What to Study:Issues and Trends in Professional Nursing Review National Patient Safety Goals 2020 (*homecare, ambulatory, behavioral, hospital)https://www.jointcommission.org/en/standards/national-patient-safety-goals/hospital-2020-national-patient-safety-goals/ Institute of Medicines’ Five Core Competencieshttps://www.ncbi.nlm.nih.gov/books/NBK221528/pdf/Bookshelf_NBK221528.pdf (Chapter 3) Trends in NursingRole stressTelehealthMedical cannabisMental healthCultural competenceWorkplace violenceConcepts and Theories in Nursing ReviewMajor Nursing Theories: Grand Nursing Theories, Mid-range Nursing Theories, Practice Theories,Borrowed Theories, Caring TheoriesSelected theories to review: Abdellah – Practice Model of Nursing King – Open Systems Theory Roy’s adaptation model Henderson’s nursing need theory Neuman – Systems Theory Nightingale Orem – Self-care Deficit Theory Parse – Theory of Human Becoming Kolcaba – Comfort Theory Pender – Health promotion model Peplau – Interpersonal relations Benner – From Novice to Expert, Benner’s Stages of Clinical Competence Leninger – Theory of Culture Care Diversity and Universality Paterson & Zderad – Humanistic Nursing Theory Watson – Theory of Human Caring Boykin & Schoenhofer – Nursing as Caring Theory**Be sure to understand these theories towards applications of modern practices in nursing**Community Health Review Primary, Secondary, Tertiary Prevention Data generation versus Data gathering Disaster preparedness Minnesota Intervention Wheel Different types of disasters and infectious disease outbreaks School health Care of LGBTQHealthy People 2020https://www.healthypeople.gov/ About/Mission Statement Overarching Goals Topics and ObjectivesReview for Health Assessment Vaccine schedule for adults Erikson’s Ego vs Despair Emergency plans for older adults Different types of physical activity for adults Different types of nursing assessmentsReview for Research Qualitative Research aspects and methods Quantitative Research aspects and methods Evidenced-Based Research and Practice (process, management, implementation) Four ethical principles The Institutional Review Board (IRB) Eight Steps to Integrating EBPReview for Leadership Collective Bargaining and Shared Governance Leaders and Managers Emotional Intelligence Leader Legalities of nursing (professional negligence, malpractice, misdemeanor, felony, quasi-intentional tort, unintentional tort) Types of powers RNs and delegation
What to Study: Issues and Trends in Professional Nursing Review National Patient Safety Goals 2020 (*homecare, ambulatory, behavioral, hospital) https://www.jointcommission.org/en/standards/national
Question 1 (1 point) Saved The four ethical principles of beneficence, autonomy, justice, and nonmaleficence are essential in caring for humans as well as research. Which of the following statements combines both beneficence and nonmaleficence? Question 1 options: a) Nurses are obligated to work for the benefit of those who are treated unfairly b) It is unethical to waste resources that could be used for good c) Each action must produce more good than harm d) Provide honesty in dealings with others and keep promises Question 2 (1 point) Saved Which of the following is NOT a reason research is important to the profession? Question 2 options: a) Research assists nurses to advance the nursing profession b) Research assists nurses to stay updated and current c) Research assists nurses to gain power in their field d) Research assists nurses to offer the best possible patient care Question 3 (1 point) Saved When selecting teaching materials for a community education project, the nurse should consider the below related to the target audience? Question 3 options: a) Age b) Primary spoken language c) Presentation site d) All of the above Question 4 (1 point) Saved The best physical activity for the middle-age to older-adult has been reported as? Question 4 options: a) Multicomponent b) Muscle-strengthening c) Aerobic d) Balance Question 5 (1 point) Saved A PICOT format is the manner in which Evidence-based practice questions are developed. The ‘T’ in this format refers to which of the below? Question 5 options: a) Top interest b) Time frame c) Trending comparisons d) Tier of evidence Question 6 (1 point) Saved A nurse who uses focus group discussions and one-on-one interviews to collect data is utilizing which type of research? Question 6 options: Qualitative Quantitative Experimental Quasi-Experimental Question 7 (1 point) Saved Workplace violence is part of the nursing profession and includes all of the following EXCEPT Question 7 options: a) Intimidation to overpower another staff member b) Harassment of new employees c) Physically and verbally aggressive patients d) Rude behavior by a staff after a bad day Question 8 (1 point) Saved Medical cannabis has several common routes of administration which include the following EXCEPT Question 8 options: a) Inhalation b) Oral c) Topical d) Injection Question 9 (1 point) Saved Which of the following integrates Parse’s Theory of Human Becoming in the workplace? Question 9 options: a) Changing soiled bed linens b) Expecting nurses to develop skill and understanding of patient care over time through a combination of education and experience c) Developing