Professional Role Development in Nursing Solved Exam Questions - 663 Verified Questions

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Professional Role Development in Nursing Solved

Exam Questions

Course Introduction

Professional Role Development in Nursing explores the evolving roles and responsibilities of nurses within the dynamic healthcare environment. This course examines the historical, ethical, and legal foundations of nursing practice, fostering an understanding of professional standards, leadership, and advocacy. Students will develop skills in critical thinking, communication, and collaboration, while analyzing contemporary trends and challenges in nursing. Emphasis is placed on personal and professional growth, lifelong learning, and the development of a professional identity that supports excellence in patient care and interprofessional teamwork.

Recommended Textbook

Nursing Today Transition and Trends 8th Edition by Zerwekh

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663 Verified Questions

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Chapter 1: Role Transitions

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Q1) A student nurse is in the last semester of nursing school.Which action by the nursing student indicates appropriate preparation for the transition experience?

A) The nursing student requests additional experiences in performing skills and procedures.

B) The nursing student maintains close contact with a nursing instructor to observe nursing procedures.

C) The nursing student practices nursing assessments and care on one or two patients to become more competent.

D) The nursing student increases communication with a nursing instructor to maintain a resource person after graduation.

Answer: A

Q2) A nurse is trying to avoid burnout.Which of the following actions is a valid way to achieve this?

A) Refusing to constantly work extra shifts

B) Withdrawing from peer support group

C) "Going native"

D) Changing jobs every 6 to 12 months

Answer: A

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Chapter 2: Personal Management: Time and Self-Care Strategies

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Q1) A nurse manager is assigning additional duties to the day shift nurses to keep the unit orderly and running smoothly.Which assignment would be the best for a right-brain-dominant nurse?

A) Clean up the break room by noon.

B) Assist with completing a unit project,based on specific rules and guidelines.

C) Create a poster board in honor of Nurse's Week.

D) Take part in a meeting regarding unit policies.

Answer: C

Q2) What action by student nurses indicates readiness for successful study habits?

A) Combining their study area with the space that they use to pay bills

B) Color coding their materials from each class

C) Keeping all materials and papers in one bin

D) Cleaning their study area at the end of each semester

Answer: B

Q3) 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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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs

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Sample Questions

Q1) 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

Q2) The role of the mentee needs to be understood early in the mentoring relationship.What is a characteristic or example of the mentee's role?

A) Not interrupting the mentor

B) Absorbing what the mentor explains in detail

C) Establishing personal short- and long-term goals

D) Finding out what the mentor has to offer in terms of experience

Answer: C

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5

Chapter 4: Employment Considerations: Opportunities,

Resumes, and Interviewing

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Q1) Which of the following actions by the graduate nurse would not be advised during an interview campaign?

A) Plan 3 interviews in a day,

B) Identify a date to begin employment.

C) Ask questions about the interview process.

D) Research the prospective employer.

Q2) The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae.What is the difference between a resume and a curriculum vitae?

A) A resume more accurately represents a nurse's job and professional history.

B) A curriculum vitae will get longer as the nurse becomes more professionally experienced.

C) A resume will contain the nurse's continuing education activities.

D) The two are very similar and can be used interchangeably.

Q3) Which of the following assignments should the new nurse question before accepting?

A) A 38-year-old man with cellulitis of the right arm

B) A 25-year-old woman with a left femur fracture

C) A charge nurse over the unit for the day

D) A 50-year-old man with right hip replacement

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Chapter 5: NCLEX-RN Examination and the New Graduate

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Q1) What type of nursing position would most likely provide experience in the type of nursing situations upon which the NCLEX Exam questions are based?

A) Home care nurse

B) Psychiatric staff nurse

C) Staff nurse in an ambulatory pediatric clinic

D) Staff nurse in a medical-surgical inpatient unit

Q2) The nurse interprets "computer adaptive testing (CAT)" to mean A) questions are selected,and the exam is adapted to the candidate's previous responses.

B) the test has been "adapted" to be administered via the computer.

C) the test is adapted to decrease the total number of questions.

D) questions are adapted to meet the practice analysis survey of the graduates.

Q3) Which statement indicates the graduate nurses understanding of the process at the NCLEX testing site?

A) "I will be thumbprinted and photographed."

B) "I will be placed in a locked testing cubicle."

C) "I will answer 300 test questions."

D) "I will be given some questions as a paper-and-pencil test."

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Chapter 6: Historical Perspectives: Influences on the

Present

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Q1) The student nurse interprets teaching as a critical role for nurses because

A) health care is a complex system that requires patient education.

B) not everyone has access to information about health care.

C) the less fortunate have greater difficulty understanding treatment choices.

D) understanding choices allows the patient to make informed decisions.

