Nursing Ethics and Law Solved Exam Questions
Course Introduction
Nursing Ethics and Law explores the ethical principles and legal responsibilities that guide nursing practice in various healthcare settings. The course examines key concepts such as patient autonomy, confidentiality, informed consent, and professional accountability, emphasizing the application of ethical decision-making frameworks and current legal statutes. Students will analyze real-world case studies to understand how ethical dilemmas and legal issues impact patient care, professional conduct, and interprofessional collaboration. By understanding the interplay between ethics and law, students will be better prepared to advocate for patients' rights, uphold standards of professional practice, and navigate complex situations with integrity.
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Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T. Catalano
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618 Verified Questions
618 Flashcards
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Chapter 1: The Development of the Profession
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Q1) What allows a nurse to exert referent power over a client when providing nursing care?
A)The ability to withhold pain medication if the client does not comply with routines
B)The ability to provide the client with additional food when he or she does comply with the nurse's requests
C)The power given to the nurse by reason of state licensure
D)The establishment of a professional and personal relationship with the client
Answer: D
Q2) The overall goal of nurses who work as case managers is to ________________the use of health-care services in the most efficient and cost-effective manner possible.
Answer: coordinate
Q3) Identify the approach that describes a profession as being in a continual state of development along a continuum.
A)The trait approach
B)The power approach
C)The process approach
D)The educational approach
Answer: C
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Chapter 2: Historical Perspectives
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Q1) Which development during the European Middle Ages led to a major improvement in health care?
A)A rapid growth in medical knowledge
B)Establishment of large central hospitals
C)Growth of religious orders to care for the sick
D)A shift to care of ill persons by women
Answer: C
Q2) What are the dates of Florence Nightingale's birth and death?
A)March 3, 1578; June 10, 1657
B)January 9, 1715; September 30, 1785
C)May 12, 1820; August 13, 1910
D)April 15, 1932; December 10, 1957
Answer: C
Q3) Which characteristic of health care in ancient civilizations distinguishes it from the health care of today?
A)Health care was closely related to religious practices.
B)Most health care was provided by women.
C)Health care focused on curing the sick and injured.
D)Physicians received extensive education in formal schools.
Answer: A
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Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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Q1) What type of credentialing indicates that an individual has achieved a high level of expertise and knowledge in an area of practice?
A)Licensure
B)Certification
C)Professionalism
D)Registration
Answer: B
Q2) What is the most significant benefit to a student who belongs to the National Student Nurses Association?
A)Receiving the official publication, Imprint, along with the membership
B)Experiencing firsthand the operation, activities, and professionalism of a national organization
C)Obtaining one of the many large cash scholarships available through the organization
D)Joining an elite group that has a great deal of power and a wide range of control over other students
Answer: B
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Chapter 4: Theories and Models of Nursing
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Q1) How can most living organisms be classified in general systems theory?
A)Open systems
B)Closed systems
C)Subsystems
D)Macrosystems
Q2) How is a "client" most accurately described in Johnson's Behavioral System Model?
A)An individual who is responsible for his or her own health care
B)A behavioral system that is an integrated whole
C)A dynamic entity with both input and output
D)An individual who must adapt to illness
Q3) Why is it important for nurses to understand and use a nursing theory or model in practice?
A)Nurses with this knowledge automatically provide higher quality care.
B)Understanding models of theories demonstrates a nurse's knowledge level.
C)Keeping within the practice limits provided by a model or theory protects nurses from legal action because of failure to follow the scope of nursing practice.
D)Using models or theories of nursing aids practitioners in providing their care in an organized manner.
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Chapter 5: The Process of Educating Nurses
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Q1) What is the most important consequence of the ANA Position Paper on Education for Nurses?
A)Increased numbers of associate degree programs
B)Large numbers of students graduating with baccalaureate degrees in nursing
C)Resistance to the proposal by hospitals and diploma nursing programs
D)Demand for a clear distinction between technical and professional nursing programs
Q2) How can the concept of a career ladder in education best be described?
A)Specialized programs for associate degree or diploma registered nurses (RNs) to attain a baccalaureate degree
B)The ability of staff nurses to be promoted based on their clinical skills
C)The relationship between one level of nursing education and the next level of education
D)After nurses pass the NCLEX examination, they are all considered professionals
Q3) What is the key element in relationship-centered nursing care?
