Kozier And Erb's Fundamentals Of Nursing With Clinical Handbook , 8th Edition Test Bank

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ExamName___________________________________MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A client wishes to discontinue treatment for his cancer. Acting as the client advocate, the nursemakes this statement to the client's physician:1)A)"The family must be involved in this decision."B)"The client is making his own decision."C)"Let's educate the family about the consequences of this decision."D)"The client would benefit from additional information about treatment options."Answer:BExplanation:A)A client advocate acts to protect the client and may represent the client's needs andwishes to other health professionals, such as relaying the client's wishes forinformation to the physician. Providing additional information to the client abouttreatment options and bringing the family into the decision-making process wouldbe examples of the nurse acting as teacher or counselor.ImplementationPsychosocial integrityApplicationB)A client advocate acts to protect the client and may represent the client's needs andwishes to other health professionals, such as relaying the client's wishes forinformation to the physician. Providing additional information to the client abouttreatment options and bringing the family into the decision-making process wouldbe examples of the nurse acting as teacher or counselor.ImplementationPsychosocial integrityApplicationC)A client advocate acts to protect the client and may represent the client's needs andwishes to other health professionals, such as relaying the client's wishes forinformation to the physician. Providing additional information to the client abouttreatment options and bringing the family into the decision-making process wouldbe examples of the nurse acting as teacher or counselor.ImplementationPsychosocial integrityApplicationD)A client advocate acts to protect the client and may represent the client's needs andwishes to other health professionals, such as relaying the client's wishes forinformation to the physician. Providing additional information to the client abouttreatment options and bringing the family into the decision-making process wouldbe examples of the nurse acting as teacher or counselor.ImplementationPsychosocial integrityApplication2)Explaining the present economic challenges to students in the community health course, the nurseeducator would emphasize the importance of nurses being familiar with which of the following?2)A)Advances in science and technologyB)Emphasis shift from inpatient to outpatient careC)Diagnostic-related groups (DRGs)D)Consumer representatives on governing boards of nursing associations and regulatoryagenciesAnswer:B1

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Explanation:A)Economics is one of the social forces currently influencing the profession ofnursing. As a result of the shift from inpatient to outpatient care, more nurses arebeing employed in community-based health settings. Other forces includeconsumer demands, family structure, and science and technology. DRGs are aclassification system that categorically establishes pretreatment billing based ondiagnosis. Though this is an aspect of economic factors affecting nursing, it is notthe underlying cause of more personnel being employed in community-basedsettings.EvaluationSafe, effective care environmentApplicationB)Economics is one of the social forces currently influencing the profession ofnursing. As a result of the shift from inpatient to outpatient care, more nurses arebeing employed in community-based health settings. Other forces includeconsumer demands, family structure, and science and technology. DRGs are aclassification system that categorically establishes pretreatment billing based ondiagnosis. Though this is an aspect of economic factors affecting nursing, it is notthe underlying cause of more personnel being employed in community-basedsettings.EvaluationSafe, effective care environmentApplicationC)Economics is one of the social forces currently influencing the profession ofnursing. As a result of the shift from inpatient to outpatient care, more nurses arebeing employed in community-based health settings. Other forces includeconsumer demands, family structure, and science and technology. DRGs are aclassification system that categorically establishes pretreatment billing based ondiagnosis. Though this is an aspect of economic factors affecting nursing, it is notthe underlying cause of more personnel being employed in community-basedsettings.EvaluationSafe, effective care environmentApplicationD)Economics is one of the social forces currently influencing the profession ofnursing. As a result of the shift from inpatient to outpatient care, more nurses arebeing employed in community-based health settings. Other forces includeconsumer demands, family structure, and science and technology. DRGs are aclassification system that categorically establishes pretreatment billing based ondiagnosis. Though this is an aspect of economic factors affecting nursing, it is notthe underlying cause of more personnel being employed in community-basedsettings.EvaluationSafe, effective care environmentApplication2

