TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano Chapter 1: The Growth of Nursing Questions 1. Nurses are often the primary, and frequently the only, defendants named when errors are made that result in injury to the client. This is due to which concept associated with the nursing profession? 1. Autonomy 2. Accountability 3. Precision 4. Specificity Answer: 2. If a nurse uses information from research as the basis for making decisions about providing
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care, this nurse is engaging in which type of practice? 1. Client-based practice 2. Physician-based practice 3. Evidence-based practice 4. Provider-based practice Answer: 3. Today’s nurses are often found in remote and often hostile areas, providing care for the sick and dying, working 12-hour shifts, being on call, and working rotating shifts. This is why nursing is universally known as which type of profession? 1. Altruistic 2. Synergistic
TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano 3. Optimistic 4. Pragmatic Answer: 4. With Florence Nightingale’s radically new idea about a separate educational setting for nurses, the nursing profession took its first steps toward which of the following? 1. Autonomy 2. Accountability 3. Precision 4. Specificity Answer: 5. If an advanced practice nurse is prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common
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health problems, this nurse is acting in which advanced practice role? 1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager Answer: 6. If an advanced practice nurse focuses on the care of pregnant women before, during, and after the birth process, this nurse is acting in which advanced practice role? 1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist
TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano 4. Case manager Answer: 7. If an advanced practice nurse is comfortable working in high-tech environments with seriously ill individuals and their families, this nurse is acting in which advanced practice role? 1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager Answer: 8. If an advanced practice nurse functions to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services, this nurse is acting in which advanced practice role?
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1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager Answer: 9. If a nurse taking action to perform the activities that promote patient care, this nurse is acting with which of the following? 1. Power 2. Control 3. Authority 4. Empowerment
TEST BANK for Nursing Now 8th Edition Today's Issues, Tomorrows Trends by Joseph T. Catalano Answer: 10. Although the client likely would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities, he or she cooperates because the nurse has a good relationship with the client; this is an example of which type of power? 1. Referent power 2. Expert power 3. Coercive power 4. Legitimate power Answer: 11. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses demonstrate which type of power? 1. Referent power
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2. Expert power 3. Coercive power 4. Legitimate power Answer: 12. If a nurse employs the underlying principles in the process of behavior modification, the nurse is utilizing which type of power? 1. Referent power 2. Expert power 3. Coercive power 4. Power of rewards Answer:
Catalano Nursing Now 8e 13. If a nurse uses which type of power, it can destroy therapeutic and personal relationships, and it can also be considered unethical and even illegal in certain situations? 1. Referent power 2. Expert power 3. Coercive power 4. Power of rewards Answer: 14. Nursing decisions made about client care can come only from individuals who have which source of power? 1. Referent power 2. Expert power 3. Coercive power
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4. Legitimate power Answer: 15. The first, and certainly the most important, way in which nurses can gain power in all areas is through which action? 1. Professional unity 2. Political activity 3. Accountability and professionalism 4. Networking Answer:
Catalano Nursing Now 8e Questions, Answers, and Rationales 1. Nurses are often the primary, and frequently the only, defendants named when errors are made that result in injury to the client. This is due to which concept associated with the nursing profession? 1. Autonomy 2. Accountability 3. Precision 4. Specificity ANS: 2 Page: 00
Feedback 1.
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This is incorrect. The autonomous nature of the nursing profession has no impact on nurses acting as defendants in court cases.
2.
This is correct. Nurses must be accountable and demonstrate a high level of responsibility for the care and services they provide.
3.
This is incorrect. The precision in which nurses must practice has no impact on nurses acting as defendants in court cases.
4.
This is incorrect. The specificity in which nurses must practice has no impact on nurses acting as defendants in court cases.
2. If a nurse uses information from research as the basis for making decisions about providing care, this nurse is engaging in which type of practice?
Catalano Nursing Now 8e 1. Client-based practice 2. Physician-based practice 3. Evidence-based practice 4. Provider-based practice ANS: 3 Page: 00
Feedback 1.
This is incorrect. Client-based care does not use information from research as the basis for making decisions.
2.
This is incorrect. Physician-based care does not use information from research as the basis for making decisions.
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3.
This is correct. Evidence-based care uses information from research as the basis for making decisions.
4.
This is incorrect. Provider-based care does not use information from research as the basis for making decisions.
3. Today’s nurses are often found in remote and often hostile areas, providing care for the sick and dying, working 12-hour shifts, being on call, and working rotating shifts. This is why nursing is universally known as which type of profession? 1. Altruistic 2. Synergistic 3. Optimistic
Catalano Nursing Now 8e
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4. Pragmatic ANS: 1 Page: 00
Feedback 1.
This is correct. Nursing has been viewed universally as an altruistic profession composed of selfless individuals who place the lives and well-being of their clients above their personal safety.
2.
This is incorrect. Nursing is not viewed universally as a synergistic profession.
3.
