Deck 26: Contemporary Nursing Roles and Career Opportunities

Question 1

The RN who identifies the best resources at the lowest cost to achieve optimal health outcomes for the client is fulfilling the role of:

A) informatics specialist.
B) educator.
C) case manager.
D) quality manager.

Answer 1

case manager.

Question 2

An RN has critical care experience and is proficient in advanced cardiac life support and often helps to lead "codes" and is an expert clinician with superior health assessment skills. Enjoying a challenge of a fast-paced environment with autonomy, this nurse would best be suited for which nursing role?

A) Flight nurse
B) Home health nurse
C) Hospice nurse
D) Occupational health nurse

Answer 2

Flight nurse

Question 3

A hospital standard states, "All intravenous (IV) sites must be rotated every 72 hours." The nurse who assesses and records variations from this standard is fulfilling which role of nursing?

A) Infection control
B) Quality management
C) Coordinator position
D) Counselor

Answer 3

Quality management

Question 4

A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:

A) change agent.
B) educator.
C) manager.
D) coordinator.

Question 5

The forensic nurse would most likely be involved in:

A) performing an assessment of rape victim and collecting specimens needed for court.
B) assigning a patient with chest pain to be seen first, followed by a patient with an insect bite of unknown origin with red streaks but no respiratory distress.
C) assessing a patient at home by asking the patient to place a receiver over the pacemaker to evaluate capture of pacing stimuli and transmitting the results to another state where nurse located.
D) performing pediatric life support at the scene of an accident to stabilize then transport via helicopter to the nearest trauma center.

Question 6

The nurse who organizes screenings for employees, assesses the work environment for hazards, and teaches health-promoting activities is employed in the field of:

A) infection control.
B) occupational health.
C) informatics.
D) transportation specialization.

Question 7

The primary focus of the care provider role for the nurse involves:

A) using the nursing process to provide guidance to the patient in recovery.
B) encouraging consumer self-responsibility and emphasizing health promotion/maintenance.
C) focusing on increasing satisfaction among professional nurses.
D) advancing nursing practice through research.

Question 8

A nurse working in a factory performs routine hearing tests for employees. The factory uses 90 dB as the safe limit for an 8-hour day's exposure to machine noise rather than 85 dB as recommended by the Occupational Safety and Health Administration. The nurse is functioning in the role of:

A) quality management.
B) informatics nurse specialist.
C) occupational health nurse.
D) case manager.

Question 9

A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementia. The nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:

A) informatics specialist.
B) educator.
C) case manager.
D) quality manager.

Question 10

People are living longer and with older age comes a higher risk of terminal illness. Many individuals have chosen to maximize their quality of life but stop aggressive life-sustaining treatments. Nurses who work with terminally ill patients and their families to provide end-of-life care, pain management, and family support are practicing in which role?

A) Hospice
B) Infection control
C) Coordinator
D) Case manager

Question 11

In differentiating between interprofessional and multidisciplinary:

A) multidisciplinary refers to the care of many diverse patients by one discipline.
B) interprofessional involves members of many disciplines working together to provide patient care to a distinct population.
C) interprofessional refers to members of the same discipline working together to provide patient care to a distinct population.
D) interprofessional is the use of multiple interventions by nurses with varying levels of education.

Question 12

A nurse researcher is attempting to describe the demographics of today's RNs and reports that:

A) less than half of all RNs work in hospital settings.
B) the average age for an RN is 50 years.
C) approximately 25% of RNs are male.
D) most RN are practicing with a bachelor's degree.

Question 13

An RN testifies at a trial where domestic violence is being investigated. She had previously assisted with specimen collection and had assessed the victim. The nurse is involved in _____ nursing.

A) triage
B) forensic
C) flight
D) entrepreneurial

Question 14

A nurse is responsible for determining the incidence rates of hospital-acquired diarrhea on a pediatric ward after receiving reports that five children admitted with uncontrolled asthma had developed diarrhea while hospitalized. The nurse is working in the role of:

A) quality management.
B) infection control.
C) occupational health.
D) forensics.

Question 15

A nurse tallies the patient satisfaction surveys and approves the use of an agency nurse because of the high census. This nurse is involved in which nursing role?

A) Change agent
B) Educator
C) Manager
D) Coordinator

Question 16

A person from an underrepresented background in nursing is interested in entering nursing school and researches the ethnicity, age, and gender make-up of the nursing profession and finds:

A) nursing is a career field that is primarily made up of women younger than 30 years.
B) the number of male RNs has steadily increased and is equal to the number of female RNs.
C) the majority of RNs are white or non-Hispanic.
D) more than half of all RNs are ages 55 through 65.

Question 17

A new graduate desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?

A) Continue to study to keep skills current and wait for desired position.
B) Return to college until a position in labor or delivery opens.
C) Accept another nursing position and transfer into labor and delivery when a position is available.
D) Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer.

Question 18

A nurse who is participating in a health fair asks, "Other than nursing, what are some opportunities for careers in the health care professions, and what education is required?" The nurse informs participants that a baccalaureate degree is required as the minimum standard for the role of:

A) speech therapist.
B) occupational therapist.
C) nurse-midwife.
D) nurse anesthetist.

Question 19

A nurse notices that care is often withheld until an interpreter arrives, if the nurse is not multilingual. The nurse discusses this with the management team and suggests a three-part series be presented to the nursing staff to teach some commonly used medical terms in Spanish. This nurse is involved in the role of:

A) change agent.
B) educator.
C) manager.
D) coordinator.

Question 20

A nurse is interested in practicing in a faith-based community; when researching the role of the parish nurse, the nurse finds that:

A) certification is available at a basic level after a qualifying examination is completed and a set number of practice hours have been worked, as defined by the state's nurse practice act.
B) this advanced practice role focuses on health promotion and disease prevention.
C) this role has no set standards or scope of practice but instead follows the doctrine of the denomination being served.
D) this role is recognized by the American Nurses Association (ANA) as a specialty with a defined set of practice guidelines.

Question 21

The role of the Clinical Nurse Leader (CNL) would include:

A) diagnosing a patient with pneumonia and prescribing antibiotics.
B) teaching members of a faith community how to avoid skin cancer and referring those with suspicious lesions.
C) participating in the team who is investigating possible abuse of elderly persons by members of a gang known to sell illegal drugs.
D) coordinating care of a patient admitted 4 days ago with stage IV heart failure and chronic bronchitis by revising care plan to include ambulation 50 feet with assistance.

Question 22

Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (select all that apply)

A) clinical nurse leader.
B) nurse practitioner.
C) nursing administrator.
D) certified nurse-midwife.
E) clinical nurse specialist.

Question 23

A nurse wants to become an advanced practice nurse and investigates the requirements for a: (select all that apply)

A) nurse practitioner.
B) nurse executive.
C) certified nurse-midwife.
D) certified registered nurse anesthetist.

Question 24

What characteristics are associated with the clinical nurse leader? (select all that apply)

A) Is a generalist prepared at the master's level.
B) Provides care at the bedside for complex patients.
C) Identifies the best resources at the lowest price to achieve best health outcomes for a client.
D) Serves as care coordinator whose practice is limited to acute care settings.
E) Is an advanced practice nurse with an earned doctorate in nursing.