Contemporary Issues in Nursing Chapter Exam Questions - 610 Verified Questions

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Contemporary Issues in Nursing

Chapter Exam Questions

Course Introduction

This course explores the complex and evolving landscape of nursing practice in the 21st century, focusing on current trends, challenges, and ethical dilemmas faced by nurses in various healthcare settings. Topics include advancements in healthcare technology, evidence-based practice, multicultural patient care, legal and policy issues, and the impact of global health crises. Students will critically analyze how socioeconomic, political, and cultural factors influence patient outcomes and the nursing profession. Through discussions and case studies, the course aims to foster critical thinking, professional development, and advocacy skills essential for addressing contemporary issues in nursing.

Recommended Textbook

Contemporary Nursing Issues Trends and Management 7th Edition by Cherry

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28 Chapters

610 Verified Questions

610 Flashcards

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Chapter 1: The Evolution of Professional Nursing

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1942

Sample Questions

Q1) The primary purpose of the Social Security Act of 1935 was to:

A) increase research that focused on minority groups.

B) provide medical care for chemically impaired persons.

C) ensure health care for older adults through a national insurance system.

D) decrease the public's financial burden by limiting services offered by local health departments.

Answer: C

Q2) Students are assigned to write to their state leaders about an issue affecting their community. One student writes about the need among rural community for greater access to acute care services. Which of the following pieces of legislation should the student use as a reference?

A) Social Security Act

B) Hill-Burton Act

C) Sheppard-Towner Act

D) U.S. Civil Service Act

Answer: B

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3

Chapter 2: The Contemporary Image of Professional Nursing

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) Nurses can combat the nursing shortage by:

A) joining unions, which influence employers to provide incentives such as pay raises and free child care, thus encouraging the large percentage of nonworking nurses to return to the workforce.

B) demanding that the requirements of the qualifying examination for foreign nurses should be reduced, so they are eligible to sit for the licensure examination.

C) working more hours with a higher nurse/patient ratio.

D) advocating for funds to pay for nursing education and a safer work environment.

Answer: D

Q2) Charles Dickens' character Sairy Gamp:

A) portrayed nurses as trained professional individuals who put others before themselves.

B) chose nursing because she had no other avenue for employment.

C) was a prostitute who took advantage of sick old men.

D) characterized nurses as being at the forefront of technology and autonomy.

Answer: B

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4

Chapter 3: The Influence of Contemporary Trends and Issues on Nursing Education

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23 Verified Questions

23 Flashcards

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Sample Questions

Q1) A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which is a correctly written outcome?

A) Develop a teaching program to address physical activities that result in improved cardiac function.

B) Discuss the clinical manifestations associated with Level 4 heart failure.

C) List the most common pharmaceutical approaches to reduce preload in heart failure patients.

D) Recognize the economic impact that recidivism has on the patient and health care facility.

Answer: A

Q2) A nurse realizes that a health care concern related to globalization was:

A) the emergence of epidemic hepatitis A.

B) the pandemic of H1N1 "swine flu."

C) reemergence of polio.

D) an increase in chronic illnesses.

Answer: B

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Chapter 4: Nursing Licensure and Certification

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Source URL: https://quizplus.com/quiz/1945

Sample Questions

Q1) The primary purpose of licensure for RNs is to:

A) prevent others from using the title nurse.

B) demonstrate a specialized body of knowledge.

C) protect the public.

D) enhance recognition for the profession.

Q2) To ensure that nursing legislation is current and is reviewed by specific dates, if a nurse practice act fails to be reviewed, it is automatically rescinded under which law?

A) Nurse review act

B) Sunset legislation

C) Mandatory revocation

D) Grandfathering

Q3) A nurse practicing in the early 1900s was awarded a permissive license. These licenses:

A) were voluntary; however, a nurse who failed the examination could not use the title RN.

B) required a maximum of 1 year of formalized nurse training.

C) allowed nurses who did not pass the licensure examination to still practice.

