TEST BANK for Nursing Now: Today's Issues, Tomorrows Trends. 8th Edn Catalano. All Chapter 1-27

TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano Chapter 1: The Growth of Nursing Questions 1. Nurses are often the primary, and frequently the only, defendants named when errors are made that result in injury to the client. This is due to which concept associated with the nursing profession?

1. Autonomy 2. Accountability 3. Precision 4. Specificity Answer: 2. If a nurse uses information from research as the basis for making decisions about providing

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care, this nurse is engaging in which type of practice?

1. Client-based practice 2. Physician-based practice 3. Evidence-based practice 4. Provider-based practice Answer: 3. Today’s nurses are often found in remote and often hostile areas, providing care for the sick and dying, working 12-hour shifts, being on call, and working rotating shifts. This is why nursing is universally known as which type of profession?

1. Altruistic 2. Synergistic

TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano 3. Optimistic 4. Pragmatic Answer: 4. With Florence Nightingale’s radically new idea about a separate educational setting for nurses, the nursing profession took its first steps toward which of the following?

1. Autonomy 2. Accountability 3. Precision 4. Specificity Answer: 5. If an advanced practice nurse is prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common

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health problems, this nurse is acting in which advanced practice role?

1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager Answer: 6. If an advanced practice nurse focuses on the care of pregnant women before, during, and after the birth process, this nurse is acting in which advanced practice role?

1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist

TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano 4. Case manager Answer: 7. If an advanced practice nurse is comfortable working in high-tech environments with seriously ill individuals and their families, this nurse is acting in which advanced practice role?

1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager Answer: 8. If an advanced practice nurse functions to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services, this nurse is acting in which advanced practice role?

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1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager Answer: 9. If a nurse taking action to perform the activities that promote patient care, this nurse is acting with which of the following?

1. Power 2. Control 3. Authority 4. Empowerment

TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano Answer: 10. Although the client likely would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities, he or she cooperates because the nurse has a good relationship with the client; this is an example of which type of power?

1. Referent power 2. Expert power 3. Coercive power 4. Legitimate power Answer: 11. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses demonstrate which type of power?

1. Referent power

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2. Expert power 3. Coercive power 4. Legitimate power Answer: 12. If a nurse employs the underlying principles in the process of behavior modification, the nurse is utilizing which type of power?

1. Referent power 2. Expert power 3. Coercive power 4. Power of rewards Answer:

Catalano Nursing Now 8e 13. If a nurse uses which type of power, it can destroy therapeutic and personal relationships, and it can also be considered unethical and even illegal in certain situations?

1. Referent power 2. Expert power 3. Coercive power 4. Power of rewards Answer: 14. Nursing decisions made about client care can come only from individuals who have which source of power?

1. Referent power 2. Expert power 3. Coercive power

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4. Legitimate power Answer: 15. The first, and certainly the most important, way in which nurses can gain power in all areas is through which action?

1. Professional unity 2. Political activity 3. Accountability and professionalism 4. Networking Answer:

Catalano Nursing Now 8e Questions, Answers, and Rationales 1. Nurses are often the primary, and frequently the only, defendants named when errors are made that result in injury to the client. This is due to which concept associated with the nursing profession?

1. Autonomy 2. Accountability 3. Precision 4. Specificity ANS: 2 Page: 00

Feedback 1.

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This is incorrect. The autonomous nature of the nursing profession has no impact on nurses acting as defendants in court cases.

2.

This is correct. Nurses must be accountable and demonstrate a high level of responsibility for the care and services they provide.

3.

This is incorrect. The precision in which nurses must practice has no impact on nurses acting as defendants in court cases.

4.

This is incorrect. The specificity in which nurses must practice has no impact on nurses acting as defendants in court cases.

2. If a nurse uses information from research as the basis for making decisions about providing care, this nurse is engaging in which type of practice?

Catalano Nursing Now 8e 1. Client-based practice 2. Physician-based practice 3. Evidence-based practice 4. Provider-based practice ANS: 3 Page: 00

Feedback 1.

This is incorrect. Client-based care does not use information from research as the basis for making decisions.

2.

This is incorrect. Physician-based care does not use information from research as the basis for making decisions.

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3.

This is correct. Evidence-based care uses information from research as the basis for making decisions.

4.

This is incorrect. Provider-based care does not use information from research as the basis for making decisions.

3. Today’s nurses are often found in remote and often hostile areas, providing care for the sick and dying, working 12-hour shifts, being on call, and working rotating shifts. This is why nursing is universally known as which type of profession?

1. Altruistic 2. Synergistic 3. Optimistic

Catalano Nursing Now 8e

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4. Pragmatic ANS: 1 Page: 00

Feedback 1.

This is correct. Nursing has been viewed universally as an altruistic profession composed of selfless individuals who place the lives and well-being of their clients above their personal safety.

2.

This is incorrect. Nursing is not viewed universally as a synergistic profession.

3.

This is incorrect. Nursing is not viewed universally as an optimistic profession.

4.

This is incorrect. Nursing is not viewed universally as a pragmatic profession.

NURSINGTB.COM 4. With Florence Nightingale’s radically new idea about a separate educational setting for nurses, the nursing profession took its first steps toward which of the following?

1. Autonomy 2. Accountability 3. Precision 4. Specificity ANS: 1 Page: 00

Feedback

Catalano Nursing Now 8e 1.

Page 9 of 19 TB

This is correct. The nursing profession took its first steps toward autonomy of practice with Florence Nightingale’s radically new idea about a separate educational setting for nurses.

2.

This is incorrect. Nightingale’s radically new idea about a separate educational setting for nurses did not lead to accountability.

3.

This is incorrect. Nightingale’s radically new idea about a separate educational setting for nurses did not lead to precision.

4.

This is incorrect. Nightingale’s radically new idea about a separate educational setting for nurses did not lead to specificity.

5. If an advanced practice nurse is prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common NURSINGTB.COM health problems, this nurse is acting in which advanced practice role?

1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 1 Page: 00

Feedback

Catalano Nursing Now 8e 1.

Page 10 of 19 TB

This is correct. Nurse practitioners are prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems

2.

This is incorrect. Certified nurse midwives are not prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems.

3.

This is incorrect. Clinical nurse specialists are not prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems.

4.

This is incorrect. Case managers are not prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems.

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6. If an advanced practice nurse focuses on the care of pregnant women before, during, and after the birth process, this nurse is acting in which advanced practice role?

1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 2 Page: 00

Feedback

Catalano Nursing Now 8e 1.

Page 11 of 19 TB

This is incorrect. Nurse practitioners do not focus on the care of pregnant women before, during, and after the birth process

2.

This is correct. Certified nurse midwives focus on the care of pregnant women before, during, and after the birth process.

3.

This is incorrect. Clinical nurse specialists do not focus on the care of pregnant women before, during, and after the birth process.

4.

This is incorrect. Case managers do not focus on the care of pregnant women before, during, and after the birth process.

7. If an advanced practice nurse is comfortable working in high-tech environments with seriously ill individuals and their families, this nurse is acting in which advanced practice role?

1. Nurse practitioner

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2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 3 Page: 00

Feedback 1.

This is incorrect. Nurse practitioners are generally not comfortable working in high-tech environments with seriously ill individuals and their families.

Catalano Nursing Now 8e 2.

Page 12 of 19 TB

This is incorrect. Certified nurse midwives are generally not comfortable working in high-tech environments with seriously ill individuals and their families.

3.

This is correct. Certified nurse specialists are comfortable working in high-tech environments with seriously ill individuals and their families.

4.

This is incorrect. Case managers are generally not comfortable working in hightech environments with seriously ill individuals and their families.

8. If an advanced practice nurse functions to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services, this nurse is acting in which advanced practice role?

1. Nurse practitioner

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2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 4 Page: 00

Feedback 1.

This is incorrect. Nurse practitioners do not function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.

Catalano Nursing Now 8e 2.

Page 13 of 19 TB

This is incorrect. Certified nurse midwives do not function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.

3.

This is incorrect. Clinical nurse specialists do not function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.

4.

This is correct. Case managers function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.

9. If a nurse taking action to perform the activities that promote patient care, this nurse is acting with which of the following?

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1. Power 2. Control 3. Authority 4. Empowerment ANS: 4 Page: 00

Feedback 1.

This is incorrect. Power is best defined as the ability or capacity to exert influence over another person or group of persons.

2.

This is incorrect. Control is associated with power and authority.

Catalano Nursing Now 8e

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3.

This is incorrect. Authority is associated with power and control.

4.

This is correct. Empowerment helps the nurse to take action and perform those activities that promote patient care.

10. Although the client likely would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities, he or she cooperates because the nurse has a good relationship with the client; this is an example of which type of power?

1. Referent power 2. Expert power 3. Coercive power 4. Legitimate power ANS: 1

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Page: 00

Feedback 1.

This is correct. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is an example of referent power.

2.

This is incorrect. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is not an example of expert power.

Catalano Nursing Now 8e 3.

Page 15 of 19 TB

This is incorrect. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is not an example of coercive power.

4.

This is incorrect. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is not an example of legitimate power.

11. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses demonstrate which type of power?

1. Referent power

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2. Expert power 3. Coercive power 4. Legitimate power ANS: 2 Page: 00

Feedback 1.

This is incorrect. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses do not demonstrate referent power.

Catalano Nursing Now 8e 2.

Page 16 of 19 TB

This is correct. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses demonstrate expert power.

3.

This is incorrect. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses do not demonstrate coercive power.

4.

This is incorrect. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses do not demonstrate legitimate power.

12. If a nurse employs the underlying principles in the process of behavior modification, the nurse is utilizing which type of power?

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1. Referent power 2. Expert power 3. Coercive power 4. Power of rewards ANS: 4 Page: 00

Feedback 1.

This is incorrect. If a nurse employs the underlying principles in the process of behavior modification, the nurse is not utilizing referent power.

Catalano Nursing Now 8e 2.

Page 17 of 19 TB

This is incorrect. If a nurse employs the underlying principles in the process of behavior modification, the nurse is not utilizing expert power.

3.

This is incorrect. If a nurse employs the underlying principles in the process of behavior modification, the nurse is not utilizing coercive power.

4.

This is correct. If a nurse employs the underlying principles in the process of behavior modification, the nurse is utilizing power of rewards.

13. If a nurse uses which type of power, it can destroy therapeutic and personal relationships, and it can also be considered unethical and even illegal in certain situations?

1. Referent power 2. Expert power 3. Coercive power

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4. Power of rewards ANS: 3 Page: 00

Feedback 1.

This is incorrect. Referent power does not destroy therapeutic and personal relationships and is not considered unethical or illegal.

2.

This is incorrect. Expert power does not destroy therapeutic and personal relationships and is not considered unethical or illegal.

Catalano Nursing Now 8e 3.

Page 18 of 19 TB

This is correct. If a nurse uses coercive power, it can destroy therapeutic and personal relationships, and it can also be considered unethical and even illegal in certain situations.

4.

This is incorrect. Power of rewards does not destroy therapeutic and personal relationships and is not considered unethical or illegal.

14. Nursing decisions made about client care can come only from individuals who have which source of power?

1. Referent power 2. Expert power 3. Coercive power 4. Legitimate power

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ANS: 4 Page: 00

Feedback 1.

This is incorrect. Referent power does not allow nursing decisions to be made about client care

2.

This is incorrect. Expert power does not allow nursing decisions to be made about client care

3.

This is incorrect. Coercive power does not allow nursing decisions to be made about client care.

Catalano Nursing Now 8e 4.

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This is correct. Nursing decisions made about client care can come from only individuals who have legitimate power.

15. The first, and certainly the most important, way in which nurses can gain power in all areas is through which action?

1. Professional unity 2. Political activity 3. Accountability and professionalism 4. Networking ANS: 1 Page: 00

NURSINGTB.COM Feedback 1.

This is correct. The first, and certainly the most important, way in which nurses can gain power in all areas is through professional unity.

2.

This is incorrect. Political activity is not the most important way in which nurses can gain power in all areas.

3.

This is incorrect. Accountability and professionalism are not the most important way in which nurses can gain power in all areas.

4.

This is incorrect. Networking is not the most important way in which nurses can gain power in all areas.

Chapter 2: Historical Perspectives Questions 1. In ancient civilizations, starting from about 3500 B.C., health care was intertwined with religion. Which religion emphasized balance and driving demons out of the ailing body?

1. Taoism 2. Hinduism 3. Buddhism 4. Catholicism Answer: 2. Which war caused more death and injury than any war in the history of the United States and dramatically increased the demand for nurses?

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1. Civil War 2. Korean War 3. Vietnam War 4. Revolutionary War Answer: 3. World War II produced another nursing shortage and, in response, Congress passed which legislative act that shortened hospital-based diploma programs from 36 to 30 months?

1. HITECH Act 2. Bolton Act 3. Hill-Burton Act 4. EMTALA

Catalano Nursing Now 8e

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Answer: 4. For graduate nurses, which nursing symbol retains its significance as a symbol of the ideals and selfless devotion of Florence Nightingale?

1. Nursing cap 2. Nursing pin 3. Lamp 4. Coat of arms Answer: 5. Unlikely as it may seem, which nursing symbol can trace its origins to the heavy protective war shields used by soldiers as far back as the Greek and Roman Empires?

1. Nursing cap 2. Nursing pin

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3. Lamp 4. Coat of arms Answer: 6. Which nursing symbol indicated that the student was now off probation and had earned the right to wear it during clinical rotations in the hospital?

1. Nursing cap 2. Nursing pin 3. Lamp 4. Coat of arms Answer:

Catalano Nursing Now 8e

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7. At the height of her work in the war, which nursing leader supervised 125 nurses in several large hospitals and was recognized for her accomplishments by the Queen of England with an Order of Merit, the highest award given to English civilians?

1. Florence Nightingale 2. Isabel Adams Hampton Robb 3. Lillian Wald 4. Lavinia Lloyd Dock Answer: 8. Which nursing leader helped develop the American Journal of Nursing, the first professional journal dedicated to the improvement of nursing, which is still the official journal of the American Nurses Association?

1. Florence Nightingale

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2. Isabel Adams Hampton Robb 3. Lillian Wald 4. Lavinia Lloyd Dock Answer: 9. Many child health and wellness programs in use today are based on the efforts of which nursing leader?

1. Florence Nightingale 2. Isabel Adams Hampton Robb 3. Lillian Wald 4. Lavinia Lloyd Dock Answer:

Catalano Nursing Now 8e

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10. When World War I was over, which nursing leader became a nursing educator, eventually serving as dean at the Yale School of Nursing?

1. Florence Nightingale 2. Isabel Adams Hampton Robb 3. Lavinia Lloyd Dock 4. Annie Goodrich Answer: 11. Which nursing leader was inducted into the National Women’s Hall of Fame in 2011 for being recognized as an internationally renowned nursing leader who transformed the profession of nursing and made health care more accessible to the general public?

1. Florence Nightingale 2. Loretta C. Ford

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3. Lavinia Lloyd Dock 4. Annie Goodrich Answer: 12. In general, travel nurse staffing companies require which standard that allows the nurses to meet any staffing requirements of individual facilities?

1. LVN 2. LPN 3. ADN 4. BSN Answer:

WWW.ANSWERDONE.COM

Catalano Nursing Now 8e

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13. Which nursing leader noticed that many of her fellow students struggled to learn about all the medications that were becoming available and later wrote the first medication textbook for nurses?

1. Florence Nightingale 2. Loretta C. Ford 3. Lavinia Lloyd Dock 4. Annie Goodrich Answer: 14. Which of the following focused on what we now call holistic-health practices, which included special diets, massage therapy, and rest to drive evil spirits from a body?

1. Hebrews 2. Buddhism

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3. Roman Empire 4. Babylonian Empire Answer: 15. Which of the following developed quite an advanced system of medicine and a pharmacology that included more than 600 medications derived from herbs and plants?

1. Hebrews 2. Buddhism 3. Roman 4. Babylonian Answer:

WWW.ANSWERDONE.COM

Catalano Nursing Now 8e

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Questions, Answers, and Rationales 1. In ancient civilizations, starting from about 3500 B.C., health care was intertwined with religion. Which religion emphasized balance and driving demons out of the ailing body?

1. Taoism 2. Hinduism 3. Buddhism 4. Catholicism ANS: 1 Page: 2

Feedback 1.

This is correct. Taoism emphasized balance and driving demons out of the ailing

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body.

2.

This is incorrect. Hinduism did not emphasize balance and driving demons out of the ailing body.

3.

This is incorrect. Buddhism did not emphasize balance and driving demons out of the ailing body.

4.

This is incorrect. Catholicism did not emphasize balance and driving demons out of the ailing body.

2. Which war caused more death and injury than any war in the history of the United States and dramatically increased the demand for nurses?

1. Civil War

Catalano Nursing Now 8e

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2. Korean War 3. Vietnam War 4. Revolutionary War ANS: 1 Page: 10

Feedback 1.

This is correct. The Civil War caused more death and injury than any war in the history of the United States and dramatically increased the demand for nurses.

2.

This is incorrect. The Korean War did not cause more death and injury than any war in the history of the United States.

3.

This is incorrect. The Vietnam War did not cause more death and injury than any

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war in the history of the United States.

4.

This is incorrect. The Revolutionary War did not cause more death and injury than any war in the history of the United States.

3. World War II produced another nursing shortage and, in response, Congress passed which legislative act that shortened hospital-based diploma programs from 36 to 30 months?

1. The Health Information Technology for Economic and Clinical Health (HITECH) Act 2. Bolton Act 3. Hill-Burton Act 4. The Emergency Treatment and Active Labor Act (EMTALA) ANS: 2

Catalano Nursing Now 8e

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Page: 13

Feedback 1.

This is incorrect. The Health Information Technology for Economic and Clinical Health (HITECH ) Act was not passed in response to the nursing shortage created by World War II.

2.

This is correct. The Bolton Act was passed in response to the nursing shortage created by World War II.

3.

This is incorrect. The Hill-Burton Act was not passed in response to the nursing shortage created by World War II.

4.

This is incorrect. The Emergency Treatment and Active Labor Act (EMTALA) was not passed in response to the nursing shortage created by World War II. NURSINGTB.COM

4. For graduate nurses, which nursing symbol retains its significance as a symbol of the ideals and selfless devotion of Florence Nightingale?

1. Nursing cap 2. Nursing pin 3. Lamp 4. Coat of arms ANS: 3 Page: 15

Feedback

Catalano Nursing Now 8e 1.

Page 9 of 19 TB

This is incorrect. The nursing cap does not signify the ideals and selfless devotion of Florence Nightingale.

2.

This is incorrect. The nursing pin does not signify the ideals and selfless devotion of Florence Nightingale.

3.

This is correct. For graduate nurses, the lamp retains its significance as a symbol of the ideals and selfless devotion of Florence Nightingale.

4.

This is incorrect. The coat of arms does not signify the ideals and selfless devotion of Florence Nightingale.

5. Unlikely as it may seem, which nursing symbol can trace its origins to the heavy protective war shields used by soldiers as far back as the Greek and Roman Empires.

1. Nursing cap

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2. Nursing pin 3. Lamp 4. Coat of arms ANS: 2 Page: 17

Feedback 1.

This is incorrect. The origins of the nursing cap do not trace back to the heavy protective war shields used by soldiers as far back as the Greek and Roman Empires.

Catalano Nursing Now 8e 2.

Page 10 of 19 TB

This is correct. The nursing pin can trace back to the heavy protective war shields used by soldiers as far back as the Greek and Roman Empires.

3.

This is incorrect. The origins of the lamp do not trace back to the heavy protective war shields used by soldiers as far back as the Greek and Roman Empires.

4.

This is incorrect. The origins of the coat of arms do not trace back to the heavy protective war shields used by soldiers as far back as the Greek and Roman Empires.

6. Which nursing symbol indicated that the student was now off probation and had earned the right to wear it during clinical rotations in the hospital?

1. Nursing cap

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2. Nursing pin 3. Lamp 4. Coat of arms ANS: 1 Page: 22

Feedback 1.

This is correct. The nursing cap indicated that the student was now off probation and had earned the right to wear it during clinical rotations in the hospital.

Catalano Nursing Now 8e 2.

Page 11 of 19 TB

This is incorrect. The nursing pin did not indicate that the student was now off probation and had earned the right to wear it during clinical rotations in the hospital.

3.

This is incorrect. The lamp did not indicate that the student was now off probation and had earned the right to wear it during clinical rotations in the hospital.

4.

This is incorrect. The coat of arms did not indicate that the student was now off probation and had earned the right to wear it during clinical rotations in the hospital.

7. At the height of her work in the war, which nursing leader supervised 125 nurses in several large hospitals and was recognized for her accomplishments by the Queen of England with an NURSINGTB.COM Order of Merit, the highest award given to English civilians?

1. Florence Nightingale 2. Isabel Adams Hampton Robb 3. Lillian Wald 4. Lavinia Lloyd Dock ANS: 1 Page: 27

Feedback 1.

This is correct. Florence Nightingale was recognized by the Queen of England with an Order of Merit, the highest award given to English civilians.

Catalano Nursing Now 8e 2.

Page 12 of 19 TB

This is incorrect. Isabel Adams Hampton Robb was not recognized by the Queen of England with an Order of Merit, the highest award given to English civilians.

3.

This is incorrect. Lillian Wald was not recognized by the Queen of England with an Order of Merit, the highest award given to English civilians.

4.

This is incorrect. Lavinia Lloyd Dock was not recognized by the Queen of England with an Order of Merit, the highest award given to English civilians.

8. Which nursing leader helped develop the American Journal of Nursing, the first professional journal dedicated to the improvement of nursing, which is still the official journal of the American Nurses Association?

1. Florence Nightingale 2. Isabel Adams Hampton Robb

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3. Lillian Wald 4. Lavinia Lloyd Dock ANS: 2 Page: 26

Feedback 1.

This is incorrect. Florence Nightingale did not help develop the American Journal of Nursing.

2.

This is correct. Isabel Adams Hampton Robb helped develop the American Journal of Nursing, the first professional journal dedicated to the improvement of nursing, which is still the official journal of the American Nurses Association.

Catalano Nursing Now 8e 3.

Page 13 of 19 TB

This is incorrect. Lillian Wald did not help develop the American Journal of Nursing.

4.

This is incorrect. Lavinia Lloyd Dock did not help develop the American Journal of Nursing.

9. Many child health and wellness programs in use today are based on the efforts of which nursing leader?

1. Florence Nightingale 2. Isabel Adams Hampton Robb 3. Lillian Wald 4. Lavinia Lloyd Dock ANS: 3

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Page: 27

Feedback 1.

This is incorrect. Many of the child health and wellness programs in use today are based on the efforts of a different nursing leader, not Florence Nightingale

2.

This is incorrect. Many of the child health and wellness programs in use today are based on the efforts of a different nursing leader, not Isabel Adams Hampton Robb.

3.

This is correct. Many child health and wellness programs in use today are based on the efforts of Lillian Wald.

Catalano Nursing Now 8e 4.

Page 14 of 19 TB

This is incorrect. Many of the child health and wellness programs in use today are based on the efforts of a different nursing leader, not Lavinia Lloyd Dock.

10. When World War I was over, which nursing leader became a nursing educator, eventually serving as dean at the Yale School of Nursing?

1. Florence Nightingale 2. Isabel Adams Hampton Robb 3. Lavinia Lloyd Dock 4. Annie Goodrich ANS: 4 Page: 28

NURSINGTB.COM Feedback 1.

This is incorrect. Florence Nightingale never served as dean at the Yale School of Nursing.

2.

This is incorrect. Isabel Adams Hampton Robb never served as dean at the Yale School of Nursing.

3.

This is incorrect. Lavinia Lloyd Dock never served as dean at the Yale School of Nursing.

4.

This is correct. When World War I was over, Annie Goodrich became a nursing educator, eventually serving as dean at the Yale School of Nursing.

Catalano Nursing Now 8e

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11. Which nursing leader was inducted into the National Women’s Hall of Fame in 2011 for being recognized as an internationally renowned nursing leader who transformed the profession of nursing and made health care more accessible to the general public?

1. Florence Nightingale 2. Loretta C. Ford 3. Lavinia Lloyd Dock 4. Annie Goodrich ANS: 2 Page: 29

Feedback 1.

This is incorrect. Florence Nightingale was not inducted into the National

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Women’s Hall of Fame in 2011 for being recognized as an internationally renowned nursing leader who transformed the profession of nursing and made health care more accessible to the general public.

2.

This is correct. Loretta C. Ford was inducted into the National Women’s Hall of Fame in 2011 for being recognized as an internationally renowned nursing leader who transformed the profession of nursing and made health care more accessible to the general public.

3.

This is incorrect. Lavinia Lloyd Dock was not inducted into the National Women’s Hall of Fame in 2011 for being recognized as an internationally renowned nursing leader who transformed the profession of nursing and made health care more accessible to the general public.

Catalano Nursing Now 8e 4.

Page 16 of 19 TB

This is incorrect. Annie Goodrich was not inducted into the National Women’s Hall of Fame in 2011 for being recognized as an internationally renowned nursing leader who transformed the profession of nursing and made health care more accessible to the general public.

12. In general, travel nurse staffing companies require which standard that allows the nurses to meet any staffing requirements of individual facilities?

1. LVN 2. LPN 3. ADN 4. BSN ANS: 4

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Page: 31

Feedback 1.

This is incorrect. Travel nurse staffing companies generally require training beyond that of an LVN.

2.

This is incorrect. Travel nurse staffing companies generally require training beyond that of an LPN.

3.

This is incorrect. Travel nurse staffing companies generally require training beyond that of an ADN.

Catalano Nursing Now 8e 4.

Page 17 of 19 TB

This is correct. In general, travel nurse staffing companies require a BSN or higher degree, which allows the nurses to meet any staffing requirements of individual facilities.

13. Which nursing leader noticed that many of her fellow students struggled to learn about all the medications that were becoming available and later wrote the first medication textbook for nurses?

1. Florence Nightingale 2. Loretta C. Ford 3. Lavinia Lloyd Dock 4. Annie Goodrich ANS: 3

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Page: 28

Feedback 1.

This is incorrect. Florence Nightingale did not write the first medication textbook for nurses.

2.

This is incorrect. Loretta C. Ford did not write the first medication textbook for nurses.

3.

This is correct. Lavinia Lloyd Dock noticed that many of her fellow students struggled to learn about all the medications that were becoming available, and she later wrote the first medication textbook for nurses.

Catalano Nursing Now 8e 4.

Page 18 of 19 TB

This is incorrect. Annie Goodrich did not write the first medication textbook for nurses.

14. Which of the following focused on what we now call holistic-health practices, which included special diets, massage therapy, and rest to drive evil spirits from a body?

1. Hebrews 2. Buddhism 3. Roman Empire 4. Babylonian Empire ANS: 4 Page: 3

NURSINGTB.COM Feedback 1.

This is incorrect. The Hebrews did not focus on what we now call holistic-health practices.

2.

This is incorrect. Buddhism did not focus on what we now call holistic-health practices.

3.

This is incorrect. The Roman Empire did not focus on what we now call holistichealth practices.

4.

This is correct. The Babylonian Empire focused on what we now call holistic-health practices, which included special diets, massage therapy, and rest to drive evil spirits from a body.

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15. Which of the following developed quite an advanced system of medicine and a pharmacology that included more than 600 medications derived from herbs and plants?

1. Hebrews 2. Buddhism 3. Roman Empire 4. Babylonian Empire ANS: 3 Page: 5

Feedback 1.

This is incorrect. The Hebrews did not develop an advanced system of medicine and a pharmacology that included more than 600 medications derived from herbs and

NURSINGTB.COM

plants.

2.

This is incorrect. The Buddhists did not develop an advanced system of medicine and a pharmacology that included more than 600 medications derived from herbs and plants.

3.

This is correct. The Roman Empire developed quite an advanced system of medicine and a pharmacology that included more than 600 medications derived from herbs and plants.

4.

This is incorrect. The Babylonian Empire did not develop an advanced system of medicine and a pharmacology that included more than 600 medications derived from herbs and plants.

Chapter 3: Theories and Models of Nursing Questions 1. The nursing profession tends to use which term when attempting to explain apparent relationships between observed behaviors and their effects on a client’s health?

1. Model 2. Theory 3. Hypothesis 4. Evidence Answer: 2. Which of the following is a very important element in the Roy adaptation model because it provides baseline data about the client that the nurse obtains through assessment techniques?

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1. Input 2. Output 3. Feedback 4. Throughput Answer: 3. Factors in the client’s past, such as personality characteristics, past experiences, religious beliefs, and social norms, that have an indirect effect on the client’s health status are referred to as which type of stimuli?

1. Focal stimuli 2. Contextual stimuli 3. Residual stimuli

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4. Factual stimuli Answer: 4. The current widely accepted practice of establishing health-care goals for clients and directing client care to meet these goals has its origins in which model?

1. Roy adaptation model 2. Orem self-care model 3. King model of goal attainment 4. Watson model of human caring Answer: 5. Which element of the King model of goal attainment refers to a life situation in which perceivers and things perceived are encountered and entered into as active participants?

1. Action 2. Reaction 3. Interaction 4. Transaction Answer: 6. According to which model, illness is the client’s inability to integrate life experiences and the failure to achieve full potential or inner harmony?

1. Roy adaptation model 2. Orem self-care model 3. King model of goal attainment 4. Watson model of human caring Answer:

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Catalano Nursing Now 8e

Page 3 of 22 TB

7. According to the Johnson behavioral system model, nurturing and promoting self-image is the primary type of activity of which behavioral subsystem?

1. Security 2. Dependency 3. Taking in 4. Eliminative behavior Answer: 8. Select from the following the model in which the client-system’s boundaries are called lines of defense and resistance and may be represented graphically as a series of concentric circles that surround the basic core of the individual.

1. Orem self-care model 2. Neuman health-care systems model 3. King model of goal attainment 4. Watson model of human caring Answer: 9. According to the Neuman health-care systems model, which type of stressors occur within the client and include physiological responses, psychological reactions, and internal thought processes?

1. Extrapersonal stressors 2. Interpersonal stressors 3. Intrapersonal stressors 4. Transpersonal stressors Answer:

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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10. According to the Neuman health-care system model, teaching clients about stress management, giving immunizations, and encouraging aerobic exercise to prevent heart disease are examples of which type of intervention?

1. Primary intervention 2. Secondary intervention 3. Tertiary intervention 4. Quaternary intervention Answer: 11. Teaching a client how to care for a colostomy bag at home after discharge from the hospital is an example of a nursing activity at which level?

1. Primary level 2. Secondary level 3. Tertiary level 4. Quaternary level Answer: 12. Formulated in 1987, which model is widely used as the theoretical framework for research on prenatal care and pregnancy?

1. Parse model 2. Pender’s health promotion model 3. Swanson’s theory of caring 4. Orem self-care model Answer:

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 5 of 22 TB

13. Although originally studied in the perinatal setting, which of the following has been adopted into many other health-care settings, including critical care, mental health, public health, hospice, gerontology, and oncology?

1. Parse model 2. Pender’s health promotion model 3. Swanson’s theory of caring 4. Orem self-care model Answer: 14. In which model is nursing an activity that helps the individual achieve and maintain an optimal level of behavior through the manipulation and regulation of the environment?

1. Parse model 2. Johnson behavioral system model 3. Swanson’s theory of caring 4. Orem self-care model Answer: 15. The main concern in the development of which model was to balance the impersonal aspects of nursing care that are found in the technological and scientific aspects of practice with the personal and interpersonal elements that grow from a humanistic belief in life?

1. Watson model of human caring 2. Johnson behavioral system model 3. Swanson’s theory of caring 4. Orem self-care model Answer:

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Catalano Nursing Now 8e

Page 6 of 22 TB

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Questions, Answers, and Rationales 1. The nursing profession tends to use which term when attempting to explain apparent relationships between observed behaviors and their effects on a client’s health?

1. Model 2. Theory 3. Hypothesis 4. Evidence ANS: 2 Page: 2

Feedback 1.

This is incorrect. The nursing profession does not use the term model when

NURSINGTB.COM

attempting to explain apparent relationships between observed behaviors and their effects on a client’s health.

2.

This is correct. The nursing profession tends to use the term theory when attempting to explain apparent relationships between observed behaviors and their effects on a client’s health.

3.

This is incorrect. The nursing profession does not use the term hypothesis when attempting to explain apparent relationships between observed behaviors and their effects on a client’s health.

4.

This is incorrect. The nursing profession does not use the term evidence when attempting to explain apparent relationships between observed behaviors and their effects on a client’s health.

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Catalano Nursing Now 8e

Page 8 of 22 TB

2. Which of the following is a very important element in the Roy adaptation model because it provides baseline data about the client that the nurse obtains through assessment techniques?

1. Input 2. Output 3. Feedback 4. Throughput ANS: 2 Page: 20

Feedback 1.

This is incorrect. Input does not provide baseline data about the client that the

NURSINGTB.COM

nurse obtains through assessment techniques.

2.

This is correct. Output is a very important element in the Roy adaptation model because it provides baseline data about the client that the nurse obtains through assessment techniques.

3.

This is incorrect. Feedback does not provide baseline data about the client that the nurse obtains through assessment techniques.

4.

This is incorrect. Throughput does not provide baseline data about the client that the nurse obtains through assessment techniques.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 9 of 22 TB

3. Factors in the client’s past, such as personality characteristics, past experiences, religious beliefs, and social norms, that have an indirect effect on the client’s health status are referred to as which type of stimuli?

1. Focal stimuli 2. Contextual stimuli 3. Residual stimuli 4. Factual stimuli ANS: 3 Page: 22

Feedback 1.

This is incorrect. Focal stimuli are not personality characteristics, past

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experiences, religious beliefs, and social norms that have an indirect effect on the client’s health status.

2.

This is incorrect. Contextual stimuli are not personality characteristics, past experiences, religious beliefs, and social norms that have an indirect effect on the client’s health status.

3.

This is correct. Factors in the client’s past, such as personality characteristics, past experiences, religious beliefs, and social norms, that have an indirect effect on the client’s health status are referred to as residual stimuli.

4.

This is incorrect. Factual stimuli are not personality characteristics, past experiences, religious beliefs, and social norms that have an indirect effect on the client’s health status.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 10 of 22 TB

4. The current widely accepted practice of establishing health-care goals for clients and directing client care to meet these goals has its origins in which model?

1. Roy adaptation model 2. Orem self-care model 3. King model of goal attainment 4. Watson model of human caring ANS: 3 Page: 28

Feedback 1.

This is incorrect. The current widely accepted practice of establishing health-

NURSINGTB.COM

care goals for clients and directing client care to meet these goals is not originated in the Roy adaptation model.

2.

This is incorrect. The current widely accepted practice of establishing healthcare goals for clients and directing client care to meet these goals is not originated in the Orem self-care model.

3.

This is correct. The current widely accepted practice of establishing health-care goals for clients and directing client care to meet these goals has its origins in the King model of goal attainment.

4.

This is incorrect. The current widely accepted practice of establishing healthcare goals for clients and directing client care to meet these goals is not originated in the Watson model of human caring.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 11 of 22 TB

5. Which element of the King model of goal attainment refers to a life situation in which perceivers and things perceived are encountered and entered into as active participants?

1. Action 2. Reaction 3. Interaction 4. Transaction ANS: 4 Page: 31

Feedback 1.

This is incorrect. According to the King model of goal attainment, action does

NURSINGTB.COM

not refer to a life situation in which perceivers and things perceived are encountered and entered into as active participants.

2.

This is incorrect. According to the King model of goal attainment, reaction does not refer to a life situation in which perceivers and things perceived are encountered and entered into as active participants.

3.

This is incorrect. According to the King model of goal attainment, interaction does not refer to a life situation in which perceivers and things perceived are encountered and entered into as active participants.

4.

This is correct. According to the King model of goal attainment, transaction refers to a life situation in which perceivers and things perceived are encountered and entered into as active participants.

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Catalano Nursing Now 8e

Page 12 of 22 TB

6. According to which model, illness is the client’s inability to integrate life experiences and the failure to achieve full potential or inner harmony?

1. Roy adaptation model 2. Orem self-care model 3. King model of goal attainment 4. Watson model of human caring ANS: 4 Page: 33

Feedback 1.

This is incorrect. The Roy adaptation model does not define illness as the

NURSINGTB.COM

client’s inability to integrate life experiences and the failure to achieve full potential or inner harmony.

2.

This is incorrect. The Orem self-care model does not define illness as the client’s inability to integrate life experiences and the failure to achieve full potential or inner harmony.

3.

This is incorrect. The King model of goal attainment does not define illness as the client’s inability to integrate life experiences and the failure to achieve full potential or inner harmony.

4.

This is correct. According to the Watson model of human caring, illness is the client’s inability to integrate life experiences and the failure to achieve full potential or inner harmony.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 13 of 22 TB

7. According to the Johnson behavioral system model, nurturing and promoting self-image is the primary type of activity of which behavioral subsystem?

1. Security 2. Dependency 3. Taking in 4. Eliminative behavior ANS: 2 Page: 37

Feedback 1.

This is incorrect. According to the Johnson behavioral system model, nurturing

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and promoting self-image is not the primary type of activity of the security subsystem.

2.

This is correct. According to the Johnson behavioral system model, nurturing and promoting self-image is the primary type of activity of the dependency subsystem.

3.

This is incorrect. According to the Johnson behavioral system model, nurturing and promoting self-image is not the primary type of activity of the taking-in subsystem.

4.

This is incorrect. According to the Johnson behavioral system model, nurturing and promoting self-image is not the primary type of activity of the eliminative behavior subsystem.

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Catalano Nursing Now 8e

Page 14 of 22 TB

8. Select from the following the model in which the client-system’s boundaries are called lines of defense and resistance and may be represented graphically as a series of concentric circles that surround the basic core of the individual.

1. Orem self-care model 2. Neuman health-care systems model 3. King model of goal attainment 4. Watson model of human caring ANS: 2 Page: 41

Feedback 1.

NURSINGTB.COM

This is incorrect. In the Orem self-care model, the client-system’s boundaries are not referred to as lines of defense and resistance.

2.

This is correct. In the Neuman health-care systems model, the client-system’s boundaries are called lines of defense and resistance and may be represented graphically as a series of concentric circles that surround the basic core of the individual.

3.

This is incorrect. In the King model of goal attainment, the client-system’s boundaries are not referred to as lines of defense and resistance.

4.

This is incorrect. In the Watson model of human caring, the client-system’s boundaries are not referred to as lines of defense and resistance.

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Catalano Nursing Now 8e

Page 15 of 22 TB

9. According to the Neuman health-care systems model, which type of stressors occur within the client and include physiological responses, psychological reactions, and internal thought processes?

1. Extrapersonal stressors 2. Interpersonal stressors 3. Intrapersonal stressors 4. Transpersonal stressors ANS: 3 Page: 42

Feedback 1.

This is incorrect. According to the Neuman health-care systems model,

NURSINGTB.COM

extrapersonal stressors do not occur within the client and do not include physiological responses, psychological reactions, and internal thought processes 2.

This is incorrect. According to the Neuman health-care systems model, interpersonal stressors do not occur within the client and do not include physiological responses, psychological reactions, and internal thought processes

3.

This is correct. According to the Neuman health-care systems model, intrapersonal stressors occur within the client and include physiological responses, psychological reactions, and internal thought processes

4.

This is incorrect. According to the Neuman health-care systems model, transpersonal stressors do not occur within the client and do not include physiological responses, psychological reactions, and internal thought processes

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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10. According to the Neuman health-care system model, teaching clients about stress management, giving immunizations, and encouraging aerobic exercise to prevent heart disease are examples of which type of intervention?

1. Primary intervention 2. Secondary intervention 3. Tertiary intervention 4. Quaternary intervention ANS: 1 Page: 43

Feedback 1.

NURSINGTB.COM

This is correct. According to the Neuman health-care system model, teaching clients about stress management, giving immunizations, and encouraging aerobic exercise to prevent heart disease are examples of primary intervention.

2.

This is incorrect. According to the Neuman health-care system model, teaching clients about stress management, giving immunizations, and encouraging aerobic exercise to prevent heart disease are not examples of secondary intervention.

3.

This is incorrect. According to the Neuman health-care system model, teaching clients about stress management, giving immunizations, and encouraging aerobic exercise to prevent heart disease are not examples of tertiary intervention.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 4.

Page 17 of 22 TB

This is incorrect. According to the Neuman health-care system model, teaching clients about stress management, giving immunizations, and encouraging aerobic exercise to prevent heart disease are not examples of quaternary intervention.

11. Teaching a client how to care for a colostomy bag at home after discharge from the hospital is an example of a nursing activity at which level?

1. Primary level 2. Secondary level 3. Tertiary level 4. Quaternary level ANS: 3 Page: 43

Feedback 1.

This is incorrect. Teaching a client how to care for a colostomy bag at home after discharge from the hospital is not an example of a nursing activity at the primary level.

2.

This is incorrect. Teaching a client how to care for a colostomy bag at home after discharge from the hospital is not an example of a nursing activity at the secondary level.

3.

This is correct. Teaching a client how to care for a colostomy bag at home after discharge from the hospital is an example of a nursing activity at the tertiary level.

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Catalano Nursing Now 8e 4.

Page 18 of 22 TB

This is incorrect. Teaching a client how to care for a colostomy bag at home after discharge from the hospital is not an example of a nursing activity at the quaternary level.

12. Formulated in 1987, which model is widely used as the theoretical framework for research on prenatal care and pregnancy?

1. Parse model 2. Pender’s health promotion model 3. Swanson’s theory of caring 4. Orem self-care model ANS: 2 Page: 46

Feedback 1.

