Nursing Leadership and Management Test Bank
Course Introduction
Nursing Leadership and Management explores essential theories, principles, and practices found in contemporary healthcare leadership and management. The course emphasizes the development of leadership skills, effective communication, critical thinking, decision-making, and team management in nursing practice. Students analyze organizational structures, examine change management strategies, and learn to apply evidence-based approaches to resource allocation, quality improvement, and conflict resolution. A focus is placed on ethical and legal issues, interprofessional collaboration, and strategies for fostering a positive workplace culture, preparing students to lead and manage healthcare teams effectively in diverse settings.
Recommended Textbook
Nursing Today Transition and Trends 9th Edition by
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26 Chapters
654 Verified Questions
654 Flashcards
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Page 2
JoAnn Zerwekh
Chapter 1: Role Transitions
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/43294
Sample Questions
Q1) A new nurse is caring for five patients on a busy surgical floor.While hanging blood for a patient,the nurse receives notice that another assigned patient is being taken for surgery.The nurse has not obtained informed consent from the patient.What action should the new nurse take?
A)Immediately leave the room he/she is in and obtain informed consent from the patient.
B)Allow the patient to go to surgery without obtaining informed consent.
C)Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.
D)Ask the transporter to obtain informed consent from the patient.
Answer: C
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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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) What action by student nurses indicates readiness for successful study habits?
A)Combining their study area with the space that they use to pay bills
B)Color coding their materials from each class
C)Keeping all materials and papers in one bin
D)Cleaning their study area at the end of each semester
Answer: B
Q2) What actions should a graduate nurse take in the first work experience to avoid problems with burnout?
A)Cross-train to work in different areas of the hospital.
B)Develop a social group of nurses with whom to share work experiences.
C)Plan on several sessions with a counselor regarding managing stress.
D)Maintain good nutrition and good sleep habits.
Answer: D
Q3) Which of the following actions by the nurse helps prevent burnout?
A)Picking up extra shifts each week
B)Staying late to help out at the end of each shift
C)Scheduling a massage on a day off
D)Teaching at the local community college one day a week
Answer: C
Page 4
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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) A nurse manager and a nurse director are discussing e-mentoring.Which statements by the nurse director indicate an understanding of the components of e-mentoring?
A)"E-mentoring involves distance mentoring."
B)"E-mentoring is done through instant messaging."
C)"E-mentoring involves contact between mentee and mentor via electronic mail."
D)"E-mentoring is a mentoring program for first-year nursing students."
E)"E-mentoring uses a videoconferencing system such as Skype to meet virtually."
F)"E-mentoring involves planning a meeting at a coffee shop to discuss the progress of the preceptorship."
Answer: A,B,C,E
Q2) 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
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A graduate nurse is in the process of applying for a first-time nursing job.What should the graduate nurse keep in mind when using social media networks?
A)There is no risk of potential employers searching for the nurse on social media websites.
B)Employers cannot use material found on social media websites to eliminate candidates.
C)A small percentage of recruiters have eliminated candidates based on material found on social media websites.
D)As long as no identifying patient information is provided on the social media website,recruiters can overlook any videos posted about the patients the nurse has cared for.
Q2) What actions should the graduate nurse take to assess an organization?
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.
F)"I should list my age and marital status."
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Chapter 5: Nclex-Rn and the New Graduate
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) 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.
Q2) What actions by the graduate nurse will assist with finding the best NCLEX-RN review book for personal study needs?
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.
Q3) What would happen if the graduate nurse failed the NCLEX-RN on the first testing attempt?
A)The graduate nurse would be required to take an additional nursing course before retesting.
B)The graduate nurse would be required to wait 9 months to retest.
C)The graduate nurse would be required to wait 45 to 90 days before retesting.
D)The graduate nurse would not be allowed to test again.
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) 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."
Q2) A group of nursing students is discussing the traits of Victorian wives that crossed over to nurses.Which traits would they conclude had an early effect on the nursing profession?
A)Submission,harmony,and hard work
B)Power,peace,and position
C)Paternalism,compliance,and dullness
D)Organized,noble,and good
Q3) What was the description of a nurse in the medieval times during the Holy Wars?
A)A woman who had been specially trained by a magician
B)A man who was committed to following his Lord into battle
C)A man who had training to care for a wounded knight
D)A woman who had studied with an older nurse
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Chapter 7: Nursing Education
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Sample Questions
Q1) The nurse educator is being interviewed about the many different educational programs that allow nurses to achieve higher education.The educator states that the following educational programs were created based on the recommendation of the Institute of Medicine
A)"BSN completion programs"
B)"Career ladder programs"
C)"Diploma programs"
D)"External degree programs"
E)"Accelerated programs"
Q2) Select the following statement that describes the current student population.
A)The student population tends to be single.
B)The student population is younger than the age of 20 years.
C)The student population tends to be older.
D)The student population tends to be white.
Q3) A distinction that can be made between nursing licensure and certification is that licensure is
A)mandatory,and certification is voluntary.
B)optional,and certification is required to practice a nursing specialty.
C)renewed annually,and certification is renewed triannually.
