Foundations Clinical Exam 1
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The professional RN provides a specified service according to standards of practice and follows a code of ethics outlined by the ANA is termed...
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Definition of Nursing
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Nursing Practice
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The center of a Nurse's Practice
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Art and Science of nursing
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This quiz, titled 'Foundations Clinical Exam 1', assesses key aspects of nursing practice. It covers standards, theories, definitions, regulatory bodies, and historical figures in nursing, emphasizing ethical practices and professional standards.
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- 2.
Foundations for professional nursing practice comes from?
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Theories of nursing, scientific nursing, relevance to basic social values, professional autonomy, a sense of commitment, community, and a code of ethics.
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The client, their family, and the community.
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Art and Science of Nursing
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Florence Nightingale
Correct Answer
A. Theories of nursing, scientific nursing, relevance to basic social values, professional autonomy, a sense of commitment, community, and a code of ethics.Explanation
A embodies B,C, and D.Rate this question:
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- 3.
What is the definition of Nursing?
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A profession based on knowledge, the protection, promotion, and restoration of health through the diagnosis of diseases.
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A theoretical body of knowledge leading to defined skills, abilities, and norms
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A scientific evidence based practice that focuses on the client as a whole.
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The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.
Correct Answer
A. The protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.Explanation
A- Diagnosis of diseases is out of a nurse scope of practice. D embodies B and CRate this question:
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- 4.
_______ oversee Nurse Practice Acts (NPAs) by regulating the scope of nursing practice and protect health, safety, and welfare including shielding the public from unqualified and unsafe nurses.
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Code of Ethics
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ANA
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State Boards of Nursing
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Staff Nurse
Correct Answer
A. State Boards of NursingExplanation
Each state has the right to designate responsibility to nurses as it sees fit.Rate this question:
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- 5.
Who was the founder of modern nursing who first organized a program for training nurses and advocated for cleanliness, good nutrition, and fresh air as a method of disease prevention?
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Patricia Benner
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Florence Nightingale
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Louis Pateur
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Ignaz Semmelweis
Correct Answer
A. Florence NightingaleExplanation
Florence Nightingale is the correct answer because she is widely recognized as the founder of modern nursing. She established the first organized program for training nurses and was a strong advocate for cleanliness, good nutrition, and fresh air as effective methods of disease prevention. Nightingale's pioneering work during the Crimean War revolutionized nursing and laid the foundation for modern healthcare practices.Rate this question:
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- 6.
Who first recommended 1) a systematic method of assessing clients 2) individualized care based on the client's needs and preferences and 3) confidentiality?
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Florence Nightingale
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Louis Pasteur
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Mary Mahoney
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Isabel Hampton Robb
Correct Answer
A. Florence NightingaleExplanation
Florence Nightingale is the correct answer because she is widely recognized as the founder of modern nursing and made significant contributions to the field. She emphasized the importance of assessing clients systematically, providing individualized care based on their needs and preferences, and maintaining confidentiality. Nightingale's work revolutionized nursing practices and laid the foundation for contemporary nursing principles.Rate this question:
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- 7.
Consumers are more knowledgeable about health and illness and are becoming more vocal in their desire for high-quality care.
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True
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False
Correct Answer
A. TrueExplanation
Consumers are searching via the web on diseases and illnesses more and more.Rate this question:
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- 8.
What is effected by a clients culture? Choose all that apply
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Nurse client relationship
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Care Cost
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Care effectiveness
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Client Safety
Correct Answer(s)
A. Nurse client relationship
A. Care Cost
A. Care effectiveness
A. Client SafetyExplanation
Culture changes everything! Just know that and you'll do fine! ;-)Rate this question:
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- 9.
The health care facility is aimed towards improving patients lives, of the options, what is their main priority?
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Infection control
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Risk of Falls
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Disease Prevention
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Safety
Correct Answer
A. SafetyExplanation
Safety embodies all other answersRate this question:
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- 10.
