Unit 6 Management Evolve website review questions

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Unit 6 ManagementEvolve website review questions
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Chapter 1
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• What is the most appropriate response to a high
  school student who asks about the education
  needed to become a family nurse practitioner?
• A. "You can get your certificate once you have
  your associate degree in nursing."
• B. "A baccalaureate degree will permit you to
  work as a family nurse practitioner."
• C. "To become a family nurse practitioner, you
  must earn a master's degree in nursing."
• D. "You are going to have to get a doctorate if
  you want to be a family nurse practitioner."

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• C. "To become a family nurse practitioner, you
  must earn a master's degree in nursing."

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• Which contribution to the nursing profession is
  credited to Mildred Montag?
• A. Founded public health nursing in New York City
  
• B. Established the Frontier Nursing Service
• C. Developed the American Red Cross while a Civil
  War nurse
• D. Developed the model of associate degree
  nursing programs

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• D. Developed the model of associate degree
  nursing programs

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• Which of the following areas have served as the
  primary practice setting for nurses?
• A. Health maintenance organizations
• B. Home care settings
• C. Hospitals
• D. Outpatient services

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• C. Hospitals

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• Which of the following is the best example of the
  role of nurse as client advocate?
• A. Informing the physician of the results of a
  client's lab work
• B. Talking with the client while changing a
  dressing
• C. Telling a client about the adverse effects of
  a medication
• D. Reviewing information so that the client can
  make a decision about treatment

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• D. Reviewing information so that the client can
  make a decision about treatment

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• Which of the following represents an entry-level
  educational program in nursing?
• A. Baccalaureate degree
• B. Continuing education
• C. Nursing doctorate degree
• D. Nurse practitioner program

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• A. Baccalaureate degree

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• Which of the following statements about
  contemporary developments in nursing practice is
  correct?
• A. Middle management positions have dramatically
  expanded.
• B. Opportunities for home care nursing have
  declined steadily.
• C. The role of nurse as case manager has
  developed.
• D. Third-party payment for advanced practice
  nursing has been eliminated.

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• C. The role of nurse as case manager has
  developed.

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• Which of the following statements about social
  conditions and nursing is true?
• A. Demographic factors have remained relatively
  stable in the past few decades.
• B. Nursing has incorporated new technologies into
  practice while keeping client needs as its
  primary focus.
• C. Consumers have been less critical of the
  health care delivery system in recent years.
• D. The women's rights movement has had little
  impact on the nursing profession.

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• B. Nursing has incorporated new technologies into
  practice while keeping client needs as its
  primary focus.

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• Which of the following statements about the early
  development of nursing is correct?
• A. The recorded history of nursing began with
  Florence Nightingale.
• B. During prehistoric times, men were the
  caregivers and nurturers.
• C. The lowest point in nursing history occurred
  during the Reformation.
• D. Female nurses in colonial hospitals received
  formal nursing training.

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• C. The lowest point in nursing history occurred
  during the Reformation.

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• Which of the following statements identifies the
  purpose of standards of clinical nursing
  practice?
• A. Mandate continuing education for nurses
• B. Serve as a basis of practice for all nurses
• C. Determine the legal guidelines for nursing
  practice
• D. Oversee accreditation of nursing programs

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• B. Serve as a basis of practice for all nurses

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• Who is the woman credited as the founder of
  modern nursing?
• A. Florence Nightingale
• B. Linda Richards
• C. Lillian Wald
• D. Isabel Hampton Robb

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• A. Florence Nightingale

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Chapter 2
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• A nurse is a devout Catholic and has been offered
  a job at a prestigious city hospital on the
  maternity floor. The job has an excellent salary
  and benefit package, but the nurse is concerned
  because the hospital performs abortions. She
  questions whether she should take the job because
  abortion is against her religious beliefs. The
  nurse's best action to help make this decision
  would be to
• A. use of the ethical principle of veracity.
• B. use the process of values clarification.
• C. be beneficent.
• D. abandon her ethical principles.

