Trends in Nursing Practice Midterm Exam - 610 Verified Questions

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Trends in Nursing Practice

Midterm Exam

Course Introduction

This course explores contemporary issues and emerging trends shaping the nursing profession in diverse healthcare settings. It examines advancements in technology, evidence-based practice, interdisciplinary collaboration, and evolving roles of nurses in patient care and leadership. Students analyze regulatory and ethical challenges, population health, health policy, and cultural competence influencing care delivery. Emphasis is placed on critical thinking, professional development, and strategies for adapting to the ever-changing landscape of nursing practice.

Recommended Textbook

Contemporary Nursing Issues Trends and Management 7th Edition by Cherry

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28 Chapters

610 Verified Questions

610 Flashcards

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Chapter 1: The Evolution of Professional Nursing

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by the:

A) American Nurses Association.

B) Commission on Collegiate Nursing Education.

C) National Institutes of Health.

D) National Nursing Council.

Answer: B

Q2) The use of herbs has become a popular alternative to prescription drugs in today's health care milieu. During which other historical periods did health practices focus on the use of herbs?

A) Prehistoric times and the Middle Ages

B) Civil War period and World War I

C) Renaissance and Reformation periods and the Colonial American period

D) Crimean War and Civil War periods

Answer: A

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Chapter 2: The Contemporary Image of Professional Nursing

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Which item below correctly describes the U.S. Bureau of Labor Statistics predictions by 2020?

A) Positions that historically required registered nurses will be filled by unlicensed personnel.

B) The job growth rate for RNs will surpass job growth in all other occupations.

C) The need for hospital nurses will dramatically decrease.

D) Hospitals will finally achieve the required RN workforce.

Answer: B

Q2) In order to best improve patient outcomes on an acute care hospital unit, which intervention should the nursing staff advocate for?

A) Staffing only 8 hour shifts on the unit

B) Decreasing the number of patients cared for on any specific unit

C) Increasing salaries for experienced nurses

D) Increasing staffing on the evening shift

Answer: D

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Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A new trend in nursing education that is consistent with real-world practice is focused on:

A) outcomes.

B) objectives.

C) goals.

D) subjective appraisals.

Answer: A

Q2) A person interested in employment in the health care sector has less than 1 year to pursue his or her education and wants to focus on functional aspects of patient care. He/she desires to work in a long-term facility. Which type of nursing program should this person request information about?

A) Bachelor's degree in nursing (BSN)

B) Licensed practical nurse (LPN)

C) Associate degree in nursing

D) Master's degree in nursing

Answer: B

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Chapter 4: Nursing Licensure and Certification

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Nurses in Tennessee, Mississippi, and Arkansas gather for a conference related to improving quality and safety in practice and nursing education. They are awarded continuing education (CE) credit for participation and evaluation of the conference. One nurse from California states, "I need these CEs to renew my license." The nurse from Mississippi replies, "You do not need CEs for license renewal or advance practice certification renewal." Which statement about CEs would help these nurses?

A) All states require proof of continuing education for renewal of license with the number of hours varying.

B) The purpose of continuing education is to ensure competence of the workforce after graduation, but each state determines if CEs are required.

C) Continuing education is required if nurses work across state lines.

D) Initial licensure provides evidence of a minimum safety and competence, so it is illegal for states to require continuing education for renewal of license.

Q2) The primary purpose of licensure is protection of the ___________.

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Chapter 5: Theories of Nursing Practice

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Sample Questions

Q1) Which nursing theory might a nurse use as a conceptual framework to determine how to meet the needs of immigrants while ensuring provision of high-quality and culturally sensitive care?

A) Martha Rogers' nursing theory

B) Dorothea Orem's nursing theory

C) Hildegard Peplau's nursing theory

D) Madeleine Leininger's nursing theory

Q2) If a nurse applies Nightingale's theory to current practice, the nurse's first step will be to evaluate the hospital room's air quality and, second, to:

A) make certain that the volume of the television is not too loud.

B) consult the dietitian to check that essential nutrients are added to meet requirements noted on MyPyramid.

C) ask the client's family to bring family photographs and bright-colored throws for the bed.

D) arrange for the client to go outside, weather permitting, while keeping the room's window blinds open.

Q3) The basic ingredients of theory are ____________.

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Chapter 6: Nursing Research and Evidence-Based Practice

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A nurse interested in life satisfaction among patients receiving hemodialysis reviews databases and identifies relevant studies which are then statistically analyzed providing generalization through multiple studies. The nurse researcher is using which type of research?

