Nursing Trends and Issues Review
Questions
Course Introduction
This course explores current trends, challenges, and issues shaping the nursing profession locally, nationally, and globally. Students will examine topics such as evolving healthcare policies, technological advancements, legal and ethical considerations, workforce diversity, interprofessional collaboration, and leadership in nursing. Special emphasis is placed on the analysis of how societal, cultural, and economic factors influence nursing practice and patient outcomes. Through case studies, research, and discussion, students will develop critical thinking skills to navigate and effectively respond to changes within the healthcare environment.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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663 Verified Questions
663 Flashcards
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Page 2
Chapter 1: Role Transitions
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Sample Questions
Q1) The new graduate has an understanding of the nursing journey ahead when stating:
A) "It is not acceptable for me to make any mistakes at all."
B) "I am not worried about issues with transition.I am tough.I will do just fine!"
C) "I know that I will make some mistakes,but I will learn and grow from them."
D) "I am going to keep studying so that I am always right."
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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3
Chapter 2: Personal Management: Time and Self-Care Strategies
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Sample Questions
Q1) What actions can the nurse take to manage a habit of procrastinating? (Select all that apply.)
A) Consider the consequences of not completing each activity.
B) Start on time and plan for the project to end on time.
C) Break projects into small,manageable pieces.
D) Set up a reward system for project completion.
E) Be realistic about what can be accomplished.
Answer: A,C,D,E
Q2) The nurse understands stress-related illness when stating which of the following? (Select all that apply.)
A) "Stress can cause insomnia."
B) "Stress is known to cause muscle and joint pain."
C) "Stress can cause headaches."
D) "Stress is not known to cause any health problems."
E) "Stress can cause gastrointestinal disturbances."
Answer: A,B,C,E
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4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) Which statement indicates the student nurse's understanding of a situational relationship?
A) "A situational relationship occurs only one time."
B) "A situation relationship is established by the organization."
C) "In a situational relationship,both mentee and mentor mutually accept it."
D) "A situational relationship is structured to ensure situational success."
Answer: A
Q2) Which action by the mentor can help reduce the impact of reality shock on the mentee during the recovery phase?
A) Encourage the mentee to perform skills that he or she is comfortable with.
B) Maintain a semi-open line of communication.
C) Encourage the mentee to try new skills.
D) Allow the mentee to work independently.
Answer: C
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Sample Questions
Q1) Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?
A) "To guarantee you will achieve your goal"
B) "To keep you focused on your job search"
C) "To help you define your professional identity"
D) "To impress those part of the interview process"
Q2) The nurse can list when of the following as information that is not routinely included in a resume?
A) Age
B) Education
C) Professional memberships
D) Occupational experience
Q3) Assuming all of the following statements are true,which should be included in a resume to highlight information that would be valuable to an employer?
A) Desires annual salary of $30,000 to $32,000
B) Is fluent in American sign language
C) Is president of state downhill ski club
D) Plans to move out of state after 1 year of employment
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Chapter 5: NCLEX-RN Examination and the New Graduate
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Q1) What questions should the graduate nurse ask themself when determining which NCLEX-RN examination review course is right for the graduate? (Select all that apply.)
A) What review courses are easily accessible?
B) What review courses will teach me what I need to know?
C) How well do I study at the computer?
D) Can I plan a study review schedule and stick to it?
E) Can I plan study time?
Q2) Which statement made by the graduate nurse indicates understanding of the NCLEX-RN exam passing score?
A) "Candidates seeking licensure in California and New York must score higher."
B) "The passing score is the same for licensure in all states."
C) "Candidates from BSN programs must score one standard deviation higher than the ADN graduates."
D) "ADN graduates must answer 80% of the 265 questions correctly to pass."
Q3) 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.
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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Q1) Which of the following depicts the charge nurse as autocratic over the student?
A) The student is in charge of the patient assignment while the charge nurse observes.
B) The charge nurse and the student share equal power in the patient assignment.
C) The charge nurse has absolute power over the student and the patient assignment.
D) The charge nurse passes power over the student to the attending physician.
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) Nurses made many contributions to the care of Civil War soldiers.A nurse who understood this,would state which of the following?
A) "Nurses established a safe haven for soldiers from the battlefield."
B) "Nurses provided a clean environment with food and water."
C) "Nurses began medication administration on the battlefield."
D) "Nurses organized the men to care for other injured soldiers."
