Trends and Issues in Nursing Textbook Exam Questions - 610 Verified Questions

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Trends and Issues in Nursing

Textbook Exam Questions

Course Introduction

This course explores contemporary trends and emerging issues that shape the nursing profession in todays rapidly changing healthcare environment. Students will examine influences such as evolving healthcare technologies, evidence-based practice, health policy, ethical and legal considerations, and the impact of cultural diversity on patient care. Emphasis is placed on critical analysis of current topics, including workforce challenges, interdisciplinary collaboration, advocacy, and global health concerns. Through interactive discussions and case studies, learners develop skills to adapt to and lead change, ensuring the delivery of high-quality, patient-centered care in diverse settings.

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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Sample Questions

Q1) Clara Barton is known for:

A) becoming the first black public health nurse.

B) establishing the Henry Street Settlement.

C) founding the American Red Cross.

D) publicizing the inadequacies of hospital-based nursing schools.

Answer: C

Q2) Which group in early civilization__________ is credited with developing a pharmacopoeia to classify more than 700 drugs used in caring for the sick?

Answer: Egyptians

A pharmacopoeia that classified more than 700 drugs was written by the Egyptians to assist in the care and management of disease.

Q3) 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

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Chapter 2: The Contemporary Image of Professional Nursing

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Sample Questions

Q1) What effect did the movie One Flew Over the Cuckoo's Nest have on health care?

A) Funding for mental health care increased, allowing the point of care to change from the community to standardized institutional care.

B) The public and the nursing profession were made aware of the rights of vulnerable populations.

C) Nurses were seen as advocates for individuals who cannot advocate for themselves.

D) Funding for nursing traineeships was eliminated.

Answer: B

Q2) The demographics of the twenty-first century nursing population indicate that:

A) individuals entering nursing are second-degree students who average 45 years of age.

B) more white nurses enter and obtain graduate degrees than any other ethnic group.

C) the highest level of nursing education for most RNs is an associate degree.

D) the majority of nurses practice in hospitals.

Answer: D

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

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Sample Questions

Q1) A nursing student scores 95% on the written examination for the adult health course. To be successful in this course, this same student must then perform an indwelling catheter insertion and wound care in a simulated environment meeting core competencies. The student asks, "What are core competencies?" The nursing instructor replies, "Core competencies are:

A) a trend used in nursing education to reduce attrition in prelicensure students."

B) those skills necessary for safe, competent nursing practice."

C) educational opportunities that provide remediation when student is unable to perform psychomotor skills correctly."

D) critical thinking exercises aimed to improve reading and math skills."

Answer: B

Q2) According to Lenburg, the use of practice-based assessments in nursing education is aimed toward the target of __________.

Answer: competence

The target that students need to meet to practice safely in today's complex health environment is achieving critical competencies and demonstrating of practice-based skills.

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Chapter 4: Nursing Licensure and Certification

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Sample Questions

Q1) Current trends in telecommunications and increased mobility of nurses have led to the approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states?

A) National League for Nursing (NLN)

B) National Council of State Boards of Nursing (NCSBN)

C) American Association of Colleges of Nursing (AACN)

D) Commission on Collegiate Nursing Education (CCNE)

Q2) The first field of nursing to certify advanced practitioners was the field of:

A) adult nurse practitioners.

B) nurse-midwifery.

C) clinical nurse specialist.

D) nurse anesthesia.

Q3) Nurse practice acts:

A) are written and passed by legislators.

B) cannot be influenced by special interest groups.

C) reflect only the concerns of RNs.

D) are affected by the practice of dentists.

Q4) 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) Which type of theory most often guides present nursing practice?

A) Grand theory

B) Middle range theory

C) Developmental theory

D) Values theory

Q3) A nurse researcher determines whether findings are substantial by calculating the level of significance. Which aspect of the scientific inquiry is being conducted?

A) Hypothesis

B) Method

C) Data collection

D) Evaluation

Q4) The basic ingredients of theory are ____________.

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Chapter 6: Nursing Research and Evidence-Based Practice

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Sample Questions

Q1) A nurse studied a community to determine if there were clients who would benefit from a hospice program if one were developed. This type of research is:

A) a survey.

B) quasi-experimental.

