Contemporary Nursing
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Course Introduction
Contemporary Nursing explores the dynamic and evolving role of the professional nurse in todays complex and multifaceted healthcare environment. The course examines current trends, challenges, and advancements in nursing practice, including evidence-based care, technology integration, cultural competence, ethical decision-making, and interdisciplinary collaboration. Students will analyze the impact of policy, leadership, and advocacy on healthcare delivery while addressing the importance of lifelong learning and professional development. Emphasis is placed on critical thinking, patient-centered care, and the application of contemporary theories and models to promote safe and effective nursing practice in diverse settings.
Recommended Textbook Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T. Catalano
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Chapter 1: The Development of the Profession
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Q1) In its attempt to gain freedom and independence, what corresponding factors must the nursing profession embrace?
A)Health and happiness
B)Chaos and disorder
C)Loss of control and negative feedback
D)Responsibility and accountability
Answer: D
Q2) What allows a nurse to exert referent power over a client when providing nursing care?
A)The ability to withhold pain medication if the client does not comply with routines
B)The ability to provide the client with additional food when he or she does comply with the nurse's requests
C)The power given to the nurse by reason of state licensure
D)The establishment of a professional and personal relationship with the client
Answer: D
Q3) The overall goal of nurses who work as case managers is to ________________the use of health-care services in the most efficient and cost-effective manner possible.
Answer: coordinate
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Chapter 2: Historical Perspectives
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Q1) Which belief about what nurses needed to do shaped Lillian D. Wald's nursing practice?
A)Spend more time in clinical preparation and less time in the classroom.
B)Fight political corruption to procure the types of legislation needed to improve social conditions.
C)Conduct more research into the conditions of hospital patients.
D)Stand up to medical doctors who were arrogant and obnoxious.
Answer: B
Q2) What was a major goal of Lavinia Dock?
A)Establish a new nursing organization.
B)Publish a nursing journal.
C)Obtain the right to vote for women.
D)Improve the education of nurses.
Answer: C
Q3) Who is called the "father of modern medicine"?
A)William Harvey
B)Hippocrates
C)Cyrus the Great
D)Emperor Darius
Answer: A
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Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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Q1) Why is it important to determine if the goals and purposes of a specialty organization are at odds with the goals and purposes of the American Nurses Association?
A)Divergent goals produce better dialog between groups of nurses to improve both the quality and the options for care.
B)Nurses will have a choice between several distinct options and can make more informed decisions about which organization to belong to.
C)Legislators can become easily confused if they receive conflicting information from several different groups of nurses.
D)The health-care system has become so complex that only a wide range of options for the provision of health care can successfully be used.
Answer: C
Q2) What is the primary goal for establishing licensure of nurses?
A)Guarantee high-quality nurses.
B)Increase tax revenues for the state.
C)Set a minimum level of competency to protect the public.
D)Maintain high numbers of nurses in the profession.
Answer: C
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Chapter 4: Theories and Models of Nursing
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Q1) In what way have advanced practice nurses most contributed to the development of theories and models in nursing?
A)Using their advanced education to develop new, more realistic theories
B)Challenging theorists to publish their theories in language everyone can understand
C)Requiring theorists to modify their theories to meet the needs of independent practice
D)Testing theories in actual nursing practice situations
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q2) "Stimuli" in the Roy Adaptation Model is synonymous with which element in systems theory?
A) Output
B) Feedback
C) Input
D) Coping
Q3) The nursing profession uses the term ________________when attempting to explain apparent relationships between observed behaviors and their effects on a client's health.
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Chapter 5: The Process of Educating Nurses
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Q1) Select all the elements from the list below that were found as assumptions in the ANA Position Paper on Nursing Education.
A)Nursing education should meet the increasing need for nurses as quickly as possible.
B)The professional practitioner is responsible for the nature and quality of all nursing care clients receive.
C)Education for those in the health-care professions must increase in depth and breadth as scientific knowledge expands.
D)Community colleges are able to prepare nurses just as well as 4-year colleges.
E)The demand for the services of nurses will continue to increase.
Q2) In 1996, the American Association of Colleges of Nursing (AACN) presented a position paper emphasizing the belief that the ________________degree should be the minimal requirement for entry into the nursing profession.Multiple Response Identify one or more choices that best complete the statement or answer the question.
