Nursing Leadership and Management
Exam Materials
Course Introduction
Nursing Leadership and Management explores key principles and practices essential for effective leadership and managerial roles within healthcare settings. This course examines theories of leadership, decision-making, communication, team building, conflict resolution, change management, and ethical-legal considerations. Students will learn strategies for organizing nursing care, managing resources, fostering a positive work environment, and enhancing patient outcomes. Through case studies and practical scenarios, the course prepares students to take on leadership responsibilities and adapt to the dynamic challenges of contemporary nursing practice.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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26 Chapters
663 Verified Questions
663 Flashcards
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Page 2
Chapter 1: Role Transitions
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Sample Questions
Q1) A new graduate of less than 1 year describes his/her perception of a staff nurse position,stating: "It feels great to be a nurse! In fact,it's a snap! I can hardly believe there's no instructor looking over my shoulder." What phase of reality shock is the graduate experiencing?
A) Recovery
B) Shock and rejection
C) Honeymoon
D) Transition
Answer: C
Q2) Which statement by the nursing student indicates an understanding of the importance of constructive feedback?
A) "I will wait until my clinical evaluation and then make any changes to my practice that are needed."
B) "I will request routine feedback from my instructor so I can make any changes needed to improve my skills."
C) "My instructor will let me know if I need to change anything."
D) "I will ask my colleagues if I needed to make any changes to my practice."
Answer: B
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3
Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) Which of the following is an example of a self-defeating belief?
A) I must always feel loved by everyone.
B) I am a caring person.
C) I will get through nursing school.
D) I am getting better.
Answer: A
Q2) In 4 weeks,a student nurse will have two tests and one paper due in the same week.What is the most effective time-management strategy for this student nurse?
A) Control time wasters to have more time for studying and writing.
B) Delegate everything possible to create more time for studying.
C) Schedule specific times on a calendar to study for the tests and to work on the paper during the next 4 weeks.
D) Wait to study for the tests and to write the paper the week before they are due because the student nurse "works best under pressure."
Answer: C
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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) 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
Q2) What action can the mentor take to help reduce the impact of reality shock on the mentee during the shock or rejection phase?
A) Withhold personal transition stories.
B) Encourage the mentee to discuss his or her feelings.
C) Encourage mentees to keep their feelings to themselves during work hours.
D) Ignore the feelings caused by reality shock.
Answer: B
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5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) 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.
Q2) The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee?
A) Demonstrate interest in what the interviewer has to say.
B) Exercise the option to disagree with the interviewer.
C) Check off on a list when each item is covered by the interviewer.
D) Answer questions with as much detail as possible.
Q3) Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?
A) "To guarantee you will achieve your goal"
B) "To keep you focused on your job search"
C) "To help you define your professional identity"
D) "To impress those part of the interview process"
Page 6
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Sample Questions
Q1) What is the best review strategy to use to prepare for the NCLEX-RN Exam?
A) Spend about 8 hours a day on your days off until you take the examination.
B) Study for 4 hours a night while taking a 2-week review course.
C) Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.
D) Study 10 hours on the day and evening before the examination.
Q2) What are acceptable forms of identification at the testing center? (Select all that apply.)
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) The nurse interprets "computer adaptive testing (CAT)" to mean
A) questions are selected,and the exam is adapted to the candidate's previous responses.
B) the test has been "adapted" to be administered via the computer.
C) the test is adapted to decrease the total number of questions.
D) questions are adapted to meet the practice analysis survey of the graduates.
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
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) Which statement by a nursing professor is true regarding Florence Nightingale's contribution to American nursing?
A) "Her primary influence was organizing hospital administration and nursing."
B) "Her primary influence was providing a model for giving care during wartime."
C) "Her primary influence was organizing patient care in hospital settings."
D) "Her primary influence was developing an educational model for training nurses."
Q3) Many groups throughout the history of nursing have contributed to the profession.The student nurse recognizes which group as having promoted the development of the concept of colleagues in nursing?
A) Nurse managers
B) Public health nurses
C) Nursing educators
D) Graduate students
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Chapter 7: Nursing Education
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Sample Questions
Q1) 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
C) Master's
D) Diploma
Q2) 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."
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9
Chapter 8: Nursing Theory
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Sample Questions
Q1) What is a common thread in the majority of definitions of a nursing theory?
A) Words or phrases that present a direction to how interrelated concepts can provide a reference for the study and the delivery of nursing care
B) A list of the concepts and problems within the nursing profession and the suggested or anticipated solution of those problems
C) A composite of the opinions and recommendations of famous,well-known nursing leaders
D) An advanced role description for the study of the delivery of nursing care and the integration of nursing services with the most favorable economic consequences
Q2) A nurse wishes to incorporate Dorothea Orem's theory into practice.Which action by the nurse encompasses this theory?
A) The nurse completes the AM care for a patient.
B) The patient gets dressed with help from the nurse aide.
C) The patient knows his or her own medication dosages and what time they are due.
D) The patient's spouse assumes all responsibility for the patient's medications.
