Nursing Leadership and Management Exam Preparation Guide
Course Introduction
Nursing Leadership and Management explores the principles and practices essential to leading and managing within the dynamic healthcare environment. The course focuses on developing key leadership skills, such as critical thinking, decision-making, communication, and conflict resolution, while examining theories and styles of leadership relevant to nursing. It covers concepts of team building, delegation, advocacy, change management, and ethical responsibilities, as well as practical strategies for resource management, quality improvement, and patient safety. Through case studies and experiential learning, students gain insights into the complexities of leading diverse healthcare teams and navigating organizational challenges to provide optimal patient care.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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663 Verified Questions
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Page 2
Chapter 1: Role Transitions
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Sample Questions
Q1) A nurse manager is preparing a group of newly hired nurses to work on the unit.After educating them on reality shock,a student raises their hand and asks what physical and psychological symptoms the nurse may experience? The nurse manager replies: (Select all that apply.)
A) "It is not possible to experience any physical or psychological symptoms from reality shock."
B) "You may experience headaches."
C) "It is possible that you will experience gastrointestinal upset."
D) "You could experience insomnia."
E) "Women may experience menorrhagia."
Answer: B,C,D
Q2) 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
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Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) A nurse has been out of school about 6 months.Which of the following would indicate that the nurse is having problems with burnout?
A) Having chronic fatigue,increased irritability,and feelings of helplessness
B) Feels angry regarding the type of care being delivered and scheduling of staff coverage
C) Signs up for extra courses for an advanced degree and works double shifts for extra money
D) Is disorganized regarding patient care and has to stay late to finish shift work
Answer: A
Q2) What actions can a student take to manage the phone calls received throughout the day?
A) Set a specific time during the day for business or school related phone calls.
B) Allow phones call at any time as long as they are short.
C) If the student needs to leave a message,state that he/she can be contacted any time.
D) Keep the phone turned off until all studying is completed for the day.
Answer: A
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) The role of the mentee needs to be understood early in the mentoring relationship.What is a characteristic or example of the mentee's role?
A) Not interrupting the mentor
B) Absorbing what the mentor explains in detail
C) Establishing personal short- and long-term goals
D) Finding out what the mentor has to offer in terms of experience
Answer: C
Q2) Which action by the mentor can help reduce the impact of reality shock on the mentee during the honeymoon phase?
A) Listen as the mentee discusses the excitement of starting a new position as a nurse.
B) Avoid discussions about the excitement of the mentee's new position as a nurse.
C) Ask the mentee not to discuss the new position during work hours.
D) Tell the mentee that the excited will not last long.
Answer: A
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Q1) Which statement by the graduate nurse indicates understanding of the importance of a cover letter?
A) "It is optional."
B) "It is necessary only if your resume needs further explanation."
C) "It should recapitulate all of the important points of your resume."
D) "It should introduce you to the reader."
Q2) A nursing professor correctly states the expectations of the job market for nursing as
A) expected downsizing,decreased number of nursing positions.
B) expected decrease in the number of unlicensed assistive personnel.
C) expected increase in unlicensed assistive personnel: personnel.
D) expected increased hiring of new graduates.
Q3) The graduate nurse interprets the phrase "dress for success" to mean which of the following?
A) Wear a casual hairstyle and clothing that reflects your off-duty personality or hobbies.
B) Buy new,very conservative dark clothing to wear.
C) Select clothing that could be worn at a cocktail party.
D) Wear a neat hairstyle and well-fitting,tailored,business-like clothes from your existing wardrobe.
Page 6
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Sample Questions
Q1) A candidate has scheduled to take the NCLEX Exam and has a family emergency before the scheduled date.What is the best action for the candidate to take?
A) Call the respective state board of nursing and request a change in the testing date.
B) Call the Candidate Services office at least 24 hours or 1 business day before the scheduled testing day.
C) Call the school and request that someone notify the board of nursing regarding your change in schedule.
D) It is not necessary to notify anyone regarding rescheduling the testing date; it will be rescheduled automatically.
Q2) Which statement by the nursing professor is accurate about the NCLEX-RN exam? 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."
