

Nursing Administration
Pre-Test Questions
Course Introduction
Nursing Administration is a course designed to equip students with the knowledge and skills required for effective leadership and management within healthcare organizations. The course covers key concepts in organizational structure, strategic planning, human resource management, budgeting, quality improvement, and ethical decision-making in nursing practice. Emphasis is placed on the development of leadership competencies, effective communication, and approaches to problem-solving in diverse healthcare settings. Students will also explore contemporary issues in nursing administration, including policy development, technology integration, and the promotion of safe patient care environments.
Recommended Textbook
Nursing Now! Todays Issues Tomorrows Trends 6th Edition by Joseph T. Catalano
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26 Chapters
618 Verified Questions
618 Flashcards
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2

Chapter 1: The Development of the Profession
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Sample Questions
Q1) Select the most effective method that nurses can use to gain power over their practice.
A)Use strikes and union tactics to increase pay
B)Join professional organizations in large numbers
C)Leave nursing as soon as better jobs come along
D)Confront hospital administrators about poor staffing
Answer: B
Q2) What is a group of jobs that are similar in type of work and are found throughout an industry or country?
A)Position
B)Occupation
C)Profession
D)Stint
Answer: B
Q3) Which of the following types of nurses are classified as technical nurses?
A)BSNs and MSNs
B)LPNs and ADNs
C)LVNs and BSNs
D)UAPs and BSNs
Answer: B
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Chapter 2: Historical Perspectives
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Sample Questions
Q1) What are two similarities between the health care provided by the ancient Hebrews and that practiced by the ancient Egyptians?
A)The belief that disease was caused by evil spirits and the use of health spas
B)Trained women as the primary care providers and the use of many medications
C)Majority of health care provided in hospitals and the use of medical specialization
D)Emphasis on sanitation and well-developed knowledge of surgical techniques
Answer: D
Q2) The Dark Ages brought the advent of _____________________that were composed exclusively of men who wore suits of armor to protect themselves and their hospitals.
Answer: military nursing orders
Q3) Which development during the European Middle Ages led to a major improvement in health care?
A)A rapid growth in medical knowledge
B)Establishment of large central hospitals
C)Growth of religious orders to care for the sick
D)A shift to care of ill persons by women
Answer: C
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Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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Sample Questions
Q1) Which term is used to identify the listing of names of individuals on an official roster when they have met certain pre-established criteria?
A)Certification
B)Licensure
C)Registration
D)Practitioner
Answer: C
Q2) Select the most serious problem encountered when institutional licensure is used.
A)The standards are too difficult for most nurses to meet.
B)It makes moving from one institution to another more difficult.
C)Many qualified individuals are excluded from the profession.
D)There are no external controls to determine a minimum level of ability.
Answer: D
Q3) Identify the primary function of permissive licensure.
A)Protects only the title "registered nurse"
B)Allows anyone to use the title "registered nurse"
C)Used by states to maintain quality and control over nurses
D)Allows institutions to use foreign nurses as RNs
Answer: A
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Chapter 4: Theories and Models of Nursing
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Sample Questions
Q1) How is a "client" most accurately described in Johnson's Behavioral System Model?
A)An individual who is responsible for his or her own health care
B)A behavioral system that is an integrated whole
C)A dynamic entity with both input and output
D)An individual who must adapt to illness
Q2) Identify the most important aspect of caring according to Watson's Model of Human Caring.
A)Assisting the client to adapt to health changes
B)Assessing the client's health-care needs
C)Identifying self-care problems and needs
D)Establishing a helping and trusting relationship
Q3) Select a major contribution that King's model made to the practice of nursing.
A)Formalization of the use of goals to guide client care
B)Introduction of the concept of care as a key element in nursing care
C)Use of the idea of adaptation as an important client goal
D)Integration of systems theory into nursing care
Q4) The nursing profession uses the term ________________when attempting to explain apparent relationships between observed behaviors and their effects on a client's health.
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Chapter 5: The Process of Educating Nurses
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Sample Questions
Q1) Select all the elements from the list below that were found as assumptions in the ANA Position Paper on Nursing Education.
A)Nursing education should meet the increasing need for nurses as quickly as possible.
B)The professional practitioner is responsible for the nature and quality of all nursing care clients receive.
