Foundations of Professional Nursing Practice Chapter Exam Questions - 637 Verified Questions

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Foundations of Professional Nursing Practice

Chapter Exam Questions

Course Introduction

Foundations of Professional Nursing Practice introduces students to the essential principles and skills required for effective nursing care. The course explores the historical and theoretical underpinnings of the nursing profession, ethical and legal responsibilities, professional standards, and the nurse's role within the healthcare system. Emphasis is placed on critical thinking, communication, the nursing process, patient safety, and evidence-based practice. Students gain foundational knowledge necessary to provide holistic, patient-centered care across diverse populations and develop competencies that are vital for advancing in the nursing profession.

Recommended Textbook

Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais

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Chapter 1: Beginning the Journey

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Q1) Why is self-reflection important to the student?

A)It is the only way to discover whether the student is suitable for nursing.

B)Self-reflection is required by the state nursing practice acts of all states.

C)It helps the student understand self in relation to professional role.

D)Self-reflection is part of the code of ethics for nurses.

Answer: C

Q2) The nurse who has decided to seek a master's degree asks the hospital's chief nurse for support.The chief nurse followed a career path from associate degree nurse,to baccalaureate nurse,to master's prepared nurse,and eventually obtained a nursing doctorate.The chief nurse would be acting in which role for the new student?

A)Colleague

B)Friend

C)Faculty

D)Mentor

Answer: D

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Chapter 2: Socialization to Professional Nursing Roles

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Q1) What are Patricia Benner's five levels of proficiency in nursing?

A)Student,graduate,clinical specialist,practitioner,clinician.

B)Pre-professional,technical,professional,advanced,expert.

C)Novice,advanced beginner,competent,proficient,expert.

D)Student,staff nurse,manager,supervisor,director.

Answer: C

Q2) Which option best describes the major emphasis of the approach traditionally taken by physicians in their relationship with clients?

A)Caring

B)Communication

C)Clinical,biological

D)Behavioral science

Answer: C

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Chapter 3: Historical Foundations of Professional Nursing

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Q1) The history of nursing is most strongly associated with which other factor?

A)The history of women

B)The development of medical technology

C)The growth of religion across the frontier

D)The decline of the family unit

Answer: A

Q2) Which statement describes the significance of the Mosaic Code in the history of health care?

A)The code outlined policy and procedure for early surgical interventions.

B)Early nurses ascribed to the code as a part of their registration process.

C)Public health was improved by this first sanitary legislation.

D)This code provided strict educational requirements for physicians.

Answer: C

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Chapter 4: Ethical Foundations of Professional Nursing

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Q1) To what does the moral principle of fidelity refer?

A)Truth telling

B)Duty to do no harm

C)Faithfulness

D)Doing good

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.

Q3) The nurse has a strong personal value system and is concerned that these values may conflict with the values of a newly assigned nursing unit.What should the nurse do?

(Select all that apply. )

A)Identify personal values.

B)Be watchful for situations in which there may be a values conflict.

C)Hold personal values in check if it is still possible to provide effective care.

D)Refuse to be transferred to this unit.

E)Discuss the situation with the nursing supervisor.

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Chapter 5: Legal Foundations of Professional Nursing

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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) A nurse who has been taking antihistamines for a head cold says these medications always make her "sleepy." Is this nurse impaired?

A)No;impairment means under the influence of alcohol.

B)Yes;any situation that clouds the nurse's professional vigilance can be thought of as impairment.

C)No;impairment from drug ingestion occurs only if the drugs are illegal.

D)The nurse is impaired only if he or she has taken more medication than is recommended by the medication literature.

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Chapter 6: Remembering Development in Nursing

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Q1) A hospital's nursing assessment form reflects first-level and second-level assessment.From this information,the nurse seeking employment at this facility determines that nursing service follows which theorist?

A)Orem

B)Roy

C)Benner

D)Leininger

Q2) While planning care,the nurse works with the client and chooses a wholly compensatory nursing system to help the client achieve an optimal level of self-care.What is true about this situation?

A)Most nursing theorists support a different form of planning.

