Deck 14: Nursing Education, Practice, and Policy

Question 1

Which of the following organizations currently defines nursing as "the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations"?

A) NLN
B) ANA
C) AACN
D) STTI

Answer 1

B

Question 2

The Sullivan Commission's report most strongly recommended that schools of nursing:

A) improve diversity efforts.
B) increase enrollment.
C) conduct research about nursing education.
D) expand graduate programs.

Answer 2

A

Question 3

Nursing's Social Policy Statement describes which of the following?

A) The profession of nursing and its obligations
B) The need for all nurses to have a master's degree
C) The need to increase the number of nurses
D) The history of nursing as a profession

Answer 3

A

Question 4

Sigma Theta Tau International's mission is to provide:

A) clinical practice.
B) scholarship.
C) nursing faculty.
D) community health initiatives.

Question 5

If we define nursing by only identifying what nurses do, we are only describing:

A) tasks.
B) a profession.
C) a knowledge worker.
D) a leader.

Question 6

Empirical knowing focuses on which of the following?

A) People
B) Facts
C) Values
D) Relationships

Question 7

The increase in use of technology has raised concerns about:

A) a barrier between the nurse and patient.
B) maintenance of equipment.
C) competition among healthcare professionals for control of technology.
D) effective clarification of roles.

Question 8

Competency focuses on:

A) attitudes.
B) behavior.
C) attitudes and values.
D) standards.

Question 9

Nursing research primarily focuses on:

A) understanding the nursing profession.
B) nursing education.
C) nursing administration.
D) clinical practice.

Question 10

Where was the first school of nursing established?

A) Paris
B) London
C) United States
D) Madrid

Question 11

Which nursing programs have the greatest number of graduates?

A) Associate degree
B) Baccalaureate degree
C) Master's degree
D) Doctoral degree

Question 12

Which nursing organization offers accreditation to all types of nursing programs?

A) ANA
B) STTI
C) NLN
D) N-OADN

Question 13

Which of the following is one of the new master's degrees that was developed after 2000 and provides a unique role for a nurse?

A) CNS
B) APN
C) CNL
D) DNP

Question 14

What is the best source for information about a nursing program?

A) Its curriculum description
B) Its admission requirements
C) Advertisements about the school
D) State board of nursing

Question 15

Two key strategies for nurses to help themselves and others in the profession are:

A) organization and teamwork.
B) networking and mentoring.
C) communication and staff development.
D) preparation and prioritization.

Question 16

Why is simulation so important in nursing education?

A) It is a great way to test learning.
B) Practicing on patients is illegal.
C) Simulation allows for all kinds of learning needs to be met.
D) Simulation only meets kinesthetic needs.

Question 17

Taking an exam to show one's expertise as an operating room nurse is an example of:

A) credentialing.
B) certification.
C) professionalism.
D) lifelong learning.

Question 18

Nurses are at great risk of developing ____________ if they do not learn to manage stress early on.

A) mental disorders
B) burnout
C) consistent balance
D) stomach ulcers

Question 19

How does working on group projects prepare students for a nursing career?

A) It is only an educational requirement because nurses will work independently in practice.
B) Teams are not present in all healthcare settings.
C) Teamwork requires clear communication.
D) Teamwork requires individualized opinions.

Question 20

In solving a problem in the policy-making process, the best approach is to first:

A) select one solution.
B) consider several solutions.
C) make it clear that everyone involved will have his or her needs met.
D) push for consensus at the very beginning.

Question 21

A nursing group is trying to effect a change in policy related to the care of children in their community. Which of the following can make a major difference in their success?

A) Politics
B) Size of the community
C) Their experience
D) Size of the nursing team

Question 22

Which of the following is an effective method of influencing policy making?

A) Lobbying
B) Not reporting for your shift
C) Displaying a protest in front of the patients
D) Becoming a scapegoat

Question 23

What is the best resource on ethics for the new nurse?

A) Standards of care
B) Code of ethics
C) Policies and procedures
D) Nurse's knowledge and experience

Question 24

A nurse restrains a patient without calling the patient's doctor for an order. This may result in:

A) the nurse receiving a positive performance evaluation.
B) charge of assault and battery.
C) charge of false imprisonment.
D) malpractice.

