Nursing Professionalism and Career Development
Exam Materials
Course Introduction
This course explores the foundational concepts of professionalism in nursing, emphasizing ethical practice, accountability, leadership, and effective communication in diverse healthcare settings. Students will examine the evolution of nursing as a profession, the role of professional organizations, and legal and regulatory frameworks guiding practice. The course also addresses strategies for lifelong learning, career planning, and advancement, equipping students with the tools to navigate workplace challenges, build strong professional identities, and achieve personal and professional growth throughout their nursing careers.
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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Page 2
Chapter 1: The Development of the Profession
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) What allows a nurse to exert legitimate power over a client when providing nursing care?
A)The ability to withhold pain medication if the client does not comply with routines
B)The ability to provide the client with additional food when he or she does comply with the nurse's requests
C)The power given to the nurse by reason of state licensure
D)The establishment of a professional and personal relationship with the client
Answer: C
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) The overall goal of nurses who work as case managers is to ________________the use of health-care services in the most efficient and cost-effective manner possible.
Answer: coordinate
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Page 3
Chapter 2: Historical Perspectives
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Identify the characteristic of ancient Roman society that distinguished the health-care practices of the empire from those of its surrounding neighbors.
A)Use of slaves to provide basic health care
B)Belief that the Roman Emperor was a descendent of a god
C)Lack of concern about the sanctity of life
D)Relatively high social status allotted to Roman women
Answer: D
Q2) What are the dates of Florence Nightingale's birth and death?
A)March 3, 1578; June 10, 1657
B)January 9, 1715; September 30, 1785
C)May 12, 1820; August 13, 1910
D)April 15, 1932; December 10, 1957
Answer: C
Q3) Which problem had the most effect on nursing education during the 1920s and 1930s?
A)Too many college-based schools of nursing
B)A lack of qualified nursing instructors
C)Too many nursing students from the lower and middle classes
D)Not enough demand for educated nurses
Answer: B
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Chapter 3: The Evolution of Licensure, Certification, and Nursing Organizations
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) One of the most important factors in recent changes that have occurred in the health-care system is demands by ______________________for higher quality care.
Answer: health-care consumers health care consumers
Q2) Identify a primary goal of the American Nurses Association.
A)Promote the professional growth and development of all nurses.
B)Maintain and improve the standards of nursing education.
C)Limit access to health-care services to individuals in need.
D)Control the independence of practice by nurses to those with bachelor of science degrees.
Answer: A
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) Identify the four concepts that are common in most nursing theories.
A)Client, health, environment, nursing
B)Care, adaptation, system, cure
C)Nurse, physician, client, other providers
D)Hospital, nursing home, clinic, physician's office
Q2) What aspect of Watson's Model of Human Caring distinguishes it from most other nursing models?
A)Understanding health as a dynamic state rather than a static goal
B)Viewing nursing as a process to help clients achieve their greatest potential rather than as a curing profession
C)Use of a philosophical approach rather than a systems theory approach
D)Defining environment as both internal and external rather than just external
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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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) Identify two key requirements for entry into a master's degree nursing program.
A)Baccalaureate degree in nursing; satisfactory score on the GRE or MAT
B)At least 3 years of experience as an RN; associate degree in nursing
C)Three letters of reference; certificate of health status
D)Associate degree in nursing; 3.0 or higher grade point average
Q2) Which statement best describes nursing education in the United States during the 1800s and early 1900s?
A)It was high quality with a balance between classroom education and clinical practice.
B)Strict criteria were established for nursing education by the National League of Nursing (NLN) and the American Nurses Association (ANA) to guarantee high-quality education.
C)There were no formal nursing education programs during this time period; nurses were trained in apprenticeships only.
D)There was little or no classroom education, and students learned through hands-on experience during their 12- to 14-hour shifts on the hospital units.
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Chapter 6: Critical Thinking
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Sample Questions
Q1) Select from the list below all of the characteristics that are found in critical thinking.
A)Logical
B)Biased
C)Rational
D)Reflective
E)Creative
F)Quick
Q2) Which step of the nursing process identifies the success or failure of the plan of care developed by a nurse?
A)Assessment
B)Evaluation
C)Analysis
D)Implementation
Q3) A ________________is generally defined as an error in reasoning that leads to a conclusion that does not follow from its premises.
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 name of the system of ethical decision-making that is based on the "greatest good" principle.
A)Egoism
B)Utilitarianism
C)Deontological
D)Jurisdictional
Q2) What is the best definition of the ethical principle of nonmaleficence?
A)Health-care workers avoiding harm to clients
B)Telling the truth to clients in all matters
C)Being faithful to commitments made to clients
D)The right of self-determination of clients
Q3) What is the ethical principle that requires that the primary goal of health care and nursing is to do good for others?
