PNurs Final Study
Quality data and information are equally vital to: a. healthcare organizations. b. All of these are correct. c. public consumers. d. practitioners.
(All of these are correct) healthcare organizations, public consumers, practitioners.
Organizations involved in patient safety and quality include: a. The Joint Commission. b. Centers for Medicare and Medicaid (CMS). c. All of these are correct. d. Agency for Healthcare Research and Quality (AHRQ).
(All of these are correct) The Joint Commission, Centers for Medicare and Medicaid (CMS), Agency for Healthcare Research and Quality (AHRQ).
Challenges associated with telehealth technology include: a. costs. b. practice and licensure regulations. c. privacy and security concerns. d. All of these are correct.
(All of these are correct) costs, practice and licensure regulations, privacy and security concerns.
To prepare for nursing practice in a rural setting, nurses should: a. develop care coordination and case management skills. b. use a population health focus in health promotion. c. acquire a broad, generalist nursing education and expertise. d. do all of these.
(Do all of these) develop care coordination and case management skills, use a population health focus in health promotion, acquire a broad, generalist nursing education and expertise.
What is the maximum amount of time allowed to take the NCLEX-RN? a. No maximum time limit b. 3 hours c. 6 hours d. 8 hours
6 hours
If graduate nurses do not pass the NCLEX-RN, how long must they wait before retaking the exam? a. As soon as they are ready b. Six months c. Three weeks d. A minimum of 45 days
A minimum of 45 days
The National Student Nurses Association (NSNA) is organizationally governed through which type of structure? a. A national board of directors consisting of nursing faculty from across the U.S. b. The National Council of State Boards of Nursing (NCSBN) directs the activities of the NSNA c. A national student board elected by students from all U.S. schools of nursing d. A national student board elected by NSNA chapters located in member schools
A national student board elected by NSNA chapters located in member schools
A community health nurse plans to develop a health promotion program focusing on primary prevention. Which of the following activities is an appropriate primary prevention strategy? a. A walking program for seniors living in a retirement community b. A cardiovascular rehabilitation program for post myocardial infarction patients c. A transportation program to increase access to acute care facilities d. An educational program to promote breast mammograms
A walking program for seniors living in a retirement community
According to the World Health Organization, life expectancy is lowest in: a. Asia. b. Africa. c. South America. d. Australia.
Africa.
Boards of nursing can consist of which of the following? a. Licensed practical nurses b. All of these can be on a board of nursing. c. Healthcare consumers d. Registered nurses
All of these can be on a board of nursing.
Hospital Core Quality Measure sets exist for all except: a. Alzheimer's disease. b. pneumonia. c. acute myocardial infarction. d. heart failure.
Alzheimer's disease.
Which of the following is an effective way to assess client motivation for behavioral change? a. Asking whether the patient has thought about participating in an exercise program b. Explaining that as the patient's nurse practitioner, you recommend he loses weight c. Telling the patient he should be concerned about making dietary changes d. Asking whether the patient's spouse or significant other has suggested the patient change his unhealthy behavior
Asking whether the patient has thought about participating in an exercise program
Which of the following is not a function of a safe culture reporting system? a. Collects information about adverse events b. Analyzes information about adverse events c. Disseminates information about adverse events d. Assigns blame based on information about adverse events
Assigns blame based on information about adverse events
Which of the following groups would least likely be considered a vulnerable population? a. Elderly residents in a long-term skilled facility b. New-born infants in a well-baby nursery c. College students residing in a dormitory d. Individuals with disabilities that impair mental cognition
College students residing in a dormitory
What is becoming the new standard measure for excellence in nursing care in the ever-changing healthcare system? a. Certification b. Uniform standards c. Recognition d. Licensure
Certification
Which of the following is an example of protected health information? a. The patient's weight b. A partial picture of the patient's face c. Communicable diseases d. Hair color
Communicable diseases
Between which of the following pairs of entities do patient portals facilitate communication? a. Clinicians and patients b. Patients and caregivers c. Patients and insurers d. Clinicians and insurers
Clinicians and patients
Students who have a documented disability and require test accommodations should do which of the following prior to registering for the NCLEX-RN? a. Contact their physician for anti-anxiety medication as a precaution. b. Evaluate how well they do on the practice examinations without accommodations. c. Contact their state board of nursing to request test accommodations. d. Delay taking the test until they are sure they will be able to pass.
Contact their state board of nursing to request test accommodations.
All of the following describe goals for health care identified in the IOM Crossing the Quality Chasm book except which of the following? a. Timely b. Safe c. Cost effective d. Patient centered
Cost effective
Which of the following characteristics is a social determinant of health? a. Religion b. Political affiliation c. Cultural Influences d. Technological skills
Cultural Influences
Which of the following statements explains why one may not be able to generalize from one cultural situation to the next? a. Beliefs and value systems tend to be unstable. b. Cultural practices vary from one culture to the next. c. Cultural practices tend to change and adapt to environmental challenges. d. Most cultural environments are resource poor.
Cultural practices vary from one culture to the next.
