Chapter 1 Quiz
Question 1
Which of the following could eventually
change the historical status of nursing as a female-dominated profession?
More men graduating from baccalaureate and
higher degree programs
The proportion of men in nursing beginning
to increase
More male graduates of basic nursing
programs entering the workplace
Salary compensation increasing to attract
more men
Question 2
The racial and ethnic composition of the
nursing profession will change to more accurately reflect the population as a
whole when
the increased numbers of racial and ethnic
minorities enrolled in educational programs graduate and begin to practice.
the number of Asians or Native
Hawaiian-Pacific Islanders begins to increase.
the percentage of African-American and
Hispanic nurses decreases more than the percentage of white nurses.
the nonwhite portion of the general
population decreases.
Question 3
Which of the following is a correct
statement about the registered nurse (RN) population?
The racial/ethnic composition of RNs closely
resembles that of the general population.
The number of men entering nursing has
decreased steadily over the last decade.
The rate of aging of RNs has slowed for the
first time in the past 30 years.
The majority of employed RNs working full
time must work a second position.
Question 4
Which of the following best describes
trends in nursing education?
Numbers of RNs with bachelor?s and higher
degrees are increasing.
Numbers of RNs with associate degrees are
decreasing.
Foreign-born nurses practicing in the
United States are seen as less knowledgeable because of their lesser
educational preparation.
Numbers of RNs with diploma educations are
increasing.
Question 5
Despite the variety of work settings
available to the RN, data indicate that the primary work site for RNs is
ambulatory care settings.
community health settings.
long-term care facilities.
acute care hospitals.
Question 6
One important advantage of clinical ladder
programs for hospital-based RNs is that they
allow career advancement for nurses who
choose to remain at the bedside.
encourage nurses to move into management
positions in which they can influence patient care on a broader scale.
encourage RNs to become politically active
and guide the profession of nursing.
provide training to staff nurses so they
can move seamlessly across departments.
Question
7
Which of the following statements is
correct about community health nursing (CHN)?
Prevention and community education are the
cornerstones of CHN.
Nursing care is rapidly moving from the
home setting to the institutional setting.
High-tech care such as ventilators and
total parenteral nutrition cannot be handled in the home.
Assessment skills are less important in CHN
because patients are not acutely ill.
Question 8
Which of the following is most essential
for the nurse entrepreneur to be successful?
Ability to take direction well
Excellent time-management skills
Avoidance of risks
A college degree in business
Question 9
The major benefit of serving as a military
nurse is
broader responsibilities and scope of
practice than civilian nurses.
working
with entirely baccalaureate-prepared peers on active duty.
serving as an officer on active duty or in
the reserves.
the financial support to seek advanced
degrees.
Question 10
Which of the following statements explains
why the school nurse of today is truly a community health nurse?
The
school nurse may be called on to care for a student?s family members in
underserved areas.
The
school nurse?s primary responsibility is centered on the well child.
The
school nurse?s primary responsibility is to maintain immunization records
The
school nurse must be certified in CHN.
NUR3805
Dimensions of Professional Practice
Chapter 3 Quiz
Question 1
Which of the following was recognized
earliest as a true profession?
Ministry
Teaching
Engineering
Social work
Question 2
Similarities exist between various ideas
about what constitutes a profession. Which of the following is believed to be a
characteristic of a profession?
Members are trained on the job.
Members are motivated primarily by financial reward.
The
group lacks a code of ethics.
Members have autonomy.
Question 3
According to the nurse?s Code of Ethics,
the hallmark of nursing practice
altruism.
autonomy.
accountability.
evidence-based practice.
Question 4
A component that separates occupations from
professions is commitment. Which of the following is the best way that nurses
can show commitment to each other?
Reading the professional literature
Reporting substandard practice by unlicensed personnel
Mentoring nursing students and novice nurses
Making a financial donation to a professional organization
Question 5
The process of professionalization of an
occupation typically follows a pattern of developmental stages. One of the
stages is collective identity. Which of the following is an example of
collective identity?
Legal right to practice profession to protect unique skills from
outsiders
Definition
of the profession?s mission related to full-time work
A
loose association of practitioners
Apprenticeship programs to develop skills
Question 6
A barrier to professionalism attributed to
nursing?s roots in altruism is illustrated when a nurse
questions a medication order written by the physician.
needs to seek approval from charge nurse to give a PRN medication.
feels guilty for expecting to be paid well for work.
takes the time to listen to a patient?s fears about surgery.
