NSG 441 EXAM 3 QUESTIONS & ANSWERS
Which concept describes activities and strategies undertaken to address the challenges
faced by nurses in their practice settings?
A. engagement
B. empowerment
C. workplace advocacy
D. shared governance
C. workplace advocacy
Rationale: workplace advocacy includes an array of activities and strategies undertaken
to address the challenges faced by nurses in their practice settings. Engagement is
defined as an employer's commitment to the organization's mission, vision, and values.
Empowerment is defined as sharing power and control through participation in decision
making. Shared governance refers to organizational strategy supporting ownership,
autonomy, and input for nurses.
The 2010 Institute of Medicine (IOM, now known as the National Academy of Medicine)
report The Future of Nursing: Leading Change, Advancing Health advocated for having
at least which percentage of the registered nurse population prepare at the
baccalaureate level?
A. 65%
B. 70%
C. 80%
D. 100%
C. 80%
Rationale: Because evidence supports lower morbidity and mortality rates with a better-
educated nursing workforce.
Which application of information technology focuses on secure medication storage?
A. "smart" infusion pumps
B. automated dispensing unit/cabinet
C. pharmacy automation and robotics
D. bar coding and radiofrequency identification scanning.
B. automated dispensing unit/cabinet
,Which concept guides the knowledge content of work required for nursing practice?
A. nursing process
B. critical thinking
C. specified procedures
D. evidence-based practice
D. evidence-based practice
Which education recommendation was made by the Institute of Medicine (IOM, now
known as the National Academy of Medicine) in the 2010 report The Future of Nursing:
Leading Change, Advancing Health?
A. doubling the number of nurses with doctorate by 2020.
B. requiring a baccalaureate degree for all registered nurses by 2020.
C. increasing the percentage of nurses enrolled in advanced practice programs by 30%
in 2030.
D. changing the entry-level requirement for initial preparation of nurse's to a master's
degree by 2050.
A. doubling the number of nurses with a doctorate by 2020.
Which action would the nurse manager take when terminating an employee who has
refused to seek treatment for substance abuse?
A. notify law enforcement
B. notify the risk management department
C. report the incident to the board of nursing
D. Encourage the employee to attend rehabilitation.
C. report the incident to the board of nursing`
Which information would the nurse manager communicate to an employee who is going
to be suspended?
A. The employee's benefits will be held
B. The employee will be suspended without pay
C. The manager will determine the length of the suspension
D. The manager will make decisions about continued employment during the
suspension period.
B. The employee will be suspended without pay.
According to Rogers' Diffusion of Innovation theory, which term describes individuals
who thrive on change?
A. Rejectors
B. Innovators
C. Laggards
D. Early adopters
,B. Innovators
The nurse is caring for a patient who maintains several different cultures. Which key
principle is the patient's background demonstrating?
A. Ethnicity
B. Multiculturalism
C. Transculturalism
D. Cross-Culturalism
B. Multiculturalism
The healthcare industry has borrowed and applied models of continuous quality
improvement from which industry?
A. aerospace
B. finance
C. business
D. real estate
C. Business
Which action would the nurse manager take to initiate the process of progressive
discipline?
A. verbal reprimand
B. written reprimand
C. counsel the employee
D. referral to human resources
C. counsel the employee
Upon completion of the interview, what should the nurse manager do? Select all that
apply.
A. Send a formal note to the applicant
B. Send an e-mail asking follow-up questions
C. Indicate when applicants will hear about their interview
D. Thank the applicant for his or her time and interest in the position.
, E. Inform the applicant who will contact them about the result of the interview.
C, D, E
Which reason would the manager recognize contributes to nursing turnover?
A. poor job fit
B. level of education
C. acuity of the patients
D. length of nursing experience
A. poor job fit
The nurse manager is developing the budgets for the unit. Which budget requires
justification by the nurse manager because of competition for the resources within the
organization?
A. cash
B. capital
C. operating
D. variance analysis
B. capital
Rationale: capital budgets reflect expenditures for major capital items, such as
equipment. Organizations set aside a fixed amount for capital expenditures each year.
Complete, well-documented justifications are needed, as competition for limited
resources is stiff.
Which term describes a method in which a third-party payer decides in advance what
will be paid for a service or episode of care?
