Nokea
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.
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Over the past several decades, nursing roles have changed and expanded in many ways. Which of the following factors has provided the strongest impetus for this change?
- A. The need to decrease the cost of health care
- B. The need to improve the quality of nursing education
- C. The need to increase the number of nursing jobs available
- D. The need to increase the public perception of nursing
Correct Answer: A
Rationale: The role of the nurse has expanded to improve the distribution of health care services and to decrease the cost of health care. The other answers are incorrect because the expansion of roles in nursing did not occur to improve education, increase the number of nursing jobs, or increase public perception.
The Joint Commission and the Centers for Medicare and Medicaid Services (CMS) are evaluating a large, university medical center according to core measures. Evaluators should perform this evaluation in what way?
- A. By auditing the medical centers electronic health records
- B. By performing focus groups and interviews with care providers from numerous disciplines
- C. By performing statistical analysis of patient satisfaction surveys
- D. By comparing the centers patient outcomes to best practice indicators
Correct Answer: D
Rationale: Core measures are used to gauge how well a hospital gives care to its patients who are admitted to seek treatment for a specific disease or who need a specific treatment as compared to evidence-based guidelines and standards of care. Benchmark standards of quality are used to compare the care or treatment patients receive with the best practice standards. Patient satisfaction is considered, but this is not the only criterion.
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.
Nurses now have the option to practice in a variety of settings and one of the fastest growing venues of practice for the nurse in todays health care environment is home health care. What is the main basis for the growth in this health care setting?
- A. Chronic nursing shortage
- B. Western focus on treatment of disease
- C. Nurses preferences for day shifts instead of evening or night shifts
- D. Discharge of patients who are more critically ill
Correct Answer: D
Rationale: With shorter hospital stays and increased use of outpatient health care services, more nursing care is provided in the home and community setting. The other answers are incorrect because they are not the basis for the growth in nursing care delivered in the home setting.
Leadership of a medical unit have been instructed to integrate the principles of the Quality and Safety Education for Nurses (QSEN) competency of quality improvement. What action should the units leaders take?
- A. Provide access to online journals and Web-based clinical resources for nursing staff.
- B. Use flow charts to document the processes of care that are used on the unit.
- C. Enforce continuing education requirements for all care providers.
- D. Reduce the use of chemical and physical restraints on the unit.
Correct Answer: B
Rationale: One of the quality improvement skills is to use tools, such as flow charts and cause-effect diagrams, to make processes of care explicit. Each of the other listed actions has the potential to benefit patients and care givers, but none is an explicit knowledge, skill, or attitude associated with this QSEN competency.