Transition to Professional Nursing Practice
Question Bank
Course Introduction
Transition to Professional Nursing Practice is designed to prepare nursing students for the shift from academic learning to the realities of professional practice within diverse healthcare settings. This course focuses on the development of clinical judgment, effective communication, leadership skills, ethical decision-making, and the integration of evidence-based practice. Students will explore topics such as interprofessional collaboration, patient safety, time management, and legal responsibilities to ensure readiness for the dynamic and complex environment of modern nursing. Through case studies, simulations, and reflective activities, learners will build confidence and competence as they transition into their roles as entry-level registered nurses.
Recommended Textbook
Nursing Today Transition and Trends 9th Edition by JoAnn
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654 Verified Questions
654 Flashcards
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Zerwekh
Chapter 1: Role Transitions
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Sample Questions
Q1) A graduate nurse has been out of school for 3 months and working in a staff nurse position for the past 2 months.What type of transition is the nurse experiencing?
A)A developmental transition
B)An organizational transition
C)A health-oriented transition
D)A situational transition
Answer: D
Q2) A new graduate has worked on a busy unit for 6 months since graduating from nursing school.The graduate tells a friend,"I've never been so upset in all my life! The care that some of the staff give our patients is outrageously bad.There's practically no attention to the principles of asepsis the way I learned them! The staff tell me that we have to cut corners if we're going to get all the work done.I can't stand it!" What phase of reality shock is this graduate experiencing?
A)Honeymoon
B)Shock and rejection
C)Recovery
D)Role transformation
Answer: B
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Chapter 2: Personal Management: Time and Self-Care Strategies
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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 action by the nurse exemplifies a sense of spiritual health?
A)Belonging to a church
B)Feeling purposeful and fulfilled
C)Feeling loved and cared for
D)Changing religious affiliations
Answer: B
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Page 4
Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Sample Questions
Q1) A group of nursing students is discussing mentors.One of the students correctly states a characteristic of a successful mentor when stating which of the following?
A)"They ensure that their mentees do not fail."
B)"They push the mentees to a higher level."
C)"They always ask a lot of questions of their mentees."
D)"They encourage mentees to question their skills so they can improve."
Answer: B
Q2) Which statement indicates the student nurse's understanding of a situational relationship?
A)"A situational relationship occurs only one time."
B)"A situation relationship is established by the organization."
C)"In a situational relationship,both mentee and mentor mutually accept it."
D)"A situational relationship is structured to ensure situational success."
Answer: A
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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 three interviews in a day.
B)Identify a date to begin employment.
C)Ask questions about the interview process.
D)Research the prospective employer.
Q2) Assuming all of the following statements are true,which should be included in a resume to highlight information that would be valuable to an employer?
A)Desires annual salary of $30,000 to $32,000
B)Is fluent in American sign language
C)Is president of state downhill ski club
D)Plans to move out of state after 1 year of employment
Q3) A nursing professor correctly states the expectations of the job market for nursing as A)expected downsizing,decreased number of nursing positions.
B)expected decrease in the number of unlicensed assistive personnel.
C)expected increase in unlicensed assistive personnel: personnel.
D)expected increased hiring of new graduates.
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Page 6
Chapter 5: Nclex-Rn and the New Graduate
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Q1) The nurse interprets the Nurse Licensure Compact as
A)an agreement among all states to recognize the license of all graduate nurses.
B)an intrastate agreement for the nurse to practice in any area within the state.
C)an agreement between the state boards of nursing and the National Council regarding foreign nurses.
D)an agreement among compact states to recognize licensure from member states.
Q2) What would happen if the graduate nurse failed the NCLEX-RN on the first testing attempt?
A)The graduate nurse would be required to take an additional nursing course before retesting.
B)The graduate nurse would be required to wait 9 months to retest.
C)The graduate nurse would be required to wait 45 to 90 days before retesting.
D)The graduate nurse would not be allowed to test again.
Q3) What actions will help prepare the graduate nurse for testing success?
A)Dress comfortably.
B)Stay up late for last-minute studying.
C)Eat a balanced breakfast.
D)Have identification needed for entrance into the exam.
E)Celebrate your success with friends the night before.
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Page 7
Chapter 6: Historical Perspectives: Influences on the
Present
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Sample Questions
Q1) A group of nursing students is discussing the traits of Victorian wives that crossed over to nurses.Which traits would they conclude had an early effect on the nursing profession?
A)Submission,harmony,and hard work
B)Power,peace,and position
C)Paternalism,compliance,and dullness
D)Organized,noble,and good
Q2) A nursing student is correct when identifying which programs as having the distinction of being the first for nursing that were developed from planned research and controlled experimentation?
A)Diploma programs
B)Associate degree programs
C)Baccalaureate programs
D)Master's and doctoral programs
Q3) What was an important outcome of national events in the 21st century?
