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Health Care Policy for Nurses examines the development, implementation, and impact of health care policies on nursing practice, patient outcomes, and the broader health care system. The course covers local, state, national, and global policy structures, the legislative process, health policy analysis, and advocacy strategies. Students will explore the nurse's role as a policy advocate and learn how to influence policy decisions that affect health care accessibility, quality, cost, and ethics. By understanding the interplay between policy, regulatory environments, and clinical practice, nurses will be better equipped to lead and promote positive change in health care delivery.
Recommended Textbook
Contemporary Nursing Issues Trends and Management 7th Edition by Cherry
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28 Chapters
610 Verified Questions
610 Flashcards
Source URL: https://quizplus.com/study-set/162 Page 2

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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1942
Sample Questions
Q1) Clara Barton is known for:
A) becoming the first black public health nurse.
B) establishing the Henry Street Settlement.
C) founding the American Red Cross.
D) publicizing the inadequacies of hospital-based nursing schools.
Answer: C
Q2) Nursing in the 1990s was characterized by:
A) men leaving nursing to enter the armed services.
B) traditional 8-hour shifts to nurse burnout and compassion fatigue.
C) a focus on preventable diseases.
D) a decrease in nursing research.
Answer: C
Q3) Occupational health nursing features beliefs similar to those of which early nursing pioneer?
A) Lillian Wald
B) Florence Nightingale
C) Clara Barton
D) Mary Seacole
Answer: A
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1943
Sample Questions
Q1) According to current data related to the nursing shortage: (select all that apply)
A) salaries of nurses are competitive with those of other professionals such as teachers.
B) only 19% of nurses are minorities.
C) overall, nurses are satisfied with their jobs but leave the profession because of fear of contracting fatal diseases.
D) the employment opportunities for nurses continue to be strong.
E) staff nurses are returning to school to obtain certificates to teach nursing.
Answer: B, D
Q2) Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?
A) Florence Nightingale
B) Margaret Hoolihan
C) Clara Maas
D) Sairy Gamp
Answer: C
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Available Study Resources on Quizplus for this Chatper
23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1944
Sample Questions
Q1) A member of a nursing students study group comments, "I wish our instructor would just tell us the important information that we will be tested on in our course and on NCLEX®. Instead, we spend some time early in the class discussing key facts then the most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents:
A) memorization of basic facts presented early in the lecture.
B) Objective Structured Clinical Examinations (OSCE).
C) peer-to-peer learning.
D) practice-based competency.
Answer: D
Q2) Which nursing model is referred to as the "class without walls"?
A) Articulation
B) Career ladder (2 + 2)
C) External degree
D) Second degree
Answer: C
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1945
Sample Questions
Q1) To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?
A) Nurse review act
B) Sunset legislation
C) Mandatory revocation
D) Grandfathering
Q2) A new graduate from a master's entry program in nursing announces, "I just passed my clinical nurse leader certification examination." Certification as a clinical nurse leader:
A) is granted by the state board of nursing.
B) denotes minimum level of knowledge and skills to practice safely.
C) allows independent nursing practice, often in primary care.
D) recognizes achievement of advanced skills and knowledge.
Q3) The primary purpose of licensure is protection of the ___________.
Q4) The first field of nursing to certify advanced practitioners was the field of:
A) adult nurse practitioners.
B) nurse-midwifery.
C) clinical nurse specialist.
D) nurse anesthesia.
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Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1946
Sample Questions
Q1) A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:
A) change agent, according to Roy's adaptation model.
B) translator, according to Leininger's theory of cultural care diversity and universality.
C) case manager, according to Peplau's interpersonal relations model.
D) caregiver, according to Rogers' science of unitary human beings.
Q2) The basic ingredients of theory are ____________.
Q3) Which type of theory most often guides present nursing practice?
