Question 1

The nurse, who is an expert at providing care to adult medical-surgical patients, is transitioning to providing care to adult intensive care patients. The nurse's skill level will most likely change to which level?

Accepted Answer

A)   Competent
B)   Novice
C)   Advanced beginner
D)   Proficient

Question 2

The nurse plans and implements care for a patient based on nursing knowledge and skills. The nurse is functioning within which role?

Accepted Answer

A)   Caregiver
B)   Advocate
C)   Educator
D)   Leader

Question 3

A nurse of German descent is providing care to a patient of Asian descent. Which assets should this nurse possess to work effectively in this cross-cultural situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   Understanding of the health care system
B)   Motivation to engage in the care of this patient
C)   Ability to self-examine
D)   Patience
E)   Skill in assessment based on culture

Question 4

A patient is scheduled for surgery and will receive general anesthesia. What interaction can the patient expect with the certified registered nurse anesthetist CRNA)  assigned to the case? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   The nurse will be the patient's primary nurse during surgery and in the postanesthesia recovery room.
B)   The CRNA will conduct an assessment of the patient prior to surgery.
C)   The CRNA will assist the anesthesiologist in inducing anesthesia.
D)   The CRNA will teach the patient about the anesthesia process.
E)   The CRNA will maintain the patient's anesthesia level for the length of the operative procedure.

Question 5

A nurse of Hispanic descent is assigned to provide care to a patient of the same culture. How would the assignment benefit the patient?

Accepted Answer

A)   The nurse will not make any cultural errors.
B)   The nurse will provide expert care.
C)   The nurse will make sure the patient has a timely discharge.
D)   The nurse is culturally competent.

Question 6

The nurse has decided to pursue employment as an occupational health nurse. What would this nurse anticipate as being a primary focus in this job?

Accepted Answer

A)   Serving as compliance officer for the Occupational Safety and Health Act
B)   Manage the company's insurance benefit program.
C)   Eliminate the employee's need for a primary physician.
D)   Make home visits to employees to provide care.

Question 7

A nurse would like to teach nursing in a technical school. The nurse should pursue which educational preparation? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   Associate degree
B)   Baccalaureate degree
C)   Preparation as a clinical nurse specialist
D)   Master's degree
E)   Doctoral preparation

Question 8

A group of nurse managers wishes to develop more expert nurses in the hospital. Which activities should they plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   Encourage the development of critical thinking skills.
B)   Require that all nurses go back to school for an advanced degree.
C)   Schedule sessions that will allow nurses to reflect on the care provided over a specific period of time.
D)   Encourage examination of alternate solutions to common nursing problems.
E)   Encourage strict adherence to all unit protocols.

Question 9

A nurse practitioner NP)  has joined a practice focusing on family medicine. Which roles would the nurse fulfill in this practice? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   Developing a comprehensive education program for clinic patients
B)   Working with individual patients to promote their wellness
C)   Discussing how to prevent illness with patients during regular visits
D)   Managing the business office of the clinic
E)   Providing expert care to younger patients while the clinic physicians care for older patients

Question 10

A patient tells the nurse that he does not understand the surgical procedure the physician told him he needed. What should the nurse do to advocate for this patient?

Accepted Answer

A)   Contact the physician and ask that the procedure be explained to the patient.
B)   Explain the procedure to the patient.
C)   Document that the patient does not understand the proposed surgical procedure.
D)   Instruct the patient about alternatives to the surgical procedure.

Question 11

A nurse with a high level of expertise is providing a report to the oncoming nurse about a particular patient. Which statement would exemplify this nurse's expert level of experience?

Accepted Answer

A)   "I saw that the patient's eyes changed focus, and I kept the airway open until the seizure ended."
B)   "I didn't realize that 2 days of bed rest would make the patient so weak."
C)   "The other nurse helping me told me that I did a good job with the patient."
D)   "I learned that diuretics can cause imbalances of many electrolytes." A

Question 12

The nurse is concerned about new scheduling changes and their impact on staffing levels. If applying the component of professional comportment, in which ways should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   Call a friend in another care area and discuss the changes in the unit station.
B)   Request a private discussion of the proposed changes with the nurse manager.
C)   Shake her head and laugh while saying, "Here we go again."
D)   Discuss the changes with other staff members in the unit hallway.
E)   Ask to serve on the committee that will evaluate the changes over the next 6 months.