Which of the following is an example of healthcare organization efforts to create safer care environments? a. Develop formal processes for support of practitioners involved in adverse events b. Appoint patient safety monitors to observe individual workers for unsafe practice c. Clearly outline punitive steps to be taken for persons committing errors d. Protect healthcare providers from patient/family awareness of failures in healthcare delivery
Develop formal processes for support of practitioners involved in adverse events
Which of the following would be an appropriate reason to join a professional nursing organization? a. Enjoy travel to conferences b. Achieve an increase in salary c. Develop leadership skills d. Earn a promotion
Develop leadership skills
Which of the following is the most important step a graduate can take to prepare for the NCLEX-RN? a. Developing and following a study plan b. Buying a NCLEX-RN test preparation book c. Joining a weekly study group to prepare for the exam d. Asking for study advice from a faculty
Developing and following a study plan
Which of the following represents possible activities that nurses can become involved in through membership in a professional nursing organization? a. Supporting the campaigns of presidential candidates b. Developing standards of practice for a clinical specialty c. Participating in protests to support the civil rights of citizens d. Raising funds to support impoverished nursing schools in the U.S.
Developing standards of practice for a clinical specialty
Which nurse in the 114th Congress outlined in the chapter sits on a committee with jurisdiction over health issues? a. Diane Black b. Lillian Wald c. Margaret Sanger d. Sojourner Truth
Diane Black
Which of the following is an item that healthcare delivery systems (HCDSs) were formed to directly respond to? a. Disparity in access to care b. Rapidly sinking clinician salaries c. Increasing environmental burden from paperwork d. Unhealthy eating habits
Disparity in access to care
Which region has experienced no decrease in the mortality of adolescents as compared to the other listed regions? a. Eastern Mediterranean b. Southern Africa c. Asia d. Australia
Eastern Mediterranean
Which of the following content areas would be tested under the NCLEX-RN psychosocial category? a. Growth and development b. Management of patient care c. End-of-life care d. Health promotion and screening activities
End-of-life care
Which of the following statements best describes vulnerable populations? a. Ethnic minorities, the poor, frail elderly with multiple chronic health conditions, and immigrants b. Working women, college students, and middle-aged men c. College students, children, and middle-aged men d. Middle-class Asian Americans, individuals with diabetes, and college students
Ethnic minorities, the poor, frail elderly with multiple chronic health conditions, and immigrants
Choose the response below that is a benefit of students being exposed to IPE and interprofessional teams. a. Experiences that result in team-based positive outcomes for patients b. Not worrying about the way patient care occurs in other areas or departments c. Seeing health professionals who continue to work in silos and are not open to change in the way they practice d. Being able to rely on other professional disciplines to do the work in caring for the patient
Experiences that result in team-based positive outcomes for patients
The NCLEX-RN test plan category of Safety and Infection Control is focused on which of the following aspects of nursing care? a. Early detection of health problems b. Delegating and supervising client care c. Health and environmental hazards d. Providing care in crisis situations
Health and environmental hazards
An electronic exchange of health information and interoperability between a healthcare provider and independent laboratories, radiology centers, pharmacies, payers, public health departments, and other providers is known as a: a. Patient portal (PP) b. Health information exchange (HIE) c. Social media (SM) d. Patient-centered medical home (PCMH)
Health information exchange (HIE)
Which of the following is a major limitation of health information exchanges (HIEs) in the United States? a. Health information often cannot cross state lines legally. b. Health information exchanges are not structured. c. Health information exchanges inherently will never be able to support unstructured information. d. Health information exchanges are too often deployed over social media.
Health information often cannot cross state lines legally.
Which of the following represents the traditional approach to patient safety before the 2000 IOM Report was published? a. Healthcare workers should do the best they can. b. There are some situations where perfection is not possible. c. Healthcare workers are expected to perform perfectly in all situations. d. Imperfect situations in health care are rare.
Healthcare workers are expected to perform perfectly in all situations.
In which of the following cultural groups is there an overwhelming belief that illness may be the result of witchcraft or the "evil eye"? a. Europeans b. Native Hawaiians c. Asians d. Hispanic
Hispanic
In which congressional body do four current nurse political leaders serve? a. Senate b. House of Representatives c. Administrative branch d. Judicial branch
House of Representatives
The NCSBN conducts a job analysis every three years for what purpose? a. Determine how long it takes new RNs to gain confidence in the role b. Measure the expertise of RNs who have practiced for three or more years c. Identify changes taking place in the U.S. healthcare system d. Identify entry level skills and knowledge needed by novice nurses
Identify entry level skills and knowledge needed by novice nurses
Which of the following is not considered an objective of Healthy People 2020? a. Increase immunization rates and reduce preventable infectious diseases b. Reduce illness, disability, and death related to tobacco use and secondhand smoke exposure c. Increase the quality, availability, and effectiveness of educational and community-based programs designed to prevent disease and injury, improve health, and enhance quality of life d. Increase the number of residents living in long-term care facilities
Increase the number of residents living in long-term care facilities
Pender's Health Promotion Model is based on which of the following factors? a. Individual characteristics and experiences, such as prior related behavior and personal factors b. Family of origin c. Genetics d. Perceived fear of negative outcomes
Individual characteristics and experiences, such as prior related behavior and personal factors
Statutes that define the legal limits for the practice of nursing, NPAs, are issued by which of the following? a. State nursing boards b. The federal government c. Individual state governments d. American Medical Association
Individual state governments
Which of the following statements by a Caucasian nurse caring for an Hispanic patient would indicate that he is culturally competent? a. I will care for you just as I care for a dear family member. b. I have always wanted to learn Spanish, so let's do your discharge teaching in Spanish. c. Could you ask your wife to sit outside until I finish your discharge teaching? d. Is there a family member with whom you would like me to share your discharge teaching?
