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Professional Nursing Practice introduces students to the fundamental principles, roles, and responsibilities of the professional nurse within various healthcare settings.
Emphasizing evidence-based practice, ethical considerations, patient-centered care, and interprofessional collaboration, the course explores the core competencies required for effective communication, critical thinking, cultural competence, and leadership in nursing. Students will gain an understanding of legal and regulatory frameworks, standards of practice, and the impact of healthcare policy on nursing roles, preparing them to provide safe, holistic, and quality care across diverse populations.
Recommended Textbook
Leading and Managing in Canadian Nursing 1st Canadian Edition by Patricia S. Yoder - Copy
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30 Chapters
745 Verified Questions
745 Flashcards
Source URL: https://quizplus.com/study-set/2253 Page 2
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26 Verified Questions
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Source URL: https://quizplus.com/quiz/44746
Sample Questions
Q1) You overhear a newly graduated RN telling one of your colleagues that leadership and management belong to the unit manager and not to her.Because you are a nursing colleague,your response demonstrates understanding that the perception of the new graduate
A) is accurately reflected in the new graduate's statement. B) would benefit from further understanding of her role as a professional in relation to decision-making.
C) has been influenced by nurse leaders and managers who leave for other positions. D) is related to the general perception that nurse leaders and managers are not satisfied in their jobs.
Answer: B
Q2) Which category is unique to leadership but is not part of management?
A) Initiating change
B) Personal qualities
C) Developing people
D) Information management
Answer: C
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Sample Questions
Q1) Organizational changes that promote systems thinking,collective accountability,and team-based care are examples of
A) activities that promote patient-centred care.
B) accreditation standards that hospitals must meet.
C) outdated practices that are not grounded in current evidence.
D) quality improvement initiatives.
Answer: A
Q2) Traditional approaches to ensuring patient safety have focused on A) assigning blame.
B) finding solutions to systems issues.
C) instituting best practices in response to errors.
D) hiding errors from potential litigation.
Answer: A
Q3) In designing a high-quality,safe health care environment,the primary emphasis needs to be on
A) evidence-informed practice.
B) informatics.
C) staffing.
D) the patient.
Answer: D
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Sample Questions
Q1) As a senior executive,you are keen to develop your hospital as a learning organization.Part of your purpose in translating this vision into practice is to
A) retain funding from third-party payers.
B) develop leaders.
C) maintain or improve quality of care.
D) stay abreast of new knowledge and evidence.
Answer: B,C,D
Q2) During a discussion of concern about approaches used with aggressive patients in the emergency department,several staff members express concern for their safety.It is important for the nurse manager to
A) look directly at speakers and acknowledge their comments.
B) promise to implement each suggestion that is made.
C) implement the idea that receives the most discussion.
D) listen but implement the plan that she had in mind before the discussion began.
Answer: A
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Sample Questions
Q1) Which of the following is important in a positive work environment?
A) One-way communication
B) Accountability and clarity of roles and responsibilities
C) Hierarchical decision-making
D) Challenge and striving for excellence
Q2) A nurse manager's responsibility for financial management involves making budgetary decisions.Budgets that enable the nurse manager to allocate resources at the unit level allow
A) minimal nurse manager input.
B) limited rationale for budgetary requests.
C) budgetary allocations at the executive nurse level.
D) budgetary decision making at the point of service.
Q3) The successful integration of informatics into health care settings is key to
A) quality decision-making and processes related to management of resources.
B) accessing current information about business practices.
C) leveraging ideas from other managers.
D) speeding up calculations and decisions in budget development.
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Sample Questions
Q1) To reduce the incidence of falls in a skilled nursing unit,the nurse manager contacts the risk manager.Risk management is a process in which people attempt to identify potential hazards and A) compensate for previous injuries.
B) eliminate these risks before anyone else is harmed.
C) supersede the need for staff members to file incident reports.
D) discipline staff members who have been involved in previous incident reports.
Q2) A nurse on your inpatient psychiatric unit is found to have made sexually explicit remarks to a patient with a history of previous sexual abuse.The patient sues,claiming malpractice.Which of the following conditions would probably not apply in this situation?
A) Injury
B) Causation
C) Breach of duty
D) Breach of duty of care owed
Q3) Which of the following has the highest standard of proof associated with it?
A) Common law
B) Criminal law
C) Negligence law
D) Malpractice law
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Sample Questions
Q1) Sue,a staff nurse,consistently arrives 15 minute late for her shift,and the nurse manager has talked to her about it several times.Sue does not take the comments seriously because there are two other nurses who also arrive late all the time,and the unit manager does not reprimand them.In this situation,the nurse manager is violating the ethical principle of A) beneficence.
