Nursing Capstone Practice Questions
Course Introduction
The Nursing Capstone course is a culminating academic experience designed to integrate theoretical knowledge with practical skills gained throughout the nursing program. Students engage in evidence-based projects, reflective practice, and critical analysis to address real-world challenges in healthcare settings. The course emphasizes leadership, clinical reasoning, ethical decision-making, and interdisciplinary collaboration. Through guided mentorship, students demonstrate their competency and readiness for professional nursing roles by delivering a comprehensive project or presentation that showcases their learning and commitment to patient-centered care.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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663 Verified Questions
663 Flashcards
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Page 2
Chapter 1: Role Transitions
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Sample Questions
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) A nurse is trying to avoid burnout.Which of the following actions is a valid way to achieve this?
A) Refusing to constantly work extra shifts
B) Withdrawing from peer support group
C) "Going native"
D) Changing jobs every 6 to 12 months
Answer: A
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Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) When taking an online or web-enhanced course,what are effective time management strategies? (Select all that apply.)
A) Enroll in an online or web-enhanced course that has fewer than 15 students to reduce the amount of time it takes to respond to everyone in the class.
B) Print your syllabus and create a calendar with assignment due dates and discussion posting requirements.
C) Create a directory on your computer to place assignments and resources specific for the course.
D) Determine what the best time is for logging into the course website and create a schedule for weekly log-in times.
E) Develop an online group of colleagues that meet in the chat room or participate in instant messaging.
Answer: B,C,D,E
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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22 Verified Questions
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Sample Questions
Q1) Which statement indicates the student nurse's understanding of a situational relationship?
A) "A situational relationship occurs only one time."
B) "A situation relationship is established by the organization."
C) "In a situational relationship,both mentee and mentor mutually accept it."
D) "A situational relationship is structured to ensure situational success."
Answer: A
Q2) The role of the mentee needs to be understood early in the mentoring relationship.What is a characteristic or example of the mentee's role?
A) Not interrupting the mentor
B) Absorbing what the mentor explains in detail
C) Establishing personal short- and long-term goals
D) Finding out what the mentor has to offer in terms of experience
Answer: C
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5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee?
A) Demonstrate interest in what the interviewer has to say.
B) Exercise the option to disagree with the interviewer.
C) Check off on a list when each item is covered by the interviewer.
D) Answer questions with as much detail as possible.
Q2) As the interview is drawing to a close,the interviewer asks the applicant,"What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression?
A) "What will happen if I am unable to meet the outcomes for the competency-based orientation?"
B) "Do you still have tuition reimbursement for courses to obtain my next degree?"
C) "How soon will I be responsible for supervision of other staff?"
D) "After completing orientation,when will the first pay raise be given?"
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Sample Questions
Q1) The nurse interprets the role of the individual state boards of nursing in the NCLEX Exam 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) Which statement made by the graduate nurse indicates understanding of the NCLEX-RN exam passing score?
A) "Candidates seeking licensure in California and New York must score higher."
B) "The passing score is the same for licensure in all states."
C) "Candidates from BSN programs must score one standard deviation higher than the ADN graduates."
D) "ADN graduates must answer 80% of the 265 questions correctly to pass."
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) Imposter nurses in the 1900s inspired Dock,Palmer,and Goodrich to take which of the following actions for the safety of the public? (Select all that apply.)
A) Advocated for nurses to take an examination for licensure
B) Required nurses to show a driver's license to their patients
C) Advocated for nurse training schools
D) Pleaded for registration of nurses
E) Fought against home-study programs for nurses
Q2) Which of the following is true of ancient Egyptians physicians and how they used ancient medicine to treat patients?
A) They focused on finding a cure for maladies.
B) They focused on treating maladies.
C) Treatments were often made of antibiotics.
D) Treatments focused on driving out evil spirits.
Q3) What was the most important contribution to nursing made during medieval times?
A) The Red Cross recognized the worth of nurses in caring for the poor.
B) A formal school was established to train nurses within the convents.
C) The hospital of St.John was established to train nurses and physicians.
D) Society placed an increased status on caring for the ill.
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Chapter 7: Nursing Education
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Sample Questions
Q1) Select the following statement that describes the current student population.
A) The student population tends to be single.
B) The student population is younger the age of 20 years.
C) The student population tends to be older.
D) The student population tends to be white.
Q2) A nurse is reviewing regulations to practice in different states.Which of the following credentials is interpreted as mandatory to renew periodically in order to legally practice nursing in a particular state?