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Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) Which of the following is true of early Christian deaconesses and how they became responsible for caring for poor and ill people?
A) The deacons relinquished this work to women (specifically,widows and virgins).
B) The early church valued women.
C) No one else would care for poor and ill people.
D) The deaconesses had formal training to do the work.
Q2) Which of the following shows the role of the nurse? (Select all that apply.)
A) A nurse teaching a patient preoperatively
B) A nurse prescribing medications at discharge
C) A nurse placing warm blankets on a patient
D) A nurse speaking up for a patient's wishes
E) A nurse administering medications to a patient
Q3) Which of the following actions were expected of a nurse coordinator? (Select all that apply.)
A) Improve patient care.
B) Promote harmony within the institution.
C) Arrange for payment of care received by patients.
D) Motivate staff.
E) Arrange salaries of staff.
Page 8
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Chapter 7: Nursing Education
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Sample Questions
Q1) A student has been deciding between applying for nursing at the community college or a university and ultimately chooses the university.The student has an adequate understanding of the university's baccalaureate program when making which statement(s)? (Select all that apply.)
A) "I can't wait to be done with the program in 2 years and get a real nursing job."
B) "I am so glad that I will not have to take any liberal arts classes."
C) "I am excited to learn critical decision-making skills."
D) "I will develop independent nursing judgment."
E) "I am excited to be involved in research."
Q2) A nurse is contemplating the concerns of nursing education in the future.The nurse concludes that the concerns are (Select all that apply.)
A) career mobility
B) the changing student profile,
C) the aging population,
D) the shift from inpatient to outpatient nursing services,
E) general interest in nursing as a profession,
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9
Chapter 8: Nursing Theory
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Sample Questions
Q1) What nursing interventions can be performed by the nurse based on Jean Watson's Caring Theory? (Select all that apply.)
A) Assist with basic human needs.
B) Encourage the patient to express personal feelings.
C) Ask the patient for input regarding received care.
D) Sit down and have a conversation with the patient.
E) Perform care according to hospital and unit policy.
Q2) A nurse is giving a speech on the nursing theory of Madeline Leininger.Which statement by the nurse indicates an understanding of the theory? "Madeline Leininger's theory is a theory that
A) "considers the impact of culture on the person's health."
B) "promotes the synchronicity between people and the universe."
C) "describes a dynamic state of being achieved through unity and harmony."
D) "considers nursing 'a calling' to work with patients in the reparative process."
Q3) Systems-oriented theorists include
A) Neuman,Roy,and Johnson.
B) Peplau,Watson,and Orlando.
C) Nightingale,Abdellah,and Orem.
D) Rogers,Newman,Rizzo,and Parse.
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Page 10
Chapter 9: Image of Nursing: Influences of the Present
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Q1) Which action(s)by the nurse can help create a professional image? (Select all that apply.)
A) Maintain effective communication skills.
B) Maintain a positive attitude.
C) Maintain a professional appearance.
D) Be prepared to interact with the public.
E) Be unprepared for work.
Q2) What action can each nurse take to improve the image of nursing during his or her career?
A) Provide public education on what nurses really do.
B) Ignore the negative image of nurses.
C) Contribute to the negative image of nurses.
D) Remain silent when someone speaks negatively of nursing.
Q3) What action did the Johnson and Johnson Campaign for Nursing's Future take to promote nursing?
A) Identified the need for nurses in labor and delivery
B) Raised visibility of nurses of varied races
C) Identified the need for nurses in postpartum care
D) Raised national starting wages for nurses
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Page 11
Chapter 10: Challenges of Nursing Management and Leadership
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Sample Questions
Q1) The nurse manager tells the patient that he must eat his breakfast before getting out of bed.What type of power is the nurse manager using?
A) Legitimate power
B) Expert power
C) Coercive power
D) Referent power
Q2) 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
Q3) Which of the following actions by the nurse manager would indicate an autocratic management style?
