Nursing Governance and Policy Practice Exam
Course Introduction
This course explores the frameworks and processes that shape health care delivery through governance and policy, with a focus on the unique roles nurses play as advocates, leaders, and change agents. Students will examine the development of health policies at institutional, local, national, and global levels, as well as the influence of regulatory bodies and professional organizations. Through analysis of case studies, emerging trends, and current legislation, learners will gain skills in policy analysis, advocacy, and strategic decision-making, preparing them to actively contribute to the governance of health care systems and the advancement of the nursing profession.
Recommended Textbook
Nursing Today Transition and Trends 8th Edition by Zerwekh
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26 Chapters
663 Verified Questions
663 Flashcards
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Chapter 1: Role Transitions
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25 Flashcards
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Sample Questions
Q1) A new nurse is caring for five patients on a busy surgical floor.While hanging blood for a patient,the nurse receives notice that another assigned patient is being taken for surgery.The nurse has not obtained informed consent from the patient.What action should the new nurse take?
A) Immediately leave the room he/she is in and obtain informed consent from the patient.
B) Allow the patient to go to surgery without obtaining informed consent.
C) Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.
D) Ask the transporter to obtain informed consent from the patient.
Answer: C
Q2) A student nurse is interested in improving his/her nursing skills.What action would be the best for the student nurse to take?
A) Ask his/her instructor for extra skills practice during clinical hours.
B) Watch videos on how to perform the nursing skills that he/she needs to practice.
C) Review his/her nursing textbooks.
D) Observe nurses perform skills in his/her clinical setting.
Answer: A
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Chapter 2: Personal Management: Time and Self-Care Strategies
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Nurse 1: "The manager told me that you and I have to change work schedules to accommodate Jim.That means we will both have to work days and nights in the same week.There's nothing we can do about it." Nurse 2: "Let's take a minute and look at the possible alternatives." What is the best assessment of this situation?
A) Nurse 1 is exhibiting reactive behavior,and Nurse 2 is being proactive.
B) Nurse 1 is exhibiting a sense of empowerment,and Nurse 2 is behaving codependently.
C) Jim and the nurse manager have formed a coalition with the goal of dominating other staff.
D) The nurse manager is evidencing good self-esteem by daring to take an unpopular action that will expose criticism.
Answer: A
Q2) Which of the following statements by the nursing student is an affirmation?
A) "I must maintain As in school."
B) "I am human and capable of making mistakes."
C) "If I fail at something,the results will be catastrophic."
D) "If I am not liked by everyone,I am a failure."
Answer: B
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Page 4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Which action by the mentor can help reduce the impact of reality shock on the mentee during the honeymoon phase?
A) Listen as the mentee discusses the excitement of starting a new position as a nurse.
B) Avoid discussions about the excitement of the mentee's new position as a nurse.
C) Ask the mentee not to discuss the new position during work hours.
D) Tell the mentee that the excited will not last long.
Answer: A
Q2) The "honeymoon" is a specific phase of reality shock.What should the mentor do during this phase?
A) Share personal transition experiences with the mentee.
B) Reinforce the need for the mentee to problem solve.
C) Encourage the mentee to try new things.
D) Act as the intermediary for the mentee with all staff members.
Answer: D
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5
Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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25 Flashcards
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Sample Questions
Q1) Which statement by the graduate nurse indicates understanding of the importance of a cover letter?
A) "It is optional."
B) "It is necessary only if your resume needs further explanation."
C) "It should recapitulate all of the important points of your resume."
D) "It should introduce you to the reader."
Q2) What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit?
A) Obtain a position that further develops interests and skills.
B) Provide a basis for moving up the career ladder to a supervisory position within 5 years.
C) Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees.
D) Obtain an entry-level position as a staff nurse on a medical-surgical unit.
Q3) Which action by the graduate nurses shows understanding of resume writing?
A) Ensures that all of the dates for their employment history are specific
B) Does not overstate skills
C) Includes a thorough discussion of experiences as a nursing student
D) Includes only last two positions
Page 6
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Chapter 5: NCLEX-RN Examination and the New Graduate
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26 Verified Questions
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Sample Questions
Q1) Which of the following statements indicate the nurses understanding of the content of the NCLEX Exam?
A) "The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing."
B) "The exam is a survey of nursing faculty regarding areas of importance for testing."
C) "The exam includes questions based on the National League of Nursing survey reports."
D) "The exam includes contributions from all of the member boards of the National Council."
Q2) What are acceptable forms of identification at the testing center? (Select all that apply.)
A) U.S.driver's license
B) U.S.state-issued identification
C) Credit or debit card with photo identification.
