Transition to Professional Nursing Study Guide Questions
Course Introduction
Transition to Professional Nursing is designed to support nursing students and practicing nurses as they move from academic settings into the complexities of professional nursing practice. The course emphasizes the development of critical thinking, clinical judgment, and evidence-based decision-making skills, while fostering professional identity, accountability, and ethical standards in nursing. Key topics include the roles and responsibilities of the registered nurse, principles of leadership and collaboration in healthcare teams, effective communication strategies with patients and colleagues, and navigating healthcare systems and policies. Students will also explore strategies for lifelong learning, career development, and maintaining work-life balance as essential aspects of professional growth and resilience in nursing practice.
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Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T. Catalano
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Page 2
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) In its attempt to gain freedom and independence, what corresponding factors must the nursing profession embrace?
A)Health and happiness
B)Chaos and disorder
C)Loss of control and negative feedback
D)Responsibility and accountability
Answer: D
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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3
Chapter 2: Historical Perspectives
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Q1) What are two similarities between the health care provided by the ancient Hebrews and that practiced by the ancient Egyptians?
A)The belief that disease was caused by evil spirits and the use of health spas
B)Trained women as the primary care providers and the use of many medications
C)Majority of health care provided in hospitals and the use of medical specialization
D)Emphasis on sanitation and well-developed knowledge of surgical techniques
Answer: D
Q2) What are the dates of Florence Nightingale's birth and death?
A)March 3, 1578; June 10, 1657
B)January 9, 1715; September 30, 1785
C)May 12, 1820; August 13, 1910
D)April 15, 1932; December 10, 1957
Answer: C
Q3) The early Christian era brought which of these important changes in health care?
A)The development of aqueducts and sewage systems
B)A belief in the sanctity of life
C)A deep understanding of the anatomy of the human body
D)The shift of care from the home to large hospitals
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) 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
Q3) Identify a primary goal of the American Nurses Association.
A)Promote the professional growth and development of all nurses.
B)Maintain and improve the standards of nursing education.
C)Limit access to health-care services to individuals in need.
D)Control the independence of practice by nurses to those with bachelor of science degrees.
Answer: A
Page 5
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Chapter 4: Theories and Models of Nursing
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Q1) Select a major contribution that King's model made to the practice of nursing.
A)Formalization of the use of goals to guide client care
B)Introduction of the concept of care as a key element in nursing care
C)Use of the idea of adaptation as an important client goal
D)Integration of systems theory into nursing care
Q2) What belief forms the basis for the Orem Self-Care Model?
A)The nurse helps the client adapt to his or her illness.
B)The primary goal of health care is cure of the client.
C)Health care is the responsibility of each individual.
D)Health-care goals must be established for each client.
Q3) How can most living organisms be classified in general systems theory?
A)Open systems
B)Closed systems
C)Subsystems
D)Macrosystems
Q4) How is health described in the Roy Adaptation Model of nursing?
A)A continuum
B)A lack of illness
C)A state or process of being and becoming an integrated, whole person
D)A state of physical and mental well-being
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Chapter 5: The Process of Educating Nurses
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Q1) In 1996, the American Association of Colleges of Nursing (AACN) presented a position paper emphasizing the belief that the ________________degree should be the minimal requirement for entry into the nursing profession.Multiple Response Identify one or more choices that best complete the statement or answer the question.
Q2) Select all the elements from the list below that were found as assumptions in the ANA Position Paper on Nursing Education.
A)Nursing education should meet the increasing need for nurses as quickly as possible. B)The professional practitioner is responsible for the nature and quality of all nursing care clients receive.
C)Education for those in the health-care professions must increase in depth and breadth as scientific knowledge expands.
D)Community colleges are able to prepare nurses just as well as 4-year colleges.
E)The demand for the services of nurses will continue to increase.
Q3) Nursing care that is client-focused and revolves around the client's trust in, value of, and understanding of the nurse's skills is called _________________________.
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Chapter 6: Critical Thinking
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Q1) A client is immobilized because of a stroke. Immobilized clients should be turned every 2 hours; therefore, this particular client should be turned every 2 hours. What is an accurate statement about the type of reasoning and the conclusion reached?
