Nursing Theory and Practice Exam Review
Course Introduction
This course explores the foundational theories and concepts that underpin modern nursing practice, emphasizing their application in clinical settings. Students will examine key nursing theories, models of care, and ethical frameworks, learning how these guide assessment, planning, intervention, and evaluation in patient care. The course blends theoretical understanding with practical skills development, including patient communication, care documentation, and evidence-based interventions. Through case studies, simulations, and reflective practice, students develop critical thinking and clinical decision-making skills essential for effective, compassionate nursing in diverse healthcare environments.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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26 Chapters
663 Verified Questions
663 Flashcards
Source URL: https://quizplus.com/study-set/498
Page 2
Chapter 1: Role Transitions
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/9234
Sample Questions
Q1) A new nurse wants to make personal lifestyle changes to become a healthier individual.Which actions would help with reaching this goal? (Select all that apply.)
A) Begin an exercise routine.
B) Eat snacks late at night.
C) Incorporate relaxation into his/her schedule.
D) Begin eating nutritious meals and snacks.
Answer: A,C,D
Q2) A student nurse is interested in improving his/her nursing skills.What action would be the best for the student nurse to take?
A) Ask his/her instructor for extra skills practice during clinical hours.
B) Watch videos on how to perform the nursing skills that he/she needs to practice.
C) Review his/her nursing textbooks.
D) Observe nurses perform skills in his/her clinical setting.
Answer: A
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3
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) The nurse has concluded that he/she is a right-brain-dominant person.Based on the nurse's time style,which unit governance task will the nurse implement?
A) Devise a plan to restructure the nursing career ladder.
B) Write a procedure for central line care using new equipment that will be available in two weeks.
C) Do the unit time schedule for the next pay period.
D) Collate data obtained from a chart audit to report at the next unit staff meeting.
Answer: A
Q2) Which of the following statements by the nursing student is an affirmation?
A) "I must maintain As in school."
B) "I am human and capable of making mistakes."
C) "If I fail at something,the results will be catastrophic."
D) "If I am not liked by everyone,I am a failure."
Answer: B
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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 nursing student is in the mentoring process.Which action would occur if the nursing student were in the "Get out of the way phase?"
A) The nursing student would assess chest tubes with the mentor nearby for guidance.
B) The nursing student would assess chest tubes independently.
C) The nursing student would observe the mentor assessing chest tubes.
D) The nursing student would read the hospital policy on chest tubes.
Answer: B
Q2) Which action by the mentor can help reduce the impact of reality shock on the mentee during the honeymoon phase?
A) Listen as the mentee discusses the excitement of starting a new position as a nurse.
B) Avoid discussions about the excitement of the mentee's new position as a nurse.
C) Ask the mentee not to discuss the new position during work hours.
D) Tell the mentee that the excited will not last long.
Answer: A
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A nursing professor correctly states the expectations of the job market for nursing as
A) expected downsizing,decreased number of nursing positions.
B) expected decrease in the number of unlicensed assistive personnel.
C) expected increase in unlicensed assistive personnel: personnel.
D) expected increased hiring of new graduates.
Q2) A new graduate uses social networking (i.e.,Facebook)as a means of communicating with family and friends.What is important for the new graduate to consider when posting information on Facebook in terms of seeking employment?
A) Use a professional photo,perhaps just a headshot.
B) Set the Facebook site to public so recruiters can search and find.
C) Provide pictures of family and friends and remove any inappropriate information.
D) Avoid using social networking sites,such as Facebook and LinkedIn,because employers do not like them.
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Chapter 5: NCLEX-RN Examination and the New Graduate
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which statement indicates the graduate nurses understanding of the process at the NCLEX testing site?
A) "I will be thumbprinted and photographed."
B) "I will be placed in a locked testing cubicle."
C) "I will answer 300 test questions."
D) "I will be given some questions as a paper-and-pencil test."
Q2) Which of the following statements indicate the nurses understanding of the content of the NCLEX Exam?
A) "The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing."
B) "The exam is a survey of nursing faculty regarding areas of importance for testing."
C) "The exam includes questions based on the National League of Nursing survey reports."
D) "The exam includes contributions from all of the member boards of the National Council."
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Chapter 6: Historical Perspectives: Influences on the
Present
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25 Flashcards
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Sample Questions
Q1) 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
Q2) During the Civil War,which actions by volunteer nurses saved the lives of soldiers injured on the battlefield? (Select all that apply.)