D)approved by the ANA,and certification signifies the ability to give safe care.
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Chapter 8: Nursing Theory
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) 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.
Q2) 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 to 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
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Chapter 9: Image of Nursing: Influences on the Present
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) 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 Rogers' work on nursing theory
Q2) What action did the Johnson & 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
Q3) A nurse has been studying Levenstein's characteristics of a profession.The nurse demonstrates adequate understanding when interpreting which of the following components as part of the model?
A)A code of ethics
B)A systematic,defined progression of education
C)An accreditation process
D)Publications or journal for the profession
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Chapter 10: Nursing Management and Leadership
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) What is the most consistent concern of the nurse as manager?
A)To develop long-range career goals
B)To coordinate patient care while meeting the agency goals
C)To maintain harmony within the agency
D)To organize the subordinates to meet agency goals
Q2) Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?
A)The nurse reconsiders if he or she is resistant to change.
B)The nurse begins the process of implementing change.
C)The change has become routine.
D)The change is permanent.
Q3) A nurse is unhappy about the way medications are being administered on the unit.What does the nurse need to do first to facilitate a change in the process?
A)Initiate a new method starting with assigned patients.
B)Discuss concerns with fellow nurses to determine interest in changing.
C)Develop a better method to administer the medications.
D)Inform the charge nurse of how it can be done better.
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Chapter 11: Building Nursing Management Skills
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25 Flashcards
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Sample Questions
Q1) 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
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) The instructor has suggested that the student nurse could improve organizational skills and manage time better by scheduling selected nursing activities in the daily assignment.Which activity should be scheduled?
A)Suctioning the tracheostomy tube of a patient
B)Administering medications
C)Assessing patient knowledge of colostomy care
D)Assisting a patient with personal hygiene
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Page 13
Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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25 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following actions by the nurse leader is most likely to lead to an effective meeting?
A)Creating an atmosphere in which people say very little
B)Sending out an agenda ahead of time
C)Creating well-designed overhead transparencies
D)Completing all the tasks of the group
Q3) Which of the following statements about listening indicate the nurse's adequate understanding?
A)"Listening is the hearing of words."
B)"Listening requires most of our communication time."
C)"We pay most attention to our listening skills."
D)"People remember 1/3 of the messages that they have heard."
E)"Listening requires a lot of energy."
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Chapter 13: Conflict Management
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) What action(s)by the staff nurse is an effective way to deal with a sexual harassment issue in the workplace?
A)Tell the person to stop.
B)Tell your best friend about the incident.
C)File a formal grievance.
D)Explain the situation to your spouse.
E)Play along with the person and document the activities.
F)Threaten the person with a sexual harassment lawsuit.
Q2) 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.
Q3) What can staff nurses do to reduce conflict with patients and families?
A)Allow nurses to enforce what they feel comfortable with.
B)Keep treatment decisions between the patient and health care team only.
C)Do not allow family to participate in patient care.
D)Maintain consistency in enforcing rules and policies.
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Chapter 14: Delegation in the Clinical Setting
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The charge nurse is assigning patients for care.There are two registered nurses (RNs),an 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
Q2) Which of the following represents appropriate feedback for an assignment to an LPN?
A)"Did you understand the assignment that you received in the staff report?"
B)"Have you completed the urinary catheterization and care of the new patient?"
C)"The patient in Room 430 looks much better,and you did a good job of making the patient comfortable."
D)"I know you are busy;however,you need to get caught up with your pain medications."
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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) 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) The nursing shortage is projected to reach 1.2 million by 2020.Which actions can hospitals take to retain nurses?
A)Create a health care system that supports nursing advancement.
B)Encourage a work environment that fosters work group cohesion.
C)Allow nurses to have autonomy.
D)Reduce the number of managers within the health care system.
E)Allow nurses a variety of specialties to choose from.
Q3) Which statement is true about case management?
A)It helps clients achieve goals effectively and efficiently.
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 (LPNs,LVNs,nursing assistants).
Page 17
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Chapter 16: Economics in the Health Care Delivery System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which action by the nurse shows fiscal responsibility to the employing organization?
A)Wash hands after each patient contact.
B)Turn patients every 2 hours.
C)Round on patients per policy.
D)Toilet patients frequently to prevent falls.
E)Use resources of the institution wisely.
Q2) A nurse is educating a group of students about health care economics.Which statement would the students make if the teaching were effective?
A)"Extrinsic factors include the cost of prescription drugs."
B)"Extrinsic factors include the age of the population."
C)"Extrinsic factors include the demand for health care."
D)"Extrinsic factors include employer-paid health insurance."
Q3) The nurse manager receives the budget variance report for the assigned nursing unit.What other critical information must the nurse manager consider to evaluate this report?
A)Projection of costs in the operating budget
B)The amount of money allocated to meet expected costs
C)Figures on which a zero-based budget were determined
D)Planning needs for unit staffing based on patient acuity
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Page 18
Chapter 17: Political Action in Nursing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurses at Community General Hospital are concerned about violence involving children in their community.They wish to propose to the city government that drug-free and weapon-free zones and corridors be instituted near each school.The nurses send liaisons to the city school board and the parent-teacher association to ask them to join the effort.What is the term for this type of strategy?
