NUR 2058 Dimensions of Nursing Final Exam


  1. When reviewing the term spirituality, which of the following would not be included in its definition?
    Correct Answer. A person with spiritual needs must participate in religious rituals and practices.
    
    
  1. Which characteristic is required in a person to be able to resolve difficult crises?
    Correct Answer. Uses newly developed coping skills to resolve future crises
    
    
  1. This is the single most obvious barrier to providing culturally competent care.
    Answer. Language
    
    
  1. Which of the following would NOT be considered an invasion of privacy:
    Correct Answer. Notifying the police of Mr. Brown’s gunshot wound
    
    
  1. Where would a nurse look to find their scope of practice as defined by state law?
    Correct Answer. Nurse Practice Act
    
    
  1. True or False: Energy Systems in the body are used by both conventional and integrative medicine.
    Correct Answer. Correct Answer. False
    
    
  1. The student nurse asks, “Why is there such an emphasis on spirituality in health care?”. Which of the following is the most appropriate response by the nurse preceptor?
    Correct Answer. The Joint Commission has a standard of patient care with inclusion of spirituality.
    
    
  1. What is the first step in the delegation process?
    Correct Answer. Determining the skill level of the person to whom the task is to be delegated
    
    
  1. What is the most important element for the nurse navigator to include in the planning of care for a client?
    Correct Answer. The client’s perceptions and beliefs about the disease process and the modalities of treatment
    
    
  1. Identify a secured setting for the practice of forensic nursing.
    Correct Answer. Correctional institutions

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  1. What would be a likely result of the development of a universally agreed upon nomenclature and taxonomy for nursing clinical information and management data?
    Correct Answer. The establishment of appropriate reimbursement for nursing activities
    
    
  1. A particularly vocal staff nurse on a busy obstetric unit has been complaining to the other nurses about the unit manager’s preferential treatment of the night-shift nurses. Select the action that the unit manager should take to resolve this problem, which best demonstrates the use of the assertive approach to conflict resolution.
    Correct Answer. Sets up a time and place for a one-on-one meeting with the staff nurse
    
    
  1. To which individual can the charge nurse delegate the task of completing the history and physical assessment for a newly admitted client?
    Correct Answer. RN
    
    
  1. When do most health-care expenditures occur in a person’s life?
    Correct Answer. As old age sets in due to the development of multiple chronic illnesses
    
    
  1. Which assignment is most appropriate for a CNA/UAP (unlicensed assistive personnel) floated to the medical-surgical unit from the outpatient clinic?
    Correct Answer. Obtaining a temperature on a29 yr. old woman with gastrointestinal bleeding during the last 30 minutes of a whole blood transfusion
    
    
  1. What is the primary goal of the nurse navigator role?
    Correct Answer. Elimination of the barriers of care to make moving through the treatment maze easier
    
    
  1. True or False: It is estimated that 98,000 people die per year due to adverse events & medical errors in hospitals.
    Correct Answer. True
    
    
  1. Identify a communication style that involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.
    Correct Answer. Assertive
    
    
  1. Which nursing intervention is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of Spiritual Distress?
    Correct Answer. Explain the nurse’s religious beliefs and values immediately when requested to do so by the client
    
    
  1. When does the encoding process of communication take place?
    Correct Answer. The receiver thinks about the information, understands it, and forms an idea based on the message.

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  1. Who is called the “father of modern medicine”?
    Correct Answer. Hippocrates
    
    
  1. Identify the task that may be delegated to an LPN (LVN) if all of the clients are stable.
    Correct Answer. Turning a client with a CVA every 2 hours
    
    
  1. A patient is anxious about a procedure. Knowing the patient loves the beach, the nurse instructs them to close their eyes and picture the ocean, sand, and rays of the sun. Which of the following practices is the nurse implementing?
    Correct Answer. Guided Imagery
    
    
  1. Identify the primary change that increased the need for many more certified RN- coders and certified RN-auditors.
    Correct Answer. The switch to the new ICD-10 coding system
    
    
  1. Identify the four concepts that are common in most nursing theories.
    Correct Answer. Client, health, environment, nursing
    
    
  1. Which of the following demonstrates the planning phase of the nursing process?
    Correct Answer. The nurse specifies short- and long-term outcomes for the client
    
    
  1. What is the best way to increase the motivation to learn in the elderly population?
    Correct Answer. Link positive reinforcement to changes in behavior.
    
    
  1. Why is it important for nurses in general practice to have an awareness of forensic knowledge?
    Correct Answer. Nurses are often in positions to report crimes or preserve evidence.
    
