Dimensions Exam 1- Study Guide-Questions And Answers Best Rated Solution, Exams of Health sciences

Download Dimensions Exam 1- Study Guide-Questions And Answers Best Rated Solution and more Exams Health sciences in PDF only on Docsity! 1 Dimensions Exam 1- Study Guide-Questions And Answers Best Rated Solution. Chapter 1 1.Identify the most important element in nursing’s attempt to gain full autonomy of practice. A) Economic exploitation of nurses B) Maintaining the education system for nurses as it is now C) Gaining and maintaining control of nursing practice by nurses D) Restricting the latitude of decisions made by nurses 2. In its attempt to gain freedom and independence, what corresponding factors must the nursing profession embrace? A) Health and happiness B) Chaos and disorder C) Loss of control and negative feedback D) Responsibility and accountability 3. Select the most effective method that nurses can use to gain power over their practice. A) Use strikes and union tactics to increase pay. B) Join professional organizations in large numbers. C) Leave nursing as soon as better jobs come along. D) Confront hospital administrators about poor staffing. 4. What allows a nurse to exert referent power over a client when providing nursing care? A) The ability to withhold pain medication if the client does not comply with routines B) The ability to provide the client with additional food when he or she does comply with the nurse’s requests Page 1 of 33 1 C) The power given to the nurse by reason of state licensure D) The establishment of a professional and personal relationship with the client 5.What is a group of jobs that is similar in type of work and found throughout an industry or country? A) Position B) Occupation C) Profession D) Stint 6. Which of the following types of nurses are classified as technical nurses? A) BSNs and MSNs B) LPNs and ADNs C) LVNs and BSNs D) UAPs and BSNs 7. Identify the approach that describes a profession as being in a continual state of development along a continuum. A) Trait approach B) Power approach C) Process approach D) Educational approach 8. A nursing student is approached by a friend who is not majoring in nursing. The friend asks why the nursing profession does not seem to be actively involved in the women’s rights movement. How can the student best respond to this question? A) Nurses do take an active part in leading the women’s rights movement, but it is done very quietly. B) The women’s rights movement shuns participation by nurses because of nursing’s subservient image. C) The health-care industry discourages nurses from becoming involved in women’s rights issues. Page 2 of 33 1 the client does not comply with routines B) The ability to provide the client with additional food when he or she does comply with the nurse’s requests C) The power given to the nurse by reason of state licensure D) The establishment of a professional and personal relationship with the client 13. Select the trait of a profession that requires the most improvement in the promotion and recognition of nursing as a full and equal profession. A) Activities involve a high level of individual responsibility. B) Activities are based on a specialized body of knowledge. C) Activities serve the public and are generally altruistic in nature. D) Activities are learned in institutions of higher education. 14. Which statement is the best description of a profession from the power approach method of defining a profession? A) The members of the profession attain all the traits required for that profession. B) The members of the profession have high income levels. C) The profession is near the end of its developmental process. D) The education for the members of the profession must be attained in graduate schools. COMPLETION 1. List in correct order the progression of the levels of health-care providers from the most educated to the least educated. (Enter the letter of each in the proper sequence; do not use commas or spaces.) A) APRN B) LPN-VN Page 5 of 33 1 C) ADN-RN D) UAP E) BSN-RN EBCAD 2. Fill in the blank with the appropriate word to complete the statement: The overall goal of nurses who work as case managers is to the use of health-care services in the most efficient and cost-effective manner possible. coordinate Chapter 2 1.The early Christian era brought which of these important changes in health care? A) The development of aqueducts and sewage systems B) A belief in the sanctity of life C) A deep understanding of the anatomy of the human body D) The shift of care from the home to large hospitals 2. Which development during the European Middle Ages led to a major improvement in health care? A) A rapid growth in medical knowledge B) Establishment of large central hospitals C) Growth of religious orders to care for the sick D) A shift to care of ill persons by women 3. Who is called the “father of modern medicine”? A) William Harvey B) Hippocrates C) Cyrus the Great D) Emperor Darius 4. What are the dates of Florence Nightingale’s birth and death? A) March 3, 1578; June 10, 1657 B) January 9, 1715; September 30, 1785 C) May 12, 1820; August 13, 1910 D) April 15, 1932; December 10, 1957 5. Identify a key element in the success of Nightingale’s school of nursing. Page 6 of 33 1 A) It was not under control of the hospital. B) Large amounts of private funds were paid to well-qualified teachers. C) The Watson Model for nursing was used. D) The primary goal was service to the hospital rather than education. 