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3)The nurse practitioner is working with the staff nurse to change the plan of care for a client. This isan example of which of the ANA standards of practice?3)A)PlanningB)ImplementationC)Outcomes identificationD)AssessmentAnswer:BExplanation:A)Consultation-as in advanced practice nurses and staff nurses working together-isa way for those involved with the client's care to influence the plan, enhance theabilities of others, and effect change. Consultation is part of Standard 5:Implementation. Assessment deals with data collection. Outcomes identificationsets identified goals for a plan specific to the client or situation. Planning prescribesstrategies and alternatives to attain expected outcomes.ImplementationSafe, effective care environmentApplicationB)Consultation-as in advanced practice nurses and staff nurses working together-isa way for those involved with the client's care to influence the plan, enhance theabilities of others, and effect change. Consultation is part of Standard 5:Implementation. Assessment deals with data collection. Outcomes identificationsets identified goals for a plan specific to the client or situation. Planning prescribesstrategies and alternatives to attain expected outcomes.ImplementationSafe, effective care environmentApplicationC)Consultation-as in advanced practice nurses and staff nurses working together-isa way for those involved with the client's care to influence the plan, enhance theabilities of others, and effect change. Consultation is part of Standard 5:Implementation. Assessment deals with data collection. Outcomes identificationsets identified goals for a plan specific to the client or situation. Planning prescribesstrategies and alternatives to attain expected outcomes.ImplementationSafe, effective care environmentApplicationD)Consultation-as in advanced practice nurses and staff nurses working together-isa way for those involved with the client's care to influence the plan, enhance theabilities of others, and effect change. Consultation is part of Standard 5:Implementation. Assessment deals with data collection. Outcomes identificationsets identified goals for a plan specific to the client or situation. Planning prescribesstrategies and alternatives to attain expected outcomes.ImplementationSafe, effective care environmentApplication4)A nurse has decided to focus on educating the community about health promotion and wellness.Which of the following would be an example of this?4)A)Holding classes on prevention of sexually transmitted diseaseB)Initiating prenatal and infant careC)Implementing an exercise class for clients who have had a strokeD)Teaching a class about home accident preventionAnswer:D3

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Explanation:A)Wellness is a process that engages in activities and behaviors that enhance qualityof life and maximize personal potential. This involves individual and communityactivities to enhance healthy lifestyles such as improving nutrition and physicalfitness, preventing drug and alcohol misuse, restricting smoking, and preventingaccidents in the home and workplace. The goal of illness prevention is to maintainoptimal health by preventing disease-which would include immunization,prenatal and infant care, and prevention of sexually transmitted disease. Teachingclients about recovery activities, such as exercises that accelerate recovery after astroke, would focus on health restoration.ImplementationHealth promotion and maintenanceApplicationB)Wellness is a process that engages in activities and behaviors that enhance qualityof life and maximize personal potential. This involves individual and communityactivities to enhance healthy lifestyles such as improving nutrition and physicalfitness, preventing drug and alcohol misuse, restricting smoking, and preventingaccidents in the home and workplace. The goal of illness prevention is to maintainoptimal health by preventing disease-which would include immunization,prenatal and infant care, and prevention of sexually transmitted disease. Teachingclients about recovery activities, such as exercises that accelerate recovery after astroke, would focus on health restoration.ImplementationHealth promotion and maintenanceApplicationC)Wellness is a process that engages in activities and behaviors that enhance qualityof life and maximize personal potential. This involves individual and communityactivities to enhance healthy lifestyles such as improving nutrition and physicalfitness, preventing drug and alcohol misuse, restricting smoking, and preventingaccidents in the home and workplace. The goal of illness prevention is to maintainoptimal health by preventing disease-which would include immunization,prenatal and infant care, and prevention of sexually transmitted disease. Teachingclients about recovery activities, such as exercises that accelerate recovery after astroke, would focus on health restoration.ImplementationHealth promotion and maintenanceApplicationD)Wellness is a process that engages in activities and behaviors that enhance qualityof life and maximize personal potential. This involves individual and communityactivities to enhance healthy lifestyles such as improving nutrition and physicalfitness, preventing drug and alcohol misuse, restricting smoking, and preventingaccidents in the home and workplace. The goal of illness prevention is to maintainoptimal health by preventing disease-which would include immunization,prenatal and infant care, and prevention of sexually transmitted disease. Teachingclients about recovery activities, such as exercises that accelerate recovery after astroke, would focus on health restoration.ImplementationHealth promotion and maintenanceApplication4

