Question 1

A registered nurse (RN),who now works as a nursing supervisor at a local hospital,is asked to talk about nursing at the career day at a local high school.When explaining to the students why nursing is a profession rather than a job,which criteria will the RN include to illustrate this point? Select all that apply.

A) Ongoing research
B) High salaries
C) Nursing shortage
D) Service orientation
E) General knowledge

Ongoing research
Service orientation

Accepted Answer

A) Increasing research in nursing is contributing to nursing practice. Salary level is not a criterion for a profession. The number of practitioners is not related to professionalism. A service orientation differentiates nursing from occupations pursued primarily for profit. As a profession, nursing is establishing a well-defined body of knowledge and expertise.
B) Increasing research in nursing is contributing to nursing practice. Salary level is not a criterion for a profession. The number of practitioners is not related to professionalism. A service orientation differentiates nursing from occupations pursued primarily for profit. As a profession, nursing is establishing a well-defined body of knowledge and expertise.
C) Increasing research in nursing is contributing to nursing practice. Salary level is not a criterion for a profession. The number of practitioners is not related to professionalism. A service orientation differentiates nursing from occupations pursued primarily for profit. As a profession, nursing is establishing a well-defined body of knowledge and expertise.
D) Increasing research in nursing is contributing to nursing practice. Salary level is not a criterion for a profession. The number of practitioners is not related to professionalism. A service orientation differentiates nursing from occupations pursued primarily for profit. As a profession, nursing is establishing a well-defined body of knowledge and expertise.
E) Increasing research in nursing is contributing to nursing practice. Salary level is not a criterion for a profession. The number of practitioners is not related to professionalism. A service orientation differentiates nursing from occupations pursued primarily for profit. As a profession, nursing is establishing a well-defined body of knowledge and expertise.

Question 2

Which is the most powerful factor in encouraging adoption of the attitudes and behaviors that characterize professionalism in nursing?&#10;A) Employment opportunities&#10;B) Licensure requirements&#10;C) Interaction with peers&#10;D) Specialized training

Accepted Answer

A) Employment opportunities, licensure requirements, and salary levels are not associated with adopting the attitudes and behaviors of professional nursing. One of the most powerful mechanisms of professional socialization is interaction with fellow students.
B) Employment opportunities, licensure requirements, and salary levels are not associated with adopting the attitudes and behaviors of professional nursing. One of the most powerful mechanisms of professional socialization is interaction with fellow students.
C) Employment opportunities, licensure requirements, and salary levels are not associated with adopting the attitudes and behaviors of professional nursing. One of the most powerful mechanisms of professional socialization is interaction with fellow students.
D) Employment opportunities, licensure requirements, and salary levels are not associated with adopting the attitudes and behaviors of professional nursing. One of the most powerful mechanisms of professional socialization is interaction with fellow students.

Question 3

A nurse working in the emergency department (ED)notes that a healthcare provider smells strongly of alcohol and appears confused.Which action by the nurse is appropriate?&#10;A) Contact the charge nurse to report the problem.&#10;B) Tell the healthcare provider to attend AA.&#10;C) Report the healthcare provider to the hospital CEO.&#10;D) Report the healthcare provider to the state licensing board.

Accepted Answer

A) In a hospital, the problem is usually first reported to the charge nurse, then to the unit manager. If the problem is still not resolved, the nurse may approach someone in middle or upper management. Suggestions to the healthcare provider about rehabilitation do not address the nurse's responsibility to the clients and the organization. The nurse should address the problem through the chain of command within the hospital.
B) In a hospital, the problem is usually first reported to the charge nurse, then to the unit manager. If the problem is still not resolved, the nurse may approach someone in middle or upper management. Suggestions to the healthcare provider about rehabilitation do not address the nurse's responsibility to the clients and the organization. The nurse should address the problem through the chain of command within the hospital.
C) In a hospital, the problem is usually first reported to the charge nurse, then to the unit manager. If the problem is still not resolved, the nurse may approach someone in middle or upper management. Suggestions to the healthcare provider about rehabilitation do not address the nurse's responsibility to the clients and the organization. The nurse should address the problem through the chain of command within the hospital.
D) In a hospital, the problem is usually first reported to the charge nurse, then to the unit manager. If the problem is still not resolved, the nurse may approach someone in middle or upper management. Suggestions to the healthcare provider about rehabilitation do not address the nurse's responsibility to the clients and the organization. The nurse should address the problem through the chain of command within the hospital.