Question 25

Which of the following is the best definition of negligence?

A) A nurse provides care that does not meet professional competency standards.
B) A nurse follows standards but then decides that a better approach is needed because of the patient's individual status; however, her supervisor does not agree with the approach taken.
C) A nurse does not provide care that would be expected by another reasonable person in the same circumstances.
D) A nurse provides the same regimen of care for each individual client.

Question 26

Who drives patient privacy?

A) The nursing supervisor
B) The physician
C) The nurse assigned to the patient before surgery
D) The patient

Question 27

When a patient signs a form giving another person the right to make medical decisions for the patient if the patient is not able to do so, this is called:

A) a do-not-resuscitate (DNR).
B) a living will.
C) power of attorney.
D) an advance directive.

Question 28

Healthy People 2020 is a(n):

A) local initiative to identify health problems.
B) term to describe community health.
C) national long-term preventive initiative to improve health.
D) initiative to improve acute care in the United States.

Question 29

Early diagnosis and treatment such as breast cancer screening is referred to as:

A) primary prevention.
B) secondary prevention.
C) tertiary prevention.
D) ambulatory care.

Question 30

Which of the following characteristics applies to chronic illnesses?

A) Medical management can cure the illness.
B) They are self-limiting.
C) The focus is on diagnosis, not specifically symptoms.
D) There is a focus on preventing deterioration.

Question 31

A professional nurses' association celebrates when a bill it was supporting passes the House and Senate. Why might this be a premature celebration? Select all that apply.

A) The President may veto the bill.
B) The Senate or House may change its decision.
C) The Department of Health and Human Services that will implement the bill has to develop rules related to the bill.
D) The House doesn't have much power related to nursing.

Question 32

Florence Nightingale was interested in all feminist efforts during her time, such as women's right to vote.

Question 33

The public values nursing as a profession.

Question 34

Diploma schools of nursing no longer exist in the United States.

Question 35

One of the ways nurses can affect policy is to meet with state and federal legislative representatives.

Question 36

Standards are used in legal situations to assess negligence malpractice actions.

Question 37

Today, more care is taking place in the home or community through primary care and ambulatory services.

Question 38

Hospice is a physical site where care is given to the terminally ill.

Question 39

Why is it beneficial for nurses to be more "visible" to the public?

Question 40

Describe the characteristics of a patient-centered relationship:

Question 41

What is the major purpose of nursing research?

Question 42

Describe the four aspects that must be considered for a nurse to be competent to care.

Question 43

Describe the difference between a didactic course and clinical or practicum.

Question 44

Share an example of how you demonstrated excellent time management skills as a nursing student and how this could help you in the nursing profession.

Question 45

How will you contribute to your own lifelong learning as a nurse?

Question 46

Select three areas in which policy affects nursing and explain how.

Question 47

Discuss the four ethical principles of nursing.

Question 48

What does continuum of care mean?

Question 49

During Nightingale's time, women typically:

A) worked outside the home.
B) worked in teaching.
C) worked in nursing.
D) did not work outside the home.

Question 50

Nursing as a profession has a social contract with which of the following?

A) Society
B) NCLEX
C) Physicians and other healthcare providers
D) Medical equipment distributors

Question 51

Which of the following is a key nursing role?

A) Financial planning
B) Legal services
C) Counselor
D) Health insurance consultant

Question 52

Which of the following describes what happens when a nurse assumes a new role?

A) Status change
B) Identity reversal
C) Role transition
D) New hire processing

Question 53

When a nurse is cooperating with other healthcare professionals to try to achieve a win-win result, what role is being played?

A) Patient advocate
B) Collaborator
C) Manager
D) Provider of care

Question 54

How do state boards of nursing affect the quality of nursing education?

A) By setting state rules and regulations that facilitate the enforcement of nursing practice
B) By keeping track of data about NCLEX results and enrollment and making it available to the public
C) By approving national curriculum in all states across the country
D) By establishing clear and detailed faculty position descriptions and determining education level requirements for applicants

Question 55

The application of knowledge, decision-making, and psychomotor skills relates to:

A) standards.
B) admission requirements to schools of nursing.
C) competencies.
D) school of nursing policies.

