Nursing as a Profession Midterm
Exam
Course Introduction
Nursing as a Profession explores the historical evolution, core values, and ethical foundations of the nursing discipline. This course examines the roles and responsibilities of nurses within the healthcare system, highlighting the importance of professional standards, lifelong learning, advocacy, and evidence-based practice. Emphasis is placed on communication, teamwork, leadership skills, and the development of a personal professional identity. By the end of the course, students will have a comprehensive understanding of what it means to be a professional nurse, the challenges faced in the field, and the critical contributions nurses make to patient care and society.
Recommended Textbook
Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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637 Verified Questions
637 Flashcards
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Chapter 1: Beginning the Journey
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Sample Questions
Q1) What is one indicator that an Internet site may not be accurate?
A)A long bibliography is provided for additional information.
B)There are spelling errors on the site.
C)An editor is listed on the site.
D)Background information is provided by link,not on site.
Answer: B
Q2) What statement about specialty certification in nursing is true?
A)Specialty certification guarantees increase in salary for the nurse.
B)Healthcare agencies rarely recognize certifications by nursing specialty groups.
C)The nurse who works in hospital practice must hold at least one specialty certification.
D)The nurse must demonstrate extensive experience and continuing education in the specialty area.
Answer: D
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Chapter 2: Socialization to Professional Nursing Roles
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Q1) The student nurse is using Pavalko's work to support the argument that nursing is a profession.Which criteria should this student investigate as related to nursing? (Select all that apply. )
A)Relevance to social values
B)A code of ethics
C)Theory
D)Individual identity
E)Abstract knowledge
Answer: A,B,C,E
Q2) The newly licensed nurse is experiencing reality shock related to first employment as a nurse.Which socialization model should this nurse investigate for information on coping with this issue?
A)Hinshaw
B)Davis
C)Kramer
D)Simpson
Answer: C
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Page 4
Chapter 3: Historical Foundations of Professional Nursing
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Sample Questions
Q1) Which nurse died as a result of experiments on yellow fever?
A)Clara Maass
B)Jeanne Mance
C)Mary Mahoney
D)Edith Cavell
Answer: A
Q2) What was Sojourner Truth's contribution to society?
A)She helped identify the similarity between the problems of African Americans and women.
B)She was a crusader for the mentally ill.
C)She was known as the "Moses of her people."
D)Her work resulted in the passage of the Nineteenth Amendment to the U.S.Constitution,granting women the right to vote.
Answer: A
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Page 5
Chapter 4: Ethical Foundations of Professional Nursing
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Sample Questions
Q1) The nurse is participating on a committee to address an ethical dilemma.The bioethical decision-making process will be used.In which order should the steps of this process be implemented?
A)Implement the action.
B)Evaluate the action taken.
C)Identify ethical theories and principles.
D)Gather relevant facts related to the issue.
E)Develop alternative actions and project outcomes.
Q2) The nurse wishes to participate in educational ethics rounds at the hospital.What is essential in these rounds?
A)The client must give consent.
B)The group must be interdisciplinary.
C)These rounds must be conducted privately.
D)The cases must be hypothetical.
Q3) To what does the moral principle of beneficence refer?
A)Truth telling
B)Duty to do no harm
C)Faithfulness
D)Doing good
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Page 6
Chapter 5: Legal Foundations of Professional Nursing
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Sample Questions
Q1) Which act requires that a copy of the client's advance health care directive be included in the client's medical record?
A)Good Samaritan Act
B)Americans with Disabilities Act
C)Patient Self-Determination Act
D)Nurse practice Act
Q2) A client was admitted to the medical unit after emergency treatment of hypertensive crisis.To which staff member should the charge nurse delegate or assign measurement of this client's vital signs?
A)A patient care technician
B)A nursing assistant
C)An LPN
D)An RN
Q3) When an impaired nurse provides care,the primary concern should be for which victim?