A) The nursing license
B) The registration of the nursing license
C) Certification in a nursing specialty organization
D) Accreditation
Q3) A distinction that can be made between nursing licensure and certification is that licensure is
A) mandatory,and certification is voluntary.
B) optional,and certification is required to practice a nursing specialty.
C) renewed annually,and certification is renewed triannually.
D) approved by the ANA,and certification signifies ability to give safe care.
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9
Chapter 8: Nursing Theory
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Sample Questions
Q1) What nursing interventions can be performed by the nurse based on Jean Watson's Caring Theory? (Select all that apply.)
A) Assist with basic human needs.
B) Encourage the patient to express personal feelings.
C) Ask the patient for input regarding received care.
D) Sit down and have a conversation with the patient.
E) Perform care according to hospital and unit policy.
Q2) 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.
Q3) Systems-oriented theorists include
A) Neuman,Roy,and Johnson.
B) Peplau,Watson,and Orlando.
C) Nightingale,Abdellah,and Orem.
D) Rogers,Newman,Rizzo,and Parse.
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Page 10
Chapter 9: Image of Nursing: Influences of the Present
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Sample Questions
Q1) A nurse has been studying Levenstein's characteristics of a profession.The nurse demonstrates adequate understanding when interpreting which of the following components as part of the model?
A) A code of ethics
B) A systematic,defined progression of education
C) An accreditation process
D) Publications or journal for the profession
Q2) What action(s)can the nurse take to continue improving the image of nursing? (Select all that apply.)
A) Upload inappropriate pictures to social media networks,which she has identified herself as a nurse,
B) Uphold ethical standards for all patients,all the time.
C) Maintain professional behavior in the workplace.
D) Be aware of the challenges she will face as a nurse because of society's perception of nurses.
E) Disregard the need to change the image of nursing.
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Chapter 10: Challenges of Nursing Management and Leadership
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Sample Questions
Q1) Transformational leadership
A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member
B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision
C)Situation is analyzed and leadership style is selected that will best address issues
D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader
E)Leadership is flexible enough to address varying situations
F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system
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12
Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) The nurse manager is updating unit staff on findings by The Joint Commission.Which of the following statements shows an understanding of untoward events in the hospital setting? The primary cause of untoward events is
A) "unclear,ineffective communication."
B) "unclear chain of communication for reporting."
C) "ineffective reporting of the untoward event."
D) "lack of consistent supervision of nursing staff."
Q2) The nurse wants to anticipate patient needs in order to increase patient satisfaction and decrease the use of call bells in the assigned section.What actions can be taken to achieve this?
A) Tell patients to turn on their call bells if they need something.
B) Perform hourly rounding on each patient.
C) Check on the patient every 2 to 3 hours.
D) Check on the patient only when medication needs to be administered.
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13
Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) Which statement would be most appropriate for the nurse to make when practicing assertive behavior?
A) "I feel upset when Dr.Smith yells at me in front of my patients."
B) "I can't believe what a jerk Dr.Smith is; the doctor should be fired!"
C) "Dr.Smith was right in her action."
D) "I am reporting Dr.Smith to the medical director."
Q2) Which actions can the nurse take to improve personal credibility? (Select all that apply.)
A) Wear well-fitting clothes.
B) If female,wear a reasonable amount of make-up.
C) Be as original as possible at work.
D) Maintain a flattering,neat haircut.
E) Maintain a reasonable weight.
Q3) The graduate nurse has an adequate understanding of effective listening when stating which of the following?
A) "Limited level of vocabulary often affects listening skills,"
B) "Underdeveloped attention span affects listening skills."
C) "External noise distractions affect listening skills."
D) "Emotional reactions interfere with the actual message."
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Page 14
Chapter 13: Conflict Management
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Sample Questions
Q1) A nurse feels angry over a patient assignment and feels that assignments always include the "bad ones." What is the best way to control this anger?
A) Ignore the negative feelings.
B) Talk about other coworkers behind their backs.
C) Face this anger and determine what is being felt.
D) Refuse to speak to any coworkers for fear of lashing out.
Q2) A nurse is aware that an area of conflict between nurses and patient's families is quality of parental care.Which action would not help the nurse reduce conflict?
A) Become frustrated with the parents for lack of participation in care
B) Model positive parenting techniques
C) Encourage parents to meet other parents
D) Give out information about parenting classes
Q3) Which action by the nurse has a potential for creating role conflict?