Question 4

A client,who is diagnosed with terminal pancreatic cancer,states to the nurse,"I do not want any further treatment but I am afraid my doctor will insist that I continue chemotherapy." Which role is the nurse performing when informing the healthcare provider of the client's choice to stop treatment?

A) Change agent
B) Case manager
C) Advocate
D) Teacher

Accepted Answer

A) As change agents, nurses assist clients to make modifications in their behavior. Nurse case managers work with the multidisciplinary healthcare team to measure the effectiveness of the case management plan and to monitor outcomes. As client advocate, the nurse may represent the client's needs and wishes to other health professionals, such as relaying the client's wishes for information to the physician. As teachers, nurses' help clients learn about their health and about healthcare procedures used to restore or maintain their health.
B) As change agents, nurses assist clients to make modifications in their behavior. Nurse case managers work with the multidisciplinary healthcare team to measure the effectiveness of the case management plan and to monitor outcomes. As client advocate, the nurse may represent the client's needs and wishes to other health professionals, such as relaying the client's wishes for information to the physician. As teachers, nurses' help clients learn about their health and about healthcare procedures used to restore or maintain their health.
C) As change agents, nurses assist clients to make modifications in their behavior. Nurse case managers work with the multidisciplinary healthcare team to measure the effectiveness of the case management plan and to monitor outcomes. As client advocate, the nurse may represent the client's needs and wishes to other health professionals, such as relaying the client's wishes for information to the physician. As teachers, nurses' help clients learn about their health and about healthcare procedures used to restore or maintain their health.
D) As change agents, nurses assist clients to make modifications in their behavior. Nurse case managers work with the multidisciplinary healthcare team to measure the effectiveness of the case management plan and to monitor outcomes. As client advocate, the nurse may represent the client's needs and wishes to other health professionals, such as relaying the client's wishes for information to the physician. As teachers, nurses' help clients learn about their health and about healthcare procedures used to restore or maintain their health.

Question 5

A nurse would like to implement an evidence-based practice change that will influence client care on the medical-surgical unit.The nurse works with the nurse manager and other members of leadership to write a new policy and produce education for the staff and clients.The nurse is practicing which of the standards of professional performance?

A) Leadership
B) Collaboration
C) Evaluation
D) Collegiality

Accepted Answer

A) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one's own nursing practice and professional practice standards.
B) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one's own nursing practice and professional practice standards.
C) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one's own nursing practice and professional practice standards.
D) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one's own nursing practice and professional practice standards.

Question 6

In alignment with the contributions of Florence Nightingale,the Vietnam Women's Memorial was established to honor which individuals? Select all that apply.&#10;A) The families who lost loved ones during the war&#10;B) Those who brought a human touch to the suffering and dying&#10;C) Those who developed new surgical advancements and anesthetic agents&#10;D) The memory of Ms. Nightingale&#10;E) The image of the angel of mercy