A)The client
B)The nurse's colleagues
C)The impaired nurse
D)The healthcare facility where the nurse works
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Page 7
Chapter 6: Remembering Development in Nursing
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Sample Questions
Q1) The nursing faculty is revising their program's curriculum and is developing a conceptual model.What will this faculty develop?
A)A graphic illustration of a conceptual framework.
B)An overall view or orientation to focus thoughts.
C)A system of ideas proposed to explain a given phenomenon.
D)A specific outline of the curriculum's topics and contents.
Q2) The nursing faculty is revising their program's curriculum and plan to use a specific theory as a basis of their work.What is a theory?
A)A document that relates concepts by defining their significance to one another.
B)An overall view or orientation to focus thoughts.
C)A graphic illustration of a conceptual framework.
D)A specific outline of the curriculum's topics and contents.
Q3) What is the underlying theme of Virginia Henderson's work?
A)Nurses move in stages from novice to expert in the field.
B)Nursing is best provided when culture is considered.
C)Control of the environment of healing is the most important aspect of nursing.
D)Nursing is independent from and interdependent with other health care disciplines.
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Page 8
Chapter 7: The Nurse As Health Promoter and Care Provider
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Sample Questions
Q1) A small school district cannot afford to employ registered nurses at each of its individual school campuses.Can this school offer health-promotion activities?
A)No;there must be a healthcare professional present for these activities.
B)It can only do so if the district employs a nurse consultant to plan the curriculum.
C)It can only do so if the district has access to preprinted curriculum approved by the state.
D)Yes;many professionals such as teachers can teach health-related topics.
Q2) The nurse is involved in an organization whose goal is to help children make the decision not use tobacco.Which type of health organization does this represent?
A)Health protection
B)Health restoration
C)Preventive health services
D)Health promotion
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Chapter 8: The Nurse As Learner and Teacher
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Sample Questions
Q1) The nurse is preparing to care for a newly admitted client.The following information was provided by the emergency department in the medical record:
Admission Note: Client is a 56 year old who has not been to see a healthcare provider since emigrating to the U.S.10 years ago;recalls receiving vaccinations "years ago" but does not remember for what disease processes;states that he was given "blood pressure" pills years ago from a doctor in his native country but hasn't taken them for quite some time because he "feels ok." Works as a part-time cook in a neighborhood ethnic restaurant.Lives with his spouse and is helping to raise a granddaughter. For what should the nurse assess this client upon arrival to the care area?
A)Diet
B)Health literacy
C)Insurance coverage
D)Living arrangements
Q2) How are the behaviors in each category of Bloom's domains of learning arranged?
A)Alphabetically
B)Simplest to most complex
C)By length of the word
D)Randomly
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10
Chapter 9: The Nurse As Leader and Manager
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Sample Questions
Q1) Which option characterizes the situational style of leadership?
A)The leader inspires through faith and belief.
B)The leader demonstrates affection and concern for group members.
C)The leader provides direction and support according to the level of the maturity of the group members.
D)The leader negotiates an exchange based on incentives.
Q2) Which option characterizes the charismatic style of leadership?
A)The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care.
B)The unit manager makes all of the decisions on the unit and rarely asks for input from the group.
C)The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes.
D)The group leader is passive,allowing the group to work on goals independently.
Q3) What is the best way for the nurse to ensure control on the nursing unit?
A)Create tightly written job descriptions
B)Write extensive rules
C)Make certain that procedures are strict
D)Support continuous quality improvement activities
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Page 11
Chapter 10: The Nurses Role in Evidence-Based Health Care
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Sample Questions
Q1) Which option reflects a quantitative research design?
A)The researcher has created a design that includes control of extraneous variables.
B)The researcher plans to investigate and explain the research question through narrative data.
C)To collect data,the researcher will conduct a series of unstructured interviews with the study participants.
D)The research is designed to explore the way the study participants feel about their experiences with the research topic.
