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NUR 256 MIDTERM EXAM
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NUR 256 MIDTERM EXAM
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NUR 256 MIDTERM EXAMThe clinical nurse leader (CNL) is best prepared to assume which of the following
nursing roles?
A) Responsibility for the evaluation of a client's plan of care
B) Preoperative assessments on clients requiring surgical interventions
C) Research to provide evidence-based practice regarding neonatal feeding
practices
D) Acting as advocate for an elderly, cognitively impaired client hospitalized with
gastrointestinal pain - ANSWER A
What event in American history influenced the role African-American women have
played in the nursing profession?
A)The creation of the U.S. Marine Hospital Service in 1798
B) The Civil War, beginning in 1861
C) The Army Nurse Corps, established in 1901
D) The North Carolina Nurse Practice Act of 1903 - ANSWER B
In the Middle Ages (467 BCE to 1450 AD), women delivered food, medicine, and
care to the community's ill based on the:
A) Christian concepts of charity and the sanctity of human life.
B) need to make offerings to the gods in exchange for good health.
C) emphasis being placed on the patient-centered approach to health care.
D) emerging understanding of the importance of hygiene and sanitation. - ANSWER
A
Which of the following interventions best demonstrates that a nursing administrator
understands the challenges currently facing the professional nurse regarding patient
safety?
A) Supporting nursing interventions directed towards providing holistic care to both
the client and his/her support system
B) Requiring representation of the nursing staff in any discussion related to the
redesign of patient care environments
C) Requiring that staffing and schedules accommodate the attendance at mandatory
in-services focusing on interprofessional care collaboration
D) Supporting the right of the registered nurse to appropriately act as an advocate
when a family disagrees with a client's wishes to limit visitors. - ANSWER C
There is increasing evidence that nursing needs to address the ability of its members
to provide high-quality, effective care as patient-centered care needs intensify.
Which nursing behavior demonstrates an understanding of how these needs will be
best initially met?
A) Enrolling in a Masters of Nursing Education graduate program
,B) Volunteering to provide community health screening at a senior citizen center
C) Becoming politically active regarding the delivery of health care on the national
level
D) Regularly speaking to groups of high school students regarding the profession of
nursing - ANSWER A
The image that best serves today's profession of nursing is one that portrays:
A) skill and caring.
B) trust and belief.
C) honesty and loyalty.
D) dependability and charity. - ANSWER B
The play Miss Evers' Boys was one of the first literary presentations that depicted
nurses as:
A) trained professionals.
B) caring and charitable.
C) client advocates.
D) self-sacrificing. - ANSWER C
Which of the current perceptions of nursing most likely accounts for the lagging
numbers of males in the profession?
A) Poor income potential
B) Work is routine and boring
C) Lack of professional autonomy
D) Viewed as a female profession - ANSWER D
The ability to maintain appropriate professional boundaries and preserve nurse-client
confidences has been most severely impacted by:
A) the misuse of social media forums by nurses.
B) the hesitation of state boards of nursing to discipline offenders.
C) the courts' reluctance to uphold legal decisions involving professional boundaries.
D) the nursing profession's inability to adequately define unacceptable behaviors. -
ANSWER A
A staff nurse routinely finds it difficult to receive clarification on prescriptions and
orders written by a particular member of the medical staff. When numerous attempts
to deal directly with the physician fail, the nurse most appropriately manages the
problem by:
A) making it known to the nurse manager that they will no longer accept the
physician's clients as patients.
B) documenting the problem in terms of client safety concerns and forwarding the
information to both the nursing manager and chief of medical staff.
C) informing the clients that any dissatisfaction with their care should be directed
towards their physician for resolution.
, D) presenting the issues to the unit's entire nursing staff so that a unified plan can be
developed to ensure the safety of the physician's clients. - ANSWER B
Which educational intervention demonstrates the most acceptable application of
technology as a trend that is currently influencing nursing education as well as client
safety?
A) Scheduling an orientation session on computer-based documentation for each
freshman nursing student
B) Providing a list of acceptable Internet sites to use as resources for medication
administration
C) Requiring each student to have access to a personal laptop computer installed
with all required software
D) Allowing pre- and postclinical written assignments to be submitted electronically -
ANSWER B
Increasing professional and personal responsibility has been identified as an issue
influencing the education of today's nursing professional. Which of the following has
the greatest impact on client safety in the acute care setting?
A) Requiring all nurse managers to possess at least a Bachelor's degree in nursing
(BSN)
B) Scheduling mandatory competency assessments on all shifts to facilitate
compliance
C) Offering monetary incentives to nursing staff who earn appropriate certifications
D) Providing nursing staff with classes that focus on effective communication skills -
ANSWER B
A nurse manager recognizes which of the following as an example of a desirable
practice-based competency outcome for a recently licensed registered nurse? The
novice nurse:
A) demonstrates excellent communication and interpersonal skills.
B) meets orientation expectations 1 week ahead of schedule.
C) has no absences during the required probationary employment period.
D) asks for a work schedule that supports enrollment in an advanced nursing
program. - ANSWER B
The nursing faculty incorporates which practice-based learning activity in order to
meet the students' need to learn about the sociodemographics currently present
among today's population?
A) Inclusion of a geriatric experience as a clinical requirement of all nursing students
B) Participation in a panel discussion on the political agendas of several national
nursing organizations
C) Creation of a poster that compares and contrasts Medicaid and private insurance
health care coverage
D) Preparing a care plan that addresses the needs of an immigrant client with limited
English language skills - ANSWER A
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