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N111 Midterm
N111 Midterm
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1
Problems are confusing, insufficient or conflicting data, no single correct solution
Analytic Discipline
Applied Discipline
Academic Discipline
Problem-solving
2
What are the 3 main types of health care agencies?
Administrative agencies, government, supportive
Administrative agencies, mandatory, voluntary
Administrative agencies, government, voluntary
Supportive agencies, government, voluntary
3
Yena recently gets diagnosed w/ cancer & is referred to an oncologist by her PCP. The referral for special care is
Tertiary Care
Illness Causation
Secondary care
Rehabilitation & long-term care
4
The nurse theorist associated with the concept of self care is
Virginia Henderson
Florence Nightingale
Martha Rogers
Dorothea Orem
5
What was the most significant impact on the profession of nursing made by Mary Breckenridge's role in frontier nurse?
Demonstrated nurses could provide care to pts despite geographic boundaries
Demonstrated nurses could provide primary care in rural settings.
Demonstrated female nurses can protect themselves in unsettled rural areas
Demonstrated nurses were capable of teaching new mothers to care for babies
6
Developing the ability to learn about & engage w/ cultures other than your own in a respectful manner is an example of:
Cultural Skill
Cultural Knowledge
Cultural Encounters
Cultural Awareness
7
↓
False
True
8
What is the name of the document developed by the American Hospital Association in 1972 to protect the consumer?
Primary Nursing Care.
Diagnosis-Related Groups (DRG's).
Patient's Bill of Rights
Code for Nurses.
9
Which type of ethic focuses on specific difficult issues such as abortion, capital punishment & health disparities?
metaethics
Holistic ethics
applied ethics
normative ethics
10
Healthy People 2030 main goal:
Gather data on the nation’s top vegan brands
Push for legislation that ↑ funds towards roadway improvement in cities
Implement new plans to decrease obesity rates in the Bible Belt states
Promote, strengthen & evaluate efforts to ↑ health & well-being of all ppl
11
Independence in one’s thoughts or actions, power to make own decisions
Selfishness
Avoidance
UPDOG
Autonomy
12
Nurses who seek guidance about professional ethical matters may turn to the:
ANA Code for Nurses & International Council of Nurses Code of Ethics
Nurses Practice Act of the State & Baccalaureate Code for Nurses
Collegiate Nurses Code of Ethics & Societal Code of Ethics
Patient’s Bill of Rights and the NLN Code of Ethical Behaviors
13
News programs negatively impacted the image of nursing by not highlighting actual responsibilities &tasks nurses perform
True
False
14
What 3 concepts make up nursing’s foundation?
Person, health, money
Politics, health, person
Environment, health, politics
Person, health, environment
15
Theory-based nursing practice is important because
It discourages hypothesis formation
Nursing’s body of knowledge must shrink to manageable size
Advanced education is required
It enables nurses to challenge traditional nursing interventions
16
When a nurse reflects on and critiques their own biases and actions when treating diverse patients, they are displaying:
Cultural incompetence
Cultural knowledge
Cultural desire
Cultural humility
17
What are the 5 parts of a system?
Assessment, diagnosis, plan, intervention, evaluation
Input, throughput, output, evaluation, feedback
Feedback, input, throughput, output, evaluation
Input, feedback, throughput, output, evaluation
18
Group of concepts broadly define & organized to provide focus, rational, & tool for integration & interpretation of info
Model
Conceptual framework
Theory
Philosophy
19
What is the correct order for critical thinking concepts?
Exploring, prioritizing, explaining, deciding, analyzing, evaluating
Prioritizing, deciding, exploring, analyzing, explaining, evaluating
Exploring, analyzing, prioritizing, explaining, deciding, evaluating
Deciding, exploring, prioritizing, analyzing, explaining, evaluating
20
What institution began the first formal training for nurses?
Woman's Hospital of Philadelphia
New England Hospital for Women
Florence Nightingale Faculty of Nursing & Midwifery
Kaiserswerth Institute in Germany
21
What’s the main differences between ADN and BSN?
ADN: acute care & clinical based; BSN: community &public health, prevention
ADN is less than BSN
ADN: theory, public health, & prevention; BSN: acute care & clinicals
BSN is takes more time than ADN
22
Which nursing leader, bc of her work in the Henry Street Settlement, is considered the founder of public health nursing?
Lavinia Dock
Lillian Wald
Margaret Sanger
Clara Barton
23
A healthcare team responsible for deciding which pt will receive a donor organ is faced w/ an ethical problem involving
autonomy
justice
beneficence
veracity
24
You've been invited to join Sigma Theta Tau, a collegiate honor society for nsg. Sigma Theta Tau is an ex. of a _______.
Special interest organization
Broad-purpose professional organization
A sorority
Political action organization
25
Some theories are very abstract & others are more prescriptive. Which correctly matches the theory with its specificity?
