NUR 108 Final exam questions and answers

Question 1

1.

The RN is caring for an older adult patient admitted with frequent falls at home. Which

initial strategy is most effective to improve patient outcomes?

 a.

Coordination of care with an interdisciplinary team.

 b.

Maintain bedrest with close supervision.

 c.

Prepare for transfer to skilled nursing facility.

 d.

Frequent hospitalizations help to manage illness effectively.

1.25 points

Question 2

1.

Which of the following collaboratives has the mission to work with federal and state

agencies to strengthen policies and practices with the outcome of making people

healthier?

 a.

Quality and Safety Education for Nurses

 b.

Healthy People 2020

 c.

The Institute of Medicine

 d.

American Association of Retired People

1.25 points

Question 3

 1 / 4

1.

What is a fundamental component in Dorothy Johnson’s model of nursing?

 a.

The role of adaptation in nursing care provided to the patient.

 b.

The interpersonal aspect of nursing, the relationship between patients and nurses.

 c.

The relationship between cultural factors and nursing practice.

 d.

The behavior of the client is key to preventing illness and restoring health.

1.25 points

Question 4

1.

What is a benefit of the Affordable Care Act?

 a.

Eliminates co-pays for preventative services.

 b.

Increases administrative costs for insurance companies.

 c.

Decreases Medicaid payments to primary care physicians.

 d.

Financially rewards technology driven acute hospital based services.

1.25 points

Question 5

1.

A patient is preparing to sign an informed consent document to participate in nursing

research. Which statement by the patient indicates additional teaching is necessary?

 2 / 4

a.

“This consent indicates I understand the risks and benefits of this study.”

b.

“Signing this form protects the researcher from liability.”

 c.

“I have the right to end my participation whenever I desire.”

 d.

“Informed consent allows me to choose if I will participate.”

1.25 points

Question 6

1.

The RN is providing care for a hospitalized patient who states,”I don’t know what to do, I

will never be able to manage my medications and appointments with all of these doctors.

How will I ever do this?” The RN can consult with a nurse in which of the following

roles to help this patient?

 a.

Nurse coder

 b.

Nurse navigator

 c.

Forensic psychiatric nurse

 d.

Nurse safety officer

1.25 points

Question 7

1.

An older adult patient with a newly diagnosed illness tells the RN, “It looks like I need to

make peace with God.” What is the RN’s best initial response?

 3 / 4

a.

“I can contact your family and friends who can support you during this time.”

b.

“The clergy is much better trained to address your concerns.”

 c.

“I believe in the power of prayer. Do you want me to pray with you?”

 d.

“Are you distressed about your condition? Please tell me more.”

1.25 points

Question 8

1.

The RN who speaks up when a health care worker does not perform hand hygiene is

upholding which ethical principle?

 a.

Nonmaleficence

 b.

Veracity

 c.

Autonomy

 d.

Justice

1.25 points

Question 9

1.

Which statement reflects the ethical principle of justice?

 a.

Patients should be able to go to the physician of their choice.

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