A)Focus on care as it is given in the community setting
B)Use of high-level advanced nursing skills in the care of the client
C)Clients' trust in the role and skills of the nurse in the healing process
D)Responsiveness to societal changes in a consumer-driven economy
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Chapter 6: Critical Thinking
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Q1) A client is assessed as having a fever, productive cough, and chest pain. The symptoms of pneumonia include fever, productive cough, and chest pain. What conclusion can most accurately be drawn about this client?
A)The client has pneumonia.
B)The client needs to be hospitalized.
C)The client probably has pneumonia.
D)The client should be started on antibiotics as soon as possible.
Q2) A client is immobilized because of a stroke. Immobilized clients should be turned every 2 hours; therefore, this particular client should be turned every 2 hours. What is an accurate statement about the type of reasoning and the conclusion reached?
A)Inductive reasoning with an uncertain conclusion
B)Deductive reasoning with a certain conclusion
C)Inductive reasoning with a certain conclusion
D)Deductive reasoning with an uncertain conclusion
Q3) What is a common element found in biases in health care?
A)Documented beliefs
B)Confirmation of facts
C)Information consistent with reality
D)Unjustified personal opinions and prejudices
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Page 8
Chapter 7: Ethics in Nursing
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Q1) What is the best definition of the ethical principle of nonmaleficence?
A)Health-care workers avoiding harm to clients
B)Telling the truth to clients in all matters
C)Being faithful to commitments made to clients
D)The right of self-determination of clients
Q2) What is the first step in the ethical decision-making process?
A)Consider the alternatives.
B)Collect, analyze, and interpret the data.
C)Consider the consequences of the actions.
D)Make a decision.
Q3) What is the primary function of an ethical code?
A)A framework for decision making
B)A collection of static rules
C)A group of legally binding values
D)The "ball and chain" of the profession
Q4) What are rules of conduct that protect the social fabric?
A)Morals
B)Values
C)Laws
D)Ethics
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Chapter 8: Bioethical Issues
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Sample Questions
Q1) Place the events in the list below in their correct chronological order.
____ Extension of directive to prevent use of federal money for genetic research
____ Beginning of fetal tissue research
____ Directive to prevent the use of federal money for genetic research issued
____ Human Genome Project completed
Q2) A 16-year-old boy brought to the emergency room with a gunshot wound to the head is declared brain dead. His driver's license identifies him as an organ donor, but the hospital staff is unable to locate his family for permission to take his organs. Another client in the same hospital will die within 24 hours without a heart transplant. The tissues of both clients match sufficiently for a transplant. What is the ethical course of action in this case?
A)Take the donor's organs per permission of his driver's license.
B)The organs cannot be taken without the family's permission because the client is underage.
C)Continue to attempt to locate the client's family while preparing for the transplant.
D)Only remove organs that will not kill the client.
Q3) The essential ethical principle of ________________is the legal and ethical foundation for the use of advanced directives.
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Chapter 9: Nursing Law and Liability
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Sample Questions
Q1) Based on accepted standards of care for documentation, identify all the elements that nurses should include in clients' medical records.
A) Blank spaces between the lines for late entries
B) Date and time on all entries
C) Opinions about the client's behaviors
D) Statements about the physician's attitude toward the nurses
E) Direct observations
F) Quotes of statements made by clients and families
Q2) Identify the situation in which a nurse would likely be charged with negligence.
A)Slapping a client across the face for using foul language
B)Leaving the side rails down on a bed of a confused client
C)Using restraints on a client without a doctor's order
D)Telling the local newspaper of a client's diagnosis
Q3) Which type of tort may occur if a client is not allowed to leave the hospital after receiving emergency care until the bill is paid?
A)Assault
B)Battery
C)Invasion of privacy
D)False imprisonment
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Page 11
Chapter 10: How to Take and Pass Tests
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Q1) Identify the discharge instructions by the nurse that best help prevent potential complications related to the pacemaker for a 65-year-old man who received an implanted ventricular demand pacemaker for treatment of a complete AV block secondary to an anterior myocardial infarction.
A)Avoid all activities that require raising your arms over your head.
B)When a microwave oven is in use, stay out of the room.
C)You will not be able to fly because the airport metal detectors will disrupt the pacemaker function.
D)Inform you dentist that you have the device.
Q2) Identify the diet change recommendation by the nurse that best helps reduce the cramping experienced by a client who is diagnosed with chronic renal failure and has severe abdominal and leg cramping during hemodialysis treatments.
