Ways of Knowing
Sarah recalling the ABCs aligns best with which way of knowing?
a) Ethical Knowing
b) Empirical Knowing
c) Personal Knowing
d) Aesthetic Knowing
b) Empirical Knowing
Sarah noticing the patient turned pale and unresponsive and then responding aligns best with which CNO competency?
a) Coordinator
b) Clinician
c) Scholar
d) Leader
b) Clinician
When a nurse discovers an unresponsive patient who isn't breathing, what is the priority action?
a) Check for a pulse for 30 seconds and then call for help
b) Begin chest compressions immediately
c) Activate the code blue and call for help
d) Retrieve the crash cart before assessing the patient
c) Activate the code blue and call for help
Which of the following best describes the rate and depth of compressions that should be performed?
a) 80-100/min, 5-6 cm deep
b) 100-120/min, 3-4 cm deep
c) 100-120/min, 5-6 cm deep
d) 80-100/min, 3-4 cm deep
c) 100-120/min, 5-6 cm deep
According to this model, which of the following is a primary prevention intervention for code blue?
a) Monitoring vital signs during the code
b) Giving epinephrine during the code
c) Teaching nurses CPR and mock code training
d) Team debriefing
c) Teaching nurses CPR and mock code training
Sarah showing moral distress after the code aligns best with which way of knowing?
a) Personal Knowing
b) Emancipatory Knowing
c) Ethical Knowing
d) Empirical Knowing
c) Ethical Knowing
Sarah reflecting on her learning gaps after the code aligns best with which CNO competency?
a) Scholar
b) Advocate
c) Professionalism
d) Clinician
c) Professionalism
During the code, the charge nurse delegates the role of recorder to a new grad nurse. Which action by the new nurse requires intervention?
a) Briefly leaving the beside to answer a unit phone call
b) Verbally repeating back each order
c) Writing each medication and time it was administered
d) Documenting rhythm changes and interventions
a) Briefly leaving the beside to answer a unit phone call
When checking for breathing and a pulse, how long should the nurse take before initiating CPR?
a) 10 seconds
b) 5 seconds
c) 30 seconds
d) 20 seconds
a) 10 seconds
Sarah's panic and freezing during the code best aligns with which element of Neuman's model?
a) Normal line of defense
b) Stressor intrusion
c) Secondary defense
d) Wellness stability
b) Stressor intrusion
Maria offering emotional support for Sarah during and after the event aligns best with which of knowing?
a) Personal Knowing
b) Aesthetic Knowing
c) Emancipatory Knowing
d) Empirical Knowing
a) Personal Knowing
Maria maintaining a safe and less stressful environment during the code aligns best with which CNO competency?
a) Leader
b) Collaborator
c) Clinician
d) Educator
a) Leader
The nurse providing ventilation notices the chest isn't rising. What should be the priority action?
a) Switch to compressions until RT arrives
b) Continue ventilating and wait for the RT
c) Re-position the airway and ensure a tight mask seal
d) Increase oxygen flow rate
c) Re-position the airway and ensure a tight mask seal
Which of the following correctly describes the sequence of steps during a code blue?
a) Assess --> call for help --> start compressions --> defibrillate
b) Call for help --> retrieve crash cart --> assess --> start compressions
c) Assess --> defibrillate --> call for help --> begin CPR
d) Check vital signs --> notify MD --> start compressions
a) Assess --> call for help --> start compressions --> defibrillate
Which of the following is an intrapersonal stressor during a code blue?
a) Family members entering the room
b) Alarms sounding in the hallway
c) A nurse's fear under pressure
d) Lack of available supplies
c) A nurse's fear under pressure
Maria recognizing Sarah's nonverbal cues and responding appropriately aligns best with which way of knowing?
a) Empirical Knowing
b) Aesthetic Knowing
c) Emancipatory Knowing
d) Personal Knowing
b) Aesthetic Knowing
a) Coordinator
b) Scholar
c) Educator
d) Professionalism
c) Educator
Which task is most appropriate for the RN to delegate to an unregulated care provider during a code?
a) Performing chest compressions
b) Defibrilating the patient
c) Interpreting the cardiac rhythms
d) Administering IV epinephrine
a) Performing chest compressions
Which of the following statements about defibrillation is correct?
a) The nurse should check for a pulse immediately after shocking
b) Defibrillation should occur as soon as possible for shockable rhythms
c) The nurse should continue compressions while shocking
d) Defibrillation is indicated for asystole
b) Defibrillation should occur as soon as possible for shockable rhythms
During a code simulation, a new nurse feels overwhelmed and dizzy before it starts. Which nursing action demonstrates primary prevention?
a) Offering stress management and breathing techniques before the event
b) Monitoring her vital signs before and after the code
c) Encouraging her to take part in self-reflection after the code
d) Providing peer debriefing support
a) Offering stress management and breathing techniques before the event
Having a debrief after the code to take part in reflection aligns best with which way of knowing?
a) Aesthetic Knowing
b) Empirical Knowing
c) Emancipatory Knowing
d) Personal Knowing
c) Emancipatory Knowing
Maria providing therapeutic reassurance to Sarah during the code aligns best with which CNO competency?
a) Leader
b) Educator
c) Communicator
d) Clinician
c) Communicator
Which action by the primary nurse best demonstrates leadrship during a code?
a) Taking the lead on compressions to set an example
b) Observing quietly so others can lead
c) Documenting all the events to avoid liability
d) Delegating each task clearly and ensuring role clarity
d) Delegating each task clearly and ensuring role clarity
Following a code, the nurse's first documentation priority is to record
a) Staff who were present
b) Outcomes
c) Time and sequence of events
d) Family notification details
c) Time and sequence of events
During the next code, Sarah mentors another new grad. Which Neuman concept does this reflect?
a) Primary prevention failure
b) Intrapersonal stressor re-emergence
c) Breakdown of normal line of defense
d) Strengthened flexible line of defense and tertiary prevention
d) Strengthened flexible line of defense and tertiary prevention