Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Q1) You are a graduate nurse in search of a mentor.To find a good "match," what should you look for?
A)Choose an experienced nurse who is successful.
B)Look for things you and the potential mentor have in common.
C)Be very specific with the questions you ask of the possible mentor.
D)Be careful not to disclose too much personal information.
Answer: B
Q2) The "honeymoon" is a specific phase of reality shock.What should the mentor do during this phase?
A)Share personal transition experiences with the mentee.
B)Reinforce the need for the mentee to problem solve.
C)Encourage the mentee to try new things.
D)Act as the intermediary for the mentee with staff members.
Answer: D
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Chapter 5: Nclex-Rn and the New Graduate
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Q1) Which statement by the nursing professor is accurate about the NCLEX-RN? "The purpose of the NCLEX-RN test plan is to ensure that all
A)test takers answer items of comparable difficulty."
B)test takers answer approximately the same number of items."
C)test items are job related."
D)clinical specialties will be equally represented."
Q2) What are acceptable forms of identification at the testing center?
A)U.S.driver's license
B)U.S.state-issued identification
C)Credit or debit card with photo identification
D)Passport
E)U.S.military identification
F)School or university picture identification
Q3) Which actions by the graduate nurse can help reduce anxiety on testing day?
A)Drive to the testing site the day before.
B)Evaluate traffic.
C)Add 10 minutes to the expected drive time.
D)Drive to the hotel the day before.
E)Locate the parking area at the testing site.
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Chapter 6: Historical Perspectives: Influences on the
Present
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Q1) Which actions by the reformers pushed the profession of nursing forward?
A)Organization of the American Nurses Association
B)Creation of the American Nurses Association's journal
C)Established the standards for nursing education
D)Established the standards for nursing practice
E)Set wages for nurses
Q2) Which of the following is a technical nurse duty,as described by Mildred Montag?
A)Changing a dressing with supervision from a nurse (RN,BSN)
B)Giving medication independently
C)Taking a radiograph
D)Prescribing medications
Q3) While a nurse is caring for a patient who is scheduled to have surgery in 2 hours,the patient states,"My doctor was here and told me a lot of stuff I didn't understand.Then I signed a paper for her." To fulfill the role of advocate,what is the best nursing action?
A)Explain the surgery and possible outcomes to the patient.
B)Call the physician to return and clarify information for the patient.
C)Reassure the patient that the surgery will go as planned.
D)Complete the nurse's first priority-the preoperative teaching plan.
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Chapter 7: Nursing Education
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Q1) The Tri-Council for Nursing Policy recently stated that "every student and nurse should have access to additional nursing education" (AACN,2012).What changes would educational institutions need to make in order to support this statement? (Select all that apply.)
A)Expand nursing programs to meet the needs for health care reform.
B)Increase the cost of nursing programs to pay for additional instructors.
C)Implement distance learning.
D)Set up simulation labs.
E)Lessen the amount of work in the nursing program to accommodate busy professionals.
Q2) A nurse professor is discussing the different educational tracks for nurses.The professor interprets which track as the most popular in 1980 versus today?
A)Baccalaureate
B)Associate's
C)Master's
D)Diploma
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Chapter 8: Nursing Theory
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Q1) The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? "The four major metaparadigms are
A)nursing,environment,health,and illness."
B)nursing,environment,person,and society."
C)person,environment,health/illness,and nursing."
D)person,society,wellness,and health/illness."
Q2) A nurse would like to improve personal practice by utilizing nursing theory.What action can the nurse take to begin incorporating nursing theory into practice?
A)Learn about nursing theories.
B)Apply for a management position.
C)Transfer to the education department.
D)Enroll in a PhD program at the local university.
Q3) In the systems model of Neuman,nursing helps reduce the stressors to health through
A)prevention on three levels-primary,secondary,and tertiary.
B)maintenance of balance of the physiologic systems.
C)promoting a sense of inner harmony through achieving holistic health.
D)repatterning the person and environment for synchrony within the body.
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Chapter 9: Image of Nursing: Influences on the Present
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Q1) In the 1950s,belonging to a professional organization was popular.What has contributed to the decline in membership of the American Nurses Association?
A)The ANA has increased membership dues that nurses cannot afford.
B)Nurses do not want to be associated with an organization that represents unions.
C)The association does not have state and local organizations.
D)The increase in popularity of specialty organizations
Q2) A nurse wants to represent nursing in legislative activities.Which national nursing organization would be most important to join?
