Test Bank Nursing Today Transition Trends 8th Edition, JoAnn
Chapter 01: Role Transitions
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase of role transition when making which of the following statements?
a. “I am so nervous about being on my own as a nurse.”
b. “This will be a great learning experience.”
c. “I can’t wait to have a steady paycheck.”
d. “This job is perfect. I can finally do things my own way.”
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?
a. Networking c. Returning to school
b. Obtaining a mentor d. Joining a support group
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
a. Refusing to constantly work extra shifts
b. Withdrawing from peer support group
c. “Going native”
d. Changing jobs every 6 to 12 months
4. Which of the following statements by the graduate nurse shows an understanding of reality shock as it applies to nursing?
a. “ Reality shock is the period when a person moves from school into the workforce.
b. “Reality shock is the realization that practice and education are not the same.”
c. “Reality shock is the period from graduation to becoming an experienced nurse.”
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
5. A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal?
a. “I should care for increased numbers of patients to enhance work organization skills.”
b. “I will observe staff nurses as they perform nursing procedures to refine technique.”
c. “I should seek increasingly close guidance from the nursing instructor to reduce errors.”
d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”
6. A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: “It feels great to be a nurse! In fact, it’s a snap! I can hardly believe there’s no instructor looking over my shoulder.” What phase of reality shock is the graduate experiencing?
a. Recovery c. Honeymoon
b. Shock and rejection d. Transition
7. A new graduate has worked on a busy unit for 6 months since graduating from nursing school. The graduate tells a friend, “I’ve never been so upset in all my life! The care that some of the staff give our patients is outrageously bad. There’s practically no attention to the principles of asepsis the way I learned them! The staff tells me that we have to cut corners if we’re going to get all the work done. I can’t stand it!” What phase of reality shock is this graduate experiencing?
a. Honeymoon c. Recovery
b. Shock and rejection d. Role transformation
8. A graduate nurse has been out of school for 3 months and working in a staff nurse position for the past 2 months. What type of transition is the nurse experiencing?
a. A developmental transition c. A health-oriented transition
b. An organizational transition d. A situational transition
9. The graduate nurse understands that transitions occur throughout life. What major factor does the nurse identify as influential in a successful transition from school to practice?
a. Level of new knowledge and skills required in the new environment
b. Amount of classwork required to obtain a degree
c. Personal history of previous developmental transitions
d. Influence of classmates and their transitional experiences
10. A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements?
a. “A graduate nurse should be able to perform as independently as was demonstrated the last semester of nursing.”
b. “A graduate nurse should be able to function competently as a registered nurse at the entry level.”
c. “A graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing.”
d. “A graduate nurse should be able to be able to function independently with ability to make clinical nursing judgments.”
Chapter 02: Personal Management: Time and Self-Care Strategies
1. Which statement indicates the nurse’s understanding of effective time management?
a. “The purpose of effective time management is to save hours, minutes, and seconds.”
b. “The purpose of effective time management is to do as much as possible in as short a time as possible.”
c. “The purpose of effective time management is to do as little as possible.”
d. “The purpose of effective time management is to achieve personal and professional goals.”
2. A student nurse likes to sleep late and has a high-energy period in the evening. The student resists schedules and prefers to study when it “feels right” and in groups. Which of the following characteristics fit this student?
a. Early bird and left-brain dominance c. Owl and left-brain dominance
b. Early bird and right-brain dominance d. Owl and right-brain dominance
3. In 4 weeks, a student nurse will have two tests and one paper due in the same week. What is the most effective time-management strategy for this student nurse?
a. Control time wasters to have more time for studying and writing.
b. Delegate everything possible to create more time for studying.
c. Schedule specific times on a calendar to study for the tests and to work on the paper during the next 4 weeks.
d. Wait to study for the tests and to write the paper the week before they are due because the student nurse “works best under pressure.”
4. How can the student nurse increase studying efficiency?
a. Maintaining a supply of simple carbohydrates for a quick energy spurt
b. Alternating mental and physical activities to increase productivity
c. Working nonstop without breaks to focus concentration
d. Delegating tasks of household chores to family members
5. The nurse has concluded that he/she is a right-brain–dominant person. Based on the nurse’s time style, which unit governance task will the nurse implement?
a. Devise a plan to restructure the nursing career ladder.
b. Write a procedure for central line care using new equipment that will be available in two weeks.
c. Do the unit time schedule for the next pay period.
d. Collate data obtained from a chart audit to report at the next unit staff meeting.
6. What actions should a graduate nurse take in the first work experience to avoid problems with burnout?
a. Cross-train to work in different areas of the hospital.
b. Develop a social group of nurses with whom to share work experiences.
c. Plan on several sessions with a counselor regarding managing stress.
d. Develop social contacts outside of nursing and maintain good nutrition and good sleep habits.
7. Which action by the nurse exemplifies a sense of spiritual health?
a. Belonging to a church c. Feeling loved and cared for
b. Feeling purposeful and fulfilled d. Changing religious affiliations
8. Which of the following is an example of a self-defeating belief?
a. I must always feel loved by everyone. c. I will get through nursing school.
b. I am a caring person. d. I am getting better.
9. Which is an example of an effective self-care strategy for a nurse?
a. Plan time for physical recuperation after working extra hours.
b. Push feelings of sadness, joy, anger, and fear out of awareness.
c. Use alcohol to reduce tension.
d. Respond to people and opportunities reactively.
10. Nurse 1: “The manager told me that you and I have to change work schedules to accommodate Jim. That means we will both have to work days and nights in the same week. There’s nothing we can do about it.” Nurse 2: “Let’s take a minute and look at the possible alternatives.” What is the best assessment of this situation?
a. Nurse 1 is exhibiting reactive behavior, and Nurse 2 is being proactive.
b. Nurse 1 is exhibiting a sense of empowerment, and Nurse 2 is behaving codependently.
c. Jim and the nurse manager have formed a coalition with the goal of dominating other staff.
d. The nurse manager is evidencing good self-esteem by daring to take an unpopular action that will expose criticism.
Chapter 03: Mentorship, Preceptorship, and Nurse Residency Programs
1. The nurse manager is presenting at a conference and shows an adequate understanding of a mentoring relationship when giving the following as an example:
a. A coach and a player c. An intern and a resident
b. A teacher and a learner d. An advisor and a partner
2. The nurse professor is lecturing to students in their final semester of nursing school. Which statement by the nurse professor about mentoring is accurate?
a. “Mentoring involves solving an individual’s problems.”
b. “Mentoring focuses on the needs of someone else.”
c. “Mentoring means helping someone reach his or her long-term goals.”
d. “Mentoring requires pairing an experienced person with a novice.”
3. While discussing a mentoring program with the nursing director, the nurse manager correctly states that mentoring is a
a. partnership. c. static relationship.
b. one-way street. d. method of gaining more experience.
4. You are a graduate nurse in search of a mentor. To find a good “match,” what should you look for?
a. Choose an experienced nurse who is successful.
b. Look for things you and the potential mentor have in common.
c. Be very specific with the questions you ask of the possible mentor.
d. Be careful not to disclose too much personal information.
5. A group of nursing students is discussing mentors. One of the students correctly states a characteristic of a successful mentor when stating:
a. “They ensure that their mentees do not fail.”
b. “They push the mentees to a higher level.”
c. “They always ask a lot of questions of their mentees.”
d. “They encourage mentees to question their skills so they can improve.”
