Dimensions of Nursing Principles: Exam 3

1.What ethical principle refers to the clients’ right to make healthcare choices even if the health care provider does not agree with the decision?

AUTONOMY

2. When World War 1 was over, which nursing leader became a nursing educator, eventually serving as a dean at the Yale School of Nursing?

ANNIE GOODRICH

3. What is the most important element for the nurse navigator to include in the planning of care for a client?

THE CLIENT’S PERCEPTIONS AND BELIEFS ABOUT THE DISEAS PROCESS AND THE MODALITIES OF TREATMENT

4. What is the term that describes nurses’ opinions, results, or the decision they make?

CLINICAL JUDGMENT

5.The primary purpose of which legislative act was to allow client records to be transferred from one provider or institution to another provider or institution?

B.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

6. A nurse assessing a non- American client for cyanosis is struggling because she does not know the appropriate skin color for the client’s ethnic group. How should this nurse do… assessment?

EXAMINE THE CLIENT’S ORAL MUCOSA.

7. What process is used to track events leading to error. Identifies faulty systems and processes, and develop a plan to prevent further error?

ROOT CAUSE ANALYSIS

8. Which event in American history had significant impact on educational standards in nursing by shortening hospital-based nursing programs from 36 months to 30 months?

C.WORLD WAR II

9. What exists if a smartphone of one brand can synchronize with a desktop or laptop computer of another brand to use some of the computer’s data?

INTEGRATION

10. What is one of the main steps in developing critical thinking?

GAIN INSIGHT AND SELF-AWARENESS.

11. What type of learner learns best by moving, experiencing, or experiencing?

B. KINESTHETIC

12. In nursing research, what is the critical link necessary to connect the researcher’s framework with the appropriate type of data collection?

RESEARCH DESIGN

13. Which elements are commonly a result of workplace incivility?

TOXIC WORK ENVIRONMENT, ANXIETY, PSYCHOLOGICAL PAIN

14. Why is disaster planning difficult for the elderly population?

THEY HAVE LIMITED MOBILITY AND CHRONIC DISEASE ISSUES.

15.What task may be delegated to a Licensed Practical Nurse (LPN) if each client is stable?

TURNING A CLIENT WITH A CEREBRAL VASCULAR ACCIDENT (CVA) EVERY 2 HOURS.

16. Why is it important for nurses in general practice to have an awareness of forensic knowledge?

NURSES ARE OFTEN IN POSITIONS TO REPORT CRIMES OR PRESERVE EVIDENCE

17. Who is universally regarded as the founder of modern nursing?

FLORENCE NIGHTINGALE

18. The nurse knows that recruiting and retaining minority nurses is a primary concern of the healthcare industry. Which group/s of minority nurses is the largest?

ASIAN, NATIVE HAWAIIAN

19. What is another name for a healthcare proxy?

MEDICAL DURABLE POWER OF ATTORNEY

20. The nursing profession tends to use which term when attempting to explain apparent relationships between observed behaviors and their effect’s health?

THEORY

21. What is the difference between a theory and a model?

A. A NURSING THEORY ATTEMPTS TO EXPLAIN APPARENT RELATIONSHIPS BETWEEN OBSERVED BEHAVIORS AND THEIR EFFECTS ON A CLIENT’S HEALTH, AND A MODEL IS A REPRESENTATION OF SOMETHING THAT EXISTS IN REALITY.

22. What specialized area of nursing below is considered a type of forensic nurse?

SEXUAL ASSAULT NURSE EXAMINER (SANE)

23.A nurse may be forced to decide between going to work and staying home with a sick child. The decision will be based on which of the following for the nurse?

VALUE

24.What is the federally funded national health insurance program in the United State for people older than 65 years?

MEDICARE

25.Joleen, a new graduate nurse is training with Mara, a senior nurse on the unit. Which of the following behaviors would support the idea that Mara is a persecutor? (select all that apply)

A. MARA CALLS JOLEEN ”JOJO”. DESPITE BEING ASKED NOT TO.

B. MARA HAS AN ANSWER TO EVERY QUESTIONS AND NEVER NEEDS TO LOOK ANYTHING UP.

D. MARA INSISTS THAT JOLEEN ASSESS CLIENTS EXACTLY THE SAME WAY SHE DOES.

F. MARA COMPLIMENTS JOLEEN ONE DAY AND CRITICIZES HER THE NEXT.

26. What three-phase project was created to improve the quality and safety of client care by focusing nursing education on student competency?

