CHAPTER 2

Which option is an example of an inferential concept? 1. Rash 2. Equilibrium 3. Pain 4. Powerlessness

3

The nurse strongly believes that truth is based in experiences. Which research approach is this nurse most likely to favor? 1. Hard science model 2. Positivist 3. Cause and effect 4. Constructivist

4

A 33-year-old female comes to the clinic to plan treatment and care after having a positive mammogram. After the physician discusses treatment options, the client tells the nurse that her husband must make the decision. What action should the nurse take? 1. Tell the client that she should make her own decision. 2. Ask the client what she thinks her husband's decision would be. 3. Call the client's spouse and ask for his decision. 4. Suggest that the client bring her spouse to the clinic so that the doctor can discuss treatment with them both.

4

A small school district cannot afford to employ registered nurses at each of its individual school campuses. Can this school offer health-promotion activities? 1. No; there must be a healthcare professional present for these activities. 2. It can only do so if the district employs a nurse consultant to plan the curriculum. 3. It can only do so if the district has access to preprinted curriculum approved by the state. 4. Yes; many professionals such as teachers can teach health-related topics.

4

How can power be defined? 1. Position within an organization 2. Control over events 3. Authority to act 4. Potential to influence events

4

The nurse is involved in an organization whose goal is to help children make the decision not use tobacco. Which type of health organization does this represent? 1. Health protection 2. Health restoration 3. Preventive health services 4. Health promotion

4

What is the focus of leadership? 1. People 2. Systems 3. Structures 4. Other organizations

1

Nurses may use telehealth to deliver healthcare information. What does this type of nursing care delivery demonstrate? 1. Regulation by the World Health Organization 2. A production of the World Wide Web 3. Use of a health activity that involves distance 4. Promoting the public image of nursing

3

Which strategy to manage planned change is nonparticipative and undemocratic? 1. Normative-reeducative 2. Empirical-rational 3. Power-coercive 4. Legitimate power

3

The nurse is researching material for a presentation on health issues and human rights. What should the nurse emphasize as a foundational statement within the Universal Declaration of Human Rights? 1. All children shall have social protection. 2. People who work have the right to security. 3. Mothers receive the same consideration as the rest of society. 4. Unemployment and disability limits human rights expectations.

1

The nursing group is considering making changes to a policy based upon the evidence found in a recent nursing research publication. What is the most important consideration for this group? 1. Does anyone in the group have previous knowledge of the researcher? 2. What is the scientific merit of the information? 3. Is the study original research? 4. How easy will it be to implement the changes?

2

To implement a change in policy, the nurse manager resorts to the utilization of force. Which strategy is being used? 1. Educational 2. Coercive change strategy 3. Data-based 4. Facilitative

2

Which is true of nursing and politics? 1. Nurses have little political influence. 2. Nurses have been involved in politics for years. 3. Politics in a new arena for nursing. 4. There is no reason for nurses to be involved in politics

2

The inability to reach consensus on the "entry into practice" preparation for nursing has caused which outcome? 1. A unified approach to professional regulation and licensure 2. Differentiated practice 3. Divisiveness among nurses with different educational preparation 4. The current nursing shortage

3

What behavior should the nurse demonstrate when caring for victims of abuse? 1. Distant 2. Authoritarian 3. Nonjudgmental 4. Judgmental

3

Which is a key characteristic of a change agent? 1. Formal power 2. Coercive power 3. Trust 4. Charisma

3

Over which type of change does the change agent have the most control? 1. Spontaneous change 2. Crisis 3. Developmental change 4. Planned change

4

The administrator of an organization is preparing a posting for an online employment web site and includes the following sentence: "Nurses in this role have the main objective of primary prevention with the goal of achieving health equity." For which type of organization is the administrator seeking a registered nurse to hire? 1. Parish 2. School 3. Home health 4. Public health

4

What has caused nurses' responsibilities in the hospital to broaden over the years? 1. Higher graduation rates from colleges of nursing 2. NCLEX standards 3. An edict from the National Council of State Boards of Nursing 4. Technological advances

4

What is the purpose of a risk appraisal program? 1. To inform the public about the risks of particular lifestyle choices. 2. To improve the quality of risky environmental situations. 3. To enhance the quality of life and extend the life span. 4. To apprise individuals of the risk factors that are inherent in their lives.

4

Which option best describes the major emphasis of the approach traditionally taken by physicians in their relationship with clients? 1. Caring 2. Communication 3. Clinical, biological 4. Behavioral science

3

What percentage of Medicare dollars are thought to be expended on care provided in the last year of life? 1. A little less than 10% 2. More than 25% 3. At least 40% 4. Just under 60%

2

What does the term channel mean when associated with the communication process? 1. The method selected to convey the message 2. The information or feelings to be transmitted 3. The aural message 4. The originator of the message

1

The student nurses are preparing a poster to explain the evolution of nursing theories. In which chronological order should the students display information about these theorists? 1. Roy 2. King 3. Peplau 4. Rogers 5. Watson 6. Leininger

3,4,2,1,5,6

Healthcare documentation is used for which purposes? (Select all that apply.) 1. Research 2. Reimbursement 3. Education 4. Replication in other records 5. Healthcare analysis

1,2,3,5

The nurse working to promote a client's health identifies that the client did not finish high school. Using Pender's Health-Promotion Model, the nurse classifies this information as which personal factor? 1. Biologic 2. Psychologic 3. Sociocultural 4. Affect

3

Which statement best reflects the essence of Madeleine Leininger's work? 1. Caring and curing cannot exist independently of each other. 2. Persons of all cultures tend to expect similar interventions from nursing care providers. 3. Both differences and commonalities exist in the ways cultures practice caring. 4. Western cultures practice caring at a superior level to that practiced in non-Western cultures

3

Which organization published a 1965 position paper that identified associate degree nurses as "technical nurses"? 1. The American Medical Association 2. The American Nurses Association 3. The American Association of Colleges of Nursing 4. The National League for Nursing

2

While discharging a patient from the hospital, the case manager should be concerned with what kind of follow-up care? 1. Provision of intensive care 2. Linking the patient to appropriate resources 3. Direct provision of primary care 4. Billing for DRGs

2

When a home health nurse consults the patient's physician and pharmacy about a patient's medications, which role is being demonstrated? 1. Teacher 2. Researcher 3. Collaborator 4. Care provider

3

A critically ill newborn is the child of two parents who are Catholic. What action should the nurse take regarding the baptism of this infant? 1. Baptize the baby. 2. Ask the parents for direction in whom they want to baptize the baby. 3. Ask the hospital chaplain to baptize the baby. 4. Ask the doctor to baptize the baby.

2

A hospitalized patient requests privacy to say the Kaddish. The nurse realizes this is keeping which spiritual ritual? 1. A daily prayer that Jews say at bedtime 2. A daily prayer that Jews say for one year in remembrance of one who has died 3. A daily prayer that Jews say at meals 4. A daily prayer that Jews say in the morning

2

A nurse working with a hospital's public relations department would use which marketing strategies? (Select all that apply.) 1. Advertisement of high nurse to patient ratio 2. Product and place 3. Promotion 4. Patient classification system 5. Price

2 3 5

Which organization was established by the American Nurses Association as the first labor union for registered nurses in the United States? 1. United American Nurses 2. National Labor for Nurses 3. United States Nurses United 4. American Federal Union of Nurses

1

Which type of documentation makes the strongest use of flow sheets? 1. PIE charting 2. Focus charting 3. CORE charting 4. Source-oriented narrative record

2

What has been one of the major changes in health care? 1. More care delivered by physicians 2. Fewer nurse practitioners 3. The emphasis on health promotion and wellness 4. Hospital administrators who are nurses

3

What is one challenge when working as an advanced practice nurse? 1. Lack of formal recognition and acceptance by the public 2. The need for licensure and certification 3. Lack of prescriptive authority and reimbursement by third-party payers 4. Lack of education and experience

3

Which statement best defines data? 1. Synthesized information 2. Related concepts 3. Discrete entities that are described objectively without interpretation 4. Interpreted, organized, or structured information

3

The nurse has decided to contact state legislators regarding support for a health bill. Which is true about such requests? 1. Drop-in visits to the legislator's office are very effective. 2. Faxed copies of a form letter have the most impact. 3. Legislators should be addressed informally by first name. 4. Letters should be thoughtful and informed, but concise.

4

Which option reflects correct ordering of learning experiences? 1. Present new content and then link it back to the client's previous knowledge. 2. Present variations of the skill and then focus on the basics. 3. Start with a neutral topic, saving client concerns for later in the teaching session. 4. First address any area causing the learner to have anxiety, and then move to other pertinent material.

4

Why should the nurse be cautious about using humor when teaching clients from other cultures? 1. Meaning can change in the translation process. 2. Humor has no place in health education. 3. Humor is not common in other cultures. 4. Humor makes people uncomfortable.

1

The nurse is identifying strategies to assist a group of community members with a similar health challenge. Which biological determinants of health should the nurse identify that will affect the members' health going forward? (Select all that apply.) 1. Age 2. Stress 3. Income 4. Genetics 5. Ethnicity

1 4 5

A literature review before conducting research serves which purpose? (Select all that apply.) 1. It can establish the body of knowledge related to the research problem. 2. It can identify gaps in the literature. 3. It may provide an answer to the question posed. 4. It prevents the researcher from being charged with plagiarism. 5. It may change the problem focus, based upon previous findings.

1,2,3,5

A nurse with mental health experience wants to return to school for a graduate degree to teach Psychiatric Nursing at the local nursing college. To be qualified to teach, what master's degree should this nurse obtain? 1. Psychology 2. Nursing 3. Education 4. Mental health nursing

2

The nurse is preparing a presentation on notable nursing figures. In which order, chronologically, should the nurse present this information? 1. Loretta Ford 2. Mary Seacole 3. Lucy Osborne 4. Faye G. Abdellah 5. Cecilia Makiwane

2,3,5,1,4

What is a voluntary process by which an agency or an association grants recognition to a person for meeting specified qualifications? 1. Licensure 2. Entitlement 3. Certification 4. Promotion

3

What is a priority for research in nursing informatics? 1. Cost-effectiveness of advanced practice nursing 2. Patient satisfaction 3. Disease state outcomes 4. Putting technology into practice and system evaluation

4

Which is true of primary nursing? 1. The nurse provides all care. 2. It is the same as primary care. 3. The nurse is responsible for total care of assigned clients. 4. The focus of the care is teaching the client about health and client advocacy

3

Which level of literature should be the focus of the literature review? 1. Primary 2. Secondary 3. Tertiary 4. Raw data

1

When the nurse enters the room, the adult client is agitated and cursing. How should the nurse respond to this situation? 1. Ignore the behavior and don't speak to the client. 2. Address the client by name and state, "You must stop behaving in this way." 3. Leave the room as the client may be dangerous. 4. Address the client by name, stating "You seem upset. Would you like to talk?"

4

The nurse has been hired by the organization to direct the work of other nurses. What is the term used to describe the type of power this nurse will hold? 1. Responsibility 2. Personal influence 3. Authority 4. Accountability

3

During a customer service meeting, a nurse says, "There are many connotations to the word customer." What does this statement mean? 1. The word is spelled differently in countries such as England and Australia. 2. The word has different dictionary definitions. 3. The word has different meanings depending upon personal experience. 4. The word is used in different ways by people of different cultures.

3

The nursing instructor is analyzing the students in the clinical area to determine the level of doctrinal conversion process according to Davis. When analyzing these students in which order should the instructor make this analysis? 1. Stable internalization 2. Initial innocence work 3. Increasing role simulation 4. Provisional internalization 5. Psyching out and role simulation 6. Labeled recognition of incongruity

2,6,5,3,4,1

What is a strategy used to influence political decisions? 1. Demanding change 2. Acting as an individual 3. Negotiating 4. Complaining to peers

3

What is the definition of leadership? 1. Coordination and integration of resources. 2. Planning, organizing, directing, and controlling. 3. Process of influencing people to accomplish goals. 4. Accomplishing specific institutional goals and objectives.

3

What are the processes for acquiring values? 1. Prescribed by the dominant religion. 2. Formal education and study. 3. Discussions with clergy. 4. Choosing, prizing, and act

4

What assessment finding indicates that a client is a victim of shaken baby syndrome? 1. Fractures of the long bones 2. Retinal hemorrhages 3. Abrasions 4. Burns

2

When accepting a position in a Swedish hospital, a nurse would need to understand that physicians work under contracts dictated by standards of which system? 1. Socialized medicine 2. Capitalism 3. Communism 4. Free enterprise

1

On what is the holistic health belief view based? 1. The belief that supernatural forces control illness 2. The belief that human life is one aspect of nature 3. The belief that when one's natural balance or harmony is disturbed, illness results 4. The belief that illness results from being bad 5. The belief that forces of nature must be maintained in balance or harmony

2 3 5

The nurse-manager tends to make most unit decisions without consulting the nursing staff. Which word best describes this style of leadership? 1. Authoritarian 2. Situational 3. Transformational 4. Laissez-faire

1

Which ethical concept applies to the use of information technology in health care? 1. Autonomy 2. Free will 3. Diversity 4. Remembering

1

What does capitation funding provide? 1. Admission criteria TestBankWorld.org 2. Prospective payment 3. Retrospective payment 4. Personal payment

2

Nurses working on a post-op care unit are practicing which level of care? 1. Primary 2. Secondary 3. Tertiary 4. Preventive

3

The chair of a hospital committee acts as a facilitator and provides constructive criticism, information, and suggestions. Which style of leadership does this represent? 1. Authoritarian 2. Transformational 3. Democratic 4. Laissez-faire

3

The nurse is interested in becoming active in global health initiatives. What role should the nurse be prepared to perform when serving in this capacity? 1. Educator 2. Consultant 3. Collaborator 4. Direct care provider

1

When formulating a nursing diagnosis for a client, what must the home health nurse consider? 1. The needs of the client, needs of the client's family, and the characteristics of the home. 2. The needs of the client and the caregivers of the client. 3. The current needs of the client and any potential "at risk" needs. 4. The community the client lives in and any potential risks for the client.

1

What is true about composing an e-mail communication? 1. It is not necessary to use capitalization. 2. One can use the passive voice. 3. Punctuation rules are relaxed. 4. E-mail is not private.

4

What can an imbalance in health care supply and demand cause? 1. National health insurance 2. Lower insurance rates 3. Rationing of health care 4. Customer satisfaction

3

What is the primary role in which the nurse works when leading a health-promotion group? 1. Provider of care 2. Manager of care 3. Facilitator of the process 4. Member of the discipline of nursing

3

What is true about certification in nursing? 1. It is the same as registration. 2. It is the same as credentialing. 3. It is voluntary. 4. It can be obtained only in maternal-child health.

3

Which option characterizes the situational style of leadership? 1. The leader inspires through faith and belief. 2. The leader demonstrates affection and concern for group members. 3. The leader provides direction and support according to the level of the maturity of the group members. 4. The leader negotiates an exchange based on incentives.

3

Which phrase describes spirituality? 1. The belief in something that cannot be directly observed 2. An organized belief system that requires religious worship of a Supreme Being 3. The core of a person's being, involving one's relationship with God or a higher power 4. A belief system unique to a specific religion

3

When assessing community needs, where should the nurse be aware that domestic violence is found? 1. All strata of society 2. Exclusively among the less well-educated segment of the population 3. Primarily in lower-income families 4. Mostly in the elderly

1

What health care shift from centralized biomedical centers did the American Nurses Association identify to address cost containment? 1. Academic health centers 2. HMOs 3. Community nursing centers 4. Case management

3

The nurse is considering returning to school to obtain a master's degree in nursing. In which order should the nurse consider the following? 1. Family support 2. Program requirements 3. Identify personal career goals 4. Financial needs for the family and school tuition 5. Determine if a nursing or non-nursing degree is desired

3 5 1 4 2

Data indicate that of 100 residents in a nursing home, there are 25 older adults with influenza at this time, or 25%. What would this be termed? 1. Prospective rate 2. Prevalence rate 3. Incidence rate 4. Epidemiologic rate

2

What would the belief that all people of African heritage are musical and have rhythm be considered? 1. Cultural awareness 2. Ethnocentrism 3. A stereotype 4. Cultural sensitivity

3

A 24-year-old American male of Irish heritage is married to a woman of Japanese heritage. What would their children be considered? 1. Asian American 2. Bicultural 3. Caucasian 4. Asian

2

Which option best reflects how nurses provide education to other nurses? 1. Informally on the unit 2. Formally in the classroom 3. Formally online 4. Both formally and informally

4

The nurse's practice is based upon the theory of Jean Watson. What is the primary theme of this theory? 1. Caring 2. Cultural care 3. Goal attainment 4. Environment

1

What is a goal of Healthy People 2020? 1. Elimination of health disparities. 2. Improvement of personal sense of well-being. 3. Identifying differences between health promotion and health protection. 4. Increasing people's involvement in health-promotion activities.

1

Which source of power is associated with talents and skills? 1. Expert 2. Coercive 3. Legitimate 4. Reward

1

Which theorist's work is considered foundational to many of today's cognitive theories? 1. Lewin 2. Bandura 3. Skinner 4. Rogers

1

How should the nurse describe change? 1. Positive or negative, planned or unplanned 2. Prevented and managed 3. Negative, doesn't have to occur, easily managed 4. Difficult and always negative

1

What is the focus of a nurse practicing as a clinical nurse specialist (CNS)? 1. Improvement of client care and nursing practice 2. Providing orientation for the novice nurse 3. Acting as a liaison between staff nurses and administration 4. Assisting physicians with in-patient care delivery

1

A patient uses therapeutic touch to help with migraines. On what is this therapy based? 1. Biological fields 2. Energy fields 3. Manipulative body movements 4. Mind-body energies

2

Which applications of information technology are currently important to nursing? (Select all that apply.) 1. Internet access for patients 2 .Physician order entries 3. Electronic transmission of prescriptions 4. Wireless and portable devices 5. Computer-based patient records

2 4 5

Which are considered weapons of mass destruction? 1. Agricultural, zoological, and robotics 2. Aircraft, ships, and trains 3. Fire, flood, and hurricane 4. Biological, chemical, and nuclear

4

The nurse is performing blood pressure screenings at a health fair which is designed to provide information for senior citizens in the community. Which level of health prevention is the nurse providing? 1. Primary 2. Secondary 3. Tertiary 4. Holistic care

2

Which advanced practice role uses comprehensive assessment, clinical reasoning, and differential diagnosis? 1. Nurse-midwife 2. Nurse practitioner 3. Clinical nurse specialist 4. Nurse-anesthetist

2

What determinants form the boundaries for nursing roles? (Select all that apply.) 1. Education and licensure 2. Nursing practice 3. Standards of nursing practice 4. Nurse practice acts 5. Codes of ethics

2,3,4,5

A Senate committee is conducting a hearing on an important healthcare bill. The nurse has been asked to testify before this committee. How should the nurse proceed? 1. Use professional terminology in discussing the issue. 2. Read the material to the committee to ensure accuracy. 3. Provide written copies of the testimony to each committee member. 4. Refer any committee member questions that arise to an expert in the field.

3

On what do community health nurses focus? 1. Ability to pay for care 2. Diagnoses 3. Client aggregates 4. The total person

3

To what does the moral principle of fidelity refer? 1. Truth telling 2. Duty to do no harm 3. Faithfulness 4. Doing good

3

Which is the most obtrusive approach to change? 1. Empirical-rational 2. Mandatory education 3. Power-coercive 4. Normative-reeducative

3

The research team proposes a study in which the client is told that a lab result indicates development of diabetes mellitus when, in fact, that is not true. The purpose of the study is to identify perceptions of diabetes mellitus in the general public. What client right is violated in this proposal? 1. Right of self-determination 2. Right to full disclosure 3. Right not to be harmed 4. Right of privacy and confidentiality

3

What international body of nursing is concerned with the definition and scope of advanced practice nursing worldwide? 1. The American Association of Colleges of Nursing (AACN) 2. The American Nurses Association (ANA) 3. The International Council of Nurses (ICN) 4. The World Health Organization (WHO)

3

What is considered the state in which a person experiences a disturbance in the belief or value system that provides strength, hope, and meaning to life? 1. Spiritual awakening 2. Impaired religiosity 3. Spiritual distress 4. Impaired belief

3

What is the first step in selecting a graduate program to attend? 1. Determining geographic availability of programs 2. Seeking financial aid 3. Identifying clear professional career goals 4. Modifying one's work schedule

3

What is the framework for nurses to use for decision making in an ethical dilemma? 1. The ANA social policy statement 2. The Bible 3. The ANA Code of Ethics for Nurses 4. The nurse practice act

3

What is the outcome of a work-site health-promotion program for the company offering these classes to employees? 1. There is no benefit documented. 2. Employees report feeling coerced to attend. 3. Morale among employees often increases. 4. Absenteeism increases during classes.