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5)A nurse is careful to cover the client during a bath. This action describes which of the followingnursing roles?5)A)Client advocateB)CommunicatorC)TeacherD)CaregiverAnswer:DExplanation:A)The caregiver role includes those activities that assist the client physically andpsychologically while preserving the client's dignity. As a communicator, thenurse identifies client problems, then communicates these verbally or in writing toother members of the health team. As a teacher, the nurse helps clients learn abouttheir health and the health care procedures they need to perform to maintain orrestore their health. A client advocate acts to protect clients and represents theirneeds and wishes to other health professionals.ImplementationSafe, effective care environmentApplicationB)The caregiver role includes those activities that assist the client physically andpsychologically while preserving the client's dignity. As a communicator, thenurse identifies client problems, then communicates these verbally or in writing toother members of the health team. As a teacher, the nurse helps clients learn abouttheir health and the health care procedures they need to perform to maintain orrestore their health. A client advocate acts to protect clients and represents theirneeds and wishes to other health professionals.ImplementationSafe, effective care environmentApplicationC)The caregiver role includes those activities that assist the client physically andpsychologically while preserving the client's dignity. As a communicator, thenurse identifies client problems, then communicates these verbally or in writing toother members of the health team. As a teacher, the nurse helps clients learn abouttheir health and the health care procedures they need to perform to maintain orrestore their health. A client advocate acts to protect clients and represents theirneeds and wishes to other health professionals.ImplementationSafe, effective care environmentApplicationD)The caregiver role includes those activities that assist the client physically andpsychologically while preserving the client's dignity. As a communicator, thenurse identifies client problems, then communicates these verbally or in writing toother members of the health team. As a teacher, the nurse helps clients learn abouttheir health and the health care procedures they need to perform to maintain orrestore their health. A client advocate acts to protect clients and represents theirneeds and wishes to other health professionals.ImplementationSafe, effective care environmentApplication6)Throughout the course of the nursing program, professionalism is exemplified by the faculty. Thestudent nurse practices professionalism by which of the following?6)A)Maintaining specific character and spiritB)Learning about the influences of Florence NightingaleC)Promising to uphold the standards of the professionD)Acquiring characteristics considered to be professionalAnswer:A5

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Explanation:A)Professionalism refers to professional character, spirit, or methods. It is a set ofattributes and a way of life that implies responsibility and commitment. FlorenceNightingale influenced nursing professionalism a great deal, but simply learningabout her influence does not constitute professionalism because it refers to a wayof life. Professionalization is the process of becoming professional, which isacquiring characteristics considered to be professional and upholding thestandards of a profession.ImplementationSafe, effective care environmentAnalysisB)Professionalism refers to professional character, spirit, or methods. It is a set ofattributes and a way of life that implies responsibility and commitment. FlorenceNightingale influenced nursing professionalism a great deal, but simply learningabout her influence does not constitute professionalism because it refers to a wayof life. Professionalization is the process of becoming professional, which isacquiring characteristics considered to be professional and upholding thestandards of a profession.ImplementationSafe, effective care environmentAnalysisC)Professionalism refers to professional character, spirit, or methods. It is a set ofattributes and a way of life that implies responsibility and commitment. FlorenceNightingale influenced nursing professionalism a great deal, but simply learningabout her influence does not constitute professionalism because it refers to a wayof life. Professionalization is the process of becoming professional, which isacquiring characteristics considered to be professional and upholding thestandards of a profession.ImplementationSafe, effective care environmentAnalysisD)Professionalism refers to professional character, spirit, or methods. It is a set ofattributes and a way of life that implies responsibility and commitment. FlorenceNightingale influenced nursing professionalism a great deal, but simply learningabout her influence does not constitute professionalism because it refers to a wayof life. Professionalization is the process of becoming professional, which isacquiring characteristics considered to be professional and upholding thestandards of a profession.ImplementationSafe, effective care environmentAnalysis6