a relationship with a patient and awareness of the patient’s feelings in an effort to promote healing d) Guiding the patient through their own perception of events Question 10 (1 point) Saved Physical labor, work hours, staffing issues can all contribute to which of the following in nursing? Question 10 options: a) Increased collaboration b) Higher pay c) Role strain and stress d) Increased knowledge and skill Question 11 (1 point) Saved Autonomy is a concept that many nursing theories revolve around, what would be a problematic issue in the nursing field related to striving to offer patients autonomy? Question 11 options: a) An imbalance of responsibility resulting in over imposition on the patient b) Patients make decisions and choices for their care c) The nurse gathers knowledge and insight from the patient prior to developing a plan of care d) The patient is seen as the architect of their own lives Question 12 (1 point) Saved Which is the ethical principle that guides healthcare practices on the importance of doing good on behalf of patients? Question 12 options: a) Autonomy b) Nonmaleficence c) Justice d) Beneficence Question 13 (1 point) Saved In public health nursing, collaborative partnerships are essential. Which item below describes the essence of this process? Question 13 options: a) Letting only experts complete planning phases b) An alliance of individuals and organizations c) Organizations having their own purpose d) Focusing on the individual Question 14 (1 point) Saved Which of the following is true related to a pandemic and an epidemic? Question 14 options: a) In both an epidemic and pandemic, the disease always spreads world-wide b) An epidemic is typically confined to a certain locality, where pandemic spreads worldwide c) In both an epidemic and pandemic, most people are unaware it is happening d) Patients with underlying health issues only need to be concerned with a pandemic Question 15 (1 point) Saved Barriers to evidence-based practice often include resistance to change. Which of the following can best assist in overcoming this barrier? Question 15 options: a) Building a culture that supports inquiry towards evidence-based practice b) Requiring staff to accept the change c) Setting a time-frame for making the change d) Discussing at length the change until it is accepted Question 16 (1 point) Saved A nurse leader who uses the threat of punishment to persuade employees to act a certain way, is using which type of power? Question 16 options: a) Referent b) Authority c) Expert d) Coercive Question 17 (1 point) Saved Which of the following is NOT a related theory of Orem’s Self-Care Deficit Theory? Question 17 options: a) Theory of Self-Care b) Theory of Self-Care Deficit c) Theory of Nursing Systems d) Theory of Interpersonal Relations Question 18 (1 point) Saved A nurse who pulls a curtain closed, holds the gown together in the back, drapes their patient during bath time, and takes more time with the elderly is working through nursing theories that uphold which of the below? Question 18 options: a) Human dignity b) Integrity c) Autonomy d) Legal acts Question 19 (1 point) Saved Which of the following is an example of social determinants of health? Question 19 options: a) Biology and genetic makeup b) Access for disabilities at the work site c) Exposure to emerging media technology d) Building and home structure Question 20 (1 point) Saved Physical health and mental health are correlated, especially with Question 20 options: a) the association with chronic conditions b) the association with accidents c) the association with acute ailments d) the association with spiritual health Question 21 (1 point) Saved There is a clear difference between clinical and public health. Which of the following describes public health focus? Question 21 options: a) Focuses on diagnosis and treatment b) Focuses on abnormal versus normal c) Focuses on curing disease d) Focuses on risk factors and prevention Question 22 (1 point) Saved Which is a nursing assessment related to the whole person in body, mind, and spirit? Question 22 options: a) Comprehensive b) Holistic c) Focused d) Abbreviated Question 23 (1 point) Saved Which is a reason new infectious diseases are a global health concern for nurses and healthcare workers? Question 23 options: a) Low availability of vaccines b) Cost of detecting new agents c) Poverty in inner cities d) International travel and trade Question 24 (1 point) Saved Mental health nursing encompasses all aspects of nursing. A major issue for patients suffering from mental illness is Question 24 options: a) A longer lifespan b) Too many diagnoses associated with mental illness c) The stigma association with mental illness d) No future in psychiatry Question 25 (1 point) Saved Which of the following is an example of King’s social system? Question 25 options: a) Having a positive nurse-patient dialogue b) Growth and development in the individual c) Being a member of a community organization d) All of the above Question 26 (1 point) Saved A nurse who enacts evidence-based practice into the work environment, understands this process always includes the best evidence in the literature, nursing expertise, and which of the following? Question 26 options: a) A scientific