problem-focused trigger refers to a situation or issue that arises while caring for a client or observing a trend on a nursing unit. It could be a specific problem or challenge that requires attention and intervention from the nurse. This trigger prompts the nurse to take action and find solutions to address the problem at hand.

105. Supporting your findings and conclusions, using knowledge and experience to choose strategies you use in the care of clients describes which critical thinking skill?

Explanation

Self-regulation

Inference

Interpretation

The correct answer is Interpretation. Interpretation involves using knowledge and experience to make sense of information and draw conclusions. In the context of the question, interpreting information and drawing conclusions helps in choosing appropriate strategies for client care. Self-regulation refers to monitoring and controlling one's own thoughts and actions, while inference involves making logical deductions based on available information.

Explanation

The correct answer is Interpretation. Interpretation involves using knowledge and experience to make sense of information and draw conclusions. In the context of the question, interpreting information and drawing conclusions helps in choosing appropriate strategies for client care. Self-regulation refers to monitoring and controlling one's own thoughts and actions, while inference involves making logical deductions based on available information.

106. What are the components of a nursing diagnosis? (choose all that apply)

Cause of symptom (i.e. herniated disk)

Related Factors

Support of the diagnostic statement

Diagnostic label

It is not within our scope of practice to give a cause

Explanation

It is not within our scope of practice to give a cause

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107. ________ is the outcome of both quality improvement and performance improvement initiatives.

Quality data

Increased quality of life

Excellent client care

Improvement

Sorry. I don't like this one either but I just wanted you to at least see this definition just in case! Key word is the outcome. Data is the outcome of something and all the other options describe data.

Explanation

Sorry. I don't like this one either but I just wanted you to at least see this definition just in case! Key word is the outcome. Data is the outcome of something and all the other options describe data.

108. In _________ an organization analyzes and evaluates current performance, using the results to develop focused improvement actions.

Quality Improvement

Evidence-based practice

Quality Data

Performance improvement

Once again, don't think it will be on the test but it's good to at least see it once.

Explanation

Once again, don't think it will be on the test but it's good to at least see it once.

109. Who/what is considered a primary source of data? (choose all that apply)

The patient

The patient's spouse

The family or significant other of a critically ill adult

The patient's medical record

The only source of data considered primary is the patient or a spouse or family member of minor children, critically ill adults, and mentally handicapped, disoriented, or unconscious client.

Explanation

The only source of data considered primary is the patient or a spouse or family member of minor children, critically ill adults, and mentally handicapped, disoriented, or unconscious client.

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110. Ethical dilemmas...

Almost always occur in the presence of conflicting values.

Are unavoidable in situations where differences in cultures arise.

Are resolved by distinguishing between value, fact, and opinion.

Can sometimes be resolved by tolerating differences.

Ethical dilemmas almost always occur in the presence of conflicting values because these dilemmas arise when there are competing ethical principles or moral obligations that create a difficult decision-making situation. They are not necessarily related to cultural differences, as they can occur within the same culture. Resolving ethical dilemmas involves distinguishing between value, fact, and opinion, as differentiating between these can help in making a more informed and ethical decision. Additionally, some ethical dilemmas can be resolved by tolerating differences, as finding a middle ground or accepting diverse perspectives can lead to a resolution.

Explanation

Ethical dilemmas almost always occur in the presence of conflicting values because these dilemmas arise when there are competing ethical principles or moral obligations that create a difficult decision-making situation. They are not necessarily related to cultural differences, as they can occur within the same culture. Resolving ethical dilemmas involves distinguishing between value, fact, and opinion, as differentiating between these can help in making a more informed and ethical decision. Additionally, some ethical dilemmas can be resolved by tolerating differences, as finding a middle ground or accepting diverse perspectives can lead to a resolution.

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111. What are some indicators of overall quality of care? (choose all that apply)

Survival rate of patients

Fall prevention

Medication delivery

Pressure ulcers

Survival rate is too conditional to be a solid indicator.

Explanation

Survival rate is too conditional to be a solid indicator.

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112. The legal guidelines that nurses follow come from...(check all that apply)

Civil law

Statutory law

Regulatory (administrative) law

Common law

The legal guidelines that nurses follow come from statutory law, regulatory (administrative) law, and common law. Statutory law refers to laws created by legislative bodies, such as the state or federal government, which outline specific rules and regulations for nurses to follow. Regulatory (administrative) law involves rules and regulations established by administrative agencies, such as state nursing boards, to govern the nursing profession. Common law refers to legal principles and precedents established by court decisions, which also play a role in shaping nursing practice.

Explanation

The legal guidelines that nurses follow come from statutory law, regulatory (administrative) law, and common law. Statutory law refers to laws created by legislative bodies, such as the state or federal government, which outline specific rules and regulations for nurses to follow. Regulatory (administrative) law involves rules and regulations established by administrative agencies, such as state nursing boards, to govern the nursing profession. Common law refers to legal principles and precedents established by court decisions, which also play a role in shaping nursing practice.

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