Professional Nursing Concepts & Challenges 7th Edition, Beth Test Bank

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Professional Nursing Concepts & Challenges 7th Edition, Beth Test Bank


Test Bank Professional Nursing Concepts Challenges 7th Edition, Beth

Chapter 1: Nursing Today: A Time of Transformation
1. Which of the following could eventually change the historical status of nursing as a female-dominated profession?
a. More men graduating from baccalaureate and higher degree programs
b. The proportion of men in nursing beginning to increase
c. More male graduates of basic nursing programs entering the workplace
d. Salary compensation increasing to attract more men
2. The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when
a. the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice.
b. the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.
c. the percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses.
d. the nonwhite portion of the general population decreases.
3. Which of the following is a correct statement about the registered nurse (RN) population?
a. The racial/ethnic composition of RNs closely resembles that of the general population.
b. The number of men entering nursing has decreased steadily over the last decade.
c. The rate of aging of RNs has slowed for the first time in the past 30 years.
d. The majority of employed RNs working full time must work a second position.
4. Which of the following best describes trends in nursing education?
a. Numbers of RNs with bachelors and higher degrees are increasing.
b. Numbers of RNs with associate degrees are decreasing.
c. Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation.
d. Numbers of RNs with diploma educations are increasing.
5. Despite the variety of work settings available to the RN, data from 2008 indicate that the primary work site for RNs is
a. ambulatory care settings.
b. community health settings.
c. long-term care facilities.
d. acute care hospitals.
6. One important advantage of clinical ladder programs for hospital-based RNs is that they
a. allow career advancement for nurses who choose to remain at the bedside.
b. encourage nurses to move into management positions in which they can influence patient care on a broader scale.
c. encourage RNs to become politically active and guide the profession of nursing.
d. provide training to staff nurses so they can move seamlessly across departments.
7. Which of the following statements is correct about community health nursing (CHN)?
a. Prevention and community education are the cornerstones of CHN.
b. Nursing care is rapidly moving from the home setting to the institutional setting.
c. High-tech care such as ventilators and total parenteral nutrition cannot be handled in the home.
d. Assessment skills are less important in CHN because patients are not acutely ill.
8. Which of the following is most essential for the nurse entrepreneur to be successful?
a. Ability to take direction well
b. Excellent time-management skills
c. Avoidance of risks
d. A college degree in business
9. The major benefit of serving as a military nurse is
a. broader responsibilities and scope of practice than civilian nurses.
b. working with entirely baccalaureate-prepared peers on active duty.
c. serving as an officer on active duty or in the reserves.
d. the financial support to seek advanced degrees
10. Which of the following statements explains why the school nurse of today is truly a community health nurse?
a. The school nurse may be called on to care for a students family members in underserved areas.
b. The school nurses primary responsibility is centered on the well child.
c. The school nurses primary responsibility is to maintain immunization records.
d. The school nurse must be certified in CHN.
Chapter 2: The History and Social Context of Nursing
1. Which early nursing leader founded the first training school for nurses that would later become a model for early nursing education?
a. Dorothea Dix
b. Florence Nightingale
c. Clara Barton
d. Mary Ann Bickerdyke
2. Who was the first educated African-American professional nurse?
a. Linda Richards
b. Phoebe Pember
c. Sojourner Truth
d. Mary Eliza Mahoney
3. To which early nursing leader is attributed the founding of the American Red Cross?
a. Clara Barton
b. Dorothea Dix
c. Florence Nightingale
d. Lavinia Lloyd Dock
4. What were some of the application requirements of nursing education programs in the 1900s?
a. Male, intelligent, strong
b. Female, sensitive, subservient
c. Female, docile, from poor background
d. Male, high breeding, independent
5. Which of the following statements best describes how the Chicago Worlds Fair of 1893 became a pivotal point in the history of nursing education in the United States?
a. Florence Nightingales work on sanitation and its relationship to mortality rates was finally recognized.
b. The organization today known as the NLN was formed to address issues in nursing education.
c. The American Nurses Association (ANA) was formed to oversee nursing education in the United States.
d. The International Council of Nurses (ICN) was formed to enhance collaboration between practicing nurses and educators.
6. Which early nursing organization is credited with first recommending state registration for nurses?
a. ICN
b. NLN
c. ANA
d. National Association of Colored Graduate Nurses
7. Which of the following nursing leaders, because of her work in the Henry Street Settlement, is considered the founder of public health nursing?
a. Margaret Sanger
b. Clara Barton
c. Lillian Wald
d. Lavinia Lloyd Dock
8. Despite the caring efforts of early public health nurses in the Henry Street Settlement, racial disparity left many people underserved. Which of the following African-American public health nurses was instrumental in providing excellent nursing care to underserved families despite these social challenges?
a. Jessie Sleet Scales
b. Margaret Sanger
c. Lavinia Lloyd Dock
d. Anita M. McGee
9. Which one of the following events occurring during the first decade of the twentieth century brought sweeping changes to nursing?
a. It was required that all practicing nurses be licensed.
b. Permissive licensing laws allowed registered nurses (RNs) to practice without a license if they registered with the state.
c. All states required a standardized licensing examination.
d. Nurses had to pass a licensing examination to use the title RN.
