Question 1

What statement accurately describes Charles Dickens' character Sairy Gamp?

Accepted Answer

A)  The character was portrayed as a trained professional individual who put others before self. 
B)  The character chose nursing because there were few other avenues for employment. 
C)  The character was a prostitute who cared for the sick old men in the community. 
D)  The character showed nurses to be at the forefront of the technology of that time. 
A)  The character was portrayed as a trained professional individual who put others before self. 
B)  The character chose nursing because there were few other avenues for employment. 
C)  The character was a prostitute who cared for the sick old men in the community. 
D)  The character showed nurses to be at the forefront of the technology of that time. B

Question 2

What is the best way for the individual nurse to maintain the most effective professional image?

Accepted Answer

A)  Change out of their work attire before running errands 
B)  Renew membership in a nursing organization 
C)  Earning an advanced nursing degree 
D)  Developing effective nurse-physician relationships 
A)  Change out of their work attire before running errands 
B)  Renew membership in a nursing organization 
C)  Earning an advanced nursing degree 
D)  Developing effective nurse-physician relationships B

Question 3

A physician reports to administration that the nurse working last evening is unethical,based on observing the nurse educate the patient about a new medication ordered.The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications.Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?

Accepted Answer

A)  Inform the nurse,"You will be suspended for 3 days for going beyond your job description," and enforce the 3-day suspension because the physician did not write the order to "teach the patient about the new medication." 
B)  Advise the physician that only nurses can teach patients about medications;the physician's role is to only prescribe.No action will be taken against the nurse. 
C)  After investigating the situation,thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses.Share the physician's concern and administrator's response with the nurse so both parties are aware of the resolution of the concerns. 
D)  Contact the patient's family and ask,"Do you prefer that all teaching related to medications be performed by the physician rather than the nurse" to determine what action to take. 
A)  Inform the nurse,"You will be suspended for 3 days for going beyond your job description," and enforce the 3-day suspension because the physician did not write the order to "teach the patient about the new medication." 
B)  Advise the physician that only nurses can teach patients about medications;the physician's role is to only prescribe.No action will be taken against the nurse. 
C)  After investigating the situation,thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses.Share the physician's concern and administrator's response with the nurse so both parties are aware of the resolution of the concerns. 
D)  Contact the patient's family and ask,"Do you prefer that all teaching related to medications be performed by the physician rather than the nurse" to determine what action to take. C

Question 4

A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage.Which statements accurately portray professional nursing today and tomorrow? (Select all that apply. )

Accepted Answer

A)  More RNs attain a bachelor's degree than an associate degree or diploma. 
B)  Because of pressure to shorten length of stay in hospitals,more RNs practice in outpatient settings and home health than in acute care settings. 
C)  The most popular advanced practice specialty is nurse anesthesia. 
D)  White nurses are more likely to enter graduate school than nurses from other ethnic groups. 
E)  Nursing represents the largest health care professional group,followed by medical doctors. 
A)  More RNs attain a bachelor's degree than an associate degree or diploma. 
B)  Because of pressure to shorten length of stay in hospitals,more RNs practice in outpatient settings and home health than in acute care settings. 
C)  The most popular advanced practice specialty is nurse anesthesia. 
D)  White nurses are more likely to enter graduate school than nurses from other ethnic groups. 
E)  Nursing represents the largest health care professional group,followed by medical doctors.

Question 5

What does the demographics of the 21st century nursing population indicate?

Accepted Answer

A)  A typical nursing student is a second-degree student who average 45 years of age. 
B)  More white nurses enter and obtain graduate degrees than any other ethnic group. 
C)  The highest level of nursing education for most RNs is an associate degree. 
D)  61% of nurses practice in hospitals. 
A)  A typical nursing student is a second-degree student who average 45 years of age. 
B)  More white nurses enter and obtain graduate degrees than any other ethnic group. 
C)  The highest level of nursing education for most RNs is an associate degree. 
D)  61% of nurses practice in hospitals.

Question 6

A nurse executive is concerned that the hospital's mortality rate exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality,including work environment.If Aiken's recommendations are followed,which change would be most effective?