This is incorrect. The Parse model is not widely used as the theoretical framework for research on prenatal care and pregnancy.

2.

This is correct. Formulated in 1987, Pender’s health promotion model is widely used as the theoretical framework for research on prenatal care and pregnancy.

3.

This is incorrect. Swanson’s theory of caring is not widely used as the theoretical framework for research on prenatal care and pregnancy.

4.

This is incorrect. The Orem self-care model is not widely used as the theoretical framework for research on prenatal care and pregnancy.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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13. Although originally studied in the perinatal setting, which of the following has been adopted into many other health-care settings, including critical care, mental health, public health, hospice, gerontology, and oncology?

1. Parse model 2. Pender’s health promotion model 3. Swanson’s theory of caring 4. Orem self-care model ANS: 3 Page: 47

Feedback 1.

This is incorrect. The Parse model has not been adopted into many other health-

NURSINGTB.COM

care settings, including critical care, mental health, public health, hospice, gerontology, and oncology.

2.

This is incorrect. The Pender’s health promotion model has not been adopted into many other health-care settings, including critical care, mental health, public health, hospice, gerontology, and oncology.

3.

This is correct. Swanson’s theory of caring has been adopted into many other health-care settings, including critical care, mental health, public health, hospice, gerontology, and oncology.

4.

This is incorrect. The Orem self-care model has not been adopted into many other health-care settings, including critical care, mental health, public health, hospice, gerontology, and oncology.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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14. In which model is nursing is an activity that helps the individual achieve and maintain an optimal level of behavior through the manipulation and regulation of the environment?

1. Parse model 2. Johnson behavioral system model 3. Swanson’s theory of caring 4. Orem self-care model ANS: 2 Page: 40 Feedback 1.

This is incorrect. The Parse model is not the model in which nursing is an activity that helps the individual achieve and maintain an optimal level of

NURSINGTB.COM

behavior through the manipulation and regulation of the environment.

2.

This is correct. In the Johnson behavioral system model, nursing is an activity that helps the individual achieve and maintain an optimal level of behavior through the manipulation and regulation of the environment.

3.

This is incorrect. Swanson’s theory of caring is not the model in which nursing is an activity that helps the individual achieve and maintain an optimal level of behavior through the manipulation and regulation of the environment.

4.

This is incorrect. The Orem self-care model is not the model in which nursing is an activity that helps the individual achieve and maintain an optimal level of behavior through the manipulation and regulation of the environment.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 21 of 22 TB

15. The main concern in the development of which model was to balance the impersonal aspects of nursing care that are found in the technological and scientific aspects of practice with the personal and interpersonal elements that grow from a humanistic belief in life?

1. Watson model of human caring 2. Johnson behavioral system model 3. Swanson’s theory of caring 4. Orem self-care model ANS: 1 Page: 32

Feedback 1.

This is correct. The main concern in the development of the Watson model of

NURSINGTB.COM

human caring was to balance the impersonal aspects of nursing care that are found in the technological and scientific aspects of practice with the personal and interpersonal elements that grow from a humanistic belief in life.

2.

This is incorrect. Balancing the impersonal aspects of nursing care that are found in the technological and scientific aspects of practice with the personal and interpersonal elements that grow from a humanistic belief in life was not the main concern in the development of the Johnson behavioral system model.

3.

This is incorrect. Balancing the impersonal aspects of nursing care that are found in the technological and scientific aspects of practice with the personal and interpersonal elements that grow from a humanistic belief in life was not the main concern in the development of Swanson’s theory of caring.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 4.

Page 22 of 22 TB

This is incorrect. Balancing the impersonal aspects of nursing care that are found in the technological and scientific aspects of practice with the personal and interpersonal elements that grow from a humanistic belief in life was not the main concern in the development of the Orem self-care model.

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Chapter 4: The Process of Educating Nurses Questions 1. Because of society’s demands for an increased level of safety and high-quality nursing care, nursing education institutions began using the competencies of which organization to develop the Quality and Safety Education for Nurses (QSEN) competency model for nursing curricula?

1. American Nurses Association 2. The Joint Commission 3. Institute of Medicine 4. World Health Organization Answer: 2. Which type of nursing practice will always have an important place in any health-care system?

1. Hospital-based acute care nursing practice 2. Hospital-based chronic care nursing practice 3. Community-based acute care nursing practice 4. Community-based chronic care nursing practice Answer: 3. In 1952, which organization assumed accrediting responsibilities for all schools of nursing?

1. American Nurses Association 2. National Nursing Accrediting Service 3. National League for Nursing 4. American Association of Colleges of Nursing Answer:

WWW.NURSINGTB.COM

4. Which type of nursing program was developed by Mildred Montag as a short-term solution to the nursing shortage experienced after World War II? 1. Practical nursing programs 2. Associate degree nursing programs 3. Baccalaureate degree nursing programs 4. Licensed vocational nursing programs Answer: 5. Which nursing degree is now being considered as the terminal degree for advanced practice nurses?

1. Doctor of nursing science (DNSc) 2. Doctor of science in nursing (DSN) 3. Doctor of nursing (DN or ND) 4. Doctor of nursing practice (DNP) Answer: 6. Which agency noted that poor communication and lack of teamwork among health-care professionals were major contributors to the increased number of medicine and other errors in the hospital setting?

1. American Nurses Association 2. The Joint Commission 3. Institute of Medicine 4. World Health Organization Answer:

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7. Which model of interprofessional nursing education considers the current education system for health professionals as a “silo” where members interact only among themselves?

1. Medical home model 2. D’Amour and Oandasan model 3. World Health Organization model 4. Commission on Education of Health Care Professionals in the 21st Century model Answer: 8. To this day, which organization remains firmly committed to its stand that all nursing education should be housed in institutions of higher learning?

1. American Nurses Association 2. The Joint Commission 3. Institute of Medicine

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4. World Health Organization Answer: 9. In the real world, which type of nurses are often required to provide care well outside their scope of practice, leaving them in legal limbo and vulnerable to lawsuits?

1. Registered nurses 2. Licensed practical nurses 3. Advanced practice nurses 4. Case managers Answer:

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10. Which type of program allows nurses to upgrade their education and move from one educational level to another with relative ease by granting credit for previous coursework and experience and without loss of credits from previous education?

1. Ladder programs 2. Practical nursing programs 3. Associate degree nursing programs 4. Baccalaureate degree nursing programs Answer: 11. The advanced practice registered nurse (APRN) certification has become the recognized credential for nurses receiving which degree in a specialized expanded practice role?

1. Bachelor’s degree 2. Master’s degree 3. Doctor of nursing practice degree 4. Doctor of nursing science degree Answer: 12. Which role of advanced practice nursing is a generalist with a master’s degree who can coordinate care for clients, use evidence-based practice in care, focus on quality improvement, and oversee risk management and client safety?

1. Clinical nurse specialist 2. Clinical nurse leader 3. Clinical registered nurse anesthetist 4. Rehabilitation nurse practitioner Answer:

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13. Which terminal degree has been the gold standard for nursing education since the beginning of college-level nursing baccalaureate degrees?

1. PhD 2. DSN 3. DNSc 4. DNP Answer: 14. Which model of interprofessional nursing education takes the emphasis placed on primary care in the Affordable Care Act (ACA) and expands it to all areas of health care?

1. Medical home model 2. D’Amour and Oandasan model 3. World Health Organization model 4. Commission on Education of Health Care Professionals in the 21st Century model Answer: 15. Which type of skills have long been stressed by mental health nursing faculty as a key element in the treatment of psychiatric problems?

1. Critical thinking skills 2. Therapeutic relationship skills 3. Case management skills 4. Interdisciplinary skills Answer:

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Questions, Answers, and Rationales 1. Because of society’s demands for an increased level of safety and high-quality nursing care, nursing education institutions began using the competencies of which organization to develop the Quality and Safety Education for Nurses (QSEN) competency model for nursing curricula?

1. American Nurses Association 2. The Joint Commission 3. Institute of Medicine 4. World Health Organization ANS: 3 Page: 7

Feedback 1.

NURSINGTB.COM

This is incorrect. The competencies of the American Nurses Association were not used to develop the Quality and Safety Education for Nurses (QSEN) competency model for nursing curricula.

2.

This is incorrect. The competencies of The Joint Commission were not used to develop the Quality and Safety Education for Nurses (QSEN) competency model for nursing curricula.

3.

This is correct. Because of society’s demands for an increased level of safety and high-quality nursing care, nursing education institutions began using the Institute of Medicine (IOM) competencies to develop the Quality and Safety Education for Nurses (QSEN) competency model for nursing curricula.

WWW.NURSINGTB.COM

4.

This is incorrect. The competencies of the World Health Organization were not used to develop the Quality and Safety Education for Nurses (QSEN) competency model for nursing curricula.

2. Which type of nursing practice will always have an important place in any health-care system?

1. Hospital-based acute care nursing practice 2. Hospital-based chronic care nursing practice 3. Community-based acute care nursing practice 4. Community-based chronic care nursing practice ANS: 1 Page: 11

Feedback 1.

This is correct. Hospital-based acute care nursing practice will always have an important place in any health-care system. Highly skilled acute care nurses will always find a place to practice.

2.

This is incorrect. Hospital-based chronic care nursing practice has a place of less importance than acute care nursing practice.

3.

This is incorrect. Community-based acute care nursing practice has a place of less importance than acute care nursing practice.

4.

This is incorrect. Community-based chronic care nursing practice has a place of less importance than acute care nursing practice.

WWW.NURSINGTB.COM

3. In 1952, which organization assumed accrediting responsibilities for all schools of nursing?

1. American Nurses Association 2. National Nursing Accrediting Service 3. National League for Nursing 4. American Association of Colleges of Nursing ANS: 3 Page 30

Feedback 1.

This is incorrect. The American Nurses Association did not assume accrediting responsibilities for all schools of nursing in 1952.

2.

This is incorrect. The National Nursing Accrediting Service did not assume

NURSINGTB.COM

accrediting responsibilities for all schools of nursing in 1952.

3.

This is correct. In 1952, the National League for Nursing assumed accrediting responsibilities for all schools of nursing.

4.

This is incorrect. The American Association of Colleges of Nursing did not assume accrediting responsibilities for all schools of nursing in 1952.

4. Which type of nursing program was developed by Mildred Montag as a short-term solution to the nursing shortage experienced after World War II? 1. Practical nursing programs 2. Associate degree nursing programs 3. Baccalaureate degree nursing programs

WWW.NURSINGTB.COM

4. Licensed vocational nursing programs ANS: 2 Page 34

Feedback 1.

This is incorrect. Practical nursing programs were not developed by Mildred Montag as a short-term solution to the nursing shortage experienced after World War II.

2.

This is correct. Associate degree nursing programs were developed by Mildred Montag as a short-term solution to the nursing shortage experienced after World War II.

3.

This is incorrect. Baccalaureate degree nursing programs were not developed by

NURSINGTB.COM

Mildred Montag as a short-term solution to the nursing shortage experienced after World War II. 4.

This is incorrect. Licensed vocational nursing programs were not developed by Mildred Montag as a short-term solution to the nursing shortage experienced after World War II.

5. Which nursing degree is now being considered as the terminal degree for advanced practice nurses?

1. Doctor of nursing science (DNSc) 2. Doctor of science in nursing (DSN) 3. Doctor of nursing (DN or ND)

WWW.NURSINGTB.COM

4. Doctor of nursing practice (DNP) ANS: 4 Page 46

Feedback 1.

This is incorrect. The doctor of nursing science (DNSc) is not considered as the terminal degree for advanced practice nurses.

2.

This is incorrect. The doctor of science in nursing (DSN) is not considered as the terminal degree for advanced practice nurses.

3.

This is incorrect. The doctor of nursing (DN or ND) is not considered as the terminal degree for advanced practice nurses.

4.

This is correct. The doctor of nursing practice (DNP) degree is now being NURSINGTB.COM considered as the terminal degree for advanced practice nurses.

6. Which agency noted that poor communication and lack of teamwork among health-care professionals were major contributors to the increased number of medicine and other errors in the hospital setting?

1. American Nurses Association 2. The Joint Commission 3. Institute of Medicine 4. World Health Organization ANS: 2 Page: 54

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Feedback 1.

This is incorrect. The American Nurses Association is not responsible for noting that poor communication and lack of teamwork among health-care professionals were major contributors to the increased number of medicine and other errors in the hospital setting.

2.

This is correct. The Joint Commission noted that poor communication and lack of teamwork among health-care professionals were major contributors to the increased number of medicine and other errors in the hospital setting.

3.

This is incorrect. The Institute of Medicine is not responsible for noting that poor communication and lack of teamwork among health-care professionals were major contributors to the increased number of medicine and other errors in the

NURSINGTB.COM

hospital setting.

4.

This is incorrect. The World Health Organization is not responsible for noting that poor communication and lack of teamwork among health-care professionals were major contributors to the increased number of medicine and other errors in the hospital setting.

7. Which model of interprofessional nursing education considers the current education system for health professionals as a “silo” where members interact only among themselves?

1. Medical home model 2. D’Amour and Oandasan model 3. World Health Organization model

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4. Commission on Education of Health Care Professionals in the 21st Century model ANS: 4 Page: 57

Feedback 1.

This is incorrect. The medical home model does not consider the current education system for health professionals as a “silo” where members interact only among themselves.

2.

This is incorrect. The D’Amour and Oandasan model does not consider the current education system for health professionals as a “silo” where members interact only among themselves.

3.

This is incorrect. The World Health Organization model does not consider the

NURSINGTB.COM

current education system for health professionals as a “silo” where members interact only among themselves.

4.

This is correct. The Commission on Education of Health Care Professionals in the 21st Century model considers the current education system for health professionals as a “silo” where members interact only among themselves.

8. To this day, which organization remains firmly committed to its stand that all nursing education should be housed in institutions of higher learning?

1. American Nurses Association 2. The Joint Commission 3. Institute of Medicine

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4. World Health Organization ANS: 1 Page: 26

Feedback 1.

This is correct. The American Nurses Association remains firmly committed to its stand that all nursing education should be housed in institutions of higher learning.

2.

This is incorrect. The Joint Commission is not committed to the stand that all nursing education should be housed in institutions of higher learning.

3.

This is incorrect. The Institute of Medicine is not committed to the stand that all nursing education should be housed in institutions of higher learning.

NURSINGTB.COM

4.

This is incorrect. The World Health Organization is not committed to the stand that all nursing education should be housed in institutions of higher learning.

9. In the real world, which type of nurses are often required to provide care well outside their scope of practice, leaving them in legal limbo and vulnerable to lawsuits?

1. Registered nurses 2. Licensed practical nurses 3. Advanced practice nurses 4. Case managers ANS: 2 Page: 34

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Feedback 1.

This is incorrect. Registered nurses are not required to provide care well outside their scope of practice, leaving them in legal limbo and vulnerable to lawsuits.

2.

This is correct. Licensed practical nurses are often required to provide care well outside their scope of practice, leaving them in legal limbo and vulnerable to lawsuits.

3.

This is incorrect. Advanced practice nurses are not required to provide care well outside their scope of practice, leaving them in legal limbo and vulnerable to lawsuits.

4.

This is incorrect. Case managers are not required to provide care well outside their scope of practice, NURSINGTB.COM leaving them in legal limbo and vulnerable to lawsuits.

10. Which type of program allows nurses to upgrade their education and move from one educational level to another with relative ease by granting credit for previous coursework and experience and without loss of credits from previous education?

1. Ladder programs 2. Practical nursing programs 3. Associate degree nursing programs 4. Baccalaureate degree nursing programs ANS: 1 Page: 34

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Feedback 1.

This is correct. Ladder programs allow nurses to upgrade their education and move from one educational level to another with relative ease by granting credit for previous coursework and experience and without loss of credits from previous education.

2.

This is incorrect. Practical nursing programs do not allow nurses to upgrade their education and move from one educational level to another with relative ease by granting credit for previous coursework and experience and without loss of credits from previous education.

3.

This is incorrect. Associate degree nursing programs do not allow nurses to upgrade their education and move from one educational level to another with relative ease by grantingNURSINGTB.COM credit for previous coursework and experience and without loss of credits from previous education.

4.

This is incorrect. Baccalaureate degree nursing programs do not allow nurses to upgrade their education and move from one educational level to another with relative ease by granting credit for previous coursework and experience and without loss of credits from previous education.

11. The advanced practice registered nurse (APRN) certification has become the recognized credential for nurses receiving which degree in a specialized expanded practice role?

1. Bachelor’s degree 2. Master’s degree 3. Doctor of nursing practice degree

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4. Doctor of nursing science degree ANS: 2 Page: 49

Feedback 1.

This is incorrect. The advanced practice registered nurse (APRN) certification is not the recognized credential for nurses receiving a bachelor’s degree.

2.

This is correct. The advanced practice registered nurse (APRN) certification has become the recognized credential for nurses receiving a master’s degree in a specialized expanded practice role.

3.

This is incorrect. The advanced practice registered nurse (APRN) certification is not the recognized credential for nurses receiving a doctor of nursing practice

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degree.

4.

This is incorrect. The advanced practice registered nurse (APRN) certification is not the recognized credential for nurses receiving a doctor of nursing science degree.

12. Which role of advanced practice nursing is a generalist with a master’s degree who can coordinate care for clients, use evidence-based practice in care, focus on quality improvement, and oversee risk management and client safety?

1. Clinical nurse specialist 2. Clinical nurse leader 3. Clinical registered nurse anesthetist

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4. Rehabilitation nurse practitioner ANS: 2 Page: 50

Feedback 1.

This is incorrect. Clinical nurse specialists are not generalists with a master’s degree who can coordinate care for clients, use evidence-based practice in care, focus on quality improvement, and oversee risk management and client safety.

2.

This is correct. Clinical nurse leaders are generalists with a master’s degree who can coordinate care for clients, use evidence-based practice in care, focus on quality improvement, and oversee risk management and client safety.

3.

This is incorrect. Clinical registered nurse anesthetists are not generalists with a

NURSINGTB.COM

master’s degree who can coordinate care for clients, use evidence-based practice in care, focus on quality improvement, and oversee risk management and client safety.

4.

This is incorrect. Rehabilitation nurse practitioners are not generalists with a master’s degree who can coordinate care for clients, use evidence-based practice in care, focus on quality improvement, and oversee risk management and client safety.

13. Which terminal degree has been the gold standard for nursing education since the beginning of college-level nursing baccalaureate degrees?

1. PhD

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2. DSN 3. DNSc 4. DNP ANS: 1 Page: 52

Feedback 1.

This is correct. The PhD has been the gold standard for nursing education since the beginning of college-level nursing baccalaureate degrees.

2.

This is incorrect. The DSN has not been the gold standard for nursing education since the beginning of college-level nursing baccalaureate degrees.

3.

This is incorrect. The DNSc has not been the gold standard for nursing education

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since the beginning of college-level nursing baccalaureate degrees.

4.

This is incorrect. The DNP has not been the gold standard for nursing education since the beginning of college-level nursing baccalaureate degrees.

14. Which model of interprofessional nursing education takes the emphasis placed on primary care in the Affordable Care Act (ACA) and expands it to all areas of health care?

1. Medical home model 2. D’Amour and Oandasan model 3. World Health Organization model 4. Commission on Education of Health Care Professionals in the 21st Century model ANS: 1

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Page: 55

Feedback 1.

This is correct. The medical home model takes the emphasis placed on primary care in the Affordable Care Act (ACA) and expands it to all areas of health care.

2.

This is incorrect. The D’Amour and Oandasan model does not take the emphasis placed on primary care in the Affordable Care Act (ACA) and expand it to all areas of health care.

3.

This is incorrect. The World Health Organization model does not take the emphasis placed on primary care in the Affordable Care Act (ACA) and expand it to all areas of health care.

4.

This is incorrect. The Commission on Education of Health Care Professionals in NURSINGTB.COM the 21st Century model does not take the emphasis placed on primary care in the Affordable Care Act (ACA) and expand it to all areas of health care.

15. Which type of skills have long been stressed by mental health nursing faculty as a key element in the treatment of psychiatric problems?

1. Critical thinking skills 2. Therapeutic relationship skills 3. Case management skills 4. Interdisciplinary skills ANS: 2 Page 15

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Feedback 1.

This is incorrect. Critical-thinking skills have not long been stressed by mental health nursing faculty as a key element in the treatment of psychiatric problems.

2.

This is correct. Therapeutic relationship skills have long been stressed by mental health nursing faculty as a key element in the treatment of psychiatric problems.

3.

This is incorrect. Case management skills have not long been stressed by mental health nursing faculty as a key element in the treatment of psychiatric problems.

4.

This is incorrect. Interdisciplinary skills have not long been stressed by mental health nursing faculty as a key element in the treatment of psychiatric problems.

WWW.NURSINGTB.COM

Chapter 5: The Evolution of Licensure, Certification, and Nursing Organizations Questions 1. Which of the following is a legal action conducted by the state through the enforcement powers of its regulatory boards to protect the public’s health, safety, and welfare by establishing professional standards?

1. Registration 2. Licensure 3. Certification 4. Accreditation Answer: 2. Although universally rejected by every major nursing organization, which type of licensure has become a reality for many other types of health-care workers, such as respiratory therapists and physical therapists?

1. Permissive licensure 2. Mandatory licensure 3. Organizational licensure 4. Institutional licensure Answer: 3. Which process acknowledges the attainment of increased knowledge and skills and provides nurses with a means to validate their own self-worth and competence?

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1. Registration 2. Licensure 3. Certification 4. Accreditation Answer: 4. Organizational certification is the certification of a group or health-care institution by some external agency and indicates that the institution has met standards established by either the government or by a nongovernmental agency. Organizational certification is usually referred to as which of the following?

1. Registration 2. Licensure 3. Certification

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4. Accreditation Answer: 5. Which organization has always viewed advanced practice registered nurses (APRNs) as a threat to their scope of practice and even their livelihood, although study after study has shown this to be untrue?

1. American Medical Association 2. American Nurses Association 3. American Hospital Association 4. American Psychological Association

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Answer: 6. Which organization boasts the first online nursing journal, which can be accessed by any nurse with a computer anywhere in the world?

1. American Nurses Association 2. Sigma Theta Tau 3. International Council of Nurses 4. National League for Nursing Answer: 7. Permissive licensure allows individuals to practice nursing as long as they do not use which letters after their names?

1. RN 2. LPN 3. LVN 4. APRN Answer: 8. Health-care administrators seem to support the concept of which type of licensure because it allows them to employ less-educated and lower-paid employees rather than the more highly educated and better-paid employees?

1. Permissive licensure

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2. Mandatory licensure 3. Organizational licensure 4. Institutional licensure Answer: 9. Even though permissive licensure is no longer legal, which of the following appear to fall under an unofficial type of permissive licensure?

1. Registered nurses 2. Certified nursing assistants 3. Licensed practical nurses 4. Licensed vocational nurses Answer: 10. A back-door approach to allowing which type of licensure has been to allow foreign graduate nurses and nurses who are licensed in foreign countries to work in specific institutions without taking the U.S. licensure examination?

1. Permissive licensure 2. Mandatory licensure 3. Organizational licensure 4. Institutional licensure Answer:

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11. The Affordable Care Act recognizes advanced practice registered nurses (APRNs) as equal partners in providing health care at multiple levels, but particularly in which area?

1. Primary care 2. Obstetrics/gynecology 3. Emergency medicine 4. Internal medicine Answer: 12. The language of the consensus model includes which process, which allows the nurse to continue the same level of practice as long as he or she maintains an active license?

1. Reciprocity 2. Accreditation 3. Credentialing 4. Grandfathering Answer: 13. Although membership is open to individual nurses, the primary membership of which organization comes in the form of agency membership, usually through schools of nursing?

1. American Nurses Association 2. Sigma Theta Tau 3. International Council of Nurses

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4. National League for Nursing Answer: 14. Which organization has developed and published a set of guidelines for the education of professional nursing students that is widely used as the theoretical basis for baccalaureate curricula?

1. Sigma Theta Tau 2. International Council of Nurses 3. National League for Nursing 4. American Association of Colleges of Nursing Answer: 15. Members of which organization receive the official publication Imprint, which keeps nurses current on recent developments in health care and nursing?

1. National Student Nurses’ Association 2. International Council of Nurses 3. National League for Nursing 4. American Association of Colleges of Nursing Answer:

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Questions, Answers, and Rationales 1. Which of the following is a legal action conducted by the state through the enforcement powers of its regulatory boards to protect the public’s health, safety, and welfare by establishing professional standards?

1. Registration 2. Licensure 3. Certification 4. Accreditation ANS: 2 Page: 7

Feedback 1.

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This is incorrect. Registration is not a legal action conducted by the state through the enforcement powers of its regulatory boards to protect the public’s health, safety, and welfare by establishing professional standards.

2.

This is correct. Licensure is a legal action conducted by the state through the enforcement powers of its regulatory boards to protect the public’s health, safety, and welfare by establishing professional standards.

3.

This is incorrect. Certification is not a legal action conducted by the state through the enforcement powers of its regulatory boards to protect the public’s health, safety, and welfare by establishing professional standards.

WWW.NURSINGTB.COM

4.

This is incorrect. Accreditation is not a legal action conducted by the state through the enforcement powers of its regulatory boards to protect the public’s health, safety, and welfare by establishing professional standards.

2. Although universally rejected by every major nursing organization, which type of licensure has become a reality for many other types of health-care workers, such as respiratory therapists and physical therapists?

1. Permissive licensure 2. Mandatory licensure 3. Organizational licensure 4. Institutional licensure ANS: 4 Page: 9 Feedback 1.

This is incorrect. Permissive licensure has not become a reality for many other types of health-care workers, such as respiratory therapists and physical therapists.

2.

This is incorrect. Mandatory licensure has not become a reality for many other types of health-care workers, such as respiratory therapists and physical therapists.

WWW.NURSINGTB.COM

3.

This is incorrect. Organizational licensure has not become a reality for many other types of health-care workers, such as respiratory therapists and physical therapists.

4.

This is correct. Although universally rejected by every major nursing organization, institutional licensure has become a reality for many other types of health-care workers, such as respiratory therapists and physical therapists.

3. Which process acknowledges the attainment of increased knowledge and skills and provides nurses with a means to validate their own self-worth and competence?

1. Registration 2. Licensure 3. Certification

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4. Accreditation ANS: 3 Page: 10

Feedback 1.

This is incorrect. Registration does not acknowledge the attainment of increased knowledge and skills or provide nurses with a means to validate their own selfworth and competence.

WWW.NURSINGTB.COM

2.

This is incorrect. Licensure does not acknowledge the attainment of increased knowledge and skills or provide nurses with a means to validate their own selfworth and competence.

3.

This is correct. Certification acknowledges the attainment of increased knowledge and skills and provides nurses with a means to validate their own self-worth and competence.

4.

This is incorrect. Accreditation does not acknowledge the attainment of increased knowledge and skills or provide nurses with a means to validate their own self-worth and competence.

4. Organizational certification is the certification of a group or health-care institution by some external agency and indicates thNaU t tR heSiInN stG ituTtiBo. nC haOsMmet standards established by either the government or by a nongovernmental agency. Organizational certification is usually referred to as which of the following?

1. Registration 2. Licensure 3. Certification 4. Accreditation ANS: 4 Page: 11

Feedback

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1.

This is incorrect. Organizational certification is not referred to as registration.

2.

This is incorrect. Organizational certification is not referred to as licensure.

3.

This is incorrect. Organizational certification is not referred to as certification.

4.

This is correct. Organizational certification is usually referred to as accreditation.

5. Which organization has always viewed advanced practice registered nurses (APRNs) as a threat to their scope of practice and even their livelihood, although study after study has shown this to be untrue?

1. American Medical Association 2. American Nurses Association 3. American Hospital AssociatiN o 4. American Psychological Association ANS: 1 Page: 13 Feedback 1.

This is correct. The American Medical Association has always viewed advanced practice registered nurses (APRNs) as a threat to their scope of practice and even their livelihood, although study after study has shown this to be untrue.

2.

This is incorrect. The American Nurses Association has not viewed advanced practice registered nurses (APRNs) as a threat to their scope of practice.

WWW.NURSINGTB.COM

3.

This is incorrect. The American Hospital Association has not viewed advanced practice registered nurses (APRNs) as a threat to their scope of practice.

4.

This is incorrect. The American Psychological Association has not viewed advanced practice registered nurses (APRNs) as a threat to their scope of practice.

6. Which organization boasts the first online nursing journal, which can be accessed by any nurse with a computer anywhere in the world?

1. American Nurses Association 2. Sigma Theta Tau 3. International Council of NursNeU s RSINGTB.COM 4. National League for Nursing ANS: 2 Page: 29 Feedback 1.

This is incorrect. The American Nurses Association does not boast the first online nursing journal, which can be accessed by any nurse with a computer anywhere in the world.

2.

This is correct. Sigma Theta Tau boasts the first online nursing journal, which can be accessed by any nurse with a computer anywhere in the world.

WWW.NURSINGTB.COM

3.

This is incorrect. The International Council of Nurses does not boast the first online nursing journal, which can be accessed by any nurse with a computer anywhere in the world.

4.

This is incorrect. The National League for Nursing does not boast the first online nursing journal, which can be accessed by any nurse with a computer anywhere in the world.

7. Permissive licensure allows individuals to practice nursing as long as they do not use which letters after their names?

1. RN 2. LPN 3. LVN 4. APRN ANS: 1 Page: 7 Feedback 1.

This is correct. Permissive licensure allows individuals to practice nursing as long as they do not use the letters RN after their names.

2.

This is incorrect. Permissive licensure has no authority for individuals who use the letters LPN after their name.

WWW.NURSINGTB.COM

3.

This is incorrect. Permissive licensure has no authority for individuals who use the letters LVN after their name.

4.

This is incorrect. Permissive licensure has no authority for individuals who use the letters APRN after their name.

8. Health-care administrators seem to support the concept of which type of licensure because it allows them to employ less-educated and lower-paid employees rather than the more highly educated and better-paid employees?

1. Permissive licensure 2. Mandatory licensure 3. Organizational licensure 4. Institutional licensure ANS: 1 Page: 8 Feedback 1.

This is correct. Health-care administrators seem to support the concept of permissive licensure because it allows them to employ less-educated and lowerpaid employees rather than the more highly educated and better-paid employees.

WWW.NURSINGTB.COM

2.

This is incorrect. Mandatory licensure does not allow health-care administrators to employ less-educated and lower-paid employees rather than the more highly educated and better-paid employees.

3.

This is incorrect. Organizational licensure does not allow health-care administrators to employ less-educated and lower-paid employees rather than the more highly educated and better-paid employees.

4.

This is incorrect. Institutional licensure does not allow health-care administrators to employ less-educated and lower-paid employees rather than the more highly educated and better-paid employees.

9. Even though permissive licensure is no longer legal, which of the following appear to fall under an unofficial type of permNiU ssR ivS eI liN ceGnT suBre.?COM 1. Registered nurses 2. Certified nursing assistants 3. Licensed practical nurses 4. Licensed vocational nurses ANS: 2 Page: 9 Feedback

WWW.NURSINGTB.COM

1.

This is incorrect. Even though permissive licensure is no longer legal, registered nurses do not appear to fall under an unofficial type of permissive licensure.

2.

This is correct. Even though permissive licensure is no longer legal, certified nursing assistants appear to fall under an unofficial type of permissive licensure.

3.

This is incorrect. Even though permissive licensure is no longer legal, licensed practical nurses do not appear to fall under an unofficial type of permissive licensure.

4.

This is incorrect. Even though permissive licensure is no longer legal, licensed vocational nurses do not appear to fall under an unofficial type of permissive licensure.

10. A back-door approach to allNoU wR inS gI wN hiGcT hB ty. peCoOfMlicensure has been to allow foreign graduate nurses and nurses who are licensed in foreign countries to work in specific institutions without taking the U.S. licensure examination?

1. Permissive licensure 2. Mandatory licensure 3. Organizational licensure 4. Institutional licensure ANS: 4 Page: 9

WWW.NURSINGTB.COM

Feedback 1.

This is incorrect. Permissive licensure does not allow foreign graduate nurses and nurses who are licensed in foreign countries to work in specific institutions without taking the U.S. licensure examination.

2.

This is incorrect. Mandatory licensure does not allow foreign graduate nurses and nurses who are licensed in foreign countries to work in specific institutions without taking the U.S. licensure examination.

3.

This is incorrect. Organizational licensure does not allow foreign graduate nurses and nurses who are licensed in foreign countries to work in specific institutions without taking the U.S. licensure examination.

4.

This is correct. A back-door approach to allowing institutional licensure has been to allow foreign graduate nurses and nurses who are licensed in foreign NURSINGTB.COM countries to work in specific institutions without taking the U.S. licensure examination.

11. The Affordable Care Act recognizes advanced practice registered nurses (APRNs) as equal partners in providing health care at multiple levels, but particularly in which area?

1. Primary care 2. Obstetrics/gynecology 3. Emergency medicine 4. Internal medicine

WWW.NURSINGTB.COM

ANS: 1 Page: 15 Feedback 1.

This is correct. The Affordable Care Act recognizes advanced practice registered nurses (APRNs) as equal partners in providing health care at multiple levels, but particularly in the area of primary care.

2.

This is incorrect. The Affordable Care Act recognizes advanced practice registered nurses (APRNs) as equal partners in providing health care at multiple levels, but not particularly in the area of obstetrics/gynecology.

3.

This is incorrect. The Affordable Care Act recognizes advanced practice registered nurses (APRNs) as equal partners in providing health care at multiple

NURSINGTB.COM

levels, but not particularly in the area of emergency medicine.

4.

This is incorrect. The Affordable Care Act recognizes advanced practice registered nurses (APRNs) as equal partners in providing health care at multiple levels, but not particularly in the area of internal medicine.

12. The language of the consensus model includes which process, which allows the nurse to continue the same level of practice as long as he or she maintains an active license?

1. Reciprocity 2. Accreditation 3. Credentialing

WWW.NURSINGTB.COM

4. Grandfathering ANS: 4 Page: 18 Feedback 1.

This is incorrect. Reciprocity does not allow the nurse to continue the same level of practice as long as he or she maintains an active license.

2.

This is incorrect. Accreditation does not allow the nurse to continue the same level of practice as long as he or she maintains an active license.

3.

This is incorrect. Credentialing does not allow the nurse to continue the same level of practice as long as he or she maintains an active license.

4.

This is correct. The language of the consensus model includes a process called

NURSINGTB.COM

grandfathering, which allows the nurse to continue the same level of practice as long as he or she maintains an active license.

13. Although membership is open to individual nurses, the primary membership of which organization comes in the form of agency membership, usually through schools of nursing?

1. American Nurses Association 2. Sigma Theta Tau 3. International Council of Nurses 4. National League for Nursing

WWW.NURSINGTB.COM

ANS: 4 Page: 22 Feedback 1.

This is incorrect. Primary membership in the American Nurses Association is not in the form of agency membership, usually through schools of nursing.

2.

This is incorrect. Primary membership in the Sigma Theta Tau is not in the form of agency membership, usually through schools of nursing.

3.

This is incorrect. Primary membership in the International Council of Nurses is not in the form of agency membership, usually through schools of nursing.

4.

This is correct. Although membership is open to individual nurses, the primary membership of the National League for Nursing comes in the form of agency

NURSINGTB.COM membership, usually through schools of nursing.

14. Which organization has developed and published a set of guidelines for the education of professional nursing students that is widely used as the theoretical basis for baccalaureate curricula?

1. Sigma Theta Tau 2. International Council of Nurses 3. National League for Nursing 4. American Association of Colleges of Nursing ANS: 4

WWW.NURSINGTB.COM

Page: 22 Feedback 1.

This is incorrect. Sigma Theta Tau has not developed and published a set of guidelines for the education of professional nursing students that is widely used as the theoretical basis for baccalaureate curricula.

2.

This is incorrect. The International Council of Nurses has not developed and published a set of guidelines for the education of professional nursing students that is widely used as the theoretical basis for baccalaureate curricula.

3.

This is incorrect. The National League for Nursing has not developed and published a set of guidelines for the education of professional nursing students that is widely used as the theoretical basis for baccalaureate curricula.

4.

NURSINGTB.COM This is correct. The American Association of Colleges of Nursing has developed and published a set of guidelines for the education of professional nursing students that is widely used as the theoretical basis for baccalaureate curricula.

15. Members of which organization receive the official publication Imprint, which keeps nurses current on recent developments in health care and nursing?

1. National Student Nurses’ Association 2. International Council of Nurses 3. National League for Nursing 4. American Association of Colleges of Nursing

WWW.NURSINGTB.COM

ANS: 1 Page: 27 Feedback 1.

This is correct. Members of the National Student Nurses’ Association receive the official publication Imprint, which keeps nurses current on recent developments in health care and nursing.

2.

This is incorrect. Members of the International Council of Nurses do not receive the official publication Imprint, which keeps nurses current on recent developments in health care and nursing.

3.

This is incorrect. Members of the National League for Nursing do not receive the official publication Imprint, which keeps nurses current on recent developments

NURSINGTB.COM

in health care and nursing.

4.

This is incorrect. Members of the American Association of Colleges of Nursing do not receive the official publication Imprint, which keeps nurses current on recent developments in health care and nursing.

WWW.NURSINGTB.COM

Chapter 6: Ethics in Nursing Questions 1. Which form of ethics is a bottom-up approach to ethics that starts with what society is already doing ethically and develops ethical principles based on the observed actions of people rather than starting with ethical principles and applying them to society?

1. Metaethics 2. Normative ethics 3. Applied ethics 4. Descriptive ethics Answer: 2. Which of the following are fundamental standards of right and wrong that an individual learns and internalizes, usually in the early stages of childhood development?

1. Ethics 2. Values 3. Morals 4. Laws Answer: 3. Which ethical principle is the right of self-determination, independence, and freedom and refers to the client’s right to make health-care decisions for himself or herself even if the healthcare provider does not agree with those decisions?

1. Autonomy

2. Fidelity

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3. Veracity 4. Beneficence Answer: 4. Which ethical principle underlies the first statement in the American Nurses Association Code of Ethics for Nurses: “The nurse in all professional relationships practices with compassion and respect for the inherent dignity, worth, and uniqueness of each individual, unrestricted by consideration of social or economic status, personal attributes, or the nature of health problems”?

1. Justice 2. Fidelity 3. Veracity 4. Beneficence Answer: 5. In health care, which ethical principle includes the professional’s faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of the profession?

1. Justice 2. Fidelity 3. Veracity 4. Beneficence Answer: 6. Which ethical principle is one of the oldest requirements for health-care providers and views the primary goal of health care as doing good for clients under their care?

1. Justice 2. Fidelity

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3. Veracity 4. Beneficence Answer: 7. Which ethical principle requires that health-care providers protect from harm those who cannot protect themselves?

1. Justice 2. Fidelity 3. Nonmaleficence 4. Beneficence Answer: 8. The primary limitation of which ethical principle occurs when telling the client the truth would seriously harm the client’s ability to recover or would produce greater illness?

1. Justice 2. Veracity 3. Nonmaleficence 4. Beneficence Answer: 9. Which legislative act made it mandatory for all health-care facilities, such as hospitals, nursing homes, and home health-care agencies, to provide information to clients about the living will and durable power of attorney for health care?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act

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4. Emergency Treatment and Active Labor Act Answer: 10. Health-care providers making unilateral decisions that disregard clients’ wishes implies that providers alone know what is best for clients. This practice is known as which of the following?

1. Paternalism 2. Essentialism 3. Emotionalism 4. Fraternalism Answer: 11. Citizens of the United States having the right to equal access to housing regardless of race, gender, sexual orientation, or religion is an example of which type of right?

1. Welfare rights 2. Ethical rights 3. Option rights 4. Basic human rights Answer: 12. The belief in universal access to health care in the United States is an example of which type of right?

1. Welfare rights 2. Ethical rights 3. Option rights 4. Basic human rights Answer:

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13. Because social media is primarily a means of communication, the standard of care that is most applicable is found in which legislative act that deals with breaches of patient privacy and confidentiality?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 14. Health-care providers often leave instructions for the nursing staff indicating that the nurses should not resuscitate the client but should instead merely go through the motions to make the family feel better, which is sometimes referred to as which of the following?

1. No-code order 2. Slow-code order 3. Advance directive 4. Provider orders for life-sustaining treatment (POLST) Answer: 15. A follower of a pure form of which system of ethical decision-making believes in the ethical absoluteness of principles regardless of the consequences of the decision?

1. Teleology 2. Deontology 3. Utilitarianism 4. Consequentialism Answer:

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Questions, Answers, and Rationales 1. Which form of ethics is a bottom-up approach to ethics that starts with what society is already doing ethically and develops ethical principles based on the observed actions of people rather than starting with ethical principles and applying them to society?

1. Metaethics 2. Normative ethics 3. Applied ethics 4. Descriptive ethics ANS: 4 Page: 2

Feedback 1.

NURSINGTB.COM

This is incorrect. Metaphysics is not a bottom-up approach to ethics that starts with what society is already doing ethically and develops ethical principles based on the observed actions of people rather than starting with ethical principles and applying them to society.

2.

This is incorrect. Normative ethics is not a bottom-up approach to ethics that starts with what society is already doing ethically and develops ethical principles based on the observed actions of people rather than starting with ethical principles and applying them to society.

3.

This is incorrect. Applied ethics is not a bottom-up approach to ethics that starts with what society is already doing ethically and develops ethical principles based

WWW.NURSINGTB.COM

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on the observed actions of people rather than starting with ethical principles and applying them to society.

4.