Is there a family member with whom you would like me to share your discharge teaching?
What should a nurse do first to lobby a legislator? a. Be prepared on issues b. Know the legislator c. Mention contribution to legislator's campaign d. Express appreciation for legislator's interest and support
Know the legislator
Which of the following factors primarily contributes to the nursing faculty shortage? a. A decrease in number of students who wish to study nursing b. Schools of nursing lacking funds to hire faculty c. Lack of qualified nurses prepared to be faculty d. Lucrative early retirement packages for nurses
Lack of qualified nurses prepared to be faculty
Which activity best prepares nurses to promote health and improve quality of life through political activism? a. Learning about health care issues b. Casting a vote during elections c. Running for political office d. Making contacts with legislators
Learning about health care issues
Which of the following statements is key to nursing's understanding of healthcare policy lawmaking? a. Legislators make decisions that impact the healthcare system and the nursing profession. b. Common advocacy activities include letter writing, emails, social media posts, phone calls, and in-person visits to legislators. c. Nurses have a strong advantage in discussing legislative issues and health care in general. d. It is important to build relationships with legislators.
Legislators make decisions that impact the healthcare system and the nursing profession.
Which of the following shows just a minimal level of competency? a. Bachelor's degree b. Certification c. Licensure d. Associate degree
Licensure
Which of the following can lead to a risk for infection with neglected tropical diseases (NTDs)? a. Living in poverty b. Having high alcohol use c. Sharing food d. Having reduced physical activity
Living in poverty
Which of the following best describes the expectation of the nursing profession to maintain public trust? a. Maintain adequate staffing levels and safe working environments. b. Maintain quality, adequate staffing levels, and ethical environments. c. Maintain quality and ethical and safe environments for care of all members of society. d. Maintain adequate staffing levels, safe working environments, and an ethical environment.
Maintain quality and ethical and safe environments for care of all members of society.
When working as a team, who can claim total authority over the others on the team? a. No one b. Everyone c. The physician d. The nurse
No one
According to the Journal of Patient Safety, the third leading cause of death in the U.S. is what? a. Misdiagnosis b. Patient falls c. Neglect d. Medical errors
Medical errors
Which type of model is an exemplar team-based model? a. Acute care-centered care b. Specialty practice c. Nurse-centered care d. Medical homes
Medical homes
A nurse in an acute care hospital is interested in learning about her unit's performance outcomes. Which of the following best describes the kind of data she may want to examine? a. Mortality rates, number of rooms on the unit, lab technicians b. Mortality rates, patient symptoms, clinical events c. Visiting hours, mortality rates, patient symptoms d. Nurse staffing, number of family visitors, clerical staff
Mortality rates, patient symptoms, clinical events
____________ allows a nurse to maintain one license in his or her state of residency and to practice and be "recognized" in another state, physically and/or electronically, subject to each state's practice law and regulation. a. Reciprocity b. Interstate Agreement c. Mutual Recognition of Licensure d. Interstate Certification
Mutual Recognition of Licensure
In the U.S., which professional nursing organization serves as the primary regulatory body in nursing? a. National Council of State Boards of Nursing b. Nursing Organization Alliance c. American Nurses Association d. American Association of Colleges of Nursing
National Council of State Boards of Nursing
One example of recent American Nurses' Association (ANA) political advocacy action in Congress is: a. gun control laws. b. climate control legislation. c. healthy nutrition in elementary schools. d. Nurse Workforce Development Program funding.
Nurse Workforce Development Program funding.
Which population will grow substantially by 2030 and require nurses to have specialized knowledge? a. Young adults b. Women c. Older adults d. Children
Older adults
As a new member of a professional nursing organization, which of the following is an effective way to become involved in the organization's activities? a. Read the electronic newsletters disseminated by the organization. b. Participate in any local chapter events to network with other members. c. Remember to renew annual dues on time. d. Check the organization's website regularly for new initiatives.
Participate in any local chapter events to network with other members.
Which major piece of health legislation is influencing today's increase in collaborative care? a. Prescription Drug Expansion Act b. Patient Protection and Affordable Care Act c. Universal Health Care Act d. Medicare Act
Patient Protection and Affordable Care Act
Which of the following statements best describes performance outcomes? a. Performance outcomes relate only to the care provided by physicians. b. Performance outcomes are not affected by regulatory and accreditation agencies. c. Performance outcomes are information accessible on the Internet. d. Performance outcomes are a predetermined set of goals that are met consistently when the same standards of care are provided.
Performance outcomes are a predetermined set of goals that are met consistently when the same standards of care are provided.
An Ethics Committee is a group that assists nurses in both clinical and nonclinical ethical matters. Members of this committee frequently include which of the following? a. Physicians and nurses, chaplains, and community representatives b. Administrators, chaplains, physicians, and nurses c. Nurses, community representatives, and chaplains d. Physicians, nurses, chaplains, and lawyers
Physicians and nurses, chaplains, and community representatives
Use of approaches to teaching and learning in nursing education that are best include those that promote: a. lectures. b. active learning. c. flipped classrooms. d. passive learning.
active learning.
