Professional Nursing IV Midterm (Weeks 1-4) (Week 1 -
chapter 23,32 Week 2- chapter 1,2,3 Week 3- chapter 5,8,15
Week 4- chapter 4,11) Questions With Complete Solutions
. In transitioning to a primary nursing model, it is important for a
nurse manager who enjoys a high level of control over patient
care to understand that his or her decision-making at the patient
care level:
a. Is increased.
b. Is decreased.
c. Is relinquished.
d. Remains the same Correct Answers b. Is decreased.
ANS: B The nurse manager who is considering movement to
primary nursing needs to consider how the role of the manager
changes, in addition to the roles of the staff. The role of
decision-making at the patient care level is relinquished to the
primary nurse. The nurse manager functions as a role model,
advocate, coach, and consultant.
A 66-year-old native Chinese patient, hospitalized for a
myocardial infarction, asks the nurse manager about seeing his
"acupuncture doctor" for treatment of his migraine headache.
The best response to this patient would be:
a. "How long have you been using acupuncture treatment?"
b. "Do you think acupuncture relieves your pain satisfactorily?"
c. "What have you told your heart specialist about your
migraines and treatment?"
d. "Have you tried nonprescription pain medication or been
given a prescription drug for your headaches?" Correct Answers
a. "How long have you been using acupuncture treatment?"
,ANS: A Acknowledging the patient's use of acupuncture
demonstrates cultural sensitivity through acknowledgement of
treatments that would be consistent with the patient's cultural
interpretation of illness and responses to it. The other responses
indicate lack of cultural sensitivity and cultural imposition, in
that the nurse diverts the line of inquiry toward interventions
that would be common to the nurse's experience of health care in
Western cultures
A charge nurse on a busy 40-bed medical/surgical unit is
approached by a patient's son, who begins to complain loudly
about the quality of care his mother is receiving. His behaviour
is so disruptive that it is overheard by staff, physicians, and
other visitors. The family member rejects any attempt to
intervene therapeutically to resolve the issue. He leaves the unit
abruptly, and the nurse is left feeling frustrated. Which
behaviour by the charge nurse best illustrates refined leadership
skills in an emotionally intelligent practitioner?
a. Reflection to obtain insight into how the situation could be
handled differently in the future
b. Trying to catch up with the angry family member to resolve
the concern
c. Discussing the concern with the patient after the family
member has left
d. Notifying nursing administration of the situation Correct
Answers a. Reflection to obtain insight into how the situation
could be handled differently in the future
ANS: A Emotional intelligence is closely aligned with
individuals' capacity to know themselves and others. Reflecting
to obtain insight and being able to "step" outside the situation to
,envision the context of what is happening is an example of the
actions of an emotionally intelligent practitioner.
A clinic nurse has observed another nurse deviating from agency
policy in performing wound care. The best approach for the
clinic nurse to take is to:
a. Stay out of it.
b. Inform the nursing supervisor.
c. Fill out a notification form (incident report).
d. Assess the risk to the client and the agency before proceeding.
Correct Answers d. Assess the risk to the client and the agency
before proceeding.
ANS: D In assessing risk, the nurse engages in the initial step of
the problem-solving process, which involves asking, "What
benefits (or risks) will be derived from solving it?" Purposeful
inaction may not be appropriate when the individual cannot
resolve the problem or when there is risk to patients
A conflict develops between an associate nurse and a primary
nurse over the assessment of a patient with pulmonary edema.
On the basis of her assessment of the patient, the associate nurse
insists that it is her role to change the care plan because she is
the one who has made the assessment. As the nurse manager,
you clarify that:
a. It is the role of the primary nurse to make alterations on the
basis of assessment data and input.
b. The associate nurse is accountable and responsible while the
primary nurse is off duty and therefore is able to alter the care
plan.
, c. Neither the primary nurse nor the associate nurse should
make changes without first consulting you as the manager.
d. It really does not matter who alters the nursing care plan
because it depends on situation and time to do so Correct
Answers a. It is the role of the primary nurse to make alterations
on the basis of assessment data and input.
A constructivist perspective of culture recognizes which of the
following influence an individual's understanding of culture?
(Select all that apply.)
a. Social context.
b. Is changeable.
c. Political understanding.
d. Economic status Correct Answers a. Social context.
b. Is changeable.
d. Economic status
ANS: A, B, D Although social context, political understanding,
and economic status influence a constructivist perspective, the
essentialist perspective maintains that culture is unchangeable
and based on the "norm" culture in Canada that is white and
moderately affluent
A decision making model based on a rational and logical
approach to problem solving is termed:
a. Nursing process.
b. Ethical decision making.
c. Creative decision making.
d. Scientific decision making. Correct Answers d. Scientific
decision making.
chapter 23,32 Week 2- chapter 1,2,3 Week 3- chapter 5,8,15
Week 4- chapter 4,11) Questions With Complete Solutions
. In transitioning to a primary nursing model, it is important for a
nurse manager who enjoys a high level of control over patient
care to understand that his or her decision-making at the patient
care level:
a. Is increased.
b. Is decreased.
c. Is relinquished.
d. Remains the same Correct Answers b. Is decreased.
