Intro to professional nursing final questions

Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education?a. Dorothea Dix b. Florence Nightingale c. Clara Barton d. Mary Ann Bickerdyke Florence Nightingale

Florence Nightingale

Collaboration in health care settings involves a.professionals respected for their unique knowledge and abilities. b.professionals educated in a collaborative model of education. c.recognition of individual professional accomplishments. d.a multitiered system hierarchy.

professionals respected for their unique knowledge and abilities

A contributing factor to health care disparities may be a.genetic factors. b.provider bias. c.standard treatment options. d.diagnostic differences.

provider bias.

A nursing student got a thank-you card from a patient's family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best? a. "Yes, as long as you ask the family if that would be OK." b. "I think that would be OK, but you should check hospital policy." c. "No, posting pictures of patients and families on social media sites is not acceptable." d. "No, that could lead to a malpractice suit by the patient or family."

"No, posting pictures of patients and families on social media sites is not acceptable."

Which of the following is a primary reason for the initial slow growth of bachelor's degree nursing programs in the United States? a. Belief that hands-on training received in hospital-based diploma programs was superior to the theoretical-focused content in bachelor's degree programs b. Belief that hospital-based diploma programs were more scientifically based c. Belief that students prepared in hospital-based diploma programs were more compassionate caregivers d. Belief that hospital-based education programs facilitated career mobility

Belief that hands-on training received in hospital-based diploma programs was superior to the theoretical-focused content in bachelor's degree programs

The document that provides professional standards and a framework for professional decision making that ensures decisions are made with the highest integrity is the a. Nurse Practice Act. b. Code of Ethics. c. Nursing's Social Policy Statement. d. bylaws of the American Nurses Association (ANA).

Code of Ethics.

What is the primary difference between acute illness and chronic illness?

In acute illness, symptoms begin suddenly, progress quickly, and subside quickly.

What body has been established to protect participants of research?

Institutional review board

Which patient rights are guaranteed by HIPAA? a. Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record. b. Patients sign a release protecting the health care provider and insurance company against computer file theft. c. Patients are protected against medical records being indiscriminately shared. d. Patients may receive a complete copy of their medical records at no cost.

Patients are protected against medical records being indiscriminately shared.

According to the nurse's Code of Ethics, the hallmark of nursing practice is a. autonomy. b. accountability. c. evidence-based practice. d. altruism.

accountability.

One important advantage of clinical ladder programs for hospital-based RNs is that they a. allow career advancement for nurses who choose to remain at the bedside. b. encourage nurses to move into management positions in which they can influence patient care on a broader scale. c. encourage RNs to become politically active and guide the profession of nursing. d. provide training to staff nurses so they can move seamlessly across departments. allow career advancement for nurses who choose to remain at the bedside.

allow career advancement for nurses who choose to remain at the bedside.

A patient with diabetes who refuses to change eating patterns may be in which stage of adjustment? a. Denial and disbelief b. Irritability and anger c. Attempting to gain control d. Acceptance and participation

a. Denial and disbelief

What were some of the application requirements of nursing education programs in the 1900s? a. Male, intelligent, strong b. Female, sensitive, subservient c. Female, docile, from poor background d. Male, high breeding, independent

Female, sensitive, subservient

Which of the following is an important step in preventing legal action against the nurse? a. Never make a mistake. b. Deflect blame from yourself as much as possible. c. Develop caring, therapeutic relationships with patients. d. Avoid explaining care procedures to patients.

Develop caring, therapeutic relationships with patients.

An intensive care unit (ICU) nurse notices that patients seem to have more normal vital signs when they are being visited by their family members, especially when the visitors seem to be more "caring." However, the hospital has strict visiting hours of 10 minutes every other hour. What would be the most appropriate research question to ask at this time?

Do ICU patients have vital signs in the normal range more frequently when they are being visited by family members?