A)Inductive reasoning with an uncertain conclusion
B)Deductive reasoning with a certain conclusion
C)Inductive reasoning with a certain conclusion
D)Deductive reasoning with an uncertain conclusion
Q2) Identify the missing premise in this argument: All nursing students have a high IQ; therefore, Michelle Clark has a high IQ.
A)Michelle Clark goes to a large university.
B)Only nursing students with a high IQ can get into nursing school.
C)A high IQ is required for nurses to practice safely.
D)Michelle Clark is a nursing student.
Q3) If all of these goals were appropriate for a client, which would have the highest priority?
A)Prevent injury from falls caused by confusion
B)Re-establish the role as primary provider for the family
C)Improve body image after leg amputation
D)Control postoperative bleeding
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Page 8
Chapter 7: Ethics in Nursing
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Q1) 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
Q2) Provision number 7 of the 2001 Code of Ethics for Nurses states: "The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development." On which ethical principle is this statement primarily based?
A)Veracity
B)Autonomy
C)Accountability
D)Beneficence
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
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Page 9
Chapter 8: Bioethical Issues
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Q1) Which treatment modality would most likely be considered extraordinary?
A)Intravenous fluids by subclavian catheter
B)Oxygen by face mask at 60%
C)Counter-pulsating intra-aortic balloon pump
D)Chest tubes
Q2) Place the events in the list below in their correct chronological order.
____ Extension of directive to prevent use of federal money for genetic research
____ Beginning of fetal tissue research
____ Directive to prevent the use of federal money for genetic research issued
____ Human Genome Project completed
Q3) How does the deontological approach to ethics consider abortion?
A)It is the greatest good for the greatest number of individuals and therefore is ethical.
B)It involves the conflicts of the right of the mother to self-determination with the right of the fetus to life.
C)It can be performed for any reason because the law makes it legal and ethical.
D)It can be performed in situations in which the mother is unwed and already has several other children.
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Chapter 9: Nursing Law and Liability
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Q1) When someone is accused of violating a ____________________, the government at the county, city, state, or federal level imposes appropriate punishments.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q2) In which situation would an emergency room nurse be justified in proceeding without obtaining consent, verbal or otherwise?
A)An unconscious, profusely bleeding victim is brought in by ambulance.
B)A 13-year-old child is brought to the emergency room after suffering a fractured arm while at school.
C)A construction worker comes into the emergency room to have a boil lanced.
D)A 15-year-old high-school girl comes in for treatment of psoriasis.
Q3) Which statement is most accurate regarding nursing students and the legal responsibilities they incur?
A)They do not need to have professional liability insurance.
B)They can perform any skill, even if they have not been taught that skill in nursing skills laboratory.
C)They are accountable for all actions they perform.
D)They practice on the license of their instructors.
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Chapter 10: How to Take and Pass Tests
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Q1) Select the instructions given by the nurse that are most accurate for a woman who is HIV positive and 3 months pregnant who comes to the prenatal clinic for care.
A)You will need a C-section to prevent the transmission of the virus to your baby.
B)There is a good chance that your baby will not be infected with the virus if you take your medications.
C)In a large percentage of cases, the virus is transmitted through the placenta.
D)Your baby will be very ill from the HIV infection when it is born.
Q2) Based on accepted standards of care for documentation, identify the element that the nurse should avoid placing in the client's medical record.
A)Blank spaces between the lines for late entries
B)Date and time on all entries
C)Observation about the client's behaviors
D)Direct quotes from the family
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Chapter 11: Nclex: What You Need to Know
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Sample Questions
Q1) Identify the action the nurse takes to best prevent contractures in a client with second- and third-degree burns of the legs.
A)Hyperextend the client's legs by elevating them on two pillows.
B)Apply ace bandages to the entire leg.
C)Have the client perform active range of motion exercises every hour.
D)Apply knee splints.
Q2) A 32-year-old woman who has a fractured T-7 following an automobile accident develops urinary retention. The physician orders intermittent catheterizations every 6 hours, and the nurse obtains between 600 and 830 mL of urine each time. Select the most appropriate nursing action for this client.
A)Notify the physician and obtain an order for a Foley catheter.
B)Restrict the client's fluid intake to 500 mL per shift.
C)Obtain an order to catheterize the client every 3 to 4 hours.
D)Continue catheterizing the client per the physician's order.