6. What was a major goal of Lavinia Dock? A) Establish a new nursing organization. B) Publish a nursing journal. C) Obtain the right to vote for women. D) Improve the education for nurses. 7. Which belief about what nurses needed to do shaped Lillian D. Wald’s nursing practice? al 8. Which problem had the most severe effect on nursing education during the 1920s and 1930s? A) Too many college-based schools of nursing B) A lack of qualified nursing instructors C) Too many nursing students from the lower and middle classes D) Not enough demand for educated nurses 9. Identify a negative effect that World War II had on health care in the United States. A) A rapid increase in medical knowledge B) Expanded health-care services C) Increased use of LPNs and aides to substitute for a lower number of RNs D) Increases in pay for nurses 10. Select the statement that most accurately states the effects of increasing populations on health care. d Page 7 of 33 A) Spend more time in clinical preparation and less time in the classroom. B) Fight political corruption to procure the types of legislation needed to improve soci conditions. C) Conduct more research into the conditions of hospital patients. D) Stand up to medical doctors who were arrogant and obnoxious. A) Economically depressed populations have fewer health-care needs. B) Larger populations often lead to large numbers of well-educated and well-nourishe people. 1 Chapter 4 1.What is a type of nursing education program conducted in junior and community colleges that is nominally 2 years in length? A) Diploma program B) Baccalaureate program C) Associate degree program D) Professional nursing program 2. Identify an important similarity between the various types of educational programs for nurses. A) There is homogeneity of entering students. B) No state or national approval is required. C) The same courses are taught in all programs. D) Clinical experience is required to gain certain knowledge and skills. 3. Select an important element found in baccalaureate nursing programs that is usually not found in other types of nursing education programs. A) Use of both classroom and clinical experiences for learning B) Limiting enrollment to students with the highest ability C) Comprehensive curriculum D) Development of the total intellectual skills of the individual 4.Which contribution of Florence Nightingale had the greatest impact on nursing education? A) Recognizing that formal, systematic education in both theory and practice was essential for the preparation of high- quality nurses B) Advocating that all nurses be educated in universities so that nursing care would meet the standards established by the government C) Forcing physicians and hospitals to recognize that clinical practice was not as Page 10 of 33 1 important as the theory-based learning obtained in the classroom D) Enforcing the requirement that all nursing instructors have a master’s degree in nursing to provide the highest quality education possible for students 5. Which statement best describes nursing education in the United States during the 1800s and early 1900s? A) It was high quality with a balance between classroom education and clinical practice. B) Strict criteria were established for nursing education by the NLN and the ANA to guarantee high-quality education. C) There were no formal nursing education programs during this time period; nurses were trained in apprenticeships only. D) There was little or no classroom education, and students learned through hands-on experience during their 12- to 14-hour shifts on the hospital units. 6. Identify a major benefit of the diploma-type training programs for nurses. A) Nurses from these programs were assertive and could stand up to physicians who made unrealistic demands. B) Nurses from diploma programs were proficient in basic nursing skills and could assume a hospital position with minimal orientation. C) Nurses trained in diploma programs were often limited to employment in the institutions where they were trained. D) All diploma schools were regulated by the NLN criteria and met strict standards for Page 11 of 33 1 educating students. 7. Which practice of diploma nursing programs most concerned the state boards of nursing? A) Excessive use of classroom time during the program B) Mandatory housing of the students in a closed dormitory near the hospital C) Use of the students as unpaid hospital personnel during their education programs D) High failure rates of diploma graduates on the NCLEX examinations 8. How can the concept of a career ladder in education best be described? A) Specialized programs for associate degree or diploma RNs to attain a baccalaureate degree B) The ability of staff nurses to be promoted based on their clinical skills C) The relationship between one level of nursing education and the next level of education D) After nurses pass the NCLEX examination, they are all considered professionals. 