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.
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You are admitting a patient to your medical unit after the patient has been transferred from the emergency department. What is your priority nursing action at this time?
- A. Identifying the immediate needs of the patient
- B. Checking the admitting physicians orders
- C. Obtaining a baseline set of vital signs
- D. Allowing the family to be with the patient
Correct Answer: A
Rationale: Among the nurses important functions in health care delivery, identifying the patients immediate needs and working in concert with the patient to address them is most important. The other nursing functions are important, but they are not the most important functions.
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.
A community health nurse has witnessed significant shifts in patterns of disease over the course of a four-decade career. Which of the following focuses most clearly demonstrates the changing pattern of disease in the United States?
- A. Type 1 diabetes management
- B. Treatment of community-acquired pneumonia
- C. Rehabilitation from traumatic brain injuries
- D. Management of acute Staphylococcus aureus infections
Correct Answer: A
Rationale: Management of chronic diseases such as diabetes is a priority focus of the current health care environment. This supersedes the treatment of acute infections and rehabilitation needs.
A team of community health nurses are planning to draft a proposal for a program that will increase the communitys alignment with the principles contained in the Healthy People 2020 report. Which of the following activities would best demonstrate the priorities identified in this report?
- A. Addressing determinants of health such as clean environments and safety in the community
- B. Lobbying for increased funding to the county hospital where many residents receive primary care
- C. Collaborating with health professionals in neighboring communities to pool resources and increase efficiencies
- D. Creating clinical placements where nursing students and members of other health disciplines can gain experience in a community setting
Correct Answer: A
Rationale: Healthy People 2020 addresses social determinants of health such as safety and the state of the environment. This report does not specifically address matters such as hospital funding, nursing education, or resource allocation.
A group of nursing students are learning about recent changes in the pattern of disease in the United States. Which of the following statements best describes these current changes?
- A. Infectious diseases continue to decrease in incidence and prevalence.
- B. Chronic illnesses are becoming increasingly resistant to treatment.
- C. Most acute, infectious diseases have been eradicated.
- D. Most, but not all, communicable diseases are declining.
Correct Answer: D
Rationale: Although some infectious diseases have been controlled or eradicated, others are on the rise. Antibiotic resistance is a more serious problem in acute, not chronic, illnesses.
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