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168 Cards in this Set
- Front
- Back
Why does the American Nurses Association publish its Standards of Nursing Practice
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to provide a framework for the evaluation of nursing practice.
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Which is true of mandatory continuing education for licensure?
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it is a condition in some states
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An Associate Degree Nurse is acting as a preceptor to a nursing student and tells the student to take the patient. In what capacity is she acting?
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Manager of patient care.
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What is the greatest obstacle to collective bargaining for nurses?
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Danger to harm from withholding crucial services.
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Which of the following is true for a nurse acting as an expert witness at a trial?
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Be brief and direct when questioned.
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Which of the following would be an appropriate function for an AND graduate?
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Patient care in a long term facility.
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What is the fundamental premise of the patient’s bill of rights?
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the patient is entitled to make informed decisions about his care.
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Spouse of a patient is in the room and has a heated discussion with their mate. After the spouse leaves what may indicate psychological abuse?
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All those things are true, I never get anything right
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Which of the following is an example of false imprisonment?
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preventing a patient from leaving the hospital until a doctor has signed a discharge order.
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How has health care funding affected rationing of health care
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Rising health care costs have resulted in increased health care rationing.
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Which is a health insurance program for those over the age of 65?
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Medicare
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What is the goal of the American Nurses Association
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Promote professionalism in nursing
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What is the purpose of JCAHO
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to ensure standards of quality care are maintained
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What has been the effect of the use of Diagnostic Related Group (DRG
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The acuity of hospital care has increased
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Which of the flowing would be a function of primary nursing?
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Developing a nursing care plan
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Which example would constitute patient abandonment
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A RN refuses to stay on the unit until a replacement comes for the next shift RN that called in sick
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Which of the following is an example of an assertive statement
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I feel I have the right to express my opinion
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A nurse gives a medication she is unfamiliar with and the patient has a negative side effect, what ANA code of nursing is broken
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The nurse maintains competence in nursing
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What standards of care apply to an operating room nurse but not to a med-surg nurse
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Agency’s policies and procedures.
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The Director of Staff Development is looking into developing a new charting method. What should be the first step?
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Gather input for the staff who do the charting
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Which ethical principle holds that no harm should come to your patient
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Nonmaleficence
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Which research activity can an AND participate in
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Implementing nursing care based on the research findings.
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Access to a broad range of preventive and treatment services represents
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a benefit of a HMO
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Nightingale's main contribution to nursing during the Crimean War was
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Reducing the death rate by instituting basic hygiene measures
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The Industrial Age changed the direction of the nursing profession by
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improving the economic and health-care situations of workers in industry
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The Magnet hospitals project was important because it
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identified the key elements hospitals could use to improve care and nursing practice
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One of the main goals of the American Nurses Associations to
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support high nursing standards
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Advantages of participating in professional nursing organizations include?
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developing leadership knowledge and skills
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The nurse leader who was instrumental in establishing public health nursing was?
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* Lillian Wald
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. Differences in what is taught in associate degree and baccalaureate degree programs include content about?
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leadership and management
(baccalaureate degree) |
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Prior to 1800's the primary providers of nursing care included?
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* members of religious orders and prostitutes
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With the advances in science and technology, it is critical that nurses be able to?
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* Use the computer system to obtain information about patient conditions
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. The unionization movement of workers in the USA during the 1940's and 1950's contributed to the development of?
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A health-care setting that delivered fee-for-service care by insurers of workers
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Evidence-based practice refers to health-care practices that are based on?
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recent research findings
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The nurse responsible for establishing the American Red Cross is?
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Clara Barton
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The organization responsible for developing licensure examinations is the?
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National Council of State Boards of Nursing
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. The honor society of the nursing profession is ?
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Sigma Theta Tau International
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The nurse with an associate degree is prepared to perform which of the following functions?
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Direct patient care
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RN-completion programs differ from 4 year baccalaureate degree programs because the RN-completion programs?
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recognize that the RN already has basic patient knowledge and skills
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Which of the following statements is true about the 1965 ANA position Paper?
