Roles of Nurse Questions with Verified Answers Nurse Practitioner - CORRECT ANSWER requirements for becoming a nurse practitioner are advanced education (master's degree or higher), gradu- and Am... erican ation from a nurse practitioner program, Nurses Credentialing Center (ANCC) certification in a par ticular area. These areas include adult nurse practitioner, family nurse practitioner, school nurse practitioner, pediat- ric nurse practitioner, and gerontology nurse practitioner Nurse practitioners must hold both an RN license and a nurse practitioner license in order to practice. Nurse practi- tioners usually provide primary ambulatory care as well as care for patients with nonemergency acute or chronic illness, and they are employed in healthcare agencies or in commu- nity-based settings Clinical Nurse Specialist - CORRECT ANSWER Nurse who posseses an advanced degree masters or higher with emphasis on a specialized area of practice, such as gerentology or oncology. To become a clinical nurse specialist the nurse must hold rn liscensure and pass a certification exam administered by the ancc. Most states then require the nurse to obtain seperate liscense as a clinical nuse specialist. Depending on their specialty and job setting, clinical nurse specialist provide direct pt care educate others consult conduct research and manage care Nurse Anesthetist - CORRECT ANSWER Nurse anesthetists administer general anesthetics for surgery under the supervision of a physician prepared in anesthesiol ogy, as well as carry out preoperative and postoperative patient assessments. A nurse may qualify to be a nurse anes- thetist after completing advanced education (master's degree or higher) Nurse-Midwife - CORRECT ANSWER provide prenatal and postnatal care andn manage deliveries in normal pregnancies. They practice in association with a healthcare agency, which enables them to quickly obtain medical services should complications occur. Nurse-midwives may also conduct routine Papanicolaou tests, family planning counseling, and routine breast exami- nations. To become a nurse-midwife, registered nurse must complete an accreddited graduate program Nurse Educator - CORRECT ANSWER usually has a baccalaureate degree or more advanced preparation and frequently has expertise in a particular area of practice. Nurse educators work in nurs- ing programs, at educational institutions, or in hospital staff education programs. They are responsible for classroom, skills laboratory, and often clinical teaching. with - CORRECT ANSWER Nurse Researcher - CORRECT ANSWER role is to investigate problems in nursing and to discover solutions that may improve nursing care and refine and expand nursing knowledge. Academic institutions, teaching hospitals, and research centers, such as the National Institute for Nursing Research in Bethesda, Maryland, all employ nurse researchers. Nurse researchers typically have advanced education at the doctoral level. Nurse Administrator - CORRECT ANSWER manages patient care, including delivery of nursing services. He or she may have a middle management position, such as head nurse or supervisor, or a more senior management position, such as director of nurs- ing services. The nurse administrator's functions include budgeting, staffing, and planning programs. To prepare for their role, nurse administrators complete at least a baccalau- reate degree in nursing and frequently a master's or doctoral degree as well ANA code of ethics - CORRECT ANSWER What provides a foundation for professional nursing? Accountability responsibility advocacy and confidentiality - CORRECT ANSWER What does professional nursing promote? Autonomy beneficense nonmaleficense fidelity and justice - CORRECT ANSWER Standards of ethics include A nurses point of view - CORRECT ANSWER What offers a unique voice in the resolution of ethixal dilemmas? health promotion - CORRECT ANSWER A way of thinking and acting in order to increase individuals overall health and well being regardless of their health and illness status or age Caregiver Autonomy and accountability Patient advocate Health promotion - CORRECT ANSWER Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? Clinical nurse specialist - CORRECT ANSWER Expert clinician in a specialized area of practice such as adult diabetes care Nurse anesthetist - CORRECT ANSWER Provides care and services under the supervision of an anesthesiologist Nurse practitioner - CORRECT ANSWER Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions Nurse midwife - CORRECT ANSWER Provides independent care, including pregnancy and gynecological services Provides a minimal standard of knowledge for an RN in practice - CORRECT ANSWER The examination for registered nurse (RN) licensure is exactly the same in every state in the United States. This examination Defines the principles of right and wrong to provide patient care - CORRECT ANSWER You are preparing a presentation for your classmates regarding the clinical care coordination conference for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is important. Which of the following statements best describes this code? Assessment - CORRECT ANSWER An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Which standard of practice is performed? Implementation - CORRECT ANSWER A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is performed? Advocate - CORRECT ANSWER A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is acting as the patient's: Educator - CORRECT ANSWER 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? Moving from an acute illness to a health promotion, illness prevention model - CORRECT ANSWER Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform? Teamwork and collaboration - CORRECT ANSWER 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? Informatics - CORRECT ANSWER A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses (QSEN) competency? Nurse researcher - CORRECT ANSWER The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first is the procedure currently used to assess for pressure ulcer risk. The second uses a new assessment instrument to identify at-risk patients. Given this information, the nurse consultant exemplifies which career? In service education - CORRECT ANSWER Nurses in an acute care hospital are attending a unit- based education program to learn how to use a nevw pressure-relieving device for patients at risk for pressure ulcers. This is which type of education? Hospital Compare Hospital Consumer Assessment of Healthcare - CORRECT ANSWER Which of the following Internet resources can help consumers compare quality care measures? •Justice the greateast question in this situation is how to determine the just distribution of resources • respect for autonomy this pts autonomy will be violated