D) Passport
E) U.S.military identification
F) School or university picture identification
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Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) The nurse has been studying the history of the nursing uniform and identifies which reason as the reason for the nursing cap disappearing from the student nurse uniform? (Select all that apply.)
A) Unique nursing cap designs were difficult to produce
B) Increase number of males in nursing profession
C) Shorter haircuts worn by women
D) Increased risk of infection by resident microorganisms on the nursing cap
E) Nursing cap got in the way as more sophisticated equipment was used by students
F) Nursing cap was no longer needed for pinning ceremonies
Q2) Which of the following actions were expected of a nurse coordinator? (Select all that apply.)
A) Improve patient care.
B) Promote harmony within the institution.
C) Arrange for payment of care received by patients.
D) Motivate staff.
E) Arrange salaries of staff.
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8
Chapter 7: Nursing Education
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Sample Questions
Q1) A distinction that can be made between nursing licensure and certification is that licensure is
A) mandatory,and certification is voluntary.
B) optional,and certification is required to practice a nursing specialty.
C) renewed annually,and certification is renewed triannually.
D) approved by the ANA,and certification signifies ability to give safe care.
Q2) Which of the following causes is most likely to contribute to the nursing shortage?
A) The aging of the nurse faculty population
B) General lack of interest in the nursing profession
C) Lack of accredited nursing programs
D) Decreased need for nursing staff
Q3) A master's degree in nursing differs from a generic nursing degree in what way? A master's degree in nursing
A) requires a level of specialization to be selected.
B) prepares the nurse for nursing administration.
C) increases the authority and responsibilities of the nurse.
D) enables the nurse to become a nurse educator.
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Chapter 8: Nursing Theory
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22 Flashcards
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Sample Questions
Q1) A nurse is listening to a nurse manager give a presentation on nursing theory.The nurse identifies which statement as being indicative of nursing theory?
A) "Team nursing to best use resources within the delivery of care"
B) "Managed care focusing on conservation of the economic resources"
C) "A direction as to how an individual nurse can best meet patient needs"
D) "Created by nurses,for nurses,in understanding the nursing process"
Q2) A nurse has been studying theory in class.Which of the following statements indicates that the nurse has an adequate understanding of theory?
A) "A theory can be used to predict something."
B) "A theory can measure outcomes."
C) "Theory can be helpful to formulate a plan of action."
D) "Theory is used to help evaluate interventions."
Q3) A student is in the last semester of nursing school.The student interprets nursing as
A) knowledge of past experiences.
B) the medical model of health care.
C) a science based on the principles of biology and medicine.
D) a science based on scientific research providing practice answers.
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Page 10
Chapter 9: Image of Nursing: Influences of the Present
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) What action did the Johnson and Johnson Campaign for Nursing's Future take to promote nursing?
A) Identified the need for nurses in labor and delivery
B) Raised visibility of nurses of varied races
C) Identified the need for nurses in postpartum care
D) Raised national starting wages for nurses
Q2) In the 1950s,belonging to a professional organization was popular.What has contributed to the decline in membership of the American Nurses Association?
A) The ANA has increased membership dues that nurses cannot afford.
B) Nurses do not want to be associated with an organization that represents unions.
C) The association does not have state and local organizations.
D) The increase in popularity of specialty organizations representing specific needs of members has led to a decline in nurses joining the ANA.
Q3) Which action led to the "birth" of nursing theory?
A) Creation of baccalaureate programs
B) Dr.Peplau's nursing model publication
C) Publication of Jean Watson's Caring Theory
D) Martha Roger's work on nursing theory
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11
Chapter 10: Challenges of Nursing Management and Leadership
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The nurse manager tells the patient that he must eat his breakfast before getting out of bed.What type of power is the nurse manager using?
A) Legitimate power
B) Expert power
C) Coercive power
D) Referent power
Q2) Which of the following statement by the nurse reflect transformational leaders?
(Select all that apply.)
A) Lifelong learners
B) Courageous change agents
C) Slow to change
D) Value-driven visionaries
E) Hesitant to follow
Q3) A nurse is unhappy about the way medications are being administered on the unit.What does the nurse need to do first to facilitate a change in the process?
A) Initiate a new method starting with assigned patients.
B) Discuss concerns with fellow nurses.
C) Develop a better method to administer the medications.
D) Inform the charge nurse of how it can be done better.
Page 12
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Chapter 11: Building Nursing Management Skills
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Sample Questions
Q1) A nurse has received report on assigned patients and is prioritizing their care.Which of the following patients should the nurse assess first?