C)Education for those in the health-care professions must increase in depth and breadth as scientific knowledge expands.
D)Community colleges are able to prepare nurses just as well as 4-year colleges.
E)The demand for the services of nurses will continue to increase.
Q2) Nursing care that is client-focused and revolves around the client's trust in, value of, and understanding of the nurse's skills is called _________________________.
Q3) Which category of advanced practice nurses is the most widely accepted by the public?
A)Expanded practice nurses
B)Clinical nurse specialists
C)Certified nurses
D)Nurse practitioners
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Chapter 6: Critical Thinking
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Sample Questions
Q1) Which type of information obtained by a nurse during the assessment step in the nursing process is considered subjective in nature?
A)Vital signs
B)Laboratory test values
C)Information from old hospital records
D)Description of symptoms by the client
Q2) Place the following steps of the critical-thinking process in their proper order.
____ Gather pertinent data
____ Explore alternatives creatively
____ Make the decision
____ Challenge assumptions
____ Identify the problem
Q3) How does a nurse best begin the planning step in the nursing process?
A)Formulate and establish goals or outcomes for the client
B)Collect all the data available about the client's condition
C)Prioritize the steps of the nursing care to be provided
D)Write down the nursing diagnosis
Q4) Nurses who are not influenced by others with strong opinions are using ________________critical thinking.
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Chapter 7: Ethics in Nursing
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Sample Questions
Q1) Identify the term defined as systems of valued behaviors and beliefs.
A)Morals
B)Values
C)Laws
D)Ethics
Q2) Provision number 7 of the 2001 Code of Ethics for Nurses states: "The nurse participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development." On which ethical principle is this statement primarily based?
A)Veracity
B)Autonomy
C)Accountability
D)Beneficence
Q3) Identify the name of the system of ethical decision-making that is based on the "greatest good" principle.
A)Egoism
B)Utilitarianism
C)Deontological
D)Jurisdictional
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Page 9

Chapter 8: Bioethical Issues
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Sample Questions
Q1) A physician writes a "do not resuscitate" order for a competent client. Which individual may give permission for this order?
A)The client's spouse
B)The client's only child
C)The client
D)Any close blood-related relative
Q2) What conclusion can be drawn about abortion based on the Roe v. Wade decision?
A)Abortion is both moral and ethical.
B)The right to an abortion is guaranteed by the Constitution of the United States.
C)The right to self-determination includes the right to have an abortion.
D)When there is a conflict between the rights of the mother and the rights of the fetus, abortion is one of the options.
Q3) Place the events in the list below in their correct chronological order.
____ Extension of directive to prevent use of federal money for genetic research
____ Beginning of fetal tissue research
____ Directive to prevent the use of federal money for genetic research issued
____ Human Genome Project completed
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Chapter 9: Nursing Law and Liability
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Sample Questions
Q1) When someone is accused of violating a ____________________, the government at the county, city, state, or federal level imposes appropriate punishments.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q2) Select all the items from the list below that are considered appropriate when giving a deposition.
A) Be familiar with the client's medical record.
B) Volunteer additional information so the statement is complete
C) Look the questioning lawyer in the eye as much as possible.
D) Avoid using absolutes in the solve to questions.
E) Speculate about what really happened.
F) Clarify all questions before solve.
Q3) Identify the situation in which a nurse would likely be charged with negligence.
A)Slapping a client across the face for using foul language
B)Leaving the side rails down on a bed of a confused client
C)Using restraints on a client without a doctor's order
D)Telling the local newspaper of a client's diagnosis
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Chapter 10: How to Take and Pass Tests
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Sample Questions
Q1) Select the medication that the ER nurse should give to an unconscious client experiencing a severe hypoglycemic reaction.
A)Hydrocortisone
B)D50W
C)Sodium bicarbonate
D)Glucagon
Q2) Identify the intervention by the nurse that would be most therapeutic for a client diagnosed with schizophrenia who has delusions about extraterrestrial spacecraft invading the earth.
A)Use distraction to reduce the client's focus on the delusions.
B)Ask the client to talk about the delusion and his feelings when he is having it.
C)Agree with the delusion to prevent angering the client.
D)Point out the absurdity of the delusion and refocus in reality.
