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TEST BANK. Kozier And Erbs Fundamentals Of Nursing 10th Edition Berman: Chapter 1-52. With 1752 Pages. Q&A Plus Rationales.

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question 1 Type: SEQ The nurse is reviewing historic events in nursing for a presentation to be provided to new nursing students. In which chronological order should the nurse present these events? Be... gin with the earliest (1) and end with the most recent (5). Standard Text: Click and drag the options below to move them up or down. Choice 1. The Order of Deaconesses opens a small hospital in Kaiserswerth, Germany. Choice 2. The Knights of St. Lazarus dedicate themselves to the care of people with leprosy, syphilis, and chronic skin conditions. Choice 3. Harriet Tubman provides care to slaves fleeing on the Underground Railroad. Choice 4. The Cadet Nurse Corps is established. Choice 5. Florence Nightingale administers to soldiers during the Crimean War. Correct Answer: 2, 1, 5, 3, 4 Rationale 1: In 1836, Theodore Fliedner reinstituted the Order of Deaconesses and opened a small hospital and training school in Kaiserswerth, Germany, where Florence Nightingale received her training. Rationale 2: Religion played a significant role in the development of nursing. The crusades saw the formation of several orders of knights who provided care to the sick and injured, including the Knights of St. Lazarus. Rationale 3: During the American Civil War (1861–1865), Harriet Tubman (among other nurses) administered to the care of slaves and injured soldiers. Rationale 4: World War II casualties created an acute shortage of care, and the Cadet Nurse Corps was established in response to the shortage of nurses. Rationale 5: During the Crimean War (1854–1856), Ms. Nightingale administered to the solders following a request by Sir Sidney Herbert of the British War Department. Cognitive Level: Application Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team membersTestsbanknursing.com AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 3 Question 2 Type: MCSA The nurse is caring for a nurse who provided care to soldiers during the Vietnam War. What information in this patient’s history should the nurse use to understand the patient’s nursing career? 1. The patient was still a student when serving in the war. 2. The patient’s first patient care experiences were during a time of war. 3. The patient decided to leave the profession after serving in the war. 4. The patient contracted long-term illnesses from being overseas in a war. Correct Answer: 2 Rationale 1: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. Rationale 2: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. Rationale 3: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. There is no evidence that the patient did not continue in the role of a nurse after the war. Rationale 4: During the Vietnam War, approximately 11,000 American military women stationed in Vietnam were nurses. Most of them volunteered to go to Vietnam right after they graduated from nursing school, making them the youngest group of medical personnel ever to serve in wartime. There is no evidence that the patient contracted long-term illnesses from serving in the war.Testsbanknursing.comTestsbanknursing.com . Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 4 Question 3 Type: MCSA The nurse is reviewing public health and health promotion roles for available for nurses. To which leader should the nurse attribute the development of these roles? 1. Clara Barton 2. Lillian Wald 3. Mary Brewster 4. Florence Nightingale Correct Answer: 4 Rationale 1: Florence Nightingale’s vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursingTestsbanknursing.com services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement.Testsbanknursing.com Rationale 2: Florence Nightingale’s vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement. Rationale 3: Florence Nightingale’s vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement. Rationale 4: Florence Nightingale’s vision of nursing included public health and health promotion roles for nurses, but it was only partly addressed in the early days of nursing. Her focus tended to be on developing the profession within the hospitals. Clara Barton is noted for establishing the American Red Cross. She persuaded Congress to ratify the Treaty of Geneva in 1882 so that the Red Cross could perform humanitarian efforts in times of peace. Lillian Wald is considered the founder of public health nursing. She and Mary Brewster were the first to offer trained nursing services to the poor in the New York slums and developed the Visiting Nurse Service, along with the Henry Street Settlement. Cognitive Level: Analyzing Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 6 Question 4Testsbanknursing.com Type: MCSA The nurse has been asked to participate on the hospital’s Shared Governance Committee. To which nurse leader should the nurse attribute the ability for nurses to control the profession? 1. Mary Breckinridge 2. Lavinia Dock 3. Margaret Higgins Sanger 4. Virginia Henderson Correct Answer: 2 Rationale 1: Mary Breckinridge established the Frontier Nursing Service. Rationale 2: Lavinia Dock was a feminist, writer, and activist. She participated in protest movements for women’s rights that resulted in passage of the 19th Amendment, which allowed women the right to vote. In addition, Dock campaigned for legislation to allow nurses, rather than physicians, to control their profession. Rationale 3: Margaret Higgins Sanger is considered the founder of Planned Parenthood. Rationale 4: Virginia Henderson was one of the first modern nurses to define nursing. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: 1. Discuss historical factors and nursing leaders, female and male, influencing the development of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 7 Question 5Testsbanknursing.com Type: MCSA While a nurse is conducting a health assessment, the individual asks why the term “patient” is being used. What should the nurse explain about the implication of the term “patient”? 1. The person is seeking assistance because of illness. 2. The individual is proactive in his or her health care needs. 