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The recommendations of the paper have not been implemented by the profession
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Which of the following is true about the standards of care?
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Standards of care are based upon the knowledge and skills all professional nurses are expected to have
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. A systemic process to evaluate nursing care and determine if the best patient outcomes are being achieved is called?
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Quality improvement
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An advantage of peer review as a mechanism of quality improvement is that?
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it increases staff participation in the evaluation process
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.In the concurrent method of quality improvement, data are collected from?
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current performance
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Evaluation of the structure in a quality improvement program might include review of the?
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Available equipment and staff resources
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Evaluation of the work process in continuous quality improvement would include review of?
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transfer procedures from unit to unit
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What is the main reason to measure the outcome of patient satisfaction in quality improvement programs?
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patients are the best qualified to evaluate the care they receive
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Which of the following is true about total quality management?
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It is proactive and participative management style
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A major advantage of total quality management is that it?
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involves all levels of employees with in the organization.
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A limitation of chart audits as a mechanism of quality improvement is that?
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the documentation may be incomplete
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Which of the following statements is true about the mechanism for quality improvement?
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all the methods have limitations, so it is best to use multiple methods
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The organization that accredits hospitals to assure that standards are being met is the?
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Joint Commission on Accreditation of Healthcare organizations
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An advantage of the observation method as a mechanism of quality improvement is that?
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it is reliable in determining the actual care delivered
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Which of the following statements about quality improvement is true?
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Quality improvement ia a complex process completed to evaluate all aspects of care
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A common role of the staff nurse in quality improvement may involve?
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being a peer reviewer for colleagues
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The main purpose of licensure of registered nurses is to?
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protect the safety of the public
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Which of the following is true regarding nurse licensure?
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To perform activities with in the scope of nursing practice, a person must have a nursing license
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Credentialing differs from licensure because credentialing is?
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A voluntary process on the part of the nurse
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Rules for disciplinary action against nurses are provided in the?
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nurse practice acts of each state
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Which of the following statements is true about nurse practice acts?
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The acts define the scope of nursing practice
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Enforcement of the nurse practice acts is done by?
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the state boards of nursing
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Misdemeanors and felonies are a type of?
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criminal law
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Which of the following is a type of civil law?
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A law that originated from a written code of laws
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What serves as the basis for a charge of negligence against a nurse?
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standards of care
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The definition of tort law covers?
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a wrongful act a person commits against another person
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failure to assess the functioning of an intravenous pump delivering medications to a patient would be a(n)
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act of omission
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Nurses may be able to reduce the risk of committing negligent acts by?
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avoiding working long shifts without adequate rest or nutrition.
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Nurses may reduce the likelihood of errors if they?
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listen carefully to patients and attend to their complaints
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Malpractice applies to?
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all professionals with standards of care
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Good Samaritan statutes?
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Protect nurses from negligence charges when performing nursing during emergency situations without pay.
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When a person writes about another individual that harms that person's reputation and causes others to view him or her negatively, it is termed?
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libel
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If a patient has given his or her informed consent, it means he or she has
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received sufficient information to make a decision about treatment options
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A nurse's signature on the informed consent for treatment form indicates
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the nurse saw the patient sign the consent form
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The primary purpose of documentation is to
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assist in implementing the patient's plan of care
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Nurses participate in the risk management process by
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collecting data from incident reports
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If a person wants to complete a legal document to identify his or her desire for treatment, especially life supportive therapies in the future, he or she will complete a(n)
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Advance directive
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A criminal law that occurs when a person is fearful of being touched in a harmful way is
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assault
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The Comprehensive Drug Abuse Prevention and Control Act of 1970 served to
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control handling of narcotics and other regulated medicines by providers
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Invasion of privacy is which type of offense?