A)Forming a coalition
B)Displaying legitimate power
C)Collective bargaining
D)Seeking compromise
Q2) 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
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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Page 19
Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Sample Questions
Q1) Which statement by the nurse indicates understanding of collective bargaining in the workplace?
A)"Collective bargaining is not useful in the professional 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?
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) 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
Page 20
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Chapter 19: Ethical Issues
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Sample Questions
Q1) 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.
Q2) The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?
A)"There are few Americans on the transplantation list."
B)"Everyone on the transplantation list receives the organ he/she needs."
C)"There is an overabundance of organ donors."
D)"Most people on the transplantation list die due to the shortage of organs."
Q3) 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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21
Chapter 20: Legal Issues
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Sample Questions
Q1) A nurse understands informed consent when making which of the following statements?
A)"Informed consent is a binding agreement."
B)"Informed consent involves filling out a consent form."
C)"Informed consent occurs when the patient receives information about a procedure before giving consent."
D)"Informed consent is a name for a written legal policy."
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) 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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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) In what culture are older adults respected and unquestioned?
A)Asian
B)African American
C)Hispanic
D)Native American
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) A nurse is gathering data on a patient of a different culture.Which action can the nurse take to enhance communication while gathering cultural data?
A)Ignore the patient's culture and focus on the reason for hospital admission.
B)Use hand gestures to get points across to a patient with poor English.
C)Use closed-ended questions to gather information.
D)Determine the patient's level of fluency in English.
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Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse is educating students on the history of quality improvement.The teaching has been effective when one of the students states that,historically,quality improvement focused on
A)"controlling process by inspection so that errors were prevented."
B)"quality improvement did not begin until recently."
C)"proactive approaches to lessen errors."
D)"error prevention strategies."
Q2) The continuous quality improvement (CQI)committee has performed a retrospective chart audit to investigate whether outcomes recorded in each nursing care plan are patient centered and written in behavioral terms.The expected standard is 98% compliance.The sample size was 200.Results showed that 180 charts met the standard.What assessment can be made?
A)The standard was met.No action plan is necessary.
B)The standard was not met,but no action plan is necessary because the rate of compliance was close to the standard.
C)The standard was not met.An action plan should be developed.
D)The standard was not met.An immediate re-audit is necessary.
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Page 24
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) The nurse understands the benefits of Computerized Provider Order Entry (CPOE)when stating
A)"CPOE does not change the process of patient care."
B)"CPOE averts problems with handwritten orders."
C)"CPOE benefits only the nurses in the health care system."
D)"CPOE benefits only the pharmacists in the health care system."
Q3) Which action can the nurse take to evaluate an Internet resource?
A)Assume that the resource is credible if it is on an Internet page.
B)Determine if the resource provides evidence for claims made.
C)Assess the popularity of the resource.
D)Determine the date the resource was published;older material is more reliable.
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Page 25
Chapter 24: Using Evidence-Based Practice and Nursing Research
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Sample Questions
Q1) Which steps can the nurse take to apply evidence-based research into nursing practice?
A)Identify,review,and evaluate the data applicable to the problem.
B)Define the problem.
C)Design a practice change based on the data.
D)Implement the change in nursing practice.
E)Continue to work around the problem.
Q2) How can nurses being to define their practice context?
A)Identify characteristics that are specific to the group of people who will receive nursing care.
B)Specify all types of settings that nursing occurs in.
C)Determine all characteristics of the setting that contribute to nursing care.
D)Determine all characteristics of the setting that inhibit nursing care.
Q3) 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.
Page 26
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A manager told a nurse to float to another unit.The nurse is nervous about floating.Which of the following actions would be the best to take?
A)Remain calm.
B)Refuse to float.
C)Focus on the patients.
D)Ask for a quick tour of the unit.
E)Inquire about the unit's standards of care.
Q2) After completing a crisis intervention course,the nurse recognizes the signs of escalating violence as which of the following?
A)Pacing and cursing
B)Repeatedly pushing the call bell
C)Crying and complaining of no pain relief
D)Staring out the window and not responding to questions
Q3) How does the federal government affect environmental safety in the hospital setting?
A)Requires employers to provide a safe working environment
B)Identifies those nurses who are not implementing standard precautions
C)Works with the state boards of nursing in disciplining nurses
D)Requires employers to establish guidelines for safe nursing practice
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Page 27
Chapter 26: Emergency Preparedness
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Sample Questions
Q1) An infection control nurse is educating a nurse about potential bioterrorism agents.The nurse knows the teaching has been effective when the nurse states
A)"Smallpox has three routes of exposure to humans."
B)"Anthrax has three routes of exposure to humans."
C)"Botulism is caused by a bacterium found only in animals."
D)"Tularemia is transmitted via ingestion of toxin-contaminated food."
Q2) A public health nurse is discussing disaster planning with family.What suggestions can be made to help them be prepared?
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 imminent threat 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)An earthquake that destroys homes and transportation facilities
To view all questions and flashcards with answers, click on the resource link above. Page 28