Nursing Expert Answers & Study Resources

MULTIPLE CHOICE 1.The link between adverse patient outcomes and cleanliness was discovered by: a.W. Edwards Demingc.Isabel Hampton Robb b.Florence Nightingaled.Dorothea Dix 2.Three components of health care systems are: a.strategy, outcome, and performancec.structure, process, and outcome b.process, strategy, and opportunityd.outcome, procedure, and structure 3.When the United States health care system is compared to other countries such as Germany.

21.Which conflict resolution management technique has the disadvantage of possibly causing a return to the conflict if what was given up becomes more important than the initial goal? a.collaboratingc.compromising b.confrontingd.competing 22.Three key skills that enable nurses to function as agents of change, innovation, and transformation (Porter-O’Grady & Malloch, 2011; Curtin, 2011) are listed.

11.Which country spends 10% of its gross domestic product (GDP) annually on its health care system, and has the eighth largest global health care budget? a.Japanc.Canada b.United Statesd.France 12.Which of the following is not considered to be one of the five most expensive health conditions? a.heart diseasec.trauma b.cancerd.diabetes 13.Which country is noted to have the longest.

11.Poole, Davidhizar, and Giger (1995) noted several cultural phenomena to be considered when working with culturally diverse staff. They are: a.communication, space, social organization, time, environmental control, biological variations, cultural expectations, and traditional barriers b.space, social organization, biological variations, communication, environmental factors, and cultural norms c.biological variations, traditional barriers, time, environmental control, space,.

6.The obligation to correctly perform one’s assigned duties is called: a.accountabilityc.assignment b.delegationd.responsibility 7.Delegation is: a.the transfer of responsibility for the performance of an activity from one individual to another without transfer of the accountability for the outcome b.a legal and managerial concept and process that involves assessment, planning, action, intervention, and evaluation c.trust, empowerment, responsibility, and.

16.One factor of hospital design which could improve patient outcomes is: a.exposure to natural lightc.good interior design b.carpeted hallways and roomsd.short hallways for nurses 17.One activity which could be included in the process component of health care is: a.medical records b.referrals to specialists c.absence of health care–acquired infections d.recruitment and retention of nurses 18.Variables in health care disparity.

MULTIPLE RESPONSE 1.Which of the following are correct regarding criteria that constitute a profession? Select all that apply. a.the body of specialized knowledge is continually developed and evaluated through research b.members are self-organizing and collectively assume responsibilities of establishing standards for education in practice c.the privilege to practice is granted only after the individual.

21.Benner’s Model of Novice to Expert (1984) is based on how many levels of experience? a.fivec.seven b.sixd.four 22.Organizations meet self-actualization needs of employees by: a.merit pay increasesc.safe working conditions b.achievement and promotiond.providing job security 23.One common employee motivation problem may be seen when staff have a lack of goals. One solution to this problem could include: a.Well-defined.

11.The type of power demonstrated by nurses who influence others with the information they provide to the group is referred to as: a.expert powerc.information power b.connection powerd.legitimate power 12.Nurses are empowered by: a.the media recognizing them as a powerful group b.taking ownership of their problems in serving patients c.their collective gender force d.self-decision-making 13.Which of the following is.

MULTIPLE CHOICE 1.A full-time employee (FTE) who works 40 hours a week is referred to as a: a.0.5 FTEc.0.9 FTE b.0.8 FTEd.1.0 FTE 2.An FTE works how many hours per year? a.1,040c.1,664 b.2,080d.1,872 3.Nurse A is doing patient charting. This activity is considered _____. a.direct carec.indirect care b.productive timed.nonproductive time 4.Holiday time is considered to be: a.productive timec.direct care b.nonproductive timed.indirect care 5.A.

16.One strategy for empowering nursing is to employ the media to create a more powerful image of nursing. This can be done by: a.Having more nurses play leading roles b.Writing more books about nursing history c.Having TV spots promoting a positive nursing image d.Showcasing the work of hospitals 17.Nurses must be able to clearly articulate.

21.One advantage of functional nursing care is that: a.care can be delivered to a large number of patients b.care is delivered to patients by several staff members c.patients feel they get better care from multiple providers d.there is more RN care than unskilled care 22.One disadvantage of team or modular nursing is that: a.requires more RNsc.responsibility.

