fundamentals ch 1 nursing today fundamentals ch 6 health and wellness fundamentals ch 24 communication fundamentals
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NURS 1871 Fundamentals of Nursing (NURS1871)
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NURS 1871 Exam 1 Answered 2022
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation you
have your classmates read the Nursing Code of Ethics for Professional Registered Nurses.
Your instructor asks the class why this document is important. Which statement best
describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care
answer- 4
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure.
The nurse explains the risk and benefits of the surgery to the family and discusses the
patient's wishes with them. The nurse is acting as the patient's:
1. Educator.
2. Advocate.
3. Caregiver.
4. Communicator. answer- 2
The nurse spends time with a patient and family reviewing a dressing change procedure for
the patient's wound. The patient's spouse demonstrates how to change the dressing. The
nurse is acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator answer- 1
The examination for registered nurse (RN) licensure is the same in every state in the
United States. This examination:
1. Guarantees safe nursing care for all patients.
2. Ensures standard nursing care for all patients.
3. Provides a minimal standard of knowledge for an RN in practice.
4. Guarantees standardized education across all prelicensure programs. answer- 3
Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples of these roles
and responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor answer- 1, 2, 3, 4
,Match the advanced practice nurse specialty with the statement about the role.
1. Clinical nurse specialist
2. Nurse anesthetist
3. Nurse practitioner
4. Nurse-midwife
a. Provides independent care, including pregnancy and gynecological services
b. Expert clinician in a specialized area of practice such as adult diabetes care
c. Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or have chronic conditions
d. Provides care and services under the supervision of an anesthesiologist
answer- 1b, 2d, 3c, 4a
Health care reform will bring changes in the emphasis of care. Which of these models is
expected from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from an illness prevention to a health promotion model
3. Moving from hospital-based to community-based care
4. Moving from an acute illness to a disease management model answer- 1
A nurse meets with the registered dietitian and physical therapist to develop a plan of care
that focuses on improving nutrition and mobility for a patient. This is an example of which
Quality and Safety in the Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Quality improvement answer- 3
A critical care nurse is using a new research-based intervention to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions.
This is an example of which Quality and Safety in the Education of Nurses (QSEN)
competency?
1. Patient-centered care
2. Evidence-based practice
3. Teamwork and collaboration
4. Quality improvement answer- 2
The nurses on an acute care medical floor notice an increase in pressure injury formation
in their patients. A nurse consultant decides to compare two types of treatment. The first is
the procedure currently used to assess for pressure injury risk. The second uses a new
assessment instrument to identify at-risk patients. Given this information, the nurse
consultant exemplifies which career?
1. Clinical nurse specialist
2. Nurse administrator
3. Nurse educator
, 4. Nurse researcher answer- 4
A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in
an outpatient setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention answer- 3
Based on the Transtheoretical Model of Change, what is the most appropriate response to a
patient who states: "Me, stop smoking? I've been smoking since I was 16!"
1. "That's fine. Some people who smoke live a long life."
2. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll
see you in 1 month."
3. "What do you think is the greatest reason why stopping smoking would be challenging
for you?"
4. "I'd like you to attend a smoking-cessation class this week and use nicotine replacement
patches as directed." answer- 3
A nurse working on a medical patient care unit states, "I am having trouble sleeping, and I
eat nonstop when I get home. All I can think of when I get to work is how I can't wait for my
shift to be over. I wish I felt happy again." What are the best responses from the nurse
manager? (Select all that apply.)
1. "I'm sure this is just a phase you are going through. Hang in there. You'll feel better
soon."
2. "I know several nurses who feel this way every now and then. Tell me about the patients
you have cared for recently. Did you find it difficult to care for them?"
3. "You can take diphenhydramine over the counter to help you sleep at night."
4. "Describe for me what you do with your time when you are not working."
5. "The hospital just started a group where nurses get together to talk about their feelings.
Would you like for me to e-mail the schedule to you?" answer- 2, 4, 5
A patient has been laid off from his construction job and has many unpaid bills. He is going
through a divorce from his marriage of 15 years and has been praying daily to help him
through this difficult time. He does not have a primary health care provider because he has
never really been sick, and his parents never took him to a physician when he was a child.
Which external variables influence the patient's health practices? (Select all that apply.)
1. Difficulty paying his bills
2. Praying daily
3. Age of patient (46 years)
4. Stress from the divorce and the loss of a job
5. Family practice of not routinely seeing a health care provider answer- 1, 5
A nurse is conducting a home visit with a new mom and her three children. While in the
home the nurse weighs each family member and reviews their 3-day food diary. She checks
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