A) Grand theory
B) Middle range theory
C) Developmental theory
D) Values theory
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1947
Sample Questions
Q1) A researcher seeks funding from an agency that limits studies to quantitative research. The researcher can select from which of the following study designs? (select all that apply)
A) Survey
B) Grounded theory
C) Phenomenology
D) Needs assessment
E) Experimental
Q2) The use of research to guide nursing practice is called:
A) utilization.
B) dissemination.
C) generalizability.
D) analysis.
Q3) A nurse researcher who is seeking funding for a study should identify _____ of funding agencies.
A) board members
B) priorities
C) budgets
D) accreditation
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/1948
Q1) A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?
A) Prospective payment system
B) Retrospective payment system
C) Single-payer system
D) Capitation
Q2) A patient is upset because her health insurance plan refused to pay for a mammogram and services by a women's health specialist because the primary care physician did not order the referral or the mammogram. Which type of insurance plan adheres to this type of payment system?
A) Fee for Service
B) Health Maintenance Organization (HMO)
C) Preferred Provider Organization (PPO)
D) Point of Service (POS)
Q3) A 72-year-old client is admitted to have the right kidney removed after a diagnosis of cancer. The surgeon removed the left kidney. Medicare will no longer pay for preventable medical errors known as ____________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1949
Sample Questions
Q1) A client arrives in active labor and exhibits toxemia with irregular fetal heart tones. The client is an immigrant and is uninsured. Which act would prevent the client from being transferred to another facility?
A) Emergency Medical Treatment and Active Labor Law
B) Health Insurance Portability and Accountability Act
C) Patient Self-Determination Act
D) The Patient Safety and Quality Improvement Act
Q2) A physician shares with the patient's family that, while a central line was being inserted, the patient's lungs were inadvertently punctured, which required oxygen administration. The physician also explains that a chest x-ray indicated the lung remained intact and no additional treatment was required. The physician's role in this instance is based on the legal principle of:
A) comparative negligence.
B) gross negligence.
C) disclosure.
D) the Emergency Medical Treatment and Active Labor Act (EMTALA).
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/1950
Sample Questions
Q1) The Health Care Reform Act provides insurance for all U.S. citizens and legal residents presenting far-reaching ethical considerations related to diverse individual patient health care beliefs for those delivering nursing care. Nurses must consider their civil rights under the rights of conscience and how new health care agendas such as the Patient Protection and Affordable Care Act (PPACA) could affect their practice in situations that may conflict with their own belief system. Today's practicing nurse must:
A) remember it is one's professional duty to render patient-centered care-even when it is in direct conflict with the nurse's own beliefs-or be held liable for withholding treatment.
B) consider whether the right to act according to one's inner beliefs will continue to be permissible when federal health insurance becomes fully enacted.
C) discuss with the patient and family different options in hopes they will accept the nurse's health care beliefs.
D) suggest to the hospital administration that they not accept federal funding to prevent controversial health practices.
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1951
Q1) The nurse is preparing a plan of care for an black patient who has had a change of bowel habits from being constipated and having only two firm stools weekly to having three or more loose stools daily. Which comment is related to cultural variation for health information?
A) The individual states, "I will need to discuss health care options with my grandmother."
B) The eldest male member of the family will make all health care decisions.
C) The patient has high respect for the nurse and nods approvingly, although she has no intention of complying with instructions or plan of care.
D) The individual speaks very quietly and gently reaches to hold the nurse's hand for support.
Q2) On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____.
Q3) Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in _____.
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Page 12

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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/1952
Sample Questions
Q1) The massage therapist uses kinesthesia, or thinking about how movement is expressed, to correct habits that cause poor posture and limited movement. This type of massage is called:
A) Alexander technique.
B) Feldenkrais method.
C) healing touch.
D) Reiki.
Q2) A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:
A) reflexology.
B) Feldenkrais method.
C) Reiki.
D) Rolfing.
Q3) The nurse caring for a patient who practices Ayurveda would assess for:
A) an increased stool osmolality gap resulting from dehydration.
