NUR3805 Dimensions of Professional Practice
FINAL EXAM
Question 1 The clinical nurse leader (CNL) is a recently proposed role. The responsibilities of the person in this role include which of the following?
Provide daily care to a specific subset of patients with similar needs.
Oversee and manage care delivery in specific settings.
Manage and streamline operations in multiple nursing units.
Replace the outdated CNS role.
Question 2 Which of the following is an example of a research question based on a clinical problem?
Relationship between hours of bright light and irritability of preterm infants
Nursing intuition about what measures are most useful with anxious patients before surgery
Stories of a flight nurse’s experiences with posttraumatic stress disorder
Published observations of a nurse who practiced many years in elder care
Question 3 Which research design would be used to determine the relationship between self-concept, physical fitness, and health habits in school-aged children?
Applied research design
Nonexperimental design
Experimental design
Pretest and posttest design
Question 4 For data collection to be valid, what must occur?
The tool must be accurate all of the time.
The tool must measure what it is supposed to measure.
The tool must be unbiased.
The tool must be thorough.
Question 5 Which of the following must be included in the informed consent in research?
Participants need to know the funding source for the research.
Participants must be informed of risks associated with participation.
Participants relinquish the right to privacy.
Once participants agree to participate, they must complete the study.
Question 6 What is the current name of the agency that serves as an important source of funding for nursing research?
National Institute of Nursing Research
National Nursing Research Agenda
National Center for Nursing Research
NIH
Question 7 Which of the following statements describes the purpose of the nursing process?
A sophisticated time-management strategy
Process used to identify and solve patient problems
Process of documentation designed to decrease liability
Process designed to maximize reimbursement potential
Question 8 Which of the following describes the primary difference between nursing diagnoses and medical diagnoses?
Nursing diagnoses, like medical diagnoses, identify medical diseases.
Nursing diagnoses must be verified by a physician.
Nursing diagnoses identify simple instead of complex problems.
Nursing diagnoses identify problems that can be treated with independent nursing actions.
Question 9 Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?
Patient will inject insulin twice daily.
Patient’s recorded blood glucose will be between 60 and 120 mg/dL each day.
Patient’s A1c will be 5% at 1 year postdiagnosis.
Patient will keep appointments with physician over the next 6 months.
Question 10 Which behaviors help patients develop trust in the nurse?
Meeting with the patient spontaneously because that indicates caring
Sharing personal information to indicate openness
Answering questions with authority
Conveying acceptance of the patient and a nonjudgmental attitude
Question 11 Which of the following is most important in order for a new staff nurse to communicate therapeutically with patients?
Presenting himself or herself as a knowledgeable and experienced clinician
Sharing information about the intimate details of one’s own life
Focusing interactions on educating patients about their treatments
Becoming aware of own feelings about illness and death
Question 12 A new mother says, “My baby is being kept in the nursery. I’m really worried about him. I’m also worried that the separation will interfere with breastfeeding.” The most appropriate response by the nurse is:
“Well, that’s not my territory. You’ll have to deal with the nursery staff about breastfeeding.”
“I can see you’re upset about this, but to be honest with you, I’m a new nurse here, and I’m not sure how I can help you.”
“I can see this is a problem for you. I will go to the nursery and see if I can get some answers for you.”
“As a nurse on this unit, I can assure you that we will do all we can to help you.”
Question 13 Which statement about acute illness is true?
Acute illnesses are usually catastrophic in nature.
Most people with acute illness return to their previous level of wellness.
Most people with acute illness develop chronic illness.
All people with an acute illness need medical care.
Question 14 A patient in whom cancer has just been diagnosed tells the nurse, “Just get out of here and leave me alone! Let me suffer alone. God is punishing me.” The nurse determines that the most appropriate nursing diagnosis for this patient is
risk for loneliness.
dysfunctional grieving.
spiritual distress.
powerlessness.
Question 15 Why is a basic understanding of ethnopharmacology part of being a culturally competent nurse?
Ethnopharmacology is a new area of study important to all nurses.
Nurses should know how medications may affect individual patients to properly administer the medication.
Pharmacology is a significant aspect of nursing practice.
Significant differences among ethnic groups have been found in relation to the effects of medications.
Question 16 Which of the following is an example of health promotion and maintenance?
Providing colonoscopy examinations for high-risk individuals
Talking to a women’s church group about having an annual mammogram
Establishing an exercise program for postmenopausal women to reduce bone loss
Talking to a state legislator about supporting a motorcycle helmet law
Question 17 Which of the following is a responsibility of many health care agencies’ chief executive officers (CEOs)?