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Chapter 7: Nursing Education
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Sample Questions
Q1) Which action by associate degree prepared nurses indicates their understanding of the importance of higher education?
A) Completing their continuing education credits early
B) Attending conferences in their specialty
C) Returning to college for an advanced degree
D) Transferring to the education department in their place of employment
Q2) A master's degree in nursing differs from a generic nursing degree in what way? A master's degree in nursing
A) requires a level of specialization to be selected.
B) prepares the nurse for nursing administration.
C) increases the authority and responsibilities of the nurse.
D) enables the nurse to become a nurse educator.
Q3) A new graduate wishes to select a program in nursing that will assist in preparation to care for individuals,families,groups,and communities.The new graduate should select a(n)
A) practical nursing school.
B) diploma program in nursing.
C) associate degree program.
D) baccalaureate program.
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Page 9
Chapter 8: Nursing Theory
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Sample Questions
Q1) A nurse would like to improve personal practice by utilizing nursing theory.What action can the nurse take to begin incorporating nursing theory into practice?
A) Learn about nursing theories.
B) Apply for a management position.
C) Transfer to the education department.
D) Enroll in a PhD program at the local university.
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) Systems-oriented theorists include
A) Neuman,Roy,and Johnson.
B) Peplau,Watson,and Orlando.
C) Nightingale,Abdellah,and Orem.
D) Rogers,Newman,Rizzo,and Parse.
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Chapter 9: Image of Nursing: Influences of the Present
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Q1) Throughout the 1990s,a nationwide campaign worked to strengthen the image of nurses.Which of the following action(s)during the campaign aided in this? (Select all that apply.)
A) Worked to improve the image of nurses as depicted on television
B) Reinforced the image of nurses are doctor's personal assistants
C) Reinforced the idea that nursing required little skill
D) Educated the public that nurses are critical thinkers
E) Reinforced that nurses have problem solving skills
Q2) Which of the following assesses how nurses can control their profession? (Select all that apply.)
A) Discussing issues on their lunch break
B) Joining a professional organization
C) Through publishing documents
D) Being active in the state boards of nursing
E) Keeping issues to themselves
Q3) Which of the following assesses how nursing has relevance to social values?
A) Nurses have professional degrees.
B) Nurses perform community service.
C) Nursing licensure requires a baccalaureate degree.
D) Nurses are teachers of health promotion and wellness.
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Chapter 10: Challenges of Nursing Management and Leadership
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Q1) Transformational leadership
A)Development of trust in relationship; uses democratic concepts of management and views the tasks to be accomplished from the standpoint of a team member
B)Holds power and control over followers by providing incentives when the followers respond in a positive way to the leader's vision and the actions needed to reach that vision
C)Situation is analyzed and leadership style is selected that will best address issues
D)Process in which leader and followers work together in a way that changes or transforms the organization,the employees or followers,and the leader
E)Leadership is flexible enough to address varying situations
F)Needs to look at systems,such as those in health care organizations,as patterns of relationships and the interactions that occur among those in the system
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12
Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) What would be a good assignment for an experienced nursing assistant?
A) Help teach patients newly diagnosed with diabetes to give themselves injections.
B) Report on the quality and quantity of urine on a continuous bladder irrigation.
C) Obtain a clean-catch urine specimen from a patient.
D) Chart a diet for a patient with an eating disorder.
Q2) The charge nurse is assigning patient care activities to the nursing care team.In supervising the team,what is the most effective activity to determine that the nursing care has been completed satisfactorily?
A) Have hourly checks with personnel to determine how effectively nursing care is being completed.
B) Review with personnel at the end of the shift regarding the status of patients and how care was delivered.
C) Discuss with each person the status of their assigned patients and what type of nursing care each will require.
D) Schedule routine patient care rounds to evaluate the patients and the nursing care that has been completed.
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Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) Which of the following statements about listening indicate the nurse's adequate understanding? (Select all that apply.)
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."
Q2) A nurse is caring for a Latino patient.The nurse is aware of the importance of cultural competency and providing the patient with culturally competent care.What can be done to enhance communication with this patient?
A) Use jargon or slang.
B) Obtain an interpreter if needed.
C) Give longer explanations to enhance understanding.
D) Speak loudly to the patient.
Q3) The nurse interprets assertive behavior as
A) apologetic.
B) coercive.
C) direct.
D) self-denying.
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Page 14
Chapter 13: Conflict Management
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Sample Questions
Q1) Of the following common areas of conflict between nurses and their patients and families,which does the nurse interpret as the most easily resolved?
