Multiple choice answers
Chapter 1
1) Conditional to a nurse's registration is the ablity to do which of the following?
a) undertake and document a comprehensive, systematic and accurate
nursing assessment of the physical, psychological, social and spiritual needs of patients,
clients and comunities
b) provide a rationale for the nursing care delivered which takes
account of social, cultural, spiritual, legal, political, and economic influences
c) Evaluate and document the outcomes of nursing and other interventions
d) All of the above
Answer d) - all three elements which are outcomes defined by the UKCC and embeded in
statute.
2) What is the Essence of Care?
a) a Government document outlining benchmark standards of care
b) the framework for clinical governance reviews conducted by the
Commission for Health Improvement
c) the stages of the nursing process
Answer a)
In order to raise standards of care and in keeping with the clincial governance agenda,
the Government has published benchmarks in eight fundamental aspects of care (DoH, 2001).
One of these is focussed on record keeping. Readers should familiarise themselves with
this particular benchmark. It is important to note that the document stresses that the
'eight aspects are by no means an exhaustive account of every fundamental aspect of care,
but it represents those elements identified by patients and professionals as crucial to
the quality of a patient's care experience' (DoH,2001).www.doh.gov.uk/essenceofcare.
3) Who is responsible for Clinical Governace reviews in NHS acute Trusts?
a) The Standards Care Agency
b) The Commission for Health Improvement
c) The Health Professions Coucil
Answer a)
The Commission for Health Improvement (CHI) is now responsible for clinical governance
reviews in NHS Acute Trusts. In its guidance (CHI,2001) it states that 'clinical governace
is to ensure patients receive the higherst quality of NHS care possible including a
patient centred approach and a commitment to quality'
4) What is a nursing diagosis?
a) The nurses interpretation of a Doctors diagnosis of a patients
illness
b) The second stage of the nursing process and seen as the label given
by a nurse to the decision about phenomenon that is the focus of nursing intervention
c) The ability of nurses to prescribe a limited list of medicines
Answer c) Nursing diagnosis is a critical step in the nursing process, depends on accurate
and comprehensive nursing assessment and forms the basis for nursing care planning.
Nursing diagnosis is the end-product of nursing assessment. The International Council of
Nurses' (ICN ) definition for the purposes of the International Classification for Nursing
Practice (ICNP) defines a nursing diagnosis as 'a label given by a nurse to the deciusion
about a phenomenon which is the focus of nursing intervention' (ICN,1999).
5) When assessing a patients parasymathetic responses to intense or chronic pain, will
they present with
a) decreased blood pressure, decreaed heart rate and increased
gastrointestinal activity
b) increased blood pressure, increased heart rate and decreased
salivation and gastrointestinal activity
c) increased blood pressure, decreased pulse, initially decreased but
then increased gastrointestinal activity
Answer a) see table 1.1 |
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