Professional Nursing Concepts
Final Test Solutions
Course Introduction
Professional Nursing Concepts introduces students to the foundational principles, values, and standards that underpin the nursing profession. This course examines the roles and responsibilities of professional nurses, emphasizing ethical practice, critical thinking, effective communication, and evidence-based care. Students explore concepts such as leadership, collaboration within interprofessional healthcare teams, legal and regulatory aspects, patient advocacy, cultural competence, and lifelong learning. The course also highlights the importance of professionalism, accountability, and self-reflection in shaping ones identity as a nurse and advancing the quality of patient care in diverse healthcare environments.
Recommended Textbook
Professional Nursing Concepts and Challenges 7th Edition by Beth Black RN MSN PhD
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16 Chapters
415 Verified Questions
415 Flashcards
Source URL: https://quizplus.com/study-set/307 Page 2
Chapter 1: Nursing Today: A Time of Transformation
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/5063
Sample Questions
Q1) CNSs may (Select all that apply.)
A) manage an inpatient nursing unit.
B) develop educational programs for nursing staff.
C) conduct practice outcomes research.
D) prescribe medications for common illnesses.
E) attend or assist in the delivery of low-risk newborns.
Answer: A, B, C
Q2) Which of the following nursing roles is not considered an advanced practice role?
A) Certified nurse-midwife (CNM)
B) Community health nurse
C) Certified nurse practitioner (CNP)
D) Clinical nurse specialist (CNS)
Answer: B
Q3) NPs are advanced practice nurses who
A) are required to have physician collaboration or supervision.
B) function under a set of universal advanced practitioner laws.
C) cannot receive direct reimbursement for their services.
D) can diagnose and treat common and chronic conditions.
Answer: D
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Page 3
Chapter 2: The History and Social Context of Nursing
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/5064
Sample Questions
Q1) The nursing profession is responsible for improving its own image. The most effective avenue for changing the image of nursing is to
A) write letters expressing concerns to those responsible for negative images on television and in films.
B) have nurses as consultants to the media to ensure that the media producers have accurate information about nursing.
C) have nurses appear and behave professionally and explain what nurses do in each patient interaction.
D) support the Johnson & Johnson campaign by distributing their information about nursing to students interested in nursing.
Answer: C
Q2) Which early nursing organization is credited with first recommending state registration for nurses?
A) ICN
B) NLN
C) ANA
D) National Association of Colored Graduate Nurses
Answer: A
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Chapter 3: Nursing's Pathway to Professionalism
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/5065
Sample Questions
Q1) The nursing profession has experienced barriers to professionalism. Which of the following is the primary current barrier to nursing's professionalism?
A) Too many men in nursing
B) Unquestioning obedience to doctors
C) Limitations placed on practice by state legislators
D) Variability of educational backgrounds of nurses
Answer: D
Q2) According to the nurse's Code of Ethics, the hallmark of nursing practice is A) autonomy.
B) accountability.
C) evidence-based practice.
D) altruism.
Answer: B
Q3) A major challenge to full autonomy for nurses is/are
A) state nurse practice acts.
B) lobbyists for the American Medical Association (AMA) and hospital associations.
C) the status of nurses in hospital hierarchy.
D) the view of physicians as the gatekeepers in health care.
Answer: B
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Page 5
Chapter 4: Legal Aspects of Nursing
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/5066
Sample Questions
Q1) The most common reason that nurses are disciplined by the state board of nursing is
A) making medication errors.
B) following unsafe nursing practice.
C) practicing while impaired.
D) abandoning patients.
Q2) The nurse giving medications to a pediatric patient notes that an order for a medication is considerably larger than the usual dose. She looks up the medication in a pharmacology book and finds she is correct about the dosage. Which action should the nurse take?
A) Documenting the findings in the chart after giving the medication
B) Calling the nursing supervisor and ask what to do next
C) Calling the pharmacist to obtain the usual dosage
D) Notifying the physician of her findings before giving the medication
Q3) Which of the following is an important step in preventing legal action against the nurse?
A) Never make a mistake.
B) Deflect blame from yourself as much as possible.
C) Develop caring, therapeutic relationships with patients.
D) Avoid explaining care procedures to patients.
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Page 6
Chapter 5: Ethics: Basic Concepts for Nursing Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/5067
Sample Questions
Q1) Which of the following are activities in the ethical decision making process? (Select all that apply.)
A) Avoid looking at legal cases or precedents related to the situation.
B) Determine if the people who are affected by the dilemma have value conflicts.