A) Quasi-experimental

B) Secondary analysis

C) Meta-analysis

D) Survey

Q2) A researcher seeks funding from an agency that limits studies to quantitative research. The researcher can select from which of the following study designs? (select all that apply)

A) Survey

B) Grounded theory

C) Phenomenology

D) Needs assessment

E) Experimental

Q3) Development and validation of the body of knowledge and foundation on which practice is based is called ____________.

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8

Chapter 7: Paying for Health Care in America: Rising Costs and Challenges

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26 Verified Questions

26 Flashcards

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Sample Questions

Q1) An elderly person, age 80, is finding it difficult to live alone and the family is considering long-term care. The elderly person is reasonably healthy, with only normal aging declines, and maintains a healthy appetite. All medications are administered orally and require only minimal assistance. She is financially secure with an income based on retirement from both the military and factory from her deceased husband and herself. The family contacts long-term care and is told that, based on this patient's information:

A) Medicare will cover the cost of stay since skilled services are required.

B) Medicaid is only for families with dependent children.

C) Medicare will pay for home health services should these additional services meet the needs of the individual.

D) Medicare will pay regardless of household income or financial status for nursing home care.

Q2) Lack of insurance, uninsured populations, and uncompensated care are covered by charging more to those who can pay. This practice is referred to as:

A) charity.

B) cost shifting.

C) price sharing.

D) governmental reimbursement.

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Chapter 8: Legal Issues in Nursing and Health Care

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21 Verified Questions

21 Flashcards

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Sample Questions

Q1) All hospitals receiving Medicare and Medicaid funds must ask clients whether they have a living will or a durable power of attorney. This act is known as the:

A) Emergency Treatment and Active Labor Law.

B) Americans with Disabilities Act.

C) Uniform Health Care Decisions Act.

D) doctrine of res ipsa loquitur.

Q2) A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (select all that apply)

A) The client is crying and distraught when he learns of a diagnosis of cancer.

B) An intravenous antibiotic given preoperatively does not infuse because of a faulty pump.

C) The nurse is unable to carry out orders written by the specialist because of illegibility.

D) A client falls while in the shower, although she was told not to get up alone.

E) The registered nurse is not available to complete the preoperative checklist.

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Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care

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20 Verified Questions

20 Flashcards

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Sample Questions

Q1) A family requests that no additional heroic measures be instituted for their terminally ill mother who has advance directives in place. The nurse respects this decision in keeping with the principle of:

A) accountability. B) autonomy.

C) nonmaleficence. D) veracity.

Q2) A nurse who is infected with human immunodeficiency virus (HIV) while working in the operating room seeks revenge by deliberately placing clients at risk by not adhering to universal precautions. This nurse is violating the ethical principle of: A) veracity.

B) beneficence.

C) nonmaleficence. D) autonomy.

Q3) Practicing nurses participate in employer-sponsored professional development classes that provide case studies related to ethical situations and decision making. Ethical considerations are debated among teams, and an expert helps the class arrive at the "best practices." The nurses are experiencing ethics ______________.

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Chapter 10: Cultural Competency and Social Issues in

Nursing and Health Care

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24 Verified Questions

24 Flashcards

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Sample Questions

Q1) Which statement is true regarding health care for minorities?

A) Federal legislation that provides free health insurance for minorities has resulted in fewer minorities than members of the general population who lack health insurance.

B) Higher costs of health care coupled with lower wages for minorities have prevented most minorities from seeking health care.

C) Because many Mexican Americans are highly skilled workers with comparable wages, they have the lowest uninsured rate.

D) Asians, because of their quiet demeanor and unwillingness to challenge the health care system, have the highest rate of uninsured people.

Q2) A nurse performing a history and physical on a newly admitted Hispanic patient learns the patient has just used the services of a savador to:

A) determine which herbs would best reduce hot flashes in a menopausal woman.

B) communicate with a family member who recently died.

C) receive treatments to reduce lower back pain.

D) receive acupuncture to stop smoking.

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Chapter 11: Complementary and Alternative Healing

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25 Verified Questions

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Sample Questions

Q1) An older adult woman who stops using complementary alternative medicine (CAM) becomes disoriented and is given a diagnosis of dementia. The family is upset with the family physician and the CAM practitioner for not diagnosing the condition earlier. Which CAM may have interfered with early detection of the dementia?

A) Large doses of calcium caused cerebral plaques to form, thereby disguising atrophy of the brain.

B) Excess doses of folic acid masked a vitamin BS1U1B112S1U1B0 deficiency that led to dementia.

C) Hypnotherapy focused on current pleasant thoughts, eliminating clues to the past.

D) The electrical current from magnetic fields interfered with normal brain waves, resulting in confusion and inability to concentrate.