6. The role of the mentee needs to be understood early in the mentoring relationship. What is a characteristic or example of the mentee’s role?
a. Not interrupting the mentor
b. Absorbing what the mentor explains in detail
c. Establishing personal short- and long-term goals
d. Finding out what the mentor has to offer in terms of experience
7. Which statement indicates the student nurse’s understanding of a situational relationship?
a. “A situational relationship occurs only one time.”
b. “A situation relationship is established by the organization.”
c. “In a situational relationship, both mentee and mentor mutually accept it.”
d. “A situational relationship is structured to ensure situational success.”
8. The “honeymoon” is a specific phase of reality shock. What should the mentor do during this phase?
a. Share personal transition experiences with the mentee.
b. Reinforce the need for the mentee to problem solve.
c. Encourage the mentee to try new things.
d. Act as the intermediary for the mentee with all staff members.
9. A new graduate is looking for a mentor. Which staff nurse would be the best choice?
a. Louise, a skilled clinician who appears hurried, curt, and occasionally sarcastic
b. Jill, a new graduate who worked 2 years as an LPN and seems confident
c. Juan, who has 3 years of experience, good skills, and a sense of humor
d. Kim, who has 6 years of experience and is highly intellectual but is aloof and self-centered
10. Which of the following statements by the nurse indicates an understanding of mentors?
a. “Mentors focus on fostering the mentee’s individual growth and development over an extended period of time.”
b. “Mentors develop nurturing relationships during work time.”
c. “Mentoring is the approach of assisting an individual’s growth through partnership.”
d. “The strength of mentoring lies in the facilitation and development of personal qualities.”
Chapter 04: Employment Considerations: Opportunities, Resumes, and Interviewing
1. Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?
a. “To guarantee you will achieve your goal”
b. “To keep you focused on your job search”
c. “To help you define your professional identity”
d. “To impress those part of the interview process”
2. A nursing professor correctly states the expectations of the job market for nursing as
a. expected downsizing, decreased number of nursing positions.
b. expected decrease in the number of unlicensed assistive personnel.
c. expected increase in unlicensed assistive personnel: personnel.
d. expected increased hiring of new graduates.
3. Which action by the graduate nurses shows understanding of resume writing?
a. Ensures that all of the dates for their employment history are specific
b. Does not overstate skills
c. Includes a thorough discussion of experiences as a nursing student
d. Includes only last two positions
4. The nursing professor is assisting a group of nursing students in creating resumes. The professor instructs them to include which of the following demographic data?
a. Career goal c. Experience
b. Address d. Education
5. Which statement by the graduate nurse indicates understanding of the importance of a cover letter?
a. “It is optional.”
b. “It is necessary only if your resume needs further explanation.”
c. “It should recapitulate all of the important points of your resume.”
d. “It should introduce you to the reader.”
6. A graduate nurse has not heard from a prospective employer 3 days after submitting a resume. Which action should the graduate nurse take?
a. Call. c. Do nothing.
b. Write a letter. d. Contact another employment setting.
7. The nurse has an adequate understanding of employment benefits. Which of the following is not included in a benefits package?
a. Health insurance c. Pensions
b. Car insurance d. Disability coverage
8. What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit?
a. Obtain a position that further develops interests and skills.
b. Provide a basis for moving up the career ladder to a supervisory position within 5 years.
c. Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees.
d. Obtain an entry-level position as a staff nurse on a medical-surgical unit.
9. The nurse can list when of the following as information that is not routinely included in a resume?
a. Age c. Professional memberships
b. Education d. Occupational experience
10. The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae. What is the difference between a resume and a curriculum vitae?
a. A resume more accurately represents a nurse’s job and professional history.
b. A curriculum vitae will get longer as the nurse becomes more professionally experienced.
c. A resume will contain the nurse’s continuing education activities.
d. The two are very similar and can be used interchangeably.
Chapter 05: NCLEX-RN® Examination and the New Graduate
1. The graduate nurse understands the purpose of the NCLEX-RN® exam when stating which of the following?
a. “The exam provides feedback to the candidate regarding areas of weakness in nursing practice.”
b. “The exam determines the candidate’s ability or inability to meet minimum standards for safe practice.”
c. “The exam gives employers an opportunity to hire graduates who have scored highest among first-time licensure candidates.”
d. “The exam prepares new graduates as efficient, effective staff nurses.”
2. Which statement by the nursing professor is accurate about the NCLEX-RN® exam? The purpose of the NCLEX-RN® test plan is to ensure that all
a. “test takers answer items of comparable difficulty.”
b. “test takers answer approximately the same number of items.”
c. “test items are job related.”
d. “clinical specialties will be equally represented.”
3. In trends class, a student tells the instructor, “I don’t think I can possibly pass the NCLEX-RN®. I hated psych nursing, but now I’ve heard that a huge amount of the NCLEX® is psych related.” What is the best response from the instructor?
a. “Perhaps you should consider retaking the psychiatric nursing course.”
b. “There are equal numbers of questions related to each aspect of client needs.”
c. “Psychosocial integrity is the basis for 6% to 12% of the examination.”
d. “You will need to take a review course in which they teach psychiatric nursing principles.”
4. Which statement indicates the graduate nurses understanding of the process at the NCLEX® testing site?
a. “I will be thumbprinted and photographed.”
b. “I will be placed in a locked testing cubicle.”
c. “I will answer 300 test questions.”
d. “I will be given some questions as a paper-and-pencil test.”
5. Which statement made by the graduate nurse indicates understanding of the NCLEX-RN® exam passing score?
a. “Candidates seeking licensure in California and New York must score higher.”
b. “The passing score is the same for licensure in all states.”
c. “Candidates from BSN programs must score one standard deviation higher than the ADN graduates.”
d. “ADN graduates must answer 80% of the 265 questions correctly to pass.”
6. What type of nursing position would most likely provide experience in the type of nursing situations upon which the NCLEX® Exam questions are based?
a. Home care nurse
b. Psychiatric staff nurse
c. Staff nurse in an ambulatory pediatric clinic
d. Staff nurse in a medical-surgical inpatient unit
7. What is the best review strategy to use to prepare for the NCLEX-RN® Exam?
a. Spend about 8 hours a day on your days off until you take the examination.
b. Study for 4 hours a night while taking a 2-week review course.
c. Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.
d. Study 10 hours on the day and evening before the examination.
8. What are helpful strategies for dealing with test anxiety?
a. Put as much time as possible into studying.
b. Practice relaxation techniques and positive thinking.
c. Use review books and tapes.
d. Focus on test-taking skills and emphasize facts less.
9. Which of the following statements indicate the nurses understanding of the content of the NCLEX® Exam?
a. “The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing.”
b. “The exam is a survey of nursing faculty regarding areas of importance for testing.”
c. “The exam includes questions based on the National League of Nursing survey reports.”
d. “The exam includes contributions from all of the member boards of the National Council.”
10. The graduate nurse is preparing to take the NCLEX-RN® Exam. Which blueprint category is interpreted as having the highest percentage of test items?
a. Safe, effective care environment c. Psychosocial integrity
b. Physiological integrity d. Health promotion and maintenance
Chapter 06: Historical Perspectives: Influences on the Present
1. Which statement indicates the nurse understands the Latin origin of “nurse?”
a. “The Latin word for ‘nurse’ is carena, meaning ‘caring.’”
b. “The Latin word for ‘nurse’ is nimphe, meaning ‘nurture.’”
c. “The Latin word for ‘nurse’ is succurus, meaning ‘relief.’”
d. “The Latin word for ‘nurse’ is nutricius, meaning ‘nourishing.’”
2. The nursing student has an adequate grasp of nursing history when stating that after the fall of the Roman Empire, the knowledge of health practice was primarily preserved by
a. English monks in cloistered buildings.
b. Jewish physicians who could translate into Latin.
c. Roman priests who practiced medicine.
d. Fortuna, who practiced midwifery.