Quality and Safety Education for Nurses

27. The Situation, Background, Assessment, Recommendation (SBAR) tool helps prevent miscommunication among caregivers.

TRUE

28. What is the most obvious barrier to providing culturally competent care?

LANGUAGE

29. Why is civility in nursing important for making a positive impact on nursing care?

CIVILITY ENABLES NURSES TO MAKE CARING THE FOCAL POINT OF PRACTICE.

30.What is the primary reason some nurses have difficulty in their role of managing the needs of the elderly or dying client?

THEY HAVE AN INTERNAL CONFLICT IN COPING WITH THEIR OWN FEARS OF DEATH.

31.Which habit does not promote critical thinking?

BEGIN WITHOUT AN END IN MIND

32.A nurse has forgotten to renew his or her nursing license by the expiration date and report for duty, and works the shift. What is the nurse violating?

CRIMINAL LAW

33. What is the primary goal of the nurse navigator?

ELIMINATION OF THE BARRIERS TO CARE TO MAKE MOVING THROUGH THE TREATMENT MAZE EASIER.

34. The nurse recognizes cultural awareness as an important aspect to caring for clients. When do nurses develop cultural awareness?

WHEN VALUING ALL ASPECTS OF A CLIENT’S CULTURE.

35. When does the encoding process of communication take place?

THE RECEIVER THINKS ABOUT THE INFORMATION, UNDERSTANDS IT, AND FORMS AN IDEA BASED ON THE MESSAGE.***

36. What is considered the preferred strategy for dealing with and resolving conflict?

CONFRONT THE CONFLICT.

37. If a nurse uses information from research as the basis for making decisions about providing care, this nurse is engage in which type of practice?

EVIDENCE-BASED PRACTICE

38. The Institute of Medicine (IOM) published report in 2000, To Err Is Human: Building a Safer Health System, stated what was the cause of the estimated that 98,000 people die per year?

ADVERSE EVENTS AND MEDICAL ERRORS IN HOSPITALS

39. Which communication style involve interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the right of others?

ASSERTIVE

40. Which process allows interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling second- language care?

SIMULTANEOUS INTERPRETING

41. What is the process used to think about issues when deciding how to prevent client problems? CRITICAL THINKING

42. What is the most effective method that nurses can use to impact change to the profession and nursing practice?

JOIN PROFESSIONAL ORGANISATIONS IN LARGE NUMBERS.

43. Which client is the most appropriate for the Registered Nurse (RN) to assign to the unlicensed assistive personnel (UAP)?

A CLIENT WITH DIFFICULTY WALKING AND REQUIRES ASSISTANCE TO THE BATHROOM ADDING POTASSIUM TO AN INTRAVENOUS (IV) BAG OF D6W THAT WAS ALREADY HANGING.

44. What is the most accurate description of case management?

CASE MANAGEMENT INCLUDES OVERSEEING THE CLIENT’S CARE WHILE THEY ARE IN THE HOSPITAL AND FOLLOWING CLIENTS THROUGH VARIOUS PHASES OF CARE AFTER DISCHARGE

45. What is the term used when analyzing a client’s issues and problems, which includes reasoning outside and inside the clinical setting?

C. CLINICAL THINKING

46. What is the federally funded program known for financing a large portion of maternal and childcare for the poor?

MEDICAID

47. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in…

D. INTEGRATION

48. A nurse who is off duty discussing a client's medical information with her neighbor is an example of what type of ethical principle?

BREACH OF CONFIDENTIALITY

49. What does an ethical code provide for nurses?

FRAMEWORK FOR DECISION-MAKING

50. Novice critical thinkers demonstrate which of the following skills?

RELY HEAVILY ON RESOURCES AND NEED CLEAR-CUT RULES.

51. What organization provides nursing with a code of ethics?

AMERICAN NURSES ASSOCIATION

52. A Registered Nurse (RN) on duty is working past a client’s room and notices the client on the floor after what appears to have been a fall. Immediately the nurse thinks, “How can I help?” “What focused assessment should I provide to determine if the client is hurt?” “I need to call for assistance right away.” What type of thinking is the nurse displaying?