B
A
C
D
26
Altruism is…
To be selfless and have a dedication to the welfare of others
Entering the career with the goal to become rich
Conducting acts that can inflict damage to each other
Selfishness
27
A person who directly engages in cross cultural interactions to modify their existing beliefs and stereotypes displays:
Cultural Skill
Cultural Encounters
Cultural Desire
Cultural Awareness
28
Which of the following best describes the difference between an occupation and a profession?
A profession requires a duty to serve.
A profession is defined by members’ average income.
In a profession, action is based on intuition.
In a profession, knowledge is handed down from generation to generation.
29
The definition of model is
Broad, general views of nsg- clarify values & answer broad disciplinary Q’s
Group of related concepts that propose a view of nsg that predict outcomes
A symbolic representation of reality
Bella Hadid
30
What 3 concepts have nurses been working amongst since forever?
Money, struggle, influence
Power, money, influence
Influence, authority, struggle
Power, authority, influence
31
When did the National League of Nursing administer the first standardized test?
1945
1983
1950
1955
32
Which is not a key topic under Healthy People 2030?
Irrigation
SDOH
Populations
Health Behaviors
33
Encouraging pts to take part in planning & implementing their own care suggests the nurse values the ethical principleof
autonomy.
truth telling.
justice
beneficence.
34
What is the best sample goal to increase the access and quality of healthcare (SDOH)?
More plants in ER waiting rooms
More adults screened for lung cancer
Reduce bullying of transgender students
Limit 1 dental office per every 50 mile radius
35
The nsg prof. has experienced barriers to professionalism. What is the primary current barrier to nsg’s professionalism?
Unquestioning obedience to doctors
Variability of educational backgrounds of nurses
Too many men in nursing
Limitations placed on practice by state legislators
36
Theories are composed of sets of _____ which are related in statements or propositions
Figures
Concepts
Numbers
Diagrams
37
APRNs require higher education, which of the following do not require a MSN for nursing advancement?
Physician assistants (PA)
Clinical nurse specialists (CNS)
Nurse practitioners (NP)
Certified nursing midwives (CNM)
38
Stakeholders are people that __________.
have a vested interest & try to influence people w/ power to make decisions
govern a political body.
choose and elect representative leadership.
donate large sums of money to political associations.
39
____ refers to a situation where there is no clear right or wrong answer
Ethical dilemma
Altercation
Quandary
Moral dispute
40
The ACA made improvements in which of the following?
Workforce improvements
Protection for children & adults w/ pre-existing conditions
Increase in healthcare costs
Prevention & wellness + additional provisions
41
Which early nursing organization is attributed with first recommending state registration for nurses?
National League for Nursing
International Council of Nurses
National Association for Colored Graduate Nurses.
American Nurses Association
42
What's incorrect about the nonprofit national org, Joint Commission on Accreditation of Healthcare Organization (JCAHO)?
Private
Holds the national standards for hospitals
Public
Agencies join voluntarily
43
The Affordable Care Act was signed into law to
Increase healthcare worker’s wages
Control healthcare's cost, expand coverage, & improve delivery system
Give grants to those wanting to study medicine
Cut the cost of healthcare in half
44
Which of the following was recognized earliest as a true profession?
Social work
Ministry
Engineering
Teaching
45
“LHI” acronym and what is it a part of?
Low, High, Inside; Tesla
Leading Health Indicators; Healthy People 2030
Logistics, Health, and Improvement; Healthy People 2030
Leasehold Improvement; Homeowner’s Association
46
Operates through independent funding, determines if it wants to take insurances, & is a non-governmental organization.
Voluntary (Private) agency
Administrative agency
Government (Public) agency
Voluntary (Public) agency
47
A Jehovah Witness patient refuses a life-saving blood transfusion in the hospital. This may challenge the nurse's:
Nursing system
Treatment system
Belief system
Patient system
48
What is an example of service being more important than personal gain? (Select all that apply)
Confessing your malpractice
Ignoring a person having a heart attack
Turning down giving help
Helping with an abortion despite being pro-choice
49
Which ethical principle is supported by advanced directives?
Beneficence
Autonomy
Veracity
Justice
50
Nurses who seamlessly interact with others from different cultures by following the norms of that culture display:
Cultural sensitivity
Assimilation
Ethnocentrism
Cultural desire
51
According to Cohen’s model, the individual progresses through the stages of socialization as follows:
Initial innocence, negativity, identification, vacillation, interdependence
Unilateral dependence, negativity/independence, dependence, interdependence
Interdependence, dependence, negativity/independence, unilateral dependence
Unilateral dependence, dependence, negativity/independence, interdependence
52
_____ is the process of choosing between actions based on a system of beliefs and values
Ethical decision making
Nursing practice
Moral standards
Moral resolution
53
Describe the different the type(s) of nursing doctoral studies (select all that apply)
DNP: practice oriented or clinical doctorate
PhDN: research-focused academic degree
BNP: applied practice doctorate degree
PhD: research-oriented degree
54
What stage of Cohen’s model of prof. socialization: nsg student understands how developing care plans helps w/ pt care?
Stage I: Unilateral dependence
Stage III: Dependence/mutuality
Stage II: Negativity/independence
Stage IV: Interdependence
55
True or False: Our implicit biases cannot be “unlearned”.