    
  1. Why is term healing preferred to medicine when referring to alternative and complementary modalities?
    Correct Answer. The treatments are based on holistic philosophies that go beyond treatment or cure of the physiological

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  1. An example of civility in the classroom consists of keeping cell phones on silent and using proper cell phone etiquette?
    Correct Answer. True
    
    
  1. What primary skills are required of the nurse to provide cultural competent care?
    Correct Answer. All of the above: Sensitivity, Understanding, and Communication
    
    
  1. Both nursing models and theories help explain and direct nursing actions.
    Correct Answer. True
    
    
  1. Which of the following statements is most accurate about the vast majority of the elderly?
    Correct Answer. They are relatively healthy and most manage their chronic conditions at home
    
    
  1. Why is heritage consistency important to cultural groups?
    Correct Answer. All of the above: It allows them to advance within the larger culture, it allows them to retain many of their cultural elements, and it allows them to fit in with the larger culture
    
    
  1. Although the assessment techniques used for different individuals may be identical, the nurse needs to know the basic biological and physical variations among ethnic groups.
    Correct Answer. True
    
    
  1. The client’s short-term outcome was to sit up in a chair at bedside for 30 minutes. The nurse reviews the client outcome, determines that it was not met, and modifies the interventions. Which phase of the nursing process is this?
    Correct Answer. Evaluation
    
    
  1. This lengthy assessment tool provides a thorough overview of a client’s culture.
    Correct Answer. Purnell’s Model
    
    
  1. True or False: By law, supplements are regulated be the Food and Drug Administration (FDA)
    Correct Answer. False
    
    
  1. Which of the following describes Callista Roy’s definition of nursing as indicated in her nursing model?
    Correct Answer. Multistep process that helps the client adapt and reach the highest level of functioning

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  1. An ethical code does which of the following?
    Correct Answer. Provides a framework for decision-making
    
    
  1. A client sustained a complete C2 spinal cord injury after a motor vehicle crash. He is unable to move bilateral upper and lower extremities. He requires total nursing care including assistance eating, turning, and voiding. Which of the following describes the level of care the nurse provides according to Orem’s self-care model?
    Correct Answer. Wholly compensated care
    
    
  1. Function in nursing informatics focuses on which of the following?
    Correct Answer. How the management and processing of information helps nurses enter, organize, or retrieve information
    
    
  1. Identify the best method for a nurse to acknowledge a client’s autonomy?
    Correct Answer. Know and understand the state’s laws that address living wills
    
    
  1. Select the most appropriate client for the RN to assign to the CNA/UAP (unlicensed assistive personnel).
    Correct Answer. A client with difficulty walking and requires assistance to the bathroom
    
    
  1. What is best described as the concepts, ideals, behaviors, and significant themes that give meaning to a person’s life?
    Correct Answer. Values
    
    
  1. Which of the following is known as a healing practice that uses the human energy system?
    Correct Answer. Therapeutic Touch
    
    
  1. The analysis that tracks events leading to error, identifies faulty systems and processes, and develops a plan to prevent further error in a blame-free environment is called:
    Correct Answer. Root Cause Analysis
    
    
  1. Nurses who learn about another person's culture is enough to guarantee the nurse will have cultural awareness.
    Correct Answer. False
    
    
  1. Using errors as learning opportunities is a key element in building which of the following?
    Correct Answer. Just culture organization

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  1. Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates they are appropriate and successful.
    Correct Answer. True
    
    
  1. Which of the following is considered the best preferred strategy to dealing with conflict?
    Correct Answer. Confront the conflict
    
    
  1. Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?
    Correct Answer. “When nurses delegate, they are delegating nursing.”
    
    
  1. Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
    Correct Answer. “You have made some good points, but I have another suggestion.”
    
    
  1. A physician writes a DNR order for a competent client. Which individual may give permission for this order?
    Correct Answer. The client
    
    
  1. A client asks what the Affordable Care Act is. What best explains this act?
    Correct Answer. “The law has been written for those of all ages for a positive outcome.”
    
    
  1. Clients may develop this when they view that the nurse is an authority figure or expert in health-care matters.
    Correct Answer. Passive Obedience
    
    
  1. Which is the principle upon which Nightingale’s spirituality was based?
    Correct Answer. A sense of a divine intelligence who creates and sustains the cosmos as well as an awareness of her own inner connection with this higher reality
    
    
  1. Client Satisfaction is not another way to measure quality of care.
    Correct Answer. False
    
    
  1. What is one disadvantage to the electronic health care system that health care workers are concerned about?
    Correct Answer. Computer glitches

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  1. Which is not part of the role of the forensic correctional nurse?
    Correct Answer. Prescribe medications
    
    
  1. The nurse identifies a problem list for the client. Which of the following phases of the nursing process is this a part of?
    Correct Answer. Diagnosis
    
    
  1. What is the federally funded national health insurance program in the United States for people older than 65 years?
    Correct Answer. Medicare
    
    
  1. T.S is a 75-year-old man who sustained a left hip fracture after a fall. He is normally independent and lives at home with his wife who suffers from dementia. He currently requires a heavy assist of 2 to pivot transfer to a chair. He is not currently ambulating more than a few steps with a walker. His goal is to go back home to help care for his wife. Which of the following is the most appropriate hospital discharge plan for T.S.?
    Correct Answer. Rehabilitation Center
    
    
  1. What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?
    Correct Answer. They have an internal conflict in coping with their own fears of death.
    