9. What are common characteristics usually found in LPN educational programs? A) Located on college campus, 2 years in length, require no clinical experiences B) Theory-oriented curriculum, wide scope of practice, highly selective admission C) Technically oriented, located in vocational technical schools or community colleges, 9 to 12 months in length D) Clinical experience in advanced care areas, located in community colleges, prepare nurses for professional practice 10. Which category of advanced practice nurses is the most widely accepted by the public? A) Expanded practice nurses B) Clinical nurse specialists Page 12 of 33 1 nursing programs. MULTIPLE RESPONSE 1. Select all of the elements that are found in the Pew Health Professions Commission Report on the reform for nursing education. A) Increasing the use of computer technology and interactive software B) Preparing all nursing faculty at the doctoral level C) Promoting interdisciplinary education D) Developing cultural sensitivity E) Limiting nursing class size to no more than 40 students F) Expanding the scientific basis of the programs 2. Select all of the elements that were found as assumptions in the ANA Position Paper on Nursing Education. A) Nursing education should meet the increasing need for nurses as quickly as possible. B) The professional practitioner is responsible for the nature and quality of all nursing care clients receive. C) Education for those in the health-care professions must increase in depth and breadth as scientific knowledge expands. D) Community colleges are able to prepare nurses just as well as 4-year colleges. E) The demand for the services of nurses will continue to increase. 3. Select all of the elements that are QSEN competencies. A) Quality Improvement B) Outcome Based Education C) Teamwork and Collaboration D) Informatics Page 15 of 33 1 COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement: Nursing care that is client-focused and revolves around the client’s trust in, value of, and understanding of the nurse’s skills is called . relationship; centered 2. Fill in the blank with the correct word(s) to complete the following statement: In 1996, the American Association of Colleges of Nursing presented a position paper emphasizing the belief that the degree should be the minimal requirement for entry into the nursing profession. baccalaureate Chapter 5 1.What measure can nurses use to establish a nurse support network? A) Insist that all nurses follow the same path to success. B) Avoid criticizing each other in public. C) Set very high standards for care. D) Advocate for a multi-entry level education system. 2. What is the primary goal for establishing licensure of nurses? A) Guarantee high-quality nurses. B) Increase tax revenues for the state. C) Set a minimum level of competency to protect the public. D) Maintain high numbers of nurses in the profession. 3. Identify the basic requirement found in a mandatory nurse practice act. A) Nurses must be employed under the general supervision of a licensed physician. B) Nurses must be currently licensed in the state where they wish to practice nursing. C) Nurses must graduate from a school accredited by a national nursing organization. D) Nurses must be enrolled at least yearly in Page 16 of 33 1 courses approved by the state to meet requirements for continuing education. 4. What is the primary form of RN licensure currently used in the United States? A) Optional B) Compulsory C) Customary D) Traditional 5. In relationship to a profession, what is the primary purpose of professional organizations? A) Collect dues and fund research. B) Monitor professional practice and discipline incompetent practitioners. C) Fund political actions groups. D) Establish standards for maintaining high- quality practice in the profession. 6. Which term is used to identify the listing of names of individuals on an official roster when they have met certain pre-established criteria? A) Certification B) Licensure C) Registration D) Practitioner 7. Identify the primary function of permissive licensure. A) Protects only the title “Registered Nurse” B) Allows anyone to use the title “Registered Nurse” C) Used by states to maintain quality and control over nurses D) Allows institutions to use foreign nurses as RNs 8. Select the most serious problem encountered when institutional licensure is used. A) The standards are too difficult for most nurses to meet. B) It makes moving from one institution to another more difficult. C) Many qualified individuals are excluded Page 17 of 33 1 A) Members are very passionate about only one or two issues. B) The organization is usually well funded from local sources. C) Membership is drawn from a diverse, more representative population. D) The organization deals with issues that have national significance. 