Role Transition in Nursing Review
Questions
Course Introduction
This course explores the process of role transition for nurses as they move from education to professional practice or from one nursing role to another. Students will examine the challenges and expectations associated with transitioning into new clinical environments, leadership positions, or specialized practice areas. Key topics include professional identity development, effective communication, ethical and legal responsibilities, and strategies for adapting to change. The course also emphasizes critical thinking, lifelong learning, and self-care to support successful transitions and ongoing career growth within the nursing profession.
Recommended Textbook
Professional Nursing Practice Concepts and Perspectives 7th Edition by Blais
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25 Chapters
637 Verified Questions
637 Flashcards
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Page 2
Chapter 1: Beginning the Journey
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/77944
Sample Questions
Q1) The nursing student is planning to study all weekend for a final exam scheduled on Monday.Is this a good strategy for study?
A)Yes;this method will assure all material is fresh in the student's mind.
B)No;the student should plan on an all-night study session on Sunday night only.
C)Yes,but the best strategy is to invite six or seven fellow students to join in the session.
D)No;study should be incremental across the semester with a general review the day before the exam.
Answer: D
Q2) The nurse has elected to return to school to pursue a baccalaureate degree.After the first week of classes,the nurse is overwhelmed.Which stage of Spencer and Adams' model of transition is this nurse most likely experiencing?
A)Losing focus
B)Minimizing the impact
C)The pit
D)Letting go of the past
Answer: A
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3
Chapter 2: Socialization to Professional Nursing Roles
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Sample Questions
Q1) The newly licensed nurse is experiencing reality shock related to first employment as a nurse.Which socialization model should this nurse investigate for information on coping with this issue?
A)Hinshaw
B)Davis
C)Kramer
D)Simpson
Answer: C
Q2) The newly licensed nurse finds many inconsistencies between what was taught in nursing school and what occurs in the practice setting.How is this situation likely to affect this nurse's socialization into nursing practice?
A)It probably won't have much effect.
B)It may hinder socialization.
C)It will make the new graduate a better nurse.
D)It will force the nurse to socialize more quickly.
Answer: B
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Chapter 3: Historical Foundations of Professional Nursing
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Sample Questions
Q1) Which nurse founded the National Association of Colored Graduate Nurses in 1908?
A)Mary Seacole
B)Cecilia Makiwane
C)Mary Mahoney
D)Loretta Ford
Answer: C
Q2) What was Sojourner Truth's contribution to society?
A)She helped identify the similarity between the problems of African Americans and women.
B)She was a crusader for the mentally ill.
C)She was known as the "Moses of her people."
D)Her work resulted in the passage of the Nineteenth Amendment to the U.S.Constitution,granting women the right to vote.
Answer: A
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Chapter 4: Ethical Foundations of Professional Nursing
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Sample Questions
Q1) The nurse has been caring for a ventilator-dependent patient for several days.The family has made the decision to withdraw ventilatory support.How should the nurse interpret this decision?
A)As active euthanasia
B)As illegal euthanasia
C)As passive euthanasia
D)As alleviation euthanasia
Q2) To what does the moral principle of fidelity refer?
A)Truth telling
B)Duty to do no harm
C)Faithfulness
D)Doing good
Q3) To what does the moral principle of veracity refer?
A)Truth telling
B)Duty to do no harm
C)Faithfulness
D)Doing good
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6
Chapter 5: Legal Foundations of Professional Nursing
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Sample Questions
Q1) The nurse suspects that a coworker is impaired at work.What is this nurse's priority action?
A)Closely observe the coworker to gain evidence of impairment.
B)Plan to work with the person as a team to provide care.
C)Report the suspicion to the appropriate supervisor.
D)Confront the coworker with the suspicion.
Q2) Which option is a major element of informed consent?
A)The physician,the nurse,and the client must agree on the treatment or procedure.
B)The consent must be given by family members as well as the client.
C)The client only needs to know the purpose of the treatment or procedure.
