Nursing Today + History of Nursing (Ch. 1 & 2)
Professionalism + Socialization
(Ch. 3 & 5)
(Ch. 3 & 5)
Nursing Education (Ch. 4)
Research + Evidence-Based Practice (Ch. 10)
Critical Thinking + Nursing Process
(Ch. 11)
(Ch. 11)
Surprise :)
(All open-ended)
(All open-ended)
100
True or False: A Clinical Nurse Specialist (CNS) provides anesthesia care before, during, and after surgery, working independently or collaboratively with anesthesiologists.
False.
This is the role of a CRNA.
100
True or False: The ANA's document Nursing: Scope & Standards of Practice describes nursing’s contract with society by outlining the profession’s obligations to promote health, provide safe and ethical care, and address the needs of the public.
False. This describes ANA's Nursing's Social Policy Statement.
100
True or False: All nurses must maintain certification in order to practice legally.
False
100
True or False: A researcher starts with the theory that hand hygiene reduces infections and then tests this theory by observing infection rates in different hospital units. This is an example of deductive reasoning.
True. Deductive Reasoning: moves from General premises → Specific conclusions
“I have a rule → I test it”
100
True or False: In a nursing diagnosis, the “related to (r/t)” phrase identifies the assessment data that supports the chosen diagnosis.
False. The r/t phrase identifies the etiology or cause, not the defining characteristics/assessment data. The assessment data go in the "as evidenced by" part.
100
Formulate 2 SMART goals for a patient with ineffective gas exchange.
Client will maintain oxygen saturation >95% on room air within 48 hours.
Client will use the incentive spirometer correctly at least 10 times per hour while awake, within 24 hours.
200
Providing care for patients at the end of life, focusing on comfort, dignity, and quality of remaining life, and discontinuing curative treatments are all functions of ____________.
Hospice nursing.
200
The process by which a nursing student or new nurse learns the values, norms, skills, and behaviors of the nursing profession and begins to adopt a professional identity is called __________.
professional socialization.
200
Nursing programs seek ____________ from organizations such as CCNE or ACEN to ensure they meet national standards for quality education and prepare students for professional practice.
Accreditation
200
Research that focuses on numerical data, measurements, and statistical analysis is called ____________.
Quantitative Research.
200
A ____________ diagnosis identifies a patient’s responses to health problems, while a ____________ diagnosis identifies the underlying disease or medical condition.
Nursing, Medical.
200
Define reality shock, list 2 contributing factors, and 2 symptoms.
Definition: feelings of powerlessness & ineffectiveness experienced by new grad nurses.
Contributing factors: less positive feedback from faculty/instructors, less time to research/plan patient care, the realities of practice compared to nursing school ideals, feeling unprepared, physical + emotional demands, heavy caseloads & time contraints.
Symptoms: mental/emotional disengagement (going through the motions), job hopping, pre-mature return to school, burnout, leaving nursing entirely
300
Match each figure in Column A with the corresponding Major Accomplishment in Column B:
Answer Key:
1 → B
2 → A
3 → D
4 → C
300
Match the Stage of Cohen's Socialization Model with the correct description.
1. Dependence/Mutuality → C
2. Interdependence → A
3. Unilateral Dependence → D
4. Negativity/Independence → B
300
Answer Key:
1 → C
2 → A
3 → B
300
Match each letter of a PICOT research question with the example that best represents it.
Answer Key:
C
- E
- B
- D
- A
300
Match each Nursing Process Step in Column A with the corresponding Description in Column B:
Answer Key:
1 → C
2 → E
3 → A
4 → B
5 → D ✅
300
Match each stage of Benner's Novice to Expert Model with the correct description.
1. C
2. D
3. A
4. E
5. B
400
List 3 common themes that exist across all definitions of nursing.
•Holistic approach to human health and illness
•Focus on health promotion and disease prevention
•Emphasis on patient independence and self-care
•Recognition of nursing as both art and science
•Caring relationship as foundation
•Professional autonomy and clinical judgment
400
List 2 barriers to professionalism in nursing.
#1 is Educational Variability
Others include: field is predominantly female (Societal devaluation of women's work), historical influences (altrusim is exploited by consumers), External Conflicts (tensions with medicine, scope of practice battles in state legislatures), internal conflicts (tension between various educational backgrounds - ADN vs. BSN vs. Diplomas), Nursing Image (nurses are viewed as Doctors Helpers, often sexualized/feminized).