Q2) Which actions by the reformers pushed the profession of nursing forward? (Select all that apply.)

A) Organization of the American Nurses Association

B) Creation of the American Nurses Association's journal

C) Established the standards for nursing education

D) Established the standards for nursing practice

E) Set wages for nurses

Q3) What was the description of a nurse in the medieval times during the Holy Wars?

A) A woman who had been specially trained by a magician

B) A man who was committed to following his Lord into battle

C) A man who had training to care for a wounded knight

D) A woman who had studied with an older nurse

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Chapter 7: Nursing Education

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Q1) A 28-year-old individual has decided to become a nurse as quickly as possible after having worked in business management for 5 years with a master's degree.The person is married and has 3 young children at home.The individual is motivated and has many resources and a supportive spouse.Select that best nursing program for them based on this information.

A) Accelerated program

B) Baccalaureate program

C) Associate's program

D) BSN completion program

Q2) The student nurse interprets which characteristic as one of graduates from a diploma school of nursing?

A) They have obtained a general education in nursing theory and sciences that can be applied toward an advanced degree.

B) They are well prepared to function in the institution in which the school is located.

C) Advanced courses in nursing management and leadership apply to advanced degrees in nursing.

D) They are prepared to practice in advanced nursing clinical situations.

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Chapter 8: Nursing Theory

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Q1) A nurse would like to improve personal practice by utilizing nursing theory.What action can the nurse take to begin incorporating nursing theory into practice?

A) Learn about nursing theories.

B) Apply for a management position.

C) Transfer to the education department.

D) Enroll in a PhD program at the local university.

Q2) Which of the following would correctly evaluate the effectiveness of Nightingale's actions to increase the health of the Crimean War soldiers?

A) Deaths continued to increase because of poor conditions.

B) Deaths declined because of increased cleanliness.

C) Death rates stayed consistent throughout the war.

D) Death rates reduced to zero.

Q3) The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? "The four major metaparadigms are

A) "nursing,environment,health,and illness."

B) "nursing,environment,person,and society."

C) "person,environment,health/illness,and nursing."

D) "person,society,wellness,and health/illness."

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Page 10

Chapter 9: Image of Nursing: Influences of the Present

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Q1) The nurse interprets which characteristic as the forefront of discussion about nursing's professionalism?

A) Education

B) Altruism

C) Social values

D) Code of ethics

Q2) 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

Q3) Which action(s)by the nurse can help create a professional image? (Select all that apply.)

A) Maintain effective communication skills.

B) Maintain a positive attitude.

C) Maintain a professional appearance.

D) Be prepared to interact with the public.

E) Be unprepared for work.

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Chapter 10: Challenges of Nursing Management and Leadership

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Q1) A nurse is interested in moving into a management position.Which action would assist with accomplishing this?

A) Use of reward power

B) Use of coercive power

C) Use of expert power

D) Use of legitimate power

Q2) 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

Q3) Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:

A) "is given information and power through an official position."

B) "coordinates group activities toward a common goal."

C) "is responsible for developing goals to be accomplished."

D) "selects and assumes a role among a group of peers."

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Chapter 11: Building Nursing Management Skills

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Sample Questions

Q1) The nurse receives report on an assigned group of patients.Which patient would the nurse assess first?

A) A patient 2 days postoperative who is complaining of pain

B) An older adult patient reported to have increasing lethargy and confusion

C) A newly admitted patient with a serum blood urea nitrogen (BUN)of 32 mg/dL

D) A hypertensive patient complaining of severe midsternum pain

Q2) The nurse wants to anticipate patient needs in order to increase patient satisfaction and decrease the use of call bells in the assigned section.What actions can be taken to achieve this?

A) Tell patients to turn on their call bells if they need something.

B) Perform hourly rounding on each patient.

C) Check on the patient every 2 to 3 hours.

D) Check on the patient only when medication needs to be administered.

Q3) What would be a good assignment for an experienced nursing assistant?

A) Help teach patients newly diagnosed with diabetes to give themselves injections.

B) Report on the quality and quantity of urine on a continuous bladder irrigation.

C) Obtain a clean-catch urine specimen from a patient.

D) Chart a diet for a patient with an eating disorder.

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Chapter 12: Effective Communication and Team Building

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Q1) Which statement made the by the nurse indicates understanding of how to control the grapevine?

A) "Grapevine rumors are generally true."

B) "Avoid face-to-face communication."

C) "Avoid spreading rumors."

D) "Keep rumors circulating."

Q2) Which action shows the cyclical phase of forming?

A) A group dissolving

B) Individuals coming together with a common bond

C) Developing mutual goals

D) A group completing tasks together

Q3) 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.

