Week 1 Questions = 10 points Pick your answer(s) by changing the color or underlining your answer(s):

Answer and post to Grades- PreClass Q’s Week 1. Find the rationale from textbook- rationale is the reason the answer you pick is correct.

Tim Owens is a 66-year-old man who is in the hospital for a total knee repair. He had surgery the day before. He has an intravenous line infusing at 125 mL/hr and a patient-controlled analgesia pump for pain control. His wife Linda is in the room with him. Joan Black is the nursing student assigned to Mr. Owens for her clinical experience. Joan is in her second clinical nursing course.

1. In preconference, Joan’s instructor asks her if she thinks that nursing is a profession, and Joan responds that she does. What are some characteristics that identify nursing as a profession? (Select all that apply.)
2. While Joan is in with Mr. Owens, Judy Collins, the clinical nurse specialist (CNS), enters the room to check on Mr. Owens. After Judy leaves, Mr. Owens asks Joan what the difference is between a CNS and a regular nurse. What is the best response for Joan to give to Mr. Owens?
3. Joan gives Mr. Owens his prescribed medications, changes his dressing, and helps him with his bath. Which standard of care is Joan performing?

Potter: Fundamentals of Nursing, 9th Edition

Chapter 01: Nursing Today

Maylie is a new nurse graduate who is attending orientation at the local hospital. Before she is assigned to a preceptor and can begin taking patients, she must attend a 2-day classroom orientation at the hospital where she learns about institution policies and procedures.

Maylie is anxious to begin work in the intensive care unit (ICU) caring for patients, but she understands that part of her job is to represent the hospital in a professional manner. She cannot do this until she learns institution protocols.

1. Maylie learns about the hospital’s protocols regarding bioterrorism. Which of the following are examples of public health simulation exercises that help train nurses for threats of bioterrorism? (Select all that apply.)
2. The hospital in which Maylie is employed is a large county health care facility that cares for thousands of medically underserved patients. Which of the following contribute to increases in the medically underserved population? (Select all that apply.)
3. Since nursing is a caring profession, Maylie does not need to be concerned about budgets and rising costs when it comes to caring for her patients.

Chapter 02: The Health Care Delivery System

Case Study with Answers

Midge is a nursing student who works as a certified nurse assistant with a local home care and hospice service while she is in nursing school. She enjoys her work because it presents her with the opportunity to take care of a wide array of patients in their homes where they are most comfortable. As a result of her work, she has learned a great deal not only about providing care to patients but also about health care delivery systems in general.

Midge is assigned to the patients of one nurse, Tammy. Therefore Tammy is considered Midge’s supervisor and oversees her work in addition to serving as her mentor.

1. Several of Midge’s patients receive hospice care. Which of the following groups administers a federally funded hospice benefit?
2. Tammy explains the causes of rising health care costs to Midge and how the costs impact patient care in both the hospital and the home health setting. Acute care is less costly for patients who wait longer to seek medical treatment than for those who seek medical treatment immediately.
3. Midge learns that nursing care is just one service offered in the home care setting. Which of the following are additional services or therapies offered in the home care setting? (Select all that apply.)
4. While on break one day, Tammy and Midge discuss the nursing shortage. Which of the following are causes of the nursing shortage? (Select all that apply.)

Questions:

Are You Ready to Test Your Nursing Knowledge?

Pick your answer(s) by changing the color or underlining your answer(s):

1. A community center is presenting a nurse-led program on the Patient Protection and Affordable Care Act. Which statement made by a participant indicates a need for further teaching?
2. Which activity performed by a nurse is related to maintaining competency in nursing practice?
3. A patient tells a nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO?
4. Which of the following are examples of a nurse participating in primary care activities? (Select all that apply.)
5. Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system?
6. Which of the following statements is true regarding Magnet status recognition for a hospital?
7. A group of staff nurses notice an increased incidence of medication errors on their unit. After further investigation it is determined that the nurses are not consistently identifying the patient 29correctly. A change is needed quickly. What type of quality improvement method would be most appropriate?
8. Which of the following are characteristics of managed care systems? (Select all that apply.)
9. Which of the following nursing activities is provided in a secondary health care environment?
10. A nurse is using the Plan-Do-Study-Act (PDSA) strategy to do a quality improvement project to decrease patient falls on a nursing unit. Place the steps in the correct sequence for PDSA.
11. The nursing staff is developing a quality program. Which of the following are nursing-sensitive indicators from the National Database of Nursing Quality Indicators (NDNQI) that the nurses can use to measure patient safety and quality for the unit? (Select all that apply.)
12. A nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which of the following is an appropriate goal for restorative care?
13. A nurse is presenting information to a management class of nursing students on the topic of financial reimbursement for achievement of established, measurable patient outcomes. The nurse is presenting information to the class on which topic?
14. A nurse is using data collected from the unit to monitor the incidence of falls after the unit implemented a new fall protocol. The nurse is working in which area?
15. The nurses on a medical unit have seen an increase in the number of pressure ulcers that develop in their patients. They decide to initiate a quality improvement project using the Plan-Do-Study-Act (PDSA) model. Which of the following is an example of “Do” from that model?