TEST BANK For Nursing Leadership, Management, and Professional Practice for the LPNLVN, 7th Edition by Tamara R. Dahlkemper, Verified Chapters 1 - 20, Complete Newest Version.pdf

Test Bank For Nursing Leadership, Management, and
Professional Practice for the LPN/LVN
7th Edition by Tamara R. Dahlkemper Chapters
1 - 20

Nursing Leadership, Management, and Professional Practice for the LPN/LVN 7th Edition
Dahlkemper Test Bank
Table of Content
Unit 1 The Nursing Profession In Today's Health-Care Environment
1 Historical Perspective and Current Trends
Professionalism
The Beginning of Nursing
Dark Ages and Introduction of Christianity
Renaissance Period
Era of Industrialization
Early Health Care in the United States
The Beginning of Modern Nursing
History of the Licensed Practical and Vocational Nurse
Current Trends and Issues
2 Caring as a Personal and Professional Behavior
What Is Caring?
Applying Caring Theory in Your Personal Life
Understanding Nursing Models
Applying Caring Theory in Your Professional Life
Setting Priorities Using Transpersonal Caring
Caring for Family and Significant Others
Caring Includes Everyone
Personal Motivation
3 Understanding the Changing Roles in Nursing
Paradigm Thinking Defined
Critical Thinking Concepts
Theoretical Frameworks for Management
Basic Principle of Patient Advocacy
4 Health-Care Environment
Health-Care Systems
Roles and Tasks of the Licensed Practical Nurse in the Health-Care System
Health-Care Agencies
5 Nursing and Informatics
Looking at the Past
Looking at Today
Nursing Informatics
Looking Forward
Unit 2 From Student to Nurse
6 Fulfill Your Role as a Student

Knowing Yourself and Understanding Nurses' Ways of Knowing
Learning in the Classroom
You as a Student in the Clinical Area
Communication in the Clinical Setting
Successful Study Strategies
Understanding Test Questions
Managing Test Anxiety
Writing Successful Papers
Conclusion
7 The Importance of Critical Thinking
What Is Critical Thinking?
Thorough Thinking
Thorough or Critical Thinking as Applied to Science
Thorough or Critical Thinking as Applied to Nursing
Creative Thinking
Critical Thinking
8 Entry Into-Practice
Nurse Practice Act
Finding the Perfect Job
Mentoring
Other Strategies
9 Employment Process
Employer Expectations
Application Process
Preparing for the Interview
Letter of Resignation
10 Leadership and Management as a Professional Concept
Leadership Versus Management
Historical Overview of Nursing Leadership and Management Roles
Where Is the Licensed Practical Nurse in This Historical Picture?
Leadership Styles
What Type of Leader Are You?
The Successful Nurse Leader
11 Communication Skills in Leadership and Management
Styles of Communication
Failed Communication
Communication in the Clinical Setting
Types of Communication
Other Forms of Communication

12 Understanding the Benefits of Change
What Is Change?
Effective Decision Making During the Change Process
Kurt Lewin's Change Theory
Role of the Licensed Practical Nurse as Change Agent
Transitions
Final Thoughts
13 Setting Meaningful Priorities
Setting Personal Priorities
Setting Priorities
Need for Priority Setting
It Starts With the Ability to Make Good Decisions
14 Handling Conflict in the Nursing Profession
Types of Conflict
Resolving Conflict
Conflict Resolution
15 Dealing With Chaos
Understanding the Changes
Understanding Newtonian Physics or the Scientific Age
Understanding Quantum Physics or the New Science
Chaos Theory
Are You Ready?
16 Ethics and Law in Nursing Management
Personal Values
Understanding Ethics
Legal Issues
Nurse Practice Act
Understanding the Law
Legal Issues Specific to Nursing
Safeguards
17 Understanding Use of Power
What Is Power?
Types of Power
Positive and Negative Uses of Power
Empowerment
Powerlessness
18 Motivating Employees
Maslow's Hierarchy of Needs Revisited
Oppressed Group Behavior

Theories of Motivation
Creating a Motivating Environment
19 Team Building
Understanding Characteristics of a Team
Stages of Team Development
Group Norms
Understanding the Value of Team Concepts
20 Delegating, Coaching, and Evaluating Performance
Leader, Manager, or Both
Delegation and Making Assignments
Sharing Information With Staff Members
Coaching
Evaluating Performance
Hiring and Managing a Diverse Workforce