A) Issues of concern about quality of care
B) Issues surrounding treatment decisions
C) Issues of family involvement
D) Issues about quality of parental care
Q2) What actions can a nurse implement into daily practice to reduce conflict? (Select all that apply.)
A) Deal with issues and not personalities.
B) Worry about themselves and no one else.
C) Communicate openly.
D) Listen actively.
E) Sort out issues.
Q3) 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.
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Page 15
Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) Which of the following task can the nurse safely delegate to the nursing assistant?
A) Assessing the patients who are being discharge later today
B) Give discharge instructions to a patient
C) Help a patient select food according to their diet
D) Educating the patient on what foods to eat for his diet plan
Q2) Based on the goal of making optimal use of the level of preparation of the licensed practical nurse (LPN),which task should the nurse (RN)delegate to the LPN?
A) Assisting with a lumbar puncture
B) Transporting a patient to the radiology department
C) Restocking the sterile supplies
D) Distributing afternoon nutrition supplements
Q3) 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."
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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) A female patient is admitted to the labor and delivery unit,where she is assigned a registered nurse who will manage her care for the duration of her hospitalization.What type of nursing care delivery model is represented in this nursing unit?
A) Functional care
B) Primary care
C) Patient-focused care
D) Case management
Q2) Which action by the case manager would be required under the full immersion model?
A) The case manager would see only the patients with the most extensive health care needs.
B) The case manager would see all patients that come into the hospital.
C) The case manager would only see the patients with health insurance.
D) The case manager would conduct a daily chart review of patients he or she is assigned to.
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Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
Q1) A new graduate is preparing for a job interview.Which questions would be appropriate to ask the manager in regards to health care economics? (Select all that apply.)
A) How is the acuity of patients factored into staffing?
B) What is the turnover rate on this unit?
C) How long are the breaks for staff on this unit?
D) What is the overtime rate on this unit?
E) What are the budgeted hours per patient day on this unit?
Q2) A nurse is educating a coworker on the intrinsic factors and cost of health care.The nurse knows that the teaching has been effective when the coworker lists the following intrinsic factor as the major cause of increased cost:
A) Almost 10% of Americans over 65 years old are considered at or below the poverty level.
B) The new medical technology available has increased the cost of health care.
C) There are increasing labor costs in the total hospital spending budget.
D) The staff nurse does not understand the responsibility of economics and money management.
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) How would a nurse determine the political views regarding health care issues of individuals who are running for public office?
A) Call the state or national political action committee of the American Nurses Association.
B) Talk with the administration of the institution to determine who is supporting health care issues.
C) Call the party headquarters of the candidates and ask them to share the views of the candidate with you.
D) Call the Accreditation Commission for Education in Nursing (ACEN)and obtain the political action reports.
Q2) What action should the student nurse taken to begin networking?
A) Begin networking shortly after starting a new job.
B) Avoid networking and establish a career based on reputation.
C) Begin networking upon graduation.
D) Begin the networking process when a new position is needed.
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
Q1) A nurse manager is speaking to a group of nurses about how to choose their representative if they wish to participate in traditional or nontraditional collective bargaining.The nurse manager knows the teaching has been effective if the nurses select which of the following as ways to choose their representative? (Select all that apply.)
A) Service Employees International Union
B) The National League for Nursing
C) Their state nurses association
D) The American Federation of Teachers
E) National Nurses United (NNU)
F) Center for American Nursing (CAN)
Q2) Which statement by the nurse indicates understanding of collective bargaining in the workplace?
A) "Collective bargaining is not useful in the 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."
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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) The nurse is educating a coworker on the ethical principle of beneficence.The nurse judges the teaching to be effective when her coworker states:
A) "Beneficence involves allowing patient to make their own health care decisions."
B) "Beneficence is the duty to actively do good for patients."
C) "Beneficence is the duty to do no harm."
D) "Beneficence involves treating all patients equally."
Q3) What action can the nurse take to uphold the ethical principle of fidelity?
A) Report unscrupulous billing practices.
B) Disclose the results of an HIV test to a patient's family.
C) Make health care decisions for a patient.
D) Accept an assignment that is unsafe.
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Chapter 20: Legal Issues
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Sample Questions
Q1) A nurse has just administered a medication when suddenly realizing that more medication was given than was ordered.Which action should the nurse take?
A) Call the patient's physician and report the error.
B) Say nothing about the medication error and continue to monitor the patient.
