Nursing Concepts
Chapter Exam Questions
Course Introduction
Nursing Concepts introduces students to the foundational principles and theories that guide nursing practice across diverse healthcare settings. Emphasizing the core concepts of patient-centered care, professional ethics, communication, safety, and critical thinking, the course provides an overview of the nurses role within the interdisciplinary healthcare team. Through exploration of evidence-based practice, cultural competence, and legal responsibilities, students acquire essential knowledge and skills to support holistic care and make informed clinical decisions in their future careers.
Recommended Textbook
Professional Nursing Concepts and Challenges 7th Edition by Beth Black RN MSN PhD
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16 Chapters
415 Verified Questions
415 Flashcards
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Page 2
Chapter 1: Nursing Today: A Time of Transformation
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following nursing roles is not considered an advanced practice role?
A) Certified nurse-midwife (CNM)
B) Community health nurse
C) Certified nurse practitioner (CNP)
D) Clinical nurse specialist (CNS)
Answer: B
Q2) NPs are advanced practice nurses who
A) are required to have physician collaboration or supervision.
B) function under a set of universal advanced practitioner laws.
C) cannot receive direct reimbursement for their services.
D) can diagnose and treat common and chronic conditions.
Answer: D
Q3) Faith community nursing (FCN) was founded on which of the following premises?
A) Nurses' faith beliefs do not play a part in healing.
B) The spiritual aspect takes precedence over the physical body in healing.
C) Spiritual health is central to a person's well-being.
D) Faith community nurses must receive formal training as a minister or clergy.
Answer: C
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3
Chapter 2: The History and Social Context of Nursing
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Sample Questions
Q1) When surveyed, which profession was chosen by the general public as highest in honesty and ethics?
A) Physician
B) Pharmacist
C) Nurse
D) Attorney
Answer: C
Q2) To which early nursing leader is attributed the founding of the American Red Cross?
A) Clara Barton
B) Dorothea Dix
C) Florence Nightingale
D) Lavinia Lloyd Dock
Answer: A
Q3) Who was the first educated African-American professional nurse?
A) Linda Richards
B) Phoebe Pember
C) Sojourner Truth
D) Mary Eliza Mahoney
Answer: D
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Page 4
Chapter 3: Nursing's Pathway to Professionalism
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Sample Questions
Q1) A barrier to professionalism attributed to nursing's roots in altruism is illustrated when a nurse
A) questions a medication order written by the physician.
B) takes the time to listen to a patient's fears about surgery.
C) needs to seek approval from charge nurse to give a PRN medication.
D) feels guilty for expecting to be paid well for work.
Answer: D
Q2) Which of the following was recognized earliest as a true profession?
A) Ministry
B) Teaching
C) Social work
D) Engineering
Answer: A
Q3) Which of the following best describes the difference between an occupation and a profession?
A) A profession requires a duty to serve.
B) A profession is defined by members' average income.
C) In a profession, action is based on intuition.
D) In a profession, knowledge is handed down from generation to generation.
Answer: A
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Chapter 4: Legal Aspects of Nursing
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Sample Questions
Q1) Which of the following is an important step in preventing legal action against the nurse?
A) Never make a mistake.
B) Deflect blame from yourself as much as possible.
C) Develop caring, therapeutic relationships with patients.
D) Avoid explaining care procedures to patients.
Q2) A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to
A) follow the standard of care.
B) assess and monitor a patient.
C) communicate with a patient.
D) document.
Q3) Which of the following nursing responsibilities can never be delegated?
A) Complex tasks
B) Evaluation
C) Medication administration
D) Accountability
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Page 6
Chapter 5: Ethics: Basic Concepts for Nursing Practice
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Sample Questions
Q1) When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of A) beneficence.
B) fidelity.
C) justice.
D) veracity.
Q2) A nurse is involved in an ethically challenging case. To use an ethical decision-making model, which step should the nurse perform first?
A) Gather and examine all possible solutions.
B) Identify the ethical dilemma in the case.
C) Identify all parties who will be impacted by the decision.
D) Gather all information important to the situation
Q3) Respecting an elderly woman's decision to stay in her own home is based on a belief in the ethical principle of A) justice.
B) autonomy.
C) nonmaleficence.
D) death with dignity.
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Page 7
Chapter 6: Becoming a Nurse: Defining Nursing and
Socialization into Professional Practice
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Sample Questions
Q1) The legal definition of nursing for any particular state can be found in the
A) state legislature's official newsletter.