B) nonmaleficence.
C) justice.
D) autonomy.
Q2) Which of the following is a key area of ethical nursing practice?
A) Nursing process
B) Therapeutic relationship
C) Decision-making model
D) Embodied knowledge
Q3) Nursing management actions and decisions are guided by
A) the law.
B) ethical principles.
C) leadership style.
D) professional accountabilities.
E) staff preferences.
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Sample Questions
Q1) Marcella,an experienced head nurse,is given the task of completing the summer vacation schedule for the pediatric unit.She is fully aware of the hospital's restrictions on time off and the number of staff on vacation at any given time,as well as its issues regarding seniority.She weighs the options of allowing staff choice,such as it takes more time but gives employees options.However,if choice is allowed,this could cause arguments.Which of the following is the best alternative?
A) Ask for requests for vacation time in advance, and post the times.
B) Post the completed vacation schedule.
C) Post a tentative schedule, and request feedback.
D) Post a blank schedule, and ask staff members to fill in their times by a given date.
Q2) A good nursing decision maker is one who
A) uses various models to guide the process on the basis of the circumstances of the situation.
B) adopts one model and uses it to guide all decision making.
C) decides not to use any models because they are all useless.
D) develops a new model each time a decision has to be made.
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Sample Questions
Q1) Which of the following has placed considerable strain on the Canadian health care system?
A) Decreasing costs
B) A stable economy
C) Increase in elderly population
D) Status quo health care services
Q2) Samuel,a 4-year-old boy,has just received a diagnosis in the clinic of an extremely rare medical condition.The family is counselled that Samuel will be referred to which type of care?
A) Primary
B) Secondary
C) Tertiary
D) Quaternary
Q3) In an open-systems model,an example of an input is
A) information.
B) safety.
C) decision-making.
D) budget variance.
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Sample Questions
Q1) At Hospital XYZ,the current head nurse on unit Y3 is the third in 3 years.Donna,the current head nurse,lacks confidence in patient-nurse relationships,and scheduling and other processes are routinely left to the last minute.Staff members approached Donna first and then administration with their concerns about Donna's effectiveness as a leader.They were told that the problem is probably staff related,that it is simply an unhappy group,and that nothing that will be done further about their concerns.The philosophy of the organization indicates that "open,transparent communication between staff and management is desired and supported" and that "innovation and creative thinking are the foundation of the organization's progress." In assessing this situation as a newly hired senior executive,you anticipate that
A) Staff members will resolve the conflict on their own.
B) The situation will lead to ongoing disgruntlement and attrition.
C) No further discussion or concerns will come out of the situation.
D) The head nurse will be able to resolve the conflict on her own.
Q2) In a health care agency that has a bureaucratic organization,communication flows A) laterally.
B) bottom to top.
C) top to bottom.
D) intermittently.
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Sample Questions
Q1) When interviewing a candidate for a nursing position who has an Aboriginal background,a non-Aboriginal nurse recognize that the candidate's lack of eye contact reflects the candidate's
A) lack of confidence.
B) professional behaviour.
C) cultural sensitivity.
D) ethnicity.
Q2) In coaching Monique to become more culturally sensitive when a patient has requested a smudge ceremony at the bedside,you suggest which of the following?
A) "Explain to Jim that there is no smoking in the hospital."
B) "Inform Jim that fires are not allowed in the hospital."
C) "Insist that he give you his tobacco because it is unhealthy for him."
D) "Ask him what he means by a 'smudge ceremony' and what meaning it has for him."
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Sample Questions
Q1) A nurse manager recognizes the need to expand her professional network as she begins a job search for a middle-management position.Which of the following actions is least likely to expand her job-searching network?
A) Reviewing her address book or card file for names and phone numbers of former colleagues who are now in middle-management positions
B) Making an appointment to meet with a former instructor from her graduate program in nursing administration
C) Making a long overdue return call to a former colleague who is now a chief nurse executive
D) Attending a state-level conference for nurse managers and executives and attending informal luncheons and receptions
Q2) Politics is usually
A) confined to legislatures.
B) seen in dysfunctional workplaces.
C) found in all social organizations.
D) a representation of self-interest.
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Q1) A rural-urban health consortium enables physicians in a rural remote setting to consult with specialists in care through electronic conferencing,which includes consultation with intranet radiologic images.This system may be in which phase of electronic medical technology adoption,according to the Health Information and Management Systems Society (HIMSS)?
A) 0
B) 1
C) 3
D) 6
Q2) The chief nursing officer understands that to be able to compare data across patient populations and sites,it is important that nurses use A) similar settings.
