Introduction to Nursing Solved
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Course Introduction
Introduction to Nursing offers students a comprehensive overview of the nursing profession, including its history, fundamental concepts, and diverse roles within the healthcare system. This course introduces ethical and legal considerations, patient-centered care, and essential communication skills required in nursing practice. Through a combination of lectures, case studies, and practical experiences, students gain insight into the scope of nursing responsibilities, an understanding of healthcare environments, and foundational knowledge necessary for further studies and clinical practice in nursing.
Recommended Textbook
Nursing Today Transition and Trends 9th Edition by JoAnn Zerwekh
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654 Verified Questions
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Page 2
Chapter 1: Role Transitions
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Q1) A student nurse is in the last semester of nursing school.Which action by the nursing student indicates appropriate preparation for the transition experience?
A)The nursing student requests additional experiences in performing skills and procedures.
B)The nursing student maintains close contact with a nursing instructor to observe nursing procedures.
C)The nursing student practices nursing assessments and care on one or two patients to become more competent.
D)The nursing student increases communication with a nursing instructor to maintain a resource person after graduation.
Answer: A
Q2) Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?
A)Networking
B)Obtaining a mentor
C)Returning to school
D)Joining a support group
Answer: C
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Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) The nurse understands stress-related illness when stating which of the following?
A)"Stress can cause insomnia."
B)"Stress is known to cause muscle and joint pain."
C)"Stress can cause headaches."
D)"Stress is not known to cause any health problems."
E)"Stress can cause gastrointestinal disturbances."
Answer: A,B,C,E
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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Q1) While discussing a mentoring program with the nursing director,the nurse manager correctly states that mentoring is a A)partnership.
B)one-way street.
C)static relationship.
D)method of gaining more experience.
Answer: A
Q2) 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
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Q1) What actions should the graduate nurse take to assess an organization?
A)Talk to those who work in the organization of interest.
B)Read the organization's mission statement.
C)Evaluate the reputation of the leadership.
D)Listen to rumors about the organization.
E)Read and analyze the recruitment materials.
F)"I should list my age and marital status."
Q2) The nurse knows that which of the following information is not part of a good resume?
A)Age
B)Education
C)Professional memberships
D)Occupational experience
Q3) Which of the following actions should the graduate nurse take to ensure a great first impression?
A)Arrive at the interview right on time.
B)Establish eye contact during the interview.
C)Minimize distracting nervous mannerisms.
D)Show enthusiasm and body language.
E)Smile when introduced.
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Chapter 5: Nclex-Rn and the New Graduate
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Q1) The nurse interprets the role of the individual state boards of nursing in the NCLEX as which of the following?
A)To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective states
B)To prepare a licensure examination that is reflective of entry-level practice in their respective states
C)To grade the examination,advise students of the results,and transmit all results to the National Council State Boards of Nursing for their files
D)To supervise and administer the examination to the candidates within their state jurisdictions
Q2) What is the best review strategy to use to prepare for the NCLEX-RN?
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.
D)Study 10 hours on the day and evening before the examination.
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Chapter 6: Historical Perspectives: Influences on the
Present
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Q1) A nursing student is correct when identifying which programs as having the distinction of being the first for nursing that were developed from planned research and controlled experimentation?
A)Diploma programs
B)Associate degree programs
C)Baccalaureate programs
D)Master's and doctoral programs
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 shows the role of the nurse?
A)A nurse teaching a patient preoperatively
B)A nurse prescribing medications at discharge
C)A nurse placing warm blankets on a patient
D)A nurse speaking up for a patient's wishes
E)A nurse administering medications to a patient
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Chapter 7: Nursing Education
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Q1) A young parent with small children who has no prior college education wants to enroll in a nursing program.The parent has very limited support and resources.Select the best program for this parent based on this above information.
A)Accelerated program
B)Associate's program
C)Baccalaureate program
D)Online program
Q2) A group of nurses is discussing how to choose a graduate program.Which of the following statements would be helpful to the nurses as they decide on a graduate program?
A)"Look at ACEN or CCNE publications."
B)"List your career goals and decide what educational preparation you would need to reach these goals."
C)"Ask yourself how much time you can spend going to school."
D)"Decide whether you are in a position to relocate if the programs you need are not offered in your area."
E)"Choose a graduate program based on where your friends are going to school."
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9
Chapter 8: Nursing Theory
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Sample Questions
Q1) A nurse wishes to incorporate Dorothea Orem's theory into practice.Which action by the nurse encompasses this theory?
A)The nurse completes the AM care for a patient.
B)The patient gets dressed with help from the nurse aide.
C)The patient knows his or her own medication dosages and what time they are due.
D)The patient's spouse assumes all responsibility for the patient's medications.