10. What was the most significant impact on the profession of nursing made by Mary Breckenridge in her role as a frontier nurse?
a. She demonstrated that nurses could provide primary care in rural settings.
b. She demonstrated that female nurses could protect themselves in unsettled rural environments.
c. She demonstrated that nurses were capable of teaching new mothers to care for babies.
d. She demonstrated that nurses could provide care to many clients despite geographic boundaries.
Chapter 3: Nursings Pathway to Professionalism
1. Which of the following was recognized earliest as a true profession?
a. Ministry
b. Teaching
c. Social work
d. Engineering
2. Which of the following characteristics of a profession were listed in Flexners work on professions?
a. Activities of professions are more physically than intellectually oriented.
b. Activities of professions are based on their own body of knowledge.
c. Beliefs of professions are more theoretical than practical.
d. Beliefs and traditions are handed down from generation to generation.
3. Similarities exist between various ideas about what constitutes a profession. Which of the following is believed to be a characteristic of a profession?
a. Members have autonomy.
b. Members are trained on the job.
c. Members are motivated primarily by financial reward.
d. The group lacks a code of ethics.
4. Which of the following best describes the difference between an occupation and a profession?
a. A profession requires a duty to serve.
b. A profession is defined by members average income.
c. In a profession, action is based on intuition.
d. In a profession, knowledge is handed down from generation to generation.
5. According to the nurses Code of Ethics, the hallmark of nursing practice is
a. autonomy.
b. accountability.
c. evidence-based practice.
d. altruism.
6. The document that provides professional standards and a framework for professional decision making that ensures decisions are made with the highest integrity is the
a. Nurse Practice Act.
b. Code of Ethics.
c. Nursings Social Policy Statement.
d. bylaws of the American Nurses Association (ANA).
7. A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other?
a. Reporting substandard practice by unlicensed personnel
b. Reading the professional literature
c. Mentoring nursing students and novice nurses
d. Making a financial donation to a professional organization
8. The nursing profession has experienced barriers to professionalism. Which of the following is the primary current barrier to nursings professionalism?
a. Too many men in nursing
b. Unquestioning obedience to doctors
c. Limitations placed on practice by state legislators
d. Variability of educational backgrounds of nurses
9. The process of professionalization of an occupation typically follows a pattern of developmental stages. One of the stages is collective identity. Which of the following is an example of collective identity?
a. Legal right to practice profession to protect unique skills from outsiders
b. Apprenticeship programs to develop skills
c. A loose association of practitioners
d. Definition of the professions mission related to full-time work
10. Preparation is a component that separates occupations from professions. Which of the following is the best way that a nurse demonstrates preparation for the profession?
a. Improves nursing practice through the use of trial and error methods
b. Focuses on the skills needed for the practice setting
c. Articulates the values of caring and compassion in patient-centered care
d. Utilizes textbooks from college to support practice 5 years after graduation
Chapter 4: Legal Aspects of Nursing
1. Which of the following is an example of civil law?
a. Possession of marijuana
b. Assault and battery
c. Giving alcohol to a minor
d. Child custody case
2. The nurse practice act of a state defines the scope and responsibilities of nursing practice in that state. Which of the following is true regarding nurse practice acts?
a. They determine the educational requirements for licensure.
b. They describe the process for gaining membership to a professional organization.
c. They regulate how many professional nursing organizations may be formed.
d. They define the practice of medicine in relation to nursing.
3. Which of the following falls under the jurisdiction of the state board of nursing?
a. Approving or reject applications for new nursing education programs
b. Expanding the provisions of the nurse practice act
c. Reducing the provisions of the nurse practice act
d. Right to suspend the need for licensure of registered nurses (RNs) in times of extreme shortage
4. The most common reason that nurses are disciplined by the state board of nursing is
a. making medication errors.
b. following unsafe nursing practice.
c. practicing while impaired.
d. abandoning patients.
5. What is the primary function of the National Council of State Boards of Nursing (NCSBN)?
a. Overseeing decisions made by state boards of nursing
b. Developing the NCLEX-RN and NCLEX-PN licensing examinations
c. Administering the NCLEX examination at testing centers
d. Overseeing granting licensure by endorsement
6. Which of the following actions by the nurse constitutes professional malpractice?
a. Administering a preoperative sedative in the patient holding area instead of in the patients room
b. Failing to notify the physician of a potassium level of 4 mEq/L
c. Placing the head of the bed flat when a patient is receiving a tube feeding, causing the patient to aspirate the mixture
d. Administering a routine medication 10 minutes late because of a unit emergency
7. The nurse forgets to give the patient a dose of antibiotic. Later in the shift, the patient goes into cardiac arrest and dies. What element is lacking to support malpractice?
a. Duty of care
b. Breach of duty
c. Specific injury
d. Proximate cause
8. Analysis of cases of reported negligence from 1995 to 2001 demonstrated that the majority of cases occurred in which patient care setting?
a. Acute care
b. Psychiatric
c. Nursing homes and long-term care facilities
d. Home health
9. A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to
a. follow the standard of care.
b. assess and monitor a patient.
c. communicate with a patient.
d. document.
