Final

Question 1

Despite the variety of work settings available to the RN, data from 2008 indicate that the primary work site for RN is?

Answer 1

Acute care hospitals

Question 2

Which of the following nursing roles is NOT considered an advance practice role?

Answer 2

community health nurse

Question 3

The clinical nurse leader (CNL) is a recently proposed role.
The responsibilities of the person in this role include which of
the following?

Answer 3

Oversee and manage care delivery in specific settings

Question 4

To which early nursing leader is attributed the founding of the American red cross?

Answer 4

clara barton

Question 5

Which of the following nursing leaders, because of her work in the Henry Street Settlement, is considered the founder of
public health nursing?

Answer 5

lilian wald

Question 6

Which early nursing organization is credited with first

recommending state registration for nurses?

Answer 6

International council of nurses (ICN)

Question 7

The diversity of the population entering the health care

system is a challenge for nurses because?

Answer 7

ethnic minority group nurses are approximately 12% of

nurses

Question 8

The nursing profession has experienced barriers to

professionalism. Which of the following is the primary current barrier to nursings professionalism?

Answer 8

variability of educational backgrounds of nurses

Question 9

A barrier to professionalism attributed to nursings roots in altruism is illustrated when a nurse

Answer 9

feels guilty for expecting to be paid well for work

Question 10

The document that provides professional standards and a framework for professional decision making that ensures decisions are made with the highest integrity is the?

Answer 10

code of ethics

Question 11

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?

Answer 11

legal right to practice profession to protect unique skills from outsiders

Question 12

Which of the following is true about bachelors of science in nursing (BSN) education?

Answer 12

it is recommended by professional organizations as

preparation for entry into practice

Question 13

Which type of basic nursing education program graduates the largest number of RNs in the United States today?

Answer 13

Associate degree programs (Mildred Montag)

Question 14

Which recommendation made by the 1965 American
 Nurses Association (ANA) position paper and other position papers of national nursing organizations is still an issue today?

Answer 14

Minimum preparation for professional nursing practice should

be the BSN degree.

Question 15

The purpose of mandatory continuing education for license renewal is to

Answer 15

ensure that nurses remain up to date in knowledge.

Question 16

Which of the following is the primary distinction between licensure and certification?

Answer 16

Certification validates a high level of proficiency.

Question 17

Which of the following is an example of Orems self-care theory?

Answer 17

Assisting a disoriented patient with a bath

Question 18

Which of the following is an example of formal socialization into the profession of nursing?

Answer 18

Starting an intravenous (IV) line in the simulation laboratory
under faculty guidance

Question 19

Which of the following is an example of informal socialization into a profession?

Answer 19

Nurses discussing a patient care issue in the presence of other
nurses

Question 20

The legal definition of nursing for any particular state can be found in the

Answer 20

➔ state nurse practice act

Question 21

Respecting the right of a patient with terminal cancer to refuse chemotherapy is based on a belief in the ethical principle
of

Answer 21

autonomy

Question 22

Respecting an elderly woman’s decision to stay in her own home is based on a belief in the ethical principle of

Answer 22

autonomy

Question 23

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”?

Answer 23

deontology

Question 24

A homeless man sleeps on a park bench and eats one meal a day at a shelter. Which is the lowest level of Maslow’s basic needs he does not meet?

Answer 24

basic physiologic needs

Question 25

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

Answer 25

love and belonging

Question 26

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 Maslow's basic needs?

Answer 26

love and belonging needs

Question 27

Which of the following is true of Maslow's basic need of self- actualization?

Answer 27

People use their abilities to the fullest extent possible and are true to their nature.

Question 28

Bandura's theory of self-efficacy described people's response to health-related behaviors. Which of the following was a major premise of this theory?

Answer 28

Belief in self as having the ability to improve health is | important in changing health behaviors.

Question 29

Which statement by an obese individual could be assessed as perceiving self-efficacy?

Answer 29

"I believe I can stay on this diet as long as necessary."

Question 30

Which one of the following guiding principles helps explain nursing's holistic approach?

Answer 30

nursing care considers mind, body, and spirit.

Question 31

Peplaus theory focuses on the therapeutic relationship as the key to successful nursing intervention. Which of the following is correct about Peplaus theory?