B) information systems.
C) knowledge systems.
D) consistent nursing languages.
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Q1) During the budgeting process,nurse managers are typically responsible for which of the following?
A) Calculating workload
B) Developing unit operation objectives
C) Justifying capital equipment requests
D) Predicting cash flow
E) Calculating patient load
Q2) Of the following,which is the most effective strategy that a nurse manager could employ to reduce unnecessary costs in specific health care settings?
A) Training nurses on accurate documentation of supplies used for patient care
B) Reducing the number of overtime hours worked by staff
C) Reducing the number of staff on a unit
D) Making decisions for patients about which care is important to their health
Q3) A staff nurse regularly works two 12-hour shifts each week and one 8-hour shift every other week.How many full-time equivalents (FTEs)is this position?
A) 0.6
B) 0.7
C) 0.8
D) 1
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Q1) In a small rural nursing home,a director of nursing decides,because of a shortage of nurses,to implement a partnership model to help with certain tasks.What combination of health care providers constitutes a partnership care delivery model?
A) RN and licensed practical nurse/licensed vocational nurse
B) RN and RN
C) RN and medication assistants
D) RN and certified nurses' aides
Q2) During times of nursing shortage and increased nursing costs in health care,which of the following nursing care delivery models might come under greatest scrutiny?
A) Case method
B) Team nursing
C) Functional nursing
D) Nurse case management
Q3) Case-managed care may enhance profit in a for-profit health organization by A) minimizing costs in areas of high resource consumption.
B) combining licensed and nonlicenced care providers in delivering patient care.
C) increasing reimbursement from third-party payers.
D) reducing the amount of technology used to support clinical decision-making.
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Sample Questions
Q1) A small rural hospital has been designated as a critical access hospital.It has 40 beds and an average occupancy rate of 34 beds.To prepare the staffing,the chief nursing officer computes the occupancy as being A) 90%.
B) 85%.
C) 75%.
D) 60%.
Q2) A nurse manager must consider a number of external variables when preparing the personnel budget and projecting the unit's staffing needs.An external consideration is
A) organizational staffing policies.
B) staffing models.
C) changes in services that will be offered.
D) Department of Health licensing standards.
Q3) What does a nurse staffing plan take into account?
A) Specific nurse-to-patient ratios per shift
B) Participation of nurses in projecting staffing needs
C) Compensation and benefits for each level of staff
D) The occupancy load of a unit
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Sample Questions
Q1) The biggest challenge in the recruitment of staff is
A) finding well-qualified candidates who can function well within a particular work culture.
B) recruiting individuals with the appropriate qualifications and experience.
C) screening out candidates who are unable to function well within a team.
D) determining whether candidates have had previous negative experiences in a work environment.
Q2) During a performance appraisal,Joanne,the nurse manager,indicates that Alysha has difficulty mentoring students on the unit.Alysha responds that this is not her responsibility.In responding to Alysha,Joanne needs to consider
A) Alysha's level of confidence.
B) whether mentoring is included in the position description.
C) whether mentoring is an essential component of the position description.
D) whether mentoring can be accurately observed and measured.
Q3) The primary disadvantage of a BARS is that it is
A) situation specific.
B) well understood by the staff.
C) too generalized.
D) expensive to develop.
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Q1) The executive team at Hospital XYZ develops a polished strategic plan that includes a mission statement,goals,objectives,and a business plan for various initiatives in the plan.The executive team ensured that the plan was communicated internally and externally.After 2 years,no significant progress has been made toward any of the goals.What has been omitted in the plan?
A) Consumer input planning
B) Clear communication
C) Integrated financial planning
D) Consideration of customer input
Q2) In establishing the strategic plan for effective use of evidence to guide nursing practice at Pacific Hospital,the nursing unit managers take the next step,which is the implementation.Implementation would probably involve
A) revisiting the mission statement and objectives.
B) reevaluating external and internal factors affecting evidence-informed practice.
C) preparing a budget to support implementation.
D) developing unit-based objectives related to the plan.
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Q1) To engage your staff in awareness of their current practice and how it is affirmed or not by evidence,you plan a short series of learning presentations on evidence and use of heparin and saline to maintain intravenous patency.You meet with the educator to plan the goals for each session with the overall purpose of increasing knowledge and assess which staff members are ready to begin to question current intravenous practice.This learning approach is an example of which change management approach?
A) Linear
B) Nonlinear
C) Facilitative
D) Integrative
Q2) To effectively achieve a change goal/outcome in a change situation,the wound care specialist will
A) preserve the status quo.
B) diminish facilitators of change and reinforce barriers to change.
C) weigh the strength of forces.