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• B. use the process of values clarification.

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• A nurse is teaching a client about his disease
  and explaining what nursing actions will help.
  The nurse knows this will help the client select
  the best course of action. The nurse's approach
  shows a respect for the client's
• A. beneficence.
• B. fidelity.
• C. autonomy.
• D. justice.

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• C. autonomy.

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• A nursing student is taking an examination on
  ethics in nursing practice. The nursing student
  defines ethics as
• A. philosophy that evaluates the criteria of
  right and wrong in human behavior.
• B. the only guideline to direct nursing practice.
  
• C. the ideals, beliefs, and patterns of
  behaviors.
• D. the standards of conduct.

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• A. philosophy that evaluates the criteria of
  right and wrong in human behavior.

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• In which of the following situations does the
  nurse exhibit fidelity toward the client?
• A. The nurse gives an injection using sterile
  technique to a client who has allergies.
• B. The nurse tells a client with cancer that he
  or she will bring pain medication at noon.
• C. The nurse conducts TB screenings at a homeless
  shelter.
• D. The nurse spends time with two children who
  have cystic fibrosis.

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• B. The nurse tells a client with cancer that he
  or she will bring pain medication at noon.

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• James K. is to have emergency surgery for
  appendicitis. The physician asks a nurse to come
  into James' room and witness the informed
  consent. The nurse is there to
• A. correct any misrepresentations given by the
  physician.
• B. answer questions for the physician regarding
  the surgical procedure.
• C. offer the client health care advice.
• D. witness the client's signature.

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• D. witness the client's signature.

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• Nursing education programs are accredited by
• A. the State Board of Nursing.
• B. Sigma Theta Tau International.
• C. the National League for Nursing.
• D. the Centers for Disease Control.

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• C. the National League for Nursing.

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• The client has just been informed that in six
  weeks he needs to have surgery for a growth. The
  client asks the nurse, "What is an advance
  directive?" The nurse's best response is
• A. "An advance directive permits the physician to
  perform the needed surgery."
• B. "An advance directive is a written document
  that informs health care personnel of a client's
  treatment choices when a client is not able to do
  so for himself or herself."
• C. "An advance directive illustrates medical
  procedures."
• D. "An advance directive permits a family member
  or friend to make health care decisions on a
  client's behalf."

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• B. "An advance directive is a written document
  that informs health care personnel of a client's
  treatment choices when a client is not able to do
  so for himself or herself."

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• The nurse is applying for a job at a prestigious
  heart institution and includes on her résumé
  professional activities in which she is not
  involved. The nurse may have
• A. committed fraud.
• B. committed libel.
• C. committed slander.
• D. declared defamatory remarks.

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• A. committed fraud.

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• The nurse is responsible for providing safe
  nursing care to all clients. The nurse's behavior
  is guided by which one of the following
  professional standards?
• A. A Nurse Practice Act
• B. The Hippocratic Oath
• C. The values clarification process
• D. The American Nurses' Association Code for
  Nurses

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• D. The American Nurses' Association Code for
  Nurses

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• The nurse knows that negligence is a type of
• A. fraud.
• B. tort.
• C. assault.
• D. battery.

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• B. tort.

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• The nurse knows that not turning the client who
  has pain prevents immediate discomfort but
  turning the client prevents skin breakdown. The
  nurse places the client on a 2-hour turning
  schedule. The nurse is practicing which ethical
  principle?
• A. Autonomy
• B. Confidentiality
• C. Beneficence
• D. Values clarification

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• C. Beneficence

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• The nurse understands that the best way to
  prevent a breach in confidentiality is to
• A. never discuss clients' medical information.
• B. give health care information only to a
  secretary of the third-party payer with whom you
  are familiar.
• C. exercise discretion when sharing information.
• D. discuss clients and their situations without
  using names.

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• C. exercise discretion when sharing information.