D) allowed nurses the choice of taking a written or oral licensure examination.

Q4) The primary purpose of licensure is protection of the ___________.

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Chapter 5: Theories of Nursing Practice

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Sample Questions

Q1) A nurse who has practiced on an orthopedic unit for 10 years unexpectedly becomes pregnant. At delivery the physician informs the mother, "Your baby has Alport syndrome, but then I don't have to explain what that means with your medical background." The mother is unfamiliar with this disease and withdraws as a coping mechanism. Which nursing theory would provide a framework to guide nursing care for this mother?

A) Mishel's uncertainty of illness

B) Orem's self-care deficit model

C) Nightingale's canons of nursing

D) Levine's conservation model

Q2) What are general explanations that scholars use to explain, predict, control, and understand commonly occurring events?

A) Theories

B) Constructs

C) Systems

D) Propositions

Q3) The basic ingredients of theory are ____________.

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Chapter 6: Nursing Research and Evidence-Based Practice

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23 Verified Questions

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Sample Questions

Q1) A researcher is interested in quality of life and after an extensive literature review quantitatively integrates data from identified studies and describes the findings. This researcher is using which approach? (select all that apply)

A) Survey

B) Triangulation

C) Meta-analysis

D) State of the science summary

E) Quasi-experimental design

Q2) A new nurse researcher is interested in tracing the history of nursing research. The researcher learns that nursing research began with:

A) the work of Florence Nightingale during the Crimean War.

B) studies between 1900 and 1940 following Nightingale's work.

C) studies to improve patient care by doctorally prepared nurses.

D) studies based on the naturalistic paradigm.

Q3) Development and validation of the body of knowledge and foundation on which practice is based is called ____________.

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Chapter 7: Paying for Health Care in America: Rising Costs and Challenges

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26 Verified Questions

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Sample Questions

Q1) When reviewing the literature on the effects of Medicaid on health care for the poor, the nurse researcher found that the poor:

A) have less access than even the uninsured.

B) receive many unnecessary treatments.

C) lack consistent providers.

D) abuse preventive services.

Q2) A patient is upset because her health insurance plan refused to pay for a mammogram and services by a women's health specialist because the primary care physician did not order the referral or the mammogram. Which type of insurance plan adheres to this type of payment system?

A) Fee for Service

B) Health Maintenance Organization (HMO)

C) Preferred Provider Organization (PPO)

D) Point of Service (POS)

Q3) In the triad of health care, which would be considered the third-party payer?

A) Client

B) Health care provider

C) Insurance company

D) Government agency that sets reimbursement rules for services

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Chapter 8: Legal Issues in Nursing and Health Care

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21 Verified Questions

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Sample Questions

Q1) A nurse is caring for a client who just suffered a stroke and is medicated for pain. The nurse completes the following interventions: places the client on the examining table, completes a thorough history and physical, covers the client with a sheet, places the call button within reach, and goes out in the hall to speak with the client's physician. The client tries to get up to speak with his family and falls, sustaining a hematoma on the head and a broken hip. The nurse's actions reflect:

A) invasion of privacy.

B) libel.

C) slander.

D) negligence.

Q2) Which types of abuse are the nurse required to report or be subject to fines and imprisonment for not reporting? (select all that apply)

A) Animal

B) Child

C) Alcohol

D) Infant

E) Emotional

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Chapter 9: Ethical and Bioethical Issues in Nursing and Health Care

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20 Verified Questions

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Sample Questions

Q1) When assessing an ethical issue, the nurse must first:

A) ask, "What is the issue?"

B) identify all possible alternatives.

C) select the best option from a list of alternatives.

D) justify the choice of action or inaction.

Q2) The physician who insists on providing treatment in spite of the client's wishes because he "knows best" is reflecting:

A) autonomy.

B) beneficence.

C) justice.

D) paternalism.