COMPLETE TEST BANK FOR NURSING LEADERSHIP MANAGEMENT & PROFESSIONAL PRACTICE FOR LPN
LVN 7TH EDITION DAHLKEMPER
Dahlkemper
Nursing Leadership7e
Test Bank Chapter 1
Chapter 1: Historical Perspective and Current Trends
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nursing student predominantly uses knowledge about the history of nursing for which purpose?
1. To understand the professional choices open to the student
2. To prevent making medication errors in practice
3. To determine in which geographical area it is best to practice
4. To reduce the cost of delivering quality health care
ANSWER: 1
Page: 2
Feedback
1 Understanding nursing history helps the nurse to better recognize the
many choices available when choosing his or her own future path.
2 Understanding nursing history does not prevent medication errors in practice.
3 Understanding nursing history does not determine which geographical
area is the best place in which to practice.
4 Understanding nursing history does not reduce the cost of delivering
quality health care.
.
2. The nurse is working in an underdeveloped country and observes the natives lighting ritual fires
and pounding on primitive drums around the sick person to promote recovery. The nurse
interprets this behavior as indicating the natives believe illness results from which items?
1. Pathogens and genetics
2. Evil spirits
3. Tides and planets
4. Plants and animals
ANSWER: 2
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Feedback
1 The belief that disease was caused by pathogens and genetics would not result
in lighting fires or candles and making loud noises to ward off spirits.
2 A belief that disease was caused by evil spirits would result in lighting fires
or candles and making loud noises to try to ward off the spirits.
3 The belief that disease was caused by tides and planets would not result
in lighting fires or candles and making loud noises to ward off spirits.
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3. Who is credited with making a written record of health-care practices and removing the
mythical aspect of health care?
1. Hammurabi
2. Florence Nightingale
3. Hippocrates
4. Apollo
ANSWER: 3
Page: 3
Feedback
1 Hammurabi wrote a code of laws to protect the patient and define legal
limitations of caregivers, Florence Nightingale introduced modern nursing
during the Crimean War, and Apollo was a mythical god who was believed
to control health and wellness.
limitations of caregivers, F
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troduced modern
nursing during the Crimean War, and Apollo was a mythical god who was
believed to control health and wellness.
3 Hippocrates wrote the first medical textbook, outlining current health-
care practices, and removed the mythical belief that Apollo was
responsible for health.
limitations of caregivers, Florence Nightingale introduced modern nursing
during the Crimean War, and Apollo was a mythical god who was believed
to control health and wellness.
4. Who served as the first public health nurses, caring for the sick and the poor?
1. The Presbyterian Church
2. Salerno
3. Jewish scholars
4. Convent deaconesses
ANSWER: 4
Page: 3
2
4 The belief that disease was caused by plants and animals would not result in
lighting fires or candles and making loud noises to ward off spirits.
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Feedback
1 The Presbyterian Church did not serve as the first public health nurses
who cared for the sick and poor.
2 The Salerno did not serve as the first public health nurses who cared for the
sick and poor.
3 The Jewish scholars did not serve as the first public health nurses who cared
for the sick and poor.
4 Deaconesses from local convents acted as the first public health nurses,
providing care for the sick and the poor based on the Christian belief in
the importance of caring for one another.
5. Which is a crucial issue the nurse working in the late industrialization era would need to
address to promote health?
1. Reducing spread of infection
2. Reducing sedentary lifestyle
3. Teaching proper use of medications
4. Teaching use of car seats
ANSWE .
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Feedback
1 Many deaths resulted from communicable diseases and lack of cleanliness
in hospitals, so the nurse’s priority concern with health promotion would
be reducing the spread of infection.
2 Reducing sedentary lifestyle promotes health; however, this was not a
crucial issue in the late industrialization era.
3 Teaching the proper use of medications promotes health; however, this was
not a crucial issue in the late industrialization era.
4 Reducing the use of car seats promotes health; however, this was not a
crucial issue in the late industrialization era.
6. The nurse demonstrates Florence Nightingale’s theory of nursing with which intervention?
1. Respecting the patient’s culture and incorporating cultural needs in the plan of
care
2. Promoting good health and treating those who are ill in a holistic manner
3. Understanding how to motivate people to practice a healthy lifestyle and
reduce risks
4. Teaching other nurses how to deliver the highest quality of nursing care
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ANSWER: 2
Page: 5-6
Feedback
1 This is not a primary belief regarding the responsibility of nurses according
to Nightingale.
2 Nightingale believed the nurse’s primary responsibilities included
promoting health and treating the ill.
to Nightingale.
to Nightingale.
7. Which action performed by the nurse directly resulted from the contribution made by
Linda Richards?
1. Using an antiseptic before administering an injection
2. Exploring the psychosocial needs of the patient
3. Documenting patient care in the medical record
4. Listening to a patient describ
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1 This nursing action is not a reflection of Linda Richards.
3 Linda Richards developed a system for recording details about patients
and patient care. This system evolved into today’s documentation
system.
8. The nurse responds to an alarm on a pulse oximeter and sees that the patient’s oxygen saturation
is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per
minute, pink mucous membranes, and easy regular respirations. The nurse concludes that the
pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?
1. Annie Goodrich
2. Lillian D. Wald
4. Linda Richards
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ANSWER: 3
Page: 5
Feedback
1 The nurse is not demonstrating Goodrich’s theory of nursing.
2 The nurse is not demonstrating Wald’s theory of nursing.
3 Florence Nightingale promoted treating the patient based on the patient’s
individual needs rather than treating the disease or, in this case, the
machinery.
4 The nurse is not demonstrating Richards’s theory of nursing.
9. Which professional organization was the first to focus on licensed practical nurses (LPNs)?
1. National Association for Practical Nurse Education and Services (NAPNES)
2. National Federation of Licensed Practical Nurses (NFLPN)
3. National League for Nursing (NLN)
4. American Nurses Association (ANA)
ANSWER: 1
Page: 8
Feedback .
1 NAPNES was the first professional organization to focus on LPNs.
NAPNES is very active today, with continuing education opportunities and
publications for LPNs.
2 Although NFLPN focuses on LPNs, they were not the first to do so.
3 NLN and ANA focus on both RNs and LPNs.
4 NLN and ANA focus on both RNs and LPNs.
10. Which statement accurately describes the NFLPN?
1. It represents both registered nurses (RNs) and LPNs.
2. It represents LPNs/LVNs only.
3. It is open to anyone interested in nursing.
4. It is open to anyone in the health-care field.
ANSWER: 2
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1 This is not an accurate statement regarding NFLPN.
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2 The NFLPN is considered the official membership organization for the
licensed practical nurse/licensed vocational nurse (LPN/LVN); therefore,
only the LPN/LVN may join this organization.
11. The nurse working in mental health nursing honors which historical nurse for working to
improve care of the mentally ill?
1. Clara Barton
3. Dorothea Dix
4. Lillian D. Wald
ANSWER: 3
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1 The nurse who works in mental health does not honor the beliefs of
Clara Barton.
2
The nurse who works in mN
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onor the beliefs of
Florence Nightingale.
3 Dorothea Dix championed the development of psychiatric hospitals, and
her work also brought about improvement for prisoners in jails.
4 The nurse who works in mental health does not honor the beliefs of Lillian
D. Wald.
12. What is the difference between the LPN and LVN nursing title?
1. LPNs have a longer educational program than LVNs.
2. LVNs and LPNs have the same duties and skills, just different titles.
3. LVNs are able to perform venipuncture and LPNs cannot.
4. LPNs are working toward an RN license whereas LVNs are not.
ANSWER: 2
Page: 2
Feedback
1 This is not an accurate statement regarding the difference between the LPN
and LVN nursing title.
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2 Both LPNs and licensed vocational nurses (LVNs) are legally recognized and
practice in diverse health-care settings today. LVN education predominantly
takes place in California and Texas, whereas LPN education is common in
other geographical areas of the country.
13. What factor has had the greatest impact on the current nursing shortage?
1. Later age of women having children
2. Fewer women being born
3. Overall unemployment rate
4. More employment options for women
ANSWER: 4
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1 Age of pregnancy does not have the greatest impact on the current
nursing shortage.
2
A decrease in the number o
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t have the greatest
impact on the nursing shortage.
3 The overall unemployment rate does not have the greatest impact on the
current nursing shortage.
4 One reality of the nursing shortage is the shortage of nursing faculty,
which limits the enrollment of students.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
14. What factors are contributing to the nursing shortage? (Select all that apply.)
1. Increased demand for nurses
2. Shortage of nursing faculty
3. Lack of nursing organizations
4. Nurses leaving the profession due to poor working conditions
5. Not enough interest in nursing
ANSWER: 1, 2, 4
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1. Aging baby boomers, people living longer, and the increasing complexity of
health care have all increased the demand for nurses. Insufficient nursing faculty
results in turning potential nursing students away from nursing programs
because there aren’t enough educated faculty to teach them. Mandatory
overtime, working holidays and weekends, long hours without breaks, and other
working conditions can cause nurses to leave the profession.
because there are not enough educated faculty to teach them. Mandatory
3. There is no lack of nursing organizations and this does not contribute to the
nursing shortage, and there is no lack of interest in nursing but not everyone is
designed to be a nurse.
because there are not enough educated faculty to teach them. Mandatory
5. There is no lack of nursing organizations and this does not contribute to the
nursing shortage, and there is no lack of interest in nursing but not everyone is
designed to be
a nurse. .
15. In order to deliver the safest possible care, the nurse needs to understand what? (Select all
that apply.)
1. How to perform the procedure correctly
2. Why the procedure is being performed
3. How the procedure will affect the patient
4. The cost of performing the procedure
5. The equipment needed to perform the procedure
ANSWER: 1, 2, 3, 5
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1. Understanding how to perform the procedure correctly is important if the nurse is
to maintain safety. The nurse should never perform any procedure without
understanding why it is being performed and what outcome is desired. The nurse
is responsible for teaching the patient what to expect before the procedure is
begun, so the nurse must understand how the procedure will affect the patient.
The nurse will gather the equipment required to perform the procedure; therefore,
the nurse needs to know what will and what might be needed.
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4. The nurse is not responsible for knowing the cost of the procedure.
understanding why it is being performed and what outcome is desired. The nurse is
responsible for teaching the patient what to expect before the procedure is begun,
so the nurse must understand how the procedure will affect the patient. The nurse
will gather the equipment required to perform the procedure; therefore, the nurse
needs to know what will and what might be needed.
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Chapter 2: Caring as a Personal and Professional Behavior
Multiple Choice
1. The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is
bad for his health. The nurse demonstrates caring with what response?
1. “If you would rather die young than quit smoking, that is your choice to make.”
2. “Let’s look at ways you could reduce the harm from smoking as much as possible.”
3. “I am going to enroll you in a smoking cessation program and maybe you’ll change
your mind.”
4. “Continuing to smoke is your choice but that leaves me no way to help you stay
healthy.”
2. The hospital nurse caring for a terminally ill patient who wishes she could see her dog one more
time demonstrates holistic care with what action?
1. Explaining the infection risk associated with animals
2. Arranging for the patient to be discharged to see the dog
3. Explaining the hospital rules against animals
4. Arranging a reunion with the dog in front of the hospital
3. The nurse demonstrates transpersonal caring for patients when maintaining what attitude?
1. Nonjudgmental
2. Detached
3. Loving
4. Friendly
4. The nurse is teaching the newly diagnosed diabetic patient how to provide self-care,
and demonstrates a caring paradigm with what statement?
1. “I want you to check your blood sugar level at 8 a.m., 12 noon, 4 p.m., and 9 p.m.”
2. “Check your blood sugar 4 times a day—before each meal and at bedtime.”
3. “Blood sugar levels are most accurate if taken before meals. Let’s figure out
the best times for you.”
4. “Ask your doctor to tell you when to check blood sugar levels each day.”
5. The medical model of nursing is demonstrated when the nurse does what?
1. Takes time to learn more about the patient
2. Sits with a dying patient and holds her hand
3. Administers medications
4. Uses touch as an indication of concern and caring
6. The nursing model of care is demonstrated with what nursing intervention?
1. Administering medications
2. Changing a sterile dressing skillfully
3. Inserting an indwelling catheter using aseptic technique
4. Consoling a fearful mother whose child is in surgery
7. What action would be interpreted as the nurse demonstrating a coparticipative manner?

