nurs 2000
A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during what time period? a. The prehistoric period b. Early civilization in Egypt c. The European Renaissance d. The Middle Ages in Asia and Africa
A
A new trend in nursing education that is consistent with real-world practice is focused on what activity? a. Establishing appropriate outcomes b. Writing both cognitive and affective objectives c. Designing patient-centered clinical goals d. Deciding upon effective subjective appraisals
A
A nurse holds a license in one state but wishes to practice in a second state that is not participating in a nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not retake the licensure examination. The nurse has obtained licensure in the second state by what process? a. Licensure by endorsement b. Certification c. Statutory process known as being grandfathered d. Sunset legislation
A
A nurse is completing the degree requirements for an advanced practice role as a nurse practitioner and is concerned about certification requirements. Which statement concerning certification for advanced practice is true? a. All states require certification for all specialty roles that are identified as advanced practice. b. Nurse anesthetists and nurse-midwives are the only advanced practice role that require certification in the state nurse practice acts. c. Scope of practice remains unclear in state nurse practice acts due to the increasing number of new advanced practice roles. d. Certification is automatic when the nurse applies for an advanced practice license.
A
A nurse practicing in the early 1900s was awarded a permissive license. What action was required by this type of license? a. While licensure was voluntary; if you failed the examination, you could not use the title RN. b. To qualify for licensure, you were required to complete a maximum of 1 year of formalized nurse training. c. All candidates were required to take and pass an exam provided by the state board of nursing. d. The nurses were required to select either a written or an oral form of the licensure examination.
A
A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which statement represents an appropriately written outcome? a. Develop a teaching program to address physical activities that result in improved cardiac function. b. Discuss the clinical manifestations associated with Level 4 heart failure. c. List the most common pharmaceutical approaches to reduce preload in heart failure patients. d. Recognize the economic impact that recidivism has on the patient and health care facility.
A
Although the use of technology and the Internet provide nursing faculty and students with unlimited resources and current information, what undesirable outcome has become associated with this trend? a. Getting distracted and spending a disproportionate amount of time looking for relevant content b. Additional time must be made available to study and revise curricula because special skills are needed to access information via the Internet. c. Immediate results and outcomes are expected from students and faculty, thus enhancing time management. d. Skills that require problem solving and reflective abilities are underdeveloped.
A
An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of what characteristic of the nursing profession? a. Educational mobility b. Transitioning c. Creative scheduling d. Flexible progression
A
It has been said that "history repeats itself because no one was listening the first time." Which statement is true when comparing the nursing care provided in the Civil War (1861 to 1865) to that provided during the Crimean War? a. Epidemics such as smallpox and typhoid were the primary emphasis of nursing care in both wars. b. Soldiers were housed in substandard conditions, but due to Nightingale's push for sanitary conditions, in the Civil War soldiers were housed in aseptic conditions. c. Black nurses were widely accepted by society and the profession, receiving equal compensation during the Civil War due in large part to the efforts of Mary Seacole during the Crimean War. d. Both Nightingale (Crimean War) and Dix (Civil War) completed nursing training before accepting positions as nurses in the wars.
A
Occupational health nursing features beliefs similar to those of which early nursing pioneer? a. Lillian Wald b. Florence Nightingale c. Clara Barton d. Mary Seacole
A
The use of herbs, which has become a popular alternative to prescription drugs in today's health care milieu, had roots originating when? 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
A
What action is considered a nursing responsibility when participating in a nurse licensure compact? a. Complying with the nursing practice laws in the state where practicing at the time care is rendered b. Purchasing a license in each state or retaking the licensure examination c. Determining residency based on the state where educated as registered nurse d. Practicing only in states or territories that recognizes the NCLEX as the source of licensure
A
What entity establishes the "rules" for nursing practice? a. Individual state boards of nursing b. Employer, based on area of practice c. United States Department of Health and Human Services d. Local health officials
A
What should the nurse who is licensed in Georgia and moves to Oregon should do initially in preparation for seeking a nursing position as a pediatric nurse? a. Review Oregon's nurse practice act related to licensure for endorsement. b. Request application forms to be grandfathered in as a licensed registered nurse in Oregon. c. Request certification in Oregon rather than licensure, so as not to have to retake the NCLEX-RN®. d. Contact the American Nurses Credentialing Center to determine whether licensure in Georgia will transfer to Oregon.