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7)A student nurse has set up study groups, complete with objectives and goals for each session. Thisstudent is practicing which attribute of organization?7)A)GovernanceB)Service orientationC)SocializationD)Specialized educationAnswer:CExplanation:A)Socialization involves learning to behave, feel, and see the world in a mannersimilar to other persons occupying the same role. The goal is to instill in others thenorms, values, attitudes, and behaviors deemed essential. One of the mostpowerful mechanisms of professional socialization is interacting with fellowstudents and becoming bound together by feelings of mutual cooperation, support,and solidarity. Governance is the establishment and maintenance of social,political, and economic arrangements by which practitioners control their practice,working conditions, and professional affairs. Service orientation differentiatesnursing from an occupation pursued primarily for profit. Specialized education isan important aspect of professional status and is focused on the course of studyand curriculum particular to the profession.EvaluationSafe, effective care environmentApplicationB)Socialization involves learning to behave, feel, and see the world in a mannersimilar to other persons occupying the same role. The goal is to instill in others thenorms, values, attitudes, and behaviors deemed essential. One of the mostpowerful mechanisms of professional socialization is interacting with fellowstudents and becoming bound together by feelings of mutual cooperation, support,and solidarity. Governance is the establishment and maintenance of social,political, and economic arrangements by which practitioners control their practice,working conditions, and professional affairs. Service orientation differentiatesnursing from an occupation pursued primarily for profit. Specialized education isan important aspect of professional status and is focused on the course of studyand curriculum particular to the profession.EvaluationSafe, effective care environmentApplicationC)Socialization involves learning to behave, feel, and see the world in a mannersimilar to other persons occupying the same role. The goal is to instill in others thenorms, values, attitudes, and behaviors deemed essential. One of the mostpowerful mechanisms of professional socialization is interacting with fellowstudents and becoming bound together by feelings of mutual cooperation, support,and solidarity. Governance is the establishment and maintenance of social,political, and economic arrangements by which practitioners control their practice,working conditions, and professional affairs. Service orientation differentiatesnursing from an occupation pursued primarily for profit. Specialized education isan important aspect of professional status and is focused on the course of studyand curriculum particular to the profession.EvaluationSafe, effective care environmentApplication7

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D)Socialization involves learning to behave, feel, and see the world in a mannersimilar to other persons occupying the same role. The goal is to instill in others thenorms, values, attitudes, and behaviors deemed essential. One of the mostpowerful mechanisms of professional socialization is interacting with fellowstudents and becoming bound together by feelings of mutual cooperation, support,and solidarity. Governance is the establishment and maintenance of social,political, and economic arrangements by which practitioners control their practice,working conditions, and professional affairs. Service orientation differentiatesnursing from an occupation pursued primarily for profit. Specialized education isan important aspect of professional status and is focused on the course of studyand curriculum particular to the profession.EvaluationSafe, effective care environmentApplication8)The advanced practice nurse refers the client to physical therapy for further rehabilitation. This isan example of which of the ANA standards of practice?8)A)AssessmentB)ImplementationC)PlanningD)DiagnosisAnswer:BExplanation:A)Standard 5: Implementation includes prescriptive authority and treatment, whichwould include a referral for further treatment and therapy in accordance with stateand federal laws and regulations. Assessment is data collection. Diagnosisanalyzes the assessment data. Planning prescribes strategies and alternatives toreach the expected goals.ImplementationSafe, effective care environmentApplicationB)Standard 5: Implementation includes prescriptive authority and treatment, whichwould include a referral for further treatment and therapy in accordance with stateand federal laws and regulations. Assessment is data collection. Diagnosisanalyzes the assessment data. Planning prescribes strategies and alternatives toreach the expected goals.ImplementationSafe, effective care environmentApplicationC)Standard 5: Implementation includes prescriptive authority and treatment, whichwould include a referral for further treatment and therapy in accordance with stateand federal laws and regulations. Assessment is data collection. Diagnosisanalyzes the assessment data. Planning prescribes strategies and alternatives toreach the expected goals.ImplementationSafe, effective care environmentApplicationD)Standard 5: Implementation includes prescriptive authority and treatment, whichwould include a referral for further treatment and therapy in accordance with stateand federal laws and regulations. Assessment is data collection. Diagnosisanalyzes the assessment data. Planning prescribes strategies and alternatives toreach the expected goals.ImplementationSafe, effective care environmentApplication8

