TEST BANK
TEST BANK
Unit: I. Professionalism Chapter: 1. Characteristics of a Profession Chapter: 2. Professional Ethics and Values Chapter: 3. Nursing Practice and the Law
Unit: II. Leading and Managing Chapter: 4. Leadership and Followership Chapter: 5. The Nurse as a Manager of Care Chapter: 6. Delegation and Prioritization of Client Care Staffing Chapter: 7. Communicating With Others and Working With the Interprofessional Team Chapter: 8. Resolving Problems and Conflicts
Unit: III. Healthcare Organizations Chapter: 9. Organizations, Power and Professional Empowerment Chapter: 10. Organizations, People and Change Chapter: 11. Quality and Safety Chapter: 12. Maintaining a Safe Work Environment Chapter: 13. Promoting a Healthy Work Environments
Unit: IV. Your Nursing Career Chapter: 14. Launching your Career Chapter: 15. Advancing your Career
Unit: V. Looking to the Future Chapter: 16. What the Future Holds
Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 8e
Chapter 1: Characteristics of a Profession 1. What is the definition of cultural competence and cultural humility? A. The recognition of others’ beliefs, values, and practices and a commitment to respect the differences without displaying judgment B. The recognition of one’s own beliefs and values and having respect for one’s own beliefs and values C. A commitment to carry out responsibilities and observe ethical principles to a diverse population D. The incorporation of cultural intelligence into professional behaviors Answer:
2. A registered nurse (RN), who usually uses public transportation, has not renewed their driver’s license. During a recent car trip with a friend, the nurse took over driving when their friend became tired. Which of the following is true? A. The nurse acted in a professional manner. B. The nurse may lose their RN license for driving without a license. C. The nurse should renew their driver’s license as soon as possible. D. The nurse will not be faulted for driving without a license. Answer:
3. An RN visits a middle school class to discuss the profession of nursing. Which statement is true of nursing? A. Nurses must graduate from nursing school in order to obtain a license to practice. B. Nursing is a vocation that requires continuous education. C. Nurses function autonomously within their scope of practice. D. Nurses must adhere to expected professional behaviors in their lives. Answer:
4. An RN is reviewing professional behavior expectations with a group of new nurses. Which statement should be included in the teaching? A. It is permissible to discuss your days at work on social media. B. It is permissible to speak up in blogs and forums when you are passionate about a topic. C. Your behavior outside of the practice setting is up to you and will not impact your license. D. Nurses may lose their licenses for unprofessional actions. Answer:
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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 8e
5. An RN is explaining to a student nurse what professionalism in nursing means. Which statement, if made by the student nurse, demonstrates teaching has been successful? A. “Commitment to others means I should be honest and accountable for my actions.” B. “I should encourage my fellow nurses to talk when they are having a bad day.” C. “I should be flexible with myself and my fellow nurses when it comes to the dress code.” D. “If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.” Answer:
6. As the definition of nursing evolved, which nurse theorist focused on the uniqueness of nursing? A. Florence Nightingale B. Virginia Henderson C. Martha Rogers D. Abraham Maslow Answer:
7. Which statement about nurses is the reason that recent polls have placed nursing as one of the most trusted professions? A. Nurses engage in lifelong learning. B. Nurses abide by a dress code. C. Nurses have the skills needed to care for diverse populations. D. Nurses must pass the NCLEX in order to obtain a license to practice. Answer:
8. What is the main purpose of the NCLEX examination? A. Ensure individuals have passed nursing classes. B. Provide assurance that the nursing schools are part of the service agency. C. Enable potential students to determine the best nursing schools. D. Ensure the safety of the public. Answer:
9. A recent nursing school graduate is preparing to take the NCLEX. Which statement should the graduate recognize as true? A. Upon graduation from nursing school, the title of RN can be used.