A)Nurses became more respected as experts in health care.
B)Disaster management and emergency preparedness emerged.
C)Pay for nurses increased to a sum equitable to education.
D)The HIV/AIDS epidemic impacted hospital nursing care.
Page 8
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Chapter 7: Nursing Education
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Sample Questions
Q1) An 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 this person based on this information.
A)Accelerated program
B)Baccalaureate program
C)Associate's program
D)BSN completion program
Q2) The Tri-Council for Nursing Policy recently stated that "every student and nurse should have access to additional nursing education" (AACN,2012).What changes would educational institutions need to make in order to support this statement? (Select all that apply.)
A)Expand nursing programs to meet the needs for health care reform.
B)Increase the cost of nursing programs to pay for additional instructors.
C)Implement distance learning.
D)Set up simulation labs.
E)Lessen the amount of work in the nursing program to accommodate busy professionals.
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Page 9
Chapter 8: Nursing Theory
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Q1) In the systems model of Neuman,nursing helps reduce the stressors to health through
A)prevention on three levels-primary,secondary,and tertiary.
B)maintenance of balance of the physiologic systems.
C)promoting a sense of inner harmony through achieving holistic health.
D)repatterning the person and environment for synchrony within the body.
Q2) A middle-aged patient has experienced a myocardial infarction that has significantly limited activities and lifestyle.The patient is exercising and working with a nurse in the cardiac rehabilitation program.This is an example of the implementation of what nursing theory?
A)Martha Rogers' examination of the phenomena of energy fields
B)Dorothy Orem's interwoven theories of self-care,self-care deficit,and nursing care
C)Dorothy Johnson's theme that the person is a behavior system and is orderly and balanced
D)Sister Callista Roy's theme of coping and adaptation to stimuli and stressors
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Chapter 9: Image of Nursing: Influences on the Present
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Q1) A nurse wants to represent nursing in legislative activities.Which national nursing organization would be most important to join?
A)International Congress of Nursing
B)American Red Cross
C)American Academy of Nursing
D)American Nurses Association
Q2) Which of the following assesses how nursing has relevance to social values?
A)Nurses have professional degrees.
B)Nurses perform community service.
C)Nursing licensure requires a baccalaureate degree.
D)Nurses are teachers of health promotion and wellness.
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 Rogers' work on nursing theory
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Chapter 10: Nursing Management and Leadership
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Sample Questions
Q1) Which of the following actions is consistent with a manager?
A)Planning the agenda for a staff meeting
B)Directing nurse assistants in how to divide up patient-care assignments
C)Organizing a group of nurses to present a topic at a staff meeting
D)Giving blood at the local hospital blood drive
E)Assume control of the guidelines for how hourly rounding will work on the unit
Q2) Which of the following actions is consistent with a nurse leader?
A)A nurse who encourages staff to give excellent patient care
B)A nurse who performs chart audits on her staff
C)A nurse who writes yearly staff evaluations
D)A nurse who gives pain medication to an assigned patient
Q3) Which of the following statements by the nurse reflect transformational leaders?
A)Lifelong learners
B)Courageous change agents
C)Slow to change
D)Value-driven visionaries
E)Hesitant to follow
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Chapter 11: Building Nursing Management Skills
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Q1) A nurse is assigned to care for five patients.The nurse is concerned about the ability to care for this many patients.The nurse needs to A)delegate one of the patients to someone else.
B)prioritize the needs of the patients and determine the sickest patient.
C)report this situation to the charge nurse.
D)do the easiest patients first to allow more time for sicker patients.
Q2) During clinical experience,the student nurse is assigned a patient scheduled to undergo numerous treatments.The student decides it is not possible to complete all the needed treatments in the time scheduled for this clinical day.The student nurse consults with the clinical instructor to A)delegate.
B)prioritize.
C)procrastinate.
D)do the easiest treatment first.
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Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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Q1) Your team leader reminds you that you have forgotten to complete an assigned task.What is an assertive response?
A)"Not now;I'm busy."
B)"You're right.I did forget.I'll do it now."
C)"It's not my fault.You should have reminded me sooner."
D)"I'm so sorry I've disappointed you.It won't happen again."
Q2) 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."
Q3) A nurse manager is educating staff on how to give effective presentations.Which statement indicates an understanding of this?
A)"To give an effective presentation,you should always maintain a positive attitude."
B)"You should avoid planning and should create the presentation as you go."
C)"Give the same presentation regardless of the audience."
D)"To reduce anxiety,avoid making eye contact with the audience."
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Chapter 13: Conflict Management
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Sample Questions
Q1) One of your peers,a staff nurse,is a "potshot artist." This nurse often makes you the butt of innuendo or teasing digs.You are fed up and decide to take action the next time it happens.What strategy should be considered as an effective way of dealing with a "sniper"?
