Foundations of Nursing Exam Materials
Course Introduction
Foundations of Nursing provides an introduction to the core principles and concepts essential to the nursing profession. This course covers the history and evolution of nursing, ethical and legal aspects of care, communication skills, health assessment techniques, and the nursing process. Students learn how to prioritize patient needs, deliver culturally competent care, and understand the roles and responsibilities of the nurse within the healthcare system. Emphasis is placed on developing clinical reasoning, fostering compassionate patient relationships, and applying evidence-based practice to promote safe and effective care.
Recommended Textbook
Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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25 Chapters
637 Verified Questions
637 Flashcards
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Page 2
Chapter 1: Beginning the Journey
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) According to the 2013 National Workforce Survey,what is the highest level of educational preparation for the majority of RNs?
A)Diploma
B)Associate degree
C)Baccalaureate degree
D)Master's degree
Answer: C
Q2) The nursing student is concerned because a faculty member does not follow the outline of the textbook chapters during class.What is true about this situation?
A)Many faculty use textbook reading as background for more advanced discussion.
B)The student should bring this oversight to the faculty member's attention.
C)The only way to correct this behavior is to report the faculty to the director of the nursing program.
D)The faculty member is probably not very comfortable with the material in the textbook.
Answer: A
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Chapter 2: Socialization to Professional Nursing Roles
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25 Flashcards
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Sample Questions
Q1) The newly licensed nurse committed a clinical error and was sanctioned by the unit manager.What is the purpose of a sanction?
A)Enforcement of norms
B)Documentation of wrongdoing
C)Development of leader-follower leveling
D)Externalization of ethics
Answer: A
Q2) The newly licensed nurse has theoretical knowledge and technical skill abilities but has difficulty working within the constraints of the nursing unit.What issue associated with role development does this situation exemplify?
A)Sending
B)Role formation
C)Reality shock
D)Mastery
Answer: C
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Chapter 3: Historical Foundations of Professional Nursing
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Sample Questions
Q1) A nursing student has achieved academic excellence and has been invited to join nursing's honor society.Which organization has this student been invited to join?
A)National League for Nursing
B)American Nurses Association
C)Sigma Theta Tau International
D)American Association of Colleges of Nursing
Answer: C
Q2) During which war did Dorothea Dix serve as superintendent of the United States Army nurse corps?
A)Revolutionary War
B)Civil War
C)War of 1812
D)Spanish-American War
Answer: B
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Page 5
Chapter 4: Ethical Foundations of Professional Nursing
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Sample Questions
Q1) Which scenario represents a nurse working at Kohlberg's preconventional stage of moral development?
A)The nurse agrees to work overtime today if he or she can have a weekend shift off.
B)The nurse agrees to work overtime today to gain the approval of the new nursing supervisor.
C)The nurse agrees to work overtime today because the hospital administration has released a rule stating that each nurse must work one overtime shift per month.
D)The nurse agrees to work overtime today because the other nurse who was asked to work the overtime shift needs to attend his or her child's school play.
Q2) What are the processes for acquiring values?
A)Prescribed by the dominant religion.
B)Formal education and study.
C)Discussions with clergy.
D)Choosing,prizing,and acting.
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6
Chapter 5: Legal Foundations of Professional Nursing
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Sample Questions
Q1) A new graduate is planning to delegate aspects of client care to unlicensed assistive personnel (UAP).Before completing this delegation,in which order should the graduate review the rights of delegation?
A)Task
B)Person
C)Circumstance
D)Supervision and evaluation
E)Direction and communication
Q2) The nurse has made a claim of sexual harassment against a coworker.What evidence must this nurse present?
A)The sexual advances occurred over a period of at least 6 weeks.
B)The conduct was explicit and was a condition of employment.
C)There was psychological damage from the conduct.
D)The actions created a hostile or abusive environment.
Q3) What are the primary sources of law? (Select all that apply. )
A)Statutes
B)Contract
C)Constitutions
D)Decisions of court
E)Federal
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Chapter 6: Remembering Development in Nursing
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nursing faculty is revising their program's curriculum and is developing a conceptual framework.What will this faculty develop?
A)A document that relates concepts by defining their significance to one another.
B)An overall view or orientation to focus thoughts.
C)A system of ideas proposed to explain a given phenomenon.
D)A specific outline of the curriculum's topics and contents.
Q2) Which option is an example of an inferential concept?
A)Rash
B)Equilibrium
C)Pain
D)Powerlessness
Q3) According to Carper,which way of knowing reflects the science of nursing?
A)Empirical knowing
B)Personal knowing
C)Esthetic knowing
D)Ethical knowing
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Chapter 7: The Nurse As Health Promoter and Care Provider
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) What is the primary role in which the nurse works when leading a health-promotion group?