C) a needs assessment method.

D) a pilot study.

Q2) Nurses on a busy medical schedule want to reduce documentation time and improve order entry. Additionally, patient records from previous visits are often incomplete or do not include care from other providers. To improve patient care, a taskforce suggests using an Electronic Medical Record for 1 month to determine whether this provides the desired outcomes. This unit is participating in which type of study?

A) Ethnography

B) Pilot

C) Secondary data analysis

D) Phenomenology

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

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

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Sample Questions

Q1) Medicare would be responsible for: (select all that apply)

A) a hospital stay following a total knee replacement for a 70-year-old client.

B) nursing home cost for a 67-year-old adult receiving hemodialysis.

C) rehabilitation care costs for a 24-year-old client with a broken femur resulting from a fall at work.

D) prescription cost for a young mother who meets eligibility for Aid to Families with Dependent Children (AFDC).

E) home health services to administer heparin to a 27-year-old truck driver following a thrombus.

Q2) A patient is upset because her health insurance plan refused to pay for a mammogram and services by a women's health specialist because the primary care physician did not order the referral or the mammogram. Which type of insurance plan adheres to this type of payment system?

A) Fee for Service

B) Health Maintenance Organization (HMO)

C) Preferred Provider Organization (PPO)

D) Point of Service (POS)

Q3) The largest single payer of hospital charges in the United States is ___________.

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Chapter 8: Legal Issues in Nursing and Health Care

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Sample Questions

Q1) A nurse is caring for a client with malignant hypertension whose blood pressure has increased by 40 mm Hg during the past hour. The nurse goes to lunch and fails to report the change to the physician. The nurse is at risk for being charged with:

A) negligence.

B) assault.

C) defamation of character.

D) tort.

Q2) A nurse who functions in the role of team leader can be held negligent for matters involving:

A) inadequate training.

B) lack of development of proper policies and procedures.

C) failure to discipline unsafe workers.

D) delegation of client care tasks.

Q3) When can a nurse detain a client by using restraints?

A) Staffing resources are insufficient to monitor a patient with hemiplegia.

B) The client is confused.

C) The family requests the restraints to prevent the client from leaving the facility.

D) There are current physician orders following a medical evaluation.

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

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Sample Questions

Q1) Three illegal immigrants with no health insurance or money sustained life-threatening injuries during an automobile accident. Two of these individuals had head trauma and lacerated internal organs. The decision was made to provide extended care in the trauma center after emergency surgery was performed to save their lives. The third individual received only minor injuries, which were treated in the emergency department. The care of the two critical clients was based on the ethical principle of:

A) utilitarianism.

B) deontology.

C) autonomy.

D) veracity.

Q2) The nurse who admits making a medication error and immediately files an incident report is demonstrating:

A) accountability.

B) individuality.

C) an injustice.

D) values clarification.

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Chapter 10: Cultural Competency and Social Issues in

Nursing and Health Care

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Sample Questions

Q1) An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:

A) cultural humility.

B) stereotyping.

C) cultural assimilation.

D) acculturation.

Q2) A nurse is caring for a recent Asian immigrant client and is overheard making the following comment, "These rituals you believe in are false. You live in America now and must believe in realistic health practices, like Americans do." The nurse is exhibiting:

A) stereotyping.

B) ethnocentrism.

C) cultural accommodation.

D) empathy.

Q3) On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____.

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Chapter 11: Complementary and Alternative Healing

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Sample Questions

Q1) A nurse investigates energy therapies and learns that which therapies would be included? (select all that apply)

A) Qi gong

B) Osteopathy

C) Imagery

D) Healing touch

E) Magnet therapy

Q2) A patient has fallen at home and complains that joints are very painful when trying to climb stairs. The patient desires to use an alternative complementary medicine rather than pain medication. The practitioner begins treatment with touch consisting of rocking, rhythmical motions to loosen tense, sore muscles and joints. The patient is receiving which type of treatment?

A) Swedish massage

B) Rolfing

C) Trager approach

D) Reflexology

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Chapter 12: Palliative Care

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Sample Questions

Q1) As a patient's condition moves toward their impending death, which nursing intervention demonstrates how the focus of palliative care change?

A) The patient is encouraged to discuss their spiritual needs.