Q3) A nurse is caring for a client who just consented to an elective abortion. The nurse is unsure of his or her own values as they relate to this issue. The nurse must:

A) know his or her own values and how these values relate to beliefs and the philosophy of nursing.

B) rid the impurities in his or her value system.

C) ignore his or her own values.

D) realize that values do not change and that they cannot be influenced by others.

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Chapter 10: Cultural Competency and Social Issues in

Nursing and Health Care

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24 Verified Questions

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Sample Questions

Q1) A nurse is given a referral to make a home visit to a Russian immigrant. The nurse knows very little about the health beliefs of this ethnic group. To research this group, she can use an Internet search engine and enter the term "Russian cultures" or "Russian health beliefs." To obtain more generalized information, she could also search under:

A) federally recognized minorities.

B) marginalized populations.

C) Asian/Pacific Islander cultures.

D) Latino cultures.

Q2) While completing a nursing degree in Virginia, a student who is interested in teaching in Laredo, Texas, enrolls in Spanish classes for 4 years, knowing that a high number of Mexican-Americans live there. This nursing student values:

A) cultural competence.

B) ethnocentrism.

C) prejudice.

D) stereotyping.

Q3) Although communication varies among members of different cultures, the greatest obstacle to providing multicultural care is differences in _____.

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Chapter 11: Complementary and Alternative Healing

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Sample Questions

Q1) A patient states, "My cancer is in remission finally after all that chemotherapy, my friend used the same chemotherapy and wasn't so lucky. I want to continue participating in spiritual care and 'mind games' to keep my memory intact. I am also enrolled in Tai chi, but I just can't stop thinking about my sick lung." This patient adheres to which principle underlying alternative healing?

A) A negative alteration in the body produces a parallel effect on the mind and spirit.

B) The body can heal itself with the help of complementary alternative therapies.

C) Approaches to therapy are individualized.

D) There is a focus on the total lifestyle.

Q2) A patient is placed on reserpine (Serpalan) to decrease mild anxiety and treat hypertension. The patient researches the medication on the Internet and finds that this medication comes from which plant?

A) Atropa belladonna

B) Digitalis purpurea

C) Rauwolfia serpentina

D) Cephaelis ipecacuanha

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Chapter 12: Palliative Care

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14 Verified Questions

14 Flashcards

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Sample Questions

Q1) What is the initial step when addressing an ethically challenging situation?

A) Identify all those who are involved in the situation.

B) Review the overall situation to identify the core issues.

C) Gather all the relevant facts about the situations.

D) Determine what the ethical dilemma is.

Q2) ________________ occurs when a physician predicts the course and outcome of a disease process.

Q3) Which statements are true regarding palliative care services? (select all that apply)

A) Begins at the time of that a diagnosis of a serious illness occurs

B) Care can be delivered in most settings.

C) Expenses are paid for by Medicare.

D) Is appropriate for all patients regardless of age.

E) Providers are skilled in symptom management.

Q4) A peaceful death is best characterized by which terminally ill patient?

A) One who is surrounded by family

B) One who uses meditation to help manage pain

C) One who has advanced directives in place

D) One who has drifted from lethargy to coma

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Page 14

Chapter 13: Workforce Advocacy for a Professional Nursing

Practice Environment

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22 Verified Questions

22 Flashcards

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Sample Questions

Q1) An acute care facility values job satisfaction among its registered nurses.by implementing a shared governance model. Which element is a fundamental characteristic of this model?

A) Administration has an open door policy

B) Established dispute resolution process

C) Implementation of mandatory reporting

D) Nurses have an active role in patient care decision making

Q2) According to the Needlestick Safety and Prevention Act (2000):

A) employers ask nurses in managerial positions to evaluate safe needle devices.

B) registered nurses who sustain a needle stick are required to pass a test before resuming medication administration.

C) each state must determine the type of safe needle devices to be used.

D) employers are required to document how and where a sharps injury occurred, including the brand of device that was involved.

