

Contemporary Issues in Nursing Study Guide Questions
Course Introduction
This course explores current and emerging issues affecting the nursing profession within the context of modern healthcare systems. Through critical analysis, students examine topics such as healthcare policy, ethical challenges, technological advancements, cultural competency, workforce diversity, and the impact of global health trends. Emphasis is placed on developing leadership and advocacy skills, fostering evidence-based practice, and preparing students to effectively respond to the complexities and evolving demands faced by nurses in today's dynamic clinical, policy, and community environments.
Recommended Textbook
Essentials of Nursing Leadership and Management 3rd Edition by Patricia Kelly
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18 Chapters
521 Verified Questions
521 Flashcards
Source URL: https://quizplus.com/study-set/916

Page 2

Chapter 1: Nursing Leadership,Management,and Motivation
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18022
Sample Questions
Q1) Mintzberg's managerial taxonomy includes three categories of managerial roles.Which of the following is not one of those categories?
A)Information-processing roles
B)interpersonal roles
C)managing roles
D)decision-making roles
Answer: C
Q2) In situational theory,a telling leadership style is considered to be:
A)high task, high relationship behavior
B)high task, low relationship behavior
C)low task, high relationship behavior
D)low task, low relationship behavior
Answer: B
Q3) According to Benner's Model the competent nurse has approximately ______years of work experience?
A)three-five
B)one-two
C)four-six
D)two-three
Answer: D
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Chapter 2: The Health Care Environment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18023
Sample Questions
Q1) A number of key pieces of federal legislation developed the national standards that the individual states use to regulate health insurance.Which of the following are some of these key pieces of legislation? Select all that apply.
A)the Employee Retirement Income Security Act
B)the New Deal (ND)
C)the Consolidated Omnibus Budget Reconciliation Act
D)the Health Insurance Portability and Accountability Act.
Answer: A,C,D
Q2) Variables in health care disparity may include:
A)type of illness
B)health care access
C)mental illness
D)type of hospital
Answer: B
Q3) Two of the areas of physician shortage most prevalent in the United States are:
A)family practice and dermatology
B)family practice and orthopedics
C)family practice and psychiatry
D)family practice and geriatrics
Answer: D
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Chapter 3: Nursing Today
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18024
Sample Questions
Q1) Professional nursing behaviors and attributes include all of the following except:
A)time management skills
B)self-evaluation
C)caring
D)self-discipline
Answer: C
Q2) Variables that increase or decrease the probability of illness or death and that can be modified are called:
A)health determinants
B)underserved
C)vulnerable population groups
D)health risk factors
Answer: D
Q3) Sentinel events have been found to be linked to:
A)poor quality care
B)ineffective team communication
C)preventable errors
D)autonomy of health professionals
Answer: B
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Page 5

Chapter 4: Decision Making, Critical Thinking, Technology, and Informatics
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18025
Sample Questions
Q1) The Health Information Technology for Economic and Clinical Health (HITECH)Act has mandated the use of electronic medical records by the year 2015.What is the penalty for non-compliance and not becoming a "meaningful user"?
A)Medicare and Medicaid reimbursement will be reduced
B)fines for nonusing electronic medical records
C)increase in potential for medical errors
D)inability to file Medicare and Medicaid claims electronically
Q2) What process is used in clinical settings to promote reflective thinking after a situation such as a cardiac arrest or
A)venting
B)debriefing
C)problem solving
D)contemplation
Q3) Which is not correct regarding the Quality Data Model (QDM)?
A)pertains to quality service delivery and access to care
B)pertains to electronic health record utilization
C)enhances more standardized, less burdensome quality measurement and reporting
D)is an information model
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Chapter 5: Inter-Professional Teamwork and Collaboration
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18026
Sample Questions
Q1) The SBARR technique (situation,background,assessment,recommendation,response)is designed to improve communication among healthcare personnel.Which of the following is an example of a recommendation?
A)"I'm calling about Ms. Smith in 414."
B)"Ms. Smith has decreased peristalsis, abdominal discomfort, and is on a narcotic analgesic."
C)"Can we start her on Colace 2 bid and add magnesium citrate if no BM within 8 hours?"
D)"Ms. Smith hasn't had a bowel movement in two days, which she states is unusual for her."
Q2) Status has been described as the measure of worth that has been conferred on an individual by a specified group.Team members who initiate communication more have been discovered to have which type of status within the group?
A)leader
B)middle
C)high
D)low
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Chapter 6: Change, Innovation, and Conflict
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18027
Sample
Questions
Q1) Nursing Student P lacks confidence in her abilities to effectively care for infants.She is afraid that she will not receive a good grade in her pediatric clinical rotation; hence,she may fail her class or even her program.What type of change strategy is being used as noted by Bennis,Benne,and Chin (1969)?
A)rational-empirical approach
B)driving-restraining forces approach
C)power-coercive approach
D)normative-reeducative approach
Q2) Diagnosing a problem,selecting progressive change objectives,and maintaining change are steps in which change theory?
A)Roger's Diffusion of Innovations Theory
B)Havelock's Change Model
C)Lewin's Force-Field Model
D)Lippitt's Phases of Change
Q3) Who is responsible for the implementation of a change project?
A)mental model
B)change agent
C)sender
D)receiver
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Page 8
Chapter 7: Power and Politics
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18028
Sample Questions
Q1) According to consumer opinion polls,_____ consistently show up as rated "Number One" trusted professionals.
A)firemen
B)policemen
C)physicians
D)nurses
Q2) Nurses attempt to unionize when they feel:
A)powerful
B)powerless
C)respected
D)important
Q3) Power derived from the position a nurse holds in a group is referred to as:
A)legitimate power
B)expert power
C)referent power
D)reward/coercion power
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Page 9