10. A nursing student got a thank-you card from a patients family and had another student take a photo of the student with the family. The student asks the nursing instructor if it would be alright to post the photo on Facebook. Which response by the instructor is best?
a. Yes, as long as you ask the family if that would be OK.
b. I think that would be OK, but you should check hospital policy.
c. No, posting pictures of patients and families on social media sites is not acceptable.
d. No, that could lead to a malpractice suit by the patient or family.
Chapter 5: Ethics: Basic Concepts for Nursing Practice
1. Which of the following situations is an example of moral distress?
a. You hear nurses in the lounge making off-color jokes about a patient. You are afraid to speak up for fear of retaliation.
b. You have been late for work a couple of times in the last 2 weeks, and your co-workers are covering for you.
c. You become romantically involved with a co-worker, which is against the unit policy, so you resign your position.
d. You purposefully use vague language when explaining a patients condition to the family. Staff expects that the patient may be brain-dead, but test results are not yet conclusive.
2. According to Kohlbergs theory of moral development, adolescents who shoplift are operating in which level of moral development?
a. Preconventional
b. Conventional
c. Postconventional
d. Developmental
3. According to Kohlbergs theory of moral development, individuals who act because it is the rule of society are operating in which level of moral development?
a. Preconventional
b. Conventional
c. Postconventional
d. Developmental
4. Flight 93, hijacked on September 11, 2001, crashed into the Pennsylvania countryside because some of the passengers decided to try to take control of the plane and prevent it from being used as a weapon of mass destruction against structures in Washington, D.C. They decided to act despite grave danger to themselves. This is an example of which level of Kohlbergs theory of moral development?
a. Preconventional
b. Conventional
c. Postconventional
d. Conventional phase 4
5. According to Kohlbergs theory, which of the following is true of moral development?
a. Participating in decision making promotes moral reasoning.
b. Intellectual development has no effect on moral development.
c. Participating in debates on ethical issues decreases moral development.
d. Holding people responsible for their actions does not improve moral development.
6. Gilligans theory on moral development differed from Kohlbergs theory because Gilligan considered which population not addressed by Kohlberg?
a. Children
b. Men
c. Women
d. Adolescents
7. Which of the following ethical theories is illustrated by the example of following the Golden Rule, Do unto others as you wish them to do unto you?
a. Deontology
b. Principalism
c. Utilitarianism
d. Virtue ethics
8. Which of the following ethical theories is illustrated by the example of triage in disaster nursing?
a. Deontology
b. Principalism
c. Utilitarianism
d. Virtue ethics
9. Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle of
a. justice.
b. autonomy.
c. nonmaleficence.
d. death with dignity.
10. Respecting an elderly womans decision to stay in her own home is based on a belief in the ethical principle of
a. justice.
b. autonomy.
c. nonmaleficence.
d. death with dignity.
Chapter 6: Becoming a Nurse: Defining Nursing and Socialization into Professional Practice
1. Which early nursing theorist recognized therapeutic milieu, assessment skills, and a unique body of knowledge in her definition of nursing?
a. Dorothea Orem
b. Virginia Henderson
c. Hildegard Peplau
d. Florence Nightingale
2. Which early nursing theorist defined nursing in interpersonal terms by stating that nursing is a significant, therapeutic, and interpersonal process?
a. Virginia Henderson
b. Hildegard Peplau
c. Martha Rogers
d. Dorothea Orem
3. Which of the following is an example of Orems self-care theory?
a. Assuring proper fresh air and ventilation
b. Demonstrating good handwashing techniques
c. Assisting a disoriented patient with a bath
d. Performing a visual screening exam
4. Which of the following is an example of Hendersons definition of nursing?
a. Performing a hearing screening in preschool children
b. Interacting with depressed men to learn new strategies for reducing their symptoms
c. Setting goals for weight loss with a patient
d. Teaching a person with frequent constipation about high-fiber foods
5. The legal definition of nursing for any particular state can be found in the
a. state legislatures official newsletter.
b. state board of nursings bylaws.
c. governors official papers.
d. states nurse practice act.
6. Which of the following is an example of formal socialization into the profession of nursing?
a. Unplanned observation of a nurse comforting a child after a painful procedure
b. Hearing two nurses discussing how to organize patient care more effectively
c. Starting an intravenous (IV) line in the simulation laboratory under faculty guidance
d. Participating in a student nurses association meeting
7. Which of the following is an example of informal socialization into a profession?
a. Nurses discussing a patient care issue in the presence of other nurses
b. Taking an extra class for an elective
c. Performing your first physical assessment in a client
d. Teaching a patient about warfarin (Coumadin)
8. A nursing student says to the clinical faculty, I know I will be able to care for this patient given your directions. In which stage of Cohens model of professional socialization is this student?
a. Stage I: Unilateral dependence
b. Stage II: Negativity/independence
c. Stage III: Dependence/mutuality
d. Stage IV: Interdependence
9. A nursing student asks, Why do I have to go to clinical in obstetrics when I know Ill never work with women and children? In which stage of Cohens model of professional socialization is this student?
a. Stage I: Unilateral dependence
b. Stage II: Negativity/independence
c. Stage III: Dependence/mutuality
d. Stage IV: Interdependence
10. A nursing student says, I can now see how developing care plans helps organize my thoughts and patient care. In which stage of Cohens model of professional socialization is this student?
a. Stage I: Unilateral dependence
b. Stage II: Negativity/independence
c. Stage III: Dependence/mutuality
d. Stage IV: Interdependence
Chapter 7: The Education of Nurses: On the Leading Edge of Transformation
1. In 1900, the primary reason for hospital-based nursing education programs was to
a. educate nurses to care for patients in hospitals.
b. provide educational opportunities for women.
c. staff the hospitals that operated the education programs.
d. provide standardized preparation for nurses.
