Nursing Leadership and Management
Chapter Exam Questions
Course Introduction
This course explores the essential principles and practices of leadership and management within the nursing profession. Students will examine theories of leadership, effective communication strategies, decision-making processes, and techniques for conflict resolution. Emphasis is placed on the development of management skills necessary for planning, organizing, staffing, directing, and controlling within healthcare settings. The course also addresses the regulatory, ethical, and legal considerations in nursing leadership, as well as strategies for fostering teamwork, implementing change, and promoting a positive work environment to enhance patient care outcomes.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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Page 2
Chapter 1: Role Transitions
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Q1) Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?
A) Networking
B) Obtaining a mentor
C) Returning to school
D) Joining a support group
Answer: C
Q2) A graduate nurse has been hired as a nurse at a local hospital.The new nurse is in the honeymoon phase of role transition when making which of the following statements?
A) "I am so nervous about being on my own as a nurse."
B) "This will be a great learning experience."
C) "I can't wait to have a steady paycheck."
D) "This job is perfect.I can finally do things my own way."
Answer: D
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Chapter 2: Personal Management: Time and Self-Care Strategies
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Q1) The nurse understands stress-related illness when stating which of the following? (Select all that apply.)
A) "Stress can cause insomnia."
B) "Stress is known to cause muscle and joint pain."
C) "Stress can cause headaches."
D) "Stress is not known to cause any health problems."
E) "Stress can cause gastrointestinal disturbances."
Answer: A,B,C,E
Q2) Which statement indicates the nurse's understanding of effective time management?
A) "The purpose of effective time management is to save hours,minutes,and seconds."
B) "The purpose of effective time management is to do as much as possible in as short a time as possible."
C) "The purpose of effective time management is to do as little as possible."
D) "The purpose of effective time management is to achieve personal and professional goals."
Answer: D
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Q1) Which of the following statements by the nurse indicates an understanding of mentors?
A) "Mentors focus on fostering the mentee's individual growth and development over an extended period of time."
B) "Mentors develop nurturing relationships during work time."
C) "Mentoring is the approach of assisting an individual's growth through partnership."
D) "The strength of mentoring lies in the facilitation and development of personal qualities."
Answer: A
Q2) A group of nursing students are discussing characteristics of a successful mentor.Which of the following statements identify these characteristics? (Select all that apply.)
A) "Successful mentors are passive."
B) "Successful mentors communicate high expectations."
C) "Successful mentors are good listeners."
D) "Successful mentors show empathy."
E) "Successful mentors are nonjudgmental."
Answer: B,C,D,E
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Q1) What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit?
A) Obtain a position that further develops interests and skills.
B) Provide a basis for moving up the career ladder to a supervisory position within 5 years.
C) Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees.
D) Obtain an entry-level position as a staff nurse on a medical-surgical unit.
Q2) What actions should the graduate nurse take to assess an organization? (Select all that apply.)
A) Talk to those who work in the organization of interest.
B) Read the organization's mission statement.
C) Evaluate the reputation of the leadership.
D) Listen to rumors about the organization.
E) Read and analyze the recruitment materials.
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Q1) What actions by the graduate nurse will assist with finding the best NCLEX-RN review book for personal study needs? (Select all that apply.)
A) Check the number of pages in various subjects in the material.
B) Look up several common topics in the index.
C) Look for a book with information that has come out in the past month.
D) Look for a book that focuses on nursing concepts.
E) Look for a book that focuses on the delivery of safe patient care.
Q2) What are helpful strategies for dealing with test anxiety?
A) Put as much time as possible into studying.
B) Practice relaxation techniques and positive thinking.
C) Use review books and tapes.
D) Focus on test-taking skills and emphasize facts less.
Q3) What actions will help prepare the graduate nurse for testing success? (Select all that apply.)
A) Dress comfortably.
B) Stay up late for last-minute studying.
C) Eat a balanced breakfast.
D) Have identification needed for entrance into the exam.
E) Celebrate your success with friends the night before.
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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Q1) 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
Q2) The student nurse interprets teaching as a critical role for nurses because
A) health care is a complex system that requires patient education.