Q2) Why is research important in nursing?
A)Nurses are expected to adopt evidence-based practice into their decision making.
B)Outcomes are more important than process.
C)The nurses' prime consideration should be cost-effectiveness.
D)It uses the scientific approach.
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12
Chapter 11: The Nurses Role in Quality and Safety
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Q1) A series of medication errors occurred on a care area and are believed to be caused by the redesign of the unit dose delivery system.Who should the nurse manager expect to participate when conducting a root cause analysis of these occurrences? (Select all that apply. )
A)Nurse manager
B)Pharmacy director
C)Nurses who made the medication errors
D)Person who delivered the unit dose device
E)Pharmacist responsible for filling the unit dose device
Q2) A staff nurse accidentally provided a client with an incorrect stock medication,however did not report the occurrence to anyone.What behavior is this staff nurse demonstrating?
A)At-risk
B)Human error
C)Recklessness
D)Fear of punishment
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13
Chapter 12: The Nurses Role As Political Advocate
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Sample Questions
Q1) What is the name of the national association developed for student nurses?
A)ANA
B)NSNA
C)CNA
D)NLN
Q2) Which is true of nursing and politics?
A)Nurses have little political influence.
B)Nurses have been involved in politics for years.
C)Politics in a new arena for nursing.
D)There is no reason for nurses to be involved in politics.
Q3) Which nurse used contacts with powerful men in government to obtain needed personnel and supplies for wounded soldiers in the Crimea?
A)Harriet Tubman
B)Florence Nightingale
C)Lillian Wald
D)Margaret Sanger
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Chapter 13: The Nurse As Colleague and Collaborator
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Sample Questions
Q1) The physician and nurse have asked the client to make a difficult decision regarding treatment options.The client says,"I don't really know what to do.Do whatever you think is best." According to characteristics of collaborative care,what is true of this situation?
A)The client must make the treatment decisions.
B)The client retains the right not to participate in this decision.
C)The healthcare professionals are responsible for the client's health.
D)The client is asking the healthcare professionals to define what health means to the client.
Q2) Collaborative practice creates a synergy among clients and providers.What does this statement mean?
A)The client has the final responsibility for decision-making.
B)Responsibility for health remains with the client.
C)The sum of the actions of the parties is greater than individual efforts.
D)The parties value and respect the diversity of their knowledge bases.
Q3) How does today's healthcare consumerism affect the need for collaboration?
A)Consumers are not interested in how lifestyle affects health.
B)Consumers expect to be involved in decision making.
C)Consumers are hesitant to assume responsibility for their own health.
D)Consumers expect physicians to make decisions for them.
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Page 15
Chapter 14: Communicating Effectively
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Sample Questions
Q1) What is the denotative meaning of a word?
A)The meaning of the word,regardless of language.
B)The way a word is generally used by people who share a common language.
C)The definition of the word as listed in a commonly referenced dictionary.
D)The meaning of the word as derived from one's personal experience.
Q2) The staff development trainer is preparing teaching materials that focus on the basic elements of communication.In which order should the trainer explain the simplest process of communication?
A)Receiver sends a response
B)Sender develops a message
C)Receiver receives the message
D)Sender transmits the message
E)Receiver interprets the message
Q3) Which type of documentation makes the strongest use of flow sheets?
A)PIE charting
B)Focus charting
C)CORE charting
D)Source-oriented narrative record
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16
Chapter 15: Managing Change
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Sample Questions
Q1) The nurse is expected to use new intravenous equipment.After receiving instruction on the use,the nurse is still nervous about using the new equipment.What type of change is this nurse experiencing?
A)Planned change
B)Spontaneous change
C)Developmental change
D)Pendulum change
Q2) Which would be a restraining force for change?
A)Fear of loss or threat to security
B)Perception that change is challenging
C)Potential for self-growth
D)Economic gain
Q3) Which approach to change relies on interpersonal relationships as the power ingredient?