This is correct. Descriptive ethics is a bottom-up approach to ethics that starts with what society is already doing ethically and develops ethical principles based on the observed actions of people rather than starting with ethical principles and applying them to society.

2. Which of the following are fundamental standards of right and wrong that an individual learns and internalizes, usually in the early stages of childhood development?

1. Ethics 2. Values 3. Morals 4. Laws ANS: 3 Page: 4

Feedback 1.

This is incorrect. Ethics are not fundamental standards of right and wrong that an individual learns and internalizes, usually in the early stages of childhood development.

2.

This is incorrect. Values are not fundamental standards of right and wrong that an individual learns and internalizes, usually in the early stages of childhood development.

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Catalano Nursing Now 8e 3.

Page 9 of 22 TB

This is correct. Morals are fundamental standards of right and wrong that an individual learns and internalizes, usually in the early stages of childhood development.

4.

This is incorrect. Laws are not fundamental standards of right and wrong that an individual learns and internalizes, usually in the early stages of childhood development.

3. Which ethical principle is the right of self-determination, independence, and freedom and refers to the client’s right to make health-care decisions for himself or herself even if the healthcare provider does not agree with those decisions?

1. Autonomy 2. Fidelity 3. Veracity 4. Beneficence ANS: 1 Page: 7

Feedback 1.

This is correct. Autonomy is the right of self-determination, independence, and freedom and refers to the client’s right to make health-care decisions for himself or herself even if the health-care provider does not agree with those decisions.

2.

This is incorrect. Fidelity is not the right of self-determination, independence, and freedom and does not refer to the client’s right to make health-care decisions

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for himself or herself even if the health-care provider does not agree with those decisions.

3.

This is incorrect. Veracity is not the right of self-determination, independence, and freedom and does not refer to the client’s right to make health-care decisions for himself or herself even if the health-care provider does not agree with those decisions.

4.

This is incorrect. Beneficence is not the right of self-determination, independence, and freedom and does not refer to the client’s right to make health-care decisions for himself or herself even if the health-care provider does not agree with those decisions.

4. Which ethical principle undeN rliUesRtSheIN firGstTsB ta. teCmOeM nt in the American Nurses Association Code of Ethics for Nurses: “The nurse in all professional relationships practices with compassion and respect for the inherent dignity, worth, and uniqueness of each individual, unrestricted by consideration of social or economic status, personal attributes, or the nature of health problems”?

1. Justice 2. Fidelity 3. Veracity 4. Beneficence ANS: 1 Page: 9

Feedback

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Catalano Nursing Now 8e 1.

Page 11 of 22 TB

This is correct. The ethical principle of justice underlies the first statement in the American Nurses Association Code of Ethics for Nurses.

2.

This is incorrect. The ethical principle of fidelity does not underlie the first statement in the American Nurses Association Code of Ethics for Nurses.

3.

This is incorrect. The ethical principle of veracity does not underlie the first statement in the American Nurses Association Code of Ethics for Nurses.

4.

This is incorrect. The ethical principle of beneficence does not underlie the first statement in the American Nurses Association Code of Ethics for Nurses.

5. In health care, which ethical principle includes the professional’s faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of the profession?

1. Justice 2. Fidelity 3. Veracity 4. Beneficence ANS: 2 Page: 10

Feedback 1.

This is incorrect. In health care, justice does not include the professional’s faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of the profession.

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Catalano Nursing Now 8e 2.

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This is correct. In health care, fidelity includes the professional’s faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of the profession.

3.

This is incorrect. In health care, veracity does not include the professional’s faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of the profession.

4.

This is incorrect. In health care, beneficence does not include the professional’s faithfulness or loyalty to agreements and responsibilities accepted as part of the practice of the profession.

6. Which ethical principle is one of the oldest requirements for health-care providers and views the primary goal of health care N asUdRoS inI gN goGoTdBfo.rCcO lieMnts under their care?

1. Justice 2. Fidelity 3. Veracity 4. Beneficence ANS: 4 Page: 10

Feedback 1.

This is incorrect. The ethical principle of justice does not view the primary goal of health care as doing good for clients under their care.

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Catalano Nursing Now 8e 2.

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This is incorrect. The ethical principle of fidelity does not view the primary goal of health care as doing good for clients under their care.

3.

This is incorrect. The ethical principle of veracity does not view the primary goal of health care as doing good for clients under their care.

4.

This is correct. Beneficence is one of the oldest requirements for health-care providers and views the primary goal of health care as doing good for clients under their care.

7. Which ethical principle requires that health-care providers protect from harm those who cannot protect themselves?

1. Justice 2. Fidelity 3. Nonmaleficence 4. Beneficence ANS: 3 Page: 12

Feedback 1.

This is incorrect. The ethical principle of justice does not require that health-care providers protect from harm those who cannot protect themselves.

2.

This is incorrect. The ethical principle of fidelity does not require that healthcare providers protect from harm those who cannot protect themselves.

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Catalano Nursing Now 8e 3.

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This is correct. The principle of nonmaleficence also requires that health-care providers protect from harm those who cannot protect themselves.

4.

This is incorrect. The ethical principle of beneficence does not require that health-care providers protect from harm those who cannot protect themselves.

8. The primary limitation of which ethical principle occurs when telling the client the truth would seriously harm the client’s ability to recover or would produce greater illness?

1. Justice 2. Veracity 3. Nonmaleficence 4. Beneficence ANS: 2

NURSINGTB.COM

Page: 12

Feedback 1.

This is incorrect. Telling the client the truth and seriously harming the client’s ability to recover or producing greater illness is not a limitation of justice.

2.

This is correct. The primary limitation of veracity occurs when telling the client the truth would seriously harm the client’s ability to recover or would produce greater illness.

3.

This is incorrect. Telling the client the truth and seriously harming the client’s ability to recover or producing greater illness is not a limitation of nonmaleficence.

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Catalano Nursing Now 8e 4.

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This is incorrect. Telling the client the truth and seriously harming the client’s ability to recover or producing greater illness is not a limitation of beneficence.

9. Which legislative act made it mandatory for all health-care facilities, such as hospitals, nursing homes, and home health-care agencies, to provide information to clients about the living will and durable power of attorney for health care?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 3 Page: 17

NURSINGTB.COM

Feedback 1.

This is incorrect. The Affordable Care Act did not make it mandatory for all health-care facilities, such as hospitals, nursing homes, and home health-care agencies, to provide information to clients about the living will and durable power of attorney for health care.

2.

This is incorrect. The Health Insurance Portability and Accountability Act did not make it mandatory for all health-care facilities, such as hospitals, nursing homes, and home health-care agencies, to provide information to clients about the living will and durable power of attorney for health care.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

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This is correct. The Omnibus Budget Reconciliation Act made it mandatory for all health-care facilities, such as hospitals, nursing homes, and home health-care agencies, to provide information to clients about the living will and durable power of attorney for health care.

4.

This is incorrect. The Emergency Treatment and Active Labor Act did not make it mandatory for all health-care facilities, such as hospitals, nursing homes, and home health-care agencies, to provide information to clients about the living will and durable power of attorney for health care.

10. Health-care providers making unilateral decisions that disregard clients’ wishes implies that providers alone know what is best for clients. This practice is known as which of the following?

1. Paternalism 2. Essentialism 3. Emotionalism 4. Fraternalism ANS: 1 Page: 17

Feedback 1.

This is correct. The practice of paternalism refers to health-care providers making unilateral decisions that disregard clients’ wishes, implying that providers alone know what best for the client

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Catalano Nursing Now 8e 2.

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This is incorrect. The practice of essentialism does not refer to health-care providers making unilateral decisions that disregard clients’ wishes, implying that providers alone know what is best for clients.

3.

This is incorrect. The practice of emotionalism does not refer to health-care providers making unilateral decisions that disregard clients’ wishes, implying that providers alone know what is best for clients.

4.

This is incorrect. The practice of fraternalism does not refer to health-care providers making unilateral decisions that disregard clients’ wishes, implying that providers alone know what is best for clients.

11. Citizens of the United States having the right to equal access to housing regardless of race, gender, sexual orientation, or reN liU giR onSiIs N anGT exBam plO eM of which type of right? .C 1. Welfare rights 2. Ethical rights 3. Option rights 4. Basic human rights ANS: 1 Page: 20

Feedback 1.

This is correct. Citizens of the United States having the right to equal access to housing regardless of race, gender, sexual orientation, or religion is an example of welfare rights.

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Catalano Nursing Now 8e 2.

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This is incorrect. Citizens of the United States having the right to equal access to housing regardless of race, gender, sexual orientation, or religion is not an example of ethical rights.

3.

This is incorrect. Citizens of the United States having the right to equal access to housing regardless of race, gender, sexual orientation, or religion is not an example of option rights.

4.

This is incorrect. Citizens of the United States having the right to equal access to housing regardless of race, gender, sexual orientation, or religion is not an example of basic human rights.

12. The belief in universal access to health care in the United States is an example of which type of right?

1. Welfare rights 2. Ethical rights 3. Option rights 4. Basic human rights ANS: 2 Page: 20

Feedback 1.

This is incorrect. The belief in universal access to health care in the United States is not an example of a welfare right.

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Catalano Nursing Now 8e 2.

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This is correct. The belief in universal access to health care in the United States is an example of ethical rights.

3.

This is incorrect. The belief in universal access to health care in the United States is not an example of an option right.

4.

This is incorrect. The belief in universal access to health care in the United States is not an example of a basic human right.

13. Because social media is primarily a means of communication, the standard of care that is most applicable is found in which legislative act that deals with breaches of patient privacy and confidentiality?

1. Affordable Care Act 2. Health Insurance Portability N anUdRAScI coNuG ntT abBilit .Cy OAMct 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 2 Page: 37

Feedback 1.

This is incorrect. The Affordable Care Act does not deal with breaches of patient privacy and confidentiality.

2.

This is correct. The Health Insurance Portability and Accountability Act deals with breaches of patient privacy and confidentiality.

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Catalano Nursing Now 8e 3.

Page 20 of 22 TB

This is incorrect. The Omnibus Budget Reconciliation Act does not deal with breaches of patient privacy and confidentiality.

4.

This is incorrect. The Emergency Treatment and Active Labor Act does not deal with breaches of patient privacy and confidentiality.

14. Health-care providers often leave instructions for the nursing staff indicating that the nurses should not resuscitate the client but should instead merely go through the motions to make the family feel better, which is sometimes referred to as which of the following?

1. No-code order 2. Slow-code order 3. Advance directive 4. Provider orders for life-sustaN inU inR gStrI eaNtm (PCOOLM ST) GeTnBt .

ANS: 2 Page: 40

Feedback 1.

This is incorrect. Health-care providers’ instructions that the nurses should not resuscitate the client but should instead merely go through the motions to make the family feel better are not referred to as a no-code order.

2.

This is correct. Health-care providers’ often leave instructions for the nursing staff indicating that the nurses should not resuscitate the client but should instead merely go through the motions to make the family feel better, which is sometimes referred to as a slow-code order.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 21 of 22 TB

This is incorrect. Health-care providers’ instructions that the nurses should not resuscitate the client but should instead merely go through the motions to make the family feel better are not referred to as an advance directive.

4.

This is incorrect. Health-care providers’ instructions that the nurses should not resuscitate the client but should instead merely go through the motions to make the family feel better are not referred to as provider orders for life-sustaining treatment (POLST).

15. A follower of a pure form of which system of ethical decision-making believes in the ethical absoluteness of principles regardless of the consequences of the decision?

1. Teleology 2. Deontology 3. Utilitarianism 4. Consequentialism ANS: 2 Page: 27

Feedback 1.

This is incorrect. A follower of a pure form of teleology does not believe in the ethical absoluteness of principles regardless of the consequences of the decision.

2.

This is correct. A follower of a pure form of deontology believes in the ethical absoluteness of principles regardless of the consequences of the decision.

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Catalano Nursing Now 8e 3.

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This is incorrect. A follower of a pure form of utilitarianism does not believe in the ethical absoluteness of principles regardless of the consequences of the decision.

4.

This is incorrect. A follower of a pure form of consequentialism does not believe in the ethical absoluteness of principles regardless of the consequences of the decision.

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Chapter 7: Bioethical IssuesQuestions 1. Which process is viewed by scientists as the first step to understanding how life developed on Earth and eventually as a way to create designer bacteria that can produce everything from medicines to biofuels?

1. Analogous recombination 2. Homologous recombination 3. Endogenous recombination 4. Heterologous recombination Answer: 2. Which legislative act made it illegal for insurance companies to genetically screen individuals, even infants, for costly and potentially lethal diseases that might occur later in life, thus saving insurance companies a great deal of money?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 3. The legal system became aware of the potential abuses of procedures performed on in vitro fetuses and passed legislation to control their use, including limiting the age of in vitro fetuses to what age, after which they have to be destroyed?

1. 6 weeks

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2. 8 weeks 3. 10 weeks 4. 12 weeks Answer: 4. What is the most commonly used criterion for determining death in deceased donors?

1. Cardiologic criteria 2. Respiratory criteria 3. Neurologic criteria 4. Osteopathic criteria Answer: 5. Typically, only which organs are recovered and transplanted from a donation after cardiac death (DCD) donor?

1. Corneas 2. Kidneys 3. Lungs 4. Liver Answer: 6. Which legislative act created the United Network for Organ Sharing (UNOS) to regulate organ allocation and maintain the national organ transplant waiting list?

1. Genetic Information Nondiscrimination Act 2. Patient Protection and Affordable Care Act 3. Uniform Anatomical Gift Act 4. National Organ Transplant Act

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Answer: 7. Which legislative act has created a myriad of ethical and legal issues, but all transplantation organizations agree that not accepting the donation from a medically suitable donor is a violation of this law?

1. Genetic Information Nondiscrimination Act 2. Patient Protection and Affordable Care Act 3. Uniform Anatomical Gift Act 4. National Organ Transplant Act Answer: 8. Which legislative act was passed to help guide health-care workers in the use of genetic information and the protections for clients under the law?

1. Genetic Information Nondiscrimination Act 2. Patient Protection and Affordable Care Act 3. Uniform Anatomical Gift Act 4. National Organ Transplant Act Answer: 9. Similar to fetal stem cells, adult stem cells found in which area lack differentiation and have the ability to grow into different types of cells, including nerve cells, liver cells, heart cells, and cartilage cells?

1. Plasma 2. Platelets 3. Bone marrow 4. Peripheral blood

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Answer: 10. The best fetal tissue comes from fetuses aborted during which period because they have welldeveloped nervous, cardiovascular, gastrointestinal, and renal systems and are capable of feeling pain?

1. First trimester 2. Second trimester 3. Third trimester 4. During the birth process Answer: 11. Stem cells from which area, like all postnatal cells, are considered to be “adult” stem cells and are responsible for the development of red blood cells, white blood cells, and platelets, thereby making these cells a viable treatment option for blood and immune system diseases, cancers, and congenital defects?

1. Placenta 2. Bone marrow 3. Peripheral blood 4. Umbilical cord Answer: 12. Although organ donation is done in a clinical setting, tissue and eye retrieval can take place in such venues as hospital morgues, funeral homes, and specialized recovery suites anywhere in which timeframe after cardiac death has occurred?

1. 4 to 12 hours 2. 12 to 24 hours

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3. 24 to 36 hours 4. 36 to 48 hours Answer: 13. Donation of which of the following is regulated by the Food and Drug Administration (FDA) as a medical implant or device and is subject to stringent quality-control guidelines?

1. Liver 2. Kidneys 3. Lungs 4. Human tissue Answer: 14. Donated tissue can be processed and stored for up to 10 years after recovery. Which of the following is an exception to this rule?

1. Skin 2. Bone 3. Tendons 4. Heart valves Answer: 15. The practice of honoring do not resuscitate orders, living wills, and withdrawal of ventilators or other life support falls under which umbrella definition?

1. Active euthanasia 2. Passive euthanasia 3. Voluntary euthanasia 4. Involuntary euthanasia

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Answer:

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Questions, Answers, and Rationales 1. Which process is viewed by scientists as the first step to understanding how life developed on Earth and eventually as way to create designer bacteria that can produce everything from medicines to biofuels?

1. Analogous recombination 2. Homologous recombination 3. Endogenous recombination 4. Heterologous recombination ANS: 2 Page: 7

Feedback 1.

NURSINGTB.COM

This is incorrect. Analogous recombination is not the process viewed by scientists as the first step to understanding how life developed on Earth and eventually as way to create designer bacteria that can produce everything from medicines to biofuels.

2.

This is correct. Homologous recombination is the process viewed by scientists as the first step to understanding how life developed on Earth and eventually as way to create designer bacteria that can produce everything from medicines to biofuels.

3.

This is incorrect. Endogenous recombination is not the process viewed by scientists as the first step to understanding how life developed on Earth and

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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eventually as way to create designer bacteria that can produce everything from medicines to biofuels.

4.

This is incorrect. Heterologous recombination is not the process viewed by scientists as the first step to understanding how life developed on Earth and eventually as way to create designer bacteria that can produce everything from medicines to biofuels.

2. Which legislative act made it illegal for insurance companies to genetically screen individuals, even infants, for costly and potentially lethal diseases that might occur later in life, thus saving insurance companies a great deal of money?

1. Affordable Care Act 2. Health Insurance Portability N anUdRAScI coNuG ntT abBilit .Cy OAMct 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1 Page: 8

Feedback 1.

This is correct. The Affordable Care Act made the process of insurance companies obtaining genetic results or screening individuals as early as infancy for costly and potentially lethal diseases later in life, thus saving insurance companies a great deal of money, illegal.

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Catalano Nursing Now 8e 2.

Page 9 of 22 TB

This is incorrect. The Health Insurance Portability and Accountability Act did not make the process of insurance companies obtaining genetic results or screening individuals as early as infancy for costly and potentially lethal diseases later in life, thus saving insurance companies a great deal of money, illegal.

3.

This is incorrect. The Omnibus Budget Reconciliation Act did not make the process of insurance companies obtaining genetic results or screening individuals as early as infancy for costly and potentially lethal diseases later in life, thus saving insurance companies a great deal of money, illegal.

4.

This is incorrect. The Emergency Treatment and Active Labor Act did not make the process of insurance companies obtaining genetic results or screening individuals as early as infancy for costly and potentially lethal diseases later in life, thus saving insurance companies a great deal of money, illegal.

NURSINGTB.COM

3. The legal system became aware of the potential abuses of procedures performed on in vitro fetuses and passed legislation to control their use, including limiting the age of in vitro fetuses to what age, after which they have to be destroyed?

1. 6 weeks 2. 8 weeks 3. 10 weeks 4. 12 weeks ANS: 1 Page: 13

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Feedback 1.

This is correct. The legal system became aware of the potential abuses of procedures performed on in vitro fetuses and passed legislation to control their use, including limiting the age of in vitro fetuses to 6 weeks, after which they have to be destroyed

2.

This is incorrect. The legal system became aware of the potential abuses of procedures performed on in vitro fetuses and passed legislation to control their use, including limiting the age of in vitro fetuses to 6 weeks, after which they have to be destroyed

3.

This is incorrect. The legal system became aware of the potential abuses of procedures performed on in vitro fetuses and passed legislation to control their use, including limiting the age of in vitro fetuses to 6 weeks, after which they NURSINGTB.COM have to be destroyed

4.

This is incorrect. The legal system became aware of the potential abuses of procedures performed on in vitro fetuses and passed legislation to control their use, including limiting the age of in vitro fetuses to 6 weeks, after which they have to be destroyed

4. What is the most commonly used criterion for determining death in deceased donors?

1. Cardiologic criteria 2. Respiratory criteria 3. Neurologic criteria 4. Osteopathic criteria

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Catalano Nursing Now 8e

Page 11 of 22 TB

ANS: 3 Page: 22

Feedback 1.

This is incorrect. The most commonly used criterion for determining death in deceased donors is not cardiologic criteria.

2.

This is incorrect. The most commonly used criterion for determining death in deceased donors is not respiratory criteria.

3.

This is correct. The most commonly used criterion for determining death in deceased donors is death by neurologic criteria.

4.

This is incorrect. The most commonly used criterion for determining death in deceased donors is not osteopathic criteria.

NURSINGTB.COM

5. Typically, only which organs are recovered and transplanted from a donation after cardiac death (DCD) donor?

1. Corneas 2. Kidneys 3. Lungs 4. Liver ANS: 2 Page: 22

Feedback

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Catalano Nursing Now 8e 1.

Page 12 of 22 TB

This is incorrect. The corneas are not typically recovered and transplanted from a donation after cardiac death (DCD).

2.

This is correct. Typically, only the kidneys are recovered and transplanted from a donation after cardiac death (DCD) donor.

3.

This is incorrect. The lungs are not typically recovered and transplanted from a donation after cardiac death (DCD).

4.

This is incorrect. The liver is not typically recovered and transplanted from a donation after cardiac death (DCD).

6. Which legislative act created the United Network for Organ Sharing (UNOS) to regulate organ allocation and maintain the national organ transplant waiting list?

1. Genetic Information NondiscNriU mR inSaI tioNnGATcB t .COM 2. Patient Protection and Affordable Care Act 3.Uniform Anatomical Gift Act 4.National Organ Transplant Act ANS: 4 Page: 23

Feedback 1.

This is incorrect. The Genetic Information Nondiscrimination Act did not create the United Network for Organ Sharing (UNOS) to regulate organ allocation and maintain the national organ transplant waiting list.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 13 of 22 TB

This is incorrect. The Patient Protection and Affordable Care Act did not create the United Network for Organ Sharing (UNOS) to regulate organ allocation and maintain the national organ transplant waiting list.

3.

This is incorrect. The Uniform Anatomical Gift Act did not create the United Network for Organ Sharing (UNOS) to regulate organ allocation and maintain the national organ transplant waiting list.

4.

This is correct. The National Organ Transplant Act created the United Network for Organ Sharing (UNOS) to regulate organ allocation and maintain the national organ transplant waiting list.

7. Which legislative act has created a myriad of ethical and legal issues, but all transplantation organizations agree that not accN epUtiRnS gI thN eG doTnBa. tioCnOfM rom a medically suitable donor is a violation of this law?

1. Genetic Information Nondiscrimination Act 2. Patient Protection and Affordable Care Act 3. Uniform Anatomical Gift Act 4. National Organ Transplant Act ANS: 3 Page: 23

Feedback 1.

This is incorrect. The Genetic Information Nondiscrimination Act is not violated by rejecting the donation from a medically suitable donor.

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Catalano Nursing Now 8e 2.

Page 14 of 22 TB

This is incorrect. The Patient Protection and Affordable Care Act is not violated by rejecting the donation from a medically suitable donor.

3.

This is correct. The Uniform Anatomical Gift Act has created a myriad of ethical and legal issues, but all transplantation organizations agree that not accepting the donation from a medically suitable donor is a violation of this law.

4.

This is incorrect. The National Organ Transplant Act is not violated by rejecting the donation from a medically suitable donor.

8. Which legislative act was passed to help guide health-care workers in the use of genetic information and the protections for clients under the law?

1. Genetic Information Nondiscrimination Act 2. Patient Protection and AffordNaU blR eS CI arN eG AT ctB.COM 3. Uniform Anatomical Gift Act 4. National Organ Transplant Act ANS: 1 Page: 8

Feedback 1.

This is correct. The Genetic Information Nondiscrimination Act was passed to help guide health-care workers in the use of genetic information and the protections for clients under the law.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 15 of 22 TB

This is incorrect. The Patient Protection and Affordable Care Act was not passed to help guide health-care workers in the use of genetic information and the protections for clients under the law.

3.

This is incorrect. The Uniform Anatomical Gift Act was not passed to help guide health-care workers in the use of genetic information and the protections for clients under the law.

4.

This is incorrect. The National Organ Transplant Act was not passed to help guide health-care workers in the use of genetic information and the protections for clients under the law.

9. Similar to fetal stem cells, adult stem cells found in which area lack differentiation and have the ability to grow into differenN t tU ypReSs I ofNcGeT llsB, . inC clO udMing nerve cells, liver cells, heart cells, and cartilage cells?

1. Plasma 2. Platelets 3. Bone marrow 4. Peripheral blood ANS: 3 Page: 15

Feedback

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Catalano Nursing Now 8e 1.

Page 16 of 22 TB

This is incorrect. Adult stem cells found in plasma do not lack differentiation and do not have the ability to grow into different types of cells, including nerve cells, liver cells, heart cells, and cartilage cells.

2.

This is incorrect. Adult stem cells found in platelets do not lack differentiation and do not have the ability to grow into different types of cells, including nerve cells, liver cells, heart cells, and cartilage cells.

3.

This is correct. Adult stem cells found in bone marrow lack differentiation and have the ability to grow into different types of cells, including nerve cells, liver cells, heart cells, and cartilage cells.

4.

This is incorrect. Adult stem cells found in peripheral blood do not lack differentiation and do not have the ability to grow into different types of cells, including nerve cells, liver cells, heart cells, and cartilage cells.

NURSINGTB.COM

10. The best fetal tissue comes from fetuses aborted during which period because they have welldeveloped nervous, cardiovascular, gastrointestinal, and renal systems and are capable of feeling pain?

1. First trimester 2. Second trimester 3. Third trimester 4. During the birth process ANS: 2 Page: 15

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Catalano Nursing Now 8e

Page 17 of 22 TB

Feedback 1.

This is incorrect. The best fetal tissue comes from fetuses aborted during the second trimester because they have well-developed nervous, cardiovascular, gastrointestinal, and renal systems and are capable of feeling pain.

2.

This is correct. The best fetal tissue comes from fetuses aborted during the second trimester because they have well-developed nervous, cardiovascular, gastrointestinal, and renal systems and are capable of feeling pain.

3.

This is incorrect. The best fetal tissue comes from fetuses aborted during the second trimester because they have well-developed nervous, cardiovascular, gastrointestinal, and renal systems and are capable of feeling pain.

4.

This is incorrect. The best fetal tissue comes from fetuses aborted during the second trimester because they have well-developed nervous, cardiovascular, NURSINGTB.COM gastrointestinal, and renal systems and are capable of feeling pain.

11. Stem cells from which area, like all postnatal cells, are considered to be “adult” stem cells and are responsible for the development of red blood cells, white blood cells, and platelets, thereby making these cells a viable treatment option for blood and immune system diseases, cancers, and congenital defects?

1. Placenta 2. Bone marrow 3. Peripheral blood 4. Umbilical cord ANS: 4

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Catalano Nursing Now 8e

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Page: 17

Feedback 1.

This is incorrect. Stem cells from the placenta are not responsible for the development of red blood cells, white blood cells, and platelets.

2.

This is incorrect. Stem cells from the bone marrow are not responsible for the development of red blood cells, white blood cells, and platelets.

3.

This is incorrect. Stem cells from the peripheral blood are not responsible for the development of red blood cells, white blood cells, and platelets.

4.

This is correct. Stem cells from the umbilical cord, like all postnatal cells, are considered to be “adult” stem cells and are responsible for the development of red blood cells, white blood cells, and platelets, thereby making these cells a NURSINGTB.COM viable treatment option for blood and immune system diseases, cancers and congenital defects.

12. Although organ donation is done in a clinical setting, tissue and eye retrieval can take place in such venues as hospital morgues, funeral homes, and specialized recovery suites anywhere in which timeframe after cardiac death has occurred?

1. 4 to 12 hours 2. 12 to 24 hours 3. 24 to 36 hours 4. 36 to 48 hours ANS: 2

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Page: 28

Feedback 1.

This is incorrect. Tissue and eye retrieval can take place in such venues as hospital morgues, funeral homes, and specialized recovery suites anywhere from 12 to 24 hours after cardiac death has occurred.

2.

This is correct. Tissue and eye retrieval can take place in such venues as hospital morgues, funeral homes, and specialized recovery suites anywhere from 12 to 24 hours after cardiac death has occurred.

3.

This is incorrect. Tissue and eye retrieval can take place in such venues as hospital morgues, funeral homes, and specialized recovery suites anywhere from 12 to 24 hours after cardiac death has occurred.

NURSINGTB.COM

4.

This is incorrect. Tissue and eye retrieval can take place in such venues as hospital morgues, funeral homes, and specialized recovery suites anywhere from 12 to 24 hours after cardiac death has occurred.

13. Donation of which of the following is regulated by the Food and Drug Administration (FDA) as a medical implant or device and is subject to stringent quality control guidelines?

1. Liver 2. Kidneys 3. Lungs 4. Human tissue ANS: 4

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Catalano Nursing Now 8e

Page 20 of 22 TB

Page: 28

Feedback 1.

This is incorrect. Liver donation is not regulated by the FDA as a medical implant or device and is not subject to stringent quality control guidelines.

2.

This is incorrect. Kidney donation is not regulated by the FDA as a medical implant or device and is not subject to stringent quality control guidelines.

3.

This is incorrect. Lung donation is not regulated by the FDA as a medical implant or device and is not subject to stringent quality control guidelines.

4.

This is correct. Donated human tissue is regulated by the FDA as a medical implant or device and is subject to stringent quality control guidelines.

14. Donated tissue can be processed and stored for up to 10 years after recovery. Which of the following is an exception to this rule?

1. Skin 2. Bone 3. Tendons 4. Heart valves ANS: 4 Page: 29

Feedback

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Catalano Nursing Now 8e

Page 21 of 22 TB

1.

This is incorrect. Skin is not an exception to the rule.

2.

This is incorrect. Bone is not an exception to the rule.

3.

This is incorrect. Tendons are not an exception to the rule.

4.

This is correct. Donated tissue can be processed and stored for up to 10 years after recovery. Heart valves (as well as corneas) are exceptions to this rule.

15. The practice of honoring do not resuscitate orders, living wills, and withdrawal of ventilators or other life support falls under which umbrella definition?

1. Active euthanasia 2. Passive euthanasia 3. Voluntary euthanasia 4. Involuntary euthanasia ANS: 2 Page: 48

Feedback 1.

This is incorrect. The practices of do not resuscitate orders, living wills, and withdrawal of ventilators or other life support do not fall under the umbrella definition of active euthanasia.

2.

This is correct. The practices of do not resuscitate orders, living wills, and withdrawal of ventilators or other life support all fall under the umbrella definition of passive euthanasia.

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Catalano Nursing Now 8e 3.

Page 22 of 22 TB

This is incorrect. The practices of do not resuscitate orders, living wills, and withdrawal of ventilators or other life support do not fall under the umbrella definition of voluntary euthanasia.

4.

This is incorrect. The practices of do not resuscitate orders, living wills, and withdrawal of ventilators or other life support do not fall under the umbrella definition of involuntary euthanasia.

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Catalano Nursing Now 8e

Page 1 of 19 TB

Chapter 8: Nursing Law and Liability Questions 1. Which action is the most common violation of criminal law made by nurses?

1. Malpractice 2. Assisted suicide 3. Illegal diversion of drugs 4. Failure to renew nursing licenses Answer: 2. It is under which type of law that most nurses become involved with the legal system?

1. Tort law 2. Treaty law 3. Contract law 4. Criminal law Answer: 3. Which of the following is the most common intentional tort seen in the practice of nursing?

1. Assault 2. Battery 3. Abandonment 4. False imprisonment Answer: 4. The issue of abandonment falls under the umbrella of which ethical principle?

1. Justice

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Catalano Nursing Now 8e

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2. Autonomy 3. Beneficence 4. Nonmaleficence Answer: 5. Because of which legislative act, health-care providers have become more aware than ever of the issue of confidentiality in the health-care setting?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 6. Which type of damages allow the judge, in certain instances, to triple the actual damage award amount?

1. Normal damages 2. Treble damages 3. Punitive damages 4. Compensatory damages Answer: 7. Which legislative act is a federal law that requires all federally funded institutions to inform clients of their right to prepare advance directives?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Patient Self-Determination Act

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Catalano Nursing Now 8e

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4. Emergency Treatment and Active Labor Act Answer: 8. Which legislative act provides a framework on which the court must base decisions when determining whether a nurse has breached a standard of care?

1. Affordable Care Act 2. Nurse Practice Act 3. Patient Self-Determination Act 4. Emergency Treatment and Active Labor Act Answer: 9. Which of the following requires the existence of a professional standard of care and a clear deviation from that standard of care?

1. Negligence 2. Nonfeasance 3. Malpractice 4. Malfeasance Answer: 10. Because of the ongoing nursing shortage, which of the following has become an important legal and ethical issue for health-care providers?

1. Assault 2. Battery 3. Abandonment 4. False imprisonment Answer:

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Catalano Nursing Now 8e

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11. Medical record documentation is a primary source of which quasi-intentional tort?

1. Defamation of character 2. Invasion of privacy 3. Breach of confidentiality 4. Negligence Answer: 12. In cases involving children, the statute of limitations extends until the person reaches what age?

1. 16 years 2. 18 years 3. 21 years 4. 25 years Answer: 13. Some state legislatures have recently passed new tort reform laws that severely limit or completely eliminate which type of awards?

1. Normal damages 2. General damages 3. Punitive damages 4. Compensatory damages Answer: 14. Which type of awards are almost always extremely large and quickly gain the attention of other health-care providers to avoid the same types of actions?

1. Normal damages

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Catalano Nursing Now 8e

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2. General damages 3. Punitive damages 4. Compensatory damages Answer: 15. Which of the following is based on the claim that actions of the nurse followed the standards of care or that, even if the actions were in violation of the standards of care, the actions themselves were not the direct cause of the injury?

1. Contributory negligence 2. Comparative negligence 3. Assumption of risk 4. Defense of the fact Answer:

NURSINGTB.COM

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Catalano Nursing Now 8e

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Questions, Answers, and Rationales 1. Which action is the most common violation of criminal law made by nurses?

1. Malpractice 2. Assisted suicide 3. Illegal diversion of drugs 4. Failure to renew nursing licenses ANS: 4 Page: 5

Feedback 1.

This is incorrect. Malpractice is not the most common violation of criminal law made by nurses.

2.

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This is incorrect. Assisted suicide is not the most common violation of criminal law made by nurses.

3.

This is incorrect. Illegal diversion of drugs is not the most common violation of criminal law made by nurses.

4.

This is correct. The most common violation of criminal law made by nurses is failure to renew nursing licenses.

2. It is under which type of law that most nurses become involved with the legal system?

1. Tort law 2. Treaty law 3. Contract law

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Catalano Nursing Now 8e

Page 7 of 19 TB

4. Criminal law ANS: 1 Page: 6

Feedback 1.

This is correct. It is under tort law that most nurses become involved with the legal system.

2.

This is incorrect. Most nurses do not become involved with the legal system under treaty law.

3.

This is incorrect. Most nurses do not become involved with the legal system under contract law.

4.

This is incorrect. Most nurses do not become involved with the legal system NURSINGTB.COM under criminal law.

3. Which of the following is the most common intentional tort seen in the practice of nursing?

1. Assault 2. Battery 3. Abandonment 4. False imprisonment ANS: 2 Page: 15

Feedback

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Catalano Nursing Now 8e 1.

Page 8 of 19 TB

This is incorrect. Assault is not the most common intentional tort seen in the practice of nursing.

2.

This is correct. Battery is the most common intentional tort seen in the practice of nursing.

3.

This is incorrect. Abandonment is not the most common intentional tort seen in the practice of nursing.

4.

This is incorrect. False imprisonment is not the most common intentional tort seen in the practice of nursing.

4. The issue of abandonment falls under the umbrella of which ethical principle?

1. Justice 2. Autonomy 3. Beneficence 4. Nonmaleficence ANS: 3 Page: 16

Feedback 1.

This is incorrect. The issue of abandonment does not fall under the umbrella of the ethical principle of justice.

2.

This is incorrect. The issue of abandonment does not fall under the umbrella of the ethical principle of autonomy.

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Catalano Nursing Now 8e 3.

Page 9 of 19 TB

This is correct. The issue of abandonment falls under the umbrella of the ethical principle of beneficence.

4.

This is incorrect. The issue of abandonment does not fall under the umbrella of the ethical principle of nonmaleficence.

5. Because of which legislative act, health-care providers have become more aware than ever of the issue of confidentiality in the health-care setting?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 2

NURSINGTB.COM

Page: 18

Feedback 1.

This is incorrect. The Affordable Care Act has not made health-care providers more aware than ever of the issue of confidentiality in the health-care setting.

2.

This is correct. Because of the Health Insurance Portability and Accountability Act, health-care providers have become more aware than ever of the issue of confidentiality in the health-care setting.

3.

This is incorrect. The Omnibus Budget Reconciliation Act has not made healthcare providers more aware than ever of the issue of confidentiality in the healthcare setting.

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Catalano Nursing Now 8e 4.

Page 10 of 19 TB

This is incorrect. The Emergency Treatment and Active Labor Act has not made health-care providers more aware than ever of the issue of confidentiality in the health-care setting.

6. Which type of damages allow the judge, in certain instances, to triple the actual damage award amount?

1. Normal damages 2. Treble damages 3. Punitive damages 4. Compensatory damages ANS: 2 Page: 24

NURSINGTB.COM

Feedback 1.

This is incorrect. Normal damages do not allow the judge, in certain instances, to triple the actual damage award amount.

2.

This is correct. Treble damages allow the judge, in certain instances, to triple the actual damage award amount.

3.

This is incorrect. Punitive damages do not allow the judge, in certain instances, to triple the actual damage award amount.

4.

This is incorrect. Compensatory damages do not allow the judge, in certain instances, to triple the actual damage award amount.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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7. Which legislative act is a federal law that requires all federally funded institutions to inform clients of their right to prepare advance directives?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Patient Self-Determination Act 4. Emergency Treatment and Active Labor Act ANS: 3 Page: 32

Feedback 1.

This is incorrect. The Affordable Care Act does not require all federally funded institutions to inform clients of their right to prepare advance directives.

NURSINGTB.COM

2.

This is incorrect. The Health Insurance Portability and Accountability Act does not require all federally funded institutions to inform clients of their right to prepare advance directives.

3.

This is correct. The Patient Self-Determination Act is a federal law that requires all federally funded institutions to inform clients of their right to prepare advance directives.

4.

This is incorrect. The Emergency Treatment and Active Labor Act does not require all federally funded institutions to inform clients of their right to prepare advance directives.

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Catalano Nursing Now 8e

Page 12 of 19 TB

8. Which legislative act provides a framework on which the court must base decisions when determining whether a nurse has breached a standard of care?

1. Affordable Care Act 2. Nurse Practice Act 3. Patient Self-Determination Act 4. Emergency Treatment and Active Labor Act ANS: 2 Page: 42

Feedback 1.

This is incorrect. The Affordable Care Act does not provide a framework on which the court must base decisions when determining whether a nurse has

NURSINGTB.COM

breached a standard of care.

2.

This is correct. The Nurse Practice Act provides a framework on which the court must base decisions when determining whether a nurse has breached a standard of care.

3.

This is incorrect. The Patient Self-Determination Act does not provide a framework on which the court must base decisions when determining whether a nurse has breached a standard of care.

4.

This is incorrect. The Emergency Treatment and Active Labor Act does not provide a framework on which the court must base decisions when determining whether a nurse has breached a standard of care.

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Catalano Nursing Now 8e

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9. Which of the following requires the existence of a professional standard of care and a clear deviation from that standard of care?

1. Negligence 2. Nonfeasance 3. Malpractice 4. Malfeasance ANS: 3 Page: 9

Feedback 1.

This is incorrect. Negligence does not require the existence of a professional standard of care and a clear deviation from that standard of care.

NURSINGTB.COM

2.

This is incorrect. Nonfeasance does not require the existence of a professional standard of care and a clear deviation from that standard of care.

3.

This is correct. Malpractice requires the existence of a professional standard of care and a clear deviation from that standard of care.

4.

This is incorrect. Malfeasance does not require the existence of a professional standard of care and a clear deviation from that standard of care.

10. Because of the ongoing nursing shortage, which of the following has become an important legal and ethical issue for health-care providers?

1. Assault 2. Battery

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Catalano Nursing Now 8e

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3. Abandonment 4. False imprisonment ANS: 3 Page: 16

Feedback 1.

This is incorrect. Assault is not an ethical and legal issue caused by the ongoing nursing shortage.

2.

This is incorrect. Battery is not an ethical and legal issue caused by the ongoing nursing shortage.

3.

This is correct. Because of the ongoing nursing shortage, abandonment of clients has become an important legal and ethical issue for health-care providers.

NURSINGTB.COM

4.

This is incorrect. False imprisonment is not an ethical and legal issue caused by the ongoing nursing shortage.

11. Medical record documentation is a primary source of which quasi-intentional tort?

1. Defamation of character 2. Invasion of privacy 3. Breach of confidentiality 4. Negligence ANS: 1 Page: 18

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Catalano Nursing Now 8e

Page 15 of 19 TB

Feedback 1.

This is correct. Medical record documentation is a primary source of defamation of character.

2.

This is incorrect. Medical record documentation is not a primary source of invasion of privacy.

3.

This is incorrect. Medical record documentation is not a primary source of breach of confidentiality.

4.

This is incorrect. Medical record documentation is not a primary source of negligence.

12. In cases involving children, the statute of limitations extends until the person reaches what age?

1. 16 years 2. 18 years 3. 21 years 4. 25 years ANS: 3 Page: 20

Feedback 1.

This is incorrect. In cases involving children, the statute of limitations extends beyond the person’s 16th birthday.

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Catalano Nursing Now 8e 2.

Page 16 of 19 TB

This is incorrect. In cases involving children, the statute of limitations extends beyond the person’s 18th birthday.

3.

This is correct. In cases involving children, the statute of limitations extends until the person reaches 21 years of age.

4.

This is incorrect. In cases involving children, the statute of limitation does not extend until the person reaches 25 years of age.