Question 7
One of the characteristics of a profession
identified by Kelly was ?there is an organization (association) that encourages
and supports high standards of practice.? Which of the following illustrates a
concern for nursing meeting this characteristic?
The
purpose of the ANA does not address the economic and general welfare of nurses.
The
ANA has existed for more than 100 years.
The
membership of the ANA is less than 10% of all nurses.
Nursing specialty organizations have greater power to influence practice
than a more general nursing organization.
Question 8
Scholars have defined ?profession? through
the years. Which of the following were identified as common major
characteristics according to scholars? (Select all that apply.)
Practice is in a single recognized setting.
It
is based on a body of knowledge that can be learned.
Skills can be learned in a variety of settings, including through job
training.
Professionals control their own practice and settings.
It
has a service orientation.
Question 9
Which of the following characteristics of a
profession were listed in Flexner?s work on professions?
Activities of professions are based on their own body of knowledge.
Activities of professions are more physically than intellectually
oriented.
Beliefs and traditions are handed down from generation to generation.
Beliefs of professions are more theoretical than practical.
Question 10
Which of the following best describes the
difference between an occupation and a profession?
In
a profession, knowledge is handed down from generation to generation.
In
a profession, action is based on intuition.
A
profession requires a duty to serve.
A
profession is defined by members? average income.
NUR3805
Dimensions of Professional Practice
Chapter 4 Quiz
Question 1
In 1900, the primary reason for
hospital-based nursing education programs
staff the hospitals that operated the education programs.
provide educational opportunities for women.
provide standardized preparation for nurses.
educate nurses to care for patients in hospitals.
Question 2
The Goldmark Report focused on what aspect
of nursing?
Desirability of establishing schools of nursing within academic settings
Consistency in theory content across diploma programs
Consistency in length of nursing education programs
Increasing numbers of physicians teaching in nursing programs
Question 3
Which of the following recommendations
resulting from the 1934 study Nursing Schools Today and Tomorrow still has
relevance today?
Nurses should be highly educated.
Nursing students should be trained on the job.
Nursing students should be used to staff hospitals on the weekends.
Nurses with highly developed instincts do not require standards of practice.
Question 4
The single most important reason for the
decline in the number of hospital-based diploma programs was
diploma education?s position outside the mainstream of higher education.
shift in hospital occupancy from acute care to home care.
increase in hospital-based medical residency programs competing for
educational dollars.
beginning of associate degree programs that were shorter in length.
Question 5
The 1948 Brown Report recommended which of
the following?
Schools of nursing should be associated with teaching hospitals.
Students admitted to nursing programs should not be required to meet
admission requirements of the university.
Schools of nursing should be located in institutions of higher learning.
Limit enrollment of men and minorities in nursing programs.
Question 6
Which recommendation made by the 1965
American Nurses Association (ANA) position paper and other position papers of
national nursing organizations is still an issue today?
Education for nursing should take place in hospital-based programs.
Minimum preparation for professional nursing practice should be the BSN
degree.
Minimum preparation for technical nursing practice should be the
licensed practical/vocation nurse (LPN/LVN) diploma.
Education for nursing must be evidence-based.
Question 7
Which person or organization is credited
with developing the model of associate degree nursing education?
Annie W. Goodrich
National League for Nursing
Esther Lucille Brown
Mildred Montag
Question 8
Which of the following is an important
advantage of distance learning?
It
allows a student to take courses without clinical components.
It
allows universities to offer more classes with fewer faculty.
It
allows students to set their own learning objectives.
It
allows access to adult learners who are geographically unable to participate in
a traditional classroom setting.
Question 9
Which of the following is a part of the
history of doctoral education in nursing?
The
number of doctoral programs in nursing has doubled since 1990.
The
largest numbers of doctoral programs are practice-focused.
The
nurse scientist program was discontinued after more universities began offering
doctoral programs in nursing
The first doctoral degree (PhD) was offered at the University of
Pittsburgh.
Question 10
Which of the following is the primary
distinction between licensure and certification?
Certification validates a high level of proficiency.
Certification is required to practice nursing.
Licensure is voluntary.
Licensure is granted automatically on completion of an accredited
nursing program.
NUR3805
Dimensions of Professional Practice
Chapter 6 Quiz
Question 1
Which of the following is an example of civil
law?
Giving alcohol to a minor
Child custody case
Possession of marijuana
Assault and battery
Question 2
Which of the following falls under the
jurisdiction of the state board of nursing?
