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TEST BANK ESSENTIALS OF NURSING LEADERSHIP AND MANAGEMENT, 7TH EDITION

Test Bank Questions with Complete Solutions

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

Page 1 of 12

Chapter 1: Characteristics of a Profession 1. Professionalism has been historically difficult to define. Early definitions of professionalism included which of the following characteristics? A. Expertise B. Empathy C. Ethical and moral values D. Honesty Answer:

2. A registered nurse (RN) who usually uses public transportation has not renewed her driver’s license. During a recent car trip with a friend, she took over driving when her friend became tired. Which of the following is true? A. She has acted in a professional manner. B. She may lose her RN license for driving without a license. C. She should renew her driver’s license as soon as possible. D. Under the circumstances, she will not be faulted for driving without a license. Answer:

3. An RN visits a middle school class to discuss the profession of nursing. Which of the following statements is true of nursing? A. Nurses must graduate from nursing school in order to obtain a license to practice. B. Nursing is a vocation that requires continuous education. C. Nurses function autonomously within their scope of practice. D. Nurses must adhere to expected professional behaviors in their lives. Answer:

4. An RN is reviewing professional behavior expectations with a group of new nurses. Which of the following statements should be included in the teaching? A. It is OK to discuss your days at work on social media. B. When you are passionate about a topic, speak up in blogs and forums. C. Your behavior outside of the practice setting is up to you and will not impact your license. D. Nurses may lose their licenses for unprofessional actions. Answer: 5. An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful?

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

Page 1 of 12

A. “Commitment to others means I should be honest and accountable for my actions.” B. “I should encourage my fellow nurses to talk when they are having a bad day.” C. “I should be flexible with myself and my fellow nurses when it comes to the dress code.” D. “If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.” Answer:

6. As the definition of nursing evolved, which of the following nurse theorists focused on the uniqueness of nursing? A. Florence Nightingale B. Virginia Henderson C. Martha Rogers D. Abraham Maslow Answer:

7. Recent polls have placed nursing as one of the most trusted professions because of which of the following? A. Nurses engage in lifelong learning. B. Nurses abide by a dress code. C. Nurses have the skills needed to care for diverse populations. D. Nurses must pass the NCLEX in order to obtain a license to practice. Answer:

8. The main purpose of the NCLEX examination is which of the following? A. Ensure individuals have passed nursing classes. B. Provide assurance that the nursing schools are part of the service agency. C. Enable potential students to determine the best nursing schools. D. Ensure the safety of the public. Answer:

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

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C. If her home state participates in the compact agreement, she may practice in other states participating in the agreement, but should renew her license in her home state. D. The RN license is a permissive license. Answer:

10. The Social Security Act of 1935 impacted public health nursing because it contained provisions for care for which of the following vulnerable populations? A. Disabled children B. Mentally disabled C. Older adults D. Opioid addicts Answer:

11. The decades between the 1960s and 1980s brought about many changes in nursing. Which of the following is a reason for advances in nursing? A. Decreased demand for health care B. Development of specialty care disciplines C. Gender discrimination D. Advances in technology leading to more generalized care Answer:

12. Which of the following is a challenge the profession of nursing faced? A. Because of fear, nursing contributed to the stigma of AIDS in the 1980s. B. During the Korean War, nursing practice grew in field hospitals where supplies and equipment were abundant. C. After the Vietnam War, many nurses were frustrated with the lack of independent functioning of nurses when they returned home. D. Ethical dilemmas led to a decline in the number of hospice nurses. Answer:

13. A nurse supervisor is planning an educational session for her staff regarding improving teamwork among different generations. Which of the following recommendations will reduce potential generational conflicts? A. Involve only millennials in technology decisions. B. Focus on the team as a whole, rather than individual generations. C. Involve only the baby boomers in technology decisions. D. Practice active and assertive communication techniques.