Q2) A nurse is working in an Asian neighborhood of a large metropolitan city.In attempting to meet the cultural needs of this segment of the population,the nurse could apply whose nursing theory to the organization of nursing care required by these residents?
A)Virginia Henderson
B)Martha Rogers
C)Dorothea Orem
D)Madeline Leininger
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 on the Present
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Sample Questions
Q1) The nurse interprets which characteristic as the forefront of discussion about nursing's professionalism?
A)Education
B)Altruism
C)Social values
D)Code of ethics
Q2) In the 1950s,belonging to a professional organization was popular.What has contributed to the decline in membership of the American Nurses Association?
A)The ANA has increased membership dues that nurses cannot afford.
B)Nurses do not want to be associated with an organization that represents unions.
C)The association does not have state and local organizations.
D)The increase in popularity of specialty organizations
Q3) Which of the following assesses how nurses can control their profession?
A)Discussing issues on their lunch break
B)Joining a professional organization
C)Through publishing documents
D)Being active in the state boards of nursing
E)Keeping issues to themselves
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11
Chapter 10: 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) A nurse manager is in the planning phase in a new job.Which actions show this?
A)Developing goals that reflect the mission and vision of the organization
B)Defining strategies to meet the mission and vision of the organization
C)Providing direction for staff to perform the work of the organization
D)Retaining accountability for all work completed by the staff
E)Planning for contingencies that may interfere with the work of the organization
Q3) The nurse manager is beginning the process of problem solving.Which action should be taken first?
A)Define the problem.
B)Gather information.
C)Analyze the information.
D)Consider the alternatives.
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Page 12
Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) A new nurse understands that organization is key to providing safe,effective care.Which of the following actions would help to achieve this?
A)Memorize assignments and patient reports.
B)Create a work organization sheet.
C)Keep info about each patient on separate sheets of paper.
D)Write down all pertinent patient info.
E)Minimize distractions during report.
Q2) A nurse is working on a busy orthopedic floor and is on the phone with the floor manager when a physician comes up and gives a verbal order for pain medications on an assigned patient.The physician then turns to leave the unit.Which action by the nurse would be the most appropriate?
A)Write down the order and administer the medication.
B)Put the nurse manager on hold and ask the physician to write the order.
C)Ignore the physician and continue the conversation with the nurse manager.
D)Write down the order and document it as a telephone order.
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13
Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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Q1) A nurse manager is delegating a task to another nurse.Which of the following action(s)would help the manager effectively communication with the nurse?
A)Get the full attention of the nurse.
B)Ask the nurse to repeat back what he or she heard.
C)Believe the nurse has understood if there are no questions.
D)Give clear,simple instructions.
E)Give instructions while multitasking.
Q2) Which actions can the nurse take to improve personal credibility?
A)Wear well-fitting clothes.
B)If female,wear a reasonable amount of make-up.
C)Be as original with hair design as possible.
D)Maintain a flattering,neat haircut.
E)Ensure clothes are clean and neat.
Q3) Which of the following actions by the nurse leader is most likely to lead to an effective meeting?
A)Creating an atmosphere in which people say very little
B)Sending out an agenda ahead of time
C)Creating well-designed overhead transparencies
D)Completing all the tasks of the group
Page 14
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Chapter 13: Conflict Management
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Sample Questions
Q1) Of the following common areas of conflict between nurses and their patients and families,which does the nurse interpret as the most easily resolved?
A)Issues of concern about quality of care
B)Issues surrounding treatment decisions
C)Issues of family involvement
D)Issues about quality of parental care
Q2) What is the best strategy for resolving the conflict in a situation in which two staff nurses request the same vacation weeks?
A)Accommodation
B)Collaboration
C)Competition
D)Avoidance
Q3) What actions can a nurse implement into daily practice to reduce conflict?
A)Deal with issues and not personalities.
B)Worry about themselves and no one else.
C)Communicate openly.
D)Listen actively.
E)Sort out issues.
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Chapter 14: Delegation in the Clinical Setting
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Q1) What should the nurse do to assess competence before delegating a task to an LPN?
A)Ask if the LPN has previous experience performing the task.
B)Ask if the LPN is willing to perform the task.
C)Ask another nurse if the LPN is competent.
D)Assume the LPN is competent due to her years of service.
Q2) The nurse is preparing assignments in a pediatric unit for the night shift.Which of the following would be appropriate to assign the LPN?
A)A 5-year-old child who had an appendectomy about 6 hours ago
B)A 4-year-old child admitted for severe epiglottitis who is running a fever of 102° F
C)A 6-year-old child admitted with dehydration and receiving IV therapy
D)A 7-year-old child who received inhalation burns 2 days ago and has a tracheostomy
Q3) Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
A)Evaluating a patient's response to pain
B)Making rounds with a physician
C)Feeding a stroke patient who has minimal dysphagia
D)Assessing a patient's central venous line site
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16
Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Sample Questions
Q1) Which of the following statements shows the nurse's understanding of primary nursing?
