Nursing Ethics and Law Practice Exam - 610 Verified Questions

Page 1


Nursing Ethics and Law Practice Exam

Course Introduction

Nursing Ethics and Law provides students with a comprehensive understanding of the ethical and legal principles guiding nursing practice. The course explores key ethical theories, moral reasoning, and the professional responsibilities of nurses in various healthcare settings. Students examine legal concepts such as consent, confidentiality, negligence, and patient rights, while discussing real-world case studies and dilemmas encountered in clinical practice. Emphasis is placed on integrating ethical decision-making and legal considerations into patient care, ensuring safe, compassionate, and compliant nursing interventions that protect both patient welfare and practitioner integrity.

Recommended Textbook

Contemporary Nursing Issues Trends and Management 7th Edition by Cherry

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28 Chapters

610 Verified Questions

610 Flashcards

Source URL: https://quizplus.com/study-set/162

Page 2

Chapter 1: The Evolution of Professional Nursing

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21 Flashcards

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Sample Questions

Q1) The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?

A) Prehistoric times and the Middle Ages

B) Civil War period and World War I

C) Renaissance and Reformation periods and the Colonial American period

D) Crimean War and Civil War periods

Answer: A

Q2) A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the:

A) American Nurses Association.

B) Commission on Collegiate Nursing Education.

C) National Institutes of Health.

D) National Nursing Council.

Answer: B

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Chapter 2: The Contemporary Image of Professional Nursing

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (select all that apply)

A) Determine why few black women enter graduate school.

B) Provide incentives for minorities and men to enter nursing.

C) Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs.

D) Survey nurses to determine why their job satisfaction is lower than that of other health care professions.

E) Develop ad campaigns that target younger students.

Answer: B, C, E

Q2) Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?

A) Positions that historically required registered nurses will be filled by unlicensed personnel.

B) The job growth rate for RNs will surpass job growth in all other occupations.

C) The need for hospital nurses will dramatically decrease.

D) Hospitals will finally achieve the required RN workforce.

Answer: B

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Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A member of a nursing students study group comments, "I wish our instructor would just tell us the important information that we will be tested on in our course and on NCLEX®. Instead, we spend some time early in the class discussing key facts then the most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents:

A) memorization of basic facts presented early in the lecture.

B) Objective Structured Clinical Examinations (OSCE).

C) peer-to-peer learning.

D) practice-based competency.

Answer: D

Q2) The practice of nurses, nursing students, and faculty is affected by demographic changes due to:

A) the growing percentage of adults ages 50 to 55 years.

B) increasing numbers of obese children and adults.

C) changes by which families are becoming more nuclear.

D) social programs that are essentially eliminating poverty.

Answer: B

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Page 5

Chapter 4: Nursing Licensure and Certification

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22 Verified Questions

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Sample Questions

Q1) The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:

A) American Nurses Association (ANA).

B) National League for Nursing (NLN).

C) American Nurses Credentialing Center (ANCC).

D) National Council of State Boards of Nursing (NCSBN).

Q2) A nurse practicing in the early 1900s was awarded a permissive license. These licenses:

A) were voluntary; however, a nurse who failed the examination could not use the title RN.

B) required a maximum of 1 year of formalized nurse training.

C) allowed nurses who did not pass the licensure examination to still practice.

D) allowed nurses the choice of taking a written or oral licensure examination.

Q3) Who establishes the "rules" for nursing practice?

A) Individual state boards of nursing

B) Employer, based on area of practice

C) United States Department of Health and Human Services

D) Local health officials

Q4) The primary purpose of licensure is protection of the ___________.

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Chapter 5: Theories of Nursing Practice

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Sample Questions

Q1) Which of the following are concepts related to nursing theory? (select all that apply)

A) Environment

B) Health

C) Nursing

D) Relevance

E) Comfort

Q2) A community health nurse has been visiting a postpartum client who suffered domestic violence throughout the pregnancy, and now the infant may be at risk. The nurse assisted the client in finding shelter and legal protection. The nurse's role and the conceptual framework involved are:

A) change agent, according to Roy's adaptation model.

B) translator, according to Leininger's theory of cultural care diversity and universality.

C) case manager, according to Peplau's interpersonal relations model.

D) caregiver, according to Rogers' science of unitary human beings.

