Question

a. teams and clinical practice councils c. teams and quality councils
b. teams and educational councils d. teams and advisory councils

Answer 1

C
For QI processes to be successful every worker needs to be involved and they need to be empowered to take action. Teams and quality councils should be used to advise and plan QI strategies. The other councils are used for organizations in the Magnet process.

Answer 2

ANS: A
Public health is concerned with the health of populations and communities rather than the individual, and therefore, its focus is on the health and prevention of illness of populations.

Answer 3

D
The supervisor would be correct in responding that nursing sensitive indicators measure the outcome
of nursing care. These indicators represent the patient's response to the various strategies implemented
by the nursing staff.

Answer 4

Correct Answer: 1, 3, 4, 5

The only option listed for which all nurses are not responsible for providing instruction to are students in community colleges. Professional nursing educators have formal education preparation requirements that are not common to all nurses.

Answer 5

ANS: B
Giving warning before entering a client's room demonstrates respect for personal space. Knocking is not a demonstration of nonverbal communication. Knocking at a door before entering the room does not relate to respect for a client's confidentiality. Respect for a client's personal space should be demonstrated regardless of gender.

Answer 6

D
The nurse is most likely conducting a randomized clinical trial. In a randomized clinical trial,
individuals are randomly allocated to receive or not receive an experimental preventive, therapeutic, or
diagnostic procedure.

Answer 7

A
Functional nursing focused on task accomplishment rather than individualized and holistic care. Nurses came to work and provided a task such as a "medication nurse" or a "temperature nurse" (Kalisch & Kalisch, 1978).

Answer 8

C
In accepting the practices of the dominant group on the unit, Mary is demonstrating accultura-tion.

Answer 9

ANS: B
Magnet institutions involve nurses at all levels of the organization and give nurses a voice in policy formation.

Answer 10

2
Explanation: 1. A clinical ladder program recognizes the nurseʹs clinical expertise without promotion to a
management position. A promotional incentive program does not define the program.
Incentives are usually a short-term solution to a problem. Mentoring and protégé programs
focus on retaining graduate nurses.

Answer 11

C

Answer 12

Ans: A
 The Institute for Safe Medication Practices requires that leading zeros before the
decimal point always be included and trailing zeros after a decimal point never be used.

Answer 13

C
Synergy has been defined as the bonus that occurs when things work together harmoniously and that
the whole is greater than the sum of its parts (Covey, 1989). Hence, synergistic nursing models such as
those espoused by the American Association of Critical-Care Nurses provide nurses with a model in
which the needs and characteristics of the patient, clinical unit, or system are matched to a nurse's
competencies (Hardin, 2005).

Answer 14

ANS: D
One should take time to identify a feeling, label it, distinguish between thinking and feeling, and accept the feeling for what it is rather than talking oneself into what it should be.

Answer 15

ANS: D
License, references and permission for drug screen are necessary for employment.

Answer 16

C, E, F
Thinking about a decision which has been made, a better way of changing a dressing, or the way you
answered questions on the NCLEX-RN are all examples of reflective thinking. Reflective thinking
involves watching or observing ourselves as we perform a task or make a decision about a particular
situation.

Answer 17

D

Answer 18

c

a. Incorrect: This terms does not describe this kind of political manoeuvre.
b. Incorrect: This terms does not describe this kind of political manoeuvre.
c. Correct: Political games are patterns of behaviours engaged in by political actors who attempt to achieve their own ends, rather than the overall good of the whole organization.
d. Incorrect: This terms does not describe this kind of political manoeuvre.

Answer 19

ANS: D

Answer 20

RSS (Really Simple Syndication)
Rationale : RSS (Really Simple Syndication) feeds allow you to subscribe to content eliminating the need to manually search for new information on sites that offer the RSS option.
Global Rationale:

Cognitive Level: Understanding
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome:

Answer 21

B

Answer 22

ANS: C
Family members may be reluctant to consent to donation if the patient has never previously ex-pressed her wishes. Options A and B provide encouragement to the family for donation. Option D may initially cause some conflict, but because almost all major religious groups express this de-cision as a personal one, it should not cause conflict once she makes her decision.