Concern over the lack of nursing representation on national healthcare boards recently led to the implementation of which of the following initiatives? a. Providing nurses with talking points on how to get elected to boards b. Advocating for equal numbers of nurses and physicians on boards c. Increasing the number of admissions to graduate nursing school d. Placing 10,000 nurses on boards by the year 2020
Placing 10,000 nurses on boards by the year 2020
The nurse who consciously provides translators for her patients, develops health education aimed at specific groups, and designs programs that address specific groups of clients, can be regarded as being at which stage of cultural competency development? a. Destructiveness b. Accommodation c. Blindness d. Precompetence
Pre-competence
What is the meaning of the acronym PHI? a. Protected health information b. Personal health information c. Personally high-tech information d. Protected health intelligence
Protected health information
Which of the following strategies is effective for eliciting positive behavior changes among clients of varied cultural backgrounds? a. A singular approach to facilitate client education b. Providing a range of active and learning strategies to engage the client c. Speaking loudly when delivering an educational program d. Using an approach that has worked for all Caucasian clients
Providing a range of active and learning strategies to engage the client
Which of the following is the least effective means for nurses to use to convince legislators of what is required to improve healthcare policy and the nursing profession? a. Remain patient b. Write letters c. Provide testimony d. Advocate
Remain patient
What is the most reliable method by which to obtain information regarding a professional nursing organization's mission and strategic activities? a. Reviewing the organization's official website b. Talking to members of the organization c. Writing the organization's chief executive officer for information d. Asking the nursing faculty to explain the organizations
Reviewing the organization's official website
Which of the following organizations serves as the global honor society of nursing? a. International Council for Nurses b. Sigma Theta Tau International c. Institute for Nursing Leadership d. National League for Nursing
Sigma Theta Tau International
Three important patient transition tools and interventions developed for improved communication and collaboration are: a. ANA, Joint Commission, and IOM. b. Institute for Health, Triple Aim, and state boards of medicine. c. interprofessional education, early warning systems, and rapid response teams. d. Situation-background-assessment-recommendation, early warning systems, and rapid response teams.
Situation-background-assessment-recommendation, early warning systems, and rapid response teams.
Which of the following is an example of the new accountabilities by healthcare providers for patient safety? a. Reporting coworkers when they make a mistake b. Speaking up about barriers to safe practice before errors occur c. Performing perfectly d. Reporting only those errors that result in harm
Speaking up about barriers to safe practice before errors occur
A nursing license is issued by which of the following? a. American Nurses Association b. American Medical Association c. State Board of Nursing d. U.S. Health and Human Services
State Board of Nursing
A variety of health challenges have been found to be more common among specific cultural groups. Which of the following statements is true? a. Hepatitis is common among African Americans. b. Suicide is common among Asians. c. Tuberculosis is common among Caucasians. d. Mental disorders are common among Hispanics.
Suicide is common among Asians.
_____________ establishes regulations for the use and disclosure of protected health information, including information about the health status, provision of health care, or payment for health care that can be linked to a person, and any part of a person's medical record. a. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) b. The Patient Self-Determination Act (PSDA) c. The Patient Protection and Affordable Care Act (ACA) d. The Omnibus Budget Reconciliation Act
The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Which regulatory body devised a National Patient Safety Goal of improving staff communication? a. Institute of Medicine b. State Boards of Nursing c. The Joint Commission d. State Boards of Medicine
The Joint Commission
What is a good resource to use to find your legislators at the federal level? a. The branches of the U.S. post office b. Your state governor's office c. The U.S. House of Representatives and Senate websites d. The local city town hall
The U.S. House of Representatives and Senate websites
What is the danger associated with nurses not being adequately represented nationally and internationally in healthcare discussions? a. The interests of nurses and the role they play in patient care will not be represented. b. Nurses will be viewed as not being knowledgeable or effective in their role. c. Physicians and other healthcare professionals will take over nursing's role in the healthcare system. d. The nursing profession will suffer losses of positions in the hospitals and other acute care agencies.
The interests of nurses and the role they play in patient care will not be represented.
Kerry is a nurse in a compact state. As long as she remains in good standing, renews her multistate licensure, and continues to reside in a primary state of residence that is a compact state, what is the time limit for her working in other compact states? a. One year b. There is no time limit. c. Ten years d. Five years
There is no time limit.
Which of the following is true about online discussion forums? a. They allow for organized discussion of user-generated topics. b. They allow for organized discussion of expert-generated topics. c. By definition, they never include clinician input. d. The information contained within them is always federally protected.
They allow for organized discussion of user-generated topics.
Which of the following statements is true regarding hospitals in rural settings? a. They are generally larger than those in suburban areas. b. They often have fewer than 25 patient beds. c. Nursing and other healthcare employee shortages are generally not a problem. d. Specialty services are rarely an issue.
They often have fewer than 25 patient beds.
Why did the NCSBN Board of Directors endorse the goal to remove regulatory barriers between states? a. To increase the supply of qualified nurses b. To increase access to safe nursing care c. To ease the nursing shortage d. To make nursing standards consistent across states
To increase access to safe nursing care
Rationale for establishing initial education standards of professional nurses and midwives includes which of the following? a. To become more competitive with medical education standards b. To respond to the great variation in initial education around the world c. To simplify the nursing profession d. To have all courses taught in English
To respond to the great variation in initial education around the world
When comparing urban settings to rural settings, which of the following is true? a. Urban settings have lower HIV/AIDS prevalence than rural settings. b. Urban settings have fewer job opportunities than rural settings. c. Urban settings have greater pollution than rural settings. d. Urban settings have fewer healthcare facilities than rural settings.