Q3) The basic ingredients of theory are ____________.

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Chapter 6: Nursing Research and Evidence-Based Practice

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23 Verified Questions

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Source URL: https://quizplus.com/quiz/1947

Sample Questions

Q1) A new nurse researcher is interested in tracing the history of nursing research. The researcher learns that nursing research began with:

A) the work of Florence Nightingale during the Crimean War.

B) studies between 1900 and 1940 following Nightingale's work.

C) studies to improve patient care by doctorally prepared nurses.

D) studies based on the naturalistic paradigm.

Q2) Which organization provides federal funding for research?

A) National Institute of Nursing Research

B) Robert Wood Johnson Foundation

C) W. K. Kellogg Foundation

D) Sigma Theta Tau International

Q3) A researcher seeks funding from an agency that limits studies to quantitative research. The researcher can select from which of the following study designs? (select all that apply)

A) Survey

B) Grounded theory

C) Phenomenology

D) Needs assessment

E) Experimental

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Page 8

Chapter 7: Paying for Health Care in America: Rising Costs and Challenges

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) A nurse is newly employed by a state-owned hospital that provides health care insurance requiring a deductible paid by the employee with the majority of the premium cost covered by the employer. The insurance provided to the nurse is:

A) private health insurance.

B) a federal insurances program known as PPACA.

C) state-subsidized Medicaid insurance.

D) single-payer system coverage.

Q2) A nurse is offered several health care plans as part of employee benefits. Which plan is based on a monthly fee per participant and offers a range of preventive, diagnostic, and treatment services?

A) Prospective payment system

B) Retrospective payment system

C) Single-payer system

D) Capitation

Q3) In the triad of health care, which would be considered the third-party payer?

A) Client

B) Health care provider

C) Insurance company

D) Government agency that sets reimbursement rules for services

Page 9

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Chapter 8: Legal Issues in Nursing and Health Care

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Sample Questions

Q1) A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)

A) The client is crying and distraught when he learns of a diagnosis of cancer.

B) An intravenous antibiotic given preoperatively does not infuse because of a faulty pump.

C) The nurse is unable to carry out orders written by the specialist because of illegibility.

D) A client falls while in the shower, although she was told not to get up alone.

E) The registered nurse is not available to complete the preoperative checklist.

Q2) Which statement regarding informed consent is correct? Informed consent:

A) is mandated by federal but not state law.

B) must reveal expected benefits.

C) requires concealing any known risks.

D) allows the RN to communicate information needed so that informed consent can be provided.

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Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care

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20 Verified Questions

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Sample Questions

Q1) The Health Care Reform Act provides insurance for all U.S. citizens and legal residents presenting far-reaching ethical considerations related to diverse individual patient health care beliefs for those delivering nursing care. Nurses must consider their civil rights under the rights of conscience and how new health care agendas such as the Patient Protection and Affordable Care Act (PPACA) could affect their practice in situations that may conflict with their own belief system. Today's practicing nurse must:

A) remember it is one's professional duty to render patient-centered care-even when it is in direct conflict with the nurse's own beliefs-or be held liable for withholding treatment.

B) consider whether the right to act according to one's inner beliefs will continue to be permissible when federal health insurance becomes fully enacted.

C) discuss with the patient and family different options in hopes they will accept the nurse's health care beliefs.

D) suggest to the hospital administration that they not accept federal funding to prevent controversial health practices.

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Chapter 10: Cultural Competency and Social Issues in

Nursing and Health Care

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) A nurse caring for a Hispanic child admitted with diarrhea notices the child is wearing red yarn around the wrist. The nurse compliments the child's "jewelry," knowing it is believed to prevent:

A) mal ojo.

B) susto.

C) bilis.

D) empacho.

Q2) A nurse is seeking to become culturally competent in regard to obtaining information during health history and when performing physical diagnosis. The nurse is aware that which biologic variation is found in all of the following ethnicities: blacks, Asians, Hispanics, and American Indians?

A) Mongolian spots

B) Sickle cell anemia

C) Lactose intolerance

D) Thalassemia

Q3) On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____.

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Page 12

Chapter 11: Complementary and Alternative Healing

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25 Verified Questions

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Sample Questions

Q1) A nurse practices a relaxing massage technique to stimulate and apply pressure to the feet or hands, increasing blood supply circulation to various parts of the body and relieving pain. The massage technique used by the practitioner is referred to as:

A) reflexology.

