Deck 2: The Contemporary Image of Professional Nursing

Question 1

What does the Spirit of Nursing statue honor?

A) Florence Nightingale's accomplishments in public health
B) Edith Cavell's attempt to help the victims of the Tuskegee experiment
C) Clara Maas,who found the cure for yellow fever during WWII
D) All military nurses for their service,bravery,and compassion

Answer 1

All military nurses for their service,bravery,and compassion

Question 2

A physician reports to administration that the nurse working last evening is unethical,based on observing the nurse educate the patient about a new medication ordered.The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications.Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance?

A) Inform the nurse,"You will be suspended for 3 days for going beyond your job description," and enforce the 3-day suspension because the physician did not write the order to "teach the patient about the new medication."
B) Advise the physician that only nurses can teach patients about medications;the physician's role is to only prescribe.No action will be taken against the nurse.
C) After investigating the situation,thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses.Share the physician's concern and administrator's response with the nurse so both parties are aware of the resolution of the concerns.
D) Contact the patient's family and ask,"Do you prefer that all teaching related to medications be performed by the physician rather than the nurse" to determine what action to take.

Answer 2

After investigating the situation,thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses.Share the physician's concern and administrator's response with the nurse so both parties are aware of the resolution of the concerns.

Question 3

Which nurse died after deliberately acquiring two bites from yellow fever carrier mosquitoes to enable her to provide care to soldiers with yellow fever during the Spanish-American War?

A) Florence Nightingale
B) Margaret Hoolihan
C) Clara Maas
D) Sairy Gamp

Answer 3

Clara Maas

Question 4

A registered nurse is on break and checking e-mails.One e-mail contains a picture of a celebrity who is a patient in the hospital,and on the same floor,where the nurse works.Included with the photo is a message,"check out my Facebook," which contains additional photographs of the patient.The nurse immediately deletes the picture to prevent having to report the "friend" to supervisors.Based on the action of the nurse who received the message,which statement is correct?

A) The nurse is not at risk for having his or her license suspended since removing the photos made them temporary and invisible to all others.
B) Because the nurse did not send the message and immediately deleted the photo,there is no risk for discipline.
C) Failing to report receiving the message demonstrates poor ethical and legal role-modeling as well as placing the nurse at risk for discipline.
D) Because the patient is on the same floor as the one on which the nurse works,the information can be ethically and legally shared.

Question 5

A bronze statue of a nurse in battle fatigues who is obviously exhausted but demonstrates caring by holding a soldier's head is an artistic representation of nurses who served in which war?

A) World War I
B) World War II
C) Spanish-American War
D) Vietnam War

Question 6

Which nurse best portrays nursing as a "knowledge worker"?

A) Nurse in matched scrubs with lab coat,hair back,small stud earrings
B) Nurse in mismatched scrubs,no lab coat,large hoop earrings
C) Nurse in white uniform with apron with no jewelry/hair back
D) Nurse with nose ring and eyebrow piercing with starched white uniform and cap

Question 7

A nurse executive is concerned that the hospital's mortality rate exceeds the national average and searches the literature finding Aiken's 2011 Survey on the effects of nurse staffing and education on mortality,including work environment.If Aiken's recommendations are followed,which change would be most effective?

A) Increasing staffing ratios to include more nurses of all levels of educational preparation on all shifts
B) Employing bachelor's prepared nurses who participate in interprofessional rounds with attending physicians where their voices are heard
C) Ensuring nurse managers and administrators have at minimum a master's degree
D) Encouraging all unlicensed assistive personnel to attend educational programs to be certified

Question 8

With the crisis in health care and the nursing shortage,why is the image of nursing still important?

A) Nursing care is often delivered during a time of uncertainty,and the image of nurses during this time can reinforce trust in the nurse-patient relationship.
B) Physicians have a distinctive body of knowledge that identifies them as professionals,whereas nursing has yet to develop a unique body of knowledge on which to base practice.
C) Nurses must present a unified image if they hope to ever establish nursing as a profession.
D) The dynamic state of today's health care requires nurses to move from a caring image to one of technologic competence.

Question 9

How can nurses best combat the nursing shortage?

A) Joining unions,which influence employers to provide incentives such as pay raises and free child care,thus encouraging the large percentage of nonworking nurses to return to the workforce
B) Demanding that the requirements of the qualifying examination for foreign nurses should be reduced,so they are eligible to sit for the licensure examination
C) Working more hours with a higher nurse/patient ratio
D) Advocating for funds to pay for nursing education and a safer work environment

Question 10

Although the media portrayed nursing in a negative light in M*A*S*H through the character of a promiscuous,uncaring nurse,it also provided Americans with a promising glimpse of what true nursing characteristic?