A) A female patient who is complaining of a headache
B) A patient who has just returned from surgery and has saturated his dressing
C) A patient with a femur fracture that is requesting pain medications
D) A male patient who needs to use the bathroom
Q2) A nurse has received an abnormal result on a critical test for an assigned patient.The nurse has been trying to reach the resident for 20 minutes but has been unsuccessful.What should be done to ensure the best care for the patient? (Select all that apply.)
A) Page the resident once and document this in the chart; he will make rounds soon.
B) Page the attending physician.
C) Continue to provide care for the patient and document all actions in the medical record.
D) Wait until the resident makes rounds to review the test results with him.
E) Begin treating the patient for the test result because the nurse knows what the resident will likely order.
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Page 13
Chapter 12: Effective Communication and Team Building
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Sample Questions
Q1) The nurse is using assertive communication skills to express self rights,when stating:
A) "I shield others from my anger."
B) "I do not compromise."
C) "I am avoiding direct confrontation."
D) "I am responsible for what I say."
Q2) Which actions can the nurse take to improve personal credibility? (Select all that apply.)
A) Wear well-fitting clothes.
B) If female,wear a reasonable amount of make-up.
C) Be as original as possible at work.
D) Maintain a flattering,neat haircut.
E) Maintain a reasonable weight.
Q3) Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?
A) Mouse
B) Motor mouth
C) Self-server
D) Know-it-all
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14
Chapter 13: Conflict Management
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25 Flashcards
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Sample Questions
Q1) A nurse feels angry over a patient assignment and feels that assignments always include the "bad ones." What is the best way to control this anger?
A) Ignore the negative feelings.
B) Talk about other coworkers behind their backs.
C) Face this anger and determine what is being felt.
D) Refuse to speak to any coworkers for fear of lashing out.
Q2) A nurse is frustrated about being scheduled on a holiday that had been requested off,but a new nurse with less seniority was given the holiday off.Which action by the nurse shows accommodation?
A) The nurse works out a schedule change with the new nurse.
B) The nurse doesn't bring the issue to the attention of the new nurse but feels angry and frustrated.
C) The nurse works the holiday while the new nurse has the day off.
D) The nurse requests to have the day before the holiday off.
Q3) What can staff nurses do to reduce conflict with patients and families?
A) Allow nurses to enforce what they feel comfortable with.
B) Keep treatment decisions between the patient and health care team only.
C) Do not allow family to participate in patient care.
D) Maintain consistency in enforcing rules and policies.
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Page 15
Chapter 14: Delegation in the Clinical Setting
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) A female patient in the medical-surgical unit is diagnosed with anemia and complains of weakness.Which of the following assignments could be given to the nursing assistant?
A) Organize the patient's meal tray for dinner.
B) Talk with the patient about managing her rest and activities.
C) Get a diet history and list of the patient's favorite foods.
D) Take an apical pulse and listen to the lungs for crackles.
Q2) An experienced nursing assistant could be assigned by the nurse to do which of the following?
A) Help in the teaching of new diabetic clients to give themselves injections.
B) Report on quality and quantity of urine and adjust drip rate on continuous bladder irrigation.
C) Assist the client to obtain a clean-catch urine specimen.
D) Chart the dietary intake for a client with an eating disorder.
Q3) Determine how the nurse's role is different from that of the LPN in assessment of the patient.
A) Collects data during the health history and physical exam
B) Contributes to the development of the care plan
C) Assist in updating the care plan
D) Uses findings from the assessment to create a care plan
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Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Sample Questions
Q1) Which action by the case manager would be required under the full immersion model?
A) The case manager would see only the patients with the most extensive health care needs.
B) The case manager would see all patients that come into the hospital.
C) The case manager would only see the patients with health insurance.
D) The case manager would conduct a daily chart review of patients he or she is assigned to.
Q2) Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses? (Select all that apply.)
A) Functional nursing
B) Team nursing
C) Primary care nursing
D) Patient-focused care
E) Transitional care
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Page 17
Chapter 16: Economics of the Health Care Delivery System
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Sample Questions
Q1) The nurse has an adequate understanding of capital budget when stating:
A) "A capital budget is part of the expected expenses of the unit."
B) "A capital budget is used to purchase or replace equipment costing more than $5000."
C) "A capital budget is used to pay for nurses to work in the hospital."
D) "A capital budget is used to purchase lunch for employees."
Q2) A new graduate is preparing for a job interview.Which questions would be appropriate to ask the manager in regards to health care economics? (Select all that apply.)
A) How is the acuity of patients factored into staffing?
B) What is the turnover rate on this unit?
C) How long are the breaks for staff on this unit?
D) What is the overtime rate on this unit?
