When caring for a patient who is Native American, the best initial action by the nurse is to

observe the patient's use of eye contact

Which of the following is the main goal of patient safety and quality improvement act

allow voluntary and confidential reporting of adverse event

When care for a Pt who uses culturally based treatments, What is the most appropriate action?

coordinate the use of folk treatments with medical therapies

Which is the best example of the concept of supervision

Follow up with AP on task of ambulation and feeding of pt.

What does the "scope of nursing practice" refer to?

activities legally permissible to preform in a state

Nursing student is identifying potential employers. Where should they begin their search

Where they completed clinical rotations

the following statements shows an understanding of the primary cause of untoward events?

“unclear, ineffective communication.”

what is the best description of malpractice

a professional act or failure to act that leads to injury

Which statement by the student indicates their understanding of how to achieve goal of capstone

care for increased number of patients to enhance skills

Which statement by the graduate indicates understanding of the importance of cover letter?

it should introduce you to the reader

recommendations in Robert Wood Johnson IMO SATA

practice to the full extent of their education., achieve higher levels of education and training., Nurses be full partners with other health care profession, effective workforce planning and policy making

What is a correct statement regarding a nurse who acts beyond the scope of practice?

May be disciplined by the board of nursing.

what is the best assertive response to "give the med or I'll report you to your supervisor"

Say "perhaps we could talk this over with my supervisor"

How does the Utah Nurse Practice Act Rule define a nurse?

assessing the patient's care plan

the Pareto principle (80/20 rule) Which statement indicates an adequate understanding of this

Joseph Juran- 80% of problems caused by 20% of sources

which of the following questions would by most advisable to ask to give favorable impression

what is the orientation process and length of orientation

best reply to "what are your weaknesses"?

I look forward to strengthening ability to plan group care

What statement by the new grad would cause the experienced nurse to be concerned

let me know if any of my patients has a fever

Which of the following actions by the nurse helps to prevent burnout

Scheduling a massage on a day off

The nurse is reviewing categories for client safety, which categories should be reviewed? SATA

Medication management, Prevention of hospital related infections, Facilitating information transfer and clear communication

what does the scope of nursing practice refer to

activities a nurse can legally perform in a particular state

Which of the following strategies should the CQI committee plan to initiate first

review the events leading up to medication error

What is a correct statement regarding a nurse who acts beyond scope of practice

May be disciplined by the board of nursing

Which of the following represents appropriate feedback for an assignment to an LPN

pt in room 403 looks better, you did a great job.

The primary role of The Joint Commission is

ensuring medical facilities meet patient safety guidelines

Which of the following would indicate that the nurse is having problems with nurse burnout

having chronic fatigue, increased irritability, and helpless

Which of the following would be provider/nurse barrier to develop cultural competence

a nurse unaware of his or her own biases of ethnic groups

what is the purpose of the nurse's code of ethics

to guide the behavior of the professional nurse

What defines nursing as a profession? SATA

nurse possess a specialized body of knowledge, nurses have developed a Code of Ethics, nurses serve the public

What is a characteristic or example of the mentee's role?

Establishing personal short-and long-term goals

What to do to reduce the impact of reality shock on the mentee during the shock/rejection phase

encourage the mentee to discuss his or her feelings

Which of the following statements reflect transformational leaders? SATA

Courageous change agents, Lifelong learners, Value-driven visionaries

After receiving report on 4 patients, the RN may delegate which client need to CNA

Reapplying a condom catheter for a client with incontinence

assuming the following statements are true, what would be the best response?

did independent study on diagnosis of cancer during capstone

What is the purpose of the Robert Wood Johnson IOM report?

