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Nursing 230 Exam 1 Review: Ethics, Standards, and Advanced Roles, Exams of Nursing

Anne Arundel Community CollegeNursing

A comprehensive review of key concepts in nursing, including ethical principles, standards of practice, advanced nursing roles, and contemporary healthcare trends. It features multiple-choice questions with verified answers, covering topics such as the nursing code of ethics, standards of practice, advanced practice nurse specialties, health care reform, quality and safety in the education of nurses (qsen) competencies, and cancer survivorship care. This resource is ideal for nursing students preparing for exams or seeking a deeper understanding of essential nursing concepts.

Typology: Exams

2024/2025

Available from 12/21/2024

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Nursing 230 Exam 1 Review Questions
with correct answers
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?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
4. Defines the principles of right and wrong to provide patient care - **
VERIFIED ANSWERS🔰 ✔✔4
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?
1. Diagnosis
2. Evaluation
3. Assessment
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Download Nursing 230 Exam 1 Review: Ethics, Standards, and Advanced Roles and more Exams Nursing in PDF only on Docsity!

Nursing 230 Exam 1 Review Questions

with correct answers

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?

  1. Improves self-health care
  2. Protects the patient's confidentiality
  3. Ensures identical care to all patients
  4. Defines the principles of right and wrong to provide patient care - ** VERIFIED ANSWERS 🔰 ✔✔ 4 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?
  5. Diagnosis
  6. Evaluation
  7. Assessment
  1. Implementation - ** VERIFIED ANSWERS 🔰 ✔✔ 3 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?
  2. Planning
  3. Evaluation
  4. Assessment
  5. Implementation - ** VERIFIED ANSWERS 🔰 ✔✔ 4 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:
  6. Educator.
  7. Advocate.
  8. Caregiver.
  9. Case manager. - ** VERIFIED ANSWERS 🔰 ✔✔ 2
  1. Autonomy and accountability
  2. Patient advocate
  3. Health promotion
  4. Lobbyist - ** VERIFIED ANSWERS 🔰 ✔✔ 1,2,3, Match the advanced practice nurse specialty with the statement about the role.
  5. Clinical nurse specialist
  6. Nurse anesthetist
  7. Nurse practitioner
  8. Nurse-midwife a. Provides independent care, including pregnancy and gynecological services b. Expert clinician in a specialized area of practice such as adult diabetes care c. Provides comprehensive care, usually in a primary care setting, directly managing the medical care of patients who are healthy or have chronic conditions

d. Provides care and services under the supervision of an anesthesiologist - ** VERIFIED ANSWERS 🔰 ✔✔ 1b 2d 3c 4a Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform?

  1. Moving from an acute illness to a health promotion, illness prevention model
  2. Moving from an illness prevention to a health promotion model
  3. Moving from an acute illness to a disease management model
  4. Moving from a chronic care to an illness prevention model - ** VERIFIED ANSWERS 🔰 ✔✔ 1 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?
  5. Patient-centered care
  1. Nurse educator
  2. Nurse researcher - ** VERIFIED ANSWERS 🔰 ✔✔ 4 Nurses in an acute care hospital are attending a unit-based education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
  3. Continuing education
  4. Graduate education
  5. In-service education
  6. Professional Registered Nurse Education - ** VERIFIED ANSWERS 🔰 ✔✔ 3 Which of the following Internet resources can help consumers compare quality care measures? (Select all that apply.)
  7. WebMD
  8. Hospital Compare
  9. Magnet Recognition Program
  10. Hospital Consumer Assessment of Healthcare
  11. The American Hospital Association's webpage. - ** VERIFIED ANSWERS 🔰 ✔✔ 2,

Cancer survivors are at risk for treatment-related problems. Which of the patients listed here has the greatest risk for developing such problems?