A)You need to increase your fluid intake between treatments to 4 liters per day.
B)Restrict your potassium intake to 80 mEq per meal.
C)Your fluid intake should not exceed 1 liter per 24 hours.
D)Low biological quality protein foods will help reduce muscle spasms.
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Page 12
Chapter 11: Nclex: What You Need to Know
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Sample Questions
Q1) During a prenatal visit, the nurse is teaching a pregnant client about sources of complete protein. Identify the food with the highest amount of this nutrient.
A)Two boiled eggs
B)1 cup whole-grain cereal
C)1 cup red beans
D)One fried chicken leg
Q2) A 44-year-old woman who is diagnosed with paranoid personality disorder is seen in the clinic for treatment. Select the intervention by the nurse that best achieves the goal of promoting consensual validation of reality.
A)Challenge her delusional perceptions by joking in a nonthreatening way about how unrealistic they are.
B)Use reality reinforcement and avoid arguing with the client about her perceptions.
C)Use distraction when the client begins to expound about her perceptions.
D)Administer a prescribed PRN antianxiety medication 1 hour before attempting to council with the client.
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Chapter 12: Reality Shock in the Workplace
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Q1) When should a nurse expect to complete short-term personal goals?
A)6 to 24 months
B)3 to 4 years
C)5 to 10 years
D)10 to 20 years
Q2) Which tasks are designated as category A tasks that the nurse needs to complete on time?
A)Cleaning up the room and combing the client's hair
B)Charting and daily bath
C)Lunch break and changing the linens
D)Administering medications and changing dressings
Q3) What is the best definition for what the nurse actually does while practicing nursing?
A)Ideal role
B)Perceived role
C)Performed role
D)Practice role
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Chapter 13: Principles of Leadership and Management
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Q1) A proposed change in the management structure of the nursing unit is explained during a staff meeting, and several nurses express antagonistic comments about the proposed changes to the nurse manager. Identify the best response by the nurse manager.
A)We need to look at all aspects of the proposal even though some of you may not think it is wise.
B)I will not continue with the presentation until the room is quiet.
C)If you cannot hold your comments until the end of the presentation, please leave now. D)There seems to be some disagreement with the proposal.Let's discuss the good and bad points.
Q2) A nurse terminates employment without giving the facility the required 2-week notice. One month later, the nurse manager receives a call from the personnel director at a different hospital requesting a reference for this nurse. How can the nurse manager best respond to this request?
A)"The nurse was irresponsible and did not give a 2-week notice."
B)"The nurse worked here for several months before leaving abruptly."
C)"You will be lucky to hire a nurse of his or her caliber."
D)"The nurse worked here from November 1, 1993 to April 9, 2002."
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Chapter 14: Communicating Successfully
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Q1) What may cause some people to make responses that seem inappropriate or overemotional?
A)The lack of an opportunity to develop coping skills
B)The successful resolution of a crisis situation
C)A group response to a minor situation
D)A mature attitude developed by resolving past crises
Q2) Identify an important communication difference between men and women.
A)Men have a larger and better-developed vocabulary at an earlier age than women.
B)Women prefer the face-to-face communication style.
C)Men prefer close proximity when communicating important information.
D)Women tend to be more physical when communicating.
Q3) Which behavior indicates that a nurse who is forced to confront a conflict situation is using a submissive approach to communication?
A)Sets up a one-on-one meeting at a specific time
B)Confronts the other person loudly and in front of an audience
C)Refers the problem to a supervisor
D)Uses the incident as a threat
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Chapter 15: Incivility: the Antithesis of Caring
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Q1) Why are interpersonal bonds important in establishing an environment of civility?
A)They provide individuals with a feeling that they have a duty to each other
B)Individuals are less likely to demonstrate incivility to others they know well
C)A close family atmosphere always enhances civility
D)People are more likely to overlook individuals' imperfections
Q2) What is the underlying principle upon which all definitions of civility are built?
A)Good manners
B)The Civil Rights Act of 1964
C)Recognizing the importance of all human beings
D)The fight against injustice and oppression
Q3) The caring-civility link is best exemplified by which of the following?
A)Helping in disasters in foreign countries
B)Conducting scholarly research into overcoming health-care disparities
C)Accepting criticisms from physicians even though unjustified
D)Making nursing assignments based on clients' needs and nurses' skills
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Chapter 16: Delegation in Nursing
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Q1) A LPN who has been assigned four clients asks the charge nurse which client should be assessed first after report. Which client should the charge nurse suggest be assessed first?
