Eastern Florida 2019 January NUR3805 All Chapters Quizzes Latest

16 Jun Eastern Florida 2019 January NUR3805 All Chapters Quizzes Latest

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NUR3805 Dimensions of Professional Practice

Chapter 1 Quiz

Question 1

Which of the following could eventually change the historical status of nursing as a female-dominated profession?

More men graduating from baccalaureate and higher degree programs

The proportion of men in nursing beginning to increase

More male graduates of basic nursing programs entering the workplace

Salary compensation increasing to attract more men

Question 2

The racial and ethnic composition of the nursing profession will change to more accurately reflect the population as a whole when

the increased numbers of racial and ethnic minorities enrolled in educational programs graduate and begin to practice.

the number of Asians or Native Hawaiian-Pacific Islanders begins to increase.

the percentage of African-American and Hispanic nurses decreases more than the percentage of white nurses.

the nonwhite portion of the general population decreases.

Question 3

Which of the following is a correct statement about the registered nurse (RN) population?

The racial/ethnic composition of RNs closely resembles that of the general population.

The number of men entering nursing has decreased steadily over the last decade.

The rate of aging of RNs has slowed for the first time in the past 30 years.

The majority of employed RNs working full time must work a second position.

Question 4

Which of the following best describes trends in nursing education?

Numbers of RNs with bachelor’s and higher degrees are increasing.

Numbers of RNs with associate degrees are decreasing.

Foreign-born nurses practicing in the United States are seen as less knowledgeable because of their lesser educational preparation.

Numbers of RNs with diploma educations are increasing.

Question 5

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

ambulatory care settings.

community health settings.

long-term care facilities.

acute care hospitals.

Question 6

One important advantage of clinical ladder programs for hospital-based RNs is that they

allow career advancement for nurses who choose to remain at the bedside.

encourage nurses to move into management positions in which they can influence patient care on a broader scale.

encourage RNs to become politically active and guide the profession of nursing.

provide training to staff nurses so they can move seamlessly across departments.

Question 7

Which of the following statements is correct about community health nursing (CHN)?

Prevention and community education are the cornerstones of CHN.

Nursing care is rapidly moving from the home setting to the institutional setting.

High-tech care such as ventilators and total parenteral nutrition cannot be handled in the home.

Assessment skills are less important in CHN because patients are not acutely ill.

Question 8

Which of the following is most essential for the nurse entrepreneur to be successful?

Ability to take direction well

Excellent time-management skills

Avoidance of risks

A college degree in business

Question 9

The major benefit of serving as a military nurse is

broader responsibilities and scope of practice than civilian nurses.

working with entirely baccalaureate-prepared peers on active duty.

serving as an officer on active duty or in the reserves.

the financial support to seek advanced degrees.

Question 10

Which of the following statements explains why the school nurse of today is truly a community health nurse?

The school nurse may be called on to care for a student’s family members in underserved areas.

The school nurse’s primary responsibility is centered on the well child.

The school nurse’s primary responsibility is to maintain immunization records

The school nurse must be certified in CHN.

NUR3805 Dimensions of Professional Practice

Chapter 3 Quiz

Question 1

Which of the following was recognized earliest as a true profession?

Ministry

Teaching

Engineering

Social work

Question 2

Similarities exist between various ideas about what constitutes a profession. Which of the following is believed to be a characteristic of a profession?

Members are trained on the job.

Members are motivated primarily by financial reward.

The group lacks a code of ethics.

Members have autonomy.

Question 3

According to the nurse’s Code of Ethics, the hallmark of nursing practice

altruism.

autonomy.

accountability.

evidence-based practice.

Question 4

A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other?

Reading the professional literature

Reporting substandard practice by unlicensed personnel

Mentoring nursing students and novice nurses

Making a financial donation to a professional organization

Question 5

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?

Legal right to practice profession to protect unique skills from outsiders

Definition of the profession’s mission related to full-time work

A loose association of practitioners

Apprenticeship programs to develop skills

Question 6

A barrier to professionalism attributed to nursing’s roots in altruism is illustrated when a nurse

questions a medication order written by the physician.

needs to seek approval from charge nurse to give a PRN medication.

feels guilty for expecting to be paid well for work.

takes the time to listen to a patient’s fears about surgery.

