Question 1

The four metaparadigm concepts of nursing include which of these?

Accepted Answer

The four metaparadigm concepts of nursing are person, environment, nursing, and health. These concepts are central to nursing theory and practice.

Question 2

Which of the following is a philosophical orientation that takes into account the complexity of individuals?

Accepted Answer

Postpositivism acknowledges the complexity of individuals and the limitations of human understanding, unlike positivism and empiricism which focus on observable phenomena and empirical evidence.

Question 3

Which of the following studies would most likely be exempt from IRB review?

Accepted Answer

Studies that involve surveys, interviews, or focus groups that do not involve sensitive topics or vulnerable populations are often exempt from IRB review, as they pose minimal risk to participants.

Question 4

A nurse meets with a patient to start setting health goals related to weight management. The nurse builds rapport and trust with the patient as they discuss different options. Which step of Peplau's interpersonal model would be accomplished during this meeting?

Accepted Answer

The answer of A nurse meets with a patient to...

Question 5

Which of the following is an example of tertiary prevention in Neuman's Systems Model.

Accepted Answer

Tertiary prevention in Neuman's Systems Model focuses on rehabilitation and returning to wellness after an illness or injury. Participation in a smoking cessation support group is an example of tertiary prevention as it helps individuals recover and prevent further health deterioration.

Question 6

Before entering the room of a patient who was recently diagnosed with breast cancer, the nurse clears the mind and prepares to listen to the patient's thoughts and concerns. Which step of phenomenologic nursology does this reflect?

Accepted Answer

This step reflects the nurse preparing to know something or someone by opening the mind and spirit to the unknown, which is a key aspect of phenomenologic nursology.

Question 7

According to James P. Lewis, which of the following actions supports the formation of a learning organization?

Accepted Answer

Involving clinicians and other employees in the decision-making process supports the formation of a learning organization by encouraging collaboration, shared knowledge, and collective problem-solving.

Question 8

Which of the following is one of the key advantages of systems thinking?

Accepted Answer

Systems thinking allows for a comprehensive view of how different parts of a system interact and the feedback loops that exist, leading to better decision-making.

Question 9

According to Churchman's systems model, which of the following may include a person or thing that blocks the achievement of the objectives?

Accepted Answer

The answer of According to Churchman's systems model, which of...

Question 10

Big data can be defined by which of these?

Accepted Answer

Volume, velocity, and variety are the three Vs of big data.

Question 11

The erosion of employer-based coverage has been partially offset by increased enrollment in which of these?

Accepted Answer

The answer of The erosion of employer-based coverage has been...

Question 12

Who suggested that leadership is not a position but rather a collection of practices and behaviors?

Accepted Answer

Kouzes and Posner suggested that leadership is a set of practices and behaviors, emphasizing that it is not about a position but about actions and influence.

Question 13

A nurse blames the dietary aide for giving the patient the wrong type of meal. According to Senge, which type of stance is the nurse exhibiting in this situation?

Accepted Answer

The nurse is exhibiting a reactive stance by blaming the dietary aide, as this response is immediate and based on the situation without deeper analysis or understanding.

Question 14

An advanced practice leader provides a supportive outlook for both stakeholders and consumers when communicating a solution to a problem. Which essential practice of transformational leadership does this reflect?

Accepted Answer

This reflects "Inspiring a shared vision" as it involves creating a compelling vision that motivates and aligns both stakeholders and consumers towards a common goal.

Question 15

A patient did not have blood drawn at the right time. As an advanced practice leader, you determined that the root cause of the issue was improper charting practices. According to Senge, you approached the scenario from what type of stance?

Accepted Answer

A generative stance involves looking at underlying patterns and structures that lead to issues, such as improper charting practices, to create long-term solutions.

Question 16

In-depth interviews are conducted with patients who have been recently diagnosed with congestive heart failure. What type of research is being conducted?

Accepted Answer

Phenomenological research focuses on understanding the lived experiences of individuals, making it suitable for exploring the experiences of patients with congestive heart failure.

Question 17

A study follows 50 men who were diagnosed with prostate cancer over a 10-year period. What type of study design would be involved?

Accepted Answer

This is a longitudinal study because it follows the same group of individuals over time to observe changes in their health status.

Question 18

A new instrument is used to assess the feeding practices of new parents. Which of the following reliability scores would indicate that the instrument is reliable?

Accepted Answer

A reliability score (often a Cronbach's alpha) of 0.70 or above is generally considered acceptable, indicating that the instrument is reliable. A score of 0.83 suggests good reliability.

Question 19

In a study examining the correlation between depression and the presence of physical symptoms, a researcher finds that as depressive symptomology increases, the presence of physical symptoms increases. What may the correlation coefficient be?

Accepted Answer

A positive correlation coefficient like 0.65 indicates that as one variable increases, the other variable also increases, which aligns with the study's findings.

Question 20

A study uses smartphones to assess pain levels before visiting with the physician. The physician reviews the results prior to meeting with the patient and uses the information to inform the visit with the patient. What type of evidence is used in this situation?

Accepted Answer

The answer of A study uses smartphones to assess pain...

Quiz 11: Appendix