A)"One nurse plans and directs patient care over 24 hours."
B)"Involves care for 48 hours or more"
C)"Includes only one nurse planning care for the patient"
D)"Is the only method of care used today"
Q2) The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:
A)patients are able to perform the majority of their own care.
B)nurses are required to perform less care.
C)nurses are able to focus all of their care on one patient.
D)nurses are hired to care for two patients.
Q3) The nurse has an adequate understanding of patient-focused care when stating which of the following?
A)"Patient-focused care includes the physician,who supervises care."
B)"Patient-focused care decreases productivity."
C)"In patient-focused care,the nurse supervises delivery of care."
D)"The patient is not an active participant in patient-focused care."
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Chapter 16: Economics in the Health Care Delivery System
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Q1) Which statement by the nurse indicates understanding of the major factors influencing the increase in health care costs?
A)"Health care expenditures are exceeding the cost of the gross domestic product (GDP)in excess of 17.4%."
B)"Older adult patients consume more of the health care product than they can afford to finance."
C)"The cost of prescription drugs is soaring so rapidly that the majority of people cannot afford them."
D)"Because of the limited payment of Medicare,institutions are not being reimbursed at the same level of expenditures."
Q2) Which statement is true about patient acuity assessments for an in-patient unit?
A)This type of assessment measures all the needs of patients.
B)The assessments provide an absolute formula for unit staffing.
C)The best assessments use hours per patient day to determine nursing needs.
D)Assessments that use admission,discharge,and transfer data are often more accurate.
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Chapter 17: Political Action in Nursing
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Q1) Which statement by the nurse would best represent the purpose of a political action committee (PAC)?
A)A vehicle for nurses across the country to organize collectively to endorse and support candidates for national offices
B)A group of individuals or organizations who share a common interest in a single issue
C)An organizational structure established for the purpose of supporting and fostering changes in the health care system
D)A group that identifies special needs and raises funds to influence politicians to vote in a manner that supports the special needs
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 who 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 legislation to improve the quality of nursing care."
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19
Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Q1) A charge nurse is providing education to coworkers on state nursing associations.The charge nurse judges that the teaching has been effective when a coworker states which of the following?
A)"These professional associations address nursing practice."
B)"These professional associations have limited ability to support nursing."
C)"These professional associations protect the rights of physicians."
D)"These professional associations are managed by hospital administrators."
Q2) A nurse is giving a lecture on the primary problem that decreases the power of both types of collective bargaining models.The nurse knows that the teaching has been effective when a colleague states which of the following?
A)"The small number of states that recognize either type of collective bargaining"
B)"The political influences of the American Hospital Association on nursing organizations"
C)"The adversarial goals of each of the respective organizations or models"
D)"The lack of membership of the majority of practicing nurses"
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Chapter 19: Ethical Issues
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Q1) Which statement best describes the Code of Ethics of the American Nurses Association?
A)A moral statement of accountability for practicing nurses and for student nurses
B)A legal document describing the responsibilities of the nurse
C)A statement regarding nursing care that outlines principles for the hospital to use to evaluate quality of care
D)A document that is used as a guide for the nurse to consider in the decision-making process in legal situations
Q2) What element in health care is most responsible for the ethical dilemma of whether health care is a privilege or a right?
A)Cost
B)Technology
C)Consumerism
D)Worker shortage
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Chapter 20: Legal Issues
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Q1) Which of the following statements by the nurse indicates understanding of legal actions?
A)"A misdemeanor is a less serious crime resulting in a fine."
B)"A felony is a less serious crime that can result in a fine."
C)"Civil actions are serious and often result in prison time."
D)"The defendant is the victim."
Q2) What is a significant action a nurse can take to prevent being named in malpractice suits?
A)Refuse to care for suit-prone patients.
B)Carry professional liability insurance.
C)Maintain updated professional knowledge and skills.
D)Check with a nursing supervisor before undertaking care.
Q3) The nurse has an adequate understanding of risk management when stating which of the following?
A)"Risk management becomes involved when incidents occur."
B)"Risk management becomes involved when untoward events occur."
C)"Risk management becomes involved to discipline the nurse."
D)"Risk managers gather evidence surrounding the event."
E)"Risk managers will interview those involved in an event."
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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Q1) Using a spiritual assessment tool helps the nurse gain more understanding of the patient.What would be the best question to assess a patient's inner strengths?
A)What gives your life meaning?
B)Are you motivated to get well?
C)What do you do to show love for yourself?
D)What brings you joy and peace in your life?
Q2) A nurse is working in a disaster area as a volunteer with the local ambulance agency.The nurse is providing care to a Spanish-speaking patient.What actions can be taken to properly care for this patient?
A)Use gestures to emphasize what he is saying.