Chapter 8: Delegation of Patient Care
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18029
Sample Questions
Q1) What is the one phase of the nursing process that may be delegated to the NAP?
A)assessment
B)planning
C)implementation
D)evaluation
Q2) Which of the following are part of the five rights of delegation? Select all that apply.
A)right task
B)right circumstance
C)right evaluation
D)right route
Q3) A number of obstacles to delegation have been identified.Which of the following are some of these known obstacles? Select all that apply.
A)tendency to delegate all tasks to assistive personnel
B)fear of being disliked
C)inability to communicate effectively
D)lack of administrative support for delegation to LVN and NAP.
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Chapter 9: Effective Staffing
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18030
Sample Questions
Q1) In which model of care delivery is the focus on patients' needs rather than on staff needs?
A)primary
B)patient-centered
C)differentiated practice
D)modular
Q2) Nurse A is doing patient charting.This activity is considered _____.
A)direct care
B)productive time
C)indirect care
D)nonproductive time
Q3) When there is inadequate NHPPD which of the following is increased?
A)patient satisfaction
B)medication errors
C)balanced budget
D)nurse satisfaction
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Chapter 10: Budget Concepts for Patient Care
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18031
Sample Questions
Q1) In the budget preparation phase,obtaining information regarding a competitor's performance is considered:
A)demographic information
B)regulatory influences
C)strategic initiatives
D)competitive analysis
Q2) Nurse Z is the manager of a busy medical-surgical inpatient unit at her local hospital.Nurse Z needs to provide information regarding unit expenditures,customer satisfaction and services,and staffing to her director for reporting purposes.What tool should the director use to provide a snapshot of what is going on in this facility?
A)dashboard
B)capital budget
C)competitive analysis
D)strategic planning
Q3) The mission statement of an organization serves to:
A)establish long range goals
B)articulate where the organization is going
C)direct decision making about the organization
D)develop a strategic plan
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Page 12