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12
Chapter 11: Nclex: What You Need to Know
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Sample Questions
Q1) A client with severe anxiety is being treated with lorazepam (Ativan) and outpatient therapy. Which statement indicates that the client requires additional discharge instructions for this medication?
A)"If I become drowsy or have blurred vision, I need to stop the medication immediately."
B)"This medication can be habit forming, so I should take it only as directed."
C)"I need to add foods such as fresh fruits and grain to my diet."
D)"If I get a cold I should check with my primary health-care provider before taking cold medicines."
Q2) A 23-year-old woman with partial and full thickness burns over 28% of her body is being treated with the "open method" of burn treatment. Select the nursing action that best helps prevent discomfort caused by air currents over the burn areas.
A)Keeping her well sedated
B)Adding humidity to the room air
C)Supporting her upper limbs on a bed cradle
D)Keeping the doors and windows tightly closed in her room
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13

Chapter 12: Reality Shock in the Workplace
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Sample Questions
Q1) Which tasks are designated as category A tasks that the nurse needs to complete on time?
A)Cleaning up the room and combing the client's hair
B)Charting and daily bath
C)Lunch break and changing the linens
D)Administering medications and changing dressings
Q2) Which question should the new graduate ask first during the interview for a new job?
A)What is the salary for this position?
B)What responsibilities are involved in this position?
C)How much vacation will I get during the first year?
D)What are my chances for promotion?
Q3) What role does a resume play when seeking a first job in nursing?
A)It is of little use because most hospitals have a job application form.
B)It should be as long as possible to impress the interviewer.
C)It provides the hospital with a complete picture of the graduate in as little space as possible.
D)It usually has a negative effect on the chance of employment.
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Chapter 13: Principles of Leadership and Management
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Sample Questions
Q1) Select the statement by a unit manager to the vice president for nursing during a budget meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse for every nine clients to one nurse for every seven clients. "This proposed change will ____."
A)have a positive effect on the usage of institutional resources
B)better meet current national standards of practice
C)help with the recruitment of new nurses to the facility
D)improve the quality of care for the clients on the unit
Q2) What is the first action the nurse manager should take when changing a procedure for the distribution of cardiac telemetry units when there are more clients than units available?
A)Review the current standards of care.
B)Rewrite applicable policies and procedures.
C)Designate the most critical clients as the ones to receive the units first.
D)Poll the physicians who commonly use telemetry for their opinions.
Q3) Based on a task-oriented philosophy, ____________________ requires each person to perform a specific job that is narrowly defined according to the needs of the unit.
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Chapter 14: Communicating Successfully
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Sample Questions
Q1) What may cause some people to make responses that seem inappropriate or overemotional?
A)The lack of an opportunity to develop coping skills
B)The successful resolution of a crisis situation
C)A group response to a minor situation
D)A mature attitude developed by resolving past crises
Q2) Which behavior indicates that a nurse who is forced to confront a conflict situation is using a submissive approach to communication?
A)Sets up a one-on-one meeting at a specific time
B)Confronts the other person loudly and in front of an audience
C)Refers the problem to a supervisor
D)Uses the incident as a threat
Q3) Depending on how it is channeled, expressed, and used, ________________can be a positive or negative force within the group.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
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16

Chapter 15: Incivility: the Antithesis of Caring
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Sample Questions
Q1) What is the underlying principle upon which all definitions of civility are built?
A)Good manners
B)The Civil Rights Act of 1964
C)Recognizing the importance of all human beings
D)The fight against injustice and oppression
Q2) The caring-civility link is best exemplified by which of the following?
A)Helping in disasters in foreign countries
B)Conducting scholarly research into overcoming health-care disparities
C)Accepting criticisms from physicians even though unjustified
D)Making nursing assignments based on clients' needs and nurses' skills
Q3) Identify the characteristic that would commonly be found in an individual recognized as a "violator/tormentor."
A)Self-absorption and negative attitudes
B)High self-esteem and rigid behavior
C)Positive attitudes and codependence
D)High energy levels and manipulative behavior
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Chapter 16: Delegation in Nursing
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Sample Questions
Q1) Which assignment is most appropriate for a CNA floated to the medical/surgical unit from the outpatient clinic?