Q3) An adult client with Hodgkin's disease who weighs 168 pounds is to receive vincristine (Oncovin), 25 mcg/kg IV. Calculate the correct medication dosage and type the answer in the box.
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Chapter 12: Reality Shock in the Workplace
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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) What should a new graduate nurse consider the most important characteristic when developing personal long-term goals?
A)Are planned for at least 10 years in the future
B)Can be achieved exactly as planned
C)Remain flexible
D)Consider every possible contingency along the way
Q3) Identify the earliest indications that a nurse may be experiencing burnout.
A)Alcohol abuse
B)Physical complaints
C)Attitude that work is to be tolerated
D)Feelings of helplessness and guilt
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14
Chapter 13: Principles of Leadership and Management
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Q1) 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.
Q2) A hospital administrator has decided to turn an underused medical surgical unit into a rehabilitation unit. What will be necessary to implement this strategic decision?
A)Allocate extra money for the staff to work overtime.
B)Follow existing policies and procedures used in the rest of the facility.
C)Perform a needs assessment and evaluate the data.
D)Develop long-term goals and identify key individuals.
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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Page 15
Chapter 14: Communicating Successfully
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Sample Questions
Q1) Which behavior would the nurse expect an adult who is the youngest child of several children to display?
A)Assertive and competitive
B)Organized and directive
C)Submissive and quiet
D)Angry and hostile
Q2) Select all those items from the list below that constitute barriers to clear communication.
A)Retaliation
B)Desire for power
C)Comfort
D)Increased knowledge
E)Preoccupation
Q3) When does the encoding process of communication take place?
A)The receiver thinks about the information, understands it, and forms an idea based on the message.
B)The receiver responds to the message and gives feedback.
C)The sender sends the message.
D)The message is sent in a way that causes confusion in the receiver.
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Page 16
Chapter 15: Incivility: the Antithesis of Caring
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Sample Questions
Q1) What action would contribute most in preventing experienced nurses from "eating their young"?
A)Punishing experienced nurses with extra shifts for displaying incivility to new graduates
B)Keeping new graduate nurses segregated as much as possible from hostile experienced nurses until they gain more on-the-job experience
C)Providing in-service training sessions for experienced nurses on civility
D)Teaching new nurses to be more assertive and to express their opinions without fear
Q2) 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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Chapter 16: Delegation in Nursing
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Q1) 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
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) If mediation fails, the Federal Mediation and Conciliation Service may appoint a ________________to investigate the conflict and make recommendations.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q2) 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
Q3) Select a practice that is an indication of failure to bargain in good faith.
A)Agreeing to meet at reasonable times
B)Sending individuals to negotiate who cannot make binding decisions
C)Unwillingness to negotiate on all issues
D)Exchanging lists of demands by both sides
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Chapter 18: Health-Care Delivery Systems
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Q1) The major advantage that preferred provider organization (PPO) payment systems have over HMOs is that the PPOs:
A)Extend benefits beyond the use of their services at an increased rate
B)Require copayment fees each time a service is rendered
C)Have services that are used by a smaller number of clients, which reduces the wait for services
D)Have a system that reduces costs more
Q2) Identify the factor that is most important in the increased development of alternative ambulatory services.
A)Increased length of hospital stays
B)New technology that enables complicated and dangerous procedures to be performed on an outpatient basis
C)Consumer demand for more technology in the cure of disease
D)Establishment of satellite clinics in suburbs and rural communities
Q3) The ________________health-care system uses tax dollars to pay for health services through health insurance available from a nonprofit agency (e.g., government).Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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Page 20
Chapter 19: Nursing Informatics
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Q1) 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
Q2) Which process is used in synthesizing data into information to create knowledge?
A)Circular
B)Linear
C)Elliptical
D)Scientific
Q3) What does function in nursing informatics focus on?
A)How the management and processing of information helps nurses enter, organize, or retrieve information
B)A well-articulated theoretical basis to guide the gathering of data
C)The levels of special interest, including technology and concepts of nursing theory
D)Areas of research that lead to new knowledge
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21
Chapter 20: The Politically Active Nurse
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Q1) What is the primary purpose of the American Nurses Association-Political Action Committees (ANA-PACs)?
A)Persuade public officials to work for legislation nurses consider important.