Using simple, clear words to explain the details of a colonoscopy procedure shows sensitivity to which successful communication criterion? a.Appropriateness b.Efficiency c.Feedback d.Flexibility

Efficiency

How would a nurse's use of the technique of reflection help a person? a.Showing an awareness of the person's feelings b.Causing the person to answer more fully than yes or no c.Showing knowledge the person is not expected to know d.Encouraging the person to think through problems for himself or herself

Encouraging the person to think through problems for himself or herself

Which of the following are including in the basic beliefs set forth in the ANA's Nursing's Agenda for the Future? (Select all that apply.) a. Health care is a basic human right. b. Health policies should be based on outcomes research. c. Government should be the only health care insurer. d. Health care is a basic human right. e. All people should have access to an all-inclusive package of health care.

Health care is a basic human right. Health policies should be based on outcomes research. Health care is a basic human right.

What does the process of analysis of patient data directly result in?a.Validating actual problems or diagnoses b.Determining the nursing interventions of importance c.Identifying actual or potential problems amenable to nursing intervention d.Confirming the medical diagnosis

Identifying actual or potential problems amenable to nursing intervention

Which of the following is a legitimate defense to a charge of assault and battery? a. Presence of a medical order b. Knowledge of what is best for the patient c. Informed consent d. Living will

Informed consent

Which of the following is a characteristic of an accomplished critical thinker? a.Inquisitiveness b.Narrow focus c.Unaffected by other arguments d.Quick decision making

Inquisitiveness

A nurse is admitting a non-English speaking patient to the hospital unit. Which is the best method of obtaining data from the patient?a.Asking the other family members to help interpret b.Performing a physical examination on the patient c.Interviewing the patient using a professional interpreter d.Attempting to obtain past medical records for this patient

Interviewing the patient using a professional interpreter

Similarities exist between various ideas about what constitutes a profession. Which of the following is believed to be a characteristic of a profession? a. Members have autonomy. b. Members are trained on the job. c. Members are motivated primarily by financial reward. d. The group lacks a code of ethics.

Members have autonomy.

A nurse is caring for a new mother from Southeast Asia. The nurse is concerned that except for breastfeeding, the mother allows her mother-in-law to provide all other care for the baby. The plan of care and patient teaching for this mother should include a. assessing the postpartum practices in her country of origin. b. assuming that the mother-in-law will care for the baby well since she is experienced. c. completing the teaching outlined for new mothers. d. asking the mother-in-law not to care for the baby so that the mother learns the care.

assessing the postpartum practices in her country of origin.

Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of a. justice. b. autonomy. c. nonmaleficence. d. death with dignity.

autonomy.

How could changes in world population affect health? a. Decreasing populations in third world countries frees up limited resources for the remaining population's needs. b. Feeding, immunizing, and providing clean water will become an overwhelming task. c. Massive population increases in some areas will lead to abundant health care in countries with smaller populations. d. More health care resources can be utilized fighting regional problems based on shifting population dynamics.

b. Feeding, immunizing, and providing clean water will become an overwhelming task.

A patient diagnosed with breast cancer responded by gathering information about treatment options and becoming involved in a self-help group. The nurse assesses that the patient is demonstrating which personality characteristic? a. Independence b. Hardiness c. Self-control d. Tolerance

b. Hardiness

A broad, general view of nursing that clarifies values and answers broad disciplinary questions for nursing is known as a a. conceptual model. b. metaparadigm. c. philosophy. d. theory.

philosophy.

The American Nurses Association (ANA) serves as the a.clearinghouse of standards set by clinical specialty organizations. b.regulatory agency setting the guidelines for the scope of practice. c.source of dissemination of nursing research. d.professional organization for all nurses regardless of practice setting or level of practice.

professional organization for all nurses regardless of practice setting or level of practice.

A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents' medical insurance company calls the nurse's station and asks for the results of the tests. The nurse's best response to this request is to a. refuse to give the information. b. tell the representative the status of the tests is unknown. c. give the results as reported because the insurance company is paying for the tests. d. tell the representative that the test results will need to be obtained from the physician who ordered them.

refuse to give the information.