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9)The client recovered to a greater level that what was previously expected. The staff nurseresponsible for the client's care is following which of the ANA standards of practice?9)A)ImplementationB)DiagnosisC)EvaluationD)PlanningAnswer:CExplanation:A)Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.Since the progress was recovery in this case, and at a greater level thanexpectations, the nurse would be evaluating the plan of care. Diagnosis analyzesthe assessment data to determine problems. Planning involves prescribingstrategies and alternatives to attain expected outcomes. Implementation consists ofcoordinating care, teaching, consultation, prescriptive authority, andtreatment/evaluation.EvaluationSafe, effective care environmentAnalysisB)Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.Since the progress was recovery in this case, and at a greater level thanexpectations, the nurse would be evaluating the plan of care. Diagnosis analyzesthe assessment data to determine problems. Planning involves prescribingstrategies and alternatives to attain expected outcomes. Implementation consists ofcoordinating care, teaching, consultation, prescriptive authority, andtreatment/evaluation.EvaluationSafe, effective care environmentAnalysisC)Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.Since the progress was recovery in this case, and at a greater level thanexpectations, the nurse would be evaluating the plan of care. Diagnosis analyzesthe assessment data to determine problems. Planning involves prescribingstrategies and alternatives to attain expected outcomes. Implementation consists ofcoordinating care, teaching, consultation, prescriptive authority, andtreatment/evaluation.EvaluationSafe, effective care environmentAnalysisD)Evaluation, Standard 6, evaluates the progress toward attainment of outcomes.Since the progress was recovery in this case, and at a greater level thanexpectations, the nurse would be evaluating the plan of care. Diagnosis analyzesthe assessment data to determine problems. Planning involves prescribingstrategies and alternatives to attain expected outcomes. Implementation consists ofcoordinating care, teaching, consultation, prescriptive authority, andtreatment/evaluation.EvaluationSafe, effective care environmentAnalysis9

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10)The termpatientusually implies that the person is:10)A)Proactive in his or her health care needs.B)Using a service or commodity.C)A collaborator in his or her care.D)Seeking assistance because of illness.Answer:DExplanation:A)The wordpatientcomes from a Latin word meaning "to suffer" or "to bear."Usually, people become patients when they seek assistance because of illness or forsurgery. Some nurses believe that the word patient implies passive acceptance ofthe decisions and care of health professionals, which would be opposite of beingproactive in one's health care needs. The term client presents the recipient of healthcare as a collaborator in that care, along with the people who are providing service.A consumer is an individual, a group of people, or a community that uses a serviceor commodity.ImplementationSafe, effective care environmentApplicationB)The wordpatientcomes from a Latin word meaning "to suffer" or "to bear."Usually, people become patients when they seek assistance because of illness or forsurgery. Some nurses believe that the word patient implies passive acceptance ofthe decisions and care of health professionals, which would be opposite of beingproactive in one's health care needs. The term client presents the recipient of healthcare as a collaborator in that care, along with the people who are providing service.A consumer is an individual, a group of people, or a community that uses a serviceor commodity.ImplementationSafe, effective care environmentApplicationC)The wordpatientcomes from a Latin word meaning "to suffer" or "to bear."Usually, people become patients when they seek assistance because of illness or forsurgery. Some nurses believe that the word patient implies passive acceptance ofthe decisions and care of health professionals, which would be opposite of beingproactive in one's health care needs. The term client presents the recipient of healthcare as a collaborator in that care, along with the people who are providing service.A consumer is an individual, a group of people, or a community that uses a serviceor commodity.ImplementationSafe, effective care environmentApplicationD)The wordpatientcomes from a Latin word meaning "to suffer" or "to bear."Usually, people become patients when they seek assistance because of illness or forsurgery. Some nurses believe that the word patient implies passive acceptance ofthe decisions and care of health professionals, which would be opposite of beingproactive in one's health care needs. The term client presents the recipient of healthcare as a collaborator in that care, along with the people who are providing service.A consumer is an individual, a group of people, or a community that uses a serviceor commodity.ImplementationSafe, effective care environmentApplication10