False
True
56
As of 2018, how many states have laws regarding safe patient staffing?
14
27
50
3
57
True or False: Does Healthy People 2030 compare median household incomes of different zip codes?
True
False
58
Which answer refers to the type of ethics that overlooks consequences of actions & instead emphasizes one’s duty?
Virtue
Deontology
Nightingale’s framework
Kantian ethics
59
Which are the attributes of a professional? (Select all that apply)
Commitment to ethical practice
Not staying true to your word
Gossiping
Having integrity and accountability
60
What is Florence Nightingale known for?
A famous doctor
A soldier in the Crimean War
Ur mom
Founder of modern nursing
61
License renewal for continuing education is
Mandatory; 20 hrs q 2.5 yrs, provider must be recognized by BRN
Mandatory; 30 hrs q 2 yrs, provider must be recognized by BRN
Mandatory; 45 hrs q 3 yrs, provider must be recognized by BRN
Mandatory; 50 hrs q 4 yrs, provider must be recognized by BRN
62
What is not one of the SDOH?
Education
Healthcare
Social Context & Community
Political Stability
63
Which early nursing leader is attributed with founding the American Red Cross?
Clara Barton
Lavinia Lloyd Dock
Florence Nightingale
Dorothea Dix
64
Healthy People focuses on rehabilitation & long-term care, the 2030 plan aims to get more ppl in care facilities.
True
False
65
The 1948 Brown Report recommended SON to be put in universities + effort to recruit men & minorities
True
False
66
Which of the following accurately describes the concept of veracity?
It refers to truthfulness and implies respect for others
It involves the skill of solving ethical dilemmas
It emphasizes offering equal care to patients
It mainly emphasizes doing no harm to one’s patients
67
Which best describes how the Chicago World's Fair of 1893 became a pivotal point in the Hx of nursing edu. in the U.S.?
Int. Council of Nurses formed to ↑ collaboration b/w nurses & educators
Nightingale's work on sanitation+relationship to mortality rates recognized
National League of Nursing formed to address issues in nursing education
American Nurses Association formed to oversee nursing education in the U.S.
68
Explicit biases are attitudes & beliefs (positive&negative) about other people, ideas, issues or institutions that occur
True
False
69
A nurse dealing with incompetent practices of colleagues is most likely to rely on the ethical principle of
justice
nonmaleficence
veracity
fidelity
70
A Chinese immigrant moves to Sacramento and learns English. This is an example of…
Assimilation
Cultural mismatch
Ethnocentrism
Cultural sensitivity
71
Which are general explanations scholars use to explain, predict, control, & understand commonly occurring events?
Systems
Theories
Planets
Paradigms
72
Theorybased practice encourages hypothesis formation&testing, drawing conclusions a/b nsg actions&evaluating nsg actions
False
True
73
Ethics is the analysis of what’s right and wrong, whereas morals refer to actual beliefs and behaviors
True
False
74
A set of interrelated parts that come together to form a whole that performs a function
Critical thinking
System
Idea
A team
75
Match the definition w/ the correct term in order
B, C, D, A
D, C, B, A
D, B, C, A
A, B, C, D
76
A nurse interupts a Muslim patient’s prayer in order to give them their meal. This is an example of:
Cultural sensitivity
Cultural competency
Cultural mismatch
Cultural bias
77
Healthcare is the leading cause of personal bankruptcy
True
False
78
Studies support association between BSN & fewer complications & mortality
False
True
79
The universal tendency of all humans to think that their ways of thinking, acting, & believing are the only right way.
Ethnocentrism
Assimilation
Cultural mismatch
Stereotyping
80
What’s the Goldmark Report?
A report about the Goldrush
Gold-rated report about top nursing schools
Written by Josephine Goldmark pushing for university-based nursing programs
A report card with good grades
81
The ANA Position Paper wants to make BSN the min. edu. for nurses, eliminate diploma schools, & push for higher nsg edu.
True
False
82
Which is NOT one of Benner’s 5 stages of development?(stages of nsg proficiency as students develop into expert nurses)
Competent practitioner
Inexpert beginner
Expert practitioner
Novice
83
Regarding labor unions, a __________ is one where union membership is required as a condition of employment.
Open shop
Closed shop
Right to work shop
Nursing union shop
84
The topic of nursing being a profession is not a controversial issue
True
False
85
What stage of Cohen’s model of prof. socialization: nsg student asks to spend a clinical shift w/ a home visiting nurse?
Stage IV: Interdependence
Stage I: Unilateral dependence
Stage III: Dependence/mutuality
Stage II: Negativity/independence
86
Profit agencies- extra $$ used to further mission of agency; Non-Profit agencies- extra $$ go to shareholders & partners
True
False
87
Provides broad, general views of nsg that clarify values & answer broad disciplinary questions
Theory
Philosophy
Model
Conceptual framework
88
Which of the following is NOT one of the definitions of politics?
A definite course of action that guides present and future decisions
The art or science of guiding or influencing policy
The art or science of winning and controlling a government
The art or science of government