3

When considering collaborative practice, interdisciplinary healthcare teams have been particularly effective in which environment? 1. Emergency departments 2. Critical care units 3. Outpatient services 4. Obstetrical services

3

The nursing instructor is preparing material for an introduction to nursing class. In which order should the instructor present events that affected nursing practice? 1. Nurse registration laws present in all states. 2. ANA published the Nursing Practice Act. 3. ANA published the Nursing Disciplinary Diversion Act. 4. Nursing licensure module legislation developed. 5. Model Nursing Practice Act revised for background checks. 6. Uniform licensure requirements published.

3,1,5,4,6,2

The nurse is preparing a brief in-service for new graduate nurses on actions to shape the future. In which order should the nurse introduce these futures concepts? 1. Possible 2. Probable 3. Plausible 4. Preferred

1 3 2 4

All nurses in their role of teacher/educator are responsible for providing instruction to which persons? (Select all that apply.) 1. Other nurses 2. Students in community colleges 3. Patients' families 4. Patients 5. Health care providers other than nurses

1,3,4,5

The nurse is preparing information to use when conducting SBAR communication. In which order should the nurse perform the following actions? 1. Explain chief complaints 2. Overview of patient needs 3. Discuss what could be the problem 4. Provide objective data and vital signs

1,4,3,2

What does the acronym HIPAA stands for? 1. Health Information Privacy Protection Act 2. Human Information Personal Protection Act 3. Higher Insurance Privacy Protection Act 4. Health Insurance Portability and Accountability Act

4

Which teaching objective is correctly written? 1. At the end of the teaching session the client will list three strategies for control of hypertension. 2. The client will write a comprehensive review of two articles about hypertension 3. During the class the nurse will present material regarding risk factors associated with the development of hypertension. 4. The client will understand how hypertension develops by the end of the second teaching session

1

A staff nurse accidentally provided a client with an incorrect stock medication, however did not report the occurrence to anyone. What behavior is this staff nurse demonstrating? 1. At-risk 2. Human error 3. Recklessness 4. Fear of punishment

2

How does the World Health Organization define health? 1. Physical fitness and positive self-concept 2. A state of complete physical, mental, and social well-being 3. Being well 4. The absence of disease

2

What does fee-for-service payment mean? 1. The patient has a healthcare card that must be presented at the point of care. 2. Patients pay the practitioner for each service they receive. 3. Healthcare providers are paid a fixed amount per person to provide care. 4. Charges are waived by the government.

2

The clinical documentation committee is facing issues with the nursing staff regarding the upgrading of the documentation software. The committee chair plans to review the stages of conflict with the committee in preparation for implementation of the software. In which order should the stages be reviewed? 1. Overt 2. Latent 3. Perceived 4. Aftermath

2,3,1,4

The nurse manager is reviewing an occurrence report written after a client fall. For which personal factors should the manager consider as contributing to this occurrence? (Select all that apply.) 1. Patient consumed 75% of last meal 2. Patient's team leader a new graduate 3. Unlicensed assistive personnel assigned working a double shift 4. "Ambulate with assistance" not written on the Kardex care plan 5. Patient being discharged to a skilled nursing facility the next day

2,3,4

What has shaped many of the changes in health care affecting nurses? 1. The American Medical Association 2. The U.S. Congress 3. Nursing Agenda for Health Care Reform 4. Third-party payers

4

The nurse who is faced with an ethical dilemma refers to the Code of Ethics for Nurses with Interpretative Statements for guidance. What help can the nurse expect from this document? 1. Specific guidelines for common ethical issues. 2. Some ideas of the ethics of nursing that are negotiable depending upon circumstance. 3. The basis for ethical analyzing and decision making for nurses practicing in the United States. 4. A lengthy description of the need for ethical behavior and decision making in nursing

3

The nurse using Westerhoff's stages of faith should place a 13-year-old patient in which stage? 1. Experienced faith 2. New faith 3. Owned faith 4. Affiliative faith

1

What is the priority focus of a case manager? 1. Public policy in health care 2. Utilization of pharmacology measures 3. Ensuring only care deemed essential is provided for patients 4. Promoting compliance with hospital policy and procedures

3

What should a nurse consider when planning holistic care for a patient? 1. Spiritual and religious beliefs 2. Only physical needs 3. Patients who are too sick to be spiritual 4. The job of the hospital chaplain to identify any spiritual needs of the patient

1

Nurses practicing holistic nursing usually subscribe to which concept(s) of wellness? (Select all that apply.) 1. Wellness is a choice. 2. Wellness can be achieved with a single change in lifestyle. 3. Wellness is the integration of body, mind, and spirit. 4. Wellness requires medical intervention. 5. Wellness can only be achieved through maturation.

1 3

What is the mission of the National Center for Complementary and Alternative Medicine (NCCAM)? (Select all that apply.) 1. Train complementary and alternative medicine researchers. 2. Provide certification for holistic nurses 3. Provide authoritative information to the public. 4. Provide authoritative information to professionals concerning CAM. 5. Provide a billing process for patients receiving CAM therapy.

1 3 4

What is true about cost accounting? (Select all that apply.) 1. It is a method of accounting for total business costs 2. It provides fee-for-service billing 3. It tracks and allocates total business costs to the specific service 4. It is used by hospitals and other organizations. 5. It tracks utilization of nursing care per patient

1 3 4

When change results from cognitive dissonance, why does the change come about? 1. The desire to regain feelings of consistency and balance 2. Recognition by the organization 3. Social diffusion of a new idea 4. Monetary reward

1

When educating patients about their health care needs, nurses should inform the patients of their probable future or: 1. The most likely outcome if things continue unchanged 2. What can happen if some things change 3. The most likely outcome when specific efforts are made to accomplish a desired outcome 4. The outcome that is wanted

1

Which option reflects a quantitative research design? 1. The researcher has created a design that includes control of extraneous variables. 2. The researcher plans to investigate and explain the research question through narrative data. 3. To collect data, the researcher will conduct a series of unstructured interviews with the study participants. 4. The research is designed to explore the way the study participants feel about their experiences with the research topic.

1

The nurse educator believes the best method for teaching professionalism is for faculty to conduct themselves in a professional manner. Which learning theory supports this belief? 1. Skinner's operant conditioning theory 2. Bandura's social-learning theory 3. Lewin's field theory 4. Piaget's phases of cognitive development

2

The nurse is reviewing data within a client's medical record: Current Problem: Right hip pain Explaining Factors: "It started when I rode the stationary bike at home. It's that bike's fault I have pain now and I'm not going to do any exercise anymore." Efforts take to relieve pain: "I take over-the-counter pills, but I figure if I'm supposed to get over this I will. Something will come up that will help with the pain." Based upon this information, which health belief model should the nurse identify that the client follows? 1. Internal locus of control 2. External local of control 3. Rosenstock's health belief model 4. Pender's health promotion model

2

Are nurses who work as team leaders, overseeing the nursing care provided by other nurses, considered supervisors by the National Labor Relations Act? 1. Yes; these nurses are supervising others. 2. They are considered supervisors only if they supervise more than three other nurses. 3. There is still debate over this issue. 4. No; there is too much variation in a team leader's day-to-day responsibilities.

3

What did Eisenberg learn about one out of three people during the study conducted on the use of unconventional medicine by consumers in the United States? 1. They needed education concerning their choice of alternative medicine. 2. They did not have an assigned primary care provider. 3. They were not practicing any type of unconventional medicine. 4. They were utilizing at least one form of alternative medicine.

4

Which are considered factors that have contributed to the growth of home health? (Select all that apply.) 1. The ability of home care agencies to provide high-technology services in the home 2. The preference of third-party payers 3. Government mandates for home care rather than hospitalization 4. The increase in the population of older adults 5. Lack of consumer interest in home care

1 2 4

Which statement is true regarding clients and the use of "natural products" such as herbs? 1. Clients do not always reveal their use of natural products. Only one third of clients are providing information regarding complementary therapies. 2. Natural products are always safe because they are biologically based. 3. The Food and Drug Administration monitors herbal remedies, and labeling is always accurate. 4. All clients are aware that natural products may be hazardous to their health.

1

Why is research important in nursing? 1. Nurses are expected to adopt evidence-based practice into their decision making. 2. Outcomes are more important than process. 3. The nurses' prime consideration should be cost-effectiveness. 4. It uses the scientific approach.

1

In the new paradigm of wellness and prevention, what is true regarding nurses? (Select all that apply.) 1. As "models of good health," some nurses will have to adopt healthier behaviors and lifestyles. 2. Nurses will have to keep abreast of the most recent prevention and treatment research. 3. The nurse will be the primary person who works to help individuals stay well and do things to promote health. 4. Nurses will need to learn more about nutrition, exercise, and vitamin replacement. TestBankWorld.org 5. All nurses will need a bachelor's degree to enter practice.

1 2 3 4

The nurse-manager has received several reports of unprofessional behavior regarding a nurse. While discussing these reports with the nurse, the manager remains warm, caring, and respectful. What type of feedback is the manager providing? 1. Negative 2. Positive 3. Neutral 4. Incongruous

2

As a nurse, what is the purpose of performing return demonstrations of procedures? 1. Synthesize information 2. Operationalize theories 3. Collect data 4. Process information

1

What should the nurse do when obtaining spiritual-assessment data? 1. Wait until the patient brings up the topic. 2. Read the physician's history and physical. 3. Perform an assessment using open-ended questions concerning spirituality. 4. Perform an assessment asking direct questions to gain full knowledge of the patient's spiritual status.

3

Which of these statements is most accurate? 1. Managers are born; leaders must be educated. 2. Leaders are born; managers must be educated. 3. Managers have formal leadership titles in the organization; leaders are often informal leaders. 4. Leaders have formal leadership titles in the organization; managers are informal leaders.

3

A nurse wants to volunteer in West Africa to assist with the Ebola outbreak. What should the nurse consider before agreeing to relocate to West Africa for 6 months? (Select all that apply.) 1. Locate the nearest embassy 2. Receive recommended immunizations 3. Understand the country's security standards 4. Receive permission from the state board of nursing 5. Know the scope of nursing practice in the host country

1 2 3 5

How are the behaviors in each category of Bloom's domains of learning arranged? 1. Alphabetically 2. Simplest to most complex 3. By length of the word 4. Randomly

2

Question 14 Which nurse founded the National Association of Colored Graduate Nurses in 1908? 1. Mary Seacole 2. Cecilia Makiwane 3. Mary Mahoney 4. Loretta Ford

3

The nurse frequently discusses personal, sensitive topics with clients of both genders. How should the nurse proceed in these conversations? 1. Understand that females use communication to establish independence and status. 2. Be assured that there is no difference between men and women in communication. 3. Women are always more emotional in such conversations than are men. 4. Males and females tend to communicate differently.

4

The nurse has made a claim of sexual harassment against a coworker. What evidence must this nurse present? 1. The sexual advances occurred over a period of at least 6 weeks. 2. The conduct was explicit and was a condition of employment. 3. There was psychological damage from the conduct. 4. The actions created a hostile or abusive environment.

4

To what does the moral principle of beneficence refer? 1. Truth telling 2. Duty to do no harm 3. Faithfulness 4. Doing good

4

Which nursing action exemplifies presence? 1. Calling the patient's spiritual counselor 2. Praying with the patient 3. Ensuring that family can visit at any time 4. Communicating a willingness to care, to listen, and to be available to the patient

4

The nurse is attending a meeting sponsored by state political leaders, to discuss the possible passing of national health insurance in the United States. Which models of health care should the nurse discuss as a model for this type of insurance? (Select all that apply.) 1. Bismarck 2. Beveridge 3. Out-of-pocket 4. Veterans Administration 5. National health insurance

1 2 5

What would be included in the assessment of the safety and transportation subsystem of a community? (Select all that apply.) 1. The types of public transportation 2. The number of local published newspapers 3. Modes of transportation TestBankWorld.org 4. Air and water quality monitoring 5. Number of schools in the area

1 3 4

Norton's theory of communicator style describes nine specific communicator styles. Which nurse is using the attentive style? 1. The nurse speaks forcefully to a peer who made a clinical error. 2. The nurse is obviously listening to the client and makes eye contact during the conversation. 3. The nurse monopolizes the lunchtime conversation with other nurses. 4. While the client is describing his or her health history, the nurse interrupts with questions about current complaints.

2

The Quality Improvement director is reviewing the number of medication errors that occurred in a skilled nursing facility over the last month. The total number of medication doses provided equals 625,500. The total number of medication errors was 7. If using the Six Sigma statistical measure to limit defects to 3.4 per million opportunities, what should be the goal for the number of medication errors for this care area? (Round the answer to the nearest whole number.)

2

The nursing student developing a presentation on the early history of nursing is not able to find much information about this period. Why is the nurse unable to find any information? 1. There were not many nurses, so only the sickest people received nursing care. 2. Many of those providing care to the sick were slaves. 3. Only men provided health information and care. 4. Only the wealthiest of patients were provided nursing care.

2

Certification as a holistic nurse can be gained through which organization? 1. American Nurses Credentialing Center (ANCC) 2. American Holistic Nurses Certification Corporation (AHNCC) 3. American Holistic Nurses Association (AHNA) 4. American Nurses Association (ANA)

2

H. S. Kim developed a theory of collaborative decision making in nursing practice. This theory describes and explains collaborative interactions between nurses and which other group? 1. Physicians 2. Clients 3. Other nurses 4. Ancillary personnel

2

The nurse documents that the client's communication is congruent. What does this indicate? 1. The client's communication is therapeutic. 2. The client's nonverbal behaviors match the verbal message. 3. Nonverbal behaviors are expressed more strongly than the verbal message. 4. The verbal message is more important than the nonverbal message.

2

The nurse is planning to apply for a position that has the following information in the position description: Primary Responsibilities: Supervises charge nurses; Supervises nurse managers; Oversees the activities within designated client care areas; Reports to the Vice President of Nursing Services.For which type of position is the nurse applying? 1. First-level manager 2. Middle-level manager 3. Top-level manager 4. Laissez-faire manager

2

The nursing faculty is revising their program's curriculum and is developing a conceptual framework. What will this faculty develop? 1. A document that relates concepts by defining their significance to one another. 2. An overall view or orientation to focus thoughts. 3. A system of ideas proposed to explain a given phenomenon. 4. A specific outline of the curriculum's topics and contents.

2

The researcher proposes using information from the medical records of clients currently admitted to the nursing unit. The researcher wishes not to tell these clients about the study so that their behavior does not change. What client right does this idea most clearly violate?1. Right of self-determination 2. Right to full disclosure 3. Right not to be harmed 4. Right of privacy and confidentiality

2

At the site of a mass disaster the nurse is preparing to provide psychiatric first aid. In which order should the nurse provide these actions? 1. Protect from harm TestBankWorld.org 2. Reduce stimulation 3. Keep families together 4. Provide information and education 5. Provide support to those most distressed 6. Use risk communication techniques if required

1 2 5 3 4 6

The nurse is completing an occurrence report for a client in the intensive care area. The client's medications were accidentally switched with another client necessitating extending mechanical ventilation. Prior to the occurrence the client's hemodynamic parameters were stable, however they have been tenuous for the last 16 hours. What collected data should the nurse identify as nursing work environment variables that contributed to this occurrence? (Select all that apply.) 1. The nurse was interrupted twice while preparing the client's medications. 2. The nurse was preparing information to share with the family prior to visiting hours. 3. The nurse did not secure the prepared medications prior to vacating the medication room. 4. The nurse worked until midnight the previous day and returned to work a twelve-hour shift. 5. The nurse was called to the telephone to take verbal orders on another client while preparing the client's medications.

1,3,4,5

The nurse implemented an immunization program for influenza for members of a parish. Following the implementation of the program, the nurse gathered data on the incidence of flu. What is this an example of? 1. A retrospective study 2. A controlled study 3. A prospective study 4. An experimental study

3

Verbal communication becomes even more difficult when an interaction involves people who speak different languages. What can a nurse do to mitigate this difficulty? 1. Speak quickly so the client can understand more rapidly. 2. Speak louder, even if the client does not understand the language. 3. Avoid slang words, medical terminology, and abbreviations. 4. Do nothing; understanding is the client's problem, not the nurse's.

3

What does the Health on the Net Foundation (HON) code of conduct address? 1. Patient respect 2. Nurse conduct 3. Credibility of information on the World Wide Web 4. Reliability of information posted on PDAs

3

Which act requires that a copy of the client's advance health care directive be included in the client's medical record? 1. Good Samaritan Act 2. Americans with Disabilities Act 3. Patient Self-Determination Act 4. Nurse practice Act

3

A newly licensed nurse was previously employed as a unit secretary on the same unit where he now works as a staff nurse. This role transition is causing the nurse to experience stress. What information about role stress and transition would be most helpful for this nurse to consider? 1. Role stress is limited to newly licensed nurses and won't continue after the first year of employment. 2. Taking on multiple roles on the unit will be helpful, as it will broaden the nurse's understanding of other people's jobs. 3. Nursing standards of care are different in the "real world" situation than they are in a theoretical situation explained in nursing school. 4. Role stress can be decreased by receiving clear and consistent information about expectations of the new role.

4

The nurse suspects that a coworker is impaired at work. What is this nurse's priority action? 1. Closely observe the coworker to gain evidence of impairment. 2. Plan to work with the person as a team to provide care. 3. Report the suspicion to the appropriate supervisor. 4. Confront the coworker with the suspicion.

3

According to Carper, which way of knowing reflects the science of nursing? 1. Empirical knowing 2. Personal knowing 3. Esthetic knowing 4. Ethical knowing

1

A group of nurses would like to help change a workplace policy. What should these nurses consider in this desire? 1. Political action is best carried out individually. 2. Working in a group will require less individual time. 3. Group work fosters creative thinking and planning. 4. People with deep feelings about an issue often are too involved to be effective.

3

What is included in intrapersonal communication? 1. Exchange of information 2. Two or more people 3. Rapport 4. Knowledge

4

In Westerhoff's stage of searching faith, what action does the individual take? 1. Participates in activities that characterize a particular faith tradition 2. Puts faith into personal and social action 3. Acquires a cognitive as well as an affective faith 4. Experiences faith through interaction with others who are living a particular faith tradition

3

The nurse is collaborating with another health care provider to help a client regain skills needed to function in the home environment. This nurse is most likely working with a member of which discipline? 1. Physical therapy 2. Social work 3. Occupational therapy 4. Respiratory therapy

3

The nurse who bases practice on the theory of unitary human beings will focus on which set of concepts? 1. Caring factors, transpersonal caring relationships, and caring moments/situations. 2. Regulator, cognator, stimuli, and adaptation. 3. Energy fields, universe of open systems, pattern, and pandimensionality. 4. Self-care deficit, self-care agency, and therapeutic self-care demand.

3

One model of professional socialization consists of three stages: Stage 1, proficiency in specific tasks; Stage 2, attachment to significant others in the work environment; and Stage 3, internalization of the values of the professional group and adoption of behaviors it prescribes. Who developed this model? 1. Simpson 2. Hinshaw 3. Davis 4. Benner

1

Which organization developed standards of nursing practice that define holistic nursing practice as a specialty? 1. AHNA 2. ANA TestBankWorld.org 3. NCCAM 4. ANCC

1

While completing courses for a master's degree in nursing education the nurse has taken electives for gerontology, informatics, and pain management. Using the table below, which certifications should this nurse plan to obtain upon graduation from the program? [Insert Table 24-2 here] 1. Informatics 2. Gerontological 3. Adult Gerontology 4. Adult Gerontology-Acute 5. Adult Gerontology-Primary

1 2

What must the nurse consider when delegating responsibility to another? (Select all that apply.) 1. The client's needs 2. The skill level of the worker 3. The client's goals 4. The worker's gender 5. How long the worker has been at the facility

1,2,3

A home health nurse visits a 78-year-old man in his home. The man is ambulatory and shows no physical distress; however, his clothing appears soiled and smells of urine. What do these findings indicate? 1. Institutional abuse 2. Self-neglect 3. Domestic abuse 4. Emotional abuse

2

Benner identified six types of power used by nurses. With which concept are these powers associated? 1. Becoming 2. Caring 3. Curing 4. Healing

2

How does a return to school for a baccalaureate degree affect socialization of practicing nurses? 1. It has little effect. 2. These nurses regress in socialization back to the pre-nursing levels. 3. These nurses experience resocialization in many ways. 4. Resocialization does not occur until the degree is completed.