Q2) The nurse caring for a patient who practices Ayurveda would assess for:

A) an increased stool osmolality gap resulting from dehydration.

B) petechiae resulting from fine-needle punctures.

C) use of over-the-counter remedies intended for intended symptom.

D) magnets strategically placed on affected joints.

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Chapter 12: Palliative Care

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14 Verified Questions

14 Flashcards

Source URL: https://quizplus.com/quiz/1953

Sample Questions

Q1) Which statement correctly applies to a person's suffering?

A) Pain is the cause of suffering.

B) Suffering and pain are experienced separately.

C) Suffering can exist without the experience of pain.

D) Pain is the focus of all nursing assessments.

Q2) According to the Palliative Performance Scale which patient is considered to possess 70% of normal function?

A) 40 year old diagnosed with AIDS whose condition makes it impossible to hold a job.

B) 70 year old diagnosed with end stage renal failure who spends most of the day in bed.

C) 50 year old diagnosed with emphysema whose disease has begun to impact normal ambulate.

D) 30 year old diagnosed with muscular dystrophy who is bed bound.

Q3) The principle of autonomy is best supported by what intervention made available to palliative care patients?

A) Arranging for in-home health care

B) Addressing the patient's specific pain management needs

C) Helping the patient decide on the details of their advanced plan of care

D) Conducting a thorough performance status screening on the patient

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Chapter 13: Workforce Advocacy for a Professional Nursing

Practice Environment

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Which situation would be considered a workforce advocacy issue that is reportable to the state nurses association or the Center for American Nurses if it is not resolved at the local level?

A) Nurses prefer to wear navy blue scrubs, but the institution requires burgundy scrubs, which interferes with autonomy.

B) The cafeteria often serves fried vegetables rather than healthier baked vegetables, causing the potential for hyperlipidemia.

C) The hospital pharmacy does not fill employee prescriptions upon receiving them; instead, they fill employee prescriptions after all inpatient prescriptions have been filled. D) The key needed to change the sharps container is locked in the supervisor's office after 3 PM on weekdays and all day on weekends, which prevents changing of the container when needed and places nurses at risk for needlesticks.

Q2) Nurses who are expected to work overtime as dictated by their employer are being subjected to a ___________ hazard in the workplace.

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Chapter 14: Collective Bargaining and Unions in Todays Workplace

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) A group of nurses are assembling outside a hospital protesting the use of foreign nurses after several nurses were terminated due to what the hospital called recurring "decreased census." The nurses carry signs with messages asking potential patients to seek care elsewhere. The local newspaper picked up the story, and the hospital is receiving negative press. The nurses are participating in:

A) picketing.

B) collective bargaining.

C) a strike.

D) arbitration.

Q2) A group of RNs wish to seek union representation that would protect all workers in the agency including nonlicensed assistive personnel and non-nursing employees such as nutritionists and dietary workers. The type of union being sought is the strongest collective group and is known as a(n):

A) occupational union.

B) industrial union.

C) union shop.

D) right-to-work bargaining organization.

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Chapter 15: Information Technology in the Clinical Setting

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18 Verified Questions

18 Flashcards

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Sample Questions

Q1) Software programs that process data to produce or recommend valid choices are known as ______________.

Q2) An advanced practice nurse inputs into a computer software program the following clinical manifestations: open wound with tibia exposed, petechial hemorrhage, and temporary loss of consciousness. The computer diagnosis of fat emboli is generated by a system known as:

A) decision support.

B) telehealth.

C) robotic technology.

D) biometric technology.

Q3) The Institute of Medicine (IOM) (2003) recommends that EHR systems offer eight functionalities. A patient has a severe allergy to eggs and penicillin. Which of the eight functions of the EHR would address sharing this information?

A) Health information and data capture

B) Results/data management

C) Provider order entry management

D) Clinical decision support

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17

Chapter 16: Emergency Preparedness and Response for

Todays World

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23 Verified Questions

23 Flashcards

Source URL: https://quizplus.com/quiz/1957

Sample Questions

Q1) Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?

A) Strategic National Stockpile

B) Metropolitan Medical Response System (MMRS)

C) Commissioned Corps Readiness Force

D) National Disaster Medical System

Q2) The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:

A) contain the facts to within the administration group.

B) incite the public to quickly take cover and obtain emergency supplies.

C) provide understandable and straightforward facts about the event within the facility and possibly to the news media.

D) inform the public that no information can be released until it has been confirmed by state and federal agencies.

Q3) The emergency preparedness term that is used to describe the process of limiting the emergency situation within a well-defined area is ___________.