This is incorrect. Nursing is not viewed universally as an optimistic profession.
4.
This is incorrect. Nursing is not viewed universally as a pragmatic profession.
NURSINGTB.COM 4. With Florence Nightingale’s radically new idea about a separate educational setting for nurses, the nursing profession took its first steps toward which of the following? 1. Autonomy 2. Accountability 3. Precision 4. Specificity ANS: 1 Page: 00
Feedback
Catalano Nursing Now 8e 1.
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This is correct. The nursing profession took its first steps toward autonomy of practice with Florence Nightingale’s radically new idea about a separate educational setting for nurses.
2.
This is incorrect. Nightingale’s radically new idea about a separate educational setting for nurses did not lead to accountability.
3.
This is incorrect. Nightingale’s radically new idea about a separate educational setting for nurses did not lead to precision.
4.
This is incorrect. Nightingale’s radically new idea about a separate educational setting for nurses did not lead to specificity.
5. If an advanced practice nurse is prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common NURSINGTB.COM health problems, this nurse is acting in which advanced practice role? 1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 1 Page: 00
Feedback
Catalano Nursing Now 8e 1.
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This is correct. Nurse practitioners are prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems
2.
This is incorrect. Certified nurse midwives are not prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems.
3.
This is incorrect. Clinical nurse specialists are not prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems.
4.
This is incorrect. Case managers are not prepared to provide direct client care in primary care settings, focusing on health promotion, illness prevention, early diagnosis, and treatment of common health problems.
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6. If an advanced practice nurse focuses on the care of pregnant women before, during, and after the birth process, this nurse is acting in which advanced practice role? 1. Nurse practitioner 2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 2 Page: 00
Feedback
Catalano Nursing Now 8e 1.
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This is incorrect. Nurse practitioners do not focus on the care of pregnant women before, during, and after the birth process
2.
This is correct. Certified nurse midwives focus on the care of pregnant women before, during, and after the birth process.
3.
This is incorrect. Clinical nurse specialists do not focus on the care of pregnant women before, during, and after the birth process.
4.
This is incorrect. Case managers do not focus on the care of pregnant women before, during, and after the birth process.
7. If an advanced practice nurse is comfortable working in high-tech environments with seriously ill individuals and their families, this nurse is acting in which advanced practice role? 1. Nurse practitioner
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2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 3 Page: 00
Feedback 1.
This is incorrect. Nurse practitioners are generally not comfortable working in high-tech environments with seriously ill individuals and their families.
Catalano Nursing Now 8e 2.
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This is incorrect. Certified nurse midwives are generally not comfortable working in high-tech environments with seriously ill individuals and their families.
3.
This is correct. Certified nurse specialists are comfortable working in high-tech environments with seriously ill individuals and their families.
4.
This is incorrect. Case managers are generally not comfortable working in hightech environments with seriously ill individuals and their families.
8. If an advanced practice nurse functions to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services, this nurse is acting in which advanced practice role? 1. Nurse practitioner
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2. Certified nurse midwife 3. Clinical nurse specialist 4. Case manager ANS: 4 Page: 00
Feedback 1.
This is incorrect. Nurse practitioners do not function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.
Catalano Nursing Now 8e 2.
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This is incorrect. Certified nurse midwives do not function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.
3.
This is incorrect. Clinical nurse specialists do not function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.
4.
This is correct. Case managers function to coordinate services for clients with high-risk or long-term health problems who require access to the full continuum of health-care services.
9. If a nurse taking action to perform the activities that promote patient care, this nurse is acting with which of the following?
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1. Power 2. Control 3. Authority 4. Empowerment ANS: 4 Page: 00
Feedback 1.
This is incorrect. Power is best defined as the ability or capacity to exert influence over another person or group of persons.
2.
This is incorrect. Control is associated with power and authority.
Catalano Nursing Now 8e
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3.
This is incorrect. Authority is associated with power and control.
4.
This is correct. Empowerment helps the nurse to take action and perform those activities that promote patient care.
10. Although the client likely would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities, he or she cooperates because the nurse has a good relationship with the client; this is an example of which type of power? 1. Referent power 2. Expert power 3. Coercive power 4. Legitimate power ANS: 1
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Page: 00
Feedback 1.
This is correct. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is an example of referent power.
2.
This is incorrect. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is not an example of expert power.
Catalano Nursing Now 8e 3.
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This is incorrect. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is not an example of coercive power.
4.
This is incorrect. A client who would prefer to avoid taking medications, tolerating uncomfortable treatments, and participating in demanding activities yet cooperates because the nurse has a good relationship with him or her is not an example of legitimate power.
11. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses demonstrate which type of power? 1. Referent power
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2. Expert power 3. Coercive power 4. Legitimate power ANS: 2 Page: 00
Feedback 1.
This is incorrect. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses do not demonstrate referent power.
Catalano Nursing Now 8e 2.