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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 8e
B. Because the NCLEX is a national examination, the nurse’s RN license will allow them to practice in all states and territories of the United States. C. If the nurse’s home state participates in the compact agreement, they may practice in other states participating in the agreement, but should renew their license in their home state. D. The RN license is a permissive license. Answer:
10. The Social Security Act of 1935 impacted public health nursing because it contained provisions for care for which vulnerable population? A. Disabled children B. Mentally disabled C. Older adults D. Opioid addicts Answer:
11. The decades between the 1960s and 1980s brought about many changes in nursing. Which is a reason for advances in nursing? A. Decreased demand for health care B. Development of specialty care disciplines C. Gender discrimination D. Advances in technology leading to more generalized care Answer:
12. Which is a challenge the profession of nursing has faced? A. Because of fear, nursing contributed to the stigma of AIDS in the 1980s. B. During the Korean War, nursing practice grew in field hospitals where supplies and equipment were abundant. C. After the Vietnam War, many nurses were frustrated with the lack of independent functioning of nurses when they returned home. D. Ethical dilemmas led to a decline in the number of hospice nurses. Answer:
13. A nurse supervisor is planning an educational session for their staff regarding improving teamwork among different generations. Which recommendation will reduce potential generational conflicts? A. Involve only millennials in technology decisions. B. Focus on the team as a whole, rather than individual generations. 3
Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 8e
C. Involve only the baby boomers in technology decisions. D. Practice active and assertive communication techniques. Answer:
14. Which is a reason for increasing the use of advanced practice nurses? A. A 2010 Institute of Medicine report encouraged nurses to practice to the full extent of their education. B. Advanced practice nurses serve as an extension of physicians. C. The National League for Nursing promotes the master of science in nursing (MSN) as the terminal degree for nurse practitioners. D. Advanced practice nurses do not have the skills to diagnose. Answer:
15. Which is a reason for conflicts in professional nursing today? A. Nurses who had planned to retire but find themselves forced to continue working because of the current economic situation B. Balancing state practice acts, codes of ethics, and standards of practice C. Advances in technology D. Multiple generations in the workforce Answer:
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Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 8e
Weiss Chapter 1: Characteristics of a Profession—Answers and Rationales
1. What is the definition of cultural competence and cultural humility? A. The recognition of others’ beliefs, values, and practices, and a commitment to respect the differences without displaying judgment B. The recognition of one’s own beliefs and values and having respect for one’s own beliefs and values C. A commitment to carry out responsibilities and observe ethical principles to a diverse population D. The incorporation of cultural intelligence into professional behaviors ANS: A Page: 5
A.
B. C. D.
Feedback This is correct. Cultural competence and cultural humility involve the recognition of others’ beliefs, values, and practices, and a commitment to respect the differences without displaying judgment. This is incorrect. Cultural competence and cultural humility involve the process of looking beyond oneself and into the beliefs and values of others. This is incorrect. A commitment to carry out responsibilities and observe ethical principles is part of the definition of professionalism. This is incorrect. Incorporation of cultural intelligence into professional behaviors is a process that incorporates cultural competence and cultural humility.
2. A registered nurse (RN), who usually uses public transportation, has not renewed their driver’s license. During a recent car trip with a friend, the nurse took over driving when their friend became tired. Which statement is true? A. The nurse acted in a professional manner. B. The nurse may lose their RN license for driving without a license. C. The nurse should renew their driver’s license as soon as possible. D. The nurse will not be faulted for driving without a license. ANS: B Page: 5
A. B. C.
Feedback This is incorrect. Professionalism requires nurses to avoid illegal behaviors. Driving without a license is illegal. This is correct. Driving without a license is deemed an unprofessional and illegal behavior for which a nurse may lose their license. This is incorrect. It is up to the individual to decide if a driver’s license should be renewed. 5
Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 8e
D.
This is incorrect. Driving without a valid driver’s license is illegal, and the nurse may lose their nursing license.
3. An RN visits a middle school class to discuss the profession of nursing. Which statement is true of nursing? A. Nurses must graduate from nursing school in order to obtain a license to practice. B. Nursing is a vocation that requires continuous education. C. Nurses function autonomously within their scope of practice. D. Nurses must adhere to expected professional behaviors in their lives. ANS: C Page: 4
A.
B. C.
D.
Feedback This is incorrect. Nurses must graduate from a nursing program to be eligible to take the NCLEX examination. Nurses must pass the NCLEX examination in order to be eligible to obtain a license to practice. Passing the NCLEX examination demonstrates the nurse has received specialized education and training and enables the nurse to obtain a license to practice in the state. This is incorrect. Although lifelong learning is required in nursing, nursing is a profession rather than a vocation. This is correct. Rather than being assistants to doctors, nurses can function autonomously within their scope of practice. Nurses formulate and deliver a plan of care for clients, utilizing nursing judgment and critical thinking skills to make decisions in client care. This is incorrect. The state boards of nursing expect nurses to uphold professional standards of behavior in their practice and personal lives in order to maintain their license.
4. An RN is reviewing professional behavior expectations with a group of new nurses. Which statement should be included in the teaching? A. It is permissible to discuss your days at work on social media. B. It is permissible to speak up in blogs and forums when you are passionate about a topic. C. Your behavior outside of the practice setting is up to you and will not impact your license. D. Nurses may lose their licenses for unprofessional actions. ANS: D Page: 5
A.
