Professional Nursing Practice
Study Guide Questions
Course Introduction
Professional Nursing Practice is a comprehensive course designed to introduce students to the foundational concepts, roles, and responsibilities of professional nursing within the healthcare system. The course emphasizes the development of critical thinking, ethical decision-making, and effective communication skills necessary for delivering safe, patient-centered care. Students will explore standards of practice, evidence-based care, interprofessional collaboration, and legal and ethical frameworks guiding nursing actions. Through theoretical and practical learning, the course prepares students to foster a professional identity, demonstrate accountability, and contribute to quality improvement initiatives in diverse healthcare environments.
Recommended Textbook
Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T. Catalano
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Chapter 1: The Development of the Profession
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Q1) What is the best method for nurses to prepare for future professional practice?
A)Take additional courses in the use of computers.
B)Understand and explore the issues involved in professionalism as nurses.
C)Accept that nursing is a profession.
D)Cross-train with other health-care providers, such as physical therapists, laboratory technicians, and radiologists.
Answer: B
Q2) Identify the approach that describes a profession as being in a continual state of development along a continuum.
A)The trait approach
B)The power approach
C)The process approach
D)The educational approach
Answer: C
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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Chapter 2: Historical Perspectives
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Q1) What was a major goal of Lavinia Dock?
A)Establish a new nursing organization.
B)Publish a nursing journal.
C)Obtain the right to vote for women.
D)Improve the education of nurses.
Answer: C
Q2) For which contribution to professional nursing is Isabel Adams Hampton Robb most noted?
A)Raising the standards for nursing education
B)Developing storefront clinics in New York City
C)Advocating the use of MASH units during the Korean War
D)Changing the laws that affect health care of the poor
Answer: A
Q3) 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
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Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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Q1) Identify the basic requirement found in a mandatory nurse practice act.
A)Nurses must be employed under the general supervision of a licensed physician.
B)Nurses must be currently licensed in the state where they wish to practice nursing.
C)Nurses must graduate from a school accredited by a national nursing organization.
D)Nurses must be enrolled at least yearly in courses approved by the state to meet requirements for continuing education.
Answer: B
Q2) What is the primary goal of the National Student Nurses Organization?
A)Changing curricula in schools of nursing to allow more students to graduate
B)Eliminating poor and unprofessional nursing professors from schools of nursing
C)Maintaining high standards of education in schools of nursing
D)Keeping unqualified students from entering the profession
Answer: C
Q3) One of the most important factors in recent changes that have occurred in the health-care system is demands by ______________________for higher quality care.
Answer: health-care consumers
health care consumers
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Chapter 4: Theories and Models of Nursing
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Q1) In what way have advanced practice nurses most contributed to the development of theories and models in nursing?
A)Using their advanced education to develop new, more realistic theories
B)Challenging theorists to publish their theories in language everyone can understand
C)Requiring theorists to modify their theories to meet the needs of independent practice
D)Testing theories in actual nursing practice situations
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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
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Chapter 5: The Process of Educating Nurses
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Q1) Identify two key requirements for entry into a master's degree nursing program.
A)Baccalaureate degree in nursing; satisfactory score on the GRE or MAT
B)At least 3 years of experience as an RN; associate degree in nursing
C)Three letters of reference; certificate of health status
D)Associate degree in nursing; 3.0 or higher grade point average
Q2) What is the key element in relationship-centered nursing care?
A)Focus on care as it is given in the community setting
B)Use of high-level advanced nursing skills in the care of the client
C)Clients' trust in the role and skills of the nurse in the healing process
D)Responsiveness to societal changes in a consumer-driven economy
Q3) Identify a major benefit of the diploma-type training programs for nurses.
A)Nurses from diploma programs were assertive and could stand up to physicians who made unrealistic demands.
B)Nurses from diploma programs were proficient in basic nursing skills and could assume a hospital position with minimal orientation.
C)Nurses trained in diploma programs were often limited to employment in the institutions where they were trained.
D)All diploma schools were regulated by the NLN criteria and met strict standards for educating students.
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Chapter 6: Critical Thinking
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Q1) Select from the list below all of the characteristics that are found in critical thinking.
A)Logical
B)Biased
C)Rational
D)Reflective
E)Creative
F)Quick
Q2) What is a common element found in biases in health care?
A)Documented beliefs
B)Confirmation of facts
C)Information consistent with reality
D)Unjustified personal opinions and prejudices
Q3) What needed to be established before evaluation became a formal and organized part of the nursing process?