1. The nurse tells the patient exactly what to do.
2. The nurse works as part of a team with coworkers.
3. The nurse asks the patient to choose activities.
4. The nurse works together with the patient to choose activities.
8. The student nurse demonstrates transpersonal caring in the classroom with what action?
1. Correcting a comment made by another student in front of the class
2. Earning A’s in every class test and assignment
3. Leading most discussions and offering opinions on each question asked
4. Encouraging shy class members to share their thoughts and ideas
9. What is the term used by Florence Nightingale that is similar to Watson’s transpersonal caring?
1. Patient-centered care
2. Holistic nursing care
3. Spiritual care
4. Transcultural care
10. The nurse demonstrates the concept of caritas with what intervention?
1. Holding the patient’s hand while undergoing a painful procedure
2. Requesting an order for a low pressure bed to prevent decubitus ulcers
3. Using sterile technique when changing IV tubing
4. Ordering a low-sodium diet for the patient with heart failure
11. The nurse observes another nurse performing a procedure incorrectly. How would the nurse
apply Dr. Watson’s theory to this situation?
1. Avoid asking the errant nurse to perform this procedure again.
2. Talk with the nurse privately and review the procedure together.
3. Tell the nursing supervisor that the nurse needs a review class.
4. Speak with other nurses on the floor and devise a plan to help this nurse.
12. A nursing assistant asks the nurse, “I keep hearing talk of transpersonal nursing care. What does
that
mean?” What is the best response to explain the concept?
1. Transpersonal nursing care is care that treats everyone the same.
2. Transpersonal nursing care is care that is based on self-respect.
3. Transpersonal nursing care is based on the belief that people can’t live in a vacuum.
4. Transpersonal nursing care is care based on the belief that everyone is unique
and deserves respect.
13. The nurse is caring for a patient who just received a terminal diagnosis and is tearful and
frightened.
What is the best action to demonstrate caring?
1. Call the nurse’s spiritual leader to talk to the patient.
2. Call the family and ask them to come sit with the patient.
3. Cry with the patient while sympathizing with her situation.
4. Sit with the patient and listen to his or her fears.
14. How does the nurse best demonstrate the spiritual aspect of caring for the patient?
1. Explain the nurse’s spiritual beliefs to the patient.
2. Ask the patient to explain all the intricacies of his or her beliefs.
3. Ask what the patient requires to meet spiritual needs.

4. Talk with the family to learn the patient’s spiritual needs.
15. The nurse overhears a physician yelling at a newly hired graduate nurse in the hall. What is the
nurse’s best caring response?
1. Yell at the physician for yelling at a new graduate, and report the incident to
the supervisor.
2. Wait until the situation ends and comfort the graduate privately.
3. Suggest that the physician take a quieter and more private approach to the problem.
4. Ignore the situation to avoid embarrassing the graduate further.
16. The student nurse enters the cafeteria and joins others who are making fun of the nursing
instructor for being so particular in the skills lab. What is the most caring response the
student can make?
1. Tell the other students that they are being mean and then leave the table.
2. Shame the students for being so uncaring and cruel.
3. Ask the other students why they think the instructor is so picky.
4. Laugh and tell a story of a personal reprimand received from the instructor.
17. The student nurse demonstrates care for classmates with what behavior?
1. Preparing for class discussion by reading the assigned chapter
2. Calling the instructor to explain the reason for arriving late
3. Ducking behind a book to hide eye rolling
4. Arriving for class on time and prepared for class
18. The new graduate nurse is sharing a journal article about caring with peers when a more
experienced nurse says, “You’d be a lot better off studying pathophysiology instead of wasting
time on caring.” How does the graduate interpret the experienced nurse’s comment?
1. The experienced nurse is just mean and doesn’t like new graduates.
2. The experienced nurse is most likely overworked and cranky.
3. The experienced nurse was educated in the medical model.
4. The experienced nurse is uncaring and dislikes new graduates.
19. What is the reason for things the nurse does, whether at work or off duty?
1. Personal motivation
2. Facility policies
3. Fear of reprisals
4. Parental expectations
20. The nurse is caring for a patient transferred from the local prison who was arrested and
convicted of child sexual abuse. The nurse feels disgust for the patient’s behavior but can avoid
being judgmental by understanding what?
1. Motivation
2. State laws
3. The patient’s social history
4. Code of ethics
21. How does the nurse describe motivation?
1. As a stagnant, unchanging force
2. As a fluid, dynamic process that changes over time
3. As a process that requires great force to change