D)The consent must be given voluntarily.
Q3) A staff nurse continually tells sexually explicit jokes during shift report and frequently focuses those jokes on a newly hired nursing assistant.Who can make the charge of sexual harassment against this staff nurse?
A)Only the nursing assistant.
B)Only the staff nurse's supervisor.
C)Anyone affected by the offensive material.
D)Any person who hears the jokes.
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Chapter 6: Remembering Development in Nursing
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Sample Questions
Q1) The nurse reviewing medical records finds that nurses working in a particular hospital state nursing diagnosis in terms of the client's limitations to maintaining self-care.The record reviewer determines that this nursing service follows which theorist?
A)Orem
B)Roy
C)Benner
D)Leininger
Q2) Which option is the most general in the scope of nursing theories and looks at the nature of things?
A)Grand theory
B)Middle-range theory
C)A concept
D)Philosophy
Q3) The nurse's research is designed to generate a new theory.What research approach has this nurse most likely chosen?
A)Deductive using quantitative research methods.
B)Inductive using quantitative research methods.
C)Deductive using qualitative research methods.
D)Inductive using qualitative research methods.
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Page 8
Chapter 7: The Nurse As Health Promoter and Care Provider
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Sample Questions
Q1) During a health visit a client who has been reviewing smoking cessation material states "I've already cut back from a pack a day to half a pack." According to Prochaska and DiClemente,in which stage of change is this client?
A)Preparation
B)Precontemplation
C)Action
D)Contemplation
Q2) After being provided with smoking cessation information the client responds,"I'm not interested.I enjoy smoking and don't want to quit." According to Prochaska and DiClemente,in which stage of change is this client?
A)Preparation
B)Precontemplation
C)Action
D)Contemplation
Q3) What is a goal of Healthy People 2020?
A)Elimination of health disparities.
B)Improvement of personal sense of well-being.
C)Identifying differences between health promotion and health protection.
D)Increasing people's involvement in health-promotion activities.
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Page 9
Chapter 8: The Nurse As Learner and Teacher
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Sample Questions
Q1) All nurses in their role of teacher/educator are responsible for providing instruction to which persons? (Select all that apply. )
A)Other nurses
B)Students in community colleges
C)Patients' families
D)Patients
E)Health care providers other than nurses
Q2) Which theorist's work is considered foundational to many of today's cognitive theories?
A)Lewin
B)Bandura
C)Skinner
D)Rogers
Q3) Why should the nurse be cautious about using humor when teaching clients from other cultures?
A)Meaning can change in the translation process.
B)Humor has no place in health education.
C)Humor is not common in other cultures.
D)Humor makes people uncomfortable.
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Page 10
Chapter 9: The Nurse As Leader and Manager
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Sample Questions
Q1) Which option characterizes the charismatic style of leadership?
A)The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care.
B)The unit manager makes all of the decisions on the unit and rarely asks for input from the group.
C)The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes.
D)The group leader is passive,allowing the group to work on goals independently.
Q2) What must the nurse consider when delegating responsibility to another? (Select all that apply. )
A)The client's needs
B)The skill level of the worker
C)The client's goals
D)The worker's gender
E)How long the worker has been at the facility
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11
Chapter 10: The Nurses Role in Evidence-Based Health Care
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Sample Questions
Q1) The nurse wants to develop an evidence-based practice.What must this nurse do first?
A)Get permission from his or her employer.
B)Learn to critically appraise research reports.
C)Contact a consultant to help him or her learn about EBP.
D)Methodically categorize research findings in the nurse's specialty area.
Q2) The nurse is interested in implementing evidence-based care in practice and is conducting a search for pertinent research studies.Which type of research is most likely to produce best evidence?
A)Literature review of the topic
B)Randomized clinical trial
C)Research that explains phenomena
D)Descriptive research
Q3) A literature review before conducting research serves which purpose? (Select all that apply. )
A)It can establish the body of knowledge related to the research problem.
B)It can identify gaps in the literature.