Q3) The key to organizational success for health care facilities is:

A) hiring younger, more energetic nurses.

B) offering incentives such as sign-on bonuses.

C) hiring highly qualified advanced practice nurses.

D) retaining professional nurses.

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Chapter 14: Collective Bargaining and Unions in Todays Workplace

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/1955

Sample Questions

Q1) Historically, what movement most influenced unionization in American health care agencies/hospitals?

A) Immigration laws protected foreign employees from discrimination in hiring or discharge on the basis of national origin and citizenship status.

B) Women entered the workforce, gaining voice to support unions.

C) The Industrial Revolution led to poor working conditions and the need to protect workers.

D) Nurses were exposed to communicable diseases, which led to death and disability.

Q2) A nurse is interested in working in a large trauma center that is unionized but does not want to join the union or pay fees. She accepts the position but is not required to join or pay fees to the union based on which law?

A) National Labor Relations Act

B) Right-to-work law

C) National Labor Relations Act

D) Taft-Hartley Act

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Chapter 15: Information Technology in the Clinical Setting

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18 Verified Questions

18 Flashcards

Source URL: https://quizplus.com/quiz/1956

Sample Questions

Q1) A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:

A) privacy.

B) confidentiality.

C) security.

D) data capture.

Q2) A nurse is caring for a patient who is to receive an antibiotic drug that causes severe skin damage when infiltrated. The order reads, "infuse over 1 hour by portacath." The nurse accesses the Personal Digital Assistant for software that lists the steps to access a portacath. The nurse is using:

A) electronic health records.

B) point-of-care technology.

C) data management.

D) telehealth.

Q3) Software programs that process data to produce or recommend valid choices are known as ______________.

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Page 17

Chapter 16: Emergency Preparedness and Response for

Todays World

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23 Verified Questions

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Sample Questions

Q1) The term used during a pandemic disaster that refers to the attempt to contain germs by limiting socialization and personal interactions is ___________.

Q2) The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:

A) contain the facts to within the administration group.

B) incite the public to quickly take cover and obtain emergency supplies.

C) provide understandable and straightforward facts about the event within the facility and possibly to the news media.

D) inform the public that no information can be released until it has been confirmed by state and federal agencies.

Q3) The Metropolitan Medical Response System (MMRS):

A) is totally financed by the federal government national disaster fund.

B) consists of responders who have obtained specialized training and equipment to deal with mass casualty events.

C) has a storehouse of medications and antidotes to be used during response in times of national emergencies.

D) arranges for patient admissions to federal hospitals.

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Page 18

Chapter 17: Nursing Leadership and Management

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/1958

Sample Questions

Q1) A staff nurse provides care based on intuition and always seems to be in control of her personal and professional life-serving on the board of the state nurses association, serving as the nursing unit's representative on the ethics committee, and coaching her daughter's soft ball team. Many of the staff observes how she manages time and provides care. This nurse's power comes from which type of power?

A) Referent

B) Legitimate

C) Information

D) Connection

Q2) In an attempt to persuade employees to bargain for another type of health insurance, a handout is circulated that describes the present employees' health care insurance as being insensitive, limiting choices of care providers, and providing inferior care. This reflects which aspect of Lewin's planned change?

A) Unfreeze

B) Move

C) Refreeze

D) Acceptance

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Chapter 18: Budgeting Basics for Nurses

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Sample Questions

Q1) The financial plan required for the distribution of resources and expenses is a

Q2) The nurse manager meets with upper administration and learns that the strategic plan for nursing is to have 80% BSN staff within the next 3 years. The nurse manager then built her budget to meet the organization's strategic goal by providing tuition reimbursement and flexible work hours, which required some agency staffing. Which approach to budgeting is used?

A) Iterative

B) Top-down

C) Participatory

D) Zero-based

Q3) A nurse on the unit is heard saying, "I am not going to document that I used four catheters to start that IV; it doesn't matter anyway." What action can help the staff nurse understand the financial budget goals of the unit?

