Exam 1

Question 1

T/F - I can hand in late assignments for the course and receive partial credit?

Answer 1

False

Question 2

T/F - Burnout only happens if a nurse hates her job?

Answer 2

False

Question 3

When taking the NCLEX PN Exam:

a) When it shuts off I know that I have failed
b) Everyone who takes the test gets the same amount of questions
c) When I answer a hard question correctly, my next question will be just a bit harder
d) All test takers get the same questions

Answer 3

c) When I answer a hard question correctly, my next question will be just a bit harder

Question 4

You are working with Jane. She is usually a friendly and pleasant nurse, but over the last few weeks of work she has had multiple drug errors and has been short with the residents. What should you do as an LPN who works with her?

a) Nothing
b) Take her aside and ask her how she is doing and talk to her openly about the changes in her behavior you have noticed
c) Report her to the Board of Nursing
d) None of the above

Answer 4

b) Take her aside and ask her how she is doing and talk to her openly about the changes in her behavior you have noticed

Question 5

Why do nurses leave the profession of nursing?

a) Lack of childcare
b) Hours that are difficult
c) Salary
d) All of the above

Answer 5

d) All of the above

Question 6

You work with a nurse who is irritable, short with her patients and has been performing sloppy work. She may be experiencing

a) Depression
b) Burnout
c) Laziness
d) None of the above

Answer 6

b) Burnout

Question 7

Ways to prevent or reduce burnout include:

a) working extra shifts
b) not telling co-workers about how you feel about situations occurring at the workplace
c) picking up extra shifts
d) Taking your time off and finding ways to relax

Answer 7

d) Taking your time off and finding ways to relax

Question 8

Sets the standards on who can become a nurse, disciplines nurses and develops the Nurse Practice Acts

Answer 8

Board of Nursing

Question 9

Feeling of hopelessness about your job and life and may include symptoms of being irritable, sleeping too much, not sleeping enough and having negative feeling towards life and work

Answer 9

Burnout

Question 10

A nurse with a Bachelors degree in nursing, but all nurses work to achieve professionalism in their nursing role

Answer 10

Professional Nurse

Question 11

According to Maslow’s Five levels of human needs, what is described as a physiologic need?

a) The need for shelter
b) The need for affection
c) The need to be self-fulfilled
d) The need for oxygen

Answer 11

d) The need for oxygen

Question 12

What organization develops guidelines that employers must follow to ensure the safety of health care workers?

a) Occupational Safety and Health Administration
b) The American Nurses Association
c) The Department of Health
d) National Alliance of Health and Safety

Answer 12

a) Occupational Safety and Health Administration

Question 13

What type of learning style prefers to touch things?

Answer 13

Tactile

Question 14

What is the foundation of good decision making skills?

a) Studying
b) Conducting self assessments
c) Clustering
d) Critical thinking

Answer 14

d) Critical thinking

Question 15

T/F - For most people, a little test anxiety improves performance

Answer 15

true

Question 16

What term describes the attitude of people who reject another person or ethnic group’s differences in favor of their own group’s values?

a) Personal beliefs
b) Personal values
c) Prejudice
d) Preconception

Answer 16

c) Prejudice

Question 17

You feel the need to be in charge and tell others what to do

Answer 17

Aggressive

Question 18

Difficulty building relationships

Answer 18

Passive

Question 19

You may seem sarcastic or condescending

Answer 19

Passive aggressive

Question 20

T/F - Empathy is the ability to intellectually and emotionally identify with someone

Answer 20

False

Question 21

______ is a phrase used to describe what tasks and duties members of a particular occupation are legally permitted to perform

a) Employer rules and regulations
b) Scope of practice
c) State laws
d) NLNAC

Answer 21

b) Scope of practice

Question 22

T/F - When taking the NCLEX exam, you have the ability to go back and review previous questions

Answer 22

False

Question 23

Hearing stories of pain and suffering from a patient and then essentially feeling that patient’s pain is called?

a) Burnout
b) Compassion fatigue
c) Good listener
d) Sympathy

Answer 23

b) Compassion fatigue

Question 24

T/F - Burnout is a condition described by a sense of hopelessness about one’s job and is brought about by chronic stress

Answer 24

True

Question 25

T/F - All states have laws against bullying

Answer 25

False

Question 26

A career portfolio begins: a) When you graduate b) Now c) Prior to your next job application d) I don't know

