Introduction to Nursing Exam Bank
Course Introduction
Introduction to Nursing provides students with a comprehensive overview of the nursing profession, including its history, roles, and ethical foundations. This course explores the core principles of patient-centered care, effective communication, and critical thinking in the clinical setting. Students will learn about basic nursing skills, healthcare delivery systems, and the diverse responsibilities of nurses within multidisciplinary teams. Emphasis is placed on the fundamental values of compassion, professionalism, and advocacy as students prepare for further studies in nursing practice and theory.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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26 Chapters
663 Verified Questions
663 Flashcards
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Page 2
Chapter 1: Role Transitions
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Sample Questions
Q1) A graduate nurse has been reviewing the NCSBN's Transition to Practice model.The graduate nurse understands the intention of the model when making which of the following statements?
A) "The intention of the model is to mandate that all state boards of nursing provide a regulatory model for transition to practice."
B) "The intention of the model is to provide educational modules so that the new graduate does not need to work with a preceptor."
C) "The intention of the model is to have the new graduate take and pass the NCLEX Exam,obtain employment,and then enter a transition program."
D) "The intention of the model is to complete the formalized transition program within 6 weeks."
Answer: C
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3
Chapter 2: Personal Management: Time and Self-Care Strategies
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A nurse has been out of school about 6 months.Which of the following would indicate that the nurse is having problems with burnout?
A) Having chronic fatigue,increased irritability,and feelings of helplessness
B) Feels angry regarding the type of care being delivered and scheduling of staff coverage
C) Signs up for extra courses for an advanced degree and works double shifts for extra money
D) Is disorganized regarding patient care and has to stay late to finish shift work
Answer: A
Q2) The nurse would identify which of the following strategies as a means of increasing feelings of empowerment?
A) Requesting an assignment to a different hospital unit
B) Assisting friends to cover their shifts when they need time off
C) Telling a coworker that a joke heard in private was inconsiderate and thoughtless
D) Declining to work an extra shift and going to the movies with friends
Answer: D
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which action by the mentor can help reduce the impact of reality shock on the mentee during the recovery phase?
A) Encourage the mentee to perform skills that he or she is comfortable with.
B) Maintain a semi-open line of communication.
C) Encourage the mentee to try new skills.
D) Allow the mentee to work independently.
Answer: C
Q2) Which of the following statements by the nurse indicates an understanding of mentors?
A) "Mentors focus on fostering the mentee's individual growth and development over an extended period of time."
B) "Mentors develop nurturing relationships during work time."
C) "Mentoring is the approach of assisting an individual's growth through partnership."
D) "The strength of mentoring lies in the facilitation and development of personal qualities."
Answer: A
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5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) The nurse has an adequate understanding of employment benefits.Which of the following is not included in a benefits package?
A) Health insurance
B) Car insurance
C) Pensions
D) Disability coverage
Q2) Which of the following actions by the graduate nurse would not be advised during an interview campaign?
A) Plan 3 interviews in a day,
B) Identify a date to begin employment.
C) Ask questions about the interview process.
D) Research the prospective employer.
Q3) The nursing professor is assisting a group of nursing students in creating resumes.The professor instructs them to include which of the following demographic data?
A) Career goal
B) Address
C) Experience
D) Education
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Sample Questions
Q1) What are helpful strategies for dealing with test anxiety?
A) Put as much time as possible into studying.
B) Practice relaxation techniques and positive thinking.
C) Use review books and tapes.
D) Focus on test-taking skills and emphasize facts less.
Q2) What is the best review strategy to use to prepare for the NCLEX-RN Exam?
A) Spend about 8 hours a day on your days off until you take the examination.
B) Study for 4 hours a night while taking a 2-week review course.
C) Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.
D) Study 10 hours on the day and evening before the examination.
Q3) Which statement made by the graduate nurse indicates understanding of the NCLEX-RN exam passing score?
A) "Candidates seeking licensure in California and New York must score higher."
B) "The passing score is the same for licensure in all states."
C) "Candidates from BSN programs must score one standard deviation higher than the ADN graduates."