The process of professionalization of an occupation typically follows a pattern of developmental stages. One of the stages is collective identity. Which of the following is an example of collective identity? a. Legal right to practice profession to protect unique skills from outsiders b. Apprenticeship programs to develop skills c. A loose association of practitioners d. Definition of the profession's mission related to full-time work

Legal right to practice profession to protect unique skills from outsiders

The nursing process is an example of which of the following branches of philosophy? a. Aesthetics b. Ethics c. Epistemology d. Logic

Logic

Which of the following best describes the difference between an occupation and a profession? a. A profession requires a duty to serve. b. A profession is defined by members' average income. c. In a profession, action is based on intuition. d. In a profession, knowledge is handed down from generation to generation.

A profession requires a duty to serve.

All levels of nursing educational programs can be accredited by which organization?a. American Association of Colleges of Nursing (AACN) b. Commission on Collegiate Nursing Education (CCNE) c. Accreditation Commission for Education in Nursing (ACEN) d. National League for Nursing Councils of Education Programs (NLNCEP)

Accreditation Commission for Education in Nursing (ACEN)

The nursing profession has experienced barriers to professionalism. Which of the following is the primary current barrier to nursing's professionalism? a. Too many men in nursing b. Unquestioning obedience to doctors c. Limitations placed on practice by state legislators d. Variability of educational backgrounds of nurses

Variability of educational backgrounds of nurses

Who is credited with developing the theory on systems?

Von Bertalanffy

What are some recommendations for self-care for nurses in the workplace? (Select all that apply.) a. Wash hands consistently. b. Use sharps disposal containers. c. Use adequate help or mechanical devices for lifting d. Demand mental health screening for all visitors and patients e. Reduce the need for working double shifts.

Wash hands consistently. Use sharps disposal containers. Use adequate help or mechanical devices for lifting THIS QUESTION IS IN MUTIPLE CHOICE FORM AND THE ANSWER IS C (Use adequate help or mechanical devices for lifting)

Gilligan's theory on moral development differed from Kohlberg's theory because Gilligan considered which population not addressed by Kohlberg? a. Children b. Men c. Women d. Adolescents

Women

According to Cooper, what is one important measure nurses can take to reduce burnout? a. Being aware of stressors and acting on them b. Refusing to work in a nonproductive environment c. Reporting bullying when it is noticed in the workplace d. Keeping a diary of unhealthy behaviors one indulges in

a. Being aware of stressors and acting on them

One of the most important outcomes of the orientation phase of the nurse-patient relationship is the development of mutual a.communication. b.understanding. c.acceptance. d.trust.

trust

Historically, one solution that attempted to correct the shortage of RNs was to increase the supply of nurses. Means of increasing the supply of nurses included (Select all that apply.) a. implementation of team nursing. b. use of "traveling nurses." c. development of associate degree programs. d. importation of nurses from English-speaking countries. e. use of registered care technicians.

use of "traveling nurses." development of associate degree programs. importation of nurses from English-speaking countries.

A patient states, "The thing that scares me the most about surgery is the spinal anesthesia. I'm afraid it'll leave me paralyzed," and the nurse responds, "Everything will be fine. The anesthesiologists are very skilled in administering spinal anesthesia." The nurse's response is an example of a communication breakdown known as a.failing to see the uniqueness of the individual. b.failing to recognize levels of meaning. c.using value statements. d.using false assurance.

using false assurance. THIS QUESTION IS ON THE EXAM BUT DIFFERENT WORDING AND NOT THESE ANSWERS

The RN asked a nursing assistant to monitor several postoperative patients. Which of the following instructions to the nursing assistant demonstrate appropriate delegation? a. "Take vital signs every 2 hours, and report to me anything outside of the norms." b. "Assess pain using a 10-point scale, and record the score on the chart." c. "Record the urine output, and report to me if they have not voided within 4 hours." d. "Record the amount of drainage on the dressing on the bedside record."

"Record the urine output, and report to me if they have not voided within 4 hours."