A)Assist a 72-year-old man 1 day post-cerebrovascular accident (CVA) with dysphagia to eat lunch.
B)Obtain a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion.
C)Complete the admission vital signs and assessment on a 44-year-old woman who just returned from the post-anesthesia care unit (PACU) after nephrectomy.
D)Change the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries
Q2) Identify the task that may be delegated to an LPN (LVN) if all the clients are stable.
A)Adding potassium to a bag of D5W that was already hanging
B)Developing the nursing diagnosis for a newly admitted client
C)Teaching a new diabetic patient how to administer insulin injections
D)Turning a client with a CVA every 2 hours
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Chapter 17: Governance and Collective Bargaining
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Sample Questions
Q1) How can a nurse who belongs to a union best explain collective bargaining to a coworker?
A)It is a conflict-based power strategy used to equalize the power between labor and management.
B)It is the right of all workers to organize and strike to gain more benefits.
C)It is the ability of large numbers of workers to force management into recognizing them as valuable.
D)It is using picket lines and violence to achieve higher pay, better working conditions, and shorter hours.
Q2) What is the most important advantage that a union has over an SNA as a bargaining unit for nurses?
A)The union has a good understanding of the complex needs of the profession.
B)The union has more power as a bargaining unit than an SNA.
C)Unions have skilled representatives with much experience in negotiating contracts.
D)Hospitals and nursing homes are more afraid of unions than SNAs.
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Chapter 18: Health-Care Delivery Systems
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Sample Questions
Q1) Identify where diagnosis-related groups (DRGs) are primarily used.
A)Private insurance companies
B)Prospective payment systems
C)Retrospective payment systems
D)Current reimbursement systems
Q2) The major advantage that preferred provider organization (PPO) payment systems have over HMOs is that the PPOs:
A)Extend benefits beyond the use of their services at an increased rate
B)Require copayment fees each time a service is rendered
C)Have services that are used by a smaller number of clients, which reduces the wait for services
D)Have a system that reduces costs more
Q3) Which demographic factor has the most significant effect on the health-care delivery system of the future?
A)The large numbers of babies being born to minority women
B)The increasing use of alcohol and tobacco among teenagers
C)The rapidly increasing average age of the population
D)The oversupply of nurses
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Chapter 19: Nursing Informatics
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Sample Questions
Q1) Which process is used in synthesizing data into information to create knowledge?
A)Circular
B)Linear
C)Elliptical
D)Scientific
Q2) What is a client's blood pressure of 180/110 mm Hg an example of?
A)Information
B)Knowledge
C)Skill
D)Data
Q3) What is the primary concern that health-care providers have in the use of computers in client care?
A)The ability to maintain privacy and confidentiality
B)The training and knowledge required by nurses to use the system effectively
C)The ability to provide quality care when the computers malfunction
D)The legal implications of having a computerized record of every aspect of client care
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Chapter 20: The Politically Active Nurse
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Sample Questions
Q1) What is the primary purpose of the American Nurses Association-Political Action Committees (ANA-PACs)?
A)Persuade public officials to work for legislation nurses consider important.
B)Influence the outcome of elections.
C)Prevent bills that are negative for nursing from being introduced in Congress.
D)Attempt to change the minds of legislators already serving in Congress.
Q2) If the House and Senate have different versions of the same bill, where does the bill go next?
A)To the President for signature of the bill he favors most
B)To the Rules Committee to set up the guidelines for passage of the bill
C)To the Conference Committee to resolve the differences between the two bills
D)To the Finance Committee to see if there is enough money in the budget for both forms
Q3) Identify an issue that would be considered constituent specific.
A)Funding of a new research project
B)Universal coverage for prescriptions for the elderly
C)Increase in the rates for natural gas
D)Passing laws punishing corporate CEOs who bankrupt their companies
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Chapter 21: Spirituality and Health Care
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Sample Questions
Q1) When nurses appreciate the belief that the client's observations may be more objective than the nurses' because they are attached to the client's past experiences and knowledge, including rich descriptions of the person's experiences of life transitions, they are recognizing which approach to health care?
A)Scientific
B)Phenomenological
C)Deontological
D)Religious
Q2) What must the nurse recognize when trying to understand the concept of "truth"?
A)Truth is always supported by facts.