Feedback This is incorrect. Inappropriate use of social media may lead to a nurse losing their license. 6
Test Bank, Chapter 1 Weiss, Essentials of Nursing Leadership and Management, 8e
B. C. D.
This is incorrect. Emotionally charged blogs or forums may be deemed unprofessional behavior. This is incorrect. Nurses are expected to behave in a professional manner in both their personal and professional lives. This is correct. State boards of nursing elaborate the expected professional behaviors, and nurses can lose their licenses for unprofessional or illegal behavior.
5. An RN is explaining to a student nurse what professionalism in nursing means. Which statement, if made by the student nurse, demonstrates teaching has been successful? A. “Commitment to others means I should be honest and accountable for my actions.” B. “I should encourage my fellow nurses to talk when they are having a bad day.” C. “I should be flexible with myself and my fellow nurses when it comes to the dress code.” D. “If I need a day off, I should promptly call in sick to give my manager plenty of time to find a replacement.” ANS: A Page: 5
A. B. C. D.
Feedback This is correct. Commitment to others involves accountability for one’s actions, lifelong learning, and commitment to colleagues. This is incorrect. Gossip and negative comments should be avoided. This is incorrect. Dress codes should be followed according to the employer’s expectations. This is incorrect. Honesty is part of commitment to others and professionalism. When a day off is needed, a personal day or vacation day should be taken. One should only call in sick when one is really sick.
6. As the definition of nursing evolved, which nurse theorist focused on the uniqueness of nursing? A. Florence Nightingale B. Virginia Henderson C. Martha Rogers D. Abraham Maslow ANS: B Page: 6
A.
Feedback This is incorrect. Florence Nightingale’s description of nursing involved putting the client in the best place for healing. 7
Test Bank, Chapter 3 Weiss, Essentials of Nursing Leadership and Management, 8e
.
conversation. Allowing the conversation to continue is a breach of HIPAA and could result in liability for the organization. 7. Which of the following is a potential benefit to social media? A. Sharing the fun side of nursing by posting a video of nurses singing and dancing in the hallways of the hospital while on duty B. Connecting with clients to keep up with their health status C. Connecting with the public to encourage healthy behaviors D. Sharing pictures of interesting clinical experiences with friends ANS: C Page: 40
A.
B. C. D.
Feedback This is incorrect. Although encouraging potential students to enter the field of nursing would be a benefit, it is important to avoid sharing anything that could be viewed as unprofessional conduct. This is incorrect. Nurses must be extremely cautious not to intentionally or inadvertently expose a client’s personal health information. This is correct. Encouraging health benefits and connecting with the public are potential benefits to social media. This is incorrect. Posting pictures of clinical experiences can potentially expose private client health information.
8. There are several pitfalls that should be avoided when using social media of any type. For example, a nurse or student could be found guilty of libel in which of the following scenarios? A. Snapping a selfie with a patient B. Posting a positive review of the hospital where the student completed clinicals C. Creating a closed online forum where students can discuss clinical experiences without providing client information D. Complaining about her nurse preceptor on social media, discussing the preceptor’s unprofessional characteristics. ANS: D Page: 41
A. B. C.
Feedback This is incorrect. Taking and posting a picture with a patient may present a breach of confidentiality, but would not specifically indicate libel. This is incorrect. Posting a positive review would not damage the organization’s reputation and therefore is not considered to be libel. This is incorrect. Students should be very careful not to expose any potentially identifiable client information; however, as the forum is closed, it is not
Test Bank, Chapter 3 Weiss, Essentials of Nursing Leadership and Management, 8e
D.
.
specifically indicative of libel. This is correct. Statements about individuals encountered in one’s professional or educational life that could damage that person’s reputation may be slander or libel and can be prosecuted as quasi-intentional torts.
9. An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment? A. The RN tells the client he is not allowed to leave until the physician has released him. B. The RN asks the client why he wishes to leave. C. The RN asks the client to explain what he understands about his medical diagnosis. D. The RN asks the client to sign an against medical advice discharge form. ANS: A Page: 41
A. B. C.
D.
Feedback This is correct. Verbal or physical detainment of a client who desires to leave the institution is false imprisonment. This is incorrect. Asking the client why he wishes to leave is not false imprisonment and may provide additional information. This is incorrect. Asking a client to explain what he or she understands about the medical diagnosis will ensure the client has all the information needed to make an informed decision. This is incorrect. Asking a client to sign the against medical advice discharge form is not false imprisonment.
10. Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients? A. Carefully assess and document client status. B. Ensure all patient information is closed and the nurse has signed out of the computer before leaving the computer station. C. Keep careful notes while providing care so that documentation later in the day is accurate. D. Discuss safety needs with clients. ANS: A Page: 42 Feedback