A)International Congress of Nursing
B)American Red Cross
C)American Academy of Nursing
D)American Nurses Association
Q3) Which actions by the nurse can help create a professional image?
A)Maintain effective communication skills.
B)Maintain a positive attitude.
C)Maintain a professional appearance.
D)Be prepared to interact with the public.
E)Keep one's head down and opinions to one's self.
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11
Chapter 10: Nursing Management and Leadership
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Q1) What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?
A)More flexible work time and increased personal responsibility for work outcomes
B)Increased loyalty to the institution and the need for a well-defined work environment
C)Increased interest in the goals and needs of the institution
D)Increased structure within the nursing environment to more effectively predict outcomes
Q2) A nurse is using the decision-making process.Which action should be taken first?
A)Evaluate the outcome.
B)Identify and evaluate options.
C)Set the objective.
D)Implement the options.
Q3) If many complaints arise about a newly developed procedure,what is the best way to handle them?
A)Discontinue the change because it is not working.
B)Persuade a few friends to talk positively about it.
C)Consider the complaints as indications that change is being resisted.
D)Analyze the complaints and alter the plan as needed.
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Chapter 11: Building Nursing Management Skills
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Q1) The nurse manager is in charge of a busy nursing unit.Today the nurse manager is planning to evaluate the work of nurses on the unit.Which of the following actions would help complete this task in an effective manner?
A)Provide feedback as necessary to staff.
B)Verify the tasks are being performed according to standards of practice.
C)Allow nurses to complete all tasks,even if performed incorrectly.
D)Provide directions with clear expectations of how the task is to be performed.
E)Evaluate the performance of the task by the staff.
Q2) A nurse has been assigned the following patients.Which patient is a priority to assess first?
A)A patient with abdominal pain
B)A patient who has been NPO all morning and wants to eat
C)A patient with pneumonia and O2 saturation of 88%
D)A patient complaining of ear pain
Q3) Which action(s)can the nurse take during report to ensure patient safety?
A)Give report at the bedside.
B)Give report as soon as the new nurse arrives.
C)Use I-SBAR-R during shift change report.
D)Focus on giving report,not on answering telephones.
E)Be prepared for report.
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Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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Q1) Which actions can the nurse take to improve personal credibility?
A)Wear well-fitting clothes.
B)If female,wear a reasonable amount of make-up.
C)Be as original with hair design as possible.
D)Maintain a flattering,neat haircut.
E)Ensure clothes are clean and neat.
Q2) The clinical instructor interprets the development of mutual goals and guidelines as A)norming.
B)performing.
C)storming.
D)informing.
Q3) Your team leader reminds you that you have forgotten to complete an assigned task.What is an assertive response?
A)"Not now;I'm busy."
B)"You're right.I did forget.I'll do it now."
C)"It's not my fault.You should have reminded me sooner."
D)"I'm so sorry I've disappointed you.It won't happen again."
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Page 14
Chapter 13: Conflict Management
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Q1) To resolve a scheduling conflict,a nurse manager is using employment seniority.The nurse manager interprets this as
A)a win-win strategy.
B)a win-lose strategy.
C)a lose-lose strategy.
D)a compromise.
Q2) A nurse is aware that an area of conflict between nurses and patients' 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) A nurse is frustrated about being scheduled on a holiday that had been requested off,but a new nurse with less seniority was given the holiday off.Which action by the nurse shows accommodation?
A)The nurse works out a schedule change with the new nurse.
B)The nurse doesn't mention the issue but feels angry and frustrated.
C)The nurse works the holiday while the new nurse has the day off.
D)The nurse requests to have the day before the holiday off.
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Chapter 14: Delegation in the Clinical Setting
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Q1) Which of the following statements made by the charge nurse indicate appropriate delegation?
A)The LPN can delegate dressing changes to the nursing assistant.
B)The LPN can administer a DPT immunization to a child.
C)The LPN can add a dose of chemotherapy to an existing IV infusion.
D)The nursing assistant can transfer a paraplegic patient from a wheelchair to the bed.
E)The nursing assistant can assess vital signs on a patient 15 minutes after the transfusion has been started.
Q2) A registered nurse is feeling overwhelmed.Which of the following would be most appropriate for the registered nurse to delegate to an LPN?
A)An initial assessment on a new patient
B)Educational teaching on diabetes management
C)Creating a care plan for a patient
D)Updating the care plan for a patient who is postop day 2
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Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Q1) Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses?