B)Obtain an interpreter.
C)Provide wound care instructions written in English.
D)Treat the patient without speaking to her.
Q3) What is an example of a system barrier to cultural competence?
A)Lack of knowledge regarding kosher diet options on menu
B)No sinks in every patient room
C)No privacy curtains in exam rooms
D)A strict and enforced policy against more than one visitor in the ICU
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23
Chapter 22: Quality Patient Care
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Q1) Which of the following are considered core measure sets and monitored by The Joint Commission?
A)Code rates
B)Venous thromboembolism
C)Pneumonia
D)Nurse staffing and vacation patterns
E)Congestive heart failure
F)Numbers of hospital admissions
Q2) A nurse has an adequate understanding of barriers to quality improvement when stating which of the following?
A)"Cost is a barrier in quality improvement."
B)"There are no barriers to quality improvement."
C)"Nurses' loyalty to old practices is a barrier."
D)"Failure to recognize that change is needed is a barrier."
E)"Being unwilling to change is a barrier."
Q3) The primary role of The Joint Commission (TJC)is
A)granting magnet status to excellent hospitals.
B)lobbying Congress on behalf of Medicare/Medicaid patients.
C)ensuring that medical facilities meet patient safety guidelines.
D)inspecting hospitals for compliance of infection control standards.
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Chapter 23: Nursing Informatics
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Q1) The nurse has an adequate understanding of the informatics nurse (IN)and informatics nurse specialist (INS)when making which of the following statements?
A)"The IN/INS does not require any computer or network knowledge on entry into the profession."
B)"The IN/INS does not interact directly with clinical staff."
C)"The IN/INS does not need prior knowledge of software or hardware implementation."
D)"The IN/INS should be prepared to help with system implementation."
Q2) The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in
A)"health information privacy law."
B)"bedside nursing care."
C)"nursing report communication."
D)"data security standards."
E)"electronic transaction standards."
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Chapter 24: Using Evidence-Based Practice and Nursing Research
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Q1) A student asks the nurse manager,"When I was reading an article about research utilization,I ran across the phrase 'practice context.' What does that mean?" What is the best response?
A)"It is made up of the factors and systems that contribute to delivery of nursing care in a particular setting."
B)"It refers to the specific group of patients who are to receive care in a particular setting."
C)"It describes the type of health care delivery system that is currently in place in a particular setting."
D)"It refers to the policies,procedures,and staffing patterns of a nursing unit."
Q2) The nurse understands the function of the National Institute of Nursing Research (NINR)when stating which of the following? (Select all that apply.)
A)"The NINR is a major source of federal funding for nursing research."
B)"The NINR supports education in research methods."
C)"The NINR funds local hospitals."
D)"The NINR supports education in research career development."
E)"The NINR establishes National Nursing Research Agenda."
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Page 26
Chapter 25: Workplace Issues
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Q1) A nurse manager is educating new hires on the different perpetrators of bullying.The teaching has been effective when the new hires state
A)"A perpetrator can be a manager."
B)"A perpetrator can be coworker."
C)"A perpetrator always has the same licensure as the victim."
D)"A perpetrator is never someone in management."
E)"Perpetrators are sometimes supervisors."
Q2) Which statement by the nurse indicates an adequate understanding of violence in the health care setting?
A)"Violence is a new problem."
B)"Violence can occur anytime and anywhere."
C)"Violence is a problem in the acute care setting."
D)"Violence occurs mostly in mental health settings."
Q3) A nurse believes he/she is being bullied at work.Which of the following actions by the perpetrator could have led the nurse to believe this?
A)Offering to help with an assignment
B)Asking the nurse to switch a shift
C)Asking the nurse to cover for a break
D)Being given the "silent treatment"
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Page 27
Chapter 26: Emergency Preparedness
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Q1) An infection control nurse is educating a nurse about potential bioterrorism agents.The nurse knows the teaching has been effective when the nurse states
A)"Smallpox has three routes of exposure to humans."
B)"Anthrax has three routes of exposure to humans."
C)"Botulism is caused by a bacterium found only in animals."
D)"Tularemia is transmitted via ingestion of toxin-contaminated food."
Q2) The nurse has an adequate understanding of smallpox when the nurse states which of the following?
A)"Smallpox does not exist because of vaccines."
B)"Smallpox can easily be spread from person to person."
C)"Smallpox must be ingested for a person to become sick."
D)"Smallpox is resistant to vaccines."
Q3) A nursing professor is educating students on nerve agents.The nursing professor judges teaching to be effective when one of students states
A)"Sarin gas is a chemical agent that is classified as a nerve agent."
B)"Mustard gas is a chemical agent that is classified as a nerve agent."
C)"Ricin is a chemical agent that is classified as a nerve agent."
D)"Chlorine gas is a chemical agent that is classified as a nerve agent."
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