4. As a process that differs every day
22. The nurse accepts a new job and will move from a long-term care facility to a job in an acute
care facility. The nurse will need to do what?
1. Adapt motivational approaches
2. Work more hours per week
3. Obtain further formal education
4. Reduce the time spent caring for patients
Multiple Response
23. What actions performed by the nurse reflect a nursing model of patient care? (Select all that
apply.)
1. Administer medications as ordered.
2. Call the patient by title and last name, such as Mr. or Mrs.
3. Arrange for a translator for the patient who doesn’t speak English.
4. Offer an opinion of the patient’s choice of plan of care.
5. Spend time with the patient who received bad news.
24. What features are components of Jean Watson’s caring theory of nursing? (Select all that apply.)
1. Caritas
2. Transpersonal caring
3. High-touch
4. Intentionality
5. Hierarchy of needs
25. The nurse uses what terms to describe Dr. Watson’s concept of caritas? (Select all that apply.)
1. Transpersonal caring
2. High-touch care
3. Curative care
4. Medical model
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Chapter 2: Caring as a Personal and Professional Behavior Answer
Section
MULTIPLE CHOICE
1. ANSWER: 2
Caring means responding to others as unique individuals, sensing their emotions, and accepting
them as they are, unconditionally. This response accepts the patient’s choice without
condemning or frightening him.
PTS: 1 REF: Chapter: 2 OBJ: Objective: 6
KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Health Promotion and
Maintenance
| Cognitive Level: Analyzing
2. ANSWER: 4
Finding a way for the patient to see the dog, even if she can only look out a window, shows
caring by understanding this patient’s needs.
KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Psychosocial Integrity |
Cognitive Level: Applying
3. ANSWER: 1
The definition of transpersonal caring includes accepting individuals for who they are, so a
nonjudgmental attitude is essential.
KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care
Environment | Cognitive Level: Understanding
4. ANSWER: 3
This statement includes the patient in planning care, demonstrating caring for the patient’s needs
and preferences.
Environment | Cognitive Level: Analyzing
5. ANSWER: 3
Curative nursing care is high-tech, or nursing care that is based on the medical model of care,
which often is based on the use of technology.
Environment | Cognitive Level: Applying
6. ANSWER: 4
Consoling a family member is a high-touch demonstration of the nursing model of care.
7. ANSWER: 4

A coparticipative manner is demonstrated when the nurse works with the patient and family to
achieve the best outcome.
8. ANSWER: 4
Encouraging the shy student shows appreciation for that student’s value and what he or she can
add to class discussions, and it demonstrates transpersonal caring.
9. ANSWER: 2
Nightingale talked about holistic care, providing care for the physical, spiritual, and
psychological needs of patients, and seeing them not as a diagnosis but as unique individuals.
Environment | Cognitive Level: Remembering
10. ANSWER: 1
Caritas measures, such as holding the patient’s hands during a painful procedure, are high-touch.
KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Health Promotion and
Maintenance
| Cognitive Level: Applying
11. ANSWER: 2
Talking to the nurse privately will prevent embarrassment, and reviewing the procedure together
will offer the opportunity to improve patient care for both nurses.
12. ANSWER: 4
Transpersonal nursing care is care that recognizes the value and unique qualities of each
individual and treats everyone with respect.
13. ANSWER: 4
Sitting with the patient and allowing him or her to talk about fears and concerns demonstrates
caring and provides the nurse with needed information about how to best support the patient.
14. ANSWER: 3
Asking the patient what the nurse can do to support spiritual beliefs shows caring.

15. ANSWER: 3
Quietly talking to the physician to deescalate the situation immediately is the most caring way to
handle it.
KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment
16. ANSWER: 3
Guiding the conversation toward thinking about why the instructor is so particular and how
patient care improves as a result is a productive response to the situation.
17. ANSWER: 4
Arriving to class prepared and on time shows caring for other students, because the student will
be able to participate fully and will not disrupt the class.
18. ANSWER: 3
Nurses with many years of experience were most likely educated in the medical model, in which
less emphasis was placed on the nursing model.
19. ANSWER: 1
All actions are based on personal motivation, whether performed at work or off duty, because the
nurse, and every individual, chooses how to respond to a given situation.
20. ANSWER: 1
Understanding the patient’s motivation may help the nurse be less judgmental.
KEY: Content Area: Caring | Integrated Processes: Caring | Client Need: Safe, Effective Care Environment
21. ANSWER: 2
Motivation is a dynamic process that changes over time because of experiences and the influence
of others.

Cognitive Level: Understanding
22. ANSWER: 1
The nurse will need to adapt motivational approaches to suit the new job, the change in acuity,
and the many changes that will come with working in a new facility.
MULTIPLE RESPONSE
23. ANSWER:
Showing respect by the manner in which the nurse addresses the patient, arranging for a
translator to show caring about and consideration of the patient’s unique individuality, and
spending time with the anxious or upset patient all demonstrate the nursing model of care.
24. ANSWER: 1, 2, 3, 4
Caritas measures are high-touch or nursing models of patient care and are part of Jean Watson’s
caring theory of nursing. Transpersonal caring and high-touch are important terms discussed by
Dr. Watson; the latter also includes terminology such as caritas and the nursing model of care.
Intentionality is a term used by Dr. Watson to indicate the need for nurses to enter every
interaction with the intention of giving good care in a personalized, patient-focused manner.
25. ANSWER: 1, 2, 5
Caritas measures are described as transpersonal caring and high-touch care. The nursing model of
care can be called caritas or caring measures.

Chapter 3: Understanding the Changing Roles in Nursing
Multiple Choice
1. The nurse is teaching a group about paradigm thinking and defines it as what?
1. One’s mathematical knowledge and ability to solve math problems
2. The ability to see 20 feet away without wearing glasses
3. An individual’s perception or frame of reference about the world
4. Anurse’s ability to solve patient-care problems
2. Most nursing paradigms are based on what?
1. The nurse’s ability to perform procedures with skill
2. Dr. Jean Watson’s transpersonal caring theory
3. Maslow’s theory of hierarchy of needs
4. Learning by studying nursing theories and clinical experiences
3. The increasing use of licensed practical nurses (LPNs) in management positions, especially in
long- term care facilities, is an example of what?
1. Assertive management
2. Ashifting paradigm
3. Critical thinking
4. Smarter LPN graduates
4. Why is critical thinking necessary for the nurse to identify and understand paradigms that
exist in nursing practice?
1. Critical thinking allows the nurse to make superficial decisions.
2. Critical thinking allows the nurse to thoroughly examine situations and issues.
3. Critical thinking provides the nurse with quick answers.
4. Critical thinking allows the nurse to accept information without needing to
check its validity.
5. The nurse values respect for the individual, more than anything else, as defining high-quality
patient care. What does this describe about the nurse?
1. Critical thinking
2. Caritas
3. Paradigm
4. Hierarchy of needs
6. The nurse reads a peer-reviewed nursing journal article that recommends changing the
procedure for caring for a patient with an indwelling urinary catheter. The nurse displays
critical thinking with what action?
1. Changing how the nurse provides care for a patient with an indwelling
catheter according to the article
2. Taking the journal article to the nurse manager and suggesting the
procedure be rewritten
3. Searching for other peer-reviewed articles that support this author’s
recommendation