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• The nursing instructor is teaching an
  introduction to nursing practice, and a student
  asks, "Who grants licenses to professional
  nurses?" The instructor should reply
• A. "The city government in which you reside."
• B. "The state government in which you reside."
• C. "The federal government."
• D. "The school of nursing from which you
  graduated."

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• B. "The state government in which you reside."

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• The nursing risk manager is conducting an
  in-service on documentation. The best advice she
  can offer her listeners is to
• A. chart all procedures when all care is
  complete.
• B. document every conversation with a client.
• C. document all relevant information related to
  the client's condition.
• D. document, on a daily basis, all family
  visiting patterns.

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• C. document all relevant information related to
  the client's condition.

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• What term best describes the process a nurse uses
  to resolve a moral conflict?
• A. Moral uncertainty
• B. Ethics
• C. Moral reasoning
• D. Moral dilemma

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• C. Moral reasoning

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• When a nurse is being sued for malpractice, the
  nurse will be judged
• A. against what an ordinary layperson would do in
  similar circumstances.
• B. against what another professional would do in
  similar circumstances.
• C. as failing to meet the needs of clients.
• D. as breaching duty to the client.

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• B. against what another professional would do in
  similar circumstances.

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• When planning to make an ethical decision, which
  of the following interventions is not
  appropriate?
• A. Identifying the dilemma
• B. Gathering pertinent data
• C. Examining all solutions
• D. Relying on the principle of justice

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• D. Relying on the principle of justice

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• When the nurse honestly answers a client's
  questions relating to death and dying, the nurse
  is adhering to which ethical principle?
• A. Autonomy
• B. Veracity
• C. Beneficence
• D. Problem solving

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• B. Veracity

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• Which one of the following uses of restraints
  would constitutes false imprisonment?
• A. Having the mother restrain her child so that
  the physician may suture his leg wound
• B. Restraining a client with Alzheimer's disease
  who has a history of falling down the stairwell
• C. Securing the prison infirmary
• D. Restraining a leukemia client who refuses to
  have any more blood tests

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• D. Restraining a leukemia client who refuses to
  have any more blood tests

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Chapter 3
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• A person's perceived ability to control his or
  her environment (such as health care) depends on
  whether the person operates primarily from an
  internal locus of control or an external locus of
  control. Which of the following statements is
  true of an internal locus of control?
• A. The person is more likely to believe that
  events are due to chance or luck.
• B. The person feels helpless to change his or her
  circumstances.
• C. The person relinquishes control to others,
  allowing them to make decisions for the person.
• D. The person feels empowered to influence his or
  her environment.

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• D. The person feels empowered to influence his or
  her environment.

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• Because of Confucius's teachings, it is important
  for the nurse to know that the Chinese culture
  emphasizes which of the following?
• A. Individual opinions
• B. Respect for elders
• C. Direct conflicts
• D. Verbalizing psychosocial problems

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• B. Respect for elders

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• In the African-American family, the individual(s)
  responsible for maintaining and protecting the
  health of the family member is (are)
• A. the African-American man.
• B. large family networks.
• C. the African-American woman.
• D. traditional women healers.

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• C. the African-American woman.

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• The nurse must understand that communication
  difficulties, which arise between people of
  different cultures, involve more than speaking a
  different language. These difficulties are also
  due to the fact that
• A. gestures and body language carry commonly
  understood meanings in different cultures.
• B. nonverbal communication leads to increased
  understanding in all cultures.
• C. maintaining eye contact or smiling may be seen
  as intrusive or disrespectful to certain clients.
  
• D. idiomatic language has the same meaning when
  translated to another language.

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• C. maintaining eye contact or smiling may be seen
  as intrusive or disrespectful to certain clients.
  

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• When providing care to an Irish-American client,
  it is important to remember that
• A. religious beliefs are unimportant when
  encountering an illness.
• B. the low use of alcohol is influenced by family
  characteristics.
• C. family is insignificant to Irish-Americans.
  Close family bonds to not exist.
• D. Irish-Americans may subscribe to folk medicine
  beliefs that are neutral health practices, such
  as wearing religious medals to prevent illnesses.