  1. An 80-year-old woman undergoing surgery for removal of a basal cell carcinoma on the face
  2. A 71-year-old man getting high-dose chemotherapy/radiation for advanced-stage lymphoma
  3. A 26-year-old man receiving chemotherapy for testicular cancer that is localized to the testicle
  4. A 48-year-old woman receiving radiation for Hodgkin's disease that involves lymph nodes extending above and below the diaphragm - ** VERIFIED ANSWERS 🔰 ✔✔ 2 A 34-year-old patient who is a 5-year survivor of Hodgkin's disease continues to have symptoms related to chemotherapy treatment. The patient is a computer expert and enjoys Internet discussion groups. Which of the following is the best resource a nurse can recommend to help the patient access a survivorship care plan?
  5. Association of Cancer Online Resources (ACOR)
  6. National Coalition for Cancer Survivorship
  7. American Cancer Society (ACS)
  8. National Cancer Institute (NCI) - ** VERIFIED ANSWERS 🔰 ✔✔ 1

A 20-year-old man who has been diagnosed with testicular cancer is about to begin treatment, including intense chemotherapy, radiation, and surgery. He says to the nurse, "I'm scared that I'll never be able to be a father." The most appropriate response by the nurse is:

  1. "You're young. You'll beat this cancer and have a long and happy life."
  2. "Tell me what you mean about your fear of never being a father."
  3. "Cancer treatment has really improved, and more people are surviving it."
  4. "Your doctor is really good and has a high cure rate. He'll take care of you. " - ** VERIFIED ANSWERS 🔰 ✔✔ 2 Symptoms of chemotherapy-related cognitive impairment (CRCI) may include difficulty: (Select all that apply.)
  5. Driving a car.
  6. Sleeping 6 to 8 hours at night.
  7. Reading with comprehension.
  8. Walking with a steady gait.
  9. Focusing on balancing a checkbook.
  10. Eating a balanced diet. - ** VERIFIED ANSWERS 🔰 ✔✔ 1,3,

A support group of cancer survivors is discussing cancer-related fatigue (CRF). The survivor most likely to gain relief from CRF is the survivor who does which of the following? (Select all that apply.)