B) petechiae resulting from fine-needle punctures.
C) use of over-the-counter remedies intended for intended symptom.
D) magnets strategically placed on affected joints.
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/1953
Sample Questions
Q1) When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient's care?
A) Work with the patient and family to create an advanced plan of care.
B) Explain to the family that the patient's cognitive function will deteriorate as time passes.
C) Discuss the patient's religious and spiritual concerns to identify potential problems.
D) Identify which family members will be in control of decision making for the patient.
Q2) The principle of autonomy is best supported by what intervention made available to palliative care patients?
A) Arranging for in-home health care
B) Addressing the patient's specific pain management needs
C) Helping the patient decide on the details of their advanced plan of care
D) Conducting a thorough performance status screening on the patient
Q3) ________________ occurs when a physician predicts the course and outcome of a disease process.
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Source URL: https://quizplus.com/quiz/1954
Q1) A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses. At the committee meeting, the nurse learns that:
A) older nurses are being encouraged to retire so that younger, more efficient nurses can practice.
B) Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work hours but fail to retain nurses because insufficient autonomy over professional practice is provided.
C) multitasking is seldom desired by the younger generation of nurses.
D) many younger workers are less concerned with longevity and are willing to change institutions to achieve professional advancement and flexible work hours.
Q2) The occupational health and safety nurse would like to develop programs designed to decrease mortality and morbidity among the workforce. When considering factors related to mortality among health care workers, the nurse should focus efforts on prevention of:
A) suicide.
B) violence related injury.
C) bloodborne disease.
D) ergonomic hazards.
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/1955
Q1) A hospital refused to purchase a better grade of utility gloves, even after learning that the cheaper utility gloves are easily punctured during routine use. This unsafe situation led nurses to seek unionization. During the pre-election phase for unionization, which actions by union representatives are prohibited by the National Labor Relations Board? (select all that apply)
A) Scheduling a meeting in the agency's cafeteria to determine employees' interest in unionization
B) Distributing nondocumented information that female nurses receive lower annual performance evaluations than do male nurses
C) Distributing information about the benefits of unionization and grievances in a public parking garage located across from the hospital
D) Suggesting to workers the likelihood of job loss should the union not win the election
E) Signing authorization cards for employees who are on leave
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16
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/1956
Sample Questions
Q1) A new nurse asks, "Since Electronic Medical Records can improve quality care by having seamless data available for a patient, why doesn't everyone just replace paper and pencil charts"? Barriers to a universal health information infrastructure include the fact that: (select all that apply)
A) competition from individual companies to build EMR prevent a universal infrastructure.
B) cost is prohibitive even with federal funding for larger health care systems.
C) preventive health reminders for immunizations and yearly screenings such as mammograms are used in clinical decision making.
D) insurance companies have halted sharing of some patient data due to fear of law suits.
E) the full capacity of EHRs has not been realized with only Stage 1 of 3 nearing completion.
Q2) Software programs that process data to produce or recommend valid choices are known as ______________.
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1957
Sample Questions
Q1) Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for large numbers of individuals in the event of a natural or manmade disaster. These activities represent which phase of a disaster continuum?
A) Preparedness
B) Relief response
C) Recovery
D) Crisis intervention
Q2) Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by: A) the federally coordinated National Disaster Medical System.
B) local homeland communities where troops receive care.
C) the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
D) the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
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Available Study Resources on Quizplus for this Chatper
21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1958
Sample Questions
Q1) A nurse asks, "What is meant by 'internal' customers?" The correct response is: (select all that apply)
A) insurance companies
B) accreditors such as The Joint Commission
C) X-ray technicians
D) clinical pharmacist
E) chief financial officer
Q2) In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change?