B) The patient is educated concerning the physical changes associated with the dying process.

C) The patient's advance care plan is formulated and implemented.

D) The patient's comfort needs are identified.

Q2) 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.

Q3) ________________ occurs when a physician predicts the course and outcome of a disease process.

Q4) What is the initial step when addressing an ethically challenging situation?

A) Identify all those who are involved in the situation.

B) Review the overall situation to identify the core issues.

C) Gather all the relevant facts about the situations.

D) Determine what the ethical dilemma is.

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Chapter 13: Workforce Advocacy for a Professional Nursing

Practice Environment

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Sample Questions

Q1) A nurse is interviewing for a job and recently read the American Nurses Association's (ANA) recommendation for questions to ask regarding before accepting employment. Which questions should the nurse ask?

A) Do you have flexible scheduling?

B) What are the expectations for advancement?

C) How long do staff nurses stay before resigning?

D) What is the mission of the parent organization?

E) Does the organization have a means for staff nurses to have an active role in decision making by participation and accountability for the outcomes of practice decisions?

Q2) One workplace issue-the nursing shortage-is caused by several complex issues, including:

A) movement of nurses into acute care settings.

B) the use of unlicensed assistive personnel to replace RNs.

C) a mass of Baby Boomers who have chosen nursing as a career.

D) an aging nursing workforce.

Q3) 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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Page 15

Chapter 14: Collective Bargaining and Unions in Todays Workplace

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Sample Questions

Q1) Nurses in a nonprofit hospital have expressed an interest in forming a union to secure fair wages and ensure client safety. To form a core support group of nurses, the union organizer can conduct meetings to gather initial information:

A) away from the worksite with a group of managers to learn both sides of the situation.

B) at the worksite with staff nurses who are respected leaders.

C) in homes or local businesses with staff nurses.

D) after photographing management meeting to discuss their strategies to decrease interest in unionization.

Q2) Physical therapists are represented by a union, nurses are represented by a separate union, and pharmacists have yet another union within a single agency. This type of union representation is known as:

A) occupational unionism.

B) industrial unionisms.

C) union shop.

D) power sharing.

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Chapter 15: Information Technology in the Clinical Setting

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Sample Questions

Q1) When paper-and-pencil medical records are compared with computer-based records:

A) paper-and-pencil records provide controls to determine who has viewed the health information.

B) information contained in a paper-and-pencil record has the capability of being more in-depth than that found in computer-based records.

C) patients have the right to know that the confidentiality of their records is strictly maintained, regardless of the type of medical record used.

D) patients must sign for each item of information released on the computer record.

Q2) A nurse interested in quality improvement tools performed a search for cause and effect diagrams using www.ishikawa.com. A page opened that provided images and templates for performing fishbone diagrams. Which type of search did the nurse conduct?

A) Quick and dirty

B) Advanced

C) Brute force

D) Link searching

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Chapter 16: Emergency Preparedness and Response for

Todays World

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Sample Questions

Q1) A nurse at a school notices that several students have "blisters" on their bodies. Further investigation reveals that a terrorist incident has occurred, causing smallpox. If the chemical, biologic, radiologic, nuclear, and explosive (CBRNE) agent categories are used, this incident would be classified as:

A) chemical.

B) biologic.

C) radiologic.

D) nuclear.

Q2) Nurses caring for the victims of a mass casualty incident:

A) determine the common terminology to be used by hospitals and participating agencies.

B) take charge of communicating with the news media.

C) determine whether there is a credible threat of a terrorist attack.

D) give priority for care to those with the greatest chance of survival rather than those most critically ill.

Q3) The term used during a pandemic disaster that refers to the attempt to contain germs by limiting socialization and personal interactions is ___________.

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Page 18

Chapter 17: Nursing Leadership and Management

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Sample Questions

Q1) An explosion just occurred at the local factory, and hundreds of employees have sustained varying degrees of injury. Which type of nursing leadership is most effective in this situation?

A) Autocratic

B) Democratic

C) Laissez-faire

D) Referent

Q2) Registered nurses who are entering the workforce will have expanded leadership responsibilities that include: (select all that apply)

A) serving on interdisciplinary care teams.

B) being competent to work in several areas independently when dictated by patient census.