research project b) Preferences and values of patients c) Current trends in nursing d) A random idea Question 27 (1 point) Saved Role stress and strain among nurses can lead to a variety of issues and problems. One major concern is Question 27 options: a) The impact on new staff b) Quality of patient care c) Financial impact d) Under staffing Question 28 (1 point) Saved The Minnesota Intervention Wheel, a public health nursing tool, includes what three levels of public health practice focus? Question 28 options: a) Emergency rooms, Clinic, Hospital b) Community, Systems, Individual/Family c) Homecare, Community, Emergency care d) Hospitals, Systems, Homecare Question 29 (1 point) Saved A nurse who wants to become more culturally competent understands Question 29 options: a) Culture extends beyond race b) Cultural awareness is only about the patient c) Stereotyping is necessary for proper care d) Self-identity and analysis are only helpful if the patient is of a different culture Question 30 (1 point) Saved Shingles is a growing concern in the older adult population. Which vaccine is offered to adults to combat this illness? Question 30 options: a) RZV b) HPV c) PVC d) VAR Question 31 (1 point) Saved A community assessment includes both data generation and data gathering. Examples of data generation activities include Question 31 options: a) Windshield survey b) Researching demographics c) Contacting agencies for facts and data d) Internet search Question 32 (1 point) Saved Which of the below acts in accordance with tertiary prevention? Question 32 options: a) Assisting individuals to manage long-term health issues and preserve as much function and quality of life as possible b) Reduce the impact of a disease or injury through regular screening and exams c) Stopping unhealthy or unsafe actions that could lead to disease or injury d) Implement a program focused on the individual’s health and function to prevent long-term problems Question 33 (1 point) Saved A nurse who is communicating in an assertive manner…. Question 33 options: a) is not violating the rights of others b) forces their wishes and ideas onto others c) remains silent on important issues d) uses a loud voice to get their message across Question 34 (1 point) Saved Adults over the age of 65 are still at risk for infectious disease. All of the following are correct vaccines for this age group EXCEPT Question 34 options: a) PCV13 1xdose b) HPV annually c) Influenza annually d) Tetanus booster every 10 years Question 35 (1 point) Saved Which is the best resource to check for roles of the RN and delegation practices? Question 35 options: a) American Nurse Association b) National League for Nurses c) State Board of Nursing d) Board of Nursing Registry Question 36 (1 point) Saved In order to prioritize, a public health nurse who completes a community education project must complete an analysis of the collected data to accomplish the following Question 36 options: a) Identify health themes or trends in the population b) Identify existing interventions focused on the issue c) Both A and B d) None of the above Question 37 (1 point) Saved Evidence-based practice implementation is the responsibility of: Question 37 options: a) Graduate level nurses b) Other disciplines c) Administrators d) All of the above Question 38 (1 point) Saved Telehealth can be conducted in a variety of settings, including: Question 38 options: a) Home b) Clinic c) Prisons d) All of the above Question 39 (1 point) Saved Erikson developed 8 psychosocial conflicts people navigate through over a life-span. The final stage of Ego Integrity vs Despair is about finding? Question 39 options: a) Love b) Hope c) Wisdom d) Purpose Question 40 (1 point) Saved Nightingale’s theory key concepts revolve around environmental factors with putting the patient in the best situation so they can heal, which theory below best aligns with Nightingale? Question 40 options: a) King’s Open Systems Theory b) Abdellah’s Practice Model of Nursing c) Watson’s Theory of human caring d) Peplau’s Interpersonal relations Question 41 (1 point) Saved Which of the following shows a person with high Emotional Intelligence? Question 41 options: a) Stays calm and clear-headed during conflict b) Acknowledges others perceptions c) Welcomes constructive criticism d) All of the above Question 42 (1 point) Saved A nurse who uses Maslow’s Hierarchy of Needs theory in the care of a patient to promote physical wellbeing before psychosocial wellbeing is utilizing which type of theory in the care? Question 42 options: a) Borrowed theories b) Grand theories c) Middle range theories d) Practice theories Question 43 (1 point) Saved Which is the true statement regarding the criteria for prioritizing the needs of a population? Question 43 options: a) Small and large problems are of equal importance b) Stronger populations take priority c) Community’s capacity and willingness is of little concern d) It is significant if it is a root cause of other issues Question 44 (1 point) Saved Which is an example of the element of professional negligence concerning “The injury was directly caused by the breach of a standard of care”? Question 44 options: a) Nurse missed antibiotic dose and the patient fell getting out of bed b) Nurse