Clinical Reasoning Cases in Nursing 8th
Edition Verified 2024 Practice Questions
and 100% Correct Answers for Exam
Preparation, Graded A+
1.A nurse manager feels that the overall work environment of his hospital is positive, and
he recommends that the organization apply for Magnet© status, which recognizes
excellence in nursing practice. Which existing internal environmental factor on a unit
would need to be changed to qualify for Magnet status?
A unit where feedback on staff concerns is given anonymously
2.A new nurse manager is reviewing the attributes of a healthcare organization. Which
attributes are expected for a healthcare organization?
Providing care for underserved minority patients/ The organizational chart of staffing
breakdowns from each department/ Usage of the facility by surrounding residents
3.A nurse is interviewing at an agency owned by a national religious organization that
serves homeless and uninsured patients. A large poster display shows a proposed addition
that would add 16 beds to the facility that will be funded from profits of the previous 3
years of operation. The nurse recognizes that the agency is most likely what type of
agency?
Not-for-profit
4.A nurse is reported for taking prescribed patient medications for their personal use.
Who has direct authority over deciding if the nurse may keep their professional license to
continue practicing as a nurse?
The State Board of Nursing who issued the license
5.The annual report for a hospital shows that external environmental factors are affecting
the amount of new staff hired. What is a likely factor contributing to this outcome?
1. A national recession that has been occurring for 3 years
,6.A nurse manager recognizes that systems theory identifies that there is a social
component within an organization that affects the overall functioning of the system. What
indicator would demonstrate to the nurse manager that the social needs of an
organization are being met?
Most employees from the organization attend an annual holiday celebration.
7.A hospital organization is working to improve a feeling of being valued and respected
among all staff members. Which action by administration would reinforce the feeling of
being valued?
Seek staff input when planning a remodeling project of patient rooms.
8.A quality improvement committee is reviewing discharge surveys. Results show that
patients and their families have difficulty finding departments and areas of the hospital.
What action by the committee would best address this concern for the organization?
Form a multidisciplinary committee to identify options to help travel through the hospital.
9.A nurse manager finds an unsigned note reporting that patient care standards are not
consistently being followed. Within the organizational structure, what is the best action
for the manager?
Form a small group to explore why staff are not comfortable reporting errors.
10.A hospital is experiencing a drop in patient admissions, resulting in the implementation
of a hiring freeze. What is a potential critical consequence of this internal organizational
decision?
A decrease in the availability of future nurses to hire
11.A hospital organization is applying for Magnet© status to show excellence in nursing
practice. What components would indicate that the hospital is meeting Magnet©
principles?
Nurses are active participants on all major hospital committees. / Quality improvement
projects are planned and evaluated by nurses.
,12. A nurse is reviewing outcomes of a large health clinic after the clinic instituted
pay-for-performance protocols. Which would be an unintended outcome of this type of
economic system that may be revealed during the review?
Fewer referrals to interdisciplinary team members from top care performers
13.The nurse is admitting a patient from a country with government provided universal
health care. The patient has traveled to the United States for a complicated surgery to be
performed by a specialist. Which statement most likely describes the reason the patient
has traveled so far for the surgery?
"Having a choice of care providers and hospitals is a strength of your health system."
A hospital system is opening a new hospital in a rural setting. Under the principle of
supply and demand, which should happen when there is a shortage of employable
nurses?
Nursing wages will increase.
Nurses play a critical role in controlling patient care costs. Which care measures do nurses
perform that decrease healthcare costs?
Initiating fall precautions for a patient on admission/ Discarding a Foley catheter that was
contaminated on the patient's leg/ Waiting for a coworker to return from dinner to double
check blood for transfusion
The economics of health care include what?
equal distribution of health care.
A student asks the instructor about health care economics. The instructor knows the
student understands when the student states which of the following?
1. "Resources will be needed to serve health care issues."
The US healthcare system is different from that of other countries in which way?
1. The US healthcare system is not entirely government funded.
Which of the following statements is true about health care in the US?
, The US spends more money on health care than any other nation.
Two nurses are discussing health care in the past and the present. The two nurses know
which of the following to be true about health care in the present?
Health care in the present is controlled by third party payers.
A student nurse is discussing Medicare coverage with the clinical instructor. The instructor
knows the student understands Medicare when the student makes this which
statement(s)?
Medicare is funded by the federal government./ Medicare is for persons 65 years old and
older./ Medicare is for patients who are disabled and/or have end-stage renal disease.
An accountable care organization (ACO) seeks to deliver which of the following aspects of
health care?
1. Integrate care/ Enhance evidence-based practices
A nurse is answering questions about health care at a community health fair. An elderly
visitor asks why healthcare is so expensive. Which is the best response by the nurse?
1. "Patients without healthcare coverage use emergency departments, where it is more
expensive to provide care."
Several high school students are attending a job fair hosted by a local hospital. One
student asks, "Who determines what type of care a nurse can give to patients?" Which is
the best response?
Practice is determined by state regulatory boards.
A nurse manager recognizes that an individual can affect health policy. Which action by
the nurse indicates the step of agenda setting in affecting health policy?
Identifying increased malnutrition in preschool children
The nurse is reviewing current healthcare policies for newly hired employees. Which topic
will the nurse include in the presentation?
