Professional Issues in Nursing
Mock Exam
Course Introduction
Professional Issues in Nursing explores the complex ethical, legal, cultural, and professional challenges faced by nurses in contemporary healthcare environments. The course emphasizes critical topics such as nursing leadership, communication, patient advocacy, evidence-based practice, and the impact of healthcare policy on nursing roles. Students will analyze professional standards, codes of ethics, and regulatory requirements, while developing strategies to effectively address issues such as workplace safety, interprofessional collaboration, and diversity. By the end of the course, students will be equipped with the knowledge and skills necessary to navigate professional dilemmas, uphold the integrity of the nursing profession, and promote quality patient care.
Recommended Textbook
Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T.
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Page 2
Catalano
Chapter 1: The Development of the Profession
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Sample Questions
Q1) What is a group of jobs that are similar in type of work and are found throughout an industry or country?
A)Position
B)Occupation
C)Profession
D)Stint
Answer: B
Q2) What allows a nurse to exert coercive power over a client when providing nursing care?
A)The ability to withhold pain medication if the client does not comply with routines
B)The ability to provide the client with additional food when he or she does comply with the nurse's requests
C)The power given to the nurse by reason of state licensure
D)The establishment of a professional and personal relationship with the client
Answer: A
Q3) The overall goal of nurses who work as case managers is to ________________the use of health-care services in the most efficient and cost-effective manner possible.
Answer: coordinate
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Page 3
Chapter 2: Historical Perspectives
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Sample Questions
Q1) Identify the characteristic of ancient Roman society that distinguished the health-care practices of the empire from those of its surrounding neighbors.
A)Use of slaves to provide basic health care
B)Belief that the Roman Emperor was a descendent of a god
C)Lack of concern about the sanctity of life
D)Relatively high social status allotted to Roman women
Answer: D
Q2) The Dark Ages brought the advent of _____________________that were composed exclusively of men who wore suits of armor to protect themselves and their hospitals.
Answer: military nursing orders
Q3) Which belief about what nurses needed to do shaped Lillian D. Wald's nursing practice?
A)Spend more time in clinical preparation and less time in the classroom.
B)Fight political corruption to procure the types of legislation needed to improve social conditions.
C)Conduct more research into the conditions of hospital patients.
D)Stand up to medical doctors who were arrogant and obnoxious.
Answer: B
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Page 4
Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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Sample Questions
Q1) What type of credentialing indicates that an individual has achieved a high level of expertise and knowledge in an area of practice?
A)Licensure
B)Certification
C)Professionalism
D)Registration
Answer: B
Q2) What is the most significant benefit to a student who belongs to the National Student Nurses Association?
A)Receiving the official publication, Imprint, along with the membership
B)Experiencing firsthand the operation, activities, and professionalism of a national organization
C)Obtaining one of the many large cash scholarships available through the organization
D)Joining an elite group that has a great deal of power and a wide range of control over other students
Answer: B
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Chapter 4: Theories and Models of Nursing
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Q1) Select all the elements from the list below that are considered to be key to the King model of nursing.
A) Action
B) Transaction
C) Rejection
D) Feedback
E) Teaching
F) Interaction
Q2) In the Roy Adaptation Model of nursing, the second-level assessment modes are most closely related to which part of the system?
A)Input
B)Output
C)Ventral system
D)Feedback loop
Q3) Upon which principle is Neuman's Health-Care Systems Model based?
A)Use of systems theory only
B)Behavior as the key to preventing illness
C)Nurse-centered rather than client-centered
D)Alteration of environmental stressors leads to health
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Page 6
Chapter 5: The Process of Educating Nurses
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Q1) Select all of the elements from the list below that are QSEN competencies.
A)Quality improvement
B)Outcome-based education
C)Teamwork and collaboration
D)Informatics
Q2) Which contribution of Florence Nightingale had the greatest impact on nursing education?
A)Recognizing that formal, systematic education in both theory and practice was essential for the preparation of high-quality nurses
B)Advocating that all nurses be educated in universities so that nursing care would meet the standards established by the government
C)Forcing physicians and hospitals to recognize that clinical practice was not as important as the theory-based learning obtained in the classroom
D)Enforcing the requirement that all nursing instructors have a master's degree in nursing to provide the highest quality education possible for students
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Chapter 6: Critical Thinking
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Q1) A ________________is generally defined as an error in reasoning that leads to a conclusion that does not follow from its premises.