A)Clam up and allow the individual to fully ventilate her concern.
B)Confront and tell the individual he/she is wrong.
C)Coldly withdraw from the individual.
D)Obtain group confirmation or denial of criticism raised by the individual.
Q2) Which statement by the nurse is true regarding sexual harassment?
A)"Sexual harassment no longer occurs in the workplace."
B)"Sexual harassment is only caused by men."
C)"The most common sexual harassment complaint is inappropriate remarks and touching."
D)"Nothing can be done to prove sexual harassment."
Q3) To resolve a scheduling conflict,a nurse manager is using employment seniority.The nurse manager interprets this as
A)a win-win strategy.
B)a win-lose strategy.
C)a lose-lose strategy.
D)a compromise.
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Chapter 14: Delegation in the Clinical Setting
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Sample Questions
Q1) A day shift nurse has come into work and notices that the glucometers were not tested overnight as they typically are.What is the best way for the nurse to question the nurse assistant in order to give feedback?
A)"Why didn't you test the glucometers?"
B)"What did you do last night?"
C)"How was your night? I noticed the glucometers weren't tested."
D)"Couldn't you have asked one of the nurses to check the glucometers if you were busy?"
Q2) Which of the following tasks can the nurse safely delegate to the nursing assistant?
A)Assessing the patients who are being discharged later today
B)Giving discharge instructions to a patient
C)Helping a patient select food according to the specified diet
D)Educating the patient on what foods to eat for his/her diet plan
Q3) What should the nurse do to assess competence before delegating a task to an LPN?
A)Ask if the LPN has previous experience performing the task.
B)Ask if the LPN is willing to perform the task.
C)Ask another nurse if the LPN is competent.
D)Assume the LPN is competent due to her years of service.
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Page 16
Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Q1) 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.
Q2) Which statement is true about patient classification systems?
A)They measure all the needs of patients.
B)They provide an absolute formula for unit staffing.
C)They should not be used to make patient-care assignments because acuity systems are more accurate.
D)They have been used to determine the number of nurses needed on a unit at any one time.
Q3) Which statement shows the nurse's understanding of patient-focused care?
A)"Patient-focused care is a nursing care delivery system."
B)"Patient-focused care is a model for a health care organization."
C)"Patient-focused care is a clinical pathway within an institution."
D)"Patient-focused care is an institutional value and philosophy."
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Chapter 16: Economics in the Health Care Delivery System
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Q1) A nurse is educating a group of students about health care economics.Which statement would the students make if the teaching were effective?
A)"Extrinsic factors include the cost of prescription drugs."
B)"Extrinsic factors include the age of the population."
C)"Extrinsic factors include the demand for health care."
D)"Extrinsic factors include employer-paid health insurance."
Q2) Which statement by the nurse indicates understanding of the major factors influencing the increase in health care costs?
A)"Health care expenditures are exceeding the cost of the gross domestic product (GDP)in excess of 17.4%."
B)"Older adult patients consume more of the health care product than they can afford to finance."
C)"The cost of prescription drugs is soaring so rapidly that the majority of people cannot afford them."
D)"Because of the limited payment of Medicare,institutions are not being reimbursed at the same level of expenditures."
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Chapter 17: Political Action in Nursing
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Sample Questions
Q1) How would a nurse determine the political views regarding health care issues of individuals who are running for public office?
A)Call the state or national political action committee of the American Nurses Association.
B)Talk with the administration of the institution to determine who is supporting health care issues.
C)Call the party headquarters of the candidates,and ask them to share the views of the candidate with you.
D)Call the Accreditation Commission for Education in Nursing (ACEN)to obtain the political action reports.
Q2) Which strategy is least effective in formulating political action?
A)Ability to communicate information in concise terms
B)Living and practicing in several different states
C)Determining who should be contacted and for what political action
D)Having the ability to use different channels of information
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Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Q1) The nurse manager has an adequate understanding of the common issues in nursing when stating which of the following?
A)"There are no common issues in nursing."
B)"Mandated staffing is a common issue."
C)"Unsafe patient assignments are a common issue."
D)"Lack of overtime is a common issue."
E)"Negotiations are a common issue."
Q2) A nurse is teaching nursing students about issues that keep nursing from becoming a profession of choice.The nurse knows that the teaching has been effective when one of the nursing students states
A)"Nurses downplay their role in health care."
B)"Nurses take credit for their role in health care."
C)"Nurses are often seen on the news discussing their role in health care."
D)"Nurses are willing to talk to the media."
Q3) What actions can the registered nurse take to control personal practice?
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.
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E)Identify and recommend processes that work to ensure the safety of patients.
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Chapter 19: Ethical Issues
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Q1) A nurse is caring for a patient who has just been diagnosed with cancer.The patient's family has requested that the patient not be told at this time because it would be devastating.The patient asks the nurse if the diagnosis is cancer.If the nurse were to uphold the ethical principle of veracity,what would the response be?