C)It may provide an answer to the question posed.
D)It prevents the researcher from being charged with plagiarism.
E)It may change the problem focus,based upon previous findings.
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Chapter 11: The Nurses Role in Quality and Safety
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27 Flashcards
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Sample Questions
Q1) The Quality Improvement director is reviewing the number of medication errors that occurred in a skilled nursing facility over the last month. The total number of medication doses provided equals 625,500. The total number of medication errors was 7. If using the Six Sigma statistical measure to limit defects to 3.4 per million opportunities, what should be the goal for the number of medication errors for this care area? (Round the answer to the nearest whole number.)
Q2) The charge nurse is beginning rounds after attending morning report.Which clients should the nurse be concerned for developing a never event? (Select all that apply. )
A)Client with hemophilia receiving Factor replacement transfusions
B)Client recovering from a stroke with foul-smelling urine in a catheter drainage bag
C)Client recovering from total knee replacement surgery complaining of right calf pain
D)Client with heart failure being fitted for a C-pap mask for use at home for sleep apnea
E)Client with renal failure with a newly diagnosed stage III pressure ulcer on the left heel
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13
Chapter 12: The Nurses Role As Political Advocate
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24 Flashcards
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Sample Questions
Q1) What is the meaning of the word politics?
A)Campaigning for legislative candidates
B)Joining a political action committee
C)Having expert power
D)Influencing the allocation of scarce resources
Q2) Which skills are useful to increase a nurse's political astuteness and activity? (Select all that apply. )
A)Keep informed about health issues.
B)Be able to analyze an issue.
C)Be able to speak out and voice an opinion.
D)Be able to work best independently.
E)Have the ability to use a power base.
Q3) A group of nurses would like to help change a workplace policy.What should these nurses consider in this desire?
A)Political action is best carried out individually.
B)Working in a group will require less individual time.
C)Group work fosters creative thinking and planning.
D)People with deep feelings about an issue often are too involved to be effective.
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Chapter 13: The Nurse As Colleague and Collaborator
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Sample Questions
Q1) Which group established a standard of professional performance focused on the nurse's collaboration with clients,families,and other healthcare professionals?
A)The National Council of State Boards of Nursing
B)The National League for Nursing
C)The American Association of Colleges of Nursing
D)The American Nurses Association
Q2) The clinical documentation committee is facing issues with the nursing staff regarding the upgrading of the documentation software.The committee chair plans to review the stages of conflict with the committee in preparation for implementation of the software.In which order should the stages be reviewed?
A)Overt
B)Latent
C)Perceived
D)Aftermath
Q3) What must nurses do to fulfill a collaborative role?
A)Graduate with at least a baccalaureate degree.
B)Assume increased authority in practice areas.
C)Redesign unit policies to allow collaboration.
D)Lobby state boards of nursing to approve this collaborative role.
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Page 15
Chapter 14: Communicating Effectively
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Sample Questions
Q1) What component of the communication process is the source encoder?
A)The context of the message
B)The message sender
C)The receiver of the message
D)The channel
Q2) What is the denotative meaning of a word?
A)The meaning of the word,regardless of language.
B)The way a word is generally used by people who share a common language.
C)The definition of the word as listed in a commonly referenced dictionary.
D)The meaning of the word as derived from one's personal experience.
Q3) The staff development trainer is preparing teaching materials that focus on the basic elements of communication.In which order should the trainer explain the simplest process of communication?
A)Receiver sends a response
B)Sender develops a message
C)Receiver receives the message
D)Sender transmits the message
E)Receiver interprets the message
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16
Chapter 15: Managing Change
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Sample Questions
Q1) Over which type of change does the change agent have the most control?
A)Spontaneous change
B)Crisis
C)Developmental change
D)Planned change
Q2) How should the nurse describe change?
A)Positive or negative,planned or unplanned
B)Prevented and managed
C)Negative,doesn't have to occur,easily managed
D)Difficult and always negative
Q3) To manage resistance to change,the change agent may use which strategy?