Q2) Nurses who are not influenced by others with strong opinions are using ________________critical thinking.
Q3) How does a nurse best begin the planning step in the nursing process?
A)Formulate and establish goals or outcomes for the client
B)Collect all the data available about the client's condition
C)Prioritize the steps of the nursing care to be provided
D)Write down the nursing diagnosis
Q4) A client is assessed as having a fever, productive cough, and chest pain. The symptoms of pneumonia include fever, productive cough, and chest pain. What conclusion can most accurately be drawn about this client?
A)The client has pneumonia.
B)The client needs to be hospitalized.
C)The client probably has pneumonia.
D)The client should be started on antibiotics as soon as possible.
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8
Chapter 7: Ethics in Nursing
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Sample Questions
Q1) What is the ethical principle that requires that the primary goal of health care and nursing is to do good for others?
A)Autonomy
B)Fidelity
C)Beneficence
D)Veracity
Q2) Identify the name of the system of ethical decision-making that is based on the "greatest good" principle.
A)Egoism
B)Utilitarianism
C)Deontological
D)Jurisdictional
Q3) Over time, popular acceptance of ________________rights can give them force of ________________rights.
Q4) What is the primary function of an ethical code?
A)A framework for decision making
B)A collection of static rules
C)A group of legally binding values
D)The "ball and chain" of the profession
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Chapter 8: Bioethical Issues
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Sample Questions
Q1) Identify the best method for a nurse to acknowledge a client's autonomy.
A)Follow only the instructions of the client's family.
B)Know and understand the state's laws that address living wills.
C)Use the ethical principle of "best interest" when making decisions about the client's care needs.
D)Incorporate the ethical principle of paternalism into all client care activities.
Q2) A physician writes a "do not resuscitate" order for a competent client. Which individual may give permission for this order?
A)The client's spouse
B)The client's only child
C)The client
D)Any close blood-related relative
Q3) What are the primary ethical issues involved in genetic research?
A)Production of mutant organisms and dangerous diseases
B)Violations of confidentiality and informed consent
C)Breeding of a "super-race" of humans because of purification of genetic material
D)Loss of control of reproduction by the human species
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Chapter 9: Nursing Law and Liability
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Sample Questions
Q1) Select all the items from the list below that are considered appropriate when giving a deposition.
A) Be familiar with the client's medical record.
B) Volunteer additional information so the statement is complete
C) Look the questioning lawyer in the eye as much as possible.
D) Avoid using absolutes in the solve to questions.
E) Speculate about what really happened.
F) Clarify all questions before solve.
Q2) The nurse working in an emergency room is of the opinion that to carry out a certain order written by a physician could possibly constitute unethical or illegal behavior. Which one of the following courses of action would be best for the nurse to take in this situation?
A)Carry out the order and then discuss it with the physician.
B)Carry out the order and then discuss it with the supervisor.
C)Do not carry out the order and report the situation to the physician.
D)Do not carry out the order and report the situation to the supervisor.
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Chapter 10: How to Take and Pass Tests
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Q1) A 24-year-old woman comes to the family planning clinic with dysuria, purulent vaginal drainage, and perineal pruritus and has a positive culture for a sexually transmitted disease (STD). Identify the STD that the nurse is required to report to the public health department.
A)Genital herpes
B)Vaginal warts
C)Gonorrhea
D)Chlamydia
Q2) Identify the intervention by the nurse that best maintains a safe hospital environment for a client diagnosed with Korsakoff's syndrome who is hospitalized because of several falls due to an unsteady gait.
A)Reinforcing activity restrictions by repeating instructions frequently
B)Placing the client in a quiet, nonstimulating room away from the busy nurses' station
C)Providing assistance as needed, including walkers or cane, when the client ambulates
D)Limiting the client's visitors to immediate family only
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Chapter 11: Nclex: What You Need to Know
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Sample Questions
Q1) Which stem question best indicates that an "Implementation" category question is being asked?
A)Which action should the nurse perform first?
B)You know your teaching concerning colostomy care was successful if the client makes which statement?
C)Identify the data that are most important to obtain for a client with cardiac disease.
D)Which nursing diagnosis has the highest priority?
Q2) Identify the nursing action that best prevents the introduction of air into a subclavian IV line when the nurse is changing the tubing on the IV solution.