E) What are the budgeted hours per patient day on this unit?
Q3) Which of the following statements indicates the nurse's understanding of fiscal responsibility?
A) "Fiscal responsibility should be a concern for all nurses."
B) "Fiscal responsibility is only a concern for the department manager."
C) "Fiscal responsibility is only a concern for the hospital administrators."
D) "Fiscal responsibility is not a concern for the nursing staff."
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Chapter 17: Political Action in Nursing
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse is actively involved in the political arena and is educating a colleague about becoming involved in the election process.The nurse knows that their teaching has been effective when a colleague states:
A) "Nurses are discouraged from becoming involved in politics."
B) "The election process has nothing to do with nursing."
C) "It is easy for a nurse to become involved in the election process."
D) "Political campaigns never need any help."
Q2) The clinical nurse leader makes out the daily assignments.One staff nurse tells another,"Last week I was asked to change my days off so the clinical nurse leader could go to a play in another city.I told the clinical nurse leader I couldn't do it.Ever since then,I've been given the most difficult patients on the unit for my assignment." The staff nurse can label this type of power as:
A) Inherent
B) Referent
C) Legitimate
D) Expert
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Chapter 18: Collective Bargaining: Traditional (Union)and
Nontraditional
Approaches
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Sample Questions
Q1) A nurse has an adequate understanding of traditional collective bargaining when making which of the following statements?
A) "The goal of traditional collective bargaining is to win something that is controlled by another."
B) "The goal of traditional collective bargaining is to win something that another person has worked for."
C) "The goal of traditional collective bargaining is to give all power to the nurse."
D) "The goal of traditional collective bargaining is to give all power to the organization."
Q2) A union nurse is educating a new nurse on common issues faced by nurses today.The union nurse knows that the teaching has been effective when the new nurse states:
A) "There are no common issues; nurses faces different issues based on their job."
B) "Today,there are no issues because of the advancement of technology."
C) "Hospitals are fully staffed at all times."
D) "Hospitals frequently mandated nurses due to staffing shortages."
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Page 20
Chapter 19: Ethical Issues
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Sample Questions
Q1) Which ethical principle is applied when the nurse acts to safeguard the patient and the public by reporting poor nursing practice?
A) Autonomy
B) Fidelity
C) Justice
D) Veracity
Q2) A nurse manager is educating a group of staff nurses about genetics and genomics.The nurse manager judges that the teaching has been effective when one of the staff nurses states:
A) "Health outcomes and treatment of disease processes have not increased with the study of genetics and genomics."
B) "Only researchers benefit from the study of genetics and genomics."
C) "This area of study has nothing to do with nurses."
D) "Genetics and genomes have increased the ability of health care professionals to assist patients in improving health outcomes."
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21
Chapter 20: Legal Issues
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Sample Questions
Q1) A nurse wants to avoid malpractice claims.What action can be taken to greatly reduce the risk of a lawsuit?
A) Reduce work status to part time.
B) Implement fall precautions on an older adult patient.
C) Leave clutter on the floor in patient rooms.
D) Leave the patient's bed in the highest position.
Q2) A nurse is providing care to a 6-year-old child with a broken arm.The nurse notices multiple bruises.The child says,"my father got mad because I was bad,and he hit and broke my arm so that I would remember to be good." What is the best nursing action?
A) Chart that the child is a victim of abuse.
B) Do nothing because the nurse cannot prove the child was abused.
C) Report the situation to the appropriate authorities.
D) Ignore what the child said because little children often lie.
Q3) What is a significant action a nurse can take to prevent being named in malpractice suits?
A) Refuse to care for suit-prone patients.
B) Carry professional liability insurance.
C) Maintain updated professional knowledge and skills.
D) Check with a nursing supervisor before undertaking care.
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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Sample Questions
Q1) Using a spiritual assessment tool helps the nurse gain more understanding of the patient.What would be the best question to assess a patient's inner strengths?
A) What gives your life meaning?
B) Are you motivated to get well?
C) What do you do to show love for yourself?
D) What brings you joy and peace in your life?
Q2) A nurse is gathering data on a patient of a different culture.Which action can the nurse take to enhance communication while gathering cultural data?
A) Ignore the patient's culture and focus on the reason for hospital admission.
B) Use hand gestures to get points across to a patient with poor English.
C) Use close-ended questions to gather information.
D) Determine the patient's level of fluency in English.
Q3) Which of the following actions cause health care disparities?
A) Refusal of treatment
B) Provider-patient relationships
C) Trust in the health care system
D) Provider bias and discrimination
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Chapter 22: Quality Patient Care
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Sample Questions
Q1) A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC)process.Which action would the nurse take during the define phase?