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• D. Irish-Americans may subscribe to folk medicine
  beliefs that are neutral health practices, such
  as wearing religious medals to prevent illnesses.

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• Which of the following is important for the nurse
  to know about Navajo culture?
• A. Few Navajos speak English.
• B. Navajos shake hands when greeting a person.
• C. Believe in the germ theory of medicine.
• D. Navajo people believe that family members are
  responsible for one another.

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• D. Navajo people believe that family members are
  responsible for one another.

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• Which of the following is true about illnesses in
  Mexican-Americans?
• A. The incidence of diabetes is low with
  infrequent complications.
• B. The incidence of hypertension is low.
• C. Alcoholism is a significant health problem.
• D. Urban elderly migrant workers are at low risk
  for many age-related chronic conditions.

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• C. Alcoholism is a significant health problem.

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• Which of the following most accurately describes
  ethnocentrism?
• A. Recognizing the values and beliefs of both
  your client and yourself
• B. Believing that your own ethnic beliefs,
  customs, and attitudes are the correct and
  superior ones
• C. Assuming that an attribute present in some
  group members is present in all group members
• D. Actively seeking to understand other peoples

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• B. Believing that your own ethnic beliefs,
  customs, and attitudes are the correct and
  superior ones

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• Within a multicultural society, which of the
  following approaches will help you as a nurse to
  provide optimal care to clients?
• A. Sharing your world view and cultural practices
  with your clients
• B. Providing nursing care based on scientific
  principles
• C. Possessing knowledge of the client's culture
• D. Giving care in a friendly and efficient manner

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• C. Possessing knowledge of the client's culture

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Chapter 4
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• Historically, the American health care delivery
  system has emphasized which of the following?
• A. Health promotion and illness prevention
• B. Diagnosis and treatment
• C. Rehabilitation
• D. Supportive care

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• B. Diagnosis and treatment

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• It is important for the nurse to be aware of
  changes in the composition of the population and
  their impact on the planning of health care
  services. Which of the following is considered
  the most significant population issue facing our
  country's health care delivery system today?
• A. The undercounting of the homeless
• B. The increase in the number of adults age 65
  years or older
• C. The change from a rural economy with large
  families to an urban economy with smaller
  families
• D. The increasing size of the average American
  family

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• B. The increase in the number of adults age 65
  years or older

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• It is important for the nurse to understand that
  environmental determinants of health are divided
  into three categories. Which of the following is
  not an environmental determinant of health?
• A. Physical component
• B. Behavioral component
• C. Social component
• D. Psychological component

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• B. Behavioral component

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• Lifestyle diseases are major causes of death in
  the United States. Which of the following
  practices does not contribute to the occurrence
  of lifestyle diseases?
• A. Smoking
• B. Drinking
• C. Overeating
• D. Protected sexual activity

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• D. Protected sexual activity

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• Managed care organizations (MCOs) have dominated
  America's health care delivery system in the 20th
  Century. Which of the following is the most
  common type of MCO?
• A. Preferred provider organization
• B. Health maintenance organization
• C. Medicare
• D. Medicaid

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• B. Health maintenance organization

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• Three of the following are competing goals of the
  current American health care system. Which of the
  following is not a goal?
• A. Containing costs
• B. Enhancing the quality of care
• C. Collaborating with multiple disciplines and
  health care organizations
• D. Improving access to health care services

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• C. Collaborating with multiple disciplines and
  health care organizations

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• Which of the following insurance programs is the
  most prevalent source of financing for the United
  States health care system?
• A. Medicare
• B. Private insurance
• C. National health insurance plans
• D. Health maintenance organizations

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• A. Medicare

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• Which of the following statements most accurately
  describes the prospective payment system?
• A. A system in which payment for a specific
  service is predetermined
• B. A system in which reimbursement is based on
  the cost incurred
• C. A system of classification according to
  medical diagnosis, used for purposes of payment
• D. A federally funded national health insurance
  program

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• A. A system in which payment for a specific
  service is predetermined

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Chapter 5
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• How can inquiry as a mode of critical thinking be
  applied to the evaluation phase of the nursing
  process?
• A. It can be used to develop goals with clients.
• B. It can be used to collect assessment data.
• C. It can help the nurse determine effective
  interventions.
• D. It can be used to determine client
  satisfaction with the outcome of treatment.