A
What statement presents accurate information concerning nurse practice acts? a. They are written and passed by state legislators. b. They cannot be influenced by special interest groups. c. They reflect the primary concerns of professional nurses. d. They are affected by other interprofessional practices.
A
When focusing on addressing issues identified by the 2000 Institute of Medicine report, the nursing faculty will access information associated with which initiative? a. Quality and Safety in Nursing Education b. Competency Outcomes and Performance Model (COPA) c. The National Organization of Nurse Practitioner Faculties (NONPF) d. Academic Center for Evidence-Based Practice (ACE)
A
Which nurse best portrays nursing as a "knowledge worker"? a. Nurse in matched scrubs with lab coat, hair back, small stud earrings b. Nurse in mismatched scrubs, no lab coat, large hoop earrings c. Nurse in white uniform with apron with no jewelry/hair back d. Nurse with nose ring and eyebrow piercing with starched white uniform and cap
A
Which statement accurately describes the historical perspective of nursing practice? a. Nursing has existed to meet the needs of populations, individuals, and aggregates by providing care that is determined by the needs and beliefs of society in different historical contexts. b. As men began to become interested in nursing, it changed into a respected profession based on scientific fact rather than superstition. c. Nursing has historically accepted individuals from all social and ethnic backgrounds. d. The United States has led the way throughout history to advance nursing and health care by providing the first hospital and medical school.
A
With the crisis in health care and the nursing shortage, why is the image of nursing still important? a. Nursing care is often delivered during a time of uncertainty, and the image of nurses during this time can reinforce trust in the nurse-patient relationship. b. Physicians have a distinctive body of knowledge that identifies them as professionals, whereas nursing has yet to develop a unique body of knowledge on which to base practice. c. Nurses must present a unified image if they hope to ever establish nursing as a profession. d. The dynamic state of today's health care requires nurses to move from a caring image to one of technologic competence.
A
A nursing student is in the final term of an Associate Science of Nursing (ASN) program and is preparing for licensure. Prior to licensure the candidate must provide evidence that they have fulfilled what requirements? (Select all that apply.) a. Graduation from a nursing program b. Graduation from high school or high school equivalency c. Possess current malpractice insurance d. A plan to continue study to obtain a minimum of a BSN within 2 years e. Validation of skills competence provided by a certifying agency
A, B
A nurse is concerned that the policy of using povidone-iodine to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse is engaging in what activities? (Select all that apply.) a. Applying evidence-based practice to the clinical setting b. Using critical thinking to change procedures performed in the care of foot ulcers c. Is participating in research to provide cost-effective care (soap is less expensive than povidone-iodine) d. Is demonstrating clinical competence in health assessment and in application of theory to the clinical setting e. Is using information to problem-solve and ensure safe, competent care
A, B, D, E
A newly licensed nurse compares the challenges facing nursing today with those faced by nurses when her mentor graduated in 1990. The mentor states, "Prevention was the focus of nursing when I graduated. We stressed preventive health measures such as smoking cessation education to reduce preventable diseases and prevention to reduce the spread of infectious disease such as AIDS." The mentor asks, "What do you think the challenges will be for nurses graduating now?" (Select all that apply.) a. Coordinating care for a more diverse aging population who have complex health values b. Managing care provided by nurses who are technologically advanced and skilled at interprofessional collaboration c. Providing care to well-informed consumers who are younger with narrow health values d. Redesigning nursing care delivery models to streamline care based on fewer generational differences e. Focusing on care from a systems perspective
A, B, E
The Nurses of America's media campaign raised awareness of which aspects of nursing? (Select all that apply.) a. Nurses are expert clinicians. b. A higher nurse/patient ratio is needed. c. Nurses are invisible in the news media. d. Nurses are caring. e. Nurses are well paid.
A, C
What duties are assumed by a state's board of nursing? (Select all that apply.) a. Grants nursing licensure. b. Constructs the licensure examination. c. Assigns disciplinary action when the nurse acts in a manner that results in harm to a patient. d. Assures qualified members are appointed to the board. e. Conducts certification examinations for advanced practice nurses.
A, C, D
A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage. Which statements accurately portray professional nursing today and tomorrow? (Select all that apply.) a. More RNs attain a bachelor's degree than an associate degree or diploma. b. Because of pressure to shorten length of stay in hospitals, more RNs practice in outpatient settings and home health than in acute care settings. c. The most popular advanced practice specialty is nurse anesthesia. d. White nurses are more likely to enter graduate school than nurses from other ethnic groups. e. Nursing represents the largest health care professional group, followed by medical doctors.