Accepted Answer

A) The Vietnam Women's Memorial was established to "honor the women who served and also for the families who lost loved ones during the war . . . to let them know about the women who provided comfort, care, and a human touch for those who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's work. The monument "The Spirit of Nursing" stands in Arlington National Cemetery, honoring nurses who served in World War I-a time of progress in health care, particularly in the field of surgery and the use of anesthetic agents.
B) The Vietnam Women's Memorial was established to "honor the women who served and also for the families who lost loved ones during the war . . . to let them know about the women who provided comfort, care, and a human touch for those who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's work. The monument "The Spirit of Nursing" stands in Arlington National Cemetery, honoring nurses who served in World War I-a time of progress in health care, particularly in the field of surgery and the use of anesthetic agents.
C) The Vietnam Women's Memorial was established to "honor the women who served and also for the families who lost loved ones during the war . . . to let them know about the women who provided comfort, care, and a human touch for those who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's work. The monument "The Spirit of Nursing" stands in Arlington National Cemetery, honoring nurses who served in World War I-a time of progress in health care, particularly in the field of surgery and the use of anesthetic agents.
D) The Vietnam Women's Memorial was established to "honor the women who served and also for the families who lost loved ones during the war . . . to let them know about the women who provided comfort, care, and a human touch for those who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's work. The monument "The Spirit of Nursing" stands in Arlington National Cemetery, honoring nurses who served in World War I-a time of progress in health care, particularly in the field of surgery and the use of anesthetic agents.
E) The Vietnam Women's Memorial was established to "honor the women who served and also for the families who lost loved ones during the war . . . to let them know about the women who provided comfort, care, and a human touch for those who were suffering and dying" (Vietnam Women's Memorial Foundation, n.d.). Florence Nightingale brought respectability to the nursing profession, and her contributions allowed nurses to be viewed as noble, compassionate, moral, religious, dedicated, and self-sacrificing. The image of the guardian angel or angel of mercy arose in the latter part of the 19th century, largely from Ms. Nightingale's work. The monument "The Spirit of Nursing" stands in Arlington National Cemetery, honoring nurses who served in World War I-a time of progress in health care, particularly in the field of surgery and the use of anesthetic agents.

Question 7

A student nurse is trying to explain nursing to family members.Which contemporary aspects of nursing might the student nurse include in the explanation? Select all that apply.&#10;A) Nursing is a science.&#10;B) Nursing is easy.&#10;C) Nursing is a new profession.&#10;D) Nursing is focused on illness.&#10;E) Nursing is holistic.

Accepted Answer

A) The American Nurses Association (ANA) recognized the influence and contribution of the science of caring to nursing philosophy and practice. Nursing is complex and involves the interrelationship among nurses, nursing, the client, the environment, and the intended client outcome. Florence Nightingale defined nursing nearly 150 years ago. The nurse is concerned with both healthy and ill individuals. The ANA says that nursing is "adaptable to the needs of the individual, the family, and community during health and illness."
B) The American Nurses Association (ANA) recognized the influence and contribution of the science of caring to nursing philosophy and practice. Nursing is complex and involves the interrelationship among nurses, nursing, the client, the environment, and the intended client outcome. Florence Nightingale defined nursing nearly 150 years ago. The nurse is concerned with both healthy and ill individuals. The ANA says that nursing is "adaptable to the needs of the individual, the family, and community during health and illness."
C) The American Nurses Association (ANA) recognized the influence and contribution of the science of caring to nursing philosophy and practice. Nursing is complex and involves the interrelationship among nurses, nursing, the client, the environment, and the intended client outcome. Florence Nightingale defined nursing nearly 150 years ago. The nurse is concerned with both healthy and ill individuals. The ANA says that nursing is "adaptable to the needs of the individual, the family, and community during health and illness."
D) The American Nurses Association (ANA) recognized the influence and contribution of the science of caring to nursing philosophy and practice. Nursing is complex and involves the interrelationship among nurses, nursing, the client, the environment, and the intended client outcome. Florence Nightingale defined nursing nearly 150 years ago. The nurse is concerned with both healthy and ill individuals. The ANA says that nursing is "adaptable to the needs of the individual, the family, and community during health and illness."
E) The American Nurses Association (ANA) recognized the influence and contribution of the science of caring to nursing philosophy and practice. Nursing is complex and involves the interrelationship among nurses, nursing, the client, the environment, and the intended client outcome. Florence Nightingale defined nursing nearly 150 years ago. The nurse is concerned with both healthy and ill individuals. The ANA says that nursing is "adaptable to the needs of the individual, the family, and community during health and illness."