C) Brainstorm with others involved to identify all possible solutions.
D) Evaluate the action taken to determine whether it accomplished its purpose.
E) Discuss only acceptable solutions that are practical to implement.
Q2) A nurse who advocates for a longer stay when a medically indigent patient is being prematurely discharged to reduce hospital cost is relying on which ethical principle?
A) Justice
B) Beneficence
C) Autonomy
D) Fidelity
Q3) Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of
A) justice.
B) autonomy.
C) nonmaleficence.
D) death with dignity.
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Page 7
Chapter 6: Becoming a Nurse: Defining Nursing and
Socialization into Professional Practice
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A definition of nursing is essential because it (Select all that apply.)
A) differentiates nursing from other health occupations.
B) guides educational preparation and theory development.
C) helps state nurse practice acts reflect the changing roles of nurses.
D) clarifies the purposes and functions of the nurses.
E) informs potential students of exactly what nurses do.
Q2) A 5-year-old with a twin brother is admitted to the PICU after cardiac surgery. Hospital policy does not allow individuals younger than 12 years of age to visit the PICU. The nurse recognizes the needs of the patient and his brother and suggests that the mother bring her son to visit his brother briefly in the afternoon when the unit is usually quiet. This illustrates which of Brenner's stages of nursing proficiency?
A) Advanced beginner
B) Competent practitioner
C) Proficient practitioner
D) Expert practitioner
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Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/5069
Sample Questions
Q1) Which recommendation made by the 1965 American Nurses Association (ANA) position paper and other position papers of national nursing organizations is still an issue today?
A) Education for nursing should take place in hospital-based programs.
B) Minimum preparation for professional nursing practice should be the BSN degree.
C) Minimum preparation for technical nursing practice should be the licensed practical/vocation nurse (LPN/LVN) diploma.
D) Education for nursing must be evidence-based.
Q2) What is the purpose of articulated models or systems for nursing education?
A) Increasing curriculum similarities in nursing programs
B) Allowing nurses to work in nursing as they gain additional education
C) Increasing the numbers of nursing education programs
D) Facilitating opportunities for nurses to move up the educational ladder with ease
Q3) In 1900, the primary reason for hospital-based nursing education programs was to
A) educate nurses to care for patients in hospitals.
B) provide educational opportunities for women.
C) staff the hospitals that operated the education programs.
D) provide standardized preparation for nurses.
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Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/5070
Sample Questions
Q1) Critical thinking in nursing needs to include which of the following important variables?
A) Consideration of ethics and responsible decision making
B) Ability to act quickly, often on impulse
C) Ability to determine the best nursing interventions regardless of patient's values and beliefs
D) Flexible thinking that rarely follows a pattern or considers standards
Q2) Which of the following patient problems is given the highest priority by the nurse?
A) Anxiety related to hospitalization as manifested by hyperactive state
B) Impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness
C) Impaired skin integrity related to surgical incision
D) Risk for fluid volume overload related to imbalance in antidiuretic hormone as manifested by peripheral edema and decreased sodium
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Chapter 9: Communication and Collaboration in Nursing
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41 Verified Questions
41 Flashcards
Source URL: https://quizplus.com/quiz/5071
Sample Questions
Q1) A nurse comments in private about a patient: "That lady with six kids is pregnant again! It makes me sick to see these people on welfare taking away from our tax dollars. I don't know how she can continue to do this." The best response by a nurse peer is to A) ignore the biased statements.
B) accept the comments as self-disclosure.
C) offer neutral responses.
D) convey acceptance of the patient.
Q2) Which of the following suggests that a successful contract has been established between the nurse and patient in the orientation phase of the nurse-patient relationship?
A) Patient has agreed to learn to change his colostomy bag.
B) Patient ambulates in the hall without assistance.
C) Patient allows the nurse to inject his daily insulin.
D) Patient asks the charge nurse to verify that the staff nurse's teaching is correct.
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Chapter 10: Illness, Culture, and Caring: Impact on Patients,
Families, and Nurses
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/5072
Sample Questions
Q1) The best definition of ethnocentrism is
A) a tendency to compare the behavior of others with your own cultural values.
B) an astute awareness of your own personal biases regarding other cultures.
C) a tendency to view your own culture as superior to others.
D) the ability to incorporate patients' cultural beliefs and values into health teaching.
Q2) A patient states, "I do not understand why I keep getting these headaches. I have seen a nurse practitioner and two specialists. I have taken several medications, but the headaches keep coming back." In which stage of illness is the patient?
