Nursing Leadership and Management
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Course Introduction
This course explores essential concepts and practical skills in nursing leadership and management, focusing on the roles and responsibilities of nurse leaders within diverse healthcare settings. Students will examine theories of leadership and management, strategies for effective communication, decision-making processes, conflict resolution, and team building. Emphasis is placed on evidence-based approaches to leadership, quality improvement initiatives, resource allocation, change management, and ethical considerations. Through case studies and real-world scenarios, learners develop competencies to lead interdisciplinary teams, advocate for patients and staff, and contribute to the delivery of high-quality, safe patient care.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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Chapter 1: Role Transitions
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Q1) A nurse has worked the past 5 days in a row to make some extra money.Today is a scheduled day off.Which of the following actions would be the best for this nurse to take?
A) Call the unit to see if they need the nurse to work.
B) Read nursing articles and take practice quizzes to stay up to date.
C) Take his/her small children to the zoo.
D) Work on a continuing education requirement.
Answer: C
Q2) A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse.Which statement by the student indicates his/her understanding of how to achieve this goal?
A) "I should care for increased numbers of patients to enhance work organization skills."
B) "I will observe staff nurses as they perform nursing procedures to refine technique."
C) "I should seek increasingly close guidance from the nursing instructor to reduce errors."
D) "I will evaluate my progress every 7 weeks or more to allow time for growth."
Answer: A
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3
Chapter 2: Personal Management: Time and Self-Care Strategies
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Q1) Which is an example of an effective self-care strategy for a nurse?
A) Plan time for physical recuperation after working extra hours.
B) Push feelings of sadness,joy,anger,and fear out of awareness.
C) Use alcohol to reduce tension.
D) Respond to people and opportunities reactively.
Answer: A
Q2) A student wants to begin planning for future educational goals.Which of the following actions would NOT help the student plan?
A) Review a list of goals once a year.
B) Make a master list of goals.
C) Prioritize goals.
D) Cross out goals as they are met.
Answer: A
Q3) How can the student nurse increase studying efficiency?
A) Maintaining a supply of simple carbohydrates for a quick energy spurt
B) Alternating mental and physical activities to increase productivity
C) Working nonstop without breaks to focus concentration
D) Delegating tasks of household chores to family members
Answer: B
Page 4
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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Q1) Which statement(s)by the nursing student best describes the attributes of a mentor? (Select all that apply.)
A) "A mentor actively advises,supports and promotes the mentee's career."
B) "A mentor is a professional who has any amount of experience as a nurse."
C) "Mentors have the mentee's best interest at heart."
D) "Mentors bolster self-confidence."
E) "Mentors provide support for only a short period of time."
Answer: A,C,D
Q2) While discussing a mentoring program with the nursing director,the nurse manager correctly states that mentoring is a
A) partnership.
B) one-way street.
C) static relationship.
D) method of gaining more experience.
Answer: A
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Page 5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Q1) Employment for new graduate nurses is scarce in your locale.What action might help the new graduate find out about job openings before others know about them?
A) Attend job fairs.
B) Read the newspaper employment section.
C) Read bulletin boards in health care agency personnel offices.
D) Send resumes and cover letters to all health care agencies within the region.
Q2) 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.
Q3) Which action by the graduate nurses shows understanding of resume writing?
A) Ensures that all of the dates for their employment history are specific
B) Does not overstate skills
C) Includes a thorough discussion of experiences as a nursing student
D) Includes only last two positions
Page 6
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Q1) 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
Q2) A graduate nurse has arrived at the testing center when realizing that the required ATT form is missing.Explain what events would happen next.
A) The testing center staff would not be able to look up his ATT online.
B) The testing center staff would not allow him to test without his ATT.
C) The graduate nurse could be admitted to the testing center with a photo ID.
D) The testing center staff would call the NCSBN for verbal approval to let the graduate nurse test.
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Chapter 6: Historical Perspectives: Influences on the
Present
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Q1) 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.
Q2) 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.
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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Q1) A nurse is comparing the diploma program with the associate's degree program.The nurse identifies which of the following as features of the diploma program and different from that of the associate's degree program?
