3 MAXE · 132 SRUN
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NURS 231 — Exam 3: Advocacy, Policy, Health & Stress
P
TO TRANSFORM LIVES AND COMMUNITIES BY PROVIDING LEARNING
EST. 1972
OPPORTUNITIES FOR ALL WHO ASPIRE TO THRIVE.
Portage Learning NURS 231 Exam 3 — Advocacy, Policy,
Health & Stress
CO M P L E T E Q U E ST I O N S & CO R R E CT D E TA I L E D A N S W E RS
INSTITUTION Portage Learning PROGRAM Bachelor of Science in Nursing
COURSE CODE NURS 231 COURSE TITLE Fundamentals of Nursing
ACADEMIC YEAR EXAM TITLE Portage Learning NURS 231 Exam
3
TOTAL QUESTIONS 140 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Advocacy, health policy, stress and coping, QSEN competencies, the nursing process, and health
promotion are all testable content.
▸ Patient rights, healthcare laws, defense mechanisms, and the nursing process are emphasized.
▸ Correct answers and clinical rationales appear below each question.
▸ All content reflects current nursing practice standards.
, SECTION I — ADVOCACY, POLICY, HEALTH & STRESS:
Questions 1 – 140
COMPREHENSIVE REVIEW
1. What is advocacy in nursing?
A. Publicly recommending or supporting someone; our job to give voice to people who don't
feel heard
B. Following hospital policies without question
C. Only speaking up for yourself
D. Keeping patients from making poor decisions
CORRECT ANSWER A — Publicly recommending or supporting someone; our job to give voice
to people who don't feel heard
RATIONALE Advocacy in nursing involves publicly recommending or supporting someone. It is
the nurse's job to give voice to people who don't feel heard. Nurses advocate for
individuals, communities, and the profession as a whole.
2. Who do nurses advocate for?
A. Individuals, communities, and the profession as a whole
B. Only patients
C. Only other nurses
D. Only healthcare organizations
CORRECT ANSWER A — Individuals, communities, and the profession as a whole
RATIONALE Nurses advocate for individuals (patients), communities (population health), and
the profession of nursing as a whole. Advocacy is a key professional responsibility
that protects patient rights and promotes health.
,3. When is advocacy needed in nursing?
A. Any time that is necessary — protection
B. Only during emergencies
C. Only at the end of life
D. Only when patients ask for it
CORRECT ANSWER A — Any time that is necessary — protection
RATIONALE Advocacy is needed any time it is necessary for protection of patients. The why is
promotion and optimization of health. It is a key role of the professional nurse to
speak up for patients when needed.
4. What is the most important role of the professional nurse?
A. Advocacy
B. Medication administration
C. Documentation
D. Vital signs assessment
CORRECT ANSWER A — Advocacy
RATIONALE Advocacy is the most important role of the professional nurse. Nurses should not
get lost in rules and procedures; they should speak up for patients. Advocacy
should not be confused with keeping a patient from making a poor decision.
, 5. What are the 8 areas of patient rights and responsibilities?
A. Right to accurate information, choice in providers, emergency care, participate in
decisions, respect and nondiscrimination, confidentiality and records, appeal disputes,
responsibility for health decisions
B. Only right to treatment and privacy
C. Only right to information and informed consent
D. Only right to emergency care and appeal
CORRECT ANSWER A — Right to accurate information, choice in providers, emergency care,
participate in decisions, respect and nondiscrimination, confidentiality and
records, appeal disputes, responsibility for health decisions
RATIONALE The 8 areas of patient rights and responsibilities include: right to accurate
information, choice in healthcare providers, emergency care without prior
authorization, participation in treatment decisions, respect and
nondiscrimination, confidentiality and access to records, right to appeal disputes,
and responsibility for health decisions and outcomes.
6. What situations could prompt advocacy?
A. End of life care, medical errors, technology, withholding information, healthcare access,
cultural differences, provider-patient conflicts, social injustices
B. Only end of life care
C. Only medical errors
D. Only cultural differences
CORRECT ANSWER A — End of life care, medical errors, technology, withholding information,
healthcare access, cultural differences, provider-patient conflicts, social
injustices
RATIONALE Situations that could prompt advocacy include: end-of-life care, medical errors,
technology issues, withholding information, healthcare access problems, cultural
differences, provider-patient conflicts, social injustices, abuse, poverty,
healthcare accessibility, and conflicting goals.