3

Who was the first health care provider to acquire AIDS? 1. Linda Richards 2. Clara Maass 3. Barbara Fassbinder 4. Sharon Lane

3

A clinical instructor is assisting a student understand the nurse-client relationship. In which order should the instructor introduce the phases of this process? 1. Old needs and goals are put aside and new ones are adopted. 2. The client uses the available services on the basis of self-interest and needs. 3. The nurse assists the client to understand the problem and the extent of the need for help. 4. The nurse's focus is to assure the person that the nurse understands the interpersonal meaning of the client's situation.

3,4,2,1

Which role can be practiced without an advanced nursing education degree? 1. Nurse-midwife 2. Nurse practitioner 3. Clinical nurse specialist 4. Nurse administrator

4

While progressing through nursing school, the student develops a system to categorize information as it is presented. Which theorist developed a learning theory that supports this categorization of information as essential? 1. Skinner 2. Bandura 3. Rogers 4. Bruner

4

On what would an advanced practice nurse using the Strong Model of Advanced Practice focus? 1. Direct comprehensive care and education 2. Research and tutoring 3. Computer technology and support of systems 4. Hiring of nurses

1

A series of medication errors occurred on a care area and are believed to be caused by the redesign of the unit dose delivery system. Who should the nurse manager expect to participate when conducting a root cause analysis of these occurrences? (Select all that apply.) 1. Nurse manager 2. Pharmacy director 3. Nurses who made the medication errors 4. Person who delivered the unit dose device 5. Pharmacist responsible for filling the unit dose device

1, 2, 3, 5

At the institutional level, accountability is reflected in which manner? 1. The nurse's personal ethical integrity 2. Philosophy and objectives 3. Standards of practice 4. Nurse practice acts

2

How is nursing research related to nursing conceptual models? 1. There is little relationship; researchers choose subjects based on need or interest. 2. These models drive nursing research and provide a way to organize findings. 3. Nursing research has proved that most conceptual models are false. 4. Nursing research can be undertaken only if it is tied to a conceptual model.

2

The nurse enters the client's room and asks the client a question from the doorway. What distance is this considered? 1. Public 2. Social 3. Personal 4. Intimate

2

To manage resistance to change, the change agent may use which strategy? 1. Defend the status quo. 2. Provide evidence to challenge the status quo. 3. Reject opposition to the plan. 4. Eliminate from the organization those who are opposed

2

What was the impact on mortality as a result of the nursing care that Nightingale and her nurses provided to wounded soldiers in Crimea? 1. There was a slight increase in mortality. 2. Mortality increased dramatically. 3. There was no change. 4. There was a dramatic decrease in mortality

4

What was the motivation for focusing on wellness in the healthcare system? 1. Demands by the public 2. Nurse practice acts 3. Higher education 4. Cost-containment measures

4

A middle-aged homeless male experiencing severe abdominal pain comes into the emergency department of the community hospital. What should the nurse do for this individual? 1. Provide care 2. Ask for proof of health insurance 3. Ask for the name of last employer TestBankWorld.org 4. Send to the nearest Medicaid office

1

A newly admitted patient is concerned about payment for health care because costs are included as a general population benefit in the client's home country. In which country is this patient most likely a citizen? 1. Spain 2. France 3. Belgium 4. Germany

1

A nurse moving from one state to another knows that licensure requirements fall under which jurisdiction? 1. The state 2. The federal government 3. The National League for Nursing 4. The International Council of Nurses

1

The nurse manager has plans to improve teamwork among the nurses and other health care providers. What actions should the manager take to achieve this goal? (Select all that apply.) 1. Used standardized team processes 2. Monitor team members' performance 3. Reinforce the three duties when providing care 4. Observe for behaviors that encourage occurrence 5. Understanding all team members' responsibilities

1,2,5

Data indicate that there were 14 deaths in the year 2003 related to suicide in a specific community. What would this be termed? 1. Prospective rate 2. Prevalence rate 3. Incidence rate 4. Epidemiologic rate

3

The nurse manager is concerned that the nursing staff is experiencing role stress related to higher acuity of clients. What is one way in which this manager could address this issue? 1. Encourage supportive relationships among the staff nurses. 2. Advocate for longer length of stay for these higher acuity clients. 3. Limit the number of high-acuity clients that can be admitted to the unit. 4. Create a structured management system with no room for individual variance.

1

What happens when a federal law and a state law conflict? 1. Federal law supersedes state law. 2. State law supersedes federal law. 3. Both federal and state laws are superseded by local law. 4. The two types of law carry equal weight.

1

What is the issue most central to the controversy over level of entry into professional nursing? 1. Professional title 2. Reimbursement for services 3. Definition of a profession 4. Cost of tuition

3

What is the result of exposure to violence in the community? 1. Inevitable depression 2. Not a problem outside the poor neighborhoods 3. Mediated by the quality of family and social supports 4. Important only for children

3

What kind of resource allocation does politics influence? 1. Only monetary 2. Mainly personal resources 3. Any limited resource 4. Primarily those at a national level

3

Which option best defines professional self-concept? 1. Being the physician's handmaiden. 2. Achievement of Benner's levels of proficiency. 3. The set of beliefs held true as a result of professional socialization. 4. The belief in one's own personal worth as a result of family culture.

3

The nurse is reading the latest job posting at her place of employment: Position Description; Clinical Nurse Leader: In this position the nurse is responsible for client care outcomes according to evidence-based practice. Familiar with research approaches, literature searches, and creation of care maps and standardized care plans is required. What additional information about this position should the nurse obtain before completing an application for consideration? 1. Educational preparation needed 2. Areas of clinical expertise required 3. Expectation to be certified by the ANCC 4. Years of experience required as a manager 5. Number of years of nursing experience required

1 3

To what does the term data integrity refer? 1. Use of current technology 2. Communication of data 3. Accurate and complete data 4. Privacy of client information

3

Certification through the American Nurses Credentialing Center (ANCC) for APNs is offered to which group of nurses? (Select all that apply.) 1. Nurse practitioners 2. Associate degree 3. Baccalaureate prepared nurses 4. Diploma prepared nurses 5. Clinical nurse specialists

1

While taking care of a devout Muslim, the nurse might expect which daily ritual? 1. A Muslim prayer that is said at bedtime 2. Muslim prayers said five times a day; at dawn, noon, mid-afternoon, sunset, and evening 3. A Muslim prayer that is said in the morning on awakening 4. A Muslim prayer that is said at meals

2

What assessment finding indicates that a child is a victim of sexual abuse? 1. Repeated ear infections 2. Hives 3. Genital and/or anal irritation or trauma 4. Early appearance of secondary sex characteristics

3

The director of nursing is identifying roles and responsibilities of nurse practitioners hired to provide community health care. In which order should the director review the ANA standards of practice for these care providers? 1. Planning 2. Diagnosis 3. Evaluation 4. Assessment 5. Consultation 6. Implementation 7. Coordination of care 8. Outcomes identification 9. Prescriptive authority and treatment 10. Health teaching and health promotion

4, 2, 8, 1, 6, 7, 10, 5, 9, 3

The nurse is participating on a committee to address an ethical dilemma. The bioethical decision-making process will be used. In which order should the steps of this process be implemented? 1. Implement the action. 2. Evaluate the action taken. 3. Identify ethical theories and principles. 4. Gather relevant facts related to the issue. 5. Develop alternative actions and project outcomes.

4,3,5,1,2

For which nurse would the concern about chemical abuse be most appropriate? 1. A nurse who avoids colleagues and friends and has frequent mood swings. 2. A nurse who requests night shifts because of increasing financial responsibilities. 3. A nurse who always comes to work 15 minutes early by bus. 4. A nurse who arrives late for work with the excuse of a flat tire.

1

Herbs, vitamins, and organic whole foods are what complementary and alternative medicine category-based therapies? TestBankWorld.org 1. Biologically-based 2. Energy 3. Manipulative body-based 4. Mind-body

1

School nurses often teach about sun protection and give instruction on healthy eating. What do these actions exemplify? 1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Preventive care

1

The newly licensed nurse committed a clinical error and was sanctioned by the unit manager. What is the purpose of a sanction? 1. Enforcement of norms 2. Documentation of wrongdoing 3. Development of leader-follower leveling 4. Externalization of ethics

1

A subcommittee within Health and Human Services is evaluating the success of the Millennium Development Goals set to be achieved by 2015. On which goals should this committee focus? (Select all that apply.) 1. Promote gender equality 2. Improve maternal health 3. Eliminate income inequity 4. Achieve universal primary education 5. Eradicate extreme poverty and hunger

1 2 4 5

The nurse is concerned that a proposed health program lacks sufficient support for global health. What should be included in this program? (Select all that apply.) 1. Prevention activities 2. Strategic partnerships 3. Income measurements 4. Responses to local needs 5. Evidence-based knowledge

1 2 4 5

What should the nurse include when assessing a patient's spirituality? (Select all that apply.) 1. Relationship with self 2. Relationship with other cultural groups 3. Relationship with deity 4. Relationship with others 5. Relationship with nature

1 3 4 5

A nurse seeking a DNP bases the decision to do so on what information? (Select all that apply.) 1. Nursing is a discipline seeking a higher body of knowledge. 2. Nursing requires the DNP to practice in an advance role. 3. Nursing is a practice requiring skill refinement. 4. Nursing licensure is regulated by each state. 5. Nursing is a practice requiring use of evidence.

1 3 5

What constitutes a healthy community? 1. Uses natural resources wisely 2. Encourages maximum governmental control over decision making 3. Being a problem-solving community with open communication among its members 4. Defers community crises to the federal government 5. Strives to provide for all members

1 3 5

The nurse is using the SPIRIT model to assess a patient's spirituality. In which order should the nurse ask the following questions? 1. What gives your life meaning/purpose? 2. Are there any unresolved areas of your life? 3. What are your sources of hope and strength? 4. What lifestyle activities does your religion encourage? 5. Do you belong to any religious or spiritual community? 6. Would you like to discuss religious implications of your health care?

1 3 5 4 6 2

The nurse is using the HOPE tool when assessing a patient's spiritual needs. In which order should the nurse ask the patient the following questions? 1. Identify sources of strength 2. What specific actions conducted? 3. Does religion influence health care? TestBankWorld.org 4. What is the role of religion in your life?

1 4 2 3

The student nurse is using Pavalko's work to support the argument that nursing is a profession. Which criteria should this student investigate as related to nursing? (Select all that apply.) 1. Relevance to social values 2. A code of ethics 3. Theory 4. Individual identity 5. Abstract knowledge

1,2,3,5

An organization uses the IHI Model for Improvement. In which order should the leadership staff complete the steps of this model? 1. Form a team 2. Select changes 3. Establish goals 4. Test the changes 5. Spread the changes 6. Determine measures 7. Implement the changes

1, 3, 6, 2, 4, 7, 5

At the completion of orientation the new graduate is completing a written test that focuses on the QSEN competencies. Which statements should the nurse identify as describing these competencies? (Select all that apply.) 1. Minimizes the risk of harm 2. Functions within interprofessional teams 3. Follows time-out protocols as appropriate 4. Uses data to monitor the outcomes of care processes 5. Integrates the best current evidence with clinical expertise

1,2,4,5

The staff on a care area expresses dissatisfaction with participating in data collection of quality indicators. What should the manager explain as reasons to measure quality? (Select all that apply.) 1. Pay for performance 2. Public accountability 3. Determine staffing needs 4. Drive quality improvement 5. Inform consumer decisions

1,2,4,5

A nurse has accepted a position as a telenurse. Which statement best describes this position? 1. The use of telemetry to monitor patients' heart rates. 2. Schedules office visits when patients need follow-up care. 3. The use of communication technology to deliver nursing care. 4. Not approved by most boards of nursing.

2

What component of the communication process is the source encoder? 1. The context of the message 2. The message sender 3. The receiver of the message 4. The channel

2

Chiropractic medicine, massage, osteopathic manipulation, and naturopathy are what complementary and alternative medicine category-based therapies? 1. Biologically-based 2. Energy 3. Manipulative body-based 4. Mind-body

3

What is the major benefit of ethics education courses that include both nursing students and medical students? 1. The nursing students learn how difficult medical school is. 2. The medical students learn how difficult nursing school is. 3. It helps bring about better team communication in practice. 4. Both groups learn that medicine is a business, not just a service.

3

Nursing students should focus their skills on delivering health care in which setting? 1. Assisted living facilities 2. Hospitals 3. Intensive care units 4. The community

4

A community health nurse collected data for several months on the birth weights of newborns of mothers who drank alcohol during their pregnancy. Which role did this nurse perform? 1. Teacher 2. Care provider 3. Collaborator 4. Researcher

4

What certification can a nurse working in Canada obtain? 1. Nursing specialty areas 2. Public health 3. Research 4. Nurse practitioner practice

1

What is true of a manager? 1. Has an assigned position in the formal organization. 2. Does not have delegated authority. 3. Emphasizes interpersonal relationships. 4. Directs willing followers.

1

For what non-accidental injuries in children should nurses assess when looking for signs of physical abuse? (Select all that apply.) 1. Fractures and bruises 2. Spinal injuries 3. Burns 4. Near drowning 5. Head injuries

1 2 3 5

Which historical figures provided nursing services during the Civil War? (Select all that apply.) 1. Louisa May Alcott 2. Harriet Tubman 3. Sojourner Truth 4. Lillian Wald 5. Clara Barton

1,2,3,5

To provide spiritually competent care, what should the nurse do first? 1. Perform a physical assessment. 2. Perform personal values-clarification activities. 3. Read the patient's nursing history. 4. Research information on the patient's cultural group.

2

What do diagnosis-related groups (DRGs) establish? 1. The nursing care plan 2. Pretreatment diagnosis billing categories and fee schedule 3. Private health insurance premiums 4. The need for the primary care physician to be consulted

2

A 38-year-old female who speaks very little English has been admitted to the emergency department with abdominal pain. What is the best way to communicate with this client? 1. Ask a nursing student who is fluent in Spanish to interpret. 2. Communicate by using hand gestures to supplement words. 3. Use a translator provided by the hospital or a community agency. 4. Use the client's 14-year-old son as a translator because he is fluent in both English and Spanish.

3

A nurse has accepted a job position in a clinic whose focus is on health care during pregnancy and infancy. Which type of health organization does this represent? 1. Health protection 2. Health restoration 3. Preventive health services 4. Health promotion

3

The nurse is conducting a teaching session with a client for whom English is a second language. The client smiles and nods in acknowledgment of the nurse's instruction. What should the nurse consider about this situation? 1. The client probably has a learning disability regardless of the language problem. 2. The client probably understands the content but doesn't have the words to express that fact. 3. The client may be trying to keep the nurse from being embarrassed. 4. The client is making fun of the nurse.

3

The nurse notices a twisted cloth bracelet tied around the wrist of a pediatric patient who is Hmong. The child's father explains that the bracelet is to protect the child's soul. What should the nurse recognize that the bracelet represents? 1. Child abuse, because the bracelets could cut off circulation to the child's hands 2. An antiquated practice 3. A religious practice carrying spiritual significance to the family 4. A need for patient and family education

3

What do Ph.D. programs in nursing emphasize? 1. Case management 2. Biomedical science 3. Research and building nursing science 4. Bedside nursing skills

3

The nurse is interested in learning more about global health issues. Which areas of nursing should the nurse focus when studying these issues? (Select all that apply.) 1. Telehealth 2. Home health 3. Public health 4. Primary health TestBankWorld.org 5. International health

3 5

What is the meaning of the word politics? 1. Campaigning for legislative candidates 2. Joining a political action committee 3. Having expert power 4. Influencing the allocation of scarce resources

4

What is the term informatics used to describe? 1. The use of the World Wide Web TestBankWorld.org 2. PDAs 3. How nurses use data 4. All aspects of computers and information systems

4

What is the underlying theme of Virginia Henderson's work? 1. Nurses move in stages from novice to expert in the field. 2. Nursing is best provided when culture is considered. 3. Control of the environment of healing is the most important aspect of nursing. 4. Nursing is independent from and interdependent with other health care disciplines

4

When using the SPIRIT model for assessing spirituality, what does the 'R' represent? 1. Religious beliefs 2. Relationships 3. Requests 4. Ritualized practices and restrictions

4

A young adult male from Singapore was brought to the emergency department after being found wandering around the Los Angeles airport. The client is confused, fearful, and speaks few English words. Which cultural concept can be used to explain Mr. Tao's behavior? 1. Ethnocentrism 2. Cultural assimilation 3. Cultural sensitivity 4. Culture shock

4

Addressing cost-containment issues, on what do community health nurses focus? 1. Diagnosis 2. Technical skill 3. Rehabilitation 4. Wellness and prevention

4

The department of nursing has updated a policy that outlines actions that must be taken routinely to facilitate client safety. Which actions should be emphasized on this document? (Select all that apply.) 1. Mandatory reading back of all verbal orders. 2. Posting actions to take when preparing medications. 3. Implementing an algorithm identifying the punitive steps for client care errors. 4. Charge nurse to notify health care providers of critical morning laboratory values by 10 a.m. 5. Implementing a checklist for change of shift report, identifying critical information required.

1,2,4,5

A major urban hospital is adopting the practices of high reliability organizations. Which behaviors indicate that nursing staff are incorporating these practices? (Select all that apply.) 1. Staff development trains all on algorithms created to address system errors. 2. Human resources prepares materials to use prior to issuing staff suspensions. 3. Nurse manager intercedes before an error with intravenous medication occurs. 4. Vice president of nursing meets with staff to learn ways to reduce the incidence of sharps occurrences. 5. Staff nurses analyze the steps that occurred to determine why a client had an adverse reaction in the operating room.

1,3,4,5

Question 10 What is the American Nurses Association Standard of Professional Performance as it applies to contribution to the professional development of peers? 1. Only nurses who want to contribute to peer professional development should do so. 2. All nurses have a responsibility for contributing to the professional development of peers. 3. Only nurses with master's degrees have the responsibility for contributing to the professional development of peers. 4. Only nurses with baccalaureate degrees have the responsibility for contributing to the professional development of peers.

2

The informatics nurse is concerned about the height of the stand for the portable laptop computers that the hospital is considering buying. Which concept is being addressing? 1. Finances 2. Ergonomics 3. Situational awareness 4. Evidenced-based practice

2

The international nurse is reviewing disability-adjusted life-years (DALY) statistics. Which category of health problem should the nurse identify as the reason for the majority of years lost to disability globally? 1. Renal disorders 2. Mental disorders 3. Respiratory illnesses 4. Cardiovascular disease

2

The staff development trainer is preparing teaching materials that focus on the basic elements of communication. In which order should the trainer explain the simplest process of communication? 1. Receiver sends a response 2. Sender develops a message 3. Receiver receives the message 4. Sender transmits the message 5. Receiver interprets the message

2, 4, 3, 5, 1

The nurse preparing a patient care plan utilizes the nursing diagnosis Enhanced Spiritual Well- Being to address which aspects of the patient? (Select all that apply.) 1. Sense of inner peace 2. Sense of meaning 3. Sense of world unity 4. Sense of purpose in life 5. Sense of relationship with others

1 2 4 5

The history of nursing is most strongly associated with which other factor? 1. The history of women 2. The development of medical technology 3. The growth of religion across the frontier 4. The decline of the family unit

1

Which statement describes the significance of the Mosaic Code in the history of health care? 1. The code outlined policy and procedure for early surgical interventions. 2. Early nurses ascribed to the code as a part of their registration process. 3. Public health was improved by this first sanitary legislation. 4. This code provided strict educational requirements for physicians.

3

A client from Haiti seeks medical care for a chronic cough. When being assessed the client does not make eye contact and looks at the floor or away from the nurse. What does this behavior suggest? TestBankWorld.org 1. No assumptions can be made. 2. The client is afraid of the nurse. 3. The client is an unreliable informant. 4. The client feels guilty because of waiting to seek medical care.

