Nokea
A medical-surgical nurse is aware of the scope of practice as defined in the state where the nurse provides care. This nurses compliance with the nurse practice act demonstrates adherence to which of the following?
- A. National Council of Nursings guidelines for care
- B. National League for Nursings Code of Conduct
- C. American Nurses Associations Social Policy Statement
- D. Department of Health and Human Services White Paper on Nursing
Correct Answer: C
Rationale: Nurses have a responsibility to carry out their role as described in the Social Policy Statement to comply with the nurse practice act of the state in which they practice and to comply with the Code of Ethics for Nurses as spelled out by the ANA (2001) and the International Council of Nurses (International Council of Nurses [ICN], 2006). The other answers are incorrect; the Code of Ethics for nursing is not included in the ANAs white paper. The DHHS has not published a white paper on nursing nor has the NLN published a specific code of conduct.
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A nurse on a postsurgical unit is providing care based on a clinical pathway. When performing assessments and interventions with the aid of a pathway, the nurse should prioritize what goal?
- A. Helping the patient to achieve specific outcomes
- B. Balancing risks and benefits of interventions
- C. Documenting the patients response to therapy
- D. Staying accountable to the interdisciplinary team
Correct Answer: A
Rationale: Pathways are an EBP tool that is used primarily to move patients toward predetermined outcomes. Documentation, accountability, and balancing risks and benefits are appropriate, but helping the patient achieve outcomes is paramount.
A group of nursing students are participating in a community health clinic. When providing care in this context, what should the students teach participants about disease prevention?
- A. It is best achieved through attending self-help groups.
- B. It is best achieved by reducing psychological stress.
- C. It is best achieved by being an active participant in the community.
- D. It is best achieved by exhibiting behaviors that promote health.
Correct Answer: D
Rationale: Today, increasing emphasis is placed on health, health promotion, wellness, and self-care. Health is seen as resulting from a lifestyle oriented toward wellness. Nurses in community health clinics do not teach that disease prevention is best achieved through attending self-help groups, by reducing stress, or by being an active participant in the community, though each of these activities is consistent with a healthy lifestyle.
A nurse has accepted a position as a clinical nurse leader (CNL), a new role that has been launched within the past decade. In this role, the nurse should prioritize which of the following activities?
- A. Acting as a spokesperson for the nursing profession
- B. Generating and disseminating new nursing knowledge
- C. Diagnosing and treating health problems that have a predictable course
- D. Helping patients to navigate the health care system
Correct Answer: D
Rationale: The CNL is a nurse generalist with a masters degree in nursing and a special background in clinical leadership, educated to help patients navigate through the complex health care system. The other answers are incorrect because they are not what nursing has identified as the CNL role.
The ANA has identified several phenomena toward which the focus of nursing care should be directed, and a nurse is planning care that reflects these priorities. Which of the nurses actions best demonstrates these priorities?
- A. Encouraging the patients dependence on caregivers
- B. Fostering the patients ability to make choices
- C. Teaching the patient about nurses roles in the health care system
- D. Assessing the patients adherence to treatment
Correct Answer: B
Rationale: The ANA identifies several focuses for nursing care and research, including the ability to make choices. The other answers are incorrect because they are not phenomena identified by the ANA.
Nursing continues to recognize and participate in collaboration with other health care disciplines to meet the complex needs of the patient. Which of the following is the best example of a collaborative practice model?
- A. The nurse and the physician jointly making clinical decisions.
- B. The nurse accompanying the physician on rounds.
- C. The nurse making a referral on behalf of the patient.
- D. The nurse attending an appointment with the patient.
Correct Answer: A
Rationale: The collaborative model, or a variation of it, promotes shared participation, responsibility, and accountability in a health care environment that is striving to meet the complex health care needs of the public. The other answers are incorrect because they are not examples of a collaborative practice model.