Question 8

The nurse is administering a bed-bath to a client in a long-term care facility.The nurse is careful to cover the client during the bath.Which nursing role does this action describe?&#10;A) Communicator&#10;B) Caregiver&#10;C) Client advocate&#10;D) Teacher

Accepted Answer

A) The caregiver role includes those activities that assist the client physically and psychologically while preserving the client's dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the healthcare procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.
B) The caregiver role includes those activities that assist the client physically and psychologically while preserving the client's dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the healthcare procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.
C) The caregiver role includes those activities that assist the client physically and psychologically while preserving the client's dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the healthcare procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.
D) The caregiver role includes those activities that assist the client physically and psychologically while preserving the client's dignity. As a communicator, the nurse identifies client problems, then communicates these verbally or in writing to other members of the health team. As a teacher, the nurse helps clients learn about their health and the healthcare procedures they need to perform to maintain or restore their health. A client advocate acts to protect clients and represents their needs and wishes to other health professionals.

Question 9

An adult,who is returning to school for a second career,decides to become a nurse.Which program is recommended for this adult learner as entry-level education for professional nursing?&#10;A) Associate degree&#10;B) Baccalaureate degree&#10;C) Master's degree&#10;D) Nursing doctorate

Accepted Answer

A) Although an associate degree usually provides the essential credentials for nursing licensure, the ANA recommends a baccalaureate degree as the optimal entry-level education. A master's degree is usually undertaken to provide specialized nursing education, such as nurse practitioner. A doctorate involves advanced training, which may focus on clinical or organizational skills and usually involves research.
B) Although an associate degree usually provides the essential credentials for nursing licensure, the ANA recommends a baccalaureate degree as the optimal entry-level education. A master's degree is usually undertaken to provide specialized nursing education, such as nurse practitioner. A doctorate involves advanced training, which may focus on clinical or organizational skills and usually involves research.
C) Although an associate degree usually provides the essential credentials for nursing licensure, the ANA recommends a baccalaureate degree as the optimal entry-level education. A master's degree is usually undertaken to provide specialized nursing education, such as nurse practitioner. A doctorate involves advanced training, which may focus on clinical or organizational skills and usually involves research.
D) Although an associate degree usually provides the essential credentials for nursing licensure, the ANA recommends a baccalaureate degree as the optimal entry-level education. A master's degree is usually undertaken to provide specialized nursing education, such as nurse practitioner. A doctorate involves advanced training, which may focus on clinical or organizational skills and usually involves research.

Question 10

An experienced nurse practitioner is always conscious of the need to maintain a high level of competence within professional nursing practice.Which activities support this nurse's goal? Select all that apply.

A) Reading professional journals
B) Collaborating with peers
C) Counseling clients
D) Attending professional workshops and seminars
E) Administering medications appropriately

Accepted Answer

A) Lifelong competence can be promoted by attending seminars offered by colleges and professional organizations, reading professional and peer-reviewed journals, and having formal and informal discussions with peers and other members of the healthcare team. Providing counseling to clients and administering medications are ways to implement nursing knowledge, not a method of increasing it.
B) Lifelong competence can be promoted by attending seminars offered by colleges and professional organizations, reading professional and peer-reviewed journals, and having formal and informal discussions with peers and other members of the healthcare team. Providing counseling to clients is a way to implement nursing knowledge, not a method of increasing it.
C) Lifelong competence can be promoted by attending seminars offered by colleges and professional organizations, reading professional and peer-reviewed journals, and having formal and informal discussions with peers and other members of the healthcare team. Providing counseling to clients is a way to implement nursing knowledge, not a method of increasing it.
D) Lifelong competence can be promoted by attending seminars offered by colleges and professional organizations, reading professional and peer-reviewed journals, and having formal and informal discussions with peers and other members of the healthcare team. Providing counseling to clients is a way to implement nursing knowledge, not a method of increasing it.
E) Lifelong competence can be promoted by attending seminars offered by colleges and professional organizations, reading professional and peer-reviewed journals, and having formal and informal discussions with peers and other members of the healthcare team. Providing counseling to clients and administering medications are ways to implement nursing knowledge, not a method of increasing it.

Question 11

The American Nurses Association (ANA's)proposal for entry level for professional practice initiated debate among nurses.Which nurse would be impacted the most if the ANA proposal were implemented?&#10;A) An RN with a diploma who works in a critical care area&#10;B) An RN with a BSN who is a staff nurse&#10;C) An RN with an associate degree who is currently in school&#10;D) An RN with an associate degree who is a nurse manager

Accepted Answer

The answer of The American Nurses Association (ANA's)proposal for entry...