4. Ignoring the article and following the procedure as written at the facility where
the nurse works
7. The nurse applies Maslow’s hierarchy of needs to what aspect of care?
1. Judging the patient’s behavior
2. Improving the skillfulness of care
3. Understanding the patient’s behavior
4. Improving communication skills
8. The nurse is caring for a patient who has just received a cancer diagnosis. The patient is crying.
The nurse recognizes this patient is operating on what level of Maslow’s hierarchy of needs?
1. Self-esteem
2. Love and belonging
3. Safety
4. Self-actualization
9. The caring LPN manager avoids what approach when dealing with staff?
1. Delegating
2. Understanding
3. Judging
4. Evaluating
10. The student nurse experiences a paradigm shift as a result of increasing knowledge and finds
the result of the shift is what?
1. Life changing
2. Temporary
3. Short-lived
4. Overwhelming
11. The nurse is caring for an adolescent who will be hospitalized for several weeks while in traction.
The patient frequently has a room full of friends and they can be heard laughing. The nurse
recognizes this patient is meeting which of Maslow’s hierarchy of needs?
1. Self-esteem
3. Safety
12. The nurse is providing pre-operative teaching to the anxious patient, who doesn’t seem to
be learning. What need must the nurse help this patient meet before continuing to
teach?
1. Self-esteem
3. Safety
13. The nurse manager learns that one of the staff nurses on the unit has a substance addiction and
is arriving at work under the influence of the substance. Using Watson’s theory, how should
the nurse manager deal with this staff member?
1. Send the nurse home with instructions not to return until clear of the substance.
2. Call the police and have the nurse arrested for working while impaired.

3. Confront the nurse privately, order drug testing, and suggest a substance-
abuse program.
4. Notify the board of nursing and fire the nurse immediately.
14. The nurse receives a shift report from the nurse going off shift and asks about a patient’s
state of mind and emotional needs, which demonstrates what aspect of Dr. Watson’s
theory?
1. Intentionality
2. Curiosity
3. Caritas
4. Holism
15. While working in a long-term care facility, the nurse notices that older residents take pleasure
in telling stories about their earlier lives and reliving special events. The nurse recognizes
this helps residents meet what level of Maslow’s Hierarchy of needs?
1. Self-esteem
3. Safety
16. The nurse makes the decision to return to school to obtain a bachelor of science degree in nursing.
What theme of critical thinking is the nurse displaying?
1. Critical thinking is a productive and positive activity.
2. Critical thinking is a process, not an outcome.
3. Manifestations of critical thinking vary, depending on the context in which
they occur.
4. Critical thinking is triggered by both positive and negative events.
17. The nursing assistant asks the nurse to explain the meaning of advocacy. The nurse explains
the fundamental principle of patient advocacy is what?
1. Independence
2. Caring
3. Competence
4. Protection
18. The nurse listens as the physician asks the patient to participate in a research study and realizes
the physician is not adequately explaining the risks of the study. As they leave the patient’s
room, the nurse encourages the physician to go back and explain the risks more thoroughly.
What role is this nurse playing in patient care?
1. Teacher
2. Caregiver
3. Advocate
4. Communicator
19. The nurse is caring for a patient with HIV who is known to have infected others due to unsafe
sexual practices. What is the nurse’s priority action to advocate for this client and others with
whom he may have a relationship?
1. Teach the patient of the increased risk to his own health from sexually
transmitted diseases.

2. Inform the patient that he can be sued or arrested for endangering the
health of others.
3. Explore the patient’s knowledge of safer sexual practices and help him
find methods that work for him.
4. Report his behavior to the public health department for follow-up as needed.
20. The charge nurse is preparing assignments when one of the staff nurses requests not to be
assigned a specific patient, using a derogatory name to refer to the patient’s ethnicity. What is
the charge nurse’s best response?
1. Encourage the nurse to embrace diversity and reject prejudice.
2. Report the nurse to human resources for demonstrating prejudicial behavior.
3. Assign the patient to a different nurse and make a note not to ever assign
this patient to this nurse.
4. Schedule a staff meeting to talk to the entire staff about avoiding prejudice.
21. The nurse is caring for a diabetic patient whose religious beliefs require fasting from sun up to
sun down on holy days. How can the nurse best advocate for this patient?
1. Teach the patient the importance of eating throughout the day to
avoid hypoglycemia.
2. Choose the nursing diagnosis of noncompliance if the patient
becomes hypoglycemic due to fasting.
3. Invite the spiritual leader of his faith to talk with him about exceptions to the
need to fast.
4. Meet the patient’s caloric needs before sunrise and after sunset and monitor
blood sugar closely.
22. The nurse arrives to work impaired and under the influence of alcohol. What patient right has
this nurse infringed on?
1. Research-related rights
2. Right to refuse treatment or medication
3. Right to be fully informed about procedures
4. The right to safe care
Multiple Response
23. Which patient rights is the nurse likely to be called to advocate for? (Select all that apply.)
1. Research-related rights
2. Right to refuse treatment or medication
3. Right to be fully informed about procedures
4. The right to safe care
5. The right to the treating physician of choice
24. The nurse identifies critical thinking through which themes? (Select all that apply.)
1. Critical thinking is a productive and positive activity.
2. Critical thinking is a process, not an outcome.
3. Manifestations of critical thinking vary depending on the context in which they

occur.
4. Critical thinking is triggered by both positive and negative events.
5. Critical thinking requires supreme intellect to be effective.
25. The successful nurse manager applies Anderson’s rules for successfully working with people,
which include what two statements? (Select all that apply.)
1. It is better to understand people than to judge them.
2. There is a reason for every behavior.
3. Follow the Golden Rule when working with people.
4. The nurse manager must have control of all situations.
5. Set expectations high and people will rise to meet them.

Chapter 3: Understanding the Changing Roles in Nursing Answer
Section
MULTIPLE CHOICE
1. ANSWER: 3
Paradigm refers to a model, theory, assumption, or a frame of reference. Generally, it means the
way a person “sees” the world; this does not refer to a person’s visual sight, but a person’s
mental perception.
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Safe, Effective Care
2. ANSWER: 4
Most nursing paradigms, or ways of seeing nursing practice, are based on learning through
theories or clinical experiences. Culture is another paradigm that impacts nursing.
3. ANSWER: 2
The use of LPNs in more management positions is a paradigm shift. A shifting paradigm is a
break with older ways of thinking. This shift changes the world of those who experience it, and
it is the source of attitudes and behaviors.
4. ANSWER: 2
The LPN must have the tools to identify paradigm strategies. One tool is critical thinking,
which allows the nurse to identify existing paradigms and to devise strategies needed to shift
paradigms. Critical thinking also allows the nurse to be open to alternative ways of thinking
and to be wary of “quick-fix” solutions.
5. ANSWER: 3
Respect is the nurse’s perspective of how care should be delivered, so this describes the nurse’s
paradigm.
6. ANSWER: 3
The critically thinking nurse seeks further support for the author’s conclusions to determine if
further research is available.

7. ANSWER: 3
Maslow’s hierarchy of needs allows the nurse to understand the patient’s behavior by recognizing
the level of need from which the patient is operating.
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Health Promotion and
Maintenance | Cognitive Level: Understanding
8. ANSWER: 3
Cancer diagnoses often result in fear of death, even when the patient is told the disease is curable,
so this patient is operating at the level of safety as he or she copes with the fear of death.
KEY: Content Area: Nursing Role | Integrated Processes: Caring | Client Need: Psychosocial Integrity |
9. ANSWER: 3
Judging others is a negative approach and should be avoided at all times.
10. ANSWER: 1
Whether the shift is positive or negative, life altering, or as simple as when to make your bed, a
paradigm shift changes the world of the person experiencing it.
11. ANSWER: 2
The adolescent is seeking a sense of belonging from peers, which is of particular importance
during this age group.
Cognitive Level: Analyzing
12. ANSWER: 3
The patient’s safety feels threatened by the impending surgery, and the nurse needs to listen to
this patient’s concerns and provide support to lower anxiety before continuing with
preoperative teaching.
Cognitive Level: Analyzing
13. ANSWER: 3
Talking with the nurse privately, confirming drug use, and helping the nurse to recover all show
true caring.