A, E
What uniquely 21st century issue challenges today's professional nurse? (Select all that apply.) a. Caring for an aging population b. Increased patient acuity c. Access to health care services d. Expanding technology e. Increasing intercultural patient population
A,B, D, E
A group of registered nurses with associate nursing (and) degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in. Under the "grandfather clause," what action will be required of nurses with associate degrees? a. They will be required to complete a bridge program to earn a BSN and then be tested only on material that was not part of the ASN curriculum. b. They will continue to use the title "registered nurse" earned by their original success with the licensure process. c. They will have 10 years to obtain a BSN or the license will be revoked. d. They will use whatever title is established by their state's board of nursing for associate degree nurses.
B
A nurse executive is concerned that the hospital's mortality rate exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality, including work environment. If Aiken's recommendations are followed, which change would be most effective? a. Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts b. Employing bachelor's prepared nurses who participate in interprofessional rounds with attending physicians where their voices are heard c. Ensuring nurse managers and administrators have at minimum a master's degree d. Encouraging all unlicensed assistive personnel to attend educational programs to be certified
B
A nurse uses that health care concern as an example to best describe globalization of health care needs? a. The emergence of epidemic hepatitis A b. The pandemic of H1N1 "swine flu" c. Reemergence of polio d. An increase in chronic illnesses
B
A person interested in employment in the health care sector has less than 1 year to devote to education and wants to focus on functional aspects of patient care 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
B
A prospective nursing student who researches universities that offer a baccalaureate degree in nursing would want to ensure that the program is accredited by what agency? a. American Nurses Association b. Commission on Collegiate Nursing Education c. National Institutes of Health d. National Nursing Council
B
A student asks, "What are core competencies?" The nursing instructor demonstrates an understanding of core competencies when providing what response? a. "They are a part of a trend used in nursing education to reduce attrition in prelicensure students." b. "They are the skills necessary to provide for safe, competent nursing practice." c. "They are remediation for students is unable to perform psychomotor skills correctly." d. "They are critical thinking exercises aimed to improve reading and math skills."
B
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.
B
Nursing legislation is to be current and reviewed annually by specific dates. If a nurse practice act fails to be reviewed, it is automatically rescinded under which law? a. Nurse review act b. Sunset legislation c. Mandatory revocation d. Grandfathering
B
On which website would a nurse find a list of current compact states that allow for a single license recognized in multiple 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)
B
Students are assigned to write to their state leaders about an issue affecting their community. One student writes about the need among rural community for greater access to acute care services. Which piece of legislation should the student use as a reference? a. Social Security Act b. Hill-Burton Act c. Sheppard-Towner Act d. U.S. Civil Service Act
B
The number of reported medical errors demonstrates a need for what priority intervention? a. Simulation experiences b. Performance competency exercises c. Comprehensive instructor-constructed examinations d. Detailed care planning exercises
B
What demographic change has the greatest impact on the practice of nurses, nursing students, and faculty? a. The increasing percentage of adults aged 50-55 years b. Increasing numbers of obese children and adults c. Changes responsible for families becoming more nuclear d. Social programs that are essentially eliminating poverty
B
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.
B
What is the best way for the individual nurse to maintain the most effective professional image? a. Change out of their work attire before running errands b. Renew membership in a nursing organization c. Earning an advanced nursing degree d. Developing effective nurse-physician relationships
B
What statement accurately describes Charles Dickens' character Sairy Gamp? a. The character was portrayed as a trained professional individual who put others before self. b. The character chose nursing because there were few other avenues for employment. c. The character was a prostitute who cared for the sick old men in the community. d. The character showed nurses to be at the forefront of the technology of that time.
B
What statement accurately describes what it means to practice in a compact state? a. The nurse must abide solely by the practice act of the largest state. b. Patients' rights in relation to the nurse practice act are protected by the mutual recognition model. c. The nurse must pay for a license in all states that participate in the mutual recognition model. d. The nurse must refer to the nurse practice act for the list of skills that can be performed.