Question 12

A nurse educator is talking to a group of staff nurses about the importance of continued competence in nursing practice.Which action should be recommended in order to maintain competence as a professional nurse?

A) Working overtime whenever it is available
B) Designing a poster presentation on current research on care for the dying client
C) Volunteering to take blood pressures at a health and wellness fair
D) Organizing a seminar to educate new nurses on hospital policies

Accepted Answer

The answer of A nurse educator is talking to a...

Question 13

A nurse educator is teaching a group of students about professionalism.The educator teaches the students that a profession is distinguished from other kinds of occupations through which methods? Select all that apply.

A) By being economically responsible
B) By participating in ongoing research
C) By acquiring specialized education
D) By being autonomous
E) By socializing with other nurses

Accepted Answer

The answer of A nurse educator is teaching a group...

Question 14

The nurse,who works in a large urban high school,provides programs on nutrition,smoking cessation,and the prevention of sexually transmitted infections (STIs).Which areas of nursing competence is this nurse demonstrating? Select all that apply.

A) Health restoration
B) Health and wellness promotion
C) Caring for the dying
D) Illness prevention
E) Care cost savings

Accepted Answer

The answer of The nurse,who works in a large urban...

Question 15

A nurse educator is conducting a continuing education in-service for the nurses in a pediatric intensive care unit.Why is it so important for the professional nurse to attend these in-services?&#10;A) Most states require it to maintain licensure.&#10;B) It is a good way to receive overtime by coming in on a day off.&#10;C) Research and new technology demand that the nurse stay current.&#10;D) New diseases are discovered every day.

Accepted Answer

The answer of A nurse educator is conducting a continuing...

Question 16

A nurse,who has been working in a small rural hospital for 4 years since obtaining a nursing license,participates on an interdisciplinary task force to improve client care.Which skill level is the nurse demonstrating according to Benner's Stages of Nursing Expertise?

A) Advanced beginner
B) Competent
C) Proficient
D) Expert

Accepted Answer

The answer of A nurse,who has been working in a...

Question 17

A nurse is overseeing a group of students who are completing a clinical rotation on a medical-surgical unit.The students are providing direct client care with the assistance of the nurse.The nurse who is overseeing the students is functioning in which capacity?

A) Clinical nurse specialist
B) Nurse practitioner
C) Nurse entrepreneur
D) Nurse educator

Accepted Answer

The answer of A nurse is overseeing a group of...

Question 18

A novice nurse on a medical-surgical unit is released from the orientation phase of training.The nurse is able to care for a four- to five-client assignment independently and is assigned a coach on the unit who will help with problem solving,if needed.According to Benner's stages of nursing expertise,this nurse would belong to which stage?

A) Stage II
B) Stage V
C) Stage III
D) Stage IV

Accepted Answer

The answer of A novice nurse on a medical-surgical unit...

Question 19

A nurse faculty member is speaking to prospective students of the Bachelor of Science in Nursing (BSN)program at their educational institution.Which is a major incentive for students to select a BSN program over an Associate Degree in Nursing (and)program? Select all that apply.

A) Greater autonomy in the practice setting
B) Liberal arts education
C) Easier transition to graduate school
D) Ability to work in critical care areas
E) Better opportunity for career advancement

Accepted Answer

The answer of A nurse faculty member is speaking to...

Question 20

The charge nurse observes that a fellow charge nurse on the unit who seems impaired and unable to perform client care.Which action by the charge nurse is the most appropriate in this situation?&#10;A) Notify security.&#10;B) Call the nurse manager of the unit.&#10;C) Discuss the situation with the nursing supervisor.&#10;D) Confront the nurse directly.

Accepted Answer

The answer of The charge nurse observes that a fellow...

Question 21

A nurse obtains certification to provide direct client care,educate others,consult,conduct research,and manage oncology care.Which expanded nursing role best describes this nurse's career position?&#10;A) Nurse anesthetist&#10;B) Clinical nurse specialist&#10;C) Nurse educator&#10;D) Nurse researcher

Accepted Answer

The answer of A nurse obtains certification to provide direct...

Deck 42: Accountability