A)Keep the head of the bed elevated 45 degrees.
B)Have the client turn his head away from the insertion site.
C)Encourage the client to do the Valsalva's maneuver during the procedure.
D)Make sure the tubing on the old IV line is turned off before changing.
Q3) In the abbreviation NCLEX-CAT, RN, what does CAT stands for?
A)Computerized assistive testing
B)Complex assessment technique
C)Computerized assessment testing
D)Computerized adaptive testing
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Chapter 12: Reality Shock in the Workplace
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Sample Questions
Q1) Which activity tends to increase nurses' satisfaction during work?
A)Multitasking to complete all assigned work
B)Taking time to talk with clients about their needs
C)Doing all important tasks themselves to make sure they are done correctly
D)Putting off difficult activities until the end of the shift
Q2) A nurse employed in an acute care hospital is experiencing a high level of anxiety related to work stress. In identifying and ranking the nurse's sources of stress, which one would receive the lowest priority?
A)Lack of adequate staffing and mandatory overtime
B)Lack of control in decision making and autonomy
C)Receiving a 2.5% annual raise because of revenue loss by the hospital
D)Frequent deaths of critically ill clients
Q3) Identify the most important aspect of good time management.
A)Doing the job yourself
B)Doing the job well no matter how long it takes
C)Setting priorities
D)Establishing long-term goals
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Chapter 13: Principles of Leadership and Management
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Sample Questions
Q1) The nurses on the 7 a.m. to 3 p.m. shift have been complaining to the head nurse that the nurses on the 11 p.m. to 7 a.m. shift have not been doing the ordered client daily weights, and the physicians are very upset when they make their early morning rounds. Identify the initial action the head nurse should take to resolve this conflict.
A) Post a stern memo that reminds the night shift nurses to do the daily weights.
B) Review the daily weight flow sheet.
C) Change the time for daily weights to the late morning.
D) Hold a meeting with the physicians to discuss their attitudes.
Q2) What is the first action the nurse manager should take when changing a procedure for the distribution of cardiac telemetry units when there are more clients than units available?
A)Review the current standards of care.
B)Rewrite applicable policies and procedures.
C)Designate the most critical clients as the ones to receive the units first.
D)Poll the physicians who commonly use telemetry for their opinions.
Q3) Based on a task-oriented philosophy, ____________________ requires each person to perform a specific job that is narrowly defined according to the needs of the unit.
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Chapter 14: Communicating Successfully
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Sample Questions
Q1) A particularly vocal staff nurse on a busy obstetrical unit has been complaining to the other nurses about the unit manager's preferential treatment of the night-shift nurses. Select the action the unit manager should take to resolve this problem that best demonstrates the use of the assertive approach to conflict resolution.
A)Notes that the vocal staff nurse is not intelligent enough to understand the situation and disregards her comments as worthless
B)Arranges for the transfer of the staff nurse to the night shift
C)Sets up a time and place for a one-on-one meeting with the staff nurse
D)Waits until there is an opportunity to use the incident to confront the staff nurse in front of his or her colleagues
Q2) Which statement by a nurse manager during a staff meeting best demonstrates use of an assertive style of communication?
A)"I am the manager, and we will do it my way."
B)"I'm sorry, but your suggestion was useless to solving the problem."
C)"I really don't care; do it the way you think best."
D)"You have made some good points, but I have another suggestion."
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Chapter 15: Incivility: the Antithesis of Caring
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Sample Questions
Q1) Which element increases the likelihood of incivility?
A)Using a problem-solving approach
B)Using assertive communication
C)Internalizing workplace issues
D)Increased levels of stress
Q2) Why are interpersonal bonds important in establishing an environment of civility?
A)They provide individuals with a feeling that they have a duty to each other
B)Individuals are less likely to demonstrate incivility to others they know well
C)A close family atmosphere always enhances civility
D)People are more likely to overlook individuals' imperfections
Q3) How does transformational leadership (TL) aid in reversing incivility in the work or school environment?
A)Nurse leaders learn how to develop plans to deal with incivility when it occurs.
B)It acts as a lens through which leaders can reflect and change inequalities.
C)It creates a more open channel of communication from workers to leaders.
D)It maintains the status quo so that the environment is more predictable, thereby reducing workers' stress levels.