Question 7

One of the characteristics of a profession identified by Kelly was “there is an organization (association) that encourages and supports high standards of practice.” Which of the following illustrates a concern for nursing meeting this characteristic?

The purpose of the ANA does not address the economic and general welfare of nurses.

The ANA has existed for more than 100 years.

The membership of the ANA is less than 10% of all nurses.

Nursing specialty organizations have greater power to influence practice than a more general nursing organization.

Question 8

Scholars have defined “profession” through the years. Which of the following were identified as common major characteristics according to scholars? (Select all that apply.)

Practice is in a single recognized setting.

It is based on a body of knowledge that can be learned.

Skills can be learned in a variety of settings, including through job training.

Professionals control their own practice and settings.

It has a service orientation.

Question 9

Which of the following characteristics of a profession were listed in Flexner’s work on professions?

Activities of professions are based on their own body of knowledge.

Activities of professions are more physically than intellectually oriented.

Beliefs and traditions are handed down from generation to generation.

Beliefs of professions are more theoretical than practical.

Question 10

Which of the following best describes the difference between an occupation and a profession?

In a profession, knowledge is handed down from generation to generation.

In a profession, action is based on intuition.

A profession requires a duty to serve.

A profession is defined by members’ average income.

NUR3805 Dimensions of Professional Practice

Chapter 4 Quiz

Question 1

In 1900, the primary reason for hospital-based nursing education programs

staff the hospitals that operated the education programs.

provide educational opportunities for women.

provide standardized preparation for nurses.

educate nurses to care for patients in hospitals.

Question 2

The Goldmark Report focused on what aspect of nursing?

Desirability of establishing schools of nursing within academic settings

Consistency in theory content across diploma programs

Consistency in length of nursing education programs

Increasing numbers of physicians teaching in nursing programs

Question 3

Which of the following recommendations resulting from the 1934 study Nursing Schools Today and Tomorrow still has relevance today?

Nurses should be highly educated.

Nursing students should be trained on the job.

Nursing students should be used to staff hospitals on the weekends.

Nurses with highly developed instincts do not require standards of practice.

Question 4

The single most important reason for the decline in the number of hospital-based diploma programs was

diploma education’s position outside the mainstream of higher education.

shift in hospital occupancy from acute care to home care.

increase in hospital-based medical residency programs competing for educational dollars.

beginning of associate degree programs that were shorter in length.

Question 5

The 1948 Brown Report recommended which of the following?

Schools of nursing should be associated with teaching hospitals.

Students admitted to nursing programs should not be required to meet admission requirements of the university.

Schools of nursing should be located in institutions of higher learning.

Limit enrollment of men and minorities in nursing programs.

Question 6

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?

Education for nursing should take place in hospital-based programs.

Minimum preparation for professional nursing practice should be the BSN degree.

Minimum preparation for technical nursing practice should be the licensed practical/vocation nurse (LPN/LVN) diploma.

Education for nursing must be evidence-based.

Question 7

Which person or organization is credited with developing the model of associate degree nursing education?

Annie W. Goodrich

National League for Nursing

Esther Lucille Brown

Mildred Montag

Question 8

Which of the following is an important advantage of distance learning?

It allows a student to take courses without clinical components.

It allows universities to offer more classes with fewer faculty.

It allows students to set their own learning objectives.

It allows access to adult learners who are geographically unable to participate in a traditional classroom setting.

Question 9

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

The number of doctoral programs in nursing has doubled since 1990.

The largest numbers of doctoral programs are practice-focused.

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

The first doctoral degree (PhD) was offered at the University of Pittsburgh.

Question 10

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

Certification validates a high level of proficiency.

Certification is required to practice nursing.

Licensure is voluntary.

Licensure is granted automatically on completion of an accredited nursing program.

NUR3805 Dimensions of Professional Practice

Chapter 6 Quiz

Question 1

Which of the following is an example of civil law?