2. Which of the following nursing leaders is credited with being one of the earliest nursing educators in the world?
a. Isabel Hampton Robb
b. Mary Adelaide Nutting
c. Melinda Anne Richards
d. Annie W. Goodrich
3. The Goldmark Report focused on what aspect of nursing?
a. Consistency in length of nursing education programs
b. Consistency in theory content across diploma programs
c. Desirability of establishing schools of nursing within academic settings
d. Increasing numbers of physicians teaching in nursing programs
4. Which American university opened the first nursing school as a separate department within the university?
a. Harvard
b. Teachers College
c. Columbia
d. Yale
5. Which of the following recommendations resulting from the 1934 study Nursing Schools Today and Tomorrow still has relevance today?
a. Nursing students should be trained on the job.
b. Nursing students should be used to staff hospitals on the weekends.
c. Nurses should be highly educated.
d. Nurses with highly developed instincts do not require standards of practice.
6. The earliest type of formal nursing education program was the
a. diploma program.
b. associate degree program.
c. bachelors degree program.
d. grandfathered acceptance as registered nurse (RN).
7. The single most important reason for the decline in the number of hospital-based diploma programs was
a. shift in hospital occupancy from acute care to home care.
b. increase in hospital-based medical residency programs competing for educational dollars.
c. beginning of associate degree programs that were shorter in length.
d. diploma educations position outside the mainstream of higher education.
8. Which of the following is a primary reason for the initial slow growth of bachelors degree nursing programs in the United States?
a. Belief that hands-on training received in hospital-based diploma programs was superior to the theoretical-focused content in bachelors degree programs
b. Belief that hospital-based diploma programs were more scientifically based
c. Belief that students prepared in hospital-based diploma programs were more compassionate caregivers
d. Belief that hospital-based education programs facilitated career mobility
9. The 1948 Brown Report recommended which of the following?
a. Limit enrollment of men and minorities in nursing programs.
b. Students admitted to nursing programs should not be required to meet admission requirements of the university.
c. Schools of nursing should be associated with teaching hospitals.
d. Schools of nursing should be located in institutions of higher learning.
10. Which of the following is true about bachelors of science in nursing (BSN) education?
a. Faculty must be BSN prepared.
b. It is recommended by professional organizations as preparation for entry into practice.
c. It requires 3 years to complete.
d. Faculty are not given full faculty status in the university.
Chapter 8: Critical Thinking, the Nursing Process, and Clinical Judgment
1. Critical thinking in nursing needs to include which of the following important variables?
a. Consideration of ethics and responsible decision making
b. Ability to act quickly, often on impulse
c. Ability to determine the best nursing interventions regardless of patients values and beliefs
d. Flexible thinking that rarely follows a pattern or considers standards
2. A nursing student asks a faculty member how to improve critical thinking. Which response by the faculty is best?
a. Dont worry too much; it will come with time and experience.
b. Pay close attention to how you solve problems; assess your own style of thinking.
c. Spend time shadowing an experienced nurse to see how it is done.
d. Use ethical standards to guide how you approach patient situations.
3. Which of the following is a characteristic of an accomplished critical thinker?
a. Inquisitiveness
b. Narrow focus
c. Unaffected by other arguments
d. Quick decision making
4. Which of the following statements describes the purpose of the nursing process?
a. Process of documentation designed to decrease liability
b. Process designed to maximize reimbursement potential
c. A sophisticated time-management strategy
d. Process used to identify and solve patient problems
5. Which of the following is considered subjective data in information gathering from the patient?
a. Pulse and blood pressure measurements
b. ECG pattern
c. Diaphoresis
d. Pain
6. A nursing student is complaining about writing care plans. Which response by the faculty is best to help the student see the importance of this activity?
a. Using the nursing process will help nurses get reimbursement for their services.
b. You need a written plan of care so everyone is on the same page as you are.
c. The nursing process is a way to systematically think about and use patient data.
d. Most state nurse practice acts require them, so you need to learn how to do them.
7. Which of the following is considered objective data obtained from the patient?
a. I cant catch my breath.
b. Patient expresses concern about missing work.
c. Patient nods, indicating an affirmative answer to a question.
d. Blood pressure is 110/70 at 8 PM.
8. The nurse observes a patient lying rigidly in bed and taking shallow breaths. The patient reports a pain score of 4 out of 5 and says, My leg hurts. The nurse determines that the objective and subjective data are
a. incongruent and require more assessment.
b. insufficient to make any conclusions.
c. congruent and support that the patient is in pain.
d. unclear; the nurse needs to talk to the patients family for more information.