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• D. It can be used to determine client
  satisfaction with the outcome of treatment.

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• In which phase of the nursing process does the
  nurse collect information about clients?
• A. Assessment
• B. Nursing diagnosis
• C. Planning
• D. Intervention

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• A. Assessment

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• Which of the following best defines nursing
  theory?
• A. An idea, thought, or notion conceived in the
  mind
• B. Statements that reflect the values and beliefs
  of nursing
• C. Guidelines that serve as standards for
  professional nursing practice
• D. An interpretation and explanation of the
  reality of nursing

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• D. An interpretation and explanation of the
  reality of nursing

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• Which of the following correctly describes a
  characteristic of critical thinking?
• A. It is predominantly an emotional process.
• B. It is thinking based on assumptions.
• C. It is a process to reach a quick and efficient
  solution.
• D. It involves ongoing self-assessment.

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• D. It involves ongoing self-assessment.

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• Which of the following is a process in the
  T.H.I.N.K. model of critical thinking?
• A. Inquiry
• B. Knowledge
• C. Truth
• D. Hunch

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• A. Inquiry

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• Which of the following is identified in Chapter 5
  as an obstacle to the development of critical
  thinking skills?
• A. Self-confidence
• B. Over-reliance on habits
• C. Clinical experience
• D. Curiosity

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• B. Over-reliance on habits

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• Which of the following is the focus of Rogers'
  theory of nursing?
• A. Conservation principles
• B. Importance of caring
• C. Human beings as energy fields
• D. Decision-making between nurse and client

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• C. Human beings as energy fields

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• Which of the following nursing actions, for a
  client who is confined to bed, would be
  considered a dependent nursing intervention?
• A. Repositioning and massaging the skin with
  lotion
• B. Inserting an indwelling catheter
• C. Doing passive range-of-motion exercises
• D. Encouraging the client to talk about his or
  her feelings

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• B. Inserting an indwelling catheter

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• Which of the following statements best
  corresponds with a definition of critical
  thinking?
• A. The process used to reach a conclusion
• B. Choosing one option over others to achieve a
  goal
• C. Forming an opinion based on available clinical
  information
• D. Purposeful judgment after thoughtful
  consideration

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• D. Purposeful judgment after thoughtful
  consideration

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• Which of the following statements correctly
  describes the Roy adaptation theory?
• A. The individual learns to gradually adapt to
  self-care.
• B. The person is in constant interaction in a
  changing environment.
• C. Nursing is needed when the person is not able
  to adapt to self-care deficits.
• D. The individual is a system functioning
  harmoniously in relations to environmental
  influences.

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• B. The person is in constant interaction in a
  changing environment.

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• Which of the following was a major concept in
  Florence Nightingale's theory of nursing?
• A. The nurse promotes health by manipulating the
  client's environment.
• B. Nursing care involves doing those things for
  clients that they would do themselves if they
  were well.
• C. Nursing is focused on using a problem-solving
  process to deal with client's health problems.
• D. The nurse may assume many roles stranger,
  teacher, resource person, surrogate, leader, and
  counselor.

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• A. The nurse promotes health by manipulating the
  client's environment.

