Nursing Capstone Final Exam Questions - 610 Verified Questions

Page 1


Nursing Capstone Final Exam Questions

Course Introduction

The Nursing Capstone course serves as a culminating academic and practical experience for nursing students, integrating knowledge and skills acquired throughout their program. Students engage in evidence-based projects, clinical practice, or research under the guidance of faculty and clinical mentors. Emphasis is placed on critical thinking, professional leadership, and application of the nursing process to address real-world health care issues. The course fosters professional growth, ethical decision-making, and readiness for transition into the nursing workforce, preparing graduates to deliver high-quality, patient-centered care in diverse healthcare settings.

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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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) The primary purpose of the Social Security Act of 1935 was to:

A) increase research that focused on minority groups.

B) provide medical care for chemically impaired persons.

C) ensure health care for older adults through a national insurance system.

D) decrease the public's financial burden by limiting services offered by local health departments.

Answer: C

Q2) What historical event first led to the recognition of the contribution of blacks to nursing?

A) Florence Nightingale's acceptance of black nurses into the first nursing school

B) The contributions of black nurses at the Pennsylvania Hospital, the first hospital in America

C) Mary Seacole's efforts to care for soldiers during the Crimean War

D) The work done by wives of wealthy black nobles who carried food and medicine from house to house during the Middle Ages

Answer: C

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3

Chapter 2: The Contemporary Image of Professional Nursing

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Sample Questions

Q1) Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous, uncaring nurse, it also provided Americans with a promising glimpse of:

A) nurses who can be promiscuous and still help doctors.

B) the fact that caring is not as important as the desire to serve one's country.

C) the ability of nurses to cope with the dreadfulness of war by using humor.

D) the contributions of male military nurses.

Answer: C

Q2) What is the best way for the individual nurse to maintain the most effective professional image?

A) Change out of their work attire before running errands.

B) Renew membership in a nursing organization.

C) Earning an advanced nursing degree.

D) Developing effective nurse-physician relationships.

Answer: B

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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

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Sample Questions

Q1) According to Lenburg, the use of practice-based assessments in nursing education is aimed toward the target of __________.

Answer: competence

The target that students need to meet to practice safely in today's complex health environment is achieving critical competencies and demonstrating of practice-based skills.

Q2) An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of: A) educational mobility.

B) a traditional nursing program.

C) training for advanced practice nursing.

D) credit by examination.

Answer: A

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Chapter 4: Nursing Licensure and Certification

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22 Verified Questions

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Sample Questions

Q1) When practicing in a compact state:

A) the nurse must abide solely by the practice act of the largest state.

B) patients' rights in relation to the nurse practice act are protected by the mutual recognition model.

C) the nurse must pay for a license in all states that participate in the mutual recognition model.

D) the nurse must refer to the nurse practice act for the list of skills that can be performed.

Q2) A group of graduates were just notified that they had successfully passed the licensure examination. During the orientation process at the hospital, one asks, "I am looking at my license, but I don't really know the duties performed by the board of nursing." The staff development nurse explains that the board of nursing: (select all that apply)

A) grants nursing licensure.

B) constructs the licensure examination.

C) assigns disciplinary action when the nurse acts in a manner that results in harm to a patient.

D) members are appointed.

E) conducts certification examinations for advanced practice nurses.

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Page 6

Chapter 5: Theories of Nursing Practice

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Sample Questions

Q1) Which type of theory most often guides present nursing practice?

A) Grand theory

B) Middle range theory

C) Developmental theory

D) Values theory

Q2) A nurse who has practiced on an orthopedic unit for 10 years unexpectedly becomes pregnant. At delivery the physician informs the mother, "Your baby has Alport syndrome, but then I don't have to explain what that means with your medical background." The mother is unfamiliar with this disease and withdraws as a coping mechanism. Which nursing theory would provide a framework to guide nursing care for this mother?

A) Mishel's uncertainty of illness

B) Orem's self-care deficit model

C) Nightingale's canons of nursing

D) Levine's conservation model

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) Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?

A) Ethnography

B) Pilot

C) Secondary data analysis

D) Phenomenology

Q2) A nurse is interested in understanding the meaning of the human experience of surviving polio. Subject recruitment targets persons who have been diagnosed with the disease. The researcher reflects on the data and identifies common themes in order to understand the "lived experience." These characteristics are consistent with the qualitative research method known as:

A) grounded theory.

B) ethnography.