3. Which of the following is true of early Christian deaconesses and how they became responsible for caring for poor and ill people?
a. The deacons relinquished this work to women (specifically, widows and virgins).
b. The early church valued women.
c. No one else would care for poor and ill people.
d. The deaconesses had formal training to do the work.
4. What was the description of a nurse in the medieval times during the Holy Wars?
a. A woman who had been specially trained by a magician
b. A man who was committed to following his Lord into battle
c. A man who had training to care for a wounded knight
d. A woman who had studied with an older nurse
5. What was the most important contribution to nursing made during medieval times?
a. The Red Cross recognized the worth of nurses in caring for the poor.
b. A formal school was established to train nurses within the convents.
c. The hospital of St. John was established to train nurses and physicians.
d. Society placed an increased status on caring for the ill.
6. Which statement by the nurse shows understanding of Florence Nightingale’s status as a legend in nursing?
a. “Her work in improving the Institution for the Care of Sick Gentlewomen in Distressed Circumstances”
b. The evaluations and recommendations she made to improve conditions in the hospitals in England”
c. “Her ability to implement actions that significantly decreased mortality rates in the Crimean War”
d. “Her work as an administrator for a women’s hospital and reporting conditions to the government”
7. Which statement by a nursing professor is true regarding Florence Nightingale’s contribution to American nursing?
a. “Her primary influence was organizing hospital administration and nursing.”
b. “Her primary influence was providing a model for giving care during wartime.”
c. “Her primary influence was organizing patient care in hospital settings.”
d. “Her primary influence was developing an educational model for training nurses.”
8. A group of nursing students is discussing the traits of Victorian wives that crossed over to nurses. Which traits would they conclude had an early effect on the nursing profession?
a. Submission, harmony, and hard work
b. Power, peace, and position
c. Paternalism, compliance, and dullness
d. Organized, noble, and good
9. Nurses made many contributions to the care of Civil War soldiers. A nurse who understood this, would state which of the following?
a. “Nurses established a safe haven for soldiers from the battlefield.”
b. “Nurses provided a clean environment with food and water.”
c. “Nurses began medication administration on the battlefield.”
d. “Nurses organized the men to care for other injured soldiers.”
10. The student nurse interprets teaching as a critical role for nurses because
a. health care is a complex system that requires patient education.
b. not everyone has access to information about health care.
c. the less fortunate have greater difficulty understanding treatment choices.
d. understanding choices allows the patient to make informed decisions.
Chapter 07: Nursing Education
1. Based on data, the nurse interprets which educational program as producing the most graduate nurses annually?
a. Diploma program c. Baccalaureate program
b. Associate degree program d. Master’s and doctoral programs
2. The student nurse interprets which characteristic as one of graduates from a diploma school of nursing?
a. They have obtained a general education in nursing theory and sciences that can be applied toward an advanced degree.
b. They are well prepared to function in the institution in which the school is located.
c. Advanced courses in nursing management and leadership apply to advanced degrees in nursing.
d. They are prepared to practice in advanced nursing clinical situations.
3. What type of program is designed for students who prefer to take classes on the Internet?
a. Career ladder programs c. Online degree programs
b. BSN completion programs d. University-without-walls programs
4. A new graduate wishes to select a program in nursing that will assist in preparation to care for individuals, families, groups, and communities. The new graduate should select a(n)
a. practical nursing school. c. associate degree program.
b. diploma program in nursing. d. baccalaureate program.
5. A master’s degree in nursing differs from a generic nursing degree in what way? A master’s degree in nursing
a. requires a level of specialization to be selected.
b. prepares the nurse for nursing administration.
c. increases the authority and responsibilities of the nurse.
d. enables the nurse to become a nurse educator.
6. The nursing student interprets the phrase “an accredited school of nursing” to mean that
a. the nursing school is accredited by the licensing institution of the respective state.
b. the school has petitioned and been granted accreditation by the American Nurses Association.
c. this is a voluntary process by which the school demonstrates meeting of standards above the legal requirements.
d. this is a designation that allows the nursing program to confer advanced degrees in nursing education.
7. A nurse is reviewing regulations to practice in different states. Which of the following credentials is interpreted as mandatory to renew periodically in order to legally practice nursing in a particular state?
a. The nursing license
b. The registration of the nursing license
c. Certification in a nursing specialty organization
8. A new graduate asks the nurse manager, “What’s the meaning of this alphabet soup that’s added after this nurse’s name: Jane Bigham, RN, CRNA?” The best explanation for the nurse manager to give would be: “It means the nurse is licensed to practice in this state and
a. has met predetermined standards for certification set by a credentialing group for nurse anesthetists.”
b. is also a certified rehabilitation nursing assistant.”
c. has been licensed by the central registry for nursing assessment specialists.”
d. is joking about the nurse’s age. The initials stand for Certified Real Nurse Antique.”
9. A distinction that can be made between nursing licensure and certification is that licensure is
a. mandatory, and certification is voluntary.
b. optional, and certification is required to practice a nursing specialty.
c. renewed annually, and certification is renewed triannually.
d. approved by the ANA, and certification signifies ability to give safe care.
10. A nurse professor is discussing the different educational tracks for nurses. The professor interprets which track as the most popular in 1980 versus today?
a. Baccalaureate c. Master’s
b. Associate d. Diploma
Chapter 08: Nursing Theory
2. A nurse wishes to incorporate Dorothea Orem’s theory into practice. Which action by the nurse encompasses this theory?
a. The nurse completes the AM care for a patient.
b. The patient gets dressed with help from the nurse aide.
c. The patient knows his or her own medication dosages and what time they are due.
d. The patient’s spouse assumes all responsibility for the patient’s medications.
3. The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? “The four major metaparadigms are
a. “nursing, environment, health, and illness.”
b. “nursing, environment, person, and society.”
c. “person, environment, health/illness, and nursing.”
d. “person, society, wellness, and health/illness.”
4. What is a common thread in the majority of definitions of a nursing theory?
a. Words or phrases that present a direction to how interrelated concepts can provide a reference for the study and the delivery of nursing care
b. A list of the concepts and problems within the nursing profession and the suggested or anticipated solution of those problems
c. A composite of the opinions and recommendations of famous, well-known nursing leaders
d. An advanced role description for the study of the delivery of nursing care and the integration of nursing services with the most favorable economic consequences
5. Roy’s adaptation model capitalized on health and wellness based on how well one copes with stressors and the environment. Which statement by the nurse shows understanding of equilibrium? Equilibrium is reached through adaptation of our
a. “safety needs.” c. “physiological needs.”
b. “self-esteem needs.” d. “love and belonging needs.”
6. In the system’s model of Neuman, nursing helps reduce the stressors to health through
a. prevention on three levels—primary, secondary, and tertiary.
b. maintenance of balance of the physiological systems.
c. promoting a sense of inner harmony through achieving holistic health.
d. repatterning the person and environment for synchrony within the body.
7. A nurse has been studying theory in class. Which of the following statements indicates that the nurse has an adequate understanding of theory?
a. “A theory can be used to predict something.”
b. “A theory can measure outcomes.”
c. “Theory can be helpful to formulate a plan of action.”
d. “Theory is used to help evaluate interventions.”
8. A student is in the last semester of nursing school. The student interprets nursing as
a. knowledge of past experiences.
b. the medical model of health care.
c. a science based on the principles of biology and medicine.
d. a science based on scientific research providing practice answers.
