Nursing Roles and Responsibilities
Exam Questions
Course Introduction
This course examines the diverse roles and responsibilities of professional nurses within healthcare systems. Students will explore the scope of nursing practice, ethical and legal considerations, leadership and advocacy, and the importance of effective communication and collaboration among interdisciplinary teams. Emphasis is placed on patient-centered care, cultural competence, evidence-based practice, and the development of professional accountability. Through case studies and practical scenarios, learners will analyze the dynamic nature of nursing roles in various healthcare settings, preparing them to deliver safe, high-quality care and assume leadership positions within the nursing profession.
Recommended Textbook
Professional Nursing Concepts Challenges 8th Edition by Beth Black
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16 Chapters
415 Verified Questions
415 Flashcards
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Page 2
Chapter 1: Nursing in Todays Evolving Health Care
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) One important advantage of clinical ladder programs for hospital-based RNs is that they
A) allow career advancement for nurses who choose to remain at the bedside.
B) encourage nurses to move into management positions in which they can influence patient care on a broader scale.
C) encourage RNs to become politically active and guide the profession of nursing.
D) provide training to staff nurses so they can move seamlessly across departments.
Answer: A
Q2) Which of the following is a correct statement about the registered nurse (RN)population?
A) The racial/ethnic composition of RNs closely resembles that of the general population.
B) The number of men entering nursing has decreased steadily over the last decade.
C) The rate of aging of RNs has slowed for the first time in the past 30 years.
D) The majority of employed RNs working full time must work a second position.
Answer: C
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3
Chapter 2: The History and Social Contexts of Nursing
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Margaret Sanger,as a nurse and activist,worked on the Lower East Side of New York City in the early 1900s with immigrant women.What was the focus of her work?
A) Sanitation to prevent disease transmission
B) Health education for children
C) Providing nursing care to underserved African-American families
D) Safe contraception and family planning for women
Answer: D
Q2) Who was the first educated African-American professional nurse?
A) Linda Richards
B) Phoebe Pember
C) Sojourner Truth
D) Mary Eliza Mahoney
Answer: D
Q3) When surveyed,what is the primary reason given by men for entering nursing?
A) To make a difference
B) High salaries
C) Flexible schedules
D) Opportunity for travel
Answer: A
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Page 4
Chapter 3: Nursings Pathway to Professionalism
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Preparation is a component that separates occupations from professions.Which of the following is the best way that a nurse demonstrates preparation for the profession?
A) Improves nursing practice through the use of trial and error methods
B) Focuses on the skills needed for the practice setting
C) Articulates the values of caring and compassion in patient-centered care
D) Utilizes textbooks from college to support practice 5 years after graduation
Answer: C
Q2) One of the characteristics of a profession identified by Kelly was "there is an organization (association)that encourages and supports high standards of practice."
Which of the following illustrates a concern for nursing meeting this characteristic?
A) The ANA has existed for more than 100 years.
B) Nursing specialty organizations have greater power to influence practice than a more general nursing organization.
C) The membership of the ANA is less than 10% of all nurses.
D) The purpose of the ANA does not address the economic and general welfare of nurses.
Answer: C
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Chapter 4: Nursing Education in an Evolving Health Care Environment
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following recommendations resulting from the 1934 study Nursing Schools Today and Tomorrow still has relevance today?
A) Nursing students should be trained on the job.
B) Nursing students should be used to staff hospitals on the weekends.
C) Nurses should be highly educated.
D) Nurses with highly developed instincts do not require standards of practice.
Q2) Which of the following is true about bachelor's of science in nursing (BSN)education?
A) Faculty must be BSN prepared.
B) It is recommended by professional organizations as preparation for entry into practice.
C) It requires 3 years to complete.
D) Faculty are not given full faculty status in the university.
Q3) What is the purpose of articulated models or systems for nursing education?
A) Increasing curriculum similarities in nursing programs
B) Allowing nurses to work in nursing as they gain additional education
C) Increasing the numbers of nursing education programs
D) Facilitating opportunities for nurses to move up the educational ladder with ease
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Page 6
Chapter 5: Becoming a Professional Nurse: Defining Nursing and
Socialization Into Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nursing student says,"I can now see how developing care plans helps organize my thoughts and patient care." In which stage of Cohen's model of professional socialization is this student?