A) Allows staff members to make most of the decisions
B) Makes most of the decisions without input from the staff members
C) Exerts little control over staff
D) Emphasizes effective group functioning
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Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) Which statement by the nurse manager shows understanding of what initiated the development of the team Strategies and Tools to Enhance Performance and Patient Safety (STEPPS)?
A) "The increased need for health care coverage"
B) "The need for more qualified nurses"
C) "A need for a teamwork system focused on improving communication and teamwork"
D) "The increased cost of health care"
Q2) A nurse is assigned to care for five patients.The nurse is concerned about the ability to care for this many patients.The nurse needs to
A) delegate one of the patients to someone else.
B) prioritize the needs of the patients and determine the sickest patient.
C) procrastinate and hope that someone will offer assistance.
D) do the easiest patients first to allow more time for sicker patients.
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13
Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) A nurse is meeting with the nurse supervisor to discuss an issue with a coworker.Which of the following statements would help the nurse effectively communicate with the supervisor?
A) "This is all my coworker's fault.I never do anything wrong."
B) "My coworker always makes 100 excuses to get out of work."
C) "I knew you would be on their side."
D) "I feel upset that my coworker seems to have less work than I do."
Q2) Dr.Jones asks you to give a medication to one of the patients,and you know the patient is allergic to it.When you point this out,Dr.Jones says,"Give the medication or I'll report this to your supervisor." What is the best assertive response?
A) Agree to give the medication and hope no one finds out.
B) Say,"I won't give the medication,and I don't care who you talk to about it."
C) Walk away and ignore Dr.Jones.
D) Say,"Perhaps you and I could talk this over with my supervisor together."
Q3) Which action shows the cyclical phase of forming?
A) A group dissolving
B) Individuals coming together with a common bond
C) Developing mutual goals
D) A group completing tasks together
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Page 14
Chapter 13: Conflict Management
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Sample Questions
Q1) 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 bring the issue to the attention of the new nurse 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.
Q2) Which of the following statements by the nurse about unresolved conflict is true? (Select all that apply.)
A) "Conflict makes nursing staff more productive."
B) "Conflict reduces productivity among staff."
C) "Conflicts wastes time."
D) "Conflict waste energy."
E) "Conflict increases teamwork."
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15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) A day shift nurse has come into work and notices that the glucometers were not tested overnight as they typically are.What is the best way for the nurse to question the nurse assistant,in order to give feedback?
A) "Why didn't you test the glucometers?"
B) "What did you do last night?"
C) "How was your night? I noticed the glucometers weren't tested."
D) "Couldn't you have asked one of the nurses to check the glucometers if you were busy?"
Q2) Determine how the nurse's role is different from that of the LPN in assessment of the patient.
A) Collects data during the health history and physical exam
B) Contributes to the development of the care plan
C) Assist in updating the care plan
D) Uses findings from the assessment to create a care plan
Q3) Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
A) Evaluating a patient's response to pain
B) Making rounds with a physician
C) Feeding a stroke patient who has minimal dysphagia
D) Assessing a patient's central venous line site
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Page 16
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) The nurse is reviewing upcoming discharges.Which patient would a case manager be assigned to?
A) A 55-year-old woman post hysterectomy,who has adequate support from family
B) A 42-year-old man post appendectomy,who is able to change his own dressing
C) A 60-year-old man post sepsis,in need of nursing home placement
D) A 38-year-old woman,post shoulder repair,who needs to follow up with the orthopedic surgeon
Q2) The nurse judges that the disease management program has been successful when the patient (Select all that apply.)
A) assumes responsibility for their own health.
B) learns how to maintain good health.
C) can state how to manage their chronic condition.
D) relies on the health care team for maintenance of health.
E) can state how to avoid worsening of health.
Q3) How does managed care affect the economics of health care delivery?
A) Provides incentives for smaller private or individual hospitals
B) Increases the tax bases for the community
C) Uses corporate economics to achieve a profit
D) Decreases duplicate processes and redundant facilities
Page 17
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Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
Q1) Which statement is true about patient classification systems?
A) The systems measure all the needs of patients.
B) The systems provide an absolute formula for unit staffing.
C) The systems should not be used to make patient care assignments because acuity systems are more accurate.