A) The diploma degree allows the nurse to work in specific specialties.
B) The diploma degree allows the nurse to earn different wages at the same facility.
C) The diploma and ADN programs each have a national licensure exam specific to their program.
D) Graduates of the diploma program are often hired into the hospital where they completed their program.
Q2) 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 (Select all that apply.)
A) "BSN completion programs."
B) "career ladder programs."
C) "diploma programs."
D) "external degree programs."
E) "accelerated programs."
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Chapter 8: Nursing Theory
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Q1) The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? "The four major metaparadigms are
A) "nursing,environment,health,and illness."
B) "nursing,environment,person,and society."
C) "person,environment,health/illness,and nursing."
D) "person,society,wellness,and health/illness."
Q2) Florence Nightingale believed that the environment impacts the patient's health.Which of the following actions by the nurse incorporates Nightingale's theory into practice today?
A) Cleaning the patient's room only at discharge
B) Keeping the patient's door closed all day
C) Giving the patient a dinner tray of fried chicken and French fries
D) Providing the patient with clean linen daily
Q3) 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"
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Page 10
Chapter 9: Image of Nursing: Influences of the Present
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Q1) 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.
Q2) In the 1950s,belonging to a professional organization was popular.What has contributed to the decline in membership of the American Nurses Association?
A) The ANA has increased membership dues that nurses cannot afford.
B) Nurses do not want to be associated with an organization that represents unions.
C) The association does not have state and local organizations.
D) The increase in popularity of specialty organizations representing specific needs of members has led to a decline in nurses joining the ANA.
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Chapter 10: Challenges of Nursing Management and Leadership
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Q1) What do the responsibilities of the nurse manager include?
A) Planning and organizing how nursing care can most effectively be delivered on the nursing unit
B) Establishing the nursing care standards to be implemented on the unit
C) Developing educational programs to assist staff to meet licensure requirements
D) Assisting staff to adhere to organizational policies and procedures
Q2) A nurse wants to implement a change in the work environment.Which of the following actions would be the most important thing to do?
A) Ask for suggestions from peers working in other institutions.
B) Explain to coworkers how a different plan would work better.
C) Seek input from coworkers from the beginning.
D) Incorporate all suggestions into the plan before implementing.
Q3) Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?
A) The nurse reconsiders what has caused themself to be resistant to change.
B) The nurse begins the process of implementing change.
C) The change has become routine.
D) The change is permanent.
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Chapter 11: Building Nursing Management Skills
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Q1) The nurse is reviewing I-SBAR-R with a coworker at the end of the shift.Which statement indicates that they are discussing the Situation component?
A) The nurse states the patient's name using two identifiers.
B) The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.
C) The oncoming nurse acknowledges the info that has been received.
D) The nurse states an opinion on what is happening with the patient.
Q2) During clinical experience,the student nurse is assigned a patient scheduled to undergo numerous treatments.The student decides it is not possible to complete all the needed treatments in the time scheduled for this clinical day.The student nurse consults with the clinical instructor to A) delegate.
B) prioritize.
C) procrastinate.
D) do the easiest treatment first.
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Chapter 12: Effective Communication and Team Building
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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) 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) Which actions can the nurse take to improve personal credibility? (Select all that apply.)
A) Wear well-fitting clothes.
B) If female,wear a reasonable amount of make-up.
C) Be as original as possible at work.
D) Maintain a flattering,neat haircut.
E) Maintain a reasonable weight.
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Chapter 13: Conflict Management
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Q1) A female nurse is experiencing sexual harassment in the workplace by a male nurse.Which action should this nurse take to stop the sexual harassment?
A) Ignore the comments made by the male nurse.
B) Laugh about the comments.
C) Tell the male nurse to stop.
D) Begin to sexually harass the male nurse.
Q2) What action(s)by the staff nurse is an effective way to deal with a sexual harassment issue in the workplace? (Select all that apply.)
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.
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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Page 15
Chapter 14: Delegation in the Clinical Setting
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Q1) What should the nurse do to assess competence before delegating a task to an LPN?