6.Personal power is evident in a nurses’s: a.decision makingc.charisma b.connectionsd.expertise 7._____ power is derived from personal and professional relationships that have the potential to enhance one’s resources. a.Referentc.Coercive b.Informationd.Connection 8.One way to wield influence as an expert nurse is to: a.demonstrate nursing skillsc.achieve position status b.proclaim oneself an expertd.network with expert nurses 9.A source of power that is derived.

16.Which of the following is not correct regarding the Leapfrog Group? a.it is a voluntary program b.encourages access to health care information c.works with employers to encourage transparency d.provides rewards for health care facilities with a proven record of access to care 17.In what year was Nursing Informatics recognized as a specialization area for registered.

11.Which of the following chapters from the Joint Commission’s hospital accreditation manual does not fall under the category of patient-focused functions? a.provision of care, treatment, and services b.medication management c.nursing services d.ethics, rights, and responsibilities 12.Which nursing theorist was responsible for Human Becoming theory? a.Nightingalec.Neuman b.Parsed.Peplau 13.Public Law 93-360 on Collective Bargaining identified certain characteristics that relate to.

MULTIPLE CHOICE 1.The provision of guidance, direction, evaluation, and follow-up by a licensed nurse for tasks provided by an NAP (nursing assistive personnel) is called: a.delegationc.authority b.accountabilityd.supervision 2.Three types of supervision identified are: a.unsupervised, supervised, and periodic inspection b.unsupervised, initial direction, and assessment c.continuous supervision, periodic inspection, and initial assessment d.initial direction and periodic supervision, unsupervised, and continuous.

21.For a nurse to practice safely and ethically in a designated role the nurse must display___________. a.knowledgec.willingness b.competenced.leadership 22.Step two of the Decision-Making Tree involves: a.supervisionc.communication b.evaluationd.planning 23.When the nurse considers the effectiveness of the delegation, the nurse should evaluate all except: a.was the task performed properlyc.were there any problems b.was the outcome optimald.the availability of resources 24.High-risk delegation.

21.Sentinel events have been found to be linked to: a.poor quality carec.preventable errors b.ineffective team communicationd.autonomy of health professionals 22.Asking the question, did our services meet the greatest unmet health needs of the community? when evaluating a population-based nursing program determines: a.qualityc.cost b.accessd.equity 23.One external force that influences health care is financial incentives that reward superior.

MULTIPLE CHOICE 1.Which of the following is not a definition of critical thinking? a.making sense of our world by carefully examining our thinking and the thinking of others in order to clarify and improve our understanding b.the understanding of argument, recognizing fallacies, and distinguishing premises from conclusions c.thinking about your thinking while you’re  thinking.

MULTIPLE RESPONSE 1.Reward power and coercive power are commonly used to influence others. The effective use of rewards for staff nurses includes which of the following? Select all that apply. a.increased salary for obtaining the next rung on the clinical ladder b.formal recognition before one’s nursing peers at an awards ceremony c.one additional paid.

MULTIPLE CHOICE 1.There are three types of change described in the text: personal, professional, and organizational. Which of the following is an example of a professional change? a.change made in one’s life, often for self-improvement b.change made to acquire BSN degree c.change made to achieve goal of best health care facility in the state d.change.

MULTIPLE RESPONSE 1.Which of the following are steps in Havelock’s Change Model? Select all that apply. a.build relationships b.unfreeze c.diagnose problem d.adopt e.acquire resources f.Choose solution 2.Bushy’s (1992) six behavior responses to change define specific type of behaviors seen when confronting a change event. Which of the following are some of these specific behavioral responses? Select all that.

6.There are four generations in nursing that are seen in the healthcare environment. In a study by Lavoie-Tremblay et al. (2008), which generation tends to leave the profession due to exposure to difficult nursing work environments? a.Traditionalc.Generation X b.Baby boomersd.Generation Y 7.The Health Insurance Portability and Accountability Act (HIPAA) has identified eighteen personal.