recommendations for the nursing profession transformation

studbud

T Final

109 termsStudBud Administration55 plays

Transitions to Nursing final Winter 2019

Flashcards109 cardsFPractice quizPHost liveL

Questions 109

Answers

1
When caring for a patient who is Native American, the best initial action by the nurse is to
avoid all eye contact with the patient
observe the patient's use of eye contact
ask the family about the patient's cultural beliefs
look directly at the patient when interacting
2
Which does not reflect one of the five rights of delegation
right task
right person
right communication
right route
3
Which of the following is the main goal of patient safety and quality improvement act
force communication about incidences of workplace stress
set up safety databases for research and development
encourage providers to report errors with tiered retribution
allow voluntary and confidential reporting of adverse event
4
When care for a Pt who uses culturally based treatments, What is the most appropriate action?
discourage the use of culturally based treatments
discontinue the cultural treatments during hospitalization.
folk remedies will interfere with Western treatments
coordinate the use of folk treatments with medical therapies
5
Which is the best example of the concept of supervision
assigning nursing care for a group of 5 pt. to an RN
asking the LPN to administer afternoon medications
assigning a urinary cath and collection to LPN
Follow up with AP on task of ambulation and feeding of pt.
6
What is the most frequent reason for revocation or suspension of a nurse's license?
criminal acts
alcohol or drug abuse
fraud
mental impairment
7
letting a nurse know he will be on probation if he continues to be tardy. what type of power?
Coercive
Reward
Legitimate
Referent
8
What does the "scope of nursing practice" refer to?
activities legally permissible to preform in a state
activities a nurse can be held liable for malpractice
permit some overlap between nursing and medicine
specific duty the nurse owes to a patient
9
Nursing student is identifying potential employers. Where should they begin their search
Nursing journals
Where they completed clinical rotations
The internet
A job fair
10
what ethical dilemma is faced when determining to move an Ill pt from ICU for a new admit
dentology
autonomy
veracity
justice
11
the following statements shows an understanding of the primary cause of untoward events?
“unclear chain of communication for reporting.”
“lack of consistent supervision of nursing staff.”
“unclear, ineffective communication.”
“ineffective reporting of the untoward event.”
12
The nurses has studied diabetic educational needs, what type of power do they posses
informational
reward
expert
legitimate
13
what is the best description of malpractice
an intentional professional act of negligence
a criminal act committed against society
doing something a reasonable person or nurse would not do
a professional act or failure to act that leads to injury
14
Which statement by the student indicates their understanding of how to achieve goal of capstone
observe staff nurses as they perform procedures
seek increased guidance from instructor to reduce errors
care for increased number of patients to enhance skills
evaluate my progress every 6mo. to allow for growth
15
Which statement by the graduate indicates understanding of the importance of cover letter?
it is necessary only if your resume needs more explanation
it is optional
it should introduce you to the reader
it should restate all of the important points of resume
16
recommendations in Robert Wood Johnson IMO SATA
practice to the full extent of their education.
achieve higher levels of education and training.
Nurses be full partners with other health care profession
effective workforce planning and policy making
17
What is a correct statement regarding a nurse who acts beyond the scope of practice?
Other nurses angry because of the increased expectations.
Provides enriched services to patients.
Demonstrates what a good nurse they can be.
May be disciplined by the board of nursing.
18
What is NOT an ethical dilemma that the nursing students are discussing?
abortion
parking
quality of life
passive euthanasia
19
what is the best assertive response to "give the med or I'll report you to your supervisor"
agree to give the medication
Say "perhaps we could talk this over with my supervisor"
say "I don't care who you talk to, I'm not giving the med."
Walk away and ignore it
20
I feel like I am able to manage some emergencies, what level have they achieved
proficient
expert
competent
advanced beginner
21
How does the Utah Nurse Practice Act Rule define a nurse?
assessing the patient's care plan
appraisal of a patient's status and the situation at hand
conducting extensive initial and ongoing data collection
verification and evaluation of prescribed orders
22
the Pareto principle (80/20 rule) Which statement indicates an adequate understanding of this
Edward Deming- nurses ongoing to solve problems
Peter Pareto- most people cause problems