A) The skill and drive to assist doctors in caring for the wounded
B) That women possess the desire to serve one's country that equals that of men
C) The ability of nurses to cope with the dreadfulness of war by using humor
D) The contributions of any nurse to the care of military personnel

Question 11

A nursing student asks,"I wonder if the reason that the nursing shortage is so severe is that registered nurses are unhappy with their jobs." Which statement provides the answer provided by the National Survey of Registered Nurses?

A) Registered nurses change employers every year to prevent burnout and to keep the nursing shortage from increasing.
B) Nursing faculty are aging or leaving academia due to increased work demands and generational difference from students.
C) Practicing registered nurses are satisfied with their job and most remain with same employer they worked for the previous year.
D) Registered nurses were the least satisfied with their job of all health care providers.

Question 12

What is the best way for the individual nurse to maintain the most effective professional image?

A) Change out of their work attire before running errands
B) Renew membership in a nursing organization
C) Earning an advanced nursing degree
D) Developing effective nurse-physician relationships

Question 13

To best improve patient outcomes on an acute care hospital unit,which intervention should the nursing staff advocate for?

A) Staffing only 8-hour shifts on the unit
B) Decreasing the number of patients cared for on any specific unit
C) Increasing salaries for experienced nurses
D) Increasing staffing on the evening shift

Question 14

What does the demographics of the 21st century nursing population indicate?

A) A typical nursing student is a second-degree student who average 45 years of age.
B) More white nurses enter and obtain graduate degrees than any other ethnic group.
C) The highest level of nursing education for most RNs is an associate degree.
D) 61% of nurses practice in hospitals.

Question 15

What effect did the movie One Flew Over the Cuckoo's Nest have on health care?

A) Funding for mental health care increased,allowing the point of care to change from the community to standardized institutional care.
B) The public and the nursing profession were made aware of the rights of vulnerable populations.
C) Nurses were seen as advocates for individuals who cannot advocate for themselves.
D) Funding for nursing traineeships was eliminated.

Question 16

According to current data what factors are most directly related to the nursing shortage? (Select all that apply. )

A) Salaries of nurses are competitive with those of other professionals such as teachers.
B) Only 19% of nurses are minorities.
C) Overall,nurses are satisfied with their jobs but leave the profession because of fear of contracting fatal diseases.
D) The employment opportunities for nurses continue to be strong.
E) Staff nurses are returning to school to obtain certificates to teach nursing.

Question 17

What statement accurately describes Charles Dickens' character Sairy Gamp?

A) The character was portrayed as a trained professional individual who put others before self.
B) The character chose nursing because there were few other avenues for employment.
C) The character was a prostitute who cared for the sick old men in the community.
D) The character showed nurses to be at the forefront of the technology of that time.

Question 18

What was the purpose of the Nurse Reinvestment Act of 2002?

A) Provided disability insurance to RNs who contract a life-threatening illness while on duty
B) Funded public service announcements that promote unlicensed caregivers as an alternative to professional nurses
C) Focused on nurse retention and safety enhancement grants to address the current nursing shortage
D) Provided pediatric nursing training grants

Question 19

A group of new graduate nurses is asked to speak to a group of politicians to describe the current state of professional nursing and how best to alleviate the nursing shortage.Which statements accurately portray professional nursing today and tomorrow? (Select all that apply. )

A) More RNs attain a bachelor's degree than an associate degree or diploma.
B) Because of pressure to shorten length of stay in hospitals,more RNs practice in outpatient settings and home health than in acute care settings.
C) The most popular advanced practice specialty is nurse anesthesia.
D) White nurses are more likely to enter graduate school than nurses from other ethnic groups.
E) Nursing represents the largest health care professional group,followed by medical doctors.

Question 20

Which item below correctly describes the U.S.Bureau of Labor Statistics predictions by 2020?

A) Positions that historically required registered nurses will be filled by unlicensed personnel.
B) The job growth rate for RNs will surpass job growth in all other occupations.
C) The need for hospital nurses will dramatically decrease.
D) Hospitals will finally achieve the required RN workforce.

Question 21

Which actions would result in a greater number of nurses entering and staying in practice,given today's state of nursing? (Select all that apply. )

A) Determine why few black women enter graduate school.
B) Provide incentives for minorities and men to enter nursing.
C) Obtain grant funding to increase the number of faculty members and scholarship availability for students entering baccalaureate nursing programs.
D) Survey nurses to determine why their job satisfaction is lower than that of other health care professions.
E) Develop ad campaigns that target younger students.

Question 22

The Nurses of America's media campaign raised awareness of which aspects of nursing? (Select all that apply. )

A) Nurses are expert clinicians.
B) A higher nurse/patient ratio is needed.
C) Nurses are invisible in the news media.
D) Nurses are caring.
E) Nurses are well paid.