Question 13

The nurse relates how excited she was when a patient responded to a particular intervention and how the entire situation was anxiety-producing for her. This nurse is demonstrating a characteristic of which level of nursing practice?

Accepted Answer

A)   Novice
B)   Advanced beginner
C)   Competent
D)   Expert

Question 14

A nurse with community-health nursing experience provides monthly blood pressure checks for fellow members of a religious congregation. The nurse is functioning within which role?

Accepted Answer

A)   Parish nurse
B)   Clinic nurse
C)   Gerontologic nurse
D)   Occupational health nurse

Question 15

The nurse observes a lack of urine output in a patient recovering from bladder surgery. Prior to notifying the health care provider, the nurse gently irrigates the tubing and dislodges a small blood clot. Immediately the urine begins to flow. This nurse's intervention demonstrates which level of clinical nursing practice?

Accepted Answer

A)   Novice
B)   Competent
C)   Advanced beginner
D)   Expert D

Question 16

A patient is admitted to a patient care area. The nurse has never provided care to a patient from this patient's culture before and is concerned. How should the nurse proceed?

Accepted Answer

A)   Briefly review the patient's culture and its expectations of health care providers.
B)   Have another nurse provide care to this patient.
C)   Approach the care of this patient as with any other patient admitted to the care area.
D)   Locate an interpreter to assist with communication.

Question 17

A staffing issue and lack of patient care supplies cause a nurse to cancel planned evening activities and stay on the care area until all issues are resolved. The nurse's actions are most typical of which role?

Accepted Answer

A)   Administrator
B)   Educator
C)   Manager
D)   Researcher

Question 18

The nurse manager of a care area asks that a new intravenous-therapy monitoring device not be used for any patients until the entire staff has received appropriate instruction on its use. The nurse manager is demonstrating which component of caring?

Accepted Answer

A)   Comportment
B)   Confidence
C)   Conscience
D)   Commitment

Question 19

The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning within which role with this patient?

Accepted Answer

A)   Educator
B)   Researcher
C)   Advocate
D)   Leader A

Question 20

After receiving a report, the nurse reviews all the activities that must be completed for a group of patients. This nurse is demonstrating which characteristic of a competent nurse?

Accepted Answer

A)   Matching an actual case with a textbook case
B)   Planning and analyzing care needs
C)   Establishing role boundaries
D)   Seeing the big picture of the clinical situation

Exam 1: Preparation for Practice

The nurse, who is an expert at providing care to adult medical-surgical patients, is transitioning to providing care to adult intensive care patients. The nurse's skill level will most likely change to which level?

Correct Answer
verified

The nurse plans and implements care for a patient based on nursing knowledge and skills. The nurse is functioning within which role?

Correct Answer
verified

A nurse of German descent is providing care to a patient of Asian descent. Which assets should this nurse possess to work effectively in this cross-cultural situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct Answer
verified

Correct Answer
verified

A nurse of Hispanic descent is assigned to provide care to a patient of the same culture. How would the assignment benefit the patient?

Correct Answer
verified

The nurse has decided to pursue employment as an occupational health nurse. What would this nurse anticipate as being a primary focus in this job?

Correct Answer
verified

A nurse would like to teach nursing in a technical school. The nurse should pursue which educational preparation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct Answer
verified

A group of nurse managers wishes to develop more expert nurses in the hospital. Which activities should they plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct Answer
verified

A nurse practitioner NP) has joined a practice focusing on family medicine. Which roles would the nurse fulfill in this practice? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct Answer
verified

A patient tells the nurse that he does not understand the surgical procedure the physician told him he needed. What should the nurse do to advocate for this patient?

Correct Answer
verified

A nurse with a high level of expertise is providing a report to the oncoming nurse about a particular patient. Which statement would exemplify this nurse's expert level of experience?

Correct Answer
verified
A

Correct Answer
verified

The nurse relates how excited she was when a patient responded to a particular intervention and how the entire situation was anxiety-producing for her. This nurse is demonstrating a characteristic of which level of nursing practice?