Answer 26

b) Now

Question 27

It is important when seeking employment to consider a) The shifts and hours you'll work b) A self assessment technique and clustering to determine if the job is the right one for you c) The knowledge and level of skill needed for the job d) All of the above

Answer 27

d) All of the above

Question 28

The minimum standard that a facility must meet to continue operations a) regulation b) approval/accreditation c) insurance approval d) None of the above

Answer 28

b) approval/accreditiation

Question 29

Communication with physicians can be best facilitated by: a) Providing subjective information b) Providing up to the minute vital signs and objective information about the situation c) Asking for clarification and repeating back any orders that you were given d) both 2 and 3

Answer 29

d) Both 2 and 3

Question 30

A nurse experiencing burnout may exhibit a) Headaches, insomnia and irritability b) A pleasant and professional work attitude c) A stronger immune system and increased ability to fight infection d) All of the above

Answer 30

a) Headaches, insomnia and irritability

Question 31

To prevent burnout a nurse can a) Work extra shifts to earn money for a vacation b) Learn to say NO to extra shifts c) Take vacation time and save time at the end of the day to unwind d) Both B and C

Answer 31

d) Both B and C

Question 32

You just got your first job at Happy Acres Hospital, your title will be "3rd floor Treatment Nurse." You notice that the schedule has nurses assigned to medication passing, the Foley Catheter team and the IV team. It seems that everyone at Happy Acres Hospital has a certain specified role to provide patient care , this is an example of a) Case Method b) Total Patient Care c) Management Nursing d) Functional Nursing

Answer 32

d) Functional Nursing

Question 33

At your clinical sites, you are performing care to your patients that falls under which type of nursing care delivery method? a) Functional Nursing b) Case Method Nursing c) Team Nursing d) Task Nursing

Answer 33

b) Case Method Nursing

Question 34

You are working as an LPN at the Sunny Day's Retirement Home. You are asked to attend a meeting for a resident. Her name is Edith and she has been a resident at Sunny Days for 5 years. She has been having trouble walking to and from meals lately and you noticed that over the past few weeks she has became more and more forgetful. You notice when you enter the meeting that Sue from OT is there, Jim from PT is present, the dietician Gilda is sitting by the window, Nancy from social services is in attendance and your nursing supervisor is present as well. All of these people are present to help develop a care plan and a plan of action to help with the changes that are occurring in Edith's life. This is an example of a: a) Team Meeting b) Multidisciplinary Team Meeting c) Health Care Services Meeting d) Nursing Services Meeting

Answer 34

b) Multidisciplinary Team Meeting

Question 35

Members of a health care team can work together by: a) Sharing all vital and confidential information to other departments b) Being respectful, using appropriate communication techniques and being a patient advocate c) Ensuring the nursing is left to nurses and that other departments do their job without interrupting nursing car d) None of the above

Answer 35

b) Being respectful, using appropriate communication techniques and being a patient advocate

Question 36

The nursing process consists of five steps, what is the fourth step in this process? a) Setting priorities and writing the nursing care plan b) the care plan is put into practice c) observe the patient and ask questions d) formulate a statement describing an existing health problem

Answer 36

b) the care plan is put into practice

Question 37

What is a health care proxy? a) A member of a bioethics committee b) Allows a person to make health care decisions for another c) A health unit coordinator d) Allows a person to manage finances

Answer 37

b) Allows a person to make health care decisions for another

Question 38

She developed a system for writing accurate patient reports

Answer 38

Linda Richards

Question 39

She cared for people during the Civil War from both the North and South, and for black and white patients equally

Answer 39

Clara Barton

Question 40

Encouraged legislators to pass protective laws for the mentally ill

Answer 40

Dorothea Lynde Dix

Question 41

Death rates dropped due to discipline and organization and she is known as the Lady with the Lamp

Answer 41

Florence Nightingale

Question 42

T/F - Accreditation is a mandatory process and indicates the hospital has met specific standards and criteria for operating a health care facility

Answer 42

False

Question 43

This type of nursing is used to describe nursing care that incorporates all aspects of a person's culture in planning care

Answer 43

Transcultural Nursing

Question 44

This health care system model is based on a person's ability to adapt to their environment a) Orem b) Roy c) Neuman d) Henderson

Answer 44

b) Roy

Question 45

The mission of this agency is to promote health and quality of life by preventing and controlling diseases a) The National Institutes of Health b) The Health Resources and Services Administration c) The Centers for Disease Control and Prevention d) The Food and Drug Administration

