Rasmussen NUR2058 final exam

set 1

1. True or False: Energy Systems in the body are used by
both conventional and integrative medicine. ?

2. Select the most effective method that nurses can use to gain
power over their practice.

?

3. An unexpected occurrence involving death or serious
physical or psychological injury or the risk thereof serious injury including
loss of limbs or function is:

4. What is the purpose of spiritual modes of healing?
Enhance comfort and produce an inner peace

?

5. True or False: QSEN or Quality of Safety Education for
Nurses is built on 8 competencies developed by the Department of Health.

?

6. Which best describes The Leapfrog Group and its
recommendations?

?

7. A client’s blood pressure of 180/110 mmHg is an example
of which of the following?

8. With which of the following clients does the nurse
determine to be the most appropriate time to discuss their discharge teaching? ?

9. What is the definition of the ethical principle of
nonmaleficence?

10. These characteristics are difficult to identify, but
have an even more profound effect on an individual’s cultural identity.

11. Which of the following is a key element to effective
education of nursing students?

12. Which of the following would NOT be considered an
invasion of privacy:

13. Which of the following is an appropriate response from
the nurse when caring for a client using complimentary medicine?

?

19. Which characteristic is required in a person to be able
to resolve difficult crises?

20. Where would a nurse look to find their scope of practice
as defined by state law?

21. Identify an important aspect of the role of forensic
psychiatric nurses Identify changes in

22.

The student nurse asks, “Why is there such an emphasis on
spirituality in health care?” Which of the following is the most appropriate
response by the nurse preceptor?

A) Each hospital establishes its own policy regarding
spirituality.?B) The
American Association of Colleges of Nursing mandates a policy related to
spirituality in health care?C)
The Joint Commission has a standard of patient care with inclusion of spirituality.?D) Spirituality remains at the
discretion of the chaplain or pastoral care.

23.

What is the first step in the delegation process?

A) Allowing the person to observe the RN performing the task
before making the assignment?B)
Determining the skill level of the person to whom the task is to be delegated?C) Obtaining permission from
the client for another care provider to help with the care?D) Instructing the person to
whom the task is delegated about the assignment

24.

,.

A) The client’s perceptions and beliefs about the disease
process and the modalities of treatment?B)
The distance the client lives from the primary health-care facility?C) The age difference between
the client and the nurse?D)
What type of insurance coverage the client has

25.

Identify a secured setting for the practice of forensic
nursing.

A) Crime scenes?B)
Women’s shelters?C)
Emergency rooms?D)
Correctional institutions

26.

What would be a likely result of the development of a
universally agreed upon nomenclature and taxonomy for nursing clinical
information and management data?

A) A failure to determine the impact nurses have on outcomes?B) The inability to identify
what the nursing staff actually does?C)
The establishment of appropriate reimbursement for nursing activities?D) A decrease in the number of
nursing diagnoses

27.

A particularly vocal staff nurse on a busy obstetric unit
has been complaining to the other nurses about the unit manager’s preferential
treatment of the night-shift nurses. Select the action that the unit manager
should take to resolve this problem, which best demonstrates the use of the
assertive approach to conflict resolution.

A) Sets up a time and place for a one-on-one meeting with
the staff nurse?B)
Arranges for the transfer of the staff nurse to the night shift?C) Waits until there is an
opportunity to use the incident to confront the staff nurse in front of his or
her colleagues?D) Notes
that the vocal staff nurse is not intelligent enough to understand the
situation, and disregards her comments as worthless

28.

When do most health-care expenditures occur in a person’s
life?

A) As old age sets in due to the development of multiple
chronic illnesses?B)
During the last 6 months of life?C)
During childhood due to the large number of broken bones and traumatic injuries?D) During and shortly after
being born

29.

Which assignment is most appropriate for a CNA/UAP
(unlicensed assistive personnel) floated to the medical-surgical unit from the
outpatient clinic?