9. A nurse is listening to a nurse manager give a presentation on nursing theory. The nurse identifies which statement as being indicative of nursing theory?
a. “Team nursing to best use resources within the delivery of care”
b. “Managed care focusing on conservation of the economic resources”
c. “A direction as to how an individual nurse can best meet patient needs”
d. “Created by nurses, for nurses, in understanding the nursing process”
10. A nurse is giving a speech on the nursing theory of Madeline Leininger. Which statement by the nurse indicates an understanding of the theory? “Madeline Leininger’s theory is a theory that
a. “considers the impact of culture on the person’s health.”
b. “promotes the synchronicity between people and the universe.”
c. “describes a dynamic state of being achieved through unity and harmony.”
d. “considers nursing ‘a calling’ to work with patients in the reparative process.”
Chapter 09: Image of Nursing: Influences of the Present
1. The nurse interprets which characteristic as the forefront of discussion about nursing’s professionalism?
a. Education c. Social values
b. Altruism d. Code of ethics
3. A nurse has been studying Levenstein’s characteristics of a profession. The nurse demonstrates adequate understanding when interpreting which of the following components as part of the model?
a. A code of ethics
b. A systematic, defined progression of education
c. An accreditation process
d. Publications or journal for the profession
4. The nurse understands the importance of the Employee Retirement Income Security Act (ERISA) of 1974, when stating which of the following?
a. “It provided a standard of practice for nursing.”
b. “It allowed professional nursing organizations to act as unions on behalf of member nurses.”
c. “It established the framework for political action in legislative activities.”
d. “It financially supports research in nursing and education.”
5. In the 1950s, belonging to a professional organization was popular. What has contributed to the decline in membership of the American Nurses Association?
a. The ANA has increased membership dues that nurses cannot afford.
b. Nurses do not want to be associated with an organization that represents unions.
c. The association does not have state and local organizations.
d. The increase in popularity of specialty organizations representing specific needs of members has led to a decline in nurses joining the ANA.
6. What action did the Johnson and Johnson Campaign for Nursing’s Future take to promote nursing?
a. Identified the need for nurses in labor and delivery
b. Raised visibility of nurses of varied races
c. Identified the need for nurses in postpartum care
d. Raised national starting wages for nurses
7. Which of the following predicts the outcome if the nursing profession continues to be devalued by demeaning or comical images of nurses?
a. Nurses will be able to request higher wages.
b. The nursing shortage will end.
c. There will not be enough jobs for new graduates.
d. The nursing shortage will extend.
8. What action can each nurse take to improve the image of nursing during his or her career?
a. Provide public education on what nurses really do.
b. Ignore the negative image of nurses.
c. Contribute to the negative image of nurses.
d. Remain silent when someone speaks negatively of nursing.
9. Which of the following assesses how nursing has relevance to social values?
a. Nurses have professional degrees.
b. Nurses perform community service.
c. Nursing licensure requires a baccalaureate degree.
d. Nurses are teachers of health promotion and wellness.
10. Which action led to the “birth” of nursing theory?
a. Creation of baccalaureate programs
b. Dr. Peplau’s nursing model publication
c. Publication of Jean Watson’s Caring Theory
d. Martha Roger’s work on nursing theory
Chapter 10: Challenges of Nursing Management and Leadership
1. What is the most consistent concern of the nurse as manager?
a. To develop long-range career goals
b. To coordinate patient care while meeting the agency goals
c. To maintain harmony within the agency
d. To organize the subordinates to meet agency goals
2. What action would be an appropriate first step for the nurse to take toward becoming an effective manager?
a. Learn how to effect and direct the change process.
b. Assess individuals’ sources of power.
c. Develop communication and interpersonal skills.
d. Implement effective nursing care plans.
3. What do the responsibilities of the nurse manager include?
a. Planning and organizing how nursing care can most effectively be delivered on the nursing unit
b. Establishing the nursing care standards to be implemented on the unit
c. Developing educational programs to assist staff to meet licensure requirements
d. Assisting staff to adhere to organizational policies and procedures
4. The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit?
a. Democratic c. Laissez-faire
b. Authoritarian d. Bureaucratic
5. Which statement best describes effective leadership by the nurse manager?
a. Directs a staff nurse to modify his or her communication skills
b. Fosters behavior changes in one staff member that have positive effects on the nurse manager and his or her peers
c. Encourages behavior changes through the annual evaluation process
d. Uses the group process to determine what behavior is distressing to staff
6. The nurse manager is beginning the process of problem solving. Which action should be taken first?
a. Define the problem. c. Analyze the information.
b. Gather information. d. Consider the alternatives.
7. A nurse is using the decision-making process. Which action should be taken first?
a. Evaluate the outcome. c. Set the objective.
b. Identify and evaluate options. d. Implement the options.
8. Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? The process
a. “increases the time spent discussing alternatives.”
b. “eliminates opposition to decisions by administrators.”
c. “allows additional time for the planning process.”
d. “promotes acceptance of the decision by the group.”
9. A nurse is interested in moving into a management position. Which action would assist with accomplishing this?
a. Use of reward power c. Use of expert power
b. Use of coercive power d. Use of legitimate power
10. A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess?
a. Informational c. Reward
b. Legitimate d. Expert
Chapter 11: Building Nursing Management Skills
1. During clinical experience, the student nurse is assigned a patient scheduled to undergo numerous treatments. The student decides it is not possible to complete all the needed treatments in the time scheduled for this clinical day. The student nurse consults with the clinical instructor to
a. delegate. c. procrastinate.
b. prioritize. d. do the easiest treatment first.
2. The instructor has suggested that the student nurse could improve organizational skills and manage time better by scheduling selected nursing activities in the daily assignment. Which activity should be scheduled?
a. Suctioning the tracheostomy tube of a patient
b. Administering medications
c. Assessing patient knowledge of colostomy care
d. Assisting a patient with personal hygiene
3. A nurse is assigned to care for five patients. The nurse is concerned about the ability to care for this many patients. The nurse needs to
a. delegate one of the patients to someone else.
b. prioritize the needs of the patients and determine the sickest patient.
c. procrastinate and hope that someone will offer assistance.
d. do the easiest patients first to allow more time for sicker patients.
4. Which statement by the nurse manager shows understanding of what initiated the development of the team Strategies and Tools to Enhance Performance and Patient Safety (STEPPS)?
a. “The increased need for health care coverage”
b. “The need for more qualified nurses”
c. “A need for a teamwork system focused on improving communication and teamwork”
d. “The increased cost of health care”
5. The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of untoward events in the hospital setting? The primary cause of untoward events is
a. “unclear, ineffective communication.”
b. “unclear chain of communication for reporting.”
c. “ineffective reporting of the untoward event.”
d. “lack of consistent supervision of nursing staff.”
6. The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider’s order is received without error?
a. Advise the health care provider that the order must be written on the chart within the next 24 hours.
b. Ask the nurse in charge to come to the phone to take the order.
c. Write the order without using any unclear or unapproved abbreviations.
d. Repeat the order, write the order verbatim, and read it back to the provider.