Question 56

What is the meaning of "professional socialization" in terms of becoming a nurse?

A) Learning to get along with your colleagues
B) Acquisition of skills, knowledge, and behaviors needed to be successful as a professional nurse
C) Understanding how to professionally socialize with others, including patients
D) Recognizing the need to collaborate among all members of the healthcare team

Question 57

What is one way to positively affect time management?

A) Use a cell phone
B) Ask a friend for help
C) Set goals
D) Don't plan too far in advance

Question 58

A policy should meet which of the following criteria?

A) Answers specific questions
B) Affects a small group of people
C) Reduces costs
D) Addresses a specific need

Question 59

Which ethical principles apply when a patient is told the truth by his or her physician during the informed consent process about the patient's scheduled surgery?

A) Autonomy
B) Beneficence
C) Justice
D) Veracity

Question 60

IRBs are particularly concerned with which of the following?

A) Intrusion on patient privacy for sufficient reason
B) Type of care a patient receives
C) Quality of care
D) Number of incidents in which patients were harmed

Question 61

Access to health care relates to which of the following factors?

A) Gender of the physician
B) Cost of a visit
C) Clinic hours
D) Areas of specialty

Question 62

Patient-centered care is exemplified by:

A) rigid schedules for treatment plans.
B) patient-driven care plans.
C) episodic care.
D) tight control over patient information.

Question 63

Care coordination, an important part of patient-centered care, is:

A) easily reimbursable.
B) not generally reimbursable.
C) just a new term for case management.
D) just a new term for disease management.

Question 64

To conduct formal team meetings, which of the following guidelines should be followed?

A) Adhere to a planned schedule of meetings regardless of whether the meetings are needed
B) Hand out a meeting agenda at the designated meeting time
C) Take minutes only if action is taken during the meeting
D) Ensure minutes reflect action items, person responsible, and timeline for completion

Question 65

Team members fulfill various roles. Which team member typically keeps an eye on the team's effectiveness?

A) Critic
B) Inspector
C) Leader
D) Team builder

Question 66

Employing evidence-based practice requires:

A) use of expert opinion only.
B) use of patient opinion only.
C) use of research findings only.
D) use of research findings and patient preferences.

Question 67

All nursing research requires a conceptual framework, which is derived from:

A) any discipline to answer a nursing research question.
B) nursing only to answer a nursing research question.
C) an appropriate base to answer the research question.
D) an interdisciplinary approach to answer the research question.

Question 68

In the fall of 2007, the Centers for Medicare and Medicaid came out with a major change stating that it would not pay for preventable complications that occur in the hospital. Which of the following would be considered one of these complications?

A) Dehydration
B) Hospital-acquired decubiti
C) Sedation
D) C-difficile

Question 69

Situations that include repeated diagnostic tests or a change in the plan of care because of adverse reactions relate to which type of costs?

A) Opportunity costs
B) Operation costs
C) Safety costs
D) Insurance costs

Question 70

Informatics is the use of technology to:

A) dose medications.
B) prevent errors.
C) support all internal decisions.
D) maintain confidentiality.

Question 71

The Institute of Medicine recommends informatics competencies in the areas of:

A) data encryption.
B) setting up databases.
C) word processing.
D) writing computer programs.

Question 72

Models of care do which of the following?

A) Limit nurses when providing direct patient care
B) Consider individual patient needs
C) Lack in resources
D) Look at patient groups versus individuals

Question 73

Healthcare rationing exists in the United States.

Question 74

The U.S. healthcare system is confronting a major problem with healthcare disparities.

Question 75

When describing a hospital's structure, you are describing how it functions and its processes.

Question 76

Discuss professional control in nursing.

Question 77

Why should nurses want to be more "visible" to the public?

Question 78

Describe the five core competencies for all healthcare professionals.

Question 79

What is a preceptor?

Question 80

Describe your own learning style based on Kolb's descriptions. Give an example of how you are able to determine this. Why is this important to understand?