14. ANSWER: 1
Intentionality is the concept that the nurse enters every patient encounter with the intention of
acting with care. Learning more about the patient’s emotional needs demonstrates
intentionality in planning care.
Maintenance | Cognitive Level: Analyzing
15. ANSWER: 4
Individuals look back over their lives and achieve self-actualization by recognizing their
accomplishments and finding that they lived a full life.
16. ANSWER: 2
This theme is demonstrated by the belief that continuous learning contributes to the ongoing
process of critical thinking.
17. ANSWER: 4
To advocate for is to protect. When the nurse advocates for the patient, the nurse protects the
patient from infringement on his or her rights as a patient and as a human being.
18. ANSWER: 3
The nurse is protecting the patient’s rights by asking the physician to be more forthcoming, so
the nurse is acting in the role of advocate.
Maintenance | Cognitive Level: Analyzing
19. ANSWER: 3
Exploring what the patient knows is the first priority, because the nurse cannot understand the
patient’s behavior without understanding why the patient acts as he does.
Maintenance | Cognitive Level: Applying
20. ANSWER: 1
While the nurse’s request may need to be granted to protect the patient from poor care, the nurse
should be encouraged to embrace diversity and reject prejudice.

21. ANSWER: 4
Respecting a patient’s religious needs demonstrates caring. Work with the patient and the
physician to develop a diet that allows the patient to fast while adjusting when and what the
patient eats and medications are taken.
Maintenance | Cognitive Level: Applying
22. ANSWER: 4
The impaired nurse cannot deliver safe patient care and is infringing on the patient’s right to safe
care.
MULTIPLE RESPONSE
23. ANSWER: 1, 2, 3, 4
No one can perform research, even of an innocent nature such as an interview, without the
research process being scrutinized by a committee (the IRB) and the patient being fully
informed of the research being done. The nurse is often the one who learns that the patient
consented to participation due to fear of retribution if he or she declines, and the nurse must
advocate for that patient. Whatever the ailment or disease, every patient has the right to refuse
treatments, including medications, surgery, or other things as simple as a bath or the
measurement of blood pressure. While it is the physician’s responsibility to explain the
procedure, it is the nurse’s responsibility when asked to obtain the patient’s signature to ensure
that the patient fully understands what the physician told the patient. Every patient has the
right to safe care. Although the patient’s right to safe care seems a simple concept, it can
become complicated by things such as an impaired nurse or short staffing.
24. ANSWER: 1, 2, 3, 4
Critical thinkers are actively engaged in life, value creativity, and are innovative people. In
addition, they are self-confident about themselves personally and their ability to contribute to a
group process. No one is ever “done” if he or she is a critical thinker. Critical thinking suggests a
continual assessment of the “certainties” of life. Critical thinking can be demonstrated quietly
through writing or talking. It also can be more dramatic when it is a political change, a march
for a particular cause, or a strike. A common theme to many discussions of critical thinking is an
activity resulting from a traumatic experience that prompts re-examining the situation that
caused the trauma. Just as true is the occurrence of a joyful, pleasing, or fulfilling event—a
hallmark life experience that alters one’s view of how the world has previously functioned.

25. ANSWER: 1, 2
Nurse managers should avoid judging, criticizing, or rejecting behavior but instead should seek
to understand people according to Anderson’s rules for successfully working with people. It is the
nurse manager’s responsibility to identify the reason for people’s behavior and work with it
rather than judge it according to Anderson’s rules for successfully working with people.
Cognitive Level: Understanding

Chapter 4: Healthcare Environment
Multiple Choice
1. Which statement about the U.S. healthcare system made by the nurse is untrue and inaccurate?
1. There is no central agency to govern healthcare systems.
2. Access to healthcare is available to all persons regardless of ability to pay.
3. Legal risk must be considered when providing healthcare.
4. High-tech equipment is available but payment for its use is troublesome to
the system.
2. Why is it important for nurses to have some understanding of healthcare issues in the United States?
1. The nurse has the responsibility of doing the paperwork related to the patient’s
insurance.
2. Reimbursement often influences the services that can be offered to the public.
3. The LPN will determine the quality of care to deliver based on the patient’s
insurance.
4. The practical nurse cannot graduate until proficiency on this topic is displayed.
3. The nurse is attending a class on insurance and learns about Medicaid, which is financed by
what part of the government?
1. State
2. Federal
3. County
4. State and federal
4. What is a major source of stress on the current U.S. healthcare system?
1. Rising cost of providing healthcare to all citizens
2. Lack of adequate education for healthcare professionals
3. Inadequate number of hospital beds across the country
4. Increasing cost of malpractice insurance
5. What role is not appropriate for the LPN to participate in?
1. Administering medications
2. Dressing changes
3. Designing a research study
4. Reporting patient changes
6. The patient asks the nurse how most people can afford medical insurance. The nurse explains
many people get medical insurance from what source?
1. The primary care physician
2. The local clinic
3. Social security office
4. The employer
7. The patient tells the nurse that his insurance company requires him to pick a primary
provider and asks what that means. The nurse explains that a primary provider means
choosing what?

1. Adoctor
2. A staff nurse
3. One insurance provider
4. A hospital
8. The LPN requires what skills to successfully manage care?
1. The ability to organize and prioritize tasks
2. The ability to work weekends and off shifts
3. The ability to develop a comprehensive care plan
4. Close relationship with the supervising RN
9. The nurse is caring for a patient who will be discharged from acute care to home. How can the
nurse best advocate for this client?
1. Arranging for Meals on Wheels to provide in-home meals
2. Administering pain medication prior to discharge
3. Teaching a client how to take medications at home
4. Taking the client by wheelchair to the car
10. What patient would be appropriately transferred to an assisted living facility by the nurse?
1. The patient requiring ongoing skilled-nursing observation
2. The patient recovered enough to return to work and daily life
3. The child burned in a fire who lost both parents to the tragedy
4. The patient who needs minimal assistance in performing activities of daily
living but cannot live alone
11. The U.S. healthcare system is based on what fiscal approach?
1. Healthcare is a basic right provided to all equally.
2. Ability to pay determines access to care.
3. Only the rich are entitled to healthcare.
4. Health insurance is required to obtain care.
12. The nurse assists a patient to receive hospice care for a terminal illness, which is classified as
what level of healthcare service?
1. Primary
2. Secondary
3. Tertiary
4. Primary and tertiary
13. The nurse works in a clinic and provides classes to reduce the spread of sexually
transmitted infection and unwanted pregnancy. What level of healthcare services are
these classes?
1. Primary
2. Secondary
3. Tertiary
4. Primary and secondary
14. The nurse works in the local hospital emergency room, treating patients with serious illnesses as
well as those requiring teaching to prevent injury. What level of healthcare services is the
nurse providing?
1. Primary

