Nursing 231 Exam 3 Practice Questions
and Correct Answers
Social issues in nursing ✅understaffed shift, long shifts, gross situations, etc.
Work place issues ✅-incivility/hostility, whistle blowing, violence (nurse to nurse,
patient to nurse, organizational, external)
-impaired nurse, nursing shortage, greying nurses, staffing issues (based on patient
acuity)
Protecting professional image ✅-some tv shows and people portray nurses as
unprofessional, there are media influences and stereotypes, and this can jeopardize the
nurse/patient relationship
-we can stop it by showing that we are professional
Entry into practice debate ✅-there are preparation differences between BSN and ASN
(management, STATS, leadership, and research)
-NCLEX and licensure has a movement to allow nurses to work in all states with one
license
-prefer to hire BSN and higher
-Incivility- higher ranked nurses may be rude to lower rank
Technology ✅Robotics, stem cells, EMR's, smart technologies, telehealth, internet
influence on patients, patient stimulators, increased costs, still ethical dilemmas that
come along with these
Educational challenges ✅-budget cuts, faculty shortages, reality shock, specialization,
entry into practice debate, practice levels and defining roles (need nurses who have
knowledge, skills, and attitudes that are aligned with practice environments)
Workplace hazards ✅-emotional environment, germs, violence, needles, accidents,
chemicals, drugs
Human Error (top nursing errors) ✅patient falls, infections, medication errors,
documenting errors, equipment injury, communication, incorrect patient orders
Healthcare reform ✅-working poor
-uninsured and underinsured
-Affordable Care Act (Patient Protection and Affordable care act, Health care and
education affordability reconciliation act)
Cultural diversity ✅-stop stereotyping
-Need to provide culturally competent care
, Tips: no assumptions, explain every detail, ask about alternative approaches to healing,
withhold judgments, accommodate and education
Environmental issues ✅-natural resources depleting, natural disasters, climate
change, epidemiology, urbanization, population expanding
State of the union: our country (problems) ✅-economy and health care
-Poverty
-infant mortality rates
-fitness levels
-substance use
-unhealthy lifestyles
-greying population (gerontology)
Health promotion and disease prevention ✅Health: holistically well, every aspect of
well-being, not just disease free
Clinical health definition: disease free
WHO definition: state of complete mental, social, and physical well-being, not just
disease free
Nolan Pender health definition
-did health promotion model ✅a positive, dynamic state rather than simply the absence
of disease
Orem health definition ✅both structurally and functionally sound
-encompasses both individuals and groups
Heath care continuum ✅refers to an integrated system of healthcare that follows a
patient through time or through a range of services
Health promotion ✅protect health, improve existing health, positive, approach
behaviors, health potential is focus
Disease prevention ✅avoidance behaviors, more negative connotation, prevention of
further decline
Healthy people 2020 ✅promotes health and lists topics and objectives
Health disparities ✅differences in access to or availability of facilities and services
(greater disparity in minority groups)
Beliefs and values ✅different for individuals and populations
-internet, culture, age, gender, geography, experience, health history, education,
motivation