D) strengthen facilitating forces.
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Q1) The mediator noticed that tension was still evident between the nurse manager and staff members.He informed the chief nursing officer that to begin team building,it would be important that everyone
A) work together in a respectful, civil manner.
B) use avoidance techniques when confronted with a conflict.
C) develop a personal friendship with each other.
D) socialize frequently outside of work.
Q2) After staff meetings lately,Sharon,the head nurse,observes her staff in small groups,having animated discussions that end abruptly when she approaches.Sharon reflects on this observation and realizes that
A) two very outspoken members tend to dominate discussions in meetings.
B) this behaviour is indicative of a high level of communication among her staff.
C) staff members are uncomfortable openly discussing their feelings in front of the head nurse.
D) ongoing discussion outside of meetings is conducive to creativity.
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Sample Questions
Q1) The emergency department staff members are concerned that working long hours without rest puts patient safety at risk.One staff member decides that she will risk her job and become a whistle-blower.Whistle-blowing is an appropriate recourse when management
A) disregards due process when disciplining a nurse.
B) delays responding to repeated efforts to provide safe care.
C) hires nurses who are not a part of the union during a strike.
D) refuses to bargain in good faith with the elected bargaining agent.
Q2) In accomplishing the goal of providing breakfast for children in elementary school,Leanne is particularly effective in approaching businesses with the needs that the group has determined and articulating the ways that the group has found for businesses to participate.Recently,Leanne has been taking a new graduate nurse with her and encouraging her to lead the conversations with businesses.Leanne is demonstrating
A) empowerment.
B) followership.
C) professionalism.
D) knowledge of context.
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Sample Questions
Q1) A method commonly used in quality assurance to monitor adherence to established standards is
A) a Pareto chart.
B) brainstorming.
C) patient interviews.
D) chart audit.
Q2) The nurse manager is performing a root-cause analysis related to medication administration errors with insulin.A root-cause analysis is very similar to the QI process except that a root-cause analysis is
A) retrospective.
B) prospective.
C) legislated for completion with all near-miss events.
D) conducted by only one person.
Q3) Before beginning a continuous QI project,a nurse should determine the minimal safety level of care by referring to which of the following?
A) The procedure manual
B) Nursing care standards
C) The litigation rate of unsafe practice
D) Job descriptions of the organization
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Sample Questions
Q1) The nurse manager decides to change staffing schedules in the intensive care unit.She chooses to use Rogers's (2003)diffusion of innovations theory to implement the change.What are the elements of Rogers's diffusion of innovations theory?
A) Assessment, planning, intervention, and evaluation
B) Preparation, validation, synthesis, and evaluation
C) Knowledge, persuasion, decision-making, implementation, and evaluation
D) Scanning, diagnosis, decision-making, application, and reevaluation
Q2) The implementation of saline flushes for capped angiocatheters is an example of A) how multilevel and interdisciplinary application of a procedure can slow adoption of evidence-based practice (EBP).
B) how competition among disciplines can lead to negative patient outcomes.
C) the reluctance of hospital administrators to act on recommendations from EBP.
D) how a safe, well-known practice outweighs the benefits of adopting a newer practice.
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Q1) Two staff nurses are arguing about working on holidays.In trying to resolve this conflict,the nurse manager understands that interpersonal conflict arises when
A) risk taking seems to be unavoidable.
B) people see events differently.
C) personal and professional priorities do not match.
D) the ways in which people should act do not match the ways in which they do act.
Q2) A nursing instructor is teaching a class on conflict and conflict resolution.She relates to the class that conflict in an organization is important and that an optimal level of conflict will generate which of the following?
A) Creativity, a problem-solving atmosphere, a weak team spirit, and motivation of its workers
B) Creativity, a staid atmosphere, a weak team spirit, and motivation of its workers
C) Creativity, a problem-solving atmosphere, growth, and motivation for its workers
D) A bureaucratic atmosphere, a strong team spirit, and motivation for its workers
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Q1) All of the following are grounds for immediate dismissal except A) failing to pursue further medical help for a patient, after which the patient dies.
B) selling narcotics obtained from the unit supply of narcotics.
C) restraining a patient in bed for 7 hours, unsupervised, as punishment for hitting a staff member.
D) grabbing the unit manager and threatening further physical harm after a poor performance appraisal.
Q2) The nurse manager places a staff member on probation because of reports of chemical dependency.The nurse manager should be aware that which of the following statements is true regarding chemical dependency?
A) The chemically dependent employee usually hides any changes in behaviour.
B) When confronted with the issue, the affected employee is usually relieved to have someone to talk to about the problem.
C) The chemically impaired nurse affects the entire health care organization.