Which of the following is most important in order for a new staff nurse to communicate therapeutically with patients? a.Focusing interactions on educating patients about their treatments b.Becoming aware of own feelings about illness and death c.Sharing information about the intimate details of one's own life d.Presenting himself or herself as a knowledgeable and experienced clinician

Becoming aware of own feelings about illness and death

Which of the following is true about bachelor's of science in nursing (BSN) education? a. Faculty must be BSN prepared. b. It is recommended by professional organizations as preparation for entry into practice. c. It requires 3 years to complete. d. Faculty are not given full faculty status in the university.

It is recommended by professional organizations as preparation for entry into practice.

The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles? a. Double effect b. Fidelity c. Justice d. Veracity

Justice

Preparation is a component that separates occupations from professions. Which of the following is the best way that a nurse demonstrates preparation for the profession? a. Improves nursing practice through the use of trial and error methods b. Focuses on the skills needed for the practice setting c. Articulates the values of caring and compassion in patient-centered care d. Utilizes textbooks from college to support practice 5 years after graduation

Articulates the values of caring and compassion in patient-centered care

A homeless man sleeps on a park bench and eats one meal a day at a shelter. Which is the lowest level of Maslow's basic needs he does not meet? a. Basic physiologic needs b. Safety needs c. Love and belonging needs d. Esteem needs

Basic physiologic needs

Which of the following is an effective method for the practicing nurse to achieve leadership skills? a.Becoming active in professional organizations b.Changing jobs frequently to improve skills c.Learning about collective bargaining d.Avoiding involvement in politics

Becoming active in professional organizations

An adult has difficulty initiating a conversation, and in working with others always agrees with them because "My opinion is not important." Which of Maslow's basic needs is not being met by this person? a. Basic physiologic needs b. Love and belonging needs c. Esteem needs d. Self-actualization

Esteem needs

Which research design should be used to determine whether there is a difference in the effectiveness of two preoperative preparation methods on length of stay?

Experimental design

Which of the following is an effective way to maintain safe professional boundaries? a.Never accepting small gifts from patients b.Finding ways to satisfy your needs through personal relationships outside of nursing c.Avoiding caring for patients who ask personal questions about you d.Sharing your personal stories so that patients will feel understood and trusting

Finding ways to satisfy your needs through personal relationships outside of nursing

Which of the following is an important advantage of distance learning? a. It allows access to adult learners who are geographically unable to participate in a traditional classroom setting. b. It allows students to set their own learning objectives. c. It allows a student to take courses without clinical components. d. It allows universities to offer more classes with fewer faculty.

It allows access to adult learners who are geographically unable to participate in a traditional classroom setting.

Why is accreditation of nursing education programs is important? (Select all that apply.) a. It assures students that their educational program is offering quality education. b. Acceptance into graduate programs in nursing depends on graduation from an accredited program. c. It serves as stimulus for programs to initiate periodic self-examination and self-improvement. d. It has established standards to allow graduates to take licensure examinations. e. Graduating from an accredited program ensures successful completion of the licensure exam.

It assures students that their educational program is offering quality education.Acceptance into graduate programs in nursing depends on graduation from an accredited program.It serves as stimulus for programs to initiate periodic self-examination and self-improvement.

Which recommendation made by the 1965 American Nurses Association (ANA) position paper and other position papers of national nursing organizations is still an issue today? a. Education for nursing should take place in hospital-based programs. b. Minimum preparation for professional nursing practice should be the BSN degree. c. Minimum preparation for technical nursing practice should be the licensed practical/vocation nurse (LPN/LVN) diploma. d. Education for nursing must be evidence-based.

Minimum preparation for professional nursing practice should be the BSN degree.

Which of the following best describes trends in nursing education? a. Numbers of RNs with bachelor's and higher degrees are increasing. b. Numbers of RNs with associate degrees are decreasing. c. Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation. d. Numbers of RNs with diploma educations are increasing.

Numbers of RNs with bachelor's and higher degrees are increasing

What was the most important influence of war on nursing? a. It allowed for the development of hospitals. b. Nurses were able to perform medical procedures during war. c. Improved medical care increased soldiers' survival rates. d. It provided for the creation of new technology to make work easier.