A)Provider of care
B)Manager of care
C)Facilitator of the process
D)Member of the discipline of nursing
Q2) What is a goal of Healthy People 2020?
A)Elimination of health disparities.
B)Improvement of personal sense of well-being.
C)Identifying differences between health promotion and health protection.
D)Increasing people's involvement in health-promotion activities.
Q3) The nurse has been asked to provide a health-promotion session for a group of preschool children.Can the nurse work in this capacity?
A)No;health-promotion activities are limited to individual sessions.
B)The nurse may do so only if there is a medical order for the session.
C)No;health promotion is effective only with adult clients.
D)Yes;the nurse can work with groups or individuals of all ages.
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Chapter 8: The Nurse As Learner and Teacher
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Who should be involved in the development of a nursing teaching plan?
A)Only the nurse-teacher
B)The nurse-teacher and the client's physician
C)Only the client-learner
D)Both the nurse-teacher and the client-learner
Q2) What is the major determinant of the content of a teaching session?
A)What the nurse likes to teach
B)The learning objectives
C)What is written about the topic in a nursing textbook
D)The time to teach
Q3) How are the behaviors in each category of Bloom's domains of learning arranged?
A)Alphabetically
B)Simplest to most complex
C)By length of the word
D)Randomly
Q4) What would be the best environment for conducting client teaching?
A)The client is in the clinical educator's office.
B)The client is reclining in bed with the television on.
C)The client has just been medicated for pain.
D)The client is upright in bed with family members present.
Page 10
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Chapter 9: The Nurse As Leader and Manager
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) On this nursing unit,one nurse is assigned to administer medications to all the clients.Another nurse provides all the treatments such as dressing changes.Another nurse manages all invasive lines.What type of nursing delivery model is this?
A)Team nursing
B)Case management
C)Total patient care
D)Functional care
Q2) Which option characterizes the charismatic style of leadership?
A)The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care.
B)The unit manager makes all of the decisions on the unit and rarely asks for input from the group.
C)The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes.
D)The group leader is passive,allowing the group to work on goals independently.
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11
Chapter 10: The Nurses Role in Evidence-Based Health Care
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse wants to develop an evidence-based practice.What must this nurse do first?
A)Get permission from his or her employer.
B)Learn to critically appraise research reports.
C)Contact a consultant to help him or her learn about EBP.
D)Methodically categorize research findings in the nurse's specialty area.
Q2) The nurse has read about a clinical innovation that is evidence-based.The nurse is developing a positive attitude about the use of this innovation.Which stage of Rogers' theory of diffusion of innovation does this reflect?
A)Knowledge
B)Persuasion
C)Decision
D)Implementation
Q3) What is the name of the nursing research journal first published in 1952?
A)American Journal of Nursing
B)Research in Nursing and Health
C)Nursing Research
D)Western Journal of Nursing Research
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12
Chapter 11: The Nurses Role in Quality and Safety
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse manager is reviewing an occurrence report written after a client fall.For which personal factors should the manager consider as contributing to this occurrence? (Select all that apply. )
A)Patient consumed 75% of last meal
B)Patient's team leader a new graduate
C)Unlicensed assistive personnel assigned working a double shift
D)"Ambulate with assistance" not written on the Kardex care plan
E)Patient being discharged to a skilled nursing facility the next day
Q2) The hospital administrator is considering the implementation of the Lean model as the framework for quality improvement in an organization.In which order should the administrator explain the elements of this model?
A)Identify value
B)Improve the flow
C)Perfect the process
D)Test the new process
E)Determine the value stream
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13
Chapter 12: The Nurses Role As Political Advocate
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse has been invited to an informal nursing networking meeting at a church close to the hospital where she works.What should the nurse expect to encounter at this meeting?
A)A requirement to pledge money to the group by paying dues.
B)A focus on getting to know the others attending.
C)Presence of the local television network's news anchor.
D)A plea to support the church by donating time to events.
Q2) The vice president of nursing is reviewing the process of empowerment with all nursing managers in efforts to improve this behavior.In which order should the vice president explain the implement of this concept?
A)Support the staff
B)Provide staff with information
C)Highlight opportunities for development
D)Ensure resources to do the job are present
Q3) Which is true of nursing and politics?
A)Nurses have little political influence.
B)Nurses have been involved in politics for years.
C)Politics in a new arena for nursing.
D)There is no reason for nurses to be involved in politics.
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Page 14
Chapter 13: The Nurse As Colleague and Collaborator
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The nurses on the unit have approached the nurse-manager with reports that a physician is abusive and rude in interactions with staff.The nurse-manager says,"Don't take the remarks personally and maybe they will stop." This is an example of which negotiation technique?
