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NSG 3001 CHAPTER 1: THE NURSING PROFESSION
EXAM QUESTIONS AND ANSWERS UPDATED
(202 5 /202 6 ) (VERIFIED ANSWERS)
Define patient-centered care: - ANS ✓Recognize the patient or designee as the source of control and a full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. Define teamwork and collaboration: - ANS ✓Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision making to achieve high-quality patient care. Define evidence-based practice: - ANS ✓Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. Define quality improvement: - ANS ✓Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. Define safety: - ANS ✓Minimize risk of harm to patients and providers through both system effectiveness and individual performance. Define informatics: - ANS ✓Use information and technology to communicate, manage knowledge, mitigate error, and support decision making. Ming graduated with an associate's degree in nursing last year and currently works in a long-term care facility. Although Ming enjoys his work and has been promoted to shift supervisor on his unit, he finds that he'd like to pursue a nursing
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career that offers a regular schedule and more autonomy than he currently experiences at the long-term care facility. Ming considers returning to school for an advanced degree.
- Ming is particularly drawn to the idea of becoming an APRN. Ming's career options for becoming an APRN include which of the following? (Select all that apply) A. Physician assistant (PA) B. Clinical nurse specialist (CNS) C. Certified nurse midwife (CNM) D. Certified RN anesthetist (CRNA) - ANS ✓B, C, D Ming graduated with an associate's degree in nursing last year and currently works in a long-term care facility. Although Ming enjoys his work and has been promoted to shift supervisor on his unit, he finds that he'd like to pursue a nursing career that offers a regular schedule and more autonomy than he currently experiences at the long-term care facility. Ming considers returning to school for an advanced degree.
- If Ming decides to pursue a career as an APRN, which patient populations may he serve? A. Adult-gerontology B. Prison Inmates C. Neonatology D. Psychiatric mental health - ANS ✓A, C, D
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a.Provides independent care including pregnancy and gynecological services. b.Expert clinician in a specialized area of practice such as adult diabetes care. c.Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or who have chronic conditions. d.Provides care and services under the supervision of an anesthesiologist. - ANS ✓1b, 2d, 3c, 4a You are preparing a presentation for your nursing course on the topic of professional standards of care. Which statement(s) best describe(s) professional standards of care? (Select all that apply.) 1.Describe a competent level of behavior in the professional role 2.Protect the patient's confidentiality 3.Are based on scientific research 4.Ensure patient-centered care for all patients 5.Define the principles of right and wrong to provide patient care - ANS ✓1.Describe a competent level of behavior in the professional role 3.Are based on scientific research A nurse on the unit previously gave pain medication to the patient for incisional pain, which the patient rated as 7 out of 10 on the pain scale. The nurse now checks
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on the patient 30 minutes later and documents that the patient now rates the pain as a 1 out of 10 on the pain scale. Which standard of practice did the nurse perform? 1.Diagnosis 2.Evaluation 3.Assessment 4.Implementation - ANS ✓2.Evaluation A patient on the surgical unit develops a surgical wound infection. The nurse irrigates the surgical wound and changes the dressing every 8 hours. Which standard of practice is performed? 1.Planning 2.Evaluation 3.Assessment 4.Implementation - ANS ✓4.Implementation The nurse spends time with the patient and family reviewing the dressing change procedure for the patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in which professional role? 1.Educator
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4.Evidence-based practice - ANS ✓4.Evidence-based practice A nurse meets with the registered dietitian and physical therapist to develop a plan of care that focuses on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? 1.Patient-centered care 2.Safety 3.Teamwork and collaboration 4.Informatics - ANS ✓3.Teamwork and collaboration The nurses on an acute care medical floor notice an increase in the number of patient falls. The unit introduces a new patient rounding program. The nurse assigned to the project gathers data to monitor the effectiveness of the rounding program over a 6-month period. The nurse is practicing in which nursing role? 1.Nurse manager 2.Nurse administrator 3.Nurse educator 4.Nurse researcher - ANS ✓4.Nurse researcher Nurses at a large medical center are participating in an education program led by staff educators to learn how to use an intravenous infusion pump to administer medications safely. This is which type of education?