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Intentional tort
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When working with unlicensed assistive personnel, the professional nurse should
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provide clear directions about tasks to be completed
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The organization created by the federal government in response to the consumer health movement is the
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agency for health-care policy and research
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A principle that underlies decisions about informed consent and advance directives is the principle of
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self-determination
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When a nurse acts on the behalf of a patient she is acting in the role of
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advocate
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Ethics is a branch of philosophy that deals with
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what should or ought to be
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The document that guides the professional nurses' ethical practice is the
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American nurses association’s Code For Nurses
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The obligation that professionals have to be truthful is
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veracity
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The obligation that health-care professionals do not harm and do good for patients is
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beneficence
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A limitation of the utilitarian theory or ethical decision making is that
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it may not be applicable to all health-care situations because of the definition of happiness
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When ethical decisions are made based on the deontological theory, ________ are used to guide the decision-making process
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moral rules and principles
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The function of a hospital ethics committee typically includes
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reviewing cases that require ethical decisions
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When nurses must decide to report unethical conduct, they need to know that
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the rights of both people involved must be protected
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Examples of ethical issues in health care that nurses may deal with include
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do not resuscitate orders
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An ethical dilemma occurs when
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a choice has to be made between two alternatives that are not completely positive
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A decision in which the obligations of nurses and physicians are in conflict would be an example of
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a normative decision
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Which of the following are attributes of a profession?
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There must be an organized body of knowledge
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Autonomy as an attribute of a profession refers to the
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control members have over the practice
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Nursing science and research
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increase the likelihood that nursing will be considered a profession
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Which of the following is an example of a nurse functioning autonomously?
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A nurse gives a postoperative patient a back massage to enhance pain relief from opioids
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An example of an autonomous intervention is the nurse
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educating patients about smoking cessation
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Which of the following is true about the education requirements of a profession?
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Education should occur in higher education institutions
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A requirement to be a preceptor is
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experience in the area of nursing the preceptor will teach
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A primary reason preceptor programs have been developed is to
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improve socialization of new graduates into nursing
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A benefit of a preceptor program to the new graduate who participates is that
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it provides a source of support for the new graduate
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Coaching is a method nurses can use to
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teach patients to self-administer insulin
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Which of the following is the best example of a mentoring relationship?
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the professor and the nursing student form a close working relationship while the student completes the baccalaureate and master's programs
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. For the professional registered nurse who has not worked in a nursing for ten years and wants to return to nursing, programs to help his or her socialization into the current practice setting may be found by
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contacting the state nurse's association
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Why is theory so important to the practice of nursing?
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theory can guide nursing practice
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Which of the following is true about nursing theories?
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they are abstract ideas about phenomena’s in nursing
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To describe, explain, predict, or control nursing phenomena is the goal of
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nursing theory
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To be useful in nursing practice, a theory should be
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tested and supported by research
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The type of theory that is testable through research is termed a(n)
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midrange theory
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When working with a patient who is angry and needs assistance coping, the nurse could use which of the following theories?
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Lazarus's Model
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The nurses theorist who developed a theory about self-care deficits is
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Dorothea Orem
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Hildegard Peplau is best known for her theory that describes
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therapeutic communication skills
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To work with a person to promote health, the nurse could use which of the following theories?
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Pender's Health Promotion Model
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When working with a patient who is undergoing a cardiac catheterization procedure, the nurse could reduce patient anxiety by using
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Johnson's self-regulation theory
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When working with a patient with a pressure ulcer, to promote wound healing, the nurse could use which of the following theories?
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A physiologic rationale of wound healing
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Physiologic rationale are appropriate to use as a basis for practice when the patient problem
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requires a physiological base for solving the problem
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An efficient delivery model in which care is delivered based on each provider doing a specific set of tasks
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functional nursing
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An advantage of team nursing is that
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team members feel supported by each other
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When primary nursing is implemented, the professional nurse
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is accountable for the care received by a group of patients
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The delivery model that best emphasized the autonomous role of the nurse is
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primary nursing
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Differentiated practice means that
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patient care is delivered based upon the education of the provider
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Managed care as a delivery model developed in response to
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cost-containment efforts
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The main purpose of a care map and a critical path is to
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achieve safe patient outcomes at a reasonable cost
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In managed care models, when a patient is unable to have a diagnostic test because the preliminary work required for the test was not ordered or administered, it is a
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provider variance
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. In managed care models, when a patient is unable to be discharged within a reasonable time due to prologned pain, it is a
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patient variance
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Who would be knowledgeable and prepared to coordinate the evaluation of the care maps and critical pathways for groups of patients?