13. Some state legislatures have recently passed new tort reform laws that severely limit or completely eliminate which type of awards?

1. Normal damages 2. General damages 3. Punitive damages 4. Compensatory damages ANS: 2 Page: 24

Feedback 1.

This is incorrect. There are no new tort reform laws that limit or eliminate normal damages.

2.

This is correct. Some state legislatures have recently passed new tort reform laws that severely limit or completely eliminate general damage awards.

3.

This is incorrect. There are no new tort reform laws that limit or eliminate punitive damages.

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Catalano Nursing Now 8e 4.

Page 17 of 19 TB

This is incorrect. There are no new tort reform laws that limit or eliminate compensatory damages.

14. Which type of awards are almost always extremely large and quickly gain the attention of other health-care providers to avoid the same types of actions?

1. Normal damages 2. General damages 3. Punitive damages 4. Compensatory damages ANS: 3 Page: 24

NURSINGTB.COM Feedback 1.

This is incorrect. Normal damages are not extremely large, nor do they quickly gain the attention of other health-care providers to avoid the same types of actions.

2.

This is incorrect. General damages are not extremely large, nor do they quickly gain the attention of other health-care providers to avoid the same types of actions.

3.

This is correct. Punitive damages are almost always extremely large and quickly gain the attention of other health-care providers to avoid the same types of actions.

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Catalano Nursing Now 8e 4.

Page 18 of 19 TB

This is incorrect. Compensatory damages are not extremely large, nor do they quickly gain the attention of other health-care providers to avoid the same types of actions.

15. Which of the following is based on the claim that actions of the nurse followed the standards of care or that, even if the actions were in violation of the standard of care, the actions themselves were not the direct cause of the injury?

1. Contributory negligence 2. Comparative negligence 3. Assumption of risk 4. Defense of the fact ANS: 4

NURSINGTB.COM

Page: 29

Feedback 1.

This is incorrect. Contributory negligence is not based on the claim that actions of the nurse followed the standards of care or that, even if the actions were in violation of the standard of care, the actions themselves were not the direct cause of the injury.

2.

This is incorrect. Comparative negligence is not based on the claim that actions of the nurse followed the standards of care or that, even if the actions were in violation of the standard of care, the actions themselves were not the direct cause of the injury.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 19 of 19 TB

This is incorrect. Assumption of risk is not based on the claim that actions of the nurse followed the standards of care or that, even if the actions were in violation of the standard of care, the actions themselves were not the direct cause of the injury.

4.

This is correct. Defense of the fact is based on the claim that actions of the nurse followed the standards of care or that, even if the actions were in violation of the standard of care, the actions themselves were not the direct cause of the injury.

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Catalano Nursing Now 8e

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Chapter 9: Reality Shock in the Workplace Questions 1. The nursing student often graduates with which of the following nursing roles?

1. Ideal role 2. Actual role 3. Perceived role 4. Performed role Answer: 2. Which of the following has been identified by the National Council of State Boards of Nursing as a form of lateral, or nurse-on-nurse, violence?

1. Slander 2. Delegating 3. Micromanaging 4. Cyberbullying Answer: 3. If you no longer really care about the clients to whom you are assigned, you may be suffering from which of the following?

1. Stress 2. Burnout 3. Apathy 4. Compassion fatigue Answer:

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4. Which of the following are an excellent way to impress potential employers, reach a larger employment pool, and put the Internet to work in your search for a prospective employer?

1. Résumés 2. Portfolios 3. References 4. Cover letters Answer: 5. To be most effective, the critical incident stress debriefing (CISD) teams need to be onsite within which time period after serious events ranging from the death of coworkers to acts of terrorism and natural disasters?

1. 12 to 24 hours 2. 24 to 48 hours 3. 48 to 72 hours 4. 72 to 96 hours Answer: 6. If nurses feel fulfilled in what they are doing, which of the following is much less likely to occur?

1. Stress 2. Apathy 3. Burnout 4. Posttraumatic stress disorder (PTSD) Answer:

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7. Intentionally or unintentionally, the ideal role is often used as the intellectual yardstick against which what role is measured?

1. Actual role 2. Perceived role 3. Performed role 4. Expected role Answer: 8. Experiencing the difference between expectation and reality—for example, knowing what task should be done and how but being prevented by circumstances from doing it—can produce which of the following in many new graduate nurses?

1. Stress 2. Burnout 3. Cognitive dissonance 4. Compassion fatigue Answer: 9. Although it is difficult to project the final outcome, recent attempts to repeal which legislative act will likely lead to a reduction in the number of RNs needed in the long term?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer:

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Catalano Nursing Now 8e

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10. Provision of nursing services in which setting often requires that a nurse have at least a bachelor’s degree or an even higher education?

1. Home setting 2. School setting 3. Hospital setting 4. Physician office setting Answer: 11. The Institute of Medicine (IOM) has recommended that which programs be established to help new nurses make the transition from the sheltered environment of nursing school to the practice setting?

1. Preceptorship programs 2. Nurse residency programs 3. Academic Progression in Nursing (APIN) program 4. National Education Progression in Nursing Collaborative (NEPINC) program Answer: 12. Researchers have calculated that it takes what period of time for new graduates to master the skills necessary to be successful in their position?

1. 3 months 2. 6 months 3. 9 months 4. 12+ months Answer:

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Catalano Nursing Now 8e

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13. Which experience allows a student to be assigned to one RN for supervision for most of the semester and to experience the role of the RN by working the same hours and on the same unit as the nurse to whom he or she is assigned?

1. Internship 2. Externship 3. Preceptorship 4. Apprenticeship Answer: 14. In today’s job market, which of the following are often the institution’s first contact with the nurse seeking employment and have a substantial effect on the whole hiring process?

1. Résumés 2. Portfolios 3. Internships 4. Preceptorships Answer: 15. Which text format should be used to emphasize a word or words or when starting a new section of the résumé?

1. All caps 2. Boldface type 3. Italic type 4. Underlined type Answer:

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Catalano Nursing Now 8e

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Questions, Answers, and Rationales 1. The nursing student often graduates with which of the following nursing roles?

1. Ideal role 2. Actual role 3. Perceived role 4. Performed role ANS: 3 Page: 2

Feedback 1.

This is incorrect. The ideal role is not the role with which the nursing student often graduates.

2.

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This is incorrect. The actual role is not the role with which the nursing student often graduates.

3.

This is correct. The perceived role is the role with which the nursing student often graduates.

4.

This is incorrect. The performed role is not the role with which the nursing student often graduates.

2. Which of the following has been identified by the National Council of State Boards of Nursing as a form of lateral, or nurse-on-nurse, violence?

1. Slander 2. Delegating

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Catalano Nursing Now 8e

Page 7 of 19 TB

3. Micromanaging 4. Cyberbullying ANS: 4 Page: 10

Feedback 1.

This is incorrect. Slander has not been identified by the National Council of State Boards of Nursing as a form of lateral, or nurse-on-nurse, violence.

2.

This is incorrect. Delegating has not been identified by the National Council of State Boards of Nursing as a form of lateral, or nurse-on-nurse, violence.

3.

This is incorrect. Micromanaging has not been identified by the National Council of State Boards of Nursing as a form of lateral, or nurse-on-nurse,

NURSINGTB.COM

violence.

4.

This is correct. Cyberbullying has been identified by the National Council of State Boards of Nursing as a form of lateral, or nurse-on-nurse, violence.

3. If you no longer really care about the clients to whom you are assigned, you may be suffering from which of the following?

1. Stress 2. Burnout 3. Apathy 4. Compassion fatigue ANS: 4

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Catalano Nursing Now 8e

Page 8 of 19 TB

Page: 16

Feedback 1.

This is incorrect. If you no longer really care about the clients to whom you are assigned, you are not merely suffering from stress.

2.

This is incorrect. If you no longer really care about the clients to whom you are assigned, you are not merely suffering from burnout.

3.

This is incorrect. If you no longer really care about the clients to whom you are assigned, you are not merely suffering from apathy.

4.

This is correct. If you no longer really care about the clients to whom you are assigned, you are suffering from compassion fatigue.

4. Which of the following are an excellent way to impress potential employers, reach a larger employment pool, and put the Internet to work in your search for a prospective employer?

1. Résumés 2. Portfolios 3. References 4. Cover letters ANS: 2 Page: 28

Feedback

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Catalano Nursing Now 8e 1.

Page 9 of 19 TB

This is incorrect. Résumés do not enable you to reach a larger employment pool and put the Internet to work in your search for a prospective employer.

2.

This is correct. Portfolios are an excellent way to impress potential employers, reach a larger employment pool, and put the Internet to work in your search for a prospective employer.

3.

This is incorrect. References do not enable you to reach a larger employment pool, and put the Internet to work in your search for a prospective employer.

4.

This is incorrect. Cover letters do not enable you to reach a larger employment pool and put the Internet to work in your search for a prospective employer.

5. To be most effective, the critical incident stress debriefing (CISD) teams need to be onsite within which time period after sNeU rioRuSs I evNeG ntTs B ra.nC giO ngMfrom the death of coworkers to acts of terrorism and natural disasters?

1. 12 to 24 hours 2. 24 to 48 hours 3. 48 to 72 hours 4. 72 to 96 hours ANS: 3 Page: 44

Feedback

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Catalano Nursing Now 8e 1.

Page 10 of 19 TB

This is incorrect. To be most effective, the critical incident stress debriefing (CISD) teams need to be onsite within 2 to 3 days (48 to 72 hours) after serious events.

2.

This is incorrect. To be most effective, the critical incident stress debriefing (CISD) teams need to be onsite within 2 to 3 days (48 to 72 hours) after serious events.

3.

This is correct. To be most effective, the critical incident stress debriefing (CISD) teams need to be onsite within 2 to 3 days (48 to 72 hours) after serious events.

4.

This is incorrect. To be most effective, the critical incident stress debriefing (CISD) teams need to be onsite within 2 to 3 days (48 to 72 hours) after serious events.

NURSINGTB.COM

6. If nurses feel fulfilled in what they are doing, which of the following is much less likely to occur?

1. Stress 2. Apathy 3. Burnout 4. Posttraumatic stress disorder (PTSD) ANS: 3 Page: 47

Feedback

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Catalano Nursing Now 8e

Page 11 of 19 TB

1.

This is incorrect. Even if nurses are fulfilled, they can still be stressed.

2.

This is incorrect. Even if nurses are fulfilled, they can still exhibit apathy.

3.

This is correct. If nurses feel fulfilled in what they are doing, burnout is much less likely to occur.

4.

This is incorrect. Even if nurses are fulfilled, they can still suffer from PTSD.

7. Intentionally or unintentionally, the ideal role is often used as the intellectual yardstick against which what role is measured?

1. Actual role 2. Perceived role 3. Performed role 4. Expected role

NURSINGTB.COM

ANS: 2 Page: 2

Feedback 1.

This is incorrect. The ideal role is not used as the intellectual yardstick against which the actual role is measured.

2.

This is correct. Intentionally or unintentionally, the ideal role is used as the intellectual yardstick against which the perceived role is measured.

3.

This is incorrect. The ideal role is not used as the intellectual yardstick against which the performed role is measured.

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Catalano Nursing Now 8e 4.

Page 12 of 19 TB

This is incorrect. The ideal role is not used as the intellectual yardstick against which the expected role is measured.

8. Experiencing the difference between expectation and reality—for example, knowing what task should be done and how but being prevented by circumstances from doing it—can produce which of the following in many new graduate nurses?

1. Stress 2. Burnout 3. Cognitive dissonance 4. Compassion fatigue ANS: 3 Page: 16

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Feedback 1.

This is incorrect. Stress is not necessarily produced by knowing what task should be done and how but being prevented by circumstances from doing it.

2.

This is incorrect. Burnout is not necessarily produced by knowing what task should be done and how but being prevented by circumstances from doing it.

3.

This is correct. The difference between expectation and reality can produce cognitive dissonance in many new graduate nurses who know what task should be done and how but are prevented by circumstances from doing it.

4.

This is incorrect. Compassion fatigue is not produced by knowing what task should be done and how but being prevented by circumstances from doing it.

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9. Although it is difficult to project the final outcome, recent attempts to repeal which legislative act will likely lead to a reduction in the number of RNs needed in the long term?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1 Page: 6

Feedback 1.

This is correct. Although it is difficult to project the final outcome, the recent

NURSINGTB.COM

attempts to repeal the Affordable Care Act will likely lead to a reduction in the number of RNs needed in the long term.

2.

This is incorrect. Repealing the Health Insurance Portability and Accountability Act will not likely lead to a reduction in the number of RNs needed in the long term.

3.

This is incorrect. Repealing the Omnibus Budget Reconciliation Act will not likely lead to a reduction in the number of RNs needed in the long term.

4.

This is incorrect. Repealing the Emergency Treatment and Active Labor Act will not likely lead to a reduction in the number of RNS needed in the long term.

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10. Provision of nursing services in which setting often requires that a nurse have at least a bachelor’s degree or an even higher education?

1. Home setting 2. School setting 3. Hospital setting 4. Physician office setting ANS: 1 Page: 8

Feedback 1.

This is correct. Provision of nursing services in the home setting often requires that a nurse have at least a bachelor’s degree or an even higher education.

NURSINGTB.COM

2.

This is incorrect. Provision of nursing services in the school setting does not require that a nurse have at least a bachelor’s degree or an even higher education.

3.

This is incorrect. Provision of nursing services in the hospital setting does not require that a nurse have at least a bachelor’s degree or an even higher education.

4.

This is incorrect. Provision of nursing services in the physician office setting does not require that a nurse have at least a bachelor’s degree or an even higher education.

11. The Institute of Medicine (IOM) has recommended that which programs be established to help new nurses make the transition from the sheltered environment of nursing school to the practice setting?

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1. Preceptorship programs 2. Nurse residency programs 3. Academic Progression in Nursing (APIN) program 4. National Education Progression in Nursing Collaborative (NEPINC) program ANS: 2 Page: 11

Feedback 1.

This is incorrect. The IOM has not recommended preceptorship programs to help new nurses make the transition from the sheltered environment of nursing school to the practice setting.

2.

This is correct. The Institute of Medicine (IOM) has recommended that nurse

NURSINGTB.COM

residency programs be established to help new nurses make the transition from the sheltered environment of nursing school to the practice setting.

3.

This is incorrect. The IOM has not recommended an Academic Progression in Nursing (APIN) program to help new nurses make the transition from the sheltered environment of nursing school to the practice setting.

4.

This is incorrect. The IOM has not recommended a National Education Progression in Nursing Collaborative (NEPINC) program to help new nurses make the transition from the sheltered environment of nursing school to the practice setting.

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12. Researchers have calculated that it takes what period of time for new graduates to master the skills necessary to be successful in their position?

1. 3 months 2. 6 months 3. 9 months 4. 12+ months ANS: 4 Page: 11

Feedback 1.

This is incorrect. Researchers have calculated that it takes longer than 3 months for new graduates to master the skills necessary to be successful in their position.

NURSINGTB.COM

2.

This is incorrect. Researchers have calculated that it takes longer than 6 months for new graduates to master the skills necessary to be successful in their position.

3.

This is incorrect. Researchers have calculated that it takes longer than 9 months for new graduates to master the skills necessary to be successful in their position.

4.

This is correct. Researchers have calculated that it takes 1 or more years for new graduates to master the skills necessary to be successful in their position.

13. Which experience allows a student to be assigned to one RN for supervision for most of the semester and to experience the role of the RN by working the same hours and on the same unit as the nurse to whom he or she is assigned?

1. Internship

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2. Externship 3. Preceptorship 4. Apprenticeship ANS: 3 Page: 13

Feedback 1.

This is incorrect. Internships do not allow a student to be assigned to one RN for supervision for most of the semester and to experience the role of the RN by working the same hours and on the same unit as the nurse to whom he or she is assigned.

2.

This is incorrect. Externships do not allow a student to be assigned to one RN for

NURSINGTB.COM

supervision for most of the semester and to experience the role of the RN by working the same hours and on the same unit as the nurse to whom he or she is assigned.

3.

This is correct. Preceptorships allow a student to be assigned to one RN for supervision for most of the semester and to experience the role of the RN by working the same hours and on the same unit as the nurse to whom he or she is assigned.

4.

This is incorrect. Apprenticeships do not allow a student to be assigned to one RN for supervision for most of the semester and to experience the role of the RN by working the same hours and on the same unit as the nurse to whom he or she is assigned.

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14. In today’s job market, which of the following are often the institution’s first contact with the nurse seeking employment and have a substantial effect on the whole hiring process?

1. Résumés 2. Portfolios 3. Internships 4. Preceptorships ANS: 1 Page: 14

Feedback 1.

This is correct. In today’s job market, résumés are often the institution’s first

NURSINGTB.COM

contact with the nurse seeking employment and have a substantial effect on the whole hiring process.

2.

This is incorrect. In today’s job market, portfolios are rarely the institution’s first contact with the nurse seeking employment.

3.

This is incorrect. In today’s job market, internships are only occasionally the source of the institution’s first contact with the nurse seeking employment.

4.

This is incorrect. In today’s job market, preceptorships are only occasionally the source of the institution’s first contact with the nurse seeking employment.

15. Which text format should be used to emphasize a word or words or when starting a new section of the résumé?

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1. All caps 2. Boldface type 3. Italic type 4. Underlined type ANS: 1 Page: 19

Feedback 1.

This is correct. ALL CAPS should be used rather than boldface, italic, or underlining to emphasize a word or words or when starting a new section of the résumé.

2.

This is incorrect. ALL CAPS should be used rather than boldface, italic, or

NURSINGTB.COM

underlining to emphasize a word or words or when starting a new section of the résumé.

3.

This is incorrect. ALL CAPS should be used rather than boldface, italic, or underlining to emphasize a word or words or when starting a new section of the résumé.

4.

This is incorrect. ALL CAPS should be used rather than boldface, italic, or underlining to emphasize a word or words or when starting a new section of the résumé.

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Catalano Nursing Now 8e

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Chapter 10: Leadership, Followership, and Management Questions 1. Which leadership style works best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members?

1. Laissez-faire 2. Democratic 3. Participative 4. Authoritarian Answer: 2. Which leadership style works best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period?

1. Laissez-faire 2. Democratic 3. Nondirective 4. Authoritarian Answer: 3. People who work under which leadership style usually harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker?

1. Laissez-faire 2. Democratic 3. Nondirective

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4. Authoritarian Answer: 4. Which type of leader often allows the group to make its own decisions without regard to the task at hand and ultimately may not achieve the goals the group was organized for in the first place?

1. High relationship–low task 2. High task–low relationship 3. High task–high relationship 4. Low task–low relationship Answer: 5. Various forms of punishment, ranging from verbal putdowns to poor performance evaluations that are used to determine pay raises, are used by which type of leader?

1. High relationship–low task 2. High task–low relationship 3. High task–high relationship 4. Low task–low relationship Answer: 6. Which theory recognizes that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration, and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards?

1. Trait theory 2. Behavior theory 3. Situational theory

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4. Transformational theory Answer: 7. The American Nurses Association (ANA) Code of Ethics for Nurses is directed toward promoting and maintaining which quality of the nursing profession?

1. Integrity 2. Critical thinking 3. Problem-solving 4. Active listening Answer: 8. In which approach is it expected that providing the right incentives, primarily money, will increase employee productivity?

1. Time–motion theory 2. Human interaction theory 3. Situational theory 4. Transformational theory Answer: 9. Managers who favored which theory were required to develop a different set of management skills, including counseling effectively, boosting motivation, using effective leadership skills, and maintaining productive communication?

1. Time–motion theory 2. Human interaction theory 3. Situational theory 4. Transformational theory

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Answer: 10. In the health-care delivery setting, which of the following can be defined as the process of decision-making at the top levels of an organization that ensures the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel, and overseeing the administrative process?

1. Leadership 2. Management 3. Governance 4. Ownership Answer: 11. Which type of budgeting is built on the belief that traditional methods of budgeting are too simple to account for all the variations in the budgeting process and cannot be adapted to ongoing changes?

1. Historical budget 2. Incremental budget 3. Zero-based budget 4. Performance-based budget Answer: 12. Many home health-care agencies use which model for assigning an RN to work with an individual or family for the duration of services rendered?

1. Functional nursing 2. Team nursing 3. Primary care nursing

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4. Modular nursing Answer: 13. Important aspects of which nursing model include relying on unlicensed assistive personnel for the provision of direct care, grouping clients with similar needs, developing relative intensity measures, and emphasizing team concepts in small groups that remain constant?

1. Functional nursing 2. Team nursing 3. Primary care nursing 4. Modular nursing Answer: 14. Which legislative act is a federal law that is being written to improve nurse–patient ratios in hospitals that receive Medicare funds?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 15. With its emphasis on access to care, which legislative act is projected to inject some 22 million newly insured clients into the health-care system between 2019 and 2024?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act

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Answer:

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Questions, Answers, and Rationales 1. Which leadership style works best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members?

1. Laissez-faire 2. Democratic 3. Participative 4. Authoritarian ANS: 1 Page: 4

Feedback 1.

This is correct. The laissez-faire style of leadership works best when the

NURSINGTB.COM

members of the group have the same level of education as the leader and the leader performs the same tasks as the group members.

2.

This is incorrect. The democratic style of leadership does not work best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members.

3.

This is incorrect. The participative style of leadership does not work best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members.

4.

This is incorrect. The authoritarian style of leadership does not work best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members.

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2. Which leadership style works best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period?

1. Laissez-faire 2. Democratic 3. Nondirective 4. Authoritarian ANS: 2 Page: 4

Feedback 1.

This is incorrect. The laissez-faire style of leadership does not work best with

NURSINGTB.COM

groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period.

2.

This is correct. The democratic style of leadership works best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period.

3.

This is incorrect. The nondirective style of leadership does not work best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period.

4.

This is incorrect. The authoritarian style of leadership does not work best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period.

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3. People who work under which style of leadership usually harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker?

1. Laissez-faire 2. Democratic 3. Nondirective 4. Authoritarian ANS: 4 Page: 4

Feedback 1.

NURSINGTB.COM

This is incorrect. People who work under a laissez-faire style of leadership usually do not harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker.

2.

This is incorrect. People who work under a democratic style of leadership usually do not harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker.

3.

This is incorrect. People who work under a nondirective style of leadership usually do not harbor hostile feelings that they are fearful to express, use

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker.

4.

This is correct. People who work under an authoritative style of leadership usually harbor hostile feelings that they are fearful to express, use passiveaggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker.

4. Which type of leader often allows the group to make its own decisions without regard to the task at hand and ultimately may not achieve the goals the group was organized for in the first place?

1. High relationship–low task 2. High task–low relationship 3. High task–high relationship 4. Low task–low relationship ANS: 1 Page: 7

Feedback 1.

This is correct. High relationship–low task leaders often allow the group to make its own decisions without regard to the task at hand and ultimately may not achieve the goals the group was organized for in the first place.

2.

This is incorrect. High task–low relationship leaders do not allow the group to make its own decisions without regard to the task at hand, nor are they

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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necessarily unlikely to achieve the goals the group was organized for in the first place.

3.

This is incorrect. High task–high relationship leaders do not allow the group to make its own decisions without regard to the task at hand, nor are they necessarily unlikely to achieve the goals the group was organized for in the first place.

4.

This is incorrect. Low task–low relationship leaders do not allow the group to make its own decisions without regard to the task at hand, nor are they necessarily unlikely to achieve the goals the group was organized for in the first place.

5. Various forms of punishmentN, U raR ngSing l putdowns to poor performance evaluations INfGroTmBv.eCrbOaM that are used to determine pay raises, are used by which type of leader?

1. High relationship–low task 2. High task–low relationship 3. High task–high relationship 4. Low task–low relationship ANS: 2 Page: 7

Feedback 1.

This is incorrect. Various forms of punishment are not used by high relationship–low task leaders.

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Catalano Nursing Now 8e 2.

Page 12 of 23 TB

This is correct. Various forms of punishment, ranging from verbal putdowns to poor performance evaluations that are used to determine pay raises, are used by high task–low relationship leaders.

3.

This is incorrect. Various forms of punishment are not used by high task–high relationship leaders.

4.

This is incorrect. Various forms of punishment are not used by low task–low relationship leaders.

6. Which theory recognizes that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration, and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards?

1. Trait theory 2. Behavior theory 3. Situational theory 4. Transformational theory ANS: 4 Page: 9

Feedback 1.

This is incorrect. Trait theory does not recognize that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration, and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards.

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Catalano Nursing Now 8e 2.

Page 13 of 23 TB

This is incorrect. Behavior theory does not recognize that multiple intangibles exist whenever people interact and factors such as sense of meaning, creativity, inspiration and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards.

3.

This is incorrect. Situational theory does not recognize that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards.

4.

This is correct. Transformational theory recognizes that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards.

NURSINGTB.COM

7. The American Nurses Association (ANA) Code of Ethics for Nurses is directed toward promoting and maintaining which quality of the nursing profession?

1. Integrity 2. Critical thinking 3. Problem-solving 4. Active listening ANS: 1 Page: 16

Feedback

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Catalano Nursing Now 8e 1.

Page 14 of 23 TB

This is correct. The American Nurses Association (ANA) Code of Ethics for Nurses is directed toward promoting and maintaining the integrity of the nursing profession.

2.

This is incorrect. The American Nurses Association (ANA) Code of Ethics for Nurses is not directed toward promoting and maintaining critical thinking.

3.

This is incorrect. The American Nurses Association (ANA) Code of Ethics for Nurses is not directed toward promoting and maintaining problem-solving.

4.

This is incorrect. The American Nurses Association (ANA) Code of Ethics for Nurses is not directed toward promoting and maintaining active listening.

8. In which approach, is it expected that providing the right incentives, primarily money, will increase employee productivityN ? URSINGTB.COM 1. Time–motion theory 2. Human interaction theory 3. Situational theory 4. Transformational theory ANS: 1 Page: 22

Feedback 1.

This is correct. In the time–motion approach, providing the right incentives, primarily money, is expected to increase employee productivity.

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Catalano Nursing Now 8e 2.

Page 15 of 23 TB

This is incorrect. Human interaction theory does not state that providing the right incentives, primarily money, is expected to increase employee productivity.

3.

This is incorrect. Situational theory does not state that providing the right incentives, primarily money, is expected to increase employee productivity.

4.

This is incorrect. Transformational theory does not state that providing the right incentives, primarily money, is expected to increase employee productivity.

9. Managers who favored which theory were required to develop a different set of management skills, including counseling effectively, boosting motivation, using effective leadership skills, and maintaining productive communication?

1. Time–motion theory 2. Human interaction theory 3. Situational theory 4. Transformational theory ANS: 2 Page: 24

Feedback 1.

This is incorrect. Managers who favor time–motion theory are not required to develop a different set of management skills, including counseling effectively, boosting motivation, using effective leadership skills, and maintaining productive communication.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 16 of 23 TB

This is correct. Managers who favored human interaction theory were required to develop a different set of management skills, including counseling effectively, boosting motivation, using effective leadership skills, and maintaining productive communication.

3.

This is incorrect. Managers who favor situational theory are not required to develop a different set of management skills, including counseling effectively, boosting motivation, using effective leadership skills, and maintaining productive communication.

4.

This is incorrect. Managers who favor transformational theory are not required to develop a different set of management skills, including counseling effectively, boosting motivation, using effective leadership skills, and maintaining productive communication.

NURSINGTB.COM

10. In the health-care delivery setting, which of the following can be defined as the process of decision-making at the top levels of an organization that ensures the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel, and overseeing the administrative process?

1. Leadership 2. Management 3. Governance 4. Ownership ANS: 3 Page: 26

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Feedback 1.

This is incorrect. In the health-care delivery setting, leadership is not defined as the process of decision-making at the top levels of an organization that ensures the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel, and overseeing the administrative process.

2.

This is incorrect. In the health-care delivery setting, management is not defined as the process of decision-making at the top levels of an organization that ensures the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel, and overseeing the administrative process.

3.

NURSINGTB.COM

This is correct. In the health-care delivery setting, governance is defined as the process of decision-making at the top levels of an organization that ensures the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel, and overseeing the administrative process.

4.

This is incorrect. In the health-care delivery setting, ownership is not defined as the process of decision-making at the top levels of an organization that ensures the organization achieves its goals and produces high-quality outcomes by defining expectations, delegating power to key personnel, and overseeing the administrative process.

WWW.NURSINGTB.COM

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11. Which type of budgeting is built on the belief that traditional methods of budgeting are too simple to account for all the variations in the budgeting process and cannot be adapted to ongoing changes?

1. Historical budget 2. Incremental budget 3. Zero-based budget 4. Performance-based budget ANS: 4 Page: 30

Feedback 1.

This is incorrect. Historical budgets are not built on the belief that traditional

NURSINGTB.COM

methods of budgeting are too simple to account for all the variations in the budgeting process and cannot be adapted to ongoing changes.

2.

This is incorrect. Incremental budgets are not built on the belief that traditional methods of budgeting are too simple to account for all the variations in the budgeting process and cannot be adapted to ongoing changes.

3.

This is incorrect. Zero-based budgets are not built on the belief that traditional methods of budgeting are too simple to account for all the variations in the budgeting process and cannot be adapted to ongoing changes.

4.

This is correct. Performance-based budgeting is built on the belief that traditional methods of budgeting are too simple to account for all the variations in the budgeting process and cannot be adapted to ongoing changes.

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12. Many home health-care agencies use which model for assigning an RN to work with an individual or family for the duration of services rendered?

1. Functional nursing 2. Team nursing 3. Primary care nursing 4. Modular nursing ANS: 3 Page: 48

Feedback 1.

This is incorrect. Home health-care agencies do not use the functional nursing

NURSINGTB.COM

model for assigning an RN to work with an individual or family for the duration of services rendered.

2.

This is incorrect. Home health-care agencies do not use the team nursing model for assigning an RN to work with an individual or family for the duration of services rendered.

3.

This is correct. Many home health-care agencies use the primary care nursing model for assigning an RN to work with an individual or family for the duration of services rendered.

4.

This is incorrect. Home health-care agencies do not use the modular nursing model for assigning an RN to work with an individual or family for the duration of services rendered.

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13. Important aspects of which nursing model include relying on unlicensed assistive personnel for the provision of direct care, grouping clients with similar needs, developing relative intensity measures, and emphasizing team concepts in small groups that remain constant?

1. Functional nursing 2. Team nursing 3. Primary care nursing 4. Modular nursing ANS: 4 Page: 48

Feedback 1.

NURSINGTB.COM

This is incorrect. Functional nursing does not include relying on unlicensed assistive personnel for the provision of direct care, grouping clients with similar needs, developing relative intensity measures, and emphasizing team concepts in small groups that remain constant.

2.

This is incorrect. Team nursing does not include relying on unlicensed assistive personnel for the provision of direct care, grouping clients with similar needs, developing relative intensity measures, and emphasizing team concepts in small groups that remain constant.

3.

This is incorrect. Primary care nursing does not include relying on unlicensed assistive personnel for the provision of direct care, grouping clients with similar

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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needs, developing relative intensity measures, and emphasizing team concepts in small groups that remain constant.

4.

This is correct. Important aspects of modular nursing include relying on unlicensed assistive personnel for the provision of direct care, grouping clients with similar needs, developing relative intensity measures, and emphasizing team concepts in small groups that remain constant.

14. Which legislative act is a federal law that is being written to improve nurse–patient ratios in hospitals that receive Medicare funds?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget ReconciliatN ioU nRASctINGTB.COM 4. Emergency Treatment and Active Labor Act ANS: 2 Page: 33

Feedback 1.

This is incorrect. The Affordable Care Act will not improve nurse–patient ratios in hospitals that receive Medicare funds.

2.

This is correct. The Registered Nurse Safe Staffing Act is a federal law that is being written to improve nurse–patient ratios in hospitals that receive Medicare funds.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 22 of 23 TB

This is incorrect. The Omnibus Budget Reconciliation Act will not improve nurse–patient ratios in hospitals that receive Medicare funds.

4.

This is incorrect. The Emergency Treatment and Active Labor Act will not improve nurse–patient ratios in hospitals that receive Medicare funds.

15. With its emphasis on access to care, which legislative act is projected to inject some 22 million newly insured clients into the health-care system between 2019 and 2024?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1

NURSINGTB.COM

Page: 32

Feedback 1.

This is correct. With its emphasis on access to care, the Affordable Care Act is projected to inject some 22 million newly insured clients into the health-care system over the next 5 years.

2.

This is incorrect. The Registered Nurse Safe Staffing Act is not projected to inject some 22 million newly insured clients into the health-care system over the next 5 years.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 23 of 23 TB

This is incorrect. The Omnibus Budget Reconciliation Act is not projected to inject some 22 million newly insured clients into the health-care system over the next 5 years.

4.

This is incorrect. The Emergency Treatment and Active Labor Act is not projected to inject some 22 million newly insured clients into the health-care system over the next 5 years.

WWW.NURSINGTB.COM

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Chapter 11: Communication, Negotiation, and Conflict Resolution Questions 1. Which communication style involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others?

1. Submissive 2. Assertive 3. Nonassertive 4. Aggressive Answer: 2. Which communication style is viewed by some mental health professionals as a protective mechanism that compensates for a person’s own insecurities and by others as a form of bullying?

1. Submissive 2. Assertive 3. Nonassertive 4. Aggressive Answer: 3. Which of the following can send a message of reassurance when another person is communicating sadness, distress, or grief?

1. Eye contact 2. Light touch 3. Open posture 4. Positive facial expressions

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Answer: 4. Which nonverbal communication blocker delivers the message that the listener is experiencing extreme boredom and cannot wait to leave?

1. Eye rolling 2. Arm crossing 3. Fidgeting 4. Deep, loud sighs Answer: 5. Which nonverbal technique can be used as a way to show disapproval but also is often used when a person is hurt by another and is trying in turn to hurt that other person?

1. Deep, loud sighs 2. Failure to make eye contact 3. Slouching, hunching, turning away 4. Failing to pay attention Answer: 6. Which verbal communication blocker sends the message that the other person is not respected and is untrustworthy?

1. Using sarcasm 2. Constant interruptions 3. Automatic defensiveness 4. Asking close-ended questions Answer:

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Catalano Nursing Now 8e

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7. With which paraverbal communication blocker is the speaker often attempting to avoid confrontation, stress, intimacy, uncomfortable thoughts or feelings, or a difficult situation?

1. Threatening 2. Calling names 3. Hurling insults 4. Nonstop, rapid talking Answer: 8. Which form of alternative dispute resolution is usually the last step before the dispute is taken to court for litigation?

1. Bargaining 2. Negotiating 3. Mediation 4. Arbitration Answer: 9. Many experts believe that which communication style is a protective mechanism that helps insecure people maintain their self-esteem by avoiding negative criticism and disagreement from others?

1. Submissive 2. Assertive 3. Nonverbal 4. Aggressive Answer:

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Catalano Nursing Now 8e

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10. The tone, pitch, volume, and diction used when delivering a message is referred to as which type of communication?

1. Verbal 2. Nonverbal 3. Paraverbal 4. Preverbal Answer: 11. Which paraverbal communication builder is considered a communication vacuum that most people will not let continue for more than a few seconds?

1. Tone 2. Pitch 3. Volume 4. Silence Answer: 12. Which verbal communication-building technique is especially useful when the listener’s perception or opinion differs from the speaker’s, such as when a client is experiencing a psychotic episode and describes monsters that only he or she can see?

1. Asking clarifying questions 2. Reflecting feelings and emotions 3. Repeating what was just said 4. Acknowledging what was said Answer:

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Catalano Nursing Now 8e

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13. Which nonverbal communication blocker can be a sign that the person is feeling attacked and trying to defend himself or herself?

1. Eye rolling 2. Arm crossing 3. Fidgeting 4. Deep, loud sighs Answer: 14. Which environmental communication blocker is one of the strong, primitive, natural emotions that help individuals protect themselves against a variety of external threats?

1. Grief 2. Stress 3. Anger 4. Anxiety Answer: 15. Which of the following is a formal process that is used by groups of workers represented by a union or a negotiating body to solve workplace issues such as salaries, health-care benefits, safe work environment, and hiring practices?

1. Mediation 2. Collective bargaining 3. Binding arbitration 4. Nonbinding arbitration Answer:

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Catalano Nursing Now 8e

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Questions, Answers, and Rationales 1. Which communication style involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others?

1. Submissive 2. Assertive 3. Nonassertive 4. Aggressive ANS: 2 Page: 4

Feedback 1.

This is incorrect. The submissive style of communication does not involve

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interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.

2.

This is correct. The assertive style of communication involves interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.

3.

This is incorrect. The nonassertive style of communication does not involve interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.

4.

This is incorrect. The aggressive style of communication does not involve interpersonal behaviors that permit people to defend and maintain their legitimate rights in a respectful manner that does not violate the rights of others.

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Catalano Nursing Now 8e

Page 7 of 20 TB

2. Which communication style is viewed by some mental health professionals as a protective mechanism that compensates for a person’s own insecurities and by others as a form of bullying?

1. Submissive 2. Assertive 3. Nonassertive 4. Aggressive ANS: 4 Page: 10

Feedback 1.

This is incorrect. The submissive style of communication is not viewed by some

NURSINGTB.COM

psychologists as a protective mechanism that compensates for a person’s own insecurities and by other mental health professionals as a form of bullying.

2.

This is incorrect. The assertive style of communication is not viewed by some psychologists as a protective mechanism that compensates for a person’s own insecurities and by other mental health professionals as a form of bullying.

3.

This is incorrect. The nonassertive style of communication is not viewed by some psychologists as a protective mechanism that compensates for a person’s own insecurities and by other mental health professionals as a form of bullying.

4.

This is correct. The aggressive style of communication is viewed by some psychologists as a protective mechanism that compensates for a person’s own insecurities and by other mental health professionals as a form of bullying.

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Catalano Nursing Now 8e

Page 8 of 20 TB

3. Which of the following can send a message of reassurance when another person is communicating sadness, distress, or grief?

1. Eye contact 2. Light touch 3. Open posture 4. Positive facial expressions ANS: 2 Page: 14

Feedback 1.

This is incorrect. Eye contact does not send a message of reassurance when

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another person is communicating sadness, distress, or grief.

2.

This is correct. Light touch can send a message of reassurance when another person is communicating sadness, distress, or grief.

3.

This is incorrect. Open posture does not send a message of reassurance when another person is communicating sadness, distress, or grief.

4.

This is incorrect. Positive facial expressions do not send a message of reassurance when another person is communicating sadness, distress, or grief.

4. Which nonverbal communication blocker delivers the message that the listener is experiencing extreme boredom and cannot wait to leave?

1. Eye rolling

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Catalano Nursing Now 8e

Page 9 of 20 TB

2. Arm crossing 3. Fidgeting 4. Deep, loud sighs ANS: 3 Page: 18

Feedback 1.

This is incorrect. Eye rolling does not indicate that the listener is experiencing extreme boredom and cannot wait to leave.

2.

This is incorrect. Arm crossing does not indicate that the listener is experiencing extreme boredom and cannot wait to leave.

3.

This is correct. Fidgeting delivers the message that the listener is experiencing

NURSINGTB.COM

extreme boredom and cannot wait to leave.

4.

This is incorrect. Deep, loud sighs do not indicate that the listener is experiencing extreme boredom and cannot wait to leave.

5. Which nonverbal technique can be used as a way to show disapproval but also is often used when a person is hurt by another and is trying in turn to hurt that other person?

1. Deep, loud sighs 2. Failure to make eye contact 3. Slouching, hunching, turning away 4. Failing to pay attention ANS: 2

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Catalano Nursing Now 8e

Page 10 of 20 TB

Page: 18

Feedback 1.

This is incorrect. Deep, loud sighs are not used as a way to show disapproval nor when a person is hurt by another and is trying in turn to hurt that other person.

2.

This is correct. Failure to make eye contact can be used as a way to show disapproval but also is often used when a person is hurt by another and is trying in turn to hurt that other person.

3.

This is incorrect. Slouching, hunching, and turning away are not used as a way to show disapproval nor when a person is hurt by another and is trying in turn to hurt that other person.

4.

This is incorrect. Failing to pay attention is not used as a way to show NURSINGTB.COM disapproval nor when a person is hurt by another and is trying in turn to hurt that other person.

6. Which verbal communication blocker sends the message that the other person is not respected and is untrustworthy?

1. Using sarcasm 2. Constant interruptions 3. Automatic defensiveness 4. Asking close-ended questions ANS: 1 Page: 19

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Catalano Nursing Now 8e

Page 11 of 20 TB

Feedback 1.

This is correct. Using sarcasm sends the message that the other person is not respected and is untrustworthy.

2.

This is incorrect. Constant interruptions do not send the message that the other person is not respected and is untrustworthy.

3.

This is incorrect. Automatic defensiveness does not send the message that the other person is not respected and is untrustworthy.

4.

This is incorrect. Asking close-ended questions does not send the message that the other person is not respected and is untrustworthy.

7. With which paraverbal commNuU niRcS atI ioN nG blToB ck.eC r iO sM the speaker often attempting to avoid confrontation, stress, intimacy, uncomfortable thoughts or feelings, or a difficult situation?

1. Threatening 2. Calling names 3. Hurling insults 4. Nonstop, rapid talking ANS: 4 Page: 21

Feedback

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Catalano Nursing Now 8e 1.

Page 12 of 20 TB

This is incorrect. Speakers using threatening paraverbal communication blockers are not attempting to avoid confrontation, stress, intimacy, uncomfortable thoughts or feelings, or a difficult situation.

2.