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

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Answer:

14. Which of the following is a reason for increasing the use of advanced practice nurses? A. A 2010 Institute of Medicine report encouraged nurses to practice to the full extent of their education. B. Advanced practice nurses serve as an extension of physicians. C. The National League for Nursing promotes the master of science in nursing (MSN) as the terminal degree for nurse practitioners. D. Advanced practice nurses do not have the skills to diagnose. Answer:

15. Which of the following is a reason for conflicts in professional nursing today? A. Some nurses who had planned to retire but find themselves forced to continue working because of the current economic situation B. Balancing state practice acts, codes of ethics, and standards of practice C. Advances in technology D. Multiple generations in the workforce Answer:

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Test Bank, Chapter 1 Weiss, Essentitials of Nursing Leadership and Management, 7.2

Weiss Chapter 1: Characteristics of a Profession—Answers and Rationales

1. Professionalism has been historically difficult to define. Early definitions of professionalism included which of the following characteristics? A. Expertise B. Empathy C. Ethical and moral values D. Honesty ANS: A Page: 4

A. B. C. D.

Feedback This is correct. Older definitions of professionalism only look at knowledge and expertise. This is incorrect. Empathy is a modern characteristic of professional behavior. This is incorrect. A code of ethics and moral values are more recent characteristics of professionalism. This is incorrect. Honesty is a more recent characteristic of professional behavior.

A. B. C. D.

Feedback This is incorrect. Professionalism requires nurses to avoid illegal behaviors. Driving without a license is illegal. This is correct. Driving without a license is deemed an unprofessional and illegal behavior for which a nurse may lose his or her license. This is incorrect. It is up to the individual to decide if she should renew her license. This is incorrect. Driving without a valid driver’s license is illegal, and the nurse may lose her nursing license.

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

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B. C.

Feedback This is incorrect. Nurses must graduate from a nursing program to be eligible to take the NCLEX examination. Nurses must pass the NCLEX examination in order to be eligible to obtain a license to practice. Passing the NCLEX examination demonstrates the nurse has received specialized education and training and enables the nurse to obtain a license to practice in the state. This is incorrect. Although lifelong learning is required in nursing, nursing is a profession rather than a vocation. This is correct. Rather than being assistants to doctors, nurses are able to function autonomously within their scope of practice. Nurses formulate and deliver a plan of care for clients, utilizing nursing judgment and critical thinking skills to make decisions in client care. This is incorrect. The state boards of nursing expect nurses to uphold professional standards of behavior in their practice and personal lives in order to maintain their license.

A. B. C.

Feedback This is incorrect. Inappropriate use of social media may lead to a nurse losing his or her license. This is incorrect. Emotionally charged blogs or forums may be deemed unprofessional behavior. This is incorrect. Nurses are expected to behave in a professional manner in both their personal and professional lives.

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

Page 1 of 12

This is correct. State boards on nursing elaborate the expected professional behaviors, and nurses can lose their licenses for unprofessional or illegal behavior.

5. An RN is explaining to a student nurse what professionalism in nursing means. Which of the following statements, if made by the student nurse, demonstrates teaching has been successful? A. “Commitment to others means I should be honest and accountable for my actions.” B. “I should encourage my fellow nurses to talk when they are having a bad day.” C. “I should be flexible with myself and my fellow nurses when it comes to the dress code.” D. “If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.” ANS: A Page: 5

A. B. C. D.

Feedback This is correct. Commitment to others involves accountability for one’s actions, lifelong learning, and commitment to colleagues. This is incorrect. Gossip and negative comments should be avoided. This is incorrect. Dress codes should be followed according to the employer’s expectations. This is incorrect. Honesty is part of commitment to others and professionalism. When a day off is needed, a personal day or vacation day should be taken. One should only call in sick when one is really sick.

A. B. C.

Feedback This is incorrect. Florence Nightingale’s description of nursing involved putting the client in the best place for healing. This is correct. Virginia Henderson’s definition of nursing focused on its uniqueness. This is incorrect. Martha Rogers upheld the importance of all people, not just the

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

Page 1 of 12

ill. This is incorrect. Abraham Maslow was not a nurse theorist.

A. B.

C. D.

Feedback This is incorrect. Although nurses do engage in lifelong learning, this is not the main reason why recent polls show nursing to be one of the most trusted professions. This is incorrect. Although nurses do abide by a dress code according to their organization, this is not the main reason why recent polls show nursing to be one of the most trusted professions. This is correct. Nurses are one of the most trusted professions because they have the knowledge, expertise, and ability to care for diverse populations. This is incorrect. Although it is true that nurses must pass the NCLEX examination to obtain a license to practice nursing, this is not the main reason why recent polls show nursing to be one of the most trusted professions.