A)Nursing models and theories
B)Updated state practice acts for nurses
C)Standards of care
D)Managed care institutions
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Chapter 7: Ethics in Nursing
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Q1) Arrange the steps of the ethical decision-making process in their correct order.
____ Consider the choices of action
____ Act on the decision
____ Collect, analyze, and interpret data
____ Analyze the advantages of each action
____ State the dilemma
Q2) What term is best defined as standards of right and wrong that are often based on religious beliefs?
A)Morals
B)Values
C)Laws
D)Ethics
Q3) 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
Q4) Over time, popular acceptance of ________________rights can give them force of ________________rights.
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Chapter 8: Bioethical Issues
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Q1) Upon what ethical principle do supporters of assisted suicide base their support for the practice?
A)Beneficence includes acts that will help to permanently end a client's suffering.
B)The health-care provider is permitted to use paternalism when the client is unsure about the best course of treatment.
C)Only by allowing the client to decide among all possible options will the principle of informed consent be fulfilled.
D)The right to self-determination includes the decision to end one's life.
Q2) A client in the intensive care unit has a "do not resuscitate" (DNR) order on his chart.
What does the nurse caring for him need to recognize about DNR orders?
A)DNR orders may be given orally by the physician.
B)There is no specific time limit to DNR orders.
C)DNR orders protect the client's family from making difficult decisions.
D)DNR orders must be written by the physician.
Q3) The ethical principle of _____________________requires nurses to provide care for all clients, including clients who are HIV positive.
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Chapter 9: Nursing Law and Liability
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Q1) A nurse tells several friends and coworkers that a client, who is also a physician, is unsafe for medical practice because he is paralyzed from the waist down and acts "slightly silly." What type of tort does the nurse's action represent?
A)Libel
B)Fraud
C)Slander
D)Malpractice
Q2) Identify the situation in which a nurse would likely be charged with negligence.
A)Slapping a client across the face for using foul language
B)Leaving the side rails down on a bed of a confused client
C)Using restraints on a client without a doctor's order
D)Telling the local newspaper of a client's diagnosis
Q3) Ms. Jones, RN, is the night charge nurse on your unit. She has come to work obviously drunk. What would your legal obligations be as a professional nurse?
A)Ignore her condition out of professional etiquette.
B)Have a second person validate your observation.
C)Give her several cups of strong coffee to sober her up.
D)Have her "sleep it off" in an empty room and cover for her.
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Chapter 10: How to Take and Pass Tests
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Q1) Identify the dietary teaching by the nurse that best promotes the comfort of a client in the late stages of cirrhosis who has ascites.
A)You must increase your daily fluid intake to 3 liters per day to avoid dehydration.
B)Your protein intake should be between 100 and 120 grams per day.
C)Keep your sodium intake to 1 to 2 grams per day.
D)Extra fats in your diet are necessary to maintain your energy levels.
Q2) Identify the instructions about the care of urinary system the nurse should give to a 44-year-old hospitalized woman who has an indwelling urinary catheter and IV who insists on going to the smoking room for a cigarette every few hours.
A)Place the drainage bag on the floor when you are sitting to prevent pulling on the catheter.
B)Clamp the catheter before you leave and unclamp it when you return.
C)Loop the drainage tubing around the IV pole to keep it in place.
D)Hang the drainage bag on the pole at a level to keep it below your bladder at all times.
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Chapter 11: Nclex: What You Need to Know
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Q1) Which word found in a stem question would make the question negative?
A)First
B)Atypical
C)Highest priority
D)Appropriate
Q2) Choose the most therapeutic response by the nurse to a new mother who verbalizes uncertainty about her ability to breast feed her new baby.
A)Breast feeding a baby is best.Bottle feeding is only a poor substitute for women who can't produce enough milk.
B)Let's try the breast feeding first and see how you do.I'll be right here to help you with the process.
C)We can give him a bottle until your milk comes in and you feel more sure about your ability to breast feed.
D)If you don't make up your mind right away, we'll be forced to bottle feed him.
Q3) A client who is to receive external radiation therapy asks the nurse why the cancer cells in his body are so harmful. The nurse responds that a characteristic found in all cancer cells, called ____________________, allows the cells to reproduce in a different manner that is harmful to the healthy body tissues.
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Chapter 12: Reality Shock in the Workplace
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Q1) The purpose of a resume is to provide the facility with a ________________in as ________________as possible.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q2) 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
Q3) Which question should the new graduate ask first during the interview for a new job?
A)What is the salary for this position?
B)What responsibilities are involved in this position?
C)How much vacation will I get during the first year?
D)What are my chances for promotion?