400
What is the difference between professional development (PD) and continuing education (CE)?
CE = minimum standard to maintain licensure, ensuring nurses stay competent.
PD = goes beyond CE requirements - is voluntary (but highly encouraged) & includes specialty certifications, attending conferences, joining professional organizations, research participation, advanced degrees, etc.
400
List the three types of scientific research and provide a brief description of each.
Bench (pure)
Clinical (applied)
Translational (bridge bench-to-bedside)
400
Describe the critical thinking characteristics that distinguish a novice nurse from an expert nurse when faced with the same clinical situation.
Novice nurses:
•Organize knowledge as separate facts
•Lack knowledge from actually “doing”
•Focus more on performing procedures step-by-step than on patient response to procedure
•Follow rigid rules
•Hindered by anxiety & lack of self confidence
Expert Nurses:
•Highly organized, structured knowledge storage
•Have large storehouse of experiential knowledge
•Assess multiple options before acting
•Flexible with rules when appropriate
•Use “Reflective Thinking” – Examining thought processes after interactions
400
List the 3 types of nursing interventions & an example of each.
Independent: educating pt on correct use of IS
Interdependent: collaborating with RT to get breathing tx for pt
Dependent: administering albuterol inhaler, per MD order
500
List 3 demographic trends we're seeing today in our nursing workforce (according to National Nursing Workforce Surveys)
1. high % planning to retire or leave in next 5 years
2. more men entering nursing - although we are still primarily female (9.4% male in 2020, this number is slowly increasing)
3. workforce is aging. 31.2% are > 60yrs old in 2020.
4. increasing numbers of racial/ethnic minorities but this is still grossly underrepresented in the US. The fact that minorities make up 40% of the US population but only 19% of nurses represents a 50% underrepresentation in nursing.
5. Majority of RNs are BSN prepared (41% compared to 37% ADN and 11% diploma)
500
Identify 3 key characteristics that distinguish an occupation from a profession.
Professions are: more intellectual than physical, based on a learnable body of knowledge, set of ethics/morals to uphold, set of specialized skills, taught in highly specialized professional ducatoon, well developed group consciousness, belief in self-regulation, sense of AUTONOMY, motivated by altruism/public service/"service orientation".
500
What are the 3 different educational routes one can take to become an RN? Compare & Contrast them.
Are they all equal? (mention Aikens study linking BSN prepared nurses to reduced mortality).
Diploma program = earliest form of nursing education, in hospitals not higher education, received diploma not degree. Still eligible for NCLEX-RN and RN licensure.
ADN = ~2yr programs often in community colleges, Still eligible for NCLEX-RN and RN licensure.
BSN = ~4yr programs, typically in universities/colleges, has curriculum that includes leadership/management, research, population health, critical thinking, etc. This is becoming the PREFERRED degree to enter the nursing practice. Per Aiken's study - BSN prepared nurses are linked with better patient outcomes (reduced mortality).
500
Define Evidence-Based Practice in your own words.
List the 3 Components.
Evidence-Based Practice (EBP): “an approach to the delivery of health care that integrates the best evidence from research studies and patient care data with clinician expertise and patient preferences and values.” (Black, pg. 231)
Components of EBP:
1.Best research evidence: Peer-reviewed studies and systematic reviews
2.Clinician expertise: Professional knowledge and clinical experience
3.Patient preferences/values: Individual patient needs and choices
500
Define critical thinking in your own words.
List two of the five characteristics or actions of a critical thinker according to the Paul-Elder framework.
Definition: careful, purposeful thinking. Asking questions. Making decisions based on evidence, logic and nursing knowledge.
According to the Paul-Elder Framework (2015), a critical thinker does the following:
1. Raises questions and problems clearly defines them
2. Gathers and assesses relevant information, using abstract ideas for interpretation
3. Draws well-reasoned conclusions & tests them
4. Stays open minded & considers alternatives
5. Communicates effectively when solving problems
500
List 2 major changes in the U.S. healthcare system in recent decades. Consider how care healthcare delivery, patient populations, technology, and nursing roles have evolved.
-moving complex care out of hospitals
-less focus on individual comeptency and more on systems level thinking
-increased focus on community/populational health
-increased focus on health promo/disease prevention rather than just treating disease
-patients are living longer. more advanced life support
-increased focus on health equity & addressing socioeconomic determinants of health
-development of EHRs
-increased focus on disaster preparedness
-NPs providing primary care.