B) Feldenkrais method.

C) Reiki.

D) Rolfing.

Q2) A patient is placed on reserpine (Serpalan) to decrease mild anxiety and treat hypertension. The patient researches the medication on the Internet and finds that this medication comes from which plant?

A) Atropa belladonna

B) Digitalis purpurea

C) Rauwolfia serpentina

D) Cephaelis ipecacuanha

Q3) The nurse caring for a patient who practices Ayurveda would assess for:

A) an increased stool osmolality gap resulting from dehydration.

B) petechiae resulting from fine-needle punctures.

C) use of over-the-counter remedies intended for intended symptom.

D) magnets strategically placed on affected joints.

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Page 13

Chapter 12: Palliative Care

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) A peaceful death is best characterized by which terminally ill patient?

A) One who is surrounded by family

B) One who uses meditation to help manage pain

C) One who has advanced directives in place

D) One who has drifted from lethargy to coma

Q2) ________________ occurs when a physician predicts the course and outcome of a disease process.

Q3) When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient's care?

A) Work with the patient and family to create an advanced plan of care.

B) Explain to the family that the patient's cognitive function will deteriorate as time passes.

C) Discuss the patient's religious and spiritual concerns to identify potential problems.

D) Identify which family members will be in control of decision making for the patient.

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14

Chapter 13: Workforce Advocacy for a Professional Nursing

Practice Environment

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Hospitals surveyed nurses who terminated their employment to determine why they chose to leave. One of the most common reasons for leaving was:

A) decreased pay for alternative shifts.

B) that the nurse/patient ratio prevents safe care.

C) that most facilities are choosing an all-RN staff, which decreases opportunities for advancement.

D) that agency and foreign nurses are favored by administration over full-time nursing staff.

Q2) Nurses entering the workforce at a large urban hospital soon began volunteering for excessive overtime. A focus group found that upon graduation, many of these nurses purchased expensive cars and furniture. They lacked skills in managing their checkbook and were often unable to pay recurring bills; this finding would be relevant to which component of the Workforce Advocacy Ecosystem Model?

A) Staffing

B) Workflow design

C) Organizational factors

D) Personal and social factors

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15

Chapter

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) A group of RNs wish to seek union representation that would protect all workers in the agency including nonlicensed assistive personnel and non-nursing employees such as nutritionists and dietary workers. The type of union being sought is the strongest collective group and is known as a(n):

A) occupational union.

B) industrial union.

C) union shop.

D) right-to-work bargaining organization.

Q2) Physical therapists are represented by a union, nurses are represented by a separate union, and pharmacists have yet another union within a single agency. This type of union representation is known as:

A) occupational unionism.

B) industrial unionisms.

C) union shop.

D) power sharing.

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Chapter 15: Information Technology in the Clinical Setting

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/1956

Sample Questions

Q1) A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:

A) privacy.

B) confidentiality.

C) security.

D) data capture.

Q2) An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:

A) decision support.

B) telehealth.

C) robotic technology.

D) biometric technology.

Q3) Software programs that process data to produce or recommend valid choices are known as ______________.

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Page 17

Chapter 16: Emergency Preparedness and Response for

Todays World

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:

A) the federally coordinated National Disaster Medical System.

B) local homeland communities where troops receive care.

C) the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.

D) the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.

Q2) A nurse who is conducting a staff in-service on the phases of a disaster continuum teaches participants that, during the impact/response stage, activities focus on:

A) community awareness in anticipation of a terrorist attack or natural disaster.

B) determining the effectiveness of the disaster medical assistance team (DMAT).

C) the use of an all-hazards approach.

D) initiating response activities.

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Chapter 17: Nursing Leadership and Management

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1958

Sample Questions

Q1) A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score. The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is:

A) unfreeze.

B) moving.

C) refreeze.

D) resistance.

Q2) One difference between a leader and a manager is that a:

A) leader has legitimate authority.

B) manager motivates and inspires others.

C) manager focuses on coordinating resources.

D) leader focuses on accomplishing goals of the organization.