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• Which phase of the nursing process corresponds to
  the nurse educating a client's significant other
  about newly prescribed medications?
• A. Assessment
• B. Planning
• C. Intervention
• D. Evaluation

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• C. Intervention

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• Which stage of skill acquisition best describes a
  nurse with four years of critical care experience
  who has a holistic perception of clinical
  situations and can recognize nuances of the
  situation?
• A. Advanced beginner
• B. Competent
• C. Proficient
• D. Expert

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• C. Proficient

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• Which theorist described caring as a bond between
  people situated in meaning?
• A. Madeline Leininger
• B. Jean Watson
• C. Patricia Benner
• D. Ida Jean Orlando

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• C. Patricia Benner

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Chapter 12
128

• At the conclusion of a class on insulin
  injection, a client states, "I'm through." The
  nurse responds by asking, "When you say you are
  through, does that mean that you understand how
  to give yourself an injection of insulin, or that
  you would rather not be bothered with the whole
  process?" Which of the following best describes
  this type of communication pattern?
• A. Summarizing
• B. Placing events in sequence
• C. Seeking consensual validation
• D. Encouraging descriptions of perceptions

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• C. Seeking consensual validation

130

• Certain nontherapeutic techniques are used in the
  nurse-client relationship to the detriment of the
  progress of the client. A technique used by the
  nurse that minimized the degree of the client's
  distress, is known as
• A. patronizing.
• B. belittling feelings expressed.
• C. parroting.
• D. interpreting.

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• B. belittling feelings expressed.

132

• During a conversation, the client asks, "How am I
  doing with my physical therapy?" The nurse may
  ask in response, "How do you think you are
  doing?" This type of dialogue is known as
• A. verbalizing the implied.
• B. translating into feelings.
• C. reflecting.
• D. assessment of emotion.

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• C. reflecting.

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• Nonverbal components of speech, paralanguage, can
  assist greatly in grasping the content of the
  client's message. Which of these components is
  affected by physical and emotional conditions of
  the speaker?
• A. Intonation
• B. Pitch
• C. Rate
• D. Quality

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• D. Quality

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• Of the elements widely accepted in the
  communication process, the means by which the
  message is sent is known as the
• A. context.
• B. decoder.
• C. sensory channel.
• D. encoder.

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• C. sensory channel.

138

• Several theorists have advanced thought on the
  interaction between the nurse, client, and
  communication elements in the therapeutic
  process. Which of the following theorists viewed
  communication as the vehicle by which human
  relationships are developed and maintained and
  requires an atmosphere of mutual respect?
• A. Watzlawick
• B. Travelbee
• C. Peplau
• D. King

139

• D. King

140

• What therapeutic communication technique directs
  the client into a specific topic or concern,
  despite other numerous topics being mentioned?
• A. Encouraging comparisons
• B. Focusing
• C. Encouraging formulation of a plan of action
• D. Making observations

141

• B. Focusing

142

• Which of the following best describes the
  therapeutic nurse-client relationship?
• A. It is personal, client-focused, and aimed at
  realizing mutually determined goals.
• B. A sharing of personal feelings, beliefs, and
  opinions occur in a relationship that is
  reciprocal in nature.
• C. An infinite range of nonspecific helping
  activities is undertaken by the nurse to reduce
  the overall stress level of the client.
• D. The nurse interjects her professional medical
  expertise and, as a favorable outcome, receives
  more satisfaction than the client.

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• A. It is personal, client-focused, and aimed at
  realizing mutually determined goals.

144

• Which of the following phases of the therapeutic
  relationship focuses on the completion of nursing
  interventions that address expected outcomes?
• A. Termination phase
• B. Working phase
• C. Orientation phase
• D. Rapport phase

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• B. Working phase

146

• Which therapeutic communication technique allows
  the client to select a topic for discussion and
  sets parameters for those issues that the client
  is willing to discuss with the nurse?
• A. Seeking consensual validation
• B. Focusing
• C. Providing broad openings
• D. Offering self

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• C. Providing broad openings

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Chapter 13
149

• All of the following should be considered by the
  nurse in planning when to teach a client except
• A. a quiet environment.
• B. administration of pain medications.
• C. timing of meals.
• D. the preference of the nurse-teacher.