B
What was the first university to establish a department of nursing to offer nursing graduates a baccalaureate degree? a. Columbia Teachers College b. Yale University c. Harvard University d. The New York Regents Program
B
What was the stated goal of the Affordable Care Act of 2011? a. Requiring that by 2020 all newly licensed nurses have a bachelor's degree at minimum b. Provide health care benefits to millions who were previously uninsurable or unable to afford insurance c. Cap the amount that hospitals and physicians can charge for procedures d. Subsidizes private insurance companies, thereby reducing health care costs for the chronically ill
B
When preparing to complete a competency examination involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consist of what components? a. The steps that propose a risk of injury or death to a client b. The required criteria incorporated into the assessment for the desired outcome c. The fundamental strategies unique to complex dynamic care environments d. The objective data used to determine the likelihood that the client will recover
B
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.
B
What actions should a nurse who wishes to practice in another state take initially? (Select all that apply.) a. Prepare to retake the NCLEX-RN for that state. b. Determine whether the state is a compact state. c. Inquire about obtaining licensure by endorsement. d. Prepare to revoke the original licensure. e. Petition the state to be "Grandfathered" a state license.
B, C
Which actions would result in a greater number of nurses entering and staying in practice, given today's state of nursing? (Select all that apply.) a. Determine why few black women enter graduate school. b. Provide incentives for minorities and men to enter nursing. c. Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs. d. Survey nurses to determine why their job satisfaction is lower than that of other health care professions. e. Develop ad campaigns that target younger students.
B, C, E
According to current data what factors are most directly related to the nursing shortage? (Select all that apply.) a. Salaries of nurses are competitive with those of other professionals such as b. Only 19% of nurses are minorities. c. Overall, nurses are satisfied with their jobs but leave the profession because of fear of contracting fatal diseases. d. The employment opportunities for nurses continue to be strong. e. Staff nurses are returning to school to obtain certificates to teach nursing.
B, D
A nursing student asks, "I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." Which statement provides the answer provided by the National Survey of Registered Nurses? a. Registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing. b. Nursing faculty are aging or leaving academia due to increased work demands and generational difference from students. c. Practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year. d. Registered nurses were the least satisfied with their job of all health care providers.
C
A physician reports to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered. The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance? a. Inform the nurse, "You will be suspended for 3 days for going beyond your job description," and enforce the 3-day suspension because the physician did not write the order to "teach the patient about the new medication." b. Advise the physician that only nurses can teach patients about medications; the physician's role is to only prescribe. No action will be taken against the nurse. c. After investigating the situation, thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses. Share the physician's concern and administrator's response with the nurse so both parties are aware of the resolution of the concerns. d. Contact the patient's family and ask, "Do you prefer that all teaching related to medications be performed by the physician rather than the nurse" to determine what action to take.
C
A registered nurse is on break and checking e-mails. One e-mail contains a picture of a celebrity who is a patient in the hospital, and on the same floor, where the nurse works. Included with the photo is a message, "check out my Facebook," which contains additional photographs of the patient. The nurse immediately deletes the picture to prevent having to report the "friend" to supervisors. Based on the action of the nurse who received the message, which statement is correct? a. The nurse is not at risk for having his or her license suspended since removing the photos made them temporary and invisible to all others. b. Because the nurse did not send the message and immediately deleted the photo, there is no risk for discipline. c. Failing to report receiving the message demonstrates poor ethical and legal role-modeling as well as placing the nurse at risk for discipline. d. Because the patient is on the same floor as the one on which the nurse works, the information can be ethically and legally shared.