Giving alcohol to a minor

Child custody case

Possession of marijuana

Assault and battery

Question 2

Which of the following falls under the jurisdiction of the state board of nursing?

Approving or reject applications for new nursing education programs

Reducing the provisions of the nurse practice act

Expanding the provisions of the nurse practice act

Right to suspend the need for licensure of registered nurses (RNs) in times of extreme shortage

Question 3

What is the primary function of the National Council of State Boards of Nursing (NCSBN)?

Overseeing decisions made by state boards of nursing

Administering the NCLEX examination at testing centers

Overseeing granting licensure by endorsement

Developing the NCLEX-RN® and NCLEX-PN® licensing examinations

Question 4

The nurse forgets to give the patient a dose of antibiotic. Later in the shift, the patient goes into cardiac arrest and dies. What element is lacking to support malpractice?

Specific injury

Proximate cause

Breach of duty

Duty of care

Question 5

A competent resident in a long-term care facility refuses an ordered antidepressant medication. The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to

assess and monitor a patient.

document.

follow the standard of care.

communicate with a patient.

Question 6

The nurse giving medications to a pediatric patient notes that an order for a medication is considerably larger than the usual dose. The nurse looks up the medication in a pharmacology book and finds the prescribed dose is too large. Which action should the nurse take?

Notifying the physician of these findings before giving the medication

Calling the nursing supervisor and ask what to do next

Calling the pharmacist to obtain the usual dosage

Documenting the findings in the chart after giving the medication

Question 7

The RN asked a nursing assistant to monitor several postoperative patients. Which of the following instructions to the nursing assistant demonstrate appropriate delegation?

“Take vital signs every 2 hours, and report to me anything outside of the norms.”

“Record the urine output, and report to me if they have not voided within 4 hours.”

“Assess pain using a 10-point scale, and record the score on the chart.”

“Record the amount of drainage on the dressing on the bedside record.”

Question 8

Which of the following is a legitimate defense to a charge of assault and battery?

Knowledge of what is best for the patient

Living will

Presence of a medical order

Informed consent

Question 9

Which of the following is a nursing responsibility regarding informed consent?

Serving as a witness, ensuring that the patient does not feel coerced into a decision

Ensuring that the physician has completely explained the costs of the procedure

Explaining the procedure, risks, and treatment alternatives

Canceling the procedure if the patient has questions

Question 10

Which patient rights are guaranteed by HIPAA?

Patients may receive a complete copy of their medical records at no cost.

Patients are protected against medical records being indiscriminately shared.

Patients are asked to sign a release of responsibility if their health care records inadvertently become a matter of public record.

Patients sign a release protecting the health care provider and insurance company against computer file theft.

NUR3805 Dimensions of Professional Practice

Chapter 7 Quiz

Question 1

Which of the following situations is an example of moral distress?

You become romantically involved with a co-worker, which is against the unit policy, so you resign your position.

You purposefully use vague language when explaining a patient’s condition to the family. Staff expects that the patient may be brain-dead, but test results are not yet conclusive.

You hear nurses in the lounge making off-color jokes about a patient. You are afraid to speak up for fear of retaliation.

You have been late for work a couple of times in the last 2 weeks, and your co-workers are covering for you.

Question 2

According to Kohlberg’s theory of moral development, individuals who act “because it is the rule of society” are operating in which level of moral development?

Developmental

Preconventional

Postconventional

Conventional

Question 3

According to Kohlberg’s theory, which of the following is true of moral development?

Holding people responsible for their actions does not improve moral development.

Participating in decision making promotes moral reasoning.

Intellectual development has no effect on moral development.

Participating in debates on ethical issues decreases moral development.

Question 4

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”?

Utilitarianism

Principlism

Virtue ethics

Deontology

Question 5

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

nonmaleficence.

death with dignity.

justice.

autonomy.

Question 6

A school nurse teaching school-aged children about water safety is an example of which ethical principle?

Beneficence

Veracity

Autonomy

Justice

Question 7

The current emphasis on eliminating racially based health disparities is based on which of the following ethical principles?