A)Autonomy
B)Fidelity
C)Beneficence
D)Veracity
Q4) Over time, popular acceptance of ________________rights can give them force of ________________rights.
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Chapter 8: Bioethical Issues
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Sample Questions
Q1) What ethical principles are sometimes overlooked in attempting to identify and report suspected child abuse?
A)Best interest and nonmaleficence
B)Privacy and self-determination
C)Paternalism and beneficence
D)Veracity and obligation
Q2) Upon what ethical principle do supporters of assisted suicide base their support for the practice?
A)Beneficence includes acts that will help to permanently end a client's suffering.
B)The health-care provider is permitted to use paternalism when the client is unsure about the best course of treatment.
C)Only by allowing the client to decide among all possible options will the principle of informed consent be fulfilled.
D)The right to self-determination includes the decision to end one's life.
Q3) The essential ethical principle of ________________is the legal and ethical foundation for the use of advanced directives.
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10
Chapter 9: Nursing Law and Liability
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Sample Questions
Q1) Identify the primary role that the SBAR system (Situation-Background-Assessment-Recommendation) plays in the clinical setting.
A)Establishes the physician as the primary and sole source of authority during codes
B)Reduces confusion in the communication between nurse and physician in emergencies
C)Aids nurses in independent practice when necessary
D)Reduces the number of lawsuits associated with the care of critically ill clients
Q2) Which statement made by a nursing student about the term "tort" during a class about legal issues in health care indicates that the student requires additional instruction?
A)If the plaintiff wins, he will be awarded money.
B)Intentional torts can sometimes be considered crimes.
C)It is considered to be a violation of a personal right.
D)It is considered to be a legal wrong against the public.
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Chapter 10: How to Take and Pass Tests
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74 Verified Questions
74 Flashcards
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Sample Questions
Q1) Identify the best response by the nurse to a physician's prescription for temazepam (Restoril) 15 mg PO, PRN for a hospitalized client.
A)Question the order because the dose is too large.
B)Give it as ordered when the client is restless.
C)Schedule the medication for before bed.
D)Question the order because the dose is too small.
Q2) Identify the statement by the public health nurse that most accurately describes treatment with immune globulin for the wife and two children of a client who was diagnosed with hepatitis A.
A)One injection provides immunity for life.
B)If the family has not been in close contact with the client, they do not need the medication.
C)The medication conveys active immunity.
D)If administered more than 2 weeks after exposure, it may not be effective.
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12
Chapter 11: Nclex: What You Need to Know
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121 Verified Questions
121 Flashcards
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Sample Questions
Q1) A stem questions states: "A client admitted with BUN of 64 and a creatinine of 6 would require which nursing actions first?" What cognitive level does this stem question indicate?
A)Level 1, recall question
B)Level 2, analysis question
C)Level 3, synthesis question
D)Level 4, advanced question
Q2) Select the action the nurse should take first when a client becomes short of breath, pale, and diaphoretic and complains of localized chest pain after a new bottle of TPN has been hung.
A)Bring the code cart into the room and prepare for cardiac pulmonary resuscitation.
B)Place the bed in Trendelenburg's position and turn the client on the left side.
C)Keep the head and body flat and elevate the legs.
D)Notify the physician that the client is having a myocardial infarction.
Q3) A client is to receive a heparin drip at 800 units per hour. The medication is mixed heparin 20,000 units in 500 mL of D5W. At what rate should the nurse set the volumetric pump?
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Chapter 12: Reality Shock in the Workplace
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20 Verified Questions
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Sample Questions
Q1) A nurse employed in an acute care hospital is experiencing a high level of anxiety related to work stress. In identifying and ranking the nurse's sources of stress, which one would receive the lowest priority?
A)Lack of adequate staffing and mandatory overtime
B)Lack of control in decision making and autonomy
C)Receiving a 2.5% annual raise because of revenue loss by the hospital
D)Frequent deaths of critically ill clients
Q2) 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.
Q3) Identify the earliest indications that a nurse may be experiencing burnout.
A)Alcohol abuse
B)Physical complaints
C)Attitude that work is to be tolerated
D)Feelings of helplessness and guilt
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Chapter 13: Principles of Leadership and Management
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Sample Questions
Q1) Identify the element that would be considered a needs motivator or satisfier in Herzberg's motivation hygiene theory.
A)Career advancement
B)Job security
C)Salary
D)Status in the organization
Q2) Identify a typical response for a manager who uses the laissez-faire approach to leadership when faced with a difficult decision.
A)Consult with the coworkers on the best way to resolve the problem.