The Nurse is responsible for protecting the client from physical and emotional injury by continually assessing for and eliminating safety hazards. Some of these hazards, that are within the scope of a nurse, may include...(choose all that apply)
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Medication errors
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Improper client transfers
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Client falls
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Incorrect procedures
Correct Answer(s)
A. Medication errors
A. Improper client transfers
A. Client falls
A. Incorrect proceduresExplanation
Nurses are responsible for ALL preventive measures.Rate this question:
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- 11.
What are examples of needs of the consumer in regards to the health care field? (Choose all that apply)
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High-quality Care
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Cultural Diversity
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Better Online resources for self diagnostic and treatment
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Health Promotion and Wellness
Correct Answer(s)
A. High-quality Care
A. Cultural Diversity
A. Health Promotion and WellnessExplanation
Consumers diagnosing themselves and trying to treat that diagnosis impedes on their need for safety.Rate this question:
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- 12.
What are some examples of Health Promotion and Wellness in which Nurses can educate their patients? (choose all that apply)
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Self Diagnosis
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Exercise
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Self Treatment
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Hygiene
Correct Answer(s)
A. Exercise
A. HygieneExplanation
We should never encourage self diagnosis or treatment. Patients do not usually have the education required for this.Rate this question:
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- 13.
_____ sets the Standards of Professional Performance that include Quality of Practice, Education, Professional Practice Evaluation, Collegiality, Collaboration, Ethics, Research, Resource Utilization, Leadership and ADPIE.
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ANA
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State Board of Nursing
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Code of Ethics
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Yo momma! [ just a lil comic relief :-) ]
Correct Answer
A. ANAExplanation
State Board of Nursing sets the scope of nursing, Code of Ethics is how we conduct ourselves in a professional manner besides doing our jobs, and yo momma...well that depends on yo momma!Rate this question:
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- 14.
Techniques that are specific responses that encourage the expression of feelings and ideas and convey acceptance and respect are...
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Empathetic
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Sympathetic
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Therapeutic
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Healthy
Correct Answer
A. TherapeuticExplanation
Therapeutic embodies all answersRate this question:
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- 15.
Active listening...(choose all that apply)
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Means being attentive to what the client is saying both verbally and non verbally
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Facilitates client communication
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Involves SOLER
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Is conditional to the environment and situation
Correct Answer(s)
A. Means being attentive to what the client is saying both verbally and non verbally
A. Facilitates client communication
A. Involves SOLERExplanation
The first 2 speak for themselves. SOLER is Sit facing the client Observe an open posture Lean toward the client Establish and maintain intermittent eye contact Relax and the last one, active listening is ALWAYS priority when conversing with a patient or anyone else in any situation.Rate this question:
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- 16.
Nurses share observations with clients to help start conversations with quiet or withdrawn persons that are not assumptions. Which statement is appropriate for this situation?
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"What's wrong, you look a mess!!!"
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"Who peed in your lucky charms crabby pants?"
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"You seemed depressed, wanna talk about it?"
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"You seem different, is there anything you would like to talk about?"
Correct Answer
A. "You seem different, is there anything you would like to talk about?"Explanation
The first two are just rude, and the third is almost ok, but it is an assumption that they are depresses. They could just be tired. The fourth states an OBSERVATION and provides open support. This statement is the less likely for miscommunication and offense.Rate this question:
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- 17.
The statement that best reflects empathy is...
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"That incision looks like it hurts, do you want some pain medication?"
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"I know you don't feel well, but if you don't get out of bed you could develop pneumonia and we don't want that."
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"It must be very frustrating to know what you want and not be able to do it."
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"I am so sorry for your loss, if I could take your place I would."
Correct Answer
A. "It must be very frustrating to know what you want and not be able to do it."Explanation
While all the answers are not bad, C is the only one that conforms with the definition of empathy or the ability to UNDERSTAND and ACCEPT another person's reality, to accurately PERCEIVE FEELINGS and to COMMUNICATE this understanding to the other.Rate this question:
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- 18.
Which statement reflects sharing hope in an appropriate way as would be used by the professional Nurse?
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"I believe you will find a way to face your situation, because I've seen your courage and creativity in the past."
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"I know it seems like everything is doomed, but hold on because your gonna be ok and get through this just fine."
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"Your gonna make it. Don't think about death, your treatment is going to save your life.'