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Page 18

Chapter 17: Nursing Leadership and Management

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1958

Sample Questions

Q1) A manager just finished the last annual performance review of the staff, reviews the unexpected expenditures for the month due to use of agency nurses, and shares the latest quality indicators with the staff nurses. This manager is performing which management function?

A) Directing

B) Planning

C) Organizing

D) Controlling

Q2) An RN with excellent assessment and psychomotor skills would derive power on the basis of which source?

A) Rewards

B) Coercion

C) Expert

D) Legitimate

Q3) One difference between a leader and a manager is that a:

A) leader has legitimate authority.

B) manager motivates and inspires others.

C) manager focuses on coordinating resources.

D) leader focuses on accomplishing goals of the organization.

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Page 19

Chapter 18: Budgeting Basics for Nurses

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Sample Questions

Q1) A nurse manager is preparing a budget that does not base annual budgets on the revenue and expenditures of the prior year and has the advantage that outdated information is not integrated into the budget. The manager is using which budget method?

A) Zero-based

B) Incremental

C) Labor

D) Operational

Q2) The nurse manager meets with upper management to share strategic goals agreed upon by her staff for their individual nursing unit as the first step to begin budget negotiations. One strategic goal is that staff will have access to technology that will allow them to incorporate point-of-care devices for all RNs. The second goal is to improve RNs' ability to recognize critical indicators that a patient's health status is deteriorating through advanced health assessment skills. During the meeting the manager discusses the strategy options and selecting the one that works for the unit. Which type of budget development is used?

A) Iterative

B) Top-down

C) Participatory

D) Zero-based

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Page 20

Chapter 19: Effective Communication and Conflict Resolution

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24 Verified Questions

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Sample Questions

Q1) A teenage patient is using earphones to listen to hard rock music and is making gestures in rhythm to the music. The nurse assesses the amount of urine output in the Foley catheter and leaves the room. What communication technique is demonstrated in both of these situations?

A) Blocking

B) Filtration

C) Empathy

D) False assurance

Q2) A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?

A) Baby Boomers

B) Traditionalist

C) Generation X

D) Millenniums

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Chapter 20: Effective Delegation and Supervision

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23 Flashcards

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Sample Questions

Q1) A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of staff have been trained to assess vital signs. Given budget restrictions and proper delegation rules, to which care provider would the RN delegate the task of obtaining the initial blood pressure reading?

A) RN

B) LPN/LVN

C) Unlicensed assistive personnel (UAP)

D) Use the blood pressure obtained in the ambulance, because it was assessed via electronic monitoring.

Q2) Which statement related to delegation is correct?

A) The practice of unlicensed assistive personnel (UAP) is defined in the nurse practice act.

B) Nursing practice can be delegated only when the LPN/LVN and UAP have received adequate training.

C) Supervision is not required when routine tasks are delegated to a competent individual.

D) The RN must be knowledgeable about the laws and regulations that govern nursing practice, as well as those that have no clearly defined parameters, such as for UAP.

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22

Chapter 21: Staffing and Nursing Care Delivery Models

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22 Verified Questions

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Sample Questions

Q1) A patient is admitted for a hysterectomy, and the RN develops and implements the plan of care but also delegates to the LPN/LVN the responsibility of administering oral medications. While off duty, this RN receives a call requesting a change in the plan of care because the patient has developed deep vein thrombosis. The nurse who originally planned the care is practicing which type of nursing care delivery?

A) Modular

B) Primary

C) Team

D) Functional

Q2) Customer satisfaction is primarily based on:

A) access to modern, up-to-date facilities.

B) availability of an extensive menu selection.

C) personal interactions with employees.

D) having to undergo fewer invasive procedures.

Q3) Accrediting agencies such as The Joint Commission address staffing by:

A) imposing maximum staffing levels.

B) requiring a specific staff mix.

C) stipulating nurse-patient ratios.

D) looking for evidence that patients receive satisfactory care.

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Page 23

Chapter 22: Quality Improvement and Patient Safety

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28 Verified Questions

28 Flashcards

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Sample Questions

Q1) Patients with heart failure have extended lengths of stay and are often readmitted shortly after they have been discharged. To improve quality of care, a type of "road map" that included all elements of care for this disease and that standardized treatment by guiding daily care was implemented. This road map is referred to as a(n):

A) benchmark.

B) critical pathway.

C) algorithm.

D) case management.

Q2) Quality is defined by the ____________.

Q3) A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?

