Deck 42: Accountability

Question 1

A registered nurse (RN)who now works as a nursing supervisor at a local hospital is asked to talk about nursing during career day at a local high school. When explaining to the students why nursing is a profession rather than a job, which criteria should the RN include? Select all that apply.

A)Nurses engage in ongoing research.
B)Nurses receive high salaries.
C)More nurses are needed to meet current and predicted demand.
D)Nursing has a service orientation.
E)Nurses must have broad general knowledge of a variety of topics.

Answer 1

Nurses engage in ongoing research.
Nursing has a service orientation.

Question 2

A novice nurse on a medical-surgical unit is released from the orientation phase of training. The nurse is able to care for a four- to five-client assignment independently and is assigned a coach on the unit who will help with problem solving if needed. According to Benner's stages of nursing expertise, this nurse would belong in which stage?

A)Stage II
B)Stage V
C)Stage III
D)Stage IV

Answer 2

Stage II

Question 3

A nurse faculty member is speaking to prospective students of the Bachelor of Science in Nursing (BSN)program at their educational institution. Which of the following reasons should the nurse faculty member cite as a major incentive for students to select a BSN program over an Associate of Science in Nursing (ASN)program? Select all that apply.

A)Greater autonomy in the practice setting
B)Receipt of a fuller liberal arts education
C)Easier transition to graduate school
D)Ability to work in critical care areas
E)Better opportunity for career advancement

Answer 3

Greater autonomy in the practice setting
Better opportunity for career advancement

Question 4

Which of the following individuals is widely considered to be the founder of public health nursing?

A)Lavinia Dock
B)Lillian Wald
C)Mary Mahoney
D)Linda Richards

Question 5

A nurse would like to implement an evidence-based practice change that will influence client care on the medical-surgical unit. The nurse works with the nurse manager and other members of the leadership team to write a new policy and produce educational materials for the unit's staff and clients. In carrying out these actions, the nurse is practicing which standard of professional performance?

A)Leadership
B)Collaboration
C)Evaluation
D)Collegiality

Question 6

How does accountability differ from responsibility?

A)Responsibility involves specific tasks that must be completed in order to fulfill a role, whereas accountability involves being answerable for the outcomes of those tasks.
B)Accountability involves specific tasks that must be completed in order to fulfill a role, whereas responsibility involves being answerable for the outcomes of those tasks.
C)Responsibility involves the professional standards used to determine what a nurse should or should not do, whereas accountability involves taking ownership of the actions of others.
D)Accountability involves the professional standards used to determine what a nurse should or should not do, whereas responsibility involves taking ownership of the actions of others.

Question 7

The nurse is administering a bed bath to a client in a long-term care facility. The nurse is careful to cover the client during the bath. Which nursing role does this action reflect?

A)Communicator
B)Caregiver
C)Client advocate
D)Teacher

Question 8

The charge nurse observes that a fellow charge nurse on the unit seems impaired and unable to perform client care. Which action by the charge nurse is most appropriate in this situation?

A)Notifying security
B)Calling the unit's nurse manager
C)Discussing the situation with the nursing supervisor
D)Confronting the other nurse directly

Question 9

An adult decides to return to school to pursue a second career as a nurse. Which degree program is recommended for this learner as entry-level education for professional nursing?

A)Associate's degree
B)Baccalaureate degree
C)Master's degree
D)Doctoral degree

Question 10

________ establishes and maintains the social, political, and economic arrangements that give professionals the means to control their professional affairs.

A)Autonomy
B)Governance
C)Socialization
D)Accountability

Question 11

A nurse educator is conducting a continuing education in-service for the nurses in a pediatric intensive care unit. Why is it so important for the professional nurse to attend these in-services?

A)Most states require it to maintain licensure.
B)It is a good way to receive overtime pay.
C)Research and new technology demand that nurses stay current.
D)New diseases are discovered every day.

Question 12

A nurse educator is talking to a group of staff nurses about the importance of continued competence in nursing practice. One of the staff nurses asks about activities that can help professional nurses maintain competence. Which action should the nurse educator recommend?

A)Working overtime whenever hours are available
B)Designing a poster presentation on current research on care for the dying client
C)Volunteering to take blood pressures at a health and wellness fair
D)Organizing a seminar to educate new nurses about hospital policies

Question 13

________ is a state of being in which individuals engage in behaviors that enhance their quality of life and maximize their personal potential.