9. A nurse is admitting a non-English speaking patient to the hospital unit. Which is the best method of obtaining data from the patient?
a. Asking the other family members to help interpret
b. Performing a physical examination on the patient
c. Interviewing the patient using a professional interpreter
d. Attempting to obtain past medical records for this patient
10. What is the primary method of obtaining patient data?
a. Medical record
b. Speaking with family
c. Interview with patient
d. Physical examination
Chapter 9: Communication and Collaboration in Nursing
1. Which of the following best describes Peplaus theory on therapeutic use of self?
a. Putting patients needs ahead of your own
b. Providing excellent clinical skills to improve patients health status
c. Using excellent interpersonal skills to help patients improve their health status
d. Self-protection through avoidance of a relationship with the patient
2. Therapeutic use of self involves
a. forming a relationship based on the nurses knowledge, attitudes, and skills to communicate effectively.
b. providing a safe environment based on the use of environmental manipulation and verbal limit setting.
c. evaluation of nurse-patient interactions and the creation of social alliances.
d. determining whether it is necessary to listen to the patient and provide feedback.
3. What is the most important information the nurse should share with the patient during the orientation phase?
a. Name, credentials, extent of responsibility
b. Plan for the day, times the nurse will be unavailable, how to contact the nurse
c. Nurses name, physicians name, possible discharge date
d. Plan for discharge, teaching needs, goals for the day
4. One of the most important outcomes of the orientation phase of the nurse-patient relationship is the development of mutual
a. communication.
b. understanding.
c. acceptance.
d. trust.
5. Which behaviors help patients develop trust in the nurse?
a. Answering questions with authority
b. Sharing personal information to indicate openness
c. Conveying acceptance of the patient and a nonjudgmental attitude
d. Meeting with the patient spontaneously because that indicates caring
6. The nurse says to a newly diagnosed diabetic patient, I will be working with you during your 3-day stay to help you practice insulin injections and to review your new diet. Im wondering if we could find a time of day to begin the teaching sessions that is good for us. This conversation would occur in which phase of the nurse-patient relationship?
a. Acquaintance phase
b. Orientation phase
c. Working phase
d. Termination phase
7. Which of the following suggests that a successful contract has been established between the nurse and patient in the orientation phase of the nurse-patient relationship?
a. Patient has agreed to learn to change his colostomy bag.
b. Patient ambulates in the hall without assistance.
c. Patient allows the nurse to inject his daily insulin.
d. Patient asks the charge nurse to verify that the staff nurses teaching is correct.
8. A newly diagnosed diabetic patient states I have very definite likes and dislikes when it comes to food. Am I going to have to eat only certain foods, or will I have some choice? The nurse responds, Why dont you give me a list of your likes and dislikes? I will consult with the dietitian about how to include your preferences and still come up with a good diet for you. What phase of the nurse-patient relationship is this?
a. Relationship phase
b. Orientation phase
c. Working phase
d. Termination phase
9. A patient demonstrates obvious regression in ability to perform self-care during the working phase. Which response by the nurse is most appropriate?
a. Frustration because the patient does not appear to be motivated to achieve goals
b. Persistence in demonstrating the importance of achieving goals
c. Patience and understanding because regression is a defense mechanism
d. Ignoring it because the nurse realizes the patient is exhibiting childlike behavior
10. When should the preparation for the termination phase of the nurse-patient relationship begin?
a. In the orientation phase
b. During the working phase
c. As part of the termination phase
d. Right before termination
Chapter 10: Illness, Culture, and Caring: Impact on Patients, Families, and Nurses
1. Which illness has the characteristics of an acute illness?
a. Exercise-induced asthma
b. Type 2 diabetes
c. Influenza
d. Cleft palate
2. Which illness has the characteristics of a chronic illness?
a. Lupus
b. Bronchitis
c. Chicken Pox
d. Gastroenteritis
3. Which statement about acute illness is true?
a. Most people with acute illness develop chronic illness.
b. Most people with acute illness return to their previous level of wellness.
c. All people with an acute illness need medical care.
d. Acute illnesses are usually catastrophic in nature.
4. What is the primary difference between acute illness and chronic illness?
a. In acute illness, symptoms begin suddenly, progress quickly, and subside quickly.
b. In acute illness, symptoms begin suddenly, progress gradually, and do not subside.
c. In chronic illness, symptoms begin gradually, progress suddenly, and subside quickly.
d. In chronic illness, symptoms begin suddenly, require ongoing management, and subside quickly.
5. A patient with diabetes who refuses to change eating patterns may be in which stage of adjustment?
a. Denial and disbelief
b. Irritability and anger
c. Attempting to gain control
d. Acceptance and participation
6. A patient states, I am so upset that I need a knee replacement. I should have done those exercises that the physical therapist told me to do years ago. In which stage of illness is the patient?
a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Depression and despair
7. A patient states, I do not understand why I keep getting these headaches. I have seen a nurse practitioner and two specialists. I have taken several medications, but the headaches keep coming back. In which stage of illness is the patient?
a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Acceptance and participation
8. A patient states, There is no hope. Theyre going to keep me here until I die. Cant you give me my medication more often? Im going to die anyway. In which stage of illness is this patient?
a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Depression and grief
9. A patient states, I have knowledge about my diet and how to do my insulin injections, so I can get on with my life. In which stage of illness is this patient?
a. Disbelief and denial
b. Irritability and anger
c. Attempting to gain control
d. Acceptance and participation
10. A contemporary view of the sick role includes
a. patient as partner with the health care provider.
b. patient as submissive to the health care provider.
c. patient noncompliant with the health care provider.
d. moving away from cultural values when making health care decisions.