Answer 23

A
Performance feedback can take many forms. Some formats that new nurses may encounter are
360-degree feedback (not 365-degree feedback), preceptor feedback (feedback from one's preceptor
during the orientation period), formal performance feedback (regular formalized performance
evaluation to maintain accreditation (for new nurses, generally after the orientation process or first 3
months, and then at 6- and 12-month intervals for the first year), and informal performance feedback
(feedback from nurses and professional you work with such as "good job," or "your IV placement
technique is really nice").

Answer 24

C
Financial management occurs in four phases: (1) budgeting, (2) recording, (3) reporting, and (4) evaluating.

Answer 25

D

Answer 26

1
Rationale 1: Duplication of resources is a major weakness of service-integrated structures.
Rationale 2: Coordination across functions and the ability to coordinate, collaborate, and compromise are strengths of service-integrated structure.
Rationale 3: One of the strengths of a service-integrated structure is that the same activities can occur in several units and can be unit specific.
Rationale 4: When there are two lines of authority, as in the parallel structure, conflicts may occur at the department or unit level.
Global Rationale:

Answer 27

3
Explanation: 1. A high RN-skill mix allows for more flexibility to meet patient needs. Communication among
staff is important but will not increase flexibility. Maximizing the availability of nursing allows
for more nurses but doesnʹt take into account the staffing mix.

Answer 28

ANS: B
A study of student nurses who represent this age group indicates that they want a leader who is receptive, approachable, a team player, and motivating.

Answer 29

2
Rationale: There is an additional need for nurses to be educated in higher education to become nursing informatics specialists. The need for nursing informatics specialists outweighs the current supply.

Answer 30

2
Rationale 1: This is not the first step of this process.
Rationale 2: Before the manager does anything else, he or she must be certain that policy backs up the planned actions.
Rationale 3: This is not the first action the manager should take.
Rationale 4: This is not the first action the manager should take.
Global Rationale:

Answer 31

A

Answer 32

A
By definition, civil acts are wrongs that violate the rights of individuals by tort or breach of con-tract.

Answer 33

A, B, F

 Feedback
Correct Medicare covers patients aged 65 years or older.
Medicare covers patients with long-term disabilities.
Medicare covers patients with long-term disabilities.
Incorrect This patient is not covered by Medicare.
This patient is not covered by Medicare.
This patient is not covered by Medicare.

Answer 34

B

Answer 35

ANS:
Partitioning
Partitioning refers to the assignment of individual records or rows in a data set to a specific purpose: model development (training, incremental testing of models during development) or validation (data held out from the development process for the purpose of unbiased performance estimation).

Answer 36

B

Answer 37

A
The nurse is also responsible for corrective action in case of an error.

Answer 38

A, B, E, F
Quality measures would reflect improvements such as an increase in patient satisfaction, decrease in
patient complaints, development of patient education material, and a review of all Emergency
Department deaths. Reduction in market share and an increase in repeat asthma patient visits do not
indicate improvement.

Answer 39

Ans: A
Hippocrates, born about 400 BC, was a Greek citizen who became known as the
Father of Modern Medicine. He emphasized natural causes for disease, a patient-centered
approach, and the necessity of accurate observations and record keeping. These priorities
influenced the practice of medicine both in Greece and beyond. Persia was known to utilize
slaves as physicians, and Rome borrowed medical practices from the countries it conquered.
Ancient India emphasized hygiene and prevention of sickness and described major and minor
surgery, children's diseases, and diseases of the nervous and urinary systems. Medicine men
were characteristic of the Mayan and Aztec civilizations.

Answer 40

D

Answer 41

Correct Answer: 1

This response reflects the preparation stage when the person undertakes cognitive and behavioral activities that prepare the person for change and may have already changed some small aspect of the behavior. Contemplation is when the patient seriously considers changing a specific behavior, actively gathers information, and verbalizes plans to make the change in the near future. In precontemplation the patient neither thinks about changing behavior nor is interested in information about the behavior. The action stage occurs when the person actively implements behavioral and cognitive strategies to interrupt previous behavior patterns and adopt new ones.