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"I'm so sorry, is there anything I can do for you?"
Correct Answer
A. "I believe you will find a way to face your situation, because I've seen your courage and creativity in the past."Explanation
The first is the only one that gives hope with out false assurance. Telling someone it will be ok when it may not be can ruin the trust the patient or their family have for you. No one really knows what is going to happen and how the patient will feel about it in the future. The last statement is good, but doesn't refect hope.Rate this question:
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- 19.
Which statement about sharing humor is not true? (choose all that apply)
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It helps provide social control, permit cognitive re-framing, and reflects social change
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It improves the clients self-esteem and shows you care
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It avoids causing great emotional distress after a death.
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It promotes positive communication through prevention, perception, and perspective
Correct Answer
A. It avoids causing great emotional distress after a death.Explanation
If used as dark, negative humor as a way to deal with unbearable tension and stress it may cause emotional distress if overheard by the deceased patients loved one's.Rate this question:
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- 20.
Which statement about sharing feelings is correct? (choose all that apply)
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Emotions are subjective feelings.
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If individuals did not express feelings, stress and illness will worsen.
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It is usually inappropriate to discuss negative personal emotions such as sadness with clients
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Clients are perceptive and will sense a nurse's emotions.
Correct Answer(s)
A. Emotions are subjective feelings.
A. If individuals did not express feelings, stress and illness will worsen.
A. It is usually inappropriate to discuss negative personal emotions such as sadness with clients
A. Clients are perceptive and will sense a nurse's emotions.Explanation
Emotions are subjective feelings because they are personal and can vary from person to person. If individuals did not express their feelings, stress and illness can worsen because holding in emotions can lead to negative physical and mental health effects. It is usually inappropriate to discuss negative personal emotions such as sadness with clients because it can be seen as unprofessional or burdensome for the client. Clients are perceptive and will sense a nurse's emotions, which can affect the therapeutic relationship and the client's trust in the nurse.Rate this question:
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- 21.
Which is one of the nurse's most potent forms of communication?
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Using Touch
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Sharing Humor
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Sharing Feelings
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Sharing Hope
Correct Answer
A. Using TouchExplanation
When used appropriately touch not only communicates caring, but comfort and security in an instant.Rate this question:
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- 22.
Touch conveys many messages, such as affection, emotional support, encouragement, tenderness, competence, and personal attention.
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True
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False
Correct Answer
A. FalseExplanation
Just wanted to see if u were paying attention. Touch does not display competency.Rate this question:
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- 23.
In older persons, touch...(choose all that apply)
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Increases a sense of safety
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Increases self-confidence
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Decreases anxiety
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Decreases blood pressure
Correct Answer(s)
A. Increases a sense of safety
A. Increases self-confidence
A. Decreases anxietyExplanation
decreased BP would be affected by the decreased anxiety not the touch itselfRate this question:
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- 24.
What are the forms of touch? (choose all that apply)
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Comfort
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Secure
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Protective
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Benign
Correct Answer(s)
A. Comfort
A. ProtectiveExplanation
The forms of touch mentioned in the question are comfort and protective. Comfort touch refers to a gentle, soothing touch that provides emotional support and reassurance. Protective touch, on the other hand, involves physical contact that is meant to safeguard or shield someone from harm or danger. These forms of touch can play significant roles in human interaction and relationships, promoting feelings of safety, trust, and well-being.Rate this question:
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- 25.
During times of great grief, what can be especially therapeutic?
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Asking relevant questions
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Using Silence
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Providing Information
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Using humor
Correct Answer
A. Using SilenceExplanation
Sometimes they just need a moment to to think and gain insight. Being comfortable with this takes time and experience.Rate this question:
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- 26.
________ tells the other persons that they need or want to know so they are able to make decisions, experience less anxiety, and feel safe and secure.
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Clarifying
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Focusing
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Providing Information
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Paraphrasing
Correct Answer
A. Providing InformationExplanation
Providing Information is the correct answer because it involves sharing necessary details or knowledge with others, enabling them to make informed decisions and reducing their anxiety. By providing information, individuals can feel more secure and confident in their choices, as they have access to the relevant facts and insights. This communication approach helps create a sense of transparency and trust among individuals involved in the conversation.Rate this question:
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- 27.