A) Completing the admission vital signs and assessment on a
44-year-old woman who just returned from the post anesthesia care unit after
nephrectomy?B) Obtaining a
temperature on a 29-year-old woman with gastrointestinal bleeding during the
last 30 minutes of a whole-blood transfusion?C)
Changing the sterile dressings on a 22-year-old man 2 days after undergoing
skin graft for burn injuries?D)
Assisting a 72-year-old man 1 day post–cerebrovascular
accident with dysphagia to eat lunch

30.

What is the primary goal of the nurse navigator role?

A) Lower the risk factors that cause poor or adverse client
outcomes?B) Elimination of
the barriers to care to make moving through the treatment maze easier?C) Starting a business by
combining nursing experience and knowledge with business knowledge?D) Provide health care for
inmates in correctional facilities such as juvenile centers, jails, and prisons

31.

True or False: It is estimated that 98,000 people die per
year due to adverse events & medical errors in hospitals.

A) False?B)
True

32.

Identify a communication style that involves interpersonal
behaviors that permit people to defend and maintain their legitimate rights in
a respectful manner that does not violate the rights of others.

A) Aggressive?B)
Assertive?C) Dishonest?D) Submissive

33.

Which nursing intervention is of limited effectiveness in
addressing the needs of a client with a nursing diagnosis of Spiritual
Distress?

A) Explain the nurse’s religious beliefs and values
immediately when requested to do so by the client.?B) Contact an appropriate spiritual leader or
community for conduct of spiritual rituals sought by the client.?C) Express a willingness to
assist and cooperate with religious practices that are not detrimental to the client’s
health in the treatment setting.?D)
Communicate acceptance of the client’s spiritual
needs and acknowledge their importance.

34.

When does the encoding process of communication take place?

A) The message is sent in a way that causes confusion in the
receiver.?B) The receiver
thinks about the information, understands it, and forms an idea based on the
message.?C) The sender
sends the message.?D) The
receiver responds to the message and gives feedback.

35.

Who is called the “father of modern medicine”?

A) Hippocrates?B)
Emperor Darius?C) Cyrus
the Great?D) William
Harvey

36.

Identify the task that may be delegated to an LPN (LVN) if
all of the clients are stable.

A) Developing the nursing diagnosis for a newly admitted
client?B) Turning a client
with a CVA every 2 hours?C)
Teaching a new diabetic patient how to administer insulin injections?D) Adding potassium to an
intravenous (IV) bag of D6W that was already hanging

37.

A patient is anxious about a procedure. Knowing the patient
loves the beach, the nurse instructs them to close their eyes and picture the
ocean, sand, and rays of the sun. Which of the following practices is the nurse
implementing?

A) Transcendental Meditation?B)
Guided Imagery?C)
Therapeutic Talking?D)
Visualization

38.

Identify the primary change that increased the need for many
more certified RN-coders and certified RN-auditors.

A) The development of new oversight procedures for Medicare
and Medicaid?B) The switch
to the new ICD-10 coding system?C)
The new regulations that came into effect with the Affordable Care Act?D) The closing of many college
programs that teach or offer degrees in health-care coding

39.

Identify the four concepts that are common in most nursing
theories.

A) Client, health, environment, nursing?B) Hospital, nursing home,
clinic, physician’s office?C) Nurse, physician, client, other providers?D) Care, adaptation, system,
cure

40.

Which of the following demonstrates the planning phase of
the nursing process?

A) The nurse specifies short and long term outcomes for the
client?B) The nurse
determines whether or not the client’s short
term outcomes were met?C)
The nurse performs a physical exam and collects a health history?D) The nurse identifies that
the client is at risk for pressure ulcers

41.

What is the best way to increase the motivation to learn in
the elderly population?

A) Use negative reinforcements when an elderly person does
not change behavior appropriately?B)
Link positive reinforcement to changes in behavior.?C) Ignore their life experiences so that the
learning is not contaminated by misinformation from the past.?D) Use the power disparity
between the teacher and the client to reinforce basic principles

42.