A)"No,you do not have cancer."
B)"The physician is unsure of your diagnosis at this time."
C)"Yes,that is the diagnosis.Let me call the doctor so that we can have a discussion."
D)"Yes,but your family told me that I could not talk to you about the diagnosis."
Q2) Advance directives such as the health care proxy and living will support what ethical principle?
A)Veracity
B)Advocacy
C)Beneficence
D)Autonomy
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Chapter 20: Legal Issues
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Sample Questions
Q1) The nurse enters a patient's room to complete the discharge paperwork and finds the patient in tears.The patient reports that someone from the business office stated the patient could not leave the hospital until the bill was paid.What is the best nursing action?
A)Comfort the patient and continue the preparations for discharge.
B)Call the social worker for a financial evaluation.
C)Call the family to arrange for the payment.
D)Cancel the discharge plans and notify the physician of the situation.
Q2) A graduate nurse is preparing to start a first nursing job.What action would be the best legal safeguard for the graduate nurse to take?
A)Competent practice
B)A legal contract
C)A valid license
D)Following management policies
Q3) What action must occur to prove a breach of duty?
A)Liability testimony of physician
B)Testimony from state board of nurses
C)Expert testimony
D)Testimony of coworkers
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Page 22
Chapter 21: Cultural and Spiritual Awareness
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Q1) A nurse is attending a lecture on health disparities.The education has been effective when the nurse states which of the following?
A)"Inequalities in income and education are the root of many health disparities."
B)"Today,there are no longer inequalities preventing access to health care."
C)"Low education and low income levels are related to lower rates of health disparities."
D)"Higher income is associated with more health disparities than lower income."
Q2) A nurse manager is looking for ways to improve the cultural competency of unit staff.Which action would help the manager accomplish this?
A)Propose voluntary cultural competence training.
B)Hire bicultural clinical and administrative staff.
C)Hire staff from the same ethnic background.
D)Avoid issues pertaining to cultural competence.
Q3) Which of the following actions causes 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) 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 continuous quality improvement (CQI)committee has performed a retrospective chart audit to investigate whether outcomes recorded in each nursing care plan are patient centered and written in behavioral terms.The expected standard is 98% compliance.The sample size was 200.Results showed that 180 charts met the standard.What assessment can be made?
A)The standard was met.No action plan is necessary.
B)The standard was not met,but no action plan is necessary because the rate of compliance was close to the standard.
C)The standard was not met.An action plan should be developed.
D)The standard was not met.An immediate re-audit is necessary.
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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) The nurse is educating a nursing student on the difference between the informatics nurse and the informatics nurse specialist.The teaching has been effective when the nursing student states which of the following?
A)"The informatics nurse has a graduate degree."
B)"The informatics nurse specialist has experience in informatics but no advanced degree."
C)"The informatics nurse supports consumers."
D)"The informatics nurse specialist has an advanced degree."
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Chapter 24: Using Evidence-Based Practice and Nursing Research
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Q1) A nurse educator is teaching a nurse about research utilization.Which statement by the nurse indicates understanding?
A)"Research utilization is the collection of data to answer a specific question."
B)"Research utilization is the analysis of the practice context."
C)"Research utilization is the process of integrating the findings of completed studies into practice."
D)"Research utilization involves application of the findings of one research study."
Q2) How can nurses being to define their practice context?
A)Identify characteristics that are specific to the group of people who will receive nursing care.
B)Specify all types of settings that nursing occurs in.
C)Determine all characteristics of the setting that contribute to nursing care.
D)Determine all characteristics of the setting that inhibit nursing care.
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Chapter 25: Workplace Issues
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Q1) A nurse feels bullied at work.Which of the following actions should the nurse take first?
A)Ignore the bullying.
B)Report the bullying.
C)Take action against the bully him/herself.
D)Take time off from work.
Q2) What can be suggested to a nurse wanting to protect back health while caring for patients? (Select all that apply.)
A)Use proper body mechanics.
B)Use assistive patient-handling devices.
C)Use ergonomic equipment.
D)Only care for patients who can move independently.
E)Be aware of potential risk.
Q3) A nurse is working on a unit with short staffing.The nurse has voiced concerns to the charge nurse,who appears to brush them off.Which action would be the most appropriate for the nurse to take?
A)Document the concerns.
B)Raise a voice to get the point across.
C)Talk about the charge nurse to coworkers.
D)Keep the issues to him/herself.
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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 A)smallpox.
B)anthrax.
C)flu virus.
D)botulism.
E)plague.
Q2) A nurse is receiving education on disaster levels.The teaching has been sufficient when the nurse states that a Level III disaster includes A)earthquakes.
B)house fires.
C)tsunamis.
D)train derailment.
E)hurricanes.
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