A)Empirical-rational
B)Technostructural
C)Normative-reeducative
D)Power-coercive
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17
Chapter 16: Technology and Informatics
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Sample Questions
Q1) The Human Resources director has drafted the following position description for a nurse to work in the informatics department.
Skills and Experience: Needs assessment;Technical writing;Managing the implementation of documentation systems;Training staff on the use of documentation systems;Recent database creation;Application design and testing. What important element is missing from this position description?
A)Education level
B)Budget preparation
C)Clinical experience
D)Interest in computers
Q2) The nurse manager is working with the information technology department on an approach to help the staff understand informatics concepts.From most basic to advanced,in which order should these concepts be introduced to the staff?
A)Data
B)Wisdom
C)Knowledge
D)Information
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Chapter 17: Nursing in an Evolving Health Care Delivery System
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Sample Questions
Q1) What does fee-for-service payment mean?
A)The patient has a healthcare card that must be presented at the point of care.
B)Patients pay the practitioner for each service they receive.
C)Healthcare providers are paid a fixed amount per person to provide care.
D)Charges are waived by the government.
Q2) What do diagnosis-related groups (DRGs)establish?
A)The nursing care plan
B)Pretreatment diagnosis billing categories and fee schedule
C)Private health insurance premiums
D)The need for the primary care physician to be consulted
Q3) In which way would an office nurse setting up a patient's appointment and operating in a rationing of healthcare environment accept appointments?
A)The patient's ability to pay
B)The lottery system
C)Referrals
D)Recommendations from case managers
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19
Chapter 18: Providing Care in Home and Community
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Q1) What constitutes a healthy community?
A)Uses natural resources wisely
B)Encourages maximum governmental control over decision making
C)Being a problem-solving community with open communication among its members
D)Defers community crises to the federal government
E)Strives to provide for all members
Q2) What would be included in the assessment of the education subsystem of a community? (Select all that apply. )
A)Graduation and dropout rates
B)Libraries in the community
C)Number of public bus routes
D)Bookstores in the community
E)Educational issues
Q3) What would be included in the assessment of the recreation subsystem of a community? (Select all that apply. )
A)The air and water quality
B)Where children play
C)The number of libraries
D)Who participates in sports programs
E)Gyms and pools
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Chapter 19: Global Health
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Sample Questions
Q1) The nurse is preparing a seminar for staff nurses on the issues surrounding global health.What information should the nurse include as important for nurses to know about this topic? (Select all that apply. )
A)Contributes to creating solutions to global health challenges.
B)Identifies progress that has been made in global health problems.
C)Highlights the global health challenges that need to be addressed.
D)Encourages nurses to migrate to other countries to address ongoing health issues.
E)Identifies the relevance of global health concepts in relation to community health.
Q2) The nurse is interested in learning more about global health issues.Which areas of nursing should the nurse focus when studying these issues? (Select all that apply. )
A)Telehealth
B)Home health
C)Public health
D)Primary health
E)International health
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21
Chapter 20: Dimensions of Holistic Health Care
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Sample Questions
Q1) The nurse is admitting a patient onto a medical-surgical care area.The following information is available as part of the patient's past medical history: PMH: Diagnosed with heart failure in 2005;History of gastric ulcer disease;Treated in the past for GERD;Right hip replaced 2001;Left hip replaced 2004;History of elevated blood glucose levels,treated with diet adjustment. Based upon this information,which herbal preparations should the nurse counsel the patient to avoid using? (Select all that apply. )
A)Garlic
B)Olive leaf
C)Vitamin C
D)Glucosamine
E)Black cohosh
Q2) Herbs,vitamins,and organic whole foods are what complementary and alternative medicine category-based therapies?
