NSG517 Quizlet Study Guide- Chapter 07

CHAPTER 7

Question 1Which of the following is the most essential component to lead clinical staff and programs effectively as an advanced practice registered nurse?

Correct!

  Clinical credibility

  Years of experience

  Age

  Appropriate education

Question 2An APRN evaluates and modifies his or her clinical practice routines by reading and following updates and recommendations from various journals and organizations such as the United States Preventative Task Force (USPSTF). Which characteristic of advanced direct care practice is the APRN utilizing?

  Use of a holistic perspective

  Expert clinical performance

  Use of reflective practice

Correct!

  Use of evidence as a guide for practice

Question 3During a patient encounter the APRN remembers the patient mentioned during a previous visit that the patient’s child was applying to colleges. The APRN asks which college the patient’s child chose to attend. Discussing this at the beginning of the patient encounter utilizes what characteristic of advanced direct care practice?

  Use of a holistic perspective

Correct!

  Formation of therapeutic partnerships with patients

  Expert clinical performance

  Use of reflective practice

Question 4An APRN starts a patient on a specific medication chosen over a compatible medication due to a decreased risk of sedation. The medication was chosen because the patient has an occupation driving a truck. Which characteristic of advanced direct care practice is the APRN utilizing?

Correct!

  Use of a holistic perspective

  Formation of therapeutic partnerships with patients

  Expert clinical performance

  Use of reflective practice

Question 5An APRN encounters an angry and combative patient during his or her shift. The next day he or she begins analyzing patient outcomes as they correlate with different treatment modalities. Which characteristic of advanced direct care practice is the APRN utilizing?

  Expert clinical performance

  Use of reflective practice

Correct!

  Use of evidence as a guide for practice

  Diverse approaches to and interventions for Health and Illness Management

Question 6A female patient is undergoing an elective surgery that has a risk of blood loss. She is a Jehovah’s Witness and due to her religious beliefs does not want blood transfusions to be administered. The APRN delays the patient’s surgery and recommends she donate her own blood to be administered during the surgery if needed. Which characteristic of advanced direct care practice is the APRN utilizing?

Correct!

  Use of a holistic perspective

  Formation of therapeutic partnerships with patients

  Expert clinical performance

  Use of evidence as a guide for practice

Question 7Which of the following will most likely enhance the patient-APRN relationship and increase communication?

  Longer appointment duration

  Having a caregiver present at the time of examination

Correct!

  Active listening

  Printed education guides

Question 8Which of the following techniques should be utilized when communicating with all elderly patients who have hearing loss?

  Write down instructions

  Administer testing for understanding

  Use verbal aids

Correct!

  Face the patient

Question 9An elderly male patient is being seen by the APRN. Which of the following techniques for effective communication should be initially avoided?

  Face the patient

  Maintain eye contact

Correct!

  Speaking in a louder voice

  Appropriate touch

Question 10Use of which of the following strategies by an APRN would best prevent ethical conflicts during end-of-life care?

  Use of an ethics committee

Correct!

  Discussion with healthy patient during outpatient clinic

  Discussion upon admission of a patient to a hospital

  Discussion when life-threatening disease/accident occurs

Question 11Which of the following scenarios is the best example of the concept of moral distress?

  Amputation of the incorrect limb during a surgical procedure

  45-Year-old female diagnosed with lung cancer who refuses appropriate treatment

  4-Year-old child who died after receiving an incorrect medication

  75-Year-old nursing colleague fired for being too old

Question 12Which of the following strategies has been recommended when communicating about adverse events?

  Explain all known details to the patient immediately

  Complete all documentation thoroughly prior to reporting the event to anyone

  Avoid apologizing or acknowledging the error occurred

  Notify the patient immediately that an adverse event has occurred