A) Ask if the LPN has previous experience performing the task.
B) Ask if the LPN is willing to perform the task.
C) Ask another nurse if the LPN is competent.
D) Assume the LPN is competent due to her years of service.
Q2) A nurse is reviewing delegation with a graduate nurse.The nurse knows that the teaching has been successful when the graduate nurse states which of the following?
A) "The nurse can delegate assessments to the nurse assistants."
B) "The nurse must create the care plan based on assessment findings."
C) "The nursing assistants cannot perform bed baths on postsurgical patients."
D) "The LPN can perform discharge teaching."
Q3) To optimally use the level of preparation of the LPN,which task should the nurse delegate to the LPN?
A) Transporting a patient to the laboratory
B) Assisting with a thoracentesis
C) Restocking and counting the sterile supplies
D) Passing afternoon nutrition supplements and waters
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Page 16
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
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Q1) A nurse is covering for a coworker who is on a lunch break.While administering medications,the nurse notices a bag of antibiotic hanging with another patient's name on it.The nurse immediately stops the infusion.What should the next step be?
A) Say nothing about the error because the patient is fine.
B) Speak with the coworker about the error and fill out the proper paperwork for documentation.
C) Tell the other coworkers about the error.
D) Tell the patient about the error.
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) Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are
A) "clinical pathways and patient classifications."
B) "clinically oriented and business-oriented pathways."
C) "clinical pathways and disease management protocols."
D) "centralized and decentralized system models."
Page 17
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Chapter 16: Economics of the Health Care Delivery System
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Q1) Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.)
A) Only bringing needed supplies into a patient's room
B) Accurately documenting the patient's condition
C) Minimally documenting in the patient's chart
D) Taking breaks as scheduled
E) Remaining healthy and able to function on the job
Q2) The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice?
A) Begin discharge planning as soon as it is evident when a patient will be discharged.
B) Encourage patients to consider being admitted the evening before a major surgical procedure.
C) Use unlicensed personnel as much as possible in the delivery of nursing care.
D) Accurately document the current status of a patient with regard to the patient's ongoing needs.
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Chapter 17: Political Action in Nursing
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Q1) 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.
Q2) The nurse has an adequate understanding of power when listing which of the following as laws of power? (Select all that apply.)
A) Power invariably fills any vacuum.
B) Power is invariably public.
C) Power is based on a system of ideas and philosophy.
D) Power is exercised through and depends on institutions.
E) Power is invariably confront with and acts in the presence of a field of responsibility.
Q3) A group of nurses are concerned about access to health care in rural communities.Which action should they take to voice their concerns?
A) Complain to their coworkers.
B) Form a coalition to be combat the issue.
C) Independently discuss the issues with other staff.
D) Attend monthly staff meetings.
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Q1) What action can the registered nurse take to control personal practice? (Select all that apply.)
A) Improve the professional practice of nurses and nursing assistants.
B) Refrain from shared governance.
C) Implement peer review.
D) Identify and recommend elimination of hazards in the workplace.
E) Identify and recommend processes that work to ensure the safety of patients.
Q2) A nurse has an adequate understanding of traditional collective bargaining when making which of the following statements?
A) "The goal of traditional collective bargaining is to win something that is controlled by another."
B) "The goal of traditional collective bargaining is to win something that another person has worked for."
C) "The goal of traditional collective bargaining is to give all power to the nurse."
D) "The goal of traditional collective bargaining is to give all power to the organization."
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20
Chapter 19: Ethical Issues
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Q1) A nurse manager is educating a group of staff nurses about genetics and genomics.The nurse manager judges that the teaching has been effective when one of the staff nurses states:
A) "Health outcomes and treatment of disease processes have not increased with the study of genetics and genomics."
B) "Only researchers benefit from the study of genetics and genomics."
C) "This area of study has nothing to do with nurses."
D) "Genetics and genomes have increased the ability of health care professionals to assist patients in improving health outcomes."
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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Chapter 20: Legal Issues
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Q1) What would be the most effective way for a nurse to validate "informed consent?"
A) Check the chart for a completed and signed consent form.