Q3) Nursing care that is client-focused and revolves around the client's trust in, value of, and understanding of the nurse's skills is called _________________________.
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Chapter 6: Critical Thinking
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Q1) If all of these goals were appropriate for a client, which would have the highest priority?
A)Prevent injury from falls caused by confusion
B)Re-establish the role as primary provider for the family
C)Improve body image after leg amputation
D)Control postoperative bleeding
Q2) Identify the missing premise in this argument: All nursing students have a high IQ; therefore, Michelle Clark has a high IQ.
A)Michelle Clark goes to a large university.
B)Only nursing students with a high IQ can get into nursing school.
C)A high IQ is required for nurses to practice safely.
D)Michelle Clark is a nursing student.
Q3) Which step of the nursing process identifies the success or failure of the plan of care developed by a nurse?
A)Assessment
B)Evaluation
C)Analysis
D)Implementation
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Chapter 7: Ethics in Nursing
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Q1) Identify the system of ethical decision-making that is based on the discovery and confirmation of a set of morals or rules that govern the ethical dilemma.
A)Deontological
B)Jurisdictional
C)Teleological
D)Theological
Q2) What term is best defined as standards of right and wrong that are often based on religious beliefs?
A)Morals
B)Values
C)Laws
D)Ethics
Q3) What is the primary function of an ethical code?
A)A framework for decision making
B)A collection of static rules
C)A group of legally binding values
D)The "ball and chain" of the profession
Q4) Over time, popular acceptance of ________________rights can give them force of ________________rights.
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Chapter 8: Bioethical Issues
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Q1) Identify the nursing action that is most important for nurses to ensure when assisting in genetic screening procedures such as amniocentesis.
A)Informed consent is given freely by the client.
B)The client understands the nature of the procedure.
C)The client understands the type of information that will be produced by the procedure.
D)The confidentiality of the information will be maintained.
Q2) A nurse who works in a federally funded abortion clinic becomes aware that aborted second-trimester fetuses are being sent to a nearby university for research and transplantation. What should this nurse do with this knowledge?
A)Keep quiet about the finding because she might lose her job.
B)Confront the medical director of the clinic with the fact that this practice is both illegal and unethical.
C)Tell her supervisor that she knows about what is going on and ask for a raise.
D)Report the practice to the Department of Health and Human Services.
Q3) The essential ethical principle of ________________is the legal and ethical foundation for the use of advanced directives.
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Chapter 9: Nursing Law and Liability
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Q1) Which type of tort may occur if a client is not allowed to leave the hospital after receiving emergency care until the bill is paid?
A)Assault
B)Battery
C)Invasion of privacy
D)False imprisonment
Q2) In which situation would an emergency room nurse be justified in proceeding without obtaining consent, verbal or otherwise?
A)An unconscious, profusely bleeding victim is brought in by ambulance.
B)A 13-year-old child is brought to the emergency room after suffering a fractured arm while at school.
C)A construction worker comes into the emergency room to have a boil lanced.
D)A 15-year-old high-school girl comes in for treatment of psoriasis.
Q3) In which situation might the tort of "invasion of privacy" most likely exist?
A)Notifying the police of Mr.Jones's gunshot wound
B)Discussing Mrs.Green's surgery in the hospital cafeteria
C)Calling the police concerning an obvious child abuse case
D)Notifying the public health department concerning Mr.Smith's diagnosis of gonorrhea
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Chapter 10: How to Take and Pass Tests
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Q1) A 73-year-old man receives hydralazine (Apresoline) 20 mg PO at 0800. When the nurse checks his blood pressure at 0900, she obtains a reading of 72/44 mm Hg. The client has been taking this same dose of medication for 3 years. The nurse finds all of the following data in the client's chart. Identify the finding that is most significant for producing the client's current blood pressure.
A)Pedal pulses 1 + and weak
B)24-hour fluid intake 1000 mL - 3 days
C)Serum potassium 3.3 mEq/L
D)Apical pulse 150 BPM, slightly irregular
Q2) Identify the instructions by the nurse to a client with a history of pancreatitis that best aids in the prevention of discomfort associated with diet.
A)Drink 2 liters of fluid at each meal and eat a high-fat diet.
B)Avoid caffeine beverages and eat a low-fat diet.
C)You need to keep your energy levels up by eating a high-carbohydrate and high-fat diet.
D)A high-sodium, high-protein diet best prevents abdominal discomfort.