A) Stage I: Unilateral dependence
B) Stage II: Negativity/independence
C) Stage III: Dependence/mutuality
D) Stage IV: Interdependence
Q2) A nursing student says to the clinical faculty,"I know I will be able to care for this patient given your directions." In which stage of Cohen's model of professional socialization is this student?
A) Stage I: Unilateral dependence
B) Stage II: Negativity/independence
C) Stage III: Dependence/mutuality
D) Stage IV: Interdependence
Q3) The legal definition of nursing for any particular state can be found in the
A) state legislature's official newsletter.
B) state board of nursing's bylaws.
C) governor's official papers.
D) state's nurse practice act.
Page 7
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Chapter 6: Legal Aspects of Professional Nursing Practice
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) The Patient Self-Determination Act of 1991,as implemented today,is known as providing
A) informed consent.
B) advance directives.
C) patient bill of rights.
D) HIPAA protections.
Q2) Which of the following is an important step in preventing legal action against the nurse?
A) Never make a mistake.
B) Deflect blame from yourself as much as possible.
C) Develop caring, therapeutic relationships with patients.
D) Avoid explaining care procedures to patients.
Q3) Analysis of cases of reported negligence from 1995 to 2001 demonstrated that the majority of cases occurred in which patient care setting?
A) Acute care
B) Psychiatric
C) Nursing homes and long-term care facilities
D) Home health
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8
Chapter 7: Ethics: Basic Concepts for Professional Nursing Practice
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Respecting an elderly woman's decision to stay in her own home is based on a belief in the ethical principle of A) justice.
B) autonomy.
C) nonmaleficence.
D) death with dignity.
Q2) Gilligan's theory on moral development differed from Kohlberg's theory because Gilligan considered which population not addressed by Kohlberg?
A) Children
B) Men
C) Women
D) Adolescents
Q3) Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of A) justice.
B) autonomy.
C) nonmaleficence.
D) death with dignity.
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Chapter 8: Conceptual and Philosophical Foundations of Professional Nursing Practice
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is interviewing the mother of a school-aged child.The mother states that their family consists of herself,her son,a female friend,and two foster children.One grandparent lives in another city,and one lives within two blocks of them.As the nurse works with this family,what implication is important to include?
A) As a single parent, the mother has multiple roles to fill and will become stressed.
B) As an extended family, all the children will receive attention from several adults.
C) This child will lack male attention because he lives in a single-parent family.
D) The quality of family life will be influenced because they are not a traditional family.
Q2) Which of the following are considered systems?
A) Automobile engine
B) Person
C) Rock
D) Hospital
E) Family
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Chapter 9: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Nursing theory provides a foundation for theory-based practice and curriculum development.Which is a primary reason for incorporating theory into education?
A) Nursing theory helps nurses explain their practice to members of other disciplines.
B) Nursing theory helps transmit knowledge to new professional nurses.
C) Nursing theory contributes to professional autonomy, an important characteristic of all professions.
D) Nursing theory is taught as a guide to nursing practice and to teach students care within the unique perspective of nursing.
Q2) An overriding principle of Nightingale's writings on nursing dealt with which aspect of nursing?
A) The relationship between nurses, physicians, and society
B) The relationship between patients, health, and environment
C) The relationship between illness and health practices
D) The relationship between hospitals, nurses, and patients
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11
Chapter 10: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which research design should be used to determine whether there is a difference in the effectiveness of two preoperative preparation methods on length of stay?
A) Survey design
B) Experimental design
C) Nonexperimental design
D) Descriptive comparison design
Q2) Which of the following is not a necessary step in the research process?
A) Review of the literature
B) Review of best practice guidelines
C) Design of the study
D) Dissemination of results
Q3) What body has been established to protect participants of research?
A) Institutional review board
B) State board of nursing
C) Nursing research board
D) Peer review panel
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Chapter 11: Developing Nursing Judgment Through Critical Thinking
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Which of the following is an independent nursing intervention?
A) Teaching a patient with congestive heart failure to weigh herself daily
B) Recommending an extra dose of diuretic to the patient whose weight has increased 2 pounds overnight
C) Changing the first surgical dressing on a patient after surgery
D) Transferring a patient out of the intensive care unit 2 days after vascular surgery
Q2) In the nursing process,the evaluation phase is used to determine the
A) value of the nursing intervention.
B) accuracy of problem identification.
C) the quality of the plan of care.