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11)A practicing RN decides that attending an upcoming workshop about new pharmacologicaltreatments would benefit his or her practice. This RN is modeling which of the standards ofprofessional performance?11)A)Professional practice evaluationB)Quality of practiceC)ResearchD)EducationAnswer:AExplanation:A)Standards of professional performance describe a competent level of behavior inthe professional role. Professional practice evaluation, Standard 9, is behavior thatevaluates one's own nursing practice in relation to professional practice standardsand guidelines, relevant statutes, rules, and regulations. Deciding to enhance one'scurrent knowledge base, in relationship to one's own practice, would describe thisstandard. Quality of practice is a systematic approach to enhance the quality andeffectiveness of nursing practice. Education is knowledge attainment andcompetency that reflects current nursing practice. Research integrates researchfindings into practice.ImplementationSafe, effective care environmentApplicationB)Standards of professional performance describe a competent level of behavior inthe professional role. Professional practice evaluation, Standard 9, is behavior thatevaluates one's own nursing practice in relation to professional practice standardsand guidelines, relevant statutes, rules, and regulations. Deciding to enhance one'scurrent knowledge base, in relationship to one's own practice, would describe thisstandard. Quality of practice is a systematic approach to enhance the quality andeffectiveness of nursing practice. Education is knowledge attainment andcompetency that reflects current nursing practice. Research integrates researchfindings into practice.ImplementationSafe, effective care environmentApplicationC)Standards of professional performance describe a competent level of behavior inthe professional role. Professional practice evaluation, Standard 9, is behavior thatevaluates one's own nursing practice in relation to professional practice standardsand guidelines, relevant statutes, rules, and regulations. Deciding to enhance one'scurrent knowledge base, in relationship to one's own practice, would describe thisstandard. Quality of practice is a systematic approach to enhance the quality andeffectiveness of nursing practice. Education is knowledge attainment andcompetency that reflects current nursing practice. Research integrates researchfindings into practice.ImplementationSafe, effective care environmentApplication11

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D)Standards of professional performance describe a competent level of behavior inthe professional role. Professional practice evaluation, Standard 9, is behavior thatevaluates one's own nursing practice in relation to professional practice standardsand guidelines, relevant statutes, rules, and regulations. Deciding to enhance one'scurrent knowledge base, in relationship to one's own practice, would describe thisstandard. Quality of practice is a systematic approach to enhance the quality andeffectiveness of nursing practice. Education is knowledge attainment andcompetency that reflects current nursing practice. Research integrates researchfindings into practice.ImplementationSafe, effective care environmentApplication12)A nurse is working closely with a client regarding a chemotherapy regimen, providingconsultation, education, and direction for the client and the client's family. This nurse would mostlikely be certified as which of the following?12)A)Nurse entrepreneurB)Clinical nurse specialistC)Nurse educatorD)Nurse practitionerAnswer:BExplanation:A)A clinical nurse specialist has an advanced degree or expertise and is considered tobe an expert in a specialized area of practice (oncology in this case). The nurseprovides direct client care, educates others, consults, conducts research, andmanages care. A nurse practitioner has an advanced education, is a graduate of anurse practitioner program, and usually deals with nonemergency acute or chronicillness and provides primary ambulatory care. The nurse educator is responsiblefor classroom and often clinical teaching. A nurse entrepreneur usually has anadvanced degree, manages a health-related business, and may be involved ineducation, consultation, or research.ImplementationSafe, effective care environmentApplicationB)A clinical nurse specialist has an advanced degree or expertise and is considered tobe an expert in a specialized area of practice (oncology in this case). The nurseprovides direct client care, educates others, consults, conducts research, andmanages care. A nurse practitioner has an advanced education, is a graduate of anurse practitioner program, and usually deals with nonemergency acute or chronicillness and provides primary ambulatory care. The nurse educator is responsiblefor classroom and often clinical teaching. A nurse entrepreneur usually has anadvanced degree, manages a health-related business, and may be involved ineducation, consultation, or research.ImplementationSafe, effective care environmentApplication12

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C)A clinical nurse specialist has an advanced degree or expertise and is considered tobe an expert in a specialized area of practice (oncology in this case). The nurseprovides direct client care, educates others, consults, conducts research, andmanages care. A nurse practitioner has an advanced education, is a graduate of anurse practitioner program, and usually deals with nonemergency acute or chronicillness and provides primary ambulatory care. The nurse educator is responsiblefor classroom and often clinical teaching. A nurse entrepreneur usually has anadvanced degree, manages a health-related business, and may be involved ineducation, consultation, or research.ImplementationSafe, effective care environmentApplicationD)A clinical nurse specialist has an advanced degree or expertise and is considered tobe an expert in a specialized area of practice (oncology in this case). The nurseprovides direct client care, educates others, consults, conducts research, andmanages care. A nurse practitioner has an advanced education, is a graduate of anurse practitioner program, and usually deals with nonemergency acute or chronicillness and provides primary ambulatory care. The nurse educator is responsiblefor classroom and often clinical teaching. A nurse entrepreneur usually has anadvanced degree, manages a health-related business, and may be involved ineducation, consultation, or research.ImplementationSafe, effective care environmentApplication13