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Chapter 18: Budgeting Basics for Nurses

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Sample Questions

Q1) Which component of budgeting might normally be addressed in the annual performance evaluation for a nurse manager?

A) Including in the labor budget costs for overtime and benefits

B) Managing variances in nursing overtime costs and supply usage

C) Accurately predicting revenues on the basis of unit-of-service

D) Providing qualitative analysis for variances in the capital budget

Q2) A nurse manager has calculated that providing 75 hours of direct nursing care per day requires that 120 hours must actually be worked by nursing staff. The manager is involved in: (select all that apply)

A) developing the capital budget.

B) applying productivity metric.

C) monitoring the labor budget.

D) incremental budgeting processes.

E) addressing budget assumptions.

Q3) The financial plan required for the distribution of resources and expenses is a

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20

Chapter 19: Effective Communication and Conflict Resolution

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24 Verified Questions

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Sample Questions

Q1) A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which question would retrieve the most valuable information about health practices?

A) "Do you exercise?"

B) "Do you like to exercise?"

C) "When do you exercise?"

D) "What exercise practices do you participate in?"

Q2) During height and weight assessments at a school's health fair, a child admits to drinking a cup of coffee with his mother every morning, and another child reports enjoying a morning cup of coffee on the commute to school. These two children are both below average on the height chart, and the nurse states, "Drinking coffee stunts a child's growth." This logical fallacy is referred to as:

A) appeal to common practice.

B) confusing cause and effect.

C) ad hominem abusive.

D) red herring.

Q3) The healthiest form of communication is the ________ style.

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Page 21

Chapter 20: Effective Delegation and Supervision

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23 Verified Questions

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Sample Questions

Q1) The task of completing and signing the initial assessment on a newly admitted patient who is about to undergo minimally invasive procedures on an outpatient basis can be delegated to:

A) the registered nurse (RN).

B) the licensed practical/vocational nurse (LPN/LVN).

C) unlicensed assistive personnel (UAP).

D) all levels of staff, because the information is about the past and cannot change.

Q2) Which statement related to delegation is correct?

A) The practice of unlicensed assistive personnel (UAP) is defined in the nurse practice act.

B) Nursing practice can be delegated only when the LPN/LVN and UAP have received adequate training.

C) Supervision is not required when routine tasks are delegated to a competent individual.

D) The RN must be knowledgeable about the laws and regulations that govern nursing practice, as well as those that have no clearly defined parameters, such as for UAP.

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Chapter 21: Staffing and Nursing Care Delivery Models

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22 Verified Questions

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Sample Questions

Q1) Customer satisfaction is primarily based on:

A) access to modern, up-to-date facilities.

B) availability of an extensive menu selection.

C) personal interactions with employees.

D) having to undergo fewer invasive procedures.

Q2) A nurse groups patients with criteria such as "high risk for falls," "infection protocols," and "special communication needs" to determine the mix and number of staff needed on a telemetry unit. The nurse is using:

A) a patient classification system to determine safe staffing levels.

B) diagnostic-related groups for Medicare billing.

C) case management to coordinate care.

D) clinical pathways to determine care.

Q3) Which factors would be considered in the first steps in developing an effective patient classification system? (select all that apply)

A) Planned procedures

B) Ethnic diversity of patients

C) Clinical competency of staff

D) Educational level of nurses

E) Age of patients

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Chapter 22: Quality Improvement and Patient Safety

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/1963

Sample Questions

Q1) A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN) recommended competencies for educating nursing professionals. These include: (select all that apply)

A) advanced health assessment techniques.

B) patient-centered care.

C) prescriptive pharmacology content.

D) quality improvement.

E) safety.

Q2) The staff on a nursing unit notes that patient satisfaction varies from month to month. They plot the degree of patient satisfaction each month for 1 year to determine when the periods of greatest dissatisfaction are occurring. The staff uses which type of graph?

A) Time plot

B) Pareto chart

C) Flowchart

D) Cause-and-effect diagram

Q3) Quality is defined by the ____________.

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Sample Questions

Q1) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.

Q2) A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?

A) A member of a professional organization who supports the organization's political issue

B) A citizen who is registered and is eligible to vote for a representative

C) An elected official who proposes legislation to be considered as a potential law

D) A member of the House of Representatives who is seeking support for a particular bill

Q3) Political action committees (PACs) are established for the purpose of:

A) financially supporting candidates.