150

• D. the preference of the nurse-teacher.

151

• The most important consideration for the nurse in
  preparing a teaching plan is to
• A. assess the client's learning needs.
• B. identify desired outcomes.
• C. plan nursing interventions.
• D. evaluate client learning.

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• A. assess the client's learning needs.

153

• What nursing intervention would facilitate the
  teaching-learning process?
• A. Make the client aware of the teaching goals
  immediately following completion of the nursing
  history.
• B. Provide a quiet environment, free from
  distractions.
• C. Use standardized teaching plans.
• D. Initiate teaching immediately after the client
  is medically diagnosed.

154

• B. Provide a quiet environment, free from
  distractions.

155

• Which of the following domains is the nurse
  assessing when the client expresses feelings,
  beliefs, and/or values?
• A. Affective domain
• B. Cognitive domain
• C. Psychomotor domain
• D. Responding domain

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• A. Affective domain

157

• Which of the following is an important
  consideration for the nurse in teaching an
  elderly client?
• A. An increase in learning style needs
• B. Intellectual decline
• C. Severe impairment in memory
• D. Slower reaction time

158

• D. Slower reaction time

159

• Which of the following learning levels implies an
  understanding of new information?
• A. Analysis
• B. Application
• C. Comprehension
• D. Synthesis

160

• C. Comprehension

161

• Which of the following learning objectives can be
  evaluated when the nurse plans to teach a client
  about diabetes before discharge?
• A. The client increases his or her knowledge
  about a diabetic diet.
• B. The client is able to state the signs of
  hyperglycemia.
• C. The client understands the American Diabetic
  Association's exchange lists.
• D. The client verbalizes feelings of anxiety
  related to insulin administration.

162

• B. The client is able to state the signs of
  hyperglycemia.

163

• Which of the following nursing actions is
  essential in teaching an adolescent client?
• A. Allowing the parents to be present
• B. Asking how the client feels about him- or
  herself
• C. Developing a trusting relationship
• D. Setting limits

164

• C. Developing a trusting relationship

165

• Which of the following statements about adult
  learning is true?
• A. Learning is dependent.
• B. Learning is based on mutually exclusive
  experiences.
• C. Learning is purposeful.
• D. Learning takes place all of the time.

166

• C. Learning is purposeful.

167

• Which teaching method is best for teaching a
  client motor skills?
• A. Audiovisual aids
• B. Demonstration
• C. Games
• D. Closed-circuit television

168

• B. Demonstration

169
Chapter 14
170

• A nurse who works as a charge nurse or team
  leader on a nursing unit is classified as which
  of the following types of managers?
• A. First-line manager
• B. Middle manager
• C. Nurse executive
• D. Case manager

171

• A. First-line manager

172

• A nurse working on a medical unit has
  responsibility for assigned clients' care over a
  24-hour period. Which of the following is the
  type of work pattern utilized on this nursing
  unit?
• A. Team nursing
• B. Functional nursing
• C. Total patient care
• D. Primary nursing

173

• D. Primary nursing

174

• The newly employed nurse should ask the preceptor
  for which of the following in order to determine
  levels of authority and responsibility in the
  hospital?
• A. Calling out list
• B. On-call list
• C. Organizational chart
• D. Map of the hospital

175

• C. Organizational chart

176

• The nurse manager on the medical-surgical unit is
  evaluating the fiscal year budget, which starts
  in July. What is the overall responsibility of
  the manager in managing this budget?
• A. Keep the amount spent on supplies to a
  minimum.
• B. Order new equipment yearly to keep up-to-date.
  
• C. Deliver quality client care in a cost
  efficient manner.
• D. Have sufficient numbers of personnel to
  deliver care.

177

• C. Deliver quality client care in a cost
  efficient manner.