1

The nursing student has watched a demonstration of insertion of an indwelling urinary catheter. The student is now attempting the skill on a laboratory mannequin. What category of Bloom's psychomotor domain does this attempt reflect? 1. Imitation 2. Manipulation 3. Precision 4. Articulation

1

Which are considered barriers to the access of health care by Americans? 1. Cost of care 2. Community health centers 3. Lack of research for evidence-based practice 4. The use of nurse practitioners

1

The quality improvement committee is creating materials to use when implementing Six Sigma into the organization. In which order should the steps of this process be presented to the staff? 1. Identify desired outcomes 2. Analyze data of new processes 3. Monitor ongoing improvements 4. Identify process revisions required 5. Collect data on the defined process

1, 5, 2, 4, 3

According to the Healthcare Information and Management Systems Society, what are the top job responsibilities of an informatics nurse? 1. Research, marketing, and testing 2. Systems implementation and development 3. Computer skills, purchasing, and database design 4. Policy writing, security concerns, and computer maintenance

2

The nurse has been invited to an informal nursing networking meeting at a church close to the hospital where she works. What should the nurse expect to encounter at this meeting? 1. A requirement to pledge money to the group by paying dues. 2. A focus on getting to know the others attending. 3. Presence of the local television network's news anchor. 4. A plea to support the church by donating time to events.

2

The nurse interacting with a couple and suspecting domestic abuse should look for what traits commonly found among abusive individuals? 1. Career and goal directed 2. Over-possessiveness and jealousy 3. Economically independent 4. Passivity and withdrawal

2

The nurse is attempting to encourage the client to verbalize concerns. What would be an appropriate opening statement? 1. "Please tell me more about your family's health history." 2. "Where would you like to begin?" 3. "I'm curious to know more about your feelings." 4. "Why do you feel that way?"

2

What is faith? 1. The core of a person's being, involving one's relationship with God or a higher power 2. The belief in something that cannot be directly observed 3. An organized belief system shared by a group of people and the practices related to that system 4. Unique to Christianity

2

What is the major determinant of the content of a teaching session? 1. What the nurse likes to teach 2. The learning objectives 3. What is written about the topic in a nursing textbook 4. The time to teach

2

What is the primary reason for using shared governance in an organization? 1. It ensures high-quality care.2. It improves nurses' work environment, satisfaction, and retention. 3. Less time is spent in committee work. 4. It creates levels of middle management that increase the numbers of jobs for nurses within the organization

2

The nurse is creating a weight-reduction teaching plan for a client who has a BMI of 42 and type 2 diabetes mellitus. In which order should the nurse implement the contents of this plan? 1. Set realistic goals. 2. Raise awareness of healthy behaviors. 3. Explain relapse as an opportunity to try again. 4. Identify strategies that support healthy behavior. 5. Further clarify values in relation to the health behavior. 6. Identify unhealthy behavior triggers and ways to reduce them.

2,5,6,1,4,3

After learning of a diagnosis of pancreatic cancer the client begins to cry and asks "What have I done wrong? Why did God do this to me?" This statement reflects which health belief view? 1. Biomedical 2. Holistic 3. Magico-religious 4. Folk medicine

3

Collaborative practice creates a synergy among clients and providers. What does this statement mean? 1. The client has the final responsibility for decision-making. 2. Responsibility for health remains with the client. 3. The sum of the actions of the parties is greater than individual efforts. 4. The parties value and respect the diversity of their knowledge bases.

3

How does the patient-centered informatics model differ from the older nursing informatics models? 1. It is used to guide patient care decisions at the bedside. 2. It includes nursing science. 3. It is interdisciplinary. 4. It relies on the World Wide Web for information.

3

How should the nurse communicate with a toddler? 1. Talk to the child as an adult so as not to baby the child. 2. Speak only to the parents because small children are not capable of communicating their needs. 3. Use both verbal and nonverbal techniques to adequately assess the child. 4. Allow the parents to communicate for the child.

3

In 2004, the American Association of Colleges of Nursing published a position paper stating that the preparation for advanced nursing practice should be at which education level? 1. Masters 2. Bachelors 3. Doctoral TestBankWorld.org 4. Certification

3

The nurse includes the following information as part of daily documentation: The air quality at Elizabeth, PA has reached the unhealthful range with >100 microns/unit of particulate matter. The ozone level is elevated and individuals with respiratory illnesses should stay indoors during the afternoon hours. In which type of role is this nurse practicing? 1. Public health 2. Occupational health 3. Environmental health 4. Patient-centered medical home

3

The nurse is teaching a client to self-inject insulin. Whenever the client completes a step of the process correctly, the nurse smiles and says, "Good, good, you are learning this well." Whose learning theory is this nurse using? 1. Gagne 2. Piaget 3. Skinner 4. Lewin

3

What should a nurse working in a public nonprofit hospital understand? 1. The hospital is publicly traded on the New York Stock Exchange. 2. The hospital provides care only if the patient has the ability to pay. 3. Federal, state, or local governments govern this type of hospital. 4. The hospital is owned by a voluntary board of trustees.

3

Which approach to change relies on interpersonal relationships as the power ingredient? 1. Empirical-rational 2. Technostructural 3. Normative-reeducative 4. Power-coercive

3

Which are past events that have affected the development of professional nursing? 1. The entertainment industry 2. Presidential elections 3. Social movements 4. Natural disasters

3

Which change theory is based on beliefs that people are rational and that they will change if it is in their self-interest? 1. Power-coercive 2. Persuasive 3. Empirical-rational 4. Facilitative

3

Which option most closely demonstrates the concept of shared governance in a health care organization? 1. The nurse makes the decision to increase the frequency of output measurement on a postoperative client. 2. The nurse complains to a co-worker that there is not enough staff on duty for the patient acuity this shift. 3. The nurse is asked to serve on one of the strategic planning committees of the hospital. 4. The nurse is asked to be chairperson of a fundraising committee.

3

A patient has been experiencing lower back pain for over a year and has decided to seek chiropractic therapy. This form of CAM falls under which integrative therapy? 1. Mind-body therapy 2. Biologically-based therapy 3. Manipulative body-based therapy 4. Energy therapy

3

The nurse would like to start a self-help group for persons who would like to lose weight. Which organization would it be helpful for this nurse to contact? 1. American Nurses Association 2. National League for Nursing 3. National Mental Health Consumers' Self-Help Clearinghouse 4. National Coalition of Self-Help

3

The nurses on the unit have approached the nurse-manager with reports that a physician is abusive and rude in interactions with staff. The nurse-manager says, "Don't take the remarks personally and maybe they will stop." This is an example of which negotiation technique? 1. Forcing 2. Bargaining 3. Smoothing over 4. Avoidance

3

What did Dr. Loretta Ford and Dr. Henry Silver at the University of Colorado develop first? 1. Clinical specialist role 2. Graduate program in nursing 3. Nurse practitioner role 4. Group practice

3

What is one of the major technological contributors to changes in self-management by healthcare consumers? 1. The introduction of cell phones 2. Change in elementary education 3. Computers and information technology 4. Better transportation

3

What is the major ethical argument related to allocation of health resources? 1. The question of whether health care is a right or a privilege. 2. How to provide low-cost prescription medication to low-income persons. 3. Whether physician or nurse practitioners provide the most cost-effective care. 4. Whether medication therapy is superior to diet therapy in the control of chronic illness

1

What is the only major discipline that does not require its members to hold at least a baccalaureate degree in order to be licensed? 1. Nursing 2. Medicine 3. Physical therapy 4. Dentistry

1

What are Patricia Benner's five levels of proficiency in nursing? 1. Student, graduate, clinical specialist, practitioner, clinician. 2. Pre-professional, technical, professional, advanced, expert. 3. Novice, advanced beginner, competent, proficient, expert. 4. Student, staff nurse, manager, supervisor, director

3

To what does the moral principle of nonmaleficence refer? 1. Truth telling 2. Duty to do no harm 3. Faithfulness 4. Doing good

2

What is the common denominator for nursing leaders across history? 1. They desired to obtain power in their job positions. 2. They were all women of wealth and influence. 3. They cared deeply about the society in which they lived. 4. They were focused on caring for people in hospitals.

3

Which term is used to describe the process by which a person assumes or develops a new role? 1. Norm validation 2. Role transition 3. Cognitive dissonance 4. Role incumbent

2

A nursing student has achieved academic excellence and has been invited to join nursing's honor society. Which organization has this student been invited to join? 1. National League for Nursing 2. American Nurses Association 3. Sigma Theta Tau International 4. American Association of Colleges of Nursing

3

According to Gilligan, which statement is true? 1. Men usually follow the moral development path of nonviolence. 2. Women usually follow the moral development path of equality. 3. Men usually follow the moral development path of fairness. 4. Women usually follow the moral development path of justice.

3

What was the earliest documentation of law governing the practice of medicine? 1. The Code of Hammurabi 2. The writings of Hippocrates 3. The Ebers papyrus 4. The Mosaic Code

1

The newly licensed nurse has theoretical knowledge and technical skill abilities but has difficulty working within the constraints of the nursing unit. What issue associated with role development does this situation exemplify? 1. Sending 2. Role formation 3. Reality shock 4. Mastery

3

The nurse has been caring for a ventilator-dependent patient for several days. The family has made the decision to withdraw ventilatory support. How should the nurse interpret this decision? 1. As active euthanasia 2. As illegal euthanasia 3. As passive euthanasia 4. As alleviation euthanasia

3

Which is an ethical concern of nursing informatics? 1. Maintaining confidentiality and privacy 2. Values clarification exercises 3. Providing end-of-life care 4. Cost accountability

1

Which level of prevention as defined by Leavell and Clark most closely reflects health promotion? 1. Primary 2. Secondary 3. Tertiary 4. None of the levels is related to health promotion

1

Which model does the nurse employ while working in the role of health promoter? 1. Nursing process 2. Medical model 3. Scientific method 4. Problem-solving model

1

What are advantages of home health care? (Select all that apply.) 1. Accessibility 2. Preference 3. Convenience 4. Cost 5. Relationship

1 3 4 5

A client with a nasogastric tube to suction has been prescribed tracheostomy suctioning as needed to maintain airway integrity. While rounding after report the nurse notes that the tubing for the nasogastric suction has been switched with that to be used for the tracheostomy suctioning. How should the charge nurse categorize this error? 1. Latent 2. Active 3. Technical 4. Organizational system

2

A high school class is still mourning the death of a popular classmate who was killed in an automobile accident. The opportunity to conduct a class on safe driving would be based upon which facilitator of learning? 1. Repetition 2. Motivation 3. Simple to complex 4. Physical readiness

2

A dying patient requests privacy to pray. Which are the forms of prayer? (Select all that apply.) 1. Contemplation 2. Communication to God or other deity 3. A spiritual communion 4. Internal reflection 5. A petition or request

2 3 5

During the admission process, the nurse assesses the patient's spiritual belief system and what other aspect related to that system? 1. Christianity 2. Godly assumptions 3. Religious preference 4. Religious knowledge

3

The nurse is preparing an education program on Fowler's stages of faith development. In which order should the nurse explain the developmental tasks associated with this process? 1. Struggle with faith 2. Listen to spiritual stories 3. Discuss religious diversity 4. Develop trusting relationships 5. Adhere to scripture-based codes of behavior 6. Place faith as the basis and framework for living 7. Believe that the Supreme Being is the only one who really knows them

4 2 5 7 1 3 6

The nurse is preparing an in-service for staff on holistic nursing care. In which order should the nurse explain the four perspectives of reality? 1. Cultural 2. Systems 3. Behavioral 4. Intentional

4 3 1 2

The nurse is preparing a teaching session that focuses on Piaget's phases of cognitive development. In which order should the nurse present material about these phases? 1. Different viewpoints 2. Includes others in the environment. 3. Deductive and futuristic thinking and reasoning. 4. Discovery of new goals and ways to attain those goals.

4,2,1,3

The nurse is preparing an educational session for new graduates on the cognitive domain. In which order should the nurse provide this material? 1. Values the learned material. 2. Uses material in concrete situations. 3. Using elements to create a new whole. 4. Recognizes previously learned material. 5. Explains the meaning of learned material. 6. Separates material according to importance.

4,5,2,6,1,3

The nurse is working on a committee which is tasked to improve community health through the use of technology. In which order should the committee identify steps to implement this plan? 1. Revamp regulations. 2. Shape policies providing the opting in or out of personal data. 3. Establish sites for rapidly testing innovations in community health. 4. Use regional partnerships to improve population and individual health. 5. Define shared health metrics and align payment systems for health outcomes. 6. Develop the business models to convert personal data to improve community health. 7. Build community storage systems that will emerge while improving community health.

5 6 4 7 2 3 1

An emergency room nurse is caring for a repeated domestic violence victim/client who refuses to leave the abuser. What should the nurse understand as a common reason why victims refuse to leave an abusive relationship? 1. They are economically dependent. 2. They are uneducated. 3. They subconsciously enjoy the abuse. 4. They have a high degree of self-respect.

1

By volunteering at the local health fair and handing out Women's Heart Disease pamphlets, the nurse is practicing which type of health promotion? 1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Preventative care

1

During an emergency room visit a client refuses to be admitted because of information learned over the internet about the care of clients with the same health problem. To what should the nurse realize that the client is referring? 1. Report card 2. KSA behaviors 3. Health care claims 4. QSEN competencies

1

For nurses to be successful in future health care, what should be the focus? 1. Community focus and information technology 2. Acceptance and efficiency of managed care 3. Lifting of cost-containment measures 4. A surplus of nurses

1

To what does the moral principle of veracity refer? 1. Truth telling 2. Duty to do no harm 3. Faithfulness 4. Doing good

1

Which action is performed in Westerhoff's stage of owned faith? 1. Participates in activities that characterize a particular faith tradition 2. Puts faith into personal and social action 3. Acquires a cognitive as well as an affective faith 4. Experiences faith through interaction with others who are living a particular faith tradition

2

The newly licensed nurse finds many inconsistencies between what was taught in nursing school and what occurs in the practice setting. How is this situation likely to affect this nurse's socialization into nursing practice? 1. It probably won't have much effect. 2. It may hinder socialization. 3. It will make the new graduate a better nurse. 4. It will force the nurse to socialize more quickly.

2

The nurse has a strong personal belief that life begins at conception. Can this nurse legally refuse to assist with an abortion? 1. Yes, but only if there is no health danger to the mother if the abortion is not performed. 2. Yes; most states have conscience clauses or provisions to protect the nurse in this situation. 3. No; if the nurse has willingly taken a job where assisting with an abortion is a possibility, he or she cannot refuse to assist. 4. No; because abortions are considered medical procedures, the nurse is ethically required to assist

2

The nurse has read about a clinical innovation that is evidence-based. The nurse is developing a positive attitude about the use of this innovation. Which stage of Rogers' theory of diffusion of innovation does this reflect? 1. Knowledge 2. Persuasion 3. Decision 4. Implementation

2

The nurse is interested in implementing evidence-based care in practice and is conducting a search for pertinent research studies. Which type of research is most likely to produce best evidence? 1. Literature review of the topic 2. Randomized clinical trial 3. Research that explains phenomena 4. Descriptive research

2

Which document called for a restructured healthcare system ensuring universal access to a standard package of essential healthcare services for all U.S. citizens and residents? It also specified that this access should be affordable, available, and acceptable. 1. AMA's Happy and Healthy People 2. ANA's Health System Reform Agenda 3. WHO's Future of Health Care 4. ANA's Have a Good Day Policy

2

A nurse who has been taking antihistamines for a head cold says these medications always make her "sleepy." Is this nurse impaired? 1. No; impairment means under the influence of alcohol. 2. Yes; any situation that clouds the nurse's professional vigilance can be thought of as impairment. 3. No; impairment from drug ingestion occurs only if the drugs are illegal. 4. The nurse is impaired only if he or she has taken more medication than is recommended by the medication literature.

2

A patient takes herbal medicines, vitamins, and eats only whole or organic foods. Based on this information, what is this patient practicing? 1. Mind-body alternative therapies 2. Biologically-based alternative therapies 3. Manipulative body-based alternative therapies 4. Energy alternative therapies

2

An individual trained as a nurse in South Africa has set a personal goal to practicing nursing in the United States. What issue should this person be prepared to address to meet this personal goal? 1. Converting U.S. money 2. Comparable skill level 3. Living accommodations 4. Transportation to the hospital

2

During a large merger of two community hospitals, the nurse-manager was challenged with merging the two very different medical-surgical units into one unit. During the process, meetings were held assuring the nurses that staffing would be a top priority, that education about all changes would occur, and that the manager had faith in the nurses' abilities to implement the change. This nurse-manager was utilizing what tactic to "unfreeze" the system? 1. Producing discomfort 2. Providing psychological safety 3. Critical thinking 4. Inducing guilt and anxiety

2

For which reason was the 2-year associate degree in nursing developed? 1. Distance education 2. Nursing shortages 3. Advanced practice roles 4. Consumerism

2

What is the name of the national association developed for student nurses? 1. ANA 2. NSNA 3. CNA 4. NLN

2

The public health nurse notes that certain diseases and health problems are becoming more prevalent in countries that previously had few issues. What should the nurse consider as reasons for this change? (Select all that apply.) 1. Health coverage for the disease has changed 2. People have visited countries with the disease 3. Reduced numbers of providers who treat the disease 4. People have moved into the country with the disease 5. People are living longer in the country with the disease

2 4 5

The nurse manager is reflecting on a negotiation conducted with the medical director which did not produce a desired outcome. In which order should the manager reflect upon this episode? 1. The goal is to win against the other side 2. Each side has a goal to get as much as possible 3. Each side believes that both sides cannot achieve their goals 4. Resources are limited for each side to get as much as possible

2,4,3,1

In which case can the physician and nurse initiate care without consent? 1. A 15-year-old female who requests treatment for acne. 2. An 80-year-old client presenting with the flu who seems to be confused. 3. A 35-year-old male who is unconscious and in shock following an auto accident. 4. A 6-year-old child with a possible broken arm brought to the emergency room by a teacher

3

Pain is a cultural universal. What does this mean? 1. Treatment for pain is the same in all cultures. 2. People of all cultures experience pain, but the expression of pain may vary from one culture to another. 3. People of all cultures experience pain, but the expression of pain may vary within and between peoples of different cultures. 4. People of all cultures experience pain in the same way.

3

The Human Resources director has drafted the following position description for a nurse to work in the informatics department. Skills and Experience: Needs assessment; Technical writing; Managing the implementation of documentation systems; Training staff on the use of documentation systems; Recent database creation; Application design and testing. What important element is missing from this position description? 1. Education level 2. Budget preparation 3. Clinical experience 4. Interest in computers

3

The charge nurse is overheard yelling at a new graduate who mixed a tube feeding with the incorrect volume of water. What would be the expected outcome from this exchange? 1. The other staff will make sure that no errors occur. 2. The human resources department will be contacted. 3. The new graduate will hesitate to report errors in the future. 4. The charge nurse will create a guide sheet for all staff to use

3

The conflict negotiator tells the group that the desire is a win-win solution. What does this desire indicate? 1. Each side of the argument gets all it requests. 2. One side and the negotiator are successful in winning at least one point in the argument. 3. Each side is satisfied with the resolution. 4. In order to achieve resolution, each side compromises on items it views as important

3

The client has made a difficult decision to refuse treatment for a potentially curable malignancy. The nurse asks the client, "How are you going to tell your spouse about this decision?" What is the nurse attempting to assess? 1. Whether the client has considered all of the treatment options available. 2. Whether the client was able to choose freely among treatment options.3. Whether the client is prepared to act on the decision. 4. Whether the client feels good about the decision made.

3

A client of Italian heritage has only lived in the United States although both parents were born in Italy. What should the nurse expect when caring for this client? 1. The client has maintained a life totally consistent with Italian values and beliefs. 2. The client is completely acculturated to the American way of life. 3. The client's beliefs and values are probably a mix of the Italian beliefs and values of the parents and the values and beliefs of America. 4. The client knows how to speak Italian and English.

3

A client tells the nurse that a group of friends have all decided to stop smoking. The group has planned a party at which they will each smoke their last cigarette. According to Pender's model, how does the nurse interpret this information?1. This group's plan sounds too frivolous to be successful. 2. Group actions generally are not as successful as individual efforts. 3. This party demonstrates a plan of action and is positive. 4. There is no connection between successful outcomes and planning

3

A staff nurse continually tells sexually explicit jokes during shift report and frequently focuses those jokes on a newly hired nursing assistant. Who can make the charge of sexual harassment against this staff nurse? 1. Only the nursing assistant. 2. Only the staff nurse's supervisor. 3. Anyone affected by the offensive material. 4. Any person who hears the jokes.