B)Nursing theories do not lend themselves to the action of planning nursing care.

C)Orem's general theory of nursing involves this type of planning.

D)This type of planning is only supported by the caring theorists.

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Chapter 7: The Nurse As Health Promoter and Care Provider

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Q1) According to Pender,Murdaugh,and Parsons,what is the definition of health promotion?

A)Behavior designed to avoid illness.

B)Behavior to increase early detection.

C)Behavior to help maintain function within constraints of illness.

D)Behavior motivated by a desire to increase well-being.

Q2) The nurse is involved in an organization whose goal is to help children make the decision not use tobacco.Which type of health organization does this represent?

A)Health protection

B)Health restoration

C)Preventive health services

D)Health promotion

Q3) During a health visit a client who has been reviewing smoking cessation material states "I've already cut back from a pack a day to half a pack." According to Prochaska and DiClemente,in which stage of change is this client?

A)Preparation

B)Precontemplation

C)Action

D)Contemplation

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Chapter 8: The Nurse As Learner and Teacher

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Q1) Which behaviors are including in Bloom's cognitive domain of learning? (Select all that apply. )

A)Comprehending information

B)Analyzing information

C)Evaluating information

D)Applying information

E)Acquiring information

Q2) Which option best reflects how nurses provide education to other nurses?

A)Informally on the unit

B)Formally in the classroom

C)Formally online

D)Both formally and informally

Q3) The nurse is conducting a teaching session with a client for whom English is a second language.How should the nurse proceed?

A)Use medical terms

B)Use colloquialisms

C)Use abstract words

D)Use short sentences

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Chapter 9: The Nurse As Leader and Manager

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Sample Questions

Q1) Which of these statements is most accurate?

A)Managers are born;leaders must be educated.

B)Leaders are born;managers must be educated.

C)Managers have formal leadership titles in the organization;leaders are often informal leaders.

D)Leaders have formal leadership titles in the organization;managers are informal leaders.

Q2) What is the focus of leadership?

A)People

B)Systems

C)Structures

D)Other organizations

Q3) The nurse has been hired by the organization to direct the work of other nurses.What is the term used to describe the type of power this nurse will hold?

A)Responsibility

B)Personal influence

C)Authority

D)Accountability

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Chapter 10: The Nurses Role in Evidence-Based Health Care

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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) A literature review before conducting research serves which purpose? (Select all that apply. )

A)It can establish the body of knowledge related to the research problem.

B)It can identify gaps in the literature.

C)It may provide an answer to the question posed.

D)It prevents the researcher from being charged with plagiarism.

E)It may change the problem focus,based upon previous findings.

Q3) The nurse is interested in implementing evidence-based care in practice and is conducting a search for pertinent research studies.Which type of research is most likely to produce best evidence?

A)Literature review of the topic

B)Randomized clinical trial

C)Research that explains phenomena

D)Descriptive research

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Chapter 11: The Nurses Role in Quality and Safety

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Q1) The staff development trainer is preparing information for a seminar on the Quality and Safety Education for Nurses (QSEN)initiative as part of the National Safety Week celebration.Which attributes should the trainer emphasize as being an integral part of this initiative? (Select all that apply. )

A)Skills

B)Caring

C)Attitudes

D)Education

E)Knowledge

Q2) The quality improvement committee is creating materials to use when implementing Six Sigma into the organization.In which order should the steps of this process be presented to the staff?

A)Identify desired outcomes

B)Analyze data of new processes

C)Monitor ongoing improvements

D)Identify process revisions required

E)Collect data on the defined process

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Chapter 12: The Nurses Role As Political Advocate

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Sample Questions

Q1) What is the name of the national association developed for student nurses?

A)ANA

B)NSNA

C)CNA

D)NLN

Q2) In which activities would a nurse lobbyist engage?

A)Influencing a legislator to support certain legislation

B)Passive resistance

C)Political demonstrations

D)Running for office

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.

Q4) What is a strategy used to influence political decisions?