Chapter 11: The Science of Nursing and Evidence-Based Practice
1. The discovery of oxygen would be called pure science because this information
a. was obtained for the sake of obtaining new knowledge of the world.
b. had an immediate use for humans.
c. would be useful in curing, managing, or preventing disease.
d. could direct further research at the bedside.
2. What is meant by the term evidence-based practice?
a. Using nursing research findings to develop nursing theory
b. Integrating the research process into nursing administration
c. Studying research from the social sciences and applying it to practice
d. Applying research findings; patient care data, preferences, and values; and nursing expertise to nursing practice
3. To build the body of knowledge of nursing, a problem amenable to study should be
a. able to ensure participants that the intervention is a good idea.
b. based on published research findings and fit logically with what is already known.
c. an original area of study never researched previously.
d. able to produce results that are applicable to a variety of situations.
4. Which of the following is not a necessary step in the research process?
a. Review of the literature
b. Review of best practice guidelines
c. Design of the study
d. Dissemination of results
5. Which of the following are the three most common sources of research questions?
a. Study of clinical problems, anecdotal stories, requests by the National Institutes of Health (NIH)
b. Requests by drug companies, doctoral students, review of the literature
c. Clinical problems, replication of prior research, testing nursing theory
d. Review of existing research, NIH grants, request by state board of nursing
6. Which of the following is an example of a research question based on a clinical problem?
a. Published observations of a nurse who practiced many years in elder care
b. Nursing intuition about what measures are most useful with anxious patients before surgery
c. Stories of a flight nurses experiences with posttraumatic stress disorder
d. Relationship between hours of bright light and irritability of preterm infants
7. A nursing manager wants the unit staff to become more involved in research. The staff nurses say they are not qualified to conduct research. Which response by the manager is best?
a. You need a basic understanding of the research process because you should be good consumers of research.
b. At the staff nurse level, you can assist with clinical studies by doing data collection.
c. A baccalaureate-prepared nurse should be able to design simple studies.
d. If we all work on this together, we can design and implement good research studies.
8. An intensive care unit (ICU) nurse notices that patients seem to have more normal vital signs when they are being visited by their family members, especially when the visitors seem to be more caring. However, the hospital has strict visiting hours of 10 minutes every other hour. What would be the most appropriate research question to ask at this time?
a. What is patient and family satisfaction with visitation time?
b. What is the relationship between length of visitation and vital signs?
c. What are the vital signs of ICU patients when visited by caring visitors in comparison with when they are alone?
d. Do ICU patients have vital signs in the normal range more frequently when they are being visited by family members?
9. Which research design has the goal of determining a cause-and-effect relationship?
a. Experimental design
b. Nonexperimental design
c. Pure research
d. Applied research
10. Which research design would be used to determine the relationship between self-concept, physical fitness, and health habits in school-aged children?
a. Experimental design
b. Nonexperimental design
c. Applied research design
d. Pretest and posttest design
Chapter 12: Conceptual and Philosophical Bases of Nursing
1. Who is credited with developing the theory on systems?
a. Rogers
b. Maslow
c. Rosenstock
d. von Bertalanffy
2. Which of the following is true of open systems?
a. They have very little interaction with the environment.
b. Parts are independent of each other.
c. Exchange of information is sporadic and intermittent.
d. The whole is greater than the sum of all of its parts.
3. Dynamic balance between systems and their parts is called
a. synergy.
b. homeostasis.
c. inertia.
d. suprasystems.
4. A homeless man sleeps on a park bench and eats one meal a day at a shelter. Which is the lowest level of Maslows basic needs he does not meet?
a. Basic physiologic needs
b. Safety needs
c. Love and belonging needs
d. Esteem needs
5. An 18-month-old child has been in three foster homes within the past 9 months. When the child is seen for a well-child visit, the nurse notices the child vigilantly watches everyone. This child may not have which of Maslows basic needs met?
a. Basic physiologic needs
b. Safety needs
c. Love and belonging needs
d. Self-actualization
6. Which of the following describes one of the five levels of human needs identified by Maslow?
a. Equilibration
b. Love and belonging
c. Growth and development
d. Adaptation
7. A school-aged child with spina bifida uses a wheelchair, attends school, and is actively involved in Scouting and science club. This child is meeting which of Maslows basic needs?
a. Safety needs
b. Love and belonging needs
c. Esteem needs
d. Self-actualization
8. An adult has difficulty initiating a conversation, and in working with others always agrees with them because My opinion is not important. Which of Maslows basic needs is not being met by this person?
a. Basic physiologic needs
b. Love and belonging needs
c. Esteem needs
d. Self-actualization
9. Which of the following is true of Maslows basic need of self-actualization?
a. Once self-actualization is achieved, it is never lost.
b. Elderly people outgrow the need for self-expression and self-development.
c. Most people achieve self-actualization after all other needs are met.
d. People use their abilities to the fullest extent possible and are true to their nature.