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the clinical nurse specialist
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A limitation of the managed care delivery model is that
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it is not supported by research as better then other models
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Change that is deliberate and done to make a situation better is called
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planned change
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Which of the following is true of breakpoint change?
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It most stressful of the individual and requires a great deal of time and effort to manage
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A nurse should use the rationale model for change when he or she anticipates that
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resistance to change will be low
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. A nurse who gives people new information about a change and provides opportunities for feedback about a change is part of the
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moving stage
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Of the change process: evaluation of the change should be planned before the change is implemented
TRUE or FALSE |
TRUE
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The development of groups of nurses and other providers to review studies to support changes in practice is an example of using ________ to support change.
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research utilization
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Nurses use the power of expert knowledge and experience to
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influence the change process and advocate for patients and staff
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Nurses as a group have a great deal of power because
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the(ANA) American Nurses Association has an active lobby group
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Which of the following is true about power?
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power, like leadership, can be learned by nurses
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Historically, autonomous practice by nurses has been limited because
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nurses were mostly women and physicians were mostly men
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Which of the following is true of transformational leaders?
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they use shared vision to accomplish goals and objectives
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The style of leadership that has been demonstrated through research satisfaction of staff nurses is
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participatory
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Managers are different from leaders because managers have
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specific goals and tasks to accomplish
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Which of the following is true of the laissez-faire leadership style?
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it is unfocused
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In the dual factor theory of leadership, leadership is viewed as
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motivational in purpose and involves levels of satisfaction and dissatisfaction
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An important role of a nurse leader is
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to nurture younger nurses
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Nurses in the staff role need management skills to
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manage patient care
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Nursing management is best defined as
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planning, organizing, and controlling resources to achieve patient outcomes
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The costs component of a hospital budget includes
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payroll of salaries and benefits
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Responsibility and accountability for the budget of a community hospital lies with the
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chief executive officer
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A full-time equivalent is
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a unit for measuring employee work time
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The component of the budget that includes the actual number of hours worked, the minimum staffing requirements, and any additional staff expenses is the
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staffing budget
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The NANDA system is used to
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delineate potential or actual nursing problems that require treatment
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a limitation of the NANDA system is that
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the diagnoses are untested by research
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Which of the following is true of the nursing intervention classification (NIC) system?
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The system provides a method for categorizing common nursing interventions
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A benefit of delegation is the?
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promotion of a sense of teamwork.
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Which of the following statements are true of conflict management?
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A collaboration to find a solution acceptable to both sides will have the best outcome
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The most important therapeutic technique of communication is?
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listening
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Sexual harassment occurs when?
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unwelcome sexual advances are made that can influence a person's employment
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If a nurse believes he or she has been the victim of sexual harassment, he or she should?
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follow the institutional policies and procedures for sexual harassment
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The Americans with disabilities act (ADA)
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was passed to eliminate discrimination against people with disabilities
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The agency that oversees complaints related to the Americans with Disabilities Act is the?
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Equal Employment Opportunity Commission
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The purpose of the ANA lobbyists is to?
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influence federal and state officials to support matters important to nursing
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Providing equal basic health care to all Americans is the definition of?
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universal access.
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When a type of health care is restricted and not available to people, it is termed ?
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rationing
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The federal government organization that is responsible for protecting the health of all Americans is the?
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Department of Health and Human Services
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The National Institute for Nursing Research is?
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A major source of federal grant funding for nurses and health scientists
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A prepaid health plan in which primary care providers are viewed as gatekeepers to care is?
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a Health Maintenance Organization
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A demographic trend that is influencing health care and will continue to have a major impact on health care is?
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an increase in the elderly population
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