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This is correct. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses demonstrate expert power.
3.
This is incorrect. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses do not demonstrate coercive power.
4.
This is incorrect. By demonstrating their knowledge of the client’s condition, recent laboratory tests, and other elements that are vital to the client’s recovery, nurses do not demonstrate legitimate power.
12. If a nurse employs the underlying principles in the process of behavior modification, the nurse is utilizing which type of power?
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1. Referent power 2. Expert power 3. Coercive power 4. Power of rewards ANS: 4 Page: 00
Feedback 1.
This is incorrect. If a nurse employs the underlying principles in the process of behavior modification, the nurse is not utilizing referent power.
Catalano Nursing Now 8e
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Questions, Answers, and Rationales 1. Which leadership style works best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members? 1. Laissez-faire 2. Democratic 3. Participative 4. Authoritarian ANS: 1 Page: 4
Feedback 1.
This is correct. The laissez-faire style of leadership works best when the
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members of the group have the same level of education as the leader and the leader performs the same tasks as the group members. 2.
This is incorrect. The democratic style of leadership does not work best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members.
3.
This is incorrect. The participative style of leadership does not work best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members.
4.
This is incorrect. The authoritarian style of leadership does not work best when the members of the group have the same level of education as the leader and the leader performs the same tasks as the group members.
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Catalano Nursing Now 8e
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2. Which leadership style works best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period? 1. Laissez-faire 2. Democratic 3. Nondirective 4. Authoritarian ANS: 2 Page: 4
Feedback 1.
This is incorrect. The laissez-faire style of leadership does not work best with
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groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period. 2.
This is correct. The democratic style of leadership works best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period.
3.
This is incorrect. The nondirective style of leadership does not work best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period.
4.
This is incorrect. The authoritarian style of leadership does not work best with groups whose members have a relatively equal status and who know each other well because they have worked together for an extended period.
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Catalano Nursing Now 8e
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3. People who work under which style of leadership usually harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker? 1. Laissez-faire 2. Democratic 3. Nondirective 4. Authoritarian ANS: 4 Page: 4
Feedback 1.
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This is incorrect. People who work under a laissez-faire style of leadership usually do not harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker.
2.
This is incorrect. People who work under a democratic style of leadership usually do not harbor hostile feelings that they are fearful to express, use passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker.
3.
This is incorrect. People who work under a nondirective style of leadership usually do not harbor hostile feelings that they are fearful to express, use
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Catalano Nursing Now 8e
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passive-aggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker. 4.
This is correct. People who work under an authoritative style of leadership usually harbor hostile feelings that they are fearful to express, use passiveaggressive techniques to try to even the playing field, and feel oppressed and unable to use their full potential as a worker.
4. Which type of leader often allows the group to make its own decisions without regard to the task at hand and ultimately may not achieve the goals the group was organized for in the first place? 1. High relationship–low task 2. High task–low relationship 3. High task–high relationship 4. Low task–low relationship ANS: 1 Page: 7
Feedback 1.
This is correct. High relationship–low task leaders often allow the group to make its own decisions without regard to the task at hand and ultimately may not achieve the goals the group was organized for in the first place.
2.
This is incorrect. High task–low relationship leaders do not allow the group to make its own decisions without regard to the task at hand, nor are they
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Catalano Nursing Now 8e
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necessarily unlikely to achieve the goals the group was organized for in the first place. 3.
This is incorrect. High task–high relationship leaders do not allow the group to make its own decisions without regard to the task at hand, nor are they necessarily unlikely to achieve the goals the group was organized for in the first place.
4.
This is incorrect. Low task–low relationship leaders do not allow the group to make its own decisions without regard to the task at hand, nor are they necessarily unlikely to achieve the goals the group was organized for in the first place.
5. Various forms of punishmentN, U raR ngSing l putdowns to poor performance evaluations INfGroTmBv.eCrbOaM that are used to determine pay raises, are used by which type of leader? 1. High relationship–low task 2. High task–low relationship 3. High task–high relationship 4. Low task–low relationship ANS: 2 Page: 7
Feedback 1.
This is incorrect. Various forms of punishment are not used by high relationship–low task leaders.
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Catalano Nursing Now 8e 2.
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This is correct. Various forms of punishment, ranging from verbal putdowns to poor performance evaluations that are used to determine pay raises, are used by high task–low relationship leaders.
3.
This is incorrect. Various forms of punishment are not used by high task–high relationship leaders.
4.
This is incorrect. Various forms of punishment are not used by low task–low relationship leaders.
6. Which theory recognizes that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration, and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards? 1. Trait theory 2. Behavior theory 3. Situational theory 4. Transformational theory ANS: 4 Page: 9
Feedback 1.
This is incorrect. Trait theory does not recognize that multiple intangibles exist whenever people interact and that factors such as sense of meaning, creativity, inspiration, and vision are involved in creating a sense of mission that exceeds good interpersonal relationships and rewards.
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