問題一覧
1
Since the formalisation of nursing, notably with Florence Nightingale, social and political inftuences on the role of nursing have included (select all that apply):
the role of women in society, technological advances improving health outcomes, registration and professionalisation of nurses
2
In the 19th century, the Anglican High Church nuns:
were the dominant model of nursing reform in England
3
Which was the first country to enact legislation to register nurses?
New Zeland
4
Identify some of the key moments in the development of nursing practice and nursing education (select all that apply):
1811 Sydney Hospital opens, New South Wales, Australia , 390-407 early Christianity, deaconesses, like deacons, also ministered to the sick and poor, 2011 Royal College of Nursing (RCN) Australia and the College of Nursing unite to form the Australian College of Nursing (ACN), 1945 the psychiatric nurse qualification is acknowledged and administered by the Nurses and Midwifery Board in New Zealand, 1901 the Nurses' Registration Act is passed in New Zealand
5
Nursing's metaparadigm includes.
person, environment, health and nursing
6
A micro-range theory:
is the most concrete and narrow of theories that establishes nursing care guidelines
7
An organised, coherent set of concepts and their relationship to each other that is proposed to explain a given phenomenon best defines which of the following options?
A theory
8
Why are nursing theories important to the profession? (select all that apply):
To define professional nursing practice, To guide nursing research, To develop a language for nurses
9
When reviewing a person's biochemioal laboratory results, you must have a knowledge base that includes which of the following types of knowledge to think critically?
Intuitive
10
The steps, in order, of the nursing process are:
assessment, problem identification, planning, implementation, evaluation
11
Implementation involves:
the execution of the nursing plan of care derived during the planning phase
12
Which of the following is an example of objective personal data?
500 mL of amber-coloured urine in a collection bag
13
A person in the intensive care unit (ICU) has several health problems. Which of the following problem statements should be of priority concern to you?
Ineffective airway clearance
14
When referring to a person's medical record for information, you are using which data source?
Secondary
15
Which of the following nursing responses is an example of an open-ended question? (Select all that apply.)
“Tell me about your health”
16
The process of assessment includes which of the following activities? (Select all that apply and number them in order of use.)
Verifying, Organising, Collecting, Planning, Interpreting, Documenting
17
A 42-year-old woman comes to the surgical unit for an elective laparoscopy. What type of assessment is most appropriate for her?
Comprehensive
18
You are performing an admission assessment. Which of the following are examples of objective data? (Select all that apply.)
mL of emesis (vomitus) in basin, 150 mL of dark malodorous urine in the drainage bag, Warm, flushed cheeks and skin 25 , Tympanic temperature 40°C, irregular pulse rate 64, Feeling of faintness
19
When performing an assessment; besides the person, you use their married partner as a source of data. What kind of source are they?
Secondary
20
Which of the following statements accurately describes the ROS?
You do a head-to-toe physical examination of the person
21
A young woman newly admitted to your unit states that she has a severe headache. Which of the following actions do you do first?
Check the woman's VSs.
22
SA is important in caring for a person because (select all that apply):
all of the above
23
Which of the following is a nurse-identified patient problem?
Pressure injury
24
The specialty within nursing that focuses on the methods and tools needed for dealing with information within nursing practice is:
nursing informatic
25
A person who underwent hip replacement surgery has an identified problem of impaired physical mobility caused by pain. Which of the following nursing interventions would be a priority for someone with this problem?
Administering regular analgesic medication as ordered
26
An elderly person with thin, dry skin has a nursing identified problem of impaired skin integrity. Which of the following nursing interventions should be implemented? (Select all that apply.)
Repositioning the person every two hours , Keeping the bed linens dry, Making sure that the bed linens are wrinkle-free
27
You identify a problem of impaired physical mobility caused by pain. Which of the following is the causative factor?
Pain
28
Which of the following best describes the plan of nursing care?
Assessment data, identified problems, goals and expected outcomes, and nursing interventions
29
What is the main purpose of the expected outcome?