B)Hypothetical-deductive reasoning and quantitative research are the only ways to arrive at truth.
C)Spirituality cannot be proven, so it is not truth.
D)Truth is a relative concept.
Q3) What are clients experiencing major life transitions least likely to encounter?
A)Anxiety and vulnerability
B)Spiritual abandonment
C)Stagnation and apathy
D)Spiritual enlightenment
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Page 23

Chapter 22: Cultural Diversity
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Sample Questions
Q1) A client from an Asian background responds to the nurse's discharge instructions by nodding and smiling. How should the nurse interpret this response?
A)The client understands the information and will be very compliant when discharged.
B)The client really does not understand the instructions and has no intention of following them at home.
C)It is a way of showing respect for the nurse's authority and avoiding confrontation.
D)All friendly and happy Asian clients express themselves this way.
Q2) What is the most important factor in obtaining an accurate cultural assessment of a client?
A)Using a comprehensive assessment tool
B)Establishing a warm, trusting relationship
C)Using a translator
D)Asking pointed questions about the client's beliefs and values
Q3) Developed from a long-term process and based on a need for group survival, ________________are neither right nor wrong.
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Chapter 23: Developments in Current Nursing Practice
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Sample Questions
Q1) Which element is usually excluded from forming the scientific knowledge base of forensic nursing?
A)Criminal justice
B)Police science
C)Theological concepts
D)Legal studies
Q2) With the exception of the emphasis on ____________________, response to bioterrorist attacks is similar to the traditional public health response to naturally occurring outbreaks of communicable diseases.
Q3) Select all the categories from the list below that are appropriate for nurse entrepreneurs.
A)Nurse attorneys
B)Nurse death investigators
C)Nurse epidemiologists
D)Psychiatric nurses
E)School nurses
F)Legal nurse consultants
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Chapter 24: Client Education: a Moral Imperative
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Sample Questions
Q1) A client tells the nurse that she has been using a health information website to find information about her illness. Which statement by the client does the nurse need to correct?
A)Some of the websites do not have very accurate information.
B)All of my personal information will be kept secure.
C)I should speak to my physician before using any alternative therapies.
D)Other clients seem to be having the same symptoms I have.
Q2) What was the key evidence-based finding that resulted from a study conducted in Denver in 1994 that compared the teaching of professional nurses with the teaching conducted by paraprofessional health-care providers in home health-care situations?
A)The teaching was comparable between the two groups.
B)Paraprofessionals teaching were much more cost effective than registered nurses.
C)Caution should be used in allowing health-care providers other than registered nurses to make home health-care visits.
D)The rates of readmissions were lower for the clients who were taught by paraprofessionals than it was with those taught by registered nurses.
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Chapter 25: Nursing Research and Evidence-Based Practice
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Sample Questions
Q1) Ethical issues present a challenge in any health-care situation. Nurses must follow specific guidelines to protect and advocate for patients. Identify the statement that capsulizes every nurse's responsibility to clients.
A)Nurses must follow the Nuremberg code of ethics in determining if certain research is safe for a client.
B)The National Research Act provides the criteria that must be met in order to safeguard clients during nursing research.
C)If all criteria set by the Institutional Review Board are met, the nurse can be satisfied that the client will be protected.
D)The responsibility of professional nurses to protect every client extends beyond research to any client-related issue.
Q2) In nursing research, what is the critical link necessary to connect the researcher's framework with the appropriate type of data collection?
A)The research design
B)The research question
C)The nursing diagnosis statement
D)The propositional statement
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Chapter 26: Alternative and Complementary Healing Practices
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Q1) Why is the term healing preferred to medicine when referring to alternative and complementary modalities?
A)Medicine implies that only physicians can carry out the treatment.
B)The treatments are based on holistic philosophies that go beyond treatment or cure of the physiologic dimensions of care.
C)Clients might associate alternative treatments with hospital care.
D)Nurses have had a strong influence in naming this modality.
Q2) Select from the list below all methods that would make a health care be considered alternative.
A)Self-care
B)Wellness
C)Illness recovery
D)Self-healing
E)Health promotion
F)Illness prevention
Q3) With the goal of restoring the natural movement of vital forces, life essences, or other such vitalities, ________________bring balance back to factors disturbed by diseases or trauma.
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