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NURS 1121 Final Exam Review: 122 Questions with Verified Answers, Exams of Nursing

This comprehensive study guide provides 122 verified answers to questions covering various aspects of nursing, including scholarship, evidence-informed practice, research methodologies (qualitative and quantitative), healthcare systems in canada (cha), and domains of learning. it's an excellent resource for students preparing for the nurs 1121 final exam, offering a detailed review of key concepts and principles. The guide is structured to facilitate understanding and retention of information.

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2024/2025

Available from 05/06/2025

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NURS 1121 Final Exam 122 Questions with Verified Answers
What is scholarship - CORRECT ANSWER activities that systematically advance the
teaching, research, and practice of nursing through rigorous inquiry that 1) is
significant to the profession 2) is creative 3) can be documented 4) can be
replicated/elaborated 5) can be peer reviewed through various methods
role of a scholar - CORRECT ANSWER demonstrate a lifelong commitment to
excellence in practice through critical inquiry, continuous learning, application of
evidence to practice, and support of research activities
practice is based on... - CORRECT ANSWER -research (external evidence)
--> quantitative, qualitative
-non research (internal evidence)
--> clinical expertise, infection control data, national standards
-client experience
--> client's values and beliefs, lived experience
who introduced nursing research - CORRECT ANSWER - florence nightingale
- 1850's during the crimean war
- noted connection b/w poor sanitary condition in hospital and rising death rates
among wounded soldiers
Evidence-informed practice - CORRECT ANSWER the integration of the most
informative research evidence w/ evidence from expert clinical practice, client
preferences, professional judgement, and other sources to produce the best
possible care for clients
Evidence informed decision making - CORRECT ANSWER - an ongoing process that
enables nurses to make accurate, timely, and appropriate clinical decisions
- based on evidence based health care
acknowledges many factors beyond evidence eg. resources, or cultural and
religious norms
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NURS 1121 Final Exam 122 Questions with Verified Answers

What is scholarship - CORRECT ANSWER activities that systematically advance the teaching, research, and practice of nursing through rigorous inquiry that 1) is significant to the profession 2) is creative 3) can be documented 4) can be replicated/elaborated 5) can be peer reviewed through various methods role of a scholar - CORRECT ANSWER demonstrate a lifelong commitment to excellence in practice through critical inquiry, continuous learning, application of evidence to practice, and support of research activities practice is based on... - CORRECT ANSWER -research (external evidence) --> quantitative, qualitative -non research (internal evidence) --> clinical expertise, infection control data, national standards -client experience --> client's values and beliefs, lived experience who introduced nursing research - CORRECT ANSWER - florence nightingale

  • 1850's during the crimean war
  • noted connection b/w poor sanitary condition in hospital and rising death rates among wounded soldiers Evidence-informed practice - CORRECT ANSWER the integration of the most informative research evidence w/ evidence from expert clinical practice, client preferences, professional judgement, and other sources to produce the best possible care for clients Evidence informed decision making - CORRECT ANSWER - an ongoing process that enables nurses to make accurate, timely, and appropriate clinical decisions
  • based on evidence based health care acknowledges many factors beyond evidence eg. resources, or cultural and religious norms

evidence-informed decision making process uses... - CORRECT ANSWER - clinical expertise

  • evidence from research, evidence informed theories, clinical experts, and opinion leaders
  • evidence from assessment health care resources
  • info about patient preference and values evidence-based practice - CORRECT ANSWER - the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of the individual patients
  • requires that decisions about health care are based on the best available, current, valid and relevant evidence steps for successful EBP/EIP (5 a's) - CORRECT ANSWER ask: form answerable clinical questions access: track down but evidence appraise: appraise the evidence for its validity and usefulness apply: integrate the results w/ your clinical expertise and your patient values/local conditions asses: evaluate the effectiveness of the process PICOT q's - CORRECT ANSWER p = patient population i = intervention or issue c = comparison intervention/group o = outcome t = time frame (if applicable) primary literature (peer review research) - CORRECT ANSWER - describes an original experiment/analysis that adds to current knowledge of a particular topic
  • most common type of journal articles in sciences secondary source (review articles) - CORRECT ANSWER - synthesize current research on a specific topic -summarizes past research, outline recent advances, and point out gaps in body of knowledge
  • methods: interviews, focus groups, observations, analyzing texts and documents for meaning qualitative study: phenomenology - CORRECT ANSWER describes lived experiences qualitative study: grounded theory - CORRECT ANSWER develops a theory based on the data qual study: ethnography - CORRECT ANSWER examines culture/subculture, researcher is immersed in culture for a substantial amount of time to derive a thick, rich description qual study: participatory action - CORRECT ANSWER empowers subjects participating in the research to solve problems qual study: case study - CORRECT ANSWER examine social phenomenon in specific contexts qual study: historical research - CORRECT ANSWER looks for patterns and trends among past events and their relevancy to the present qual study: narrative research - CORRECT ANSWER examines, interprets and explains a story that describes, by importance, a series of events that took place over time quantitative research - CORRECT ANSWER - uses a deductive approach/ use of previously known facts; out to prove a theory -uses mathematical technique
  • sample size must be large
  • can be generalized
  • there is a dependant/outcome variable of interest and 1 or more independent /predictor variables (must show direct cause and effect) quan research: experimental/ randomized controlled trials - CORRECT ANSWER - true experiment using scientific methods to test cause and effect
  • subjects randomly assigned and variables are manipulated