2. Secondary
3. Tertiary
4. Primary and secondary
15. The nurse explains that the primary purpose of the Patient Protection and Affordable Care
Act is what?
1. To protect providers from lawsuits when providing first aid at an accident
2. To mandate states provide Medicaid to all who cannot afford healthcare
3. To require illegal immigrants to pay in advance for any healthcare needed
4. To reduce the number of Americans without health insurance
16. Under the Patient Protection and Affordable Care Act what will happen to individuals who
do not purchase health insurance?
1. They cannot receive medical care.
2. They can be arrested and jailed.
3. They are fined for noncompliance.
4. They are charged more for healthcare.
17. The nurse is preparing staff assignments as the charge nurse for the shift. What role is the
nurse performing?
1. Clinician
2. Collaborator
3. Advocate
4. Manager
18. The nurse contacts a reporter at a local television station to correct some misinformation
included in the news last evening. What role is the nursing filling?
1. Clinician
2. Collaborator
3. Advocate
4. Manager
19. The nurse sits with a patient who is tearful after receiving a diagnosis of new onset multiple
sclerosis. The patient is fearful of further physical degeneration, and the nurse listens and helps
the patient express her fears. What role is the nurse performing?
1. Consultant
2. Advocate
3. Researcher
4. Counselor
20. The LPN informs the RN that the patient is short of breath with labored breathing and
is not responding to interventions. What role is the nurse performing
1. Consultant
2. Advocate
3. Educator
4. Counselor

21. The nurse plans a patient-care meeting that includes all of the physicians, physical therapists, and
respiratory therapists involved in a patient’s care as well as the patient’s primary nurses. What
role is the nurse performing?
1. Consultant
2. Advocate
3. Clinician
4. Collaborator
22. The patient no longer requires acute care but is unable to receive the complex care required in the
patient’s home. The nurse may arrange for this patient to be transferred to what type of facility?
1. Hospice
2. Home healthcare
3. Assisted-living center
4. Extended-care facility
Multiple Response
23. The nurse is involved in an active discussion with people in the community about healthcare
systems in the United States. The nurse explains characteristics that cause problems in the
current system, including what? (Select all that apply.)
1. There is no central agency to govern healthcare systems.
2. Access to healthcare is governed by ability to pay.
3. Insurance payers must approve most procedures and services.
4. Prejudice prevents some groups from receiving adequate care.
5. People have no faith in the quality of patient care at local hospitals.
24. Which patient would the nurse expect to have Medicare as their health insurance? (Select all
that apply.)
1. The 83-year-old patient diagnosed with heart failure
2. The 35-year-old patient who is a quadriplegic
3. The 53 year old with end-stage renal disease receiving dialysis
4. The 19 year old diagnosed with attention deficit disorder
5. The 6 year old admitted to the hospital diagnosed with appendicitis
25. The nurse evaluates different healthcare systems and determines that those delivering safe and
high- quality care require what? (Select all that apply.)
1. Health professionals such as nurses, physicians, occupational and
physical therapists
2. Medical vendors such as supplies of linens, foods, medications, and supplies
3. Ancillary service professionals such as food, maintenance, and business
office services
4. An adequate intake of cash to pay competitive salaries to employees
5. National certification as a magnet hospital in the community

Chapter 4: Healthcare Environment Answer
Section
MULTIPLE CHOICE
1. ANSWER: 2
While access to healthcare for all is the ideal, the U.S. healthcare system has struggled to meet
this ideal. There is hope that this will improve with changes in healthcare system laws.
KEY: Content Area: HealthcareEnvironment | Integrated Processes: Caring | Client Need: Safe,
Effective Care Environment | Cognitive Level: Understanding
2. ANSWER: 2
LPNs need to be aware that healthcare agencies’ policies determine what services you can
provide that will be reimbursed by payers. Reimbursement often influences the services the
agency can offer to the public.
Effective Care Environment | Cognitive Level: Analyzing
3. ANSWER: 4
Both the state and federal governments fund Medicaid.
4. ANSWER: 1
The rising cost of healthcare results in increasing government spending. When the government
spends more money on healthcare there is less money to spend on other things.
5. ANSWER: 3
While LPNs may be asked to collect data to contribute to research they would not design a
research study. This requires a registered nurse with a graduate degree.
Effective Care Environment | Cognitive Level: Applying
6. ANSWER: 4
Employers pay for some healthcare services through employee insurance benefits. The federal
government pays for some healthcare for persons over 65 years of age though Medicare plans.
State governments pay for healthcare for low-income populations through Medicaid plans.

7. ANSWER: 1
A primary provider is one person who manages care and may be a doctor, nurse practitioner, or
physician’s assistant.
8. ANSWER: 1
The nurse’s ability to organize and prioritize care is essential to care management because
multiple issues may be occurring at once and the nurse must always meet the highest priority
needs first.
KEY: Content Area: Healthcare Environment | Integrated Processes: Nursing Process: Planning |
Client Need: Safe, Effective Care Environment | Cognitive Level: Applying
9. ANSWER: 1
The tasks of an advocate are to be an ally, supporter, and a source of information for the patient,
and the patient’s significant others.
KEY: Content Area: HealthcareEnvironment | Integrated Processes: Nursing Process: Intervention |
Client Need: Health Promotion and Maintenance | Cognitive Level: Applying
10. ANSWER: 4
The patient requiring ongoing skilled-nursing observation would be most appropriately
transferred to an extended care facility, specifically one that provides skilled care. The patient
recovered enough to return to work and daily life would be discharged to home. The child
burned in a fire after losing both parents to the tragedy would require acute care initially. The
patient who needs minimal assistance in performing activities of daily living but cannot live
alone would be appropriate for an assisted-living center, where minimal assistance and no
constant supervision are provided.
11. ANSWER: 2
In the U.S., the ability to pay often determines who has access to care. Those with limited access
are often referred to as medically indigent.
12. ANSWER: 3
Hospice care is a tertiary service providing comfort care to those with an irreversible condition.
13. ANSWER: 1
Primary healthcare services emphasize health promotion and prevention of illness, which is the
primary focus of the nurse’s classes.

14. ANSWER: 4
The nurse provides primary care in promoting health to the patient with minor illness and
preventing disease through the teaching provided. However, the nurse also provides secondary
care to those with acute illness.
15. ANSWER: 4
The primary goal of the Patient Protection and Affordable Care Act is to reduce the number of
Americans without health insurance and thus improve the number of people who have full
access to healthcare.
16. ANSWER: 3
The Patient Protection and Affordable Care Act contains a contingency for individuals to be
fined if they fail to buy health insurance.
17. ANSWER: 4
The nurse is acting as a manager managing others as a charge nurse using management skills.
18. ANSWER: 3
An advocate protects the patient’s rights and serves as an ally, supporter, and source of
information. By correcting misinformation, the nurse advocates for the community by making
sure people have essential and correct information.
KEY: Content Area: Healthcare Environment | Integrated Processes: Teaching/Learning | Client Need:
Safe, Effective Care Environment | Cognitive Level: Analyzing
19. ANSWER: 4
In the counseling role the LPN helps the patient explore feelings and attitudes about wellness
and illness.
KEY: Content Area: Healthcare Environment | Integrated Processes: Caring | Client Need: Psychosocial
Integrity | Cognitive Level: Analyzing
20. ANSWER: 1