A) Unfreeze
B) Move
C) Refreeze
D) Acceptance
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Page 19

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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/1959
Sample Questions
Q1) A nursing unit's census consists primarily of long-term residents with a high risk for falls. To meet new safety regulations, the nurse manager must plan to replace all 50 patient beds with new beds equipped with Fall Watch electronic sensors that will detect when patients get out of bed. The manager will be involved in which type of budgeting to replace the beds?
A) Fiscal
B) Labor
C) Operational
D) Capital
Q2) A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?
A) Zero-based
B) Incremental
C) Labor
D) Operational
Q3) The financial plan required for the distribution of resources and expenses is a
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/1960
Sample Questions
Q1) A nurse wants to apply open communication to obtain a thorough history and to determine cognitive function. Which question represents the use of open communication?
A) Is today Wednesday?
B) Do you know what day it is?
C) Tell me what day of the week today is.
D) Do you know what the first day of the week is?
Q2) An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
A) "You are just too late for that. Where were you when he needed you?"
B) "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
C) "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
D) "I lost my dad last year. He died alone. He was a policeman. I am just like you. Let me stay here and console you."
Q3) The healthiest form of communication is the ________ style.
Page 21
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1961
Sample Questions
Q1) A student nurse is concerned about delegation practices and wonders why hospitals employ unlicensed assistive personnel (UAP) and LPN/LVNs. The student nurse refers to the National Council of State Boards of Nursing and learns that the role of these personnel is to:
A) supplement the staffing pattern when an RN is not available.
B) aid the RN by performing appropriately delegated care tasks.
C) replace the RN when the health care facility provides long-term care.
D) provide patient teaching, allowing more direct care to be provided by the RN.
Q2) An LPN/LVN has transferred to a nursing unit and arrives for the first day. The RN checks with the LPN/LVN often throughout the shift to provide support and determine if assistance is needed. The RN is providing which level of supervision?
A) There is no supervision, because at times the LPN/LVN is not with the RN.
B) Periodic inspection is being used. Because the LPN/LVN is licensed, the RN is relieved of the need to evaluate care.
C) Continual supervision is being provided until the RN determines competency.
D) Initial supervision is being provided because this is the LPN/LVN's first day on the unit.
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/1962
Sample Questions
Q1) The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:
A) nurse manager.
B) case manager.
C) coordinator of patient-centered care delivery.
D) team leader in team nursing care delivery.
Q2) A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family. Palliative care will continue, and the approach will be discussed with the patient and family as needed and at change of shift. The care delivery model in this situation is termed:
A) partnership.
B) patient-centered.
C) case management.
D) total patient care.
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Available Study Resources on Quizplus for this Chatper
28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/1963
Sample Questions
Q1) Which of the following occurrences would be classified as a sentinel event?
A) A postpartum patient who elects to breastfeed only twice daily develops mastitis.
B) A newly diagnosed diabetic patient self-injects insulin in the abdominal area rather than the upper thigh as instructed by the patient educator.
C) A nurse assisting with the delivery of twins places the "Twin 1" name tag on the second-born twin, causing the first-born twin to undergo surgery that was scheduled for the other twin.
D) A nurse administers 3 units of regular insulin rather than 3 units of NPH insulin subcutaneously, resulting in a drop in the patient's serum glucose from 160 to 100 mg.
Q2) Which of the following statements concerning the Institute of Medicine (IOM) competencies is correct?
A) Each competency is mutually exclusive.
B) The competencies focus on individual efforts to reduce errors.
C) Physicians lead the team to achieve each competency.
D) The competencies address both individual and system approaches to transform care.
Q3) Quality is defined by the ____________.
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Page 24
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/1964
Sample Questions
Q1) A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)
A) determines which laws are constitutional, such as recently deciding the PPACA is constitutional because it is a form of taxation.
B) has the exclusive power to determine where federal dollars will be spent, such as supporting the PPACA.
C) consists of the Office of the President and 15 executive departments that supported the PPACA.