B)Make the tough decision by himself or herself and accept the responsibility.
C)Appeal to a higher authority to make the decision.
D)Postpone making the decision in the hopes that it will resolve itself.
Q3) A leader with a low relationship/low task orientation presents a leadership style that is most similar to which leadership approach?
A)Democratic
B)Laissez-faire
C)Authoritarian
D)Benevolent
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15
Chapter 14: Communicating Successfully
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Sample Questions
Q1) What role does anger play in communication?
A)It is always negative and destructive.
B)It can be used positively to produce change.
C)It should be held in as a controlled rage.
D)It needs to be expressed immediately.
Q2) Identify an important communication difference between men and women.
A)Men have a larger and better-developed vocabulary at an earlier age than women.
B)Women prefer the face-to-face communication style.
C)Men prefer close proximity when communicating important information.
D)Women tend to be more physical when communicating.
Q3) Identify an important characteristic of informal norms found in most nursing units.
A)Expressed clearly so that everyone knows what is expected
B)Promulgated through memos
C)Unclear but often used for informal evaluation of work behaviors
D)Logical and well organized
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Chapter 15: Incivility: the Antithesis of Caring
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10 Verified Questions
10 Flashcards
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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) 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
Q3) Which element increases the likelihood of incivility?
A)Using a problem-solving approach
B)Using assertive communication
C)Internalizing workplace issues
D)Increased levels of stress
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Chapter 16: Delegation in Nursing
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Sample Questions
Q1) What is the most appropriate assignment for a nurse who has 10 years of experience in a neurological ICU when floated to a pediatric oncology unit?
A)A 3-year-old boy with leukemia who has contracted bacterial meningitis
B)A 6-year-old boy with osteogenic sarcoma
C)An 18-month-old infant postsurgery with a neuroblastoma
D)A 14-year-old girl with a pheochromocytoma and adrenalectomy
Q2) A LPN who has been assigned four clients asks the charge nurse which client should be assessed first after report. Which client should the charge nurse suggest be assessed first?
A)A 56-year-old man with type I diabetes with 4 p.m.blood sugar of 92
B)A 77-year-old man with congestive heart failure (CHF) who has a potassium level of 3.1
C)A 24-year-old woman with pyelonephritis and a fever of 101.1°F
D)A 38-year-old man with 22% deep partial-thickness burns of the legs and abdomen.
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Chapter 17: Governance and Collective Bargaining
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Sample Questions
Q1) In attempting to decide whether to go on strike, nurses are often concerned about the well-being of the clients in the hospital. What legal requirement helps alleviate this concern?
A)Hospitals are permitted to hire unlicensed personnel to substitute for the striking RNs.
B)Enough RNs are required to stay and work on the floors to maintain safe levels of care.
C)A 10-day notice must be given to the hospital before a strike takes place.
D)LPNs are permitted to function as RNs in strike situations.
Q2) Identify the most important factor in the initial negotiation of a contract.
A)Discussion of the important issues
B)Posturing and showmanship
C)Resolution of key conflicts
D)Lack of willingness to negotiate
Q3) Identify the most important element to look for in a good contract.
A)Description of the official bargaining group
B)Description of the benefits included in the contract, such as wages, overtime pay, and holidays
C)Description of what is expected of the professional
D)Timeframe for the implementation of the contract
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Page 19
Chapter 18: Health-Care Delivery Systems
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Sample Questions
Q1) Which element is usually excluded in the current trend toward decentralized health care?
A)Provision of care on an outpatient basis
B)Emphasis on the cure of illness
C)Promotion of responsible self-care practices
D)Cost containment measures by health-care providers
Q2) Cross-trained personnel are an integral part of which of the following care delivery models?
A)Team nursing
B)Modular nursing
C)Primary care nursing
D)Functional nursing
Q3) What is acute care of sick persons that is provided in hospitals called?
A)Primary intervention
B)Secondary intervention
C)Tertiary intervention
D)Assistive intervention
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Page 20
Chapter 19: Nursing Informatics
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Sample Questions
Q1) Identify the element that has been found most effective in the reduction of technology-related errors in client care.
A)Extended periods of training
B)Computer-based reminder systems
C)Systems involving 8 to 10 steps
D)Hiring only the most intelligent nurses
Q2) Which process is used in synthesizing data into information to create knowledge?
A)Circular
B)Linear
C)Elliptical
D)Scientific
Q3) What advantage does the electronic health record (EHR) system have over traditional paper systems?