Urban settings have greater pollution than rural settings.
Which of the following is not a characteristic of a patient safety culture? a. Acknowledgement of human limitations b. Formal systems of follow-up after failures c. Involvement of front-line work d. Use of hindsight bias to quickly identify persons responsible for errors and correction
Use of hindsight bias to quickly identify persons responsible for errors and correction
What is the most recent addition to the components of nursing informatics practice? a. Wisdom b. Knowledge c. Information d. Data
Wisdom
Traditionally, knowledge was passed on by oral means through stories, poetry, and parables. Which of the following statements could be considered to most accurately illustrate this point? a. Essential knowledge preserved through memory is scientifically flawed. b. Written communication changed the culture of the world in significant ways. c. All peoples of the world became better off with the advent of written communication. d. Even those who are unable to read share fully in the success of a high-tech communication.
Written communication changed the culture of the world in significant ways.
Chronic diseases, such as diabetes, cancer, and heart disease, account for the majority of the deaths in the U.S. A chronic disease is: a. a long-lasting disease that typically remains with an individual from onset to the end of life and lasts longer than three months. b. a disease that can easily be self-managed. c. considered both life threatening and terminal. d. typically less costly for the individual than an acute illness.
a long-lasting disease that typically remains with an individual from onset to the end of life and lasts longer than three months.
A medically underserved population (MUP) is defined as: a. a rural population that faces economic, cultural, and linguistic barriers to health care. b. an urban population that faces racial and socioeconomic challenges. c. a population that faces barriers to emergency rooms and emergency care. d. a population that experiences a shortage of healthcare providers.
a rural population that faces economic, cultural, and linguistic barriers to health care.
A state's nurse practice act is: a. a statute. b. a regulation. c. a contract. d. a bill.
a statute.
The nurse's primary role during the informed consent is to: a. act as the patient's advocate. b. act as witness. c. ensure the consent conforms to institutional policy. d. ask questions on behalf of the patient or family.
act as the patient's advocate.
What is the testing concept that underlies computer adaptive testing (CAT)? It is a method of testing that: a. randomizes the test questions so that each test is unique to that test taker. b. adapts to the test taker's responses, altering the complexity level of subsequent test items. c. provides accommodations for students with learning disabilities. d. changes the speed by which the test questions are displayed, based upon how quickly the test taker answers the test items.
adapts to the test taker's responses, altering the complexity level of subsequent test items.
The role of the nurse concerning the spirit and application of advanced directives is one of: a. autonomy. b. equality. c. independence. d. advocacy
advocacy
Hindsight bias can lead to: a. learning about a failure. b. learning about how to prevent the next error. c. assigning blame to person involved in active failure in a situation. d. increased safety culture.
assigning blame to person involved in active failure in a situation.
A nurse performing any treatment on a patient without the express or implied consent of the patient or his or her legal guardian is an example of: a. negligence. b. battery. c. assault. d. professional malpractice.
battery.
When addressing a client's smoking or tobacco use history, the nurse should: a. avoid the subject unless the clients specifically addresses the issue. b. begin with an assessment to determine whether the client is ready to stop smoking. c. consult with a primary care provider to initiate nicotine replacement therapy prior to the initial client consultation. d. use aggressive scare tactics.
begin with an assessment to determine whether the client is ready to stop smoking.
At the beginning of the twentieth century, states established ______ to protect the public's health by overseeing and ensuring the safe practice of nursing. a. nurse practice acts b. boards of nursing c. licensing requirements d. nursing schools
boards of nursing
The leading cause of death in the world from chronic disease is: a. cardiovascular disease. b. chronic obstructive lung disease. c. diabetes. d. cirrhosis of the liver.
cardiovascular disease.
Professional malpractice is a type of: a. statutory liability. b. criminal liability. c. administrative liability. d. civil liability.
civil liability.
Research demonstrates that interprofessional education can result in improved: a. safety, quality, patient education, and collaboration and teamwork. b. morbidity and mortality rates among older adults. c. conflict among disciplines attempting to learn from one another. d. clinical outcomes, patient-centered communication, and collaborative teamwork.
clinical outcomes, patient-centered communication, and collaborative teamwork.
Two key individual skills needed to function collaboratively are: a. humor and respect. b. communication and conflict management. c. admiration and trust. d. forgive and forget.
communication and conflict management.
The Code of Ethics for the Profession of Nursing calls for the nurse to practice demonstrating: a. compassion and respect. b. knowledge and skills. c. collaboration and communication. d. scholarly inquiry and integrity.
compassion and respect.
Unwarranted use of restraints or other restrictions, including pharmacologic, on a patient is an example of: a. false imprisonment. b. battery. c. assault. d. negligence.
false imprisonment.
Safety is achieved by: a. following policies and procedures in all situations. b. not allowing dynamic and changing situations to influence decisions. c. decreasing complexity for healthcare workers. d. increasing education for healthcare workers.
decreasing complexity for healthcare workers.
The Doctorate of Nursing Practice (DNP) degree focuses on ensuring nurses are competent to: a. design healthcare systems. b. generate nursing theory. c. begin new nursing programs. d. provide bedside nursing.
design healthcare systems.
NCLEX-RN test items that require the test taker to prioritize a list of nursing actions in the order by which the nurse would perform them are called: a. sequential questions. b. exhibit questions. c. graph questions. d. drag-and-drop questions.
drag-and-drop questions.