3. The person is a collaborator in his or her care. 4. The individual is using a service or commodity. Correct Answer: 1 Rationale 1: The word patient comes from a Latin word meaning “to suffer” or “to bear.” Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity. Rationale 2: The word patient comes from a Latin word meaning “to suffer” or “to bear.” Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity. Rationale 3: The word patient comes from a Latin word meaning “to suffer” or “to bear.” Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity. Rationale 4: The word patient comes from a Latin word meaning “to suffer” or “to bear.” Usually, people become patients when they seek assistance because of illness or for surgery. Some nurses believe that the wordpatient implies passive acceptance of the decisions and care of health professionals, which would be opposite of being proactive in one’s health care needs. The term client presents the recipient of health care as a collaborator in that care, along with the people who are providing service. A consumer is an individual, a group of people, or a community that uses a service or commodity. Cognitive Level: Applying Client Need: Safe and Effective Care EnvironmentTestsbanknursing.com Client Need Sub: Management of Care QSEN Competencies: II.C. 3. Value the perspectives and expertise of all health team members AACN Essentials Competencies: I. 9. Value the ideal of lifelong learning to support excellence in nursing practice NLN Competencies: Knowledge and Science; Knowledge; The state of science in nursing Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 5. Describe how the definition of nursing has evolved since Florence Nightingale. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 13 Question 6 Type: MCSA The nurse is creating a community education program on health promotion and wellness. Which topic should the nurse use for this program? 1. Prenatal and infant care 2. Prevention of sexually transmitted disease 3. Exercise class for clients who have had a stroke 4. Home accident prevention Correct Answer: 4 Rationale 1: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles, such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease, which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration. Rationale 2: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles, such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease, which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. TeachingTestsbanknursing.com clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration. Rationale 3: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles, such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease, which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration. Rationale 4: Wellness is a process that engages in activities and behaviors that enhance quality of life and maximize personal potential. This involves individual and community activities to enhance healthy lifestyles, such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents in the home and workplace. The goal of illness prevention is to maintain optimal health by preventing disease, which would include immunization, prenatal and infant care, and prevention of sexually transmitted disease. Teaching clients about recovery activities, such as exercises that accelerate recovery after a stroke, would focus on health restoration. Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral and follow-up throughout the lifespan NLN Competencies: Context and Environment; Practice; apply health promotion/disease prevention strategies; apply health policy Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 9. Describe the expanded career roles of nurses and their functions.. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 14Testsbanknursing.comTestsbanknursing.com Question 7 Type: MCSA The nurse is offering free occult blood screening at a community health fair. Which level of practice is the nurse providing? 1. Promoting health and wellness 2. Illness prevention 3. Restoring health 4. Rehabilitation Correct Answer: 3 Rationale 1: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration. Rationale 2: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration. Rationale 3: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration. Rationale 4: Restoring health focuses on the ill client, and it extends from early detection (such as checking for occult blood in feces) through helping the client during the recovery period. Health promotion and wellness activities enhance the quality of life and maximize personal potential. Rehabilitation is an activity of health restoration. Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: VII. 5. Use evidence-based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral and follow-up throughout the lifespanTestsbanknursing.com NLN Competencies: Context and Environment; Practice; apply health promotion/disease prevention strategies; apply health policy Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 14 Question 8 Type: MCSA The nurse has starting working in a state other than the one in which the nursing education program was located. Which of the following should the nurse consult in order to understand the implications of this change of venue? 1. American Nurses Association (ANA) 2. National League for Nursing (NLN) 3. National Council of State Boards of Nursing (NCSBN) 4. Nurse State Practice Act Correct Answer: 4 Rationale 1: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their state’s nurse practice act, as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses. Rationale 2: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their state’s nurse practice act, as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses. Rationale 3: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their state’s nurse practice act, as it governs their practice. The ANA is the professional organization of nursing, the NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses. Rationale 4: Nurse practice acts regulate the practice of nursing in the United States and Canada. Each state and each province has its own act. Nurses are responsible for knowing their state’s nurse practice act, as it governs their practice. The ANA is the professional organization of nursing, theTestsbanknursing.com NLN is responsible for accrediting schools of nursing, and the NCSBN handles licensure of professional nurses. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: V. 5. Describe state and national statues, rules and regulations that authorize and define professional nursing practice NLN Competencies: Context and Environment; Knowledge; scope of practice considerations Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 7. Identify the purposes of nurse practice acts and standards of professional nursing practice. MNL Learning Outcome: 1.1.2. Examine the impact the legal aspects of nursing have on practice. Page Number: 15 Question 9 Type: MCSA A seasoned nurse is a mentor for a new graduate. Which of the standards of professional performance is the seasoned nurse practicing? 1. Collaboration 2. Leadership 3. Collegiality 4. Evaluation Correct Answer: 3 Rationale 1: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between one’s own nursing practice and professional practice standards. Rationale 2: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve.Testsbanknursing.com Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between one’s own nursing practice and professional practice standards. Rationale 3: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between one’s own nursing practice and professional practice standards. Rationale 4: Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Leadership provides direction in a professional practice setting, and evaluation involves a comparison between one’s own nursing practice and professional practice standards. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: V. 5. Describe state and national statues, rules and regulations that authorize and define professional nursing practice NLN Competencies: Context and Environment; Knowledge; Code of Ethics; regulatory and professional standards Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 10. Discuss the criteria of a profession and the professionalization of nursing. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 18 Question 10 Type: MCSA The nurse ensures that a patient is covered during a bath. In which nursing role is the nurse functioning? 1. Caregiver 2. Communicator 3. TeacherTestsbanknursing.com 4. Client advocate Correct Answer: 1 Rationale 1: The caregiver role includes those activities that assist the client physically and psychologically while preserving the client’s dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals. Rationale 2: The caregiver role includes those activities that assist the client physically and psychologically while preserving the client’s dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals. Rationale 3: The caregiver role includes those activities that assist the client physically and psychologically while preserving the client’s dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals. Rationale 4: The caregiver role includes those activities that assist the client physically and psychologically while preserving the client’s dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the health care procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals. Cognitive Level: Analyzing Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: V. 5. Describe state and national statues, rules and regulations that authorize and define professional nursing practice NLN Competencies: Context and Environment; Knowledge; Code of Ethics; regulatory and professional standards Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice.Testsbanknursing.com Page Number: 15 Question 11 Type: MCSA A client wishes to discontinue cancer treatment. If acting as the client advocate, which statement should the nurse make to the client’s physician? 1. “The client is making his own decision.” 2. “The client would benefit from additional information about treatment options.” 3. “The family must be involved in this decision.” 4. “Let’s educate the family about the consequences of this decision.” Correct Answer: 1 Rationale 1: A client advocate acts to protect the client and may represent the client’s needs and wishes to other health professionals, such as relaying the client’s wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor. Rationale 2: A client advocate acts to protect the client and may represent the client’s needs and wishes to other health professionals, such as relaying the client’s wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor. Rationale 3: A client advocate acts to protect the client and may represent the client’s needs and wishes to other health professionals, such as relaying the client’s wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor. Rationale 4: A client advocate acts to protect the client and may represent the client’s needs and wishes to other health professionals, such as relaying the client’s wishes for information to the physician. Providing additional information to the client about treatment options and bringing the family into the decision-making process would be examples of the nurse acting as teacher or counselor. . Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub:Testsbanknursing.com QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: VI. 2. Use inter- and intraprofessional communication and collaborative skills to deliver evidence-based, patient-centered care NLN Competencies: Context and Environment; Knowledge; principles of informed consent, confidentiality, patient self-determination Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 15 Question 12 Type: MCSA The nurse has accepted a position as a case manager. What should the nurse expect to perform when functioning in this role? 1. Managing a client’s hospital stay 2. Delegating activities to other nurses 3. Evaluating the performance of ancillary workers 4. Identifying areas of client concern or problems Correct Answer: 1 Rationale 1: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating the performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer. Rationale 2: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating the performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer. Rationale 3: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating the performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer.Testsbanknursing.com Rationale 4: The case manager oversees the care of a specific caseload or may act as the primary nurse to provide some level of direct care to the client and family. Responsibilities may vary from managing acute hospitalizations to managing high-cost clients or case types. Delegating activities to other nurses and evaluating the performance of ancillary workers are responsibilities of the nurse manager. Identifying areas of researchable problems would fall to the research consumer. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 2. Describe scopes of practice and roles of health care team members AACN Essentials Competencies: VII. 4. Use behavioral change techniques to promote health and manage illness NLN Competencies: Context and Environment; Knowledge; health promotion/disease prevention Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 16 Question 13 Type: MCSA The manager identifies that a nurse is practicing professionalism. What did the manager observe to come to this conclusion? 1. Recognizing characteristics considered to be professional 2. Maintaining specific character and spirit 3. Learning about the influences of Florence Nightingale 4. Promising to uphold the standards of the profession Correct Answer: 2 Rationale 1: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because professionalism refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession.Testsbanknursing.com Rationale 2: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because professionalism refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession. Rationale 3: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because professionalism refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession. Rationale 4: Professionalism refers to professional character, spirit, or methods. It is a set of attributes and a way of life that implies responsibility and commitment. Florence Nightingale influenced nursing professionalism a great deal, but simply learning about her influence does not constitute professionalism because professionalism refers to a way of life. Professionalization is the process of becoming professional, which is acquiring characteristics considered to be professional and upholding the standards of a profession. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 5. Respect the unique attributes that members bring to a team, including variations in professional orientations and accountabilities AACN Essentials Competencies: VIII. 4. Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers NLN Competencies: Context and Environment; Practice; Apply professional standards; show accountability for nursing judgment and actions; develop advocacy skills Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 10. Discuss the criteria of a profession and the professionalization of nursing. MNL Learning Outcome: 1.1.3. Consider how values impact the practice of nursing. Page Number: 17 Question 14 Type: MCSA The nurse is caring for several acutely ill patients. What nursing action demonstrates professional autonomy?Testsbanknursing.com 1. Delivering medications and prescribed treatments in a timely manner 2. Prioritizing client according to client needs 3. Communicating with peers when help is needed 4. Informing the supervisor about high acuity level and staff-to-client ratio Correct Answer: 2 Rationale 1: Autonomy in nursing means independence at work, responsibility, and accountability for one’s actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession, as is making concerns known to supervisors, but these are not examples of controlling activity—a hallmark of autonomy. Rationale 2: Autonomy in nursing means independence at work, responsibility, and accountability for one’s actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession, as is making concerns known to supervisors, but these are not examples of controlling activity—a hallmark of autonomy. Rationale 3: Autonomy in nursing means independence at work, responsibility, and accountability for one’s actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession, as is making concerns known to supervisors, but these are not examples of controlling activity—a hallmark of autonomy. Rationale 4: Autonomy in nursing means independence at work, responsibility, and accountability for one’s actions. Making decisions about which client requires care according to needs is an example of autonomy. Carrying out physician orders would be an example of nursing care, but not independence. Communication is important in any profession, as is making concerns known to supervisors, but these are not examples of controlling activity—a hallmark of autonomy. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 5. Respect the unique attributes that members bring to a team, including variations in professional orientations and accountabilities AACN Essentials Competencies: VIII. 4. Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers NLN Competencies: Context and Environment; Practice; Apply professional standards; show accountability for nursing judgment and actions; develop advocacy skills Nursing/Integrated Concepts: Nursing Process: PlanningTestsbanknursing.com Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 17 Question 15 Type: MCSA The student nurse contacts a number of other students to create a study group. What behavior is the student nurse demonstrating? 1. Governance 2. Socialization 3. Service orientation 4. Specialized education Correct Answer: 2 Rationale 1: Governance is the establishment and maintenance of social, political, and economic arrangements by which practitioners control their practice, working conditions, and professional affairs. Rationale 2: Socialization involves learning to behave, feel, and see the world in a manner similar to other persons occupying the same role. The goal is to instill in others the norms, values, attitudes, and behaviors deemed essential. One of the most powerful mechanisms of professional socialization is interacting with fellow students and becoming bound together by feelings of mutual cooperation, support, and solidarity. Rationale 3: Service orientation differentiates nursing from an occupation pursued primarily for profit. Rationale 4: Specialized education is an important aspect of professional status and is focused on the course of study and curriculum particular to the profession. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.C. 5. Respect the unique attributes that members bring to a team, including variations in professional orientations and accountabilitiesTestsbanknursing.com AACN Essentials Competencies: VIII. 4. Demonstrate professionalism, including attention to appearance, demeanor, respect for self and others, and attention to professional boundaries with patients and families as well as among caregivers NLN Competencies: Context and Environment; Practice; Apply professional standards; show accountability for nursing judgment and actions; develop advocacy skills Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 8. Describe the roles of nurses. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 17 Question 16 Type: MCSA The nursing instructor is explaining the present economic challenges in health care to students in a community health course. What should the instructor emphasize as being important for the students to be aware of? 1. Passage of the Affordable Care Act 2. Consumer presence on the boards of nursing associations and regulatory agencies 3. Diagnostic-related groups (DRGs) 4. Advances in science and technology Correct Answer: 1 Rationale 1: With the passage of the Affordable Care Act (ACA) in 2010, health care delivery shifted in focus from acute care to primary preventive care and treatment of chronic conditions using health care teams and information technology. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Although this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings. Rationale 2: With the passage of the Affordable Care Act (ACA) in 2010, health care delivery shifted in focus from acute care to primary preventive care and treatment of chronic conditions using health care teams and information technology. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Although this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings. Rationale 3: With the passage of the Affordable Care Act (ACA) in 2010, health care delivery shifted in focus from acute care to primary preventive care and treatment of chronic conditions using healthTestsbanknursing.com care teams and information technology. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Although this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings. Rationale 4: With the passage of the Affordable Care Act (ACA) in 2010, health care delivery shifted in focus from acute care to primary preventive care and treatment of chronic conditions using health care teams and information technology. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Although this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings. Cognitive Level: Applying Client Need: Safe and Effective Care Environment Client Need Sub: Management of Care QSEN Competencies: II.A. 4. Recognize contributions of other individuals and groups in helping patient/family achieve health goals AACN Essentials Competencies: V. 6.Explore the impact of socio-cultural, economic, legal and political factors influencing healthcare delivery and practice NLN Competencies: Context and Environment; Knowledge; Health care economic policy Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 12. Describe factors influencing contemporary nursing practice. MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery. Page Number: 19 Question 17 Type: MCSA The community health nurse is caring for teenage mothers and their children. For what should the nurse assess these patients when determining their degree of vulnerability? 1. Distance separation from their nuclear families 2. Increased levels of poverty 3. Raising children without the support of family 4. The normal difficulties of adolescenceTestsbanknursing.com Correct Answer: 4 Rationale 1: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Although many teenage mothers are raising children alone, without the support of the baby’s father or perhaps their own families, and many live in poverty, all are vulnerable because of their age. Rationale 2: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Although many teenage mothers are raising children alone, without the support of the baby’s father or perhaps their own families, and many live in poverty, all are vulnerable because of their age. Rationale 3: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Although many teenage mothers are raising children alone, without the support of the baby’s father or perhaps their own families, and many live in poverty, all are vulnerable because of their age. Rationale 4: Teenage mothers have the normal needs of teenagers as well as those of new mothers, with motherhood compounding the difficulties of adolescence. Although many teenage mothers are raising children alone, without the support of the baby’s father or perhaps their own families, and many live in poverty, all are vulnerable because of their age. Cognitive Level: Applying Client Need: Psychosocial Integrity Client Need Sub: QSEN Competencies: I.B. 3. Provide patient-centered care with sensitivity and respect for the diversity of human experience AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches NLN Competencies: Context and Environment; Knowledge; family dynamics Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 9. Describe the expanded career roles of nurses and their functions. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 19 Question 18 Type: MCSATestsbanknursing.com A client tells the nurse about research information on the Internet to learn more about a new health problem. What should the nurse respond to this client? 1. “Information from the Internet isn’t always accurate.” 2. “It’s best to check this information with your physician.” 3. “Bring your information to the clinic so we can go through it together.” 4. “I’d prefer you rely on information you haven’t received from our office.” Correct Answer: 3 Rationale 1: Nurses may need to interpret Internet sources of information to clients and their families. Although not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness. Rationale 2: Nurses may need to interpret Internet sources of information to clients and their families. Although not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness. Rationale 3: Nurses may need to interpret Internet sources of information to clients and their families. Although not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness. Rationale 4: Nurses may need to interpret Internet sources of information to clients and their families. Although not all Internet-based information is accurate, some may be high quality and valid. Nurses need to become information brokers so they, not just the physician, can help clients access and evaluate information to determine its usefulness. Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: QSEN Competencies: VI.A. 4. Describe examples of how technology and information management are related to the quality and safety of patient care AACN Essentials Competencies: IV. 6. Evaluate data from all relevant sources, including technology, to inform the delivery of care NLN Competencies: Knowledge and Science; Knowledge; Electronic databases; literature retrieval; evaluating data for validity and reliability; evidence and best practices for nursing Nursing/Integrated Concepts: Nursing Process: ImplementationTestsbanknursing.com Learning Outcome: 9. Describe the expanded career roles of nurses and their functions. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 20 Question 19 Type: MCSA The nurse practitioner is working with a staff nurse to change the plan of care for a client with a terminal illness. In which areas of nursing practice are these nurses functioning? 1. Promoting health and wellness 2. Preventing illness 3. Restoring health 4. Caring for the dying Correct Answer: 4 Rationale 1: Promoting health and wellness may involve individual and community activities to enhance healthy lifestyles, such as improving nutrition and physical fitness, preventing drug and alcohol misuse, restricting smoking, and preventing accidents and injury in the home and workplace. Rationale 2: The goal of illness prevention programs is to maintain optimal health by preventing disease. Rationale 3: Restoring health focuses on the ill client, and it extends from early detection of disease through helping the client during the recovery period. Rationale 4: Caring for the dying involves comforting and caring for people of all ages who are dying. It includes helping clients be as comfortable as possible until death and helping support persons cope with death. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Basic Care and Comfort QSEN Competencies: I.B. 7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences and expressed needs AACN Essentials Competencies: IX. 6. Implement patient and family care around resolution of endof-life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferencesTestsbanknursing.com NLN Competencies: Context and Environment; Ethical Comportment; Examine personal beliefs, values, and biases with regard to respect for persons, human dignity, equality, and justice; explore ideas of nurse caring and compassion Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 6. Identify the four major areas of nursing practice. MNL Learning Outcome: 1.2.1. Explore the various roles in nursing practice. Page Number: 14 Question 20 Type: MCSA The nurse is scheduled to attend a continuing education program to learn about the latest urinary catheterization care. Which type of credential should the nurse expect to earn after attending this program? 1. None because this program is designed to enhance a skill 2. Advanced degree 3. Certification as a renal nurse 4. Credit hours toward an advanced degree Correct Answer: 1 Rationale 1: The term continuing education (CE) refers to formalized experiences designed to enhance the knowledge or skills of practicing professionals. Compared to advanced educational programs, which result in an academic degree, CE courses tend to be more specific and shorter. Participants may receive certificates of completion or specialization. Rationale 2: The term continuing education (CE) refers to formalized experiences designed to enhance the knowledge or skills of practicing professionals. Compared to advanced educational programs, which result in an academic degree, CE courses tend to be more specific and shorter. Participants may receive certificates of completion or specialization. Rationale 3: The term continuing education (CE) refers to formalized experiences designed to enhance the knowledge or skills of practicing professionals. Compared to advanced educational programs, which result in an academic degree, CE courses tend to be more specific and shorter. Participants may receive certificates of completion or specialization. Rationale 4: The term continuing education (CE) refers to formalized experiences designed to enhance the knowledge or skills of practicing professionals. Compared to advanced educational programs, which result in an academic degree, CE courses tend to be more specific and shorter. Participants may receive certificates of completion or specialization.Testsbanknursing.com Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Reduction of Risk Potential QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient centered care AACN Essentials Competencies: VIII. 13. Articulate the value of pursuing practice excellence, lifelong learning and professional engagement to foster professional growth and development NLN Competencies: Quality and Safety; Ethical Comportment; Engage in lifelong learning to keep professional knowledge current Nursing/Integrated Concepts: Nursing Process: Evaluation Learning Outcome: 4. Explain the importance of continuing nursing education. MNL Learning Outcome: 1.2.3. Examine the factors affecting health care delivery. Page Number: 12 Question 21 Type: MCSA The nurse is planning to apply to graduate school to earn a master’s degree in nursing. On what should the nurse expect the program’s curriculum to focus? 1. An advanced leadership role 2. Case manager 3. Wound care specialist 4. Intravenous therapy specialist Correct Answer: 1 Rationale 1: The emphasis of master’s degree programs is on preparing nurses for advanced leadership roles in administration, clinical, or teaching. Rationale 2: The emphasis of master’s degree programs is on preparing nurses for advanced leadership roles in administration, clinical, or teaching. A case manager does not necessarily need to have a master’s degree. Rationale 3: The emphasis of master’s degree programs is on preparing nurses for advanced leadership roles in administration, clinical, or teaching. A wound care specialist does not necessarily need a master’s degree.. [Show More]

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