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Page 17
Chapter 16: Delegation in Nursing
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Sample Questions
Q1) Because of short staffing in the intensive care unit (ICU), a labor and delivery nurse is floated to the unit. Identify the most appropriate assignment for this nurse.
A)A 36-year-old woman with steroid-induced cardiomyopathy
B)An 85-year-old man in cardiogenic shock
C)A 3-year-old girl with an accidental overdose of acetaminophen (Tylenol)
D)A 23-year-old man with malignant hypertension
Q2) When a nurse delegates a task, who is responsible for ensuring that the task was completed as assigned?
A)The person to whom the task was delegated
B)The physician who ordered the task
C)The nurse manager
D)The nurse who delegated the task
Q3) Select the most appropriate client for the RN to assign to the CNA.
A)A client with difficulty swallowing food and fluids
B)A client with constipation who needs tap-water enemas
C)A client with a colostomy who requires irrigations
D)A client with a PEG tube who is receiving continuous tube feedings
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Page 18
Chapter 17: Governance and Collective Bargaining
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Q1) Identify a goal of collective bargaining that is often overlooked by management but is important to nursing.
A)Improved staffing and higher quality personnel
B)Better salaries and more benefits
C)Maintaining and promoting professional practice
D)Overtime pay and personal holidays
Q2) Identify the law that was passed in 1935 that allowed employees the right to self-organization and formation of unions for the purpose of collective bargaining.
A)American Labor Union Act
B)National Labor Relations Act
C)Employees Self-Determination Act
D)Right-to-Strike Law
Q3) Identify the most important factor in the initial negotiation of a contract.
A)Discussion of the important issues
B)Posturing and showmanship
C)Resolution of key conflicts
D)Lack of willingness to negotiate
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Chapter 18: Health-Care Delivery Systems
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Sample Questions
Q1) Identify a negative effect of the centralization of health care in hospitals rather than the home setting.
A)Minimized individual responsibility
B)Increased concerns about the cost of health care
C)Professionalization of nursing
D)Increased reliance on advanced technology
Q2) What is the primary advantage of the case method of care delivery?
A)It is inexpensive and cost effective.
B)It allows several health-care providers trained at different levels to provide care at the same time.
C)It gives nurses a high degree of autonomy and responsibility.
D)It allows nurses with minimal education to provide high-quality care for all clients.
Q3) Which element is usually excluded in the current trend toward decentralized health care?
A)Provision of care on an outpatient basis
B)Emphasis on the cure of illness
C)Promotion of responsible self-care practices
D)Cost containment measures by health-care providers
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Chapter 19: Nursing Informatics
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Sample Questions
Q1) Which process is used in synthesizing data into information to create knowledge?
A)Circular
B)Linear
C)Elliptical
D)Scientific
Q2) What advantage does the electronic health record (EHR) system have over traditional paper systems?
A)More portable
B)Unbreakable
C)Fewer privacy issues
D)Reduces redundancy
Q3) What is the primary concern that health-care providers have in the use of computers in client care?
A)The ability to maintain privacy and confidentiality
B)The training and knowledge required by nurses to use the system effectively
C)The ability to provide quality care when the computers malfunction
D)The legal implications of having a computerized record of every aspect of client care
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21
Chapter 20: The Politically Active Nurse
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Sample Questions
Q1) What is the primary purpose of targeting endorsements?
A)Prevents nurses from making blind political decisions
B)Allows nurses to offer something of value to candidates
C)Identifies specific nursing political goals
D)Helps nurses understand executive orders
Q2) What comprises the branches found in the government at the federal level?
A)Legislative and executive
B)Executive, judicial, and the president
C)Congressional, legislative, and judicial
D)Legislative, executive, and judicial
Q3) What role do executive orders play in the political process?
A)Actively involve the legislature in key political decisions.
B)Shorten the time it takes to implement a political decision.
C)Help nurses by targeting endorsements.
D)Formulate policy with minimal involvement from the legislature.
Q4) Although most voters tend toward the middle of the political spectrum, ________________attempt to force their parties to the extreme ends of the spectrum.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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Chapter 21: Spirituality and Health Care
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Sample Questions
Q1) What is the least effective measure for nurses to use to maintain an internal state of balance and prevent burnout?
A)Use multitasking at work
B)Take time to feed their spirits
C)Use periodic retreats
D)Play basketball
Q2) Choose the nursing intervention that is of limited effectiveness in addressing the needs of a client with a nursing diagnosis of "spiritual distress."