Why is it important for nurses in general practice to have
an awareness of forensic knowledge?

A) They may one day wish to become certified in forensic
nursing?B) Forensic
knowledge is a part of nursing curricula and is necessary for passing the
National Council Licensure Examination?C)
Nurses are often in positions to report crimes or preserve evidence.?D) With the increasing
involvement of nurses in malpractice suits, forensic knowledge will help them
win their cases

43.

Why is term healing preferred to medicine when referring to
alternative and complementary modalities?

A) Clients might associate alternative treatments with
hospital care.?B) Nurses
have had a strong influence in naming this modality.?C) The treatments are based on holistic
philosophies that go beyond treatment or cure of the physiological dimensions
of care.?D) Medicine
implies that only physicians can carry out the treatment

44.

An example of civility in the classroom consists of keeping
cell phones on silent and using proper cell phone etiquette?

A) False?B)
True

45.

What primary skills are required of the nurse to provide
cultural competent care?

A) All of the above?B)
Sensitivity?C) Understanding?D) Communication

46.

Both nursing models and theories help explain and direct
nursing actions.

A) True?B)
False

47.

Which of the following statements is most accurate about the
vast majority of the elderly?

A) They make up the single largest expenditure for the
federal government budget?B)
They are relatively healthy and most manage their chronic conditions at home?C) They all have chronic
diseases and are in assisted-care facilities.?D)
They have high levels of depression and are usually in bad spirits.

48.

Although the assessment techniques used for different
individuals may be identical, the nurse needs to know the basic biological and
physical variations among ethnic groups.

A) True?B)
False

49.

The client’s short term outcome was to sit up in a chair at
bedside for 30 minutes. The nurse reviews the client outcome, determines that
it was not met, and modifies the interventions. Which phase of the nursing
process is this?

A) Evaluation?B)
Assessment?C) Planning?D) Diagnosis

50.

This lengthy assessment tool provides a thorough overview of
a client’s culture.

A) Minority Model?B)
Purnell’s Model?C)
Non-English Model?D)
Bio-Cultural Model

51.

True or False: By law, supplements are regulated be the Food
and Drug Administration (FDA)

A) False?B)
True

52.

Which of the following describes Callista Roy’s definition
of nursing as indicated in her nursing model?

A) Multistep process that helps the client adapt and reach
the highest level of functioning?B)
Assistance in self-care activities to help the client achieve health?C) Dynamic process that
identifies and meets the client’s
health-care needs?D)
Identifies boundary disruption and helps clients in activities to restore
stability.

53.

An ethical code does which of the following?

A) dictates decisions?B)
provides a framework for decision-making?C)
sets firm rules?D)
provides a group of legally binding values

54.

To which individual can the charge nurse delegate the task
of completing the history and physical assessment for a newly admitted client?

A) LPN?B)
CNA, level II?C) CNA,
level III?D) RN

55.

A client sustained a complete C2 spinal cord injury after a
motor vehicle crash. He is unable to move bilateral upper and lower
extremities. He requires total nursing care including assistance eating,
turning, and voiding. Which of the following describes the level of care the
nurse provides according to Orem’s self-care model?

A) Partially compensated care?B)
Supportive developmental care?C)
Self-care?D) Wholly
compensated care

56.

Function in nursing informatics focuses on which of the
following?

A) A well-articulated theoretical basis to guide the
gathering of data?B) Areas
of research that lead to new knowledge?C)
The levels of special interest, including technology and concepts of nursing
theory?D) How the
management and processing of information helps nurses enter, organize, or
retrieve information

57.

Identify the best method for a nurse to acknowledge a
client’s autonomy

A) Incorporate the ethical principle of paternalism into all
client care activities?B)
Follow only the instructions of the client’s
family?C) Use the ethical
principle of best interest when making decisions about the client’s care needs?D) Know and understand the
state’s laws that address living wills

58.

Select the most appropriate client for the RN to assign to
the CNA/UAP (unlicensed assistive personnel).