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Chapter 9: Image of Nursing: Influences of the Present
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Sample Questions
Q1) 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
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) Which of the following predicts the outcome if the nursing profession continues to be devalued by demeaning or comical images of nurses?
A) Nurses will be able to request higher wages.
B) The nursing shortage will end.
C) There will not be enough jobs for new graduates.
D) The nursing shortage will extend.
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Chapter 10: Challenges of Nursing Management and Leadership
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Sample Questions
Q1) Contingency leadership
A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member
B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision
C)Situation is analyzed and leadership style is selected that will best address issues
D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader
E)Leadership is flexible enough to address varying situations
F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system
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12
Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) 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
Q2) The nurse wants to anticipate patient needs in order to increase patient satisfaction and decrease the use of call bells in the assigned section.What actions can be taken to achieve this?
A) Tell patients to turn on their call bells if they need something.
B) Perform hourly rounding on each patient.
C) Check on the patient every 2 to 3 hours.
D) Check on the patient only when medication needs to be administered.
Q3) 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
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Page 13
Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) 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."
Q2) 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
Q3) 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
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14
Chapter 13: Conflict Management
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Sample Questions
Q1) A staff nurse who has worked on the unit for 6 months voices the following concerns to another nurse: "The clinical nurse leader of the unit often follows me into the supply room and stands blocking the doorway and chats.The nurse leader makes opportunities to mention my good looks,muscular physique,or strength in the context of daily work,saying things like: 'You're so handsome; no wonder your patients like you.' The nurse leader frequently touches me on the arm,the shoulder,chest,or the hair,and if I'm sitting,touches my leg.Yesterday,the nurse leader patted my arm and said,'You know,if we were dating,I might be able to give you lighter assignments.' I don't want to date the nurse leader.I just want to be left alone! What should I do?" What is the best reply?
A) "Don't be quite so honorable.Go on a date and see if you get better assignments."
B) "Confront the nurse leader with a description of the behavior and state that you want the behavior to stop."
C) "Go directly to the human relations office at the agency and tell them what you just told me."
D) "Contact your lawyer and get advice ASAP in case the nurse leader decides to turn the tables and accuse you of advances."
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15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) A nurse is feeling overwhelmed and has determined to delegate some of the tasks to the LPN he//she is working with.Which of the following would be most appropriate for the nurse to delegate?
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
Q2) The nurse has just given a patient a narcotic for pain relief.Because the nurse must leave the unit for lunch and a 1-hour meeting,the task of evaluating the patient's response to the pain medication must be delegated.To whom should the nurse delegate this responsibility?
A) Nursing assistant
B) Student nurse
C) Licensed practical nurse
D) Nurse manager
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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Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Sample Questions
Q1) Which statement shows the nurses understanding of patient-focused care?
A) "Patient-focused care is a nursing care delivery system."
B) "Patient-focused care is a model for a health care organization."
C) "Patient-focused care is a clinical pathway within an institution."
D) "Patient-focused care is an institutional value and philosophy."
Q2) A new nurse is determining which hospital to apply for.The nurse has heard a lot about magnet hospitals from friends that are nurses and knows that working for a magnet hospital would mean
A) the nurse would likely experience high job satisfaction.
B) the nurse would likely experience poor job satisfaction.
C) the nurse would have to have a BSN before being able to apply.
D) the nurse would be hired after having a year of nursing experience.
Q3) Which action by the case manager would be required under the full immersion model?
A) The case manager would see only the patients with the most extensive health care needs.
B) The case manager would see all patients that come into the hospital.
C) The case manager would only see the patients with health insurance.
D) The case manager would conduct a daily chart review of patients he or she is assigned to.
Page 17
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Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
Q1) A new graduate is preparing for a job interview.Which questions would be appropriate to ask the manager in regards to health care economics? (Select all that apply.)
A) How is the acuity of patients factored into staffing?
B) What is the turnover rate on this unit?
C) How long are the breaks for staff on this unit?
D) What is the overtime rate on this unit?
E) What are the budgeted hours per patient day on this unit?
Q2) A nurse is educating a coworker on the intrinsic factors and cost of health care.The nurse knows that the teaching has been effective when the coworker lists the following intrinsic factor as the major cause of increased cost:
A) Almost 10% of Americans over 65 years old are considered at or below the poverty level.
B) The new medical technology available has increased the cost of health care.
C) There are increasing labor costs in the total hospital spending budget.
D) The staff nurse does not understand the responsibility of economics and money management.
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) Which strategy is least effective in formulating political action?
A) Ability to communicate information in concise terms
B) Living and practicing in several different states
C) Determining who should be contacted and for what political action
D) Having the ability to use different channels of information
Q2) A nurse is educating coworkers on power.The nurse knows the teaching has been effective when the coworkers state: The sources of power are (Select all that apply.)
A) reward
B) coercive
C) punishment
D) expert
E) legitimate
F) referent
Q3) What action should the student nurse taken to begin networking?
A) Begin networking shortly after starting a new job.
B) Avoid networking and establish a career based on reputation.
C) Begin networking upon graduation.
D) Begin the networking process when a new position is needed.
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
Q1) In which situation would the traditional type of collective bargaining (union)help nurses attain their goals?