A)Biologically-based
B)Energy
C)Manipulative body-based
D)Mind-body
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22
Chapter 21: Nursing in a Culturally Diverse World
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Sample Questions
Q1) The American Association of Colleges of Nursing (AACN)identified certain competencies essential for graduates of baccalaureate nursing programs to provide culturally competent care.Which statements reflect these competencies? (Select all that apply. )
A)Participate in continuous cultural competence development
B)Use relevant data sources and best evidence to provide culturally competent care
C)Reinforce health disparities among populations
D)Promote achievement of safe and quality outcomes of care for diverse populations
E)Defer use of best practice evidence to the case management teams
Q2) Pain is a cultural universal.What does this mean?
A)Treatment for pain is the same in all cultures.
B)People of all cultures experience pain,but the expression of pain may vary from one culture to another.
C)People of all cultures experience pain,but the expression of pain may vary within and between peoples of different cultures.
D)People of all cultures experience pain in the same way.
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Chapter
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Sample Questions
Q1) What should the nurse do when obtaining spiritual-assessment data?
A)Wait until the patient brings up the topic.
B)Read the physician's history and physical.
C)Perform an assessment using open-ended questions concerning spirituality.
D)Perform an assessment asking direct questions to gain full knowledge of the patient's spiritual status.
Q2) On what is the holistic health belief view based?
A)The belief that supernatural forces control illness
B)The belief that human life is one aspect of nature
C)The belief that when one's natural balance or harmony is disturbed,illness results
D)The belief that illness results from being bad
E)The belief that forces of nature must be maintained in balance or harmony
Q3) In Westerhoff's stage of affiliative faith,what does an individual do?
A)Participates in activities that characterize a particular faith tradition
B)Puts faith into personal and social action
C)Acquires a cognitive as well as an affective faith
D)Experiences faith through interaction with others who are living a particular faith tradition
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Chapter 23: Nursing in a Culture of Violence
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Q1) The nurse interacting with a couple and suspecting domestic abuse should look for what traits commonly found among abusive individuals?
A)Career and goal directed
B)Over-possessiveness and jealousy
C)Economically independent
D)Passivity and withdrawal
Q2) Which is true about who perpetrates most intimate partner abuse against whom?
A)By men against other men
B)By men against women
C)By caregivers against elders
D)By adults against children
Q3) A person comes into the emergency department with injuries consistent with abuse.In which order should the nurse complete the assessment of this person's injuries?
A)Paresthesia
B)Facial bruising
C)Limited joint mobility
D)Abdominal tenderness
E)Skin tenderness and scars
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Chapter 24: Advanced Nursing Education and Practice
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Q1) A nurse with mental health experience wants to return to school for a graduate degree to teach Psychiatric Nursing at the local nursing college.To be qualified to teach,what master's degree should this nurse obtain?
A)Psychology
B)Nursing
C)Education
D)Mental health nursing
Q2) In 2004,the American Association of Colleges of Nursing published a position paper stating that the preparation for advanced nursing practice should be at which education level?
A)Masters
B)Bachelors
C)Doctoral
D)Certification
Q3) What is one challenge when working as an advanced practice nurse?
A)Lack of formal recognition and acceptance by the public
B)The need for licensure and certification
C)Lack of prescriptive authority and reimbursement by third-party payers
D)Lack of education and experience
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Page 26
Chapter 25: The Future of Nursing
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Q1) The vast resources of information technology and distance education provide an avenue to continuing development of what three elements that can advance nursing and health care in the future?
A)Knowledge,skills,and experiences
B)Cost containment,knowledge,and recruiting
C)Recruiting,skills,and cost containment
D)Knowledge,artistic ability,and recruiting
Q2) What is causing hospitals to address the impact of consumerism?
A)Restricting medical malpractice insurance
B)Better education of the public
C)A national health policy
D)The nursing shortage
Q3) What was the motivation for focusing on wellness in the healthcare system?
A)Demands by the public
B)Nurse practice acts
C)Higher education
D)Cost-containment measures
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