Approving or reject applications for new nursing education programs
Reducing the provisions of the nurse practice act
Expanding the provisions of the nurse practice act
Right to suspend the need for licensure of registered nurses (RNs) in
times of extreme shortage
Question 3
What is the primary function of the
National Council of State Boards of Nursing (NCSBN)?
Overseeing decisions made by state boards of nursing
Administering the NCLEX examination at testing centers
Overseeing granting licensure by endorsement
Developing the NCLEX-RN® and NCLEX-PN® licensing examinations
Question 4
The nurse forgets to give the patient a
dose of antibiotic. Later in the shift, the patient goes into cardiac arrest
and dies. What element is lacking to support malpractice?
Specific
injury
Proximate cause
Breach of duty
Duty of care
Question 5
A competent resident in a long-term care
facility refuses an ordered antidepressant medication. The nurse believes the
patient needs the medication because he is clearly showing signs of depression
and dissolves the medication in juice without telling the patient. This
illustrates negligence by failure to
assess and monitor a patient.
document.
follow the standard of care.
communicate with a patient.
Question 6
The nurse giving medications to a pediatric
patient notes that an order for a medication is considerably larger than the
usual dose. The nurse looks up the medication in a pharmacology book and finds
the prescribed dose is too large. Which action should the nurse take?
Notifying the physician of these findings before giving the medication
Calling the nursing supervisor and ask what to do next
Calling the pharmacist to obtain the usual dosage
Documenting the findings in the chart after giving the medication
Question 7
The RN asked a nursing assistant to monitor
several postoperative patients. Which of the following instructions to the
nursing assistant demonstrate appropriate delegation?
?Take vital signs every 2 hours, and report to me anything outside of
the norms.?
?Record the urine output, and report to me if they have not voided
within 4 hours.?
?Assess pain using a 10-point scale, and record the score on the chart.?
?Record the amount of drainage on the dressing on the bedside record.?
Question 8
Which of the following is a legitimate
defense to a charge of assault and battery?
Knowledge of what is best for the patient
Living will
Presence of a medical order
Informed consent
Question 9
Which of the following is a nursing responsibility
regarding informed consent?
Serving as a witness, ensuring that the patient does not feel coerced
into a decision
Ensuring that the physician has completely explained the costs of the
procedure
Explaining the procedure, risks, and treatment alternatives
Canceling the procedure if the patient has questions
Question 10
Which patient rights are guaranteed by
HIPAA?
Patients may receive a complete copy of their medical records at no
cost.
Patients are protected against medical records being indiscriminately
shared.
Patients are asked to sign a release of responsibility if their health
care records inadvertently become a matter of public record.
Patients sign a release protecting the health care provider and
insurance company against computer file theft.
NUR3805
Dimensions of Professional Practice
Chapter 7 Quiz
Question 1
Which of the following situations is an
example of moral distress?
You
become romantically involved with a co-worker, which is against the unit policy,
so you resign your position.
You
purposefully use vague language when explaining a patient?s condition to the
family. Staff expects that the patient may be brain-dead, but test results are
not yet conclusive.
You
hear nurses in the lounge making off-color jokes about a patient. You are
afraid to speak up for fear of retaliation.
You have been late for work a couple of times in the last 2 weeks, and
your co-workers are covering for you.
Question 2
According to Kohlberg?s theory of moral
development, individuals who act ?because it is the rule of society? are
operating in which level of moral development?
Developmental
Preconventional
Postconventional
Conventional
Question 3
According to Kohlberg?s theory, which of
the following is true of moral development?
Holding people responsible for their actions does not improve moral
development.
Participating in decision making promotes moral reasoning.
Intellectual development has no effect on moral development.
Participating in debates on ethical issues decreases moral development.
Question 4
Which of the following ethical theories is
illustrated by the example of following the Golden Rule, ?Do unto others as you
wish them to do unto you??
Utilitarianism
Principlism
Virtue ethics
Deontology
Question 5
Respecting the right of a patient with
terminal cancer to refuse chemotherapy is based on a belief in the ethical
principle of
nonmaleficence.
death with dignity.
justice.
autonomy.
Question 6
A school nurse teaching school-aged
children about water safety is an example of which ethical principle?
Beneficence
Veracity
Autonomy
Justice
Question 7
The current emphasis on eliminating
racially based health disparities is based on which of the following ethical
principles?