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Chapter 11: Nclex: What You Need to Know
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Q1) What statement is most accurate about the NCLEX-CAT, RN?
A)It is a certification examination taken by all nurses.
B)It is too difficult for most new graduates to pass the first time.
C)It is unnecessary in states where institutional licensure is the rule.
D)It is required of all nurses for licensure.
Q2) Which word found in a stem question would make the question negative?
A)First
B)Atypical
C)Highest priority
D)Appropriate
Q3) Choose the most therapeutic response by the nurse to a new mother who verbalizes uncertainty about her ability to breast feed her new baby.
A)Breast feeding a baby is best.Bottle feeding is only a poor substitute for women who can't produce enough milk.
B)Let's try the breast feeding first and see how you do.I'll be right here to help you with the process.
C)We can give him a bottle until your milk comes in and you feel more sure about your ability to breast feed.
D)If you don't make up your mind right away, we'll be forced to bottle feed him.
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Page 13
Chapter 12: Reality Shock in the Workplace
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Q1) Identify what a new graduate nurse who is having unresolved role conflicts may experience.
A)Pleasure in the work setting
B)Cooperation with fellow employees
C)Fulfillment of basic needs
D)High levels of anxiety
Q2) Which tasks are designated as category A tasks that the nurse needs to complete on time?
A)Cleaning up the room and combing the client's hair
B)Charting and daily bath
C)Lunch break and changing the linens
D)Administering medications and changing dressings
Q3) Which question should the new graduate ask first during the interview for a new job?
A)What is the salary for this position?
B)What responsibilities are involved in this position?
C)How much vacation will I get during the first year?
D)What are my chances for promotion?
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Chapter 13: Principles of Leadership and Management
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Q1) After her first week working on a busy medical/surgical unit, a new charge nurse notes that the individual nurses are highly competent but seem to be unable to function productively as a team. Select the action by the charge nurse that would best facilitate team building among the staff.
A)Provide an opportunity for the nurses to express their feelings and emotions.
B)Hire more staff members to reduce stress and fatigue from understaffing.
C)Allow the staff more input into important policy decision-making.
D)Give the staff members more time to adjust to the change in charge nurses.
Q2) What is the primary drawback to using the trait theory of management in developing management skills?
A)It does not take into account how the person responds in specific situations.
B)A person has to have all the traits in order to be an effective manager.
C)Only persons with many years of experience can master the required traits.
D)It is not reflective of the traits that are required for management.
Q3) Based on a task-oriented philosophy, ____________________ requires each person to perform a specific job that is narrowly defined according to the needs of the unit.
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Chapter 14: Communicating Successfully
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Q1) When does the encoding process of communication take place?
A)The receiver thinks about the information, understands it, and forms an idea based on the message.
B)The receiver responds to the message and gives feedback.
C)The sender sends the message.
D)The message is sent in a way that causes confusion in the receiver.
Q2) Identify the characteristics required in a person who is able to resolve difficult crises.
A)Has decreased self-esteem and motivation
B)Uses newly developed coping skills to resolve future crises
C)Views the experience as personally destructive
D)Avoids difficult situations in the future
Q3) Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
A)"I am the manager, and we will do it my way."
B)"I'm sorry, but your suggestion was useless to solving the problem."
C)"I really don't care; do it the way you think best."
D)"You have made some good points, but I have another suggestion."
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Page 16
Chapter 15: Incivility: the Antithesis of Caring
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Q1) What is the underlying principle upon which all definitions of civility are built?
A)Good manners
B)The Civil Rights Act of 1964
C)Recognizing the importance of all human beings
D)The fight against injustice and oppression
Q2) The caring-civility link is best exemplified by which of the following?
A)Helping in disasters in foreign countries
B)Conducting scholarly research into overcoming health-care disparities
C)Accepting criticisms from physicians even though unjustified
D)Making nursing assignments based on clients' needs and nurses' skills
Q3) How does transformational leadership (TL) aid in reversing incivility in the work or school environment?
A)Nurse leaders learn how to develop plans to deal with incivility when it occurs.
B)It acts as a lens through which leaders can reflect and change inequalities.
C)It creates a more open channel of communication from workers to leaders.
D)It maintains the status quo so that the environment is more predictable, thereby reducing workers' stress levels.
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Chapter 16: Delegation in Nursing
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Q1) Identify the task that may be delegated to an LPN (LVN) if all the clients are stable.