A)Communicate acceptance of the client's spiritual needs and acknowledge their importance.
B)Express a willingness to assist and cooperate with religious practices that are not detrimental to the client's health in the treatment setting.
C)Contact an appropriate spiritual leader or community for conduct of spiritual rituals sought by the client.
D)Explain the nurse's religious beliefs and values immediately when requested to do so by the client.
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23
Chapter 22: Cultural Diversity
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Sample Questions
Q1) Developed from a long-term process and based on a need for group survival, ________________are neither right nor wrong.
Q2) What indicates that a nurse has developed cultural awareness?
A)Recognizes and values all aspects of a client's culture
B)Learns about the client's cultural background
C)Understands her or his own cultural actions
D)Uses a cultural assessment tool with all clients
Q3) A client from an Asian background responds to the nurse's discharge instructions by nodding and smiling. How should the nurse interpret this response?
A)The client understands the information and will be very compliant when discharged.
B)The client really does not understand the instructions and has no intention of following them at home.
C)It is a way of showing respect for the nurse's authority and avoiding confrontation.
D)All friendly and happy Asian clients express themselves this way.
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Chapter 23: Developments in Current Nursing Practice
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Q1) Select all the categories from the list below that are appropriate for nurse entrepreneurs.
A)Nurse attorneys
B)Nurse death investigators
C)Nurse epidemiologists
D)Psychiatric nurses
E)School nurses
F)Legal nurse consultants
Q2) Which characteristics displayed by an inmate at a correctional facility would indicate destructive or antisocial manipulation?
A)Always considers the feelings of others
B)Treats others as individuals
C)Needs are fulfilled only after others' needs have been considered
D)Manipulation is the primary method used to have needs fulfilled
Q3) What is the primary concern of all procedures and policies of correctional institutions?
A)Constitutional rights of the inmates
B)What is best for the institution
C)Rehabilitation of the inmates
D)Inmates' returns to society
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Chapter 24: Client Education: a Moral Imperative
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Q1) A client's reading comprehension level and ability to follow through on health instructions is called ____________________.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q2) What is the primary reason a nurse should develop learning objectives for all client teaching?
A)The nurse clarifies what actions or behaviors are expected.
B)It is a requirement by the Joint Commission on Accreditation of Healthcare Organizations.
C)Learning objectives help the nurse to organize the teaching materials.
D)Clients who do not have objectives will learn material poorly.
Q3) Select the element in managed care that has contributed to the need for increased client education.
A)Use of the team method of nursing care
B)High rates of nosocomial infections
C)Emphasis on increased client responsibility for care
D)Physician control of the health-care environment
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Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) It is important to the future of nursing research that clinical practice areas find ways to support scientific inquiry. What has been identified as a significant barrier to the implementation of research findings in client care?
A)Skilled clinical nurses may not be skilled at accessing and understanding research findings.
B)Nurses may feel that available research does not provide the practical solutions they are searching for.
C)Published research is often written in a way that is difficult to understand.
D)Any or all of the above may constitute barriers.
Q2) As nurses accept the responsibility of implementing research findings, they will begin plans to implement changes in their practice setting. What suggestion might help smooth the transition on a hospital unit?
A)Involve the nursing leaders to plan how the changes will be implemented.
B)Have the unit manager include the changes in the policy and procedure manual.
C)Seek input from all nurses who have a stake in the intervention or changes.
D)Have a staff education meeting, talk about great change, and serve pizza.
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27
Chapter 26: Alternative and Complementary Healing Practices
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Q1) Some cultures do not prescribe herbs based on the biologic effects of their chemical ingredients but rather use the _____________________by which they are prescribed on the basis of their physical and taste characteristics; for example, herbs with heart-shaped leaves are used to treat heart problems.Multiple Response Identify one or more choices that best complete the statement or answer the question.
Q2) Select from the list below all the reasons for the increasing use of alternative and complementary healing practices.
A)Dissatisfaction with conventional health care
B)Desire for greater control over one's health
C)Desire for cultural and philosophical congruence with personal beliefs about health and illness
D)Growing understanding of the philosopy behind alternative practices
E)Belief in the effectiveness of alternative therapies
F)Traditions passed on from parents
Q3) With the goal of restoring the natural movement of vital forces, life essences, or other such vitalities, ________________bring balance back to factors disturbed by diseases or trauma.
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