B) state board of nursing's bylaws.
C) governor's official papers.
D) state's nurse practice act.
Q2) Which of the following is an example of Henderson's definition of nursing?
A) Performing a hearing screening in preschool children
B) Interacting with depressed men to learn new strategies for reducing their symptoms
C) Setting goals for weight loss with a patient
D) Teaching a person with frequent constipation about high-fiber foods
Q3) Which of the following is an example of Orem's self-care theory?
A) Assuring proper fresh air and ventilation
B) Demonstrating good handwashing techniques
C) Assisting a disoriented patient with a bath
D) Performing a visual screening exam
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8
Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
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Sample Questions
Q1) The earliest type of formal nursing education program was the A) diploma program.
B) associate degree program.
C) bachelor's degree program.
D) grandfathered acceptance as registered nurse (RN).
Q2) The 1948 Brown Report recommended which of the following?
A) Limit enrollment of men and minorities in nursing programs.
B) Students admitted to nursing programs should not be required to meet admission requirements of the university.
C) Schools of nursing should be associated with teaching hospitals.
D) Schools of nursing should be located in institutions of higher learning.
Q3) In 2004, the AACN proposed a new doctoral degree, the doctor of nursing practice (DNP). What is the focus of the DNP degree in nursing?
A) Nursing research
B) Nursing quality improvement
C) Advanced clinical practice
D) Nursing theory development
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Page 9
Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
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33 Flashcards
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Sample Questions
Q1) Several methods have been developed to assist nurses in organizing patient data. They include (Select all that apply.)
A) Henderson's 14 nursing problems.
B) Gordon's 11 functional health patterns.
C) Nightingale's ecological framework.
D) Abdellah's 21 nursing problems.
Q2) A nurse reviewing a patient's care plan notes a goal of "Patient will ambulate 50 feet, three times in the hallway today." According to Bloom, what taxonomic category is this goal?
A) Affective domain
B) Physical domain
C) Psychomotor domain
D) Cognitive domain
Q3) The nurse instructs the patient about incentive spirometry as preoperative teaching. Which phase of the nursing process does this illustrate?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
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Chapter 9: Communication and Collaboration in Nursing
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Sample Questions
Q1) Which behaviors help patients develop trust in the nurse?
A) Answering questions with authority
B) Sharing personal information to indicate openness
C) Conveying acceptance of the patient and a nonjudgmental attitude
D) Meeting with the patient spontaneously because that indicates caring
Q2) Context is one of the five major elements of communication identified by Ruesch. Which of the following is part of the context of communication?
A) Information about the sender
B) Attitude of the receiver
C) Response of the receiver
D) Content of the message
Q3) Which is true of verbal and nonverbal communication?
A) Verbal messages are more important than nonverbal cues.
B) Individuals can exercise more control over nonverbal communication.
C) Verbal and nonverbal communication always match.
D) The nonverbal communication may be a more reliable message.
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Chapter 10: Illness, Culture, and Caring: Impact on
Families, and Nurses
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Sample Questions
Q1) When planning for patient teaching, the nurse is aware that which of the following factors create(s) a barrier to learning?
A) Mild anxiety
B) Pain and fatigue
C) Family presence
D) Patient autonomy
Q2) Which questions will aid the nurse in planning culturally congruent care? (Select all that apply.)
A) "What do smiles, nods, and hand gestures mean?"
B) "How are you usually addressed?"
C) "How many health care professionals have you seen?"
D) "What is eaten when one is sick?"
E) "Who is involved in making decisions about health care?"
Q3) Which of the following are characteristic of compassion fatigue? (Select all that apply.)
A) Increased energy
B) Burnout
C) Being prone to accidents
D) Poor judgment
E) Increased interest in reflection
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Chapter 11: The Science of Nursing and Evidence-Based Practice
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Sample Questions
Q1) To build the body of knowledge of nursing, a problem amenable to study should be
A) able to ensure participants that the intervention is a "good idea."
B) based on published research findings and fit logically with what is already known.
C) an original area of study never researched previously.
D) able to produce results that are applicable to a variety of situations.
Q2) What is meant by the term "evidence-based practice"?
A) Using nursing research findings to develop nursing theory
B) Integrating the research process into nursing administration
C) Studying research from the social sciences and applying it to practice
D) Applying research findings; patient care data, preferences, and values; and nursing expertise to nursing practice
Q3) Evidence-based nursing practice involves which of the following? (Select all that apply.)