17. Why is it important to determine if the goals and purposes of a specialty organization are at odds with the goals and purposes of the American Nurses Association? A) Divergent goals produce better dialog between groups of nurses to improve both the quality and the options for care. B) Nurses will have a choice between several distinct options and can make more informed decisions about which organization to belong to. C) Legislators can become easily confused if they receive conflicting information from several different groups of nurses. D) The health-care system has become so complex that only a wide range of options for the provision of health care can successfully be used. COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement: One of the most important factors in recent changes that have occurred in the health-care system is demands by for higher quality care. health-care; consumers 2. Fill in the blanks with the correct word(s) to complete the following statement: The primary driving force in the history of the development of licensure for nurses was of nursing care and protection of the public. inconsistent; quality MULTIPLE RESPONSE 1. Select all of the items characteristics of the New York State Licensure Bill of 1904. A) Required hospitals to accept nursing students for training Page 20 of 33 1 B) Required nursing schools to be registered with the state board of regents C) Formulated rules for the examination of nurses D) Established the minimum length of basic nursing programs at 1 year E) Established a State Board of Nursing Chapter 17 1.What is the underlying principle upon which all definitions of civility are built? A) Good manners B) The Civil Rights Act of 1974 C) Recognizing the importance of all human beings D) The fight against injustice and oppression 2. The caring-civility link is best exemplified by which of the following? A) Helping in disasters in foreign countries B) Conducting scholarly research into overcoming health-care disparities C) Accepting criticisms from physicians even though unjustified D) Making nursing assignments based on clients’ needs and nurses’ skills 3. Which element increases the likelihood of incivility? A) Using a problem-solving approach B) Using assertive communication C) Internalizing workplace issues D) Increased levels of stress 4. Why are interpersonal bonds important in establishing an environment of civility? A) It provides individuals with a feeling that Page 21 of 33 1 they have a duty to each other B) Individuals are less likely to demonstrate incivility to others they know well C) A close family atmosphere always enhances civility D) People are more likely to overlook individuals imperfections 5. What has been identified as a key element to effective education of nursing students A) A feeling of personal safety in the classroom setting B) Low stress levels produced by decreased work assignments C) Permitting students to use cell phones during classes D) High-quality interpersonal relationships between students and teachers 6. What is an example of horizontal violence? A) A student talking back to an instructor in the classroom B) Posting false and derogatory information on FaceBook about a fellow student C) Faculty assigning additional homework when students fall asleep during class D) Keying the car of faculty who are unreasonable and unfair 7. Identify the characteristic that would commonly be found in an individual recognized as a “violator/tormentor”? A) Self-absorption and negative attitudes B) High self-esteem and rigid behavior C) Positive attitudes and codependence D) High energy levels and manipulative behavior 8. What action would contribute most in preventing experienced nurses from “eating their young”? Page 22 of 33 1 C) It has not been connected by research to the production of physical symptoms. D) The concept of inappropriate use of coercive power becomes a key element in lateral violence. 16. Extreme bottom-up vertical violence can sometimes manifest itself as: A) using passive-aggressive ways to decrease productivity. B) an environment that remains in a constant state of fear. C) an employee “going postal” and causing physical injury. D) decreased communication. 17. All of the following are methods faculty can use to overcome academic incivility, except: A) become a catalyst and a change agent in one’s own nursing program. B) make civility and cooperation a key element in the vision, mission statement, and outcomes of the program. C) revise the curriculum so that shared values, collegiality, and collaboration are threads that guide students and faculty in the learning process. D) develop and post a list of uncivil behaviors that nursing faculty display. MULTIPLE RESPONSE 1. Select all of the elements that may make a person a target for bullying. A) Being highly self-confident B) Having a different sexual orientation C) Possessing physical defects D) Defending himself or herself against bullies E) Unintentionally displaying an attitude of timidity F) Being ostracized from the group 2. Select all of the elements that are commonly a result of workplace lateral violence. Page 25 of 33 1 A) A toxic work environment B) Increased self-esteem C) Workplace physical violence D) Psychological pain E) Positive emotions F) Anxiety 3. Select all of the actions that the Nursing Organizations Alliance recommends help build a positive workplace environment and overcome incivility. A) Developing an action plan to immediately stop lateral violence and bullying B) Training leaders competent in cooperation and communication C) Sharing decision-making with all those it will affect D) Developing professional standards including the development and acquisition of an appropriate set of values and an ethical framework in the work environment E) Continuously developing employee skills and clinical knowledge F) Recognizing and rewarding employees’ contributions COMPLETION 1. Fill in the blanks with the correct word(s) to complete the following statement: When the becomes part of the culture of a unit or