ANS: B The nurse manager who is considering movement to
primary nursing needs to consider how the role of the manager
changes, in addition to the roles of the staff. The role of
decision-making at the patient care level is relinquished to the
primary nurse. The nurse manager functions as a role model,
advocate, coach, and consultant.
A 66-year-old native Chinese patient, hospitalized for a
myocardial infarction, asks the nurse manager about seeing his
"acupuncture doctor" for treatment of his migraine headache.
The best response to this patient would be:
a. "How long have you been using acupuncture treatment?"
b. "Do you think acupuncture relieves your pain satisfactorily?"
c. "What have you told your heart specialist about your
migraines and treatment?"
d. "Have you tried nonprescription pain medication or been
given a prescription drug for your headaches?" Correct Answers
a. "How long have you been using acupuncture treatment?"
,ANS: A Acknowledging the patient's use of acupuncture
demonstrates cultural sensitivity through acknowledgement of
treatments that would be consistent with the patient's cultural
interpretation of illness and responses to it. The other responses
indicate lack of cultural sensitivity and cultural imposition, in
that the nurse diverts the line of inquiry toward interventions
that would be common to the nurse's experience of health care in
Western cultures
A charge nurse on a busy 40-bed medical/surgical unit is
approached by a patient's son, who begins to complain loudly
about the quality of care his mother is receiving. His behaviour
is so disruptive that it is overheard by staff, physicians, and
other visitors. The family member rejects any attempt to
intervene therapeutically to resolve the issue. He leaves the unit
abruptly, and the nurse is left feeling frustrated. Which
behaviour by the charge nurse best illustrates refined leadership
skills in an emotionally intelligent practitioner?
a. Reflection to obtain insight into how the situation could be
handled differently in the future
b. Trying to catch up with the angry family member to resolve
the concern
c. Discussing the concern with the patient after the family
member has left
d. Notifying nursing administration of the situation Correct
Answers a. Reflection to obtain insight into how the situation
could be handled differently in the future
ANS: A Emotional intelligence is closely aligned with
individuals' capacity to know themselves and others. Reflecting
to obtain insight and being able to "step" outside the situation to
,envision the context of what is happening is an example of the
actions of an emotionally intelligent practitioner.
A clinic nurse has observed another nurse deviating from agency
policy in performing wound care. The best approach for the
clinic nurse to take is to:
a. Stay out of it.
b. Inform the nursing supervisor.
c. Fill out a notification form (incident report).
d. Assess the risk to the client and the agency before proceeding.
Correct Answers d. Assess the risk to the client and the agency
before proceeding.
ANS: D In assessing risk, the nurse engages in the initial step of
the problem-solving process, which involves asking, "What
benefits (or risks) will be derived from solving it?" Purposeful
inaction may not be appropriate when the individual cannot
resolve the problem or when there is risk to patients
A conflict develops between an associate nurse and a primary
nurse over the assessment of a patient with pulmonary edema.
On the basis of her assessment of the patient, the associate nurse
insists that it is her role to change the care plan because she is
the one who has made the assessment. As the nurse manager,
you clarify that:
a. It is the role of the primary nurse to make alterations on the
basis of assessment data and input.
b. The associate nurse is accountable and responsible while the
primary nurse is off duty and therefore is able to alter the care
plan.
, c. Neither the primary nurse nor the associate nurse should
make changes without first consulting you as the manager.
d. It really does not matter who alters the nursing care plan
because it depends on situation and time to do so Correct
Answers a. It is the role of the primary nurse to make alterations
on the basis of assessment data and input.
A constructivist perspective of culture recognizes which of the
following influence an individual's understanding of culture?
(Select all that apply.)
a. Social context.
b. Is changeable.
c. Political understanding.
d. Economic status Correct Answers a. Social context.
b. Is changeable.
d. Economic status
ANS: A, B, D Although social context, political understanding,
and economic status influence a constructivist perspective, the
essentialist perspective maintains that culture is unchangeable
and based on the "norm" culture in Canada that is white and
moderately affluent
A decision making model based on a rational and logical
approach to problem solving is termed:
a. Nursing process.
b. Ethical decision making.
c. Creative decision making.
d. Scientific decision making. Correct Answers d. Scientific
decision making.