7. The nurse receives report on an assigned group of patients. Which patient would the nurse assess first?
a. A patient 2 days postoperative who is complaining of pain
b. An older adult patient reported to have increasing lethargy and confusion
c. A newly admitted patient with a serum blood urea nitrogen (BUN) of 32 mg/dL
d. A hypertensive patient complaining of severe midsternum pain
8. What are critical points to communicate during a shift report or hand-off communication?
a. Patient name, current physical status, activities that have contributed to current status, problems that have occurred during the shift, nursing care to address problems, and a readback or response
b. Patient name, room number and date of birth, changes in current orders, provider’s visits, laboratory tests that have been completed, and physical activity of the patient
c. Patient name, health care provider, diagnosis, review of all current orders, family visits and involvement in care, review of history leading to hospitalization, and current status of the patient
d. Physician orders for past 24 hours, patient name and date of birth, medical and social history prior to hospitalization, and review of health problems since hospitalization
9. The charge nurse is assigning patient care activities to the nursing care team. In supervising the team, what is the most effective activity to determine that the nursing care has been completed satisfactorily?
a. Have hourly checks with personnel to determine how effectively nursing care is being completed.
b. Review with personnel at the end of the shift regarding the status of patients and how care was delivered.
c. Discuss with each person the status of their assigned patients and what type of nursing care each will require.
d. Schedule routine patient care rounds to evaluate the patients and the nursing care that has been completed.
10. What would be a good assignment for an experienced nursing assistant?
a. Help teach patients newly diagnosed with diabetes to give themselves injections.
b. Report on the quality and quantity of urine on a continuous bladder irrigation.
c. Obtain a clean-catch urine specimen from a patient.
d. Chart a diet for a patient with an eating disorder.
Chapter 12: Effective Communication and Team Building
1. Which action shows the cyclical phase of forming?
a. A group dissolving
b. Individuals coming together with a common bond
c. Developing mutual goals
d. A group completing tasks together
2. The clinical instructor interprets the development of mutual goals and guidelines as
a. norming. c. storming.
b. performing. d. informing.
3. A member of a nursing committee frequently disregards the rules of the group and feels that the rules do not apply to the member personally. The president of the committee recognizes the term that best describe this person
a. critical conservative. c. self-server.
b. motor mouth. d. mouse.
4. Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?
a. Mouse c. Self-server
b. Motor mouth d. Know-it-all
5. A graduate nurse is observing nurses on a busy surgical unit. The graduate nurse notices that the nurses work together as an interchangeable part of the team and have an appropriate level of skills. When questioned by the charge nurse, the graduate nurse identifies this type of team as
a. potential. c. basic.
b. pseudo. d. real.
6. In considering the overall task of the team, what issues should be considered in the care of the patient?
a. Nursing care plan, religious preference, and financial base
b. Physician’s orders, nursing actions, and religious preference
c. Family needs, physician’s orders, nursing diagnosis, and religious preference
d. Physician’s treatment plan, nursing plan of care, and needs of the patient and family
7. How can the “grapevine” best be controlled?
a. Providing factual information in anticipation of employees’ questions
b. Using an authoritarian communication style
c. Putting everything in writing
d. Having a strong union to represent employees
8. The graduate nurse has an adequate understanding of effective listening when stating which of the following?
a. “Limited level of vocabulary often affects listening skills,”
b. “Underdeveloped attention span affects listening skills.”
c. “External noise distractions affect listening skills.”
d. “Emotional reactions interfere with the actual message.”
9. Which of the following actions by the nurse leader is most likely to lead to an effective meeting?
a. Creating an atmosphere in which people say very little
b. Sending out an agenda ahead of time
c. Creating well-designed overhead transparencies
d. Completing all the tasks of the group
10. Which action by the nurse shows a major characteristic of aggressive behavior?
a. Achievement of personal goals at the expense of others
b. Indirect expression of personal feelings
c. Communication of personal needs
d. Ability to restrict personal rights
Chapter 13: Conflict Management
1. A newborn has several congenital anomalies incompatible with living beyond 1 month. The newborn cannot retain formula, and the temperature drops when the newborn is removed from the warmer. Two nurses who alternate caring for the baby argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held. What is the origin of the conflict described?
a. Ethical values c. Personal goals for advancement
b. Nursing role concerns d. Personality differences
2. Of the following common areas of conflict between nurses and their patients and families, which does the nurse interpret as the most easily resolved?
a. Issues of concern about quality of care
b. Issues surrounding treatment decisions
c. Issues of family involvement
d. Issues about quality of parental care
3. What is the best strategy for resolving the conflict in a situation in which two staff nurses request the same vacation weeks?
a. Accommodation c. Competition
b. Collaboration d. Avoidance
4. On the unit in which you work, one nurse’s aide is usually pleasant and helpful; the other is often abrasive and angry. What is the most important basic guideline to be observed by a nurse who must resolve a conflict between the two nurse’s aides?
a. Deal with issues, not personalities.
b. Require the aides to reach a compromise.
c. Weigh the consequences of each possible solution.
d. Encourage ventilation of anger and use humor to minimize the conflict.
5. One of your peers, a staff nurse, is a “potshot artist.” This nurse often makes you the butt of innuendo or teasing digs. You are fed up and decide to take action the next time it happens. What strategy should be considered as an effective way of dealing with a “sniper?”
a. Clam up and allow the individual to fully ventilate her concern.
b. Confront and tell the individual he or she is wrong.
c. Coldly withdraw from the individual.
d. Obtain group confirmation or denial of criticism raised by the individual.
6. A staff nurse who has worked on the unit for 6 months voices the following concerns to another nurse: “The clinical nurse leader of the unit often follows me into the supply room and stands blocking the doorway and chats. The nurse leader makes opportunities to mention my good looks, muscular physique, or strength in the context of daily work, saying things like: ‘You’re so handsome; no wonder your patients like you.’ The nurse leader frequently touches me on the arm, the shoulder, chest, or the hair, and if I’m sitting, touches my leg. Yesterday, the nurse leader patted my arm and said, ‘You know, if we were dating, I might be able to give you lighter assignments.’ I don’t want to date the nurse leader. I just want to be left alone! What should I do?” What is the best reply?
a. “Don’t be quite so honorable. Go on a date and see if you get better assignments.”
b. “Confront the nurse leader with a description of the behavior and state that you want the behavior to stop.”
c. “Go directly to the human relations office at the agency and tell them what you just told me.”
d. “Contact your lawyer and get advice ASAP in case the nurse leader decides to turn the tables and accuse you of advances.”
7. To resolve a scheduling conflict, a nurse manager is using employment seniority. The nurse manager interprets this as
a. a win–win strategy. c. a lose–lose strategy.
b. a win–lose strategy. d. a compromise.
8. The nurse manager is attempting to resolve an interpersonal conflict between two nurses. Which action below should be done first?
a. Determine the facts related to the situation.
b. Schedule a meeting time for resolution.
c. Have an accurate understanding of the problem or conflict.
d. Have the determination to resolve the conflict.
9. During a staff meeting, an upset nursing assistant tells the group that the other nursing assistants are given easier patient assignments and are always given their choice of days off. What approach by the nurse manager would be effective to resolve this conflict?
a. Attempt to persuade the upset nursing assistant to calm down.
b. Tell the group that this type of conversation needs to be handled privately.
c. Consider transferring the upset nursing assistant to another unit.
d. Acknowledge the feelings of the upset nursing assistant and make a plan to meet with her.
10. Considering the following terms used to label different styles of handling anger—the Sherman tank, the sniper, the constant complainer, and the clam. Which of the following comments would you expect a Sherman tank to make?
a. “That sure sounded like a put-down to me.”
b. “How dare you accuse me of not putting away the linen!”
c. “So, you think you know everything, eh?”
d. “Why do we always have to rotate shifts?”