Fidelity
Justice
Double effect
Veracity
Question 8
A patient who is terminally ill is
experiencing great pain. To relieve the patient?s suffering, the nurse needs to
administer larger doses of morphine. This relieves the pain but also inhibits
respiration. Which principle justifies the risk of harm?
Justice
Veracity
Fidelity
Double effect
Question 9
When nurses receive a patient assignment
and accept reports on these patients, they are committed to providing care to
those assigned to them. This is based on the ethical principle of
justice.
beneficence.
fidelity.
veracity.
Question 10
father of four is admitted after an
automobile accident in which two of the children were killed. Recognizing that
he is in very serious condition, the nurse believes that it would be
appropriate to avoid telling him about the death of his children unless he asks
directly. This could be considered a violation of the ethical principle of
veracity.
beneficence.
justice.
fidelity.
NUR3805
Dimensions of Professional Practice
Chapter 8 Quiz
Question 1
Who is credited with developing the theory
on systems?
Rosenstock
von
Bertalanffy
Maslow
Rogers
Question 2
Dynamic balance between systems and their parts
is called
suprasystems.
inertia.
synergy.
homeostasis.
Question 3
An 18-month-old child has been in three
foster homes within the past 9 months. When the child is seen for a well-child
visit, the nurse notices the child vigilantly watches everyone. This child may
not have which of Maslow?s basic needs met?
Basic physiologic needs
Love and belonging needs
Self-actualization
Safety needs
Question 4 A school-aged child with spina
bifida uses a wheelchair, attends school, and is actively involved in Scouting
and science club. This child is meeting which of Maslow?s basic needs?
Love and belonging needs
Esteem needs
Safety needs
Self-actualization
Question 5
Which of the following is true of Maslow?s
basic need of self-actualization?
Elderly people outgrow the need for self-expression and
self-development.
People use their abilities to the fullest extent possible and are true
to their nature.
Once self-actualization is achieved, it is never lost.
Most people achieve self-actualization after all other needs are met.
Question 6
The nurse is interviewing the mother of a
school-aged child. The mother states that their family consists of herself, her
son, a female friend, and two foster children. One grandparent lives in another
city, and one lives within two blocks of them. As the nurse works with this
family, what implication is important to include?
The
quality of family life will be influenced because they are not a traditional
family.
As
a single parent, the mother has multiple roles to fill and will become
stressed.
This child will lack male attention because he lives in a single-parent
family.
As
an extended family, all the children will receive attention from several
adults.
Question 7
A nurse is caring for a new mother from
Southeast Asia. The nurse is concerned that except for breastfeeding, the
mother allows her mother-in-law to provide all other care for the baby. The
plan of care and patient teaching for this mother should include
asking the mother-in-law not to care for the baby so that the mother
learns the care.
completing the teaching outlined for new mothers.
assessing the postpartum practices in her country of origin.
assuming that the mother-in-law will care for the baby well since she is
experienced.
Question 8
How can nurses contribute to a healthier
environment?
Supporting the purchase of polyvinyl chloride (PVC) products
Leaving the computer on to reduce electrical use when rebooting
Teaching the benefits of using disposable diapers to new parents
Recommending the purchase of nondisposable products when possible
Question 9
What is an advantage of the holistic view
of health valued by nurses?
Altering an individual?s health beliefs to promote health
Emphasizing the environment
Identifying a state of optimal role functioning
Focusing on the interrelationship of all parts of a whole person
Question 10
An adult wears a helmet when riding a
bicycle because he believes that his cycling skills might not prevent an
accident, which could result in a head injury with serious consequences. Which
component of the health beliefs model is this person demonstrating?
Perception of vulnerability to head injury from a bicycle accident
Concern about his cycling skills
Belief that individuals should prevent injuries
Knowledge that cycling is good exercise and improves health
NUR3805
Dimensions of Professional Practice
Chapter 9 Quiz
Question 1
Which of the following best describes the
meaning of the term ?theory??
An
organizational structure that outlines concrete connections between concepts
A
group of related concepts, definitions, and statements that describe a certain
view of nursing phenomena from which to describe or predict outcomes
Statements that describe linkages between concepts and propose a
testable outcome
A
set of beliefs about the nature of how things work and how the world should be
viewed
Question 2
A broad, general view of nursing that
clarifies values and answers broad disciplinary questions for nursing is known
as a
theory.
philosophy.
conceptual model.
metaparadigm.
Question 3
The nurse adjusts the patient?s room to
allow the patient to see the sunlight out the window and checks the patient?s
diet tray to ensure a balanced diet. The nurse could be basing care on the
philosophy of
Watson.