C) attending a meeting to plan advanced training for unlicensed assistive personnel.

D) evaluating outcomes of care that are reported to a standing committee.

E) managing units with higher acuity, shorter length of stay, and more diverse patients and staff.

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Chapter 18: Budgeting Basics for Nurses

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Sample Questions

Q1) The financial plan required for the distribution of resources and expenses is a

Q2) A nurse manager has calculated that providing 75 hours of direct nursing care per day requires that 120 hours must actually be worked by nursing staff. The manager is involved in: (select all that apply)

A) developing the capital budget.

B) applying productivity metric.

C) monitoring the labor budget.

D) incremental budgeting processes.

E) addressing budget assumptions.

Q3) When the nurse manager conducts a qualitative analysis of budget variances, he or she is:

A) determining the percentage increase of supply usage from the last quarter to the current quarter.

B) identifying the overall increase in the dollar amount of salaries paid for overtime.

C) comparing productivity metrics across all nursing units in the facility.

D) reconciling with current conditions the underlying assumptions on which the budget was based.

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Chapter 19: Effective Communication and Conflict Resolution

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Sample Questions

Q1) The new director of nurses has instituted "walking rounds" on all nursing units, rather than the usual taped shift reports. A veteran nurse exclaims, "She doesn't know how we do things here!" The nurse is demonstrating:

A) appeal to emotion.

B) appeal to tradition.

C) red herring.

D) straw man.

Q2) A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly graduated RN with a bachelor's degree is hired. Before the RN arrives on the unit, the LPN is heard saying, "She'll try to tell everyone what to do because she makes more money. She'll sit at the desk and let us do all the work." This is an example of a(n): A) interpretation.

B) context.

C) precipitating event.

D) preconceived idea.

Q3) The healthiest form of communication is the ________ style.

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Chapter 20: Effective Delegation and Supervision

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Sample Questions

Q1) The RN instructs the LPN to "Give an enema to the patient in room 327 who is being discharged but is complaining of being constipated. Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of:

A) direction and communication.

B) task.

C) person.

D) circumstances.

Q2) An LPN/LVN has transferred to a nursing unit and arrives for the first day. The RN checks with the LPN/LVN often throughout the shift to provide support and determine if assistance is needed. The RN is providing which level of supervision?

A) There is no supervision, because at times the LPN/LVN is not with the RN.

B) Periodic inspection is being used. Because the LPN/LVN is licensed, the RN is relieved of the need to evaluate care.

C) Continual supervision is being provided until the RN determines competency.

D) Initial supervision is being provided because this is the LPN/LVN's first day on the unit.

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Chapter 21: Staffing and Nursing Care Delivery Models

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Sample Questions

Q1) A nurse manager is mentoring a novice nurse manager in determining staffing needs. The mentor explains, "We must determine the acuity level of the patient by:

A) assessing patient satisfaction with nursing care."

B) quantifying the amount and intensity of care required."

C) examining the skill mix and educational preparation of the staff."

D) determining the number of hospital days required by the patients."

Q2) The nurse who is responsible for following the patient from admission through discharge or resolution of illness while working with a broad range of health care providers is called a:

A) nurse manager.

B) case manager.

C) coordinator of patient-centered care delivery.

D) team leader in team nursing care delivery.

Q3) 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.

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Chapter 22: Quality Improvement and Patient Safety

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Sample Questions

Q1) The staff on a nursing unit notes that patient satisfaction varies from month to month. They plot the degree of patient satisfaction each month for 1 year to determine when the periods of greatest dissatisfaction are occurring. The staff uses which type of graph?

A) Time plot

B) Pareto chart

C) Flowchart

D) Cause-and-effect diagram

Q2) While taking a shower, a patient pushes the emergency light. When the nurse arrives, the patient complains of feeling dizzy and unsteady. The nurse turns to reach for the patient's walker and the patient falls, hitting the right side of the face resulting in loss of vision in the right eye. This scenario represents a _______ event.

Q3) Regardless of the term used to describe high-quality health care, the focus of quality is:

A) what the consumer needs and wants.

B) economical care.

C) having the greatest technologic advancement.

D) services equally distributed among populations.

Q4) Quality is defined by the ____________.