Chapter 14: Delegation in the Clinical Setting
1. Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
a. Evaluating a patient’s response to pain
b. Making rounds with a physician
c. Feeding a stroke patient who has minimal dysphagia
d. Assessing a patient’s central venous line site
2. The nurse has just given a patient a narcotic for pain relief. Because the nurse must leave the unit for lunch and a 1-hour meeting, the task of evaluating the patient’s response to the pain medication must be delegated. To whom should the nurse delegate this responsibility?
a. Nursing assistant c. Licensed practical nurse
b. Student nurse d. Nurse manager
3. The nurse has a full assignment. The charge nurse adds a newly admitted patient who will require close monitoring. Which task can the nurse delegate to the CNA who is co-assigned to the same patients?
a. Teaching Mr. Z insulin self-administration
b. Updating Mrs. W’s care plan
c. Evaluating goal attainment for Mr. Y, who is learning to walk with a below-the-knee prosthesis
d. Bathing Miss X, an unconscious patient
4. Based on the goal of making optimal use of the level of preparation of the licensed practical nurse (LPN), which task should the nurse (RN) delegate to the LPN?
a. Assisting with a lumbar puncture
b. Transporting a patient to the radiology department
c. Restocking the sterile supplies
d. Distributing afternoon nutrition supplements
5. There is a temporary agency registered nurse assigned to the nursing unit. You have no knowledge of this nurse’s skills, and you want to assign the nurse to a patient who has a fresh tracheostomy. How should you handle this situation?
a. Assign the nurse to the patient with the tracheostomy and hope for the best.
b. Ask the nurse about his or her competency to care for the patient with the tracheostomy.
c. Assign the patient to another nurse and use the temporary agency nurse to do simple care tasks.
d. Call the agency and ask for a nurse skilled in the care of a patient with a tracheostomy.
6. What would be the best example of delegation?
a. Transferring to another nurse the responsibility of caring for a patient requiring a blood transfusion
b. Providing guidance to an LPN to hang blood on a patient
c. Assigning a series of nursing unit tasks to the certified nursing assistant
d. Assisting a new nurse to understand the rules and regulations of the Nurse Practice Act
7. What would be the best example of supervision?
a. Assigning nursing care for a group of five patients to a nurse
b. Following up with a CNA on the assigned task of ambulation and feeding of two patients
c. Assigning a urinary catheterization and collection of sterile culture to an LPN
d. Scheduling the LPN to administer medications on the unit for the afternoon
8. What are potential causes of performance inadequacies?
a. The person to whom the task was assigned had appropriate educational qualifications to complete the task.
b. The task was assigned to a person capable of carrying out the assignment.
c. The person who delegated the task confirmed the recipient’s ability to perform the task.
d. The person to whom the task was assigned did not understand what the task involved.
9. Which of the following represents appropriate feedback for an assignment to an LPN?
a. “Did you understand the assignment that you received in the staff report?”
b. “Have you completed the urinary catheterization and care of the new patient?”
c. “The patient in Room 430 looks much better, and you did a good job of making the patient comfortable.”
d. “I know you are busy; however, you need to get caught up with your pain medications.”
10. The nurse needs to discuss a problem with the nursing assistant. The nursing assistant has left several rooms cluttered with trash and not cleaned appropriately. Which comment by the nurse would be the best way to approach the problem?
a. “I checked on the four rooms you were assigned, and they are really a mess.”
b. “Have you had a problem completing your work assignment today?”
c. “All four of the patient rooms assigned to you today are messy with a lot of trash in them.”
d. “Family members have been really upset today. Why have you not cleaned up the rooms assigned to you?”
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery
1. How does managed care affect the economics of health care delivery?
a. Provides incentives for smaller private or individual hospitals
b. Increases the tax bases for the community
c. Uses corporate economics to achieve a profit
d. Decreases duplicate processes and redundant facilities
2. Which statement regarding characteristics of clinical pathways shows the nurses understanding?
a. “Clinical pathways focus on patient outcomes.”
b. “Clinical pathways use a timeline with sequenced interventions.”
c. “Clinical pathways collaborate efforts by health care professionals.”
d. “Clinical pathways involve nurse-centered orientation.”
3. Which statement shows the nurses understanding of patient-focused care?
a. “Patient-focused care is a nursing care delivery system.”
b. “Patient-focused care is a model for a health care organization.”
c. “Patient-focused care is a clinical pathway within an institution.”
d. “Patient-focused care is an institutional value and philosophy.”
4. Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are
a. “clinical pathways and patient classifications.”
b. “clinically oriented and business-oriented pathways.”
c. “clinical pathways and disease management protocols.”
d. “centralized and decentralized system models.”
5. A nurse manager is training a new hire. Which statement shows an understanding of functional nursing?
a. “Functional nursing is organized around tasks.”
b. “Functional nursing is patient led.”
c. “Functional nurses is physician led.”
d. “Functional nursing is unorganized.”
6. Which of the following statements shows the nurses understanding of primary nursing?
a. “Primary nursing involves planning and directing of patient care over 24 hours.”
b. “Primary nursing involves care for 48 hours or more.”
c. “Primary nursing involves one nurse planning care for the patient.”
d. “Primary nursing is the only method of care used today.”
7. Which statement is true about case management?
a. There are two models—traditional and full immersion.
b. It is used to reduce resource utilization only.
c. To be effective, it requires case managers to provide direct patient care.
d. It eliminates the need for other caregivers (LPN, LVNs, nursing assistants).
8. A nurse is interested in case management. Which statement indicates an understanding of the primary work environment of case manager?
a. “They work most often in acute care institutions.”
b. “Their work is focused on community activities and is based within the community.”
c. “They typically work for insurance companies, providing coordination of care.”
d. “All types of health care organizations, as well as organizations with health-related functions, hire case managers.”
9. Which statement is true about patient classification systems?
a. They measure all the needs of patients.
b. They provide an absolute formula for unit staffing.
c. They should not be used to make patient care assignments because acuity systems are more accurate.
d. They provide historical data of the usage of nursing time, which is helpful when developing the department budget.
10. Which of the following best describes the concept of evidence-based practice?
a. It is a method of improving nursing care and effectively maintaining cost containment.
b. Insurance companies review the evidence of the health care practice for reimbursement.
c. It achieves large-scale economics while providing cost-effective care.
d. It provides for the use of recent research in current nursing practice.
Chapter 16: Economics of the Health Care Delivery System
1. Which statement by the nurse indicates understanding of the major factors influencing the increase in health care costs?
a. “Health care expenditures are exceeding the cost of the gross domestic product (GDP) in excess of 14%.”
b. “Older adult patients consume more of the health care product than they can afford to finance.”
c. “The cost of prescription drugs is soaring so rapidly that the majority of people cannot afford them.”
d. “Because of the limited payment of Medicare, institutions are not being reimbursed at the same level of expenditures.”
2. A nurse is educating a coworker on the intrinsic factors and cost of health care. The nurse knows that the teaching has been effective when the coworker lists the following intrinsic factor as the major cause of increased cost:
a. Almost 10% of Americans over 65 years old are considered at or below the poverty level.
b. The new medical technology available has increased the cost of health care.
c. There are increasing labor costs in the total hospital spending budget.
d. The staff nurse does not understand the responsibility of economics and money management.
3. A nurse manager is preparing a presentation on health care economics for unit staff. How would the nurse manager explain the definition of economics as it relates to health care to the staff?
a. Economics refers to how the health care system is going to care for the older segment of the population.
b. Health care is a limited resource; economics refers to how this resource is going to be allocated.
c. Health care economics refers to the budgeting and financial management of the institution providing the care.
d. Economics is the balance of the utilization of health care services and the monies obtained for the services provided.
4. The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice?
a. Begin discharge planning as soon as it is evident when a patient will be discharged.
b. Encourage patients to consider being admitted the evening before a major surgical procedure.
c. Use unlicensed personnel as much as possible in the delivery of nursing care.
d. Accurately document the current status of a patient with regard to the patient’s ongoing needs.