B) Determine from the physician what was discussed with the patient.
C) Ask the family whether the patient understands the procedure.
D) Ask the patient what he or she understand regarding the procedure.
Q2) A nurse has relocated to another state and wants to find a full-time nursing job.What action should be taken first in order to provide care as a nurse?
A) Begin applying for jobs at the local hospital.
B) Contact the board of nursing in the nurse's new state to obtain licensure to practice.
C) Begin practicing immediately,as the nurse is still licensed in the formerly lived in state.
D) Begin practice on a part-time basis so that a new license is not needed.
Q3) What action must occur to prove a breach of duty?
A) Liability testimony of physician
B) Testimony from state board of nurses
C) Expert testimony
D) Testimony of coworkers
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Chapter 21: Cultural and Spiritual Awareness
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Q1) In what culture is it very important for females to be evaluated by female health care providers?
A) Asian
B) Muslim
C) Hispanic
D) Native American
Q2) A nurse manager is looking for ways to improve the cultural competency of unit staff.Which action would help the manager accomplish this?
A) Propose voluntary cultural competence training.
B) Hire bicultural clinical and administrative staff.
C) Hire staff from the same ethnic background.
D) Avoid issues pertaining to cultural competence.
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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23
Chapter 22: Quality Patient Care
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Q1) A nurse is explaining to another nurse about the contributions of Edward Deming.The nurse judges that the explanation is effective when the nurse states:
A) "Quality is the responsibility of everyone within an organization."
B) "Quality is the responsibility of the quality control inspector."
C) "Quality is the responsibility of the CEO of the organization."
D) "Quality is the responsibility of the manager of the organization."
Q2) The Joint Commission publishes a Sentinel Event Alert every month.Which of the following is the best example of a sentinel event?
A) Tylenol #3 is given to a patient when plain Tylenol was ordered.
B) Code pink is called after a newborn is discovered missing from the nursery.
C) After receiving the correct medication,the patient complains of itching all over,and a rash is noted on the patient's trunk.
D) During a blood transfusion,the patient's temperature increases to 100.4° F,and the patient complains of generalized pruritus.
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Chapter 23: Nursing Informatics
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Q1) 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.
Q2) Which action by the nurse incorporates standard practice for protecting patient privacy on mobile devices? (Select all that apply.)
A) Keep careful physical control of the device at all times.
B) Avoid use of mobile devices.
C) Use a password and a time-out to authenticate the re-activation.
D) Enable encryption.
E) Keep security software up to date.
Q3) 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,
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Chapter 24: Using Nursing Research in Practice
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Q1) A student asks the nurse manager,"When I was reading an article about research utilization,I ran across the phrase 'practice context.' What does that mean?" What is the best response?
A) "It is made up of the factors and systems that contribute to delivery of nursing care in a particular setting."
B) "It refers to the specific group of patients who are to receive care in a particular setting."
C) "It describes the type of health care delivery system that is currently in place in a particular setting."
D) "It refers to the policies,procedures,and staffing patterns of a nursing unit."
Q2) 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."
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Page 26
Chapter 25: Workplace Issues
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Q1) 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.
Q2) After completing a crisis intervention course,the nurse recognizes the signs of escalating violence as:\
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) A nurse believes to be bullied at work.Which of the following actions by the perpetrator lead them to believe this?
A) Offering to help with their assignment
B) Asking them to switch a shift
C) Asking them to cover for a break
D) Being given the "silent treatment"
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Chapter 26: Emergency Preparedness
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Q1) A nurse is caring for a group of sick patients.Which patient would the nurse be less likely to use isolation precautions with?
A) Tuberculosis (TB)
B) Plague
C) Botulism
D) Smallpox
Q2) A nursing professor is educating students on nerve agents.The nursing professor judges teaching to be effective when one of students states:
A) "Sarin gas is a chemical agent that is classified as a nerve agent."
B) "Mustard gas is a chemical agent that is classified as a nerve agent."
C) "Ricin is a chemical agent that is classified as a nerve agent."
D) "Chlorine gas is a chemical agent that is classified as a nerve agent."
Q3) 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."
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