3

In order for the healthcare provider to receive payment from Medicare, the client's medical record must include which documentation? 1. An evaluation of the quality of care 2. Permission from the client to use health data in governmental research 3. Correct diagnosis-related group 4. A discussion of the pathophysiology of the client's major medical diagnosis

3

In the diffusion-innovation theory, what causes change? 1. Planned change by a change agent 2. Driving forces 3. Social change and spread of new ideas 4. Restraining forces

3

In which activities do political action committees (PACs) primarily engage? 1. Developing organizational policies 2. Collective bargaining 3. Endorsing political candidates for office 4. Filing civil lawsuits

3

While attending a seminar the nurse meets the author of a popular nursing textbook who offers assistance and help to the nurse at any time. In which order should the nurse use the power of connection to contact this nurse author? 1. Avoid name-dropping 2. Provide a rationale for using the relationship 3. Consider the appropriate use of the connection 4. Recognize that reciprocation might be required 5. Limit the contact so that the relationship is not exploited

3,1,2,4,5

The Shared Governance committee is tasked with creating an approach to introduce Just Culture to the nursing staff. When creating the materials, which duties should be emphasized? (Select all that apply.) 1. Report errors 2. Support autonomy 3. Avoid risk or harm 4. Follow procedures 5. Produce an outcome

3,4,5

Complying with the American Association of Colleges of Nursing, what would a graduate-level nurse-educator's instruction include? 1. Malpractice insurance coverage 2. Critical care skills 3. Medical diagnosis 4. An area of clinical competence

4

Dalton extended Kim's theory of collaborative decision making in nursing practice to include which group? 1. Social workers 2. Children and vulnerable populations 3. Psychologists 4. Family caregivers

4

How is the Code of Ethics for Nurses with Interpretative Statements most useful for nurses? 1. It gives direction for actions as related to specific cases of ethical dilemma. 2. It gives suggestions for use in cases of general-duty ethical dilemma. 3. It is best used to make suggestions to solve problems in critical situations. 4. It offers general guidelines for the ethical delivery of nursing care.

4

International diplomats report several thousand wounded in an Iraqi region and the Iraqi government is asking for assistance. Which organization should be prepared to enter the country to help the wounded during the conflict? 1. Aga Khan Foundation 2. Médecins Sans Frontières 3. Bill and Melinda Gates Foundation 4. International Committee of the Red Cross

4

A client was admitted after being injured in a fight outside a bar. The nurse asks, "Why were you in a bar?" This is an example of which barrier to therapeutic communication? 1. Challenging 2. Rejecting 3. Stereotyping 4. Probing

4

A client was admitted to the medical unit after emergency treatment of hypertensive crisis. To which staff member should the charge nurse delegate or assign measurement of this client's vital signs? 1. A patient care technician 2. A nursing assistant 3. An LPN 4. An RN

4

A 47-year-old male with a BMI of 32 does not smoke, has a blood pressure of 160/90, and a family history of diabetes and kidney disease. When preparing to perform primary prevention education for this patient, which non-modifiable risk factors should the nurse identify? 1. Age, gender, and genetics 2. Previously diagnosed disease processes 3. Diabetes, hypertension, and kidney disease 4. Gender and family history

1

During a health visit a client who has been reviewing smoking cessation material states "I've already cut back from a pack a day to half a pack." According to Prochaska and DiClemente, in which stage of change is this client? 1. Preparation 2. Precontemplation 3. Action 4. Contemplation

1

What would be included in the assessment of the health and social services subsystem of a community? (Select all that apply.) 1. Availability of emergency centers 2. The size of the community 3. Evidence of traditional healers 4. Presence of mental health facilities 5. Where families and children play

1 3 4

The staff development trainer is preparing material as part of a teambuilding seminar. What should the trainer include in the teaching material? (Select all that apply.) 1. Importance of setting goals 2. Honoring individual talents 3. Strategies to support group cohesion 4. Methods to ensure good communication 5. Reviewing structure, process, and outcomes

1,2,3,4

Which behaviors are including in Bloom's cognitive domain of learning? (Select all that apply.) 1. Comprehending information 2. Analyzing information 3. Evaluating information 4. Applying information 5. Acquiring information

1,2,3,4

The nurse has a strong personal value system and is concerned that these values may conflict with the values of a newly assigned nursing unit. What should the nurse do? (Select all that apply.) 1. Identify personal values. 2. Be watchful for situations in which there may be a values conflict. 3. Hold personal values in check if it is still possible to provide effective care. 4. Refuse to be transferred to this unit. 5. Discuss the situation with the nursing supervisor

1,2,3,5

What ethical issues arise from organ donation and transplantation? (Select all that apply.) 1. Allocation of organs. 2. Selling of organs. 3. Advanced consent for donation 4. Involvement of children as donors. 5. Cloning for the manufacture of organs.

1,2,4,5

A new graduate is planning to delegate aspects of client care to unlicensed assistive personnel (UAP). Before completing this delegation, in which order should the graduate review the rights of delegation? 1. Task 2. Person 3. Circumstance 4. Supervision and evaluation 5. Direction and communication

1,3,2,5,4

The nurse manager is curious as to how the client care staff is meeting process outcomes. On what should the manager focus when making this determination? (Select all that apply.) 1. Work flow 2. Quality of life 3. Patient education 4. Tasks and activities 5. Satisfaction with care

1,3,4

The staff development trainer is preparing information for a seminar on the Quality and Safety Education for Nurses (QSEN) initiative as part of the National Safety Week celebration. Which attributes should the trainer emphasize as being an integral part of this initiative? (Select all that apply.) 1. Skills 2. Caring 3. Attitudes 4. Education 5. Knowledge

1,4,5

The hospital administrator is considering the implementation of the Lean model as the framework for quality improvement in an organization. In which order should the administrator explain the elements of this model? 1. Identify value 2. Improve the flow 3. Perfect the process 4. Test the new process 5. Determine the value stream

1,5,2,4,3

A hospital's nursing assessment form reflects first-level and second-level assessment. From this information, the nurse seeking employment at this facility determines that nursing service follows which theorist? 1. Orem 2. Roy 3. Benner 4. Leininger

2

In an attempt to contain the staffing budget the nurse manager may introduce: 1. Advanced practice nurses 2. Cross training of nursing staff 3. Longer work days 4. Nurses with bachelor degrees

2

On what do home health services focus? 1. Intravenous therapy 2. Individualized, episodic care with curative, short-term outcomes 3. Prevention of disease processes 4. Reimbursement issues first

2

A client had a mastectomy yesterday. Today, the nurse must teach this client exercises to promote function on the operative side. When should this teaching occur? 1. Before administering pain medication, so the client is still alert. 2. Whenever the client expresses a desire to learn, despite pain status. 3. Approximately 30 minutes after administering pain medication. 4. Immediately after administering pain medication.

3

A client received an injury that resulted in amputation of the right leg. The client has been unwilling to participate in physical therapy activities. Today the client says, "Well, I can't change this, so I might as well learn to live with it and do these exercises." What categorization of affective domain does this statement reflect? 1. Responding 2. Valuing 3. Organizing 4. Receiving

3

A client asks the nurse about a new treatment for Alzheimer disease that the client found during a search of the Internet. The treatment is based upon alternative medicine strategies. How should the nurse respond to questions about this treatment? 1. Since the treatment was discovered on the Internet, it is probably not valid. 2. Because the treatment is based upon alternative medicine strategies, it is probably not valid. 3. The treatment must be researched and found to be valid before it can be added to the Internet. 4. The treatment may be valid, but further investigation should be done before it is trusted.

4

A consultant is hired to recommend organizational changes in a healthcare institution. What best describes this consultant's role? 1. Leader 2. Legitimate authority 3. Internal change agent 4. External change agent

4

A patient who is Orthodox Jewish is terminally ill. The family and rabbi spend a great deal of time at the patient's bedside. At the time of death, what should the nurse expect to occur? 1. The family will approve organ donation. 2. The rabbi will say Shiva. 3. The family will approve an autopsy. 4. The patient may want to say the Shema or have it said for him.

4

On this nursing unit, one nurse is assigned to administer medications to all the clients. Another nurse provides all the treatments such as dressing changes. Another nurse manages all invasive lines. What type of nursing delivery model is this? 1. Team nursing 2. Case management 3. Total patient care 4. Functional care

4

A client who has been considering smoking cessation says "I've already quit. I haven't had a cigarette for 6 weeks." According to Prochaska and DiClemente, in which stage of change is this client? 1. Preparation 2. Precontemplation 3. Action 4. Contemplation

3

What would be the best environment for conducting client teaching? 1. The client is in the clinical educator's office. 2. The client is reclining in bed with the television on. 3. The client has just been medicated for pain. 4. The client is upright in bed with family members present

1

A client of Chinese heritage requests that a healer use acupuncture to treat back pain. What action should the nurse take? 1. Traditional remedies should be considered in conjunction with physician-prescribed treatments for their risks and benefits. 2. Traditional remedies are helpful and should be supported. 3. Some traditional remedies may be helpful and should be encouraged. 4. Traditional remedies are harmful and should be avoided.

1

In which way would an office nurse setting up a patient's appointment and operating in a rationing of healthcare environment accept appointments? 1. The patient's ability to pay 2. The lottery system 3. Referrals 4. Recommendations from case managers

1

Nurses can be certified in nursing informatics through which organization? 1. American Nurses Credentialing Center (ANCC) 2. American Nurses Association (ANA) 3. The state board of nursing (BON) in which they have primary residence 4. Any accredited master of nursing (MSN) program

1

The advanced practice nurse is thinking of moving to another state. What information about regulation of advanced nursing practice is important for this nurse to consider? 1. Regulations are specified by each state. 2. This is a national regulation. 3. It is the same as the regulation of basic nursing practice within each state. 4. Specific, separate regulation for advanced practice is not necessary except for nurse anesthetists.

1

What is the final focus for nursing research? 1. Making a difference that matters for improving client care 2. Contributing to developing theory 3. Contributing to the body of scientific knowledge regarding nursing 4. Describing situations about which little is known

1

The Patient Self-Determination Act of 1991 brought about what changes and nursing issues? 1. The act has allowed people to make decisions in advance about their future health care. 2. Nurses must ensure that the client's living will or durable power of attorney is understood. 3. Issues such as the "right to die," assisted suicide, and other ethical dilemmas are of daily concern to nurses in all practice settings. 4. The act assists people with information on what to do with their financial investments. 5. It has increased the scope and accountability of the nurse.

1 2 3 5

The nurse is preparing a seminar for staff nurses on the issues surrounding global health. What information should the nurse include as important for nurses to know about this topic? (Select all that apply.) 1. Contributes to creating solutions to global health challenges. 2. Identifies progress that has been made in global health problems. 3. Highlights the global health challenges that need to be addressed. 4. Encourages nurses to migrate to other countries to address ongoing health issues. 5. Identifies the relevance of global health concepts in relation to community health.

1 2 3 5

What must be done when assessing an injured patient? (Select all that apply.) 1. Ensure privacy 2. Be alert for signs of abuse 3. Provide safety 4. Assert personal values 5. Display a nonjudgmental demeanor

1 2 3 5

Why has nursing theory not been formally integrated into everyday nursing practice? (Select all that apply.) 1. Historically, nursing education was accomplished following an apprenticeship model. 2. Nursing theories were developed by nurses in graduate school at a time when advanced education in nursing was uncommon. 3. The theoretical basis of nursing was developed centuries ago and does not apply to current nursing practice. 4. There is little evidence that nursing theories are applicable in today's nursing practice. 5. Insufficient numbers of nursing theories exist to guide nursing practice

1,2

What is included in health communication? (Select all that apply.) 1. Health promotion 2. Disease prevention 3. Any health message 4. Healthcare policy 5. The business of health care

1,2,4,5

What are the purposes of scientific research? (Select all that apply.) 1. Description 2. Review 3. Exploration 4. Explanation 5. Prediction

1,3,4,5

How can planning help the nurse-manager? (Select all that apply.) 1. Identifying future opportunities 2. Quickly fixing current problems 3. Developing strategies 4. Avoiding future problems 5. Designing courses of action

1,3,5,4

A charge nurse does not like working with new graduates and always assigns them the most complicated patients. What does this exemplify? 1. An appropriate work assignment 2. Bullying TestBankWorld.org 3. Professional development 4. Transactional leadership

2

A client is a Black male of Jamaican heritage. What would be true regarding this client? 1. The client's race is Jamaican and his ethnicity is Black. 2. The client's race is Black and his ethnicity is Jamaican. 3. The client's race is Jamaican and his ethnicity is Jamaican. 4. The client's race is Black and his ethnicity is Black.

2

A client of Hispanic descent has just delivered her fourth child, and avoids cold beverages and foods because she believes she must eat hot or warm foods and beverages and not allow herself to chill. Which health belief view is this client demonstrating? 1. Biomedical 2. Holistic 3. Magico-religious 4. Folk medicine Correct Answer:

2

What would be the greatest difference in care delivery when comparing the hospital-based nurse to the community and public health nurse? TestBankWorld.org 1. The hospital-based nurse does not have to follow as many policies as the community and public health nurses. 2. The community and public health nurses have a higher degree of autonomy and independence than the hospital-based nurse. 3. All three groups of nurses perform their jobs identically. 4. The community and public health nurses do not have to document care as much as the hospital- based nurse.

2

When comparing healthcare systems, the United States is an example of which type of system? 1. Socialized insurance 2. Voluntary insurance 3. Mandatory health insurance 4. Socialized medicine

2

Which nurse used contacts with powerful men in government to obtain needed personnel and supplies for wounded soldiers in the Crimea? 1. Harriet Tubman 2. Florence Nightingale 3. Lillian Wald 4. Margaret Sanger

2

The nurse researcher is identifying potential areas within nursing that affect human rights. Which areas should the researcher consider for further study? (Select all that apply.) 1. Telenursing 2. Palliative care 3. Forensic nursing 4. Infusion therapy 5. Nurse imprisonment

2 3 5

A group of community members are diagnosed with a chronic illness affecting the same body system. What should the nurse consider as social determinants of health that contributed to the development of the disease process in these individuals? (Select all that apply.) 1. Age 2. Housing 3. Gender at birth 4. Community violence 5. Office location of employment

2 4 5

As a nurse assessing abused children, the abused child may display which behavioral characteristics? (Select all that apply.) 1. High need for adult contact 2. Attempt suicide or abuse alcohol or drugs 3. Consistently be measured in the 95th percentile on growth charts 4. Verbalize fault for injuries: "I deserved it" 5. Express violence toward pets

2 4 5

A person comes into the emergency department with injuries consistent with abuse. In which order should the nurse complete the assessment of this person's injuries? 1. Paresthesia 2. Facial bruising 3. Limited joint mobility 4. Abdominal tenderness 5. Skin tenderness and scars

2 5 3 4 1

The staff development trainer is preparing materials for a seminar on change theory in anticipation of the implementation of a new care delivery system in the organization. If the innovation-decision process is going to be used, in which order should the trainer review the stages of change? 1. The individual makes a choice to either adopt or reject the change. 2. The individual is introduced to change and begins to comprehend it. 3. The individual acts on the choice to either adopt or reject the change. 4. The individual develops a favorable or unfavorable attitude about the change. 5. The individual seeks confirmation that the choice to act or reject the change is appropriate.

2, 4, 1, 3, 5

The nurse is asked to testify at a Congressional hearing about a public health issue affecting more than 50% of community members. In which order should the nurse prepare for this testimony? 1. Verify time limits 2. Confirm the time to register 3. Answer questions completely 4. Maintain professional composure 5. Prepare the testimony in advance 6. Thank the committee for their time 7. Dress to communicate professionalism 8. Provide written copies of the testimony 9. Present the material and avoid reading it

2, 5, 7, 4, 1, 8, 9, 3, 6

The vice president of nursing is reviewing the process of empowerment with all nursing managers in efforts to improve this behavior. In which order should the vice president explain the implement of this concept? 1. Support the staff 2. Provide staff with information 3. Highlight opportunities for development 4. Ensure resources to do the job are present

2,1,4,3

The Quality Improvement committee is identifying indicators as measures of health care. What should the committee identify as characteristics of quality indicators? (Select all that apply.) 1. Identify nurses' roles 2. Readily available data 3. Focus on priority areas 4. Scientifically acceptable 5. Useful for decision making

2,3,4,5

The charge nurse is beginning rounds after attending morning report. Which clients should the nurse be concerned for developing a never event? (Select all that apply.) 1. Client with hemophilia receiving Factor replacement transfusions 2. Client recovering from a stroke with foul-smelling urine in a catheter drainage bag 3. Client recovering from total knee replacement surgery complaining of right calf pain 4. Client with heart failure being fitted for a C-pap mask for use at home for sleep apnea 5. Client with renal failure with a newly diagnosed stage III pressure ulcer on the left heel

2,3,5

The nurse working at the bedside traditionally participates in which advocacy role? (Select all that apply.) 1. Legal 2. Self 3. Collective 4. Class 5. Citizen

2,5

What is the focus of client advocacy? 1. The nurse is responsible for the client's health. 2. The nurse should influence the client to make the right decision. 3. The focus is respect for the client's decisions and enhancement of autonomy. 4. Emphasis is on correcting the client's reported weaknesses.

3

What is the name of the nursing research journal first published in 1952? 1. American Journal of Nursing 2. Research in Nursing and Health 3. Nursing Research 4. Western Journal of Nursing Research

3

The nurse attended a conference that focused on actions to improve community health. During the conference the nurse learned the four zones of concern. In which order should the nurse explain these zones when sharing the content of the conference with the other nursing staff? 1. Growing desperation 2. Big data, high aspiration 3. Conventional expectation 4. Culture of health high aspiration

3 1 2 4

The World Future Society made 10 future forecasts. Which forecast will affect nursing? (Select all that apply.) 1. We will revive recently extinct species. 2. By 2020 populations will shrink, and wealth will shrink with them. 3. Doctors will see brain diseases many years before they arise. 4. Buying and owning things will go out of style. 5. The future of science is in the hands of crowd-sourcing amateurs.

3 5

The nurse is preparing an education seminar that focuses on moral development. In which order should the nurse explain Kohlberg's stages? 1. Instrumentalism/self-interest 2. Good boy/good girl 3. Obedience and punishment 4. Social contract 5. Law and order 6. Universal moral principle

3,1,2,5,4,6

According to Pender, Murdaugh, and Parsons, what is the definition of health promotion? 1. Behavior designed to avoid illness. 2. Behavior to increase early detection. 3. Behavior to help maintain function within constraints of illness. 4. Behavior motivated by a desire to increase well-being

4

After receiving information about smoking cessation the client responds, "OK. I've been thinking about quitting." According to Prochaska and DiClemente, in which stage of change is this client? 1. Preparation 2. Precontemplation 3. Action 4. Contemplation

4

In 1993, a center at the National Institutes of Health was established with a nursing perspective. What is the name of that center? 1. The National Center for Nursing Research 2. The National Institute for Human Health and Behavior 3. The Institute for Professional Research 4. The National Institute of Nursing Research

4

In the Healthcare Information and Management Systems Society (HIMSS) study done in 2014, what was the largest barrier to success as a nurse informaticist? 1. Education 2. Time 3. Financial resources 4. Support systems

4

The nurse has been asked to provide a health-promotion session for a group of preschool children. Can the nurse work in this capacity? 1. No; health-promotion activities are limited to individual sessions. 2. The nurse may do so only if there is a medical order for the session. 3. No; health promotion is effective only with adult clients. 4. Yes; the nurse can work with groups or individuals of all ages.

4

The nurse says she knows a particular fact is true because "God says it is true." Which of Kneller's types of knowing is this nurse describing? 1. Rational 2. Empirical 3. Intuitive 4. Revealed

4

The nursing instructor is preparing material for students about the development of nursing organizations. In which chronological order should the instructor present this material? 1. ICN 2. STT 3. CNATN 4. NLN 5. ANA 6. NSNA

4,5,1,3,2,6

The nurse is preparing a seminar for community members newly diagnosed with type 2 diabetes mellitus. The nurse is aware that these members are confused about the diagnosis and the changes that they will have to make in their diet and exercise patterns. In which order should the nurse review the stages of change with these members? 1. The change is implemented and new behaviors are adopted. 2. The person makes specific plans for implementation of the change. 3. The change is fully integrated into the person's behaviors with support provided. 4. The person is willing to consider a change and obtains information about the proposed change. 5. The person is not thinking about change, nor is he or she interested in information about a proposed change.