B) not everyone has access to information about health care.
C) the less fortunate have greater difficulty understanding treatment choices.
D) understanding choices allows the patient to make informed decisions.
Q3) 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.
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Chapter 7: Nursing Education
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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) Which of the following causes is most likely to contribute to the nursing shortage?
A) The aging of the nurse faculty population
B) General lack of interest in the nursing profession
C) Lack of accredited nursing programs
D) Decreased need for nursing staff
Q3) Based on data,the nurse interprets which educational program as producing the most graduate nurses annually?
A) Diploma program
B) Associate degree program
C) Baccalaureate program
D) Master's and doctoral programs
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Chapter 8: Nursing Theory
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Q1) A nurse is listening to a nurse manager give a presentation on nursing theory.The nurse identifies which statement as being indicative of nursing theory?
A) "Team nursing to best use resources within the delivery of care"
B) "Managed care focusing on conservation of the economic resources"
C) "A direction as to how an individual nurse can best meet patient needs"
D) "Created by nurses,for nurses,in understanding the nursing process"
Q2) A 28-year-old patient is recovering from a femur repair after a traumatic car accident.The following day,lab results indicate that the hemoglobin is dangerously low and the patient needs to receive blood.The patient has identified themself as a Jehovah's Witness and has refused to receive the blood.Which action should the nurse take?
A) Notify the physician of the patient's decision.
B) Administer the blood anyway.
C) Try to convince the patient to receive the blood.
D) Call the patient's family members and alert them to the situation.
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Chapter 9: Image of Nursing: Influences of the Present
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Q1) 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.
Q2) Which action led to the "birth" of nursing theory?
A) Creation of baccalaureate programs
B) Dr.Peplau's nursing model publication
C) Publication of Jean Watson's Caring Theory
D) Martha Roger's work on nursing theory
Q3) Which action would be consistent with the American Red Cross volunteer nurse?
A) Provide staffing for a local hospital.
B) Provide assistance after a tornado.
C) Teach first aide to a group of Girl Scouts.
D) Deliver clothing to flood victims.
E) Educate volunteers to assist in a local hospital.
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Chapter 10: Challenges of Nursing Management and Leadership
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Q1) The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care.Which leadership style would be most effective on this unit?
A) Democratic
B) Authoritarian
C) Laissez-faire
D) Bureaucratic
Q2) The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?
A) "Requires more time and effort to make decisions and accomplish goals"
B) "Discourages participation from quieter members of the group"
C) "Increases the possibility of "scapegoating" or argumentative behavior"
D) "Is difficult to control the outcomes and decisions of the group"
Q3) What action would be an appropriate first step for the nurse to take toward becoming an effective manager?
A) Learn how to effect and direct the change process.
B) Assess individuals' sources of power.
C) Develop communication and interpersonal skills.
D) Implement effective nursing care plans.
Page 12
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Chapter 11: Building Nursing Management Skills
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Q1) The nurse receives report on an assigned group of patients.Which patient would the nurse assess first?
A) A patient 2 days postoperative who is complaining of pain
B) An older adult patient reported to have increasing lethargy and confusion
C) A newly admitted patient with a serum blood urea nitrogen (BUN)of 32 mg/dL
D) A hypertensive patient complaining of severe midsternum pain
Q2) The charge nurse is determining which activities to delegate to the nursing assistant.Which of the following would not be appropriate for the charge nurse to delegate to the nursing assistant?
A) Changing soiled linen
B) Taking a blood pressure on someone receiving blood
C) Removing a urinary catheter
D) Assessing a patient's lung sounds
Q3) A nurse is working with a nurse aide to care for a group of patients.Which of the following activities would be inappropriate to delegate to the nurse aide?
A) Providing discharge instructions to a patient
B) Refilling water containers
C) Obtaining a lift to help a patient out of a chair
D) Feeding a patient who is unable to feed himself
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Page 13
Chapter 12: Effective Communication and Team Building
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Q1) Which action by the nurse shows a major characteristic of aggressive behavior?
A) Achievement of personal goals at the expense of others
B) Indirect expression of personal feelings
C) Communication of personal needs
D) Ability to restrict personal rights
Q2) 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."