C) phenomenology.

D) case study.

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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) Medicare would be responsible for: (select all that apply)

A) a hospital stay following a total knee replacement for a 70-year-old client.

B) nursing home cost for a 67-year-old adult receiving hemodialysis.

C) rehabilitation care costs for a 24-year-old client with a broken femur resulting from a fall at work.

D) prescription cost for a young mother who meets eligibility for Aid to Families with Dependent Children (AFDC).

E) home health services to administer heparin to a 27-year-old truck driver following a thrombus.

Q2) Diagnosis-related groups (DRGs) have attempted to reduce health care costs by decreasing:

A) hospital admission rates.

B) length of hospital stay.

C) outpatient services.

D) specialty groups.

Q3) A 72-year-old client is admitted to have the right kidney removed after a diagnosis of cancer. The surgeon removed the left kidney. Medicare will no longer pay for preventable medical errors known as ____________.

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Chapter 8: Legal Issues in Nursing and Health Care

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) A nursing student planning to apply for licensure knows that being charged with which offense would result in a minor criminal offense?

A) Solicitation of illegal drugs

B) Stealing a car

C) Failing to report elder abuse

D) Billing Medicare for services not rendered

Q2) A nurse who functions in the role of team leader can be held negligent for matters involving:

A) inadequate training.

B) lack of development of proper policies and procedures.

C) failure to discipline unsafe workers.

D) delegation of client care tasks.

Q3) When the client is unable to make medical decisions for himself or herself, authorization that allows another person to make these decisions is called:

A) living will.

B) durable power of attorney.

C) informed consent.

D) immunity.

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

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Sample Questions

Q1) In which case does the nurse act as "whistle-blower"?

A) One staff member on the unit covers for another nurse, who leaves the premises to purchase illegal substances and signals her friend when she must return.

B) The nurse reports that another nurse is taking medications out of stock medicine for herself or himself.

C) A nurse informs respiratory therapy that a patient is now due a treatment.

D) The nurse delegating care to unlicensed assistive personnel makes rounds to ensure all care was rendered properly.

Q2) A nurse who is infected with human immunodeficiency virus (HIV) while working in the operating room seeks revenge by deliberately placing clients at risk by not adhering to universal precautions. This nurse is violating the ethical principle of: A) veracity.

B) beneficence.

C) nonmaleficence.

D) autonomy.

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11

Chapter 10: Cultural Competency and Social Issues in

Nursing and Health Care

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24 Verified Questions

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Sample Questions

Q1) An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:

A) cultural humility.

B) stereotyping.

C) cultural assimilation.

D) acculturation.

Q2) A nurse caring for a Hispanic child admitted with diarrhea notices the child is wearing red yarn around the wrist. The nurse compliments the child's "jewelry," knowing it is believed to prevent:

A) mal ojo.

B) susto.

C) bilis.

D) empacho.

Q3) On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____.

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12

Chapter 11: Complementary and Alternative Healing

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25 Verified Questions

25 Flashcards

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Sample Questions

Q1) The nurse who presents a class on different methods of complementary alternative medicine (CAM) differentiates between imagery and hypnosis in which of the following ways?

A) Imagery involves the dependent mental construction of a picture, whereas hypnosis requires the patient to recall and verbally describe difficult times in his or her life.

B) Hypnosis requires a trained psychologist, but imagery can be performed by any health care practitioner.

C) Imagery produces a temporary sense of well-being compared with hypnosis, which evokes a permanent positive effect.

D) Although both therapies focus on specific problems and guide the patient into relaxation, imagery requires the patient to formulate the impression, whereas the hypnotist constructs the image for the patient.

Q2) The nurse caring for a patient who practices Ayurveda would assess for:

A) an increased stool osmolality gap resulting from dehydration.

B) petechiae resulting from fine-needle punctures.

C) use of over-the-counter remedies intended for intended symptom.

D) magnets strategically placed on affected joints.

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Chapter 12: Palliative Care

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/1953

Sample Questions

Q1) What is the primary factor that characterizes a patient receiving palliative care

A) A diagnosis of a serious, life-threatening disease

B) Ability to make sound health care decisions

C) An interest in exploring available life sustaining treatment options

D) A life expectancy of less than 12 months

Q2) 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.

Q3) 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.

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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) According to the Needlestick Safety and Prevention Act (2000):

A) employers ask nurses in managerial positions to evaluate safe needle devices.