This is incorrect. Speakers calling names are not attempting to avoid confrontation, stress, intimacy, uncomfortable thoughts or feelings, or a difficult situation.

3.

This is incorrect. Speakers hurling insults are not attempting to avoid confrontation, stress, intimacy, uncomfortable thoughts or feelings, or a difficult situation.

4.

This is correct. Nonstop, rapid talking often indicates that the speaker is attempting to avoid confrontation, stress, intimacy, uncomfortable thoughts or feelings, or a difficult situation.

NURSINGTB.COM

8. Which form of alternative dispute resolution is usually the last step before the dispute is taken to court for litigation?

1. Bargaining 2. Negotiating 3. Mediation 4. Arbitration ANS: 4 Page: 44

Feedback

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Catalano Nursing Now 8e 1.

Page 13 of 20 TB

This is incorrect. Bargaining is not usually the last step before a dispute is taken to court for litigation.

2.

This is incorrect. Negotiating is not usually the last step before a dispute is taken to court for litigation.

3.

This is incorrect. Mediation is not usually the last step before a dispute is taken to court for litigation.

4.

This is correct. Arbitration is a form of alternative dispute resolution and is usually the last step before the dispute is taken to court for litigation.

9. Many experts believe that which communication style is a protective mechanism that helps insecure people maintain their self-esteem by avoiding negative criticism and disagreement from others?

1. Submissive 2. Assertive 3. Nonverbal 4. Aggressive ANS: 1 Page: 8

Feedback 1.

This is correct. Many experts believe that submissive communication is a protective mechanism that helps insecure people maintain their self-esteem by avoiding negative criticism and disagreement from others.

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Catalano Nursing Now 8e 2.

Page 14 of 20 TB

This is incorrect. Assertive communication is not a protective mechanism that helps insecure people maintain their self-esteem by avoiding negative criticism and disagreement from others.

3.

This is incorrect. Nonverbal communication is not a protective mechanism that helps insecure people maintain their self-esteem by avoiding negative criticism and disagreement from others.

4.

This is incorrect. Aggressive communication is not a protective mechanism that helps insecure people maintain their self-esteem by avoiding negative criticism and disagreement from others.

10. The tone, pitch, volume, and diction used when delivering a message is referred to as which type of communication?

1. Verbal 2. Nonverbal 3. Paraverbal 4. Preverbal ANS: 3 Page: 10

Feedback 1.

This is incorrect. The tone, pitch, volume, and diction used when delivering a message is not referred to as verbal communication.

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Catalano Nursing Now 8e 2.

Page 15 of 20 TB

This is incorrect. The tone, pitch, volume, and diction used when delivering a message is not referred to as nonverbal communication.

3.

This is correct. The tone, pitch, volume, and diction used when delivering a message is referred to as paraverbal communication.

4.

This is incorrect. The tone, pitch, volume, and diction used when delivering a message is not referred to as preverbal communication.

11. Which paraverbal communication builder is considered a communication vacuum that most people will not let continue for more than a few seconds?

1. Tone 2. Pitch 3. Volume 4. Silence ANS: 4 Page: 14

Feedback 1.

This is incorrect. Tone is not considered to be a communication vacuum.

2.

This is incorrect. Pitch is not considered to be a communication vacuum.

3.

This is incorrect. Volume is not considered to be a communication vacuum.

4.

This is correct. Silence is considered a communication vacuum, and most people will not let it continue for more than a few seconds.

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Catalano Nursing Now 8e

Page 16 of 20 TB

12. Which verbal communication-building technique is especially useful when the listener’s perception or opinion differs from the speaker’s, such as when a client is experiencing a psychotic episode and describes monsters that only he or she can see?

1. Asking clarifying questions 2. Reflecting feelings and emotions 3. Repeating what was just said 4. Acknowledging what was said ANS: 4 Page: 16

Feedback 1.

This is incorrect. Asking clarifying questions is not an especially useful

NURSINGTB.COM

technique to use when the listener’s perception or opinion differs from the speaker’s.

2.

This is incorrect. Reflecting feelings and emotions is not an especially useful technique to use when the listener’s perception or opinion differs from the speaker’s.

3.

This is incorrect. Repeating what was just said is not an especially useful technique to use when the listener’s perception or opinion differs from the speaker’s.

4.

This is correct. Acknowledging what was said is especially useful when the listener’s perception or opinion differs from the speaker’s, such as when a client

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Catalano Nursing Now 8e

Page 17 of 20 TB

is experiencing a psychotic episode and describes monsters that only he or she can see.

13. Which nonverbal communication blocker can be a sign that the person is feeling attacked and trying to defend himself or herself?

1. Eye rolling 2. Arm crossing 3. Fidgeting 4. Deep, loud sighs ANS: 2 Page: 18

NURSINGTB.COM Feedback 1.

This is incorrect. Eye rolling does not indicate that the person is feeling attacked and trying to defend himself or herself.

2.

This is correct. Arm crossing can be a sign that the person is feeling attacked and trying to defend himself or herself.

3.

This is incorrect. Fidgeting does not indicate that the person is feeling attacked and trying to defend himself or herself.

4.

This is incorrect. Deep, loud sighs do not indicate that the person is feeling attacked and trying to defend himself or herself.

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Catalano Nursing Now 8e

Page 18 of 20 TB

14. Which environmental communication blocker is one of the strong, primitive, natural emotions that help individuals protect themselves against a variety of external threats?

1. Grief 2. Stress 3. Anger 4. Anxiety ANS: 3 Page: 27

Feedback 1.

This is incorrect. Grief is not one of the strong, primitive, natural emotions that help individuals protect themselves against a variety of external threats.

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2.

This is incorrect. Stress is not one of the strong, primitive, natural emotions that help individuals protect themselves against a variety of external threats.

3.

This is correct. Anger is one of the strong, primitive, natural emotions that help individuals protect themselves against a variety of external threats.

4.

This is incorrect. Anxiety is not one of the strong, primitive, natural emotions that help individuals protect themselves against a variety of external threats.

15. Which of the following is a formal process that is used by groups of workers represented by a union or a negotiating body to solve workplace issues such as salaries, health-care benefits, safe work environment, and hiring practices?

1. Mediation

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Catalano Nursing Now 8e

Page 19 of 20 TB

2. Collective bargaining 3. Binding arbitration 4. Nonbinding arbitration ANS: 2 Page: 41

Feedback 1.

This is incorrect. Mediation is not a formal process that is used by groups of workers represented by a union or a negotiating body to solve workplace issues such as salaries, health-care benefits, safe work environment, and hiring practices.

2.

This is correct. Collective bargaining is a formal process that is used by groups

NURSINGTB.COM

of workers represented by a union or a negotiating body to solve workplace issues such as salaries, health-care benefits, safe work environment, and hiring practices.

3.

This is incorrect. Binding arbitration is not a formal process that is used by groups of workers represented by a union or a negotiating body to solve workplace issues such as salaries, health-care benefits, safe work environment, and hiring practices.

4.

This is incorrect. Nonbinding arbitration is not a formal process that is used by groups of workers represented by a union or a negotiating body to solve workplace issues such as salaries, health-care benefits, safe work environment, and hiring practices.

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Chapter 12: Understanding and Dealing Successfully With Difficult Behavior Questions 1. Establishing which of the following is key to any successful relationship, is the foundation upon which all nursing care is built, and is particularly important when dealing with difficult behavior?

1. Trust 2. Respect 3. Loyalty 4. Consistency Answer: 2. Which approach to dealing with a client in denial is to be used only when all else has failed because it borders on unethical, according to the teleological system of ethics?

1. Tough love approach 2. Humor me approach 3. Don’t ask, don’t tell approach 4. Walking the tightrope approach Answer: 3. Which ethical principle is one of the most important considerations in working with clients in denial?

1. Justice 2. Autonomy 3. Fidelity

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4. Accountability Answer: 4. Which stage of grief acts as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life?

1. Denial 2. Anger 3. Bargaining 4. Depression Answer: 5. Paraverbal indicators of which stage of grief include slow, low-tone speech and long pauses after you ask the client a question and before he or she answers?

1. Denial 2. Anger 3. Bargaining 4. Depression Answer: 6. Probably the most serious physiological consequence of grief-stage depression is suppression of which body system?

1. Immune system 2. Endocrine system 3. Nervous system 4. Respiratory system

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Answer: 7. Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is indicative of which type of behavior?

1. Bulldozer behavior 2. Duck-and-cover behavior 3. Wet blanket behavior 4. Beyond help behavior Answer: 8. People exhibiting which type of behavior believe the solution being offered is inappropriate or useless and that their problem is so severe or unique that there is nothing anyone could ever do to fix it?

1. Bulldozer behavior 2. Duck-and-cover behavior 3. Wet blanket behavior 4. Beyond help behavior Answer: 9. Which approach to dealing with chronic complaining is difficult because it requires complainers to shift their perception from one they have been hanging on to for years?

1. Empathy approach 2. Adjusting the attitude approach 3. Complaining to the complainer approach 4. Break the vicious cycle approach Answer:

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10. Which approach to dealing with chronic complaining will usually stop complainers from complaining to you while, at the same time, you take their unhappiness seriously and offer a practical resolution?

1. Empathy approach 2. Adjusting the attitude approach 3. Complaining to the complainer approach 4. Break the vicious cycle approach Answer: 11. Dictators will attempt to threaten, humiliate, intimidate, or demean others with goals of overcoming their own lack of confidence, feeling more powerful, and inflating their low selfesteem. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of behavior is referred to as which of the following?

1. Parallel violence 2. Lateral violence 3. Vertical violence 4. Horizontal violence Answer: 12. Which type of difficult person often behaves in a way to gain attention from a superior and feels a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person?

1. The dictator 2. The sneak 3. The persecutor

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4. The chronic complainer Answer: 13. Which tactic is one of the most powerful tools used by sneaks because it contains just enough truth to make it completely believable?

1. Accusations 2. Allegations 3. Mixed rumors 4. Innuendoes Answer: 14. Which technique, involving acknowledgment of and agreement with the client’s perceptions, can help reveal the underlying cause of the client’s anger?

1. Reflection 2. Confrontation 3. Legitimization 4. Interrogation Answer: 15. Because there are elements of avoidance and rejection of treatment displayed in the behaviors of clients in the bargaining stage, some of the methods used in the care of the client in which stage will also be helpful in caring for the client who is bargaining?

1. Denial 2. Anger 3. Guilt 4. Depression

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Answer:

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Questions, Answers, and Rationales 1. Establishing which of the following is key to any successful relationship, is the foundation upon which all nursing care is built, and is particularly important when dealing with difficult behavior?

1. Trust 2. Respect 3. Loyalty 4. Consistency ANS: 1 Page: 24

Feedback 1.

NURSINGTB.COM

This is correct. Establishing trust is key to any successful relationship, is the foundation upon which all nursing care is built, and is particularly important when dealing with difficult behavior.

2.

This is incorrect. Establishing respect is not the key to any successful relationship and is not the foundation upon which all nursing care is built.

3.

This is incorrect. Establishing loyalty is not the key to any successful relationship and is not the foundation upon which all nursing care is built.

4.

This is incorrect. Establishing consistency is not the key to any successful relationship and is not the foundation upon which all nursing care is built.

WWW.NURSINGTB.COM

2. Which approach to dealing with a client in denial is to be used only when all else has failed because it borders on unethical, according to the teleological system of ethics?

1. Tough love approach 2. Humor me approach 3. Don’t ask, don’t tell approach 4. Walking the tightrope approach ANS: 1 Page: 24

Feedback 1.

This is correct. The tough love approach is to be used only when all else has failed because it borders on unethical, according to the teleological system of

NURSINGTB.COM

ethics.

2.

This is incorrect. The humor me approach does not border on unethical, according to the teleological system of ethics.

3.

This is incorrect. The don’t ask, don’t tell approach does not border on unethical, according to the teleological system of ethics.

4.

This is incorrect. The walking the tightrope approach does not border on unethical, according to the teleological system of ethics.

3. Which ethical principle is one of the most important considerations in working with clients in denial?

1. Justice

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2. Autonomy 3. Fidelity 4. Accountability ANS: 2 Page: 29

Feedback 1.

This is incorrect. The ethical principle of justice is not the most important consideration when working with clients in denial.

2.

This is correct. One of the most important considerations in working with clients in denial is their autonomy, or right to self-determination.

3.

This is incorrect. The ethical principle of fidelity is not the most important

NURSINGTB.COM

consideration when working with clients in denial.

4.

This is incorrect. The ethical principle of accountability is not the most important consideration when working with clients in denial.

4. Which stage of grief acts as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life?

1. Denial 2. Anger 3. Bargaining 4. Depression

WWW.NURSINGTB.COM

ANS: 3 Page: 45

Feedback 1.

This is incorrect. Denial does not act as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life.

2.

This is incorrect. Anger does not act as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life.

3.

NURSINGTB.COM

This is correct. Bargaining acts as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life.

4.

This is incorrect. Depression does not act as an unconscious coping mechanism that seeks to fulfill the goals of avoiding the bad things that the client anticipates will soon happen to him or her and regaining some degree of control over his or her life.

5. Paraverbal indicators of which stage of grief include slow, low-tone speech and long pauses after you ask the client a question and before he or she answers?

1. Denial

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2. Anger 3. Bargaining 4. Depression ANS: 4 Page: 56

Feedback 1.

This is incorrect. Denial is not indicated by the paraverbal indicators of slow, low-tone speech and long pauses after you ask the client a question and before he or she answers.

2.

This is incorrect. Anger is not indicated by the paraverbal indicators of slow, low-tone speech and long pauses after you ask the client a question and before

NURSINGTB.COM

he or she answers.

3.

This is incorrect. Bargaining is not indicated by the paraverbal indicators of slow, low-tone speech and long pauses after you ask the client a question and before he or she answers.

4.

This is correct. Paraverbal indicators of depression include slow, low-tone speech and long pauses after you ask the client a question and before he or she answers.

6. Probably the most serious physiological consequence of grief-stage depression is suppression of which body system?

1. Immune system

WWW.NURSINGTB.COM

2. Endocrine system 3. Nervous system 4. Respiratory system ANS: 1 Page: 59

Feedback 1.

This is correct. Probably the most serious physiological consequence of griefstage depression is suppression of the immune system.

2.

This is incorrect. The endocrine system should not be directly affected in clients with grief-stage depression.

3.

This is incorrect. The nervous system should not be directly affected in clients

NURSINGTB.COM

with grief-stage depression.

4.

This is incorrect. The respiratory system should not be directly affected in clients with grief-stage depression.

7. Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is indicative of which type of behavior?

1. Bulldozer behavior 2. Duck-and-cover behavior 3. Wet blanket behavior 4. Beyond help behavior ANS: 2

WWW.NURSINGTB.COM

Page: 77

Feedback 1.

This is incorrect. Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is not indicative of bulldozer behavior.

2.

This is correct. Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is indicative of duck-and-cover behavior.

3.

This is incorrect. Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is not indicative of wet blanket behavior.

NURSINGTB.COM

4.

This is incorrect. Placing responsibility for both the problem and the solution on another person because you believe you cannot fix the problem yourself is not indicative of beyond help behavior.

8. People exhibiting which type of behavior believe the solution being offered is inappropriate or useless and that their problem is so severe or unique that there is nothing anyone could ever do to fix it?

1. Bulldozer behavior 2. Duck-and-cover behavior 3. Wet blanket behavior 4. Beyond help behavior

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Catalano Nursing Now 8e

Page 14 of 21 TB

ANS: 4 Page: 77

Feedback 1.

This is incorrect. People exhibiting bulldozer behavior do not believe the solution being offered is inappropriate or useless and that their problem is so severe or unique that there is nothing anyone could ever do to fix it.

2.

This is incorrect. People exhibiting duck-and-cover behavior do not believe the solution being offered is inappropriate or useless and that their problem is so severe or unique that there is nothing anyone could ever do to fix it.

3.

This is incorrect. People exhibiting wet blanket behavior do not believe the solution being offered is inappropriate or useless and that their problem is so

NURSINGTB.COM

severe or unique that there is nothing anyone could ever do to fix it.

4.

This is correct. People exhibiting beyond help behavior believe the solution being offered is inappropriate or useless and that their problem is so severe or unique that there is nothing anyone could ever do to fix it.

9. Which approach to dealing with chronic complaining is difficult because it requires complainers to shift their perception from one they have been hanging on to for years?

1. Empathy approach 2. Adjusting the attitude approach 3. Complaining to the complainer approach 4. Break the vicious cycle approach

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 15 of 21 TB

ANS: 2 Page: 91

Feedback 1.

This is incorrect. The empathy approach does not require complainers to shift their perception from one they have been hanging on to for years.

2.

This is correct. The adjusting the attitude approach to chronic complaining is difficult because it requires complainers to shift their perception from one they have been hanging on to for years.

3.

This is incorrect. The complaining to the complainer approach does not require complainers to shift their perception from one they have been hanging on to for years.

4.

NURSINGTB.COM

This is incorrect. The break the vicious cycle approach does not require complainers to shift their perception from one they have been hanging on to for years.

10. Which approach to dealing with chronic complaining will usually stop complainers from complaining to you while, at the same time, you take their unhappiness seriously and offer a practical resolution?

1. Empathy approach 2. Adjusting the attitude approach 3. Complaining to the complainer approach 4. Break the vicious cycle approach

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 16 of 21 TB

ANS: 4 Page: 91

Feedback 1.

This is incorrect. The empathy approach does not usually stop complainers from complaining to you while, at the same time, you take their unhappiness seriously and offer a practical resolution.

2.

This is incorrect. The adjusting the attitude approach to chronic complaining does not usually stop complainers from complaining to you while, at the same time, you take their unhappiness seriously and offer a practical resolution.

3.

This is incorrect. The complaining to the complainer approach does not usually stop complainers from complaining to you while, at the same time, you take their

NURSINGTB.COM

unhappiness seriously and offer a practical resolution.

4.

This is correct. The break the vicious cycle approach to dealing with chronic complaining will usually stop complainers from complaining to you while, at the same time, you take their unhappiness seriously and offer a practical resolution.

11. Dictators will attempt to threaten, humiliate, intimidate, or demean others with goals of overcoming their own lack of confidence, feeling more powerful, and inflating their low selfesteem. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of behavior is referred to as which of the following?

1. Parallel violence 2. Lateral violence

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Catalano Nursing Now 8e

Page 17 of 21 TB

3. Vertical violence 4. Horizontal violence ANS: 3 Page: 12

Feedback 1.

This is incorrect. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of behavior is not referred to as parallel violence.

2.

This is incorrect. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of behavior is not referred to as lateral violence.

3.

This is correct. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of NURSINGTB.COM behavior is referred to as vertical violence.

4.

This is incorrect. If a dictator is in a superior position, such as a charge nurse or supervisor, this type of behavior is not referred to as horizontal violence.

12. Which type of difficult person often behaves in a way to gain attention from a superior and feels a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person?

1. The dictator 2. The sneak 3. The persecutor 4. The chronic complainer ANS: 17

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Catalano Nursing Now 8e

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Page: 17

Feedback 1.

This is incorrect. The dictator does not usually behave in a way to gain attention from a superior and feel a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person.

2.

This is correct. The sneak often behaves in a way to gain attention from a superior and feels a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person.

3.

This is incorrect. The persecutor does not usually behave in a way to gain attention from a superior and feel a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person.

NURSINGTB.COM

4.

This is incorrect. The chronic complainer does not usually behave in a way to gain attention from a superior and feel a strong sense of jealousy when the superior gives the attention or promotion he or she wants to another person.

13. Which tactic is one of the most powerful tools used by sneaks because it contains just enough truth to make it completely believable?

1. Accusations 2. Allegations 3. Mixed rumors 4. Innuendoes ANS: 3

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Catalano Nursing Now 8e

Page 19 of 21 TB

Page: 17

Feedback 1.

This is incorrect. Accusations are not a particularly powerful tool that sneaks may use.

2.

This is incorrect. Allegations are not a particularly powerful tool that sneaks may use.

3.

This is correct. Mixed rumors are one of the most powerful tools used by sneaks because they contain just enough truth to make them completely believable.

4.

This is incorrect. Innuendoes are not a particularly powerful tool that sneaks may use.

14. Which technique, involving acknowledgment of and agreement with the client’s perceptions, can help reveal the underlying cause of the client’s anger?

1. Reflection 2. Confrontation 3. Legitimization 4. Interrogation ANS: 3 Page: 43

Feedback

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Catalano Nursing Now 8e 1.

Page 20 of 21 TB

This is incorrect. Reflection does not involve acknowledgment of and agreement with the client’s perceptions.

2.

This is incorrect. Confrontation will usually not help reveal the underlying cause of the client’s anger.

3.

This is correct. Legitimization, involving acknowledgment of and agreement with the client’s perceptions, can help reveal the underlying cause of the client’s anger.

4.

This is incorrect. Interrogation does not involve acknowledgment of and agreement with the client’s perceptions.

15. Because there are elements of avoidance and rejection of treatment displayed in the behaviors of clients in the bargaNinUinRgSsI taN gG e,TsoBm .eCoOf Mthe methods used in the care of the client in which stage will also be helpful in caring for the client who is bargaining?

1. Denial 2. Anger 3. Guilt 4. Depression ANS: 1 Page: 56

Feedback 1.

This is correct. Some of the methods used in the care of the client in denial will also be helpful in caring for the client who is bargaining.

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Catalano Nursing Now 8e 2.

Page 21 of 21 TB

This is incorrect. The methods used in the care of the client in the anger stage will be of no use in caring for the client who is bargaining.

3.

This is incorrect. The methods used in the care of the client in the guilt stage will be of no use in caring for the client who is bargaining.

4.

This is incorrect. The methods used in the care of the client in the depression stage will be of no use in caring for the client who is bargaining.

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Chapter 13: Health-Care Delivery Systems Questions 1. Which type of health-care system focuses on keeping the general public healthy so that citizens can continue to contribute to society and the economy?

1. Type 1 system 2. Type 2 system 3. Type 3 system 4. Type 4 system Answer: 2. Which type of services are frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis and treatment of complex disorders?

1. Primary care 2. Secondary care 3. Tertiary care 4. Palliative care Answer: 3. With the recent development of the Gold Standards Framework, nurses working with which of the following have a defined process to improve the quality of life through communication, collaboration, support, and coordination of care?

1. Primary care 2. Secondary care 3. Hospice care

4. Rehabilitative care Answer: 4. The origins of the current nursing shortage can be traced back directly to the implementation of which of the following in the 1990s as a method of controlling health-care costs?

1. Telemedicine 2. Managed care 3. Electronic health records 4. Medicaid Answer: 5. A growing awareness of and interest in maintaining optimal health is resulting in a movement toward increasing which type of care as a means of promoting health?

1. Primary care 2. Secondary care 3. Tertiary care 4. Palliative care Answer: 6. Nurses led the way for implementing which legislative act because they saw it as a move to make the U.S. health-care system the best in the world for all U.S. citizens?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer:

7. In which type of system do individuals who can afford private health insurance or who can pay for their health care choose their care providers and receive health services?

1. Type 1 system 2. Type 2 system 3. Type 3 system 4. Type 4 system Answer: 8. Which country boasts one of the highest life expectancies (about 80 years) and lowest infant mortality rates of industrialized countries, which many attribute to the country’s universal singlepayer health-care system?

1. Germany 2. Canada 3. United States 4. Switzerland Answer: 9. In an attempt to contain health-care costs, which type of organizations were introduced to review the quality, quantity, and cost of hospital care through Medicare?

1. Managed care organizations 2. Preferred provider organizations 3. Accountable care organizations 4. Professional standards review organization Answer:

10. Concerns related to self-esteem, stress, drug abuse, and adolescent pregnancy are frequently addressed by which type of nurse?

1. Public health nurse 2. Rural primary care nurse 3. School nurse 4. Home health care nurse Answer: 11. Most North Americans access primary health care in which location?

1. Hospitals 2. Community centers 3. Physician offices 4. Outpatient clinics Answer: 12. As the population continues to age, which type of centers are increasing in popularity because they allow clients to maintain the greatest amount of independence possible in a partially controlled and supervised living environment?

1. Rehabilitation centers 2. Extended care centers 3. Assisted living centers 4. Intermediate care centers Answer: 13. Which type of disease rates are notably higher in clients who live in rural areas of the United States?

1. Acute diseases 2. Infectious diseases 3. Chronic diseases 4. Childhood diseases Answer: 14. Which type of health insurance is now available to rural Americans who are self-employed or who do not have health insurance for other reasons?

1. Health maintenance organizations (HMOs) 2. Preferred provider organizations (PPOs) 3. Exclusive provider organizations (EPOs) 4. Health insurance purchasing cooperatives (HIPCs) Answer:

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15. Which type of nurses are in a unique position to exercise their skills as care managers because they possess the appropriate clinical knowledge and skills and are intimately familiar with their communities and the cultural climate of their clientele?

1. Parish nurses 2. Primary care nurses 3. Long-term care nurses 4. Home health care nurses Answer:

Questions, Answers, and Rationales 1. Which type of health-care system focuses on keeping thegeneral public healthy so that citizens can continue to contribute to society and theeconomy?

1. Type 1 system 2. Type 2 system 3. Type 3 system 4. Type 4 system ANS: 4 Page: 12

Feedback 1.

This is incorrect. Type 1 systems do not focus on keeping thegeneral public

NURSINGTB.COM

healthy so that citizens can continue to contribute to society and theeconomy.

2.

This is incorrect. Type 2 systems do not focus on keeping thegeneral public healthy so that citizens can continue to contribute to society and theeconomy.

3.

This is incorrect. Type 3 systems do not focus on keeping thegeneral public healthy so that citizens can continue to contribute to society and theeconomy.

4.

This is correct. Type 4 system focus on keeping thegeneral public healthy so that citizens can continue to contribute to society and theeconomy.

2. Which type of services are frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis and treatment of complex disorders?

1. Primary care

2. Secondary care 3. Tertiary care 4. Palliative care ANS: 2 Page: 24

Feedback 1.

This is incorrect. Primary care does not emphasize diagnosis and treatment of complex disorders.

2.

This is correct. Secondary care services are frequently provided in hospitals and other acute care settings, with an emphasis on diagnosis and treatment of complex disorders.

3.

NURSINGTB.COM

This is incorrect. Tertiary care does not emphasize diagnosis and treatment of complex disorders.

4.

This is incorrect. Palliative care does not emphasize diagnosis and treatment of complex disorders.

3. With therecent development of theGold Standards Framework, nurses working with which of thefollowing have a defined process to improve thequality of life through communication, collaboration, support, and coordination of care?

1. Primary care 2. Secondary care 3. Hospice care

4. Rehabilitative care ANS: 3 Page: 38

Feedback 1.

This is incorrect. theGold Standards Framework does not support primary care.

2.

This is incorrect. theGold Standards Framework does not support secondary care.

3.

This is correct. With therecent development of theGold Standards Framework, nurses working with hospice have a defined process to improve thequality of life through communication, collaboration, support, and coordination of care.

4.

This is incorrect. theGold Standards Framework does not support rehabilitative NURSINGTB.COM care.

4. theorigins of thecurrent nursing shortage can be traced back directly to theimplementation of which of thefollowing in the1990s as a method of controlling health-care costs?

1. Telemedicine 2. Managed care 3. Electronic health records 4. Medicaid ANS: 2 Page: 38

Feedback 1.

This is incorrect. theorigins of thecurrent nursing shortage cannot be traced back directly to theimplementation of telemedicine.

2.

This is correct. theorigins of thecurrent nursing shortage can be traced back directly to theimplementation of managed care in the1990s as a method of controlling health-care costs.

3.

This is incorrect. theorigins of thecurrent nursing shortage cannot be traced back directly to theimplementation of electronic health records.

4.

This is incorrect. theorigins of thecurrent nursing shortage cannot be traced back directly to theimplementation of Medicaid.

5. A growing awareness of and N inUteRreSsI t iN nG mTaB in. taC inO inMg optimal health is resulting in a movement toward increasing which type of care as a means of promoting health?

1. Primary care 2. Secondary care 3. Tertiary care 4. Palliative care ANS: 1 Page: 1

Feedback

1.

This is correct. A growing awareness of and interest in maintaining optimal health is resulting in a movement toward increasing preventive and primary care as a means of promoting health.

2.

This is incorrect. Increasing secondary care is not used as a means of promoting health.

3.

This is incorrect. Tertiary care is not used as a means of promoting health.

4.

This is incorrect. Palliative care is not used as a means of promoting health.

6. Nurses led theway for implementing which legislative act because they saw it as a move to make theU.S. health-care system thebest in theworld for all U.S. citizens?

1. Affordable Care Act 2. Health Insurance Portability N anUdRAScI coNuG ntT abBilit .Cy OAMct 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1 Page: 2

Feedback 1.

This is correct. Nurses led theway for implementing theAffordable Care Act because they saw it as a move to make theU.S. health-care system thebest in theworld for all U.S. citizens.

2.

This is incorrect. Nurses did not thelead theway for implementing theHealth Insurance Portability and Accountability Act.

3.

This is incorrect. Nurses did not thelead theway for implementing theOmnibus Budget Reconciliation Act.

4.

This is incorrect. Nurses did not thelead theway for implementing the Emergency Treatment and Active Labor Act.

7. In which type of system do individuals who can afford private health insurance or who can pay for their health care choose their care providers and receive health services?

1. Type 1 system 2. Type 2 system 3. Type 3 system 4. Type 4 system ANS: 1

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Page: 12

Feedback 1.

This is correct. In type 1 systems, individuals who can afford private health insurance or who can pay for their health care choose their care providers and receive health services.

2.

This is incorrect. In type 2 systems, individuals are unable to pay entirely for their health care.

3.

This is incorrect. In type 3 systems, individuals are unable to pay entirely for their health care.

4.

This is incorrect. In type 4 systems, individuals are unable to pay entirely for their health care.

8. Which country boasts one of thehighest life expectancies (about 80 years) and lowest infant mortality rates of industrialized countries, which many attribute to thecountry’s universal singlepayer health-care system?

1. Germany 2. Canada 3. United States 4. Switzerland ANS: 2 Page: 12

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Feedback 1.

This is incorrect. thelife expectancy and infant mortality rate in Germany are not attributed to a universal single-payer health-care system.

2.

This is correct. Canada boasts one of thehighest life expectancies (about 80 years) and lowest infant mortality rates of industrialized countries, which many attribute to Canada’s universal single-payer health-care system.

3.

This is incorrect. thelife expectancy and infant mortality rate in theUnited States are not attributed to a universal single-payer health-care system.

4.

This is incorrect. thelife expectancy and infant mortality rate in theSwitzerland are not attributed to a universal single-payer health-care system.

9. In an attempt to contain health-care costs, which type of organizations were introduced to review thequality, quantity, and cost of hospital care through Medicare?

1. Managed care organizations 2. Preferred provider organizations 3. Accountable care organizations 4. Professional standards review organization ANS: 4 Page: 19

Feedback 1.

This is incorrect. Managed care organizations were not introduced to review the

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quality, quantity, and cost of hospital care through Medicare.

2.

This is incorrect. Preferred provider organizations were not introduced to review the quality, quantity, and cost of hospital care through Medicare.

3.

This is incorrect. Accountable care organizations were not introduced to review the quality, quantity, and cost of hospital care through Medicare.

4.

This is correct. In an attempt to contain health-care costs, professional standards review organizations were introduced to review thequality, quantity, and cost of hospital care through Medicare.

10. Concerns related to self-esteem, stress, drug abuse, and adolescent pregnancy are frequently addressed by which type of nurse?

1. Public health nurse 2. Rural primary care nurse 3. School nurse 4. Home health care nurse ANS: 3 Page: 30

Feedback 1.

This is incorrect. Concerns related to self-esteem, stress, drug abuse, and adolescent pregnancy are typically not addressed by public health nurses.

2.

This is incorrect. Concerns related to self-esteem, stress, drug abuse, and adolescent pregnancy are typically not addressed by rural primary care nurses.

NURSINGTB.COM

3.

This is correct. Concerns related to self-esteem, stress, drug abuse, and adolescent pregnancy are frequently addressed by school nurses.

4.

This is incorrect. Concerns related to self-esteem, stress, drug abuse, and adolescent pregnancy are typically not addressed by home health care nurses.

11. Most North Americans access primary health care in which location?

1. Hospitals 2. Community centers 3. Physician offices 4. Outpatient clinics ANS: 3

Page: 31

Feedback 1.

This is incorrect. Most North Americans do not seek primary care in hospitals.

2.

This is incorrect. Most North Americans do not seek primary care in community centers.

3.

This is correct. Most North Americans access primary health care in physician offices.

4.

This is incorrect. Most North Americans do not seek primary care in outpatient clinics.

12. As thepopulation continuesNtU oR agSeI ,w ypCeOoM f centers are increasing in popularity NhGicThBt. because they allow clients to maintain thegreatest amount of independence possible in a partially controlled and supervised living environment?

1. Rehabilitation centers 2. Extended care centers 3. Assisted living centers 4. Intermediate care centers ANS: 3 Page: 33

Feedback

1.

This is incorrect. Rehabilitation centers do not allow clients to maintain the greatest amount of independence possible in a partially controlled and supervised living environment.

2.

This is incorrect. Extended care centers do not allow clients to maintain the greatest amount of independence possible in a partially controlled and supervised living environment.

3.

This is correct. As thepopulation continues to age, assisted living centers are increasing in popularity because they allow clients to maintain thegreatest amount of independence possible in a partially controlled and supervised living environment.

4.

This is incorrect. Intermediate care centers do not allow clients to maintain thegreatest amount of independence possible in a partially controlled and NURSINGTB.COM supervised living environment.

13. Which type of disease rates are notably higher in clients who live in rural areas of theUnited States?

1. Acute diseases 2. Infectious diseases 3. Chronic diseases 4. Childhood diseases ANS: 4 Page: 37

Feedback 1.

This is incorrect. therate of acute diseases is not notably higher in clients who live in rural areas of theUnited States.

2.

This is incorrect. therate of infectious diseases is not notably higher in clients who live in rural areas of theUnited States.

3.

This is incorrect. Chronic disease rates are notably higher in clients who live in rural areas of theUnited States.

4.

This is correct. therate of childhood diseases is notably higher in clients who live in rural areas of theUnited States.

14. Which type of health insurance is now available to rural Americans who are self-employed or who do not have health insuranN ceUfR orSoIthNeG r rTeB as. onCsO ?M 1. Health maintenance organizations (HMOs) 2. Preferred provider organizations (PPOs) 3. Exclusive provider organizations (EPOs) 4. Health insurance purchasing cooperatives (HIPCs) ANS: 4 Page: 37

Feedback 1.

This is incorrect. HMOs do not affect rural Americans who are self-employed or who do not have health insurance for other reasons.

2.

This is incorrect. PPOs do not affect rural Americans who are self-employed or who do not have health insurance for other reasons.

3.

This is incorrect. EPOs do not affect rural Americans who are self-employed or who do not have health insurance for other reasons.

4.

This is correct. HIPCs are now available to rural Americans who are selfemployed or who do not have health insurance for other reasons.

15. Which type of nurses are in a unique position to exercise their skills as care managers because they possess theappropriate clinical knowledge and skills and are intimately familiar with their communities and thecultural climate of their clientele?

1. Parish nurses 2. Primary care nurses 3. Long-term care nurses 4. Home health care nurses ANS: 1 Page: 39

Feedback 1.

This is correct. Parish nurses are in a unique position to exercise their skills as care managers because they possess theappropriate clinical knowledge and skills and are intimately familiar with their communities and thecultural climate of their clientele.

2.

This is incorrect. Primary care nurses typically do not possess theappropriate clinical knowledge and skills, nor are they intimately familiar with their communities and thecultural climate of their clientele.

3.

This is incorrect. Long-term care nurses typically do not possess theappropriate clinical knowledge and skills, nor are they intimately familiar with their communities and thecultural climate of their clientele.

4.

This is incorrect. Home health care nurses typically do not possess theappropriate clinical knowledge and skills, nor are they intimately familiar with their communities and thecultural climate of their clientele.

Catalano Nursing Now 8e

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Chapter 14: Ensuring Quality Care Questions 1. Which organization now serves as thegold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information?

1. Leapfrog Group 2. The Joint Commission 3. Institute of Medicine 4. Centers for Medicare and Medicaid Services Answer: 2. Well-paid consultants called Black Belts, trained in which process, are hired by hospitals and other institutions that believe this process may be theanswer to their quality issues?

1. Six Sigma 2. Risk management 3. Care management 4. Continuous quality improvement Answer: 3. When theSix Sigma process is used to analyze a problem, thefive-step statistical process can be applied once which variation is detected?

1. Chance variation 2. Common variation 3. Assigned variation

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Catalano Nursing Now 8e

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4. Continuous variation Answer: 4. A hybrid Six Sigma program called Lean Six Sigma focuses on identifying and eliminating which of thefollowing and thereby improving theflow of processes?

1. Waste 2. Errors 3. Repetition 4. Paperwork Answer: 5. Since before 2010, nurses have been using thehuddle, which is a highly modified and streamlined form of which process?

1. Six Sigma 2. Scrum 3. Risk management 4. Care management Answer: 6. What sixth competency was added to theQuality and Safety Education for Nurses (QSEN) model when themodel was revised because of theimportant role this competency now plays in health care?

1. Safety 2. Quality improvement 3. Evidence-based practice 4. Informatics

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Catalano Nursing Now 8e

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Answer: 7. One of thethree core functions of theQuality Improvement Organization (QIO) is protecting Medicare beneficiaries by expeditiously addressing individual complaints, including violations of which legislative act?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 8. In health care, which of thefollowing attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly thefirst time and each time thereafter?

1. Six Sigma 2. Quality assurance 3. Risk management 4. Care management Answer: 9. Which organization uses quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data?

1. Leapfrog Group 2. The Joint Commission 3. Agency for Healthcare Research and Quality 4. Centers for Medicare and Medicaid Services Answer:

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Catalano Nursing Now 8e

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10. With which approach does thecare-delivery process receive close and constant scrutiny and everyone is encouraged to think creatively to devise and test new ideas for improving quality?

1. Six Sigma 2. Risk management 3. Care management 4. Continuous quality improvement Answer: 11. thedevelopment of which of thefollowing grew out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner?

1. Benchmarks 2. Dashboards 3. Clinical pathways 4. Lean Six Sigma Answer: 12. themost accepted definition of which process is a framework within which people can address complex adaptive problems by working as an effective team through collaborating on thesolutions to complex issues?

1. Six Sigma 2. Scrum 3. Risk management 4. Care management Answer:

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Catalano Nursing Now 8e

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13. thehuddle tends to be most effective in which units, where well-planned and controllable shifts can suddenly turn into pandemonium?

1. Acute care units 2. Long-term care units 3. Intermediate care units 4. Rehabilitation units Answer: 14. Section 3501 of which legislative act mandated that theAgency for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on thebest quality-improvement practice innovations and strategies?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 15. Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are referred to as which of following?

1. Huddles 2. Benchmarks 3. Dashboards 4. Clinical pathways Answer:

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Catalano Nursing Now 8e

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Questions, Answers, and Rationales 1. Which organization now serves as thegold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information?

1. Leapfrog Group 2. The Joint Commission 3. Institute of Medicine 4. Centers for Medicare and Medicaid Services ANS: 1 Page: 7

Feedback 1.

NURSINGTB.COM

This is correct. theLeapfrog Group now serves as thegold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information.

2.

This is incorrect. theJoint Commission does not serve as thegold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information.

3.

This is incorrect. theInstitute of Medicine does not serve as thegold standard for comparison of hospital performance on national standards of safety, quality,

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 7 of 20 TB

and efficiency, thereby facilitating transparency and easy access to health-care information.

4.

This is incorrect. theCenters for Medicare and Medicaid Services does not serve as thegold standard for comparison of hospital performance on national standards of safety, quality, and efficiency, thereby facilitating transparency and easy access to health-care information.

2. Well-paid consultants called Black Belts, trained in which process, are hired by hospitals and other institutions that believe this process may be theanswer to their quality issues?

1. Six Sigma 2. Risk management 3. Care management 4. Continuous quality improvement ANS: 1 Page: 17

Feedback 1.

This is correct. Consultants trained in Six Sigma are referred to as Black Belts.

2.

This is incorrect. Consultants trained in risk management are not referred to as Black Belts.

3.

This is incorrect. Consultants trained in care management are not referred to as Black Belts.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 4.

Page 8 of 20 TB

This is incorrect. Consultants trained in continuous quality improvement are not referred to as Black Belts.

3. When theSix Sigma process is used to analyze a problem, thefive-step statistical process can be applied once which variation is detected?

1. Chance variation 2. Common variation 3. Assigned variation 4. Continuous variation ANS: 3 Page: 18

NURSINGTB.COM Feedback 1.

This is incorrect. thefive-step statistical process used in Six Sigma cannot be applied in response to chance variation.

2.

This is incorrect. thefive-step statistical process used in Six Sigma cannot be applied in response to common variation.

3.

This is correct. When theSix Sigma process is used to analyze a problem, the five-step statistical process can be applied once assigned variation is detected.

4.

This is incorrect. thefive-step statistical process used in Six Sigma cannot be applied in response to continuous variation.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 9 of 20 TB

4. A hybrid Six Sigma program called Lean Six Sigma focuses on identifying and eliminating which of thefollowing and thereby improving theflow of processes?

1. Waste 2. Errors 3. Repetition 4. Paperwork ANS: 1 Page: 18

Feedback 1.

This is correct. A hybrid Six Sigma program called Lean Six Sigma focuses on identifying and eliminating waste and thereby improving theflow of processes.

NURSINGTB.COM

2.

This is incorrect. Lean Six Sigma does not focus on eliminating errors.