An example of clarifying would be...
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"We've talked a lot about your medications, but let's look more closely at the trouble you're having in taking them on time."
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"So you feel angry that the earlier nurse did not knock before entering and you want to talk to the charge nurse about it."
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"I'm not sure I understand what you mean by 'sicker than usual.' What is different now?"
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"Let me know if you need anything, I'm here for you no matter what."
Correct Answer
A. "I'm not sure I understand what you mean by 'sicker than usual.' What is different now?"Explanation
Clarifying checks whether understanding is accurate by restating an unclear or ambiguous message to clarify the sender's meaning. This gets confused with paraphrasing (answer B). The difference is in the goal of the statement. Clarifying is used when a more specific meaning is needed and paraphrasing is used to make sure you actually understand what they are saying.Rate this question:
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- 28.
Focusing centers on key elements or concepts of a message as a way to interrupt the client when they are discussing topics that may not be as important as others.
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True
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False
Correct Answer
A. FalseExplanation
Focusing centers on key elements or concepts of a message ONLY if it does not interrupt the client while discussing an important issue. Remember the issues that are important are (for the most part) determined by the patient.Rate this question:
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- 29.
The patient has just explained that they have been overweight all their life and they don't understand why they have to watch what they eat and exercise now. You respond by saying ""You're not convinced you need a diet because you've stayed healthy." Your reasoning of saying this would be...
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To briefly restate the patient's message
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To send feedback to the patient so they know you were listening
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To let the client know you were actively involved in the search for understanding
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To paraphrase what they had said
Correct Answer
A. To paraphrase what they had saidExplanation
Paraphrasing embodies all other answersRate this question:
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- 30.
Asking too many questions is sometimes dehumanizing.
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True
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False
Correct Answer
A. TrueExplanation
Asking too many questions can make them feel like a test subject and like you have no respect for their personal lives; prying.Rate this question:
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- 31.
___________ questions allow the client to take the conversational lead and introduce pertinent information about a topic.
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Closed
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Open-ended
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Leading
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Perceptual
Correct Answer
A. Open-endedExplanation
Closed are yes no questions. I made the last 2 up. :-)Rate this question:
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- 32.
What is an example of a closed question?
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Have you ever had an STI?
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How are you feeling?
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What kind of symptoms are you feeling?
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Do you have any questions?
Correct Answer
A. Have you ever had an STI?Explanation
The question "Have you ever had an STI?" is an example of a closed question because it can be answered with a simple "yes" or "no" response. Closed questions typically have limited answer options and do not require the respondent to provide detailed information or explanations.Rate this question:
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- 33.
Self-disclosures are subjectively true, personal experiences about the self that are intentionally revealed to another person to benefit only the patient not the nurse. It shows clients that the nurse understands their experiences and their experiences are not unique.
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True
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False
Correct Answer
A. TrueExplanation
Remember it is all about the patient at all times. When faced with tough times, it helps to connect with the patient with similar situational stories and letting them know they are not alone, but NEVER is it ok to make it up!Rate this question:
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- 34.
The difference between summarizing and paraphrasing is...
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Nothing
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Summarizing is used more as a review of key aspects that bring a sense of satisfaction and closure and clarifies expectations
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Paraphrasing is used more as a review of key aspects that bring a sense of satisfaction and closure and clarifies expectations
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Paraphrasing briefly restates the patients point
Correct Answer
A. Summarizing is used more as a review of key aspects that bring a sense of satisfaction and closure and clarifies expectationsExplanation
Paraphrasing and summarizing both briefly restate the patients pointRate this question:
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- 35.
Confrontation can be used in a therapeutic way to help the other person become more aware of inconsistencies in his or her feelings, attitudes, beliefs, and behaviors.
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True
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False
Correct Answer
A. TrueExplanation
Confrontation, when used in a therapeutic manner, can be an effective tool to bring awareness to inconsistencies in a person's feelings, attitudes, beliefs, and behaviors. By gently pointing out these inconsistencies, individuals can gain insight into their own thoughts and actions, which can lead to personal growth and change. This approach promotes self-reflection and encourages individuals to explore and understand their own motivations and behaviors.Rate this question:
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- 36.
