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NUR 103 FINAL EXAM LATEST 2025 EXAM COMPLETE QUESTION AND ANSWER BAY STATE COLLEGE
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Quality and Safety Education for Nurses QSEN Competencies o Patient-Centered Care o Teamwork and Collaboration o Evidence-Based Practice o Quality Improvement o Safety o Informatics Major Aims of Nursing o Promoting Health o Prevent Illness o Restore Health o Facilitate with death & disability Intercalated Nursing Roles o Caregiver o Communicator
o Teacher o Counselor o Leader o Researcher o Advocate o Collaborator Nursing as a Profession Components o Well-defined body of specific and unique knowledge o Strong service orientation o Recognized authority by a professional group o Code of ethics o Professional organization that sets standards o Ongoing research o Autonomy and self-regulation Purpose of Nursing Practice Acts set up to protect public health, safety, welfare. Nightingale Contributions o Nursing apart from Medical o Changed nursing care
c. Applies rationales for the actions of the nurse. d. Plans interventions to meet the client's health care needs e. Evaluates the effectiveness of the plan of care b, d, e Which scenario is the best example of the nurse in the role of teacher/educator? a. Assessing whether the client is able to perform a dressing change b. Communicating discharge status to a home care agency a The statement, "More frequent handwashing will significantly lower the rate of infection in hospitalized clients," is an example of what research component? Hypothesis What is the central theme of Florence Nightingale's nursing theory? Meeting the personal needs of the client within the environment. A nurse researcher is examining the cause-and-effect relationship between the consumption of tap water containing minimal amounts of bleach, and the incidence of cancer in rats. The research is taking place in a laboratory setting. What type of quantitative research is being used based upon this description? Experimental research
Dimensions Affecting Health o Intellectual o Environmental o Spiritual o Sociocultural o Emotional o Physical Models of Health Promotion Health promotion and illness prevention are useful when planning health care: Helps health care providers to understand health-related behaviors Helps overcome barriers to related to increased number of people without health care Are useful for adapting care to people from diverse backgrounds Helps to overcome barriers to care for low-income and rural populations Factors Affecting Health & Illness
A nurse is caring for a client who has COPD, a chronic illness of the lungs. The client is in remission. Which statement best describes a period of remission in a client with a chronic illness? a. The disease is no longer present. b. Symptoms are not experienced. b The nurse is caring for a client admitted to the hospital with pneumonia and associated pleuritic chest pain. Which would be a priority when creating the nursing care plan? a. Monitoring airway clearance. b. Effective infection control measures. a Maslow's Hierarchy of Needs
A nurse is caring for a family consisting of three middle-aged adults. Which examples describe developmental tasks of this type of family structure? Select all that apply. a. The family must support moral and ethical family values. b. The family must prepare for retirement. c. The family must maintain ties with younger and older generations. b, c A nurse is reviewing a journal article about basic human needs and how they can be applied as a framework for prioritizing nursing care. Place the interventions listed below in order of priority, based on client needs. Use all options.
Deontologic ethical system in which actions are right or wrong independent of the consequences they produce Utilitarian action-guiding theory of ethics that states that the rightness or wrongness of an action depends on the consequences of the action Principles of Bioethics o Autonomy o Nonmaleficence o Beneficence o Justice o Fidelity Nursing Code of Ethics a set of principles that reflect the primary goals, values, and obligations of the profession A parent of a 17-year-old high school student is allowing the child to decide which college the child will attend. When the child requests direction from the parent in making this decision, the parent responds by stating, "You will need to make this decision on your own." What type of value transmission is the parent displaying? Laissez-faire
Using the nursing process to make ethical decisions involves following several steps. Which step is the nurse implementing when reflecting on the decision-making process and the role it will play in making future decisions? Evaluating A client is brought to the emergency department by an adult child, who states, "I am unable to care for my parent anymore. Although I would like to, financially and physically I can't do it anymore." What ethical problem is the adult child experiencing? Distress Root Cause Analysis An analytical technique used to determine the basic underlying reason that causes a variance or a defect or a risk. A root cause may underlie more than one variance or defect or risk. Sentinel Event an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof Standards Voluntary standards, developed and implemented by the nursing profession itself, are not mandatory but are used as guidelines for peer review Credentialing