Fidelity

Justice

Double effect

Veracity

Question 8

A patient who is terminally ill is experiencing great pain. To relieve the patient’s suffering, the nurse needs to administer larger doses of morphine. This relieves the pain but also inhibits respiration. Which principle justifies the risk of harm?

Justice

Veracity

Fidelity

Double effect

Question 9

When nurses receive a patient assignment and accept reports on these patients, they are committed to providing care to those assigned to them. This is based on the ethical principle of

justice.

beneficence.

fidelity.

veracity.

Question 10

father of four is admitted after an automobile accident in which two of the children were killed. Recognizing that he is in very serious condition, the nurse believes that it would be appropriate to avoid telling him about the death of his children unless he asks directly. This could be considered a violation of the ethical principle of

veracity.

beneficence.

justice.

fidelity.

NUR3805 Dimensions of Professional Practice

Chapter 8 Quiz

Question 1

Who is credited with developing the theory on systems?

Rosenstock

von Bertalanffy

Maslow

Rogers

Question 2

Dynamic balance between systems and their parts is called

suprasystems.

inertia.

synergy.

homeostasis.

Question 3

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?

Basic physiologic needs

Love and belonging needs

Self-actualization

Safety needs

Question 4 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?

Love and belonging needs

Esteem needs

Safety needs

Self-actualization

Question 5

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

Elderly people outgrow the need for self-expression and self-development.

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

Once self-actualization is achieved, it is never lost.

Most people achieve self-actualization after all other needs are met.

Question 6

The nurse is interviewing the mother of a school-aged child. The mother states that their family consists of herself, her son, a female friend, and two foster children. One grandparent lives in another city, and one lives within two blocks of them. As the nurse works with this family, what implication is important to include?

The quality of family life will be influenced because they are not a traditional family.

As a single parent, the mother has multiple roles to fill and will become stressed.

This child will lack male attention because he lives in a single-parent family.

As an extended family, all the children will receive attention from several adults.

Question 7

A nurse is caring for a new mother from Southeast Asia. The nurse is concerned that except for breastfeeding, the mother allows her mother-in-law to provide all other care for the baby. The plan of care and patient teaching for this mother should include

asking the mother-in-law not to care for the baby so that the mother learns the care.

completing the teaching outlined for new mothers.

assessing the postpartum practices in her country of origin.

assuming that the mother-in-law will care for the baby well since she is experienced.

Question 8

How can nurses contribute to a healthier environment?

Supporting the purchase of polyvinyl chloride (PVC) products

Leaving the computer on to reduce electrical use when rebooting

Teaching the benefits of using disposable diapers to new parents

Recommending the purchase of nondisposable products when possible

Question 9

What is an advantage of the holistic view of health valued by nurses?

Altering an individual’s health beliefs to promote health

Emphasizing the environment

Identifying a state of optimal role functioning

Focusing on the interrelationship of all parts of a whole person

Question 10

An adult wears a helmet when riding a bicycle because he believes that his cycling skills might not prevent an accident, which could result in a head injury with serious consequences. Which component of the health beliefs model is this person demonstrating?

Perception of vulnerability to head injury from a bicycle accident

Concern about his cycling skills

Belief that individuals should prevent injuries

Knowledge that cycling is good exercise and improves health

NUR3805 Dimensions of Professional Practice

Chapter 9 Quiz

Question 1

Which of the following best describes the meaning of the term “theory”?

An organizational structure that outlines concrete connections between concepts

A group of related concepts, definitions, and statements that describe a certain view of nursing phenomena from which to describe or predict outcomes

Statements that describe linkages between concepts and propose a testable outcome

A set of beliefs about the nature of how things work and how the world should be viewed

Question 2

A broad, general view of nursing that clarifies values and answers broad disciplinary questions for nursing is known as a

theory.

philosophy.

conceptual model.

metaparadigm.

Question 3

The nurse adjusts the patient’s room to allow the patient to see the sunlight out the window and checks the patient’s diet tray to ensure a balanced diet. The nurse could be basing care on the philosophy of

Watson.

Nightingale.

Henderson.