D) The systems provide historical data of the usage of nursing time,which is helpful when developing the department budget.
Q2) Which action by the nurse demonstrates fiscal responsibility to the patient? (Select all that apply.)
A) Discharging a patient home with prescriptions and no health insurance to cover the cost
B) Assessing the patient's resources and determining their ability to pay for prescriptions
C) Setting the patient up for Meals on Wheels
D) Giving the patient information on free support groups
E) Calling local churches to see what services they can offer the patient
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18
Chapter 17: Political Action in Nursing
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Sample Questions
Q1) A nurse is actively involved in the political arena and is educating a colleague about becoming involved in the election process.The nurse knows that their teaching has been effective when a colleague states:
A) "Nurses are discouraged from becoming involved in politics."
B) "The election process has nothing to do with nursing."
C) "It is easy for a nurse to become involved in the election process."
D) "Political campaigns never need any help."
Q2) Referent (mentor)
A)Joining a coalition to lobby for a national health insurance plan
B)Organizing nurses to work for the opponent in the next election
C)The dean of the school discussing the educational program
D)Testifying before a committee on a bill
E)A political action committee's endorsement or financial contribution
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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Page 19
Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
Q1) Which provision-if labor management included it in a contract-would not be to nursing's advantage?
A) A workforce retraining provision
B) Seniority rights
C) A grievance procedure
D) Wage adjustments based on bed occupancy
Q2) A nurse is educating a new nurse on grievance mechanisms.The nurse judges that the teaching has been effective when the new nurse states:
A) "Nurses should attend any meeting where they believe discipline may be given without representation"
B) "The nurse must ask a supervisor to file a grievance"
C) "As a new nurse,I cannot file a grievance"
D) "Any nurse can file a grievance"
Q3) 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."
Page 20
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Chapter 19: Ethical Issues
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Sample Questions
Q1) A nurse is caring for a young patient recovering from a traumatic car accident.The patient has lost a lot of blood and is in need of a blood transfusion.The patient states< "I'm a Jehovah's Witness," and will not accept the blood.The nurse knows the patient will likely not survive if they do not receive the blood.What action should the nurse take?
A) Administer the blood anyway; the patient will die without it.
B) Try to talk the family into signing the consent for the blood.
C) Call the physician and report the patient's decision.
D) Stop all care for the patient to respect their wishes.
Q2) Which statement best describes the Code of Ethics of the American Nurses Association?
A) A moral statement of accountability for practicing nurses and for student nurses
B) A legal document describing the responsibilities of the nurse
C) A statement regarding nursing care that outlines principles for the hospital to use to evaluate quality of care
D) A document that is used as a guide for the nurse to consider in the decision-making process in legal situations
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21
Chapter 20: Legal Issues
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Sample Questions
Q1) A nurse is giving a presentation on malpractice.Which statement indicates the nurse understands malpractice?
A) "The elements of duty,breach of duty,and patient injury must be present for a malpractice claim."
B) "Negligent nursing care and failure to follow standards must be present for a malpractice claim."
C) "Failure to report,defamation,and discrimination must be present for a malpractice claim."
D) "Error in judgment and invasion of privacy must be present for a malpractice claim."
Q2) The nurse has an adequate understanding of nurse practice acts when stating which of the following?
A) "Nurse practice acts do not help guide nurses."
B) "Nurse practice acts describe how to prepare for the NCLEX exam."
C) "Nurse practice acts describe how and when to renew a nursing license."
D) "Nurse practice acts provide a list of job openings."
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Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) The nurse understands that the following organization believes that cultural competence in nursing is necessary?
A) Nurse Practice Acts of state boards of nursing
B) Code of Ethics of the American Nurses Association
C) Accreditation standards of the National League of Nursing
D) Accreditation standards of The Joint Commission (TJC)
Q2) 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
Q3) A nurse is caring for a patient experiencing spiritual distress.What nursing intervention would be appropriate for this patient?