A)Defend the status quo.
B)Provide evidence to challenge the status quo.
C)Reject opposition to the plan.
D)Eliminate from the organization those who are opposed.
Q4) In the diffusion-innovation theory,what causes change?
A)Planned change by a change agent
B)Driving forces
C)Social change and spread of new ideas
D)Restraining forces
17
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Chapter 16: Technology and Informatics
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Sample Questions
Q1) Which applications of information technology are currently important to nursing?
(Select all that apply. )
A)Internet access for patients
B)Physician order entries
C)Electronic transmission of prescriptions
D)Wireless and portable devices
E)Computer-based patient records
Q2) How does the patient-centered informatics model differ from the older nursing informatics models?
A)It is used to guide patient care decisions at the bedside.
B)It includes nursing science.
C)It is interdisciplinary.
D)It relies on the World Wide Web for information.
Q3) The informatics nurse is concerned about the height of the stand for the portable laptop computers that the hospital is considering buying.Which concept is being addressing?
A)Finances
B)Ergonomics
C)Situational awareness
D)Evidenced-based practice
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Chapter 17: Nursing in an Evolving Health Care Delivery System
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Sample Questions
Q1) When comparing healthcare systems,the United States is an example of which type of system?
A)Socialized insurance
B)Voluntary insurance
C)Mandatory health insurance
D)Socialized medicine
Q2) Which resource management strategies have hospitals utilized?
A)The use of clinical nursing assistants (CNAs)
B)The hiring of medical librarians
C)Certification in a specialty area
D)Clinical ladders
Q3) Nurses practicing holistic nursing usually subscribe to which concept(s)of wellness?
(Select all that apply. )
A)Wellness is a choice.
B)Wellness can be achieved with a single change in lifestyle.
C)Wellness is the integration of body,mind,and spirit.
D)Wellness requires medical intervention.
E)Wellness can only be achieved through maturation.
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Chapter 18: Providing Care in Home and Community
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Sample Questions
Q1) Which are considered factors that have contributed to the growth of home health?
(Select all that apply. )
A)The ability of home care agencies to provide high-technology services in the home
B)The preference of third-party payers
C)Government mandates for home care rather than hospitalization
D)The increase in the population of older adults
E)Lack of consumer interest in home care
Q2) On what do community health nurses focus?
A)Ability to pay for care
B)Diagnoses
C)Client aggregates
D)The total person
Q3) What would be included in the assessment of the physical environment subsystem of a community? (Select all that apply. )
A)The appearance of the environment
B)The number of schools
C)The size of the community in square miles
D)The number of homeless shelters
E)A map of the area
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Page 20
Chapter 19: Global Health
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Sample Questions
Q1) The nurse is preparing an education session on the most common causes of death in the global community.On which health problem should the nurse focus for this teaching session?
A)Tuberculosis
B)Diabetes mellitus
C)Ischemic heart disease
D)Communicable diseases
Q2) The nurse is concerned that a proposed health program lacks sufficient support for global health.What should be included in this program? (Select all that apply. )
A)Prevention activities
B)Strategic partnerships
C)Income measurements
D)Responses to local needs
E)Evidence-based knowledge
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21
Chapter 20: Dimensions of Holistic Health Care
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Sample Questions
Q1) What is the mission of the National Center for Complementary and Alternative Medicine (NCCAM)? (Select all that apply. )
A)Train complementary and alternative medicine researchers.
B)Provide certification for holistic nurses
C)Provide authoritative information to the public.
D)Provide authoritative information to professionals concerning CAM.
E)Provide a billing process for patients receiving CAM therapy.
Q2) Which two components encouraged the change in view of health care from one of biological focus on disease management to comprehensive health care?
A)Medicare and Healthy People 2020
B)Healthy People 2020 and nursing theorists
C)Integrative health and Healthy People 2020
D)Integrative health and foreign exchange of ideas
Q3) A patient uses therapeutic touch to help with migraines.On what is this therapy based?