A)Functional nursing
B)Team nursing
C)Primary care nursing
D)Patient-focused care
E)Transitional care
Q2) Which of the following statements shows the nurse's understanding of primary nursing?
A)"One nurse plans and directs patient care over 24 hours."
B)"Involves care for 48 hours or more"
C)"Includes only one nurse planning care for the patient"
D)"Is the only method of care used today"
Q3) The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:
A)patients are able to perform the majority of their own care.
B)nurses are required to perform less care.
C)nurses are able to focus all of their care on one patient.
D)nurses are hired to care for two patients.
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Chapter 16: Economics in the Health Care Delivery System
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Q1) Which statement is true about patient acuity assessments for an in-patient unit?
A)This type of assessment measures all the needs of patients.
B)The assessments provide an absolute formula for unit staffing.
C)The best assessments use hours per patient day to determine nursing needs.
D)Assessments that use admission,discharge,and transfer data are often more accurate.
Q2) To provide quality care,the Affordable Care Act of 2010
A)reduced the number of patients accepted into Medicaid.
B)kept the Medicaid system the same.
C)made changes to slow growth in spending.
D)increased Medicaid spending to ensure adequate patient care.
Q3) The nurse has an adequate understanding of capital budget when stating
A)"A capital budget is part of the expected expenses of the unit."
B)"A capital budget is used to purchase or replace equipment costing more than $5000."
C)"A capital budget is used to pay for nurses to work in the hospital."
D)"A capital budget is used to purchase lunch for employees."
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Chapter 17: Political Action in Nursing
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Q1) A nurse plans to lobby a state senator regarding a particular health care bill.Which action would be appropriate?
A)The nurse should be specific about what action the senator should take early in the contact or letter.
B)The nurse should tell the senator that if his/her advice is followed,the nurse will vote for the senator.
C)The nurse should use a form letter to express personal opinion and encourage as many as possible to mail in the form letter.
D)The nurse should avoid making contact by phone and only submit personal views in writing.
Q2) Which statement by the nurse educator is accurate regarding politics?
A)"Politics involves influencing the allocation of scarce resources."
B)"Politics involves identifying those in a public office who can be influenced."
C)"Politics involves attempting to get people in government positions to think the way you want them to."
D)"Politics involves lobbying for legislation to improve the quality of nursing care."
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Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Q1) A charge nurse is providing education to coworkers on state nursing associations.The charge nurse judges that the teaching has been effective when a coworker states which of the following?
A)"These professional associations address nursing practice."
B)"These professional associations have limited ability to support nursing."
C)"These professional associations protect the rights of physicians."
D)"These professional associations are managed by hospital administrators."
Q2) A nurse is striving to control personal nursing practice.Which action should the nurse avoid?
A)Recommend a new system for bedside report.
B)Refrain from participating in peer review.
C)Create a unit presentation on how to increase patient safety.
D)Identify ways to reduce hazards.
Q3) A nurse is educating coworkers on the establishment of collective bargaining.The nurse knows the teaching has been successful when a coworker states which of the following?
A)"Collective bargaining is still not recognized by hospitals."
B)"Nurse activists believed in a unified voice for nurses."
C)"Nurse activists wanted to option of working more hours."
D)"Collective bargaining is not effective."
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Chapter 19: Ethical Issues
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Q1) A nurse is educating a group of nursing students on the deontological model of ethical reasoning.The nurse determines that the teaching has been effective when a student states
A)"All life is worthy of respect."
B)"Abortions are ethical."
C)"Euthanasia is acceptable in certain situations."
D)"Lying is acceptable if it benefits the patient."
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
Q3) Which action by the nurse shows an understanding of the ethical principle of autonomy?
A)Allowing a patient the right to make decisions regarding his health care
B)Making decisions for the patient regarding her care
C)Disregarding the patient's decisions because they are not "normal"
D)Consulting the attending physician to make decisions for the patient
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Page 21
Chapter 20: Legal Issues
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Q1) A nurse has relocated to another state and wants to find a full-time nursing job.What action should be taken first in order to provide care as a nurse?
A)Begin applying for jobs at the local hospital.
B)Contact the board of nursing in the nurse's new state to obtain licensure.
C)Begin practicing immediately,as the nurse is still licensed in the other state.
D)Begin practice on a part-time basis so that a new license is not needed.