B) persuading policymakers to support certain policies.

C) lobbying legislators.

D) recommending health care policy.

Q4) Another name for an eligible voter is a _________.

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Chapter 24: Making the Transition from Student to Professional Nurse

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Sample Questions

Q1) A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?

A) "You have the patients in rooms 1 to 7. These patients require little skill so you will be fine."

B) "Your assignments are posted in writing by the nurses' station. Be certain all your tasks are completed so the next shift is not behind."

C) "You have patients in rooms 5 through 10 and I will administer all IV medications. I will let you know if I have to adjust. If you see you need help let me know."

D) "Everyone is capable of providing the best care, so please sign up for the patients you would like to be assigned to."

Q2) Which nurse is more prone to burnout? The nurse who:

A) graduated last in the class.

B) is industrious and conscientious.

C) refuses to work an extra shift even though he or she needs the money.

D) volunteers to serve on only one committee and keeps in touch with schoolmates.

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Chapter 25: Managing Time: The Path to High

Self-Performance

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1966

Sample Questions

Q1) After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?

A) Responding to recurring crises at work or in one's personal life

B) Unsuccessful attempts to communicate with the unit manager

C) Talking with potential faculty candidates

D) Being given unclear job responsibilities

Q2) When using the ABC system of managing time, those items coded A include:

A) calling the pharmacy to see whether a drug insert is available for a patient.

B) checking to see why a ventilator is alarming.

C) organizing the medication cart.

D) writing memos to remind everyone to contribute to the boss's birthday gift.

Q3) Time can be maximized to produce the best outcomes by:

A) making the first hour of each workday productive.

B) completing trivial tasks before performing important tasks.

C) eliminating all recreational activities.

D) omitting breaks until the entire task has been completed.

Q4) The most important step in time management is ____________.

Page 27

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Chapter 26: Contemporary Nursing Roles and Career

Opportunities

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24 Verified Questions

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Source URL: https://quizplus.com/quiz/1967

Sample Questions

Q1) A nurse researcher is attempting to describe the demographics of today's RNs and reports that:

A) less than half of all RNs work in hospital settings.

B) the average age for an RN is 50 years.

C) approximately 25% of RNs are male.

D) most RN are practicing with a bachelor's degree.

Q2) A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?

A) Continue to study to keep skills current and wait for desired position.

B) Return to college until a position in labor or delivery opens.

C) Accept another nursing position and transfer into labor and delivery when a position is available.

D) Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer.

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Chapter 27: Job Search: Finding Your Match

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24 Verified Questions

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Source URL: https://quizplus.com/quiz/1968

Sample Questions

Q1) A new graduate secures the first interview and wants to work where cultural diversity is appreciated. The applicant feels that accepting this interview was the right choice when the recruiter states, "We do not discriminate based on sex, race, or age and practice inclusiveness of diversity." Which question would reflect this statement?

A) "Nurses must work a master schedule where one month is Monday through Friday and the next month is the weekend shift. What is your religious belief about working on Sunday?"

B) "We offer many benefits for employees such as educational benefits and health insurance."

C) "Our mission is to provide patient-centered care that reflects the belief of the patient and family with an aim to win them over to Western medicine and less superstition, don't you agree?"

D) "Do you have any issues with working with patients who are from a disadvantaged background because we have many people who refuse to work then want free care?"

Q2) The key to a successful interview is being ____________.

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Chapter 28: The NCLEX-RN Examination

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21 Verified Questions

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Source URL: https://quizplus.com/quiz/1969

Sample Questions

Q1) The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform steps in which order. Put a comma and space between each answer choice (e.g., a, b, c, d).

A) Open inner package, taking care not to touch inner surface.

B) Put the glove on the nondominant hand using the sterile gloved hand.

C) Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff.

D) Adjust each glove carefully by sliding finders under the cuff.

Q2) "A patient with end-stage renal disease has a potassium level of 7.5 mEq/L. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action?

A) Drowsiness, stimulate the patient every 30 minutes

B) Confusion, ask the patient to state their name and date of birth

C) Irregular heartbeat, evaluate the patient's capillary refill

D) Muscle cramps, elevate the affected limb"

To view all questions and flashcards with answers, click on the resource link above. Page 30

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