A. managed cost
B. contractual allowance
C. cost-based reimbursement
D. prospective payment system
D. prospective payment system
Which concept describes activities and strategies undertaken to address the challenges
faced by nurses in their practice settings?
A. engagement
B. empowerment
C. workplace advocacy
D. shared governance
C. workplace advocacy
Rationale: workplace advocacy includes an array of activities and strategies undertaken
to address the challenges faced by nurses in their practice settings. Engagement is
defined as an employer's commitment to the organization's mission, vision, and values.
Empowerment is defined as sharing power and control through participation in decision
making. Shared governance refers to organizational strategy supporting ownership,
autonomy, and input for nurses.
The 2010 Institute of Medicine (IOM, now known as the National Academy of Medicine)
report The Future of Nursing: Leading Change, Advancing Health advocated for having
at least which percentage of the registered nurse population prepare at the
baccalaureate level?
A. 65%
B. 70%
C. 80%
D. 100%
C. 80%
Rationale: Because evidence supports lower morbidity and mortality rates with a better-
educated nursing workforce.
Which application of information technology focuses on secure medication storage?
A. "smart" infusion pumps
B. automated dispensing unit/cabinet
C. pharmacy automation and robotics
D. bar coding and radiofrequency identification scanning.
B. automated dispensing unit/cabinet
,Which concept guides the knowledge content of work required for nursing practice?
A. nursing process
B. critical thinking
C. specified procedures
D. evidence-based practice
D. evidence-based practice
Which education recommendation was made by the Institute of Medicine (IOM, now
known as the National Academy of Medicine) in the 2010 report The Future of Nursing:
Leading Change, Advancing Health?
A. doubling the number of nurses with doctorate by 2020.
B. requiring a baccalaureate degree for all registered nurses by 2020.
C. increasing the percentage of nurses enrolled in advanced practice programs by 30%
in 2030.
D. changing the entry-level requirement for initial preparation of nurse's to a master's
degree by 2050.
A. doubling the number of nurses with a doctorate by 2020.
Which action would the nurse manager take when terminating an employee who has
refused to seek treatment for substance abuse?
A. notify law enforcement
B. notify the risk management department
C. report the incident to the board of nursing
D. Encourage the employee to attend rehabilitation.
C. report the incident to the board of nursing`
Which information would the nurse manager communicate to an employee who is going
to be suspended?
A. The employee's benefits will be held
B. The employee will be suspended without pay
C. The manager will determine the length of the suspension
D. The manager will make decisions about continued employment during the
suspension period.
B. The employee will be suspended without pay.
According to Rogers' Diffusion of Innovation theory, which term describes individuals
who thrive on change?
A. Rejectors
B. Innovators
C. Laggards
D. Early adopters
,B. Innovators
The nurse is caring for a patient who maintains several different cultures. Which key
principle is the patient's background demonstrating?
A. Ethnicity
B. Multiculturalism
C. Transculturalism
D. Cross-Culturalism
B. Multiculturalism
The healthcare industry has borrowed and applied models of continuous quality
improvement from which industry?
A. aerospace
B. finance
C. business
D. real estate
C. Business
Which action would the nurse manager take to initiate the process of progressive
discipline?
A. verbal reprimand
B. written reprimand
C. counsel the employee
D. referral to human resources
C. counsel the employee
Upon completion of the interview, what should the nurse manager do? Select all that
apply.
A. Send a formal note to the applicant
B. Send an e-mail asking follow-up questions
C. Indicate when applicants will hear about their interview
D. Thank the applicant for his or her time and interest in the position.
, E. Inform the applicant who will contact them about the result of the interview.
C, D, E
Which reason would the manager recognize contributes to nursing turnover?
A. poor job fit
B. level of education
C. acuity of the patients
D. length of nursing experience
A. poor job fit
The nurse manager is developing the budgets for the unit. Which budget requires
justification by the nurse manager because of competition for the resources within the
organization?
A. cash
B. capital
C. operating
D. variance analysis
B. capital
Rationale: capital budgets reflect expenditures for major capital items, such as
equipment. Organizations set aside a fixed amount for capital expenditures each year.
Complete, well-documented justifications are needed, as competition for limited
resources is stiff.
Which term describes a method in which a third-party payer decides in advance what
will be paid for a service or episode of care?
A. managed cost
B. contractual allowance
C. cost-based reimbursement
D. prospective payment system
D. prospective payment system
