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NU 2520 Exam 5 With Complete
Solution
[Ch. 5] A RN researcher studies the effectiveness of a new program designed to educate parents to promote the immunization of children. The RN divides the parents randomly into 2 groups. One group receives the typical educational program & the other group receives the new program. This is an example of which type of study? a. Historical b. Qualitative c. Correlational d. Experimental - ANSWER D (Experimental; in experimental studies, the subjects are randomly assigned into groups with one group receiving the standard treatment & the other group receiving the intervention) [Ch. 5] A RN who works on a pediatric unit asks, "I wonder if children who interact with therapy dogs have reduced anxiety when they are in the hospital." In this example of a PICOT question, which of the following is the O? a. Children. b. Therapy dogs.
c. The pediatric unit. d. Anxiety. - ANSWER D (O stands for outcome; in this PICOT question, the outcome the RN is concerned about is anxiety) (Population: Bariatric adolescents considering or undergoing gastric bypass surgery. Intervention: The nurse's role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient. Comparison: The nurse's role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient. Outcome: When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care. Time: perioperative including the 6 weeks post recovery) [Ch. 5] A RN researcher wants to know what factors are associated with a person's decision to exercise. The RN distributes a survey to people who recently joined an exercise wellness program & analyzes the data to determine what factors & characteristics are most significantly linked to the decision to start exercising. What type of a research study is this? A. Qualitative B. Descriptive
[Ch. 5] What is the appropriate order for the following steps of evidence-based practice (EBP)?
- Integrate the evidence.
- Ask the burning clinical question.
- Create a spirit of inquiry
- Evaluate the practice decision or change.
- Share the results with others.
- Critically evaluate the evidence you gather.
- Collect the most relevant & best evidence. a. 2, 3, 7, 6, 4, 1, 5 b. 3, 2, 7, 1, 6, 5, 4 c. 3, 2, 7, 6, 1, 4, 5 d. 2, 3, 6, 7, 1, 4, 5 - ANSWER C (1. Create a spirit of inquiry
- Ask the burning clinical question.
- Collect the most relevant & best evidence.
- Critically evaluate the evidence you gather.
- Integrate the evidence.
- Evaluate the practice decision or change.
- Share the results with others.) [Ch. 5] When recruiting subjects to participate in a study about the effects of an educational program to help patients at home take their medications as ordered, the researcher tells the subjects that their names will not be used & no one but the research team will have access to their information & responses. This is an example of: a. Bias. b. Anonymity. c. Confidentiality. d. Informed consent. - ANSWER C (Confidentiality - Confidentiality guarantees that any information a subject provides will not be reported in any manner that identifies the subject & will not be accessible to people outside the research team)
[Ch. 5] Nurses in a community clinic have seen an increase in the numbers of obese children. The nurses who care for children are discussing ways to reduce childhood obesity. One RN asks a colleague, "I wonder what the most effective ways are to help school-aged children maintain a healthy weight?" This question is an example of a/an: a. Hypothesis. b. PICOT question.
Which of the following statements about evidence-based practice (EBP) made by a RN student would require the RN professor to correct the student's understanding?
A. "In evidence-based practice the patients are the subjects." B. "It is important to talk with experts & patients when making an evidence-based decision." C. "A RN wanting to investigate the evidence to solve a problem starts by forming a PICOT question." D. "It is important to ask a librarian for help when searching for literature to help you answer your PICOT question." - ANSWER A (Patients are NOT the subjects of EBP; they are typically the subjects in a research study. Multiple research studies, expert opinion, personal experience, & Pt preferences create the data source for evidence-based practice.)