A) Management has agreed to no nursing layoffs for one year after reorganization.
B) Nursing has received a 4% salary increase this year and next year.
C) Nurses have identified workplace safety issues and health hazards.
D) Management has arranged for nurse practitioners to have admitting privileges.
Q2) 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."
Q3) 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.
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Chapter 19: Ethical Issues
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Q1) A nurse is educating themself on the ANA Code of Ethics.Which action by the nurse would be unethical,according to the ANA Code of Ethics?
A) Joining unions or bargaining units
B) Engaging in lobbying related to health care issues
C) Reporting an incompetent or impaired colleague
D) Refusing to care for a patient who is diagnosed as HIV positive
Q2) The ethical principle of autonomy is not applicable in which patient situation?
A) The patient does not speak or understand the English language.
B) The patient is unaware of who or where he or she is.
C) The patient has been in a long-term care facility for 10 years.
D) The patient has values that conflict with the caregiver's values.
Q3) What action can the nurse take to uphold the ethical principle of fidelity?
A) Report unscrupulous billing practices.
B) Disclose the results of an HIV test to a patient's family.
C) Make health care decisions for a patient.
D) Accept an assignment that is unsafe.
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Chapter 20: Legal Issues
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Sample Questions
Q1) Which of the following would be considered a criminal action?
A) A nurse who steals narcotics from the hospital
B) A nurse who gets into a verbal disagreement with a visitor
C) A nurse who restrains a patient who is considered a threat to himself
D) A nurse who refuses to allow a visitor onto the unit who appears intoxicated
Q2) In a legal suit,what element is necessary to prove a tort has been committed?
A) Intent
B) Assault
C) Injury
D) Malpractice
Q3) Which actions take place in organizations to monitor quality improvement? (Select all that apply.)
A) Evaluation of what nurses are doing for patients
B) Development of policies and procedures
C) Employee evaluations
D) Intermittent monitoring
E) Continuing education
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Chapter 21: Cultural and Spiritual Awareness
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Q1) 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
Q2) Which action by the nurse shows cultural competence of Native American culture? (Select all that apply.)
A) Refuse to allow rituals to be practiced at the bedside.
B) Allow the family to bring in a medicine man for healing.
C) Allow the family and patient time for prayer.
D) Provide space for rituals.
E) Work hard to gain trust.
Q3) 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?
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Page 23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse manager is educating unit staff about HCAHPS.The manager judges the teaching to be effective when a staff nurse states that the HCAHPS survey contains rating about (Select all that apply.)
A) communication.
B) pain management.
C) responsiveness.
D) cost of hospital stay.
E) discharge information.
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.
Q3) 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.
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Chapter 23: Nursing Informatics
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Sample Questions
Q1) 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."
Q2) Which of the following statements indicates the nurses understanding of the difference between the electronic health record (EHR)and electronic medical record (EMR)is:
A) "EHR provides nursing with a standardized nomenclature of taxonomy to record nursing care."
B) "EMR is the inclusion of only data collected by the patient (personal health record (PHR)."
C) "EHR is a longitudinal record of the patient's health information."
D) "EMR allows nurses to document nursing care in a system that is intuitive to their level of computer literacy."
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Chapter 24: Using Nursing Research in Practice
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Q1) What does research utilization on an inpatient unit require?
A) A nursing theoretical framework should be followed.
B) Orem's theory of self-care requisites should be followed.
C) Only the nurses should participate in the implementation.
D) The implementation should be consistent with the nursing framework in the practice context.
Q2) Which of the following nursing activities are necessary to provide evidence-based nursing care?
A) Maintaining self-directed practice and using the Internet to locate relevant research articles
B) Having an advanced degree (CNS or FNP)and providing clinical supervision for peers
C) Attending continuing education programs and working toward a graduate degree in nursing
D) Systematically integrating nursing research findings and applying relevant evidence to practice
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Chapter 25: Workplace Issues
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Q1) A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers.The nurse manager judges the teaching to be effective when the coworker states:
A) "National Council of State Boards of Nursing has a role in overseeing any environmental hazard."
B) "American Nurses Credentialing Center oversees all environmental hazards in the United States."
C) "Ambulatory Care Nursing Administration and Practice oversees only local environmental hazards."
D) " The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."
Q2) A nurse manager is educating a new nurse on how to prevent back injuries in the workplace.The teaching has been effective when the new nurse states: (Select all that apply.)
A) "Back injuries can be caused by lifting."
B) "Back injuries can be caused by transferring."
C) "Back injuries are not common in the workplace."
D) "Back injuries can occur when reaching for something."
E) "Back injuries only occur when performing work incorrectly."
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Chapter 26: Emergency Preparedness
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Sample Questions
Q1) 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:
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."
Q2) The nurse has an adequate understanding of phosgene gas when stating which of the following?
A) "Phosgene gas smells like bleach."
B) "Phosgene gas smells like fresh cut grass."
C) "Phosgene gas smells like almonds."
D) "Phosgene gas smells like rotting fruit."
Q3) Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage?
A) Expectant
B) Delayed
C) Minor
D) Immediate
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