Accepted Answer

A)  Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts 
B)  Employing bachelor's prepared nurses who participate in interprofessional rounds with attending physicians where their voices are heard 
C)  Ensuring nurse managers and administrators have at minimum a master's degree 
D)  Encouraging all unlicensed assistive personnel to attend educational programs to be certified 
A)  Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts 
B)  Employing bachelor's prepared nurses who participate in interprofessional rounds with attending physicians where their voices are heard 
C)  Ensuring nurse managers and administrators have at minimum a master's degree 
D)  Encouraging all unlicensed assistive personnel to attend educational programs to be certified

Question 7

Which actions would result in a greater number of nurses entering and staying in practice,given today's state of nursing? (Select all that apply. )

Accepted Answer

A)  Determine why few black women enter graduate school. 
B)  Provide incentives for minorities and men to enter nursing. 
C)  Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs. 
D)  Survey nurses to determine why their job satisfaction is lower than that of other health care professions. 
E)  Develop ad campaigns that target younger students. 
A)  Determine why few black women enter graduate school. 
B)  Provide incentives for minorities and men to enter nursing. 
C)  Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs. 
D)  Survey nurses to determine why their job satisfaction is lower than that of other health care professions. 
E)  Develop ad campaigns that target younger students.

Question 8

What does the Spirit of Nursing statue honor?

Accepted Answer

A)  Florence Nightingale's accomplishments in public health 
B)  Edith Cavell's attempt to help the victims of the Tuskegee experiment 
C)  Clara Maas,who found the cure for yellow fever during WWII 
D)  All military nurses for their service,bravery,and compassion 
A)  Florence Nightingale's accomplishments in public health 
B)  Edith Cavell's attempt to help the victims of the Tuskegee experiment 
C)  Clara Maas,who found the cure for yellow fever during WWII 
D)  All military nurses for their service,bravery,and compassion

Question 9

The Nurses of America's media campaign raised awareness of which aspects of nursing? (Select all that apply. )

Accepted Answer

A)  Nurses are expert clinicians. 
B)  A higher nurse/patient ratio is needed. 
C)  Nurses are invisible in the news media. 
D)  Nurses are caring. 
E)  Nurses are well paid. 
A)  Nurses are expert clinicians. 
B)  A higher nurse/patient ratio is needed. 
C)  Nurses are invisible in the news media. 
D)  Nurses are caring. 
E)  Nurses are well paid.

Question 10

According to current data what factors are most directly related to the nursing shortage? (Select all that apply. )

Accepted Answer

A)  Salaries of nurses are competitive with those of other professionals such as teachers. 
B)  Only 19% of nurses are minorities. 
C)  Overall,nurses are satisfied with their jobs but leave the profession because of fear of contracting fatal diseases. 
D)  The employment opportunities for nurses continue to be strong. 
E)  Staff nurses are returning to school to obtain certificates to teach nursing. 
A)  Salaries of nurses are competitive with those of other professionals such as teachers. 
B)  Only 19% of nurses are minorities. 
C)  Overall,nurses are satisfied with their jobs but leave the profession because of fear of contracting fatal diseases. 
D)  The employment opportunities for nurses continue to be strong. 
E)  Staff nurses are returning to school to obtain certificates to teach nursing.

Question 11

A nursing student asks,"I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." Which statement provides the answer provided by the National Survey of Registered Nurses?

Accepted Answer

A)  Registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing. 
B)  Nursing faculty are aging or leaving academia due to increased work demands and generational difference from students. 
C)  Practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year. 
D)  Registered nurses were the least satisfied with their job of all health care providers. 
A)  Registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing. 
B)  Nursing faculty are aging or leaving academia due to increased work demands and generational difference from students. 
C)  Practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year. 
D)  Registered nurses were the least satisfied with their job of all health care providers.

Question 12

A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?

Accepted Answer

A)  World War I 
B)  World War II 
C)  Spanish-American War 
D)  Vietnam War 
A)  World War I 
B)  World War II 
C)  Spanish-American War 
D)  Vietnam War

Question 13

Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

Accepted Answer

A)  Florence Nightingale 
B)  Margaret Hoolihan 
C)  Clara Maas 
D)  Sairy Gamp 
A)  Florence Nightingale 
B)  Margaret Hoolihan 
C)  Clara Maas 
D)  Sairy Gamp

Question 14

With the crisis in health care and the nursing shortage,why is the image of nursing still important?

