NUR 256 MIDTERM.docx

The 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 - correct 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 - correct 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. - correct 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. - correct 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 - correct 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. - correct 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. - correct 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 - correct 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. - correct 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. - correct 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 - correct 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 - correct answer B