Correct Answer
verified

A nurse with community-health nursing experience provides monthly blood pressure checks for fellow members of a religious congregation. The nurse is functioning within which role?

Correct Answer
verified

Correct Answer
verified
D

A patient is admitted to a patient care area. The nurse has never provided care to a patient from this patient's culture before and is concerned. How should the nurse proceed?

Correct Answer
verified

A staffing issue and lack of patient care supplies cause a nurse to cancel planned evening activities and stay on the care area until all issues are resolved. The nurse's actions are most typical of which role?

Correct Answer
verified

The nurse manager of a care area asks that a new intravenous-therapy monitoring device not be used for any patients until the entire staff has received appropriate instruction on its use. The nurse manager is demonstrating which component of caring?

Correct Answer
verified

The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning within which role with this patient?

Correct Answer
verified
A

After receiving a report, the nurse reviews all the activities that must be completed for a group of patients. This nurse is demonstrating which characteristic of a competent nurse?

Correct Answer
verified

Exam 1: Preparation for Practice

The nurse, who is an expert at providing care to adult medical-surgical patients, is transitioning to providing care to adult intensive care patients. The nurse's skill level will most likely change to which level?

Correct AnswerverifiedShow Answer

The nurse plans and implements care for a patient based on nursing knowledge and skills. The nurse is functioning within which role?

Correct AnswerverifiedShow Answer

A nurse of German descent is providing care to a patient of Asian descent. Which assets should this nurse possess to work effectively in this cross-cultural situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A nurse of Hispanic descent is assigned to provide care to a patient of the same culture. How would the assignment benefit the patient?

Correct AnswerverifiedShow Answer

The nurse has decided to pursue employment as an occupational health nurse. What would this nurse anticipate as being a primary focus in this job?

Correct AnswerverifiedShow Answer

A nurse would like to teach nursing in a technical school. The nurse should pursue which educational preparation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct AnswerverifiedShow Answer

A group of nurse managers wishes to develop more expert nurses in the hospital. Which activities should they plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct AnswerverifiedShow Answer

A nurse practitioner NP) has joined a practice focusing on family medicine. Which roles would the nurse fulfill in this practice? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct AnswerverifiedShow Answer

A patient tells the nurse that he does not understand the surgical procedure the physician told him he needed. What should the nurse do to advocate for this patient?

Correct AnswerverifiedShow Answer

A nurse with a high level of expertise is providing a report to the oncoming nurse about a particular patient. Which statement would exemplify this nurse's expert level of experience?

Correct AnswerverifiedA

Correct AnswerverifiedShow Answer

The nurse relates how excited she was when a patient responded to a particular intervention and how the entire situation was anxiety-producing for her. This nurse is demonstrating a characteristic of which level of nursing practice?

Correct AnswerverifiedShow Answer

A nurse with community-health nursing experience provides monthly blood pressure checks for fellow members of a religious congregation. The nurse is functioning within which role?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedD

A patient is admitted to a patient care area. The nurse has never provided care to a patient from this patient's culture before and is concerned. How should the nurse proceed?

Correct AnswerverifiedShow Answer

A staffing issue and lack of patient care supplies cause a nurse to cancel planned evening activities and stay on the care area until all issues are resolved. The nurse's actions are most typical of which role?

Correct AnswerverifiedShow Answer

The nurse manager of a care area asks that a new intravenous-therapy monitoring device not be used for any patients until the entire staff has received appropriate instruction on its use. The nurse manager is demonstrating which component of caring?

Correct AnswerverifiedShow Answer

The nurse, instructing a patient newly diagnosed with type 2 diabetes, reminds the patient about the need for an annual dilated retinal eye examination and annual urine tests to measure protein levels. The nurse is functioning within which role with this patient?

Correct AnswerverifiedA

After receiving a report, the nurse reviews all the activities that must be completed for a group of patients. This nurse is demonstrating which characteristic of a competent nurse?

Correct AnswerverifiedShow Answer

Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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Correct Answer
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A

Correct Answer
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Correct Answer
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Correct Answer
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D

Correct Answer
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Correct Answer
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A

Correct Answer
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