A) Volunteer nurses brought injured patients from the battlefield to the hospital.
B) Volunteer nurses provided clean water to the patients.
C) Wounds were wrapped in clean bandages.
D) Patients were provided with adequate nutrition for healing.
E) Nurses reused supplies from other patients to save money.
Q3) What was the most important contribution to nursing made during medieval times?
A) The Red Cross recognized the worth of nurses in caring for the poor.
B) A formal school was established to train nurses within the convents.
C) The hospital of St.John was established to train nurses and physicians.
D) Society placed an increased status on caring for the ill.
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Page 8
Chapter 7: Nursing Education
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Based on data,the nurse interprets which educational program as producing the most graduate nurses annually?
A) Diploma program
B) Associate degree program
C) Baccalaureate program
D) Master's and doctoral programs
Q2) The nursing student interprets the phrase "an accredited school of nursing" to mean that
A) the nursing school is accredited by the licensing institution of the respective state.
B) the school has petitioned and been granted accreditation by the American Nurses Association.
C) this is a voluntary process by which the school demonstrates meeting of standards above the legal requirements.
D) this is a designation that allows the nursing program to confer advanced degrees in nursing education.
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Chapter 8: Nursing Theory
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) What nursing interventions can be performed by the nurse based on Jean Watson's Caring Theory? (Select all that apply.)
A) Assist with basic human needs.
B) Encourage the patient to express personal feelings.
C) Ask the patient for input regarding received care.
D) Sit down and have a conversation with the patient.
E) Perform care according to hospital and unit policy.
Q2) Which of the following action(s)by the nursing incorporates the Culture Care Theory? (Select all that apply.)
A) Becoming educated about different cultures
B) Being mindful of folk practices
C) Requesting that patients withhold holistic care while in the hospital
D) Being respectful of different religions
E) Allowing the patient to experience healing according to their culture
Q3) A student is in the last semester of nursing school.The student interprets nursing as
A) knowledge of past experiences.
B) the medical model of health care.
C) a science based on the principles of biology and medicine.
D) a science based on scientific research providing practice answers.
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Page 10
Chapter 9: Image of Nursing: Influences of the Present
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse is determining which professional organizations to join.The nurse demonstrates an adequate understanding of the International Council of Nursing (ICN)when stating which of the following?
A) "The ICN handles domestic nursing issues."
B) "The ICN is for international nurses only."
C) "The ICN is focused on worldwide health care."
D) "The ICN is focused on foreign issues only."
Q2) Which action would be consistent with the American Red Cross volunteer nurse?
A) Provide staffing for a local hospital.
B) Provide assistance after a tornado.
C) Teach first aide to a group of Girl Scouts.
D) Deliver clothing to flood victims.
E) Educate volunteers to assist in a local hospital.
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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Page 11
Chapter 10: Challenges of Nursing Management and Leadership
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse manager identifies which of the following as the most critical step in problem solving?
A) Brainstorm all possible solutions.
B) Identify the problem.
C) Evaluate possible solutions.
D) Choose a solution.
Q2) 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
Q3) The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning.Which statement shows an understanding of this type of leadership?
A) "Requires more time and effort to make decisions and accomplish goals"
B) "Discourages participation from quieter members of the group"
C) "Increases the possibility of "scapegoating" or argumentative behavior"
D) "Is difficult to control the outcomes and decisions of the group"
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Chapter 11: Building Nursing Management Skills
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) The nurse manager is updating unit staff on findings by The Joint Commission.Which of the following statements shows an understanding of untoward events in the hospital setting? The primary cause of untoward events is
A) "unclear,ineffective communication."
B) "unclear chain of communication for reporting."
C) "ineffective reporting of the untoward event."
D) "lack of consistent supervision of nursing staff."
Q2) A nurse has received report on assigned patients and is prioritizing their care.Which of the following patients should the nurse assess first?
A) A female patient who is complaining of a headache
B) A patient who has just returned from surgery and has saturated his dressing
C) A patient with a femur fracture that is requesting pain medications
D) A male patient who needs to use the bathroom
Q3) 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
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Page 13
Chapter 12: Effective Communication and Team Building
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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) The clinical instructor interprets the development of mutual goals and guidelines as
A) norming.
B) performing.
C) storming.
D) informing.
Q3) 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."
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Chapter 13: Conflict Management
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25 Flashcards
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Sample Questions
Q1) What is important for the nurse manager to understand about resolving conflict in the workplace? (Select all that apply.)