5. The nurse manager receives the budget variance report for the assigned nursing unit. What other critical information must the nurse manager consider to evaluate this report?
a. Projection of costs in the operating budget
b. The amount of money allocated to meet expected costs
c. Figures on which a zero-based budget were determined
d. Planning needs for unit staffing based on patient acuity
6. Which statement by the nurse shows understanding of the Rand Health Insurance Experiment?
a. “When consumers were required to pay 25% co-payment, there was a considerable decline in the use of health care services.”
b. “There was an increase in the use of health care services when consumers were required to make a co-payment.”
c. “If the health care cost is being paid by insurance companies, the consumer is not concerned about the cost.”
d. “The implementation of the Oregon Health Policy for reimbursement of the cost of health care services led to the Rand Health Insurance Experiment.”
7. What is the nurse’s fiscal responsibility to the patient?
a. To provide the best health care that the patient can afford
b. To provide the best health care that the insurance company will allow
c. To use the most cost-efficient resources to provide maximum health care to the patient
d. To use the most efficient method of providing nursing care to patients whose resources are limited
8. What is the most important way that a nurse can be fiscally responsible to the employing institution?
a. By providing quality, safe nursing care
b. By considering patient needs and prioritizing appropriately
c. By accurately documenting the patient’s condition
d. By maintaining accurate charges for supplies used in patient care
9. Which statement is true about patient classification systems?
a. The systems measure all the needs of patients.
b. The systems provide an absolute formula for unit staffing.
c. The systems should not be used to make patient care assignments because acuity systems are more accurate.
d. The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget.
10. The case manager is educating the nurse about health care costs. The case manager knows that the education has been effective when the nurse states:
a. “Health care costs are increasing because demand is decreasing.”
b. “Health care costs are steadily decreasing.”
c. “The aging population is requiring more health care services, causing the costs to increase.”
d. “The aging population is requiring less health care services, causing the costs to decrease.”
Chapter 17: Political Action in Nursing
1. The state nurses association writes a new version of the Nurse Practice Act, secures a sponsor in the legislature, and lobbies legislators to adopt the bill. Which of the laws of power would the nurse label this situation?
a. Power is invariably personal.
b. Power invariably fills any vacuum.
c. Power is exercised through and depends on institutions.
d. Power is best exercised via large financial donations to individual legislators.
2. A nurse plans to lobby a state senator regarding a particular health care bill. Which action would be appropriate?
a. The nurse should be specific about what action the senator should take early in the contact or letter.
b. The nurse should tell the senator that if their advice is followed, the nurse will vote for the senator.
c. The nurse should use a form letter to express personal opinion and encourage as many as possible to mail in the form letter.
d. The nurse should avoid making contact by phone and only submit personal views in writing.
3. The clinical nurse leader makes out the daily assignments. One staff nurse tells another, “Last week I was asked to change my days off so the clinical nurse leader could go to a play in another city. I told the clinical nurse leader I couldn’t do it. Ever since then, I’ve been given the most difficult patients on the unit for my assignment.” The staff nurse can label this type of power as:
a. Inherent c. Legitimate
b. Referent d. Expert
4. The nurses at Community General Hospital are concerned about violence involving children in their community. They wish to propose to the city government that drug-free and weapons-free zones and corridors be instituted near each school. The nurses send liaisons to the city school board and the parent–teachers association to ask them to join the effort. What is the term for this type of strategy?
a. Forming a coalition c. Collective bargaining
b. Displaying legitimate power d. Seeking compromise
5. Which strategy is least effective in formulating political action?
a. Ability to communicate information in concise terms
b. Living and practicing in several different states
c. Determining who should be contacted and for what political action
d. Having the ability to use different channels of information
6. A nurse has recently moved from one state to another and wishes to write lawmakers to urge them to vote against a change in the Nurse Practice Act that would replace individual licensure with institutional licensure. What lawmakers should the nurse contact?
a. The city council members
b. The county (parish) legislators
c. The state legislators from the district
d. The federal legislators from the district
7. What is an example of the weakest source of power?
a. Several nursing students talk with a head nurse regarding a problem they are having on the unit. The head nurse then discusses this problem with the chief nursing officer.
b. The clinical nursing instructor sends a student to the skills lab for further practice.
c. A nurse shares knowledge regarding nursing in a confident manner and style.
d. The head nurse tells staff members that as soon as all the care plans are completed, they may have some additional compensation time.
8. Which statement by the nurse educator is accurate regarding politics?
a. “Politics involves influencing the allocation of scarce resources.”
b. “Politics involves identifying those in a public office that can be influenced.”
c. “Politics involves attempting to get people in government positions to think the way you want them to.”
d. “Politics involves lobbying for state and federal legislation to improve the quality of nursing care.”
9. Which statement by the nurse would best represent the purpose of a political action committee (PAC)?
a. A vehicle for nurses across the country to organize collectively to endorse and support candidates for national offices
b. A group of individuals or organizations who share a common interest in a single issue
c. An organizational structure established for the purpose of supporting and fostering changes in the health care system
d. A group that identifies special needs and raises funds to influence politicians to vote in a manner that supports the special needs
10. One of the five laws of power is that “power fills a vacuum.” Which statement by the nurse best captures that type of power?
a. “An individual who provides leadership and power to create a strategy that will address a problem and get people to contribute to the effort”
b. “People who are willing to give power to someone in order to restore comfort or handle a dilemma”
c. “An individual who takes action to speak and act on behalf of a group
d. A state nursing association that acts on behalf of the nurses within the respective state”
Chapter 18: Collective Bargaining: Traditional (Union) and Nontraditional Approaches
1. Which statement best describes when collective bargaining by nurses can occur?
a. Only when the nurses in the group are members of a union
b. Whenever nurses see a need to organize to take collective action
c. Only when the state nurses association is willing to represent nurses at a specific agency
d. Whenever the state nurses association agrees that both wages and working conditions are inappropriate
2. In which situation would the traditional type of collective bargaining (union) help nurses attain their goals?
a. Management has agreed to no nursing layoffs for one year after reorganization.
b. Nursing has received a 4% salary increase this year and next year.
c. Nurses have identified workplace safety issues and health hazards.
d. Management has arranged for nurse practitioners to have admitting privileges.
3. Which provision—if labor management included it in a contract—would not be to nursing’s advantage?
a. A workforce retraining provision
b. Seniority rights
c. A grievance procedure
d. Wage adjustments based on bed occupancy
4. What would the nurse identify as a primary difference between traditional and nontraditional collective bargaining?
a. Traditional collective bargaining is not organized through the state nursing association.
b. Traditional collective bargaining units are organized and members belong to the National Nurses United.
c. Nontraditional collective bargaining units are not recognized by health care organizations as a collective bargaining agency.
d. Nontraditional collective bargaining has a long history and is based on the support of organizations throughout the country.
5. The nurse believes that an adequate understanding of arbitration through the traditional collective bargaining unit has been obtained. Which of the following statements supports this belief?
a. “Arbitration is a management technique to discharge an employee.”
b. “Arbitration is useful to resolve conflicts having a basis in the labor-management” contract.
c. “Arbitration is always used before the formal grievance process.”
d. “Arbitration is a process used to establish nursing standards.”
6. A staff nurse is scheduled to work 3 to 11 pm in the cardiac step-down unit. The staff nurse realizes they are the only RN that will be on duty. The staff nurse calls the supervisor to say that help will be needed. The supervisor replies that there are no available nurses to assign to this unit. What should the nurse do?
a. Leave and go home rather than assume this responsibility.
b. Protect themself by filing a written objection to the assignment.
c. Call a temporary agency and arrange for coverage by a registered nurse.
d. Call the state health department to investigate the staffing issue.