Confrontation...(choose all that apply)
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Can be used with any client
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Improves client self-awareness
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Helps the client recognize growth
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Helps the client deal with important issues
Correct Answer(s)
A. Improves client self-awareness
A. Helps the client recognize growth
A. Helps the client deal with important issuesExplanation
confrontation should only be used with clients in which trust has been established, gently; with sensitivity.Rate this question:
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- 37.
Elements of professional communication involve...(choose all that apply)
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Courtesy
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Use of Names
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Trustworthiness
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Autonomy and Responsibility
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Assertiveness
Correct Answer(s)
A. Courtesy
A. Use of Names
A. Trustworthiness
A. Autonomy and Responsibility
A. AssertivenessExplanation
The elements of professional communication involve courtesy, use of names, trustworthiness, autonomy and responsibility, and assertiveness. These elements are important in maintaining a respectful and effective communication environment in a professional setting. Courtesy ensures that individuals treat each other with respect and politeness. Using names helps to create a personal connection and shows that individuals are acknowledged and valued. Trustworthiness is crucial for building credibility and fostering open communication. Autonomy and responsibility involve taking ownership of tasks and being accountable for one's actions. Assertiveness allows individuals to express their thoughts and opinions confidently and respectfully.Rate this question:
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- 38.
Respect for _________ refers to the commitment to include clients in decisions about all aspects of care.
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Beneficence
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Autonomy
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Justice
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Fidelity
Correct Answer
A. AutonomyExplanation
Treating clients as a part of their care plan shows them respect and gives them some control.Rate this question:
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- 39.
An example of respect for Autonomy is...
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Ambulating a client to the restroom
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Asking the client if they can help position themselves
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The consent that clients read and sign before surgery
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Writing daily goals on white board
Correct Answer
A. The consent that clients read and sign before surgeryExplanation
C shows that the patient that we are asking for permission from them before doing anything to them. It is their body not ours.Rate this question:
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- 40.
________ refers to taking positive actions to help others with the understanding that the best interests of the client remain more important than self-interest. This encourages the urge to do good for others.
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Beneficence
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Justice
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Fidelity
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Nonmaleficence
Correct Answer
A. BeneficenceExplanation
Unless life threatening, the priorities of the client always come first.Rate this question:
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- 41.
So, an example of beneficence would be...
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Although it may hurt, Giving a child a shot to prevent Pertussis.
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A client with respiratory distress tells you they can't stand the itchy rash they have more than the need to breath so you focus on that.
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Ignoring the clients verbalization of pain because they are hypertensive.
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Giving a child the flu vaccination using the nasal spray when they are afraid of shots.
Correct Answer
A. Giving a child the flu vaccination using the nasal spray when they are afraid of shots.Explanation
Beneficence refers to the act of doing good or promoting the well-being of others. In the given options, giving a child the flu vaccination using the nasal spray when they are afraid of shots demonstrates beneficence. By choosing an alternative method of administering the vaccine, the healthcare provider is considering the child's fear and minimizing their distress, while still providing them with the necessary protection against the flu. This action shows a commitment to the child's well-being and is an example of beneficence.Rate this question:
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- 42.
The commitment to provide least harmful interventions illustrates___________.
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Maleficence
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Justice
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Care
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Nonmaleficence
Correct Answer
A. NonmaleficenceExplanation
The commitment to provide least harmful interventions illustrates nonmaleficence. Nonmaleficence is the ethical principle that emphasizes the obligation to do no harm to others. In the context of healthcare, it means that healthcare professionals should strive to minimize the potential harm caused by their interventions or treatments. By prioritizing the least harmful interventions, healthcare providers demonstrate their commitment to upholding the principle of nonmaleficence and ensuring the well-being and safety of their patients.Rate this question:
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- 43.
Criteria set by a national multidisciplinary committee make every effort to ensure _________, or fairness, by ranking recipients according to need.