10. A patients spouse and son were recently killed in an automobile accident, and the patients position in a large company has been eliminated due to corporate reorganization. The patient states, I do not think I can handle this. The nurse could safely make the assumption that
a. the patient will soon develop clinical depression.
b. the patient needs hospitalization to foster adaptation.
c. environmental factors may have a negative impact on this persons health.
d. self-care will assure the patients ability to readjust.
Chapter 13: Nursing Theory: The Basis for Professional Nursing
1. Which of the following best describes the meaning of the term theory?
a. A set of beliefs about the nature of how things work and how the world should be viewed
b. A group of related concepts, definitions, and statements that describe a certain view of nursing phenomena from which to describe or predict outcomes
c. An organizational structure that outlines concrete connections between concepts
d. Statements that describe linkages between concepts and propose a testable outcome
2. Which component of nursing theory describes a testable outcome?
a. Conceptual model
b. Proposition
c. Framework
d. Metaparadigm
3. A broad, general view of nursing that clarifies values and answers broad disciplinary questions for nursing is known as a
a. conceptual model.
b. metaparadigm.
c. philosophy.
d. theory.
4. A specific organizational structure that makes clear connections between concepts is a
a. conceptual model.
b. metaparadigm.
c. philosophy.
d. theory.
5. A group of concepts and propositions that describe linkages between the concepts is a
a. conceptual model.
b. metaparadigm.
c. philosophy.
d. theory.
6. An overriding principle of Nightingales writings on nursing dealt with which aspect of nursing?
a. The relationship between nurses, physicians, and society
b. The relationship between patients, health, and environment
c. The relationship between illness and health practices
d. The relationship between hospitals, nurses, and patients
7. The nurse adjusts the patients room to allow the patient to see the sunlight out the window and checks the patients diet tray to ensure a balanced diet. The nurse could be basing care on the philosophy of
a. Henderson.
b. Nightingale.
c. Roy.
d. Watson.
8. Which contemporary nursing theorist is best known for her definition of nursing that describes the nurses role as a substitute for the patient and as a helper and partner to the patient?
a. Orem
b. Henderson
c. Watson
d. King
9. Which of the following human needs was not included in Hendersons 14 basic needs of patients?
a. Need for work
b. Sleep and rest
c. Spirituality
d. Sexuality
10. The nurse assists the patient with a bath in the morning because the patient has a cast on one hand and an intravenous line in the other. The nurse could be basing care on the philosophy of
a. Henderson.
b. Nightingale.
c. Roy.
d. Watson.
Chapter 14: Health Care in the United States
1. Which of the following is not included as an overarching goal of Healthy People 2020?
a. Eliminating health disparities
b. Creating environments that promote good health
c. Lengthening the average lifespan by a decade
d. Attaining longer lives free of preventable diseases and injury
2. Which of the following is an example of health promotion and maintenance?
a. Talking to a womens church group about having an annual mammogram
b. Establishing an exercise program for postmenopausal women to reduce bone loss
c. Providing colonoscopy examinations for high-risk individuals
d. Talking to a state legislator about supporting a motorcycle helmet law
3. Which of the following is an example of illness prevention?
a. Viewing a program on television about the increased incidence of heart disease
b. Speaking to a high school group about the value of exercise
c. Encouraging women at a health fair to have an annual mammogram
d. Counseling people recently experiencing death of a spouse about signs and symptoms of depression
4. Health promotion differs from illness prevention in that health promotion
a. addresses identified health problems.
b. occurs before the identification of disease risk factors.
c. identifies and ameliorates a health problem.
d. returns an individual to optimal functioning after an illness.
5. Which of the following is an example of diagnosis and treatment?
a. Attending smoking cessation classes
b. Computerized tomography (CT) scan to rule out gallbladder inflammation
c. Screening in the workplace for tuberculosis
d. Prenatal classes
6. Which of the following is an example of rehabilitation and disease management?
a. Prompt treatment for hypertension
b. Attending weight loss classes
c. Teaching patients with newly diagnosed diabetes the signs of hypoglycemia and hyperglycemia
d. Taking an antibiotic for a sinus infection
7. Which of the following is characteristic of public agencies?
a. They are supported by donations from the public.
b. Most only provide primary care services.
c. They are not involved in the education of health care providers.
d. They provide health care services at the national, state, and local levels.
8. Which of the following is not a public agency?
a. National Institute of Nursing Research
b. American Red Cross
c. Centers for Disease Control and Prevention
d. State board of nursing
9. Governmental agencies differ from voluntary agencies in which way?
a. Level of community served
b. Administrative structure
c. Funding source
d. How the profits are used
10. A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a
a. for-profit agency.
b. not-for-profit agency.
c. voluntary agency.
d. private agency.
Chapter 15: Political Activism in Nursing: Communities, Organizations, Government
1. The area of philosophy that deals with the regulation and control of people living in society to preserve prosperity, defend rights, and augment resources is known as
a. policy.
b. politics.
c. political power.
d. power.