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Chapter 13: Conflict Management

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Q1) A female nurse is experiencing sexual harassment in the workplace by a male nurse.Which action should this nurse take to stop the sexual harassment?

A) Ignore the comments made by the male nurse.

B) Laugh about the comments.

C) Tell the male nurse to stop.

D) Begin to sexually harass the male nurse.

Q2) 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.

Q3) 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.

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Page 15

Chapter 14: Delegation in the Clinical Setting

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Q1) The nurse is preparing assignments in a pediatric unit for the night shift.Which of the following would be appropriate to assign the LPN/LVN?

A) A 5-year-old child who had an appendectomy about 6 hours ago

B) A 4-year-old child admitted for severe epiglottis who is running a fever of 102° F

C) A 6-year-old child admitted with dehydration and receiving IV therapy

D) A 7-year-old child who has inhalation burns 2 days ago and has a tracheostomy

Q2) 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.

Q3) Which task could a staff nurse delegate to a certified nursing assistant (CNA)?

A) Evaluating a patient's response to pain

B) Making rounds with a physician

C) Feeding a stroke patient who has minimal dysphagia

D) Assessing a patient's central venous line site

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Chapter 15: The Health Care Organization and Patterns of

Nursing Care Delivery

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Q1) The nursing shortage is projected to reach 1.2 million by 2020.Which actions can hospitals take to retain nurses? (Select all that apply.)

A) Create a health care system that supports nursing advancement.

B) Encourage a work environment that fosters workgroup cohesion.

C) Allow nurses to have autonomy.

D) Reduce the number of managers within the health care system.

E) Allow nurses a variety of specialties to choose from.

Q2) The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:

A) Patients are able to perform the majority of their own care.

B) Nurses are required to perform less care.

C) Nurses are able to focus all of their care on one patient.

D) Nurses are hired to care for two patients.

Q3) A nurse manager is training a new hire.Which statement shows an understanding of functional nursing?

A) "Functional nursing is organized around tasks."

B) "Functional nursing is patient led."

C) "Functional nurses is physician led."

D) "Functional nursing is unorganized."

Page 17

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Chapter 16: Economics of the Health Care Delivery System

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Q1) Which action by the nurse shows fiscal responsibility to the payer of care? (Select all that apply.)

A) Understand Medicare and Medicaid insurance coverage.

B) Efficiently and effectively use resources to provide patient care.

C) Document minimally in the patient chart.

D) Select interventions which are cost effective.

E) Document the patient's plan of care.

Q2) What is the nurse's fiscal responsibility to the patient?

A) To provide the best health care that the patient can afford

B) To provide the best health care that the insurance company will allow

C) To use the most cost-efficient resources to provide maximum health care to the patient

D) To use the most efficient method of providing nursing care to patients whose resources are limited

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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Q1) What is an example of the weakest source of power?

A) Several nursing students talk with a head nurse regarding a problem they are having on the unit.The head nurse then discusses this problem with the chief nursing officer.

B) The clinical nursing instructor sends a student to the skills lab for further practice.

C) A nurse shares knowledge regarding nursing in a confident manner and style.

D) The head nurse tells staff members that as soon as all the care plans are completed,they may have some additional compensation time.

Q2) The nurses at Community General Hospital are concerned about violence involving children in their community.They wish to propose to the city government that drug-free and weapons-free zones and corridors be instituted near each school.The nurses send liaisons to the city school board and the parent-teachers association to ask them to join the effort.What is the term for this type of strategy?

A) Forming a coalition

B) Displaying legitimate power

C) Collective bargaining

D) Seeking compromise

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Chapter 18: Collective Bargaining: Traditional (Union)and

Nontraditional

Approaches

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Q1) A nurse is educating coworkers on the establishment of collective bargaining.The nurse knows the teaching has been successful when a coworker states:

A) "Collective bargaining is still not recognized by hospitals."

B) "Nurse activists believed in a unified voice for nurses."

C) "Nurse activists wanted to option of working more hours."

D) "Collective bargaining is not effective."

Q2) What action can the registered nurse take to control personal practice? (Select all that apply.)

A) Improve the professional practice of nurses and nursing assistants.

B) Refrain from shared governance.

C) Implement peer review.

D) Identify and recommend elimination of hazards in the workplace.

E) Identify and recommend processes that work to ensure the safety of patients.

Q3) A nurse is educating a new nurse on grievances.The teaching has been effective when the new nurse states:

A) "I can file a grievance"

B) "My employer cannot file a grievance"

C) "The nursing union cannot file a grievance"

D) "My coworkers cannot file a grievance"

Page 20

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Chapter 19: Ethical Issues

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Q1) The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?

A) "There are few Americans on the transplantation list."

B) "Everyone on the transplantation list receives the organ they need."