A) Safety

B) Timely

C) Equitable

D) Patient-centered care

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19 Verified Questions

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Sample Questions

Q1) It is important for nurses to know the functions of the branches of the federal government. At a local meeting of the state nurses' association, an officer reminds members that the branch that is capable of originating major policy initiatives is the _____ branch.

A) executive

B) legislative

C) judicial

D) administrative

Q2) Throughout the history of health care in our nation, one particular piece of federal legislation provided funds for hospital construction. As the number of hospitals rapidly increased, the need for nurses to staff hospitals also increased, and the shift from community-based nursing care to hospital-based nursing care began. This fundamental piece of legislation was the:

A) Sheppard-Towner Act.

B) Hill-Burton Act.

C) Veterans Bill.

D) Access to Health Care Bill.

Q3) Another name for an eligible voter is a _________.

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Chapter 24: Making the Transition from Student to Professional Nurse

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Sample Questions

Q1) A recruiter is explaining benefits to a group of nursing externs who are highly sought for employment. The recruiter states, "We are the only hospital in town that offers a residency program." The recruiter further explains that a residency program:

A) provides housing for the graduate nurse to decrease expenses until income is established.

B) partners a medical resident with a nurse resident to learn interprofessional care.

C) allows new graduates to work on a higher degree in nursing while being paid full-time.

D) offers extended time for both theory and clinical activities that promote problem solving and clinical decision making.

Q2) When the novice nurse asks, "What will happen if this task is not completed," which skill is being demonstrated?

A) Priority setting

B) Delegation

C) Organization

D) Clinical skills

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Chapter 25: Managing Time: The Path to High

Self-Performance

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1966

Sample Questions

Q1) A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactorily. The mentor suggests some tips for time management. These include: (select all that apply)

A) focusing on activities to be completed, rather than on objectives.

B) planning for tomorrow today.

C) making certain that the last hours are the most productive in tying up loose ends.

D) maintaining a log of how the nurse spends time (no need to worry about using complete sentences).

E) picking five major objectives for the day and not stopping until they are achieved.

Q2) After keeping a log of activities designed to improve time management, the nurse divides the distractions into internal and external sources. The nurse would classify which distraction as internal?

A) Responding to recurring crises at work or in one's personal life

B) Unsuccessful attempts to communicate with the unit manager

C) Talking with potential faculty candidates

D) Being given unclear job responsibilities

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27

Chapter 26: Contemporary Nursing Roles and Career

Opportunities

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/1967

Sample Questions

Q1) The forensic nurse would most likely be involved in:

A) performing an assessment of rape victim and collecting specimens needed for court.

B) assigning a patient with chest pain to be seen first, followed by a patient with an insect bite of unknown origin with red streaks but no respiratory distress.

C) assessing a patient at home by asking the patient to place a receiver over the pacemaker to evaluate capture of pacing stimuli and transmitting the results to another state where nurse located.

D) performing pediatric life support at the scene of an accident to stabilize then transport via helicopter to the nearest trauma center.

Q2) An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in _____ nursing.

A) triage

B) forensic

C) flight

D) entrepreneurial

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Chapter 27: Job Search: Finding Your Match

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/1968

Sample Questions

Q1) A valuable tool for determining whether a potential employer is suitable for your career goals is to:

A) call The Joint Commission (TJC) to ask whether the organization meets required standards.

B) assess the work climate by walking through the facility.

C) review financial statements of the institution.

D) ask what they can do for you rather than what you can do for them.

Q2) When the job applicant is asked to identify weaknesses, one appropriate reply for the novice nurse might be:

A) "I have no weaknesses."

B) "Are you trying to set me up?"

C) "Delegating to peers."

D) "Caring requires weakness."

Q3) The appropriate procedure for addressing a cover letter when the applicant is unsure of the name and title of the person to whom the letter should be addressed is to:

A) address the letter to "To Whom It May Concern."

B) address the letter to "Nurse Recruiter."

C) call the facility to inquire about the name and title of the person.

D) leave the salutation blank if the name and the title are unknown.

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Page 29

Chapter 28: The NCLEX-RN Examination

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Source URL: https://quizplus.com/quiz/1969

Sample Questions

Q1) Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they:

A) pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN).

B) provide evidence of mental competency.

C) supply written proof of physical fitness.

D) have signed an employment contract with a health care facility.

Q2) Which strategy would promote a high rate of success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination?

A) Since the examination is time limited, skip questions when unsure of the answer and return later if time permits.

B) Work quickly through the examination to answer as many questions as possible.

C) Mark questions that may need to have the answer reviewed to make it possible to quickly go back and make change after answering all questions.

D) Read the entire question and all possible answer options before selecting an answer.

To view all questions and flashcards with answers, click on the resource link above.

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