Nurses were able to perform medical procedures during war.

Which one of the following guiding principles helps explain nursing's holistic approach? a. Nursing care can be provided in a variety of settings. b. Nursing care persists even in the absence of scientific research. c. Nursing care considers mind, body, and spirit. d. Nursing provides care regardless of a patient's belief systems or culture.

Nursing care considers mind, body, and spirit.

Which of the following describes the primary difference between nursing diagnoses and medical diagnoses? a.Nursing diagnoses identify simple instead of complex problems. b.Nursing diagnoses must be verified by a physician. c.Nursing diagnoses, like medical diagnoses, identify medical diseases. d.Nursing diagnoses identify problems that can be treated with independent nursing actions.

Nursing diagnoses identify problems that can be treated with independent nursing actions.

What has been found about the outcomes of patients cared for in hospitals with a higher percentage of BSN-prepared nurses as compared to patients in hospitals with a lower percentage of BSN-prepared nurses? a. Patient outcomes are more dependent on nurse-patient ratios. b. Outcomes were better in hospitals with more BSN-prepared nurses. c. Outcomes were similar in both types of hospitals. d. Medical patients had better outcomes, but surgical patients fared the same.

Outcomes were better in hospitals with more BSN-prepared nurses.

Which of the following is a responsibility of many health care agencies' chief executive officers (CEOs)? a.Managing the budgets of each department in the agency b.Recruiting and hiring of staff c.Overall operation of the agency on a daily basis d.Establishing policies governing the operation for the agency

Overall operation of the agency on a daily basis

Which of the following represents an interdependent nursing action?a.Giving the patient an ordered medication b.Bathing the patient c.Inserting a Foley catheter d.Participating in a "code" (cardiac arrest response)

Participating in a "code" (cardiac arrest response)

Which of the following statements has all of the necessary criteria for a well-written outcome? a.Patient will consume 50% of meals with no nausea and vomiting by 24 hours postsurgery. b.Therapist will report improvement in patient's range of motion on a daily basis. c.Patient will ambulate in the halls a little today. d.Patient's condition will improve before discharge.

Patient will consume 50% of meals with no nausea and vomiting by 24 hours postsurgery.

According to Kohlberg's theory of moral development, adolescents who shoplift are operating in which level of moral development? a. Preconventional b. Conventional c. Postconventional d. Developmental

Preconventional

1. A "well-cultivated critical thinker" is an individual who does which of the following? (Select all that apply.) a.Raises questions b.Recognizes alternative ways to see problems c.Uses only logic to determine relevance of information d.Implements solutions to complex problems only as an individual e.Criticizes solutions and alternatives suggested by others

Raises questions Recognizes alternative ways to see problems

How can nurses contribute to a healthier environment? a. Supporting the purchase of polyvinyl chloride (PVC) products b. Teaching the benefits of using disposable diapers to new parents c. Recommending the purchase of nondisposable products when possible d. Leaving the computer on to reduce electrical use when rebooting

Recommending the purchase of nondisposable products when possible

Which of the following actions is acceptable as an exception to a nurse's obligation regarding confidentiality? a. Reporting certain diseases to public health authority b. Discussing a patient's care with someone who does not know the patient c. Leaving printouts of lab reports on the desk in the physicians' lounge as a convenience d. Discussing a patient's condition in a public place as long as the patient's name is not mentioned

Reporting certain diseases to public health authority

A nurse observes a new graduate nurse being harassed by co-workers when asking questions or requesting help. What action by the nurse is best? a. Do not intervene, because it will only invite more harassment. b. Ask the nursing manager to intervene on behalf of the new nurse. c. Respectfully confront the staff and explain that this behavior is not part of nursing. d. Teach the new nurse to stand up for himself or herself when harassed.

Respectfully confront the staff and explain that this behavior is not part of nursing.