A) Disbelief and denial
B) Irritability and anger
C) Attempting to gain control
D) Acceptance and participation
Q3) A contemporary view of the sick role includes
A) patient as partner with the health care provider.
B) patient as submissive to the health care provider.
C) patient noncompliant with the health care provider.
D) moving away from cultural values when making health care decisions.
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Page 12
Chapter 11: The Science of Nursing and Evidence-Based Practice
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/5073
Sample Questions
Q1) What is the current name of the agency that serves as an important source of funding for nursing research?
A) NIH
B) National Institute of Nursing Research
C) National Center for Nursing Research
D) National Nursing Research Agenda
Q2) The discovery of oxygen would be called pure science because this information
A) was obtained for the sake of obtaining new knowledge of the world.
B) had an immediate use for humans.
C) would be useful in curing, managing, or preventing disease.
D) could direct further research at the bedside.
Q3) For data collection to be valid, what must occur?
A) The tool must be thorough.
B) The tool must be unbiased.
C) The tool must measure what it is supposed to measure.
D) The tool must be accurate all of the time.
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Chapter 12: Conceptual and Philosophical Bases of Nursing
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/5074
Sample Questions
Q1) Which of the following describes one of the five levels of human needs identified by Maslow?
A) Equilibration
B) Love and belonging
C) Growth and development
D) Adaptation
Q2) Which of the following is the World Health Organization's definition of "health"?
A) People in harmony with environment
B) A state of optimum functioning for an individual in the performance of roles and tasks
C) Physical, mental, and social well-being, not just the absence of disease or infirmity
D) Functioning at maximum potential with the environment
Q3) Which statement by an obese individual could be assessed as perceiving self-efficacy?
A) "I've never been able to lose weight on any diet."
B) "It's better to maintain one's weight than lose weight and gain it all back."
C) "I'll be all right as long as my spouse will stay on the diet with me."
D) "I believe I can stay on this diet as long as necessary."
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Chapter 13: Nursing Theory: The Basis for Professional Nursing
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) A patient who had a broken neck in an automobile accident and was paralyzed, but eventually went back to college, obtained a law degree, and became a practicing lawyer could be said to be demonstrating
A) adaptation.
B) caring.
C) self-care.
D) homeostasis.
Q2) Which contemporary nursing theorist is best known for her definition of nursing that describes the nurse's role as a substitute for the patient and as a helper and partner to the patient?
A) Orem
B) Henderson
C) Watson
D) King
Q3) The metaparadigm of nursing consists of which concepts? (Select all that apply.)
A) Environment
B) Health
C) Caring
D) Nursing
E) Person
Page 15
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Chapter 14: Health Care in the United States
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) The care delivery model in which a registered nurse provides direct care and also has 24-hour responsibility for updating the patient's plan of care is known as
A) functional care.
B) team nursing.
C) primary care.
D) case management.
Q2) A contributing factor to health care disparities may be
A) genetic factors.
B) provider bias.
C) standard treatment options.
D) diagnostic differences.
Q3) What service is covered by Medicare, part D?
A) Home health care
B) Prescription drug costs
C) Inpatient hospital stays
D) Physician office visits
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16
Chapter 15: Political Activism in Nursing: Communities,
Organizations,
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations. The nurse is known as a A) nurse citizen.
B) nurse activist.
C) nurse politician.
D) nurse clinician.
Q2) The most critical aspect of nurses becoming personally "political" is
A) financially supporting political action committees (PACs).
B) being informed of social and political issues.
C) communicating with legislators.
D) running for office.
Q3) The area of philosophy that deals with the regulation and control of people living in society to preserve prosperity, defend rights, and augment resources is known as A) policy.
B) politics.
C) political power. D) power.
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Chapter 16: Nursing's Challenge: The Call for Transformation
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/5078
Sample Questions
Q1) A patient asks a nurse to explain pharmacogenetics. Which response by the nurse is best?
A) "It is the effect of pharmaceutical agents on a person's genes."
B) "It uses genetic information to determine if particular drugs will work in a person."
C) "It is the science of using a person's genes to help create new medications."
D) "It was the project that mapped and sequenced human genes."
Q2) How could changes in world population affect health?
A) Decreasing populations in third world countries frees up limited resources for the remaining population's needs.
B) Feeding, immunizing, and providing clean water will become an overwhelming task.
C) Massive population increases in some areas will lead to abundant health care in countries with smaller populations.
D) More health care resources can be utilized fighting regional problems based on shifting population dynamics.
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