Managing the budgets of each department in the agency
Overall operation of the agency on a daily basis
Recruiting and hiring of staff
Establishing policies governing the operation for the agency
Question 18 A recent trend in nursing has been an increase in the number of men and women with degrees in other fields or other careers applying to nursing programs. What is the single most important reason for this trend?
Nursing salaries have outpaced many other fields.
A nursing career provides both job security and meaningful employment.
Working conditions in nursing have improved.
Nursing as a career has gained increased status and prestige.
Question 19 When surveyed, what is the primary reason given by men for entering nursing?
To make a difference
Flexible schedules
Opportunity for travel
High salaries
Question 20 When surveyed, which profession was chosen by the general public as highest in honesty and ethics?
Pharmacist
Attorney
Physician
Nurse
Question 21 A shift in population growth is expected to place stress on nursing resources. Which age-group is expected to experience the greatest population growth in the next decade?
Older than 85 years of age
35 to 65 years of age
75 to 85 years of age
18 to 35 years of age
Question 22 Which of the following was an unsuccessful attempt by the American Medical Association (AMA) to alleviate the nursing shortage of the time?
Creation of the nurse manager position
Creation of the registered care technician
Redistribution of qualified nurses to certain geographic locations
Recruitment of RNs from English-speaking countries
Question 23 During the Great Depression, staffing of hospitals changed with an impact lasting to the current day. What was this change?
The employment of graduate nurses in hospitals
The increased number of collegiate schools of nursing, which allowed hospitals to increase the educational requirements for the staff
The opening of more schools of nursing in hospitals
The need for increased private duty nurses and rural health nurses decreased the number of nurses seeking employment in hospitals
Question 24 Margaret Sanger, as a nurse and activist, worked on the Lower East Side of New York City in the early 1900s with immigrant women. What was the focus of her work?
Providing nursing care to underserved African-American families
Sanitation to prevent disease transmission
Safe contraception and family planning for women
Health education for children
Question 25 A major challenge to full autonomy for nurses is/are
the view of physicians as the gatekeepers in health care.
state nurse practice acts.
lobbyists for the American Medical Association (AMA) and hospital associations.
the status of nurses in hospital hierarchy.
Question 26 Which type of basic nursing education program graduates the largest number of RNs in the United States today?
Diploma programs
BSN programs
Associate degree programs
Nurse practitioner programs
Question 27 What is the purpose of articulated models or systems for nursing education?
Allowing nurses to work in nursing as they gain additional education
Facilitating opportunities for nurses to move up the educational ladder with ease
Increasing curriculum similarities in nursing programs
Increasing the numbers of nursing education programs
Question 28 All levels of nursing educational programs can be accredited by which organization?
American Association of Colleges of Nursing (AACN)
Commission on Collegiate Nursing Education (CCNE)
National League for Nursing Councils of Education Programs (NLNCEP)
Accreditation Commission for Education in Nursing (ACEN)
Question 29 In 2004, the AACN proposed a new doctoral degree, the doctor of nursing practice (DNP). What is the focus of the DNP degree in nursing?
Advanced clinical practice
Nursing quality improvement
Nursing research
Nursing theory development
Question 30 The purpose of mandatory continuing education for license renewal is to
ensure consistency between states regarding continuing education requirements.
ensure that nurses remain up to date in knowledge.
ensure that nurses attend regular staff development meetings.
ensure that nurses remain competent in psychomotor skills.
Question 31 Black illustrates concepts of preventing burnout by using the example of a flight attendant instructing persons to “put your own oxygen mask on first.” What does this statement mean?
Taking care of yourself will enable you to be a better nurse.
Ask others for help if you feel overwhelmed by your first position as a nurse.
Airway is always a priority in patient care.
Oxygen is the most important element of life.
Question 32 Which of the following illustrates an effective strategy for a registered nurse student returning for a bachelor’s of science in nursing (BSN)?
Be open to information that does not seem to be readily applicable to your current position.
Use your co-workers as a sounding board to relieve frustration.
Get reacquainted with the library; expect to spend many hours there doing research.
Start a program only if you have a great deal of free time to devote to classes on campus.
Question 33 A mother asks the nurse if her 5-year-old can visit his twin brother in the PICU after cardiac surgery. The nurse denies the request because hospital policy states that children younger than 12 years of age are not allowed to visit the PICU but suggests that the mother visit with the child in the visitor’s lounge and talk to him about what is happening with his brother. This illustrates which of Benner’s stages of nursing proficiency?
Advanced beginner
Proficient practitioner
Competent practitioner
Novice
Question 34 A nursing student says to the clinical faculty, “I know I will be able to care for this patient given your directions.” In which stage of Cohen’s model of professional socialization is this student?