THINKING-IN-ACTION

53. Which situation is the nurse allowed to breach a client’s right of confidentiality?

A 32-YEAR-OLD COMES TO THE EMERGENCY ROOM FOR WOUNDS SUSTAINED BY A KNIFE.

54. A family comes into a health care provider's office and requests genetic testing due to a family member being diagnosed with BRAC II. The physician places a verbal order while other clients enter the office so the clients have the ability to over hear the conversation. What should the nurse be concerned that the physician potentially violating?

BREACH OF CONFIDENTIALITY

55. What is an example of covert lateral violence?

MAKING FACES BEHIND THEIR BACK

56. What is the first step in the delegation process?

DETERMINING THE SKILL LEVEL OF THE PERSON TO WHOM THE TASK IS TO BE DELEGATED.

57. What attribute is best described as a “sense of knowing without conscious use of reason?”

INTUITION

58. What are the goals for Healthy People 2020 to promote across the lifespan? (Select all that apply.)

A. QUALITY OF LIFE

B. HEALTHY DEVELOPMENT

C. HEALTHY BEHAVIORS

59. What is the SBAR’S primary focus in healthcare?

OUTLINE COMMUNICATION OF CRITICAL INFORMATION.

60. What is the primary purpose for the development of the Quality and Safety Education for Nurses (QSEN) project?

FOCUS NURSING EDUCATION ON COMPETENCIES TO REDUCE THE NUMBER OF MEDICAL ERRORS.

61. In health care, what is are the attempts to guarantee when an action is performed by a healthcare professional is performed correctly the first time and every time thereafter is called?

QUALITY ASSURANCE

62. Which grouping represents the six quality and safety education for nurses (QSEN)

CLIENT-CENTERED CARE TEAMWORK AND COLLABORATION INFORMATION EVIDENCE BASED PRACTICE QUALITY IMPROVEMENT SAFETY.

63. When does the organ donation professional become involved in the care of the client?

AFTER DEATH HAS BEEN DECLARED BY A PHYSICIAN

64. Which principle is based upon Nightingale’s spirituality?

A SENSE OF A DIVINE INTELLIGENCE WHO CREATES AND SUSTAINS THE COSMOS AS WELL AS AN AWARENESS OF HER OWN INNER CONNECTION WITH THIS HIGHER REALITY.

65. Which individual can the charge nurse delegate the task of completing the admission assessment for a newly admitted client?

REGISTERED NURSE (RN)

66. Where would a nurse look to find their scope of practice as defined by state law?

NURSE PRACTICE ACT

67. What is an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof serious injury, including loss of limbs or function?

SENTINEL EVENT

68. What are five phases of the nursing process?

ASSESSMENT, DIAGNOSE, PLAN, IMPLEMENT, EVALUATE

69. A Registered Nurse (RN) just finished assisting a client to the restroom. Before leaving the patient’s room. The above displays knowledge and skills of which Quality and Safety Education for Nurses (QSEN) competency?

SAFETY

70. What does SBAR stand for?

SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION

71. What is one of the roles of a parish nurse?

SERVE AS HEALTH EDUCATORS AND COUNSELORS IN THE CHURCHES

72. A physician writes a DNR order for a competent client. Which individual may give permission for this order?

THE CLIENT

73. What are the four concepts that are common in most nursing theories?

CLIENT, HEALTH, ENVIRONMENT, NURSING

74. How does the Institute of Medicine (IOM) define quality?

THE DEGREE TO WHICH HEALTH SERVICES FOR INDIVIDUALS AND POPULATIONS INCREASE THE LIKELIHOOD OF DESIRED HEALTH OUTCOMES AND ARE CONSISTENT WITH CURRENT PROFESSIONAL KNOWLEDGE.

75. Even if a client is not over the age of 65, clients with which chronic condition may be eligible for Medicare benefits?

END-STAGE RENAL DISEASE

SOAP note Epilepsy

Please send it as good as possible

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.  