B) registered nurses who sustain a needle stick are required to pass a test before resuming medication administration.

C) each state must determine the type of safe needle devices to be used.

D) employers are required to document how and where a sharps injury occurred, including the brand of device that was involved.

Q3) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.

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Page 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) A concern that nurses were being asked to perform tasks that went beyond the state's nurse practice act was brought to the union's attention. Nurses were informed that either mediation or binding arbitration will be used to resolve the issue. A novice nurse asks about the difference between these techniques and is informed that:

A) mediation is sanctioned by the National Labor Relations Board (NLRB) to formally discuss concerns with management and labor.

B) binding arbitration is a formal discussion between labor and management in which the arbitrator's recommendations are compulsory.

C) mediation uses a trained person to negotiate a legally binding plan.

D) binding arbitration requires both labor and management to participate in discussions on the least destructive approach to allow self-governance by employees.

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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) An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:

A) decision support.

B) telehealth.

C) robotic technology.

D) biometric technology.

Q2) During a search for the term informatics, when the nurse finds the domain ".edu," the site is affiliated with a(n):

A) government agency.

B) commercial site.

C) educational institution

D) Internet service provider.

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) The Metropolitan Medical Response System (MMRS):

A) is totally financed by the federal government national disaster fund.

B) consists of responders who have obtained specialized training and equipment to deal with mass casualty events.

C) has a storehouse of medications and antidotes to be used during response in times of national emergencies.

D) arranges for patient admissions to federal hospitals.

Q2) A state is devastated by a tornado killing many people, destroying communication systems, utility services, homes, and medical facilities. The state requests immediate assistance from the U.S. Congress and from surrounding states. The affected state should first contact the:

A) Emergency Management Assistance Compact (EMAC).

B) Institute of Medicine (IOM).

C) Red Cross.

D) Strategic National Stockpile.

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

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Page 18

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) An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?

A) Autocratic

B) Democratic

C) Laissez-faire

D) Referent

Q2) Managers who exhibit an authoritative behavioral style are most likely to use which source of power?

A) Informal

B) Expert

C) Coercive

D) Reward

Q3) One difference between a leader and a manager is that a:

A) leader has legitimate authority.

B) manager motivates and inspires others.

C) manager focuses on coordinating resources.

D) leader focuses on accomplishing goals of the organization.

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Chapter 18: Budgeting Basics for Nurses

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Sample Questions

Q1) A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?

A) Zero-based

B) Incremental

C) Labor

D) Operational

Q2) A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?

A) Have the nurse work in payroll for a week.

B) Enroll the staff in continuing education units (CEU) for personal finance.

C) Ask the nurse to represent the unit on the budget planning committee.

D) Make the nurse responsible for monitoring all disposable equipment and supplies.

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

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Chapter 19: Effective Communication and Conflict Resolution

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use. The spouse states, "I am so mad. How can you get cancer without smoking?" Which statement by the nurse represents empathy?

A) "Research is identifying many risk factors for cancer besides smoking."

B) "I understand how you could feel angry about the diagnosis."

C) "He is still a good husband."

D) "Why do you think he got cancer?"

Q2) The new director of nurses has instituted "walking rounds" on all nursing units, rather than the usual taped shift reports. A veteran nurse exclaims, "She doesn't know how we do things here!" The nurse is demonstrating:

A) appeal to emotion.

B) appeal to tradition.

C) red herring.

D) straw man.

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

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Sample Questions

Q1) A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:

A) query the state nursing association to determine their stance on the role of LPNs.

B) ask the LPNs on the unit to list what tasks they routinely performed.

C) contact the state board of nursing to determine legal scope of practice for LPNs.

D) refer to California's nurse practice act because the scope of LPNs/LVNs is consistent across the United States.

Q2) A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?

A) Actually observe the delegatee perform the assigned task.

B) Ask the delegatee how many times he/she has performed the task.

C) Ask the patient if the care provided was satisfactory.

D) Ask other nurses if they feel the delegatee is competent.

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Chapter 21: Staffing and Nursing Care Delivery Models

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Sample Questions

Q1) A hospital is concerned with nurse retention and realizes that job satisfaction is a major influence. To enhance employee satisfaction related to staffing, the management team:

A) negotiates for additional agency nurses.

B) hires more part-time employees.

C) includes participatory management into staffing decisions.

D) uses "float" nurses to cover vacancies.