quan research: quasi experimental - CORRECT ANSWER - controlled clinical trails

  • participants not random quan research: non experimental - CORRECT ANSWER observational quan research: surveys - CORRECT ANSWER obtain info from group pr population about a particular topic quan research: correlational - CORRECT ANSWER investigation of the nature of relationships quan research: case control - CORRECT ANSWER compares cases and control groups quan research: cohort - CORRECT ANSWER follows the same subjects over a period of time or through a change teaching - CORRECT ANSWER system of interactive activities intended to produce learning learning - CORRECT ANSWER - cognitive activity represented by a change in behaviour
  • often driven by a desire or a requirement to know something that is not known by the learner domain of learning: cognitive - CORRECT ANSWER - includes all cognitive/intellectual behaviour
  • from simple to complex, starting from knowing, comprehending, and applying
  • involves acquisition of info on the learners abilities and thinking process
  • methods: lecture, instruction, computer assisted instruction domain of learning: affective - CORRECT ANSWER - feeling, emotions, attitudes, appreciations
  • involves an increasing internalization or commitment to feelings
  • affective learning involves the degree to which feeling or attitudes are incorporated into one's personality/value system

aim of the CHA - CORRECT ANSWER to ensure that all eligible residents of canada have reasonable access to insured health services on a prepaid basis, w/o direct charges at the point of service principle of CHA: public administration - CORRECT ANSWER all administration of provincial health insurance must be carried out by a public authority on a non profit basis principle of CHA: comprehensiveness - CORRECT ANSWER all necessary health services, including hospitals, physicians and surgical dentist, must be insured principle of CHA: universality - CORRECT ANSWER all insured residents are entitle to the same level of care principle of CHA: portability - CORRECT ANSWER a resident that moves to a diff prov/terr is still entitled to coverage from their home province principle of CHA: accessibility - CORRECT ANSWER all insured persons have reasonable access to health care facilities la londe report - CORRECT ANSWER shifted emphasis from medical approach to more behavioural/holistic approach health care reform - CORRECT ANSWER - related to continuity, integration quality, and accountability and disease prevention and health promotion

  • intended to deliver quality and appropriate care at lower costs through adequate business and managerial strategies factors affecting health care reform - CORRECT ANSWER - rapid changes w/in the health care delivery sys, technologies, and public expectations
  • regionalization Romanow's Commission - CORRECT ANSWER - medicare is sustainable and must be preserved as it represents canadian values
  • modernise CHA through appropriate funding and changes

kirby report - CORRECT ANSWER medicare is not sustainable and need to strengthen private sector primary health care - CORRECT ANSWER - foundation of canada health care sys

  • a philosophy and model for improving health that supports health care services
  • emphasis on health promotion and disease prevention, determinants of health 5 principals of primary health care - CORRECT ANSWER - accessibility
  • health promotion
  • intersectoral cooperation
  • appropriate technology
  • public participation 4 pillars of primary health care - CORRECT ANSWER - teams -access
  • info -healthy living 5 levels of health care - CORRECT ANSWER - health promotion: empower people to improve health eg. antismoking education
  • disease/injury prevention: services that reduce these risks eg. screening, immunizations
  • diagnosis/treatment: recognize/manage existing health conditions (3 sub secs)
  • rehab: restore person facing lifelong health situation
  • supportive care: long term/chronic care to individual who do not function independently eg. palliative care primary care - CORRECT ANSWER - first contact w/ health care system eg. clinics, schools
  • focus: early detection, routine care, education secondary care - CORRECT ANSWER - clients develop signs and symptoms that are diagnosed and needs further review
  • in hospitals or home setting
  • considers definitive diagnosis or clients requiring diagnostic review
  • specialized medical sevices

nursing care - CORRECT ANSWER - requires the application of nursing knowledge to a variety of practice situations