  1. Takes naps during the day and evening
  2. Drinks energy drinks daily
  3. Exercises at least every other day
  4. Eats a balanced diet
  5. Joins a cancer support group - ** VERIFIED ANSWERS 🔰 ✔✔ 3, A patient has received multiple chemotherapy regimens and a course of radiation for colon cancer. He performs his own hygiene but needs assistance from his wife to move about safely in the home because of ongoing fatigue and weakness. His wife helps him dress when he becomes excessively tired. This caregiving skill pattern is best described as which of the following?
  6. The self-caregiving pattern
  7. The collaborative care pattern
  8. The family caregiving pattern
  9. The team caregiving pattern - ** VERIFIED ANSWERS 🔰 ✔✔ 2
  1. "Tell me how you think you and your husband are dealing with your cancer."
  2. "Are the two of you having any relational difficulties because of your cancer?" - ** VERIFIED ANSWERS 🔰 ✔✔ 3 A child in remission for leukemia and her mother come to the pediatrician's office for a routine physical examination. The nurse asks the child whether she is having continued symptoms. Her mom says, "I don't know why you want all of this information about her cancer treatment. The leukemia is gone." The best response from the nurse in support of the child and mother would be:
  3. "The doctor likes to keep the records complete on all of her patients."
  4. "Just because she is in remission does not mean that it will stay that way."
  5. "Children sometimes have delayed effects from treatment; we need this information to plan her care properly." - ** VERIFIED ANSWERS 🔰 ✔✔ 3 A 60-year-old breast cancer survivor was told by her physician that she is experiencing late effects of chemotherapy and chest radiation. Which of the following are known late effects of cancer treatment? (Select all that apply.)
  6. Impaired immune function
  7. Heart failure
  8. Osteoporosis
  9. Loss of sense of smell
  1. Abnormal liver function - ** VERIFIED ANSWERS 🔰 ✔✔ 1,2,3, A 45-year-old patient who has recurrent cancer is having nightmares and obsessive thoughts about the disease, is unable to focus on anything else, and has a breakdown in relationships with her family. These symptoms are associated with:
  2. Chemotherapy-related cognitive impairment (CRCI).
  3. Cancer-related fatigue (CRF).
  4. Family dysfunction caused by cancer.
  5. Posttraumatic stress disorder (PTSD). - ** VERIFIED ANSWERS 🔰 ✔✔ 4 Survivorship care plans should include information to provide future caregivers with important information about the treatment a patient with cancer has received. The most important entries in a well-written survivorship care plan include: (Select all that apply.)
  6. Type of tumor and dates of diagnosis.
  7. Screening tests that are appropriate for future use.
  8. Type of chemotherapy or radiation treatment used and length of dose.
  9. Typical side effects the patient experienced immediately after a dose of chemotherapy was given.
  1. Neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home - ** VERIFIED ANSWERS 🔰 ✔✔ 1,2,3,4, Which of the following changes can help create a more inclusive environment for lesbian, gay, bisexual, and transgender (LGBT) patients? (Select all that apply.)
  2. Explicitly including sexual orientation and gender identity into nondiscrimination policies
  3. Displaying art that reflects LGBT community
  4. Modifying health care forms to provide opportunities for gender identity and sexual orientation disclosure
  5. Not asking patients about their gender identity and sexual orientation to avoid making them uncomfortable
  6. Ensuring access to unisex or single-stall bathrooms - ** VERIFIED ANSWERS 🔰 ✔✔ 1,2,3, Which of the following are examples of problems with the health care system that contribute to health disparities? (Select all that apply.)
  7. A health care provider assumes that the patient missed two appointments because the patient does not care about his or her health and does not inquire about the reasons for missed visits.
  1. The discharge nurse at a hospital uses Teach Back with a patient to ensure that she has communicated the discharge instructions clearly.
  2. A community hospital lacks an adequate staff of social workers who are able to ensure patients' access to resources they need to take care of their health.
  3. A hospital discharges a patient without ensuring that the patient has a primary care provider and has made a follow-up appointment.
  4. A nurse uses a family member as an interpreter to explain the patient's medications.
  5. The hospital conducts quality improvement without stratifying data b - ** VERIFIED ANSWERS 🔰 ✔✔ 1,3,4,5, A patient is admitted through the emergency department (ED) after a serious car accident. The nurse assesses the patient and quickly learns that he speaks little English. Spanish is his primary language. The nurse speaks some Spanish. Which interventions would be appropriate at this time? (Select all that apply.)
  6. The nurse requests a professional interpreter.
  7. Since this is an emergent situation, the nurse will interpret and identify the patient's priority needs.
  8. The nurse determines the interpreter's qualifications and makes sure that the interpreter can speak the patient's dialect.
  9. The nurse uses short sentences to explain the treatments provided in the ED.
  1. "Using Teach Back will help me identify explanations and communication strategies that my patients will most commonly understand."
  2. "Using pictures, drawings, and models can enhance the effectiveness of the Teach Back technique." - ** VERIFIED ANSWERS 🔰 ✔✔ 1 In the United States, there has never been a president of Asian or Hispanic culture. This is an example of:
  3. Social inequality
  4. Marginalization
  5. Under inclusion
  6. Social location - ** VERIFIED ANSWERS 🔰 ✔✔ 2 A nurse has worked in a home health agency for a number of years. She goes to visit a patient who has diabetes and who lives in a public housing facility. This is the first time the nurse has cared for the patient. The patient has four other family members who live with her in the one-bedroom apartment. Which of the following, based on Campinha-Bacote's (2002) model of cultural competency, is an example of cultural awareness?
  7. The nurse begins a discussion with the patient by asking, "Tell me about your family members who live with you?"
  8. The nurse asks, "What do you believe is needed to make you feel better?"
  9. The nurse silently reflects about how her biases regarding poverty can influence how she assesses the patient.
  1. The nurse uses a therapeutic and caring approach to how she interacts with the patient. - ** VERIFIED ANSWERS 🔰 ✔✔ 3 A nurse is preparing to perform a cultural assessment of a patient. Which of the following questions is an example of a contrast question?
  2. Tell me about your ethnic background.
  3. Have you had this problem in the past?
  4. Where do other members of your family live?
  5. How different is this problem from the one you had previously? - ** VERIFIED ANSWERS 🔰 ✔✔ 4 How can a nurse work on developing cultural awareness? (Select all that apply.)
  6. Reflect on his or her past learning about health, illness, race, gender, and sexual orientation
  7. Develop greater self-knowledge about personal biases
  8. Recognize consciously the multiple factors that influence his or her own world view
  9. Engage in an in-depth self-examination of his or her own background