5, 4, 2, 1, 3

The hospital is a complex organization in which some amount of conflict is always present. How is this level of conflict described? 1. Latent 2. Felt 3. Perceived 4. Overt

1

Which would be a restraining force for change? 1. Fear of loss or threat to security 2. Perception that change is challenging 3. Potential for self-growth 4. Economic gain

1

What is the most basic way for the nurse to influence government? 1. Joining the national nursing organization 2. Registering to vote and voting 3. Working on political campaigns 4. Engaging in personal lobbying

2

The staff development trainer has been asked to prepare a program on the latest approach to health care. In which order should the trainer review the identified concepts? 1. Holistic health 2. Integrative medicine 3. Alternative medicine 4. Complementary and alternative medicine

1 3 4 2

A nurse discovers that a person is being abused. What should the nurse do to prevent the abuse from continuing? (Select all that apply.) 1. Appropriate assessment 2. Verbalize to the victim that he or she is a good person and the abuser is the bad person 3. Documentation 4. Intervention 5. Know the laws associated with reporting abuse

1 3 4 5

The nurse's research is directed toward testing a specific hypothesis deduced from a theory. Which research approach does this work represent? 1. Dynamicism 2. Positivist 3. Constructivist 4. Naturalistic

2

What would be included in the assessment of the recreation subsystem of a community? (Select all that apply.) 1. The air and water quality 2. Where children play 3. The number of libraries 4. Who participates in sports programs 5. Gyms and pools

2 4 5

A patient from Hong Kong is admitted to the hospital for gastric surgery. During the assessment the patient repeatedly asks how billing for the hospitalization will occur. What should the nurse realize about this patient's concerns? 1. Illness can cause financial ruin. 2. All health care is financed through taxes. 3. Health care is funded by governmental agencies. 4. Health care is financed by the patient's employer.

1

The Centers for Disease Control and Prevention are tracking an outbreak of smallpox in a small community in Oklahoma. Which organizations should the community health nurse contact for assistance to help during this outbreak? (Select all that apply.) 1. Fogarty International Center 2. U.S. National Institutes of Health 3. Department of Foreign Affairs and Trade 4. Foreign Affairs, Trade, and Development 5. U.S. Agency for International Development

1 2 5

The client complains that it took the nurse 20 minutes to answer the call light. The nurse says, "We are so busy. A nurse called in sick tonight. None of us has even had supper." What does this response reflect? 1. An honest answer to the client's complaint. 2. Putting the nurse's needs above the client's needs. 3. A breach of unit confidentiality. 4. A good excuse for why it took so long to answer the call light

2

The laboratory supervisor states, "I would like to collaborate with nursing services to improve the way they order laboratory tests." What is the error in this statement? 1. Laboratory supervisors should have no influence on nursing service. 2. An integrated delivery system centers on the client's health needs, not on the particular care given by one group. 3. The issues between laboratory services and nursing services are generally related to the way orders are written by physicians. 4. Collaboration cannot occur between disciplines in a hospital.

2

The nurse is preparing to care for a newly admitted client. The following information was provided by the emergency department in the medical record: Admission Note: Client is a 56 year old who has not been to see a healthcare provider since emigrating to the U.S. 10 years ago; recalls receiving vaccinations "years ago" but does not remember for what disease processes; states that he was given "blood pressure" pills years ago from a doctor in his native country but hasn't taken them for quite some time because he "feels ok." Works as a part-time cook in a neighborhood ethnic restaurant. Lives with his spouse and is helping to raise a granddaughter. For what should the nurse assess this client upon arrival to the care area? 1. Diet 2. Health literacy 3. Insurance coverage 4. Living arrangements

2

After being provided with smoking cessation information the client responds, "I'm not interested. I enjoy smoking and don't want to quit." According to Prochaska and DiClemente, in which stage of change is this client?1. Preparation 2. Precontemplation 3. Action 4. Contemplation

2

How can the term information best be defined? 1. Related concepts 2. Interpreted, organized, or structured data 3. Synthesized data 4. Discrete entities that are described objectively without interpretation

2

How did the development of the Deaconess Institute at Kaiserwerth, Germany, change nursing? 1. It supported prisoners and prostitutes who wished to provide nursing care. 2. It developed a training school for nurses that included hospital care of the sick and visiting nurse instruction. 3. Nurses graduating from Kaiserwerth were the first to be called "registered" nurses. 4. This institution provided university-based training for nurses.

2

A local high school is planning a fundraising event to help with global health issues and asks the nurse for the names of organizations in which the funds can be sent. Which organizations should the nurse recommend? (Select all that apply.) 1. DAV 2. CARE 3. OxFam 4. Project Hope 5. Save the Children

2 3 4 5

The newly licensed nurse is experiencing reality shock related to first employment as a nurse. Which socialization model should this nurse investigate for information on coping with this issue? 1. Hinshaw 2. Davis 3. Kramer 4. Simpson

3

The nurse educator is developing materials to educate hospital employees about sexual harassment. Which information should be included in these materials? 1. Victims of sexual harassment are always female. 2. Any sexual conduct, even if it is desired by both parties, is considered sexual harassment. 3. It includes unwanted verbal or physical conduct of a sexual nature. 4. Sexual harassment occurs only in the workplace.

3

Which two components encouraged the change in view of health care from one of biological focus on disease management to comprehensive health care? 1. Medicare and Healthy People 2020 2. Healthy People 2020 and nursing theorists 3. Integrative health and Healthy People 2020 4. Integrative health and foreign exchange of ideas

3

The nurse is reviewing a position paper that addresses the issues of global health. What information should the nurse recognize as an approach to achieve the goal of health for all? 1. Study the effects of global warming 2. Strive to limit the development of nuclear weapons 3. Provide leadership and technical expertise in science 4. Analyze the impact of automobile emissions on weather patterns

3

Which statement reflects a belief that is central to holistic, collaborative health care? 1. Interdisciplinary decisions are made about the client's care. 2. Collaboration involves questioning and ordering. 3. Responsibility for health falls on the client rather than on healthcare professionals. 4. Healthcare providers hold the best idea about what will meet the client's needs.

3

The nurse serving as a mentor documents the following information in a mentoring log: Mentee: Sandra Martin, RN: During last shift Sandra questioned her ability to meet goals negotiated several weeks ago. Discussed clarifying the goals strategies to achieve them. Shared personal experiences with achieving goals and efforts taken to be successful. In which mentoring phase is the nurse when mentoring this new employee? 1. Preceptor phase 2. Invitational phase 3. Questioning phase 4. Transitional phase

3

The nurse manager received the following email from the director of nursing: TO: Nurse Manager, RN FROM: Director of Nursing, RN DATE: Month, Day, Year SUBJECT: Staff Behavior Hi Janie, Yesterday when I was leaving work I saw two of your unlicensed assistive personnel sitting outside on the wall having a cigarette. As you know our organization has a 'No Smoking on Campus' policy. I expect that you will handle discussing this with your staff. Thanks! Marie How should the manager handle the message conveyed in this email? 1. Forward the staff the director's email 2. Print the email and give it to the staff 3. Reprimand the staff for violating hospital policy 4. Respond in email, asking why the director didn't counsel the staff

3

Which worker in the service sector is at greatest risk for violence in the workplace? 1. EMTs 2. Physicians 3. Gas station attendants 4. Mail carriers

3

In the 1970s there was a focus on translating research findings into practice. What term was used to describe this focus? 1. Evidence-based practice 2. Randomized clinical trials 3. Research utilization 4. Scientific evidence

3

The staff development instructor is preparing material to introduce the importance of research in nursing practice. In which order should the instructor explain the behaviors associated with nurses adopting evidence-based practice? 1. The innovation is used regularly 2. An attitude about the innovation is formed 3. Information about an innovation is learned 4. The innovation is either adopted or rejected

3, 2, 4, 1

The vice president of nursing is curious about the quality performance of the cardiovascular intensive care program as compared with other major city hospitals. Which resource should the vice president use to determine this performance? 1. National Quality Forum 2. Quality and Safety Education for Nurses 3. Agency for Healthcare Research and Quality 4. National Database of Nursing Quality Indicators

4

To what does resource management for nurses refer? 1. Licensure of RNs 2. Hiring of personnel 3. Evidence-based practice 4. Cost-effective approaches to quality care

4

The nurse educator asks the nursing student about the difference in standards between codes of ethics and legal standards. Which response by the student indicates the greatest level of understanding? 1. "Standards in codes of ethics and legal standards are generally the same." 2. "Codes of ethics are much higher standards than legal standards." 3. "Legal standards are much higher than codes of ethics standards." 4. "Codes of ethics are usually higher, and can be no lower, than legal standards."

4

The nurse is preparing to provide care to a patient from a non-English speaking culture. To support the patient's space and environment, in which order should the nurse complete the following actions? 1. Look at the patient's armband 2. Palpate the abdomen for masses 3. Greet the patient form the doorway of the room 4. Observe the patient being escorted to the hospital room

4 3 1 2

A nurse with an associate's degree in nursing and bachelor's degree in social work has been practicing in a holistic healthcare environment for the past two years and wishes to be certified as a holistic nurse. What other requirements will need to be met for certification as a Basic HN-BC? 1. Contact hours 2. Years in nursing 3. Age 4. Location

1

The high school nurse reviewed past records of female students in the school to determine the rate of teenage pregnancy. What is this an example of? 1. A retrospective study 2. A controlled study 3. A prospective study 4. An experimental study

1

What are Lewin's steps of change? 1. Instruct, manage, and reward 2. Chaos, change, and control 3. Trust, autonomy, and initiative 4. Unfreezing, moving, and refreezing

4

The nurse is expected to use new intravenous equipment. After receiving instruction on the use, the nurse is still nervous about using the new equipment. What type of change is this nurse experiencing? 1. Planned change 2. Spontaneous change 3. Developmental change 4. Pendulum change

1

Which are modifiable risk factors? 1. Obesity, blood pressure, smoking, and sedentary lifestyle 2. Gender, smoking, blood pressure 3. Diabetes, obesity, age 4. Smoking, diet, genetics

1

Who were the first nurses to use the case management model? 1. Public health nurses 2. Oncology nurses 3. Emergency department nurses 4. Critical care nurses

1

Which statements are true about culture? (Select all that apply.) 1. Culture includes food preferences and ways of dressing. 2. Culture cannot be changed. TestBankWorld.org 3. Culture is learned. 4. Culture is reinforced by family and community members. 5. All people of the same ethnic background have the same culture.

1 3 4

The nurse wants to develop an evidence-based practice. What must this nurse do first? 1. Get permission from his or her employer. 2. Learn to critically appraise research reports. 3. Contact a consultant to help him or her learn about EBP. 4. Methodically categorize research findings in the nurse's specialty area.

2

Which advanced practice role incorporates the subroles of expert clinician, consultant, educator, and researcher? 1. Nurse-midwife 2. Nurse practitioner 3. Clinical nurse specialist TestBankWorld.org 4. Nurse anesthetists

3

The nurse is preparing an education session on the most common causes of death in the global community. On which health problem should the nurse focus for this teaching session? 1. Tuberculosis 2. Diabetes mellitus 3. Ischemic heart disease 4. Communicable diseases

4

The nurse manager is reviewing the collaboration continuum in preparation for presenting this information during a staff meeting. In which order, from lowest to highest, should the manager explain this continuum? 1. Referral 2. Consultation 3. Coordination 4. Co-management 5. Parallel functioning 6. Information exchange 7. Parallel communication

7, 5, 6, 3, 2, 4, 1

The nurse is caring for a client who took a drug overdose. The client complains about discomfort from the insertion of a nasogastric tube. The nurse says, "That is what you get for taking those pills." This statement is an example of which communication barrier? 1. Passing judgment 2. Giving common advice 3. Rejecting 4. Testing

1

The nurse is planning a research study to test a theory. Which approach is generally best for this endeavor? 1. Deductive using quantitative research methods.2. Inductive using quantitative research methods. 3. Deductive using qualitative research methods. 4. Inductive using qualitative research methods.

1

The American Association of Colleges of Nursing (AACN) identified certain competencies essential for graduates of baccalaureate nursing programs to provide culturally competent care. Which statements reflect these competencies? (Select all that apply.) 1. Participate in continuous cultural competence development 2. Use relevant data sources and best evidence to provide culturally competent care 3. Reinforce health disparities among populations 4. Promote achievement of safe and quality outcomes of care for diverse populations 5. Defer use of best practice evidence to the case management teams

1 2 4

What would be included in the assessment of the economic subsystem of a community? (Select all that apply.) 1. Industries in the community 2. Places where people shop 3. The number of bike trails 4. The number of parks 5. The unemployment rate

1 2 5

What would be included in the assessment of the education subsystem of a community? (Select all that apply.) 1. Graduation and dropout rates 2. Libraries in the community 3. Number of public bus routes 4. Bookstores in the community 5. Educational issues

1 2 5

The nurse working in the computer information department is planning to introduce the FITT concept to the nursing staff in anticipation of upgrading the clinical documentation system. In which order should the nurse provide this information? 1. Fit TestBankWorld.org 2. Task 3. Individuals 4. Technology

1 3 2 4

The nursing faculty asks the nursing student: "What is the proposed reason that Nightingale chose to become a nurse?" Which response, made by the student, reflects the best understanding of Nightingale? 1. "She was from a poor family and needed to find a way to make a living." 2. "She wanted to diminish the suffering of the helpless." 3. "She wanted to provide care to the sick in hospitals." 4. "She wanted to go to the Crimea to nurse wounded soldiers."

2

The nursing school's curriculum is based on Orem's self-care deficit theory of nursing.How would this curriculum describe nursing interventions designed for individuals who are unable to perform some (but not all) self-care activities? 1. Wholly compensatory 2. Partly compensatory 3. Supportive 4. Educative

2

What are the benefits of computerized physician order entry? 1. Reduction of adverse patient outcomes with only a slightly higher cost of care 2. Decreased adverse effects for patients, reduction of cost of care, and decrease in length of stay for patients 3. Higher costs, decreased length of stay 4. Lower costs, increased length of stay, and a decrease in adverse patient outcomes

2

The American Red Cross is planning a celebration of its founding. Which nurse should be included as an important figure? 1. Clara Barton 2. Luther Christman 3. Lucy Osborne 4. Cecilia Makiwane

1

The physician leading a research study asks a client to participate and infers that unless the client agrees the physician will no longer provide medical care for the client. What client right is violated in this situation? 1. Right of self-determination 2. Right to full disclosure 3. Right not to be harmed 4. Right of privacy and confidentiality

1

The vast resources of information technology and distance education provide an avenue to continuing development of what three elements that can advance nursing and health care in the future? 1. Knowledge, skills, and experiences 2. Cost containment, knowledge, and recruiting 3. Recruiting, skills, and cost containment 4. Knowledge, artistic ability, and recruiting

1

The nurse is newly inducted in Sigma Theta Tau International for outstanding academic achievement while attending a program to earn a bachelor's degree in nursing. Which global health initiatives should the nurse investigate as a new member to this international organization? (Select all that apply.) 1. Future of nursing 2. Guidelines for genetics 3. Education of nurses and midwives 4. Disaster preparedness and response 5. Informatics guiding education reform

1 2 3 5

The healthcare organization is planning to implement patient-centered care. What aspects of this delivery model should be emphasized when training the staff? (Select all that apply.) 1. Supports client autonomy 2. Focuses on dignity and respect 3. Adheres to principles of client privacy 4. Care is organized around the client's needs 5. Partnering with the client and families occurs

2,4,5

The nursing instructor is preparing information to present to students on the development of nursing knowledge. In which order should the instructor review this information? 1. Theory 2. Concept 3. Paradigm 4. Conceptual model 5. Conceptual framework

2,5,4,1,3

The client has a strong belief that he can successfully change his eating and exercise pattern in order to lose weight. Using Pender's Health-Promotion Model, how would the nurse document this belief?1. As a positive activity-related affect. 2. As a perceived barrier to action. 3. As positive self-efficacy. 4. As good interpersonal influence.

3

The community health nurse usually works in which area? 1. Providing care to a client who is recovering from an illness 2. Providing care for individuals in their homes 3. Health promotion and illness prevention 4. Planning care related to Medicare reimbursement

3

The female nurse is planning to provide education to a male client from a different culture. What should the nurse consider? 1. All cultures value female nurses. 2. It may be better to have two female nurses in the room during teaching. 3. The nurse should consider asking a male colleague to perform the teaching. 4. Most cultures accept teaching from medical personnel of either gender.

3

The investigator is conducting a study in which the investigator cannot link a specific study subject to the information being reported. Which term reflects this situation? 1. Confidentiality 2. Privacy 3. Anonymity 4. Aggregation

3

A Caucasian nurse is caring for an African American patient. To provide culturally competent care, what should the nurse do? 1. Ask the patient about beliefs and values about health and healing. 2. Plan care considering the patient's beliefs and values. 3. Appreciate the differences between the two cultures. 4. Know the cultural values and beliefs of African American people.

1

A male with chest pain and shortness of breath asks the doctor to "fix it so that I can go back to work." This statement reflects which health belief view? 1. Biomedical 2. Holistic 3. Magico-religious 4. Folk medicine

1

A client has just been told that her breast biopsy was positive for cancer. The client is crying when the nurse enters the room. What is the nurse's best response? 1. "Why are you crying?" 2. "We can sit here quietly. You don't need to talk unless you want to." 3. "I'm so sorry about your diagnosis." 4. "Everything will be okay. Treatments today are very successful."

2

A group of nursing students are creating a poster presentation on the history of mandatory licensure laws for nurses. Which state should these students have at the earliest end of their licensure timeline? 1. New Jersey 2. New York 3. California 4. Rhode Island

2

Of what is providing cholesterol screenings an example? 1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Preventive care

2

What is true about poverty in the United States? 1. The number of poor in the United States has decreased sharply in the last 10 years. 2. The number of people living in extreme poverty has increased in recent years. 3. The number of poor in the United States has increased sharply in the last 10 years. 4. The number of people living in extreme poverty has decreased in recent years.

2

What are the four concepts that have historically been identified as the focus of nursing theory? 1. Assessment, goals, interventions, and evaluation. 2. Pain, anxiety, stress, and fatigue. 3. Disease, death, care, and cure. 4. Person, environment, health, and nursing.

4

In Lewin's Force Field Analysis Model, which two forces affect change? 1. Power and coercion 2. Driving forces and restraining forces 3. Reward and punishment 4. Discontentment and challenge

2

On what should nurses focus in order to keep up with the globalization of health care? 1. Medical care development TestBankWorld.org 2. Advanced practice nursing 3. Culturally competent care 4. Standards of practice

3

While planning care, the nurse works with the client and chooses a wholly compensatory nursing system to help the client achieve an optimal level of self-care. What is true about this situation ?1. Most nursing theorists support a different form of planning. 2. Nursing theories do not lend themselves to the action of planning nursing care. 3. Orem's general theory of nursing involves this type of planning. 4. This type of planning is only supported by the caring theorists.

3

The staff members of a unit are inspired by their nurse-manager's leadership and enjoy working to create a positive nursing environment of the unit's patients. What style of leadership does this situation best describe? 1. Transformational 2. Authoritarian 3. Laissez-faire 4. Situational

1

Which option characterizes the charismatic style of leadership? 1. The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care. 2. The unit manager makes all of the decisions on the unit and rarely asks for input from the group. 3. The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes. 4. The group leader is passive, allowing the group to work on goals independently

1

Which resource management strategies have hospitals utilized? 1. The use of clinical nursing assistants (CNAs) 2. The hiring of medical librarians 3. Certification in a specialty area 4. Clinical ladders

1

Which statement explains the empirical-rational approach to planned change? 1. Using knowledge as the power ingredient and self-interest 2. Using command and control 3. Using sociocultural norms as the motivator 4. Using personalized 1:1 education

1

Which statements describe stages of therapeutic touch? 1. Centering oneself physically and psychologically to prepare for the healing session. 2. Preparing the field of energy for therapeutic touch through mind sensitizing to detect subtle energy flow changes. 3. Helping the client to "re-pattern" his or her energy through the use of their excess energy. 4. Utilizing herbal remedies to reach the inner power of one's self. 5. Guiding the patient to empty the mind and focus on a pleasant experience.