C) Document the dose that was supposed to be given in the medical record.
D) Document the amount given in the medical record but keep the error quiet.
Q2) Which of the following statements by the nurse indicates understanding of legal actions?
A) "A misdemeanor is a less serious crime resulting in a fine."
B) "A felony is a less serious crime that can result in a fine."
C) "Civil actions are serious and often result in prison time."
D) "The defendant is the victim."
Q3) Which of the following would be considered a criminal action?
A) A nurse who steals narcotics from the hospital
B) A nurse who gets into a verbal disagreement with a visitor
C) A nurse who restrains a patient who is considered a threat to himself
D) A nurse who refuses to allow a visitor onto the unit who appears intoxicated
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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) A nurse is working in a disaster area as a volunteer with the local ambulance agency.The nurse is providing care to a Spanish-speaking patient.What actions can be taken to properly care for this patient?
A) Use gestures to emphasize what he is saying.
B) Obtain an interpreter.
C) Provide wound care instructions written in English.
D) Treat the patient without speaking to her.
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) Using a spiritual assessment tool helps the nurse gain more understanding of the patient.What would be the best question to assess a patient's inner strengths?
A) What gives your life meaning?
B) Are you motivated to get well?
C) What do you do to show love for yourself?
D) What brings you joy and peace in your life?
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Page 23
Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse is reviewing the technique used to identify the factors involved in an error.Which statement indicates the nurse has an adequate understanding?
A) "The rapid cycle test is a technique that is widely used."
B) "A root cause analysis is a process designed to investigate and categorize the root cause of the event."
C) "A failure mode and effects analysis is a procedure to investigate the cause of the error."
D) "Define,measure,analyze,improve,control prevents events from occurring."
Q2) The nurse manager has an adequate understanding of root cause analysis when stating which of the following?
A) "Root cause analysis determines who to place the blame on."
B) "Root cause analysis can identify some factors leading up to an error."
C) "Root cause analysis is rarely conducted effectively."
D) "Root cause analysis investigates the root causes of events that occur."
Q3) The primary role of The Joint Commission (TJC)is
A) granting magnet status to excellent hospitals.
B) lobbying Congress on behalf of Medicare/Medicaid patients.
C) ensuring medical facilities meet patient safety guidelines.
D) inspecting hospitals for compliance of infection control standards.
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Page 24
Chapter 23: Nursing Informatics
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Sample Questions
Q1) The nurse manager is teaching a new nurse about computer monitoring on a telemetry unit.The nurse manager judges the teaching to be effective when the new nurse states:
A) "Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly."
B) "Computer monitoring provides for continuous around-the-clock direct observation of patients."
C) "Computer monitoring improves documentation of patient care."
D) "Computer monitoring reduces the need for additional nurses to provide patient care."
Q2) The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in (Select all that apply.)
A) "health information privacy law."
B) "bedside nursing care."
C) "nursing report communication."
D) "data security standards."
E) "electronic transaction standards."
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Chapter 24: Using Nursing Research in Practice
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Sample Questions
Q1) A staff nurse recognizes the need for a change in practice regarding hand hygiene.How can the nurse implement a change in practice? (Select all that apply.)
A) Ignore the problem until management enforces a change.
B) Ask if the manager can hold a staff in-service.
C) Implement the change on the unit.
D) Monitor the change.
E) Evaluate the effectiveness of the change.
Q2) Which steps can the nurse take to apply evidence-based research into nursing practice? (Select all that apply.)
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.
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers.The nurse manager judges the teaching to be effective when the coworker states:
A) "National Council of State Boards of Nursing has a role in overseeing any environmental hazard."
B) "American Nurses Credentialing Center oversees all environmental hazards in the United States."
C) "Ambulatory Care Nursing Administration and Practice oversees only local environmental hazards."
D) " The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."
Q2) A 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? (Select all that apply.)
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 units standards of care.
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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) Which statement by the nurse indicates the most important goal in the management of a disaster such as one caused by a category 5 hurricane?
A) "Rescue the victims."
B) "Plan to prevent such disasters."
C) "Give immediate first aid and medical care to the victims."
D) "Evacuate the injured to medical facilities."
Q3) The nurse has an adequate understanding of smallpox when the nurse states which of the following?
A) "Smallpox does not exist because of vaccines."
B) "Smallpox can easily be spread from person to person."
C) "Smallpox must be ingested for a person to become sick."
D) "Smallpox is resistant to vaccines."
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