Roy.

Question 4

Which of the following human needs was not included in Henderson’s 14 basic needs of patients?

Sleep and rest

Sexuality

Need for work

Spirituality

Question 5

Which contemporary theorist is best known for her emphasis on the caring aspect of nursing?

Henderson

Orem

Watson

King

Question 6

Which nursing model is based on the assumption that people want to be in control of their lives?

Orem

Watson

Roy

King

Question 7

A patient had a significant blood loss in surgery and now has a low hemoglobin level. The patient complains of fatigue. The nurse intervenes to facilitate adaptation by establishing periods of rest and scheduling activities throughout the day. The nurse could be basing care on the conceptual model of

King.

Roy.

Orem.

Johnson.

Question 8

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 of

Leininger.

Peplau.

Orlando.

Neuman.

Question 9

The nurse observes a patient pacing around the room. The patient expresses concern that being hospitalized will cause lost wages and create economic problems. The nurse infers that the patient is anxious, which the patient confirms. The nurse could be basing care on the theory of

Peplau.

Orlando.

Neuman.

Leininger.

Question 10

The nurse is caring for a young Hispanic patient after surgery. The patient hesitates when the nurse asks about meal selections from the menu. When the parents return, the nurse asks the patient what foods are eaten when one is ill. The nurse could be basing care on the theory of

Leininger.

Peplau.

Neuman.

Orlando.

NUR3805 Dimensions of Professional Practice

Chapter 10 Quiz

Question 1

The discovery of oxygen would be called pure science because this information

could direct further research at the bedside.

was obtained for the sake of obtaining new knowledge of the world.

had an immediate use for humans.

would be useful in curing, managing, or preventing disease.

Question 2

To build the body of knowledge of nursing, a problem amenable to study should be

based on published research findings and fit logically with what is already known.

able to ensure participants that the intervention is a “good idea.”

able to produce results that are applicable to a variety of situations.

an original area of study never researched previously.

Question 3

Which of the following are the three most common sources of research questions?

Clinical problems, replication of prior research, testing nursing theory

Review of existing research, NIH grants, request by state board of nursing

Study of clinical problems, anecdotal stories, requests by the National Institutes of Health (NIH)

Requests by drug companies, doctoral students, review of the literature

Question 4

A nursing manager wants the unit staff to become more involved in research. The staff nurses say they are not qualified to conduct research. Which response by the manager is best?

“At the staff nurse level, you can assist with clinical studies by doing data collection.”

“A baccalaureate-prepared nurse should be able to design simple studies.”

“If we all work on this together, we can design and implement good research studies.”

“You need a basic understanding of the research process because you should be good consumers of research.”

Question 5

Which research design has the goal of determining a cause-and-effect relationship?

Applied research

Pure research

Nonexperimental design

Experimental design

Question 6

Which research design should be used to determine whether there is a difference in the effectiveness of two preoperative preparation methods on length of stay?

Survey design

Nonexperimental design

Descriptive comparison design

Experimental design

Question 7

What body has been established to protect participants of research?

State board of nursing

Peer review panel

Nursing research board

Institutional review board

Question 8

What is meant by the term “evidence-based practice”?

Using nursing research findings to develop nursing theory

Integrating the research process into nursing administration

Applying research findings; patient care data, preferences, and values; and nursing expertise to nursing practice

Studying research from the social sciences and applying it to practice

Question 9

Which of the following is not a necessary step in the research process?

Dissemination of results

Design of the study

Review of the literature

Review of best practice guidelines

Question 10

A data collection protocol calls for a questionnaire to be administered to patients having knee replacement surgery after the third physical therapy appointment. Errors can be introduced into the study by

giving the questionnaire to the participants after the appointment to be completed while they have a snack.

reading the questionnaire to the participants with poor reading skills.

giving the questionnaire to all participants when they arrive for their appointment.

giving the questionnaire to all participants.

NUR3805 Dimensions of Professional Practice

Chapter 11 Quiz

Question 1

Critical thinking in nursing needs to include which of the following important variables?