1 2 3

What should the nurse do when caring for a victim of abuse? (Select all that apply.) 1. Ensure the client's safety 2. Support the client 3. Empower the client to take control 4. Avoid the team approach when assessing the patient 5. Provide information regarding available services for the patient

1 2 3 5

Variations of life passage events such as the bar mitzvah for 13-year-old Jewish boys and the quinceañero party for 15-year-old Hispanic girls are examples of which cultural event? 1. Cultural universals 2. Cultural awareness 3. Cultural sensitivity 4. Cultural competence

1

In the hospital setting, which overarching concepts are used in informatics theories and sciences? (Select all that apply.) 1. Telehealth needs 2. Data, information, and knowledge 3. Ergonomics 4. Phenomena of nursing 5. Computer science and information science

2 4 5

From which source does legitimate power within an organization come? 1. Expert remembering 2. Perceived ability to reward others 3. Formal job position 4. Charisma and personal charm

3

Which nurse founded the Frontier Nursing Service and was a pioneer in nurse-midwifery? 1. Florence Nightingale 2. Jeanne Mance 3. Mary Breckinridge 4. Lydia Hall

3

Which advanced practice role's participation is preoperative teaching and administering anesthesia? 1. Nurse-midwife 2. Nurse practitioner 3. Clinical nurse specialist 4. Nurse-anesthetist

4

The nurse is working in an environment that follows a primary care approach. Which nursing action supports the use of appropriate technology? 1. Teaching about medication for tuberculosis 2. Explaining the importance of a clean water supply 3. Extending the hours for the community health clinic 4. Encouraging students to use the free school-lunch program

1

The nursing unit uses a method for nursing care delivery in which nursing assistants and licensed practical nurses provide care to a group of clients on one section of the unit. Another group of nursing assistants and licensed practical nurses provide care to a different set of clients on a different section of the unit. Both these groups of staff provide care under the supervision of a registered nurse. Which type of nursing care delivery is this? 1. Team nursing 2. Case management 3. Total patient care 4. Functional care

1

What is the ability to access relevant information at the patient's bedside considered? 1. Information systems at the point of care 2. Personal computerization 3. Digital communication 4. Equipment networking

1

Which scenario represents a nurse working at Kohlberg's preconventional stage of moral development? 1. The nurse agrees to work overtime today if he or she can have a weekend shift off. 2. The nurse agrees to work overtime today to gain the approval of the new nursing supervisor. 3. The nurse agrees to work overtime today because the hospital administration has released a rule stating that each nurse must work one overtime shift per month. 4. The nurse agrees to work overtime today because the other nurse who was asked to work the overtime shift needs to attend his or her child's school play.

1

A conflict between two groups has gone through the conflict management process, but the groups are still not working well together. Is this a normal situation? 1. Yes; groups often have difficulty letting go of the conflict. 2. Yes; when bargaining is used, the outcome is often unpredictable. 3. No; these groups should go back through the problem-solving process. 4. No; some problems are not amenable to conflict management

1

Which interventions are appropriate for a patient experiencing impaired religiosity? (Select all that apply.) 1. Provide privacy for religious practices. 2. Assure the patient that they do not need religion while hospitalized. 3. Provide presence of self. 4. Contact the patient's preferred religious leader. 5. Pray with the patient.

1 3 4 5

What was Sojourner Truth's contribution to society? 1. She helped identify the similarity between the problems of African Americans and women. 2. She was a crusader for the mentally ill. 3. She was known as the "Moses of her people." 4. Her work resulted in the passage of the Nineteenth Amendment to the U.S. Constitution, granting women the right to vote.

1

As a school nurse evaluating a child after a fight, it is imperative to understand that violent acts committed at school are often associated with which characteristics? (Select all that apply.) 1. Social ostracism 2. Physical bullying 3. Close peer relationships 4. Bullying 5. More at high schools than middle schools

1 2 4

Which statements are true regarding Leininger's Sunrise Model? (Select all that apply.) 1. The model was produced by Leininger to depict her theory of cultural care diversity and universality. 2. The model defines ethnicity as a consciousness of belonging. 3. The social factors are addressed within environmental contexts, language expressions, and ethnohistory. 4. The model emphasizes that health and care are influenced by elements of the social structure, such as technology, religious and philosophical factors, and cultural values among other elements. 5. The model consists of concentric circles with starting with an outlying rim representing the global society.

1 3 4

How does today's healthcare consumerism affect the need for collaboration? 1. Consumers are not interested in how lifestyle affects health. 2. Consumers expect to be involved in decision making. 3. Consumers are hesitant to assume responsibility for their own health. 4. Consumers expect physicians to make decisions for them.

2

What is true of computer documentation systems? 1. Computer documentation takes more time than traditional charting. 2. Accuracy of computer charting is less than that of traditional narrative charting. 3. It is difficult to incorporate data into the client's record in a timely manner. 4. Client information can be transferred rapidly from one healthcare setting to another.

4

Which option is a major element of informed consent? 1. The physician, the nurse, and the client must agree on the treatment or procedure. 2. The consent must be given by family members as well as the client. 3. The client only needs to know the purpose of the treatment or procedure. 4. The consent must be given voluntarily.

4

Which organization has the support of learning, knowledge, and professional development of nurses committed to make a difference in health worldwide as its mission? 1. National League for Nursing 2. State boards of nursing 3. Joint Commission 4. Sigma Theta Tau International

4

The hospital research committee is contemplating a study to analyze the impact of changing one type of dressing material. In which order should the committee complete this study? 1. Collect data 2. Analyze data 3. Design the study 4. Predict outcomes 5. Identify the problem 6. Interpret the findings 7. Formulate a statement 8. Search existing literature

5, 7, 8, 4, 3, 1, 2, 6

Sibling violence is a form of family violence. Which is correct about sibling violence? 1. It is often unrecognized. 2. It occurs less in the early years and increases with age of the child. 3. Girls are more violent toward their siblings than are boys. 4. Sibling violence leads to less aggressive behavior problems with non-related peers.

1

The nurse reviewing medical records finds that nurses working in a particular hospital state nursing diagnosis in terms of the client's limitations to maintaining self-care. The record reviewer determines that this nursing service follows which theorist? 1. Orem 2. Roy 3. Benner 4. Leininger

1

Which group established a standard of professional performance focused on the nurse's collaboration with clients, families, and other healthcare professionals? 1. The National Council of State Boards of Nursing 2. The National League for Nursing 3. The American Association of Colleges of Nursing 4. The American Nurses Association

4

The newly licensed nurse is modeling clinical actions and decisions after nurses who have worked on the unit for many years. In which activity is this nurse engaging? 1. Socialization 2. Ethics discrimination 3. Sanctioning 4. Norming

1

What would be included in the assessment of the physical environment subsystem of a community? (Select all that apply.) 1. The appearance of the environment 2. The number of schools 3. The size of the community in square miles 4. The number of homeless shelters 5. A map of the area

1 3 5

What would be included in the assessment of the politics and government subsystem of a community? (Select all that apply.) 1. The predominant political party affiliation 2. The number of crimes committed 3. The unemployment rate 4. Participation of residents in decision making 5. Election of a local board of education

1 4

The nurse manager is working with the information technology department on an approach to help the staff understand informatics concepts. From most basic to advanced, in which order should these concepts be introduced to the staff? 1. Data 2. Wisdom 3. Knowledge 4. Information

1 4 3 2

Which African American woman was noted for her roles as both a nurse and an abolitionist during the Civil War of the United States? 1. Louisa May Alcott 2. Harriet Tubman 3. Jeanne Mance 4. Mary Seacole

2

The manager of an emergency department tries to involve staff in department decisions. However, when a mass casualty situation arises, the nurse becomes very directive. What style of leadership does this situation describe? 1. Authoritarian 2. Transformational 3. Laissez-faire 4. Situational

4

What should the nurse include when performing a cultural assessment? (Select all that apply.) 1. "Is there anyone you wish to include in the decision making concerning your care?" 2. "Do you have steps in your home?" 3. "What do you believe the cause of your illness to be?" 4. "Are you using any cultural remedies?" 5. "Where do you work?"

1 3 4

Which theorist developed a learning theory based on humanism? 1. Rogers 2. Piaget 3. Skinner 4. Bandura

1

In the hospital setting, what may the job description of informatics nurses involve? 1. Programming computers 2. Any aspect of information systems 3. Managing medical records departments 4. Managing the help desk

2

Which option characterizes effective collaboration? 1. Outcomes are positive for each healthcare provider. 2. Common purpose and goals are identified at the outset. 3. There is interdisciplinary goal setting for the patient. 4. Each provider evaluates own outcomes.

2

Hospitals in the United States have what forms of ownership? (Select all that apply.) 1. Sick fund hospitals 2. Public 3. Socialized 4. Private for-profit 5. Private nonprofit

2 4 5

What should a graduate admissions counselor advise nursing students to take into consideration? 1. Whether a medical school is located near the nursing college 2. The enrollment statistics and funding 3. The accreditation status and admission requirements 4. The number of hospitals in the area

3

Which is the largest source of reimbursement for home health services? 1. Self-pay 2. Private insurance 3. Medicaid TestBankWorld.org 4. Worker's compensation

3

The nurse educator asks the student whether the American Nurses Association supports striking as a strategy when collective bargaining breaks down. Which response, made by the student, reflects the best understanding of the ANA's position? 1. "No, the organization holds that striking is not professional." 2. "Only when no direct client care is delivered in the area affected by work stoppage." 3. "Only when the daily operation of the healthcare facility is not compromised." 4. "Yes, as a means of achieving economic and general welfare."

4

The nurse has completed giving client education regarding cardiac risk factors to a client who is to be discharged today. At the end of the instruction, what should the nurse say? 1. "Tell me everything we have talked about during the last few minutes." 2. "What do you think about what we have discussed?" 3. "You must remember everything we have discussed in the last few minutes. It is all very important." 4. "We have just discussed risk factors for heart disease. What questions do you have about this information?"

4

The nurse is conducting a teaching session with a client for whom English is a second language. How should the nurse proceed? 1. Use medical terms 2. Use colloquialisms 3. Use abstract words 4. Use short sentences

4

The nurse is replying to a group e-mail that contains a thread of previous e-mails regarding the topic. How should the nurse respond to this e-mail? 1. Include the message thread with the response. 2. Include all pertinent client data in the message for clarity. 3. Mark the message as confidential. 4. Use abbreviations when possible to shorten transmission time

1

The nurse sends an e-mail to the unit manager requesting a vacation day. The manager does not answer the e-mail and schedules the wrong day. Has a response to the original message occurred? 1. Yes; when the day was scheduled, the response occurred. 2. Yes; the action of not sending a reply to the e-mail was the response. 3. No; this scenario required an e-mail reply as a response. 4. No; the action taken has to be correct in order for a response to occur.

1

The nursing faculty is revising their program's curriculum and is developing a conceptual model. What will this faculty develop? 1. A graphic illustration of a conceptual framework. 2. An overall view or orientation to focus thoughts. 3. A system of ideas proposed to explain a given phenomenon. 4. A specific outline of the curriculum's topics and contents.

1

The nursing faculty is revising their program's curriculum and plan to use a specific theory as a basis of their work. What is a theory? 1. A document that relates concepts by defining their significance to one another. 2. An overall view or orientation to focus thoughts. 3. A graphic illustration of a conceptual framework. 4. A specific outline of the curriculum's topics and contents.

1

What do requirements for certification as an informatics nurse include? 1. A minimum of a baccalaureate degree in nursing or relevant field 2. An advanced practice license 3. A minimum of an associate degree in nursing 4. A master's degree in nursing

1

A nurse assesses a client and strongly suspects child abuse. What should the nurse do next? 1. Ask the child to speak to the police. 2. Report the finding to child protection authorities. 3. Provide necessary immediate care and arrange for follow-up care of the injured. 4. Tell the parents that the nurse suspects abuse.

2

The nurse is planning a trip with a missionary group to an underdeveloped country in Africa. To help combat this country's issues with infectious diseases, what should the nurse recommend as approaches to reduce the ongoing risk of spreading disease? (Select all that apply.) 1. Nutrition 2. Vaccination 3. Employment 4. Containment 5. Improved hygiene

2 4 5

Which option represents the highest level of collaboration? 1. The nurse, physician, and dietician have communicated individually with the client. 2. The nurse, physician, and dietician have all written an individual plan of care and included it in the client's medical record. 3. The nurse and physician have discussed the nutritional needs of the client and have referred the patient to the dietician for a nutritional plan and teaching. 4. The physician wrote a medical order for the nurse to contact dietary for a consult.

3

Which statement indicates the reason for nurses to reflect on their own cultural values and beliefs? 1. This ensures that nurses provide care only for patients of similar values and beliefs. 2. Nurses' values and beliefs should guide their interactions with their patients. 3. Conflicting values and beliefs may interfere with culturally competent care. 4. It is important to understand the similar values and beliefs of all cultures.

3

Which option characterizes the laissez-faire style of leadership? 1. The manager has a close relationship with the nurses on the unit and is an inspiration for them to provide quality care. 2. The unit manager makes all of the decisions on the unit and rarely asks for input from the group. 3. The nurse-manager serves as a facilitator to help the unit nurses provide the best quality care that meets established expected outcomes. 4. The group leader is passive, allowing the group to work on goals independently.

4

While completing the history, the nurse learns that a patient fasts during Lent. What should the nurse understand about fasting? 1. Religious fasting requirements require only no food intake. Water and other beverages are acceptable. 2. Religious fasting requirements must be maintained at all times or the patient will experience spiritual distress. 3. Religious fasting requirements are observed only during daylight hours. 4. Religious fasting requirements are usually exempted for patients who are ill or are hospitalized.

4

Who might the nurse contact in her desire to learn more about legislative matters related to nursing in his or her area? 1. The National League for Nursing 2. The local medical society 3. AFL-CIO 4. The state or provincial nursing association

4

Who should be involved in the development of a nursing teaching plan? 1. Only the nurse-teacher 2. The nurse-teacher and the client's physician 3. Only the client-learner 4. Both the nurse-teacher and the client-learner

4

The nursing instructor is instructing students on the Problem-Oriented Medical Record (POMR) of documentation. In which order should each step of this process be explained to the students? 1. Plan 2. Revision 3. Evaluation 4. Assessment 5. Interventions 6. Subjective data 7. Objective data

6, 7, 4, 1, 5, 3, 2

A nurse would like to join a nursing organization and wants to be certain that it represents all nurses in the United States. Which organization should this nurse investigate? 1. The American Nurses Association (ANA) 2. The American Association of Colleges of Nursing (AACN) 3. The National League for Nursing (NLN) 4. The International Council of Nurses (ICN)

1

The nurse wishes to participate in educational ethics rounds at the hospital. What is essential in these rounds? 1. The client must give consent. 2. The group must be interdisciplinary. 3. These rounds must be conducted privately. 4. The cases must be hypothetical

1

The nurse works in a small hospital that uses narrative documentation rather than computer documentation. The nurse makes a practice of documenting care only at the end of the shift, just before giving shift report. Which aspect of documentation credibility does this most clearly violate? 1. It is contemporaneous. 2. It is accurate. 3. It is truthful. 4. It is appropriate.

1

What is the significance of Rufaidah in the development of nursing? 1. She is believed to have started the first nursing school in Islam. 2. She was a Knight Hospitaller of St. John. 3. She started the Parabolani Brotherhood. 4. After converting to Christianity, she started hospitals in Palestine

1

What knowledge or skill must the nurse possess to make the best use of the teleologic theory of ethics in decision-making? 1. Ability to predict the outcome of decisions. 2. What the rules are concerning the decision to be made. 3. Ability to see how good character traits impact the decision. 4. What the central caring goal of the decision is.

1

When an impaired nurse provides care, the primary concern should be for which victim? 1. The client 2. The nurse's colleagues 3. The impaired nurse 4. The healthcare facility where the nurse works

1

Which option(s) are generally included in nurse practice acts? (Select all that apply.) 1. A definition of the authority of the board of nursing. 2. Specific guidelines for policy and procedures for nurses. 3. A definition of nursing. 4. The requirements for licensure. 5. Statements outlining clinical responsibilities of nurses.

1,3,4

The staff development instructor is preparing material for an in-service on role conflict in nurses. If the instructor provides the information according to consequences, in which order should this material be provided? 1. Role stress 2. Public image 3. Role discrepancy 4. Role value orientation

1,4,3,2

The first-semester nursing student expresses concern that staff actions in the clinical setting do not reflect the same standards being taught in nursing classes. Which stage of Davis's model does this represent? 1. Initial innocence 2. Labeled recognition of incongruity 3. Role simulation 4. Provisional internalization

2

Which option best describes discipline as it applies to nursing? 1. The discipline of nursing refers to autonomy of nursing practice. 2. The discipline of nursing is nursing's distinct body of knowledge. 3. The discipline of nursing is nursing's standards of practice. 4. The discipline of nursing refers to nursing's code of ethics.

2

The nurse has been charged with malpractice. Which option reflects an element that must be present for this charge to be substantiated? 1. The nurse had no way of predicting that injury would result from the error. 2. The client had a duty to report what he or she was experiencing. 3. The nurse was providing care consistent with a national standard. 4. There was a causal relationship between the error and client injury.

4

During which war did Dorothea Dix serve as superintendent of the United States Army nurse corps? 1. Revolutionary War 2. Civil War 3. War of 1812 4. Spanish-American War

2

In which activities would a nurse lobbyist engage? 1. Influencing a legislator to support certain legislation 2. Passive resistance 3. Political demonstrations 4. Running for office

1

The government has authorized a series of influenza immunization clinics that will be provided free of cost to citizens. Which type of health organization does this represent? 1. Health protection 2. Health restoration 3. Preventive health services 4. Health promotion

1

Which are included in Spector's four types of healing that involve spiritual and/or religious belief? (Select all that apply.) 1. Spiritual healing 2. Exorcism 3. Meditation 4. Inner healing 5. Physical healing

1 2 4 5

All nurses in their role of teacher/educator are responsible for providing instruction to which persons? (Select all that apply.) 1. Other nurses 2. Students in community colleges 3. Patients' families 4. Patients 5. Health care providers other than nurses

3

The nurse manager is concerned that a staff nurse will be sued for malpractice. In which order should the manager analyze information to make this determination? 1. The client was injured. 2. The nurse did not follow standards of care. 3. Nurse had a duty to follow standards of care. 4. The client's injury was caused by not following standards of care. 5. The nurse was aware that an injury could occur if standards not followed

3,2,5,1,4

The nurse manager is counseling a staff nurse who demonstrated reckless behavior. What should the manager say when meeting with this nurse? 1. "I have a handout that can help you." 2. "I realize that the design of the patient rooms contributed to the error." 3. "What outcomes do you think can occur if this happens again in the future?" 4. "This is the second time this has occurred and I think a few days off might be needed."

4

The nurse's research is designed to generate a new theory. What research approach has this nurse most likely chosen? 1. Deductive using quantitative research methods. 2. Inductive using quantitative research methods. 3. Deductive using qualitative research methods. 4. Inductive using qualitative research methods.

4

What is the philosophy of health care that encourages healthcare providers to be more comprehensive in their approach to patient care, including physical, emotional, spiritual, and psychological attributes? 1. Holistic health 2. Nursing with a purpose 3. Complete health assessment 4. Contemporary alternative medicine

1

What is a mission of Healthy People 2020? 1. Encourage all people to change behavior. 2. Identify nationwide health improvement priorities. 3. Increase the number of health-related research studies. 4. Increase the number of healthcare professionals.

2

The nurse is caring for a client who requires an intervention the nurse does not know how to perform. Can the nurse delegate this intervention to another person? 1. No; the nurse should delegate only activities that he or she would be willing and able to do. 2. No; the nurse must transfer the accountability and responsibility for this client to another nurse who knows how to do the skill. 3. Yes; there is no requirement for the nurse to have personal knowledge or expertise in the skill. 4. Yes, but the nurse must then learn to perform the skill within a "reasonable" period of time.