Answer 45

c) The Centers for Disease Control and Prevention

Question 46

T/F - Health care approval is a term used to describe methods designed to control not only the quality of health care but also the cost

Answer 46

False

Question 47

To be protected by the Good Samaritan Statute, the nurse must a) Act in a manner that is appropriate for the condition and your actions would be deemed appropriate by nurse review b) Aid any victim of an emergency in any situation at any time c) Act in a safe manner d) Only A and C are correct

Answer 47

d) Only A and C are correct

Question 48

Nurse practice acts are an example of a) criminal law b) constitutional law c) administrative law d) legal law

Answer 48

c) administrative law

Question 49

The nurse practice acts a) Define the role of the LPN and RN b) Interpret and define nursing regulations and licensure c) Fall under criminal law d) Only A & B

Answer 49

d) Only A & B

Question 50

Legal obligation a person has to make good for the loss of, or damage to, something for which they are responsible a) Negligence b) Responsibility c) Liability d) None of the above

Answer 50

c) Liability

Question 51

Average degree of skill, care and diligence that other nurses would provide under the same circumstances a) Quality of care b) Standards of care c) Licensed care d) None of the above

Answer 51

b) Standards of care

Question 52

You are working on the medical floor at Sunrise Hospital and you admit Duane to your unit. You review his list of medications and realize he takes 300 mg of Dilantin three times daily. He states that he has not had a seizure in over three years. You note his vitals on his chart and he is running a temp of 100. You decide not to implement seizure precautions and continue on your shift. You leave work at 11:30 pm and return to the unit at 3 pm the next day. You discover that Duane is in ICU. He had a seizure and fell from his bed during the night. He eventually dies as a result of hemorrhage. You could be charged with a) Negligence b) Gross negligence c) Legality d) Misdemeanor

Answer 52

b) Gross negligence

Question 53

Being willing to explain your nursing actions and accept any consequences for your actions can be defined as a) Responsible b) Approved c) Accountable d) None of the above

Answer 53

c) Accountable

Question 54

When charting a) List reasons for your error b) Be factual and legible c) Label the patient d) Provide a large amount of subjective information

Answer 54

b) Be factual and legible

Question 55

Nurse Practice Acts a) Help to define standards of care b) are state laws that govern the practice of nursing c) can be used as a guide to determine if a nurses actions met the standard d) All of the above

Answer 55

d) All of the above

Question 56

A nurse could be found guilty of negligence a) By professional misconduct b) Acts of commission or omission c) Lack of skill performing a task d) All of the above

Answer 56

d) All of the above

Question 57

You are working in a dementia unit and Sid, an 85 year old male with senile dementia, is having problems adjusting to his new home. He has Ativan ordered for severe agitation. He is confused, but not harming himself or others. He tends to wander around the desk and follow the nurses asking many repeated questions. You give him the maximum dose of Ativan that is prescribed and begin doing this on a daily basis. Sid now sleeps most of the day and is not interacting at all with others. You could be found guilty of a) Chemical restraining (a form of false imprisonment) b) Physical restraining (a form of false imprisonment) c) None of the above d) Both A & B

Answer 57

a) Chemical restraining (a form of false imprisonment)

Question 58

A constraint is a) Prevention of movement by any means b) Using narcotics for pain relief c) Verbally encouraging a patient d) All of the above

Answer 58

a) prevent of movement by any means

Question 59

You work with a Dr. Mudd. He is competent in his practice but is rude and often short tempered with staff. One day at the clinic he barks at you for not typing in orders fast enough. You have had enough of his rude behavior and at church the following Sunday you talk in a large group and tell everyone that he is incompetent and does not know doctoring from sheep farming. You do not want him to gain any new patients and you are hoping being critical of him in public will hurt his practice. You could be found guilty of a) slander b) libel c) breach of contract d) none of the above

Answer 59

a) slander

Question 60

Touching a person without permission a) Common in the nursing practice b) Known as battery c) Never occurs in a hospital d) All of the above

Answer 60

b) Known as battery

Question 61

T/F - You are accountable for what you delegate

Answer 61

True

Question 62

T/F - Charts are a legal record

Answer 62

True

Question 63

T/F - Fraud is unintentional actions to prevent a person from receiving what is lawfully theirs

