The Future of Nursing
A tired, stressed nurse complains about being part of the “Sandwich Generation.” What does that phrase mean?
A. People who care for both children and aging parents
B. Employees who are stuck in jobs they wish to quit
C. A person who is tired and stressed from a job
D. A group of people squeezed by the need for continued work
A. People who care for both children and aging parents
Which of the following was recognized earliest as a true profession?
A. Physics
B. Teaching
C. Social work
D. Engineering
A. Physics
Who is credited with developing the theory on systems?
A. Rogers
B. Maslow
C. Rosenstock
D. von Bertalanffy
D. von Bertalanffy
What is the most important information the nurse should share with the patient during the orientation phase?
A. Name, credentials, extent of responsibility
B. Plan for the day, times the nurse will be unavailable, how to contact the nurse
C. Nurse’s name, physician’s name, possible discharge date
D. Plan for discharge, teaching needs, goals for the day
A. Name, credentials, extent of responsibility
Which illness has the characteristics of an acute illness?
A. Exercise-induced asthma
B. Type 2 diabetes
C. Influenza
D. Cleft palate
C. Influenza
According to Cooper, what is one important measure nurses can take to reduce burnout?
A. Being aware of stressors and acting on them
B. Refusing to work in a nonproductive environment
C. Reporting bullying when it is noticed in the workplace
D. Keeping a diary of unhealthy behaviors one indulges in
A. Being aware of stressors and acting on them
Similarities exist between various ideas about what constitutes a profession. Which of the following is believed to be a characteristic of a profession?
A. Members are trained on the job.
B. Members have autonomy.
C. Members are motivated primarily by financial reward.
D. The group lacks a code of ethics.
B. Members have autonomy.
Dynamic balance between systems and their parts is called:
A. synergy.
B. homeostasis.
C. inertia.
D. suprasystems
B. homeostasis.
Which behaviors help patients develop trust in the nurse?
A. Answering questions with authority
B. Sharing personal information to indicate openness
C. Conveying acceptance of the patient and a nonjudgmental attitude
D. Meeting with the patient spontaneously because that indicates caring
C. Conveying acceptance of the patient and a nonjudgmental attitude
Which illness has the characteristics of a chronic illness?
A. Lupus
B. Bronchitis
C. Chickenpox
D. Gastroenteritis
A. Lupus
A new graduate medical-surgical nurse is interested in joining a professional organization. Which organization should the nurse’s manager recommend?
A. National Student Nurses Association (NSNA)
B. American Nurses Association (ANA)
C. The unit-based journal club
D. A national political action committee
B. American Nurses Association (ANA)
Which of the following best describes the difference between an occupation and a profession?
A. A profession requires a duty to serve.
B. A profession is defined by members’ average income.
C. In a profession, action is based on intuition.
D. In a profession, knowledge is handed down from generation to generation.
A. A profession requires a duty to serve.
A homeless man sleeps on a park bench and eats one meal a day at a shelter. Which is the lowest level of Maslow’s basic needs he does not meet?
A. Basic physiologic needs
B. Safety needs
C. Love and belonging needs
D. Esteem needs
A. Basic physiologic needs
A patient is being discharged from the hospital. Which statement by the nurse is appropriate for the termination phase of the nurse-patient relationship?
A. “You must be happy to be going home. Here are the written diet and medication instructions.”
B. “It has been wonderful getting to know you. The best of luck when you get home.”
C. “During the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions.”
D. “You have done well learning a lot of new material and should be able to do well at home.”
C. “During the past 3 days, you have learned how to inject insulin and how to make appropriate food choices. Remember that you have the unit telephone number if you have any questions.”
Which statement about acute illness is true?
A. Most people with acute illness develop chronic illness.
B. Most people with acute illness return to their previous level of wellness.
C. All people with an acute illness need medical care.
D. Acute illnesses are usually catastrophic in nature.
B. Most people with acute illness return to their previous level of wellness.
What is meant by “workplace incivility”?
A. A setting in which there are poor relationships among different professional specialties.
B. A setting in which different professions vie to take over the functions of other professional groups.
C. A setting in which the manager is unreceptive, hostile, and creates dissention.
D. A setting where colleagues bully, intimidate, or use aggression toward each other.
D. A setting where colleagues bully, intimidate, or use aggression toward each other.
According to the nurse’s Code of Ethics, the hallmark of nursing practice is:
A. autonomy.
B. accountability.
C. evidence-based practice.
D. altruism.
B. accountability.
Which of the following describes one of the five levels of human needs identified by Maslow?
A. Equilibration
B. Love and belonging
C. Growth and development
D. Adaptation
B. Love and belonging
Which of the following best illustrates nonjudgmental acceptance by the nurse?
A. Using professional influence to change a patient’s morality to be more in keeping with societal norms
B. Changing your assignment if you discover that you have negative feelings toward your patient’s lifestyle
C. Demonstrating caring behavior in spite of negative feelings
D. Avoiding all negative feelings about the patient
C. Demonstrating caring behavior in spite of negative feelings
A patient tells the nurse, “I’ll let you do whatever you think is best for me.” The patient does very little independently without calling for assistance. The nurses conclude that the patient is demonstrating which personality characteristic?
A. Acceptance
B. Sense of control
C. Coping
D. Dependence
D. Dependence
A nursing manager has noticed increasing incidents of rudeness and lack of cooperation among co-workers. Which action by the manager is best?
A. Holding a staff meeting and reminding the staff of policies regarding behavior
B. Disciplining the “ringleaders” in order to make an example for the other staff
C. Having informal meetings to solicit staff opinions on the workplace
D. Announcing that raises will be withheld from staff members engaging in this behavior
C. Having informal meetings to solicit staff opinions on the workplace
The document that provides professional standards and a framework for professional decision-making that ensures decisions are made with the highest integrity is the:
A. Nurse Practice Act.
B. Nursing’s Social Policy Statement.
C. Code of Ethics.
D. bylaws of the American Nurses Association (ANA).
C. Code of Ethics.
An adult has difficulty initiating a conversation, and in working with others always agrees with them because “My opinion is not important.” Which of Maslow’s basic needs is not being met by this person?
A. Basic physiologic needs
B. Love and belonging needs
C. Esteem needs
D. Self-actualization
C. Esteem needs
A nurse is irrigating pressure ulcers on a patient’s coccyx. When the patient asks how they are healing, the nurse grimaces and says, “Oh, they’re doing just fine.” This is:
A. incongruence between verbal and nonverbal messages.
B. a confirming statement.
C. objectivity in responding to the question.
D. the therapeutic use of humor.
A. incongruence between verbal and nonverbal messages.
A patient in whom metastatic cancer is diagnosed tells the nurse, “God has never let me down before. I’ll pray for strength.” This patient’s illness behavior is being influenced by:
A. resiliency.
B. sense of control.
C. spirituality.
D. depression.
C. spirituality.