instructs patient to stay in bed, patient falls getting out of bed and breaks a leg c) Nurse not following her state practice act d) Nurse missed a dose of antibiotic and set back healing of patient’s infection Question 45 (1 point) Saved Which of the following related to types of power in an organization do nurses hold most often? Question 45 options: a) Authority and expert b) Reward and coercion c) Expert and reward d) Coercion and authority Question 46 (1 point) Saved What is NOT a correct statement regarding ethics in research? Question 46 options: a) Simple human surveys do not require an Institutional Review Board (IRB) review b) Subjects can withdraw at any point in a study c) Vulnerable populations are treated with special care in research d) Confidentiality is a key action in all research Question 47 (1 point) Saved Upholding integrity is an important concept throughout nursing theories. All of the following are examples of breaking integrity EXCEPT Question 47 options: a) Covering up a medication mistake b) Fabricating job skills on a resume c) Charting a late entry with identifying it as late d) Taking overstock of supplies for a sick family member Question 48 (1 point) Saved All of the below are effective strategies to engage others in Evidence-based practice change EXCEPT? Question 48 options: a) Using experts to increase knowledge of Evidence-based practice b) Continuing on with satisfying practice and outcomes c) Reminding staff optimal care is their obligation d) Sharing evidence to support change proposals Question 49 (1 point) Saved Which is a TRUE statement related to negligence and malpractice? Question 49 options: a) Only one revolves around actions or lack of action by the nurse leading to the injury or death of a patient b) Both have knowledge that the action or lack of action will cause harm, yet the nurse still provides substandard care c) Only one can result in a lawsuit against the nurse d) Both require action or lack of action by the nurse leading to the injury or death of a patient Question 50 (1 point) Saved As telehealth services become more widespread, an aspect related to this type of care includes Question 50 options: a) Is an out of pocket expense b) Is only set up to assist the elderly population c) Uses video conferencing to reach those unable to get to providers d) Costs more than in-person care Question 51 (1 point) Saved Which is the ethical principle that guides healthcare practices on the importance of do no harm? Question 51 options: a) Autonomy b) Nonmaleficence c) Justice d) Beneficence Question 52 (1 point) Saved Nurses have a duty to care for patients without causing harm. Which of the following civil law could be broke with a breach in confidentiality? Question 52 options: a) Quasi-Intentional Tort b) Felony c) Malpractice d) Misdemeanor Question 53 (1 point) Saved To safeguard against workplace violence, nurses should Question 53 options: a) Gain power over others b) Avoid using the elevator c) Avoid poorly lit staircases d) Have another staff with during patient encounters Question 54 (1 point) Saved When considering disasters, the public health nurse knows their role will include all these EXCEPT: Question 54 options: a) Preparedness b) Recovery c) Reclaiming d) Response Question 55 (1 point) Saved Which is a major reason for the increased focus on nutrition and exercise over the past few decades? Question 55 options: a) Acute conditions are on the rise b) Food sources are changing c) Prevalence of obesity is at an all-time high d) People are living longer Question 56 (1 point) Saved Who should be addressed first when a finding shows a need to advance knowledge of a unit’s personnel on Evidence-based practice? Question 56 options: a) Academic experts b) Unit managers c) Experienced staff d) Medical librarians Question 57 (1 point) Saved Best practice for oral presentations for community nursing include all of the following EXCEPT: Question 57 options: a) Speak clearly and confidently b) Admit to not knowing an answer c) Add as much information to visual materials as possible d) Retrain from “um” and “like” Question 58 (1 point) Saved Stress is a common daily occurrence for nurses and can contribute to a wide range of issues including? Question 58 options: a) Poor concentration b) Migraines c) Depression d) All of the above Question 59 (1 point) Saved Healthy People 2020 has national objectives in an attempt to improve the health of Americans. The main overall goals of Health People 2020 are to accomplish all of the below EXCEPT Question 59 options: a) To encourage communities to collaborate for better health outcomes b) Guide people towards making improved and informed health decisions c) Used as a measurement tool to show the impact of prevention activities d) Increase the ability of providers to diagnose chronic disease Question 60 (1 point) Saved A community assessment includes both data generation and data gathering. Which is a correct statement on these activities? Question 60 options: a) Both require creating surveys and interviews b) Both are locating already established data c) One is developing new data, the other is locating established data d) Neither require internet searching
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