Nokea
The ANA has identified central characteristics of nursing practice that are applicable across the wide variety of contexts in which nurses practice. A nurse can best demonstrate these principles by performing which of the following actions?
- A. Teaching the public about the role of nursing
- B. Taking action to control the costs of health care
- C. Ensuring that all of his or her actions exemplify caring
- D. Making sure to carry adequate liability insurance
Correct Answer: C
Rationale: The ANA emphasizes the fact that caring is central to the practice of the registered nurse. The ANA does not identify teaching the public about nursing, controlling costs, or maintaining insurance as a central tenet of nursing practice.
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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.
With the changing population of health care consumers, it has become necessary for nurses to work more closely with other nurses, as when acute care nurses collaborate with public health and home health nurses. What nursing function has increased in importance because of this phenomenon?
- A. Prescribing medication
- B. Performing discharge planning
- C. Promoting family involvement
- D. Forming collegial relationships
Correct Answer: B
Rationale: The importance of effective discharge planning and quality improvement cannot be overstated. The other answers are incorrect because giving medication and family involvement in the patients care have not grown in importance. Making and maintaining collegial relationships has become a necessity in working in the health care delivery system. Effective discharge planning aids in getting patients out of the inpatient setting sooner, cutting costs, and making rehabilitation in the community and home setting possible.
A public health nurse has been commissioned to draft a health promotion program that meets the health care needs and expectations of the community. Which of the following focuses is most likely to influence the nurses choice of interventions?
- A. Management of chronic conditions and disability
- B. Increasing need for self-care among a younger population
- C. A shifting focus to disease management
- D. An increasing focus on acute conditions and rehabilitation
Correct Answer: A
Rationale: In response to current priorities, health care must focus more on management of chronic conditions and disability than in previous times. The other answers are incorrect because the change in focus of health care is not an increasing need for self-care among our aging population; our focus is shifting away from disease management, not toward it; and we are moving away from the management of acute conditions to managing chronic conditions.
Staff nurses in an ICU setting have noticed that their patients required lower and fewer doses of analgesia when noise levels on the unit were consciously reduced. They informed an advanced practice RN of this and asked the APRN to quantify the effects of noise on the pain levels of hospitalized patients. How does this demonstrate a role of the APRN?
- A. Involving patients in their care while hospitalized
- B. Contributing to the scientific basis of nursing practice
- C. Critiquing the quality of patient care
- D. Explaining medical studies to patients and RNs
Correct Answer: B
Rationale: Research is within the purview of the APRN. The activity described does not exemplify explaining studies to RNs, critiquing care, or involving patients in their care.
A nurse is providing care for a patient who is postoperative day one following a bowel resection for the treatment of colorectal cancer. How can the nurse best exemplify the QSEN competency of quality improvement?
- A. By liaising with the members of the interdisciplinary care team
- B. By critically appraising the outcomes of care that is provided
- C. By integrating the patients preferences into the plan of care
- D. By documenting care in the electronic health record in a timely fashion
Correct Answer: B
Rationale: Evaluation of outcomes is central to the QSEN competency of quality improvements. Each of the other listed activities is a component of quality nursing care, but none clearly exemplifies quality improvement activities.