NUR 101 - Test 1, Evolution Of Nursing, Legal Concepts And Leadership
60 questions for 60 minutes. Answers and rationale will be given after answering each number. You can repeat it many times through the e-mail you received. You can print it at the end and use it as a reviewer.
- 1.
This ancient group of people where known to have used hollow reeds as catheters and provided detailed instructions for daily nursing care.
- A.
Ancient Egyptians
- B.
Ancient Indians
- C.
Ancient Greeks
- D.
Ancient Hebrews
Correct Answer
A. Ancient EgyptiansExplanation
p 2 of FoundationsRate this question:
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- 2.
Schools that followed the "Nightingale Plan" in the United States. Select all that apply
- A.
Bellevue Hospital School in New York
- B.
Connecticut Training School in New Haven, CT
- C.
Ballard School in Brooklyn, NY
- D.
Boston Training School in Boston, MA
Correct Answer(s)
A. Bellevue Hospital School in New York
B. Connecticut Training School in New Haven, CT
D. Boston Training School in Boston, MAExplanation
p. 4 of Foundations. Only Ballard School is not included. It was the first training school for Practical NursesRate this question:
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- 3.
These two nurses organized the American Society of Superintendents of Training Schools of Nursing in 1894 dedicated to establish educational standards for Nurses and which was patterned after the American Medical Association
- A.
Linda Richards and Clara Barton
- B.
Mary Eliza Mahoney and Lillian D. Wald
- C.
Isabel Hampton Robb and Lavinia Dock
- D.
Phoebe and Fabiola
Correct Answer
C. Isabel Hampton Robb and Lavinia DockExplanation
p. 5 of FoundationsRate this question:
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- 4.
During this time, nursing training focused heavily on "service to the patient" rather than a comprehensive professional education and was far removed from the Nightingale Plan
- A.
World War I
- B.
World War II
- C.
Crimean War
- D.
Civil War
Correct Answer
A. World War IExplanation
p. 6 of FoundationsRate this question:
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- 5.
The Ballard School in Brooklyn New York, under the supervision of the YWCA gave a course that lasted approximately 3 months, and was the first training school for Practical Nurses. Since graduates from this school were also trained in cooking and nutrition, they were also called what?
- A.
Student Nurses
- B.
Attendant Nurses
- C.
Technical Nurses
- D.
Nurse Practitioners
Correct Answer
B. Attendant NursesExplanation
p. 8 of Foundations.Rate this question:
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- 6.
The Association of Practical Nurse Schools founded in 1941 changed its name to National Association of Practical Nurse Education (NAPNE) the following year and then changed to NAPNES (adding Services at the end) in 1945. What did this organization originally do?
- A.
Established the rules for the licensing of practical nurses
- B.
Acted in behalf of nursing schools in lobbying
- C.
Planned the first standard curriculum for practical nursing
- D.
Established the first accrediting service
Correct Answer
C. Planned the first standard curriculum for practical nursingExplanation
p. 9 of Foundations, Organizational InfluenceRate this question:
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- 7.
Founded by Lillian Kuster, it is the official membership organization for licensed practical nurses and licensed vocational nurses.
- A.
NLN
- B.
AHA
- C.
NAPNES
- D.
NFLPN
Correct Answer
D. NFLPNExplanation
National Federation of Licensed Practical Nurses, p. 9 of FoundationsRate this question:
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- 8.
Set standards for practical and vocational nursing, protect and promote the interests of LPN/LVN's, and educate and inform the general public about practical and vocational nursing
- A.
ANA and NLN
- B.
NAPNES and NFLPN
- C.
NASB and AHA
- D.
NCLEX and JCAHO
Correct Answer
B. NAPNES and NFLPNExplanation
p. 9 of FoundationsRate this question:
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- 9.
The difference between an APPROVED PROGRAM and ACCREDITATION:
- A.
Approved program sets the lowest standards while accreditation demands excellence
- B.