6.The development, provision, and evaluation of multidisciplinary health care services to population groups experiencing increased health risks or disparities, and performed in conjunction with health care consumers and the community as a means of improving the health of the community is called: a.population-focused nursing practicec.population-based health care practice b.population-based nursing practiced.population-based care 7.Vulnerable.

MULTIPLE RESPONSE 1.Which of the following researchers did not coin the phrase “Leaders are people who do the right thing; managers are people who do things right”? Select all that apply. a.Kotter (1990)c.McCall (1998) b.Stodgill (1948)d.Bennis and Nanus (2003) 2.Which of the following are considered to be the three major classifications of leadership theories?.

MULTIPLE CHOICE 1.The first Nightingale School for Nurses was founded when? a.1825c.1885 b.1860d.1910 2.Which of the following is not considered to be a nurse-sensitive patient outcome? a.deep vein thrombosisc.shock b.pneumoniad.hip fractures 3.Which of the following is not considered to be an identified professional value characteristic of a professional? a.caringc.truth b.equalityd.political awareness 4.A number of resources are available for nurses regarding.

21.Raising the costs of the privately insured to offset the cost of Medicare and Medicaid is known as: a.cost shiftingc.budgeting b.cost containmentd.resource utilization 22.There are many forces which affect overall health care utilization. Which of the following is not included in these forces? a.technological advancesc.increase in chronic illness b.increased accountabilityd.changes in consumer preferences 23.What is one.

11.What conflict resolution management technique has the advantage of not making a big deal out of nothing as conflict may be minor in relation to other priorities and allows tempers to cool? a.negotiatingc.compromising b.confrontingd.avoiding 12.Lewicki, Hiam, and Olander (1996) used five approaches for negotiation in conflict management. Which one advocates for a split.

MULTIPLE CHOICE 1.According to consumer opinion polls, _____ consistently show up as rated “Number One” trusted professionals. a.firemenc.physicians b.policemend.nurses 2.As the largest professional health care group, nurses need to be politically involved with the consumer movement in health care to support the advancement of nursing service. The majority of nurses can do this by: a.becoming.

16.NAP competence is built upon a number of factors. Which of the following is not one of these factors? a.formal training and assessment b.orientation to specific settings and patient types c.experience in implementing nursing care d.communication 17.People with an internal locus of control have a strong: a.belief in fate, luck, and chance b.belief in taking action and.

MULTIPLE RESPONSE 1.Little-Stoetzel and Fane (2012) identified a decision-making process which is comprised of five specific steps. Which of the following are some of these steps? Select all that apply. a.identify the need for a decision b.determine the goal or outcome c.identify alternative repercussions of said actions and make choices based on these possible.

6.A patient classification system that uses units of measure that equate to nursing time is called: a.protypec.factor system b.seven domaind.scorecard 7.Your nursing unit advocates the use of the factor-type of patient classification system. A new RN graduate states that he has a basic knowledge of this system, but would like to know one.

6.How many Americans under the age of 65 feel they lack access to health care services due to their lack of any form of insurance? a.23 millionc.56 million b.47 milliond.15 million 7.Which United States president formed the Committee on Economic Security as a means of helping the nation’s needs? a.Theodore Rooseveltc.Woodrow Wilson b.Lyndon B. Johnsond.Franklin.

16.Lewin describes different types of forces that can influence an individual’s or group’s reaction to change. Methods for accounting use or updating old equipment are part of which type of forces? a.peoplec.political b.structurald.technology 17.Your unit manager has become aware of a problem regarding hand washing and unit infections. She gathered interest in resolving.

16.On your inpatient ob-gyn unit, the model of patient care delivery consists of a group of patients who are cared for by an RN, an LPN, and a nursing assistive personnel (NAP). This patient care model is called: a.functional nursingc.total patient care b.team nursingd.primary nursing 17.In which model of care delivery is the.

11.You are a perioperative nurse in a small rural hospital and have just received your schedule for the upcoming month. You are dismayed to find that you seem to be scheduled to work on the one day you requested off in order to attend an event at your son’s elementary.

16.Status has been described as the measure of worth that has been conferred on an individual by a specified group. Team members who initiate communication more have been discovered to have which type of status within the group? a.leaderc.high b.middled.low 17.Nurse X has a newly admitted 67-year-old male patient (Mr. Z) who has.