A)More portable
B)Unbreakable
C)Fewer privacy issues
D)Reduces redundancy
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Chapter 20: The Politically Active Nurse
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Sample Questions
Q1) 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
Q2) Although most voters tend toward the middle of the political spectrum, ________________attempt to force their parties to the extreme ends of the spectrum.Multiple Response
Identify one or more choices that best complete the statement or answer the question.
Q3) Identify the term that best describes the act or science of influencing public policy.
A)Power
B)Nursing
C)Politics
D)Ethics
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22
Chapter 21: Spirituality and Health Care
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Sample Questions
Q1) 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.
Q2) As a philosophical approach to understanding truth, ________________advocates the view that consciousness determines reality and truth in space and time.
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
Q4) Identify the purpose of spiritual modes of healing.
A)They always produce physical cure.
B)They are used only with clients who have a strong belief in God.
C)They enhance comfort and produce an inner peace with disability or death.
D)They are used only by members of the clergy.
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Chapter 22: Cultural Diversity
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Sample Questions
Q1) Identify the outcome that is usually excluded from the purposes of cultural beliefs and practices.
A)Explanation of unusual or unpredictable events
B)Protection of the group members from harm
C)Expression of religious beliefs
D)Revelation of beliefs to strangers
Q2) Identify the elements included in the primary characteristics of cultural diversity.
A)Socioeconomic status and education
B)Skin color and gender
C)Occupation and residence
D)Sexual orientation and language
Q3) Developed from a long-term process and based on a need for group survival, ________________are neither right nor wrong.
Q4) What indicates that a nurse has developed cultural awareness?
A)Recognizes and values all aspects of a client's culture
B)Learns about the client's cultural background
C)Understands her or his own cultural actions
D)Uses a cultural assessment tool with all clients
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24
Chapter 23: Developments in Current Nursing Practice
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Q1) Which characteristics displayed by an inmate at a correctional facility would indicate destructive or antisocial manipulation?
A)Always considers the feelings of others
B)Treats others as individuals
C)Needs are fulfilled only after others' needs have been considered
D)Manipulation is the primary method used to have needs fulfilled
Q2) Which factor has served to limit the strategies for prevention of secondary victimization from the health-care system?
A)The trend of treating violence as a major criminal justice and health problem
B)The use of a health-oriented model for understanding victims
C)The view that violence and victimization are only caused by criminals
D)The focus on public education and early detection of victimization
Q3) Nurse case managers act as ________________for clients and their families by coordinating care and linking the client with the physician, other members of the health-care team, resources, and the payer.
Q4) 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.
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Page 25
Chapter 24: Client Education: a Moral Imperative
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Sample Questions
Q1) Which is a Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requirement for client education?
A)Hospital staff must act as skilled client educators
B)All clients must receive some type of education during their care
C)Physicians are primarily responsible for client education
D)Documentation of client education must use a flow sheet
Q2) Which statement by the nurse would best indicate the nurse's use of the shared power concept in client teaching?
A)If you do the procedure just as I showed you, you will not have any infections.
B)The physician wants you to take this medication at the same time every day.
C)Once you get home, you can do whatever you want.
D)Tell me what your greatest concern is about being discharged.
Q3) Select the element in managed care that has contributed to the need for increased client education.
A)Use of the team method of nursing care
B)High rates of nosocomial infections
C)Emphasis on increased client responsibility for care
D)Physician control of the health-care environment
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26
Chapter 25: Nursing Research and Evidence-Based Practice
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Q1) It is important for nurses to develop the skill of ________________so that they will have the ability to understand the research process and then be able to sift through and carefully assesses all available and credible research findings.
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
Q3) Nurses are accountable for all decisions they make regarding patient care. Identify the best defense for initiating or changing any specific nursing intervention.
A)Nursing administration has informed all units that they must update all current interventions.
B)A new intervention has been identified as less costly to patient and hospital.
C)The success of a new intervention is supported by strong empirical evidence.
D)The charge nurse has read a particularly good idea for a new intervention in a reputable nursing journal.
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Page 27
Chapter 26: Alternative and Complementary Healing Practices
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Q1) 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.
Q2) Select from the list below all the reasons for the increasing use of alternative and complementary healing practices.
A)Dissatisfaction with conventional health care
B)Desire for greater control over one's health
C)Desire for cultural and philosophical congruence with personal beliefs about health and illness
D)Growing understanding of the philosopy behind alternative practices
E)Belief in the effectiveness of alternative therapies
F)Traditions passed on from parents
Q3) Some cultures do not prescribe herbs based on the biologic effects of their chemical ingredients but rather use the _____________________by which they are prescribed on the basis of their physical and taste characteristics; for example, herbs with heart-shaped leaves are used to treat heart problems.Multiple Response Identify one or more choices that best complete the statement or answer the question.
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