Ability to determine the best nursing interventions regardless of patient’s values and beliefs

Flexible thinking that rarely follows a pattern or considers standards

Ability to act quickly, often on impulse

Consideration of ethics and responsible decision making

Question 2

Which of the following is a characteristic of an accomplished critical thinker?

Unaffected by other arguments

Quick decision making

Inquisitiveness

Narrow focus

Question 3

Which of the following is considered subjective data in information gathering from the patient?

Pulse and blood pressure measurements

Pain

ECG pattern

Diaphoresis

Question 4

Which of the following is considered objective data obtained from the patient?

Patient nods, indicating an affirmative answer to a question.

“I can’t catch my breath.”

Blood pressure is 110/70 at 8 p.m.

Patient expresses concern about missing work.

Question 5

A nurse is admitting a non-English speaking patient to the hospital unit. Which is the best method of obtaining data from the patient?

Interviewing the patient using a professional interpreter

Attempting to obtain past medical records for this patient

Performing a physical examination on the patient

Asking the other family members to help interpret

Question 6

What does the process of analysis of patient data directly result in?

Confirming the medical diagnosis

Determining the nursing interventions of importance

Identifying actual or potential problems amenable to nursing intervention

Validating actual problems or diagnoses

Question 7

Which of the following is a correctly stated nursing diagnosis?

Fluid volume deficit

Hypovolemia related to vomiting

Hypovolemia related to nausea as evidenced by restlessness and anxiety

Fluid volume deficit related to vomiting as evidenced by increased heart rate and decreased urine output

Question 8

Why is the etiology of the nursing diagnosis statement important?

The etiology determines whether the problem can be solved.

The etiology is necessary to identify the defining characteristics.

The etiology will be the same each time the nursing diagnosis is identified.

If the etiology is incorrect, the nursing interventions are likely to be ineffective.

Question 9

Which of the following patient problems is given the highest priority by the nurse?

Impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness

Impaired skin integrity related to surgical incision

Risk for fluid volume overload related to imbalance in antidiuretic hormone as manifested by peripheral edema and decreased sodium

Anxiety related to hospitalization as manifested by hyperactive state

Question 10

The identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?

Patient

Physician

Patient’s family

Nurse manager

NUR3805 Dimensions of Professional Practice

Chapter 12 Quiz

Question 1

Which of the following best describes Peplau’s theory on therapeutic use of self?

Putting patients’ needs ahead of your own

Providing excellent clinical skills to improve patients’ health status

Using excellent interpersonal skills to help patients improve their health status

Self-protection through avoidance of a relationship with the patient

Question 2

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

communication.

understanding.

acceptance.

trust.

Question 3

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?

Patient has agreed to learn to change his colostomy bag.

Patient ambulates in the hall without assistance.

Patient allows the nurse to inject his daily insulin.

Patient asks the charge nurse to verify that the staff nurse’s teaching is correct.

Question 4

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

In the orientation phase

During the working phase

As part of the termination phase

Right before termination

Question 5

Which of the following is an effective way to maintain safe professional boundaries?

Never accepting small gifts from patients

Finding ways to satisfy your needs through personal relationships outside of nursing

Avoiding caring for patients who ask personal questions about you

Sharing your personal stories so that patients will feel understood and trusting

Question 6

A nurse comments in private about a patient: “That lady with six kids is pregnant again! It makes me sick to see these people on welfare taking away from our tax dollars. I don’t know how she can continue to do this.” The best response by a nurse peer is to

ignore the biased statements.

accept the comments as self-disclosure.

offer neutral responses.

convey acceptance of the patient.

Question 7

Which is true of verbal and nonverbal communication?

Verbal messages are more important than nonverbal cues.

Individuals can exercise more control over nonverbal communication.

Verbal and nonverbal communication always match.

The nonverbal communication may be a more reliable message.

Question 8

Context is one of the five major elements of communication identified by Ruesch. Which of the following is part of the context of communication?

Information about the sender

Attitude of the receiver

Response of the receiver

Content of the message

Question 9

When a co-worker tells the nurse, “I am not sure I will be able to give the right answers in the job interview,” the nurse replies, “I know what you mean. Interviews have always been a problem for me, too.” This response can be evaluated as lacking

appropriateness.

efficiency.

feedback.

flexibility.