A) A client with a percutaneous endoscopic gastrostomy tube
who is receiving continuous tube feedings?B)
A client with difficulty walking and requires assistance to the bathroom?C) A client with difficulty
swallowing food and fluids?D)
A client with a colostomy who requires irrigations

59.

What is best described as the concepts, ideals, behaviors,
and significant themes that give meaning to a person’s life?

A) Laws?B)
Values?C) Morals?D) Ethics

60.

Which of the following is known as a healing practice that
uses the human energy system?

A) Visualization?B)
Therapeutic Touch?C)
Hypnosis?D) Guided Imagery

61.

The analysis that tracks events leading to error, identifies
faulty systems and processes, and develops a plan to prevent further error in a
blame-free environment is called:

A) Quality Improvement?B)
Root Cause Analysis?C)
Case Management?D)
Leapfrog

62.

Nurses who learn about another person’s culture is enough to
guarantee the nurse will have cultural awareness.

A) False?B)
True

63.

Using errors as learning opportunities is a key element in
building which of the following?

A) Magnet hospital?B)
Shared decision-making environment?C)
system of improvements and quality care?D)
Just culture organization

64.

Evidence-based practice is the practice of nursing in which
interventions are based on data from research that demonstrates they are
appropriate and successful.

A) True?B)
False

65.

Which of the following is considered the best preferred
strategy to dealing with conflict?

A) Choose your battles?B)
Confront the conflict?C)
Postpone the conflict?D)
Ignore the conflict

66.

Which statement made by a nursing student during a class on
delegation indicates that the student needs additional study of the topic?

A) “The RN who delegates is also responsible for education
about the task to be performed.”?B)
“When nurses delegate, they are delegating
nursing.”?C)
“Assessing clients is a task of the RN.”?D) “The
tasks delegated should have expected and predictable outcomes.”

67.

Which statement by a nurse manager during a staff meeting
best demonstrates use of an assertive style of communication?

A) “I am the manager and we will do it my way.”?B) “You have made some good
points, but I have another suggestion.”?C)
“I’m sorry,
but your suggestion was useless to solving the problem.”?D) “I
really don’t care; do it the way you think
is best.”

68.

A physician writes a DNR order for a competent client. Which
individual may give permission for this order?

A) The client’s next of kin?B)
The client?C) The client’s spouse?D)
The client’s only child

69.

A client asks what the Affordable Care Act is. What best
explains this act?

A) “The law requires that most of the assets be absorbed.”?B) “The
law is only for those on Medicare Part D.”?C) “The
law has been written for those seniors who are under Medicaid.”?D) “The law has been written for those of all ages for a positive
outcome.”

70.

Clients may develop this when they view that the nurse is an
authority figure or expert in health-care matters.

A) Passive Obedience?B)
Active Obedience?C) Health
Care Aversion?D)
Communication Synergy

71.

Which is the principle upon which Nightingale’s spirituality
was based?

A) Scientific rationalism?B)
A sense of a divine intelligence who creates and sustains the cosmos as well as
an awareness of her own inner connection with this higher reality?C) Adherence to a set of rules
of behavior, the participation in prescribed rituals, prayer, and the study of
sacred texts?D) The
beliefs of her Unitarian and Anglican parents

72.

Client Satisfaction is not another way to measure quality of
care.

A) False?B)
True

73.

What is one disadvantage to the electronic health care
system that health care workers are concerned about?

A) Computer glitches?B)
Inexpensive computer systems?C)
Improved communication?D)
May be used by multiple users at one time

74.

Which is not part of the role of the forensic correctional
nurse?

A) Provide health screenings?B)
Respond to emergency situations?C)
Prescribe medications?D)
Develop health-care plans

75.

The nurse identifies a problem list for the client. Which of
the following phases of the nursing process is this a part of?

A) Assessment?B)
Diagnosis?C) Evaluation ?D) Planning

76.

What is the federally funded national health insurance
program in the United States for people older than 65 years?