A)A 56-year-old man with type I diabetes with 4 p.m.blood sugar of 92
B)A 77-year-old man with congestive heart failure (CHF) who has a potassium level of 3.1
C)A 24-year-old woman with pyelonephritis and a fever of 101.1°F
D)A 38-year-old man with 22% deep partial-thickness burns of the legs and abdomen.
Q2) To which individual can the charge nurse delegate the task of completing the history and physical examination for a newly admitted client?
A)RN
B)Licensed practical (vocational) nurse
C)Certified nursing assistant, level II
D)Certified nursing assistant, level III
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Chapter 17: Governance and Collective Bargaining
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Q1) In attempting to decide whether to go on strike, nurses are often concerned about the well-being of the clients in the hospital. What legal requirement helps alleviate this concern?
A)Hospitals are permitted to hire unlicensed personnel to substitute for the striking RNs.
B)Enough RNs are required to stay and work on the floors to maintain safe levels of care.
C)A 10-day notice must be given to the hospital before a strike takes place.
D)LPNs are permitted to function as RNs in strike situations.
Q2) What is the most important feature of the shared governance model?
A)Nursing administration retains most of the power over nurses to better regulate practice.
B)Power and authority are transferred to the nursing staff rather than being located primarily in nursing administration.
C)Clients are billed for nursing care as a separate item similar to the way they are billed for physician services.
D)The nursing staff hierarchy structure is similar to the medical staff structure.
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Chapter 18: Health-Care Delivery Systems
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Sample Questions
Q1) Which two types of care delivery models are commonly used in managed care?
A)Functional and team nursing
B)Case management and functional nursing
C)Modular nursing and primary care nursing
D)Case management and primary care nursing
Q2) The ________________health-care system uses tax dollars to pay for health services through health insurance available from a nonprofit agency (e.g., government).Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q3) What is the primary goal of using the Six Sigma process in the health-care setting?
A)Providing a reliable process of care in all cases by eliminating errors
B)Helping nurses increase the number of clients they can safely care for
C)Increasing data collection used in evidenced-based practice
D)Organizing client care based on a reliable statistical model
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Chapter 19: Nursing Informatics
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Q1) What does function in nursing informatics focus on?
A)How the management and processing of information helps nurses enter, organize, or retrieve information
B)A well-articulated theoretical basis to guide the gathering of data
C)The levels of special interest, including technology and concepts of nursing theory
D)Areas of research that lead to new knowledge
Q2) What is the primary concern that health-care providers have in the use of computers in client care?
A)The ability to maintain privacy and confidentiality
B)The training and knowledge required by nurses to use the system effectively
C)The ability to provide quality care when the computers malfunction
D)The legal implications of having a computerized record of every aspect of client care
Q3) What is a client's blood pressure of 180/110 mm Hg an example of?
A)Information
B)Knowledge
C)Skill
D)Data
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Chapter 20: The Politically Active Nurse
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Q1) Which statement best indicates the use of political capital?
A)"I will issue an executive order on that topic."
B)"Without your vote, the bill will never pass."
C)"If you vote for my bill, I will vote for your bill."
D)"Large groups of citizens support this issue."
Q2) What is the best method for nurses to influence those in power?
A)Take an active role in institutional decision-making
B)Remain current with trends and issues in nursing
C)Serve on hospital and community health-care committees
D)Join unions
Q3) What comprises the branches found in the government at the federal level?
A)Legislative and executive
B)Executive, judicial, and the president
C)Congressional, legislative, and judicial
D)Legislative, executive, and judicial
Q4) Identify an issue that would be considered constituent specific.
A)Funding of a new research project
B)Universal coverage for prescriptions for the elderly
C)Increase in the rates for natural gas
D)Passing laws punishing corporate CEOs who bankrupt their companies
Page 22
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Chapter 21: Spirituality and Health Care
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Q1) What is involved in a secular approach to spirituality?
A)A set of positive values, such as love, honesty, and truth, chosen by an individual that ultimately become that person's supreme focus of life and organizing framework
B)The ideology of the Imago Dei (i.e., image of God), or soul, that exists in every person
C)A profound sense of transcendence and awe
D)Integrative energy that is capable of producing internal human harmony or holism
Q2) Which question would be most appropriate for a nurse to ask in assessing the spiritual distress of a client in the critical care unit?