Accepted Answer

A)  Nursing care is often delivered during a time of uncertainty,and the image of nurses during this time can reinforce trust in the nurse-patient relationship. 
B)  Physicians have a distinctive body of knowledge that identifies them as professionals,whereas nursing has yet to develop a unique body of knowledge on which to base practice. 
C)  Nurses must present a unified image if they hope to ever establish nursing as a profession. 
D)  The dynamic state of today's health care requires nurses to move from a caring image to one of technologic competence. 
A)  Nursing care is often delivered during a time of uncertainty,and the image of nurses during this time can reinforce trust in the nurse-patient relationship. 
B)  Physicians have a distinctive body of knowledge that identifies them as professionals,whereas nursing has yet to develop a unique body of knowledge on which to base practice. 
C)  Nurses must present a unified image if they hope to ever establish nursing as a profession. 
D)  The dynamic state of today's health care requires nurses to move from a caring image to one of technologic competence.

Question 15

Which nurse best portrays nursing as a "knowledge worker"?

Accepted Answer

A)  Nurse in matched scrubs with lab coat,hair back,small stud earrings 
B)  Nurse in mismatched scrubs,no lab coat,large hoop earrings 
C)  Nurse in white uniform with apron with no jewelry/hair back 
D)  Nurse with nose ring and eyebrow piercing with starched white uniform and cap 
A)  Nurse in matched scrubs with lab coat,hair back,small stud earrings 
B)  Nurse in mismatched scrubs,no lab coat,large hoop earrings 
C)  Nurse in white uniform with apron with no jewelry/hair back 
D)  Nurse with nose ring and eyebrow piercing with starched white uniform and cap

Question 16

A registered nurse is on break and checking e-mails.One e-mail contains a picture of a celebrity who is a patient in the hospital,and on the same floor,where the nurse works.Included with the photo is a message,"check out my Facebook," which contains additional photographs of the patient.The nurse immediately deletes the picture to prevent having to report the "friend" to supervisors.Based on the action of the nurse who received the message,which statement is correct?

Accepted Answer

A)  The nurse is not at risk for having his or her license suspended since removing the photos made them temporary and invisible to all others. 
B)  Because the nurse did not send the message and immediately deleted the photo,there is no risk for discipline. 
C)  Failing to report receiving the message demonstrates poor ethical and legal role-modeling as well as placing the nurse at risk for discipline. 
D)  Because the patient is on the same floor as the one on which the nurse works,the information can be ethically and legally shared. 
A)  The nurse is not at risk for having his or her license suspended since removing the photos made them temporary and invisible to all others. 
B)  Because the nurse did not send the message and immediately deleted the photo,there is no risk for discipline. 
C)  Failing to report receiving the message demonstrates poor ethical and legal role-modeling as well as placing the nurse at risk for discipline. 
D)  Because the patient is on the same floor as the one on which the nurse works,the information can be ethically and legally shared.

Question 17

Which item below correctly describes the U.S.Bureau of Labor Statistics predictions by 2020?

Accepted Answer

A)  Positions that historically required registered nurses will be filled by unlicensed personnel. 
B)  The job growth rate for RNs will surpass job growth in all other occupations. 
C)  The need for hospital nurses will dramatically decrease. 
D)  Hospitals will finally achieve the required RN workforce. 
A)  Positions that historically required registered nurses will be filled by unlicensed personnel. 
B)  The job growth rate for RNs will surpass job growth in all other occupations. 
C)  The need for hospital nurses will dramatically decrease. 
D)  Hospitals will finally achieve the required RN workforce.

Question 18

What effect did the movie One Flew Over the Cuckoo's Nest have on health care?