D) "ADN graduates must answer 80% of the 265 questions correctly to pass."
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Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) What was the description of a nurse in the medieval times during the Holy Wars?
A) A woman who had been specially trained by a magician
B) A man who was committed to following his Lord into battle
C) A man who had training to care for a wounded knight
D) A woman who had studied with an older nurse
Q2) Many groups throughout the history of nursing have contributed to the profession.The student nurse recognizes which group as having promoted the development of the concept of colleagues in nursing?
A) Nurse managers
B) Public health nurses
C) Nursing educators
D) Graduate students
Q3) Which of the following is true of ancient Egyptians physicians and how they used ancient medicine to treat patients?
A) They focused on finding a cure for maladies.
B) They focused on treating maladies.
C) Treatments were often made of antibiotics.
D) Treatments focused on driving out evil spirits.
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Chapter 7: Nursing Education
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Sample Questions
Q1) Which of the following would be the first action that a foreign nurse should take to practice in the United States?
A) Apply for a hospital job in the personal desired state to practice in.
B) Enroll in a community college to study "American" nursing.
C) Contact NCLEX to set up a testing time.
D) Contact the board of nursing in the personal desired state to practice nursing in.
Q2) A nurse is reviewing regulations to practice in different states.Which of the following credentials is interpreted as mandatory to renew periodically in order to legally practice nursing in a particular state?
A) The nursing license
B) The registration of the nursing license
C) Certification in a nursing specialty organization
D) Accreditation
Q3) Select the following statement that describes the current student population.
A) The student population tends to be single.
B) The student population is younger the age of 20 years.
C) The student population tends to be older.
D) The student population tends to be white.
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Chapter 8: Nursing Theory
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Sample Questions
Q1) Roy's adaptation model capitalized on health and wellness based on how well one copes with stressors and the environment.Which statement by the nurse shows understanding of equilibrium? Equilibrium is reached through adaptation of our
A) "safety needs."
B) "self-esteem needs."
C) "physiological needs."
D) "love and belonging needs."
Q2) What nursing interventions can be performed by the nurse based on Jean Watson's Caring Theory? (Select all that apply.)
A) Assist with basic human needs.
B) Encourage the patient to express personal feelings.
C) Ask the patient for input regarding received care.
D) Sit down and have a conversation with the patient.
E) Perform care according to hospital and unit policy.
Q3) Systems-oriented theorists include
A) Neuman,Roy,and Johnson.
B) Peplau,Watson,and Orlando.
C) Nightingale,Abdellah,and Orem.
D) Rogers,Newman,Rizzo,and Parse.
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Page 10
Chapter 9: Image of Nursing: Influences of the Present
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Sample Questions
Q1) Which of the following predicts the outcome if the nursing profession continues to be devalued by demeaning or comical images of nurses?
A) Nurses will be able to request higher wages.
B) The nursing shortage will end.
C) There will not be enough jobs for new graduates.
D) The nursing shortage will extend.
Q2) What action(s)can the nurse take to continue improving the image of nursing?
(Select all that apply.)
A) Upload inappropriate pictures to social media networks,which she has identified herself as a nurse,
B) Uphold ethical standards for all patients,all the time.
C) Maintain professional behavior in the workplace.
D) Be aware of the challenges she will face as a nurse because of society's perception of nurses.
E) Disregard the need to change the image of nursing.
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11
Chapter 10: Challenges of Nursing Management and Leadership
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Sample Questions
Q1) The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?
A) "Requires more time and effort to make decisions and accomplish goals"
B) "Discourages participation from quieter members of the group"
C) "Increases the possibility of "scapegoating" or argumentative behavior"
D) "Is difficult to control the outcomes and decisions of the group"
Q2) Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)
A) Lifelong learners
B) Courageous change agents
C) Slow to change
D) Value-driven visionaries
E) Hesitant to follow
Q3) A nurse is interested in moving into a management position.Which action would assist with accomplishing this?
A) Use of reward power
B) Use of coercive power
C) Use of expert power
D) Use of legitimate power
Page 12
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Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) What would be a good assignment for an experienced nursing assistant?