if he does nkt recieve the liver transplant •ethics of care the caring thing that a nurse could provide this patient is resources for a new liver •accountability you as the nurse are acciuntable for the well bein if this pt - CORRECT ANSWER The patient for whom you are caring needs a liver transplant to survive. This patient has been out of work for several months and doesn't have health insurance or enough cash Even though several ethical principles are at work in this case, list the principles from highest to lowest priority Nonmalifiscense - CORRECT ANSWER The point of the ethical practice is an agreement to reassure the public that in all ways the health care team not only 300works to heal patients but agrees to do this in the least painful and harmful way possible. This principle is commonly called the principle of Beneficence - CORRECT ANSWER A child's immunization may cause discomfort during administration, but the benefits of protection from disease, both for the individual and society, outweigh the temporary discomforts. Which principle is involved in this situation? Fidelity - CORRECT ANSWER When designing a plan for pain management for a postoperative patient, the nurse assesses that the patient's priority is to be as free of pain as possible. The nurse and patient work together to identify a plan to manage the pain. The nurse continually reviews the plan with the patient to ensure that the patient's priority is met. Which principle is used to encourage the nurse to monitor the patient's response to the pain? Assessing the patient's point of view and preparing to articulate it - CORRECT ANSWER A patient is admitted to a medical unit. The patient is fearful of hospitals. The nurse carefully assesses the patient to determine the exact fears and then establishes interventions designed to reduce these fears. In this setting how is the nurse practicing patient advocacy? In a diverse community it can be difficult to find agreement on a definition of usefulness, the focus of utilitarianism - CORRECT ANSWER The application of utilitarianism does not always resolve an ethical dilemma. Which of the following statements best explains why? -Ethics of care pays attention to the environment in which caring occurs -Ethics of care pays attention to the stories of the people involved in the ethical issue. -Ethics of care focuses only on understanding relationships - CORRECT ANSWER The ethics of care suggests that ethical dilemmas can best be solved by attention to relationships. How does this differ from other ethical practices? Nurses develop a relationship with the pt that is unique among all the healthcare providers - CORRECT ANSWER In ethical dilemmas in health care, the solution to the dilemma requires negotiation among members of the health care team. Why is the nurse's point of view valuable? 1)Gather all relevant info relevant to all spiritual, clinical, social aspects of the dilemma 2)Take time to calrify values and distinguish between facts and opinions (your own and thise that are involved) 3)Agree on a statement of the problem or dilemma that you are trying to resolve. 4)List the actions that could be taken to resolve the dilemma 5)Negotiate a plan. 6)Agree on a plan to evaluate the action over time - CORRECT ANSWER Ethical dilemmas often arise over a conflict of opinion Reliance on a predictable series of steps can help people in conflict find common ground. All of the following actions carn help resolve conflict. What is the best order of these actions in order to promote the resolution of an ethical dilemma? No, because, even though patient identifiers are removed, someone could identify the patient on the basis of other comments that you make online about his or her condition and your place of work - CORRECT ANSWER The ANA code of nursing ethics articulates that the nurse "promotes, advocates for, and strives to protect the health safety, and rights of the patient." This includes the protection of patient privacy. On the basis of this principle, if you participate in a public online social network such as Facebook could you post images of a patient's x-ray film if you obscured or deleted all patient identifiers? Ask the question, Is this an ethical dilemma? Gather information. Clarify values Verbalize the problem. Identify course of action Negotiate plan - CORRECT ANSWER What are the correct steps to resolve an ethical dilemma on a clinical unit? Place the steps in correct order. To articulate the nurse's unique point of view, including knowledge based on clinical and psychosocial observations. - CORRECT ANSWER Resolution of an ethical dilemma involves discussion with the patient, the patient's family, and participants from all health care disciplines. Which of the following best describes the role of the nurse in the resolution of ethical dilemmas? 1) Community values influence definitions of quality, and they are subject to change over time. 2) Individual experiences influence perceptions of quality in different ways, making consensus difficult. 3) The value of elements such as cognitive skills, ability to perform meaningful work, and relationship to family is difficult to quantify using objective measures. 4) Statistical analysis is difficult to apply when the outcome cannot be quantified. - CORRECT ANSWER It can be difficult to agree on a common definition of the word quality when it comes to quality of life. Why? (Select all that apply.) 1) Access to health care reflects the commitment of society to principles of beneficence and justice. 2) If low income compromises access to care, respect for autonomy is compromised. 3) Poor access to affordable health care causes harm that is ethically troubling because nonmaleficence is a basic principle of health care ethics. - CORRECT ANSWER Which of the following properly applies an ethical principle to justify access to health care? (Select all that apply.) Confidentiality - CORRECT ANSWER You see an open medical record on the computer and close it so no one else can read the record without proper access. Which ethical principle is this? Accountability - CORRECT ANSWER You administer a once-a-day cardiac medication at the wrong time, but nobody sees it. However, you contact the primary care provider and your head nurse and follow agency procedure. Which ethical principle is this? Advocacy - CORRECT ANSWER A patient at the end of life wants to go home to die, but the family wants every care possible. The nurse contacts the primary care provider about the patient's request. Which ethical principle is this? Responsibility - CORRECT ANSWER You tell your patient that you will return in 30 minutes to give him his next pain medication. Which ethical principle is this? [Show More]
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