C
Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous, uncaring nurse, it also provided Americans with a promising glimpse of what true nursing characteristic? a. The skill and drive to assist doctors in caring for the wounded b. That women possess the desire to serve one's country that equals that of men c. The ability of nurses to cope with the dreadfulness of war by using humor d. The contributions of any nurse to the care of military personnel
C
Nursing in the 1990s was characterized by what health care focus? a. Men leaving nursing to enter the armed services b. Traditional 8-hour shifts to nurse burnout and compassion fatigue c. Identifying health promotion associated with preventable diseases d. Managing runaway health care costs
C
The NCLEX® examination is created and administered by which nursing body? a. American Association of Colleges of Nursing (AACN) b. American Nurses Association (ANA) c. National Council of State Boards of Nursing (NCSBN) d. National League for Nursing (NLN)
C
The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact what nursing organization? a. American Nurses Association (ANA) b. National League for Nursing (NLN) c. American Nurses Credentialing Center (ANCC) d. National Council of State Boards of Nursing (NCSBN)
C
What accomplishment is Clara Barton best 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
C
What historical event first led to the recognition of the contribution of blacks to nursing? a. Florence Nightingale's acceptance of black nurses into the first nursing school b. The contributions of black nurses at the Pennsylvania Hospital, the first hospital in America c. Mary Williams and Frances Rose are listed as nurses in the City of Baltimore Directory. d. The work done by wives of wealthy black nobles who carried food and medicine from house to house during the Middle Ages
C
What is the primary purpose of licensure for professional registered nurses? a. Preventing the misuse of the title nurse b. Demonstrating a specialized body of knowledge c. Protecting the public from physical and emotional harm d. Enhancing recognition for the nursing profession
C
What was an original purpose of the Social Security Act of 1935? a. Increase research that focused on minority groups b. Provide medical care for chemically impaired persons c. Ensure health care for older adults through a national insurance system d. Decrease the public's financial burden by limiting services offered by local health
C
What was the purpose of the Nurse Reinvestment Act of 2002? a. Provided disability insurance to RNs who contract a life-threatening illness while on duty b. Funded public service announcements that promote unlicensed caregivers as an alternative to professional nurses c. Focused on nurse retention and safety enhancement grants to address the current nursing shortage d. Provided pediatric nursing training grants
C
Which factor has steadily grown in its negative influence on nursing education and practice? a. The implementation of technology b. The narrowing scope of nursing practice c. Societal displays of incivility d. Distant learning programs
C
Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War? a. Florence Nightingale b. Margaret Hoolihan c. Clara Maas d. Sairy Gamp
C
Which nursing model is referred to as the "class without walls" since it is not limited by geographic location? a. Mobility b. Career ladder (2 + 2) c. External degree d. Second degree
C
World War I contributed to the advancement of health care by a. increasing the number of private care hospitals and decreasing the role of public health services. b. employing a large number of civilians to provide care to returning soldiers through the Red Cross. c. introducing specialists in nursing such as nurse anesthetists. d. increasing the number of community health nurses.
C
Which statements concerning licensure as a registered nurse are correct? (Select all that apply.) a. Nurses who graduate from different types of nursing education programs are granted different types of licenses, those with a baccalaureate degree having the most expanded role. b. A nursing license cannot be revoked, only suspended. c. Each nurse practice act describes requirements for initial licensure. d. It is illegal for states to ask about the mental or physical status of an applicant. e. Students who graduate in the top 10% of their class are exempt from taking the NCLEX-RN for licensure. f. Candidates for licensure must present proof of graduation as required by the state.
C, F
A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war? a. World War I b. World War II c. Spanish-American War d. Vietnam War
D
A client asks the nurse, "Can you explain the amendment to the Social Security Act called Title XVIII to me?" The nurse demonstrates an understanding of this legislation when providing what response? a. It led to many hospital closings, along with a decrease in acute care hospital-based nursing care. b. It provided medical insurance to those younger adults or children who were not eligible for private insurance because of catastrophic illnesses such as cancer. c. It provided preventive care for women, infants, and children. d. It ensured that individuals with end-stage renal disease had health care insurance.
D
A comparison of nursing in the 1980s to nursing in the 1990s reveals what factor that contributes to health care as we know it today? a. In the 1990s nursing experienced a significant reduction occurred in preventable diseases caused by unsafe/unhealthy lifestyles. b. Tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS epidemic emerged and was its focus during the 1990s. c. A decrease in ambulatory services in the 1980s prompted an increase in public health nurses in the 1990s. d. The demand for advanced practice nurses increased in the 1980s and the 1990s because of the economy and concern about the health of the nation.
D
A member of a nursing students study group comments, "We spend some time early in the class discussing key facts then most of the time working through case studies, then practicing on the simulator rather than caring for 'real' patients." This teaching-learning style represents what form of nursing education? a. Skill-based learning b. Objective Structured Clinical Examinations (OSCE) c. Peer-to-peer learning d. Practice-based competency
D
A new graduate from a master's entry program in nursing announces, "I just passed my clinical nurse leader certification examination." Certification as a clinical nurse leader provides acknowledgement of what nursing achievement? a. Earning the equivalence of a master's level nursing degree b. Attaining entry-level knowledge and skills c. The right to engage in an independent primary nursing practice d. Demonstrating advanced nursing skills and knowledge
D
A nurse is part of the policy committee for a hospital. The committee is provided with statistics indicating that patients participating in a satisfaction survey felt they lacked sufficient information about new drugs started while hospitalized and continued after discharge. In addition, charts noted high recidivism rates. The committee recommended that a formalized patient education plan be instituted to reconcile all medications and provide patient information about new medications. The committee is using which component of the Institute of Medicine (IOM) 2011 message? a. Nurses should achieve higher levels of education to be effective members of an interdisciplinary team. b. Nurses should have a minimum of a master's degree to sit on policy committees that affect an entire facility. c. Pay for nurses should be consistent with that of physicians since the committee is interdisciplinary. d. Policy is based on data, which provides the groundwork for decision making.
D
How can nurses best combat the nursing shortage? a. Joining unions, which influence employers to provide incentives such as pay raises and free child care, thus encouraging the large percentage of nonworking nurses to return to the workforce b. Demanding that the requirements of the qualifying examination for foreign nurses should be reduced, so they are eligible to sit for the licensure examination c. Working more hours with a higher nurse/patient ratio d. Advocating for funds to pay for nursing education and a safer work environment
D
The practice of public health nursing and the Henry Street Settlement are credited to a. Mary Breckenridge. b. Mary Seacole. c. Clara Barton. d. Lillian Wald.
D
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
D
To request licensure to practice in France, a nurse licensed in the United States must engage in what initial step? a. Contacting the Graduates of Foreign Nursing Schools to complete a special examination b. Realizing that licensure in the United States is recognized as sufficient for practice in most countries c. Passing a language proficiency examination for the primary language of that part country is required prior to licensure. d. Contacting the International Council of Nurses (ICN) or the nursing regulatory board of that country
D
What does the Spirit of Nursing statue honor? a. Florence Nightingale's accomplishments in public health b. Edith Cavell's attempt to help the victims of the Tuskegee experiment c. Clara Maas, who found the cure for yellow fever during WWII d. All military nurses for their service, bravery, and compassion
D
What does the demographics of the 21st century nursing population indicate? a. A typical nursing student is a second-degree student 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. 61% of nurses practice in hospitals.
D
What term is used to identify that a student nurse's competency is determined based on actual client care rather than traditional testing methods? a. Core practice competencies b. Continuing competence c. Distance learning d. Performance-based assessment
D
What was the first field of nursing to certify advanced practitioners? a. Adult nurse practitioners b. Nurse-midwifery c. Clinical nurse specialist d. Nurse anesthesia
D
Which experience is best designed to support a nursing student's preparation for interprofessional team participation? a. Attending a seminar on interprofessional team cooperation b. Completing a preceptorship with an advanced practice nurse c. Carrying for three patients with varying medical diagnoses d. Presenting patient information at the daily care planning meeting
D
Which statement accurately describes the focus of the various types of nursing programs? a. Diploma programs focus on family and community, with an emphasis on health promotion. b. Most practicing RNs graduated from diploma programs because this was the first type of RN program. c. Baccalaureate programs focus on technical and hands-on nursing skills in diverse community settings. d. Master's programs such as that for the clinical nurse leader provide entry into practice with a focus on interdisciplinary and bedside nursing care for complex client populations.
D
Which trend is an effect of the nursing shortage on nursing education and ultimately a safety issue regarding client care? a. Only devoted qualified nurses are continuing to provide bedside nursing because of the complexity of care required, resulting in excellent client care. b. The number of applicants to nursing programs has risen, but enrollment is limited because of a decrease in the number of available scholarships and grants. c. With an increase in the number of nurses who are entering graduate school to escape bedside nursing, students will soon enjoy a lower faculty/student ratio. d. Students may be assigned to preceptors who have not yet developed expertise in the field of interest.
D
What historical events helped advanced the practice of surgical nursing? (Select all that apply.) a. The Ancient Egyptians were the first to use anesthesia in the operating room. b. The "Barbers" of the Middle Ages used sterile techniques to reduce wound infections. c. The Indian culture from 274 to 236 BC had hospitals staffed with female nurses who practiced much like today's nurses. d. During the Renaissance, advances in nursing education, including surgery, were nonexistent. e. Following World War II, nurses practiced in mobile army surgical hospitals, where medical and surgical techniques were further refined.
D, E
Which group in early civilization __________ is credited with developing a pharmacopeia to classify more than 700 drugs used in caring for the sick?
Egyptians
According to Lenburg, the use of practice-based assessments in nursing education is aimed toward achieving __________.
competence
The oldest, most traditional type of program that prepares a candidate for RN licensure is the hospital-based _________ program.
diploma
The primary purpose of licensure is protection of the
public