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Sample Questions

Q1) A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places. The secretary asks, "Are you a constituent?" What does the term constituent mean?

A) A member of a professional organization who supports the organization's political issue

B) A citizen who is registered and is eligible to vote for a representative

C) An elected official who proposes legislation to be considered as a potential law

D) A member of the House of Representatives who is seeking support for a particular bill

Q2) Political action committees (PACs) are established for the purpose of:

A) financially supporting candidates.

B) persuading policymakers to support certain policies.

C) lobbying legislators.

D) recommending health care policy.

Q3) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.

Q4) 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 novice nurse notices the medication nurse hurriedly gathering medications to be administered for the entire day, removing them from the packages, and placing them in a paper cup with the patient's name and room number on the cup. When one of the patients points at a pill and asks, "What is this?" and "What does this do?" the medication nurse is uncertain, because it has long since been removed from the packaging. The novice nurse speaks to the nurse manager about her observations and describes her concerns. The novice nurse has assumed the role of:

A) loner.

B) "rutter."

C) change agent.

D) "native."

Q2) Which nurse is more prone to burnout? The nurse who:

A) graduated last in the class.

B) is industrious and conscientious.

C) refuses to work an extra shift even though he or she needs the money.

D) volunteers to serve on only one committee and keeps in touch with schoolmates.

Q3) It is important for novice nurses to know that "self-esteem = self-confidence + self-______."

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Chapter 25: Managing Time: The Path to High

Self-Performance

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Sample Questions

Q1) To conduct a productive meeting, the nurse should:

A) provide each person all the time needed to discuss desired topics.

B) cover all emotional topics first.

C) create an agenda with specific times allotted for each agenda item.

D) wait for latecomers and ask for their excuse for being late.

Q2) A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. The nurse would include:

A) waiting for oncoming shift to start walking rounds.

B) failure to delegate tasks to the licensed practical nurse and unlicensed assistive personnel and instead, completing task herself.

C) talking with a patient's family member who is also a personal friend.

D) spending time thinking about the vacation to the beach.

E) using the Internet to read about a new drug that will be administered; then taking time to look for news about the profession, new legislation about the Patient Protection and Affordable Care Act, and new uniforms for the season.

Q3) The most important step in time management is ____________.

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Page 27

Chapter 26: Contemporary Nursing Roles and Career

Opportunities

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Sample Questions

Q1) A nurse is interested in practicing in a faith-based community; when researching the role of the parish nurse, the nurse finds that:

A) certification is available at a basic level after a qualifying examination is completed and a set number of practice hours have been worked, as defined by the state's nurse practice act.

B) this advanced practice role focuses on health promotion and disease prevention.

C) this role has no set standards or scope of practice but instead follows the doctrine of the denomination being served.

D) this role is recognized by the American Nurses Association (ANA) as a specialty with a defined set of practice guidelines.

Q2) The primary focus of the care provider role for the nurse involves:

A) using the nursing process to provide guidance to the patient in recovery.

B) encouraging consumer self-responsibility and emphasizing health promotion/maintenance.

C) focusing on increasing satisfaction among professional nurses.

D) advancing nursing practice through research.

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Chapter 27: Job Search: Finding Your Match

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Sample Questions

Q1) A nurse preparing a resume for the first position is anxious to demonstrate all achievements, which included completing a rigorous accelerated program and maintaining a high GPA while also serving in many community projects and leadership positions. The applicant finds it impossible to include all the accolades on one page and researches tips for professional cover letters and resumes and learns:

A) margins should be at least 0.5 inch on all four sides, making conciseness important.

B) paper should be bright colored to catch the attention of the recruiter.

C) legal size paper may be used when applicants have many accolades or extensive work history.

D) standardized cover letters present a professional image as opposed to those that stress the applicant's perspective too heavily.

E) include in the cover letter that after researching other position, this is the applicant's preference.

Q2) The key to a successful interview is being ____________.

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Chapter 28: The NCLEX-RN Examination

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21 Verified Questions

21 Flashcards

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

Sample Questions

Q1) On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of:

A) assessment.

B) planning.

C) analysis.

D) implementation.

Q2) In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?

A) Teaching/learning

B) Health promotion

C) Infection control

D) Pharmacology

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