Q2) The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:

A) nurse manager.

B) case manager.

C) coordinator of patient-centered care delivery.

D) team leader in team nursing care delivery.

Q3) Customer satisfaction is primarily based on:

A) access to modern, up-to-date facilities.

B) availability of an extensive menu selection.

C) personal interactions with employees.

D) having to undergo fewer invasive procedures.

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Chapter 22: Quality Improvement and Patient Safety

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/1963

Sample Questions

Q1) The number of IV site infections has more than doubled on a nursing unit. The staff determine common causes include the site is cleaned using inconsistent methods, dressing frequently becomes wet when patient showers, IV tubing is not changed every 48 hours per protocol, and inadequate hand washing of RN prior to insertion. A bar graph demonstrates the frequency in descending order, with 80% of infections being attributed to inadequate hand washing. The quality tool used is a:

A) cause-and-effect diagram.

B) run chart.

C) Pareto chart.

D) flowchart.

Q2) Patients with heart failure have extended lengths of stay and are often readmitted shortly after they have been discharged. To improve quality of care, a type of "road map" that included all elements of care for this disease and that standardized treatment by guiding daily care was implemented. This road map is referred to as a(n):

A) benchmark.

B) critical pathway.

C) algorithm.

D) case management.

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Sample Questions

Q1) When the policy process is compared with the nursing process, identifying the issue is consistent with which step of the nursing process?

A) Assessment

B) Diagnosis

C) Planning

D) Implementation

Q2) A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed. The correct response by the nurse is:

A) "Local government controls which benefits each county can provide to Medicaid recipients."

B) "The federal government does not fund any part of Medicaid, so each state must find ways to pay for benefits."

C) "Each state determines benefits on the basis of the present economy."

D) "Medicaid is funded by both state and federal governments, but benefits vary from state to state."

Q3) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.

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Chapter 24: Making the Transition from Student to Professional Nurse

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Sample Questions

Q1) When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?

A) The experienced nurse is unaware that the novice nurse is observing him or her gathering supplies needed to start intravenous antibiotics.

B) The novice nurse mimics conversations with his or her own patients that were unobtrusively overheard between the experienced nurse and his or her patients.

C) The novice nurse receives feedback from the experienced nurse related to the use of a new occlusive dressing product and is told, "I couldn't have done it better myself."

D) An experienced nurse is nominated for outstanding employee of the month by the novice nurse.

Q2) It is important for novice nurses to know that "self-esteem = self-confidence + self-______."

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Chapter 25: Managing Time: The Path to High

Self-Performance

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21 Verified Questions

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

Sample Questions

Q1) As part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurse's initials. The nurse is hoping to be promoted to a full-time position within the quality department, and her success on this project is very important to her receiving the position. The nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. The nurse discusses her concerns with the manager, who frees her for 1 hour each day to make rounds. During this 1 hour each day the nurse will organize herself and environment by practicing the:

A) art of "no detourism."

B) reducing stacked-desk syndrome.

C) art of "wastebasketry."

D) managing e-mail and memo mania.

Q2) To conduct a productive meeting, the nurse should:

A) provide each person all the time needed to discuss desired topics.

B) cover all emotional topics first.

C) create an agenda with specific times allotted for each agenda item.

D) wait for latecomers and ask for their excuse for being late.

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

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

Sample Questions

Q1) What characteristics are associated with the clinical nurse leader? (select all that apply)

A) Is a generalist prepared at the master's level.

B) Provides care at the bedside for complex patients.

C) Identifies the best resources at the lowest price to achieve best health outcomes for a client.

D) Serves as care coordinator whose practice is limited to acute care settings.

E) Is an advanced practice nurse with an earned doctorate in nursing.

Q2) A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three-part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. This nurse is involved in the role of:

A) change agent.

B) educator.

C) manager.

D) coordinator.

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28

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) Which message would be appropriate to leave on answering systems?

A) "You have reached 910-999-1212. Please leave your name and number and I look forward to returning your call as soon as possible."

B) Music that has messages that might be offensive to some callers downloaded as the response when applicant is unavailable.

C) "Hi, I'm not here. Sorry you missed me. Call again."

D) "I am interviewing for positions, hope to be home soon. If you are calling about an interview, please leave your name, number, and possible positions available."

Q2) The key to a successful interview is being ____________.

Q3) 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.

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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) On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of:

A) assessment.

B) planning.

C) analysis.

D) implementation.

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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