A. B.

C. D.

Feedback This is incorrect. Transcripts, and not the NCLEX, demonstrate that individuals have passed nursing classes. This is incorrect. Nightingale considered schools of nursing to be educational institutions, not part of a service agency. This is not the purpose of the NCLEX examination. This is incorrect. The purpose of the NCLEX is not to rate schools of nursing, but to ensure the safety of the public. This is correct. The purpose of the NCLEX examination is to ensure the safety of

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

the public by establishing a minimum standard to indicate that an individual has the knowledge and skills necessary to practice nursing safely and effectively.

9. A recent nursing school graduate is preparing to take the NCLEX. The graduate knows which of the following is true? A. Upon graduation from nursing school, she can use the title RN. B. Because the NCLEX is a national examination, her RN license will allow her to practice in all states and territories of the United States. C. If her home state participates in the compact agreement, she may practice in other states participating in the agreement, but should renew her license in her home state. D. The RN license is a permissive license. ANS: C Page: 6

A. B.

Feedback This is incorrect. The title RN may only be used after the graduate has obtained an RN license. This is incorrect. State boards of nursing issue licenses for their state. Although some states have joined together to form a “compact,” it may be necessary to obtain a license from another state if she wishes to practice in that other state. This is correct. The state in which the nurse lives is considered her home state. Although the nurse may practice nursing in other states participating in the compact, she should renew her RN license in her home state. This is incorrect. The RN license is mandatory, meaning that a license is required for practice.

Feedback This is correct. The Social Security Act of 1935 strengthened public health services, particularly for dependent mothers and children, the blind, and disabled children. This is incorrect. The Social Security Act of 1935 did not focus on mentally disabled individuals.

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

C. D.

This is incorrect. Amendments to the Social Security Act provided access for older adults. This is incorrect. The Social Security Act of 1935 did not provide care for opioid addicts.

B. C. D.

Feedback This is incorrect. A demand for increased access to health care resulted in the creation of the advanced practice role for nurses to meet the primary health-care needs of the public. This is correct. Specialty care disciplines developed because of advances in intensive care, neurosurgical techniques, and cardiothoracic surgery. This is incorrect. Gender discrimination did not advance the profession of nursing. In 1964, the Civil Rights Act prohibited gender discrimination in the workplace. This is incorrect. Advances in technology led to the creation of specialty care disciplines.

A. B. C.

Feedback This is incorrect. Nursing was instrumental in public education about AIDS and caring for infected individuals. This is incorrect. During the Korean War, nurses often cared for those at or near the front lines, where they lacked necessary supplies and equipment. This is correct. During the Vietnam War, many nurses functioned independently

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

in mobile hospital units performing lifesaving procedures for wounded soldiers. Many felt restricted by the lack of independent practice when they returned home. This is incorrect. Increased use of life support systems led to ethical dilemmas in critical care areas and a growing support for hospice nurses. Because of renewed interest in hospice nursing, the numbers increased.

A. B. C. D.

Feedback This is incorrect. Although millennials are often more comfortable with technology, it is essential to involve all generations in technology decisions. This is incorrect. Each generation has a core set of values that must be taken into consideration for the team to function cohesively. This is incorrect. All generations should be involved in technology decisions. This is correct. Active and assertive communication will assist each generation to value the others’ skills and perspectives.

A. B.

Feedback This is correct. A 2010 Institute of Medicine report stated nurses should be allowed to practice to the full extent of their education. This is incorrect. Advanced practice nurses are board certified and licensed in the states in which they practice. They practice according to their own license, and

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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 7e

are not extensions of physicians. This is incorrect. The National League for Nursing and the American Association of Critical Care Nurses both promote the doctorate of nursing practice (DNP) as the terminal degree for nurse practitioners. This is incorrect. Advanced practice nurses are qualified to diagnose and treat certain conditions.

A. B. C. D.

Feedback This is incorrect. Having more experienced nurses on the staff does not directly cause conflict. This is incorrect. State practice acts, codes of ethics, and standards of practice guide professional behavior. This is incorrect. Technological advances do not directly cause conflict in professional nursing, but they are a reason for nurses to be lifelong learners. This is correct. Multiple generations in the workforce today with multiple viewpoints can lead to conflict.