A nursing student asks, "Why do I have to go to clinical in obstetrics when I know I'll never work with women and children?" In which stage of Cohen's model of professional socialization is this student? a. Stage I: Unilateral dependence b. Stage II: Negativity/independence c. Stage III: Dependence/mutuality d. Stage IV: Interdependence

Stage II: Negativity/independence

Black illustrates concepts of preventing burnout by using the example of a flight attendant instructing persons to "put your own oxygen mask on first." What does this statement mean? a. Oxygen is the most important element of life. b. Airway is always a priority in patient care. c. Taking care of yourself will enable you to be a better nurse. d. Ask others for help if you feel overwhelmed by your first position as a nurse.

Taking care of yourself will enable you to be a better nurse.

For a nursing malpractice action, essential characteristics of negligence must be present. Which of the following constitute these essential characteristics? (Select all that apply.) a. The nurse assumed the responsibility for the patient's care. b. The nurse is found to have failed to meet the standard of care. c. The harm to the patient must be shown to have been caused by the failure to meet the standard of care. d. Harm to an individual has occurred. e. The nurse's action involves acts of commission.

The nurse assumed the responsibility for the patient's care.The nurse is found to have failed to meet the standard of care.The harm to the patient must be shown to have been caused by the failure to meet the standard of care.Harm to an individual has occurred.

A nurse has applied for a job and during the interview was told that the health care facility is a "closed shop." What does that phrase mean to the nurse? a.The nurse must join a union to be employed there. b.The nurse can join the union if desired, but it is not required. c.This facility is closed to all union activities. d.The facility is negotiating with several unions for control of the employees.

The nurse must join a union to be employed there.

For data collection to be valid, what must occur?

The tool must measure what it is supposed to measure

Which of the following is true of open systems? a. They have very little interaction with the environment. b. Parts are independent of each other. c. Exchange of information is sporadic and intermittent. d. The whole is greater than the sum of all of its parts.

The whole is greater than the sum of all of its parts.

The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts? a. They determine the educational requirements for licensure. b. They describe the process for gaining membership to a professional organization. c. They regulate how many professional nursing organizations may be formed. d. They define the practice of medicine in relation to nursing.

They determine the educational requirements for licensure.

An English-speaking nurse gave a non-English-speaking Asian patient instructions about preparing an abdominal surgical site. The nurse showed the patient how the bottle of povidone-iodine was to be used in cleansing the area. The patient smiled and nodded throughout the instructions. The patient did not respond when asked if he had any questions. When the nurse left the room, the patient promptly drank the bottle of povidone-iodine. Which action would be most effective in preventing this error? a. Giving the patient written instructions in his language b. Using a medical interpreter to give the preoperative instructions c. Having the patient sign a statement that he understood the instructions d. Using illustrations to show the patient the procedure

b. Using a medical interpreter to give the preoperative instructions

The most critical aspect of nurses becoming personally "political" is a.financially supporting political action committees (PACs). b.being informed of social and political issues. c.communicating with legislators. d.running for office.

being informed of social and political issues.

A nursing manager has noticed increasing incidents of rudeness and lack of cooperation among co-workers. Which action by the manager is best? a. Holding a staff meeting and reminding the staff of policies regarding behavior b. Disciplining the "ringleaders" in order to make an example for the other staff c. Having informal meetings to solicit staff opinions on the workplace d. Announcing that raises will be withheld from staff members engaging in this behavior

c. Having informal meetings to solicit staff opinions on the workplace

A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to a. follow the standard of care. b. assess and monitor a patient. c. communicate with a patient. d. document.

communicate with a patient.

A specific organizational structure that makes clear connections between concepts is a a. conceptual model. b. metaparadigm. c. philosophy. d. theory.

conceptual model.