Approved programs refer to minimum expectations while accreditation requires higher standards
- C.
An approved program means being accepted while accreditation refers to academic credits
- D.
Approved programs are needed for Federal Funding while Accreditation is not
Correct Answer
B. Approved programs refer to minimum expectations while accreditation requires higher standardsExplanation
Accreditation is also necessary in applying for Federal Funds. Refer to p. 9 of FoundationsRate this question:
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- 10.
Allows nursing programs to plan their curricula collaboratively in order to lessen duplication of learning programs and support a process of progressive buildup.
- A.
Articulation
- B.
Continuing Education
- C.
Curriculum design
- D.
Academic Planning
Correct Answer
A. ArticulationExplanation
p. 10 of FoundationsRate this question:
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- 11.
In 1965, the American Nursing Association formulated a position paper that defined two levels of nursing practice. What were these two levels?
- A.
Nurse Practitioner and Nursing Assistant
- B.
Practical Nurse and Vocational Nurse
- C.
Registered Nurse and Technical Nurse
- D.
Attendant Nurses and Professional Nurses
Correct Answer
C. Registered Nurse and Technical NurseExplanation
p. 11 of Foundations. The term PRACTICAL NURSE was not included in this position paper.Rate this question:
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- 12.
A complete network of agencies, facilities, and providers involved with health care in a specified area.
- A.
Health Management Organizations
- B.
Medicare and Medicaid
- C.
Health care system
- D.
World Health Organization
Correct Answer
C. Health care systemExplanation
Both Health Management Organizations and Medicare and Medicaid belong to a Health Care System. The World Health Organization, in some locations, either directly or indirectly may also be a part of a Health Care SystemRate this question:
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- 13.
Range of a person's total health influenced by the individual's physical condition, mental health and social well-being.
- A.
Homeostasis
- B.
Health spectrum
- C.
Wellness-illness continuum
- D.
Holistic health care
Correct Answer
C. Wellness-illness continuumExplanation
p. 11 of FoundationsRate this question:
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- 14.
A wellness-illness model developed in the 1940's to help us understand patient needs within a conceptual hierarchy.
- A.
Fliedner's School
- B.
Maslow's model
- C.
Ballard Model
- D.
Sociocognitive Development Model
Correct Answer
B. Maslow's modelExplanation
p. 12 of FoundationsRate this question:
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- 15.
Factors affecting the rising cost of health care services. Select all that apply.
- A.
Aging population
- B.
Increase cost of health care insurance
- C.
Shortage of nurses
- D.
Rising cost of medical malpractice insurance
Correct Answer(s)
A. Aging population
B. Increase cost of health care insurance
D. Rising cost of medical malpractice insuranceExplanation
Another factor for rising health care costs is the increased use of technology. Shortage of nurses is not a factor that increases this costRate this question:
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- 16.
The following are Patient responsibilities. Select all that apply
- A.
Administer his own medication
- B.
Take an active role in the planning process
- C.
Ask questions when needed
- D.
Comply with the treatment plan prescribed
Correct Answer(s)
B. Take an active role in the planning process
C. Ask questions when needed
D. Comply with the treatment plan prescribedExplanation
p. 16 of Foundations. The patient does not have the responsibility to administer his own medicationRate this question:
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- 17.
A document that outlines the individual needs of the patient and the approach of the health care team to meet these needs.
- A.
Nursing Notes
- B.
MAR
- C.
Care Plan
- D.
Nursing Process Documentation
Correct Answer
C. Care PlanExplanation
p. 16 of FoundationsRate this question:
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- 18.
Four major concepts that are the basis for all nursing care models
- A.
Doctors, nurses, CNA's, patients
- B.
Health care providers, client, disease, hospitals
- C.
Nursing, patient, health, environment
- D.
Disease, wellness, patient, nursing, doctors
Correct Answer
C. Nursing, patient, health, environmentExplanation
p. 17Rate this question:
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- 19.