Phillip Crosby - to error is human
Joseph Juran- 80% of problems caused by 20% of sources
23
which of the following questions would by most advisable to ask to give favorable impression
how much and when will the first pay raise be given
what is the orientation process and length of orientation
what if i am unable to meet competency based outcomes
is full tuition reimbursement granted to obtain my degree
24
best reply to "what are your weaknesses"?
I look forward to strengthening ability to plan group care
My biggest problem is punctuality
I've never though about my weaknesses
instructors told me I was disorganized
25
What statement by the new grad would cause the experienced nurse to be concerned
let me know if any of my patients has a fever
Thank you for helping me turn my patient.
please document amount of urine emptied from catheter
do not take patient's blood pressure in arm with IV
26
It feels great to be a nurse, what phase of reality shock is the graduate experiencing
recovery
transition
honeymoon
shock and rejection
27
following an earthquake which of the following patients will the nurse assess first
a patient with a yellow tag
a patient with a blue tag
a patient with a green tag
a patient with a red tag
28
Which of the following actions by the nurse helps to prevent burnout
Scheduling a massage on a day off
picking up extra shifts each week
teaching at the local college one day a week
staying late to help out at the end of each shift
29
The nurse is reviewing categories for client safety, which categories should be reviewed? SATA
Medication management
Prevention of hospital related infections
Facilitating information transfer and clear communication
Surgery on wrong body part
30
what does the scope of nursing practice refer to
activities a nurse can be held liable for malpractice
acts that allow overlap between nursing and medicine
specific duty the nurse owes the patient
activities a nurse can legally perform in a particular state
31
The senior nursing student is setting career goals. What should the student do first?
evaluate career options
plan specific steps to the goal
look five years ahead
a thorough self-assessment
32
Which of the following strategies should the CQI committee plan to initiate first
review the events leading up to medication error
develop quality improvement for nurses involved in med error
give an in-service on medication admin to all nurses
Require nurses to demonstrate competency by medication exam
33
What is a correct statement regarding a nurse who acts beyond scope of practice
give enriched services to pts. who would not receive them
Demonstrates what a good nurse she or he can be
May be disciplined by the board of nursing
may make other nurses angry
34
Which of the following represents appropriate feedback for an assignment to an LPN
did you understand the assignment that you recieved
have you completed the catheterization and care of new pt.
you need to get caught up with pain meds
pt in room 403 looks better, you did a great job.
35
The primary role of The Joint Commission is
ensuring medical facilities meet patient safety guidelines
lobbying congress on behalf of Medicare/medicaid pt.
granting magnet status to excellent hospitals
inspecting hospitals for compliance of infection control
36
Which of the following would indicate that the nurse is having problems with nurse burnout
feels angry regarding type of care being delivered
having chronic fatigue, increased irritability, and helpless
is disorganized regarding patient care
signs up for extra courses for an advanced degree
37
Which of the following would be provider/nurse barrier to develop cultural competence
a nurse unaware of his or her own biases of ethnic groups
a health care provider that discourages alternative therapy
no family rooms to accommodate an ill Pt's family
a nurse who avoids individuals from other cultures
38
What is the best legal safeguard for a nurse
A legal contract
competent practice
following management policies
a valid license
39
what is the purpose of the nurse's code of ethics
differentiate between moral and immoral acts
identify acts that are legal for the nurse to perform
assist in clearifying the individual nurse's personal values
to guide the behavior of the professional nurse
40
What defines nursing as a profession? SATA
nurse possess a specialized body of knowledge
nurses have developed a Code of Ethics
nurses serve the public
nurses work around the clock
41
According to Joint Commission which is considered main reason for sentinel events
ambiguity in responsibilities
medication errors
conflict among staff
communication errors
42
George says "I find it easy to make the right decision." what ethical reasoning is he using?
confessional
Teleological
situational
deontological
43
What is a characteristic or example of the mentee's role?
Finding out what the mentor has to offer in experience
Absorbing what the mentor explains in detail
Establishing personal short-and long-term goals
Interrupting the mentor to ask questions
44