A) Identify the stakeholders.
B) Agree on the key performance indicators.
C) Identify gaps between performance and goals.
D) Identify those responsible for data collection.
Q2) The nurse manager has an adequate understanding of Six Stigma when making which of the following statements?
A) "The primary goal of Six Stigma is to increase profits and reduce problems."
B) "The primary goal of Six Stigma is to attract physicians to an organization."
C) "The primary goal of Six Stigma is advertisement of the organization."
D) "The primary goal of Six Stigma is to attract nursing to an organization."
Q3) Which action would be occurring if a group of nurses were in the analyze phase of the DMAIC process? (Select all that apply.)
A) Identify gaps between current performance and the goal.
B) Identify possible sources of variation.
C) Determine the goal.
D) Write the problem statement.
E) Determine where to begin making a change.
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Chapter 23: Nursing Informatics
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Sample Questions
Q1) How can the nurse expect to be impacted by nursing informatics?
A) The nurse would not be directly impacted unless he or she worked in nursing informatics.
B) Nurses at the bedside are minimally impacted.
C) Nurses are impacted by the use of barcode medication administration.
D) Nurse managers are the only hospital staff who are impacted.
Q2) Which action can the nurse take to evaluate an internet resource?
A) Assume that the resource is credible if it is on an internet page.
B) Determine if the resource provides evidence for claims made.
C) Assess the popularity of the resource.
D) Determine the date the resource was published; older material is more reliable.
Q3) A nurse manager is lecturing staff nurses on the barriers to the full integration health information technology.The nurse manager judges the teaching to be effective when a staff nurse states: (Select all that apply.)
A) "Barriers include lack of standardization across care areas."
B) "A barrier to the full integration is funding."
C) "Currently there are no barriers."
D) "A current barrier is privacy laws."
E) "Barriers to full integration are not likely to be overcome."
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Page 25
Chapter 24: Using Nursing Research in Practice
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Sample Questions
Q1) A staff nurse recognizes the need for a change in practice regarding hand hygiene.How can the nurse implement a change in practice? (Select all that apply.)
A) Ignore the problem until management enforces a change.
B) Ask if the manager can hold a staff in-service.
C) Implement the change on the unit.
D) Monitor the change.
E) Evaluate the effectiveness of the change.
Q2) The nurse has an adequate understanding of evidence-based practice when the nurse states which of the following? (Select all that apply.)
A) "Evidence-based practice is similar to research utilization."
B) "Evidence-based practice is becoming important in all areas of health care."
C) "Evidence-based practice incorporates many additional sources of data that may contribute to improved nursing care."
D) "Evidence-based practice is not accepted as best research evidence."
E) "Evidence-based practice is not used in nursing care."
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Chapter 25: Workplace Issues
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Sample Questions
Q1) A nurse manager is educating a group of new nurses on workplace violence.The nurse judges the teaching to be effective when one of the nurses states: (Select all that apply)
A) "Workplace violence is uncommon in today's society."
B) "Workplace violence does not include threats of assault."
C) "Workplace violence includes physical assaults."
D) "Workplace violence includes unwanted sexual advances."
E) "At least 80% of nurses have experienced workplace violence."
Q2) What action can the nurse take to reduce the risk of repetitive motion disorders? (Select all that apply.)
A) Avoid frequent position changes.
B) Frequently alternate between standing and sitting.
C) Have a good understanding of ergonomic principles.
D) Engage in routine stretching of shoulders,neck,arms,hands,and fingers.
E) Attend training on how to reduce injury.
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Chapter 26: Emergency Preparedness
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Sample Questions
Q1) A nurse manager is educating a staff nurse on the four top agents for potential bioterrorism.The nurse manager judges that the teaching has been effective when the staff nurse states that the top agents include (Select all that apply.)
A) smallpox.
B) anthrax.
C) flu virus.
D) botulism.
E) plague.
Q2) A nursing professor is educating students on nerve agents.The nursing professor judges teaching to be effective when one of students states:
A) "Sarin gas is a chemical agent that is classified as a nerve agent."
B) "Mustard gas is a chemical agent that is classified as a nerve agent."
C) "Ricin is a chemical agent that is classified as a nerve agent."
D) "Chlorine gas is a chemical agent that is classified as a nerve agent."
Q3) Which of the following represents a Level II disaster?
A) A building collapse that fills the local emergency room with patients.
B) A freeway accident that involves multiple vehicles.
C) Flooding of a three-state area affecting food and water resources.
D) Earthquake that destroys homes and transportation facilities.
To view all questions and flashcards with answers, click on the resource link above.
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