    
  1. What is the most effective method nurses can use to gain power over nursing practice?
    Correct Answer. Join professional organizations in large numbers
    
    
  1. The establishment of a professional organization is one of the most important defining characteristics of a profession.
    Correct Answer. True
    
    
  1. Which of the following reasons is not a reason for the increasing use of alternative and complementary healing practices?
    Traditions passed on from parents
    
    
    
  1. Identify the term used when a person lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality.
    Correct Answer. Spirituality
    
    
  1. True or False: Total quality improvement is based upon the organization with the higher- quality service that will capture a greater share of the market than competitors with lower-quality services.
    Correct Answer. True

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  1. Which of the following is not a reason the State Board of Nursing may revoke a nursing license?
    Correct Answer. Ethical conduct in the practice of nursing
    
    
  1. What would be a characteristic of the ideal electronic health care record?
    Correct Answer. The system reflects the lifelong, continuous record of all care the client has received.
    
    
  1. The type of reimbursement system that pays a fixed-rate based on diagnosis (or DRG) is called what:
    Correct Answer. Prospective Payment System
    
    
  1. What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project?
    Correct Answer. Focus nursing education on competencies to reduce the number of medical errors
    
    
  1. Which of the following organizations provides nursing with a code of ethics?
    Correct Answer. American Nurses Association
    
    
  1. Identify the primary driving force behind the development and use of telehealth or telemedicine.
    Correct Answer. Consumer concerns about access to health care
    
    
  1. The establishment of a professional organization is insignificant in defining characteristics of a profession.
    Correct Answer. False
    
    
  1. A registered nurse (RN) is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the unit staff that includes two RNs, two licensed practical nurses (LPNs), and one certified nursing assistant (CNA) or UAP (unlicensed assistive personnel)?
    Correct Answer. Skill level of each staff member
    
    
  1. What is acute care of sick persons that is provided in hospitals called?
    Correct Answer. Secondary intervention
    
    
  1. Identify the characteristics of a task that is to be delegated that would require it to be assigned to an RN.
    Correct Answer. The task requires decision-making to complete it.

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  1. Evidence-based practice is the practice of nursing in which interventions are based on data from research that demonstrates that they are appropriate and successful.
    Correct Answer. True
    
    
  1. Identify the health-care area in which the use of computers has improved the efficiency of care.
    Correct Answer. Documentation
    
    
  1. What is a major benefit for the elderly who now have easy access to and use of technology such as the Internet and smartphones?
    Correct Answer. They have opportunities to obtain screening and treatment that they might not otherwise seek.
    
    
  1. This federally funded program is known for financing a large portion of maternal and childcare for the poor.
    Correct Answer. Medicaid
    
    
  1. Select the most effective method that nurses can use to gain power over their practice.
    Correct Answer. Join professional organizations in large numbers.
    
    
  1. An unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury including loss of limbs or function is:
    Correct Answer. Sentinel event
    
    
  1. What is the purpose of spiritual modes of healing?
    Correct Answer. They enhance comfort and produce an inner peace with disability or death.
    
    
  1. Identify an important aspect of the role of forensic psychiatric nurses
    Correct Answer. Identify changes in behaviors linking criminals to criminal offenses.
    
    
  1. True or False: QSEN or Quality of Safety Education for Nurses is built on 8 competencies developed by the Department of Health.
    Correct Answer. False
    
    
  1. Which best describes The Leapfrog Group and its recommendations?
    Correct Answer. The gold standard for comparison of hospital performance

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  1. A client’s blood pressure of 180/110 mmHg is an example of which of the following?
    Correct Answer. Data
    
    
  1. With which of the following clients does the nurse determine to be the most appropriate time to discuss their discharge teaching?
    Correct Answer. A client who is quietly reading a book
    
    
  1. What is the definition of the ethical principle of non- maleficence?
    Correct Answer. Health-care workers avoiding harm to clients
    
    
  1. These characteristics are difficult to identify, but have an even more profound effect on an individual's cultural identity.
    Correct Answer. Gender issues and residential status
    
    
  1. Which of the following is a key element to effective education of nursing students?
    Correct Answer. High-quality interpersonal relationships between students and teachers
    
    
  1. Which of the following is an appropriate response from the nurse when caring for a client using complimentary medicine?
    Correct Answer. Inquire what complimentary practices the client is using to ensure client safety.
    
    
  1. Which of the following is not a characteristic of Integrative medicine?
    Correct Answer. Emphasis is placed on diagnosis and cure based on physical symptoms.
    
    
  1. Which situation is the nurse allowed to breech a client’s right of confidentiality?
    Correct Answer. A 32-year-old comes to the emergency room for wounds sustained by a knife.
    
    
  1. Which of the following best describes conventional and integrative medicine?
    Correct Answer. Conventional medicine primarily uses therapy from the outside and integrative from within.
    
    
  1. Which behavior indicates that a nurse, who is forced to confront a conflict situation, is using a submissive approach to communication?
    Correct Answer. Refers the problem to a supervisor

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  1. What advantage does the electronic health record system have over traditional paper systems?
    Correct Answer. Reduces redundancy
  2. What culture believes fraternal twins was witchcraft:
    Correct Answer. Native American. Native American groups attributed twin births to witchcraft and believed that one of the twin infants had to die so that the other might live.