according to Patricia Brenner, which level of role transition is nurse at after 12 cap shifts
expert
proficient
novice
advanced beginner
45
What to do to reduce the impact of reality shock on the mentee during the shock/rejection phase
encourage mentee to keep feelings to themselves
withhold personal transition stories
encourage the mentee to discuss his or her feelings
ignore the feelings caused by reality shock
46
Which of the following statements reflect transformational leaders? SATA
Courageous change agents
Slow to change
Lifelong learners
Value-driven visionaries
47
which one of the following activities may be safely delegated by RN
administration of meds prepared by RN
initial transfer of a post-op client
vital signs on a stable client
an admission history on a new client
48
While there are many ways of facing stress, which particular method is considered beneficial?
delegating tasks that are time consuming
refusing to take on more responsibility
taking medication to handle the situation
Learning what to expect
49
After receiving report on 4 patients, the RN may delegate which client need to CNA
reinforcing teaching to a client learning how to use a cane
Feeding a client with aspiration pneumonia
applying a sterile dressing to a pressure ulcer
Reapplying a condom catheter for a client with incontinence
50
assuming the following statements are true, what would be the best response?
grade point average of C doesn't reflect my ability
I can sympathize with cancer patients
did independent study on diagnosis of cancer during capstone
My parents always told me I was bright
51
What is the purpose of the Robert Wood Johnson IOM report?
force all nurses to obtain Bachelor's in nursing
recommendations for the nursing profession transformation
give physicians an opprotunity to have input in nursing prof
help congress pass laws and make changes
52
what is the time frame an applicant has to take and pass the NCLEX
1 year
indefinite
5 years
90 days
53
"if you don't stop hitting, I'm going put you in restraints" what may this nurse be accused of
assault
invasion of privacy
malpractice
defamation
54
Which of the following statements shows a characteristic of a successful mentor? SATA
successful mentors are nonjudgmental
successful mentors communicate high expectations
successful mentors show empathy
successful mentors are passive
55
patient speaks English but lives in a predominantly Asian neighborhood. The nurse will need to
include a folk healer when planning care
involve the Pt's oldest son in health care decisions
avoid making direct eye contact with the patient
ask the pt. about any special cultural beliefs or practicies
56
what actions will exemplify a culture of safety? SATA
refusing to be interrupted during medication administration
universal protocol 3 steps before surgery and procedures
Using SBAR when collaborating with a provider
over ride the smart IV pump to save time
57
A nurse interested in management, which action would assist with achieving this goal
Use of coercive power
Use of expert power
Use of reward power
Use of legitimate power
58
What is expected of new grad across healthcare agencies? SATA
use communication skills effectively with clients/coworkers
possess theoretic background for safe client care
use the nursing process in a systemic way.
work effectively with AP, by delegating and supervising
59
The student nurse is preparing a resume. Which elements would they include?
hobbies and interests
Nursing class grade point average
Marital status
Experience and education
60
Which task could a staff nurse delegate to a CNA
Collecting a routine urine sample
Checking a patient's response to pain medication
Reporting on the color of NG drainage
Making rounds with a physician
61
A nurse with infraction of the Nurse Practice Act may be subject to discipline by what group?
the state board of nursing
a court of law
the national league of nursing
the local chapter of state nurses association
62
Who would be the best reference for the student to include in an application? SATA
their preceptor
a student mentor
a previous employer
A recent clinical instructor
63
The nurse has several tasks. which should not be delegated to AP
sitting at the bedside of a confused patient to keep safe
discussing deep breathing to a pre-op patient
bathing an unconscious patient
accompanying a patient being discharged to the front door
64
A doctor told bill's buddies that he has HIV. What ethical principle did the doctor violate?
justice
fidelity
veracity
beneficence
65
The ethical principle of autonomy is not applicable in which pt. situation
patient has values that conflict with the caregiver's values
patient does not speak or understand English
patient has been in a long-term care facility for 10 years
patient is unaware of who he is and where he is
66
Where would a student find information about what to expect on the NCLEX exam
RWJ IOM report
A nursing unit manager
State Board of Nursing
NCSBN website
67
Which of the following examples should the nurse use to show appropriate transcpription of dose
0.2 mg
.2 mg
2.0 mg
0.20 mg
68