A) Asking the patient to reserve prayer for the hospital chaplain
B) Placing the patient by the nurses' station because it is busy and will keep the patient entertained
C) Developing a trusting relationship with the patient
D) Allowing the patient's roommate to have visitors late into the night
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Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse is reviewing the technique used to identify the factors involved in an error.Which statement indicates the nurse has an adequate understanding?
A) "The rapid cycle test is a technique that is widely used."
B) "A root cause analysis is a process designed to investigate and categorize the root cause of the event."
C) "A failure mode and effects analysis is a procedure to investigate the cause of the error."
D) "Define,measure,analyze,improve,control prevents events from occurring."
Q2) A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC)process.Which action would the nurse take during the define phase?
A) Identify the stakeholders.
B) Agree on the key performance indicators.
C) Identify gaps between performance and goals.
D) Identify those responsible for data collection.
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Chapter 23: Nursing Informatics
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Sample Questions
Q1) A nursing student is interested in the field of nursing informatics.What should the student do to prepare for a career in this specialty as a nurse leader?
A) Obtain a baccalaureate degree in nursing,
B) Complete 5 years on a medical-surgical unit,
C) Obtain critical care experience,
D) Obtain a graduate degree,
Q2) A nurse manager is educating a group of staff nurse on violation of HIPPA standards.The manager judges the teaching to be effective when one of the staff nurses states: (Select all that apply.)
A) "Violations of HIPPA standards no longer occur because the consequences are so severe."
B) "Violations of HIPPA standards can result in termination of employment."
C) "Violations of HIPPA standards can result in an indictment."
D) "Violations of HIPPA standards are waived if it is your first offense."
E) "Violations of HIPPA standards can result in prison time."
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Chapter 24: Using Nursing Research in Practice
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Sample Questions
Q1) The nurse understands the function of The National Institute of Nursing Research (NINR)when stating: (Select all that apply.)
A) "The NINR is a major source of federal funding for nursing research."
B) "The NINR supports education in research methods."
C) "The NINR funds local hospitals."
D) "The NINR supports education in research career development."
E) "The NINR establishes National Nursing Research Agenda."
Q2) A nurse is educating a coworker on the similarities between conducting research and research utilization.The nurse judges the teaching to be effective when the coworker states: (Select all that apply.)
A) "Both are a step-by-step process."
B) "Both involve critical thinking."
C) "Decision making must occur in both processes."
D) "Knowledge generation is essential in both processes."
E) "Collecting new data occurs in both."
F) "Reviewing published research studies is part of both processes."
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse is working on a unit with short staffing.The nurse has voiced concerns to the charge nurse,who appears to brush them off.Which action would be the most appropriate for the nurse to take?
A) Document the concerns.
B) Raise a voice to get the point across.
C) Talk about the charge nurse to coworkers.
D) Keep the issues to themself.
Q2) What can be suggested to a nurse wanting to protect back health while caring for patients? (Select all that apply.)
A) Use proper body mechanics.
B) Use assistive patient-handling devices.
C) Use ergonomic equipment.
D) Only care for patients that can move independently.
E) Be aware of potential risk.
Q3) Which statement by the nurse manager indicates understanding of Magnet status?
A) "Hospitals are granted Magnet status by the National League of Nursing."
B) "The American Nurses Association grants Magnet status."
C) "Hospitals are granted Magnet status by the American Nurses Credentialing Center."
D) "The National Council of State Boards of Nursing grants Magnet status."
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Page 27
Chapter 26: Emergency Preparedness
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Sample Questions
Q1) Which unit's responsibilities include triage of victims at a disaster site,medical care at the site,and staging locations outside the disaster site for transportation of patients to alternative health care facilities?
A) Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
B) Medical Reserve Corps (MRC)
C) Disaster Medical Assistance Teams (DMAT)
D) NIMS National Incident Management System (NIMS)
Q2) Which federal program provides a "push-pack" that,when requested,can be transported within 12 hours to an affected community and consists of medical assets such as medications,medical equipment and supplies,and personal protective equipment?
A) Strategic National Stockpile (SNS)
B) CHEMPACK federal program designed to supplement the medical response.
C) Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
D) National Incident Management System (NIMS)
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