Answer 63

False

Question 64

T/F - An ethical dilemma is a situation in which there is conflict or opposition between personal values, moral principles, laws, personal and professional obligations and the rights of the individual and society

Answer 64

True

Question 65

A nurse witnesses an assistive personnel (AP) under her supervision reprimanding a client for not using the urinal properly. The AP threatens to put a diaper on the client if he does not use the urinal more carefully next time. Which of the following torts is the AP committing? a) Invasion of privacy b) Assault c) Battery d) False imprisonment

Answer 65

b) Assault

Question 66

A problem is an ethical dilemma if (select all that apply) a) It cannot be solved solely by a review of scientific data b) It involves a conflict between two more imperatives c) It is reported through the chain of command d) The answer will have a profound effect on the situation

Answer 66

a) It cannot be solved solely by a review of scientific data b) It involves a conflict between two moral imperatives d) The answer will have a profound effect on the situation

Question 67

The coordination of all activities associated with the delivery of all nursing services a) Leadership b) Management c) Enforcement d) Delegation

Answer 67

b) Management

Question 68

Assign some or all of the responsibility you have for the care of patients on your unit to someone else. Must be done according to applicable law a) Authority b) Management c) Time management d) Delegation

Answer 68

d) Delegation

Question 69

T/F - LPN's are often first level managers

Answer 69

True

Question 70

Can be formal or informal and leaves no room for subjective or bias comments

Answer 70

Evaluating performance

Question 71

Are done prior to the start of the shift and are fair to staff involved

Answer 71

Patient assignments

Question 72

Managing a nursing unit involves a) anticipating the need for supplies and ordering them in a timely fashion b) keeping a constant eye over staff and monitoring them in a disciplinary fashion c) promoting errors and preventing a safe environment d) understanding the need for respectful and professional communication e) All of the above f) Only A & D

Answer 72

f) Only A & D

Question 73

When assessing staff capabilities, the nursing manager should a) Consider their education and training when assigning patients b) length of employment c) Functions that they are able to perform legally d) All of the above

Answer 73

d) All of the above

Question 74

You are extremely busy and short staffed at your clinic today. You delegate Tammy and new TMA to administer patient injections today. She is able to perform this task under the law. You forget to inform her that she is to monitor all patients for 30 minutes post injection for adverse effects. She administers allergy injections and does not have the patients stay 30 minutes to be observed. She is unaware of this policy. One of the patients she injected returns to the ER with an allergic response to the injection. You as the manager could be found guilty of negligence based on what component of delegation a) Right person b) Right task c) Right communication d) You would not be guilty of negligence, you were not the one administering the injections

Answer 74

c) Right communication

Question 75

_____ is a person who has specific goals and is able to get others to follow a) Manager b) Leader c) RN d) None of the above

Answer 75

b) Leader

Question 76

Person responsible for leading the nursing team to accomplish tasks and provide a positive environment to provide holistic nursing care a) Manager b) Supervisor c) Nursing Team Leader d) Coordinator

Answer 76

c) Nursing Team Leader

Question 77

This person is in charge of the situation. Does not listen to staff input and rarely involves others in decisions

Answer 77

Authoritarian

Question 78

Requests staff input on issues. Feels that everyone is valuable part of the team

Answer 78

Democratic

Question 79

Allows staff to be self directed. Is not always responsible for staff actions. Feels staff can work with minimal supervision

Answer 79

Permissive

Question 80

May use a variety of styles based on the situation. If styles are changed to frequently, may leave staff feeling confused

Answer 80

Situational

Question 81

"I really do not care about the new policy. I will work extra shifts if I am asked, even if I do not want to and the supervisor really does not care about my feelings."

Answer 81

Passive

Question 82

"I am upset that you did not chart the vitals for the doctor to read. This is an important part of our team's responsibility. I hope that we can work together so that we can prevent this type of error in the future."

Answer 82

Assertive

Question 83

"I will quit this job before they make me work next weekend. That nursing supervisor is such an old crab. I do not care what the facility thinks of me."

Answer 83

Aggressive

Question 84

According to Lewin (1951) the stages of change theory are a) freezing, unfreezing and movement b) Unfreeze, movement and refreeze c) Movement, unfreezing and change d) none of the above

Answer 84

b) Unfreeze, movement and refreeze

Question 85

_____ is the process that helps a group of people achieve established goals a) Coordination b) Control c) Direction d) Leadership

Answer 85

d) Leadership