3

The nurse providing care in a community clinic becomes aware of treatments used to terminate unwanted pregnancies for some clinic patients. Which human right is affecting this nurse's practice? 1. Ethics 2. Health equity 3. Reproduction 4. Access to care

3

The psychiatric nurse's practice is based on Peplau's Interpersonal Relations Model. The nurse has developed a relationship with a client in which the client has assumed the power. How would Peplau identify this phase of the relationship? 1. Orientation 2. Identification 3. Exploitation 4. Resolution

3

What is true about the actions that a nurse should take when accessing information about evidence-based practice from the Agency for Healthcare Research and Quality? 1. A representative from the agency must visit the facility to present an educational session regarding EBP. 2. The nurse or healthcare facility should purchase a book on EBP. 3. The organization requires that nurses or facilities subscribe to a print journal to access the information. 4. The information is available on the organization's Web site.

4

The prospective nursing student has investigated an associate degree nursing program and finds that it is nationally accredited. Which organization most likely has accredited this school? 1. National League for Nursing Accrediting Commission (NLNAC) 2. American Association of Colleges of Nursing Accrediting Branch (AACN) 3. National Student Nurses' Association (NSNA) 4. American Nurses Association (ANA)

1

When was the first nurse practice act implemented in the United States? 1. 1900 2. 1935 3. 1949 4. 1960

3

Which element of a role is described as how the person assuming the role believes he or she should behave in the role? 1. Performed role 2. Ideal role 3. Perceived role 4. Provision role

3

What is true of standards of nursing practice? 1. They are written by the American Medical Association. 2. They outline the minimal care expected by patients. 3. They affect only the nurse-patient relationship. 4. They define the nurse's professional legal obligations.

4

A new graduate is starting employment on a medical-surgical care area. If Kramer's model is followed, in which order should this nurse resocialize to this new nursing role? 1. Moral outrage 2. Social integration 3. Conflict resolution 4. Skill and routine mastery

4,2,1,3

Why is a review of CAM therapies included in a study guide for the NCLEX? 1. It will be valuable for education of future patients. 2. It is an ethical responsibility for nurses to be knowledgeable about changes in health care. 3. Herbal remedies never interact with prescribed medications. 4. CAM therapies are rarely used by patients.

2

The nursing team is tasked with making a decision regarding implementation of a new unit policy. What is the first step this team should take in this work? 1. Obtain an institutional pledge to finance any necessary changes. 2. Outline the priority needs of the work team. 3. Organize interventions to solve the problem. 4. Clearly define the problem being addressed

4

What is the best definition of communication? 1. The verbal message transmitted between two people 2. Nonverbal interactions between two or more people 3. Any means of exchanging information between two or more people 4. Any means of exchanging information or feelings between two or more people

4

What is the best way for the nurse to ensure control on the nursing unit? 1. Create tightly written job descriptions 2. Write extensive rules 3. Make certain that procedures are strict 4. Support continuous quality improvement activities

4

What is true about the nurse's role in collaboration? 1. Collaboration occurs mainly with physicians. 2. By law, nurses can collaborate only on client care issues. 3. Peer collaboration can occur only when both nurses are educated at the baccalaureate level. 4. It may include collaboration on health-related research

4

What strategy should a community health nurse use? 1. Increasing hospital utilization 2. Reducing the need for more healthcare practitioners 3. Eliminating the need for surgery 4. Improving access to care

4

The high school graduate is considering pharmacy as a career. What is true of the level of education necessary for licensure as a pharmacist? 1. The pharmacist can enter practice as an intern pharmacist with an associate degree. 2. Once a person has achieved a baccalaureate degree, he or she is eligible to apply for pharmacy school. 3. The entry level education for a pharmacist is the Doctor of Pharmacy or PharmD. 4. A person wishing to be a pharmacist must earn a master's degree in biologic science prior to beginning pharmacy school.

3

The nurse who works at a Veterans Administration hospital would like to publicly campaign for a candidate in a national election. This nurse should first review which document? 1. The Nursing Reform Act 2. The Nightingale Amendment 3. The Hatch Act 4. The Cox Amendment

3

What are three main types of healthcare services billing methods? 1. Fee-for-diagnosis, capitation, accrual 2. Capitation, full costing, actual outflow 3. Fee-for service, capitation, fee-for-diagnosis 4. Fee-for service, accrual, fee-for-health

3

While managed care is available, there will be fewer professional nurses in hospitals and more of which type of workers supervised by professional nurses? 1. Janitorial 2. Physicians 3. Multi-skilled 4. Academic

3

In Westerhoff's stage of affiliative faith, what does an individual do? 1. Participates in activities that characterize a particular faith tradition 2. Puts faith into personal and social action 3. Acquires a cognitive as well as an affective faith 4. Experiences faith through interaction with others who are living a particular faith tradition

1

Worldwide, there is growing consensus that basic preparation for advanced practice nursing roles should be at what level? 1. The master's level 2. The doctoral level 3. The baccalaureate level 4. At least 10 years of experience

1

Working with electronic medical records has created which concern for nurses? 1. Healthcare costs 2. Computer literacy of the public 3. Confidentiality and security of data 4. Medical errors

3

Issues such as access to health care can only be solved by using which technique? 1. Technology 2. Collaboration 3. Awareness 4. Legislation

2

Managers who focus on their own objectives to complete a change process are utilizing whose change theory? 1. Lewin 2. Lippitt 3. Havelock 4. Rogers

2

Nurses attempting to educate patients concerning their health needs should inform the patients of their possible future, or: 1. The most likely outcome if things continue unchanged 2. What can happen if some things change 3. The most likely outcome when specific efforts are made to accomplish a desired outcome 4. The outcome that is wanted

2

The physician and nurse have asked the client to make a difficult decision regarding treatment options. The client says, "I don't really know what to do. Do whatever you think is best." According to characteristics of collaborative care, what is true of this situation? 1. The client must make the treatment decisions 2. The client retains the right not to participate in this decision. 3. The healthcare professionals are responsible for the client's health. 4. The client is asking the healthcare professionals to define what health means to the client

2

What can be stated regarding diversity in the United States? 1. Diversity is decreasing in the United States. 2. Diversity is increasing in the United States. 3. Diversity is relatively stable in the United States. 4. There has been no change in diversity within the last 40 years.

2

What do the leading health indicators developed as a part of Healthy People 2020 have in common? 1. They are all focused on young people. 2. They all can be measured by objective data. 3. They are passive and do not require client motivation. 4. They eliminate health disparities.

2

Which attribute is necessary for the nurse who wishes to be a client advocate? 1. Restricting work to those areas in which the nurse has expertise and experience. 2. Referring any political action needs to a political action committee. 3. Avoiding conflicts with physicians and healthcare agency administrators. 4. Being assertive in representing the needs of the client and family.

4

Which option is the most general in the scope of nursing theories and looks at the nature of things? 1. Grand theory 2. Middle-range theory 3. A concept 4. Philosophy

4

The nurse receives the report for a client recovering from a repair of a fractured hip, who is being transferred to the orthopedic care area. The following information was obtained in the telephone report: Report received 14:00 hours: 76-year-old female; ORIF of right hip caused by falling in the home; receiving Morphine sulfate 2 mg IV every 4 to 6 hours for pain; difficult to keep turned on non-operative site; indwelling urinary catheter in place; Hgb 10 after 2 units PRBCs postoperatively. Which National Patient Safety goals should the nurse make a priority for this client? (Select all that apply.) 1. Prevent wrong site/procedure/person surgery. 2. Prevent health-care associated pressure ulcers. 3. Improve the accuracy of patient identification. 4. Reduce the risk of patient harm resulting from falls. 5. Reduce the risk of health care-associated infections.

2,4,5

A client comes into the community clinic for a wellness check-up. During the interview the nurse collects the following information: Reason for visit: "Just wanted to get a quick check-up. I know I'm not sick and will not get anything serious. And even if I do, what can be done? You people will tell me to take some pills, change my diet, get more exercise ... the list goes on and on and why? If I'm meant to live long I will and if I'm meant to die early, then I will do that too." Which health belief model should the nurse consider as the guiding principle for this client? 1. Internal locus of control 2. Neuman systems model 3. Rosenstock's health belief model 4. Pender's health promotion model

3

The administrator of a healthcare-related business published the following position description online: Wanted: Are you a registered nurse with maternal-child, pediatric, or adult medical-surgical experience? If so, consider a position with ABC Agency. We have several positions available to provide care to patients in their homes and to provide care in neighborhood clinics. Call XXX- XXX-XXXX for more information. Which type of nursing practice is being advertised? 1. Public health 2. Population health TestBankWorld.org 3. Community-based 4. Community-oriented

3

The director of nursing is searching for information about the Consumer Assessment of Health Plans. Which organization website should the director access for this information? 1. Joint Commission (TJC) 2. Centers for Medicare and Medicaid Services (CMS) 3. National Association for Healthcare Quality (NAHQ) 4. Agency for Healthcare Research and Quality (AHRQ)

4

While assessing an older patient in the emergency department the nurse suspects that the patient has been abused. In which order should the nurse approach the care of this patient? 1. Review options for help 2. Provide information for services to help 3. Determine if the patient is in any danger 4. Emphasize that the patient has the right to be safe 5. Explain that the patient is not to blame for any abuse

3 5 4 1 2

The high school graduate is considering a career as a clinical social worker. What is true of the level of education required? 1. Clinical social work is highly dependent upon on-the-job training, so no formal postsecondary education is required. 2. Clinical social work requires a baccalaureate degree in social work and a 3-year residency program. 3. Clinical social work is open to those with bachelor's degrees in any related field. 4. Clinical social work requires a master's degree in social work

4

The nurse is admitting a patient onto a medical-surgical care area. The following information is available as part of the patient's past medical history: PMH: Diagnosed with heart failure in 2005; History of gastric ulcer disease; Treated in the past for GERD; Right hip replaced 2001; Left hip replaced 2004; History of elevated blood glucose levels, treated with diet adjustment. Based upon this information, which herbal preparations should the nurse counsel the patient to avoid using? (Select all that apply.) 1. Garlic 2. Olive leaf 3. Vitamin C 4. Glucosamine 5. Black cohosh

4 5

The nurse is reviewing the results of a literature search and wants to determine the strength of the evidence. In which order, from strongest to weakest, should the nurse analyze this data? 1. Single, well-conducted clinical trials 2. Single descriptive or qualitative study 3. Expert opinion of authorities or committees 4. Single correlational study or observational studies 5. Systematic reviews of randomized and nonrandomized trials 6. Systematic review of descriptive studies including qualitative 7. Systematic review of correlational studies or observational studies

5, 1, 7, 4, 6, 2, 3

A staff nurse is overheard saying that implementing the new software for the documentation system has been "painful." In which order should the manager review the change process with this nurse? 1. Develop a plan for change 2. Select and analyze the data 3. Prepare to handle resistance 4. Build a coalition of supporters 5. Provide a feedback mechanism 6. Help people prepare for change 7. Identify supporters and opposers 8. Identify the problem or opportunity 9. Evaluate effectiveness of the change 10. Collect necessary data and information

8, 10, 2, 1, 7, 4, 6, 3, 5, 9

What was the first purely nursing religious order? 1. The Lazarus sisters 2. The Saad al-Aslamy sisters 3. The Augustinian sisters 4. The Fabiolan sisters

3

What should be the motivation behind the evolution of advanced practice nursing becoming more autonomous? 1. The American Nurses Credentialing Center 2. The nursing profession's vision 3. Nurse leaders 4. Supply and demand

2

Which is true about who perpetrates most intimate partner abuse against whom? 1. By men against other men 2. By men against women 3. By caregivers against elders 4. By adults against children

2

Which option describes Benner's concept of transformative power? 1. A healing relationship 2. Assisting someone to change self-image 3. Helping someone navigate the healthcare bureaucracy 4. Assisting a client to return to normal life

2

Which option is characteristic of qualitative research? 1. It uses experimental methods. 2. It explores the subjective experience of human beings. 3. It uses precise measurement for data collection. 4. It analyzes numerical data.

2

Which strategy would be most useful in integrating nursing theory and nursing practice? 1. Link nursing theories to medical theories. 2. Present theories in a compelling, practice-focused manner. 3. Define theories in terms of advanced nursing education. 4. Require each nurse to identify a personal nursing theorist.

2

Which coping skill would be helpful as a strategy for stress reduction and time management? 1. Avoid being assigned to committees at work. 2. Delegate only when it is absolutely necessary. 3. Attend a support group to help give up the need for perfection. 4. Learn to use communication skills to win conflicts at work.

3

Which advanced practice role's preparation includes theory and extensive supervised clinical experiences in prenatal care, management of labor and delivery, and postpartum care? 1. Nurse-midwife 2. Nurse practitioner 3. Clinical nurse specialist 4. Nurse-anesthetist

1

What is causing hospitals to address the impact of consumerism? 1. Restricting medical malpractice insurance 2. Better education of the public 3. A national health policy 4. The nursing shortage

2

Why do most nursing theories reflect such strong influence from other disciplines such as sociology? 1. Those disciplines are more professional than nursing. 2. The theorists who developed nursing theories were often doing graduate work in those disciplines, not nursing. 3. Nursing theories were developed by non-nurses. 4. Nursing is not an independent entity, but a spin-off from other disciplines such as sociology and psychology.

2

Which are types of discrimination? (Select all that apply.) 1. Cultural assimilation 2. Ageism 3. Homophobia 4. Racism 5. Cultural shock

2 3 4

The nurse is researching information on disease prevalence in Brazil and Canada. Which organization should the nurse contact for specific information about these countries? 1. AFRO 2. EURO 3. PAHO 4. EMRO

3

How does the term vision relate to being a leader? 1. Leaders imagine a different and better situation, and identify ways to achieve it. 2. Leaders are constantly imagining new and original goals. 3. Leaders see the way to meet their own needs. 4. Leaders use vision, rather than intuition, to make institutional changes.

1

How should an individual be supported through the change process? 1. Recognition of contributions to build self-confidence 2. Given only a small amount of information concerning the change so as not to overwhelm with information 3. Instruction on any new processes within 6 weeks of the change occurring 4. Referral to the employee-assistance program

1

In 1994 Jeffrey Bauer described some exciting possibilities that would affect nursing and healthcare delivery if instituted. What did Bauer propose? 1. Place health care on the free market so that maximum choice and quality competition are available. 2. Socialize medicine. 3. Do not change anything. The system is working. 4. Maintain the monopoly held by physicians over the delivery of health care to Americans.

1

What is nursing informatics? 1. The combination of computer and information science with nursing science 2. All computer technology 3. The medical record 4. Internet and World Wide Web sources of healthcare information

1

What is the best way for the nurse to learn about the community in which he or she works? 1. Live in it 2. Read about it 3. Ask those who live in the community about it 4. Contact the local chamber of commerce

1

Which statement best describes acculturation? 1. Also referred to as assimilation, acculturation is the integration of the cultural patterns of the dominant or host culture into the person's way of life. 2. Spector suggests that it takes seven generations for a family to become fully assimilated into the American culture. 3. It doesn't occur because people are already acculturated when they immigrate to the United States. 4. The study of different cultures and subcultures

1

People from some cultures may view time more from a natural environment perspective rather than from a clock. What could be the result of this time orientation? (Select all that apply.) 1. Lack of concern about children achieving developmental milestones 2. Not keeping or being late for appointments 3. Not knowing when pain is occurring 4. Not taking medications at scheduled time intervals 5. Lack of ability to learn

1 2 4

The nurse is reviewing an entry made by the previous nurse in a newly admitted patient's medical record: Admission Note: The patient is a 56-old-female whose father immigrated to the U.S. in 1938 and whose mother was born in the U.S. The patient explains that she didn't learn English until entering grade school, which was appropriate since her father was learning the language at the same time. Her parents were hard workers, ran their own restaurant in which all family members were expected to work, and placed a high value on education. The patient states that "I might be female but I was raised as a boy." She continued by explaining that her father didn't want the females in the family to be dependent upon a man for an income or security through life. The patient attends church every Sunday and on Holy Days and follows abstinence of specific foods throughout the calendar year. Specific ethnic dishes are prepared for Christmas, Easter, and Saints Days. Her childhood home was filled with ethnic music, songs, and the expectation to play an instrument. Cigarette smoking was not condemned but wasn't encouraged. Drinking alcohol such as wine and whiskey was an acceptable practice from an early age since this was the acceptable behavior from her father's home country. Which of Purnell's cultural domains are represented in this chart entry? (Select all that apply.) 1. Heritage 2. Pregnancy 3. Communication 4. Workforce issues 5. High-risk behaviors

1 3 4 5

What are characteristics of successful leadership? (Select all that apply.) 1. Empowerment 2. Self-understanding 3. Intuition 4. Values incongruence 5. Emphasis on control

1,2,3

Which skills are useful to increase a nurse's political astuteness and activity? (Select all that apply.) 1. Keep informed about health issues. 2. Be able to analyze an issue. 3. Be able to speak out and voice an opinion. 4. Be able to work best independently. 5. Have the ability to use a power base

1,2,3,5

What reviews are included when evaluating the integrity of a hospital information system? 1. Confidence, competence, and compassion 2. Ethics, confidentiality, and caring processes 3. Empirical data, personal data, and esthetic data 4. Prizing, valuing, and choosing

2

What is the denotative meaning of a word? 1. The meaning of the word, regardless of language. 2. The way a word is generally used by people who share a common language. 3. The definition of the word as listed in a commonly referenced dictionary. 4. The meaning of the word as derived from one's personal experience.

2

What is the first action the victim of sexual harassment should take? 1. Ignore the behavior, hoping it will decrease. 2. Confront the harasser and ask that the behavior stop. 3. Report the sexual harassment to the appropriate supervisor. 4. Report the sexual harassment to the Equal Employment Opportunity Commission

2

What must nurses do to fulfill a collaborative role? 1. Graduate with at least a baccalaureate degree. 2. Assume increased authority in practice areas. 3. Redesign unit policies to allow collaboration. 4. Lobby state boards of nursing to approve this collaborative role.

2

The home health nurse visits the client three times a week, assesses for health changes, sets up weekly medications for the client, and changes the client's leg dressing. Which type of nursing delivery model is this? 1. Team nursing 2. Case management 3. Total patient care 4. Functional care

3

The nurse has been asked to support and participate in a clinical trial by administering trial medications to clients on the nursing unit. What is the most important question the nurse should ask before answering this request? 1. "Will I get extra pay for participating?" 2. "Who else is participating in the trial?" 3. "Has the study been approved by the IRB?4. "Am I responsible if the client doesn't want to participate?"

3

What is the significance of Linda Richards to nursing and society? 1. She was America's first African American professional nurse. 2. She is considered the first trained nurse in the United States. 3. She cared for sick and wounded officers in Crimea. 4. She was the first nurse to go on to become a physician

2

Which nurse died as a result of experiments on yellow fever? 1. Clara Maass 2. Jeanne Mance 3. Mary Mahoney 4. Edith Cavell

1

What are the primary sources of law? (Select all that apply.) 1. Statutes 2. Contract 3. Constitutions 4. Decisions of court 5. Federal

1,3,4

Which statement about values is correct? 1. Most everyone adopts the same values. 2. Once adopted, values are not changed. 3. Values clarification is associated with personal growth. 4. People must have values identified for them.

3

The nurse is reviewing nursing in ancient civilizations. Which order did the following occur? 1. Kosher slaughter of animals 2. Practice of mummification begins 3. Quarantine used to control disease 4. Roman female created a monastery for the ill 5. Causes of disease were superstition and magic

5,2,1,3,4

The nurse is assisting a client with values clarification. In which order should the nurse suggest that the client complete the steps in this process? 1. Choose freely 2. List alternatives 3. Act on the choice 4. Affirm the choice 5. Act with a pattern 6. Feed good about the choice 7. Examine consequences of choices

2,7,1,6,4,3,5

Which option supports the way Hippocrates viewed disease? 1. A mystical connection between the body and the stars causes disease. 2. Diseases are the result of being a victim of black magic and spells. 3. Disease is caused by naturally occurring factors. 4. Evil thoughts and deeds cause disease.

3

A nurse has been sued for malpractice after a client received a wrong medication and required two additional days in the hospital. What type of legal action is most likely in this case? 1. Contract 2. Public 3. Criminal 4. Civil

4

Lillian Wald is known for which contribution to nursing? 1. Established the Frontier Nursing Service 2. Founded the Nursing Order of Ministers of the Sick 3. Wrote the collections of poems called Drumtops 4. Developed the Henry Street Settlement

4

Why are nurses valuable members of ethics committees? 1. They have more time to work on committees than many healthcare providers. 2. Their wages are lower than many disciplines so it is more cost effective. 3. They are direct and to the point and make decisions quickly. 4. They frequently have more contact with clients and families than other disciplines.

4