A patient states, "There is no hope. They're going to keep me here until I die. Can't you give me my medication more often? I'm going to die anyway." In which stage of illness is this patient? a. Disbelief and denial b. Irritability and anger c. Attempting to gain control d. Depression and grief

d. Depression and grief

A young girl from a Middle Eastern country is in the process of dying. Her parents ask the nurses to allow her to be prepared for death by being dressed in a specific garment and headdress every day. The parents cannot be there every day to do this and ask the nurses to apply the attire. Which actions by the nurses demonstrate culturally competent care? a. Allowing the parents to dress the patient in the garment and headdress when they are by her side b. Consulting the chaplain as to the meaning of the ritual in the Middle East c. Informing the parents that hospital policy requires all patients to wear hospital garments d. Learning how to apply the garment and headdress properly

d. Learning how to apply the garment and headdress properly

A patient was diagnosed with ovarian cancer 5 years ago. She underwent chemotherapy and radiotherapy, but cancer returned 2 years ago with metastases to the bone and possibly the lung. She says the cancer is "no longer curable, but treatable." During this time the patient's daughter was critically injured in a car accident and now lives with a traumatic brain injury, needing round-the-clock care. Her husband had an affair. She continues to work and volunteers with various community groups. Which phenomenon is the patient demonstrating? a. Resourcefulness b. Independence c. Acceptance d. Resilience

d. Resilience

A patient in whom cancer has just been diagnosed tells the nurse, "Just get out of here and leave me alone! Let me suffer alone. God is punishing me." The nurse determines that the most appropriate nursing diagnosis for this patient is ___. a. risk for loneliness b. powerlessness c. dysfunctional grieving d. spiritual distress

d. spiritual distress

The earliest type of formal nursing education program was the a. diploma program. b. associate degree program. c. bachelor's degree program. d. grandfathered acceptance as registered nurse (RN).

diploma program.

The diversity of the population entering the health care system is a challenge for nurses because a. the portion of minorities in nursing is greater than the portion of minorities in the general population. b. educators are culturally competent leaders for nurses and students. c. lessons about culture and cultural differences are not part of progressive education programs. d. ethnic minority nurses do not yet meet the same proportions in the profession as in the general population.

ethnic minority nurses do not yet meet the same proportions in the profession as in the general population.

A barrier to professionalism attributed to nursing's roots in altruism is illustrated when a nurse a. questions a medication order written by the physician. b. takes the time to listen to a patient's fears about surgery. c. needs to seek approval from charge nurse to give a PRN medication. d. feels guilty for expecting to be paid well for work.

feels guilty for expecting to be paid well for work.

When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of a. beneficence. b. fidelity. c. justice. d. veracity.

fidelity.

Dynamic balance between systems and their parts is called a. synergy. b. homeostasis. c. inertia. d. suprasystems.

homeostasis.

A nurse is irrigating pressure ulcers on a patient's coccyx. When the patient asks how they are healing, the nurse grimaces and says, "Oh, they're doing just fine." This is a.incongruence between verbal and nonverbal messages. b.a confirming statement. c.objectivity in responding to the question. d.the therapeutic use of humor.

incongruence between verbal and nonverbal messages THIS QUESTION IS ON THE EXAM BUT DIFFERENT WORDING AND NOT THESE ANSWERS

The purpose of continuous quality improvement (CQI) is to a.monitor processes involved in the provision of safe, effective care for patients b.restructure hospital departments to initiate cost savings. c.provide an opportunity for staff members to participate in self-governance. d.deliver appropriate nursing care to patients.

monitor processes involved in the provision of safe, effective care for patients

A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a a.for-profit agency. b.not-for-profit agency. c.voluntary agency. d.private agency.

not-for-profit agency.

A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations. The nurse is known as a a.nurse citizen. b.nurse activist. c.nurse politician. d.nurse clinician.

nurse activist.

A nurse was appointed to a governing board of a governmental agency and then ran for an elective office. The nurse is known as a a.nurse citizen. b.nurse activist. c.nurse politician. d.nurse clinician.

nurse politician.

The major benefit of serving as a military nurse is a. broader responsibilities and scope of practice than civilian nurses. b. working with entirely baccalaureate-prepared peers on active duty. c. serving as an officer on active duty or in the reserves. d. the financial support to seek advanced degrees.

the financial support to seek advanced degrees.

The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when a. the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice. b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase. c. the percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses. d. the nonwhite portion of the general population decreases.

the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice.