lOMoAR cPSD| 24559237
,Table of Content
Chapter 01: The Evolution of Professional Nursing .............................................................................................. 5
Chapter 02: The Contemporary Image of Professional Nursing .......................................................................... 13
NURSINGTB.COM ................................................................................................................................................. 20
Chapter 03: The Influence of Contemporary Trends and Issues on Nursing Education Cherry and Jacob:
Contemporary Nursing: Issues, Trends, and Management, 8th Edition ............................................................... 21
ANS: D NURSINGTB.COM ................................................................................................................................. 23
NURSINGTB.COM ................................................................................................................................................. 24
Chapter 04: Nursing Licensure and Certification................................................................................................. 27
U SN T O ........................................................................................................................................................... 28
NURSINGTB.COM ................................................................................................................................................. 30
Chapter 05: Theories of Nursing Practice ............................................................................................................ 34
NURSINGTB.COM ................................................................................................................................................. 35
NURSINGTB.COM ................................................................................................................................................. 37
NURSINGTB.COM ................................................................................................................................................. 39
NURSINGTB.COM ................................................................................................................................................. 40
Chapter 06: Nursing Research and Evidence-Based Practice .............................................................................. 42
U SN T O ........................................................................................................................................................... 42
ANS: D NURSINGTB.COM ................................................................................................................................. 45
NURSINGTB.COM ................................................................................................................................................. 47
NURSINGTB.COM ................................................................................................................................................. 48
NURSINGTB.COM ................................................................................................................................................. 50
Chapter 07: Paying for Health Care in America: Rising Costs and Challenges Cherry and Jacob: Contemporary
Nursing: Issues, Trends, and Management, 8th Edition ....................................................................................... 51
NURSINGTB.COM ................................................................................................................................................. 51
NURSINGTB.COM ................................................................................................................................................. 59
Chapter 08: Legal Issues in Nursing and Health Care ......................................................................................... 60
NURSINGTB.COM ................................................................................................................................................. 60
Chapter 09: Ethical and Bioethical Issues in Nursing and Health Care ............................................................... 67
NURSINGTB.COM ................................................................................................................................................. 67
ANS: A NURSINGTB.COM ................................................................................................................................. 68
NURSINGTB.COM ................................................................................................................................................. 69
U SN T O ........................................................................................................................................................... 71
NURSINGTB.COM ................................................................................................................................................. 73
Chapter 10: Cultural Competency and Social Issues in Nursing and Health Care Cherry and Jacob:
Contemporary Nursing: Issues, Trends, and Management, 8th Edition............................................................... 74
,NURSINGTB.COM ................................................................................................................................................. 74
NURSINGTB.COM ................................................................................................................................................. 77
Chapter 11: Complementary and Alternative Healing ......................................................................................... 78
NURSINGTB.COM ................................................................................................................................................. 78
NURSINGT............................................................................................................................................................... 79
NURSINGTB.COM ................................................................................................................................................. 81
NURSINGTB.COM ................................................................................................................................................. 83
1. NURSINGTB.COM ......................................................................................................................................... 84
Chapter 12: Palliative Care................................................................................................................................... 86
NURSINGTB.COM ................................................................................................................................................. 86
Chapter 13: Workforce Advocacy for a Professional Nursing Practice Environment Cherry and Jacob:
Contemporary Nursing: Issues, Trends, and Management, 8th Edition ............................................................... 90
U SN T O ........................................................................................................................................................... 90
NURSINGTB.COM ................................................................................................................................................. 91
ANS: B NURSINGTB.COM ................................................................................................................................. 93
N R I G B.C M ......................................................................................................................................................... 95
NURSINGTB.COM ................................................................................................................................................. 97
Chapter 14: Collective Bargaining and Unions in Today’s Workplace ............................................................... 98
NURSINGTB.COM ............................................................................................................................................... 104
Chapter 15: Information Technology in the Clinical Setting ............................................................................. 105
ANS: A NURSINGTB.COM ............................................................................................................................... 106
Chapter 16: Emergency Preparedness and Response for Today’s World .......................................................... 111
NURSINGTB.COM ............................................................................................................................................... 111
NURSINGTB.COM ............................................................................................................................................... 112
ANS: C NURSINGTB.COM ............................................................................................................................... 115
NURSINGTB.COM ............................................................................................................................................... 118
Chapter 17: Nursing Leadership and Management ............................................................................................ 119
NURSINGT............................................................................................................................................................. 121
NURSINGTB.COM ............................................................................................................................................... 126
Chapter 18: Budgeting Basics for Nurses .......................................................................................................... 127
NURSINGTB.COM ............................................................................................................................................... 133
Chapter 19: Effective Communication and Conflict Resolution ........................................................................ 134
NURSINGTB.COM ............................................................................................................................................... 134
NURSINGTB.COM ............................................................................................................................................... 135
NURSINGTB.COM ............................................................................................................................................... 139
Chapter 20: Effective Delegation and Supervision ............................................................................................ 142
NURSINGT............................................................................................................................................................. 143
,ANS: D NURSINGTB.COM ............................................................................................................................... 144
U SN T O ......................................................................................................................................................... 146
NURSINGTB.COM ............................................................................................................................................... 148
Chapter 21: Staffing and Nursing Care Delivery Models .................................................................................. 150
NURSINGTB.COM ............................................................................................................................................... 155
NURSINGTB.COM ............................................................................................................................................... 157
Chapter 22: Quality Improvement and Patient Safety........................................................................................ 158
NURSINGT............................................................................................................................................................. 160
SNT O ............................................................................................................................................................. 161
NURSINGTB.COM ............................................................................................................................................... 166
Chapter 23: Health Policy and Politics: Get Involved! ...................................................................................... 169
U SN T O ......................................................................................................................................................... 169
NURSINGTB.COM ............................................................................................................................................... 172
U SN T O ......................................................................................................................................................... 174
NURSINGTB.COM ............................................................................................................................................... 175
Chapter 24: Making the Transition From Student to Professional Nurse .......................................................... 176
NURSINGTB.COM ............................................................................................................................................... 183
Chapter 25: Managing Time: The Path to High Self-Performance .................................................................... 184
NURSINGTB.COM ............................................................................................................................................... 187
Chapter 26: Contemporary Nursing Roles and Career Opportunities ................................................................ 191
ANS: D NURSINGTB.COM ............................................................................................................................... 191
NURSINGTB.COM ............................................................................................................................................... 192
NURSINGTB.COM ............................................................................................................................................... 193
GTB.COM .............................................................................................................................................................. 196
NURSINGTB.COM ............................................................................................................................................... 198
Chapter 27: Job Search: Finding Your Match .................................................................................................... 199
ANS: A NURSINGTB.COM ............................................................................................................................... 199
NURSINGTB.COM ............................................................................................................................................... 200
N R I G B.C M ....................................................................................................................................................... 201
NURSINGTB.COM ............................................................................................................................................... 203
NURSINGTB.COM ............................................................................................................................................... 204
Chapter 28: The NCLEX-RN® Examination .................................................................................................... 207
NURSINGTB.COM ............................................................................................................................................... 209
URSINGTB.COM .................................................................................................................................................. 214
,Chapter 01: The Evolution of Professional Nursing
Cherry and Jacob: Contemporary Nursing: Issues, Trends, and Management, 8th
Edition
MULTIPLE CHOICE
1. What accomplishment is Clara Barton best known for?
a. Becoming the first black public health nurse
b. Establishing the Henry Street Settlement
c. Founding the American Red Cross
d. Publicizing the inadequacies of hospital-based nursing schools
ANS: C
The American Red Cross was founded by Clara Barton in 1882, to be of assistance in efforts
to provide supplies to the battlefields and hospitals. Barton also sets up a postwar service to
find missing soldiers.
DIF: Knowledge
2. Students are assigned to write to their state leaders about an issue affecting their community.
One student writes about the need among rural community for greater access to acute care
services. Which piece of legislation should the student use as a reference?
a. Social Security Act
b. Hill-Burton Act
c. Sheppard-Towner Act
d. U.S. Civil Service Act
ANS: B
The purpose of the Hill-Burton Act was to provide funding to construct hospitals and to help
states in plan for other health care facilities in accordance with the needs of communities.
DIF: Knowledge
3. The practice of public health nursing and the Henry Street Settlement are credited to
a. Mary Breckenridge.
b. Mary Seacole.
c. Clara Barton.
d. Lillian Wald.
ANS: D
Lillian Wald, a pioneer in public health nursing, is best known for the development and
establishment of the Henry Street Settlement.
DIF: Knowledge
4. Occupational health nursing features beliefs similar to those of which early nursing pioneer?
a. Lillian Wald
b. Florence Nightingale
c. Clara Barton
,d. Mary Seacole
, ANS: A
Lillian Wald was a pioneer in public health nursing, and is best known for the development
and establishment of the first viable practice for public health nurses.
DIF: Comprehension
5. What historical event first led to the recognition of the contribution of blacks to nursing?
a. Florence Nightingale’s acceptance of black nurses into the first nursing school
b. The contributions of black nurses at the Pennsylvania Hospital, the first hospital in
America
c. Mary Williams and Frances Rose are listed as nurses in the City of Baltimore
Directory.
d. The work done by wives of wealthy black nobles who carried food and medicine
from house to house during the Middle Ages
ANS: C
1840—Two black women, Mary Williams and Frances Rose, who founded Nursing Sisters of
the Holy Cross, are listed as nurses in the City of Baltimore Directory.
DIF: Comprehension
6. World War I contributed to the advancement of health care by
a. increasing the number of private care hospitals and decreasing the role of public
health services.
b. employing a large number of civilians to provide care to returning soldiers through
the Red Cross.
c. introducing specialists in nursing such as nurse anesthetists.
d. increasing the number ofN
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SuInN
ityGhTeB
alt.
hC urM
nO ses.
ANS: C
World War I offered nurses a chance to enter new fields of specialization, as is seen in the
example of nurse anesthetists, who became part of surgical teams at the front lines.
DIF: Comprehension
7. What was an original purpose of the Social Security Act of 1935?
a. Increase research that focused on minority groups
b. Provide medical care for chemically impaired persons
c. Ensure health care for older adults through a national insurance system
d. Decrease the public’s financial burden by limiting services offered by local health
departments
ANS: C
By providing health insurance for older adults, the Social Security Act of 1935 set the
precedent for the passage of the Medicare and Medicaid Acts that followed in 1965, but the
act also provided maternal and child welfare services, rehabilitation for the mentally and
physically challenged, medical care for blind individuals and crippled children, and
unemployment benefits.
DIF: Comprehension
, 8. A client asks the nurse, “Can you explain the amendment to the Social Security Act called
Title XVIII to me?” The nurse demonstrates an understanding of this legislation when
providing what response?
a. It led to many hospital closings, along with a decrease in acute care hospital–based
nursing care.
b. It provided medical insurance to those younger adults or children who were not
eligible for private insurance because of catastrophic illnesses such as cancer.
c. It provided preventive care for women, infants, and children.
d. It ensured that individuals with end-stage renal disease had health care insurance.
ANS: D
The Medicare program provides hospital insurance, Part A, and medical insurance, Part B, to
all people aged 65 and older who are eligible to receive Social Security benefits; people with
total, permanent disabilities; and people with end-stage renal disease.
DIF: Comprehension
9. A comparison of nursing in the 1980s to nursing in the 1990s reveals what factor that
contributes to health care as we know it today?
a. In the 1990s nursing experienced a significant reduction occurred in preventable
diseases caused by unsafe/unhealthy lifestyles.
b. Tuberculosis was the primary concern for nursing in the 1980s, whereas the AIDS
epidemic emerged and was its focus during the 1990s.
c. A decrease in ambulatory services in the 1980s prompted an increase in public
health nurses in the 1990s.
d. The demand for advanced practice nurses increased in the 1980s and the 1990s
because of the economy aNnd R conI
cernGaboBu.
t tC
he hMealth of the nation.
ANS: D
The numbers of advanced nurse practitioners increased as evidence of their cost-effectiveness
as providers of primary and preventive health care became established.
DIF: Comprehension
10. Which statement accurately describes the historical perspective of nursing practice?
a. Nursing has existed to meet the needs of populations, individuals, and aggregates
by providing care that is determined by the needs and beliefs of society in different
historical contexts.
b. As men began to become interested in nursing, it changed into a respected
profession based on scientific fact rather than superstition.
c. Nursing has historically accepted individuals from all social and ethnic
backgrounds.
d. The United States has led the way throughout history to advance nursing and
health care by providing the first hospital and medical school.
ANS: A
Nursing has existed since biblical times to address needs ranging from contagious diseases in
early times to health prevention in the present time, with care based on health needs and
beliefs of the time.
DIF: Comprehension
,11. The use of herbs, which has become a popular alternative to prescription drugs in today’s
health care milieu, had roots originating when?
a. Prehistoric times and the Middle Ages
b. Civil War period and World War I
c. Renaissance and Reformation periods and the Colonial American period
d. Crimean War and Civil War periods
ANS: A
During prehistoric times, tribes used herbs to rid themselves of disease; in the Middle Ages,
women used herbs. This practice has continued to today.
DIF: Comprehension
12. A care provider sacrifices an animal and waves an herb-filled sack over a client who is
complaining of painful joints and chest pain with exertion. This ritual represents health care
during what time period?
a. The prehistoric period
b. Early civilization in Egypt
c. The European Renaissance
d. The Middle Ages in Asia and Africa
ANS: A
During prehistoric times, illness was thought to be caused by evil spirits that providers
attempted to scare away through rituals and dances.
DIF: Comprehension
13.13.
A prospective nursing student who researches universities that offer a baccalaureate degree in
nursing would want to ensure that the program is accredited by what agency?
a. American Nurses Association
b. Commission on Collegiate Nursing Education
c. National Institutes of Health
d. National Nursing Council
ANS: B
The Commission on Collegiate Nursing Education (CCNE) is the agency that exclusively
accredits baccalaureate and graduate-degree nursing programs.
DIF: Comprehension
14. Nursing in the 1990s was characterized by what health care focus?
a. Men leaving nursing to enter the armed services
b. Traditional 8-hour shifts to nurse burnout and compassion fatigue
c. Identifying health promotion associated with preventable diseases
d. Managing runaway health care costs
ANS: C
Health promotion and disease prevention were recognized as the means to reduce the high
number of mortalities associated with preventable diseases—Healthy People 2000 was
published as a nationwide effort to reduce preventable deaths.
, DIF: Comprehension
15. A nurse is part of the policy committee for a hospital. The committee is provided with
statistics indicating that patients participating in a satisfaction survey felt they lacked
sufficient information about new drugs started while hospitalized and continued after
discharge. In addition, charts noted high recidivism rates. The committee recommended that a
formalized patient education plan be instituted to reconcile all medications and provide patient
information about new medications. The committee is using which component of the Institute
of Medicine (IOM) 2011 message?
a. Nurses should achieve higher levels of education to be effective members of an
interdisciplinary team.
b. Nurses should have a minimum of a master’s degree to sit on policy committees
that affect an entire facility.
c. Pay for nurses should be consistent with that of physicians since the committee is
interdisciplinary.
d. Policy is based on data, which provides the groundwork for decision making.
ANS: D
The IOM report initiatives include effective workforce planning and policymaking based on
better data collection and improved infrastructure.
DIF: Application
16. What was the stated goal of the Affordable Care Act of 2011?
a. Requiring that by 2020 all newly licensed nurses have a bachelor’s degree at
minimum
b. Provide health care benefits to millions who were previously uninsurable or unable
N R I G B.C M
to afford insurance
c. Cap the amount that hospitals and physicians can charge for procedures
d. Subsidizes private insurance companies, thereby reducing health care costs for the
chronically ill
ANS: B
It is anticipated that the ACA (2011) will make insurance coverage possible for millions who
have previously not had insurance or had been denied insurance.
DIF: Comprehension
17. It has been said that “history repeats itself because no one was listening the first time.” Which
statement is true when comparing the nursing care provided in the Civil War (1861 to 1865)
to that provided during the Crimean War?
a. Epidemics such as smallpox and typhoid were the primary emphasis of nursing
care in both wars.
b. Soldiers were housed in substandard conditions, but due to Nightingale’s push for
sanitary conditions, in the Civil War soldiers were housed in aseptic conditions.
c. Black nurses were widely accepted by society and the profession, receiving equal
compensation during the Civil War due in large part to the efforts of Mary Seacole
during the Crimean War.
d. Both Nightingale (Crimean War) and Dix (Civil War) completed nursing training
before accepting positions as nurses in the wars.