A)Adding potassium to a bag of D5W that was already hanging
B)Developing the nursing diagnosis for a newly admitted client
C)Teaching a new diabetic patient how to administer insulin injections
D)Turning a client with a CVA every 2 hours
Q2) Most state nurse practice acts do not give delegatory authority to _____________________such as licensed practical nurses or unlicensed assistive personnel (UAPs).Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q3) From the list below, select all items that would constitute barriers to effective delegation.
A)Decisiveness
B)Micromanaging
C)Policies that tolerate mistakes
D)Management-by-crisis mode
E)Confidence in self
F)Work overload
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Chapter 17: Governance and Collective Bargaining
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Q1) What is usually considered to be an unfair labor practice?
A)Being fired because a physician does not like a nurse's attitude
B)Being passed over for promotion with an explanation of the rationale
C)Being assigned to work five weekends in a row when the policy states that nurses will be required to work as needed
D)Only being allowed 2 weeks of vacation during the first year of work.
Q2) Select from the list below all items that are found in a good contract:
A)Description of the official collective bargaining group
B)Statement outlining the objectives of both management and employees
C)Description of grievance procedures
D)List of all the employees covered by the contract
E)List of what is expected of the professional
Q3) Identify the most important factor in the initial negotiation of a contract.
A)Discussion of the important issues
B)Posturing and showmanship
C)Resolution of key conflicts
D)Lack of willingness to negotiate
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Chapter 18: Health-Care Delivery Systems
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Q1) Identify a type of care delivery model that focuses on the whole person and gives the nurse responsibility for all of the client's nursing needs.
A)Modular nursing
B)Team nursing
C)Primary care nursing
D)Functional nursing
Q2) The primary difference between HMOs and independent practice associations (IPAs) is that under the IPA system:
A)Physicians lose much of their control over health-care delivery
B)Clients pay on fee-for-service basis rather than prepaid premiums
C)Nurses receive reimbursement on an individual basis for the care they provide
D)The number of services provided is not limited
Q3) What is a result of past difficulties with the Blue Cross/Blue Shield insurance plans?
A)Increased emphasis on preventative health care
B)Involvement of the hospital boards of directors to lower costs
C)More private insurance companies administering Blue Cross/Blue Shield programs
D)Transfer of more power to physicians' groups to monitor the flow of money within the program
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Page 20
Chapter 19: Nursing Informatics
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Q1) Identify the element that has been found most effective in the reduction of technology-related errors in client care.
A)Extended periods of training
B)Computer-based reminder systems
C)Systems involving 8 to 10 steps
D)Hiring only the most intelligent nurses
Q2) Identify the element that is not commonly found in information science.
A)Data or tasks that are processed
B)Configuration and architecture of the computer system
C)How problems are solved
D)Where products are produced
Q3) What is the primary concern that health-care providers have in the use of computers in client care?
A)The ability to maintain privacy and confidentiality
B)The training and knowledge required by nurses to use the system effectively
C)The ability to provide quality care when the computers malfunction
D)The legal implications of having a computerized record of every aspect of client care
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21
Chapter 20: The Politically Active Nurse
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Q1) What is the primary purpose of the American Nurses Association-Political Action Committees (ANA-PACs)?
A)Persuade public officials to work for legislation nurses consider important.
B)Influence the outcome of elections.
C)Prevent bills that are negative for nursing from being introduced in Congress.
D)Attempt to change the minds of legislators already serving in Congress.
Q2) Identify an issue that would be considered constituent specific.
A)Funding of a new research project
B)Universal coverage for prescriptions for the elderly
C)Increase in the rates for natural gas
D)Passing laws punishing corporate CEOs who bankrupt their companies
Q3) What role do executive orders play in the political process?
A)Actively involve the legislature in key political decisions.
B)Shorten the time it takes to implement a political decision.
C)Help nurses by targeting endorsements.
D)Formulate policy with minimal involvement from the legislature.
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Chapter 21: Spirituality and Health Care
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Q1) When nurses appreciate the belief that the client's observations may be more objective than the nurses' because they are attached to the client's past experiences and knowledge, including rich descriptions of the person's experiences of life transitions, they are recognizing which approach to health care?
A)Scientific
B)Phenomenological
C)Deontological
D)Religious
Q2) What is involved in a secular approach to spirituality?
