Transition to Professional Nursing Practice Practice
Exam
Course Introduction
This course facilitates the progression of nursing students into their professional roles by exploring key concepts, skills, and responsibilities essential for effective nursing practice. Students will examine professional standards, ethical and legal considerations, evidence-based practice, and interdisciplinary collaboration. Emphasis is placed on leadership development, clinical decision-making, time management, and effective communication in diverse healthcare settings. Through reflective activities and practical experiences, students will develop the confidence, critical thinking, and adaptability necessary to thrive as entry-level registered nurses and lifelong learners in a dynamic healthcare environment.
Recommended Textbook
Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T. Catalano
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618 Verified Questions
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Chapter 1: The Development of the Profession
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Sample Questions
Q1) 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
Q2) Identify the element that is the best indicator of increasing accountability in the profession of nursing.
A)Increasing pay scale for staff nurses
B)Improved public image of nurses on television and in movies
C)Demonstration of competency and high-quality care through peer review
D)Taking care of larger numbers of clients with the help of unlicensed assistive personnel
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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3
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) 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
Q3) 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
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Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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Sample Questions
Q1) What is the primary goal for establishing licensure of nurses?
A)Guarantee high-quality nurses.
B)Increase tax revenues for the state.
C)Set a minimum level of competency to protect the public.
D)Maintain high numbers of nurses in the profession.
Answer: C
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) 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) 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.
Q2) What aspect of Watson's Model of Human Caring distinguishes it from most other nursing models?
A)Understanding health as a dynamic state rather than a static goal
B)Viewing nursing as a process to help clients achieve their greatest potential rather than as a curing profession
C)Use of a philosophical approach rather than a systems theory approach
D)Defining environment as both internal and external rather than just external
Q3) Identify the two concepts upon which the framework for assessment is based in the Roy Adaptation Model of nursing.
A)Cognator and regulator
B)Input and stimuli
C)Output and behavioral responses
D)Focal and contextual
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Chapter 5: The Process of Educating Nurses
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Q1) How can the concept of a career ladder in education best be described?
A)Specialized programs for associate degree or diploma registered nurses (RNs) to attain a baccalaureate degree
B)The ability of staff nurses to be promoted based on their clinical skills
C)The relationship between one level of nursing education and the next level of education
D)After nurses pass the NCLEX examination, they are all considered professionals
Q2) Select all of the elements from the list below that are QSEN competencies.
A)Quality improvement
B)Outcome-based education
C)Teamwork and collaboration
D)Informatics
Q3) Identify an important function that a nurse serving as a case manager would be required to perform.
A)Overseeing client care during rehabilitation at home
B)Using provider-centered models to control health-care costs
C)Guiding the care provided by physicians over the course of an illness
D)Ensuring the high quality of care at all points of interaction with the health-care system
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Chapter 6: Critical Thinking
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Q1) 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
Q2) Place the following steps of the critical-thinking process in their proper order.
____ Gather pertinent data
____ Explore alternatives creatively
____ Make the decision
____ Challenge assumptions
____ Identify the problem
Q3) Identify the best sources of support for nurses' beliefs about health care.
A)Opinions and stereotypes
B)News programs and documentaries
C)Written reports and published surveys
D)Discussions and informal feedback from clients
Q4) A ________________is generally defined as an error in reasoning that leads to a conclusion that does not follow from its premises.
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Chapter 7: Ethics in Nursing
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Q1) As nurses achieve increased professional autonomy, what must they also accept?
A)Legal immunity
B)Decrease in workload
C)Ethical accountability
D)Ethical freedom
Q2) Identify the best method for a nurse to acknowledge a client's autonomy.
A)Follow only the instructions of the client's family.
B)Know and understand the state's laws that address living wills.
C)Use the ethical principle of "best interest" when making decisions about the client's care needs.
D)Incorporate the ethical principle of paternalism into all client care activities.
Q3) Identify the system of ethical decision-making that has as its focus a concern for efficiency and utility.
A)Deontological
B)Jurisdictional
C)Teleological
D)Theological
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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Sample Questions
Q1) Identify the two most important ethical issues surrounding organ transplantation.
A)Beneficence and nonmaleficence
B)Self-determination and distributive justice
C)Veracity and informed consent
D)Fidelity and option rights
Q2) An unresponsive 94-year-old woman who has recently had a leg amputated for terminal cancer develops renal failure. She has no living relatives. Although hemodialysis will prolong her life for several weeks to several months, her health-care team is having difficulty deciding if it should be initiated. What is the key ethical issue involved in this dilemma?
A)Distributive justice
B)Veracity
C)Fidelity
D)Nonmaleficence
Q3) 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
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Chapter 9: Nursing Law and Liability
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Sample Questions
Q1) 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.
Q2) The newborn nursery is desperately short of staff. A nurse agrees to work an extra shift. During the 14th hour on duty, the nurse makes a medication error. Because the nurse was filling a "desperate" staffing need and therefore was fatigued, what is the legal responsibility of the nurse?
A)The hospital accepts full responsibility for the negligent act.
B)The nurse is held to the same standard of care as any nurse with her education and experience.
C)No legal action can be brought against the nurse because it was an issue of extreme need.
D)The nurse's legal responsibilities are met if an incident report is filed.
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Chapter 10: How to Take and Pass Tests
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Sample Questions
Q1) Select the statement by the nurse that is most accurate when instructing a client with a newly formed permanent colostomy on how to use the irrigation set to prevent constipation.
A)Make sure the irrigation bag is above the level of your head for best results.
B)Insert the lubricated catheter 2 to 4 inches into the stoma.
C)Dilate the stoma prior to beginning the procedure by using one finger.
D)Use cold water to best stimulate colon peristalsis.
Q2) Select the statement by a unit manager to the vice president for nursing during a budget meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse to nine clients to one nurse to seven clients.
A)"This proposed change will have a positive effect on the usage of institutional resources."
B)"This proposed change will better meet current national standards of practice."
C)"This proposed change will help with the recruitment of new nurses to the facility."
D)"This proposed change will improve the quality of care for the clients on the unit."
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Chapter 11: Nclex: What You Need to Know
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Sample Questions
Q1) Choose the nursing intervention that is most appropriate in providing care to a 28-year-old mother of two children who is in the terminal stages of ovarian cancer but is still able to communicate.
A)Instruct her in the benefits and risks of new experimental cancer treatments.
B)Give her as much opportunity as possible for control over her care.
C)Allow her to verbalize her regrets and shortcomings of her life.
D)Limit the number of visits by her children to two per day.
Q2) A client with colon cancer has surgery with a colostomy. Which assessments indicate to the nurse that the client is developing postoperative complications? (Select all that apply.)
A) Urine output > 30 mL/hr
B) Dusky appearance of the stoma
C) Stoma protrusion from the skin
D) Small amount of blood-tinged liquid stool in colostomy bag
E) Edema of the stoma during the first 24 hours post-operation
F) Sharp abdominal pain
Q3) A client is to receive a heparin drip at 800 units per hour. The medication is mixed heparin 20,000 units in 500 mL of D5W. At what rate should the nurse set the volumetric pump?
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Chapter 12: Reality Shock in the Workplace
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Q1) 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?
Q2) When evaluating the applications of several new nursing graduates, which career characteristics would a nurse manager consider most positive and least likely to cause burnout?
A)Demand for high-quality performance and unclear expectations
B)Unrealistic expectations and little control over work situations
C)High degree of responsibility and appreciation of work being done
D)Inadequate financial rewards and high stress levels
Q3) Identify the most common emotion experienced by nurses who are developing burnout.
A)Eagerness
B)Powerlessness
C)Compassion
D)Sympathy
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Chapter 13: Principles of Leadership and Management
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Sample Questions
Q1) Identify a typical response for a manager who uses the laissez-faire approach to leadership when faced with a difficult decision.
A)Consult with the coworkers on the best way to resolve the problem.
B)Make the tough decision by himself or herself and accept the responsibility.
C)Appeal to a higher authority to make the decision.
D)Postpone making the decision in the hopes that it will resolve itself.
Q2) A nurse terminates employment without giving the facility the required 2-week notice. One month later, the nurse manager receives a call from the personnel director at a different hospital requesting a reference for this nurse. How can the nurse manager best respond to this request?
A)"The nurse was irresponsible and did not give a 2-week notice."
B)"The nurse worked here for several months before leaving abruptly."
C)"You will be lucky to hire a nurse of his or her caliber."
D)"The nurse worked here from November 1, 1993 to April 9, 2002."
Q3) Based on a task-oriented philosophy, ____________________ requires each person to perform a specific job that is narrowly defined according to the needs of the unit.
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Chapter 14: Communicating Successfully
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Sample Questions
Q1) Identify an important communication difference between men and women.
A)Men have a larger and better-developed vocabulary at an earlier age than women.
B)Women prefer the face-to-face communication style.
C)Men prefer close proximity when communicating important information.
D)Women tend to be more physical when communicating.
Q2) During a discussion between the nurse manager and a staff RN about the RN's recent erratic performance on the unit, the RN states: "After my husband announced that he was leaving me, I thought I was dying." Identify the best response by the nurse manager.
A)"Tell me how you were feeling."
B)"That was a pretty unrealistic way to feel.There are a lot of fish in the sea."
C)"Your personal life should not affect the way you perform your job."
D)"You didn't die, did you? You seem okay now."
Q3) What role does anger play in communication?
A)It is always negative and destructive.
B)It can be used positively to produce change.
C)It should be held in as a controlled rage.
D)It needs to be expressed immediately.
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Chapter 15: Incivility: the Antithesis of Caring
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Sample Questions
Q1) Which element increases the likelihood of incivility?
A)Using a problem-solving approach
B)Using assertive communication
C)Internalizing workplace issues
D)Increased levels of stress
Q2) 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.
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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Sample Questions
Q1) Which assignment is most appropriate for a CNA floated to the medical/surgical unit from the outpatient clinic?
A)Assist a 72-year-old man 1 day post-cerebrovascular accident (CVA) with dysphagia to eat lunch.
B)Obtain a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion.
C)Complete the admission vital signs and assessment on a 44-year-old woman who just returned from the post-anesthesia care unit (PACU) after nephrectomy.
D)Change the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries
Q2) What is the first step in the delegation process?
A)Obtaining permission from the client for another care provider to help with the care
B)Instructing the person to whom the task is delegated about the assignment
C)Determining the skill level of the person to whom the task is to be delegated
D)Allowing the person to observe the RN performing the task before making the assignment
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Chapter 17: Governance and Collective Bargaining
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Q1) Identify a goal of collective bargaining that is often overlooked by management but is important to nursing.
A)Improved staffing and higher quality personnel
B)Better salaries and more benefits
C)Maintaining and promoting professional practice
D)Overtime pay and personal holidays
Q2) 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.
Q3) Identify the key element in the fee-for-service model of governance.
A)Clients are billed separately for nursing services.
B)All clients are billed the same amount for nursing services.
C)Nursing care is included in the overall room bill sent to the client.
D)A functional nursing model is required to implement fee for service.
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Chapter 18: Health-Care Delivery Systems
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Q1) Which methods are used by health maintenance organizations (HMOs) to reduce the cost of health-care delivery?
A)Increasing the number of diagnostic studies to detect diseases early
B)Encouraging clients to remain in the hospital longer so that they can recover completely and not be readmitted
C)Referring more clients to specialists so that complex health-care problems can be treated better
D)Providing more health-promotion and illness-prevention services
Q2) 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.
Q3) Identify where diagnosis-related groups (DRGs) are primarily used.
A)Private insurance companies
B)Prospective payment systems
C)Retrospective payment systems
D)Current reimbursement systems
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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) 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
Q3) What advantage does the electronic health record (EHR) system have over traditional paper systems?
A)More portable
B)Unbreakable
C)Fewer privacy issues
D)Reduces redundancy
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Chapter 20: The Politically Active Nurse
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Q1) What is the document that provides nurses with the right to practice and specifies the parameters of professional practice?
A)Nurse Practice Act
B)Scope of Practice
C)Legislative Law
D)State Board of Nursing
Q2) What comprises the branches found in the government at the federal level?
A)Legislative and executive
B)Executive, judicial, and the president
C)Congressional, legislative, and judicial
D)Legislative, executive, and judicial
Q3) Which statement best describes decisions that are made by the State Board of Nursing?
A)Influence all aspects of the health-care system
B)Have the same force as law
C)Considered recommendations that may or may not be followed
D)Must be approved by a majority of nurses in the state
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Chapter 21: Spirituality and Health Care
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Q1) What is the least effective measure for nurses to use to maintain an internal state of balance and prevent burnout?
A)Use multitasking at work
B)Take time to feed their spirits
C)Use periodic retreats
D)Play basketball
Q2) 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?
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) 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) A client from an Asian background responds to the nurse's discharge instructions by nodding and smiling. How should the nurse interpret this response?
A)The client understands the information and will be very compliant when discharged.
B)The client really does not understand the instructions and has no intention of following them at home.
C)It is a way of showing respect for the nurse's authority and avoiding confrontation.
D)All friendly and happy Asian clients express themselves this way.
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
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Chapter 23: Developments in Current Nursing Practice
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Q1) 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.
Q2) Which ethical dilemma is a sexual assault nurse examiner (SANE) nurse most likely to encounter when working with rape victims?
A)The client's right to beneficence and self-determination versus the nurse's obligation to protect the public
B)The nurse's obligation to veracity versus the client's right to privacy
C)Society's right to public disclosure versus the perpetrator's right to privacy
D)The perpetrator's right to a fair trial versus the victim's right to justice
Q3) 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
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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) Which statement by the nurse would best indicate the nurse's use of the shared power concept in client teaching?
A)If you do the procedure just as I showed you, you will not have any infections.
B)The physician wants you to take this medication at the same time every day.
C)Once you get home, you can do whatever you want.
D)Tell me what your greatest concern is about being discharged.
Q3) 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
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Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) Identify the best and most inclusive definition of nursing research.
A)A rigorous method of scientific inquiry
B)A study that will be implemented after a review by the Institutional Review Board of the hospital
C)Scientific knowledge generated through an exhaustive review of the literature
D)A systematic process to test or discover information with the goal of improving client care
Q2) It is important to the future of nursing research that clinical practice areas find ways to support scientific inquiry. What has been identified as a significant barrier to the implementation of research findings in client care?
A)Skilled clinical nurses may not be skilled at accessing and understanding research findings.
B)Nurses may feel that available research does not provide the practical solutions they are searching for.
C)Published research is often written in a way that is difficult to understand.
D)Any or all of the above may constitute barriers.
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Chapter 26: Alternative and Complementary Healing Practices
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Q1) Select from the list below all methods that would make a health care be considered alternative.
A)Self-care
B)Wellness
C)Illness recovery
D)Self-healing
E)Health promotion
F)Illness prevention
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) With the goal of restoring the natural movement of vital forces, life essences, or other such vitalities, ________________bring balance back to factors disturbed by diseases or trauma.
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