ADN 110 Final Exam Study Questions and Answers
with complete solution
In comparing the American Nurses Association (ANA) and the International
Council of Nurse (ICN) definitions of nursing, what component does the ICN
mention that is not included in the ANA's definition and is indicative of a more
global focus?
a. Advocacy
b. Health Promotion
c. Shaping health policy
d. Prevention of illness - ANSWER -ANSWER: C
The ICN's definition of nursing expands on the ANA's definition by providing for
the concept of shaping health policy as a responsibility of nursing.
A profession has specific characteristics. In regard to how nursing meets these
characteristics, which criteria are consistent and standardized processes? (select all
that apply)
a. Code of ethics
b. Licensing
c. Body of knowledge
d. Educational preparation
e. Altruism - ANSWER -ANSWERs: A, B, C, E
Nursing as a profession has a code of ethics, licensing, a body of knowledge, and
altruism. Because there are multiple paths of education for nursing and not a
standard entry into practice, this is one criterion of a profession that is not standard
and consistent.
What specific aspect of a profession does the development of theories provide?
a. Altruism
b. Body of knowledge
c. Autonomy
d. Accountability - ANSWER -ANSWER: B
Theories establish a specific nursing body of knowledge that is unique to the
discipline, which is one criterion of a profession.
, Health care workers are discussing a diverse group of patients respectfully and are
being responsive to the health beliefs and practices of these patients. What
important aspect of nursing professional practice are they exhibiting?
a. Autonomy
b. Accountability
c. Cultural competence
d. Autocratic leadership - ANSWER -ANSWER: C
The nurse and other health care workers are exhibiting cultural competence by
being responsive to patients' health beliefs and practices that are influenced by the
individual's culture.
A nurse makes a medication error, immediately assesses the patient, and reports
the error to the nurse manager and the primary care provider. Which characteristic
of a professional is the nurse demonstrating?
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism - ANSWER -ANSWER: C
The nurse is demonstrating accountability by taking responsibility for the error and
reporting it after an initial assessment of the patient. Criteria of a profession
include altruism (public service over personal gain), autonomy (independence),
accountability, and diversity; however, in this case, the nurse is demonstrating
accountability. Although collaboration is important for the health care team, it is
not a criterion for a profession.
Which are included in the ANA standards? (select all that apply)
a. Standards of professional performance
b. Code of ethics
c. Standards of practice
d. Legal scope of practice
e. Licensure requirements - ANSWER -ANSWERs: A, C
ANA standards have two parts: One is standards of professional performance, and
the other is standards of practice. ANA has a separate document that is a code of
ethics. Nurse practice acts are a legal scope of practice.
, Which core competency of advanced practice nursing is the Master of Science in
Nursing (MSN) nurse educator exhibiting when counseling a student in therapeutic
communication techniques?
a. Leadership
b. Ethical decision making
c. Direct clinical practice
d. Expert coaching - ANSWER -ANSWER: D
A nurse educator who is teaching and counseling students is practicing expert
coaching and guidance. A nurse educator with a master's degree practices the other
competencies of leadership and ethical decision making in other situations.
Although a nurse educator may also work as a nurse involved in direct patient care,
this is not part of the educator role.
Which statements describe a component discussed in nursing theories? (select all
that apply)
a. Optimal functioning of the patient
b. Interaction with components of the environment
c. The conceptual makeup of the administration of the hospital
d. The illness and health concept
e. Safety aspect of medication administration - ANSWER -ANSWERs: A, B, D
There are four components that a nursing theory discusses: (1) the patient, (2)
health, (3) environment, and (4) nursing—not the hospital administration.
Which factors affect the nursing shortage? (select all that apply)
a. Aging faculty
b. Increasing elderly population
c. Job satisfaction due to adequate number of nurses
d. Aging nursing workforce
e. Greater autonomy for nurses - ANSWER -ANSWERs: A, B, D
The nursing workforce and nursing faculty are aging. The entire population is
aging, which increases the need for more nurses. The insufficient number of nurses
leads to job dissatisfaction and burnout.
, A nurse has performed a physical examination of the patient and reviewed the
laboratory results and diagnostics on the patient's chart. The nurse is performing
which specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy - ANSWER -ANSWER: B
The nurse is performing the first step in the nursing process—assessment.
A hospitalized patient experiences a sharp, stabbing pain while visiting with his
spouse. Both the patient and his wife become very concerned, and the patient's call
light is activated. What referent initiated communication between the patient and
the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light - ANSWER -ANSWER: C
Pain is the referent that initiated the communication process. The interaction
between the patient and his wife was the result of the patient's pain as was the
concern of the patient's spouse. The call light could be considered a channel
through which the patient's interaction with the nurse began.
Which factors influence whether a message is effectively communicated? (select
all that apply)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication used
d. Physical environment of discussion - ANSWER -ANSWERs: A, B, C, D
Timing of a conversation dramatically influences the receptivity of the receiver.
