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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.
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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.
The public health nurse is presenting a health promotion class to a group of new mothers. How should the nurse best define health?
- A. Health is being disease free.
- B. Health is having fulfillment in all domains of life.
- C. Health is having psychological and physiological harmony.
- D. Health is being connected in body, mind, and spirit.
Correct Answer: D
Rationale: The World Health Organization (WHO) defines health in the preamble to its constitution as a state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity. The other answers are incorrect because they are not congruent with the WHO definition of health.
A nurse is aware that an increasing emphasis is being placed on health, health promotion, wellness, and self-care. Which of the following activities would best demonstrate the principles of health promotion?
- A. A discharge planning initiative between acute care and community care nurses
- B. Collaboration between several schools of nursing in an urban area
- C. Creation of a smoking prevention program undertaken in a middle school
- D. Establishment of a website where patients can check emergency department wait-times
Correct Answer: C
Rationale: Smoking prevention is a clear example of health promotion. Each of the other listed activities has the potential to be beneficial, but none is considered health promotion.
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.
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.