Q4) When should a nurse expect to complete short-term personal goals?
A)6 to 24 months
B)3 to 4 years
C)5 to 10 years
D)10 to 20 years
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Chapter 13: Principles of Leadership and Management
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Q1) What is the primary drawback to using the trait theory of management in developing management skills?
A)It does not take into account how the person responds in specific situations.
B)A person has to have all the traits in order to be an effective manager.
C)Only persons with many years of experience can master the required traits.
D)It is not reflective of the traits that are required for management.
Q2) A newly appointed nurse manager observes that the unit she is supervising functions in a manner that suggests the previous manager used a laissez-faire approach to supervision. Select the practice that indicates that more direction is required in the leadership style.
A)The experienced nurses work through lunch breaks.
B)Most tasks are being performed by new graduates.
C)Nurses from the float pool are assigned to the low-acuity clients.
D)Staff members are resistant to proposed changes.
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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Q1) What function do personal standards fulfill in a person's life?
A)Determining a person's sense of right and wrong
B)Forming the basis for a code of ethics
C)Acting as more specific criteria for behavior
D)Determining how a person responds to individual situations
Q2) 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
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Chapter 15: Incivility: the Antithesis of Caring
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Q1) What is the first step in defusing the spiral of incivility?
A)Reflection upon the problem
B)Developing a plan to resolve the problem
C)Active listening to a fellow worker's accounts of incivility
D)Reporting the incident to a superior
Q2) The caring-civility link is best exemplified by which of the following?
A)Helping in disasters in foreign countries
B)Conducting scholarly research into overcoming health-care disparities
C)Accepting criticisms from physicians even though unjustified
D)Making nursing assignments based on clients' needs and nurses' skills
Q3) What is the underlying principle upon which all definitions of civility are built?
A)Good manners
B)The Civil Rights Act of 1964
C)Recognizing the importance of all human beings
D)The fight against injustice and oppression
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Chapter 16: Delegation in Nursing
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Q1) 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
Q2) From the list below, select all items that would constitute barriers to effective delegation.
A)Decisiveness
B)Micromanaging
C)Policies that tolerate mistakes
D)Management-by-crisis mode
E)Confidence in self
F)Work overload
Q3) Identify the task that may be delegated to an LPN (LVN) if all the clients are stable.
A)Adding potassium to a bag of D5W that was already hanging
B)Developing the nursing diagnosis for a newly admitted client
C)Teaching a new diabetic patient how to administer insulin injections
D)Turning a client with a CVA every 2 hours
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Chapter 17: Governance and Collective Bargaining
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Q1) What is the most important feature of the shared governance model?
A)Nursing administration retains most of the power over nurses to better regulate practice.
B)Power and authority are transferred to the nursing staff rather than being located primarily in nursing administration.
C)Clients are billed for nursing care as a separate item similar to the way they are billed for physician services.
D)The nursing staff hierarchy structure is similar to the medical staff structure.
Q2) How can a nurse who belongs to a union best explain collective bargaining to a coworker?
A)It is a conflict-based power strategy used to equalize the power between labor and management.
B)It is the right of all workers to organize and strike to gain more benefits.
C)It is the ability of large numbers of workers to force management into recognizing them as valuable.
D)It is using picket lines and violence to achieve higher pay, better working conditions, and shorter hours.
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Chapter 18: Health-Care Delivery Systems
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Q1) Select from the list below the phases used in the Six Sigma process.
A)Define
B)Measure
C)Verify
D)Analyze
E)Implement
F)Control
Q2) Identify a type of care delivery model that is task oriented in that each person performs a specific job to meet a particular need of the unit.
A)Modular nursing
B)Team nursing
C)Primary care nursing
D)Functional nursing
Q3) Identify the most significant element in the continued rise in health-care costs in the United States.
A)Expensive new technology
B)Increasing need for long-term care
C)Lack of motivation for consumers to comparison shop
D)Expensive new medications
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Chapter 19: Nursing Informatics
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Q1) Which process is used in synthesizing data into information to create knowledge?
A)Circular
B)Linear
C)Elliptical
D)Scientific
Q2) Identify the element that has been found most effective in the reduction of technology-related errors in client care.
A)Extended periods of training
B)Computer-based reminder systems
C)Systems involving 8 to 10 steps
D)Hiring only the most intelligent nurses
Q3) Identify the element that is not commonly found in information science.
A)Data or tasks that are processed
B)Configuration and architecture of the computer system
C)How problems are solved
D)Where products are produced
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Chapter 20: The Politically Active Nurse
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Q1) Which statement best indicates the use of political capital?