Hospital HIPAA (Health Information Portability and Accountability Act) protections
Edition Verified 2024 Practice Questions
and 100% Correct Answers for Exam
Preparation, Graded A+
1.A nurse manager feels that the overall work environment of his hospital is positive, and
he recommends that the organization apply for Magnet© status, which recognizes
excellence in nursing practice. Which existing internal environmental factor on a unit
would need to be changed to qualify for Magnet status?
A unit where feedback on staff concerns is given anonymously
2.A new nurse manager is reviewing the attributes of a healthcare organization. Which
attributes are expected for a healthcare organization?
Providing care for underserved minority patients/ The organizational chart of staffing
breakdowns from each department/ Usage of the facility by surrounding residents
3.A nurse is interviewing at an agency owned by a national religious organization that
serves homeless and uninsured patients. A large poster display shows a proposed addition
that would add 16 beds to the facility that will be funded from profits of the previous 3
years of operation. The nurse recognizes that the agency is most likely what type of
agency?
Not-for-profit
4.A nurse is reported for taking prescribed patient medications for their personal use.
Who has direct authority over deciding if the nurse may keep their professional license to
continue practicing as a nurse?
The State Board of Nursing who issued the license
5.The annual report for a hospital shows that external environmental factors are affecting
the amount of new staff hired. What is a likely factor contributing to this outcome?
1. A national recession that has been occurring for 3 years
,6.A nurse manager recognizes that systems theory identifies that there is a social
component within an organization that affects the overall functioning of the system. What
indicator would demonstrate to the nurse manager that the social needs of an
organization are being met?
Most employees from the organization attend an annual holiday celebration.
7.A hospital organization is working to improve a feeling of being valued and respected
among all staff members. Which action by administration would reinforce the feeling of
being valued?
Seek staff input when planning a remodeling project of patient rooms.
8.A quality improvement committee is reviewing discharge surveys. Results show that
patients and their families have difficulty finding departments and areas of the hospital.
What action by the committee would best address this concern for the organization?
Form a multidisciplinary committee to identify options to help travel through the hospital.
9.A nurse manager finds an unsigned note reporting that patient care standards are not
consistently being followed. Within the organizational structure, what is the best action
for the manager?
Form a small group to explore why staff are not comfortable reporting errors.
10.A hospital is experiencing a drop in patient admissions, resulting in the implementation
of a hiring freeze. What is a potential critical consequence of this internal organizational
decision?
A decrease in the availability of future nurses to hire
11.A hospital organization is applying for Magnet© status to show excellence in nursing
practice. What components would indicate that the hospital is meeting Magnet©
principles?
Nurses are active participants on all major hospital committees. / Quality improvement
projects are planned and evaluated by nurses.
,12. A nurse is reviewing outcomes of a large health clinic after the clinic instituted
pay-for-performance protocols. Which would be an unintended outcome of this type of
economic system that may be revealed during the review?
Fewer referrals to interdisciplinary team members from top care performers
13.The nurse is admitting a patient from a country with government provided universal
health care. The patient has traveled to the United States for a complicated surgery to be
performed by a specialist. Which statement most likely describes the reason the patient
has traveled so far for the surgery?
"Having a choice of care providers and hospitals is a strength of your health system."
A hospital system is opening a new hospital in a rural setting. Under the principle of
supply and demand, which should happen when there is a shortage of employable
nurses?
Nursing wages will increase.
Nurses play a critical role in controlling patient care costs. Which care measures do nurses
perform that decrease healthcare costs?
Initiating fall precautions for a patient on admission/ Discarding a Foley catheter that was
contaminated on the patient's leg/ Waiting for a coworker to return from dinner to double
check blood for transfusion
The economics of health care include what?
equal distribution of health care.
A student asks the instructor about health care economics. The instructor knows the
student understands when the student states which of the following?
1. "Resources will be needed to serve health care issues."
The US healthcare system is different from that of other countries in which way?
1. The US healthcare system is not entirely government funded.
Which of the following statements is true about health care in the US?
, The US spends more money on health care than any other nation.
Two nurses are discussing health care in the past and the present. The two nurses know
which of the following to be true about health care in the present?
Health care in the present is controlled by third party payers.
A student nurse is discussing Medicare coverage with the clinical instructor. The instructor
knows the student understands Medicare when the student makes this which
statement(s)?
Medicare is funded by the federal government./ Medicare is for persons 65 years old and
older./ Medicare is for patients who are disabled and/or have end-stage renal disease.
An accountable care organization (ACO) seeks to deliver which of the following aspects of
health care?
1. Integrate care/ Enhance evidence-based practices
A nurse is answering questions about health care at a community health fair. An elderly
visitor asks why healthcare is so expensive. Which is the best response by the nurse?
1. "Patients without healthcare coverage use emergency departments, where it is more
expensive to provide care."
Several high school students are attending a job fair hosted by a local hospital. One
student asks, "Who determines what type of care a nurse can give to patients?" Which is
the best response?
Practice is determined by state regulatory boards.
A nurse manager recognizes that an individual can affect health policy. Which action by
the nurse indicates the step of agenda setting in affecting health policy?
Identifying increased malnutrition in preschool children
The nurse is reviewing current healthcare policies for newly hired employees. Which topic
will the nurse include in the presentation?
Hospital HIPAA (Health Information Portability and Accountability Act) protections