A) Medicare?B)
Exclusive Provider Organization?C)
Long-term care insurance?D)
Medicaid

77.

T.S is a 75 year old man who sustained a left hip fracture
after a fall. He is normally independent and lives at home with his wife who
suffers from dementia. He currently requires a heavy assist of 2 to pivot
transfer to a chair. He is not currently ambulating more than a few steps with
a walker. His goal is to go back home to help care for his wife. Which of the
following is the most appropriate hospital discharge plan for T.S.?

A) Rehabilitation Center?B)
Long-term care facility?C)
Home with homecare?D) Assisted
living

78.

What is the primary reason some nurses have difficulty in
their role of managing the needs of the elderly or dying client?

A) Death of a client may indicate that the care they were
providing was insufficient?B)
Their education has focused them on keeping clients alive and promoting health.?C) They have an internal
conflict in coping with their own fears of death.?D)
They become very emotional when clients they are caring for die.

79.

What is the most effective method nurses can use to gain
power over nursing practice?

A) Confront hospital administrators about inadequate
staffing?B) Leave the
nursing profession when better jobs are available?C)
Join professional organizations in large numbers?D)
Use union tactics to increase salaries

80.

The establishment of a professional organization is one of
the most important defining characteristics of a profession.

A) False?B)
True

81.

Why is heritage consistency important to cultural groups?

A) It allows them to advance within the larger culture?B) It allows them to retain
many of their cultural elements?C)
It allows them to fit in with the larger culture?D)
All of the above

82.

Identify the term used when a person lives with
consciousness of a reality beyond what is knowable through the five senses and
is aware of a transcendent reality.

A) Religion?B)
Spirituality?C) Truth?D) Meditation

83.

True or False: Total quality improvement is based upon the
organization with the higher-quality service that will capture a greater share
of the market than competitors with lower-quality services.

A) False?B)
True

84.

Which of the following is not a reason the State Board of
Nursing may revoke a nursing license?

A) Conviction of a serious crime?B) Ethical conduct in the practice of nursing?C) Use of illegal drugs while
providing client care?D)
Failure to renew a nursing license while still practicing nursing

85.

What would be a characteristic of the ideal electronic
health care record?

A) The system is unique to the institution it resides in.?B) It reflects only the past
medical history.?C) The
system reflects the lifelong, continuous record of all care the client has
received.?D) It depicts
the current health status, but does not provide the medical history

86.

The type of reimbursement system that pays a fixed-rate
based on diagnosis (or DRG) is called what:

A) Capitated Payment System?B)
Managed Care Organization?C)
Preferred Provider Organization?D)
Prospective Payment System

87.

Which of the following organizations provides nursing with a
code of ethics?

A) Institute of Medicine?B)
Department of Health?C)
Board of Nursing ?D)
American Nurses Association

88.

Which of the following reasons is not a reason for the
increasing use of alternative and complementary healing practices?

A) Desire for greater control over one’s health?B) Traditions passed on from
parents?C) Belief in the
effectiveness of alternative therapies?D)
Dissatisfaction with conventional health care

89.

Identify the primary driving force behind the development
and use of telehealth or telemedicine.

A) Easy access to computers?B)
Consumer concerns about access to health care?C)
Increase sophistication of physicians’ computers
skills?D) Large segments
of the population located in congested urban areas

97.

This federally funded program is known for financing a large
portion of maternal and child care for the poor.

A) Medicaid?B)
Medicare?C) Preferred
Provider Organization (PPO)?D)
Exclusive Provider Organization (EPO)

98.

What is the primary purpose for the development of the
Quality and Safety Education for Nurses (QSEN) project?

A) Focus nursing education on competencies to reduce the
number of medical errors?B)
Increase the number of students in nursing programs?C) Shift nursing education to a more medical model
due to increased client acuity?D)
Decrease the number of associate degree nursing programs

100.

What advantage does the electronic health record system have
over traditional paper systems?

A) More portable?B)
Fewer privacy issues?C)
Unbreakable?D) Reduces
redundancy

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