Question 1

The nurse contacts the client's case manager to provide information about the client's hospital treatment plan.This is an example of which type of advocacy?

Accepted Answer

Important differences emphasize a stronger focus on primary care,meaningful use of technology,empowering nursing leadership,shared leadership,and interdisciplinary collaboration competencies in health care.Role modeling refers to demonstrating appropriate behaviors.Educational informing is teaching clients about health problems and choices.Anticipatory guidance helps the client foresee potential difficulties.

Question 2

The nurse is conducting an interview with the family of a client who has just been diagnosed with Alzheimer disease.The nurse wants to assess family role relationships.What would be an appropriate question?

Accepted Answer

Sometimes the nurse serves as dual advocate for both client and family members.It is important to assess the impact on the family of the illness.It is necessary to find out who the decision maker is in the family.If it is the client,the diagnosis will have more of an impact on the family.Asking about likes/dislikes,employment,and how the family members wish to be treated does not address family role relationships.

Question 3

The nurse is caring for a client on a rehabilitation unit who sustained a back injury in an auto accident,resulting in disability status from his job as a truck driver.The nurse should help the client to identify skills transferable to a future position by stating which of the following?

Accepted Answer

Collaborative professional teams represent a coordinated form of care delivery.Each team member pools his or her expertise with that of other team members to achieve common,agreed upon treatment outcomes.The precise role and involvement of each discipline-specific team member depends on team member expertise and the individualized needs of clients.The setting,professional,and system resources enable or hinder team functioning.For example,in the ICU,care will focus on the life-threatening nature of the client's condition,requiring the concentrated assistance of specialists.In rehabilitation and home care settings,the composition of team members would be different.However,similar overarching goals of achieving health outcomes and improving a client's quality of life underscore clinical team efforts.

Question 4

When documenting nursing care in the client's chart,the nurse does so accurately and honestly.The nurse is demonstrating which essential value of professionalism in nursing?

Accepted Answer

Individual nurses identify moral integrity,purpose,and commitment as key components of professionalism.Nurses demonstrate professionalism through accountability for the care they provide,using recognized professional practice standards and operating within ethical and regulatory professional frameworks.

Question 5

Which aspect of role standards is influenced by institutional norms and may vary depending on the work environment?

Accepted Answer

Role is defined as a traditional pattern of behavior and self-expression performed by or expected of an individual within a given society.People develop social and professional roles throughout life.Some are conferred at birth (ascribed roles)and some are attained (acquired roles)during a lifetime.Work role relationships have structural components-for example,direct reports,student,nursing,and interdisciplinary professional.Other role relationships are collegial,based on friendship or common interests.Personal role performance standards reflect personal,social,cultural,gender,institutional,and family expectations.Standards for role performance tend to mirror differentiated practice roles,as supported by education,professional licensure,and certifications.Role performance standards are also influenced by institutional norms and may vary depending on the work environment.Features of professional role relationships are recognizable through differences in work responsibilities,cooperative activities,education,and social affiliations.Stronger personal and professional role expectations are held for those holding public trust roles,such as elected political and religious leaders,health care professionals,and teachers.

Question 6

A novice nurse decides to attend a diabetes workshop after a client was admitted to the unit with an insulin pump that the nurse was not familiar with.This is an example of

Accepted Answer

Professional self-awareness promotes recognition of the need for continuing education,the acceptance of accountability for one's own actions,the capacity to be assertive with professional colleagues,and the capability to serve as a client advocate when the situation warrants it,even if it is uncomfortable to do so.Role performance is role functioning.Client advocacy is protecting client rights.Collaboration is sharing responsibility.

Question 7

The nurse offers a client's family a list of community resources and support groups and encourages them to become involved in the local Lupus chapter.This is an example of which professional nursing role responsibility?

Accepted Answer

Nursing actions that constitute client advocacy include facilitating access to essential health care services for clients,ensuring high-quality care,protecting client rights,and acting as a liaison between clients and the health care system to procure high-quality care.

Question 8

The economics of health care and diminishing numbers of health care providers led to legislative passage of the Patient Protection and Affordable Care Act (PPAC).This legislation is designed to

Accepted Answer

The economics of health care and diminishing numbers of health care providers led to legislative passage of the PPAC.This legislation is designed to make health care accessibility a reality for all.In 2012,the Supreme Court issued a historic decision to uphold this legislation.With this legislation comes a mandate for providing high-quality health care to a greater number of people at a lower cost,all at a time when there is a growing shortage of nurses and physicians.The shortage is expected to increase dramatically over the next decade.

Question 9

Essential components of interprofessional professionalism are clear communication,caring,professional ethics,and

Accepted Answer

Clear communication,altruism,caring,and professional ethics are essential components of interprofessional professionalism.Truth is faithfulness to fact or reality.

Question 10

When looking toward the future of nursing,it is important for nurse educators to teach student nurses that the wave of the future in nursing is in

Accepted Answer

Advanced practice and leadership roles for nurses are the wave of the future.

Question 11

The nurse is caring for a client who has just refused to undergo an invasive procedure that could possibly extend his life by a few months.The nurse supports the client's decision based on which essential value?

Accepted Answer

Advocacy should support client autonomy.Clients need to be in control of their own destiny,even when the decision reached is not what you as the nurse would recommend for the client's health and well-being.

Question 12

The new graduate nurse is unsure how to operate a new intravenous pump After reading the directions,the new graduate nurse seeks the assistance of a more experienced nurse and asks for a demonstration on how to operate the new intravenous pump.The behavior exhibited by the new graduate nurse is

Accepted Answer

Professional role clarity is an essential quality of effective leadership.If nurses aren't clear about their professional roles,it becomes very difficult for them communicate their value as health care providers to other professionals.Role clarity about professional competencies is necessary to support client safety initiatives and lead to improved client outcomes.Influencing change and making difficult decisions becomes easier when nurses have a clear vision that emanates from their understanding of their professional role because they are better able to stimulate confidence in others.

Question 13

Which of the following is a nursing diagnosis associated with the effects of alteration in role relationships within the family and work environment?

Accepted Answer

Personal role performance standards reflect personal,social,cultural,gender,institutional,and family expectations.Standards for role performance tend to mirror differentiated practice roles as supported by education,professional licensure,and certifications.Role performance standards are also influenced by institutional norms and may vary depending on the work environment.

Question 14

A nurse,who has been practicing for 4 years,demonstrates competence,speed,and flexibility when performing clinical skills.According to Benner,the nurse is practicing at which developmental stage?

Accepted Answer

The proficiency stage occurs 3 to 5 years into practice.Nurses in this stage are self-confident about their clinical skills and perform them with competence,speed,and flexibility.The proficient nurse sees the clinical situation as a whole,has well-developed psychosocial skills,and knows from experience what needs to be modified in response to a given situation.

Question 15

The nurse is caring for an older client with a fractured hip.The client asks the nurse about the nature of her condition.The nurse's response should be,

Accepted Answer

Clear communication,altruism,caring,and professional ethics are essential components of interprofessional professionalism.In saying loudly that the patient has a fractured femur,the nurse is stereotyping the client as hard of hearing and providing information she may not understand.The patient has the right to receive information from a direct caregiver other than the physician.The client's confidentiality may have been breached when the son was informed of her condition without her knowledge.

Quiz 22: Role Relationships and Interprofessional Communication