2. A nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in
a. power sharing.
b. setting policy.
c. politics.
d. legislative power.
3. The principles and values that govern actions directed at influencing and determining decisions, actions, and other matters are known as
a. policy.
b. politics.
c. political power.
d. power.
4. Which of the following is an effective method for the practicing nurse to achieve leadership skills?
a. Becoming active in professional organizations
b. Changing jobs frequently to improve skills
c. Learning about collective bargaining
d. Avoiding involvement in politics
5. The American Nurses Association (ANA) serves as the
a. clearinghouse of standards set by clinical specialty organizations.
b. regulatory agency setting the guidelines for the scope of practice.
c. source of dissemination of nursing research.
d. professional organization for all nurses regardless of practice setting or level of practice.
6. A nurse has applied for a job and during the interview was told that the health care facility is a closed shop. What does that phrase mean to the nurse?
a. The nurse must join a union to be employed there.
b. The nurse can join the union if desired, but it is not required.
c. This facility is closed to all union activities.
d. The facility is negotiating with several unions for control of the employees.
7. A nurse is contemplating a political leadership position and wonders if she/he has the desired characteristics to make a good leader. Which of the following traits is inconsistent with a good leader?
a. Has a developed sense of systems thinking
b. Solves problems methodically using a strict model
c. Holds high moral and ethical standards
d. Adapts quickly to new situations
8. The most critical aspect of nurses becoming personally political is
a. financially supporting political action committees (PACs).
b. being informed of social and political issues.
c. communicating with legislators.
d. running for office.
9. A nurse has registered to vote, voted in primary and regular elections, and participated in public forums related to budget reductions that could result in the reduction of the numbers of school nurses. The nurse is known as a
a. nurse citizen.
b. nurse activist.
c. nurse politician.
d. nurse clinician.
10. A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations. The nurse is known as a
a. nurse citizen.
b. nurse activist.
c. nurse politician.
d. nurse clinician.
Chapter 16: Nursings Challenge: The Call for Transformation
1. A tired, stressed nurse complains about being part of the Sandwich Generation. What does that phrase mean?
a. People who care for both children and aging parents
b. Employees who are stuck in jobs they wish to quit
c. A person who is tired and stressed from a job
d. A group of people squeezed by the need for continued work
2. According to Cooper, what is one important measure nurses can take to reduce burnout?
a. Being aware of stressors and acting on them
b. Refusing to work in a nonproductive environment
c. Reporting bullying when it is noticed in the workplace
d. Keeping a diary of unhealthy behaviors one indulges in
3. A new graduate medical-surgical nurse is interested in joining a professional organization. Which organization should the nurses manager recommend?
a. National Student Nurses Association (NSNA)
b. American Nurses Association (ANA)
c. The unit-based journal club
d. A national political action committee
4. A nurse sees an advertisement for work shoes that include a sexualizing image of a nurse wearing them. Which action by the nurse is best?
a. Buying the shoes and complaining to the store manager
b. Refusing to buy the shoes and writing a letter of complaint to the company
c. Looking around to see if there are other shoes that fit and are appropriate for work
d. Asking co-workers what they think about this advertisement campaign
5. What is meant by workplace incivility?
a. A setting in which there are poor relationships among different professional specialties
b. A setting in which different professions vie to take over the functions of other professional groups
c. A setting in which the manager is unreceptive, hostile, and creates dissention
d. A setting where colleagues bully, intimidate, or use aggression toward each other
6. A nursing manager has noticed increasing incidents of rudeness and lack of cooperation among co-workers. Which action by the manager is best?
a. Holding a staff meeting and reminding the staff of policies regarding behavior
b. Disciplining the ringleaders in order to make an example for the other staff
c. Having informal meetings to solicit staff opinions on the workplace
d. Announcing that raises will be withheld from staff members engaging in this behavior
7. How could changes in world population affect health?
a. Decreasing populations in third world countries frees up limited resources for the remaining populations needs.
b. Feeding, immunizing, and providing clean water will become an overwhelming task.
c. Massive population increases in some areas will lead to abundant health care in countries with smaller populations.
d. More health care resources can be utilized fighting regional problems based on shifting population dynamics.
8. A nurse manager wants to cut costs and eliminate expensive latex-free gloves. Which response by the chief nursing officer (CNO) is best?
a. Allowing the change because it will save substantial money
b. Allowing the change because the manager is in charge of the units budget
c. Not allowing the change because latex allergy is fairly common
d. Not allowing the change until the next vendor bidding cycle occurs
9. A new manager is hired and is reviewing unit records. The manager finds a list of accidents, errors, and interpersonal problems on the staff. Which action by the manager is best?
a. Investigating the educational credentials and experience of the staff
b. Hiring more registered nurses and assistive personnel
c. Comparing this units records with similar units in the hospital
d. Researching alternative staffing patterns and the effects of shift work
10. A patient asks a nurse to explain pharmacogenetics. Which response by the nurse is best?
a. It is the effect of pharmaceutical agents on a persons genes.
b. It uses genetic information to determine if particular drugs will work in a person.
c. It is the science of using a persons genes to help create new medications.
d. It was the project that mapped and sequenced human genes.


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