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1.Continuing education 2.Graduate education 3.In-service education 4.Professional registered nurse education - ANS ✓3.In-service education The American Nurses Association (ANA) defines nursing as: - ANS ✓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. A nurse who completes a practical nursing program and passes a licensure examination (NCLEX-PN). They practice under the supervision of a registered nurse (RN) or other licensed person: - ANS ✓Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) Continuing education programs are a way: - ANS ✓to maintain current knowledge and acquire new knowledge. It involves formal, organized educational programs offered by universities, hospitals, state nurses associations, professional nursing organizations, and educational and health care institutions. In-service education programs are provided by: - ANS ✓a health care agency or institution and are designed to increase the knowledge, skills, and competencies of nurses and other health care professionals employed by the institution. _______________ is essential to professional nursing and involves the initiation of independent nursing interventions without medical orders. - ANS ✓Autonomy
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________________ __ ______________ ______ are developed and established on the basis of strong scientific research and the work of clinical nurse experts. - ANS ✓Standards of nursing care An ____________________ sometimes adopts a general set of standards for nursing care, such as organizational protocols, policies, or procedures. - ANS ✓organization State and provincial __________ _______________ ______ (____) establish specific legal regulations for practice, and professional organizations establish standards of practice as criteria for nursing care. - ANS ✓Nurse Practice Acts (NPAs) Define Caregiver: - ANS ✓Nurses help their patients regain health and find their maximum level of independent function through the healing process. Healing involves the body, mind, and spirit. Define Advocate: - ANS ✓Nurses protect the human and legal rights of their patients and help patients assert those rights when needed. Define Educator: - ANS ✓As an educator you explain concepts and facts about health, describe the reason for routine care activities, demonstrate procedures such as self-care activities, reinforce learning or patient behavior, and evaluate the patient's progress in learning. Define Communicator: - ANS ✓Your effectiveness as a communicator is central to the nurse-patient relationship. It allows you to know your patients, including their strengths and weaknesses, and their needs. You will routinely communicate with patients, families, health care professionals, and the community. Define Provider of Care: - ANS ✓Most nurses provide direct patient care in an acute care setting. Some nurses may concentrate on a specific area of specialty practice.
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Define Manager: - ANS ✓Nurse managers establish an environment for collaborative patient-centered care to achieve safe, high-quality care with positive patient outcomes. A ______________ coordinates members of the nursing staff to deliver nursing care and has personnel, plicy, and budgetary responsibility for a specific nursing unit or agency. - ANS ✓manager The _______________________________ (_________) is the most independently functioning nurse. - ANS ✓Advanced practice registered nurse (APRN) What are the 4 core roles for the APRN? - ANS ✓1) Clinical Nurse Specialist (CNS)
- Nurse Practitioner (NP)
- Certified Nurse Midwife (CNM)
- Certified RN Anesthetist (CRNA) An APRN who is an expert clinician in a specialized area of practice, such as geriatrics, critical care, diabetes, rehabilitation, or pain. - ANS ✓Clinical nurse specialist (CNS) An APRN who provides health care to a group of patients, usually in an outpatient, ambulatory care, or community-based setting. The major categories are acute care, adult, family, pediatric, women's, psychiatric mental health and geriatric. - ANS ✓Nurse practitioner (NP) An APRN who is educated in midwifery and is certified by the American College of Nurse-Midwives. They provide independent care for women during normal pregnancy, labor, and delivery and care for the newborn. - ANS ✓Certified nurse-midwife (CNM) An APRN with advanced education in a nurse anesthesia accredited program that provide surgical anesthesia under the guidance and
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- evidence-based practice
- quality improvement
- safety
- informatics