A)Biological fields
B)Energy fields
C)Manipulative body movements
D)Mind-body energies
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Chapter 21: Nursing in a Culturally Diverse World
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Sample Questions
Q1) A client is a Black male of Jamaican heritage.What would be true regarding this client?
A)The client's race is Jamaican and his ethnicity is Black.
B)The client's race is Black and his ethnicity is Jamaican.
C)The client's race is Jamaican and his ethnicity is Jamaican.
D)The client's race is Black and his ethnicity is Black.
Q2) A young adult male from Singapore was brought to the emergency department after being found wandering around the Los Angeles airport.The client is confused,fearful,and speaks few English words.Which cultural concept can be used to explain Mr.Tao's behavior?
A)Ethnocentrism
B)Cultural assimilation
C)Cultural sensitivity
D)Culture shock
Q3) What can be stated regarding diversity in the United States?
A)Diversity is decreasing in the United States.
B)Diversity is increasing in the United States.
C)Diversity is relatively stable in the United States.
D)There has been no change in diversity within the last 40 years.
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Page 23
Chapter 22: Nursing in a Spiritually Diverse World
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Sample Questions
Q1) During the admission process,the nurse assesses the patient's spiritual belief system and what other aspect related to that system?
A)Christianity
B)Godly assumptions
C)Religious preference
D)Religious knowledge
Q2) The nurse is using the HOPE tool when assessing a patient's spiritual needs.In which order should the nurse ask the patient the following questions?
A)Identify sources of strength
B)What specific actions conducted?
C)Does religion influence health care?
D)What is the role of religion in your life?
Q3) What is faith?
A)The core of a person's being,involving one's relationship with God or a higher power
B)The belief in something that cannot be directly observed
C)An organized belief system shared by a group of people and the practices related to that system
D)Unique to Christianity
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Chapter 23: Nursing in a Culture of Violence
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Sample Questions
Q1) Which worker in the service sector is at greatest risk for violence in the workplace?
A)EMTs
B)Physicians
C)Gas station attendants
D)Mail carriers
Q2) While assessing an older patient in the emergency department the nurse suspects that the patient has been abused.In which order should the nurse approach the care of this patient?
A)Review options for help
B)Provide information for services to help
C)Determine if the patient is in any danger
D)Emphasize that the patient has the right to be safe
E)Explain that the patient is not to blame for any abuse
Q3) What is the result of exposure to violence in the community?
A)Inevitable depression
B)Not a problem outside the poor neighborhoods
C)Mediated by the quality of family and social supports
D)Important only for children
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Chapter 24: Advanced Nursing Education and Practice
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Sample Questions
Q1) What is one challenge when working as an advanced practice nurse?
A)Lack of formal recognition and acceptance by the public
B)The need for licensure and certification
C)Lack of prescriptive authority and reimbursement by third-party payers
D)Lack of education and experience
Q2) What certification can a nurse working in Canada obtain?
A)Nursing specialty areas
B)Public health
C)Research
D)Nurse practitioner practice
Q3) What should a graduate admissions counselor advise nursing students to take into consideration?
A)Whether a medical school is located near the nursing college
B)The enrollment statistics and funding
C)The accreditation status and admission requirements
D)The number of hospitals in the area
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Chapter 25: The Future of Nursing
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Sample Questions
Q1) In 1994 Jeffrey Bauer described some exciting possibilities that would affect nursing and healthcare delivery if instituted.What did Bauer propose?
A)Place health care on the free market so that maximum choice and quality competition are available.
B)Socialize medicine.
C)Do not change anything.The system is working.
D)Maintain the monopoly held by physicians over the delivery of health care to Americans.
Q2) What is causing hospitals to address the impact of consumerism?
A)Restricting medical malpractice insurance
B)Better education of the public
C)A national health policy
D)The nursing shortage
Q3) Which are past events that have affected the development of professional nursing?
A)The entertainment industry
B)Presidential elections
C)Social movements
D)Natural disasters
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