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Introduction to Nursing Textbook Exam Questions - 610 Verified Questions

Page 1


Introduction to Nursing

Textbook Exam Questions

Course Introduction

Introduction to Nursing provides students with a foundational understanding of the nursing profession, including its history, core values, and diverse roles within healthcare systems. The course explores the principles of patient-centered care, professional ethics, teamwork, and communication skills essential for effective nursing practice. Students will become familiar with basic nursing theories, legal responsibilities, cultural competence, and the impact of current health care trends. Through classroom discussions, case studies, and practical exercises, learners will gain essential knowledge to begin their journey in the nursing field and prepare for further specialized coursework.

Recommended Textbook

Contemporary Nursing Issues Trends and Management 7th Edition by Cherry

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28 Chapters

610 Verified Questions

610 Flashcards

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Page 2

Chapter 1: The Evolution of Professional Nursing

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1942

Sample Questions

Q1) A nurse who has practiced for 1 year on a medical-surgical unit is very interested in a position in the operating room. She traces the nursing history of surgery to learn how nursing has evolved in this practice. To determine if, historically, surgery methods advanced the practice of nursing, select the correct statements. (select all that apply)

A) The Ancient Egyptians were the first to use anesthesia in the operating room.

B) The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections.

C) The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses.

D) During the Renaissance, advances in nursing education, including surgery, were nonexistent.

E) Following World War II, nurses practiced in mobile army surgical hospitals, where medical and surgical techniques were further refined.

Answer: D, E

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3

Chapter 2: The Contemporary Image of Professional Nursing

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22 Verified Questions

22 Flashcards

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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) In order to best improve patient outcomes on an acute care hospital unit, which intervention should the nursing staff advocate for?

A) Staffing only 8 hour shifts on the unit

B) Decreasing the number of patients cared for on any specific unit

C) Increasing salaries for experienced nurses

D) Increasing staffing on the evening shift

Answer: D

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Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/1944

Sample Questions

Q1) The NCLEX examination is created and administered by the:

A) American Association of Colleges of Nursing (AACN).

B) American Nurses Association (ANA).

C) National Council of State Boards of Nursing (NCSBN).

D) National League for Nursing (NLN).

Answer: C

Q2) A current trend is for students to be evaluated to determine whether they demonstrate competence in the actual client care environment or with a standardized patient. This process occurs in addition to or instead of traditional pencil-and-paper evaluations. This type of evaluation is referred to as:

A) core practice competencies.

B) continuing competence.

C) distance learning.

D) performance-based assessment.

Answer: D

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Chapter 4: Nursing Licensure and Certification

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/1945

Sample Questions

Q1) A nurse practicing in the early 1900s was awarded a permissive license. These licenses:

A) were voluntary; however, a nurse who failed the examination could not use the title RN.

B) required a maximum of 1 year of formalized nurse training.

C) allowed nurses who did not pass the licensure examination to still practice.

D) allowed nurses the choice of taking a written or oral licensure examination.

Q2) A nurse who wishes to practice in another state: (select all that apply)

A) must retake the NCLEX-RN for that state.

B) should determine whether the state is a compact state.

C) may obtain licensure by endorsement.

D) must revoke licensure in the current state because nurses cannot be licensed in more than one state concurrently.

Q3) 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

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Page 6

Chapter 5: Theories of Nursing Practice

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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) Which nursing theory might a nurse use as a conceptual framework to determine how to meet the needs of immigrants while ensuring provision of high-quality and culturally sensitive care?

A) Martha Rogers' nursing theory

B) Dorothea Orem's nursing theory

C) Hildegard Peplau's nursing theory

D) Madeleine Leininger's nursing theory

Q3) The basic ingredients of theory are ____________.

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Chapter 6: Nursing Research and Evidence-Based Practice

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/1947

Sample Questions

Q1) A nurse researcher who is seeking funding for a study should identify _____ of funding agencies.