A)Demanding change

B)Acting as an individual

C)Negotiating

D)Complaining to peers

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Chapter 13: The Nurse As Colleague and Collaborator

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Sample Questions

Q1) The hospital is a complex organization in which some amount of conflict is always present.How is this level of conflict described?

A)Latent

B)Felt

C)Perceived

D)Overt

Q2) Which option represents the highest level of collaboration?

A)The nurse,physician,and dietician have communicated individually with the client.

B)The nurse,physician,and dietician have all written an individual plan of care and included it in the client's medical record.

C)The nurse and physician have discussed the nutritional needs of the client and have referred the patient to the dietician for a nutritional plan and teaching.

D)The physician wrote a medical order for the nurse to contact dietary for a consult.

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Chapter 14: Communicating Effectively

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Sample Questions

Q1) The nurse manager received the following email from the director of nursing:

TO: Nurse Manager,RN

FROM: Director of Nursing,RN

DATE: Month,Day,Year

SUBJECT: Staff Behavior

Hi Janie,

Yesterday when I was leaving work I saw two of your unlicensed assistive personnel sitting outside on the wall having a cigarette.As you know our organization has a 'No Smoking on Campus' policy.I expect that you will handle discussing this with your staff. Thanks!

Marie

How should the manager handle the message conveyed in this email?

A)Forward the staff the director's email

B)Print the email and give it to the staff

C)Reprimand the staff for violating hospital policy

D)Respond in email,asking why the director didn't counsel the staff

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Chapter 15: Managing Change

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Sample Questions

Q1) In Lewin's Force Field Analysis Model,which two forces affect change?

A)Power and coercion

B)Driving forces and restraining forces

C)Reward and punishment

D)Discontentment and challenge

Q2) In the diffusion-innovation theory,what causes change?

A)Planned change by a change agent

B)Driving forces

C)Social change and spread of new ideas

D)Restraining forces

Q3) Which change theory is based on beliefs that people are rational and that they will change if it is in their self-interest?

A)Power-coercive

B)Persuasive

C)Empirical-rational

D)Facilitative

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Chapter 16: Technology and Informatics

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Sample Questions

Q1) What does the acronym HIPAA stands for?

A)Health Information Privacy Protection Act

B)Human Information Personal Protection Act

C)Higher Insurance Privacy Protection Act

D)Health Insurance Portability and Accountability Act

Q2) Which ethical concept applies to the use of information technology in health care?

A)Autonomy

B)Free will

C)Diversity

D)Remembering

Q3) How does the patient-centered informatics model differ from the older nursing informatics models?

A)It is used to guide patient care decisions at the bedside.

B)It includes nursing science.

C)It is interdisciplinary.

D)It relies on the World Wide Web for information.

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Chapter 17: Nursing in an Evolving Health Care Delivery System

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Q1) While discharging a patient from the hospital,the case manager should be concerned with what kind of follow-up care?

A)Provision of intensive care

B)Linking the patient to appropriate resources

C)Direct provision of primary care

D)Billing for DRGs

Q2) 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

Q3) When accepting a position in a Swedish hospital,a nurse would need to understand that physicians work under contracts dictated by standards of which system?

A)Socialized medicine

B)Capitalism

C)Communism

D)Free enterprise

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Page 19

Chapter 18: Providing Care in Home and Community

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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) What would be included in the assessment of the physical environment subsystem of a community? (Select all that apply. )

A)The appearance of the environment

B)The number of schools

C)The size of the community in square miles

D)The number of homeless shelters

E)A map of the area

Q3) On what do community health nurses focus?

A)Ability to pay for care

B)Diagnoses

C)Client aggregates

D)The total person

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Chapter 19: Global Health

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Q1) The nurse researcher is identifying potential areas within nursing that affect human rights.Which areas should the researcher consider for further study? (Select all that apply. )

A)Telenursing

B)Palliative care

C)Forensic nursing

D)Infusion therapy

E)Nurse imprisonment

Q2) The Centers for Disease Control and Prevention are tracking an outbreak of smallpox in a small community in Oklahoma.Which organizations should the community health nurse contact for assistance to help during this outbreak? (Select all that apply. )

A)Fogarty International Center

B)U.S.National Institutes of Health

C)Department of Foreign Affairs and Trade

D)Foreign Affairs,Trade,and Development

E)U.S.Agency for International Development

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Chapter 20: Dimensions of Holistic Health Care

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Q1) A patient has been experiencing lower back pain for over a year and has decided to seek chiropractic therapy.This form of CAM falls under which integrative therapy?