3.

This is incorrect. Lean Six Sigma does not focus on eliminating repetition.

4.

This is incorrect. Lean Six Sigma does not focus on eliminating paperwork.

5. Since before 2010, nurses have been using thehuddle, which is a highly modified and streamlined form of which process?

1. Six Sigma 2. Scrum 3. Risk management 4. Care management ANS: 2

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 10 of 20 TB

Page: 20

Feedback 1.

This is incorrect. A streamlined form of Six Sigma is not used during a nursing huddle.

2.

This is correct. Nurses have been using a highly modified and streamlined form of Scrum, called a huddle, since before 2010.

3.

This is incorrect. A streamlined form of risk management is not used during a nursing huddle.

4.

This is incorrect. A streamlined form of care management is not used during a nursing huddle.

6. What sixth competency was added to theQuality and Safety Education for Nurses (QSEN) model when themodel was revised because of theimportant role this competency now plays in health care?

1. Safety 2. Quality improvement 3. Evidence-based practice 4. Informatics ANS: 4 Page: 22

Feedback

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Catalano Nursing Now 8e 1.

Page 11 of 20 TB

This is incorrect. Safety was one of theinitial five competencies of theQSEN model.

2.

This is incorrect. Quality improvement was one of theinitial five competencies of theQSEN model.

3.

This is incorrect. Evidence-based practice was one of theinitial five competencies of theQSEN model.

4.

This is correct. Informatics was added to theQSEN model when themodel was revised because of theimportant role informatics now plays in health care.

7. One of thethree core functions of theQuality Improvement Organization (QIO) is protecting Medicare beneficiaries by expeditiously addressing individual complaints, including violations of which legislative act?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 4 Page: 25

Feedback 1.

This is incorrect. Violations of theAffordable Care Act is not one of thethree core functions of QIO.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 12 of 20 TB

This is incorrect. Violations of theRegistered Nurse Safe Staffing Act is not one of thethree core functions of QIO.

3.

This is incorrect. Violations of theOmnibus Budget Reconciliation Act is not one of thethree core functions of QIO.

4.

This is correct. One of thethree core functions of theQuality Improvement Organization (QIO) is protecting Medicare beneficiaries by expeditiously addressing individual complaints, including violations of theEmergency Treatment and Active Labor Act.

8. In health care, which of thefollowing attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly thefirst time and each time thereafter?

1. Six Sigma 2. Quality assurance 3. Risk management 4. Care management ANS: 2 Page: 4

Feedback 1.

This is incorrect. Six Sigma does not attempt to guarantee that when an action is performed by a health-care professional, it is performed correctly thefirst time and each time thereafter.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 13 of 20 TB

This is correct. In health care, quality assurance attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly thefirst time and each time thereafter.

3.

This is incorrect. Risk management does not attempt to guarantee that when an action is performed by a health-care professional, it is performed correctly thefirst time and each time thereafter.

4.

This is incorrect. Care management does not attempt to guarantee that when an action is performed by a health-care professional, it is performed correctly the first time and each time thereafter.

9. Which organization uses quality indicators as measures of health-care quality from easily accessible inpatient hospital adm isS traItiNvG eT daBta.?COM NiUnR 1. Leapfrog Group 2. The Joint Commission 3. Agency for Healthcare Research and Quality 4. Centers for Medicare and Medicaid Services ANS: 3 Page: 10

Feedback 1.

This is incorrect. theLeapfrog Group does not use quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 14 of 20 TB

This is incorrect. theJoint Commission does not use quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data.

3.

This is correct. theAgency for Healthcare Research and Quality uses quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data.

4.

This is incorrect. theCenters for Medicare and Medicaid Services does not use quality indicators as measures of health-care quality from easily accessible inpatient hospital administrative data.

10. With which approach does thecare-delivery process receive close and constant scrutiny, and everyone is encouraged to thinkNcUreRaS tivIeN lyGtT oB de.vC isO eM and test new ideas for improving quality?

1. Six Sigma 2. Risk management 3. Care management 4. Continuous quality improvement ANS: 4 Page: 11

Feedback 1.

This is incorrect. thecare-delivery process does not receive close and constant scrutiny during theSix Sigma process.

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Catalano Nursing Now 8e 2.

Page 15 of 20 TB

This is incorrect. thecare-delivery process does not receive close and constant scrutiny during therisk management process.

3.

This is incorrect. thecare-delivery process does not receive close and constant scrutiny during thecare management process.

4.

This is correct. With thecontinuous quality improvement approach, thecaredelivery process receives close and constant scrutiny, and everyone is encouraged to think creatively to devise and test new ideas for improving quality.

11. thedevelopment of which of thefollowing grew out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner?

1. Benchmarks 2. Dashboards 3. Clinical pathways 4. Lean Six Sigma ANS: 3 Page: 12

Feedback 1.

This is incorrect. Benchmarks were not developed out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner.

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Catalano Nursing Now 8e 2.

Page 16 of 20 TB

This is incorrect. Dashboards were not developed out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner.

3.

This is correct. thedevelopment of clinical pathways grew out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner.

4.

This is incorrect. Lean Six Sigma was not developed out of a need to assess, implement, and monitor cost-effective, high-quality client care in a systematic manner.

12. themost accepted definition of which process is a framework within which people can address complex adaptive problN em s bSyIw ng.aCsOanM effective team through collaborating on UR NoGrkTiB thesolutions to complex issues?

1. Six Sigma 2. Scrum 3. Risk management 4. Care management ANS: 2 Page: 19

Feedback

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Catalano Nursing Now 8e 1.

Page 17 of 20 TB

This is incorrect. Six Sigma is not defined as a framework within which people can address complex adaptive problems by working as an effective team through collaborating on thesolutions to complex issues.

2.

This is correct. themost accepted definition of Scrum is a framework within which people can address complex adaptive problems by working as an effective team through collaborating on thesolutions to complex issues.

3.

This is incorrect. Risk management is not defined as a framework within which people can address complex adaptive problems by working as an effective team through collaborating on thesolutions to complex issues.

4.

This is incorrect. Care management is not defined as a framework within which people can address complex adaptive problems by working as an effective team through collaborating on thesolutions to complex issues.

NURSINGTB.COM

13. thehuddle tends to be most effective in which units, where well-planned and controllable shifts can suddenly turn into pandemonium?

1. Acute care units 2. Long-term care units 3. Intermediate care units 4. Rehabilitation units ANS: 1 Page: 21

Feedback

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Catalano Nursing Now 8e 1.

Page 18 of 20 TB

This is correct. thehuddle tends to be most effective in acute care units, where well-planned and controllable shifts can suddenly turn into pandemonium.

2.

This is incorrect. thehuddle is less effective in long-term care units than in acute care units.

3.

This is incorrect. thehuddle is less effective in intermediate care units than in acute care units.

4.

This is incorrect. thehuddle is less effective in rehabilitation units than in acute care units.

14. Section 3501 of which legislative act mandated that theAgency for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on thebest quality-improvemenNt U prR acStiIceNiGnT noBv. atC ioOnM s and strategies?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1 Page: 33

Feedback 1.

This is correct. Section 3501 of theAffordable Care Act mandated that the Agency for Healthcare Research and Quality work through a Center for Quality

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Catalano Nursing Now 8e

Page 19 of 20 TB

Improvement and Patient Safety to conduct research on thebest qualityimprovement practice innovations and strategies.

2.

This is incorrect. theRegistered Nurse Safe Staffing Act did not mandate that theAgency for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on thebest qualityimprovement practice innovations and strategies.

3.

This is incorrect. theOmnibus Budget Reconciliation Act did not mandate that theAgency for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on thebest qualityimprovement practice innovations and strategies.

4.

This is incorrect. theEmergency Treatment and Active Labor Act did not mandate that theAgencyNURSINGTB.COM for Healthcare Research and Quality work through a Center for Quality Improvement and Patient Safety to conduct research on the best quality-improvement practice innovations and strategies.

15. Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are referred to as which of following?

1. Huddles 2. Benchmarks 3. Dashboards 4. Clinical pathways ANS: 3 Page: 5

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Catalano Nursing Now 8e

Page 20 of 20 TB

Feedback 1.

This is incorrect. Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are not referred to as huddles.

2.

This is incorrect. Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are not referred to as benchmarks.

3.

This is correct. Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are referred to as dashboards.

4.

This is incorrect. Electronic tools that act as a scorecard and can provide retrospective or real-time data to assess quality are not referred to as clinical pathways.

NURSINGTB.COM

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 1 of 20 TB

Chapter 15: Delegation in Nursing Questions 1. theprocess whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond theperson’s traditional role and are not routinely performed by that person is referred to as which of thefollowing?

1. Integration 2. Delegation 3. Supervision 4. Assignment Answer: 2. theallocation of tasks that each staff member is already authorized to perform during a given shift is referred to as which of thefollowing?

1. Integration 2. Delegation 3. Supervision 4. Assignment Answer: 3. theart of which process requires that thesupervising RN use direct and indirect observations of how well themember is providing safe, high-quality, and timely patient care?

1. Evaluation 2. Delegation 3. Supervision

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Catalano Nursing Now 8e

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4. Assignment Answer: 4. theobligation or willingness to be answerable for one’s own actions and/or theactions of another, particularly when there is assignment or delegation of tasks, is referred to as which of thefollowing?

1. Evaluation 2. Supervision 3. Accountability 4. Responsibility Answer: 5. The consensus among many experts is that which of thefollowing is really a form of covert institutional licensure?

1. Evaluation 2. Supervision 3. Direct delegation 4. Indirect delegation Answer: 6. Which of thefollowing refers to theduty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority?

1. Evaluation 2. Supervision 3. Accountability

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Catalano Nursing Now 8e

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4. Responsibility Answer: 7. Which legislative act began a major movement in theUnited States away from a disease-based health-care system and toward a health and wellness model of care?

1. Affordable Care Act 2. Registered Nurse Safe Staffing Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 8. Which of thefollowing is a skill that may be performed by LPNs and LVNs? 1. Perform admission assessments 2. Write nursing diagnoses 3. Take care of clients with acute conditions 4. Take care of clients with chronic conditions Answer: 9. Which of thefollowing actions can never be delegated?

1. Evaluation 2. Assignment 3. Accountability 4. Responsibility Answer: 10. Reviewing themedication sheet to make sure theLPN was giving medications on time is an example of which process?

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Catalano Nursing Now 8e

Page 4 of 20 TB

1. Direct observation 2. Indirect observation 3. Direct delegation 4. Indirect delegation Answer: 11. Ensuring that an LPN is changing a dressing properly is an example of which process?

1. Direct observation 2. Indirect observation 3. Direct delegation 4. Indirect delegation Answer: 12. Which process takes away almost all of theauthority of theRN to delegate personnel tasks yet holds theRN still accountable for thesafe completion of thetask under thedoctrines of respondeat superior and vicarious liability?

1. Direct observation 2. Indirect observation 3. Direct delegation 4. Indirect delegation Answer: 13. A specific decision made by theRN about who can perform what tasks is referred to as which of thefollowing?

1. Direct observation 2. Indirect observation

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Catalano Nursing Now 8e

Page 5 of 20 TB

3. Direct delegation 4. Indirect delegation Answer: 14. Which health-care professionals are held to thesame standards as RNs when it comes to delegating and making assignments?

1. Physicians 2. Advanced practice nurses (APRNs) 3. Licensed practical nurses (LPNs) 4. Licensed vocational nurses (LVNs) Answer: 15. Which process includes theconcept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what theother individuals are doing is correct and safe?

1. Evaluation 2. Supervision 3. Accountability 4. Responsibility Answer:

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Catalano Nursing Now 8e

Page 6 of 20 TB

Questions, Answers, and Rationales 1. theprocess whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond theperson’s traditional role and are not routinely performed by that person is referred to as which of thefollowing?

1. Integration 2. Delegation 3. Supervision 4. Assignment ANS: 2 Page: 2

Feedback 1.

NURSINGTB.COM

This is incorrect. Integration is not theprocess whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond theperson’s traditional role and are not routinely performed by that person.

2.

This is correct. theprocess whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond theperson’s traditional role and are not routinely performed by that person is referred to as delegation.

3.

This is incorrect. Supervision is not theprocess whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 7 of 20 TB

activities that are beyond theperson’s traditional role and are not routinely performed by that person.

4.

This is incorrect. Assignment is not theprocess whereby a nurse directs another health-care team member to perform specific nursing tasks, procedures, and activities that are beyond theperson’s traditional role and are not routinely performed by that person.

2. theallocation of tasks that each staff member is already authorized to perform during a given shift is referred to as which of thefollowing?

1. Integration 2. Delegation 3. Supervision

NURSINGTB.COM

4. Assignment ANS: 4 Page: 4

Feedback 1.

This is incorrect. Integration does not refer to theallocation of tasks that each staff member is already authorized to perform during a given shift.

2.

This is incorrect. Delegation does not refer to theallocation of tasks that each staff member is already authorized to perform during a given shift.

3.

This is incorrect. Supervision does not refer to theallocation of tasks that each staff member is already authorized to perform during a given shift.

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Catalano Nursing Now 8e 4.

Page 8 of 20 TB

This is correct. theallocation of tasks that each staff member is already authorized to perform during a given shift is referred to as assignment.

3. theart of which process requires that thesupervising RN use direct and indirect observations of how well themember is providing safe, high-quality, and timely patient care?

1. Evaluation 2. Delegation 3. Supervision 4. Assignment ANS: 1 Page: 5

NURSINGTB.COM Feedback 1.

This is correct. theart of evaluation requires that thesupervising RN use direct and indirect observations of how well themember is providing safe, highquality, and timely patient care.

2.

This is incorrect. Delegation does not require that thesupervising RN use direct and indirect observations of how well themember is providing safe, highquality, and timely patient care.

3.

This is incorrect. Supervision does not require that thesupervising RN use direct and indirect observations of how well themember is providing safe, highquality, and timely patient care.

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Catalano Nursing Now 8e 4.

Page 9 of 20 TB

This is incorrect. Assignment does not require that thesupervising RN use direct and indirect observations of how well themember is providing safe, highquality, and timely patient care.

4. theobligation or willingness to be answerable for one’s own actions and/or theactions of another, particularly when there is assignment or delegation of tasks, is referred to as which of thefollowing?

1. Evaluation 2. Supervision 3. Accountability 4. Responsibility ANS: 3

NURSINGTB.COM

Page: 5

Feedback 1.

This is incorrect. Evaluation does not refer to theobligation or willingness to be answerable for one’s own actions and/or theactions of another, particularly when there is assignment or delegation of tasks.

2.

This is incorrect. Supervision does not refer to theobligation or willingness to be answerable for one’s own actions and/or theactions of another, particularly when there is assignment or delegation of tasks.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 10 of 20 TB

This is correct. theobligation or willingness to be answerable for one’s own actions and/or theactions of another, particularly when there is assignment or delegation of tasks, is referred to as accountability.

4.

This is incorrect. Responsibility does not refer to theobligation or willingness to be answerable for one’s own actions and/or theactions of another, particularly when there is assignment or delegation of tasks.

5. The consensus among many experts is that which of thefollowing is really a form of covert institutional licensure?

1. Evaluation 2. Supervision 3. Direct delegation 4. Indirect delegation ANS: 4 Page: 23

Feedback 1.

This is incorrect. Experts do not refer to evaluation as a form of covert institutional licensure.

2.

This is incorrect. Experts do not refer to supervision as a form of covert institutional licensure.

3.

This is incorrect. Experts do not refer to as a form to direct delegation as a form of covert institutional licensure.

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Catalano Nursing Now 8e 4.

Page 11 of 20 TB

This is correct. theconsensus among many experts is that indirect delegation is really a form of covert institutional licensure.

6. Which of thefollowing refers to theduty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority?

1. Evaluation 2. Supervision 3. Accountability 4. Responsibility ANS: 4 Page: 6

NURSINGTB.COM

Feedback 1.

This is incorrect. Evaluation does not refer to theduty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority.

2.

This is incorrect. Supervision does not refer to theduty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority.

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Catalano Nursing Now 8e 3.

Page 12 of 20 TB

This is incorrect. Accountability does not refer to theduty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority.

4.

This is correct. Responsibility refers to theduty of a person, as a reasonable and prudent member of a particular group by training or licensure, to complete tasks and assignments that are within his or her power, control, and authority.

7. Which legislative act began a major movement in theUnited States away from a disease-based health-care system and toward a health and wellness model of care?

1. Affordable Care Act 2. Registered Nurse Safe StaffinNgUARcS t INGTB.COM 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act ANS: 1 Page: 14

Feedback 1.

This is correct. theAffordable Care Act began a major movement in theUnited States away from a disease-based health-care system and toward a health and wellness model of care.

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Catalano Nursing Now 8e 2.

Page 13 of 20 TB

This is incorrect. theRegistered Nurse Safe Staffing Act did not begin a major movement in theUnited States away from a disease-based health-care system and toward a health and wellness model of care.

3.

This is incorrect. theOmnibus Budget Reconciliation Act did not begin a major movement in theUnited States away from a disease-based health-care system and toward a health and wellness model of care.

4.

This is incorrect. theEmergency Treatment and Active Labor Act did not begin a major movement in theUnited States away from a disease-based health-care system and toward a health and wellness model of care.

8. Which of thefollowing is a skill that may be performed by LPNs and LVNs? 1. Perform admission assessmenNtU s RSINGTB.COM 2. Write nursing diagnoses 3.Take care of clients with acute conditions 4.Take care of clients with chronic conditions ANS: 4 Page: 24

Feedback 1.

This is incorrect. LPNs and LVNs are not permitted to perform admission assessments.

2.

This is incorrect. LPNs and LVNs are not permitted to write nursing diagnoses.

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Catalano Nursing Now 8e 3.

Page 14 of 20 TB

This is incorrect. LPNs and LVNs are not permitted to take care of clients with acute conditions.

4.

This is correct. LPNs and LVNs are permitted to take care of clients with chronic conditions.

9. Which of thefollowing actions can never be delegated?

1. Evaluation 2. Assignment 3. Accountability 4. Responsibility ANS: 3 Page: 4

NURSINGTB.COM

Feedback 1.

This is incorrect. Evaluation is an action that can be delegated.

2.

This is incorrect. Assignment is an action that can be delegated.

3.

This is correct. Accountability is an action that can never be delegated.

4.

This is incorrect. Responsibility is an action that can be delegated.

10. Reviewing themedication sheet to make sure theLPN was giving medications on time is an example of which process?

1. Direct observation 2. Indirect observation

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Catalano Nursing Now 8e

Page 15 of 20 TB

3. Direct delegation 4. Indirect delegation ANS: 2 Page: 5

Feedback 1.

This is incorrect. Reviewing themedication sheet to make sure theLPN was giving medications on time is not an example of direct observation.

2.

This is correct. Reviewing themedication sheet to make sure theLPN was giving medications on time is an example of indirect observation.

3.

This is incorrect. Reviewing themedication sheet to make sure theLPN was giving medications on time is not an example of direct delegation.

NURSINGTB.COM

4.

This is incorrect. Reviewing themedication sheet to make sure theLPN was giving medications on time is not an example of indirect delegation.

11. Ensuring that an LPN is changing a dressing properly is an example of which process?

1. Direct observation 2. Indirect observation 3. Direct delegation 4. Indirect delegation ANS: 1 Page: 5

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Catalano Nursing Now 8e

Page 16 of 20 TB

Feedback 1.

This is correct. Ensuring that an LPN is changing a dressing properly is an example of direct observation.

2.

This is incorrect. Ensuring that an LPN is changing a dressing properly is not an example of indirect observation.

3.

This is incorrect. Ensuring that an LPN is changing a dressing properly is not an example of direct delegation.

4.

This is incorrect. Ensuring that an LPN is changing a dressing properly is not an example of indirect delegation.

12. Which process takes away almost all of theauthority of theRN to delegate personnel tasks yet holds theRN still accountabNleUfR orStI heNsGaT feBc. om plM etion of thetask under thedoctrines of respondeat CO superior and vicarious liability?

1. Direct observation 2. Indirect observation 3. Direct delegation 4. Indirect delegation ANS: 4 Page: 23

Feedback

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Catalano Nursing Now 8e 1.

Page 17 of 20 TB

This is incorrect. Direct observation does not take away almost all of the authority of theRN to delegate personnel tasks.

2.

This is incorrect. Indirect observation does not take away almost all of the authority of theRN to delegate personnel tasks.

3.

This is incorrect. Direct delegation does not take away almost all of theauthority of theRN to delegate personnel tasks.

4.

This is correct. Indirect delegation takes away almost all of theauthority of theRN to delegate personnel tasks, yet holds theRN still accountable for thesafe completion of thetask under thedoctrines of respondeat superior and vicarious liability.

13. A specific decision made byNtU heRR tw SN INabGoTuB .hCoOcMan perform what tasks is referred to as which of thefollowing?

1. Direct observation 2. Indirect observation 3. Direct delegation 4. Indirect delegation ANS: 3 Page: 23

Feedback 1.

This is incorrect. Direct observation is not a specific decision made by theRN about who can perform what tasks.

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Catalano Nursing Now 8e 2.

Page 18 of 20 TB

This is incorrect. Indirect observation is not a specific decision made by theRN about who can perform what tasks.

3.

This is correct. Direct delegation is a specific decision made by theRN about who can perform what tasks.

4.

This is incorrect. Indirect delegation is not a specific decision made by theRN about who can perform what tasks.

14. Which health-care professionals are held to thesame standards as RNs when it comes to delegating and making assignments?

1. Physicians 2. Advanced practice nurses (APRNs) 3. Licensed practical nurses (LPNNUsR ) SINGTB.COM 4. Licensed vocational nurses (LVNs) ANS: 2 Page: 7

Feedback 1.

This is incorrect. Physicians are not held to thesame standards as RNs when it comes to delegating and making assignments.

2.

This is correct. APRNs are held to thesame standards as RNs when it comes to delegating and making assignments.

3.

This is incorrect. LPNs are not held to thesame standards as RNs when it comes to delegating and making assignments.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 4.

Page 19 of 20 TB

This is incorrect. LVNs are not held to thesame standards as RNs when it comes to delegating and making assignments.

15. Which process includes theconcept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what theother individuals are doing is correct and safe?

1. Evaluation 2. Supervision 3. Accountability 4. Responsibility ANS: 4 Page: 6

NURSINGTB.COM

Feedback 1.

This is incorrect. Evaluation does not include theconcept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what theother individuals are doing is correct and safe.

2.

This is incorrect. Supervision does not include theconcept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what theother individuals are doing is correct and safe.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 20 of 20 TB

This is incorrect. Accountability does not include theconcept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what theother individuals are doing is correct and safe.

4.

This is correct. Responsibility includes theconcept of a person being able to or authorized to take actions or make decisions independently, particularly when he or she is in charge of other individuals, by assuring that what theother individuals are doing is correct and safe.

WWW.NURSINGTB.COM

Chapter 16: Incivility: the Antithesis of Caring Questions 1. In theU.S. legal system, physical abuse, emotional abuse, verbal abuse, or any combination of thethree is considered to be which of thefollowing and may be punished by fines in thecivil system or jail time in thecriminal system?

1. Neglect 2. Assault 3. Battery 4. Bullying Answer: 2. Extremely disgruntled employees devising a subtle, passive-aggressive way to decrease productivity and sabotage theboss and theorganization is an example of which of thefollowing?

1. Lateral violence 2. Horizontal violence 3. Vertical violence 4. Bottom-up vertical violence Answer: 3. the“bullying vicious circle,” in which thepersons who are bullied when they first begin working move into a position of power, is a negative outcome of which process?

1. Lateral violence 2. Horizontal violence 3. Vertical violence

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4. Bottom-up vertical violence Answer: 4. theconceptual model for fostering civility in nursing education provides a basis for creating a culture of civility by focusing on which aspect for nursing faculty and students?

1. Levels of stress 2. Levels of competence 3. Levels of education 4. Levels of leadership Answer: 5. Which process, a key element in reversing incivility in theacademic or workplace setting, acts as a lens through which leaders can see themselves and theworkplace inequalities that need to be changed?

1. Strategic leadership 2. Autocratic leadership 3. Democratic leadership 4. Transformational leadership Answer: 6. Which of thefollowing is theability to be aware of thefeelings and thoughts of others by using behavioral cues and promotes thenurse’s personal growth?

1. Empathy 2. Sympathy 3. Cultural competence 4. Emotional intelligence

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Answer: 7. If a nurse routinely engages in negative criticism, gossip, and verbally abusive sarcasm when interacting with his or her coworkers, this nurse is committing which of thefollowing?

1. Vertical violence 2. Bottom-up vertical violence 3. Overt lateral violence 4. Covert lateral violence Answer: 8. If a nurse refuses to help someone or refuses to work with certain people, this nurse is committing which of thefollowing?

1. Vertical violence 2. Bottom-up vertical violence 3. Overt lateral violence 4. Covert lateral violence Answer: 9. Oppression theory notes that which of thefollowing is a key contributing factor to lateral violence?

1. Intimidation 2. Marginalization 3. Fabrication 4. Humiliation Answer: 10. Which of thefollowing is an example of student-to-faculty incivility?

WWW.NURSINGTB.COM

1. Cheating on tests and homework assignments to get better grades 2. Obtaining study notes from theprevious year’s class and using them as a bargaining chip with classmates 3. Bullying students who are considered to be outcasts by their classmates 4. Acting nice to a classmate’s face but being nasty behind his or her back Answer: 11. Which of thefollowing is an example of student-to-student incivility?

1. Cheating on tests and homework assignments to get better grades 2. Refusing to participate in class activities 3. Cutting classes because thestudent considers them boring 4. Obtaining study notes from theprevious year’s class and using them as a bargaining chip with classmates Answer: 12. theritual of “eating your young,” which is seen in both theclassroom and theclinical settings, is a form of which type of violence?

1. Vertical violence 2. Bottom-up vertical violence 3. Overt lateral violence 4. Covert lateral violence Answer: 13. Which characteristic is thekey to recognizing how others might want to be treated and what they may perceive as unpleasant actions by others?

1. Empathy

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2. Sympathy 3. Competence 4. Tolerance Answer: 14. People treating others as they themselves would wish to be treated, theGolden Rule, is a simple definition of which of thefollowing?

1. Civility 2. Incivility 3. Empathy 4. Sympathy Answer: 15. When which type of violence occurs among health-care providers, it leads to decreased communication and, ultimately, poor care and reduced safety of clients?

1. Lateral violence 2. Parallel violence 3. Vertical violence 4. Bottom-up vertical violence Answer:

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Questions, Answers, and Rationales 1. In theU.S. legal system, physical abuse, emotional abuse, verbal abuse, or any combination of thethree is considered to be which of thefollowing and may be punished by fines in thecivil system or jail time in thecriminal system?

1. Neglect 2. Assault 3. Battery 4. Bullying ANS: 4 Page: 7

Feedback 1.

NURSINGTB.COM

This is incorrect. Physical abuse, emotional abuse, verbal abuse, or any combination of thethree is not considered to be neglect.

2.

This is incorrect. Emotional abuse and verbal abuse are not considered to be assault.

3.

This is incorrect. Emotional abuse and verbal abuse are not considered to be battery.

4.

This is correct. In theU.S. legal system, physical abuse, emotional abuse, verbal abuse, or any combination of thethree is considered to be bullying and may be punished by fines in thecivil system or jail time in thecriminal system.

WWW.NURSINGTB.COM

2. Extremely disgruntled employees devising a subtle, passive-aggressive way to decrease productivity and sabotage theboss and theorganization is an example of which of thefollowing?

1. Lateral violence 2. Horizontal violence 3. Vertical violence 4. Bottom-up vertical violence ANS: 4 Page: 10

Feedback 1.

This is incorrect. Extremely disgruntled employees devising a subtle, passiveaggressive way to decrease productivity is not a form of lateral violence.

NURSINGTB.COM

2.

This is incorrect. Extremely disgruntled employees devising a subtle, passiveaggressive way to decrease productivity is not a form of horizontal violence.

3.

This is incorrect. Extremely disgruntled employees devising a subtle, passiveaggressive way to decrease productivity is not a form of vertical violence.

4.

This is correct. Extremely disgruntled employees devising a subtle, passiveaggressive way to decrease productivity and sabotage theboss and the organization is an example of bottom-up vertical violence.

3. the“bullying vicious circle,” in which thepersons who are bullied when they first begin working move into a position of power, is a negative outcome of which process?

1. Lateral violence

WWW.NURSINGTB.COM

2. Horizontal violence 3. Vertical violence 4. Bottom-up vertical violence ANS: 3 Page: 11

Feedback 1.

This is incorrect. thebullying vicious circle is not a negative outcome of lateral violence.

2.

This is incorrect. thebullying vicious circle is not a negative outcome of horizontal violence.

3.

This is correct. thebullying vicious circle, in which thepersons who are bullied

NURSINGTB.COM

when they first begin working move into a position of power, is a negative outcome of vertical violence.

4.

This is incorrect. thebullying vicious circle is not a negative outcome of bottom-up vertical violence.

4. theconceptual model for fostering civility in nursing education provides a basis for creating a culture of civility by focusing on which aspect for nursing faculty and students?

1. Levels of stress 2. Levels of competence 3. Levels of education 4. Levels of leadership

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Page 9 of 19 TB

ANS: 1 Page: 22

Feedback 1.

This is correct. theconceptual model for fostering civility in nursing education provides a basis for creating a culture of civility by focusing on levels of stress for nursing faculty and students.

2.

This is incorrect. theconceptual model for fostering civility in nursing education does not focus on levels of competence.

3.

This is incorrect. theconceptual model for fostering civility in nursing education does not focus on levels of education.

4.

This is incorrect. theconceptual model for fostering civility in nursing NURSINGTB.COM education does not focus on levels of leadership.

5. Which process, a key element in reversing incivility in theacademic or workplace setting, acts as a lens through which leaders can see themselves and theworkplace inequalities that need to be changed?

1. Strategic leadership 2. Autocratic leadership 3. Democratic leadership 4. Transformational leadership ANS: 4 Page: 31

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Catalano Nursing Now 8e

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Feedback 1.

This is incorrect. Strategic leadership does not act as a lens through which leaders can see themselves and theworkplace inequalities that need to be changed.

2.

This is incorrect. Autocratic leadership does not act as a lens through which leaders can see themselves and theworkplace inequalities that need to be changed.

3.

This is incorrect. Democratic leadership does not act as a lens through which leaders can see themselves and theworkplace inequalities that need to be changed.

4.

This is correct. Transformational leadership, a key element in reversing incivility NURSINGTB.COM in theacademic or workplace setting, acts as a lens through which leaders can see themselves and theworkplace inequalities that need to be changed.

6. Which of thefollowing is theability to be aware of thefeelings and thoughts of others by using behavioral cues and promotes thenurse’s personal growth?

1. Empathy 2. Sympathy 3. Cultural competence 4. Emotional intelligence ANS: 4 Page: 3

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Catalano Nursing Now 8e

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Feedback 1.

This is incorrect. Empathy is not the ability to be aware of the feelings and thoughts of others by using behavioral cues.

2.

This is incorrect. Sympathy is not the ability to be aware of the feelings and thoughts of others by using behavioral cues.

3.

This is incorrect. Cultural competence is not the ability to be aware of the feelings and thoughts of others by using behavioral cues.

4.

This is correct. The ability to be aware of the feelings and thoughts of others by using behavioral cues is referred to as emotional intelligence and promotes the nurse’s personal growth.

7. If a nurse routinely engages in negative criticism, gossip, and verbally abusive sarcasm when interacting with his or her coworkers, this nurse is committing which of the following?

1. Vertical violence 2. Bottom-up vertical violence 3. Overt lateral violence 4. Covert lateral violence ANS: 3 Page: 9

Feedback

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Catalano Nursing Now 8e 1.

Page 12 of 19 TB

This is incorrect. Negative criticism, gossip, and verbally abusive sarcasm with coworkers is not considered to be vertical violence.

2.

This is incorrect. Negative criticism, gossip, and verbally abusive sarcasm with coworkers is not considered to be bottom-up vertical violence.

3.

This is correct. If a nurse routinely engages in negative criticism, gossip, and verbally abusive sarcasm when interacting with his or her coworkers, this nurse is committing overt lateral violence.

4.

This is incorrect. Negative criticism, gossip, and verbally abusive sarcasm are not characteristic of covert lateral violence.

8. If a nurse refuses to help someone or refuses to work with certain people, this nurse is committing which of the followNinUgR ? SINGTB.COM 1. Vertical violence 2. Bottom-up vertical violence 3. Overt lateral violence 4. Covert lateral violence ANS: 4 Page: 9

Feedback 1.

This is incorrect. Refusing to help someone or refusing to work with certain people is not considered to be vertical violence.

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Catalano Nursing Now 8e 2.

Page 13 of 19 TB

This is incorrect. Refusing to help someone or refusing to work with certain people is not considered to be bottom-up vertical violence.

3.

This is incorrect. Refusing to help someone or refusing to work with certain people is not characteristic of overt lateral violence.

4.

This is correct. If a nurse refuses to help someone or refuses to work with certain people, this nurse is committing covert lateral violence.

9. Oppression theory notes that which of the following is a key contributing factor to lateral violence?

1. Intimidation 2. Marginalization 3. Fabrication 4. Humiliation ANS: 2 Page: 9

Feedback 1.

This is incorrect. Oppression theory does not note intimidation as a key contributing factor to lateral violence.

2.

This is correct. Oppression theory notes that marginalization is a key contributing factor to lateral violence.

3.

This is incorrect. Oppression theory does not note fabrication as a key contributing factor to lateral violence.

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Catalano Nursing Now 8e 4.

Page 14 of 19 TB

This is incorrect. Oppression theory does not note humiliation as a key contributing factor to lateral violence.

10. Which of the following is an example of student-to-faculty incivility?

1. Cheating on tests and homework assignments to get better grades 2. Obtaining study notes from the previous year’s class and using them as a bargaining chip with classmates 3. Bullying students who are considered to be outcasts by their classmates 4. Acting nice to a classmate’s face but being nasty behind his or her back ANS: 1 Page: 16

NURSINGTB.COM Feedback 1.

This is correct. Cheating on tests and homework assignments to get better grades is an example of student-to-faculty incivility.

2.

This is incorrect. Obtaining study notes from the previous year’s class and using them as a bargaining chip with classmates is not an example of student-tofaculty incivility.

3.

This is incorrect. Bullying students who are considered to be outcasts by their classmates is not an example of student-to-faculty incivility.

4.

This is incorrect. Acting nice to a classmate’s face but being nasty behind his or her back is not an example of student-to-faculty incivility.

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Catalano Nursing Now 8e

Page 15 of 19 TB

11. Which of the following is an example of student-to-student incivility?

1. Cheating on tests and homework assignments to get better grades 2. Refusing to participate in class activities 3. Cutting classes because the student considers them boring 4. Obtaining study notes from the previous year’s class and using them as a bargaining chip with classmates ANS: 4 Page: 16

Feedback 1.

This is incorrect. Cheating on tests and homework assignments to get better grades is not an example of student-to-student incivility.

NURSINGTB.COM

2.

This is incorrect. Refusing to participate in class activities is not an example of student-to-student incivility.

3.

This is incorrect. Cutting classes because the student considers them boring is not an example of student-to-student incivility.

4.

This is correct. Obtaining study notes from the previous year’s class and using them as a bargaining chip with classmates is an example of student-to-student incivility.

12. The ritual of “eating your young,” which is seen in both the classroom and the clinical settings, is a form of which type of violence?

1. Vertical violence

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Catalano Nursing Now 8e

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2. Bottom-up vertical violence 3. Overt lateral violence 4. Covert lateral violence ANS: 1 Page: 19

Feedback 1.

This is correct. The ritual of eating your young, which is seen in both the classroom and the clinical settings, is a form of vertical violence.

2.

This is incorrect. The ritual of eating your young, which is seen in both the classroom and the clinical settings, is not a form of bottom-up vertical violence.

3.

This is incorrect. The ritual of eating your young, which is seen in both the

NURSINGTB.COM

classroom and the clinical settings, is not a form of overt lateral violence.

4.

This is incorrect. The ritual of eating your young, which is seen in both the classroom and the clinical settings, is not a form of covert lateral violence.

13. Which characteristic is the key to recognizing how others might want to be treated and what they may perceive as unpleasant actions by others?

1. Empathy 2. Sympathy 3. Competence 4. Tolerance ANS: 1

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Catalano Nursing Now 8e

Page 17 of 19 TB

Page: 2

Feedback 1.

This is correct. Empathy is the key to recognizing how others might want to be treated and what they may perceive as unpleasant actions by others.

2.

This is incorrect. Sympathy is not the key to recognizing how others might want to be treated and what they may perceive as unpleasant actions by others.

3.

This is incorrect. Competence is not the key to recognizing how others might want to be treated and what they may perceive as unpleasant actions by others.

4.

This is incorrect. Tolerance is not the key to recognizing how others might want to be treated and what they may perceive as unpleasant actions by others.

14. People treating others as they themselves would wish to be treated, the Golden Rule, is a simple definition of which of the following?

1. Civility 2. Incivility 3. Empathy 4. Sympathy ANS: 1 Page: 2

Feedback

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Catalano Nursing Now 8e 1.

Page 18 of 19 TB

This is correct. People treating others as they themselves would wish to be treated, the Golden Rule, is a simple definition of civility.

2.

This is incorrect. People treating others as they themselves would wish to be treated, the Golden Rule, is not the definition of incivility.

3.

This is incorrect. People treating others as they themselves would wish to be treated, the Golden Rule, is not the definition of empathy.

4.

This is incorrect. People treating others as they themselves would wish to be treated, the Golden Rule, is not the definition of sympathy.

15. When which type of violence occurs among health-care providers, it leads to decreased communication and, ultimately, poor care and reduced safety of clients?

1. Lateral violence 2. Parallel violence 3. Vertical violence 4. Bottom-up vertical violence ANS: 1 Page: 9

Feedback 1.

This is correct. When lateral violence occurs among health-care providers, it leads to decreased communication and, ultimately, poor care and reduced safety of clients.

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Catalano Nursing Now 8e 2.

Page 19 of 19 TB

This is incorrect. Parallel violence would not lead to decreased communication and, ultimately, poor care and reduced safety of clients.

3.

This is incorrect. Vertical violence would not lead to decreased communication and, ultimately, poor care and reduced safety of clients.

4.

This is incorrect. Bottom-up vertical violence would not lead to decreased communication and, ultimately, poor care and reduced safety of clients.

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Chapter 17: Nursing Informatics Questions 1. Florence Nightingale developed the Nightingale Rose, a type of which kind of chart that presented data about health conditions during the Crimean War? 1. Bar chart 2. Pie chart 3. Histogram 4. Infographic Answer: 2. The primary purpose of which legislative act was to allow patient records to be transferred from one provider or institution to another provider or institution?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 3. Some federal agencies have the authority, under which legislative act, to wiretap or access any electronic information they believe may be associated with a terrorist threat, including physicians’ and nurses’ records, laboratory records, and financial information?

1. Patriot Act 2. Affordable Care Act 3. Omnibus Budget Reconciliation Act

WWW.NURSINGTB.COM

4. Health Insurance Portability and Accountability Act Answer: 4. Which role of an informatics nurse involves developing a solution to the problem, either by contacting the vendor of the electronic medical record (EMR) with an enhancement request or by devising an alternative workaround to solve the issue?

1. Coordinator 2. Software developer 3. Tester 4. Trainer Answer: 5. What exists if a smartphone of one brand can synchronize with a desktop or laptop computer of another brand in order to use some of the computer’s data?

1. Portability 2. Scalability 3. Integration 4. Interoperability Answer: 6. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is an example of which of the following?

1. Portability 2. Scalability 3. Integration

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4. Interoperability Answer: 7. Title XIII of which legislative act created the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care?

1. Patriot Act 2. Affordable Care Act 3. American Recovery and Reinvestment Act 4. Health Insurance Portability and Accountability Act Answer: 8. HIPAA underwent a revision in 2013 that refined and clarified all previous provisions and rules and created which designation, officially titled the Medicare Electronic Health Records Incentive Program?

1. Exclusive use 2. Superior use 3. Proprietary use 4. Meaningful use Answer: 9. Which of the following was one of the major challenges that was faced by the meaningful use (MU) system?

1. Engaging clients and families in their health 2. Improving population and public health 3. Requirement for rapid implementation 4. Ensuring adequate privacy and security protection for personal health information

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Answer: 10. The strengths of the meaningful use (MU) system became one of the four components of which system introduced in 2019 that seeks improved health-care outcomes through a payment system that benefits the provider?

1. Value-based payment system 2. Quality-based payment system 3. Merit-based incentive payment system 4. Prospective payment system Answer: 11. Which educational degree is generally required for an entry-level informatics nurse specialist?

1. Licensed practical nurse (LPN) 2. Master of science in nursing (MSN) 3. Associate of science in nursing (ASN) 4. Bachelor of science in nursing (BSN) Answer: 12. The ability to make the computer perform tasks it was not intended to perform is referred to as which of the following?

1. Bypass 2. Workaround 3. Transition 4. Alternate Answer:

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Catalano Nursing Now 8e

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13. Which model is the one that nurse informaticists use to transform basic data into innovations that augment safe, quality health care?

1. Data to information model 2. Data to knowledge model 3. Data to wisdom model 4. Data to cognition model Answer: 14. Today’s smartphone has more memory and much faster computing power than a desktop computer from the year 2000. The smartphone demonstrates which quality by having more functionality in a smaller size?