A) Realize that most new graduates use competition as a form of conflict response.
B) Effective role socialization reduces negative conflict behaviors among nursing staff.
C) Use of collaboration to solve conflict issues is an important strategy to encourage.
D) Thinking like a nurse promotes role socialization and reduces conflict.
E) Nurse managers need to create working environments that facilitate professional practice.f.High self-esteem fosters entitlement-type behavior that promotes conflict.
Q2) A nurse is aware that an area of conflict between nurses and patient's families is quality of parental care.Which action would not help the nurse reduce conflict?
A) Become frustrated with the parents for lack of participation in care
B) Model positive parenting techniques
C) Encourage parents to meet other parents
D) Give out information about parenting classes
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15
Chapter 14: Delegation in the Clinical Setting
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A day shift nurse has come into work and notices that the glucometers were not tested overnight as they typically are.What is the best way for the nurse to question the nurse assistant,in order to give feedback?
A) "Why didn't you test the glucometers?"
B) "What did you do last night?"
C) "How was your night? I noticed the glucometers weren't tested."
D) "Couldn't you have asked one of the nurses to check the glucometers if you were busy?"
Q2) The nurse is preparing assignments in a pediatric unit for the night shift.Which of the following would be appropriate to assign the LPN/LVN?
A) A 5-year-old child who had an appendectomy about 6 hours ago
B) A 4-year-old child admitted for severe epiglottis who is running a fever of 102° F
C) A 6-year-old child admitted with dehydration and receiving IV therapy
D) A 7-year-old child who has inhalation burns 2 days ago and has a tracheostomy
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16
Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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25 Verified Questions
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Sample Questions
Q1) The nurse is reviewing upcoming discharges.Which patient would a case manager be assigned to?
A) A 55-year-old woman post hysterectomy,who has adequate support from family
B) A 42-year-old man post appendectomy,who is able to change his own dressing
C) A 60-year-old man post sepsis,in need of nursing home placement
D) A 38-year-old woman,post shoulder repair,who needs to follow up with the orthopedic surgeon
Q2) A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel.What should the nurse do to ensure success in caring for patients?
A) Give the assignments for the day out to the team and plan to meet right before the end of shift.
B) Continuously communicate with the members of the team throughout the entire day.
C) Report changes in a patient's condition to the health care provider only.
D) Revise each patient's plan of care once a shift.
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Page 17
Chapter 16: Economics of the Health Care Delivery System
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which statement by the nurse indicates understanding of the major factors influencing the increase in health care costs?
A) "Health care expenditures are exceeding the cost of the gross domestic product (GDP)in excess of 14%."
B) "Older adult patients consume more of the health care product than they can afford to finance."
C) "The cost of prescription drugs is soaring so rapidly that the majority of people cannot afford them."
D) "Because of the limited payment of Medicare,institutions are not being reimbursed at the same level of expenditures."
Q2) Which of the following statements indicates the nurse's understanding of fiscal responsibility?
A) "Fiscal responsibility should be a concern for all nurses."
B) "Fiscal responsibility is only a concern for the department manager."
C) "Fiscal responsibility is only a concern for the hospital administrators."
D) "Fiscal responsibility is not a concern for the nursing staff."
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Chapter 17: Political Action in Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) Legitimate
A)Joining a coalition to lobby for a national health insurance plan
B)Organizing nurses to work for the opponent in the next election
C)The dean of the school discussing the educational program
D)Testifying before a committee on a bill
E)A political action committee's endorsement or financial contribution
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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Page 19
Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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25 Flashcards
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Sample Questions
Q1) 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."
Q2) A nurse is preparing a presentation.How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional,union-based nursing model?
A) "The traditional-based union model frequently puts nurses and employers in adversarial positions."
B) "The union dictates to members what they can and cannot do within the health care institution."
C) "The union-based model can initiate strikes that can be detrimental to the provision of health care in an institution."
D) "The union-based model is too expensive and nurses are not fairly compensated by the organization."
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Page 20
Chapter 19: Ethical Issues
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Sample Questions
Q1) A nurse is educating nursing students on the teleological model of ethical reasoning.The nurse judges that the education has been effective when a student states:
A) "Abortion is acceptable because it results in fewer unwanted babies."
B) "Abortion is never acceptable because it violates the sanctity of life."
C) "Euthanasia is never acceptable because it violates the sanctity of life."
D) "The rights on individuals should not be sacrificed for the good of the majority."