Answer 31

the theory describes six key nursing roles that are flexibly used, depending on the practice setting. *6 roles = 6 letters in peplau

Question 32

The nurse has established a relationship with a patient in whom asthma was recently diagnosed. Through their interactions, the nurse helps the patient understand the mechanism of asthma and develop the skills to use a spacer with the inhaler. The nurse could be basing care on the theory

Answer 32

of Peplau (interpersonal relationship)

Question 33

Dissemination of findings may involve which of the following activities? (Select all that apply.)

Answer 33

- Manuscript reviewed by peers - Oral presentation of findings at annual conference of the Society of Pediatric Nurses - Poster presentation at regional conference of Sigma Theta Tau International - Publication of findings in Western Journal of Nursing Research

Question 34

Which of the following statements describes the purpose of the nursing process?

Answer 34

process used to identify and solve patient problems

Question 35

which of the following is an independent nursing | intervention?

Answer 35

teaching a patient with congestive heart failure to weigh | herself daily

Question 36

Which of the following represents an interdependent | nursing action?

Answer 36

participating in a code (cardiac arrest response)

Question 37

When should the preparation for the termination phase of the nurse-patient relationship begin?

Answer 37

in the orientation phase

Question 38

what is the most important information the nurse should share with the patient during the orientation phase?

Answer 38

name, credentials, and extent of responsibility

Question 39

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?

Answer 39

orientation phase

Question 40

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?

Answer 40

working phase

Question 41

one of the most important outcomes of the orientation phase of the nurse-patient relationship is the development of mutual

Answer 41

trust

Question 42

which behaviors help patients develop trust in the nurse?

Answer 42

conveying acceptance of the patient and a nonjudgemental attitude

Question 43

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?

Answer 43

patient has agreed to learn to change his colostomy bag

Question 44

which behaviors foster active listening? | (Select all that apply.)

Answer 44

- encouraging the speaker by saying, tell me more - sitting in open posture such as learning forward - good eye contact at eye level and nodding of the head

Question 45

what is the primary difference between acute illness and chronic illness?

Answer 45

in acute illness, symptoms begin suddenly, progress quickly, | and subside quickly

Question 46

which illness has the characteristic of an acute illness?

Answer 46

influenza

Question 47

which illness has the characteristic of a chronic illness?

Answer 47

lupus

Question 48

A patient w/ diabetes who refuses to change eating patterns may be in which stage of adjustment?

Answer 48

denial and disbelief

Question 49

A patient tells the nurse, "I'll let you do whatever you think is best for me." The patient does very little independently without calling for assistance. The nurses conclude that the patient is demonstrating which personality characteristic?

Answer 49

dependence

Question 50

A patient was diagnosed with ovarian cancer 5 years ago. She underwent chemotherapy and radiotherapy, but cancer returned 2 years ago with metastases to the bone and possibly the lung. She says the cancer is "no longer curable, but treatable." During this time the patient's daughter was critically injured in a car accident and now lives with a traumatic brain injury, needing round-the-clock care. Her husband had an affair. She continues to work and volunteers with various community groups. Which phenomenon is the patient demonstrating?

Answer 50

resilience

Question 51

A patient in whom metastatic cancer is diagnosed tells the nurse, "God has never let me down before. I'll pray for strength." This patient's illness behavior is being influenced by

Answer 51

spirituality

Question 52

A patient is in the intensive care unit after a myocardial infarction and refuses to stay in bed, saying, "I have to be up and walking around. When I stayed in bed after having my babies 40 years ago, I got so weak I could hardly move." This patient's illness behavior is being influenced by

Answer 52

EXTERNAL: | past experiences

Question 53

Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?

Answer 53

consider patients religious beliefs when planning care

Question 54

Why is a basic understanding of ethnopharmacology part of being a culturally competent nurse?

Answer 54

significant differences among ethnic groups have been found | in relation to the effects of medications

Question 55

the best definition of ethnocentrism is

Answer 55

a tendency to view your own culture as superior to others

Question 56

which of the following is an example of health promotion and | maintenance?

Answer 56

talking to a womens church group about having an annual | mammogram

Question 57

health promotion differs from illness prevention in that | health promotion

Answer 57

occurs before the identification of disease risk factors

Question 58

the school health clinic treats common health problems, as well as conducting health promotion and illness prevention activities. the clinic provides which level of health care?