D) degree of outcome achievement.
Q3) Which of the following is considered objective data obtained from the patient?
A) "I can't catch my breath."
B) Patient expresses concern about missing work.
C) Patient nods, indicating an affirmative answer to a question.
D) Blood pressure is 110/70 at 8 p.m.
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13
Chapter 12: Communication and Collaboration in Professional Nursing Practice
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41 Verified Questions
41 Flashcards
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Sample Questions
Q1) The nurse and patient may experience sadness during the termination phase.How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship?
A) Providing personal contact information so the patient can contact the nurse if needed
B) Visiting the patient at home during off-duty time to help the transition to self-care
C) Emphasizing the achievements the patient has made, including the ability for self-care
D) Exchanging goodbye gifts as a sign that the relationship is terminated
Q2) Which of the following examples illustrates the nurse's failure to use flexibility effectively in professional communication?
A) Asking on the admission assessment, "You don't smoke, do you?"
B) When updating a family member on a patient's condition stating, "Your wife's ABG report indicates significant hypoxia."
C) Continuing to follow the agenda in a staff meeting when people are obviously upset by a recent death on the unit
D) Requiring nurses to read back phone orders to physicians
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14
Chapter 13: Nurses,patients Families: Caring at the
Intersection of Health,Illness Culture
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient states,"I have knowledge about my diet and how to do my insulin injections,so I can get on with my life." In which stage of illness is this patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Acceptance and participation
Q2) A patient is in the intensive care unit after a myocardial infarction and refuses to stay in bed,saying,"I have to be up and walking around.When I stayed in bed after having my babies 40 years ago,I got so weak I could hardly move." This patient's illness behavior is being influenced by
A) hardiness.
B) past experiences.
C) culture.
D) role expectations.
Q3) Nurses can best help patients deal with stress by
A) helping patients eliminate all stress from their lives.
B) helping patients communicate their stress better to friends and family.
C) helping patients evaluate their lifestyles for areas of potential stress.
D) intervening in the family system to reduce family stress.
Page 15
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) An impact of health care cost-containment measures on nursing has been
A) adding more registered nurses to the skill mix of the nursing team.
B) the concern about the assurance of quality care.
C) large annual salary increases for nurses.
D) development of standards of nursing practice
Q2) Within a nursing shared governance model,the role of the clinical nursing staff is to
A) determine the expectations and goals for the unit.
B) manage the budget for the unit to be cost-effective.
C) focus on the unit activities related to nurses only.
D) adhere to standards and quality benchmarks to ensure professional practice.
Q3) Which of the following areas experience serious disparities in health care access and outcomes for minorities?
A) Infant mortality
B) Arthritis
C) Cardiovascular disease
D) Oral health
E) Immunizations
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16
Chapter 15: Political Activism in Nursing: Communities, Organizations,
Government
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) The principles and values that govern actions directed at influencing and determining decisions,actions,and other matters are known as A) policy.
B) politics.
C) political power.
D) power.
Q2) The American Nurses Association (ANA)serves as the A) clearinghouse of standards set by clinical specialty organizations.
B) regulatory agency setting the guidelines for the scope of practice.
C) source of dissemination of nursing research.
D) professional organization for all nurses regardless of practice setting or level of practice.
Q3) A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse?
A) The nurse must join a union to be employed there.
B) The nurse can join the union if desired, but it is not required.
C) This facility is closed to all union activities.
D) The facility is negotiating with several unions for control of the employees.
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) What are the roles of the Occupational Safety and Health Administration (OSHA)in the workplace?
A) They provide protection for people who report workplace safety problems.
B) They inspect all equipment to ensure it is safe before the staff uses it.
C) The regulate workplace safety.
D) They provide health screenings for all new employees.
E) They administer the employee health program.
Q2) A tired,stressed nurse complains about being part of the "Sandwich Generation." What does that phrase mean?
A) People who care for both children and aging parents
B) Employees who are stuck in jobs they wish to quit
C) A person who is tired and stressed from a job
D) A group of people squeezed by the need for continued work
Q3) What are some recommendations for self-care for nurses in the workplace?
A) Wash hands consistently.
B) Use sharps disposal containers.
C) Use adequate help or mechanical devices for lifting
D) Demand mental health screening for all visitors and patients
E) Reduce the need for working double shifts.
Page 18
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