A) board members

B) priorities

C) budgets

D) accreditation

Q2) 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

Q3) Which organization provides federal funding for research?

A) National Institute of Nursing Research

B) Robert Wood Johnson Foundation

C) W. K. Kellogg Foundation

D) Sigma Theta Tau International

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Page 8

Chapter 7: Paying for Health Care in America: Rising Costs and Challenges

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A nurse is very interested in learning more about health care economics and how she can use that knowledge to become a better patient advocate. She comments, "Nurses should not only deliver care one day at a time in one facility but should coordinate patient care as they move from acute care to rehabilitation to home care." This nurse would be a candidate for which nursing role?

A) Disease management program (DMP) for chronic illnesses

B) A hospital-based utilization management nurse who reviews medical records to determine the most appropriate DRG for patients

C) Case management

D) Reviewer for Managed Care Organization

Q2) Certain groups of individuals are opposed to the Patient Protection and Affordable Care Act (PPACA) based on religious beliefs that prohibit circumcision and blood transfusions. These individuals believe the PPACA is unconstitutional because it:

A) mandates that all U.S. and legal residents must secure health insurance.

B) replaces current Medicare and Medicaid plans.

C) requires all citizens to participate in offered preventive services.

D) prohibits use of health practices outside of Western medicine.

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Page 9

Chapter 8: Legal Issues in Nursing and Health Care

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1949

Sample Questions

Q1) All hospitals receiving Medicare and Medicaid funds must ask clients whether they have a living will or a durable power of attorney. This act is known as the:

A) Emergency Treatment and Active Labor Law.

B) Americans with Disabilities Act.

C) Uniform Health Care Decisions Act.

D) doctrine of res ipsa loquitur.

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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10

Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) A 13-year-old female is brought to the family planning clinic by her enraged father, who has just learned that she is pregnant. The pregnant client states, "I want to have this baby and give it up for adoption." However, the father is adamant that she will disgrace the family and demands that the health care providers tell his daughter that she has a physical condition that would prohibit her from carrying this baby to a viable stage. The nurse realizes that this is a conflict that involves the ethical principle of:

A) deontology.

B) veracity.

C) autonomy.

D) beneficence.

Q2) The nurse who admits making a medication error and immediately files an incident report is demonstrating:

A) accountability.

B) individuality.

C) an injustice.

D) values clarification.

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Chapter 10: Cultural Competency and Social Issues in

Nursing

and Health Care

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) Which statement is true regarding health care for minorities?

A) Federal legislation that provides free health insurance for minorities has resulted in fewer minorities than members of the general population who lack health insurance.

B) Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.

C) Because many Mexican Americans are highly skilled workers with comparable wages, they have the lowest uninsured rate.

D) Asians, because of their quiet demeanor and unwillingness to challenge the health care system, have the highest rate of uninsured people.

Q2) A Hispanic patient is visited by several family members and the nurse witnessed one visitor who pinches a piece of skin at the waist. The nurse asks the purpose and learns the "provider" is listening for a snap from the abdominal region, which is then repeated several times. The patient most likely suffers from:

A) mal ojo.

B) susto.

C) bilis.

D) empacho.

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Page 12

Chapter 11: Complementary and Alternative Healing

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/1952

Sample Questions

Q1) A patient informs the nurse, "I burn a lavender-scented candle for an hour before bedtime to help me relax and sleep." The nurse realizes this patient is using:

A) the mind-body intervention of aromatherapy.

B) an energy technique known as qi gong.

C) the manipulative method using the Alexander technique.

D) conventional medicine, also called allopathic.

Q2) A patient who is just beginning to use homeopathy to treat depression is concerned because symptoms are actually becoming worse with increasing sadness, anxiety, and fatigue. The practitioner of homeopathy bases teaching on the Law of Cure and instructs the patient to:

A) discontinue the therapy and seek another alternative therapy.

B) concentrate the preparation to increase its potency in hopes to improve depressive symptoms.