Florence Nightingale's most significant contribution to the emergence of nursing as a profession was her: a. discovery that dirt, rather than pathogens, is the primary cause of disease. b. use of political influence to obtain permission to take a group of nurses to the Crimean War. c. establishment of the Nightingale School of Nursing at St. Thomas' Hospital. d. work with Pastor Fliedner to establish the Deaconess Home and Hospital.
establishment of the Nightingale School of Nursing at St. Thomas' Hospital.
The Code of Ethics for the Profession of Nursing states that "the nurse through individual and collective effort, establishes, maintains and improves the _______ environment of the work setting." a. safety b. quality c. ethical d. scholarly
ethical
Health is political because health care in the U.S. is: a. inexpensive. b. expensive. c. available to all patients. d. has plentiful resources.
expensive.
Which of the following is a true statement regarding nursing workforce challenges in the 21st century? Nursing workforce challenges: a. have greatly decreased due to the Internet. b. occur only in underdeveloped countries. c. have declined due to an increase in male nurses. d. focus on supply, demand, and distribution.
focus on supply, demand, and distribution.
Today's nursing students need to be well versed in evidence-based practice, which involves: a. gathering, analyzing, using, and synthesizing evidence. b. using the nursing process. c. applying interdisciplinary sciences. d. collaborating with healthcare professionals.
gathering, analyzing, using, and synthesizing evidence.
Differences in incidence, prevalence, mortality, and burden of disease that exist among specific population groups are called: a. health disparities. b. care gaps. c. public health crises. d. health differences.
health disparities.
The degree to which an individual has the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions is known as: a. self-care ability. b. self-care inability. c. health literacy. d. learning style
health literacy.
The Institute of Medicine defines quality health care as: a. health services that are based on traditional Western medicine. b. health services that are driven by provider decisions. c. health services which increase the likelihood of desired health outcomes and are consistent with current professional knowledge. d. health services that meet the insurance requirements for each plan.
health services which increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Today's electronic culture has an enormous impact on the beliefs, values, and behaviors of contemporary society and challenges healthcare providers to: a. help patients interpret information and make appropriate choices. b. protect patients from reading false information about their health conditions. c. spend less time teaching patients material that can be found online. d. determine how best to treat patients based on information gained online.
help patients interpret information and make appropriate choices.
One of the largest barriers to making improvements in patient safety is: a. fixation. b. lack of accountability on the part of healthcare workers. c. hindsight bias. d. ill-prepared healthcare workers.
hindsight bias.
Health measures developed by WHO are used to: a. standardize healthcare agendas. b. identify health trends. c. predict epidemics. d. set priorities for all countries.
identify health trends.
Global Health Security Branch projects include: a. purifying water systems. b. identifying emerging pandemic threats. c. providing routine sanitation. d. administering immigrant immunizations.
identifying emerging pandemic threats.
The primary goal of an Area Health Education Center (AHEC) is to: a. integrate technology into health care. b. improve patient simulation in rural healthcare centers. c. improve education to local healthcare providers and improve patient care in underserved areas. d. increase the number of nurses in urban settings.
improve education to local healthcare providers and improve patient care in underserved areas.
The 2011 Institute of Medicine (IOM) report "The Future of Nursing: Leading Change, Advancing Health" recommended increasing the number of baccalaureate-prepared nurses to 80 percent by 2020 because nurses with this degree have greater potential to: a. provide nursing leadership. b. provide better bedside manner. c. improve patient outcomes. d. improve healthcare team communication.
improve patient outcomes.
The primary goal for nurses working in large urban settings is to: a. reduce violent crimes. b. educate about gun safety and gun violence. c. improve access to hospitals. d. improve the health of the individual and/or the community.
improve the health of the individual and/or the community.
During the late 19th century, advances in science contributed to the growth in nursing education because: a. schools of nursing were increasingly relied upon to aid in the discovery of the causes of disease. b. the need for university preparation of professional nurses had been firmly established. c. improvement in technology required educated nurses for the care of patients with more complex conditions. d. the hospital was determined to be the only place where patients should be treated.
improvement in technology required educated nurses for the care of patients with more complex conditions.
Communication as part of the IPE team: a. includes all responses that can be interpreted as giving a message to someone else. b. includes only verbal responses. c. demonstrates who is the team leader. d. means only what someone intended it to mean.
includes all responses that can be interpreted as giving a message to someone else.
TeamSTEPPS is a type of training to build teamwork skills that include: a. judging the actions of other members of the team. b. delegation and consent. c. leadership, mutual support, and communication. d. discussion of patient noncompliance.
leadership, mutual support, and communication.
The purpose of interprofessional education and interprofessional teams is to function well together and to: a. follow the physician as the team leader. b. learn with, from, and about each other. c. practice in the role of the other profession when necessary. d. provide instructions/orders for the patient, who is not a member of the team.
learn with, from, and about each other.
Nurses can best influence health policy development by: a. joining a political party. b. learning to be politically competent. c. participating in a party caucus. d. running for political office.
learning to be politically competent.
A nurse manager is explaining the Magnet Recognition Program to an interprofessional group that includes nurses and other healthcare professionals. The explanation that would be most applicable and relevant to this group is: a. magnet designation is awarded by the American Nursing Credentialing Center and is based on the patient census and reimbursement. b. there are 14 Forces of Magnetism, originally identified more than 25 years ago. c. magnet recognition involves the entire hospital, but the focus is on nursing care and nursing satisfaction. d. magnet designation is awarded by the American Medical Association.
magnet recognition involves the entire hospital, but the focus is on nursing care and nursing satisfaction.