Answer 42

4
Rationale 1: The ability to retain a big-picture focus while dealing with each part of the change is a desirable trait for a change agent.
Rationale 2: The change agent must have sufficient flexibility to modify ideas when this will improve the change, but enough persistence to resist nonproductive tampering with the planned change.
Rationale 3: It is likely that those who are resistant will adapt to the change if given enough time and support.
Rationale 4: Staying available the whole time is not realistic and will make it difficult for the change agent to maintain the energy it will take to make the change more successful.
Global Rationale:

Answer 43

ANS: D
The culture of the patient-clinician partnership always includes epatients and clinicians working in collaboration towards shared goals. The Patient Protection and Affordable Care Act does not require patient-clinician partnerships. Guided discovery may be used in a patient-clinician partnership, but not always. Technology specialists and social media activists are not part of the patient-clinician partnership.

Answer 44

D
The act of being responsible (responsibility) for one's actions is a top priority for all health care workers, nurses in particular. The act of being responsible includes: reliability, dependability, the obligation to accomplish work once the assignment has been accepted, and the desire to perform at an acceptable level in accordance with one's educational and experience levels.

Answer 45

B
The goal of quality would address the question, "Did their health status improve?" Other questions
that would be addressed include "Were their health risks reduced?" and "Were they satisfied with the
services they received?"

Answer 46

1,2,3,4,5
Rationale: The training preparation process begins by identifying user needs, determining content, establishing learning objectives, and deciding upon the approach and evaluation strategy.

Answer 47

A

Answer 48

C

Answer 49

ANS: B
Effective nurse-client communication is critical to efficient care provision and to providing quality care. Knowing how to respond in emotional situations allows the nurse to use feelings as a positive force. Nurses often find themselves in dramatic situations in which a calm response is required. Some clients approach their initial encounter with a nurse with hostility or embarrassment, such as the intoxicated client admitted to an emergency department. To listen and to respond creatively to intense emotion when the nurse's first impulse is to withdraw or to retaliate demands a high level of skill. It requires self-control and empathy for what the client may be experiencing. The nurse should avoid blaming, which will only make the client feel defensive or angry. Competition is a response style characterized by domination. In this contradictory style, one party exercises power to gain his own goals at the expense of the other person. It is characterized by aggression and lack of compromise. Authority may be used to suppress the conflict in a dictatorial manner. This leads to increased stress. It is an effective style when there is a need for a quick decision, but it leads to problems in the long term, making it a lose-lose situation. Timing is also important if an individual is very angry. The key to assertive behavior is choice. Sometimes it is better to allow the client to let off some "emotional steam" before engaging in conversation.

Answer 50

1
Explanation: 1. Authentic caring in relationships is an important method of improving respect and
competence as a leader. Although the leader can show no favoritism, leaders can have friends.
Authentic leaders are willing to take risks and are not afraid to do any task.

Answer 51

B

Answer 52

1

 Feedback
1 The family unit is the expert about its experience of health and illness.
2 The nurse identifies the needs of all persons within the family.
3 The nurse understands family dynamics and how members have a bidirectional influence on one another in a family.
4 The nurse appreciates family stories because they can reveal important facts from the person's or family's point of view.

Answer 53

3
Explanation: 1. In the Planning stage, the objective of the test is stated; predictions are made about what will happen and why; and a plan to test the change is developed.
2. In the Do stage, a small test is done with identification of problems encountered and first analysis of data.
3. In the Study stage, a more in depth analysis of test data is done with comparison to predictions.
4. In the last step Act, the change is revised based on what has been learned from the test.

Answer 54

B

Answer 55

D

Answer 56

Correct Answer: 4

Summarizing the content of a teaching session is useful at the end of the teaching session. This helps to identify any areas that need to be re-explained or reemphasized to the client. Asking the client to repeat what was discussed may make the client ill at ease. The same can occur when asking "What do you think?" about information that is factual. Telling the client that the information is very important can make the client nervous and on edge. That feeling can make the client forget information that is important to remember.

Answer 57

ANS: B, C, D, E
Using a client's correct name, maintaining eye contact, adopting open posture, and responding to cues are responses that are demonstrated by the accepting category within Level 1 of levels of nursing action. Confronting conflict is an example of a nursing behavior at the analyzing category of Levels 4-5.

Answer 58

2, 4, 5
Explanation: 1. Nurse managers must be aware of the responsibility of doing more with fewer resources and
in some cases, less nursing and support staff. Complicated technology forces the nurse
manager to keep up with the ever-present changes within the health care system. The only
aspect that is consistent is the rapidly changing system!

Answer 59

A