Deck 8: Shaping a Preferred Future for Nursing

Question 1

One reason that the nursing profession must partner with other groups is to:

A)Collect data about other organizations so they do not "steal" consumers.
B)Role model for physicians' best-care practices.
C)Acquire more resources to give best possible patient care.
D)Share responsibility of around-the-clock patient care.

Answer 1

Acquire more resources to give best possible patient care.

Question 2

With the ongoing focus on disease prevention and health promotion,nurses seeking a preferred future will need to increase their knowledge regarding:

A)Chronic illness management,health promotion,and obesity
B)Hospice care,acute exacerbations of disease,and emergency resuscitation
C)Management of the very sick,hospice care,and pathophysiology of acute illness
D)Knowledge regarding rare illnesses,acute care,and mortality figures

Answer 2

Chronic illness management,health promotion,and obesity

Question 3

A significant focus for today and the future health-care systems is:

A)Fee-for-service payments
B)Primary care to emphasize the importance of prevention of disease
C)Inpatient care for each acute and chronic episode of disease
D)Individualized plan of care that promotes intensive care unit (ICU)care for each patient

Answer 3

Primary care to emphasize the importance of prevention of disease

Question 4

Nurses who wish to be a part of creating the future will:

A)Use written documentation instead of electronic
B)Be informed about issues and how they evolve
C)Use prediction formulas
D)Begin to stockpile resources to be used only if absolutely necessary

Question 5

Which of the following best describes ongoing quality improvement (QI)?

A)Identification of critical pathway variances
B)Evaluation of patients' minimum data sets
C)Measurement of patient satisfaction levels
D)Ongoing evaluation of quality and patient outcomes

Question 6

The best way to describe the plausible future is:

A)What is likely to occur if things continue as they are and no changes are made
B)What can occur if some changes are made in the current state of affairs
C)What is likely to occur when specific efforts are made to accomplish goals
D)What we would like to see happen

Question 7

Which of the following best describes critical pathways?

A)Individualized plans of care
B)Outcomes of primary care
C)Multidisciplinary-developed patient plans of care
D)Nursing intervention documentation

Question 8

All nurses should be involved in developing health-care policy.Which of the following is an example of this?

A)Becoming involved with a collective bargaining group
B)Aligning closely with a specific legislator interested in policy making
C)Spearheading a health curriculum change in public education
D)Attending political group meetings where solutions for health-care issues are determined

Question 9

There are multiple mergers and acquisitions of various health-care organizations.Which of the following is an advantage of this ongoing trend?

A)Need for less professional education because employees can learn from each other on the job
B)More opportunity to use institutional licensure for UAPs
C)Opportunity to use more UAPs and less professional staff
D)Sharing resources to decrease cost expenditures

Question 10

Senge recommends that leaders must act in three roles including designers,teachers,and stewards.The steward role is best described as:

A)Developing the vision to assist followers to remain in the group
B)Making sure each employee gets his or her paycheck
C)Being responsible for distributing resources
D)Acting as a spokesperson for the group and facilitating its long-term growth

Question 11

Which of the following is an example of a "wild card" that would greatly affect staffing in an acute-care institution?

A)Three ill staff members assigned to the same shift who call in sick
B)A patient who is diagnosed with Ebola virus
C)Absence of the nurse manager and assigned charge nurse on the same shift
D)A community disaster that sends 78 patients to the hospital for burns and other trauma injuries

Question 12

The following current trends will propel us toward a preferred future EXCEPT:

A)Evidence-based practice
B)Multidisciplinary collaboration
C)Increased focus on psychotherapy interventions for every patient
D)Case management

Question 13

Two conditions that are more likely affecting patient care in acute care institutions today as a result of our chaotic health-care systems are:

A)House foreclosures and bankruptcy
B)Uncertainty and unpredictability
C)Anxiety and depression
D)Managed care and end-of-life care

Question 14

Three categories of interdependent quality determinants used in measuring quality care are:

A)Level of acuity,outlier,and variable
B)Diagnosis-related group,variance,and trim point
C)Structure,process,and outcome
D)Event,indicator,and issue

Question 15

Nurses cannot just sit around and wait for the future to happen.Each nurse needs to follow the recommendations of Bennis,who suggests that exemplary leaders will act by:

A)Creating trust and optimism
B)Establishing an on-call list to use for staffing problems
C)Following the organization's policies for each and every situation
D)Delineating each staff's role in detail so there is no repetition

Question 16

The definition of the preferred future is:

A)What we would like to see happen
B)What can occur if some changes are made
C)What is likely to occur if efforts are made to accomplish goals
D)What is likely to occur if things continue as they are

Question 17

To increase compliance of nurses maintaining clinical competency,the nursing profession could enforce all of the following EXCEPT:

A)Mandatory yearly continuing education for RN relicensure
B)Ongoing certification in one's area of practice
C)Institutional licensure
D)Standardized entry into practice

Question 18

It is significant for the profession of nursing to assist nurses in seeing their work as a collaborative process with the other professional team members rather than as a:

A)Handmaiden career that gives orders to the other health-care disciplines
B)Task-oriented group primarily interested in accomplishing orders from physicians
C)Profession that prides itself on task completion versus positive patient outcomes
D)Profession interested only in self-glory that they are knowledgeable about patient conditions

Question 19

As nurses delegate more and more tasks to unlicensed assistive personnel (UAP),it becomes essential that nurses learn to:

A)Bring out the "best" qualities of each of the team members to foster collaboration.
B)Test the knowledge of the UAP on a daily basis.
C)Develop time management lists for each UAP with the specific tasks they must do.
D)Assign least experienced UAPs the most complex patients.

Question 20

Which of the following are characteristics of a leader who is prepared to shape a preferred future for nursing?

A)Credibility,knowledge base,and attractive appearance
B)Kindness,ability to communicate,and fairness
C)Creativity,aggressiveness,and ability to facilitate change
D)Critical-thinking ability,confusion regarding vision,and sense of humor

Question 21

It is helpful to review what factors seemed to impact specific issues in the past since this information will undoubtedly prepare nurses to:

A)Automatically prevent new ideas from being implemented that have not worked previously.
B)Develop exactly what seemed to work in the past reoccur.
C)Anticipate consequences of the new trends that will occur as the future evolves.
D)Accomplish their tasks in a timely fashion.

Question 22

The major purpose of a Nursing Workforce Center is to:

A)Mandate policy regarding patient-healthcare provider ratios.
B)Develop all self-care procedures that can be performed by the patients and families at their homes to prevent health-care providers from making home visits.
C)Conduct health services research.
D)Develop palliative care medication framework for dying patients with pain.

Question 23

The future of effective health care depends on the work environment that is present at the health-care setting.One important aspect of fostering a healthy work environment would be to ensure:

A)Allowance for empowerment of each nurse by each other
B)That no physicians were part of the infrastructure of the unit
C)That the pharmacy satellite was not located on the unit since it would cause extra off-unit staff coming to the unit
D)That patients understand that staff always have their meals privately and can not be disturbed whatsoever during these times

Question 24

The Magnet Model,developed by the American Nurses Credentialing Center,encompasses five components that illustrate the model's premise for the need to maintain an effective nursing staff in health-care agencies.One of these components is:

A)Transactional leadership
B)New knowledge,innovation,and improvements
C)An all certified and bachelor of science in nursing (BSN)prepared nursing staff
D)Patient-focused philosophy of care

Question 25

One of the most significant qualities of an effective nurse leader who would be successful in shaping the profession toward a preferred future includes:

A)Using a collaborative and transformational leadership style
B)Following the methods that have been successful in the past and not using new ones
C)Advocating for all nurses so they do not have to cross-train themselves in other specialties
D)Developing a formula-based staffing process that enforces equal staffing for every unit