The educational level of those seeking to communicate has an impact on the type
of language and technical terminology that can be used in conversation. Using
more than one mode of communication can enhance the effectiveness of a
message. Making sure the environment is devoid of excess noise and distraction
can facilitate a greater understanding of shared information.
with complete solution
In comparing the American Nurses Association (ANA) and the International
Council of Nurse (ICN) definitions of nursing, what component does the ICN
mention that is not included in the ANA's definition and is indicative of a more
global focus?
a. Advocacy
b. Health Promotion
c. Shaping health policy
d. Prevention of illness - ANSWER -ANSWER: C
The ICN's definition of nursing expands on the ANA's definition by providing for
the concept of shaping health policy as a responsibility of nursing.
A profession has specific characteristics. In regard to how nursing meets these
characteristics, which criteria are consistent and standardized processes? (select all
that apply)
a. Code of ethics
b. Licensing
c. Body of knowledge
d. Educational preparation
e. Altruism - ANSWER -ANSWERs: A, B, C, E
Nursing as a profession has a code of ethics, licensing, a body of knowledge, and
altruism. Because there are multiple paths of education for nursing and not a
standard entry into practice, this is one criterion of a profession that is not standard
and consistent.
What specific aspect of a profession does the development of theories provide?
a. Altruism
b. Body of knowledge
c. Autonomy
d. Accountability - ANSWER -ANSWER: B
Theories establish a specific nursing body of knowledge that is unique to the
discipline, which is one criterion of a profession.
, Health care workers are discussing a diverse group of patients respectfully and are
being responsive to the health beliefs and practices of these patients. What
important aspect of nursing professional practice are they exhibiting?
a. Autonomy
b. Accountability
c. Cultural competence
d. Autocratic leadership - ANSWER -ANSWER: C
The nurse and other health care workers are exhibiting cultural competence by
being responsive to patients' health beliefs and practices that are influenced by the
individual's culture.
A nurse makes a medication error, immediately assesses the patient, and reports
the error to the nurse manager and the primary care provider. Which characteristic
of a professional is the nurse demonstrating?
a. Autonomy
b. Collaboration
c. Accountability
d. Altruism - ANSWER -ANSWER: C
The nurse is demonstrating accountability by taking responsibility for the error and
reporting it after an initial assessment of the patient. Criteria of a profession
include altruism (public service over personal gain), autonomy (independence),
accountability, and diversity; however, in this case, the nurse is demonstrating
accountability. Although collaboration is important for the health care team, it is
not a criterion for a profession.
Which are included in the ANA standards? (select all that apply)
a. Standards of professional performance
b. Code of ethics
c. Standards of practice
d. Legal scope of practice
e. Licensure requirements - ANSWER -ANSWERs: A, C
ANA standards have two parts: One is standards of professional performance, and
the other is standards of practice. ANA has a separate document that is a code of
ethics. Nurse practice acts are a legal scope of practice.
, Which core competency of advanced practice nursing is the Master of Science in
Nursing (MSN) nurse educator exhibiting when counseling a student in therapeutic
communication techniques?
a. Leadership
b. Ethical decision making
c. Direct clinical practice
d. Expert coaching - ANSWER -ANSWER: D
A nurse educator who is teaching and counseling students is practicing expert
coaching and guidance. A nurse educator with a master's degree practices the other
competencies of leadership and ethical decision making in other situations.
Although a nurse educator may also work as a nurse involved in direct patient care,
this is not part of the educator role.
Which statements describe a component discussed in nursing theories? (select all
that apply)
a. Optimal functioning of the patient
b. Interaction with components of the environment
c. The conceptual makeup of the administration of the hospital
d. The illness and health concept
e. Safety aspect of medication administration - ANSWER -ANSWERs: A, B, D
There are four components that a nursing theory discusses: (1) the patient, (2)
health, (3) environment, and (4) nursing—not the hospital administration.
Which factors affect the nursing shortage? (select all that apply)
a. Aging faculty
b. Increasing elderly population
c. Job satisfaction due to adequate number of nurses
d. Aging nursing workforce
e. Greater autonomy for nurses - ANSWER -ANSWERs: A, B, D
The nursing workforce and nursing faculty are aging. The entire population is
aging, which increases the need for more nurses. The insufficient number of nurses
leads to job dissatisfaction and burnout.
, A nurse has performed a physical examination of the patient and reviewed the
laboratory results and diagnostics on the patient's chart. The nurse is performing
which specific nursing function?
a. Diagnosis
b. Assessment
c. Education
d. Advocacy - ANSWER -ANSWER: B
The nurse is performing the first step in the nursing process—assessment.
A hospitalized patient experiences a sharp, stabbing pain while visiting with his
spouse. Both the patient and his wife become very concerned, and the patient's call
light is activated. What referent initiated communication between the patient and
the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light - ANSWER -ANSWER: C
Pain is the referent that initiated the communication process. The interaction
between the patient and his wife was the result of the patient's pain as was the
concern of the patient's spouse. The call light could be considered a channel
through which the patient's interaction with the nurse began.
Which factors influence whether a message is effectively communicated? (select
all that apply)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication used
d. Physical environment of discussion - ANSWER -ANSWERs: A, B, C, D
Timing of a conversation dramatically influences the receptivity of the receiver.
The educational level of those seeking to communicate has an impact on the type
of language and technical terminology that can be used in conversation. Using
more than one mode of communication can enhance the effectiveness of a
message. Making sure the environment is devoid of excess noise and distraction
can facilitate a greater understanding of shared information.