A) Arguing that the nurse on the next shift is responsible for weighing a patient
B) Failing to discuss differences with a coworker the nurse is angry with
C) Placing the nurse's personal achievement over that of coworkers
D) Trying to change another nurse's personality
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Page 15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) The charge nurse is assigning patients for care.There are two nurses,a LPN,and a certified nursing assistant (CNA).The charge nurse would assign which of the following patients to the LPN?
A) An older adult who is receiving IV chemotherapy through a central line and will need a dressing change
B) An adult patient diagnosed with insulin-dependent diabetes who will need dressing changes on several stasis ulcers on the lower extremities
C) An adult patient with a right fractured femur and right arm in a cast who needs to urinate
D) An older patient with terminal cancer who will be transferred to hospice
Q2) A female patient in the medical-surgical unit is diagnosed with anemia and complains of weakness.Which of the following assignments could be given to the nursing assistant?
A) Organize the patient's meal tray for dinner.
B) Talk with the patient about managing her rest and activities.
C) Get a diet history and list of the patient's favorite foods.
D) Take an apical pulse and listen to the lungs for crackles.
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Page 16
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) The nurse is reviewing upcoming discharges.Which patient would a case manager be assigned to?
A) A 55-year-old woman post hysterectomy,who has adequate support from family
B) A 42-year-old man post appendectomy,who is able to change his own dressing
C) A 60-year-old man post sepsis,in need of nursing home placement
D) A 38-year-old woman,post shoulder repair,who needs to follow up with the orthopedic surgeon
Q2) 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."
Q3) A nurse manager is training a new hire.Which statement shows an understanding of functional nursing?
A) "Functional nursing is organized around tasks."
B) "Functional nursing is patient led."
C) "Functional nurses is physician led."
D) "Functional nursing is unorganized."
Page 17
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Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
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 14%."
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 action by the nurse shows fiscal responsibility to the employing organization? (Select all that apply.)
A) Wash hands after each patient contact.
B) Turn patients every 2 hours.
C) Round on patients.
D) Toilet patients frequently to prevent falls.
E) Use resources of the institution wisely.
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18
Chapter 17: Political Action in Nursing
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Sample Questions
Q1) Referent (mentor)
A)Joining a coalition to lobby for a national health insurance plan
B)Organizing nurses to work for the opponent in the next election
C)The dean of the school discussing the educational program
D)Testifying before a committee on a bill
E)A political action committee's endorsement or financial contribution
Q2) The clinical nurse leader makes out the daily assignments.One staff nurse tells another,"Last week I was asked to change my days off so the clinical nurse leader could go to a play in another city.I told the clinical nurse leader I couldn't do it.Ever since then,I've been given the most difficult patients on the unit for my assignment." The staff nurse can label this type of power as:
A) Inherent
B) Referent
C) Legitimate
D) Expert
Q3) Which strategy is least effective in formulating political action?
A) Ability to communicate information in concise terms
B) Living and practicing in several different states
C) Determining who should be contacted and for what political action
D) Having the ability to use different channels of information
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
Q1) A staff nurse is scheduled to work 3 to 11 pm in the cardiac step-down unit.The staff nurse realizes they are the only RN that will be on duty.The staff nurse calls the supervisor to say that help will be needed.The supervisor replies that there are no available nurses to assign to this unit.What should the nurse do?
A) Leave and go home rather than assume this responsibility.
B) Protect themself by filing a written objection to the assignment.
C) Call a temporary agency and arrange for coverage by a registered nurse.
D) Call the state health department to investigate the staffing issue.
Q2) Which statement by the nurse indicates understanding of collective bargaining in the workplace?
A) "Collective bargaining is not useful in the workplace."
B) "Collective bargaining is used by nurses to control their practice."
C) "Collective bargaining is used by managers to control nurses."
D) "Collective bargaining is always an adversarial process in the workplace."
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Chapter 19: Ethical Issues
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Sample Questions
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 ethical principle is implemented,or supported,when the nurse encourages a patient to be involved in planning and implementing self-care?
A) Autonomy
B) Fidelity
C) Justice
D) Veracity
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Chapter 20: Legal Issues
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Sample Questions
Q1) At the time of admission,a patient gave a history of allergy to penicillin that was duly noted in all critical areas of the patient's record.While giving medications,a nurse accidentally administered penicillin to this patient.The patient had a severe reaction but recovered.What is the implication of the nurse's action?