A)Health promotion
B)Wellness
C)Prevention
D)Health restoration

Question 14

One of the roles of the community health nurse is to educate individuals about health promotion and wellness. Which activity would the nurse dismiss as irrelevant to health promotion and wellness?

A)Holding classes for teenagers regarding prevention of sexually transmitted infections
B)Teaching a class about smoking cessation
C)Initiating infant care classes for new parents
D)Implementing an exercise class for clients who have had a heart attack

Question 15

A nurse, who has been working in a small rural hospital for 4 years since obtaining a nursing license, participates on an interdisciplinary task force to improve client care. Which skill level is this nurse demonstrating according to Benner's stages of nursing expertise?

A)Advanced beginner
B)Competent
C)Proficient
D)Expert

Question 16

What is the most powerful factor in encouraging adoption of the attitudes and behaviors that characterize professionalism in nursing?

A)Employment opportunities
B)Licensure requirements
C)Interaction with peers
D)Specialized training

Question 17

A school nurse in a large urban high school regularly delivers presentations on nutrition, smoking cessation, and prevention of sexually transmitted infections (STIs). What area(s)of nursing competence is this nurse demonstrating? Select all that apply.

A)Health restoration
B)Health and wellness promotion
C)Caring for the dying
D)Illness prevention
E)Care cost savings

Question 18

An experienced nurse practitioner is always conscious of the need to maintain a high level of competence within professional nursing practice. Which activities support this nurse's goal? Select all that apply.

A)Reading professional journals
B)Collaborating with peers
C)Counseling clients
D)Attending professional workshops and seminars
E)Administering medications appropriately

Question 19

A nurse educator is teaching a group of students about professionalism. The educator informs the students that a profession is distinguished from other kinds of occupations by a number of characteristics. Which of the following are among those characteristics? Select all that apply.

A)The members of a profession are financially liable for their actions.
B)The members of a profession participate in ongoing research.
C)The members of a profession must acquire specialized education.
D)The members of a profession possess autonomy.
E)The members of a profession regularly socialize with one another.

Question 20

Providing wound care, referring clients to post-trauma psychological counseling, and assisting clients with physical and occupational therapy are all activities associated with which area of nursing competence?

A)Health promotion
B)Illness prevention
C)Health restoration
D)Holistic care and support

Question 21

A nurse is overseeing a group of students who are completing a clinical rotation on a medical-surgical unit. The students are providing direct client care with the assistance of the nurse. The nurse who is overseeing the students is functioning in which capacity?

A)Clinical nurse specialist
B)Nurse practitioner
C)Nurse entrepreneur
D)Nurse educator

Question 22

A nurse obtains certification to provide direct client care, educate others, consult, conduct research, and manage oncology care. Which expanded nursing role best describes this nurse's career position?

A)Nurse anesthetist
B)Clinical nurse specialist
C)Nurse educator
D)Nurse researcher

Question 23

A client who has been diagnosed with terminal pancreatic cancer states to the nurse, "I do not want any further treatment, but I am afraid my doctor will insist that I continue chemotherapy." Which role is the nurse performing when informing the healthcare provider of the client's choice to stop treatment?

A)Change agent
B)Case manager
C)Advocate
D)Teacher

Question 24

A nurse working in the emergency department (ED)notes that a healthcare provider smells strongly of alcohol and appears confused. Which action by the nurse is appropriate?

A)Contact the charge nurse to report the problem.
B)Tell the healthcare provider to seek alcohol rehabilitation.
C)Report the healthcare provider to the hospital CEO.
D)Report the healthcare provider to the state licensing board.

Question 25

A staff nurse serves as a valuable source of expertise and advice to other nurses on the unit. However, the nurse does not have the authority to direct their work. Which characteristic does this nurse have?

A)Staff authority
B)Responsibility
C)Line authority
D)Organizational authority

Question 26

A student nurse is trying to explain nursing to family members. Which contemporary aspects of nursing might the student nurse include in the explanation? Select all that apply.

A)Nursing is a science.
B)Nursing is easy.
C)Nursing is a new profession.
D)Nursing is focused on illness.
E)Nursing is holistic.