A) Help teach patients newly diagnosed with diabetes to give themselves injections.
B) Report on the quality and quantity of urine on a continuous bladder irrigation.
C) Obtain a clean-catch urine specimen from a patient.
D) Chart a diet for a patient with an eating disorder.
Q2) A nurse has noticed that a coworker consistently has a negative attitude,criticizes others,and even shows aggression toward other members of the healthcare team.Which action(s)by the nurse would help to limit time with this individual? (Select all that apply.)
A) Try to help the coworker deal with personal problems during work.
B) Steer clear of the coworker.
C) Use assertive communication.
D) Learn to say "no."
E) Set clear boundaries with the coworker.
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Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?
A) Mouse
B) Motor mouth
C) Self-server
D) Know-it-all
Q2) Dr.Jones asks you to give a medication to one of the patients,and you know the patient is allergic to it.When you point this out,Dr.Jones says,"Give the medication or I'll report this to your supervisor." What is the best assertive response?
A) Agree to give the medication and hope no one finds out.
B) Say,"I won't give the medication,and I don't care who you talk to about it."
C) Walk away and ignore Dr.Jones.
D) Say,"Perhaps you and I could talk this over with my supervisor together."
Q3) Which action by the nurse shows a major characteristic of aggressive behavior?
A) Achievement of personal goals at the expense of others
B) Indirect expression of personal feelings
C) Communication of personal needs
D) Ability to restrict personal rights
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Chapter 13: Conflict Management
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Sample Questions
Q1) A newborn has several congenital anomalies incompatible with living beyond 1 month.The newborn cannot retain formula,and the temperature drops when the newborn is removed from the warmer.Two nurses who alternate caring for the baby argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held.What is the origin of the conflict described?
A) Ethical values
B) Nursing role concerns
C) Personal goals for advancement
D) Personality differences
Q2) A nurse is aware that an area of conflict between nurses and patient's families is quality of parental care.Which action would not help the nurse reduce conflict?
A) Become frustrated with the parents for lack of participation in care
B) Model positive parenting techniques
C) Encourage parents to meet other parents
D) Give out information about parenting classes
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15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) A day shift nurse has come into work and notices that the glucometers were not tested overnight as they typically are.What is the best way for the nurse to question the nurse assistant,in order to give feedback?
A) "Why didn't you test the glucometers?"
B) "What did you do last night?"
C) "How was your night? I noticed the glucometers weren't tested."
D) "Couldn't you have asked one of the nurses to check the glucometers if you were busy?"
Q2) There is a temporary agency registered nurse assigned to the nursing unit.You have no knowledge of this nurse's skills,and you want to assign the nurse to a patient who has a fresh tracheostomy.How should you handle this situation?
A) Assign the nurse to the patient with the tracheostomy and hope for the best.
B) Ask the nurse about his or her competency to care for the patient with the tracheostomy.
C) Assign the patient to another nurse and use the temporary agency nurse to do simple care tasks.
D) Call the agency and ask for a nurse skilled in the care of a patient with a tracheostomy.
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Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are
A) "clinical pathways and patient classifications."
B) "clinically oriented and business-oriented pathways."
C) "clinical pathways and disease management protocols."
D) "centralized and decentralized system models."
Q2) The nurse understands cost containment when stating which of the following? Major elements of the law that support cost containment include (Select all that apply.)
A) "increased governmental regulation of insurers."
B) "less use of technology."
C) "increasing incentives for coordination of care."
D) "emphasis on physician centered care."
E) "decreasing consumer out of pocket costs."
Q3) Which statement is true about case management?
A) There are two models-traditional and full immersion.
B) It is used to reduce resource utilization only.
C) To be effective,it requires case managers to provide direct patient care.
D) It eliminates the need for other caregivers (LPN,LVNs,nursing assistants).
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Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
Q1) A nurse is educating a coworker on the intrinsic factors and cost of health care.The nurse knows that the teaching has been effective when the coworker lists the following intrinsic factor as the major cause of increased cost:
A) Almost 10% of Americans over 65 years old are considered at or below the poverty level.
B) The new medical technology available has increased the cost of health care.