A)A set of positive values, such as love, honesty, and truth, chosen by an individual that ultimately become that person's supreme focus of life and organizing framework
B)The ideology of the Imago Dei (i.e., image of God), or soul, that exists in every person
C)A profound sense of transcendence and awe
D)Integrative energy that is capable of producing internal human harmony or holism
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Chapter 22: Cultural Diversity
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Q1) What indicates that a nurse has developed cultural awareness?
A)Recognizes and values all aspects of a client's culture
B)Learns about the client's cultural background
C)Understands her or his own cultural actions
D)Uses a cultural assessment tool with all clients
Q2) What is the most important factor in obtaining an accurate cultural assessment of a client?
A)Using a comprehensive assessment tool
B)Establishing a warm, trusting relationship
C)Using a translator
D)Asking pointed questions about the client's beliefs and values
Q3) Developed from a long-term process and based on a need for group survival, ________________are neither right nor wrong.
Q4) Select the term used for an oversimplified belief, conception, or opinion about another person or group based on a limited amount of information.
A)Judgment
B)Stereotype
C)Bias
D)Prejudice
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Chapter 23: Developments in Current Nursing Practice
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Q1) Identify an important aspect of the role of forensic psychiatric nurses.
A)Conduct deep analyses of perpetrators to determine what caused the crime.
B)Provide intervention to prevent crimes before they occur.
C)Identify changes in behaviors linking criminals to criminal offenses.
D)Promote functional disabilities.
Q2) What is the most accurate description of clinical forensic nursing?
A)Management of crime victims from trauma to trial
B)Collection of both physical and psychosocial evidence
C)Provision of mental health treatment for victims
D)Recognizing and guaranteeing the human rights of those who are incarcerated
Q3) In addition to role expectation, what other factor is used to identify forensic nursing?
A)Independence of practice
B)Role setting
C)Educational preparation
D)Role interdependence
Q4) With the exception of the emphasis on ____________________, response to bioterrorist attacks is similar to the traditional public health response to naturally occurring outbreaks of communicable diseases.
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Page 25
Chapter 24: Client Education: a Moral Imperative
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Q1) Learning objectives that address positive attitudes, constructive feelings, and values (ethics) fall into which domain?
A)Cognitive
B)Affective
C)Psychomotor
D)Intellectual
Q2) Identify the elements that are considered essential to include in an electronic client-education tracking system. Select all that apply.
A)Client control
B)Physician input
C)Customized to each client
D)Continuous tracking
E)Successful outcomes
Q3) A client's reading comprehension level and ability to follow through on health instructions is called ____________________.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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26
Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) As nurses accept the responsibility of implementing research findings, they will begin plans to implement changes in their practice setting. What suggestion might help smooth the transition on a hospital unit?
A)Involve the nursing leaders to plan how the changes will be implemented.
B)Have the unit manager include the changes in the policy and procedure manual.
C)Seek input from all nurses who have a stake in the intervention or changes.
D)Have a staff education meeting, talk about great change, and serve pizza.
Q2) It is important for nurses to develop the skill of ________________so that they will have the ability to understand the research process and then be able to sift through and carefully assesses all available and credible research findings.
Q3) Identify the best and most inclusive definition of nursing research.
A)A rigorous method of scientific inquiry
B)A study that will be implemented after a review by the Institutional Review Board of the hospital
C)Scientific knowledge generated through an exhaustive review of the literature
D)A systematic process to test or discover information with the goal of improving client care
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Page 27
Chapter 26: Alternative and Complementary Healing Practices
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Q1) Some cultures do not prescribe herbs based on the biologic effects of their chemical ingredients but rather use the _____________________by which they are prescribed on the basis of their physical and taste characteristics; for example, herbs with heart-shaped leaves are used to treat heart problems.Multiple Response Identify one or more choices that best complete the statement or answer the question.
Q2) Select from the list below all the reasons for the increasing use of alternative and complementary healing practices.
A)Dissatisfaction with conventional health care
B)Desire for greater control over one's health
C)Desire for cultural and philosophical congruence with personal beliefs about health and illness
D)Growing understanding of the philosopy behind alternative practices
E)Belief in the effectiveness of alternative therapies
F)Traditions passed on from parents
Q3) With the goal of restoring the natural movement of vital forces, life essences, or other such vitalities, ________________bring balance back to factors disturbed by diseases or trauma.
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