Stage II: Negativity/independence
Stage I: Unilateral dependence
Stage III: Dependence/mutuality
Stage IV: Interdependence
Question 35 Which early nursing theorist defined nursing in interpersonal terms by stating that nursing is a significant, therapeutic, and interpersonal process?
Martha Rogers
Hildegard Peplau
Dorothea Orem
Virginia Henderson
Question 36 Which of the following actions is acceptable as an exception to a nurse’s obligation regarding confidentiality?
Leaving printouts of lab reports on the desk in the physicians’ lounge as a convenience
Discussing a patient’s care with someone who does not know the patient
Reporting certain diseases to public health authority
Discussing a patient’s condition in a public place as long as the patient’s name is not mentioned
Question 37 A child is tested for genetic abnormalities. After the test results are delivered from the laboratory, a representative of the parents’ medical insurance company calls the nurse’s station and asks for the results of the tests. The nurse’s best response to this request is to
tell the representative that the test results will need to be obtained from the physician who ordered them.
refuse to give the information.
give the results as reported because the insurance company is paying for the tests.
tell the representative the status of the tests is unknown.
Question 38 Which of the following puts the nurse at increased risk for legal action?
Not assessing a patient who is complaining of pain
Documenting the exact words a patient uses when complaining
Delegating a Foley catheter insertion to a LPN/LVN
Caring for a postoperative patient who has a pulmonary embolus while being transferred to the chair
Question 39 The quality of nursing care is judged by whether nursing actions meet the standard of care. Which of the following is an example of meeting the standard of care?
Monitoring a patient more closely if the equipment has occasionally malfunctioned
Following actions consistent with local practice
Bypassing medication checks to save time once the nurse is experienced
Demonstrating the use of the nursing process when charting
Question 40 A patient’s spouse and son were recently killed in an automobile accident, and the patient’s position in a large company has been eliminated due to corporate reorganization. The patient states, “I do not think I can handle this.” The nurse could safely make the assumption that
environmental factors may have a negative impact on this person’s health.
self-care will assure the patient’s ability to readjust.
the patient will soon develop clinical depression.
the patient needs hospitalization to foster adaptation.
Question 41 Family structures have experienced change in the second half of the 20th century. What is the most dramatic difference seen in families today?
Reemergence of large, extended families
Increased incidence of nuclear families
ncreased incidence of single-parent families
Nuclear families moving closer to extended families
Question 42 A nurse is assessing a patient’s level of social support. How can the nurse best determine the adequacy of the patient’s social support system?
Noticing the number of visitors the patient has
Assessing the patient’s family structure and roles
Counting the number of community groups with which the patient is involved
Asking for the patient’s perception of support
Question 43 Which of the following is the World Health Organization’s definition of “health”?
People in harmony with environment
A state of optimum functioning for an individual in the performance of roles and tasks
Functioning at maximum potential with the environment
Physical, mental, and social well-being, not just the absence of disease or infirmity
Question 44 Which of the following is the primary focus of Healthy People 2020?
Improving the health of families
Improving the health of children
Improving the health of communities
Improving the health of individuals
Question 45 Bandura’s theory of self-efficacy described people’s response to health-related behaviors. Which of the following was a major premise of this theory?
Belief in self as having the ability to improve health is important in changing health behaviors.
Patients will take responsibility for their health if they understand the risks and benefits.
Health is genetically predetermined and cannot be influenced by an individual’s actions or beliefs.
A “cue to action” is a powerful motivator for changing health behavior.
Question 46 A specific organizational structure that makes clear connections between concepts is a
conceptual model.
metaparadigm.
theory.
philosophy.
Question 47 Which contemporary nursing theorist is best known for her definition of nursing that describes the nurse’s role as a substitute for the patient and as a helper and partner to the patient?
Henderson
Watson
Orem
King
Question 48 The nurse teaches the patient how to administer insulin. Before this the nurse and patient had developed a trusting relationship over several days, which included sharing feelings about having to take daily medication. The patient expressed confidence in the care provided by the nurse. The nurse could be basing care on the philosophy of
Roy.
Henderson.
Nightingale.
Watson.
Question 49 A nurse practitioner caring for a diabetic patient thinks the patient could gain better control of the diabetes if the patient lost weight. After assessing the patient’s perception of weight loss, role, stresses, and support systems, the nurse and patient establish the goal of losing 5 pounds in a month. The nurse could be basing care on the conceptual model of
Johnson.
Orem.
Roy.
King.
Question 50 nurse conducts theory testing and theory development research to develop nursing science. This nurse is prepared at which level of nursing education?
Master’s degree
Doctoral degree
Bachelor’s degree
Associate degree
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