A)Mind-body therapy

B)Biologically-based therapy

C)Manipulative body-based therapy

D)Energy therapy

Q2) A patient takes herbal medicines,vitamins,and eats only whole or organic foods.Based on this information,what is this patient practicing?

A)Mind-body alternative therapies

B)Biologically-based alternative therapies

C)Manipulative body-based alternative therapies

D)Energy alternative therapies

Q3) 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.

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Chapter 21: Nursing in a Culturally Diverse World

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Q1) Which statement best describes acculturation?

A)Also referred to as assimilation,acculturation is the integration of the cultural patterns of the dominant or host culture into the person's way of life.

B)Spector suggests that it takes seven generations for a family to become fully assimilated into the American culture.

C)It doesn't occur because people are already acculturated when they immigrate to the United States.

D)The study of different cultures and subcultures

Q2) The American Association of Colleges of Nursing (AACN)identified certain competencies essential for graduates of baccalaureate nursing programs to provide culturally competent care.Which statements reflect these competencies? (Select all that apply. )

A)Participate in continuous cultural competence development

B)Use relevant data sources and best evidence to provide culturally competent care

C)Reinforce health disparities among populations

D)Promote achievement of safe and quality outcomes of care for diverse populations

E)Defer use of best practice evidence to the case management teams

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Chapter 22: Nursing in a Spiritually Diverse World

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Q1) The nurse using Westerhoff's stages of faith should place a 13-year-old patient in which stage?

A)Experienced faith

B)New faith

C)Owned faith

D)Affiliative faith

Q2) During the admission process,the nurse assesses the patient's spiritual belief system and what other aspect related to that system?

A)Christianity

B)Godly assumptions

C)Religious preference

D)Religious knowledge

Q3) What should the nurse do when obtaining spiritual-assessment data?

A)Wait until the patient brings up the topic.

B)Read the physician's history and physical.

C)Perform an assessment using open-ended questions concerning spirituality.

D)Perform an assessment asking direct questions to gain full knowledge of the patient's spiritual status.

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Chapter 23: Nursing in a Culture of Violence

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Q1) A nurse assesses a client and strongly suspects child abuse.What should the nurse do next?

A)Ask the child to speak to the police.

B)Report the finding to child protection authorities.

C)Provide necessary immediate care and arrange for follow-up care of the injured.

D)Tell the parents that the nurse suspects abuse.

Q2) As a school nurse evaluating a child after a fight,it is imperative to understand that violent acts committed at school are often associated with which characteristics?

(Select all that apply. )

A)Social ostracism

B)Physical bullying

C)Close peer relationships

D)Bullying

E)More at high schools than middle schools

Q3) What assessment finding indicates that a child is a victim of sexual abuse?

A)Repeated ear infections

B)Hives

C)Genital and/or anal irritation or trauma

D)Early appearance of secondary sex characteristics

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Chapter 24: Advanced Nursing Education and Practice

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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) What is the focus of a nurse practicing as a clinical nurse specialist (CNS)?

A)Improvement of client care and nursing practice

B)Providing orientation for the novice nurse

C)Acting as a liaison between staff nurses and administration

D)Assisting physicians with in-patient care delivery

Q3) What did Dr.Loretta Ford and Dr.Henry Silver at the University of Colorado develop first?

A)Clinical specialist role

B)Graduate program in nursing

C)Nurse practitioner role

D)Group practice

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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) Nurses may use telehealth to deliver healthcare information.What does this type of nursing care delivery demonstrate?

A)Regulation by the World Health Organization

B)A production of the World Wide Web

C)Use of a health activity that involves distance

D)Promoting the public image of nursing

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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