[Ch. 5] A RN is reading a research article. The RN just finished reading a brief summary of the research study that included the purpose of the study & its implications for RN practice. Which part of the article did the RN just read? A. Abstract B. Analysis C. Discussion
D. Literature Review - ANSWER A (An abstract is a brief summary that summarizes the purpose of the article. It also includes the major themes or findings & the implications for RN practice)
[Ch. 5] A researcher is studying the effectiveness of an individualized evidence-based teaching plan on young women's intention to wear sunscreen to prevent skin cancer. In this study, which of the following research terms best describes the individualized evidence-based teaching plan? A. Sample B. Intervention C. Survey D. Results - ANSWER B
[Ch. 5] A RN researcher is collecting data following approval from the institutional review board (IRB). In which part of the research process is this nurse? A. Analyzing the data B. Designing the study
[Ch. 5] A group of RN's on the research council of a local hospital are measuring RN-sensitive outcomes. Which of the following is a RN-sensitive outcome that the RN's need to consider measuring? (Pick 2 that apply.)
A. Frequency of low blood sugar episodes in children at a local school B. The number of patients who develop a urinary tract infection from a Foley catheter C. Number of patients who fall & experience subsequent injury on the evening shift D. Number of sexually active adolescent girls who attend the community-based clinic for birth control E. The number of Pt's who reported quality of life following coronary artery bypass graft surgery & cardiac rehabilitation - ANSWER B & C (Nurse sensitive indicators are outcomes that are sensitive to RN practice; these outcomes will improve if the quantity or quantity of RN care improves)
[Ch. 5] A RN researcher wants to conduct historical research. Which of the following ideas for a study could the nurses conduct? (Pick 3 that apply.)
A. Determining the effect of unemployment on emergency room usage B. Understanding how Clara Barton shaped RN in America C. Evaluating the effect of the Vietnam war on RN leadership & practice D. Analyzing the evolution of RN & Pt care during recent disasters E. Investigating barriers to exercise in women who have become mothers in the past year - ANSWER B C & D (Historical studies are designed to establish facts & relationships concerning past events)
[CH. 21] At 1200 the RN (RN) says to the CNA, "You did a good job walking Mrs. Taylor by 0930. I saw that you recorded her pulse before & after the walk. I saw that Mrs. Taylor walked in the hallway barefoot. For safety, the next time you walk a Pt, you need to make sure that the Pt wears slippers or shoes. Please walk Mrs. Taylor again by 1500." Which characteristics of positive feedback did the RN use when talking to the CNA? (Pick 4 that apply.) a. Feedback is given immediately. (X) b. Feedback focuses on one issue.
patient's survival & safety. The RN must intervene promptly & notify the health care provider of the life threatening problem.)
[CH. 21] A RN asks a CNA to help the Pt in room 418 walk to the bathroom right now. The RN tells the CNA that the Pt needs the assistance of one person & the use of a walker. The RN also tells the CNA that the Pt's oxygen can be removed while he goes to the bathroom but to make sure that it is put back on at 2 L. The RN also instructs the CNA to make sure the side rails are up & the bed alarm is reset after the Pt gets back in bed. Which of the following components of the "Five Rights of Delegation" were used by the RN? (Pick 4 that apply.) a. Right task b. Right circumstances c. Right person d. Right direction/communication e. Right supervision/evaluation - ANSWER A B C & D (The RN provided 4 of the 5 components but did not provide the right supervision/evaluation. The RN delegated the task of a Pt to the bathroom to the CNA, which is in the scope of an CNAP's duties & responsibilities & matched to the CNA skill level. The RN did provide clear directions by describing the task & the time period to complete the task. The RN did not use "please" & "thank you" in the request. The RN did not ask the if there were any questions which would provide the CNA an opportunity for get
clarification if there were questions. The RN did not ask the CNA to follow up to check on how the Pt did or if there were any problems. The RN did not provide appropriate monitoring, evaluation, intervention as needed, or feedback.)
[CH. 21] A Pt asks a RN what the Pt-centered care model for the hospital means. What is the RN's best answer? A. "This model ensures that all Pts have private rooms when they are admitted to the hospital." B. "In this model you & the HC team are full partners in decisions related to your health care." C. "This model focuses on making the Pt experience a good one by providing amenities such as restaurant-style food service." D. "Pts & families sign a document providing them full access to their medical charts." - ANSWER B (Patient- & family-centered care is based on the development of mutual partnerships between the patient, family & healthcare team to plan, implement, & evaluated the patient's health care. The Pt & the family are at the center of the care & are full partners in decision making.)