Accepted Answer

A)  Funding for mental health care increased,allowing the point of care to change from the community to standardized institutional care. 
B)  The public and the nursing profession were made aware of the rights of vulnerable populations. 
C)  Nurses were seen as advocates for individuals who cannot advocate for themselves. 
D)  Funding for nursing traineeships was eliminated. 
A)  Funding for mental health care increased,allowing the point of care to change from the community to standardized institutional care. 
B)  The public and the nursing profession were made aware of the rights of vulnerable populations. 
C)  Nurses were seen as advocates for individuals who cannot advocate for themselves. 
D)  Funding for nursing traineeships was eliminated.

Question 19

Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous,uncaring nurse,it also provided Americans with a promising glimpse of what true nursing characteristic?

Accepted Answer

A)  The skill and drive to assist doctors in caring for the wounded 
B)  That women possess the desire to serve one's country that equals that of men 
C)  The ability of nurses to cope with the dreadfulness of war by using humor 
D)  The contributions of any nurse to the care of military personnel 
A)  The skill and drive to assist doctors in caring for the wounded 
B)  That women possess the desire to serve one's country that equals that of men 
C)  The ability of nurses to cope with the dreadfulness of war by using humor 
D)  The contributions of any nurse to the care of military personnel

Question 20

To best improve patient outcomes on an acute care hospital unit,which intervention should the nursing staff advocate for?

Accepted Answer

A)  Staffing only 8-hour shifts on the unit 
B)  Decreasing the number of patients cared for on any specific unit 
C)  Increasing salaries for experienced nurses 
D)  Increasing staffing on the evening shift 
A)  Staffing only 8-hour shifts on the unit 
B)  Decreasing the number of patients cared for on any specific unit 
C)  Increasing salaries for experienced nurses 
D)  Increasing staffing on the evening shift

Exam 2: The Contemporary Image of Professional Nursing

What statement accurately describes Charles Dickens' character Sairy Gamp?

What is the best way for the individual nurse to maintain the most effective professional image?

A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage.Which statements accurately portray professional nursing today and tomorrow? (Select all that apply. )

What does the demographics of the 21st century nursing population indicate?

Which actions would result in a greater number of nurses entering and staying in practice,given today's state of nursing? (Select all that apply. )

What does the Spirit of Nursing statue honor?

The Nurses of America's media campaign raised awareness of which aspects of nursing? (Select all that apply. )

According to current data what factors are most directly related to the nursing shortage? (Select all that apply. )

A nursing student asks,"I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." Which statement provides the answer provided by the National Survey of Registered Nurses?

A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?

Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

With the crisis in health care and the nursing shortage,why is the image of nursing still important?

Which nurse best portrays nursing as a "knowledge worker"?

Which item below correctly describes the U.S.Bureau of Labor Statistics predictions by 2020?

What effect did the movie One Flew Over the Cuckoo's Nest have on health care?

Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous,uncaring nurse,it also provided Americans with a promising glimpse of what true nursing characteristic?

To best improve patient outcomes on an acute care hospital unit,which intervention should the nursing staff advocate for?

The Evolution of Professional Nursing

The Influence of Contemporary Trends and Issues on Nursing Education

Nursing Licensure and Certification

Theories of Nursing Practice

Nursing Research and Evidence-Based Practice

Paying for Health Care in America: Rising Costs and Challenges

Legal Issues in Nursing and Health Care

Ethical and Bioethical Issues in Nursing and Health Care

Cultural Competency and Social Issues in Nursing and Health Care

Complementary and Alternative Healing

Palliative Care

Workforce Advocacy for a Professional Nursing Practice Environment

Collective Bargaining and Unions in Todays Workplace

Information Technology in the Clinical Setting

Emergency Preparedness and Response for Todays World

Nursing Leadership and Management

Budgeting Basics for Nurses

Effective Communication and Conflict Resolution

Effective Delegation and Supervision

Staffing and Nursing Care Delivery Models

Quality Improvement and Patient Safety

Health Policy and Politics: Get Involved

Making the Transition From Student to Professional Nurse

Managing Time: the Path to High Self-Performance

Contemporary Nursing Roles and Career Opportunities

Job Search: Finding Your Match

The Nclex-Rn Examination

Filters

Although the media portrayed nursing in a negative light in MAS*H through the character of a promiscuous,uncaring nurse,it also provided Americans with a promising glimpse of what true nursing characteristic?