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Role & Scope - questions and answers 100% verified

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Role & Scope - questions and answers 100% verified

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Role & Scope - questions and answers
100% verified
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 ANSWERS A

The CNL is a master's-prepared RN who designs, implements, and evaluates client
care by coordinating, delegating, and supervising the care provided by the health care
team, including licensed nurses, technicians, and other health professionals. A Clinical
Nurse specialist (CNS) is an advanced practice nurse who has expertise in a defined
area of nursing practice such cardiac or infant and child care. The CNS engages in care
as an expert clinician, educator, consultant, researcher, and administrator. The
professional nurse (RN) addresses the humanistic and holistic needs of patients, acting
as a care provider, advocate, and educator.

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 ANSWERS B

The American Civil War allowed and encouraged African-American women to volunteer
as nurses, thus setting the stage for their ultimate involvement in the profession of
nursing. The U.S. Marine Hospital Service was the forerunner of today's U.S. Public
Health Service. The Army Nurse Corps was an outcome of the Army Reorganization
Act. North Carolina was the first state to implement the registration of nurses through its
nursing practice act.

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
ANSWERS A

,The Middle Ages saw the Christian church as the central figure in the organization and
management of health care, and its concepts of charity and sanctity of human life were
influential in the practice of caring for the sick. Beginning in prehistoric times, there was
a belief that illness was a direct outcome of displeasing the gods, which gave rise to the
practice of making offerings to the gods. In many cultures, it is still believed that illness
is related to punishment from the god(s). The concept of patient-centered care and use
of the scientific method of problem solving originated with the Greeks (1500 to 100
BCE). The Romans (27 BCE to 476 AD) are credited with the concepts of good hygiene
and sanitation being vital to good health.

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 ANSWERS C

The changing duties, responsibilities, and conflicts amid nursing shortages and public
concern over patient safety and quality of care characterize present-day practice. These
changes require professional nurses to have core competency in critical thinking and
communication as well as interprofessional collaboration, assessment, leadership, and
technical skills, in addition to their knowledge of health care. Although nurses support
providing holistic care to both client and family and providing for appropriately designed
patient rooms and common areas, ,interprofessional care collaboration has a much
greater impact on the delivery of appropriate and safe client care. Although client
advocacy is a nursing responsibility, the focus in this situation is on client autonomy, not
safety.

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 ANSWERS A

, The need for nurses to provide the care for the influx of clients projected in the future is
best addressed initially through the increase in nurses with graduate degrees. This
allows for the education and training of future nurses who are introduced to nursing
through effective recruiting targeted at various populations. Health screening is directed
towards the early detection of health care needs. Political activism is directed towards
health care policy change and enactment on national and even local government levels.

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 ANSWERS B

The image most important to today's nursing professional is one that supports the
public's need to trust and believe in the nurse caring for them. The individual actually
providing the care often changes with each shift change and so the perception of the
profession as a whole is vitally important. Although the other options represent positive
traits, they all seem to be embodied in the image of trust and belief in the public's
collective mind.

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 ANSWERS C

The play and eventual television movie Miss Evers' Boys tells the story of the now-
infamous Tuskegee experiment that focused on the treatment of syphilis among African-
American men between1932 and 1972. Miss Evers was the nurse in charge of
recruiting subjects. The play describes how her request for the inclusion of penicillin into
the treatment plan was denied, even though penicillin was the treatment of choice for
the disease after 1947.

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 ANSWERS D

Nursing continues to be viewed as a female profession although the number of males
entering the profession is steadily increasing. The public views nursing as an interesting

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