A)Forcing
B)Bargaining
C)Smoothing over
D)Avoidance
Q2) The conflict negotiator tells the group that the desire is a win-win solution.What does this desire indicate?
A)Each side of the argument gets all it requests.
B)One side and the negotiator are successful in winning at least one point in the argument.
C)Each side is satisfied with the resolution.
D)In order to achieve resolution,each side compromises on items it views as important.
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15
Chapter 14: Communicating Effectively
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27 Flashcards
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Sample Questions
Q1) What is included in intrapersonal communication?
A)Exchange of information
B)Two or more people
C)Rapport
D)Knowledge
Q2) The staff development trainer is preparing teaching materials that focus on the basic elements of communication.In which order should the trainer explain the simplest process of communication?
A)Receiver sends a response
B)Sender develops a message
C)Receiver receives the message
D)Sender transmits the message
E)Receiver interprets the message
Q3) What is the best definition of communication?
A)The verbal message transmitted between two people
B)Nonverbal interactions between two or more people
C)Any means of exchanging information between two or more people
D)Any means of exchanging information or feelings between two or more people
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Chapter 15: Managing Change
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) What are Lewin's steps of change?
A)Instruct,manage,and reward
B)Chaos,change,and control
C)Trust,autonomy,and initiative
D)Unfreezing,moving,and refreezing
Q2) Managers who focus on their own objectives to complete a change process are utilizing whose change theory?
A)Lewin
B)Lippitt
C)Havelock
D)Rogers
Q3) Which is a key characteristic of a change agent?
A)Formal power
B)Coercive power
C)Trust
D)Charisma
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Chapter 16: Technology and Informatics
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Sample Questions
Q1) What is the ability to access relevant information at the patient's bedside considered?
A)Information systems at the point of care
B)Personal computerization
C)Digital communication
D)Equipment networking
Q2) Which applications of information technology are currently important to nursing? (Select all that apply. )
A)Internet access for patients
B)Physician order entries
C)Electronic transmission of prescriptions
D)Wireless and portable devices
E)Computer-based patient records
Q3) What reviews are included when evaluating the integrity of a hospital information system?
A)Confidence,competence,and compassion
B)Ethics,confidentiality,and caring processes
C)Empirical data,personal data,and esthetic data
D)Prizing,valuing,and choosing
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Page 18
Chapter 17: Nursing in an Evolving Health Care Delivery System
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Sample Questions
Q1) What do diagnosis-related groups (DRGs)establish?
A)The nursing care plan
B)Pretreatment diagnosis billing categories and fee schedule
C)Private health insurance premiums
D)The need for the primary care physician to be consulted
Q2) When comparing healthcare systems,the United States is an example of which type of system?
A)Socialized insurance
B)Voluntary insurance
C)Mandatory health insurance
D)Socialized medicine
Q3) What health care shift from centralized biomedical centers did the American Nurses Association identify to address cost containment?
A)Academic health centers
B)HMOs
C)Community nursing centers
D)Case management
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Page 19
Chapter 18: Providing Care in Home and Community
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Sample Questions
Q1) What would be included in the assessment of the health and social services subsystem of a community? (Select all that apply. )
A)Availability of emergency centers
B)The size of the community
C)Evidence of traditional healers
D)Presence of mental health facilities
E)Where families and children play
Q2) The high school nurse reviewed past records of female students in the school to determine the rate of teenage pregnancy.What is this an example of?
A)A retrospective study
B)A controlled study
C)A prospective study
D)An experimental study
Q3) What constitutes a healthy community?
A)Uses natural resources wisely
B)Encourages maximum governmental control over decision making
C)Being a problem-solving community with open communication among its members
D)Defers community crises to the federal government
E)Strives to provide for all members
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Page 20
Chapter 19: Global Health
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Sample Questions
Q1) The nurse is working in an environment that follows a primary care approach.Which nursing action supports the use of appropriate technology?
A)Teaching about medication for tuberculosis
B)Explaining the importance of a clean water supply
C)Extending the hours for the community health clinic
D)Encouraging students to use the free school-lunch program
Q2) An individual trained as a nurse in South Africa has set a personal goal to practicing nursing in the United States.What issue should this person be prepared to address to meet this personal goal?
A)Converting U.S.money
B)Comparable skill level
C)Living accommodations
D)Transportation to the hospital
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Chapter 20: Dimensions of Holistic Health Care
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Sample Questions
Q1) Why is a review of CAM therapies included in a study guide for the NCLEX?
A)It will be valuable for education of future patients.
B)It is an ethical responsibility for nurses to be knowledgeable about changes in health care.