Question 10

A 4-year-old child is going to have an abdominal x-ray examination. The child asks, “Why do they have to do this? Will it hurt?” Which of the following is the most appropriate response by the nurse?

“The doctor needs you to have the x-ray so she knows what is wrong with you.”

“You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt.”

“You will go downstairs on a stretcher. You will need to lie very still on a hard table while the x-ray machine goes over you. It will not take very long.”

“X-rays do not hurt. The machine takes a picture but will not touch you.”

NUR3805 Dimensions of Professional Practice

Chapter 13 Quiz

Question 1 Which illness has the characteristics of a chronic illness?

Gastroenteritis

Chickenpox

Bronchitis

Lupus

Lupus requires long-term treatment and impacts a person for his or her entire life. Previously, the life expectancy was as short as a few months after diagnosis.

Question 2 What is the primary difference between acute illness and chronic illness?

In chronic illness, symptoms begin suddenly, require ongoing management, and subside quickly.

In chronic illness, symptoms begin gradually, progress suddenly, and subside quickly.

In acute illness, symptoms begin suddenly, progress gradually, and do not subside.

In acute illness, symptoms begin suddenly, progress quickly, and subside quickly.

Acute illness is defined as severe symptoms that appear suddenly, progress steadily, and subside quickly.

Question 3 A patient states, “I am so upset that I need a knee replacement. I should have done those exercises that the physical therapist told me to do years ago.” In which stage of illness is the patient?

Disbelief and denial

Attempting to gain control

Irritability and anger

Irritability and anger is the second stage of illness acceptance. It is characterized by anger at the body for not functioning properly or by anger at self or others.

Depression and despair

Question 4 A patient states, “There is no hope. They’re going to keep me here until I die. Can’t you give me my medication more often? I’m going to die anyway.” In which stage of illness is this patient?

Depression and grief

Depression and grief is the fourth stage in the adjustment to an illness. The person at this stage may experience many losses, and depression is the response.

Attempting to gain control

Disbelief and denial

Irritability and anger

Question 5 A contemporary view of the sick role includes

patient as submissive to the health care provider.

patient as partner with the health care provider.

A contemporary view of the sick role includes partnering with patients in making health care decisions.

moving away from cultural values when making health care decisions.

patient noncompliant with the health care provider.

Question 6 A patient diagnosed with breast cancer responded by gathering information about treatment options and becoming involved in a self-help group. The nurse assesses that the patient is demonstrating which personality characteristic?

Independence

Tolerance

Hardiness

Hardiness is the ability to feel capable of handling stressful life events. Hardy people are likely to perceive themselves as having some control over a situation even when they are ill.

Self-control

Question 7 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

sense of control.

depression.

resiliency.

spirituality.

Spirituality is an inner strength related to a belief in and connectedness to a higher power.

Question 8 Which of the following is an appropriate intervention for the nursing diagnosis of spiritual distress?

Reassure patients that they should not blame God for their illness.

Never pray with patients or share readings that can have a religious connection.

Consider patients’ religious beliefs when planning care.

Helping patients engage spiritually assures holistic care.

Inform patients of the prevalent religious beliefs that exist in the locale where they are being treated.

Question 9 The best definition of ethnocentrism is

a tendency to view your own culture as superior to others.

Ethnocentrism describes a tendency to view your own culture as superior to others.

a tendency to compare the behavior of others with your own cultural values.

an astute awareness of your own personal biases regarding other cultures.

the ability to incorporate patients’ cultural beliefs and values into health teaching.

Question 10 When planning for patient teaching, the nurse is aware that which of the following factors create(s) a barrier to learning?

Patient autonomy

Pain and fatigue

Pain and fatigue create barriers to learning.

Mild anxiety

Family presence

NUR3805 Dimensions of Professional Practice

Chapter 14 Quiz

Question 1 Which of the following is not included as an overarching goal of Healthy People 2020?