C) increase the dosage of the substance to increase its effectiveness.

D) remain on the current regimen since worsening is a positive sign that healing is occurring.

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Chapter 12: Palliative Care

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14 Verified Questions

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Sample Questions

Q1) As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?

A) The patient is encouraged to discuss their spiritual needs.

B) The patient is educated concerning the physical changes associated with the dying process.

C) The patient's advance care plan is formulated and implemented.

D) The patient's comfort needs are identified.

Q2) What is the initial step when addressing an ethically challenging situation?

A) Identify all those who are involved in the situation.

B) Review the overall situation to identify the core issues.

C) Gather all the relevant facts about the situations.

D) Determine what the ethical dilemma is.

Q3) Which statement correctly applies to a person's suffering?

A) Pain is the cause of suffering.

B) Suffering and pain are experienced separately.

C) Suffering can exist without the experience of pain.

D) Pain is the focus of all nursing assessments.

Q4) ________________ occurs when a physician predicts the course and outcome of a disease process.

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Chapter 13: Workforce Advocacy for a Professional Nursing

Practice Environment

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/1954

Sample Questions

Q1) Hospitals surveyed nurses who terminated their employment to determine why they chose to leave. One of the most common reasons for leaving was:

A) decreased pay for alternative shifts.

B) that the nurse/patient ratio prevents safe care.

C) that most facilities are choosing an all-RN staff, which decreases opportunities for advancement.

D) that agency and foreign nurses are favored by administration over full-time nursing staff.

Q2) Nurses entering the workforce at a large urban hospital soon began volunteering for excessive overtime. A focus group found that upon graduation, many of these nurses purchased expensive cars and furniture. They lacked skills in managing their checkbook and were often unable to pay recurring bills; this finding would be relevant to which component of the Workforce Advocacy Ecosystem Model?

A) Staffing

B) Workflow design

C) Organizational factors

D) Personal and social factors

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15

Chapter 14: Collective Bargaining and Unions in Todays Workplace

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/1955

Sample Questions

Q1) Mandatory overtime and reduction in RN staff have resulted in decreased client satisfaction and a sentinel event. Management is unwilling to discuss a change in staffing, and collective bargaining interest is sparked. During the pre-election period, what actions by management are prohibited? (select all that apply)

A) Seek individuals to spy on coworkers who are possible union supporters.

B) Photograph employees participating in information sessions about unionization.

C) Visit managers outside work to gain their perception of popularity of unionization.

D) Threaten that, should the union win, the company will relocate when there is no intention to relocate.

E) Require employees to declare their position on unionization prior to pick up paychecks.

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16

Chapter 15: Information Technology in the Clinical Setting

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/1956

Sample Questions

Q1) A nurse is preparing a presentation using different websites to collect information. The nurse is concerned that contact information and the author's credentials are not listed for one of the websites reviewed. Which criterion required to establish a reputable website is missing?

A) Authority

B) Objectivity

C) Usability

D) Currency

Q2) A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:

A) a search engine such as Google or Yahoo.

B) a consumer health website.

C) a decision support system.

D) MEDLINE database.

Q3) Software programs that process data to produce or recommend valid choices are known as ______________.

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Chapter 16: Emergency Preparedness and Response for

Todays World

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/1957

Sample Questions

Q1) During the relief response phase of a disaster resulting from a "dirty bomb":

A) treatment for burns and poisoning is provided for victims.

B) emergency plans are coordinated between agencies.

C) reconstruction of destroyed facilities and homes begins.

D) food stores are collected for potential victims.

Q2) A nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:

A) the response of local hospitals will be dictated by the federal government.

B) the same ground rules practiced in other settings and during smaller crises will be applicable.

C) the least experienced nurses will be assigned to triage low-risk victims and victims who have no chance of survival.

D) multiple incident commanders ensure a quick, effective response.

Q3) The emergency preparedness term that is used to describe the process of limiting the emergency situation within a well-defined area is ___________.