C) There are increasing labor costs in the total hospital spending budget.
D) The staff nurse does not understand the responsibility of economics and money management.
Q2) The case manager is educating the nurse about health care costs.The case manager knows that the education has been effective when the nurse states:
A) "Health care costs are increasing because demand is decreasing."
B) "Health care costs are steadily decreasing."
C) "The aging population is requiring more health care services,causing the costs to increase."
D) "The aging population is requiring less health care services,causing the costs to decrease."
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) How would a nurse determine the political views regarding health care issues of individuals who are running for public office?
A) Call the state or national political action committee of the American Nurses Association.
B) Talk with the administration of the institution to determine who is supporting health care issues.
C) Call the party headquarters of the candidates and ask them to share the views of the candidate with you.
D) Call the Accreditation Commission for Education in Nursing (ACEN)and obtain the political action reports.
Q2) Which statement by the nurse educator is accurate regarding politics?
A) "Politics involves influencing the allocation of scarce resources."
B) "Politics involves identifying those in a public office that can be influenced."
C) "Politics involves attempting to get people in government positions to think the way you want them to."
D) "Politics involves lobbying for state and federal legislation to improve the quality of nursing care."
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
Q1) A nurse is educating a new nurse on grievances.The teaching has been effective when the new nurse states:
A) "I can file a grievance"
B) "My employer cannot file a grievance"
C) "The nursing union cannot file a grievance"
D) "My coworkers cannot file a grievance"
Q2) A nurse is preparing a presentation.How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional,union-based nursing model?
A) "The traditional-based union model frequently puts nurses and employers in adversarial positions."
B) "The union dictates to members what they can and cannot do within the health care institution."
C) "The union-based model can initiate strikes that can be detrimental to the provision of health care in an institution."
D) "The union-based model is too expensive and nurses are not fairly compensated by the organization."
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Page 20
Chapter 19: Ethical Issues
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Sample Questions
Q1) A nurse is educating a nurse aide on patient confidentiality.The nurse believes the teaching to be effective when the nurse aide states that confidentiality will be maintained by a nurse who believes in and values the ethical principle of A) veracity.
B) autonomy.
C) justice.
D) fidelity.
Q2) The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?
A) "There are few Americans on the transplantation list."
B) "Everyone on the transplantation list receives the organ they need."
C) "There is an overabundance of organ donors."
D) "The majority of individuals on the transplantation list will die because of the shortage of organs."
Q3) The ethical principle of autonomy is not applicable in which patient situation?
A) The patient does not speak or understand the English language.
B) The patient is unaware of who or where he or she is.
C) The patient has been in a long-term care facility for 10 years.
D) The patient has values that conflict with the caregiver's values.
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Page 21
Chapter 20: Legal Issues
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Sample Questions
Q1) A nurse has relocated to another state and wants to find a full-time nursing job.What action should be taken first in order to provide care as a nurse?
A) Begin applying for jobs at the local hospital.
B) Contact the board of nursing in the nurse's new state to obtain licensure to practice.
C) Begin practicing immediately,as the nurse is still licensed in the formerly lived in state.
D) Begin practice on a part-time basis so that a new license is not needed.
Q2) A nurse tells a patient,"If you don't stop getting out of that chair,I'm going to put some restraints on you." What may this nurse be accused of?
A) False imprisonment
B) Defamation
C) Invasion of privacy
D) Malpractice
Q3) What action must occur to prove a breach of duty?
A) Liability testimony of physician
B) Testimony from state board of nurses
C) Expert testimony
D) Testimony of coworkers
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Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) A nurse manager is looking for ways to improve the cultural competency of unit staff.Which action would help the manager accomplish this?
A) Propose voluntary cultural competence training.
B) Hire bicultural clinical and administrative staff.
C) Hire staff from the same ethnic background.
D) Avoid issues pertaining to cultural competence.
Q2) What action by the nurse would indicate cultural competence?
A) Displays no favoritism
B) Tries to treat all patients the same
C) Prioritizes care based on cultural needs
D) Wants to learn more about other ethnic groups
Q3) A nurse is educating a student nurse on African American culture.The nurse judges the teaching to be effective when the student nurse states that African Americans (Select all that apply.)