Factors that influence the legal relationship between nurses and Patients. Select all that apply
- A.
Existing laws
- B.
Rules
- C.
Cultural Value
- D.
Regulations
Correct Answer(s)
A. Existing laws
B. Rules
D. RegulationsExplanation
p. 22. Cultural values are important in patient-nurse relationship but they do not directly affect legal relationshipRate this question:
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- 20.
Two basic categories of Law:
- A.
Statutory and Common
- B.
Criminal and Civil
- C.
Public and Private
- D.
Federal and State
Correct Answer
B. Criminal and CivilExplanation
p. 23Rate this question:
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- 21.
Admission of facts, interrogatory and deposition are all techniques for which phase of a litigation
- A.
Appeal
- B.
Complaint
- C.
Discovery
- D.
Verdict
Correct Answer
C. DiscoveryExplanation
p. 23Rate this question:
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- 22.
Difference between ACCOUNTABILITY and LIABILITY
- A.
The former is owning an account and the latter is being responsible for that account
- B.
The former and the latter are both legal terms
- C.
The former is personal responsibility, the latter is legal responsibility
- D.
The former is legal responsibility and the latter is personal responsibility
Correct Answer
C. The former is personal responsibility, the latter is legal responsibilityExplanation
P. 24Rate this question:
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- 23.
Within the health care profession, acts whose performance are required, permitted or prohibited are defined by:
- A.
Scope of practice
- B.
Legislation
- C.
Standards of Care
- D.
Licensing Laws
Correct Answer
A. Scope of practiceExplanation
p. 24 - Regulation of PracticeRate this question:
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- 24.
Laws that formally define and limit the scope of nursing practice
- A.
Agency guidelines
- B.
Nurse Practice Act
- C.
Nursing protocols
- D.
Standards of Care
Correct Answer
B. Nurse Practice ActExplanation
p. 25Rate this question:
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- 25.
Interstate Compact
- A.
State partnership Act
- B.
Multistate practice of nursing
- C.
Articulation
- D.
Endorsement
Correct Answer
B. Multistate practice of nursingExplanation
p. 25Rate this question:
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- 26.
Malpractice and Professional Negligence are exactly the same. Anyone who commits malpractice always commits professional negligence and anyone who commits professional negligence, always commits malpractice.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
p. 24 and page 26 - the words "always" and "exactly" the same make this statement falseRate this question:
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- 27.
Duty, breach of duty, harm and proximate cause are all elements of which offense?
- A.
Professional negligence
- B.
Malpractice
- C.
Abandonment of care
- D.
Legal liability
Correct Answer
B. MalpracticeExplanation
p. 26Rate this question:
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- 28.
Organization that developed the "Patient's Bill of Rights"
- A.
AHA
- B.
ANA
- C.
NLN
- D.
NFLPN
Correct Answer
A. AHAExplanation
p. 26 - AHA or American Health Association developed this Bill in 1972Rate this question:
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- 29.
Upon arriving at the hospital, a nurse observes that there are people roaming around the floor, looking at patient files, observing what the nurses are doing and asking a lot of questions. When she approached one of them, she was told that they are checking the hospital's compliance with all applicable laws, rules and regulations so that they could decide whether to approve accreditation or not. Who are these people?
- A.
State politicians
- B.
The Joint Commission (TJC)
- C.
Officers of the National League of Nursing (NLN)
- D.
Wandering patients from the mental health floor
Correct Answer
B. The Joint Commission (TJC)Explanation
p. 26Rate this question:
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- 30.
______________(An acronym composed of 5 letters) and is directly related to protect the confidentiality of all health care information.
Correct Answer
HIPAAExplanation
p. 26 - Health Insurance Portability and Accountability Act of 1996Rate this question:
- 31.
Refers to full disclosure of facts that patient needs in order to make a decision before any invasive treatment or procedure.