Healthcare services delivered, managed, and coordinated by nurses and other healthcare providers using electronic information and telecommunications technologies are examples of: a. telehealth. b. telemedicine. c. electronic health records. d. patient simulations.
telehealth.
Accredited nursing programs have demonstrated to external accrediting bodies that they: a. have enough clinical sites to meet the needs of students. b. have enough nursing faculty to serve the needs of students. c. meet professional nursing education standards. d. are fit to prepare nursing students for public health care.
meet professional nursing education standards.
To avoid being found negligent or guilty of malpractice, a nurse must provide care that represents a _______ level of practice. a. standard b. safe c. competent d. minimum
minimum
Curriculum in nursing programs reflects the: a. apprenticeship model of nursing education. b. mission and philosophy of the school. c. American Nurses Association codes. d. Hospital Joint Commission standards.
mission and philosophy of the school.
NCLEX-RN test items that require the test taker to select "all options that apply" are called: a. multiple response questions. b. ordered response questions. c. multiple choice questions. d. rank order questions.
multiple response questions.
A key message of the 2011 Institute of Medicine (IOM) report "The Future of Nursing: Leading Change, Advancing Health" was: a. the PhD in nursing should be phased out and replaced with the DNP. b. all nurses need to obtain a master's degree for entry into practice. c. nurses should work with physicians to redesign healthcare systems. d. more nurses need to be prepared with associate degrees.
nurses should work with physicians to redesign healthcare systems.
The National Center for Nursing Research was approved through a political campaign by: a. President Reagan. b. nursing organizations and their members. c. executive decision. d. U.S. Supreme Court decision.
nursing organizations and their members.
Throughout antiquity, prior to the modern era, the safest nursing care was provided in: a. hospitals linked to early European universities. b. almshouses established for the destitute. c. public hospitals that had been established in some large cities. d. one's own home, by one's relatives.
one's own home, by one's relatives.
NDNQI considers nursing-sensitive client outcomes as: a. outcomes that improve if physicians and ancillary departments communicate better. b. outcomes that reflect the cost of care and reimbursement. c. outcomes that reflect patient health insurance coverage. d. outcomes that improve if there is a greater quantity or quality of nursing care.
outcomes that improve if there is a greater quantity or quality of nursing care.
Outcome measures that provide the broadest clinical perspective should include: a. patient laboratory tests, symptoms, and clinical events. b. patient insurance provider, cost of care, and location. c. patient quality of life, biomedical measures, and care experiences. d. patient income, education, and diagnosis.
patient quality of life, biomedical measures, and care experiences.
The four functions of an ethics committee are: a. policy development, education, community presentation, and research. b. policy development, education, case consultation, and research. c. education, case consultation, research, and report management. d. case consultation, education, report management, and publication.
policy development, education, case consultation, and research.
The Code of Ethics for the Profession of Nursing states that the nurse collaborates with other health professionals and the public to: a. provide safe patient care, educate the public, and focus on disease prevention. b. articulate nursing values, educate the public, and maintain the integrity of the profession. c. protect human rights, promote health diplomacy, and reduce health disparities. d. reduce health disparities, articulate nursing values, and educate the public.
protect human rights, promote health diplomacy, and reduce health disparities.
HIPAA is the federal Health Insurance Portability and Accountability Act of 1996. The primary goal of HIPAA is to: a. support the implementation of meaningful use criteria. b. protect the confidentiality of healthcare information and make it easier for people to keep health insurance. c. organize the healthcare industry. d. provide consumers access to their health records.
protect the confidentiality of healthcare information and make it easier for people to keep health insurance.
A definition of ethics is: a. a normative or prescriptive statement which expresses expectations of ethical behavior. b. reasons for decisions about how one ought to act. c. standards and behaviors that instruct members and define expectations for constituents. d. analyses and actions taken by healthcare organizations.
reasons for decisions about how one ought to act.
The scope and function of the practical/vocational nurse includes providing nursing care: a. under the supervision of a registered nurse or primary care provider. b. under the supervision of nurse practitioners and physicians. c. independently in long term and community care settings. d. only in hospitals and extended care facilities.
under the supervision of a registered nurse or primary care provider.
The following are typical examples of organizational layers of defense to prevent failure, except: a. policies and procedures. b. chain-of-command decision processes. c. budgeted resources. d. report systems.
report systems.
A pregnant woman comes for her monthly checkup in the clinic. She does not speak English but she has her 13-year-old son with her who speaks little English. The nurse in taking the obstetrical history may decide to: a. request a medical translator from the hospital. b. takes the history and ask the 13-year-old son to translate. c. takes the history but uses visual aids to support her questions. d. takes the history and has the son repeat and emphasize sensitive material.
request a medical translator from the hospital.
The patient Bill of Rights is built on the ethical principle of: a. respect for autonomy. b. equality for all. c. just treatment for all. d. independence of each person.
respect for autonomy.
Culturally competent care is defined as care that: a. is self-determined by those who need it. b. respects diversity in the patient population. c. is reflective of the health care provided. d. results in positive outcomes.
respects diversity in the patient population.