B)Influence the outcome of elections.
C)Prevent bills that are negative for nursing from being introduced in Congress.
D)Attempt to change the minds of legislators already serving in Congress.
Q2) 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."
Q3) Why is the input of nurses vital to legislators?
A)Most of the bills legislators pass are not related to health care.
B)Voters can be easily misled by special interest groups.
C)The majority of legislators do not have health-care backgrounds.
D)Legislators need to be aware of the important part nurses play in the health-care system.
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Page 22
Chapter 21: Spirituality and Health Care
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Q1) When nurses appreciate the belief that the client's observations may be more objective than the nurses' because they are attached to the client's past experiences and knowledge, including rich descriptions of the person's experiences of life transitions, they are recognizing which approach to health care?
A)Scientific
B)Phenomenological
C)Deontological
D)Religious
Q2) Identify the term used when a person lives with consciousness of a reality beyond what is knowable through the five senses and is aware of a transcendent reality.
A)Religion
B)Spirituality
C)Truth
D)Meditation
Q3) Identify the purpose of spiritual modes of healing.
A)They always produce physical cure.
B)They are used only with clients who have a strong belief in God.
C)They enhance comfort and produce an inner peace with disability or death.
D)They are used only by members of the clergy.
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Page 23
Chapter 22: Cultural Diversity
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Q1) Which statement accurately describes minority nurses in the United States?
A)They mirror the ethnic composition of the country as a whole.
B)They compose about 10% of all nurses.
C)They are increasing in numbers proportionate to the general population.
D)They are expected to outnumber nonminority nurses by the year 2080.
Q2) Identify the phenomenon that occurs when individuals coming to the United States from other countries cling tenaciously to their traditional cultural practices and languages.
A)Acculturation
B)Cultural diversity
C)Melting pot
D)Multiculturalism
Q3) Identify the outcome that is usually excluded from the purposes of cultural beliefs and practices.
A)Explanation of unusual or unpredictable events
B)Protection of the group members from harm
C)Expression of religious beliefs
D)Revelation of beliefs to strangers
Q4) Developed from a long-term process and based on a need for group survival, ________________are neither right nor wrong.
Page 24
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Chapter 23: Developments in Current Nursing Practice
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Q1) 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
Q2) Why do forensic nurses practicing in an institutional setting commonly face basic value conflicts?
A)Health care is the primary goal.
B)Inmates do not regard the nurse as an authority figure.
C)Resources for health-care services are severely limited.
D)The principles of security are often at odds with the principles of treatment.
Q3) 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
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Chapter 24: Client Education: a Moral Imperative
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Q1) Learning objectives that address positive attitudes, constructive feelings, and values (ethics) fall into which domain?
A)Cognitive
B)Affective
C)Psychomotor
D)Intellectual
Q2) Identify the elements that are considered essential to include in an electronic client-education tracking system. Select all that apply.
A)Client control
B)Physician input
C)Customized to each client
D)Continuous tracking
E)Successful outcomes
Q3) Which is an important element for the nurse to remember when conducting a client language assessment?
A)Did the client bring an interpreter to the hospital?
B)What is the client's fluency in both the primary and secondary languages?
C)How long has the client been living in America?
D)What cultural health-care practices does the client use on a regular basis?
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Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) It is important for nurses to develop the skill of ________________so that they will have the ability to understand the research process and then be able to sift through and carefully assesses all available and credible research findings.
Q2) Over the past several decades, nursing research has expanded and its direction has altered somewhat as demographics change and health care evolves. Along with conducting research, what is the current focus and a priority for nursing?
A)Plan and implement studies directly related to meeting specific client care needs.
B)Conduct research addressing the profession of nursing and nursing education.
C)Develop evidence-based practice by evaluating and applying the credible research findings of other nurse researchers.
D)Collaborate with other health-care workers to implement research related to patient satisfaction.
Q3) What is the purpose of qualitative inquiry research?
A)Gaining an understanding of how individuals find meaning in their world
B)Measuring the variables identified as dependent
C)Testing an identified hypothesis and proving a theory
D)Generalizing relationships between concepts
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Page 27
Chapter 26: Alternative and Complementary Healing Practices
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Q1) 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.
Q2) 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.
Q3) 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.
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