1. Portability 2. Scalability 3. Integration 4. Interoperability Answer: 15. The development of advanced artificial intelligence systems was the first step toward which of the following?

1. Portability 2. Scalability 3. Integration 4. Interoperability Answer:

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Catalano Nursing Now 8e

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Questions, Answers, and Rationales 1. Florence Nightingale developed the Nightingale Rose, a type of which kind of chart that presented data about health conditions during the Crimean War? 1. Bar chart 2. Pie chart 3. Histogram 4. Infographic ANS: 2 Page: 11

Feedback 1.

This is incorrect. The Nightingale Rose was not a type of bar chart.

2.

This is correct. Florence Nightingale developed the Nightingale Rose, a type of

NURSINGTB.COM

pie chart that presented data about health conditions during the Crimean War. 3.

This is incorrect. The Nightingale Rose was not a type of histogram.

4.

This is incorrect. The Nightingale Rose was not a type of infographic.

2. The primary purpose of which legislative act was to allow patient records to be transferred from one provider or institution to another provider or institution?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act

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Catalano Nursing Now 8e

Page 7 of 20 TB

ANS: 2 Page: 20

Feedback 1.

This is incorrect. The primary purpose of the Affordable Care Act was not to allow patient records to be transferred from one provider or institution to another provider or institution.

2.

This is correct. The primary purpose of the Health Insurance Portability and Accountability Act was to allow patient records to be transferred from one provider or institution to another provider or institution.

3.

This is incorrect. The primary purpose of the Omnibus Budget Reconciliation Act was not to allow patient records to be transferred from one provider or

NURSINGTB.COM

institution to another provider or institution.

4.

This is incorrect. The primary purpose of the Emergency Treatment and Active Labor Act was not to allow patient records to be transferred from one provider or institution to another provider or institution.

3. Some federal agencies have the authority, under which legislative act, to wiretap or access any electronic information they believe may be associated with a terrorist threat, including physicians’ and nurses’ records, laboratory records, and financial information?

1. Patriot Act 2. Affordable Care Act 3. Omnibus Budget Reconciliation Act

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Catalano Nursing Now 8e

Page 8 of 20 TB

4. Health Insurance Portability and Accountability Act ANS: 1 Page: 25

Feedback 1.

This is correct. Under the Patriot Act, some federal agencies have the authority to wiretap or access any electronic information they believe may be associated with a terrorist threat, including physicians’ and nurses’ records, laboratory records, and financial information.

2.

This is incorrect. The Affordable Care Act did not give some federal agencies the authority to wiretap or access any electronic information they believe may be associated with a terrorist threat.

NURSINGTB.COM

3.

This is incorrect. The Omnibus Budget Reconciliation Act did not give some federal agencies the authority to wiretap or access any electronic information they believe may be associated with a terrorist threat.

4.

This is incorrect. The Health Insurance Portability and Accountability Act did not give some federal agencies the authority to wiretap or access any electronic information they believe may be associated with a terrorist threat.

4. Which role of an informatics nurse involves developing a solution to the problem, either by contacting the vendor of the electronic medical record (EMR) with an enhancement request or by devising an alternative workaround to solve the issue?

1. Coordinator

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2. Software developer 3. Tester 4. Trainer ANS: 2 Page: 6

Feedback 1.

This is incorrect. The coordinator role would not involve developing a solution to the problem, either by contacting the vendor of the electronic medical record (EMR) with an enhancement request or by devising an alternate workaround to solve the issue.

2.

This is correct. The software developer role involves developing a solution to

NURSINGTB.COM

the problem, either by contacting the vendor of the electronic medical record (EMR) with an enhancement request or by devising an alternate workaround to solve the issue.

3.

This is incorrect. The tester role would not involve developing a solution to the problem, either by contacting the vendor of the electronic medical record (EMR) with an enhancement request or by devising an alternate workaround to solve the issue.

4.

This is incorrect. The trainer role would not involve developing a solution to the problem, either by contacting the vendor of the electronic medical record (EMR) with an enhancement request or by devising an alternate workaround to solve the issue.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 10 of 20 TB

5. What exists if a smartphone of one brand can synchronize with a desktop or laptop computer of another brand in order to use some of the computer’s data?

1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 3 Page: 15

Feedback 1.

This is incorrect. Portability does not involve a smartphone of one brand

NURSINGTB.COM

synchronizing with a desktop or laptop computer of another brand in order to use some of the computer’s data.

2.

This is incorrect. Scalability does not involve a smartphone of one brand synchronizing with a desktop or laptop computer of another brand in order to use some of the computer’s data.

3.

This is correct. Integration exists if a smartphone of one brand can synchronize with a desktop or laptop computer of another brand in order to use some of the computer’s data.

4.

This is incorrect. Interoperability does not involve a smartphone of one brand synchronizing with a desktop or laptop computer of another brand in order to use some of the computer’s data.

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Catalano Nursing Now 8e

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6. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is an example of which of the following?

1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 4 Page: 15

Feedback 1.

NURSINGTB.COM

This is incorrect. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is not an example of portability.

2.

This is incorrect. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is not an example of scalability.

3.

This is incorrect. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is not an example of integration.

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Catalano Nursing Now 8e 4.

Page 12 of 20 TB

This is correct. The fact that all televisions will correctly receive a signal sent by a station or signal provider regardless of what brand of television is in any given household is an example of interoperability.

7. Title XIII of which legislative act created the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care?

1. Patriot Act 2. Affordable Care Act 3. American Recovery and Reinvestment Act 4. Health Insurance Portability and Accountability Act ANS: 3 Page: 28

Feedback 1.

This is incorrect. The Patriot Act did not create the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care.

2.

This is incorrect. The Affordable Care Act did not create the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care.

3.

This is correct. Title XIII of the American Recovery and Reinvestment Act created the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 4.

Page 13 of 20 TB

This is incorrect. The Health Insurance Portability and Accountability Act did not create the Health Information Technology for Economic and Clinical Health (HITECH) Act, which mandated the use of informatics in health care.

8. HIPAA underwent a revision in 2013 that refined and clarified all previous provisions and rules and created which designation, officially titled the Medicare Electronic Health Records Incentive Program?

1. Exclusive use 2. Superior use 3. Proprietary use 4. Meaningful use ANS: 4 Page: 29

Feedback 1.

This is incorrect. The HIPAA revision in 2013 did not create the exclusive use designation.

2.

This is incorrect. The HIPAA revision in 2013 did not create the superior use designation.

3.

This is incorrect. The HIPAA revision in 2013 did not create the proprietary use designation.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 4.

Page 14 of 20 TB

This is correct. HIPAA underwent a revision in 2013 that refined and clarified all previous provisions and rules and created the meaningful use designation, officially titled the Medicare Electronic Health Records Incentive Program.

9. Which of the following was one of the major challenges that was faced by the meaningful use (MU) system?

1. Engaging clients and families in their health 2. Improving population and public health 3. Requirement for rapid implementation 4. Ensuring adequate privacy and security protection for personal health information ANS: 3 Page: 30

Feedback 1.

This is incorrect. Engaging clients and families in their health was a priority of the MU system, not a challenge.

2.

This is incorrect. Improving population and public health was a priority of the MU system, not a challenge.

3.

This is correct. The requirement for rapid implementation was one of the major challenges that was faced by the MU system.

4.

This is incorrect. Ensuring adequate privacy and security protection for personal health information was a priority of the MU system, not a challenge.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

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10. The strengths of the meaningful use (MU) system became one of the four components of which system introduced in 2019 that seeks improved health-care outcomes through a payment system that benefits the provider?

1. Value-based payment system 2. Quality-based payment system 3. Merit-based incentive payment system 4. Prospective payment system ANS: 3 Page: 31

Feedback 1.

This is incorrect. The strengths of the MU system did not become one of the

NURSINGTB.COM

components of a value-based payment system.

2.

This is incorrect. The strengths of the MU system did not become one of the components of a quality-based payment system.

3.

This is correct. The strengths of the MU system became one of the four components of the merit-based incentive payment system introduced in 2019 that seeks improved health-care outcomes through a payment system that benefits the provider.

4.

This is incorrect. The strengths of the MU system did not become one of the components of a prospective payment system.

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Catalano Nursing Now 8e

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11. Which educational degree is generally required for an entry-level informatics nurse specialist?

1. Licensed practical nurse (LPN) 2. Master of science in nursing (MSN) 3. Associate of science in nursing (ASN) 4. Bachelor of science in nursing (BSN) ANS: 4 Page: 32

Feedback 1.

This is incorrect. An LPN would not be sufficient for an entry-level informatics nurse specialist.

2.

NURSINGTB.COM

This is incorrect. An MSN is not required for an entry-level informatics nurse specialist, a BSN is sufficient.

3.

This is incorrect. An ASN would not be sufficient for an entry-level informatics nurse specialist.

4.

This is correct. A BSN degree is generally the entry-level degree required for informatics nurse specialists.

12. The ability to make the computer perform tasks it was not intended to perform is referred to as which of the following?

1. Bypass 2. Workaround

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3. Transition 4. Alternate ANS: 2 Page: 33

Feedback 1.

This is incorrect. The ability to make the computer perform tasks it was not intended to perform is not referred to as a bypass.

2.

This is correct. The ability to make the computer perform tasks it was not intended to perform is referred to as a workaround.

3.

This is incorrect. The ability to make the computer perform tasks it was not intended to perform is not referred to as a transition.

NURSINGTB.COM

4.

This is incorrect. The ability to make the computer perform tasks it was not intended to perform is not referred to as an alternate.

13. Which model is the one that nurse informaticists use to transform basic data into innovations that augment safe, quality health care?

1. Data to information model 2. Data to knowledge model 3. Data to wisdom model 4. Data to cognition model ANS: 3 Page: 9

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Catalano Nursing Now 8e

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Feedback 1.

This is incorrect. Nurse informaticists do not use the data to information model to transform basic data into innovations that augment safe, quality health care.

2.

This is incorrect. Nurse informaticists do not use the data to knowledge model to transform basic data into innovations that augment safe, quality health care.

3.

This is correct. The data to wisdom model is the one that nurse informaticists use to transform basic data into innovations that augment safe, quality health care.

4.

This is incorrect. Nurse informaticists do not use the data to cognition model to transform basic data into innovations that augment safe, quality health care.

14. Today’s smartphone has more memory and much faster computing power than a desktop computer from the year 2000. The smartphone demonstrates which quality by having more functionality in a smaller size?

1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 2 Page: 14

Feedback

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Catalano Nursing Now 8e 1.

Page 19 of 20 TB

This is incorrect. The smartphone does not demonstrate portability by having more functionality in a smaller size.

2.

This is correct. The smartphone demonstrates scalability by having more functionality in a smaller size.

3.

This is incorrect. The smartphone does not demonstrate integration by having more functionality in a smaller size.

4.

This is incorrect. The smartphone does not demonstrate interoperability by having more functionality in a smaller size.

15. The development of advanced artificial intelligence systems was the first step toward which of the following?

1. Portability 2. Scalability 3. Integration 4. Interoperability ANS: 4 Page: 14

Feedback 1.

This is incorrect. The development of advanced artificial intelligence systems was not the first step toward portability.

2.

This is incorrect. The development of advanced artificial intelligence systems was not the first step toward scalability.

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Catalano Nursing Now 8e 3.

Page 20 of 20 TB

This is incorrect. The development of advanced artificial intelligence systems was not the first step toward integration.

4.

This is correct. The development of advanced artificial intelligence systems was the first step toward interoperability.

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Chapter 18: The Politically Active NurseQuestions 1. In 15 states, nurse practitioners (NPs) have which of the following, whereby state practice and licensure laws lessen the ability of NPs to engage in at least one element of full NP practice?

1. Reduced practice 2. Limited practice 3. Restricted practice 4. Impeded practice Answer: 2. Nurses employed at which type of hospitals have a high degree of job satisfaction and a much lower than average turnover rate than nurses in other hospitals of similar size?

1. Teaching hospitals 2. Community hospitals 3. Magnet hospitals 4. Government hospitals Answer: 3. Grassroots refers to political movements that are started at which level by volunteers who give their time to support an issue that is important to them?

1. State level 2. Local level 3. Regional level 4. Federal level

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Answer: 4. Which of the following is always the most important factor in politics and dictates the kind of issues that legislators become involved in and present to the constituencies as the key issues?

1. Lobbying 2. Partisanship 3. Self-interest 4. Ideology Answer: 5. Which of the following is a type of court that is found at both the federal and state levels?

1. Circuit court 2. Appeals court 3. District court 4. Supreme court Answer: 6. The state nursing associations and other organizations, such as the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Critical-Care Nurses (AACN), are what types of groups to the American Nurses Association (ANA)?

1. Constituency groups 2. Pressure groups 3. Advocacy groups 4. Campaign groups Answer:

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7. Which committee works cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid?

1. House Commerce Committee 2. House Ways and Means Committee 3. House and Senate Appropriations Committee 4. Senate Labor and Human Resources Committee Answer: 8. Some people consider which position to be the most powerful job in politics because it has control over the legislative calendar, which ultimately determines when many of the House session activities take place and even whether and when bills are introduced for consideration?

1. Majority leader 2. Majority whip 3. Minority leader 4. Minority whip Answer: 9. Which groups work collaboratively with the primary organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions?

1. Fringe groups 2. Advocate groups 3. Consumer groups 4. Constituency groups Answer: 10. The main focus of which type of group is to change the way the public views an issue?

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1. Fringe groups 2. Advocate groups 3. Consumer groups 4. Constituency groups Answer: 11. Which publication, the American Nurses Association (ANA) legislative newsletter for nurses, reports on the activities of its nurse lobbyists and on significant issues in Congress and regulatory agencies?

1. American Nurse 2. American Journal of Nursing Newsline feature 3. Capitol Update 4. Nursing and Health Care’s Washington Focus Answer: 12. Which of the following are formed when the legislature divides into groups consisting of people with mutual interests?

1. Caucuses 2. Committees 3. Fringe groups 4. Advocacy groups Answer: 13. Which of the following, in many cases, is/are a convenient way to formulate policy with minimal involvement of the legislature?

1. Pocket vetoes

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2. Political capital 3. Executive orders 4. Housekeeping bills Answer: 14. Legislators can use which tactic to move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be?

1. Pocket vetoes 2. Political capital 3. Executive orders 4. Housekeeping bills Answer: 15. Which of the following health-care-related issues is governed by the states?

1. Client safety 2. Nursing shortage 3. Tuition debts 4. Hospital regulation Answer:

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Questions, Answers, and Rationales 1. In 15 states, nurse practitioners (NPs) have which of the following, whereby state practice and licensure laws lessen the ability of NPs to engage in at least one element of full NP practice?

1. Reduced practice 2. Limited practice 3. Restricted practice 4. Impeded practice ANS: 1 Page: 6

Feedback 1.

This is correct. In 15 states, NPs have reduced practice, whereby state practice

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and licensure laws lessen the ability of NPs to engage in at least one element of full NP practice.

2.

This is incorrect. Limited practice does not lessen the ability of NPs to engage in at least one element of full NP practice.

3.

This is incorrect. Restricted practice does not lessen the ability of NPs to engage in at least one element of full NP practice.

4.

This is incorrect. Impeded practice does not lessen the ability of NPs to engage in at least one element of full NP practice.

2. Nurses employed at which type of hospitals have a high degree of job satisfaction and a much lower than average turnover rate than nurses in other hospitals of similar size?

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1. Teaching hospitals 2. Community hospitals 3. Magnet hospitals 4. Government hospitals ANS: 3 Page: 7

Feedback 1.

This is incorrect. Nurses employed at teaching hospitals do not have a high degree of job satisfaction and a much lower than average turnover rate than nurses in other hospitals of similar size.

2.

This is incorrect. Nurses employed at community hospitals do not have a high

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degree of job satisfaction and a much lower than average turnover rate than nurses in other hospitals of similar size.

3.

This is correct. Nurses employed at Magnet hospitals have a high degree of job satisfaction and a much lower than average turnover rate than nurses in other hospitals of similar size.

4.

This is incorrect. Nurses employed at government hospitals do not have a high degree of job satisfaction and a much lower than average turnover rate than nurses in other hospitals of similar size.

3. Grassroots refers to political movements that are started at which level by volunteers who give their time to support an issue that is important to them?

WWW.NURSINGTB.COM

1. State level 2. Local level 3. Regional level 4. Federal level ANS: 2 Page: 9

Feedback 1.

This is incorrect. Grassroots does not refer to political movements at the state level.

2.

This is correct. Grassroots refers to political movements that are started at the local by volunteers who give their time to support an issue that is important to

NURSINGTB.COM

them.

3.

This is incorrect. Grassroots does not refer to political movements at the regional level.

4.

This is incorrect. Grassroots does not refer to political movements at the federal level.

4. Which of the following is always the most important factor in politics and dictates the kind of issues that legislators become involved in and present to the constituencies as the key issues?

1. Lobbying 2. Partisanship 3. Self-interest

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4. Ideology ANS: 3 Page: 9

Feedback 1.

This is incorrect. Lobbying is not always the most important factor in politics.

2.

This is incorrect. Partisanship is not always the most important factor in politics.

3.

This is correct. Self-interest is always the most important factor in politics and dictates the kind of issues that legislators become involved in and present to the constituencies as the key issues.

4.

This is incorrect. Ideology is not always the most important factor in politics.

5. Which of the following is a type of court that is found at both the federal and state levels?

1. Circuit court 2. Appeals court 3. District court 4. Supreme court ANS: 4 Page: 9

Feedback 1.

This is incorrect. There is not a circuit court at the state level.

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2.

This is incorrect. There is not an appeals court at the federal level.

3.

This is incorrect. There is not a district court at the state level.

4.

This is correct. There is a supreme court in both the federal and state levels.

6. The state nursing associations and other organizations, such as the National Organization of Nurse Practitioner Faculties (NONPF) and the American Association of Critical-Care Nurses (AACN), are what types of groups to the American Nurses Association (ANA)?

1. Constituency groups 2. Pressure groups 3. Advocacy groups 4. Campaign groups ANS: 1

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Page: 23

Feedback 1.

This is correct. The state nursing associations and other organizations, such as the NONPF and the AACN, are constituency of groups to the ANA.

2.

This is incorrect. The state nursing associations and other organizations, such as the NONPF and the AACN, are constituency of groups to the ANA.

3.

This is incorrect. The state nursing associations and other organizations, such as the NONPF and the AACN, are constituency of groups to the ANA.

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4.

This is incorrect. The state nursing associations and other organizations, such as the NONPF and the AACN, are constituency of groups to the ANA.

7. Which committee works cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid?

1. House Commerce Committee 2. House Ways and Means Committee 3. House and Senate Appropriations Committee 4. Senate Labor and Human Resources Committee ANS: 4 Page: 26

NURSINGTB.COM Feedback 1.

This is incorrect. The House Commerce Committee does not work cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid.

2.

This is incorrect. The House Ways and Means Committee does not work cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid.

3.

This is incorrect. The House and Senate Appropriations Committee does not work cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid.

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4.

This is correct. The Senate Labor and Human Resources Committee works cooperatively with the Senate Finance Committee in considering issues involving Medicare and Medicaid.

8. Some people consider which position to be the most powerful job in politics because it has control over the legislative calendar, which ultimately determines when many of the House session activities take place and even whether or when bills are introduced for consideration?

1. Majority leader 2. Majority whip 3. Minority leader 4. Minority whip ANS: 1

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Page: 15

Feedback 1.

This is correct. Some people consider the majority leader to be the most powerful job in politics.

2.

This is incorrect. The majority whip is not considered to be the most powerful job in politics.

3.

This is incorrect. The minority leader is not considered to be the most powerful job in politics.

4.

This is incorrect. The minority whip is not considered to be the most powerful job in politics.

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9. Which groups work collaboratively with the primary organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions?

1. Fringe groups 2. Advocate groups 3. Consumer groups 4. Constituency groups ANS: 4 Page: 23

Feedback 1.

This is incorrect. Fringe groups do not work collaboratively with the primary

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organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions.

2.

This is incorrect. Advocate groups do not work collaboratively with the primary organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions.

3.

This is incorrect. Consumer groups do not work collaboratively with the primary organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions.

4.

This is correct. Constituency groups work collaboratively with the primary organization on specific issues to support and develop policies and provide additional voices to influence legislators’ opinions.

WWW.NURSINGTB.COM

10. The main focus of which type of groups is to change the way the public views an issue?

1. Fringe groups 2. Advocate groups 3. Consumer groups 4. Constituency groups ANS: 2 Page: 23

Feedback 1.

This is incorrect. The main focus of fringe groups is not to change the way the public views an issue.

2.

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This is correct. The main focus of advocate groups is to change the way the public views an issue.

3.

This is incorrect. The main focus of consumer groups is not to change the way the public views an issue.

4.

This is incorrect. The main focus of constituency groups is not to change the way the public views an issue.

11. Which publication, the ANA legislative newsletter for nurses, reports on the activities of its nurse lobbyists and on significant issues in Congress and regulatory agencies?

1. American Nurse 2. American Journal of Nursing Newsline feature

WWW.NURSINGTB.COM

3. Capitol Update 4. Nursing and Health Care’s Washington Focus ANS: 3 Page: 43

Feedback 1.

This is incorrect. American Nurse is not the ANA legislative newsletter for nurses.

2.

This is incorrect. The American Journal of Nursing Newsline feature is not the ANA legislative newsletter for nurses.

3.

This is correct. Capitol Update, the ANA legislative newsletter for nurses, reports on the activities of its nurse lobbyists and on significant issues in

NURSINGTB.COM

Congress and regulatory agencies.

4.

This is incorrect. Nursing and Health Care’s Washington Focus is not the ANA legislative newsletter for nurses.

12. Which of the following are formed when the legislature divides into groups consisting of people with mutual interests?

1. Caucuses 2. Committees 3. Fringe groups 4. Advocacy groups ANS: 1

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Page: 17

Feedback 1.

This is correct. Caucuses are formed when the legislature divides into groups consisting of people with mutual interests.

2.

This is incorrect. Committees are not formed when the legislature divides into groups consisting of people with mutual interests.

3.

This is incorrect. Fringe groups are not formed when the legislature divides into groups consisting of people with mutual interests.

4.

This is incorrect. Advocacy groups are not formed when the legislature divides into groups consisting of people with mutual interests.

13. Which of the following, in many cases, is/are a convenient way to formulate policy with minimal involvement of the legislature?

1. Pocket vetoes 2. Political capital 3. Executive orders 4. Housekeeping bills ANS: 3 Page: 31

Feedback

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1.

This is incorrect. Pocket vetoes are not a convenient way to formulate policy with minimal involvement of the legislature.

2.

This is incorrect. Political capital is not a convenient way to formulate policy with minimal involvement of the legislature.

3.

This is correct. Executive orders, in many cases, are a convenient way to formulate policy with minimal involvement of the legislature.

4.

This is incorrect. Housekeeping bills are not a convenient way to formulate policy with minimal involvement of the legislature.

14. Legislators can use which tactic to move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be?

1. Pocket vetoes 2. Political capital 3. Executive orders 4. Housekeeping bills ANS: 4 Page: 31

Feedback 1.

This is incorrect. Pocket vetoes cannot move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be.

WWW.NURSINGTB.COM

2.

This is incorrect. Political capital cannot move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be.

3.

This is incorrect. Executive orders cannot move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be.

4.

This is correct. Legislators can use housekeeping bills as a tactic to move a piece of legislation through the process, especially when the bill is more significant than the leadership acknowledges it to be.

15. Which of the following health-care-related issues is governed by the states?

1. Client safety 2. Nursing shortage 3. Tuition debts 4. Hospital regulation ANS: 4 Page: 33

Feedback 1.

This is incorrect. Client safety is a federal concern.

2.

This is incorrect. The nursing shortage is a federal concern.

3.

This is incorrect. Burdensome tuition debts are a federal concern.

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4.

This is correct. Hospital regulation is the responsibility of the states.

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Chapter 20: Spirituality in Health Care Questions 1. Rather than viewing the world as sets of objects that bump into or interact with each other, which type of philosophy believes that the experiences of persons should be explored through the gathering of conscious experience rather than just objective data?

1. Theology 2. Deontology 3. Phenomenology 4. Epistemology Answer: 2. The ability of people to participate in their own healing through prayer or meditation may use a source of healing power referred to as which of the following?

1. Spiritual wellness 2. Holistic wellness 3. Religious wellness 4. Remembered wellness Answer: 3. The nocebo effect creates a difficult ethical dilemma for the nurse, who is caught between the obligation of which ethical principle and the obligation of informed consent?

1. Justice 2. Autonomy 3. Beneficence

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Catalano Nursing Now 8e

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4. Nonmaleficence Answer: 4. Which of the following may be regarded as the driving force that pervades all aspects of and gives meaning to an individual’s life?

1. Holism 2. Religion 3. Morality 4. Spirituality Answer: 5. Which emotion is a way of living that is born out of an awareness of one’s relationship to all living creatures, a sensitivity to the pain and brokenness of others?

1. Empathy 2. Sympathy 3. Compassion 4. Kindness Answer: 6. Which of the following, as an institutionally based organized system of beliefs, represents only one specific means of spiritual expression?

1. Holism 2. Religion 3. Morality 4. Spirituality Answer:

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Catalano Nursing Now 8e

Page 3 of 19 TB

7. Which principle is centered on humans and looks to science and rational thought as a way to understand the world?

1. Holism 2. Buddhism 3. Hinduism 4. Secularism Answer: 8. In the context of a person’s spiritual growth and development, a series of four developmental stages have been proposed for human spirituality. Which stage has an emphasis on rationality, materialism, and humaneness?

1. The chaotic stage 2. The formal stage 3. The skeptic stage 4. The mystical stage Answer: 9. Any disruption in the life principle that pervades a person’s entire being and that integrates and transcends one’s biological and psychosocial nature can be considered and recognized as which nursing diagnosis?

1. Mental distress 2. Physical distress 3. Spiritual distress 4. Emotional distress Answer:

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Catalano Nursing Now 8e

Page 4 of 19 TB

10. Which of the following is an example of a therapy that capitalizes on knowledge of the soul and the movement of a divinely generated energy?

1. Acupuncture 2. Aromatherapy 3. Therapeutic touch 4. Interactive imagery Answer: 11. Religious traditions of India and other Eastern cultures teach that the human energy system contains seven energy centers, or chakras. The root chakra is located in which part of the body, and its energy has to do with the material world?

1. Head 2. Chest 3. Perineum 4. Spine Answer: 12. Second-person and third-party praying, also identified as which of the following, is a type of prayer used by those who pray to saints to intercede with God on their behalf?

1. Communion prayer 2. Supplication prayer 3. Intercessory prayer 4. Prayer of agreement Answer:

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Catalano Nursing Now 8e

Page 5 of 19 TB

13. Telling a patient that chemotherapy will drain his or her energy and cause more of his or her hair to fall out is one example of which of the following?

1. Nocebo effect 2. Placebo effect 3. Direct effect 4. Indirect effect Answer: 14. Which of the following cannot exist without consideration of the spiritual aspects that create individuality and give meaning to people’s lives?

1. Holism 2. Religion 3. Morality 4. Mysticism Answer: 15. Nurses who spend much of their time working with clients who are near death, such as which type of nurses, are most likely to have witnessed the experience of deathbed visions and gained a glimpse of a different realm of reality?

1. Parish nurses 2. Hospice nurses 3. Holistic nurses 4. Critical care nurses Answer:

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Catalano Nursing Now 8e

Page 6 of 19 TB

Questions, Answers, and Rationales 1. Rather than viewing the world as sets of objects that bump into or interact with each other, which type of philosophy believes that the experiences of persons should be explored through the gathering of conscious experience rather than just objective data?

1. Theology 2. Deontology 3. Phenomenology 4. Epistemology ANS: 3 Page: 5

Feedback 1.

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This is incorrect. Theology does not believe that the experiences of persons should be explored through the gathering of conscious experience rather than just objective data.

2.

This is incorrect. Deontology does not believe that the experiences of persons should be explored through the gathering of conscious experience rather than just objective data.

3.

This is correct. Rather than viewing the world as sets of objects that bump into or interact with each other, phenomenology believes that the experiences of persons should be explored through the gathering of conscious experience rather than just objective data.

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Catalano Nursing Now 8e 4.

Page 7 of 19 TB

This is incorrect. Epistemology does not believe that the experiences of persons should be explored through the gathering of conscious experience rather than just objective data.

2. The ability of people to participate in their own healing through prayer or meditation may use a source of healing power referred to as which of the following?

1. Spiritual wellness 2. Holistic wellness 3. Religious wellness 4. Remembered wellness ANS: 4 Page: 33

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Feedback 1.

This is incorrect. Spiritual wellness is not the source of healing power that enables people to participate in their own healing through prayer or meditation.

2.

This is incorrect. Holistic wellness is not the source of healing power that enables people to participate in their own healing through prayer or meditation.

3.

This is incorrect. Religious wellness is not the source of healing power that enables people to participate in their own healing through prayer or meditation.

4.

This is correct. The ability of people to participate in their own healing through prayer or meditation may use a source of healing power referred to as remembered wellness.

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Catalano Nursing Now 8e

Page 8 of 19 TB

3. The nocebo effect creates a difficult ethical dilemma for the nurse, who is caught between the obligation of which ethical principle and the obligation of informed consent?

1. Justice 2. Autonomy 3. Beneficence 4. Nonmaleficence ANS: 3 Page: 34

Feedback 1.

This is incorrect. The nocebo effect does not interfere with the ethical principle

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of justice.

2.

This is incorrect. The nocebo effect does not interfere with the ethical principle of autonomy.

3.

This is correct. The nocebo effect creates a difficult ethical dilemma for the nurse, who is caught between the obligation of beneficence and the obligation of informed consent.

4.

This is incorrect. The nocebo effect does not interfere with the ethical principle of nonmaleficence.

4. Which of the following may be regarded as the driving force that pervades all aspects of and gives meaning to an individual’s life?

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Catalano Nursing Now 8e

Page 9 of 19 TB

1. Holism 2. Religion 3. Morality 4. Spirituality ANS: 4 Page: 4

Feedback 1.

This is incorrect. Holism is not regarded as the driving force that pervades all aspects of and gives meaning to an individual’s life.

2.

This is incorrect. Religion is not regarded as the driving force that pervades all aspects of and gives meaning to an individual’s life.

NURSINGTB.COM

3.

This is incorrect. Morality is not regarded as the driving force that pervades all aspects of and gives meaning to an individual’s life.

4.

This is correct. Spirituality may be regarded as the driving force that pervades all aspects of and gives meaning to an individual’s life.

5. Which emotion is a way of living that is born out of an awareness of one’s relationship to all living creatures, a sensitivity to the pain and brokenness of others?

1. Empathy 2. Sympathy 3. Compassion 4. Kindness

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Catalano Nursing Now 8e

Page 10 of 19 TB

ANS: 3 Page: 7

Feedback 1.

This is incorrect. Empathy is not a way of living that is born out of an awareness of one’s relationship to all living creatures, a sensitivity to the pain and brokenness of others.

2.

This is incorrect. Sympathy is not a way of living that is born out of an awareness of one’s relationship to all living creatures, a sensitivity to the pain and brokenness of others.

3.

This is correct. Compassion is a way of living that is born out of an awareness of one’s relationship to all living creatures, a sensitivity to the pain and brokenness

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of others.

4.

This is incorrect. Kindness is not a way of living that is born out of an awareness of one’s relationship to all living creatures, a sensitivity to the pain and brokenness of others.

6. Which of the following, as an institutionally based organized system of beliefs, represents only one specific means of spiritual expression?

1. Holism 2. Religion 3. Morality 4. Spirituality

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Catalano Nursing Now 8e

Page 11 of 19 TB

ANS: 2 Page: 10

Feedback 1.

This is incorrect. Holism does not represent only one specific means of spiritual expression.

2.

This is correct. Religion, as an institutionally based organized system of beliefs, represents only one specific means of spiritual expression.

3.

This is incorrect. Morality does not represent only one specific means of spiritual expression.

4.

This is incorrect. Spirituality does not represent only one specific means of spiritual expression.

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7. Which principle is centered on humans and looks to science and rational thought as a way to understand the world?

1. Holism 2. Buddhism 3. Hinduism 4. Secularism ANS: 4 Page: 11

Feedback

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 1.

Page 12 of 19 TB

This is incorrect. Holism is not centered on humans and does not look to science and rational thought as a way to understand the world.

2.

This is incorrect. Buddhism is not centered on humans and does not look to science and rational thought as a way to understand the world.

3.

This is incorrect. Hinduism is not centered on humans and does not look to science and rational thought as a way to understand the world.

4.

This is correct. Secularism is centered on humans and looks to science and rational thought as a way to understand the world.

8. In the context of a person’s spiritual growth and development, a series of four developmental stages have been proposed for human spirituality. Which stage has an emphasis on rationality, materialism, and humaneness?

1. The chaotic stage 2. The formal stage 3. The skeptic stage 4. The mystical stage ANS: 3 Page: 12

Feedback 1.

This is incorrect. The chaotic stage does not emphasize rationality, materialism, and humaneness.

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Catalano Nursing Now 8e 2.

Page 13 of 19 TB

This is incorrect. The formal stage does not emphasize rationality, materialism, and humaneness.

3.

This is correct. The skeptic stage emphasizes rationality, materialism, and humaneness.

4.

This is incorrect. The mystical stage does not emphasize rationality, materialism, and humaneness.

9. Any disruption in the life principle that pervades a person’s entire being and that integrates and transcends one’s biological and psychosocial nature can be considered and recognized as which nursing diagnosis?

1. Mental distress 2. Physical distress 3. Spiritual distress 4. Emotional distress ANS: 3 Page: 16

Feedback 1.

This is incorrect. Any disruption in the life principle that pervades a person’s entire being and that integrates and transcends one’s biological and psychosocial nature is not considered and recognized as mental distress.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 14 of 19 TB

This is incorrect. Any disruption in the life principle that pervades a person’s entire being and the integrates and transcends one’s biological and psychosocial nature is not considered and recognized as physical distress.

3.

This is correct. Any disruption in the life principle that pervades a person’s entire being and the integrates and transcends one’s biological and psychosocial nature can be considered and recognized as spiritual distress.

4.

This is incorrect. Any disruption in the life principle that pervades a person’s entire being and the integrates and transcends one’s biological and psychosocial nature is not considered and recognized as emotional distress.

10. Which of the following is an example of a therapy that capitalizes on knowledge of the soul and the movement of a divinelyNgUenReSraIteNdGeT neBrg.yC?OM 1. Acupuncture 2. Aromatherapy 3. Therapeutic touch 4. Interactive imagery ANS: 3 Page: 21

Feedback 1.

This is incorrect. Acupuncture does not capitalize on knowledge of the soul and the movement of a divinely generated energy.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 2.

Page 15 of 19 TB

This is incorrect. Aromatherapy does not capitalize on knowledge of the soul and the movement of a divinely generated energy.

3.

This is correct. Therapeutic touch is an example of a therapy that capitalizes on knowledge of the soul and the movement of a divinely generated energy.

4.

This is incorrect. Interactive imagery does not capitalize on knowledge of the soul and the movement of a divinely generated energy.

11. Religious traditions of India and other Eastern cultures teach that the human energy system contains seven energy centers, or chakras. The root chakra is located in which part of the body, and its energy has to do with the material world?

1. Head 2. Chest 3. Perineum 4. Spine ANS: 3 Page: 22

Feedback 1.

This is incorrect. The root chakra is not located in the head.

2.

This is incorrect. The root chakra is not located in the chest.

3.

This is correct. The root chakra is located at the base of the torso or the perineum, and its energy has to do with the material world.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 4.

Page 16 of 19 TB

This is incorrect. The root chakra is not located in the spine.

12. Second-person and third-party praying, also identified as which of the following, is a type of prayer used by those who pray to saints to intercede with God on their behalf?

1. Communion prayer 2. Supplication prayer 3. Intercessory prayer 4. Prayer of agreement ANS: 3 Page: 29

Feedback 1.

NURSINGTB.COM

This is incorrect. Second-person and third-party praying is not identified as communion prayer.

2.

This is incorrect. Second-person and third-party praying is not identified as supplication prayer.

3.

This is correct. Second-person and third-party praying, also identified as intercessory prayer, is a type of prayer used by those who pray to saints to intercede with God on their behalf.

4.

This is incorrect. Second-person and third-party praying is not identified as prayer of agreement.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 17 of 19 TB

13. Telling a patient that chemotherapy will drain his or her energy and cause more of his or her hair to fall out is one example of which of the following?

1. Nocebo effect 2. Placebo effect 3. Direct effect 4. Indirect effect ANS: 1 Page: 34

Feedback 1.

This is correct. Telling a patient that chemotherapy will drain his or her energy and cause more of his or her hair to fall out is one example of the nocebo effect.

NURSINGTB.COM

2.

This is incorrect. Telling a patient that chemotherapy will drain his or her energy and cause more of his or her hair to fall out is not an example of the placebo effect.

3.

This is incorrect. Telling a patient that chemotherapy will drain his or her energy and cause more of his or her hair to fall out is not an example of the direct effect.

4.

This is incorrect. Telling a patient that chemotherapy will drain his or her energy and cause more of his or her hair to fall out is not an example of the indirect effect.

14. Which of the following cannot exist without consideration of the spiritual aspects that create individuality and give meaning to people’s lives?

WWW.NURSINGTB.COM

Catalano Nursing Now 8e

Page 18 of 19 TB

1. Holism 2. Religion 3. Morality 4. Mysticism ANS: 1 Page: 2

Feedback 1.

This is correct. Holism cannot exist without consideration of the spiritual aspects that create individuality and give meaning to people’s lives.

2.

This is incorrect. Religion can exist without consideration of the spiritual aspects that create individuality and give meaning to people’s lives.

NURSINGTB.COM

3.

This is incorrect. Morality can exist without consideration of the spiritual aspects that create individuality and give meaning to people’s lives.

4.

This is incorrect. Mysticism can exist without consideration of the spiritual aspects that create individuality and give meaning to people’s lives.

15. Nurses who spend much of their time working with clients who are near death, such as which type of nurses, are most likely to have witnessed the experience of deathbed visions and gained a glimpse of a different realm of reality?

1. Parish nurses 2. Hospice nurses 3. Holistic nurses

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Catalano Nursing Now 8e

Page 19 of 19 TB

4. Critical care nurses ANS: 2 Page: 23

Feedback 1.

This is incorrect. Parish nurses do not spend much of their time working with clients who are near death.

2.

This is correct. Nurses who spend much of their time working with clients who are near death, such as hospice nurses, are most likely to have witnessed the experience of deathbed visions and gained a glimpse of a different realm of reality.

3.

This is incorrect. Holistic nurses do not spend much of their time working with

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clients who are near death.

4.

This is incorrect. Critical care nurses do not spend as much of their time working with clients who are near death as hospice nurses do.

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Chapter 21: Cultural Diversity Questions 1. Individuals who migrate to the United States from other countries may maintain many of their traditional cultural practices and languages while learning American culture, resulting in which phenomenon?

1. Culture shock 2. Acculturation 3. Multiculturalism 4. Subcultures Answer: 2. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is referred to as which of the following?

1. Ethnocentrism 2. Cultural relativism 3. Cultural competence 4. Multiculturalism Answer: 3. As it relates to nursing, which of the following can be regarded as the provision of effective care for clients who belong to diverse cultures, based on the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the cultures?

1. Ethnocentrism

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2. Cultural relativism 3. Cultural competence 4. Multiculturalism Answer: 4. Which process allows interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling the second-language care provider to understand?

1. Simultaneous interpreting 2. Concurrent interpreting 3. Coincident interpreting 4. Synchronous interpreting Answer: 5. Developing which concept implies that health-care providers make a commitment to learn about other cultures and to immerse themselves in those cultures?

1. Cultural synergy 2. Cultural relativism 3. Cultural competence 4. Multiculturalism Answer: 6. If a nurse wrongly identifies the gender identity of a person either intentionally or by mistake, this nurse has committed which of the following?

1. Misgendering 2. Cisgendering

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3. Transgendering 4. Demigendering Answer: 7. Which legislative act can be easily violated by nurses taking care of transgender individuals, particularly those in early stages of transition and those who may not have revealed the information to anyone?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 8. Which of the following represents a primary characteristic of diversity?

1. Education 2. Occupation 3. Gender expression 4. Socioeconomic status Answer: 9. Which of the following represents a secondary characteristic of diversity?

1. Race 2. Skin color 3. Religious beliefs 4. Residential status Answer:

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10. A nurse assessing a non-American patient for cyanosis is struggling because she does not know the appropriate skin color for the patient’s ethnic group. How should this nurse proceed with her assessment?

1. Ask the patient if his or her skin appears discolored 2. Examine the patient’s oral mucosa 3. Attempt to find a nurse of the same ethnicity 4. Perform a chest auscultation Answer: 11. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is exhibiting which behavior?

1. Cultural synergy 2. Cultural relativism 3. Active obedience 4. Passive obedience Answer: 12. Some experts believe that for a person to truly be considered by which gender identity, the brain of the person has to be exposed to an unusual mix of hormones in utero so that even if a person is born with atypical genitalia, a person may not actually belong to that gender?

1. Intersex 2. Pansexual 3. Cisgender 4. Transgender Answer:

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13. A nurse examining a transgender woman who has had bottom surgery should understand that this patient needs to have regular Pap smears, breast examinations, and mammography as well as which examination because the gland is not usually removed during gender affirmation surgery?

1. Testicular examination 2. Prostate examination 3. Thyroid examination 4. Parotid examination Answer: 14. As a nurse caring for a transgender client, it is important to assess and monitor transgender clients for which condition?