Which organization developed the most definitive statement on the competencies of new RN
American Association of Colleges of Nursing
Magnet council for Nurses
National Council of State Boards of Nursing
Intermountain Health care
69
How will the nurse make sure that the provider's order is received without error
repeat order, write verbatim, and read it back to provider
ask charge nurse to take the order over the phone
tell provider the order must be written within 24hrs
write the order without using unclear abbreviations
70
Which of the following actions would be the best for a nurse to take on their day off?
work on a continuing education requirement
call the unit to see if they need the nurse to work
Take his/her small children to the zoo
read a nursing article and take practice quizzes
71
Which of the following describes reward power used by the nurse manager? SATA
a manager who is well liked by the majority of staff
a manager who uses fear of consequences to motivate
a manager who has information that others need to do job
a manager who uses salary increases to motivate staff
72
Which of the following actions is consistent with a nurse leader?
A nurse who writes yearly staff evaluations
A nurse who gives pain medication to an assigned patient.
A nurse who performs chart audits on her staff
A nurse who encourages staff to give excellent pt. care
73
George decided to leave the ED AMA. What did his nurse do in this situation
Hid his clothes so he could not get dressed to leave
called his girlfriend to come and get him to stay
inform him that he can return if he changes his mind
tied George to the bed so he can't leave
74
The manager is educating a new hire on The Joint Commission. which is effective teaching
mandates include patients with MI and COPD
TJC mandates AKI and DVT
outcomes are mandated with community pneumonia and CHF
outcomes are mandated for pt's with CHF and brain attack
75
potential consequence of not working through the phases of reality shock
new grad may leave the profession
new grad may become aggressive
new grad may not pass NCLEX
new grad may adjust to their position
76
What is a characteristic of a culturally competent nurse?
is resistant to learning about other ethnic groups
tries to treat all patients the same
prioritizes care based on cultural needs
displays favoritism
77
What question demonstrates willingness to receive feedback
give me positive feedback at all times
don't emphasize the negatives of the job or I'll breakdown
I know I messed up, tell me all the things I did wrong
Please let me know if i need to change my actions
78
An infraction of the Nurse Practice Act may be subject to discipline by what group?
The National League for Nursing
The state board of nursing
A court of Law
The local chapter state of nurses association
79
Which of the following actions by the nurse manager would indicate an autocratic management?
exerts little control over staff
Emphasizes effective group functioning
allows staff members to make most of the decisions
makes most of the decisions without input from the staff
80
reviewing I-SBAR-R Which statement indicates they are discussing the Situation component?
nurse states an opinion on what is happening.
oncoming nurse acknowledges the info that has been received
saying pt. was hospitalized for broke tibia, surgery today
nurse states patient's name using two identifies
81
A nurse is being sued for battery. what does this mean?
nurse, without consent, touched pt. in an offensive way
nurse told pt. he could not leave until his bill was paid
the nurse failed to preform as expected
the nurse threatened to put pt. in restraints
82
What strategies should nurses use to increase time at bedside? SATA
effectiveness in medication administration
bedside change of shift report
standardized documentation tools
hourly rounding by staff members
83
Which of the following is a critical element in error reporting in root cause analysis
errors are documented as person focused
communication is linked to increased errors
individuals are encouraged to report near misses
non-punitive action when errors are reported
84
How is assertive behavior described
Self-denying
Apologetic
Coercive
Direct
85
In a legal suit, what element is necessary to prove a tort has been committed
Assault
injury
malpractice
intent
86
In a malpractice suit, how may a breech of duty be established
liability testimony of physician
expert testimony
testimony of coworkers
testimony from state board of nurses
87
How does the Utah Nurse Practice Act Rule define a Comprehensive nursing assessment?
apprasial of a patient's satus and situation at hand
assessing the patient's care plan
conducting extensive initial ongoing data collection
verification and evaluation of prescribed orders
88
What is the primary role of The Joint Commission
granting magnet status to excellent hospitals
ensuring medical facilities meet patient safety guidelines
inspecting hospitals for compliance of infection control
lobbying congress on behalf of Medicare/medicaid patients
89
according to the American Hospital Association, what is a basic right of patient