Q3) A member of a nursing committee frequently disregards the rules of the group and feels that the rules do not apply to the member personally.The president of the committee recognizes the term that best describe this person
A) critical conservative.
B) motor mouth.
C) self-server.
D) mouse.
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Chapter 13: Conflict Management
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Q1) A nurse is caring for an older adult patient when conflict regarding treatment arises between the family and the health care provider.What can the nurse do to resolve this conflict? (Select all that apply.)
A) Defend the health care provider's treatment and try to explain it to the family.
B) Try to convince the family that the health care provider knows what is best for the patient.
C) Allow the family to participate in the decision-making process for their loved one.
D) Encourage the family to speak directly to the health care provider regarding treatments.
E) Clarify the health care provider's order with the family.
Q2) 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.
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Chapter 14: Delegation in the Clinical Setting
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Q1) What are potential causes of performance inadequacies?
A) The person to whom the task was assigned had appropriate educational qualifications to complete the task.
B) The task was assigned to a person capable of carrying out the assignment.
C) The person who delegated the task confirmed the recipient's ability to perform the task.
D) The person to whom the task was assigned did not understand what the task involved.
Q2) 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
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Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Q1) Which statement is true about patient classification systems?
A) They measure all the needs of patients.
B) They provide an absolute formula for unit staffing.
C) They should not be used to make patient care assignments because acuity systems are more accurate.
D) They provide historical data of the usage of nursing time,which is helpful when developing the department budget.
Q2) Which statement is true about case management?
A) There are two models-traditional and full immersion.
B) It is used to reduce resource utilization only.
C) To be effective,it requires case managers to provide direct patient care.
D) It eliminates the need for other caregivers (LPN,LVNs,nursing assistants).
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 of the Health Care Delivery System
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Q1) What action can nurses take to be fiscally responsible?
A) Give patients their discharge instructions and let them determine if the cost of their medications fit into their budget.
B) Allow nurses to work on the unit when the census drops.
C) Use proper hand hygiene.
D) Document minimally on each patient.
Q2) Which statement by the nurse shows understanding of the Rand Health Insurance Experiment?
A) "When consumers were required to pay 25% co-payment,there was a considerable decline in the use of health care services."
B) "There was an increase in the use of health care services when consumers were required to make a co-payment."
C) "If the health care cost is being paid by insurance companies,the consumer is not concerned about the cost."
D) "The implementation of the Oregon Health Policy for reimbursement of the cost of health care services led to the Rand Health Insurance Experiment."
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Chapter 17: Political Action in Nursing
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Q1) How does the Political Action Committee support candidates?
A) "Buys" a candidate
B) Lobby's elected officials
C) Evaluates candidates on nursing and health concerns only
D) Does not endorse candidates for public office
Q2) What is an example of the weakest source of power?
A) Several nursing students talk with a head nurse regarding a problem they are having on the unit.The head nurse then discusses this problem with the chief nursing officer.
B) The clinical nursing instructor sends a student to the skills lab for further practice.
C) A nurse shares knowledge regarding nursing in a confident manner and style.
D) The head nurse tells staff members that as soon as all the care plans are completed,they may have some additional compensation time.
Q3) Legitimate
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
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Q1) 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."
Q2) The nurse manager has an adequate understanding of the common issues in nursing when stating which of the following? (Select all that apply.)
A) "There are no common issues in nursing."
B) "Mandated staffing is a common issue."
C) "Unsafe patient assignments are a common issue."
D) "Lack of overtime is a common issue."
E) "Negotiations are a common issue."
Q3) A nurse is educating coworkers on the establishment of collective bargaining.The nurse knows the teaching has been successful when a coworker states:
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."
Page 20
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Chapter 19: Ethical Issues
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Q1) A nurse is caring for a patient who has just been diagnosed with cancer.The patient's family has requested that the patient not be told at this time because it would be devastating.The patient asks the nurse if the diagnosis is cancer.If the nurse were to uphold the ethical principle of veracity,what would the response be?
A) "No,you do not have cancer."