A) Have the nurse work in payroll for a week.

B) Enroll the staff in continuing education units (CEU) for personal finance.

C) Ask the nurse to represent the unit on the budget planning committee.

D) Make the nurse responsible for monitoring all disposable equipment and supplies.

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Chapter 19: Effective Communication and Conflict Resolution

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Sample Questions

Q1) The healthiest form of communication is the ________ style.

Q2) A nurse is overhead saying, "I don't mind working during the election and holiday. My parents are divorced, money is tight, and honestly I don't trust any politicians anyway. I plan to take a few weeks off next month." She works independently to research strategies to improve patient-centered care for the large number of immigrants that arrived in the area and then works with the team to share ideas. She recommends, "Let's think the suggestions over and come back together next week." This nurse's communication style is consistent with which generation?

A) Baby Boomers

B) Traditionalist

C) Generation X

D) Millenniums

Q3) In today's world of fast, effective communication, what is the most commonly used means of societal communication?

A) Facial expression

B) Spoken word

C) Written messages

D) Electronic messaging

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Chapter 20: Effective Delegation and Supervision

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Sample Questions

Q1) A nurse moves from California to Arkansas and due to having 20 years of experience as a registered nurse is immediately placed in charge of the telemetry unit. The staffing consists of LPNs and two unlicensed assistive personnel. The RN is unsure of the scope of practice of the LPNs and reviews the nurse practice act for Arkansas, which lacks clarity on some tasks. The RN should:

A) query the state nursing association to determine their stance on the role of LPNs.

B) ask the LPNs on the unit to list what tasks they routinely performed.

C) contact the state board of nursing to determine legal scope of practice for LPNs.

D) refer to California's nurse practice act because the scope of LPNs/LVNs is consistent across the United States.

Q2) A nurse is concerned about the risk of delegating tasks to licensed practical nurses and unlicensed assistive personnel. What is the best way for the nurse to determine competency of an inexperienced delegatee?

A) Actually observe the delegatee perform the assigned task.

B) Ask the delegatee how many times he/she has performed the task.

C) Ask the patient if the care provided was satisfactory.

D) Ask other nurses if they feel the delegatee is competent.

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Chapter 21: Staffing and Nursing Care Delivery Models

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Sample Questions

Q1) A nurse makes patient care assignments as follows: RN1 has rooms 200-210; RN2 has rooms 211-221; RN3 has rooms 222-232. The two unlicensed assistive personnel have half the rooms, with one assigned to 200-215 and the second to 216-232. The care delivery model used in this situation is:

A) team.

B) primary.

C) partnership.

D) modular.

Q2) A patient is admitted with pneumonia. The case manager refers to a plan of care that specifically identifies dates when supplemental oxygen should be discontinued, positive-pressure ventilation with bronchodilators should be changed to self-administered inhalers, and antibiotics should be changed from intravenous to oral treatment, on the basis of assessment findings. This plan of care is referred to as a:

A) patient classification system.

B) clinical pathway.

C) patient-centered plan of care.

D) diagnosis-related group (DRG).

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Chapter 22: Quality Improvement and Patient Safety

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28 Verified Questions

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Sample Questions

Q1) The surgical team arrives in the operating room and one member states, "Everyone stop. Let's identify the patient and operative site. Now does anyone have any questions or concerns?" This process is known as:

A) time-out.

B) a critical pathway.

C) special cause variation.

D) lean methodology.

Q2) A team of experienced nurses work together to develop algorithms that are converted into checklists to ensure standardization of commonly performed procedures. The focus of this team is primarily on which Institute of Medicine (IOM) competency?

A) Safety

B) Timely

C) Equitable

D) Patient-centered care

Q3) Quality is defined by the ____________.