choice of diet to be eaten during hospitalization
information from nurses about diagnosis and prognosis
considerate and respectful care from all care providers
medical care regardless of ability to pay
90
which action would help the graduate nurse when seek employment? SATA
Plan out interviews
Find out what type of care is delivered
ask to speak to nurses on the unit
determine the length of orientation
91
Which of the following actions best reflects accountability for nursing process
asking client's daughter to bring non-skid socks for her dad
reassessing a client's BP when the reported value is high
ask CNA to take vital signs on client who just had pain meds
Assist team member in giving client a bed bath.
92
A new grad is looking for a mentor. Which staff nurse would be the best choice.
Kim, 6 years and highly intellectual but is aloof.
Louise, a skilled clinician who appears hurried
Juan, has 3 years experience, good skills, sense of humor
Jill, a new grad with 2 years with LPN experience.
93
grad nurse wants to pursue a career in ICU. what is an appropraiate goal for this career?
Credentialing as a Certified Critical Care Nurse
Complain to the Clinical Placement team
Obtain employment at only magnet status facilities
Become a Family Nurse Practitioner
94
The nurse understands stress-related illness when stating with of the following? SATA
Stress can cause insomnia
stress is known to cause muscle and joint pain
stress is not known to cause any health problems
stress can cause headaches
95
Which statement shows and understanding of democratic leadership
discourage participation from members of the group
require more time and effort to make decisions and goals
it is frustrating to the leader because they cant control.
increases possibility of scapegoating
96
how many hours must a licensed nurse practice without additional contact hours to renew license
40/week
200
400
1,000
97
nurse manager understands the job of expectations of a new grad when making which statement
function in the role in the curriculum for the school
function independently with ability to make clinical choices
function competently as an advanced beginner
perform independently as was demonstrated last semester
98
a nursing program is notified that accreditdation status is in jeopardy, what must be done?
withdraw all students who are failing
dismiss al nursing classes and students
notify all hospitals in the area
immediate notify the Board of its status
99
What would be the most effective way for a nurse to validate informed consent
determine from the Dr. what was discussed with patient
ask the family if the patient understands procedure
check the chart for a complete and signed consent form
Ask the patient what he understands about the procedure
100
Where should a nurse go if they are facing a dilemma in patient care with no right or wrong
the nurse's religious leader
hospital legal department
the client's insurance company
the hospital ethics committee
101
Which statement by the nursing student indicates understanding of a career goal?
to guarantee you will achieve your goal
to impress those part of the interview process
to keep you focused on your current job
to help you define the direction of your career
102
What technique would demonstrate a laissez-faire style of leadership
purchase the brand they like the best
let the nurses on the day shift order thermometer they want
have nurses vote on their favorite thermometer
ask nurses what thermometer they like best
103
a man fell off a crane he was not moved for fear of injury . What is the ethical principle here
autonomy
fidelity
non-maleficence
justice
104
I've never been so upset in all my life, what phase of reality shock is the grad experiencing
honeymoon
role transformation
shock and rejection
recovery
105
Which situation could lead to performance inadequacy
person assigned did not understand what the task involved
person is capable of carrying out the assignment
the person had appropriate educational qualifications
person confirmed the recipient's ability to do task
106
What is the legal source of rules of conduct for nurses?
constitution of the United States
Nurse Practice Acts
American Nurses Association
Agency policies and protocols
107
Which of the following is the best example of a sentinel event?
Tylenol #3 is given when plain Tylenol was orderd
a Pt's temp increases to 100.4 during blood transfusion
a patient develops an allergic reaction to a new medication
code pink after a newborn is found missing from nursery
108
I act differently depending on which nurses are working. what type of leadership is this?
Interactional
Situational
Transformational
Transactional
109
Using SBAR which statement indicates coworkers are discussing the situation component
nurse states the patient's name using two identifiers
nurse states patient was hospitalized for broken tibia.
the nurse states opinion on what is occurring with patient
oncoming nurse acknowledges the info that has been received

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