178

• The nursing director of the maternal health unit
  encourages discussion, encourages the staff's
  input, listens and observes, has a positive
  attitude, and empowers others. What type of
  leadership style does this nursing director have?
  
• A. Transactional
• B. Transformational
• C. Aggressive
• D. Assertive

179

• B. Transformational

180

• What are a hospital's policies and procedures
  usually based on?
• A. Legal standards only
• B. Professional standards only
• C. Legal and professional standards
• D. Regional standards

181

• C. Legal and professional standards

182

• What is the next step of managing planned change
  after the nursing director identifies the
  potential actions?
• A. Identifying the need for change
• B. Implementing actions
• C. Evaluating outcomes
• D. Analyzing structures and processes

183

• B. Implementing actions

184

• What is the written statement that describes a
  hospital's provided services and the value of
  that service to health care?
• A. Quality assurance
• B. Hospital's budget plan
• C. Hospital's administrative manual
• D. Mission statement

185

• D. Mission statement

186

• Which of the following is not a type of nurse
  manager in a health care organization?
• A. Middle manager
• B. Nurse executive
• C. First-line manager
• D. Staffing coordinator

187

• D. Staffing coordinator

188

• Which one of the following is a systematic and
  standardized method to evaluate an employee's
  work contribution?
• A. Peer review
• B. Performance appraisal
• C. Quality assurance
• D. Standards of care

189

• B. Performance appraisal

190
Chapter 15
191

• A nurse that is involved in a research project
  should verify that the subject has signed which
  of the following documents?
• A. Research question
• B. Institutional review board
• C. Informed consent
• D. Instruments

192

• C. Informed consent

193

• A research study involves subjects who are all
  women living in the Midwest instead of all women
  who live in the United States. This is an example
  of
• A. an experimental group.
• B. an ex post facto research.
• C. a longitudinal study.
• D. a sample.

194

• D. a sample.

195

• The major objective of nursing research for
  nurses today is to
• A. focus on health promotion and illness
  promotion.
• B. evaluate nursing education for general nursing
  practice.
• C. collect data.
• D. translate nursing research into change in
  nursing practice.

196

• D. translate nursing research into change in
  nursing practice.

197

• The nurse should conduct which of the following
  steps of the research process in order to
  determine what has already been studied about the
  research problem of interest?
• A. Theoretical framework
• B. Identify variables
• C. Formulate a hypothesis
• D. Review of literature

198

• D. Review of literature

199

• The nurse should participate in what type of
  research design in order to determine the
  percentage of women who are diagnosed with an
  acute myocardial infraction between the ages of
  40 and 60?
• A. Qualitative research
• B. Survey
• C. Quantitative research
• D. Needs assessment

200

• C. Quantitative research

201

• What is one way a nurse can contribute to the
  implementation of finding nursing research?
• A. Collecting data
• B. Developing a research question
• C. Reading and evaluating nursing research
  articles
• D. Soliciting subjects

202

• C. Reading and evaluating nursing research
  articles

203

• What type of problem is not amenable to research
  methods?
• A. Clinical
• B. Educational
• C. Moral
• D. Psychological

204

• C. Moral

205

• When the nurse collecting the data and the
  subject are "blind" to the research objective,
  this occurs in order to
• A. have a valid study.
• B. prevent bias.
• C. have a true experiment.
• D. have a hypothesis.

206

• B. prevent bias.

207

• Which of the following gives three steps in the
  correct order for a nurse conducting a research
  process?
• A. State the research problem, review the
  literature, and develop a theoretical construct.
• B. Review the literature, state the research
  problem, and select the research strategy.
• C. Collect data, select the research strategy,
  and analyze data.
• D. State the research problem, review the
  literature, and clarify operational definitions.

208

• A. State the research problem, review the
  literature, and develop a theoretical construct.

209

• Which of the following is a document that serves
  to guide researchers in protecting the rights of
  human subjects?
• A. Code of ethics
• B. Institutional review board
• C. Informed consent
• D. Research project

210

• A. Code of ethics