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Test Bank, Chapter 2 Weiss, Essentitials of Nursing Leadership and Management, 7.2

Chapter 2: Professional Ethics and Values 1. Which of the following best describes the ethical concept of values? A.V alues are an individual’s feelings about situations. B.V alues are learned through family systems. C.V alues are organized ways of thinking about the meaning of life. D.V alues determine the rightness or wrongness of behavior. Answer:

2. Which of the following best describes intrinsic values? A. Intrinsic values are often abstract ideas. B. Intrinsic values are basic needs for sustaining life. C. Intrinsic values are qualities patients consider to be important in their private lives. D. Intrinsic values are qualities patients consider important for nurses to have. Answer:

3. Values are learned through which of the following methods? A. Reading books B. Formal degrees C. Continuous reinforcement D. Meeting diverse individuals Answer:

4. Which of the following statements about ethical principles and laws is true? A. The government holds the power to enforce ethics. B. Laws provide standards that assist in decision making. C. Ethics are very specific. D. As a standard for measuring actions, ethical principles may be the basis for laws. Answer:

5. A registered nurse (RN) is caring for a patient who is one of Jehovah’s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle? A. Autonomy B. Nonmaleficence

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Test Bank, Chapter 2 Weiss, Essentitials of Nursing Leadership and Management, 7.2

C.B eneficence D.D istributive justice Answer:

6. An RN cared for a state senator during the day shift. Later that day he was having dinner with friends when the news mentioned the senator had been hospitalized. The RN’s friends asked if he knew what was wrong with the senator. Which ethical principle should the RN consider when replying? A. Fidelity B. Confidentiality C. Veracity D. Accountability Answer:

7. When considering virtue ethics, which of the following is true? A. Virtue ethics attributes behaviors to moral rules. B. Virtue ethics attributes behaviors to knowledge of consequences. C. Virtue ethics focuses on moral character, rather than rules for behavior. D. Virtue ethics is a formal statement of rules for behavior. Answer:

8. Which of the following statements is true regarding nursing ethics? A. Nursing ethics focus on the organizational level at the workplace. B. Nursing ethics focus on the duties and rules of behavior for professional nurses. C. Nursing ethics focus on the moral character of nurses. D. Nursing ethics focus on the experiences and needs of nurses. Answer:

9. A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses? A. Moral suffering B. Moral distress C. Ethical dilemma D. Veracity Answer:

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Test Bank, Chapter 2 Weiss, Essentials of Nursing Leadership and Management, 7e

10. An RN’s current patient and family have presented her with an ethical dilemma. What is the first step the RN should take to find a workable solution to the problem? A. Planning B. Assessment C. Evaluation D. Implementation Answer:

11. An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision makers involved. Which step best describes the current stage the RN is working through? A. Assessment B. Diagnosis C. Planning D. Implementation Answer:

12. An RN knows that sometimes, when working through an ethical dilemma, the decision makers are unable to arrive at a mutually agreed upon decision. Which of the following is a reason why an agreement cannot be reached? A. One or more of the parties may be able to reconcile their values. B. The patient’s point of view is recognized as valuable. C. The dilemma involves two or more equally unpleasant choices. D. The institution is unable to honor the patient’s request. Answer:

13. An RN recognizes which of the following as a primary goal of nursing? A. Assist patients to achieve a peaceful death. B. Improve personal knowledge and skill in order to improve patient outcomes. C. Advocate for quality of life over quantity of life. D. Work to control costs so that patients can live the best quality of life possible. Answer:

14. Although technology has seen many advances, which two ethical principles may be in conflict because of technology? A. Beneficence and justice

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Test Bank, Chapter 2 Weiss, Essentitials of Nursing Leadership and Management, 7.2

B.B eneficence and nonmaleficence C.B eneficence and veracity D.B eneficence and confidentiality Answer:

15. A unit director at a local hospital knows even leadership may face ethical dilemmas. Which of the following should the director take into consideration when dealing with an employee who is incompetent? A. The situation should be tolerated for as long as possible because of the amount of time and paperwork required to terminate an incompetent nurse. B. Incompetence only impacts the individual nurse. C. The director should follow her institution’s formal process for reporting and handling practices that jeopardize patient safety. D. Most nurse practice acts direct how to handle incompetent nurses. Answer:

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