A nurse has been asked to serve as an expert witness in a malpractice case in which an infant died in the newborn nursery. Which questions should the nurse consider prior to accepting this job? Select all that apply. a. "How much education do I have about caring for newborns?" b. "How much clinical experience do I have in the newborn nursery?" c. "Have I ever worked in this hospital system?" a, b Which is an example of an unintentional tort? a. Nurses discuss a client's laboratory values in the elevator. b. A nurse gives the client a medication, and the client has an adverse reaction to it. b Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care to the critically ill client. These nurses can validate this specialty competence through what process? Certification CUS (communication tool) C - I'm concerned U - I'm uncomfortable S - This is unsafe Horizontal Violence
anger and aggressive behavior between nurses or nurse-to-nurse hostility How to Relate to Patient's From Different Cultures o Assess your personal beliefs surrounding people from different cultures. o Assess communication variables from a cultural perspective. o Plan care based on the communicated needs and cultural background. o Modify communication approaches to meet cultural needs. o Understand that respect for the patient and communicated needs is central to the therapeutic relationship. o Communicate in a nonthreatening manner. o Use validating techniques in communication. o Be considerate of reluctance to talk when the subject involves sexual matters. o Adopt special approaches when the patient speaks a different language. o Use interpreters to improve communication. A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting? empathy A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out during this phase of the relationship? Reviewing health changes
A nurse is discussing the benefits of smoking cessation with a client. The nurse informs the client that smoking cessation will reduce the client's risk for cancer, improve respiratory status, and enhance the quality of life. The nurse also shares a personal story of smoking cessation, provides information on other individuals who have successfully quit, and encourages the client to attend a support group for smoking cessation. The client discusses feelings on smoking cessation and verbalizes a desire to quit smoking. What type of counseling did the nurse provide to this client? Motivational Decentralized Decision-Making Process autonomous, accountable professional nursing practice; a characteristic of a democratic leadership style and the heart of a self-governance model of unit organization Laissez-Faire Leadership allows the group to function more or less on its own Quantum Leadership leadership that moves beyond the traditional modes previously experienced by all levels of workers; spawned by the impact of the information age on work and the worker Servant Leadership a philosophy and set of practices that enriches the lives of individuals, builds better organizations and ultimately creates a more just and caring world. Transactional Leadership
leadership based on an exchange process in which followers are rewarded for good performance and punished for poor performance Transformational Leadership type of leadership in which the person creates revolutionary change and commits to the personal and professional growth of self and others Conflict Resolution Strategies o avoiding o collaborating o competing o compromising o cooperating/accommodating o smoothing A nurse manager reviews an employee's contribution to the nursing division annually. This process is: performance appraisal. A registered nurse is delegating activities to unlicensed assistive personnel (UAP) on a hospital unit. Which activities could this nurse normally delegate? Select all that apply. a. Giving a bed bath to a client b. Planning education for a client with a colostomy c. Taking routine vital signs
The Nursing Agenda for Health Care Reform (American Nurses Association [ANA]) identifies the recipients of health care. This reform's main focus is on: health promotion. An ambulatory care center that facilitates socialization and provides health-related services to seniors who are unable to fully care for themselves is best known by what name? Day care center Based on the Patient Protection and Affordable Care Act (ACA), nurses are to assume an important new role in health care. Which is an example of this new role? Collaborating with all agencies to provide for the client's home health needs Community-Based Nursing Care nursing care directed toward a specific group or population within the community; may be provided for individuals or groups What does the term "AMA" stand for? Against Medical Advice Phases of Home Health Visit o Pre-entry o Entry
A registered nurse is providing community-based health care for a client diagnosed with early onset dementia. Which strategy is best for the nurse to employ to facilitate the family participating in the client's care? Encourage active participation of the client and family in health care decisions. The client is being discharged to the home setting following a stroke. The client requires assistance in relearning how to cook safely. To which home health care team member should the nurse refer the client? a. Home health aide b. Occupational therapist b A client says, "You guys are not doing anything for me. I am leaving." Which interventions are indicated by the nurse? Select all that apply. a. Inform the client of the risks of leaving. b. Insist that the client sign an against medical advice form before leaving. c. Witness the client's signature on the against medical advice form. a, c Reflective Practice The process of teachers' thinking about and analyzing their work to assess its effectiveness. Personal Attributes o Open-mindedness