Case: An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

• Metformin 500mg BID 
• Januvia 100mg daily 
• Losartan 100mg daily 
• HCTZ 25mg daily 
• Sertraline 100mg daily 

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

 Replies each one with 200 words

The main advantage of mixed-methods research design is that it allows researchers to integrate multiple data sources to provide more insight into the study phenomena. Because mixed methods utilize both numerical and non-numerical data, researchers can assess and explore the relationships and elements of social and human life. Qualitative and quantitative research concepts may be non-specific and ambiguous in some cases. These two challenges may have significant implications for the research. Therefore, when a researcher mixes qualitative and quantitative research, they get the chance to experience new empirical insights into the research from a dynamic and comprehensive approach. Such experiences override the challenges that may come with quantitative or qualitative methods, including inconclusive outcomes and longer than the expected research time. Researchers can take an analytical approach to understanding complex research questions through the use of mixed-methods design.

Similarly, mixed-methods research design allows researchers to integrate data triangulation into the study. With data triangulation, researchers can confirm the validity of research findings by applying several data sources to identify inconsistencies in the variables (Dawadi et al., 2021). For example, to confirm the experiences of patients admitted to palliative care, researchers may use both open-ended and closed-ended surveys to acquire data. The data can be compared through triangulation. Triangulation, thus, allows for the application of “more diverse data,” a quality that may not be achieved by using a single design (Dawadi et al., 2021). When this happens, the validity and reliability of the research findings are improved. 

The main disadvantage of mixed-methods design is that it may be complicated for inexperienced or rookie researchers. Researchers who have little research experience may find it challenging to meet the requirements of the method due to its complex nature (Wasti et al., 2022). Such researchers may also have a hard time identifying interdisciplinary or multidisciplinary team members who have expertise in both quantitative and qualitative research. If this happens, the research process may be gravely compromised. Similarly, mixed-methods design escalates research costs and time since it requires data collection and analysis to be conducted in several stages (Wasti et al., 2022). For example, the study team must collect and analyze both numerical and non-numerical data as prescribed by the design. This may be costly in case of budget constraints and limited time. Lastly, the appropriateness of mixed-methods design is never guaranteed because it mainly depends on the nature of the research questions. Some research questions may be subject to ambiguity which may not be effectively addressed by mixed-methods design.

2. Mixed method research has become increasingly popular in the field of social science and other areas of study because they provide an extensive framework for comprehending challenging research topics. This approach combines quantitative and qualitative research techniques to offer a more thorough and sophisticated knowledge of a particular issue.

Multiple benefits are provided by mixed research methods. By integrating quantitative data for statistical accuracy and qualitative data for perspective and depth, they provide a thorough comprehension of study concerns providing validity and reliability of the results. Qualitative approaches are particularly useful for complicated or understudied issues because they enable investigation and the discovery of unanticipated findings. Additionally, context is added to findings through mixed methods research, increasing their relevance for practical applications (Tashakkori & Teddlie, 2019).

Comprehensive Understanding is one of the main advantages of a mixed methods research design. This attention to detail results from the integration of both quantitative and qualitative data, which enables researchers to go further beyond the most obvious conclusions. While qualitative data explore the “why” and “how” by revealing underlying meanings, motives, and context, quantitative data show statistical patterns and connections, providing answers to the “what” and “how many” questions. The findings are more solid and practical as a result of the holistic method, which guarantees that researchers get a thorough, multidimensional understanding of the topic under study. (Tashakkori & Teddlie, 2019).

Exploration and discovery are fundamental benefits of using mixed methods research designs. Particularly making use of methods that are qualitative provides the flexibility to examine unforeseen factors of a research subject, leading to the discovery of additional patterns. This element is extremely useful when researching difficult or relatively unexplored subjects since it allows researchers to modify their questions and dive further into unexpected areas. Mixed methods research embraces the qualitative component, encouraging researchers to be open to different viewpoints, eventually resulting in a better and more comprehensive knowledge of the phenomena being examined (Johnson et al., 2021).

Research designs using mixed methodologies have various limitations. They may need a lot of time, money, and skill. Research durations may be affected by the complexity of combining both qualitative and quantitative methods. Furthermore, because qualitative research is subjective, there is a chance that the results may be biased (Tashakkori & Teddlie, 2019).

In conclusion, mixed methods research designs that call for both quantitative and qualitative viewpoints provide a highly effective approach. They increase the validity and trustworthiness of study findings and offer a thorough comprehension of complicated events. They do, however, also have disadvantages, such as demands on resources, complexity, and possible bias. When considering whether to adopt a mixed methods approach, researchers must carefully evaluate the advantages and disadvantages and make sure they are prepared to handle the complicated processes involved. They may then use the advantages of both quantitative and qualitative techniques to better understand their research issues.