C) "There is an overabundance of organ donors."

D) "The majority of individuals on the transplantation list will die because of the shortage of organs."

Q2) The ethical principle of autonomy is not applicable in which patient situation?

A) The patient does not speak or understand the English language.

B) The patient is unaware of who or where he or she is.

C) The patient has been in a long-term care facility for 10 years.

D) The patient has values that conflict with the caregiver's values.

Q3) A nurse is educating an adult patient on patient rights,according to the American Hospital Association.The teaching has been effective when the adult states that the patient's rights include:

A) "choice of diet to be eaten during hospitalization."

B) "considerate and respectful care from all care providers."

C) "medical care regardless of ability to pay."

D) "information from nurses about diagnosis and prognosis."

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Page 21

Chapter 20: Legal Issues

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Q1) Which actions take place in organizations to monitor quality improvement? (Select all that apply.)

A) Evaluation of what nurses are doing for patients

B) Development of policies and procedures

C) Employee evaluations

D) Intermittent monitoring

E) Continuing education

Q2) A nurse tells a patient,"If you don't stop getting out of that chair,I'm going to put some restraints on you." What may this nurse be accused of?

A) False imprisonment

B) Defamation

C) Invasion of privacy

D) Malpractice

Q3) What would be the most effective way for a nurse to validate "informed consent?"

A) Check the chart for a completed and signed consent form.

B) Determine from the physician what was discussed with the patient.

C) Ask the family whether the patient understands the procedure.

D) Ask the patient what he or she understand regarding the procedure.

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22

Chapter 21: Cultural and Spiritual Awareness

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Q1) A nurse is caring for a diabetic patient who frequently uses alternative medicine to manager ailments.The feels nauseous and requests ginger tea.What should the nurse be aware of before giving the patient ginger tea?

A) Nothing; natural remedies do not cause unwanted side effects.

B) Ginger can cause blood glucose levels to decrease.

C) Ginger causes blood glucose levels to rise.

D) Ginger can cause a diabetic patient to become more nauseous.

Q2) By asking,"How has being sick affected your spiritual practices?" the nurse is trying to determine the need in what spiritual dimension?

A) Sources of hope and strength

B) Spirit-enhancing practices or rituals

C) Involvement in spiritual community

D) Experience of God or transcendence

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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Q1) Which of the following are considered core measures and monitored by The Joint Commission? (Select all that apply.)

A) Code arrests infection rates

B) Advance directives

C) Medication error rates

D) Nurse staffing and vacation patterns

E) Restraint use

F) Numbers of hospital admissions

Q2) A nurse manager is educating a group of nurses on common medication errors.The manager judges the teaching to be effective when one of the nurses states that common medication errors include (Select all that apply.)

A) good communication

B) look-alike packaging

C) wrong-dose errors

D) inadequate monitoring

E) rule violations

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24

Chapter 23: Nursing Informatics

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Q1) Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informatics

A) "is to improve patient care with health care technology."

B) "is to improve patient care by increasing health care expertise."

C) "is to improve patient care by improving nursing performance."

D) "is to improve patient care by allowing the patient access to medical records."

Q2) A nurse is educating students on how to evaluate a website.The nurse judges the teaching to be effective when the students can state:

A) "Internet information must go through careful screening before it can be posted."

B) "Credibility,accuracy,and reasonableness of the information should be considered."

C) "It is important to have the hospital librarian verify the authenticity of the website."

D) "Most Internet information can be downloaded or beamed to a smartphone or handheld device (personal digital assistant [PDA])."

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Chapter 24: Using Nursing Research in Practice

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Q1) What does research utilization on an inpatient unit require?

A) A nursing theoretical framework should be followed.

B) Orem's theory of self-care requisites should be followed.

C) Only the nurses should participate in the implementation.

D) The implementation should be consistent with the nursing framework in the practice context.

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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Q1) A nurse professor is educating nursing students on The American Nurses Association's recommendation to use assistive devices for safe patient handling.The nurse professor judges the teaching to be effective when one of the students state:

A) "Research indicated that patients were being injured by falls during transfers."

B) "Research indicated that back injuries in staff nurses were occurring even with good body mechanics."

C) "Research showed an increased number of lawsuits resulted from patient falls."

D) "Research uncovered reports from state boards of nursing showed increased back injuries."

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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Q1) The nurse interprets which of the following to be a Level III disaster? (Select all that apply.)

A) Car accident

B) Train derailment

C) Hurricane

D) Tsunami

E) House fire

F) Tornado

Q2) A nurse is one of the first responders on the scene of a disaster.What is initial priority?

A) Triage the patients.

B) Delegate care to additional personnel as they arrive.

C) Task assignment.

D) Prioritize care.

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.

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