institution, it may not even be recognized as bullying. bullying; vicious; circle Chapter 14 1.What is acute care of sick persons that is provided in hospitals called? A) Primary intervention B) Secondary intervention Page 26 of 33 1 C) Tertiary intervention D) Assistive intervention 2. Identify a negative effect of the centralization of health care in hospitals rather than the home setting. A) Minimized individual responsibility B) Increased concerns about the cost of health care C) Professionalization of nursing D) Increased reliance on advanced technology 3. Which element is usually excluded in the current trend toward decentralized health care? A) Provision of care on an outpatient basis B) Emphasis on the cure of illness C) Promotion of responsible self-care practices D) Cost containment measures by health-care providers 4. Which demographic factor has the most significant effect on the health-care delivery system of the future? A) Large numbers of babies being born to minority women B) Increasing use of alcohol and tobacco among teenagers C) Rapidly increasing average age of the population D) Oversupply of nurses 5. Identify the most significant element in the continued rise in health-care costs in the United States. A) Expensive new technology B) Increasing need for long-term care C) Lack of motivation for consumers to comparison shop D) Expensive new medications Page 27 of 33 1 without referral outside the system C) Several health-care agencies working together to cut costs by sharing resources D) The development of clinics outside the hospital to provide services traditionally found in the hospital 14. What is the primary focus of nurse-run clinics? A) Health promotion B) Disease cure C) Pregnancy counseling services D) Cost control 15. Identify the factor that is most important in the increased development of alternative ambulatory services. A) Increased length of hospital stays B) New technology that enables complicated and dangerous procedures to be performed on an outpatient basis C) Consumer demand for more technology in the cure of disease D) Establishment of satellite clinics in suburbs and rural communities 16. Identify a type of care delivery model that is task oriented in that each person performs a specific job to meet a particular need of the unit. A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing 17. Identify a type of care delivery model that focuses on the whole person and gives the nurse responsibility for all of the client’s nursing needs. A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing 18. What is a type of care delivery model based on a decentralized organizational system that emphasizes close interdisciplinary collaboration? Page 30 of 33 1 A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing 19. Which care delivery model takes a unified approach to client care involving different levels of care providers working together to achieve client health-care goals? A) Modular nursing B) Team nursing C) Primary care nursing D) Functional nursing 20. Cross-trained personnel are an integral part of which of the following care delivery models? A) Team nursing B) Modular nursing C) Primary care nursing D) Functional nursing 21. What is the primary advantage of the case method of care delivery? A) It is inexpensive and cost effective. B) It allows several health-care providers trained at different levels to provide care at the same time. C) It gives nurses a high degree of autonomy and responsibility. D) It allows nurses with minimal education to provide high-quality care for all clients. 22. Which two types of care delivery models are commonly used in managed care? A) Functional and team nursing B) Case management and functional nursing C) Modular nursing and primary care nursing D) Case management and primary care nursing 23. What is the primary goal of using the Six Sigma process in the health-care setting? Page 31 of 33 1 A) Providing a reliable process of care in all cases by eliminating errors B) Helping nurses increase the number of clients for which they can safely care C) Increasing data collection used in evidenced-based practice D) Organizing client care based on a reliable statistical model COMPLETION 1. Fill in the blank with the correct word(s) to complete the following statement: The health-care system uses tax dollars to pay for health services through health insurance available from a nonprofit agency (e.g., government). Type II MULTIPLE RESPONSE 1. Select all of the components that are found in the Canadian Federal-Provincial Arrangements and Established Programs Financing Act. A) Per capita payments are made based on previous expenditures and adjusted regularly in relation to the gross national product (GNP). B) No out-of-pocket expenses are required for any health care. C) Tax points are transferred by the federal government, allowing provinces to reduce their tax contribution to the federal government and at the same time increase the portion of tax collected at the provincial level. D) Equalization of tax points is distributed among poorer provinces. E) Coverage is not extended to government employees because they have their own system of health-care payment. F) Additional per capita payments are indexed to help pay for nursing home, residential care, home care, and ambulatory care. Page 32 of 33