The primary reason that educated nurses first joined together to form the precursor to the American Nurses Association was to: a. require licensure for all graduates of schools of nursing in the U.S. b. establish consistency in the curricula of schools of nursing. c. secure the passage of nurse licensure legislation in each of the states in the U.S. d. establish consistency in the entrance requirements for schools of nursing.
secure the passage of nurse licensure legislation in each of the states in the U.S.
As a result of the Great Depression of the 1930s, the majority of registered nurses in the U.S.: a. sought employment in hospitals, often working for little or no wages. b. were opposed to government relief efforts to provide relief to unemployed persons. c. increasingly found work as self-employed private duty nurses. d. decided to leave nursing to seek work in areas other than health care.
sought employment in hospitals, often working for little or no wages.
The American Nurses Association Position Paper, which was published in 1965, had a significant impact on the nursing profession because it: a. reaffirmed that nursing education should occur in patient care settings, such as hospitals. b. stated that the minimum preparation for beginning professional nurses should be a baccalaureate degree. c. united U.S. nurses in the belief that significant changes were needed in nursing education. d. stated that no formal education should be required for beginning technical nurses who would practice solely at the patient's bedside.
stated that the minimum preparation for beginning professional nurses should be a baccalaureate degree.
The chief characteristic of early hospital-based schools of nursing in the U.S. was that: a. student nurses received an education based on sound instructional principles. b. student nurses were required to work long hours with few formal classes and little clinical supervision. c. schools of nursing were few in number so that their quality could be ensured. d. schools of nursing employed well-educated faculty members committed to meeting their students' needs.
student nurses were required to work long hours with few formal classes and little clinical supervision.
All of the following are true about Associate degree programs in nursing except: a. ADN programs provided a way to enter nursing for men, married women, and mature students. b. ADN programs were developed in response to an acute nursing shortage. c. ADN programs were conceived by Mildred Montag as the topic of her doctoral dissertation. d. tests conducted during the 1950s indicated that graduates of ADN programs lacked the knowledge and technical skills to function as registered nurses.
tests conducted during the 1950s indicated that graduates of ADN programs lacked the knowledge and technical skills to function as registered nurses.
Health disparities can be defined as: a. the differences in health status among racial-ethnic characteristics. b. the differences in the incidence, prevalence, mortality, and burden of disease that exist among specific populations. c. the similarities between two or more ethnic-racial or age groups. d. the differences that exist among income and education.
the differences in the incidence, prevalence, mortality, and burden of disease that exist among specific populations.
A cautionary approach to the use of social media in the context of providing health care is strongly advised because: a. the nature of social media creates significant risks of violating HIPAA and state privacy regulations. b. social media is unstructured. c. providers are not allowed to use social media. d. social media promotes untested healthcare advice.
the nature of social media creates significant risks of violating HIPAA and state privacy regulations.
Negligence is: a. unintentional conduct that falls below a standard of care established for the protection of others against unreasonable risk of harm. b. intentional conduct that falls below a standard of care established for the protection of others against unreasonable risk of harm. c. attempting to or threatening to touch a person without his or her consent. d. touching a person without his or her consent.
unintentional conduct that falls below a standard of care established for the protection of others against unreasonable risk of harm.
The profession of nursing strove to develop its own body of knowledge through all of the following mechanisms except: a. use of theoretical frameworks from related healthcare professions. b. development of nursing theory by nurse scholars such as Martha Rogers, Hildegarde Peplau, and Dorothy Orem. c. publication of the journal Nursing Research. d. increased focus on evidence-based practice to improve nursing practice.
use of theoretical frameworks from related healthcare professions.
The "standard of care" for nursing requires that a nurse: a. use the level of care that a reasonably prudent nurse would provide under the same or similar circumstances. b. provide optimal care to a patient in most circumstances. c. use extraordinary skill in providing care to a patient in most circumstances. d. never make an error in judgment in the care of a patient.
use the level of care that a reasonably prudent nurse would provide under the same or similar circumstances.
Good Samaritan laws will generally protect a nurse who renders in an emergency from civil liability if the nurse: a. makes no errors in judgment. b. provides competent care. c. uses reasonable and prudent judgment under the circumstances based on their education, training, and skill level. d. provides care even though no nurse-patient relationship has been established.
uses reasonable and prudent judgment under the circumstances based on their education, training, and skill level.
The first nurse practice acts passed in the U.S.: a. allowed anyone in the state to apply for nurse licensure, regardless of their educational preparation. b. barred persons who had not graduated from a school of nursing from the practice of nursing for pay. c. were "permissive" laws that allowed only nurses who were licensed to use the title "Registered Nurse." d. allowed any person who worked as a nurse for pay to use the title "Registered Nurse."
were "permissive" laws that allowed only nurses who were licensed to use the title "Registered Nurse."
Moral uncertainty is described as: a. when two or more ethical principles or values are in conflict. b. there is an identified ethical dilemma and the morally right thing is known. c. when one is unsure whether an ethical dilemma exists. d. experienced when one does not have the knowledge to know if there is an ethical issue present.
when one is unsure whether an ethical dilemma exists.
The 2030 Vision of Global Strategy focuses on: a. geriatrics. b. middle-aged adults. c. young adults. d. women, children, and adolescents.
women, children, and adolescents.
The person who consistently demeans the beliefs and traditions of others and whose attitude demonstrates prejudice and racism can be described as someone suffering from extreme: a. enculturation. b. xenophobia. c. acculturation. d. ethnocentrism.
xenophobia.