1. Bipolar disorder 2. Eating disorders 3. Schizophrenia 4. Suicidal ideation Answer: 15. As a nurse caring for a gay man, you should be aware of the worrisome statistic of the rise in incidence of which sexually transmitted disease among males who have sex with males (MSM) in the United States because contracting this disease increases the likelihood of HIV transmission?

1. Chlamydia 2. Gonorrhea 3. Syphilis 4. Human papillomavirus

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Answer:

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Questions, Answers, and Rationales 1. Individuals who migrate to the United States from other countries may maintain many of their traditional cultural practices and languages while learning American culture, resulting in which phenomenon?

1. Culture shock 2. Acculturation 3. Multiculturalism 4. Subcultures ANS: 3 Page: 6

Feedback 1.

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This is incorrect. Culture shock does not necessarily occur in individuals who migrate to the United States from other countries and maintain many of their traditional cultural practices and languages while learning American culture.

2.

This is incorrect. Acculturation does not necessarily occur in individuals who migrate to the United States from other countries and maintain many of their traditional cultural practices and languages while learning American culture.

3.

This is correct. Individuals who migrate to the United States from other countries may maintain many of their traditional cultural practices and languages while learning American culture, resulting in a phenomenon called multiculturalism.

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Catalano Nursing Now 8e 4.

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This is incorrect. Individuals who migrate to the United States from other countries and maintain many of their traditional cultural practices and languages while learning American culture do not constitute subcultures.

2. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is referred to as which of the following?

1. Ethnocentrism 2. Cultural relativism 3. Cultural competence 4. Multiculturalism ANS: 2

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Page: 7

Feedback 1.

This is incorrect. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is not referred to as ethnocentrism.

2.

This is correct. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is referred to as cultural relativism.

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Catalano Nursing Now 8e 3.

Page 9 of 21 TB

This is incorrect. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is not referred to as cultural competence.

4.

This is incorrect. The practice of not judging a culture according to one’s own standards of what is right or wrong, strange or normal, but instead trying to understand the cultural practices of the other group, is not referred to as multiculturalism.

3. As it relates to nursing, which of the following can be regarded as the provision of effective care for clients who belong to diverse cultures, based on the nurse’s knowledge and understanding of the values, cusNtoUm efT s,Ba. ndCpOrM actices of the cultures?

RsS, be INliG 1. Ethnocentrism 2. Cultural relativism 3. Cultural competence 4. Multiculturalism ANS: 3 Page: 20

Feedback 1.

This is incorrect. As it relates to nursing, ethnocentrism is not regarded as the provision of effective care for clients who belong to diverse cultures, based on

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the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the cultures.

2.

This is incorrect. As it relates to nursing, cultural relativism is not regarded as the provision of effective care for clients who belong to diverse cultures, based on the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the cultures.

3.

This is correct. As it relates to nursing, cultural competence can be regarded as the provision of effective care for clients who belong to diverse cultures, based on the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the cultures.

4.

This is incorrect. As it relates to nursing, multiculturalism is not regarded as the provision of effective care for clients who belong to diverse cultures, based on NURSINGTB.COM the nurse’s knowledge and understanding of the values, customs, beliefs, and practices of the cultures.

4. Which process allows interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling the second-language care provider to understand?

1. Simultaneous interpreting 2. Concurrent interpreting 3. Coincident interpreting 4. Synchronous interpreting ANS: 1

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Page: 22

Feedback 1.

This is correct. Simultaneous interpreting allows interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling the second-language care provider to understand.

2.

This is incorrect. Concurrent interpreting does not allow interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling the second-language care provider to understand.

3.

This is incorrect. Coincident interpreting does not allow interpreters to instantly

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transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling the second-language care provider to understand.

4.

This is incorrect. Synchronous interpreting does not allow interpreters to instantly transform emotions, idioms, colloquialisms, and other culturally specific references into analogous statements enabling the second-language care provider to understand.

5. Developing which concept implies that health-care providers make a commitment to learn about other cultures and to immerse themselves in those cultures?

1. Cultural synergy

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2. Cultural relativism 3. Cultural competence 4. Multiculturalism ANS: 1 Page: 31

Feedback 1.

This is correct. Developing cultural synergy implies that health-care providers make a commitment to learn about other cultures and to immerse themselves in those cultures.

2.

This is incorrect. Developing cultural relativism does not imply that health-care providers make a commitment to learn about other cultures and to immerse

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themselves in those cultures.

3.

This is incorrect. Developing cultural competence does not imply that healthcare providers make a commitment to learn about other cultures and to immerse themselves in those cultures.

4.

This is incorrect. Developing multiculturalism does not imply that health-care providers make a commitment to learn about other cultures and to immerse themselves in those cultures.

6. If a nurse wrongly identifies the gender identity of a person either intentionally or by mistake, this nurse has committed which of the following?

1. Misgendering

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2. Cisgendering 3. Transgendering 4. Demigendering ANS: 1 Page: 41

Feedback 1.

This is correct. If a nurse wrongly identifies the gender identity of a person either intentionally or by mistake, this nurse has committed misgendering.

2.

This is incorrect. If a nurse wrongly identifies the gender identity of a person either intentionally or by mistake, this nurse has not committed cisgendering.

3.

This is incorrect. If a nurse wrongly identifies the gender identity of a person

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either intentionally or by mistake, this nurse has not committed transgendering.

4.

This is incorrect. If a nurse wrongly identifies the gender identity of a person either intentionally or by mistake, this nurse has not committed demigendering.

7. Which legislative act can be easily violated by nurses taking care of transgender individuals, particularly those in early stages of transition and those who may not have revealed the information to anyone?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act

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ANS: 2 Page: 47

Feedback 1.

This is incorrect. The Affordable Care Act is not easily violated by nurses taking care of transgender individuals, particularly those in early stages of transition and those who may not have revealed the information to anyone.

2.

This is correct. The Health Insurance Portability and Accountability Act can be easily violated by nurses taking care of transgender individuals, particularly those in early stages of transition and those who may not have revealed the information to anyone.

3.

This is incorrect. The Omnibus Budget Reconciliation Act is not easily violated

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by nurses taking care of transgender individuals, particularly those in early stages of transition and those who may not have revealed the information to anyone.

4.

This is incorrect. The Emergency Treatment and Active Labor Act is not easily violated by nurses taking care of transgender individuals, particularly those in early stages of transition and those who may not have revealed the information to anyone.

8. Which of the following represents a primary characteristic of diversity?

1. Education 2. Occupation

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3. Gender expression 4. Socioeconomic status ANS: 3 Page: 5

Feedback 1.

This is incorrect. Education represents a secondary characteristic of diversity.

2.

This is incorrect. Occupation represents a secondary characteristic of diversity.

3.

This is correct. Gender expression represents a primary characteristic of diversity.

4.

This is incorrect. Socioeconomic status represents a secondary characteristic of diversity.

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9. Which of the following represents a secondary characteristic of diversity?

1. Race 2. Skin color 3. Religious beliefs 4. Residential status ANS: 4 Page: 5

Feedback

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Catalano Nursing Now 8e

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1.

This is incorrect. Race represents a primary characteristic of diversity.

2.

This is incorrect. Skin color represents a primary characteristic of diversity.

3.

This is incorrect. Religious beliefs represent a primary characteristic of diversity.

4.

This is correct. Residential status represents a secondary characteristic of diversity.

10. A nurse assessing a non-American patient for cyanosis is struggling because she does not know the appropriate skin color for the patient’s ethnic group. How should this nurse proceed with her assessment?

1. Ask the patient if his or her skin appears discolored 2. Examine the patient’s oral mucosa 3. Attempt to find a nurse of theNsUam eI etN hnGicTitBy.COM RS 4. Perform a chest auscultation ANS: 2 Page: 20

Feedback 1.

This is incorrect. In this situation, asking the patient would be inappropriate.

2.

This is correct. In assessing for cyanosis, the nurse may need to examine the client’s oral mucosa and may also need to measure capillary refill times to determine whether the client has cyanosis.

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Catalano Nursing Now 8e 3.

Page 17 of 21 TB

This is incorrect. When dealing with cyanotic clients, there may not be adequate time to find a nurse with the same ethnicity.

4.

This is incorrect. Performing a chest auscultation will not confirm the diagnosis of cyanosis.

11. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is exhibiting which behavior?

1. Cultural synergy 2. Cultural relativism 3. Active obedience 4. Passive obedience ANS: 4

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Page: 29

Feedback 1.

This is incorrect. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is not exhibiting cultural synergy.

2.

This is incorrect. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is not exhibiting cultural relativism.

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Catalano Nursing Now 8e 3.

Page 18 of 21 TB

This is incorrect. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is not exhibiting active obedience.

4.

This is correct. If a client from a different culture believes that the nurse is an authority figure or an expert on health matters, this client is exhibiting passive obedience.

12. Some experts believe that for a person to truly be considered by which gender identity, the brain of the person has to be exposed to an unusual mix of hormones in utero so that even if a person is born with atypical genitalia, a person may not actually belong to that gender?

1. Intersex 2. Pansexual 3. Cisgender 4. Transgender ANS: 1 Page: 40

Feedback 1.

This is correct. Some experts believe that for a person to truly be considered intersex, the brain of the person has to be exposed to an unusual mix of hormones in utero so that even if a person is born with atypical genitalia, a person may not actually be intersex.

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Catalano Nursing Now 8e 2.

Page 19 of 21 TB

This is incorrect. To be considered to be pansexual, the brain of the person does not have to be exposed to an unusual mix of hormones in utero.

3.

This is incorrect. To be considered to be cisgender, the brain of the person does not have to be exposed to an unusual mix of hormones in utero.

4.

This is incorrect. To be considered to be transgender, the brain of the person does not have to be exposed to an unusual mix of hormones in utero.

13. A nurse examining a transgender woman who has had bottom surgery should understand that this patient needs to have regular Pap smears, breast examinations, and mammography as well as which examination because the gland is not usually removed during gender affirmation surgery?

1. Testicular examination 2. Prostate examination 3. Thyroid examination 4. Parotid examination ANS: 2 Page: 40

Feedback 1.

This is incorrect. A transgender woman would not need regular testicular examinations because the testicles are removed during bottom surgery.

2.

This is correct. A transgender woman would still need to have regular prostate examinations because the prostate is not removed during bottom surgery.

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Catalano Nursing Now 8e 3.

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This is incorrect. All patients, regardless of sexual orientation, could require thyroid examinations depending on their clinical condition.

4.

This is incorrect. All patients, regardless of sexual orientation, could require parotid examinations depending on their clinical condition.

14. As a nurse caring for a transgender client, it is important to assess and monitor transgender clients for which condition?

1. Bipolar disorder 2. Eating disorders 3. Schizophrenia 4. Suicidal ideation ANS: 4

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Page: 43

Feedback 1.

This is incorrect. A transgender client should be assessed and monitored for bipolar disorder only if he or she is exhibiting symptoms of that condition.

2.

This is incorrect. A transgender client should be assessed and monitored for eating disorders only if he or she is exhibiting symptoms of that condition.

3.

This is incorrect. A transgender client should be assessed and monitored for schizophrenia only if he or she is exhibiting symptoms of that condition.

4.

This is correct. It is important to assess and monitor transgender clients for symptoms of depression, anxiety, and particularly suicidal ideation.

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15. As a nurse caring for a gay man, you should be aware of the worrisome statistic of the rise in incidence of which sexually transmitted disease among males who have sex with males (MSM) in the United States because contracting this disease increases the likelihood of HIV transmission?

1. Chlamydia 2. Gonorrhea 3. Syphilis 4. Human papillomavirus ANS: 3 Page: 37

NURSINGTB.COM Feedback 1.

This is incorrect. There is not a rise in incidence of chlamydia among MSM in the United States.

2.

This is incorrect. There is not a rise in incidence of gonorrhea among MSM in the United States.

3.

This is correct. A worrisome statistic is the rise in incidence of syphilis among MSM in the United States.

4.

This is incorrect. There is not a rise in incidence of human papillomavirus among MSM in the United States.

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Chapter 22: Impact of the Aging Population on Health-Care Delivery Questions 1. Which type of health care requires that chronic diseases be linked with preventive measures such as the involvement of families, screening, counseling, education, and the social determinants of healthy behaviors?

1. Primary care 2. Managed care 3. Palliative care 4. Integrated care Answer: 2. Since the older population is living longer, which of the following has become a major problem and a leading cause of death?

1. Acute illness 2. Chronic disease 3. Medication errors 4. Infectious disease Answer: 3. In line with the approach advocated by which legislative act, the newer management programs emphasize prevention and wellness throughout the health-care system, particularly in community care?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act

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3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act Answer: 4. Even if a client is not over the age of 65, clients with which chronic condition may be eligible for Medicare benefits?

1. Cancer 2. Cardiovascular disease 3. End-stage renal disease 4. Human immunodeficiency syndrome Answer: 5. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from the hospital to home health or a rehabilitation setting, presents a number of challenges to clients and their families and is referred to as which of the following?

1. Continuity of care 2. Transition of care 3. Coordination of care 4. Management of care Answer: 6. Which aspect of the discharge planning process can result in lower rates of client readmission and 30-day mortality, which are key evaluation benchmarks for hospitals?

1. Medication reconciliation 2. Follow-up appointments 3. Home care

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4. Client education Answer: 7. Which type of illness may cause providers to hold certain medications, change long-acting medications to short-acting ones, discontinue others, or change doses?

1. Acute illness 2. Chronic disease 3. Comorbid conditions 4. Mental illness Answer: 8. Today, the health-care system is evolving to provide high-quality care for chronic illnesses and adapt to behaviors and personal issues of a growing elderly population. This rapid growth in the older population has been coined which of the following?

1. The silver cyclone 2. The silver tornado 3. The silver hurricane 4. The silver tsunami Answer: 9. Each year, 7 out of 10 Americans die from chronic diseases, with which condition accounting for more than 50 percent of all the deaths?

1. Cancer 2. Stroke 3. Heart disease 4. Human immunodeficiency virus

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Answer: 10. All the major health organizations have identified which two chronic conditions as major health concerns?

1. Obesity and diabetes 2. Hypertension and diabetes 3. Obesity and hypertension 4. Obesity and heart disease Answer: 11. In addition to health care for children, a large percentage of Medicaid expenditures go for which type of care?

1. Primary care 2. Neonatal care 3. Palliative care 4. Nursing home care Answer: 12. Which type of disorders are the leading cause of compromised self-care and selfmanagement of older adults at home?

1. Arthritic disorders 2. Cardiac disorders 3. Mental disorders 4. Neurologic disorders Answer:

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13. Which client teaching technique has been proven to be effective with the older population and can be easily employed in professional practice?

1. Show and tell 2. Self-learning 3. Negative reinforcement 4. Positive reinforcement Answer: 14. By using which spiritual strategy, the nurse can help to improve both the individual’s selfesteem and his or her relationships with other people and with whatever higher power the person may acknowledge?

1. Asking open-ended questions 2. Allowing the patient to vent religious or spiritual concerns 3. Supporting the client’s use of prayer and scripture 4. Helping the client understand the source of spiritual distress Answer: 15. About half of elderly adults experience a medical error after hospital discharge, and between 19 and 23 percent undergo an adverse event, with which of the following being the most common?

1. Falls 2. Hospital readmission 3. Medication error 4. Wound infection Answer:

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Questions, Answers, and Rationales 1. Which type of health care requires that chronic diseases are linked with preventive measures such as the involvement of families, screening, counseling, education, and the social determinants of healthy behaviors?

1. Primary care 2. Managed care 3. Palliative care 4. Integrated care ANS: 4 Page: 15

Feedback 1.

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This is incorrect. Primary care does not require that chronic diseases be linked with preventive measures.

2.

This is incorrect. Managed care does not require that chronic diseases be linked with preventive measures.

3.

This is incorrect. Palliative care does not require that chronic diseases be linked with preventive measures.

4.

This is correct. Integrated care requires that chronic diseases be linked with preventive measures such as the involvement of families, screening, counseling, education, and the social determinants of healthy behaviors.

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2. Since the older population is living longer, which of the following has become a major problem and a leading cause of death?

1. Acute illness 2. Chronic disease 3. Medication errors 4. Infectious disease ANS: 2 Page: 2

Feedback 1.

This is incorrect. Acute illness has not become a leading cause of death.

2.

This is correct. Since the older population is living longer, chronic disease has

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become a major problem and a leading cause of death.

3.

This is incorrect. Medication errors have not become a leading cause of death.

4.

This is incorrect. Infectious disease has not become a leading cause of death.

3. In line with the approach advocated by which legislative act, the newer management programs emphasize prevention and wellness throughout the health-care system, particularly in community care?

1. Affordable Care Act 2. Health Insurance Portability and Accountability Act 3. Omnibus Budget Reconciliation Act 4. Emergency Treatment and Active Labor Act

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ANS: 1 Page: 3

Feedback 1.

This is correct. In line with the approach advocated by the Affordable Care Act, the newer management programs emphasize prevention and wellness throughout the health-care system, particularly in community care.

2.

This is incorrect. The Health Insurance Portability and Accountability Act does not emphasize prevention and wellness throughout the health-care system.

3.

This is incorrect. The Omnibus Budget Reconciliation Act does not emphasize prevention and wellness throughout the health-care system.

4.

This is incorrect. The Emergency Treatment and Active Labor Act does not NURSINGTB.COM emphasize prevention and wellness throughout the health-care system.

4. Even if a client is not over the age of 65, clients with which chronic condition may be eligible for Medicare benefits?

1. Cancer 2. Cardiovascular disease 3. End-stage renal disease 4. Human immunodeficiency syndrome ANS: 3 Page: 5

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Feedback 1.

This is incorrect. People under the age of 65 who develop cancer are not eligible for Medicare benefits.

2.

This is incorrect. People under the age of 65 who develop cardiovascular disease are not eligible for Medicare benefits.

3.

This is correct. People under the age of 65 who develop end-stage renal disease are eligible for Medicare benefits.

4.

This is incorrect. People under the age of 65 who develop human immunodeficiency syndrome are not eligible for Medicare benefits.

5. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from tN heUhRoSspIiN taG l tT oB ho.m CeOhMealth or a rehabilitation setting, presents a number of challenges to clients and their families and is referred to as which of the following?

1. Continuity of care 2. Transition of care 3. Coordination of care 4. Management of care ANS: 2 Page: 21

Feedback

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1.

This is incorrect. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from the hospital to home health or a rehabilitation setting, is not referred to as continuity of care.

2.

This is correct. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from the hospital to home health or a rehabilitation setting, is referred to as transition of care, and it presents a number of challenges to clients and their families.

3.

This is incorrect. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from the hospital to home health or a rehabilitation setting, is not referred to as coordination of care.

4.

This is incorrect. Moving a client from one setting of care to another, such as from home health to a hospital or assisted-living facility or from the hospital to NURSINGTB.COM home health or a rehabilitation setting, is not referred to as management of care.

6. Which aspect of the discharge planning process can result in lower rates of client readmission and 30-day mortality, which are key evaluation benchmarks for hospitals?

1. Medication reconciliation 2. Follow-up appointments 3. Home care 4. Client education ANS: 2 Page: 22

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Feedback 1.

This is incorrect. Medication reconciliation does not result in lower rates of client readmission and 30-day mortality.

2.

This is correct. Follow-up appointments can result in lower rates of client readmission and 30-day mortality, which are key evaluation benchmarks for hospitals.

3.

This is incorrect. Home care reconciliation does not result in lower rates of client readmission and 30-day mortality.

4.

This is incorrect. Client education does not result in lower rates of client readmission and 30-day mortality.

7. Which type of illness may caN usUeRpS roIvN idG erT sB to.hCoO ldMcertain medications, change long-acting medications to short-acting ones, discontinue others, or change doses?

1. Acute illness 2. Chronic disease 3. Comorbid conditions 4. Mental illness ANS: 1 Page: 26

Feedback

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1.

This is correct. Acute illness may cause providers to hold certain medications, change long-acting medications to short-acting ones, discontinue others, or change doses.

2.

This is incorrect. Chronic disease should not cause providers to hold certain medications, change long-acting medications to short-acting ones, discontinue others, or change doses.

3.

This is incorrect. Comorbid conditions should not cause providers to hold certain medications, change long-acting medications to short-acting ones, discontinue others, or change doses.

4.

This is incorrect. Mental illness should not cause providers to hold certain medications, change long-acting medications to short-acting ones, discontinue others, or change doses.NURSINGTB.COM

8. Today, the health-care system is evolving to provide high-quality care for chronic illnesses and adapt to behaviors and personal issues of a growing elderly population. This rapid growth in the older population has been coined which of the following?

1. The silver cyclone 2. The silver tornado 3. The silver hurricane 4. The silver tsunami ANS: 4 Page: 1

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Feedback 1.

This is incorrect. This rapid growth in the older population has not been coined the silver cyclone.

2.

This is incorrect. This rapid growth in the older population has not been coined the silver tornado.

3.

This is incorrect. This rapid growth in the older population has not been coined the silver hurricane.

4.

This is correct. This rapid growth in the older population has been coined the silver tsunami.

9. Each year, 7 out of 10 Americans die from chronic diseases, with which condition accounting for more than 50 percent of all tNhU eR deSaI thN s?GTB.COM 1. Cancer 2. Stroke 3. Heart disease 4. Human immunodeficiency virus ANS: 2 Page: 2

Feedback 1.

This is incorrect. Cancer does not account for more than 50 percent of all the deaths.

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2.

This is correct. Each year, 7 out of 10 Americans die from chronic diseases, with stroke accounting for more than 50 percent of all the deaths.

3.

This is incorrect. Heart disease does not account for more than 50 percent of all the deaths.

4.

This is incorrect. The human immunodeficiency virus does not account for more than 50 percent of all the deaths.

10. All the major health organizations have identified which two chronic conditions as major health concerns?

1. Obesity and diabetes 2. Hypertension and diabetes 3. Obesity and hypertension 4. Obesity and heart disease ANS: 1 Page: 3

Feedback 1.

This is correct. All the major health organizations have identified obesity and diabetes as major health concerns.

2.

This is incorrect. Hypertension is not one of the two major health concerns identified by all the major health organizations.

3.

This is incorrect. Hypertension is not one of the two major health concerns identified by all the major health organizations.

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4.

This is incorrect. Heart disease is not one of the two major health concerns identified by all the major health organizations.

11. In addition to health care for children, a large percentage of Medicaid expenditures go for which type of care?

1. Primary care 2. Neonatal care 3. Palliative care 4. Nursing home care ANS: 4 Page: 5

NURSINGTB.COM Feedback 1.

This is incorrect. In addition to health care for children, a large percentage of Medicaid expenditures does not go for primary care.

2.

This is incorrect. In addition to health care for children, a large percentage of Medicaid expenditures does not go for neonatal care.

3.

This is incorrect. In addition to health care for children, a large percentage of Medicaid expenditures does not go for palliative care.

4.

This is correct. In addition to health care for children, a large percentage of Medicaid expenditures go for nursing home care.

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12. Which type of disorders are the leading cause of compromised self-care and selfmanagement of older adults at home?

1. Arthritic disorders 2. Cardiac disorders 3. Mental disorders 4. Neurologic disorders ANS: 3 Page: 15

Feedback 1.

This is incorrect. Arthritic disorders are not the leading cause of compromised self-care and self-management of older adults at home.

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2.

This is incorrect. Cardiac disorders are not the leading cause of compromised self-care and self-management of older adults at home.

3.

This is correct. Mental disorders are the leading cause of compromised self-care and self-management of older adults at home.

4.

This is incorrect. Neurologic disorders are not the leading cause of compromised self-care and self-management of older adults at home.

13. Which client teaching technique has been proven to be effective with the older population and can be easily employed in professional practice?

1. Show and tell 2. Self-learning

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3. Negative reinforcement 4. Positive reinforcement ANS: 4 Page: 16

Feedback 1.

This is incorrect. Show and tell has not been proven to be effective with the older population.

2.

This is incorrect. Self-learning has not been proven to be effective with the older population.

3.

This is incorrect. Negative reinforcement has not been proven to be effective with the older population.

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4.

This is correct. Continuous positive reinforcement has been proven to be effective with the older population and can be easily employed in professional practice.

14. By using which spiritual strategy, the nurse can help to improve both the individual’s selfesteem and his or her relationships with other people and with whatever higher power the person may acknowledge?

1. Asking open-ended questions 2. Allowing the patient to vent religious or spiritual concerns 3. Supporting the client’s use of prayer and scripture 4. Helping the client understand the source of spiritual distress

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ANS: 1 Page: 20

Feedback 1.

This is correct. By using spiritual strategies such as empathy and open-ended questions, the nurse can help to improve both the individual’s self-esteem and his or her relationships with other people and with whatever higher power the person may acknowledge.

2.

This is incorrect. Allowing the patient to vent religious or spiritual concerns does not allow the nurse to improve both the individual’s self-esteem and his or her relationships with other people and with whatever higher power the person may acknowledge.

3.

NURSINGTB.COM

This is incorrect. Supporting the client’s use of prayer and scripture does not allow the nurse to improve both the individual’s self-esteem and his or her relationships with other people and with whatever higher power the person may acknowledge.

4.

This is incorrect. Helping the client understand the source of spiritual distress does not allow the nurse to improve both the individual’s self-esteem and his or her relationships with other people and with whatever higher power the person may acknowledge.

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15. About half of elderly adults experience a medical error after hospital discharge, and between 19 and 23 percent undergo an adverse event, with which of the following being the most common?

1. Falls 2. Hospital readmission 3. Medication error 4. Wound infection ANS: 3 Page: 22

Feedback 1.

This is incorrect. Falls are not the most common medical error elderly adults

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experience after discharge.

2.

This is incorrect. Hospital readmission is not the most common medical error elderly adults experience after discharge.

3.

This is correct. About half of elderly adults experience a medical error after hospital discharge, and between 19 and 23 percent undergo an adverse event, with medication error being the most common.

4.

This is incorrect. Wound infection is not the most common medical error elderly adults experience after discharge.

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Chapter 28: NCLEX: What You Need to Know Questions 1. Which type of questions test your ability to use information correctly and respond to the increase in the use of evidence-based practice in the health-care setting?

1. Multiple-response questions 2. Sequencing items questions 3. Hot spot questions 4. Exhibit item questions Answer: 2. On the NCLEX, interpreting electrocardiographic (ECG) strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are assessed through the use of which level of questions?

1. Level 1 2. Level 2 3. Level 3 4. Level 4 Answer: 3. Factors such as determining expected outcomes, setting priorities for goals, and anticipating client needs are included in which phase of the nursing process?

1. Assessment phase 2. Analysis phase 3. Planning phase

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4. Intervention and implementation phase Answer: 4. Questions regarding which phase of the nursing process are often worded very similarly and are relatively easy to identify after you have experienced a few of them?

1. Assessment questions 2. Analysis questions 3. Intervention and implementation questions 4. Evaluation questions Answer: 5. You need to demonstrate to the computer that you have the ability to answer medium difficulty level questions correctly at least 50 percent of the time, with which confidence interval?

1. 85 percent confidence interval 2. 90 percent confidence interval 3. 95 percent confidence interval 4. 99 percent confidence interval Answer: 6. Because of increased concern about which of the following, it is probably safe to assume that the difficulty level of future calculation questions will increase markedly?

1. Medication errors 2. Polypharmacy 3. Antibiotic resistance 4. Herbal medications

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Catalano Nursing Now 8e

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Answer: 7. Experts recommend that you take how many practice questions prior to taking the NCLEX, with a significant number of these practice questions using a computerized format and alternative format questions?

1. 500 to 1500 2. 1500 to 3000 3. 3000 to 5000 4. 5000 to 6000 Answer: 8. By answering practice questions, you are becoming more familiar with and therefore more comfortable with the format of the examination. This process is referred to as which of the following?

1. Practice effect 2. Comfort effect 3. Habit effect 4. Method effect Answer: 9. The day before the exam, you eat foods or drink liquids with which vitamin because it has been shown to decrease short-term stress?

1. Vitamin B 2. Vitamin C 3. Vitamin E 4. Vitamin K

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Catalano Nursing Now 8e

Page 4 of 20 TB

Answer: 10. Which type of alternative format questions can be difficult, but if you think of them as true or false questions, they become easier?

1. Multiple-response questions 2. Sequencing items questions 3. Hot spot questions 4. Exhibit item questions Answer: 11. The space between when you start missing questions and then start getting them correct again is known as which of the following, and if that space is above the pass standard, then you will pass the exam?

1. Zone of expertise 2. Zone of knowledge 3. Zone of understanding 4. Zone of comprehension Answer: 12. Which category comprises the largest groups of questions on the NCLEX, with about 38 to 62 percent of the total number of questions on the NCLEX? 1. Safe and effective care environment needs 2. Physiological integrity needs 3. Psychosocial integrity needs 4. Health promotion and maintenance needs Answer:

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Catalano Nursing Now 8e

Page 5 of 20 TB

13. One factor that increases the difficulty of answering which level of questions is that there is often more than one correct answer?

1. Level 1 2. Level 2 3. Level 3 4. Level 4 Answer: 14. While taking the NCLEX, you will find that questions pertaining to which area of nursing tend to be integrated into other areas even though they are a separate category?

1. Pharmacology 2. Endocrinology 3. Immunology 4. Hematology Answer: 15. If the computer can determine within what percentage accuracy that your zone of knowledge is above the pass criteria within the first 75 questions will it stop the test and ask you to complete a short survey?

1. 85 percent accuracy 2. 90 percent accuracy 3. 95 percent accuracy 4. 99 percent accuracy Answer:

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Catalano Nursing Now 8e

Page 6 of 20 TB

Questions, Answers, and Rationales 1. Which type of questions test your ability to use information correctly and respond to the increase in the use of evidence-based practice in the health-care setting?

1. Multiple-response questions 2. Sequencing items questions 3. Hot spot questions 4. Exhibit item questions ANS: 4 Page: 19

Feedback 1.

This is incorrect. Multiple-response questions do not test your ability to use

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information correctly and respond to the increase in the use of evidence-based practice in the health-care setting.

2.

This is incorrect. Sequencing items questions do not test your ability to use information correctly and respond to the increase in the use of evidence-based practice in the health-care setting.

3.

This is incorrect. Hot spot questions do not test your ability to use information correctly and respond to the increase in the use of evidence-based practice in the health-care setting.

4.

This is correct. Exhibit item questions test your ability to use information correctly and respond to the increase in the use of evidence-based practice in the health-care setting.

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Catalano Nursing Now 8e

Page 7 of 20 TB

2. On the NCLEX, interpreting electrocardiographic (ECG) strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are assessed through the use of which level of questioning?

1. Level 1 2. Level 2 3. Level 3 4. Level 4 ANS: 2 Page: 9

Feedback 1.

NURSINGTB.COM

This is incorrect. Interpreting EEG strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are not assessed through the use of level 1 questions.

2.

This is correct. On the NCLEX, interpreting EEG strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are assessed through the use of level 2 questions.

3.

This is incorrect. Interpreting EEG strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are not assessed through the use of level 3 questions.

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Catalano Nursing Now 8e 4.

Page 8 of 20 TB

This is incorrect. Interpreting EEG strips, interpreting blood gas values, making a nursing diagnosis based on a set of symptoms, and deciding on a treatment plan are not assessed through the use of level 4 questions.

3. Factors such as determining expected outcomes, setting priorities for goals, and anticipating client needs are included in which phase of the nursing process?

1. Assessment phase 2. Analysis phase 3. Planning phase 4. Intervention and implementation phase ANS: 3 Page: 13

NURSINGTB.COM

Feedback 1.

This is incorrect. Factors such as determining expected outcomes, setting priorities for goals, and anticipating client needs are not included in the assessment phase of the nursing process.

2.

This is incorrect. Factors such as determining expected outcomes, setting priorities for goals, and anticipating client needs are not included in the analysis phase of the nursing process.

3.

This is correct. Factors such as determining expected outcomes, setting priorities for goals, and anticipating client needs are included in the planning phase of the nursing process.

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Catalano Nursing Now 8e 4.

Page 9 of 20 TB

This is incorrect. Factors such as determining expected outcomes, setting priorities for goals, and anticipating client needs are not included in the intervention and implementation phase of the nursing process.

4. Questions regarding which phase of the nursing process are often worded very similarly and are relatively easy to identify after you have experienced a few of them?

1. Assessment questions 2. Analysis questions 3. Intervention and implementation questions 4. Evaluation questions ANS: 4 Page: 14

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Feedback 1.

This is incorrect. Questions regarding the assessment phase of the nursing process are not often worded very similarly and are not relatively easy to identify after you have experienced a few of them.

2.

This is incorrect. Questions regarding the analysis phase of the nursing process are not often worded very similarly and are not relatively easy to identify after you have experienced a few of them.

3.

This is incorrect. Questions regarding the intervention and implementation phase of the nursing process are not often worded very similarly and are not relatively easy to identify after you have experienced a few of them.

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Catalano Nursing Now 8e 4.

Page 10 of 20 TB

This is correct. Questions regarding the evaluation phase of the nursing process are often worded very similarly and are relatively easy to identify after you have experienced a few of them.

5. You need to demonstrate to the computer that you have the ability to answer medium difficulty level questions correctly at least 50 percent of the time, with which confidence interval?

1. 85 percent confidence interval 2. 90 percent confidence interval 3. 95 percent confidence interval 4. 99 percent confidence interval ANS: 3

NURSINGTB.COM

Page: 23

Feedback 1.

This is incorrect. You do not need to demonstrate to the computer that you have the ability to answer medium difficulty level questions correctly at least 50 percent of the time, with an 85 percent confidence interval.

2.

This is incorrect. You do not need to demonstrate to the computer that you have the ability to answer medium difficulty level questions correctly at least 50 percent of the time, with a 90 percent confidence interval.

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Catalano Nursing Now 8e 3.

Page 11 of 20 TB

This is correct. You need to demonstrate to the computer that you have the ability to answer medium difficulty level questions correctly at least 50 percent of the time, with a 95 percent confidence interval.

4.

This is incorrect. You do not need to demonstrate to the computer that you have the ability to answer medium difficulty level questions correctly at least 50 percent of the time, with a 99 percent confidence interval.

6. Because of increased concern about which of the following, it is probably safe to assume that the difficulty level of future calculation questions will increase markedly?

1. Medication errors 2. Polypharmacy 3. Antibiotic resistance 4. Herbal medications ANS: 1 Page: 28

Feedback 1.

This is correct. Because of increased concern about medication errors, it is probably safe to assume that the difficulty level of future calculation questions will increase markedly.

2.

This is incorrect. The difficulty level of future calculation questions will not increase markedly because of increased concern about polypharmacy.

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Catalano Nursing Now 8e 3.

Page 12 of 20 TB

This is incorrect. The difficulty level of future calculation questions will not increase markedly because of increased concern about antibiotic resistance.

4.

This is incorrect. The difficulty level of future calculation questions will not increase markedly because of increased concern about herbal medications.

7. Experts recommend that you take how many practice questions prior to taking the NCLEX, with a significant number of these practice questions using a computerized format and alternative format questions?

1. 500 to 1500 2. 1500 to 3000 3. 3000 to 5000 4. 5000 to 6000 ANS: 3 Page: 33

Feedback 1.

This is incorrect. Experts recommend that you take more than 500 to 1500 practice questions prior to taking the NCLEX, with a significant number of these practice questions using a computerized format and alternative format questions.

2.

This is incorrect. Experts recommend that you take more than 1500 to 3000 practice questions prior to taking the NCLEX, with a significant number of these practice questions using a computerized format and alternative format questions.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 13 of 20 TB

This is correct. Experts recommend that you take between 3000 to 5000 practice questions prior to taking the NCLEX, with a significant number of these practice questions using a computerized format and alternative format questions.

4.

This is incorrect. It is not necessary to take in excess of 5000 practice questions to prepare for the NCLEX.

8. By answering practice questions, you are becoming more familiar with and therefore more comfortable with the format of the examination. This process is referred to as which of the following?

1. Practice effect 2. Comfort effect 3. Habit effect 4. Method effect ANS: 1 Page: 34

Feedback 1.

This is correct. By answering practice questions, you are becoming more familiar with and therefore more comfortable with the format of the examination. This process is referred to as the practice effect.

2.

This is incorrect. This process is not referred to as the comfort effect.

3.

This is incorrect. This process is not referred to as the habit effect.

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Catalano Nursing Now 8e 4.

Page 14 of 20 TB

This is incorrect. This process is not referred to as the method effect.

9. The day before the exam, you eat foods or drink liquids with which vitamin because it has been shown to decrease short-term stress?

1. Vitamin B 2. Vitamin C 3. Vitamin E 4. Vitamin K ANS: 2 Page: 36

Feedback

NURSINGTB.COM

1.

This is incorrect. Vitamin B has not been shown to decrease short-term stress.

2.

This is correct. The day before the exam, you eat foods or drink liquids with vitamin C because it has been shown to decrease short-term stress.

3.

This is incorrect. Vitamin E has not been shown to decrease short-term stress.

4.

This is incorrect. Vitamin K has not been shown to decrease short-term stress.

10. Which type of alternative format questions can be difficult, but if you think of them as true or false questions, they become easier?

1. Multiple-response questions 2. Sequencing items questions 3. Hot spot questions

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Catalano Nursing Now 8e

Page 15 of 20 TB

4. Exhibit item questions ANS: 1 Page: 17

Feedback 1.

This is correct. Multiple-response questions can be difficult, but if you think of them as true or false questions, they become easier.

2.

This is incorrect. Sequencing items do not become easier if you think of them as true or false questions.

3.

This is incorrect. Hot spot questions do not become easier if you think of them as true or false questions.

4.

This is incorrect. Exhibit item questions do not become easier if you think of NURSINGTB.COM them as true or false questions.

11. The space between when you start missing questions and then start getting them correct again is known as which of the following, and if that space is above the pass standard, then you will pass the exam?

1. Zone of expertise 2. Zone of knowledge 3. Zone of understanding 4. Zone of comprehension ANS: 2 Page: 24

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Catalano Nursing Now 8e

Page 16 of 20 TB

Feedback 1.

This is incorrect. The space between when you start missing questions and then start getting them correct again is not known as the zone of expertise.

2.

This is correct. The space between when you start missing questions and then start getting them correct again is known as the zone of knowledge, and if that space is above the pass standard, then you will pass the exam.

3.

This is incorrect. The space between when you start missing questions and then start getting them correct again is not known as the zone of understanding.

4.

This is incorrect. The space between when you start missing questions and then start getting them correct again is not known as the zone of comprehension.

12. Which category comprises the largest groups of questions on the NCLEX, with about 38 to 62 percent of the total number of questions on the NCLEX? 1. Safe and effective care environment needs 2. Physiological integrity needs 3. Psychosocial integrity needs 4. Health promotion and maintenance needs ANS: 2 Page: 5

Feedback

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Catalano Nursing Now 8e 1.

Page 17 of 20 TB

This is incorrect. Safe and effective care environment needs do not comprise the largest groups of questions on the NCLEX.

2.

This is correct. Physiological integrity needs comprise the largest groups of questions on the NCLEX, with about 38 to 62 percent of the total number of questions on the NCLEX.

3.

This is incorrect. Psychosocial integrity needs do not comprise the largest groups of questions on the NCLEX.

4.

This is incorrect. Health promotion and maintenance needs do not comprise the largest groups of questions on the NCLEX.

13. One factor that increases the difficulty of answering which level of questions is that there is often more than one correct ansN wU erR?SINGTB.COM 1. Level 1 2. Level 2 3. Level 3 4. Level 4 ANS: 3 Page: 9

Feedback 1.

This is incorrect. There is only one correct answer associated with level 1 questions.

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Catalano Nursing Now 8e 2.

Page 18 of 20 TB

This is incorrect. There is only one correct answer associated with level 2 questions.

3.

This is correct. One factor that increases the difficulty of answering level 3 questions is that there is often more than one correct answer.

4.

This is incorrect. There is only one correct answer associated with level 4 questions.

14. While taking the NCLEX, you will find that questions pertaining to which area of nursing tend to be integrated into other areas even though they are a separate category?

1. Pharmacology 2. Endocrinology 3. Immunology 4. Hematology ANS: 1 Page: 11

Feedback 1.

This is correct. While taking the NCLEX, you will find that questions pertaining to pharmacology tend to be integrated into other areas even though they are a separate category.

2.

This is incorrect. Questions pertaining to endocrinology are not integrated in other areas.

WWW.NURSINGTB.COM

Catalano Nursing Now 8e 3.

Page 19 of 20 TB

This is incorrect. Questions pertaining to immunology are not integrated in other areas.

4.

This is incorrect. Questions pertaining to hematology are not integrated in other areas.

15. If the computer can determine within what percentage accuracy that your zone of knowledge is above the pass criteria within the first 75 questions, it will stop the test and ask you to complete a short survey?

1. 85 percent accuracy 2. 90 percent accuracy 3. 95 percent accuracy 4. 99 percent accuracy ANS: 3 Page: 24

Feedback 1.

This is incorrect. If the computer can determine with only 85 percent accuracy that your zone of knowledge is above the pass criteria within the first 75 questions, the test will continue.

2.

This is incorrect. If the computer can determine with only 90 percent accuracy that your zone of knowledge is above the pass criteria within the first 75 questions, the test will continue.

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Catalano Nursing Now 8e 3.

Page 20 of 20 TB

This is correct. If the computer can determine within 95 percent accuracy that your zone of knowledge is above the pass criteria within the first 75 questions, it will stop the test and ask you to complete a short survey.

4.

This is incorrect. Ninety-five percent accuracy of the zone of knowledge is all that is required.

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