11.Nurse X wants to use a very detailed decision-making tool to show the amount of time required to complete a project from beginning to end. Which tool should she use? a.Delphi diagramc.Gantt chart b.PERT diagram flowchartd.Decision analysis tree 12.In what group decision making technique are the members not present? a.PERTc.Delphi b.Ganttd.Nominal 13.A common misconception about ____.

21.Nurse Q has contacted Dr. H regarding Mrs. C’s condition. No orders were given and Dr. H responded rather inappropriately to Nurse Q’s inquiry. According to the guidelines provided by Calfee (1998), how should Nurse Q document this interaction? a.Document the call in the chart, the information relayed, and the fact.

MULTIPLE RESPONSE 1.You are a nurse manager on a busy pediatric unit in a large metropolitan hospital. You understand that it is important to utilize nursing intensity when determining staffing needs over the upcoming holidays. Which of the following factors will you use when you evaluate the nurse intensity on your.

21.Which is not correct regarding the Quality Data Model (QDM)? a.pertains to quality service delivery and access to care b.pertains to electronic health record utilization c.enhances more standardized, less burdensome quality measurement and reporting d.is an information model 22.What does the acronym P-F-A stand for? a.Purpose-Format-Assessmentc.Project-Financial-Analysis b.Purpose-Focus-Approachd.Program-Functional-Analysis 23.Your manager has asked to do some research on evidence-based best.

MULTIPLE CHOICE 1.The Quality and Safety Education for Nurses (QSEN) initiative defined teamwork and collaboration within health care as having four key elements. Which of the following is not one of these key elements? a.the whole is greater than the sumc.mutual respect b.fostering open communicationd.shared decision making 2.Verma, Paterson, and Medves (2006) identified that.

11.An interdisciplinary team is assigned to work on patient safety concerns for the pediatric unit on a large urban not-for-profit hospital. Two of the team members are complaining that one nurse is taking charge and assigning duties to everybody randomly without consulting any of the other nurses on the team..

MULTIPLE RESPONSE 1.Which of the following are part of the five rights of delegation? Select all that apply. a.right taskc.right evaluation b.right circumstanced.right route 2.A number of factors have been identified in the tendency for new nurse graduates to underdelegate. Which of the following are some of these factors? Select all that apply. a.fear of.

MULTIPLE RESPONSE 1.The Institute of Medicine has defined six improvement aims for the health care system. Which of the following are included in these six improvement aims? Select all that apply. a.safetyc.timeliness b.equityd.cost-effectiveness 2.Which of the following are methods for reimbursement for health care services in the United States? Select all that apply. a.universal health.

MULTIPLE RESPONSE 1.E-mail etiquette has specific guidelines and preference especially in the workplace. Which of the following are correct tips for communicating via e-mail? Select all that apply. a.be brief and reply sparingly as appropriate b.reply immediately to an angry message c.use good judgment as e-mail may not be private d.use clear subject lines e.do not.

16.One characteristic of a profession is that it has a peer review of its practice. This is attributed to: a.Flexnerc.Manthey b.Pavalkod.Public Law 93-360 17.The Johns Hopkins Nursing Evidence-based Practice Model is based on the initials PET. These initials stand for: a.problem, evidence, transmission b.practice question, evidence, transmission c.problem, evidence, translation d.practice question, evidence, transition 18.Outcomes provide evidence about.

6.Nursing Student P lacks confidence in her abilities to effectively care for infants. She is afraid that she will not receive a good grade in her pediatric clinical rotation; hence, she may fail her class or even her program. What type of change strategy is being used as noted by.

6.There are a number of different types of group techniques that can be used in decision making and choices, especially when applied in health care settings. One of these techniques is called the nominal group technique. The key component of the nominal group technique is that: a.it is nonverbal b.it is useful.

21.Power that comes from personal and professional relationships is known as: a.reward powerc.connection power b.referent powerd.information power 22.The American Nurses Association (ANA) addresses all of the following except: a.needle stick injuriesc.rights of employees b.violence in the workplaced.job seniority 23.One way to demonstrate legitimate power is for the nurse to: a.provide evidence-based care b.join a professional nursing organization c.display licenses.