D) Hospital policy, state laws, and nurse practice acts address procedures for the chemically dependent employee in the most general terms.
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Q1) Sabotage is an example of which type of violence?
A) Threatening behaviour
B) Written threat
C) Harassment
D) Verbal abuse
Q2) At 3 a.m.,a man walks into your emergency department.He paces back and forth in the waiting area before he approaches staff to ask if he can see his wife,who is a patient on another floor.He speaks rapidly,his face is flushed,he glances around often,and he keeps his hand in his jacket pocket.A best initial response would be to
A)assess your situation and your surroundings.
B)ask two or three staff to assist in confronting the individual.
C)ask what floor his wife is on and remind him that visiting hours are over.
D)remain calm as there is no potential for violence here.
Q3) Many inaccurately believe workplace violence to be related specifically to A) verbal abuse.
B) physical injury.
C) incivility.
D) harassment.
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Q1) The rational for the shift to interdisciplinary teams for health care delivery in Canada is related to
A) the aging of the population.
B) increased utilization of unregulated care providers.
C) nurse shortages.
D) an increase in acute illness and comorbidity.
E) increasing specialization of health care providers.
Q2) The unit manager is working in a large metropolitan facility and is told that two unregulated care providers are to be assigned to work with her.Delegation begins with A) acknowledging the arrival of the second unregulated care provider on the unit.
B) providing clear directions to both unregulated care providers.
C) matching tasks with qualified persons.
D) receiving reports from the prior shift.
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Q1) The head nurse and the administrator of a cardiac telemetry unit disagree on how much time the head nurse should allot to various aspects of the role.Staff members on the unit complain that the head nurse is unavailable for clinical concerns because of being off the unit while attending meetings.To facilitate the process of role transition,the head nurse should
A) rely on his or her internal resources.
B) attend a workshop on how to deal with difficult people.
C) develop a relationship with a mentor who has overcome similar difficulties.
D) schedule a series of meetings with staff and the administrator to clarify expectations.
Q2) In addition to providing coaching,a nurse mentor may provide counselling to the mentee.For counselling to be successful,the mentor must
A) provide a quiet environment away from the unit.
B) keep the focus on technical and management responsibilities.
C) ensure confidentiality.
D) present assignments that stretch the intellectual and technical ability of the mentee.
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Q1) High levels of work-related stress affect all but which of the following?
A) Job satisfaction
B) Absenteeism and turnover
C) Nurses' health
D) Patients' welfare
Q2) Time management is very essential for the nurse manager.Which of the following is not a good time management technique?
A) Deciding what not to do
B) Learning to say "No"
C) Learning to delegate
D) Breaking down your workload into large, manageable tasks
Q3) The education consultant at St.Joseph's Hospital is giving a workshop on cognitive reframing.The consultant explains that reframing reduces stress by
A) aiding individuals in identifying positive stressors.
B) helping people realize that negative thinking causes emotional distress.
C) eliminating negative stressors.
D) replacing positive self statements with negative irrational beliefs.
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Q1) In preparing for a fair interview process as a hiring manager,you should
A) put water out for the candidates.
B) ensure that you know the names of all candidates.
C) dress comfortably and professionally.
D) prepare a schedule of questions to be asked of all candidates.
Q2) Steady-state styles would be most likely to be present in which of the following situations?
A) Small hospital, in an isolated rural setting, with limited hierarchy
B) Large urban teaching hospital
C) Health network with several organizations
D) Travel nurse agency
Q3) A new graduate is seeking a new position in nursing and wants to "sell" herself effectively.The best strategy is to
A) create a résumé.
B) practise interviewing.
C) call the personnel offices.
D) create a curriculum vitae (CV).
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Sample Questions
Q1) A stroke unit undergoes numerous changes related to implementation of new technology,a changed nursing care delivery model,and staff turnover within a period of 6 months.Staff members begin to show signs of reluctance to implement any more changes.This exemplifies
A) a poor relationship between leaders and staff.
B) lack of knowledge regarding the importance of changes.
C) striving to achieve stability in the midst of great disequilibrium.
D) the importance of chaos in promoting adherence to established practices.
Q2) Which of the following behaviours exemplifies the characteristic most desired in the nurse of the future?
A) Coordination and maximization of resources
B) Acquiescence to the leader
C) Attentiveness to detail
D) Development of vision that is based on current realities, future trends, and evidence
Q3) Which of the following hampers the ability of nurses to be leaders?
A) A focus on the patient and not on the system
B) Lack of interest in leadership
C) Disillusionment with change
D) Funding disparities
To view all questions and flashcards with answers, click on the resource link above.
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