A) "have extended family that has a great influence on the patient."
B) "honor and respect older family members."
C) "have the oldest woman as the decision maker."
D) "do not disagree with health care recommendations."
E) "don't always follow up with health care recommendations."
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Page 23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse manager is educating unit staff about HCAHPS.The manager judges the teaching to be effective when a staff nurse states that the HCAHPS survey contains rating about (Select all that apply.)
A) communication.
B) pain management.
C) responsiveness.
D) cost of hospital stay.
E) discharge information.
Q2) The nurse understands that the following statement is true about patient classification systems?
A) "The systems measure all the needs of patients."
B) "The systems provide an absolute formula for unit staffing."
C) "The systems should not be used to make patient care assignments because acuity systems are more accurate."
D) "The systems provide historical data of the usage of nursing time,which is helpful when developing the department budget."
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Chapter 23: Nursing Informatics
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Sample Questions
Q1) Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informatics
A) "is to improve patient care with health care technology."
B) "is to improve patient care by increasing health care expertise."
C) "is to improve patient care by improving nursing performance."
D) "is to improve patient care by allowing the patient access to medical records."
Q2) Which statement by the nurse indicates an understanding of the definition of nursing informatics?
A) "Nursing informatics is a specialty area of hospital nursing in which management of patient care is done via computers."
B) "Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science."
C) "Nursing informatics includes the input and retrieval of a patient's complete medical history via electronic data."
D) "Nursing informatics is an area of computer system design and analysis to provide and retrieve patient health data during the period of hospitalization."
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Chapter 24: Using Nursing Research in Practice
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Q1) A nurse educator is teaching a nurse about research utilization.Which statement by the nurse indicates understanding?
A) "Research utilization is the collection of data to answer a specific question."
B) "Research utilization is the analysis of the practice context."
C) "Research utilization is the process of integrating the findings of completed studies into practice."
D) "Research utilization involves application of the findings of one research study."
Q2) A nursing instructor is educating a group of student on research utilization.The teaching has been effective when a student states:
A) "Research utilization is using the results of a single study in nursing practice."
B) "Research utilization is the collection of data to answer a research question."
C) "Research utilization is a review of nursing practice."
D) "Research utilization is the process of transferring research findings into clinical practice."
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Chapter 25: Workplace Issues
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Q1) A nurse manager is brainstorming creative solutions to mandatory overtime.Which of the following actions would help prevent the occurrence of mandatory overtime?
(Select all that apply.)
A) Create an on-call system with one or two extra nurses on per shift.
B) Create an incentives system for part-time nurses to pick up extra shifts.
C) Ask the nurses to take on extra patients during the short shifts.
D) Reward nurses who put forth an extra effort for the organization.
E) Create shifts for high-volume times.
Q2) Ergonomic hazards are a major safety risk for nurses,causing serious musculoskeletal injuries.To reduce the risk,nurses should A) use assistive devices.
B) take up weight lifting.
C) never lift or move patients.
D) stretch out after pulling or reaching.
Q3) Which statement by the nurse manager indicates understanding of Magnet status?
A) "Hospitals are granted Magnet status by the National League of Nursing."
B) "The American Nurses Association grants Magnet status."
C) "Hospitals are granted Magnet status by the American Nurses Credentialing Center."
D) "The National Council of State Boards of Nursing grants Magnet status."
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Page 27
Chapter 26: Emergency Preparedness
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Sample Questions
Q1) The nurse interprets which of the following to be a Level III disaster? (Select all that apply.)
A) Car accident
B) Train derailment
C) Hurricane
D) Tsunami
E) House fire
F) Tornado
Q2) A nurse is caring for patients after a major disaster has occurred.What is the best action in caring for these patients? (Select all that apply.)
A) Avoid discussing the disaster that has occurred.
B) Encourage patients to talk about their experience.
C) Empathize with patients and their emotions and experiences.
D) Ask patients not to discuss the disaster until they are under the care of a psychologist.
E) Reinforce their emotions and reactions as normal.
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