Answer 58

primary care

Question 59

HEALTH PROMOTION VS ILLNESS PREVENTION | Disease and treatment

Answer 59

Health promotion and maintenance, including early detection Illness prevention Diagnosis and treatment Rehabilitation and long-term care

Question 60

what service is covered by medicare, part D?

Answer 60

- prescription drug costs | * part D= drug cost

Question 61

which of the following is an example of rehabilitation and disease management?

Answer 61

teaching patients with newly diagnosed diabetes the signs of | hypo/hyperglycemia

Question 62

which of the following is not included as an overarching goal of healthy people 2020?

Answer 62

lengthening the average lifespan by a decade

Question 63

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

Answer 63

politics

Question 64

a nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in

Answer 64

politics

Question 65

The principles and values that govern actions directed at influencing and determining decisions, actions, and other matters are known as

Answer 65

policy

Question 66

a variety of benefits result from membership in professional organizations, including (select all that apply)

Answer 66

- availability of practice guidelines to influence policy development - continuing education opportunities - opportunities to develop personal leadership skills

Question 67

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?

Answer 67

solved problems methodically using a strict model

Question 68

the most critical aspect of nurses becoming personally | political is

Answer 68

being informed of social and political issues

Question 69

a nurse was appointed to a governing board of a | governmental agency and then ran for an elective office. the nurse is known as a

Answer 69

nurse politician

Question 70

What is meant by “workplace incivility”?

Answer 70

a setting where colleagues bully, intimidate, or use aggression toward each other

Question 71

According to Cooper, what is one important measure nurses can take to reduce burnout?

Answer 71

being aware of stressors and acting on them

Question 72

What is the focus of the Truth about nursing campaign?

Answer 72

changing how the world thinks of nursing and protecting its image

Question 73

which medical conditions can be linked to decreases in environmental quality (select all that apply)

Answer 73

- chronic respiratory disease - allergies - cancers

Question 74

approximately what percentage of todays nurses belong to | the ANA?

Answer 74

10%

Question 75

What is the most important action a nurse can take to help further the profession of nursing?

Answer 75

joining a professional organization like the ANA

Question 76

Black illustrates concepts of preventing burnout by using the example of a flight attendant instructing persons to put your own oxygen mask on first. What does this statement mean?

Answer 76

Taking care of yourself will enable you to be a better nurse.

Question 77

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?

Answer 77

They determine the educational requirements for licensure.

Question 78

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 Maslow's basic needs met? a. Basic physiologic needs b. Safety needs c. Love and belonging needs d. Self-actualization

Answer 78

ANS: B safety needs

Question 79

An adult has difficulty initiating a conversation, and in working with others always agrees with them because "My opinion is not important." Which of Maslow's basic needs is not being met by this person? a. Basic physiologic needs b. Love and belonging needs c. Esteem needs d. Self-actualization

Answer 79

c. esteem needs

Question 80

according to the nurses code of ethics, the hallmark of nursing practice is

Answer 80

accountability

Question 81

which of the following is a part of the history of doctoral education in nursing?

Answer 81

The nurse scientist program was discontinued after more universities began offering doctoral programs in nursing

Question 82

Which of the following describes the primary difference between nursing diagnoses and medical diagnoses?

Answer 82

Nursing diagnoses identify problems that can be treated with independent nursing actions.

Question 83

11. The nurse and patient may experience sadness during the termination phase. How can the nurse help the patient be successful in the termination phase of the nurse-patient relationship?

Answer 83

Emphasizing the achievements the patient has made, including the ability for self-care

Question 84

A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship?

Answer 84

During the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions.

Question 85

The patient says to the nurse, The staff treats me like Im a child. Everyone tells me what to do. No one ever asks my opinion. After all, it is my body. Which response by the nurse indicates active listening?

Answer 85

Let me see if I understand. It bothers you not to be recognized for your abilities to handle your life. I can discuss this with the staff if you wish so that everyone involves you in planning your care.

Question 86

Primary reason for hospital- based nursing education programs was to

Answer 86

staff the hospital that operated the education program

Question 87

despite the caring efforts of early public health nurses in the Henry Street Settlement, racial disparity left people underserved. Which of the following African American PHN was instrumental in providing excellent nursing care to underserved families despite these social challenges?

Answer 87

Jessie Sleet Scales

Question 88

earliest nursing educators in the world

Answer 88

Mary Adelaide Nutting