A)Do you believe that God has sent this illness to you as a punishment for your past sins?
B)When was the last time you went to church to ask for God's help?
C)What do you do to feel hope or feel stronger?
D)Would you like to talk with the hospital chaplain about any spiritual concerns you have?
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23
Chapter 22: Cultural Diversity
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Q1) What can generally be excluded from the common causes for noncompliance among culturally diverse clients?
A)Use of treatments that are similar to traditional treatments
B)Lack of external symptoms of disease
C)Inconvenient or painful treatments
D)Lack of external support from family members or close friends
Q2) A woman of Mexican-American background who is in labor asks that her husband not be allowed in the delivery room and that he not see the baby until after the baby has had his or her initial bath. How can the nurse best respond to this request?
A)Insist that it is the hospital policy for the husband to be present during the delivery.
B)Explain that the first hour after the birth of the baby is the most critical to promote bonding.
C)Honor the request by recognizing that these are the cultural norms of the client.
D)Ask the husband if he is willing to wait in the waiting room until the delivery is completed.
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Chapter 23: Developments in Current Nursing Practice
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Q1) Which ethical dilemma is a sexual assault nurse examiner (SANE) nurse most likely to encounter when working with rape victims?
A)The client's right to beneficence and self-determination versus the nurse's obligation to protect the public
B)The nurse's obligation to veracity versus the client's right to privacy
C)Society's right to public disclosure versus the perpetrator's right to privacy
D)The perpetrator's right to a fair trial versus the victim's right to justice
Q2) Identify a secured setting for the practice of forensic nursing.
A)Correctional institutions
B)Crime scenes
C)Woman's shelters
D)Emergency rooms
Q3) In a disaster situation, a nurse often functions as a ____________________, assessing several victims and prioritizing care for the best use of resources.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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Chapter 24: Client Education: a Moral Imperative
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Q1) What is the primary reason a nurse should develop learning objectives for all client teaching?
A)The nurse clarifies what actions or behaviors are expected.
B)It is a requirement by the Joint Commission on Accreditation of Healthcare Organizations.
C)Learning objectives help the nurse to organize the teaching materials.
D)Clients who do not have objectives will learn material poorly.
Q2) Which is an important element for the nurse to remember when conducting a client language assessment?
A)Did the client bring an interpreter to the hospital?
B)What is the client's fluency in both the primary and secondary languages?
C)How long has the client been living in America?
D)What cultural health-care practices does the client use on a regular basis?
Q3) Learning objectives that address positive attitudes, constructive feelings, and values (ethics) fall into which domain?
A)Cognitive
B)Affective
C)Psychomotor
D)Intellectual
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Page 26
Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) It is important for nurses to develop the skill of ________________so that they will have the ability to understand the research process and then be able to sift through and carefully assesses all available and credible research findings.
Q2) Over the past several decades, nursing research has expanded and its direction has altered somewhat as demographics change and health care evolves. Along with conducting research, what is the current focus and a priority for nursing?
A)Plan and implement studies directly related to meeting specific client care needs.
B)Conduct research addressing the profession of nursing and nursing education.
C)Develop evidence-based practice by evaluating and applying the credible research findings of other nurse researchers.
D)Collaborate with other health-care workers to implement research related to patient satisfaction.
Q3) What is the purpose of qualitative inquiry research?
A)Gaining an understanding of how individuals find meaning in their world
B)Measuring the variables identified as dependent
C)Testing an identified hypothesis and proving a theory
D)Generalizing relationships between concepts
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Chapter 26: Alternative and Complementary Healing Practices
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Q1) Select from the list below all methods that would make a health care be considered alternative.
A)Self-care
B)Wellness
C)Illness recovery
D)Self-healing
E)Health promotion
F)Illness prevention
Q2) Why is the term healing preferred to medicine when referring to alternative and complementary modalities?
A)Medicine implies that only physicians can carry out the treatment.
B)The treatments are based on holistic philosophies that go beyond treatment or cure of the physiologic dimensions of care.
C)Clients might associate alternative treatments with hospital care.
D)Nurses have had a strong influence in naming this modality.
Q3) With the goal of restoring the natural movement of vital forces, life essences, or other such vitalities, ________________bring balance back to factors disturbed by diseases or trauma.
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