- A.
Doctrine of Informed Consent
- B.
Patient Bill of Rights
- C.
Confidentiality Report
- D.
Consumer Rights
Correct Answer
A. Doctrine of Informed ConsentExplanation
p. 27Rate this question:
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- 32.
According to the "Doctrine of Informed Consent" a nurse would need further training when he/she does the following:
- A.
Witness the patient's signature
- B.
Acquire the patient's consent before the procedure
- C.
Explain all the details of the procedure, elements of the disclosure, and benefits of the intervention
- D.
Provide the necessary documentation to the patient
Correct Answer
C. Explain all the details of the procedure, elements of the disclosure, and benefits of the interventionExplanation
p. 27. The health care provider (physician, surgeon or qualified person who will do the intervention) is the only individual responsible to explain all the details of the intervention and all the element of the disclosureRate this question:
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- 33.
Upon entering a patient's room, the patient screamed and said: "Leave me alone. You guys have been bothering me the whole night. I need to sleep. Go away". If the nurse persists in staying and doing whatever she has to do, the nurse can be accused of violating which right?
- A.
Patient abuse
- B.
Battery
- C.
Invasion of Privacy
- D.
Being obnoxious
Correct Answer
C. Invasion of PrivacyExplanation
p. 27 - Invasion of privacy involves a patient's right to be left aloneRate this question:
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- 34.
Entries made in a written medical record should have the following conditions. Select all that apply:
- A.
Complete
- B.
Encoded
- C.
Permanent
- D.
Accurate
Correct Answer(s)
A. Complete
C. Permanent
D. AccurateExplanation
p. 27, entries need to be permanent, accurate, complete and legible. They do not need to be encoded (unless perhaps if they are electronic records)Rate this question:
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- 35.
A health care worker's best defense against a lawsuit
- A.
Liability Insurance
- B.
An Excellent Lawyer
- C.
Compassionate, competent patient care
- D.
A good employer
Correct Answer
C. Compassionate, competent patient careExplanation
p. 29Rate this question:
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- 36.
Two blocks away from the hospital, while waiting for a public bus, a person suddenly fainted. A CNA was right beside this person and started doing CPR. An ambulance arrived later, but the person did not make it alive to the emergency room. During an investigation, it was determined that the CNA cannot be sued. What is the law that protects him?
- A.
His CPR certification card
- B.
It was not his fault
- C.
Good Samaritan Law
- D.
Health Workers Bill of Rights
Correct Answer
C. Good Samaritan LawExplanation
p. 29 Good Samaritan Laws provide immunity in certain circumstances. The goal is to encourage assistance in emergencies occurring outside a medical facility .Rate this question:
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- 37.
Personal beliefs about the worth of an object, an idea, a custom or an attitude
- A.
Culture
- B.
Values
- C.
Tradition
- D.
Ethics
Correct Answer
B. ValuesExplanation
p. 31Rate this question:
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- 38.
When treating a patient from another culture, it is important that we AVOID doing what?
- A.
Understand the patient's background
- B.
Listening to what the patient has to say
- C.
Transfer our own expectations to the patient
- D.
Respect the patient's difference
Correct Answer
C. Transfer our own expectations to the patientExplanation
Transferring our own expectations to the patient is may be considered disrespectful of the patient's individuality and autonomy. We need to avoid this. The other answers should actually be observed and not avoided. p. 31, cultural considerationsRate this question:
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- 39.
"The Nightingale Pledge" and "The Practical Nurse's Pledge" are examples of what?
- A.
Professional Vows
- B.
Historical Documents
- C.
Code of Ethics
- D.
Parts of a journal
Correct Answer
C. Code of EthicsExplanation
p. 32Rate this question:
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- 40.
The Ethical Principle behind the patient's right to refuse medical advice or medical treatment
- A.
Justice
- B.
Autonomy
- C.