A) The nurse cannot be sued for malpractice because the patient did not directly the nurse of the allergy.
B) The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice.
C) The nurse who gave the medication can bring a countersuit against the nurse who took the history.
D) There is no cause for concern because the action did not result in the patient's death.
Q2) What would be the most effective way for a nurse to validate "informed consent?"
A) Check the chart for a completed and signed consent form.
B) Determine from the physician what was discussed with the patient.
C) Ask the family whether the patient understands the procedure.
D) Ask the patient what he or she understand regarding the procedure.
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22
Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) A nurse is educating a student nurse on African American culture.The nurse judges the teaching to be effective when the student nurse states that African Americans (Select all that apply.)
A) "have extended family that has a great influence on the patient."
B) "honor and respect older family members."
C) "have the oldest woman as the decision maker."
D) "do not disagree with health care recommendations."
E) "don't always follow up with health care recommendations."
Q2) 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?
Q3) What action by the nurse would indicate cultural competence?
A) Displays no favoritism
B) Tries to treat all patients the same
C) Prioritizes care based on cultural needs
D) Wants to learn more about other ethnic groups
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Page 23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse manager is brainstorming quality improvement methods.Which action would help implement these methods on the assigned unit?
A) Continue without change.
B) Resist change from upper management.
C) Empower employees to carry out needed strategies for change.
D) Agree to change what is directly beneficial.
Q2) The Joint Commission publishes a Sentinel Event Alert every month.Which of the following is the best example of a sentinel event?
A) Tylenol #3 is given to a patient when plain Tylenol was ordered.
B) Code pink is called after a newborn is discovered missing from the nursery.
C) After receiving the correct medication,the patient complains of itching all over,and a rash is noted on the patient's trunk.
D) During a blood transfusion,the patient's temperature increases to 100.4° F,and the patient complains of generalized pruritus.
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Chapter 23: Nursing Informatics
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Sample Questions
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) What is the importance of using classification systems for nursing nomenclature to describe nursing practice?
A) To provide a system to develop and use a patient care management system
B) To allow nursing administration to project,define,and implement nursing care policies and guidelines
C) To assist the quality control team to survey and gather data that will reflect the acuity classification of patients
D) To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record
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Chapter 24: Using Nursing Research in Practice
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Sample Questions
Q1) Which of the following nursing activities are necessary to provide evidence-based nursing care?
A) Maintaining self-directed practice and using the Internet to locate relevant research articles
B) Having an advanced degree (CNS or FNP)and providing clinical supervision for peers
C) Attending continuing education programs and working toward a graduate degree in nursing
D) Systematically integrating nursing research findings and applying relevant evidence to practice
Q2) Which statement by the nursing professor shows understanding of the major function of the National Institute of Nursing Research?
A) "Serves as a major source of federal grants to fund nursing research"
B) "Provides direction to nurses interested in research utilization"
C) "Collects data about the major nursing schools in the country"
D) "Provides money to fund the education of nurses"
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse believes to be bullied at work.Which of the following actions by the perpetrator lead them to believe this?
A) Offering to help with their assignment
B) Asking them to switch a shift
C) Asking them to cover for a break
D) Being given the "silent treatment"
Q2) After completing a crisis intervention course,the nurse recognizes the signs of escalating violence as:\
A) pacing and cursing.
B) repeatedly pushing the call bell.
C) crying and complaining of no pain relief.
D) staring out the window and not responding to questions.
Q3) 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."
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Chapter 26: Emergency Preparedness
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Sample Questions
Q1) A public health nurse is giving a presentation on the recovery stage of a disaster to a group of nursing managers.The teaching has been effective when one of the nurse managers states:
A) "The recovery stage deals with operations that occur after the disaster."
B) "The recovery stage deals with operations during a disaster."
C) "The recovery stage deals with operations before a disaster."
D) "The recovery stage involves the process of dealing with disasters."
Q2) The nurse interprets which of the following to be a Level III disaster? (Select all that apply.)
A) Car accident
B) Train derailment
C) Hurricane
D) Tsunami
E) House fire
F) Tornado
Q3) Which of the following represents a Level II disaster?
A) A building collapse that fills the local emergency room with patients.
B) A freeway accident that involves multiple vehicles.
C) Flooding of a three-state area affecting food and water resources.
D) Earthquake that destroys homes and transportation facilities.
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