Nokea
Our world is connected by a sophisticated communication system that makes much health information instantly accessible, no matter where the patient is being treated. This instant access to health information has impacted health care delivery strategies, including the delivery of nursing care. What is one way the delivery of health care has been impacted by this phenomenon?
- A. Brisk changes as well as swift obsolescence
- B. Rapid change that is nearly permanent
- C. Limitations on the settings where care can be provided
- D. Increased need for social acceptance
Correct Answer: A
Rationale: The sophisticated communication systems that connect most parts of the world, with the capability of rapid storage, retrieval, and dissemination of information, have stimulated brisk change as well as swift obsolescence in health care delivery strategies. The other answers are incorrect because, although we have rapid change in the delivery of nursing care, it does not last a long time; it is evolving as health care itself evolves. Giving nursing care has not become easier, it becomes more complex with every change; and it does not need to be more socially acceptable; it needs to be more culturally sensitive.
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CNPs are educated as specialists in areas such as family care, pediatrics, or geriatrics. In most states, what right do CNPs have that RNs do not possess?
- A. Perform health interventions independently
- B. Make referrals to members of other health disciplines
- C. Prescribe medications
- D. Perform surgery independently
Correct Answer: C
Rationale: In most states, nurse practitioners have prescriptive authority. Surgery is beyond the CNP scope of practice and all professional nurses may perform interventions and make certain referrals.
Professional nursing expands and grows because of factors driven by the changing needs of health care consumers. Which of the following is a factor that nurses should reflect in the planning and provision of health care?
- A. Decreased access to health care information by individuals
- B. Gradual increases in the cultural unity of the American population
- C. Increasing mean and median age of the American population
- D. Decreasing consumer expectations related to health care outcomes
Correct Answer: C
Rationale: The decline in birth rate and the increase in lifespan due to improved health care have resulted in fewer school-age children and more senior citizens, many of whom are women. The population has become more culturally diverse as increasing numbers of people from different national backgrounds enter the country. Access to information and consumer expectations continue to increase.
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.
The home health nurse is assisting a patient and his family in planning the patients return to work after surgery and the development of postsurgical complications. The nurse is preparing a plan of care that addresses the patients multifaceted needs. To which level of Maslows hierarchy of basic needs does the patients need for self-fulfillment relate?
- A. Physiologic
- B. Transcendence
- C. Love and belonging
- D. Self-actualization
Correct Answer: D
Rationale: Maslows highest level of human needs is self-actualization, which includes self-fulfillment, desire to know and understand, and aesthetic needs. The other answers are incorrect because self-fulfillment does not relate directly to them.
Advanced practice nursing roles have grown in number and in visibility in recent years. What characteristic sets these nurses apart from the registered nurse?
- A. Collaboration with other health care providers
- B. Education that goes beyond that of the RN
- C. Advanced documentation skills
- D. Ability to provide care in the surgical context
Correct Answer: B
Rationale: There is wide variety in APRN roles. However, a commonality is that they require education beyond that of the professional RN. All nurses collaborate with other health care providers to provide nursing care to their patients. Advanced documentation skills are not what sets advanced practice nurses apart from the staff nurse. RNs have the ability to provide care in the operating room.