B) "The physician is unsure of your diagnosis at this time."
C) "Yes,that is the diagnosis.Let me call the doctor so that we can have a discussion."
D) "Yes,but your family told me that I could not talk to you about the diagnosis."
Q2) Which ethical principle is applied when the nurse acts to safeguard the patient and the public by reporting poor nursing practice?
A) Autonomy
B) Fidelity
C) Justice
D) Veracity
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Chapter 20: Legal Issues
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Q1) What is a correct statement regarding a nurse who acts beyond the scope of practice?
A) Demonstrates what a good nurse he or she can be
B) Provides enriched services to patients who would not otherwise receive them
C) May make other nurses angry because of the increased expectations created
D) May be disciplined by the board of nursing
Q2) A nurse tells a patient,"If you don't stop getting out of that chair,I'm going to put some restraints on you." What may this nurse be accused of?
A) False imprisonment
B) Defamation
C) Invasion of privacy
D) Malpractice
Q3) During a life-threatening emergency,a nurse hurriedly gives the patient a medication by IV push.There is extravasation of medication.Later,necrosis and tissue sloughing take place.The nurse's behavior may be the basis for what action?
A) Felony charge
B) Misdemeanor charge
C) Tort suit
D) Defamation suit
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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Q1) Which of the following actions cause health care disparities?
A) Refusal of treatment
B) Provider-patient relationships
C) Trust in the health care system
D) Provider bias and discrimination
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) By asking,"How has being sick affected your spiritual practices?" the nurse is trying to determine the need in what spiritual dimension?
A) Sources of hope and strength
B) Spirit-enhancing practices or rituals
C) Involvement in spiritual community
D) Experience of God or transcendence
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Chapter 22: Quality Patient Care
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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) Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN)?
A) "QSEN helps prepare future nurses for improving patient safety."
B) "QSEN helps prepare future nurses for working mandatory overtime."
C) "QSEN helps train nurses in the clinical setting."
D) "QSEN provides nurses with strategies for passing the NCLEX exam."
Q3) Which statement by the nurse indicates understanding of the control phase of the DMAIC process? (Select all that apply.)
A) "In the control phase,only the leader should be informed of changes."
B) "Only those directly affected by the new process should be educated."
C) "In the control phase,steps in the new process should be standardized."
D) "Changes should be monitored to ensure compliance."
E) "Standard operating procedures should be written."
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Page 24
Chapter 23: Nursing Informatics
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Q1) How does the IN/INS use HIPPA regulations and TJC requirements in daily practice? (Select all that apply.)
A) Investigation of violations
B) Writing of policies
C) Involvement in the discipline process
D) Writing of procedures
E) Managing the nursing unit
Q2) A nurse is educating students on how to evaluate a website.The nurse judges the teaching to be effective when the students can state:
A) "Internet information must go through careful screening before it can be posted."
B) "Credibility,accuracy,and reasonableness of the information should be considered."
C) "It is important to have the hospital librarian verify the authenticity of the website."
D) "Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA])."
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Chapter 24: Using Nursing Research in Practice
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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) 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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Q1) 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 state:
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."
Q2) The new nurse has an adequate understanding of bullying when stating which of the following? (Select all that apply.)
A) "The purpose of bullying is to control the target."
B) "Bullying can verbal,behavioral,or sabotage."
C) "Bullying usually occurs as a single event."
D) "Bullying is initiated by the perpetrator."
E) "The victim usually deserves the bullying."
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Chapter 26: Emergency Preparedness
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Q1) The nurse has an adequate understanding of smallpox when the nurse states which of the following?
A) "Smallpox does not exist because of vaccines."
B) "Smallpox can easily be spread from person to person."
C) "Smallpox must be ingested for a person to become sick."
D) "Smallpox is resistant to vaccines."
Q2) A public health nurse is discussing disaster planning with family.What suggestions can be made to help them be prepared? (Select all that apply.)
A) Discuss probable disasters in the area.
B) Create a family disaster preparedness kit.
C) Establish family emergency communication.
D) Only prepare if there is a guarantee of a disaster in the area.
E) Create an evacuation plan.
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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