A)"I will issue an executive order on that topic."
B)"Without your vote, the bill will never pass."
C)"If you vote for my bill, I will vote for your bill."
D)"Large groups of citizens support this issue."
Q2) If the House and Senate have different versions of the same bill, where does the bill go next?
A)To the President for signature of the bill he favors most
B)To the Rules Committee to set up the guidelines for passage of the bill
C)To the Conference Committee to resolve the differences between the two bills
D)To the Finance Committee to see if there is enough money in the budget for both forms
Q3) Identify an issue that would be considered constituent specific.
A)Funding of a new research project
B)Universal coverage for prescriptions for the elderly
C)Increase in the rates for natural gas
D)Passing laws punishing corporate CEOs who bankrupt their companies
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Chapter 21: Spirituality and Health Care
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Q1) Which question would be most appropriate for a nurse to ask in assessing the spiritual distress of a client in the critical care unit?
A)Do you believe that God has sent this illness to you as a punishment for your past sins?
B)When was the last time you went to church to ask for God's help?
C)What do you do to feel hope or feel stronger?
D)Would you like to talk with the hospital chaplain about any spiritual concerns you have?
Q2) A nurse employed in a critical care unit is experiencing a high level of anxiety related to work stress. In identifying and ranking the nurse's sources of stress, which 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) As a philosophical approach to understanding truth, ________________advocates the view that consciousness determines reality and truth in space and time.
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Chapter 22: Cultural Diversity
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Q1) When do subcultures develop?
A)Life in the country of origin becomes too difficult.
B)People marry people from other cultures.
C)Members of the group do not accept all the values of their dominant culture.
D)Cultural expressions become primarily conscious.
Q2) What is the most important factor in obtaining an accurate cultural assessment of a client?
A)Using a comprehensive assessment tool
B)Establishing a warm, trusting relationship
C)Using a translator
D)Asking pointed questions about the client's beliefs and values
Q3) 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
Q4) Developed from a long-term process and based on a need for group survival, ________________are neither right nor wrong.
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Chapter 23: Developments in Current Nursing Practice
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Q1) Identify an important aspect of the role of forensic psychiatric nurses.
A)Conduct deep analyses of perpetrators to determine what caused the crime.
B)Provide intervention to prevent crimes before they occur.
C)Identify changes in behaviors linking criminals to criminal offenses.
D)Promote functional disabilities.
Q2) Which element is usually excluded from forming the scientific knowledge base of forensic nursing?
A)Criminal justice
B)Police science
C)Theological concepts
D)Legal studies
Q3) With the exception of the emphasis on ____________________, response to bioterrorist attacks is similar to the traditional public health response to naturally occurring outbreaks of communicable diseases.
Q4) Identify a secured setting for the practice of forensic nursing.
A)Correctional institutions
B)Crime scenes
C)Woman's shelters
D)Emergency rooms
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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) Select the factor that is most likely to increase a client's motivation to learn.
A)A severe illness with the potential to be fatal
B)The presence of the client's significant other during teaching session
C)A college education
D)A high socioeconomic level
Q3) A client tells the nurse that she has been using a health information website to find information about her illness. Which statement by the client does the nurse need to correct?
A)Some of the websites do not have very accurate information.
B)All of my personal information will be kept secure.
C)I should speak to my physician before using any alternative therapies.
D)Other clients seem to be having the same symptoms I have.
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Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) Nursing research has been expanding as opportunities for graduate education in nursing increases. Which of the following is true regarding primary research roles by education level?
A)The associate-degree nurse is qualified to share research finding with colleagues.
B)The baccalaureate-degree nurse may read, interpret, and evaluate research for its application to nursing practice.
C)Nurses prepared at the master's level provide leadership in conducting independent investigations in nursing.
D)The doctoral-prepared nurse assists others in applying scientific knowledge in nursing practice.
Q2) In nursing research, what is the critical link necessary to connect the researcher's framework with the appropriate type of data collection?
A)The research design
B)The research question
C)The nursing diagnosis statement
D)The propositional statement
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Chapter 26: Alternative and Complementary Healing Practices
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Q1) Why is the term healing preferred to medicine when referring to alternative and complementary modalities?
A)Medicine implies that only physicians can carry out the treatment.
B)The treatments are based on holistic philosophies that go beyond treatment or cure of the physiologic dimensions of care.
C)Clients might associate alternative treatments with hospital care.
D)Nurses have had a strong influence in naming this modality.
Q2) 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.
Q3) 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
Page 28
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