Chapter 11: Strategic Planning and Organizing of Patient
Care for Quality and Safety
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/18032
Sample Questions
Q1) Most health care organizations have mission statements that address the following:
A)providing care
B)promoting research
C)educating professionals
D)providing quality of care
Q2) Quality outcomes can be achieved through the development of:
A)core measures
B)work processes
C)organizational charts
D)clinical practice councils
Q3) One purpose of planning is to:
A)structure the organization
B)facilitate the mission
C)identify the strategic plan
D)ensure resources are available
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Chapter 12: Time Management and Setting Patient Care
Priorities
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18033
Sample Questions
Q1) _____ reminds us to focus our efforts on the most important activities to maximize the results that we get.
A)The Joint Commission
B)Organizational mission
C)Pareto principle
D)Nursing process
Q2) Which of the following are areas that should be considered when making shift staffing assignments? Select all that apply.
A)patient needs
B)end-of-shift outcome achievement
C)agency organizational systems
D)staffing
Q3) When organizing tasks,categorizing them according to patient needs/conditions is an effective means of triaging patient care.Which of the following does not belong?
A)life-threatening or potentially life-threatening conditions
B)activities essential for patient safety
C)activities essential to the plan of care
D)activities essential to the hospital/organizational regulation
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Chapter 13: Quality Improvement and Evidence Based Patient Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18034
Sample Questions
Q1) The National Patient Safety Goals established by the Joint Commission focus on:
A)regulatory standards
B)preparation for accreditation
C)employee safety
D)patient safety
Q2) To increase the ability to predict the effect that one or more changes would have if they were implemented is a goal of:
A)FOCUS
B)QA
C)PDSA
D)Risk management
Q3) The primary difference between QA and QI is:
A)QI is reactive, and QA is proactive
B)QA's emphasis is on maintaining minimum standards of care, and QI's emphasis is on identifying real and potential problems
C)QA documents quality, and QI reports incidents and errors
D)QI is more of a single program, and QA is more of a management approach
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Page 15
Chapter 14: Legal Aspects of Health Care
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18035
Sample Questions
Q1) Good Samaritan laws were enacted to protect the health care professional from legal liability.An example of care rendered that does not fall into this category is:
A)a doctor who delivers a baby during a football game
B)a nurse who sets a broken leg while hiking in the mountains
C)an EMT who, upon arrival at an accident, intubates an accident victim who stopped breathing and who was forcibly thrown from his own vehicle
D)a nurse who stops to help at the scene of a water skiing accident
Q2) Risk management programs:
A)help protect hospitals from bioethical problems
B)have an emphasis upon quality improvement and protection from financial liability
C)can be combined with quality management goals; hence no need for specially trained people
D)only investigate nurses who do not practice according to evidence-based practice
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16
Chapter 15: Ethical Aspects of Health Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/18036
Sample Questions
Q1) A benefit of having an ethics committee is that such committees:
A)provide guidance that assist with difficult decisions
B)are interdisciplinary and provide a way to decide what is right and wrong
C)provide guidance that assists with decisions concerning ethical dilemmas
D)provide guidance that assists with decisions related only to ethics and nursing practice
Q2) Beneficence,nonmaleficence,fidelity,justice,autonomy,veracity,and respect for others are all examples of:
A)philosophies pertaining to nursing
B)ethical dilemmas
C)philosophies related to organizational law
D)ethical principles and rules
Q3) An example of veracity is:
A)being first in line
B)volunteering to work overtime
C)having a great deal to do
D)admitting mistakes promptly
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17
Chapter 16: Culture, Generational Differences, and Spirituality
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18037
Sample Questions
Q1) Which of the following are characteristics of the Traditional generation?
A)workaholic, strong-willed, and work for material gain, promotions, job security, and corner offices
B)seek a balance between work and leisure
C)they expect countless options and focus on early retirement
D)obligated to conform and believe that work is one's duty
Q2) A number of techniques have been identified to assist nurses who work with staff from a different culture who speak English as a second language.Which of the following are some of these techniques? Select all that apply.
A)if you feel you cannot achieve effective communication, give up
B)acknowledge that your coworker's value system and perception of what "good" is may be different from your own
C)appreciate the knowledge you can gain from working alongside a skilled nurse from another culture
D)provide your coworker with written resources that can help reinforce your verbal communication
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18
Chapter 17: NCLEX-RN Preparation and Your First Job
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/18038
Sample Questions
Q1) When presented with a difficult test question,one strategy that can be used is
A)PSDA
B)ARKO
C)FOCUS
D)CAT
Q2) A new hire would expect to receive information on _____ during a unit-specific orientation.
A)benefits
B)IV pumps
C)patient safety standards
D)CPR
Q3) A variety of performance feedback mechanisms and tools exist.Which of the following is not a performance feedback mechanism a new nurse may encounter?
A)365-degree feedback
B)preceptor feedback
C)formal performance feedback
D)informal performance feedback
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Page 19

Chapter 18: Career Planning and Achieving Balance
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/18039
Sample Questions
Q1) Which of the following workplace strategies can nurses use to help prevent fatigue? Select all that apply.
A)stay up for 24 hours when you are switching from a day to night shift
B)take an uninterrupted 15-minute break every four hours
C)rotate shift work clockwise when possible (e.g., days, evenings, nights)
D)share a ride home or use public transportation
Q2) In January 2000,over 1,500 people gathered in Washington,D.C.,to discuss health concerns of the people of the United States.What was the result of this meeting?
A)Healthy People 2000
B)the report Crossing the Quality Chasm
C)Healthy People 2010
D)100,000 Lives Campaign
Q3) The following list contains some identified strategies to maintain physical health.Which item below does not belong in this list?
A)good nutrition
B)physical exercise
C)stress prevention exercises
D)sleep
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