Q4) The term used during a pandemic disaster that refers to the attempt to contain germs by limiting socialization and personal interactions is ___________.

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Chapter 17: Nursing Leadership and Management

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1958

Sample Questions

Q1) According to the unit's policy for call-ins, a nurse is suspended for 3 days because of excessive call-ins that occur within 15 minutes of shift change. The nurse states, "You are unfair to me." Which theory would disprove the nurse's statement?

A) Authoritative

B) Closed systems

C) Open systems

D) Trait

Q2) The first step in the nursing process and in the problem-solving process is to:

A) identify the problem.

B) gather information.

C) consider the consequences.

D) implement interventions.

Q3) Managers who exhibit an authoritative behavioral style are most likely to use which source of power?

A) Informal

B) Expert

C) Coercive

D) Reward

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19

Chapter 18: Budgeting Basics for Nurses

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17 Verified Questions

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Sample Questions

Q1) The nursing executive team met to review last year's productivity metric to strategize for the upcoming year's metric. The team wants to be certain the productivity metric shows productivity was:

A) high.

B) low.

C) balanced.

D) iterative.

Q2) A nurse manager has calculated that providing 75 hours of direct nursing care per day requires that 120 hours must actually be worked by nursing staff. The manager is involved in: (select all that apply)

A) developing the capital budget.

B) applying productivity metric.

C) monitoring the labor budget.

D) incremental budgeting processes.

E) addressing budget assumptions.

Q3) The financial plan required for the distribution of resources and expenses is a

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20

Chapter 19: Effective Communication and Conflict Resolution

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24 Verified Questions

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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) During a health history interview, the nurse listens to a patient relating the precipitating events that led to the onset of chest pain. She focuses her attention on the patient, makes eye contact, and acknowledges what the patient has to say. The nurse is exhibiting:

A) assertive communication.

B) active listening.

C) empathy.

D) passive communication.

Q3) The healthiest form of communication is the ________ style.

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Chapter 20: Effective Delegation and Supervision

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) Which functions can be delegated only to another RN with appropriate experience and training? (select all that apply)

A) Assessment of skin integrity on third day of hospitalization

B) Evaluation of patient teaching related to turn, cough, and deep breathing exercises

C) Nursing judgment related to withholding medication based on vital signs

D) RNs do not delegate to other RNs, they delegate only to licensed practical nurses or unlicensed assistive personnel

E) Formulation of nursing diagnosis "potential for fall"

Q2) The RN instructs the LPN to "Give an enema to the patient in room 327 who is being discharged but is complaining of being constipated. Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of:

A) direction and communication.

B) task.

C) person.

D) circumstances.

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Chapter 21: Staffing and Nursing Care Delivery Models

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed assistive personnel (UAP) are responsible for implementing a specific task, such as medication administration or personal hygiene, for the entire nursing unit. This type of delivery system is:

A) total patient care.

B) functional nursing.

C) team nursing.

D) primary nursing.

Q2) A patient is admitted with coronary artery disease and is scheduled for coronary artery bypass grafting (CABG). According to the clinical pathway the patient should be extubated and discharged from critical care the day after surgery. During surgery the patient's oxygen saturation decreased drastically as a result of chronic tobacco abuse. Subsequently, the patient remained on the ventilator an additional 2 days postoperatively. According to the clinical practice guideline for CABG, this situation represents a:

A) patient outcome.

B) variance.

C) goal.

D) standard.

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Chapter 22: Quality Improvement and Patient Safety

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) A nurse is assisting with the delivery of twins. The first infant is placed on the scale to be weighed. The physician requests an instrument stat. The nurse turns to hand the instrument to the physician, and the infant falls off the scale. When evaluating the incident, the nurse and her manager list contributory factors such as the need for two nurses when multiple births are known, and the location of the scale so far from the delivery field. These nurses are performing a(n):

A) standardization of care.

B) root cause analysis.

C) process variation.

D) analysis of a deployment flowchart.