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13)Nursing students offer free occult blood screening at a community health fair. This activity wouldbe an example of which area of nursing practice?13)A)Promoting health and wellnessB)Restoring healthC)Illness preventionD)RehabilitationAnswer:BExplanation:A)Restoring health focuses on the ill client, and it extends from early detection (suchas checking for occult blood in feces) through helping the client during therecovery period. Health promotion and wellness activities enhance the quality oflife and maximize personal potential. Rehabilitation is an activity of healthrestoration.ImplementationHealth promotion and maintenanceApplicationB)Restoring health focuses on the ill client, and it extends from early detection (suchas checking for occult blood in feces) through helping the client during therecovery period. Health promotion and wellness activities enhance the quality oflife and maximize personal potential. Rehabilitation is an activity of healthrestoration.ImplementationHealth promotion and maintenanceApplicationC)Restoring health focuses on the ill client, and it extends from early detection (suchas checking for occult blood in feces) through helping the client during therecovery period. Health promotion and wellness activities enhance the quality oflife and maximize personal potential. Rehabilitation is an activity of healthrestoration.ImplementationHealth promotion and maintenanceApplicationD)Restoring health focuses on the ill client, and it extends from early detection (suchas checking for occult blood in feces) through helping the client during therecovery period. Health promotion and wellness activities enhance the quality oflife and maximize personal potential. Rehabilitation is an activity of healthrestoration.ImplementationHealth promotion and maintenanceApplication14)A seasoned nurse who acts as a mentor for a new graduate is practicing which of the standards ofprofessional performance?14)A)EvaluationB)CollegialityC)CollaborationD)LeadershipAnswer:BExplanation:A)Collegiality describes interaction with and contributions to the professionaldevelopment of peers and colleagues, which is what a mentoring relationshipwould involve. Collaboration involves working with the client, the family, andothers in the conduct of nursing practice. Leadership provides direction in aprofessional practice setting, and evaluation involves a comparison between one'sown nursing practice and professional practice standards.ImplementationSafe, effective environment of careApplication14

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B)Collegiality describes interaction with and contributions to the professionaldevelopment of peers and colleagues, which is what a mentoring relationshipwould involve. Collaboration involves working with the client, the family, andothers in the conduct of nursing practice. Leadership provides direction in aprofessional practice setting, and evaluation involves a comparison between one'sown nursing practice and professional practice standards.ImplementationSafe, effective environment of careApplicationC)Collegiality describes interaction with and contributions to the professionaldevelopment of peers and colleagues, which is what a mentoring relationshipwould involve. Collaboration involves working with the client, the family, andothers in the conduct of nursing practice. Leadership provides direction in aprofessional practice setting, and evaluation involves a comparison between one'sown nursing practice and professional practice standards.ImplementationSafe, effective environment of careApplicationD)Collegiality describes interaction with and contributions to the professionaldevelopment of peers and colleagues, which is what a mentoring relationshipwould involve. Collaboration involves working with the client, the family, andothers in the conduct of nursing practice. Leadership provides direction in aprofessional practice setting, and evaluation involves a comparison between one'sown nursing practice and professional practice standards.ImplementationSafe, effective environment of careApplication15)The nurse is caring for several acutely ill clients during the shift. Which of the following is anexample of the nurse practicing the professional criteria of autonomy?15)A)Communicating with peers when help is neededB)Delivering medications and prescribed treatments in a timely mannerC)Deciding to prioritize care according to client needsD)Complaining to the supervisor about high acuity level and staff-to-client ratioAnswer:CExplanation:A)Autonomy in nursing means independence at work, responsibility, andaccountability for one's actions. Making decisions about which client requires careaccording to needs is an example of autonomy. Carrying out physician orderswould be an example of nursing care, but not independence. Communication isimportant in any profession as well as making concerns known to supervisors, butthese are not examples of controlling activity-a hallmark of autonomy.EvaluationSafe, effective care environmentApplicationB)Autonomy in nursing means independence at work, responsibility, andaccountability for one's actions. Making decisions about which client requires careaccording to needs is an example of autonomy. Carrying out physician orderswould be an example of nursing care, but not independence. Communication isimportant in any profession as well as making concerns known to supervisors, butthese are not examples of controlling activity-a hallmark of autonomy.EvaluationSafe, effective care environmentApplication15

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