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24

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Sample Questions

Q1) A nurse is interested in learning more about health policy and how it might impact nursing practice. She is especially interested in The Patient Protection and Affordable Care Act (PPACA) and how it will travel through the three branches of the federal government. She researches the roles of the legislative branch of the federal government and learns that this branch: (select all that apply)

A) determines which laws are constitutional, such as recently deciding the PPACA is constitutional because it is a form of taxation.

B) has the exclusive power to determine where federal dollars will be spent, such as supporting the PPACA.

C) consists of the Office of the President and 15 executive departments that supported the PPACA.

D) has the power to veto laws found constitutional by the Supreme court and therefore could veto the PPACA.

E) can override a Presidential veto, making it possible to amend the PPACA even without approval of the President.

Q2) The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.

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Page 25

Chapter 24: Making the Transition from Student to Professional Nurse

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Sample Questions

Q1) A novice nurse is placed in charge just after orientation ends. Which statement by the novice nurse would ensure a smooth delegation experience when delegating to an experienced staff member?

A) "You have the patients in rooms 1 to 7. These patients require little skill so you will be fine."

B) "Your assignments are posted in writing by the nurses' station. Be certain all your tasks are completed so the next shift is not behind."

C) "You have patients in rooms 5 through 10 and I will administer all IV medications. I will let you know if I have to adjust. If you see you need help let me know."

D) "Everyone is capable of providing the best care, so please sign up for the patients you would like to be assigned to."

Q2) It is important for novice nurses to know that "self-esteem = self-confidence + self-______."

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Chapter 25: Managing Time: The Path to High

Self-Performance

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21 Verified Questions

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Source URL: https://quizplus.com/quiz/1966

Sample Questions

Q1) A novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. The novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. This nurse is practicing:

A) energy management.

B) priority setting.

C) procrastination.

D) introspection.

Q2) The most important step in time management is ____________.

Q3) When deciding whether and when a task should be completed, a nurse must:

A) complete all tasks as they are thought of to prevent having to take time to consider which is most important.

B) procrastinate and hope that someone will volunteer to do it.

C) ask, "What will happen if I don't complete the task now?"

D) view large projects holistically and not as many small pieces.

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Chapter 26: Contemporary Nursing Roles and Career

Opportunities

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24 Verified Questions

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Sample Questions

Q1) A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three-part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. This nurse is involved in the role of:

A) change agent.

B) educator.

C) manager.

D) coordinator.

Q2) The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:

A) informatics specialist.

B) educator.

C) case manager.

D) quality manager.

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Chapter 27: Job Search: Finding Your Match

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Sample Questions

Q1) The key to a successful interview is being ____________.

Q2) Many nursing professionals have portfolios that include:

A) family pictures.

B) letters of commendation.

C) articles that describe lack of quality in health care.

D) high school achievements.

Q3) A new graduate nurse is preparing for an interview for her first position and knows that: (select all that apply)

A) the primary goal for the first job is to complete orientation and should be considered as an extension of nursing school.

B) appointments for interviews should be scheduled immediately after graduation to avoid rushing into a position.

C) self-confidence can be improved with self-talk, which reminds the graduate that peers from her school are effective practitioners.

D) work history of even nonmedical positions can demonstrate commitment and reliability so letters from these employers should be in portfolio.

E) it is best to arrive 10 to 15 minutes before the scheduled interview dressed for success.

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Chapter 28: The NCLEX-RN Examination

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Source URL: https://quizplus.com/quiz/1969

Sample Questions

Q1) A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following?

A) All candidates wishing to take the licensure examination must pass a drug screen.

B) Candidates must not have a felony conviction.

C) To practice as an RN, the nurse must be licensed as an RN.

D) An impaired nurse must sign a legal document to acknowledge limitations on his or her practice.

Q2) Computerized adaptive testing implies that:

A) the candidate must be computer literate.

B) competency is determined on the basis of difficulty of questions, knowledge of the nursing process, and the number of questions answered correctly.

C) testing facilities have been adapted for the physically challenged candidate.

D) questions cannot be adapted to the needs of the student.

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