Q2) A nurse is caring for a patient who has just been diagnosed with cancer.The patient's family has requested that the patient not be told at this time because it would be devastating.The patient asks the nurse if the diagnosis is cancer.If the nurse were to uphold the ethical principle of veracity,what would the response be?
A) "No,you do not have cancer."
B) "The physician is unsure of your diagnosis at this time."
C) "Yes,that is the diagnosis.Let me call the doctor so that we can have a discussion."
D) "Yes,but your family told me that I could not talk to you about the diagnosis."
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Chapter 20: Legal Issues
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) In a legal suit,what element is necessary to prove a tort has been committed?
A) Intent
B) Assault
C) Injury
D) Malpractice
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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Sample Questions
Q1) Which statement by the nurse shows understanding of the Vietnamese culture? (Select all that apply.)
A) "Vietnamese are slow to trust authority figures."
B) "Vietnamese have a very patriarchal society."
C) "Vietnamese will try home remedies before seeking Western medicine."
D) "Vietnamese are often compliant with Western treatment one sought."
E) "Vietnamese are generally noncompliant with health care."
Q2) A nurse has an adequate understanding of the barriers to cultural competence when making which of the following statements?
A) "Barriers to cultural competence no longer exist in today's society."
B) "The barriers to cultural competence cannot be broken down."
C) "Provider barriers include having knowledge about a custom's culture regarding health care."
D) "Systems barriers exist when an agency's structure and policies are not designed to support cultural diversity."
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Chapter 22: Quality Patient Care
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Sample Questions
Q1) Which statement by the nurse indicates understanding of the control phase of the DMAIC process? (Select all that apply.)
A) "In the control phase,only the leader should be informed of changes."
B) "Only those directly affected by the new process should be educated."
C) "In the control phase,steps in the new process should be standardized."
D) "Changes should be monitored to ensure compliance."
E) "Standard operating procedures should be written."
Q2) A nurse has an adequate understanding of barriers to quality improvement when stating which of the following? (Select all that apply.)
A) "Cost is a barrier in quality improvement."
B) "There are no barriers to quality improvement."
C) "Nurses' loyalty to old practices is a barrier."
D) "Failure to recognize that change is needed is a barrier."
E) "Being unwilling to change is a barrier."
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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Page 24
Chapter 23: Nursing Informatics
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Sample Questions
Q1) A nurse manager is lecturing staff nurses on the barriers to the full integration health information technology.The nurse manager judges the teaching to be effective when a staff nurse states: (Select all that apply.)
A) "Barriers include lack of standardization across care areas."
B) "A barrier to the full integration is funding."
C) "Currently there are no barriers."
D) "A current barrier is privacy laws."
E) "Barriers to full integration are not likely to be overcome."
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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Sample Questions
Q1) 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
Q2) A nursing professor has just joined the National Institute of Nursing Research (NINR).Which activities should the professor anticipate being a part of?
A) Providing financial support for any worthy nursing research study
B) Channeling federal money into nursing research related to the national nursing research agenda
C) Publishing information detailing successful research utilization projects
D) Arranging traineeships in development of research proposals
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse manager is evaluating her computer chair.What should the nurse manager look for to make sure the chair is a good ergonomic design? (Select all that apply.)
A) Appropriate padding
B) Arm rests that are locked into place
C) Strong lumbar support
D) Easily adjustable
E) Wheels that allow easy movement
Q2) A nurse manager is brainstorming creative solutions to mandatory overtime.Which of the following actions would help prevent the occurrence of mandatory overtime? (Select all that apply.)
A) Create an on-call system with one or two extra nurses on per shift.
B) Create an incentives system for part-time nurses to pick up extra shifts.
C) Ask the nurses to take on extra patients during the short shifts.
D) Reward nurses who put forth an extra effort for the organization.
E) Create shifts for high-volume times.
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Chapter 26: Emergency Preparedness
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Sample Questions
Q1) A nurse is caring for patients after a major disaster has occurred.What is the best action in caring for these patients? (Select all that apply.)
A) Avoid discussing the disaster that has occurred.
B) Encourage patients to talk about their experience.
C) Empathize with patients and their emotions and experiences.
D) Ask patients not to discuss the disaster until they are under the care of a psychologist.
E) Reinforce their emotions and reactions as normal.
Q2) The nurse interprets which of the following to be a Level III disaster? (Select all that apply.)
A) Car accident
B) Train derailment
C) Hurricane
D) Tsunami
E) House fire
F) Tornado
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