[CH. 21] While administering medications, a RN realizes that a prescribed dose of a
e. Allows each HC HCP an opportunity to delegate a task. - ANSWER A B & C (Allowing team members to share information on patients to improve care, providing an opportunity for early Pt discharge planning, & improving communication amongst team members all focus on the benefits of interprofessional rounding. This type of rounding has been found to decrease medication errors & improve quality of Pt care. During interprofessional rounding all team members focus on the same Pt goals.)
[CH. 21] After a RN receives a change-of-shift report on his assigned Pts, he prioritizes the tasks that need to be completed. This is an example of a RN displaying which practice? a. Organizational skills b. Use of resources c. Time management d. Evaluation - ANSWER C (Completing a priority to-do list is a useful time-management skill. Change of shift report can help you sequence activities based on what you learn about the patients' conditions & the care the Pt has received.)
[CH. 21] A RN is teaching a Pt about wound care that will need to be done QD at home after the Pt is D/C'd. This is which priority RN need for this Pt?
a. Low priority b. High priority c. Intermediate priority d. Nonemergency priority - ANSWER C (Teaching Pt's wound care for d/c is an intermediate priority. Intermediate priorities are NON-emergent / NON-life-threatening actual or potential needs that the Pt & family members are experiencing.)
[CH. 21] An RN is providing care to a Pt who had abdominal surgery 2 days ago. Which task is appropriate to delegate to the CNA? a. Helping the Pt ambulate in the hall b. Changing surgical wound dressing c. Irrigating the nasogastric tube d. Providing brochures to the Pt on health diet - ANSWER A (Assisting the Pt w/ activity is within the scope of nursing assistive duties. The other activities require the skill & knowledge of the RN.)
[CH. 21] Which task is appropriate for an RN to delegate to a CNA?
communication, cooperation, trust, mutual respect, & understanding of team member roles & responsibilities are critical for successful inter-professional collaboration. The development of these competencies comes through inter-professional education. A change in education & team training of healthcare practitioners is needed to build effective teams to improve inter-professional.)
[CH. 21] An RN performs the following 4 steps in delegating a task to a CNA. Place the steps in the order of appropriate delegation.
- Do you have any questions about walking Mr. Malone?
- Before you take him for his walk to the end of the hallway & back, please take & record his pulse rate.
- In the next 30 mins please assist Mr. Malone in room 418 w/ his PM walk.
- I will make sure that I check w/ you in about 40 mins to see how the Pt did. a. 3, 2, 4, 1 b. 2, 3, 4, 1 c. 3, 4, 2, 1 d. 3, 2, 1, 4 - ANSWER A (This is the sequence of effective delegation. Sandy delegated the task of walking a Pt to Tony, which is in the scope of his duties & responsibilities & matched to his skill level. She provided clear directions by describing the task
(the walk, taking & recording the pulse), the desired outcome (walk to the end of the hallway & back), & the time period (within the next 30 minutes). Sandy then told Tony that she would follow up w/ him to check how the Pt did. By asking Tony if he had any questions she provided him an opportunity to ask questions for clarification.)
[CH. 21] Which example demonstrates an RN performing the skill of evaluation? a. The RN explains the side effects of the new blood pressure medication ordered for the Pt. b. The RN asks a Pt to rate pain on a scale of 0 to 10 before administering the pain medication. c. After completing the teaching, the RN observes a Pt draw up & administer an insulin injection. d. The RN changes a Pt's leg ulcer dressing using aseptic technique. - ANSWER C (Evaluation is one of the most important aspects of clinical care coordination, involving the determination of Pt outcomes. Observing a Pt do a return demonstration of teaching is evaluation to ensure that Pt has understood teaching. Option 2 is not evaluation, as it occurs prior to administering a pain medication. The other options are interventions.)
[CH. 21]