Q2) A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN) recommended competencies for educating nursing professionals. These include: (select all that apply)

A) advanced health assessment techniques.

B) patient-centered care.

C) prescriptive pharmacology content.

D) quality improvement.

E) safety.

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19 Verified Questions

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Sample Questions

Q1) Political action committees (PACs) are established for the purpose of:

A) financially supporting candidates.

B) persuading policymakers to support certain policies.

C) lobbying legislators.

D) recommending health care policy.

Q2) A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office. The nurse should contact the:

A) National Registry for Candidates.

B) American Nurses Association Nurses Strategic Action Team (N-STAT).

C) National League of Nurses.

D) National Council of State Boards of Nursing.

Q3) A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation. Which action by the nurse should have the greatest impact on passage of the bill?

A) Explain the rationale for the bill to the school board.

B) Contact the elected representative's office by telephone to request support for the bill.

C) Support a health advocate to run for election as state representative.

D) Tell all students about the bill.

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25

Chapter 24: Making the Transition from Student to Professional Nurse

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23 Verified Questions

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Sample Questions

Q1) A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?

A) "You have the patients in rooms 1 to 7. These patients require little skill so you will be fine."

B) "Your assignments are posted in writing by the nurses' station. Be certain all your tasks are completed so the next shift is not behind."

C) "You have patients in rooms 5 through 10 and I will administer all IV medications. I will let you know if I have to adjust. If you see you need help let me know."

D) "Everyone is capable of providing the best care, so please sign up for the patients you would like to be assigned to."

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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Page 26

Chapter 25: Managing Time: The Path to High

Self-Performance

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1966

Sample Questions

Q1) An experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management. However, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. Which source of energy is missing in this nurse?

A) Physical

B) Mental

C) Spiritual

D) Emotional

Q2) When deciding whether and when a task should be completed, a nurse must:

A) complete all tasks as they are thought of to prevent having to take time to consider which is most important.

B) procrastinate and hope that someone will volunteer to do it.

C) ask, "What will happen if I don't complete the task now?"

D) view large projects holistically and not as many small pieces.

Q3) The most important step in time management is ____________.

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Chapter 26: Contemporary Nursing Roles and Career

Opportunities

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/1967

Sample Questions

Q1) A nurse who is participating in a health fair asks, "Other than nursing, what are some opportunities for careers in the health care professions, and what education is required?" The nurse informs participants that a baccalaureate degree is required as the minimum standard for the role of:

A) speech therapist.

B) occupational therapist.

C) nurse-midwife.

D) nurse anesthetist.

Q2) An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in _____ nursing.

A) triage

B) forensic

C) flight

D) entrepreneurial

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Chapter 27: Job Search: Finding Your Match

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/1968

Sample Questions

Q1) The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to:

A) address the letter to "To Whom It May Concern."

B) address the letter to "Nurse Recruiter."

C) call the facility to inquire about the name and title of the person.

D) leave the salutation blank if the name and the title are unknown.

Q2) When preparing the education section of a resume:

A) list high school, followed by the first college attended.

B) include all colleges attended, even if a degree was not awarded.

C) omit the address of the university unless requested by the potential employer.

D) list in reverse chronologic order the names, dates, and addresses of universities that awarded degrees.

Q3) To determine basic competency, the interview for a nursing position may include a test in:

A) pathophysiology.

B) correctly writing nursing diagnoses.

C) pharmacology.

D) computer skills.

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29

Chapter 28: The NCLEX-RN Examination

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1969

Sample Questions

Q1) Computerized adaptive testing implies that:

A) the candidate must be computer literate.

B) competency is determined on the basis of difficulty of questions, knowledge of the nursing process, and the number of questions answered correctly.

C) testing facilities have been adapted for the physically challenged candidate.

D) questions cannot be adapted to the needs of the student.

Q2) In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?

A) Teaching/learning

B) Health promotion

C) Infection control

D) Pharmacology

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