Beneficence
- D.
Nonmaleficence
Correct Answer
B. AutonomyExplanation
p. 32. Autonomy refers to freedom of personal choice.Rate this question:
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- 41.
Directing, Coaching, Supporting and Delegating are considered what?
- A.
Four typical styles for leaders
- B.
Four styles of Leadership and Management
- C.
Four styles of a good mentor
- D.
Four qualities of a good manager
Correct Answer
A. Four typical styles for leadersExplanation
p. 1255Rate this question:
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- 42.
A truck loaded with toxic chemicals rolled over Hwy 53 and spilled its contents. People are being rushed to the emergency room. What kind of an emergency nurse would best fit this situation?
- A.
Democratic
- B.
Autocratic
- C.
Laissez faire
- D.
Situational
Correct Answer
B. AutocraticExplanation
p. 1255 Autocratic leaders excel in times of crisis because quick decisions have to be made.Rate this question:
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- 43.
The "Laissez Faire" style of leadership can work well with who?
- A.
The CEO of a large hospital
- B.
The Charge Nurse of the Oncology Unit
- C.
The Nurse Manager of the ICU
- D.
The Clinical Instructor of PCCTI
Correct Answer
A. The CEO of a large hospitalExplanation
p. 1255. In a large hospital, it can be assumed that there are responsible directors of departments who no longer need guidance to perform their work. Hence, a CEO merely functions as an executive who does not have much need for leadership.Rate this question:
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- 44.
Recently, your charge nurse seems to be highly sensitive, irritable and forgetful. She always covers for nurses who call and sick. She complains of being tired and has no appetite for anything. What could she be suffering from?
- A.
Pre-menstrual syndrome
- B.
Anorexa nervosa
- C.
Burnout
- D.
Mental disorder
Correct Answer
C. BurnoutExplanation
p. 1258, Box 41-12Rate this question:
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- 45.
Although it sounds like an oxymoron, it is a strategy against burnout and it means that we need to pay attention to our own personal needs in as much as we pay attention to the needs of others.
- A.
Being nosey
- B.
Altruistic egoism
- C.
Integrity
- D.
Awareness
Correct Answer
B. Altruistic egoismExplanation
p. 1259Rate this question:
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- 46.
Reclaim yourself!
- A.
Hope
- B.
Integrity
- C.
Goals
- D.
Focus
Correct Answer
B. IntegrityExplanation
p. 1259Rate this question:
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- 47.
A CNA was instructed by her supervisor to give a cup of vitamins to a patient. According to the rights of delegation, which of those rights did the supervisor violate?
- A.
Right task
- B.
Right circumstance
- C.
Right person
- D.
Right direction
- E.
Right supervision
Correct Answer
C. Right personExplanation
A CNA is not authorized to administer any form of prescribed medication or supplement to a patient, p. 1260Rate this question:
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- 48.
In a regular health care facility, this event typically takes place at 7:00 am, 3:00 pm and 11:00 pm and its goal is to provide pertinent information about patients.
- A.
Coffee chat
- B.
Breakfast, lunch and dinner
- C.
Change of shift report
- D.
Cigarette smoking breaks
Correct Answer
C. Change of shift reportExplanation
p. 1263Rate this question:
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- 49.
Two kinds of malpractice insurance
- A.
Liability and legal insurance
- B.
POS and PPO
- C.
Claims based and occurrence based
- D.
High deductible and low deductibles
Correct Answer
C. Claims based and occurrence basedExplanation
p. 1264Rate this question:
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- 50.
Main function of the State Board of Nursing
- A.
Ensure safety for the consumer of nursing services
- B.
Collect fees for lobbying purposes
- C.
Represent nurses in government meetings
- D.
Approve schools of nursing
Correct Answer
A. Ensure safety for the consumer of nursing servicesExplanation
p. 1265 on Key PointsRate this question:
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Mar 22, 2023Quiz Edited by
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