To provide a standard for evaluating the quality of health care delivered to the patient
30
Which of the following are the essential components of an expected outcome?
Patient behaviour, measurement criteria, conditions under which the behaviour occurs and target date
31
When planning care, which of the following should you use as a guideline?
Make intervention statements specific to ensure continuity of care.
32
Which of the following statements is correctly stated as a patient expected outcome?
Patient will safely walk unassisted to the end of the hallway within four days.
33
The four critical elements of planning care are:
establishing priorities, setting goals and developing expected outcomes, planning nursing interventions, and documenting
34
Which two of the following are not phases of planning nursing care?
Transition phase , Micro phase
35
Which of the following best describes the purpose of ongoing evaluation when implementing nursing activities?
To determine patient progress towards expected outcomes
36
Establishing priority among several nursing interventions depends on which of the following? (Select all that apply.)
Availability of resources, Patient's willingness to comply, Nurse determination of importance
37
Which of the following is an example of the functional nursing approach to care delivery?
The team member has an assigned task to perform for the patient.
38
Which of the following should you do initially when performing a procedure you have never done before? a b c
Review the procedure guidelines.
39
Which of the following statements made by a new nurse indicates a need for further guidance when performing handover?
“The person had a good night."
40
Which of the following is not a type of nursing management system?
Secondary nursing
41
In the nursing process, which step is implementation?
The fourth step
42
Delegation is the process of: b c d e
transferring a selected nursing task to an individual who is competent to perform that task
43
Which of the following accurately describes the purposes of evaluation? (Select all that apply.)
Determine effectiveness of nursing care , Promote nursing accountability, Determine patient progress towards achievement of expected outcomes
44
Which of the following patient statements are indicators of patient strengths? (Select all that apply.)
“My wife and I are both employed as schoolteachers.", “My family is willing to change their eating habits since I'm on a diet.”
45
In which of the following situations are you performing an evaluation?
Asking a person if pain is relieved after administration of analgesics
46
Which of the following statements best describes the evaluation of quality care?
Shared responsibility of multidisciplinary team
47
You help reposition a person who has difficulty breathing. Which of the following nursing actions, when performed after the intervention, demonstrates evaluation?
Checking the person's respiratory status
48
The research process is best described as a:
series of steps completed in a logical order
49
Qualitative research is interested in questions that involve:
consciousness and subjectivity
50
Informed consent requires that the researcher communicate which of the following to the participant (select all that apply)?
The nature of the study , The subject's right to refuse participation, The expected outcomes, risks and benefits of the study
51
Number the following steps of evidence-based reports in the appropriate order. a Level of evidence b Ask the clinical question c Analysis of scientific data d Recommendations for practice
b c a d
52
Which of the following best describes the person's health care record?
It serves as a legal document for recording all patient activities assessed and initiated by health care professionals.
53
When forming a diagnosis based on the collection of a person's VSs, you are collecting what type of data?
Assessment
54
Which of the following chart entries is written in the most accurate way? a
Person up, out of bed, walked 12 m to the bathroom and back to bed with assistance from the nurse, heart rate 84 and regular before exercise, 92 and regular after exercise.
55
Select the two (2) answers that best describe the actions taken when a medication error occurs.
The error should be reported as soon as it Lain is discovered, and an incident report should be completed., The person should be seen by the medical officer to ensure that the error does not result in adverse harm to the person.
56
You must document the assessment findings of a surgical incision with staples and retention sutures. However, the pop-up screen on the computer provides for only staples. How should you document the findings regarding the retention sutures?
Document the assessment of the retention sutures as free text in summary notes attached to the appropriate nursing documentation computer page.
57
Which of the following actions would make you more vulnerable to legal action?
Discussing a person's case with a peer in the lift
58
One (1) identified concern in implementing an EHR is:
privacy
59
Which two (2) of the following are important principles of documentation?
Accuracy, Legibility