7. A nurse is preparing a presentation. How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional, union-based nursing model?
a. “The traditional-based union model frequently puts nurses and employers in adversarial positions.”
b. “The union dictates to members what they can and cannot do within the health care institution.”
c. “The union-based model can initiate strikes that can be detrimental to the provision of health care in an institution.”
d. “The union-based model is too expensive and nurses are not fairly compensated by the organization.”
8. A nurse is giving a lecture on the primary problem that decreases the power of both types of collective bargaining models. The nurse knows that the teaching has been effective when a colleague states:
a. “The small number of states that recognize either type of collective bargaining”
b. “The political influences of the American Hospital Association on nursing organizations”
c. “The adversarial goals of each of the respective organizations or models”
d. “The lack of membership of the majority of practicing nurses”
9. A nurse is educating coworkers on the establishment of collective bargaining. The nurse knows the teaching has been successful when a coworker states:
a. “Collective bargaining is still not recognized by hospitals.”
b. “Nurse activists believed in a unified voice for nurses.”
c. “Nurse activists wanted to option of working more hours.”
d. “Collective bargaining is not effective.”
10. A charge nurse is providing education to coworkers on state nursing associations. The charge nurse judges that the teaching has been effective when a coworker states:
a. “These professional associations address nursing practice.”
b. “These professional associations do nothing to support nursing.”
c. “These professional associations protect the rights of physicians.”
d. “These professional associations are managed by hospital administrators.”
Chapter 19: Ethical Issues
1. A nurse is educating an adult patient on patient rights, according to the American Hospital Association. The teaching has been effective when the adult states that the patient’s rights include:
a. “choice of diet to be eaten during hospitalization.”
b. “considerate and respectful care from all care providers.”
c. “medical care regardless of ability to pay.”
d. “information from nurses about diagnosis and prognosis.”
2. A nurse manager is teaching the purpose of the nurse’s Code of Ethics to a group of high school students. Which statement by one of the students indicates that the teaching has been effective? The purpose of the nurse’s Code of Ethics is
a. “to assist in clarifying the individual nurse’s personal values and goals.”
b. “to differentiate between moral and immoral acts.”
c. “to guide the behavior of the professional nurse.”
d. “to identify acts that are legal for the nurse to perform.”
3. Which statement best describes the Code of Ethics of the American Nurses Association?
a. A moral statement of accountability for practicing nurses and for student nurses
b. A legal document describing the responsibilities of the nurse
c. A statement regarding nursing care that outlines principles for the hospital to use to evaluate quality of care
d. A document that is used as a guide for the nurse to consider in the decision-making process in legal situations
4. Which ethical principle is applied when the nurse acts to safeguard the patient and the public by reporting poor nursing practice?
a. Autonomy c. Justice
b. Fidelity d. Veracity
5. What ethical principle is implemented, or supported, when the nurse encourages a patient to be involved in planning and implementing self-care?
a. Autonomy c. Justice
b. Fidelity d. Veracity
6. The ethical principle of autonomy is not applicable in which patient situation?
a. The patient does not speak or understand the English language.
b. The patient is unaware of who or where he or she is.
c. The patient has been in a long-term care facility for 10 years.
d. The patient has values that conflict with the caregiver’s values.
7. A nurse is educating a nurse aide on patient confidentiality. The nurse believes the teaching to be effective when the nurse aide states that confidentiality will be maintained by a nurse who believes in and values the ethical principle of
a. veracity. c. justice.
b. autonomy. d. fidelity.
8. A patient who has a terminal illness wants to be able to take a prescription medication to end life when suffering becomes unbearable. The patient asks the nurse for advice. Operating from a deontological point of reference, what action does the nurse take?
a. Advises the patient about local providers willing to participate
b. Assesses the patient for more information about the situation
c. Determines what kind of insurance the patient has before acting
d. Tells the patient that they cannot participate in this action
9. The nurse is very busy caring for a large case load. An adult patient mentions that by having slow mobility, “people just do things for me rather than allowing me to do as much as possible on my own.” To solve the dilemma of needing to conserve time versus supporting the patient’s involvement in self- care, what principle may help the nurse?
a. Veracity c. Justice
b. Fidelity d. Autonomy
10. What element in health care is most responsible for the ethical dilemma of whether health care is a privilege or a right?
a. Cost c. Consumerism
b. Technology d. Worker shortage
Chapter 20: Legal Issues
1. A nurse is giving a presentation on malpractice. Which statement indicates the nurse understands malpractice?
a. “The elements of duty, breach of duty, and patient injury must be present for a malpractice claim.”
b. “Negligent nursing care and failure to follow standards must be present for a malpractice claim.”
c. “Failure to report, defamation, and discrimination must be present for a malpractice claim.”
d. “Error in judgment and invasion of privacy must be present for a malpractice claim.”
2. In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, QID. The patient has a long history of gastrointestinal bleeding. What is the best nursing action?
a. Give the medication.
b. Withhold the medication and chart why it was not given.
c. Call the physician and question the order in light of the patient’s history.
d. Ask if the patient is allergic to aspirin.
3. The nurse enters a patient’s room to complete the discharge paperwork and finds the patient in tears. The patient reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best nursing action?
a. Comfort the patient and continue the preparations for discharge.
b. Call the social worker for a financial evaluation.
c. Call the family to arrange for the payment.
d. Cancel the discharge plans and notify the physician of the situation.
4. What is a correct statement regarding a nurse who acts beyond the scope of practice?
a. Demonstrates what a good nurse he or she can be
b. Provides enriched services to patients who would not otherwise receive them
c. May make other nurses angry because of the increased expectations created
d. May be disciplined by the board of nursing
5. Which error in judgment would be the most serious for the nurse defendant in a legal case?
a. Discussing the case with the plaintiff
b. Tampering with the chart
c. Hiding information from the plaintiff’s attorney
d. Being discourteous on the witness stand
6. A graduate nurse is preparing to start a first nursing job. What action would be the best legal safeguard for the graduate nurse to take?
a. Competent practice c. A valid license
b. A legal contract d. Following management policies
7. A nurse is providing care to a 6-year-old child with a broken arm. The nurse notices multiple bruises. The child says, “my father got mad because I was bad, and he hit and broke my arm so that I would remember to be good.” What is the best nursing action?
a. Chart that the child is a victim of abuse.
b. Do nothing because the nurse cannot prove the child was abused.
c. Report the situation to the appropriate authorities.
d. Ignore what the child said because little children often lie.
8. What would be the most effective way for a nurse to validate “informed consent?”
a. Check the chart for a completed and signed consent form.
b. Determine from the physician what was discussed with the patient.
c. Ask the family whether the patient understands the procedure.
d. Ask the patient what he or she understand regarding the procedure.
9. What action might be taken on a nurse who commits an infraction of the Nurse Practice Act?
a. The nurse is subject to discipline by a court of law.
b. The nurse is subject to discipline by the state board of nursing.
c. The nurse is subject to discipline by the local chapter of the state nurses association.
d. The nurse is subject to discipline by the National League for Nursing.
10. The nurse understands “scope of nursing practice” when making which of the following statements?
a. “The scope of nursing practice includes acts that permit some overlap between nursing and medicine.”
b. “The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state.”
c. “The scope of nursing practice are the specific duties the nurse owes to a patient.”
d. “The scope of nursing practice involves hose activities for which a nurse can be held liable for malpractice.”
AND MUCH MORE