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Justice
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Fidelity
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Fairness
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Honor
Correct Answer
A. JusticeExplanation
The correct answer is Justice. In this context, the criteria set by the national multidisciplinary committee aim to ensure justice or fairness by ranking recipients according to their need. Justice refers to the principle of treating individuals fairly and impartially, and in this case, it is used to ensure that resources are allocated to those who need them the most.Rate this question:
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- 44.
________ refers to the agreement to keep promises.
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Justice
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Fidelity
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Commitment
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Responsibility
Correct Answer
A. FidelityExplanation
Commitment is actually sticking to it and responsibility is the reason you do it. Justice is why you do it for all and not just one=fairnessRate this question:
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- 45.
A ______ is a personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior.
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Opinion
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Standard
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Subjective view
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Value
Correct Answer
A. ValueExplanation
Key word in the definition is WORTH. To give something value would mean to give it worth.Rate this question:
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- 46.
Nursing is a work of intimacy that requires a sense of value. Choose all the statements that reflect value in the nursing profession.
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It is important not to lose focus on what yours are and not to let others change that view.
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It is important to have clarity about your own all the while respecting those of others whose values differ from yours.
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You agree to provide care to your clients solely on the basis of their need for your service.
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Nursing practice requires you to be in contact with clients not only physically but also emotionally, psychologically, and spiritually.
Correct Answer(s)
A. It is important to have clarity about your own all the while respecting those of others whose values differ from yours.
A. You agree to provide care to your clients solely on the basis of their need for your service.
A. Nursing practice requires you to be in contact with clients not only physically but also emotionally, psychologically, and spiritually.Explanation
understanding your values is very important but you should still remain open minded and flexible.Rate this question:
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- 47.
Ethical dilemmas...
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Almost always occur in the presence of conflicting values.
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Are unavoidable in situations where differences in cultures arise.
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Are resolved by distinguishing between value, fact, and opinion.
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Can sometimes be resolved by tolerating differences.
Correct Answer(s)
A. Almost always occur in the presence of conflicting values.
A. Are resolved by distinguishing between value, fact, and opinion.
A. Can sometimes be resolved by tolerating differences.Explanation
Ethical dilemmas almost always occur in the presence of conflicting values because these dilemmas arise when there are competing ethical principles or moral obligations that create a difficult decision-making situation. They are not necessarily related to cultural differences, as they can occur within the same culture. Resolving ethical dilemmas involves distinguishing between value, fact, and opinion, as differentiating between these can help in making a more informed and ethical decision. Additionally, some ethical dilemmas can be resolved by tolerating differences, as finding a middle ground or accepting diverse perspectives can lead to a resolution.Rate this question:
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- 48.
The ________ is a set of guiding principles that all members of a profession accept. A collective statement about the group's expectations and standards of behavior. They act as guidelines to assist professional groups when questions arise about correct practice or behavior.
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Nursing Practice Acts
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Nursing Code of Ethics
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Facility Policy
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Law
Correct Answer
A. Nursing Code of EthicsExplanation
The nursing code of ethics is a set of guiding principles that all members of the nursing profession accept. It serves as a collective statement about the expectations and standards of behavior for nurses. The code acts as a guideline to assist nurses when questions arise about correct practice or behavior. It helps to ensure that nurses uphold the highest standards of care, ethical decision-making, and professionalism in their practice.Rate this question:
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- 49.
The Nursing Code of Ethics includes...(check all the apply)
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Advocacy
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Responsibility
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Accountability
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Confidentiality
Correct Answer(s)
A. Advocacy
A. Responsibility
A. Accountability
A. ConfidentialityExplanation
The Nursing Code of Ethics is a set of principles that guide the professional conduct of nurses. Advocacy is included to emphasize the importance of nurses advocating for their patients' rights and needs. Responsibility is included to highlight the duty of nurses to provide safe and competent care. Accountability is included to emphasize the need for nurses to be answerable for their actions and decisions. Confidentiality is included to stress the importance of maintaining patient privacy and protecting sensitive information.Rate this question:
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Jan 25, 2024Quiz Edited by
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Feb 25, 2011Quiz Created by
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