C)Herbal remedies never interact with prescribed medications.
D)CAM therapies are rarely used by patients.
Q2) Herbs,vitamins,and organic whole foods are what complementary and alternative medicine category-based therapies?
A)Biologically-based
B)Energy
C)Manipulative body-based
D)Mind-body
Q3) What is the philosophy of health care that encourages healthcare providers to be more comprehensive in their approach to patient care,including physical,emotional,spiritual,and psychological attributes?
A)Holistic health
B)Nursing with a purpose
C)Complete health assessment
D)Contemporary alternative medicine
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Chapter 21: Nursing in a Culturally Diverse World
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Sample Questions
Q1) A male with chest pain and shortness of breath asks the doctor to "fix it so that I can go back to work." This statement reflects which health belief view?
A)Biomedical
B)Holistic
C)Magico-religious
D)Folk medicine
Q2) A client is a Black male of Jamaican heritage.What would be true regarding this client?
A)The client's race is Jamaican and his ethnicity is Black.
B)The client's race is Black and his ethnicity is Jamaican.
C)The client's race is Jamaican and his ethnicity is Jamaican.
D)The client's race is Black and his ethnicity is Black.
Q3) What can be stated regarding diversity in the United States?
A)Diversity is decreasing in the United States.
B)Diversity is increasing in the United States.
C)Diversity is relatively stable in the United States.
D)There has been no change in diversity within the last 40 years.
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Page 23
Chapter 22: Nursing in a Spiritually Diverse World
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Sample Questions
Q1) The nurse notices a twisted cloth bracelet tied around the wrist of a pediatric patient who is Hmong.The child's father explains that the bracelet is to protect the child's soul.What should the nurse recognize that the bracelet represents?
A)Child abuse,because the bracelets could cut off circulation to the child's hands
B)An antiquated practice
C)A religious practice carrying spiritual significance to the family
D)A need for patient and family education
Q2) The nurse is using the HOPE tool when assessing a patient's spiritual needs.In which order should the nurse ask the patient the following questions?
A)Identify sources of strength
B)What specific actions conducted?
C)Does religion influence health care?
D)What is the role of religion in your life?
Q3) To provide spiritually competent care,what should the nurse do first?
A)Perform a physical assessment.
B)Perform personal values-clarification activities.
C)Read the patient's nursing history.
D)Research information on the patient's cultural group.
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24
Chapter 23: Nursing in a Culture of Violence
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Sample Questions
Q1) What must be done when assessing an injured patient? (Select all that apply. )
A)Ensure privacy
B)Be alert for signs of abuse
C)Provide safety
D)Assert personal values
E)Display a nonjudgmental demeanor
Q2) When assessing community needs,where should the nurse be aware that domestic violence is found?
A)All strata of society
B)Exclusively among the less well-educated segment of the population
C)Primarily in lower-income families
D)Mostly in the elderly
Q3) As a nurse assessing abused children,the abused child may display which behavioral characteristics? (Select all that apply. )
A)High need for adult contact
B)Attempt suicide or abuse alcohol or drugs
C)Consistently be measured in the 95<sup>th</sup> percentile on growth charts
D)Verbalize fault for injuries: "I deserved it"
E)Express violence toward pets
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Chapter 24: Advanced Nursing Education and Practice
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Sample Questions
Q1) What is a voluntary process by which an agency or an association grants recognition to a person for meeting specified qualifications?
A)Licensure
B)Entitlement
C)Certification
D)Promotion
Q2) Which nurse founded the Frontier Nursing Service and was a pioneer in nurse-midwifery?
A)Florence Nightingale
B)Jeanne Mance
C)Mary Breckinridge
D)Lydia Hall
Q3) The nurse is considering returning to school to obtain a master's degree in nursing.In which order should the nurse consider the following?
A)Family support
B)Program requirements
C)Identify personal career goals
D)Financial needs for the family and school tuition
E)Determine if a nursing or non-nursing degree is desired
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Page 26
Chapter 25: The Future of Nursing
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Sample Questions
Q1) Nurses attempting to educate patients concerning their health needs should inform the patients of their possible future,or:
A)The most likely outcome if things continue unchanged
B)What can happen if some things change
C)The most likely outcome when specific efforts are made to accomplish a desired outcome
D)The outcome that is wanted
Q2) The inability to reach consensus on the "entry into practice" preparation for nursing has caused which outcome?
A)A unified approach to professional regulation and licensure
B)Differentiated practice
C)Divisiveness among nurses with different educational preparation
D)The current nursing shortage
Q3) On what should nurses focus in order to keep up with the globalization of health care?
A)Medical care development
B)Advanced practice nursing
C)Culturally competent care
D)Standards of practice
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Page 27