  • nursing process and nursing theory are some strategies that guide the application process nursing process (clinical decision making) - CORRECT ANSWER a systematic way to organize the knowledge of nursing practice to problem solve practice situations nursing process involves... - CORRECT ANSWER - assessment: gathering of pertinent info
  • planning: prioritizing issues from assessment
  • intervention: implementing the plan of care
  • evaluation: determining the success or failure of the plan as per the patient's health status nursing theory - CORRECT ANSWER - shows the nature and significance of relationships among concepts
  • provide nurses with a way to view the client situation, organize data, and analysis and interpretation of info for informed practice
  • aims to organize knowledge and allows nurses to use it in a professional and accountable manner theoretical model: practice based theory - CORRECT ANSWER guide and shape nursing practice theoretical model: needs theory - CORRECT ANSWER studying the nature of people in which needs, drives and competencies were used to explaining human behaviour theoretical model: interactionist theory - CORRECT ANSWER focuses in the nurse- client relationship i.e communication and the behaviours of nurses to meet client needs theoretical model: systems theory - CORRECT ANSWER the complex interaction between the parts and the whole i.e an intervention in one part of the system would produce consequent reactions in other parts as well as the system as a whole

paradigm - CORRECT ANSWER aka worldview, is a particular way of thinking based on a specific set of beliefs, values and assumptions metaparadigm - CORRECT ANSWER a set of theories or ideas that provide structure for how a discipline should function nursing metaparadigm - CORRECT ANSWER - person/client: recipient of nursing care

  • environment: internal/external surroundings that affect the client; including people in the physical environment
  • health: the degree of wellness or well being that the person experiences
  • nursing: the attributes, characteristics and actions of the nurse providing care humanism - CORRECT ANSWER - affirms the dignity, worth, uniqueness and potential of all people
  • belief that people have the power and potential to solve their problems through reason, understanding, courage, and vision phenomenology - CORRECT ANSWER - focuses on the relationship of the person with the environment
  • understanding of others as they experience and perceive their environment feminism - CORRECT ANSWER - worldview that empowers and confronts systemic injustices
  • belief in the dignity of the individual and autonomy of the person critical social theory - CORRECT ANSWER - addresses social, economic, and power relationships that exist within society
  • reflect on the challenges of taking action against prevailing hegemony (leadership of dominance by one group over others) post colonialism - CORRECT ANSWER - social conditions related to colonization and racism
  • indiginous cultures have been profoundly affected -cultural safety

BCCNM - CORRECT ANSWER - BC college of nurses and midwives

  • regulatory body nursing unions - CORRECT ANSWER - responsible for collective bargaining ( process of negotiating terms and conditions of work between employer and the union)
  • fight for issues of fair pay, adequate working conditions, benefits, vacation time etc. health care team - CORRECT ANSWER an organized system consisting of inter- dependent health care professionals who provide care teamwork - CORRECT ANSWER a process in which health care professionals work inter-dependently to provide care to patients
  • is goal oriented and relies heavily on cooperation and collaboration interprofessional practice - CORRECT ANSWER A practice orientation designed to promote the active participation of each discipline in patient care.
  • involves the continuous interaction of two or more professions or disciplines, organized into a common effect, to solve or explore common issues with the best possible participation of the patient attributions of team collaboration - CORRECT ANSWER - shared power based on knowledge, authority of role
  • lack or hierarchy
  • open communication, cooperation, assertiveness, negotiation and coordinatin interprofessional collaboration - CORRECT ANSWER - complex phenomenon bringing together 2 or more individuals from diff professional disciplines to work together to achieve shared aims and objectives
  • direct patient care, care planning, reorganization and change occurring with units, research, education core concepts of interprofessional collaboration - CORRECT ANSWER - interprofessional communication
  • patient centered care
  • role clarification
  • team functioning
  • interprofessional conflict management
  • collaborative leadership barriers to team effectiveness - CORRECT ANSWER - professional identity
  • differences in attitude
  • blurring of roles
  • preconceptions and assumptions
  • lack of clarity of goals, policies, outcomes
  • differing approaches and procedures
  • system barriers ethical challenge - CORRECT ANSWER situation where there is conflict between knowledge and will bioethics - CORRECT ANSWER refers to the principles reasoning across healthcare professionals
  • central idea: moral decision making in healthcare should be guided by 4 principles (autonomy, beneficence, non-maleficence, justice) autonomy - CORRECT ANSWER refers to the rights of clients to have a say in all aspects of their personal care eg. who treats them, how they are treated, treatment choices etc.
  • the capacity of a person to act freely, without coercion, or undue influence, and make their own choice implied consent - CORRECT ANSWER consent through behaviours, words or circumstance expressed consent - CORRECT ANSWER written or verbal; usually required for medical interventions advanced directives - CORRECT ANSWER written and signed document that expresses how a client desires to be dealt with in an end of life or crisis situation even if they are capable of making their own health related decisions
  • health data disclosure needs written approval from the client fidelity - CORRECT ANSWER - behaviour demonstrates loyalty and faithfulness towards client
  • requires us as HCP's to uphold with integrity our responsibilities that result from our designation ie. RN tort - CORRECT ANSWER a civil wrong doing that results in harm or injury intentional tort - CORRECT ANSWER wilful act that violate another persons rights eg. assault, battery, invasion of privacy, false imprisonment unintentional tort - CORRECT ANSWER negligence eg. most cases in nursing arise from unintentional negligence
  • occurs when any treatment or aspect of care falls below an acceptable level and causes harm to a client