Attaining longer lives free of preventable diseases and injury

Eliminating health disparities

Creating environments that promote good health

Lengthening the average lifespan by a decade

Question 2 Health promotion differs from illness prevention in that health promotion

occurs before the identification of disease risk factors.

returns an individual to optimal functioning after an illness.

identifies and ameliorates a health problem.

addresses identified health problems.

Question 3 Which of the following is characteristic of public agencies?

They are supported by donations from the public.

Most only provide primary care services.

They provide health care services at the national, state, and local levels.

Public agencies can serve the nation, state, or local community.

They are not involved in the education of health care providers.

Question 4 A health care agency that uses its profits to better the institution rather than paying stockholders would be classified as a

not-for-profit agency.

private agency.

for-profit agency.

voluntary agency.

Question 5 Hospices that provide care to terminally ill patients and their families in hospitals, in the home, or in special hospice facilities provide which level of health care?

Subacute care

Secondary care

Tertiary care

Primary care

Question 6 Which of the following is a responsibility of many nurse executives (chief nursing officers)?

Recruiting, hiring, and training new staff

Participating as a member of the board of directors

Managing day-to-day staff scheduling

Managing budget for assigned unit

Question 7 Differences between treatment outcomes for different populations are known as

treatment choices.

health care outcomes.

population variability.

health care disparities.

Question 8 A nurse recognizes that the strict visiting hours policy on the pediatric unit is outmoded and begins to gather data to support a new policy liberalizing visiting hours based on evidence of better patient care is taking on the role of

educator.

counselor.

provider of care.

patient advocate.

Question 9 Which of the following is a characteristic of the team model of nursing care delivery?

Communication among the team saves time, so the model is cost-efficient.

Each member of the team uses his or her abilities to the fullest in patient care.

This model increases continuity of care for the patients.

Team nursing emphasizes holistic care for the patients and their families.

Question 10 Which of the following patients is likely to benefit most from referral for case management?

Child injured in a playground accident

Elderly patient with total hip replacement

A 20-year-old with appendectomy

A 49-year-old man in the emergency department with chest pain

NUR3805 Dimensions of Professional Practice

Chapter 15 Quiz

Question 1 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

political power.

power.

policy.

politics.

Question 2 A nurse who lobbies state legislators to support a change in the scope of practice in nursing is engaging in

politics.

setting policy.

legislative power.

power sharing.

Question 3 The principles and values that govern actions directed at influencing and determining decisions, actions, and other matters are known as

policy.

political power.

power.

politics.

Question 4 Which of the following is an effective method for the practicing nurse to achieve leadership skills?

Avoiding involvement in politics

Becoming active in professional organizations

Learning about collective bargaining

Changing jobs frequently to improve skills

Question 5 The American Nurses Association (ANA) serves as the

clearinghouse of standards set by clinical specialty organizations.

professional organization for all nurses regardless of practice setting or level of practice.

regulatory agency setting the guidelines for the scope of practice.

source of dissemination of nursing research.

Question 6 A nurse has applied for a job and during the interview was told that the health care facility is a “closed shop.” What does that phrase mean to the nurse?

The nurse must join a union to be employed there.

The facility is negotiating with several unions for control of the employees.

The nurse can join the union if desired, but it is not required.

This facility is closed to all union activities.

Question 7 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?

Adapts quickly to new situations

Holds high moral and ethical standards

Solves problems methodically using a strict model

Has a developed sense of systems thinking

Question 8 The most critical aspect of nurses becoming personally “political” is

being informed of social and political issues.

communicating with legislators.

running for office.

financially supporting political action committees (PACs).

Question 9 A nurse has registered to vote, voted in primary and regular elections, and participated in public forums related to budget reductions that could result in the reduction of the numbers of school nurses. The nurse is known as a

nurse clinician.

nurse citizen.

nurse activist.

nurse politician.

Question 10 A nurse has held a media event to publicize the need for funding for immunizations and lobbied decision makers by providing pertinent statistical information about the risks and benefits of immunizations. The nurse is known as a

nurse citizen.

nurse activist.

nurse clinician.

nurse politician.