Q2) Which actions take place in organizations to monitor quality improvement?
A)Evaluation of what nurses are doing for patients
B)Development of policies and procedures
C)Employee evaluations
D)Intermittent monitoring
E)Continuing education
Q3) A graduate nurse is preparing to start a first nursing job.What action would be the best legal safeguard for the graduate nurse to take?
A)Competent practice
B)A legal contract
C)A valid license
D)Following management policies
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Chapter 21: Cultural and Spiritual Awareness
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Q1) A nurse is caring for a diabetic patient who frequently uses alternative medicine to manage ailments.The patient feels nauseous and requests ginger tea.What should the nurse be aware of before giving the patient ginger tea?
A)Nothing;natural remedies do not cause unwanted side effects.
B)Ginger can cause blood glucose levels to decrease.
C)Ginger causes blood glucose levels to rise.
D)Ginger can cause a diabetic patient to become more nauseous.
Q2) Which of the following actions would have little to no impact in helping resolve health care disparities?
A)Research on life stressors
B)Access to basic health care
C)Increasing diversity of health care workers
D)Health promotion and wellness programs
Q3) Determine which of the following situations would be a provider barrier to the nurse developing cultural competence.
A)A nurse who is unaware of personal biases to other ethnic groups
B)No family rooms to accommodate a critically ill patient's family
C)A nurse who seeks encounters with individuals from other cultures
D)A health care provider who incorporates alternative therapies in health care
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Page 23
Chapter 22: Quality Patient Care
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Q1) Which action takes place during the design phase of the DMAIC process?
A)A charter is developed.
B)Key performance indicators are agreed upon.
C)Analyze baseline data.
D)Determine whether measures reflect the true problems.
Q2) A nurse is preparing a presentation on core measures.Which medical diagnoses should the nurse plan on presenting during the lecture?
A)Myocardial infarction
B)Congestive heart failure
C)Diabetes
D)Perinatal care
E)Deep vein thrombosis
Q3) A nurse is discussing the Pareto principle (80/20 rule),which leads to the idea of total quality management.Which person is given credit for this process in health care?
A)Peter Pareto
B)Joseph Juran
C)Phillip Crosby
D)Edward Deming
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Chapter 23: Nursing Informatics
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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) A nurse manager is educating a group of staff nurses on violation of HIPAA standards.The manager judges the teaching to be effective when one of the staff nurses states
A)"Violations of HIPAA standards no longer occur because the consequences are so severe."
B)"Violations of HIPAA standards can result in termination of employment."
C)"Violations of HIPAA standards can result in an indictment."
D)"Violations of HIPAA standards are waived if it is your first offense."
E)"Violations of HIPAA standards can result in prison time."
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Chapter 24: Using Evidence-Based Practice and Nursing Research
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Q1) A nurse educator is teaching a nurse about research utilization.Which statement by the nurse indicates understanding?
A)"Research utilization is the collection of data to answer a specific question."
B)"Research utilization is the analysis of the practice context."
C)"Research utilization is the process of integrating the findings of completed studies into practice."
D)"Research utilization involves application of the findings of one research study."
Q2) The nurse has an adequate understanding of evidence-based practice when the nurse states which of the following?
A)"Evidence-based practice is similar to research utilization."
B)"Evidence-based practice is becoming important in all areas of health care."
C)"Evidence-based practice incorporates many additional sources of data that may contribute to improved nursing care."
D)"Evidence-based practice is not accepted as best research evidence."
E)"Evidence-based practice is not used in nursing care."
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26
Chapter 25: Workplace Issues
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Q1) 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."
Q2) A nurse professor is educating nursing students on the American Nurses Association's recommendation to use assistive devices for safe patient handling.The nurse professor judges the teaching to be effective when one of the students states
A)"Research indicated that patients were being injured by falls during transfers."
B)"Research indicated that back injuries in staff nurses were occurring even with good body mechanics."
C)"Research showed an increased number of lawsuits resulted from patient falls."
D)"Research uncovered reports from state boards of nursing showed increased back injuries."
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Chapter 26: Emergency Preparedness
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Q1) A nurse is receiving education on disaster levels.The teaching has been sufficient when the nurse states that a Level III disaster includes
A)earthquakes.
B)house fires.
C)tsunamis.
D)train derailment.
E)hurricanes.
Q2) 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 which of the following?
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."
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)An earthquake that destroys homes and transportation facilities
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