EXAM 1: STUDY GUIDE*
Chapter 1
1. The clinical nurse leader (CNL) is best prepared to assume which of the following nursing roles?
A Responsibility for the evaluation of a client’s plan of care
B Preoperative assessments on clients requiring surgical interventions
C Research to provide evide...
1. The clinical nurse leader (CNL) is best prepared to assume which of the following
nursing roles?
A Responsibility for the evaluation of a client’s plan of care
B Preoperative assessments on clients requiring surgical interventions
C Research to provide evidence-based practice regarding neonatal feeding practices
D Acting as advocate for an elderly, cognitively impaired client hospitalized with
gastrointestinal pain2.
2. What event in American history influenced the role African-American women have
played in the nursing profession?
A The creation of the U.S. Marine Hospital Service in 1798
B The Civil War, beginning in 1861
C The Army Nurse Corps, established in 1901
D The North Carolina Nurse Practice Act of 19033.
3. In the Middle Ages (467 BCE to 1450 AD), women delivered food, medicine, and care
to the community’s ill based on the:
A Christian concepts of charity and the sanctity of human life.
B need to make offerings to the gods in exchange for good health.
C emphasis being placed on the patient-centered approach to health care.
D emerging understanding of the importance of hygiene and sanitation.
4. Which of the following interventions best demonstrates that a nursing administrator
understands the challenges currently facing the professional nurse regarding patient
safety?
A Supporting nursing interventions directed towards providing holistic care to both
the client and his/her support system
B Requiring representation of the nursing staff in any discussion related to the
redesign of patient care environments
C Requiring that staffing and schedules accommodate the attendance at
mandatory in-services focusing on interprofessional care collaboration
D Supporting the right of the registered nurse to appropriately act as an advocate
when a family disagrees with a client’s wishes to limit visitors.
5. There is increasing evidence that nursing needs to address the ability of its members to
provide high-quality, effective care as patient-centered care needs intensify. Which
, nursing behavior demonstrates an understanding of how these needs will be best initially
met?
A Enrolling in a Masters of Nursing Education graduate program
B Volunteering to provide community health screening at a senior citizen center
C Becoming politically active regarding the delivery of health care on the national
level
D Regularly speaking to groups of high school students regarding the profession of
nursing
C Lillian Wald- Founder of public health nursing
C Mary Seacole- Jamaican nurse who was refused the right to work with Nightingale
C Sojourner Truth- African-American nurse known for abolitionist efforts
C Julie O. Flikke- Superintendent of the Army Nurse Corps
C Harriet Tubman- Known as Conductor of the Underground Railroad
C Florence Nightingale- Founder of organized nursing
C Mary Breckenridge- Founder of the Frontier Nursing Service
C Dorothea Dix- Organized military hospitals during the Civil War
C Louisa May Alcott- Authored nurses' contributions during the Civil War in Hospital
Sketches
C Clara Barton- Founder of the Red Cross
1. A master's degree-educated registered nurse who assumes accountability for client
care outcomes through the assimilation and application of research-based information
to design, implement, and evaluate client plans of care is a Clinical Nurse Leader
(CNL) .
2. During the Middle Ages the Roman Catholic Church became a central figure in the
organization and management of health care.
3. The Pennsylvania Hospital was the first hospital built in the United States.
4. The Community Mental Health Centers Act of 1963 provided funds for the
construction of outpatient mental health centers.
5. Medicare reimbursement led to an increase in hospitalizations and home health
services in the 1960s.
6. DRG reimbursement led to hospitals' being forced to increase efficiency and more
closely manage the patient's length of stay.
7. Managed care is focused on providing more preventive and primary care.
8. The passage of the Hill Burton Act marked the largest commitment of federal dollars
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