with 2025/2026 Updates
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,by Patricia A. Potter, RN, MSN, PhD, FAAN, et al
UNIT 1 Nursing and the Health Care Environment
Chapter 1 Nursing Today
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,1.A 32-year-old patient recovering from surgery expresses fear about managing
medications at home. The nurse arranges for discharge teaching and contacts a home
health nurse to continue education. This demonstrates which of the following roles of
the professional nurse?
A. Advocate
B. Caregiver
C. Educator
D. Communicator
ANS: C. Educator
Rationale: Nurses teach patients about their conditions and care needs, promoting
self-management and safety at home. The educator role is central to empowering
patients through understanding and skill-building.
2.A nurse manager is reviewing the ANA Standards of Professional Nursing Practice
with her team. Which of the following examples best represents adherence to these
standards?
A. Delegating patient care tasks to nursing assistants without supervision
B. Creating a patient care plan based on evidence and regularly evaluating outcomes
C. Prioritizing documentation over patient interaction to meet deadlines
D. Prescribing medication after reviewing the patient’s chart
ANS: B. Creating a patient care plan based on evidence and regularly evaluating
outcomes
Rationale: The ANA Standards emphasize evidence-based care, planning,
implementation, and evaluation. Option B reflects critical thinking and professional
accountability consistent with these standards.
3.A nurse works in a hospital that integrates technology and informatics into daily
practice. What QSEN competency is the nurse demonstrating by using the EHR to track
and communicate patient outcomes?
A. Patient-Centered Care
B. Safety
C. Informatics
D. Teamwork and Collaboration
ANS: C. Informatics
Rationale: QSEN defines informatics as using information and technology to
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, communicate, manage knowledge, mitigate error, and support decision-making. EHR
usage for outcome tracking directly aligns with this.
4.A nurse notices that a patient who speaks limited English is not participating in care
decisions. The nurse arranges for a medical interpreter and includes the patient’s family
in teaching sessions. This reflects which nursing competency?
A. Systems-based practice
B. Cultural humility
C. Time management
D. Clinical expertise
ANS: B. Cultural humility
Rationale: Cultural humility involves ongoing self-reflection, recognizing patient values
and beliefs, and actively addressing language and cultural barriers in care.
5.An experienced nurse returns to school to become a nurse practitioner. Which
advanced practice role is she preparing for?
A. Clinical Nurse Leader
B. Nurse Anesthetist
C. Nurse Educator
D. Nurse Practitioner
ANS: D. Nurse Practitioner
Rationale: Nurse practitioners are advanced practice registered nurses who manage
care for patients across the lifespan. Returning to school indicates a transition into this
specialized role.
6.A new graduate nurse is encouraged to join a professional organization such as the
ANA. What is the primary benefit of this recommendation?
A. Increased salary incentives
B. Guaranteed job promotions
C. Access to continuing education and professional development
D. Automatic specialty certification
ANS: C. Access to continuing education and professional development
Rationale: Membership in professional organizations offers networking, advocacy, and
learning opportunities essential for lifelong development and practice improvement.
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