A) The use of the best evidence available supporting the interventions
B) The use of randomized controlled trials only versus qualitative studies
C) The expertise of the professional nurse
D) Resources to identify practices that have traditionally been used in nursing practice
E) The preferences of the individual patients and their families
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Chapter 12: Conceptual and Philosophical Bases of Nursing
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Sample Questions
Q1) An adult wears a helmet when riding a bicycle because he believes that his cycling skills might not prevent an accident, which could result in a head injury with serious consequences. Which component of the health beliefs model is this person demonstrating?
A) Knowledge that cycling is good exercise and improves health
B) Perception of vulnerability to head injury from a bicycle accident
C) Concern about his cycling skills
D) Belief that individuals should prevent injuries
Q2) Which of the following is true of open systems?
A) They have very little interaction with the environment.
B) Parts are independent of each other.
C) Exchange of information is sporadic and intermittent.
D) The whole is greater than the sum of all of its parts.
Q3) A homeless man sleeps on a park bench and eats one meal a day at a shelter. Which is the lowest level of Maslow's basic needs he does not meet?
A) Basic physiologic needs
B) Safety needs
C) Love and belonging needs
D) Esteem needs
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Page 14
Chapter 13: Nursing Theory: The Basis for Professional Nursing
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Sample Questions
Q1) The nurse adjusts the patient's room to allow the patient to see the sunlight out the window and checks the patient's diet tray to ensure a balanced diet. The nurse could be basing care on the philosophy of
A) Henderson.
B) Nightingale.
C) Roy.
D) Watson.
Q2) A nurse has been introduced to theory as a guide to research and practice. This nurse is prepared at which level of nursing education?
A) Associate degree
B) Bachelor's degree
C) Master's degree
D) Doctoral degree
Q3) Which contemporary theorist is best known for her emphasis on the caring aspect of nursing?
A) Orem
B) Watson
C) Henderson
D) King
Page 15
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) How can staff nurses play an important role in controlling health care costs? (Select all that apply.)
A) Becoming aware of cost of supplies
B) Questioning the need for unnecessary or repetitive tests
C) Suggesting the use of brand-name medications to support the economy
D) Handwashing to prevent infections
E) Assuring that the payment method is identified on admission
Q2) Which of the following is an example of health promotion and maintenance?
A) Talking to a women's church group about having an annual mammogram
B) Establishing an exercise program for postmenopausal women to reduce bone loss
C) Providing colonoscopy examinations for high-risk individuals
D) Talking to a state legislator about supporting a motorcycle helmet law
Q3) An agency that treats temporary health dysfunction requiring intervention to prevent complications is providing which level of health care?
A) Subacute care
B) Primary care
C) Secondary care
D) Tertiary care
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16
Chapter
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Sample Questions
Q1) A nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in
A) power sharing.
B) setting policy.
C) politics.
D) legislative power.
Q2) A nurse is contemplating a political leadership position and wonders if she/he has the desired characteristics to make a good leader. Which of the following traits is inconsistent with a good leader?
A) Has a developed sense of systems thinking
B) Solves problems methodically using a strict model
C) Holds high moral and ethical standards
D) Adapts quickly to new situations
Q3) A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse?
A) The nurse must join a union to be employed there.
B) The nurse can join the union if desired, but it is not required.
C) This facility is closed to all union activities.
D) The facility is negotiating with several unions for control of the employees.
Page 17
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Chapter 16: Nursing's Challenge: The Call for Transformation
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Sample Questions
Q1) What is true about genetics and nursing practice?
A) In the future, all drugs will be genetically based.
B) Nurses will need competence in genetics.
C) Genetic diseases will become more prevalent.
D) All genetic conditions can be identified prenatally.
Q2) Which of the following are including in the basic beliefs set forth in the ANA's Nursing's Agenda for the Future? (Select all that apply.)
A) Health care is a basic human right.
B) Health policies should be based on outcomes research.
C) Government should be the only health care insurer.
D) Health care should provide more balance by including preventive and community care.
E) All people should have access to an all-inclusive package of health care.
Q3) What is the most important action a nurse can take to help further the profession of nursing?
A) Joining a professional organization like the ANA
B) Running for political office and helping create health-related legislation
C) Maintaining a sense of well-being and taking care of oneself in the workplace
D) Developing leadership skills and increasing professional education
Page 18
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