D) has the power to veto laws found constitutional by the Supreme court and therefore could veto the PPACA.
E) can override a Presidential veto, making it possible to amend the PPACA even without approval of the President.
Q2) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.
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Page 25

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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/1965
Sample Questions
Q1) When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?
A) The experienced nurse is unaware that the novice nurse is observing him or her gathering supplies needed to start intravenous antibiotics.
B) The novice nurse mimics conversations with his or her own patients that were unobtrusively overheard between the experienced nurse and his or her patients.
C) The novice nurse receives feedback from the experienced nurse related to the use of a new occlusive dressing product and is told, "I couldn't have done it better myself."
D) An experienced nurse is nominated for outstanding employee of the month by the novice nurse.
Q2) In distinguishing between evaluation methods used in school versus those used in the work environment, it is noted that the work environment evaluation includes:
A) determining whether steps are logical.
B) formulating increments in correct order.
C) efficiently organizing stages of the procedure.
D) appraising outcomes according to policy.
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21 Verified Questions
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Source URL: https://quizplus.com/quiz/1966
Sample Questions
Q1) When using the ABC system of managing time, those items coded A include:
A) calling the pharmacy to see whether a drug insert is available for a patient.
B) checking to see why a ventilator is alarming.
C) organizing the medication cart.
D) writing memos to remind everyone to contribute to the boss's birthday gift.
Q2) A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:
A) waiting for oncoming shift to start walking rounds.
B) failure to delegate tasks to the licensed practical nurse and unlicensed assistive personnel and instead, completing task herself.
C) talking with a patient's family member who is also a personal friend.
D) spending time thinking about the vacation to the beach.
E) using the Internet to read about a new drug that will be administered; then taking time to look for news about the profession, new legislation about the Patient Protection and Affordable Care Act, and new uniforms for the season.
Q3) The most important step in time management is ____________.
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Source URL: https://quizplus.com/quiz/1967
Sample Questions
Q1) A nurse is responsible for determining the incidence rates of hospital-acquired diarrhea on a pediatric ward after receiving reports that five children admitted with uncontrolled asthma had developed diarrhea while hospitalized. The nurse is working in the role of:
A) quality management.
B) infection control.
C) occupational health.
D) forensics.
Q2) A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementia. The nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:
A) informatics specialist.
B) educator.
C) case manager.
D) quality manager.
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24 Verified Questions
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Source URL: https://quizplus.com/quiz/1968
Sample Questions
Q1) A new graduate is excited about finding the first job but doesn't want to make the costly mistake of taking the first job offered or taking a job that doesn't meet her career goals. She learns the best way to know the culture of the potential employer is networking with:
A) the executives at the competing agency.
B) alumni that graduated from the same school and work in the area.
C) nurses currently working in the agency.
D) friends or people who have been patients at the agency.
E) nurses who are former employees.
Q2) According to the Hallmarks of the Professional Nursing Environment, a nurse should ask a potential employer:
A) how salaries compare with those of larger facilities.
B) what benefits are provided to RNs that are not available to other health care providers.
C) what role nurses have in determining the quality of care.
D) how the employer plans to provide long-term economic security to RNs.
Q3) The key to a successful interview is being ____________.
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/1969
Sample Questions
Q1) Although the NCLEX-RN examination has new formats for questions, the most common format is the:
A) fill-in-the-blank item because candidates are not provided with clues from distracters.
B) multiple-choice question item, which allows candidates to select the one correct answer.
C) multiple-response item because these questions require a higher level of critical thinking.
D) hot-spot item because these questions are written at the application level of Bloom's analysis.
Q2) "A patient with end-stage renal disease has a potassium level of 7.5 mEq/L. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action?
A) Drowsiness, stimulate the patient every 30 minutes
B) Confusion, ask the patient to state their name and date of birth
C) Irregular heartbeat, evaluate the patient's capillary refill
D) Muscle cramps, elevate the affected limb"
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