NR 442 Role Exam 1: Community Health Nursing (Latest 2022/2023)-Chamberlain

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A nurse educator is planning a class on quality improvement for the students. At what point should the educator introduce the focus on quality care? a. On the first clinical day in a long term care ... setting b. Before the first written exam is given c. On day one and continuing throughout the course d. On the first clinical day in acute care 2. Provision 5 of the American Nurses Association Code of Ethics states that the nurse owes the same duties to self as to others. Which of the following… SATA a. Maintain competence b. Preserve integrity and safety c. Abstain from all bad habits maybe ? d. Continue personal and professional growth e. Return to school to obtain a masters degree maybe too? Says continuing education Provision 5 5.1 Duty to self and others 5.2 Promotion of personal health, safety, and well-being 5.3 Wholeness of character 5.4 Preservation of integrity 5.5 Maintenance of competence and professional growth 5.6 Personal growth 3. A nurse manager uses a style where workers perform acc ording to unit policy and procedures to earn rewards and thus gain followers loyalty. Which management style is being employed by the nurse manager? a. Transformational b. Democratic c. Transactional d. Charismatic 4. A client with terminal breast cancer is alert and oriented. The client physician has knowledge of a new treatment option available to the client and decides to try this treatment without iinforming the client. The nurse reports this to the charge nurse. Which ethical principle has the physician broken? a. Autonomy b. Justice c. Utilitarianism d. Morality 5. A nurse is working for a homecare agency. One RN is responsible for all of the needs of the client, and must be very self-directed. The type of nursing model utilized by this agency is most likely what type? a. Model nursing b. Primary care nursing c. Team nursing d. Functional nursing 6. Many diverse persons can make up an ethical committee. Who cannot be part of the ethics committee? a. Physician b. Attorney c. Clients mother d. Hospital clergy 7. The nurse knows that which of the following is the best example of justice? a. Staffing is fairly distributed throughout the hospital, based on the need for physical and psychosocial care acuity of the clients b. Staffing is distributed based on a first-come-first-serve basis, and staff can choose their clients c. Staffing is fairly distributed based on the beliefs and value systems in the dominant culture d. Staffing is fairly distributed based on the years worked of each nurse 8. The new nurse manager in a twenty-four bed medical-surgical floor is organizing groups, asks for input and seems to value cooperation? A staff nurse knows this leader is what type of leader? a. Authoritative b. Laissez-faire c. Transactional d. Democratic 9. What is the primary purpose for the development of the quality and safety education for Nurses (QSEN) project? a. Increase the number of students in diploma nursing programs b. Shift nursing education to a more medical model due to the increased client acuity c. Focus nursing education on competencies to reduce the number of medical errors d. Decrease the number of associate degree nursing programs 10. Nurses can assist risk management by doing Which of the following? SATA a. Reporting and removing malfunctioning medical equipment b. Removing and storing all cellular phones found on the unit c. Ensuring safety precautions such as handwashing and cleanliness are in place d. Reporting near misses when and if they occur on the unit e. Assisting families to clean up spills and... 11. Which statement describes the conclusions of the institute of medicine (IOM) concerning Quality in Healthcare? SATA a. Quality cannot be defined b. Quality problems are serious, costly, and extensive c. Current approaches to quality improvement have been inadequate d. There is an urgent need for rapid change e. Pharmaceutical companies should bear the burden for changing practice 12. Which of the following are desired leadership traits and competencies? SATA a. The leader uncovers and seizes opportunities when they arise b. The leader is ethical in following the mission of the health care organization c. The leader is authoritarian is developing methods of achieving goals d. The leader maximizes opportunities to form productive relationships e. The leader uses conflict to create unity on the unit 13. Which ethical principle encompasses the nurses obligation to be competent? a. Nonmaleficence b. Benediction c. Autonomy d. Paternalism 14. A new nurse manager is happy with the individuals on her nursing team, but notices that they do not function well as a team. Select the action by the charge nurse that would best facilitate team building among the staff. a. Hire more staff members to reduce stress and fatigue from understanding b. Provide an opportunity for the nurses to express their feelings about the team c. Allow the staff more input into purchasing supplies and other budget issues d. Hold a meeting with the physicians to discuss the attitudes they have witnessed 15. A nurse is preparing to initiate IV therapy for a client who has a prescription for morphine 10mg IV bolus. Using time management principles, which of the following actions should the nurse first take? a. Mentally envision the procedure when gathering supplies b. Eject excessive medication from the prefilled syringe c. Explain the procedure to the client d. Enter the room and perform hand hygiene 16. A nurse witnessed another RN administering an extra dose of sedation to an agitated client. The first nurse nothing due to a fear of….lack of action? a. Doing nothing is still considered an unethical action by the coworker b. The coworker is released from any ethical responsibility c. Taking no action is acceptable, because the coworker is only a witness d. Doing nothing is advised when potential adverse consequences are foreseen 17. A nurse recognizes that autocratic leaders: a. Encourage creativity b. Share leadership c. Postpone decision making d. Give orders and make all decisions 18. A nurse is on trial for failure to monitor a patient's neurological status, and blood sugar after administering regular insulin. With what has the nurse likely been charged? a. Malpractice: Duty owed to patient b. Malpractice: Damages owed to patient c. Maleficence: Omission owed to patient d. Maleficence: Injury owed to patient 19. A graduation nurse is applying for a multistate, or compact, license. Which of the following rules apply to the nurse licensure compac [Show More]

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