Nightingale.
Henderson.
Roy.
Question 4
Which of the following human needs was not
included in Henderson?s 14 basic needs of patients?
Sleep and rest
Sexuality
Need for work
Spirituality
Question 5
Which contemporary theorist is best known
for her emphasis on the caring aspect of nursing?
Henderson
Orem
Watson
King
Question 6
Which nursing model is based on the
assumption that people want to be in control of their lives?
Orem
Watson
Roy
King
Question 7
A patient had a significant blood loss in
surgery and now has a low hemoglobin level. The patient complains of fatigue.
The nurse intervenes to facilitate adaptation by establishing periods of rest
and scheduling activities throughout the day. The nurse could be basing care on
the conceptual model of
King.
Roy.
Orem.
Johnson.
Question 8
The nurse has established a relationship
with a patient in whom asthma was recently diagnosed. Through their
interactions, the nurse helps the patient understand the mechanism of asthma
and develop the skills to use a spacer with the inhaler. The nurse could be
basing care on the theory of
Leininger.
Peplau.
Orlando.
Neuman.
Question 9
The nurse observes a patient pacing around
the room. The patient expresses concern that being hospitalized will cause lost
wages and create economic problems. The nurse infers that the patient is
anxious, which the patient confirms. The nurse could be basing care on the
theory of
Peplau.
Orlando.
Neuman.
Leininger.
Question 10
The nurse is caring for a young Hispanic
patient after surgery. The patient hesitates when the nurse asks about meal
selections from the menu. When the parents return, the nurse asks the patient
what foods are eaten when one is ill. The nurse could be basing care on the
theory of
Leininger.
Peplau.
Neuman.
Orlando.
NUR3805
Dimensions of Professional Practice
Chapter 10 Quiz
Question 1
The discovery of oxygen would be called
pure science because this information
could direct further research at the bedside.
was
obtained for the sake of obtaining new knowledge of the world.
had an immediate use for humans.
would be useful in curing, managing, or preventing disease.
Question 2
To build the body of knowledge of nursing,
a problem amenable to study should be
based on published research findings and fit logically with what is
already known.
able to ensure participants that the intervention is a ?good idea.?
able to produce results that are applicable to a variety of situations.
an
original area of study never researched previously.
Question 3
Which of the following are the three most
common sources of research questions?
Clinical problems, replication of prior research, testing nursing theory
Review of existing research, NIH grants, request by state board of
nursing
Study of clinical problems, anecdotal stories, requests by the National
Institutes of Health (NIH)
Requests by drug companies, doctoral students, review of the literature
Question 4
A nursing manager wants the unit staff to
become more involved in research. The staff nurses say they are not qualified
to conduct research. Which response by the manager is best?
?At
the staff nurse level, you can assist with clinical studies by doing data
collection.?
?A
baccalaureate-prepared nurse should be able to design simple studies.?
?If
we all work on this together, we can design and implement good research
studies.?
?You need a basic understanding of the research process because you
should be good consumers of research.?
Question 5
Which research design has the goal of
determining a cause-and-effect relationship?
Applied research
Pure
research
Nonexperimental design
Experimental design
Question 6
Which research design should be used to
determine whether there is a difference in the effectiveness of two
preoperative preparation methods on length of stay?
Survey design
Nonexperimental
design
Descriptive comparison design
Experimental design
Question 7
What body has been established to protect
participants of research?
State board of nursing
Peer review panel
Nursing research board
Institutional review board
Question 8
What is meant by the term ?evidence-based
practice??
Using nursing research findings to develop nursing theory
Integrating the research process into nursing administration
Applying research findings; patient care data, preferences, and values;
and nursing expertise to nursing practice
Studying research from the social sciences and applying it to practice
Question 9
Which of the following is not a necessary
step in the research process?
Dissemination of results
Design of the study
Review of the literature
Review of best practice guidelines
Question 10
A data collection protocol calls for a
questionnaire to be administered to patients having knee replacement surgery
after the third physical therapy appointment. Errors can be introduced into the
study by
giving the questionnaire to the participants after the appointment to be
completed while they have a snack.
reading the questionnaire to the participants with poor reading skills.
giving the questionnaire to all participants when they arrive for their
appointment.
giving the questionnaire to all participants.
NUR3805
Dimensions of Professional Practice
Chapter 11 Quiz
Question 1
Critical thinking in nursing needs to
include which of the following important variables?
Abili