The LPN works in the role of the consultant by communicating patient assessments to the RN
and by working to understand health issues as demonstrated in this scenario.
KEY: Content Area: Healthcare Environment | Integrated Processes: Nursing Process: Assessment |
Client Need: Physiological Integrity | Cognitive Level: Analyzing
21. ANSWER: 4
A collaborator works with other members of the healthcare team. While this may be a form of
advocacy, the focus here is on working with other members of the team.
22. ANSWER: 4
Extended-care facilities, particularly skilled-nursing homes, can provide continuous nursing care
for patients who require more care than those who are discharged to home.
MULTIPLE RESPONSE
23. ANSWER: 1, 2, 3
While regulations come from the government, it does not control or govern the entire system.
Only those who can afford to pay have family doctors who they see regularly. Medically
indigent often rely on emergency rooms for care. Insurance providers dictate what they will pay
for and often require preapproval for procedures and services.
24. ANSWER: 1, 2, 3
People over age 65, people who are permanently disabled, and people with end-stage renal
disease qualify for Medicare.
25. ANSWER: 1, 2, 3
In order to deliver safe and high-quality care, there must be educated professionals to administer
the care. There must be a continuous supply of equipment and resources such as linens, food,
medications, and supplies. support or ancillary services are also essential to the delivery of high-
quality safe care.

Chapter 5: Nursing and Informatics
Multiple Choice
1. The nurse delivers safer healthcare using electronic medical records because of what feature?
1. Accessibility of medical record by multiple people
2. Improved accuracy in reading documentation
3. Tighter control of data privacy
4. Lowers cost of care delivery
2. The nurse demonstrates compliance with the Health Insurance Portability and Accountability
Act (HIPAA) with what action?
1. Logging off the computer before walking away
2. Entering data as soon as it is collected
3. Verifying all medication dosages are within normal range
4. Remembering to charge for all equipment used
3. The nurse protects against self-injury when working with the computer by performing what action?
1. Maintaining the security of the password
2. Using the computer only for work related tasks
3. Becoming familiar with facility policy regarding computer use
4. Maintaining good body mechanics when sitting at the computer
4. How can the nurse reduce the spread of infection related to the use of the computer?
1. By cleaning the mouse and keyboard regularly
2. By turning the monitor so it cannot be seen by visitors
3. By using good body mechanics when sitting at the computer
4. By becoming familiar with facility policies regarding data entry
5. The nurse is sitting down to prepare a presentation on risk reduction in the long-term care facility.
What is the first thing the nurse should do?
1. Develop an outline of information to be included
2. Find research articles containing the necessary information
3. State the objectives
4. Plan the ending of the presentation
6. When creating the introduction to a presentation, what is the nurse’s goal?
1. Staying within the designated time frame
2. Grabbing the audience’s attention
3. Not overwhelming the audience with content
4. Providing references
7. The nurse talks to the nurse manager to suggest making changes to the way a procedure is
performed, and the manager asks if this change is evidence-based. What does the manager
mean by evidence-based?
1. Research findings or other reliable evidence show that the change is appropriate.
2. Another facility is doing it in the manner proposed by the nurse.

3. The nurse performed the procedure the suggested way while in nursing school.
4. Several nurses discussed the new way to perform the procedure and agree it
would be better.
8. The nurse assesses the patient’s health literacy through what action?
1. Teaching the patient about health issues and assessing learning
2. Watching the patient read a brochure containing health information
3. Obtaining agreement from the patient to read health information they are given
4. Quizzing the patient about their health knowledge
9. What is the nurse manager likely to use in order to manage numerical data?
1. Statistical analysis
2. Word processors
3. Spreadsheets
4. Graphed tablets
10. The nurse manager is working on compiling a budget for the next fiscal year. What software
will work best for this purpose?
1. Word processor
2. Internet explorer
3. Presentation software
4. Spreadsheet software
11. The nurse is working in the hospital when a tornado causes a power outage. How will the
nurse manage documentation of care until the computer system returns?
1. Hold off on documenting and wait until the power returns to document care.
2. Write notes as reminders to be transcribed into the computer when the
power returns.
3. Record what needs to be documented so the oncoming shift can document
when power returns.
4. Document care in a paper patient record according to facility policy.
12. When writing a work-related email, what is the best guideline for the nurse to follow
related to length?
1. Write emails the same as writing narrative patient-care records.
2. Get to the point and write only what is necessary.
3. Write a long, detailed letter that restates important points for emphasis.
4. Use multiple colors and fonts to make the letter stand out.
13. The nurse manager writes a business letter to a manager at another facility. What email
style is appropriate for this letter?
1. Using several different font colors to make the email friendlier
2. Using all capital letters to make the email more readable
3. Inserting a funny cartoon at the end to create rapport with the reader
4. Running spell-check and reviewing the tone of the letter to avoid misunderstanding
14. The nurse manager is given a fax machine to receive physician orders and fax patient information
to
physicians’ offices. Where is the best place for the nurse manager to place the new machine?
1. In the hallway away from patient rooms

2. Behind the nurse’s desk on the unit
3. In the manager’s office
4. In the supply room
15. Why does the nurse manager prefer email when communicating with multiple recipients?
1. The letter can be copied and pasted multiple times to send to each recipient.
2. The letter can be sent to multiple recipients at one time with no extra effort.
3. Emails are more private than letters sent through the mail system.
4. The email can be secretly sent to friends.
16. The nursing unit is informed early in the shift that the computers will be unavailable for four
hours during the middle of the shift. What will the nurse manager tell the staff to do
regarding documentation of patient care during this time period?
1. Make good notes and document care during the next working shift.
2. Anticipate care to be administered during downtime and document before
the computers go down.
3. Make notes and document all care as soon as the computers come back up.
4. Use the downtime documentation described in facility policy.
17. The nurse wants to attend a teleconference, but the price is too high. What might the nurse
explore to help reduce the cost?
1. Multiple nurses may be able to attend for one fee.
2. Costs may go down closer to the date of the conference.
3. They may give the nurse a discount out of sympathy.
4. Borrow money from others to pay for the conference.
18. The nurse is preparing a presentation using Microsoft PowerPoint software. Where does the
nurse write notes to remember what to say when each slide is shown?
1. In the white space under the slide portion
2. In the column at the left of the slide
3. In the actual slide section
4. In a separate Word document
19. What task would the nurse be most likely to perform using spreadsheet software rather than
word- processing software?
1. Writing a paper on an assigned topic for school
2. Creating a presentation for an audience
3. Developing a budget for the nursing unit
4. Writing an email to a nurse manager on another unit
20. The nurse interprets what statement from the patient as a possible indication of healthcare
illiteracy?
1. “I’ll read this brochure and let you know if I have questions.”
2. “Can you give me another brochure for my wife?”
3. “I’ll read this later. I don’t have my glasses.”
4. “I read this brochure and have some questions about what I read.”
21. What is the nurse’s primary and most essential purpose in reading nursing research on a
regular basis?
1. To maintain an evidence-based nursing practice

2. To obtain continuing education credits
3. To teach peers about new findings
4. To obtain a promotion at work
22. The nurse accepts a new job as a manager, spending much more time doing desk work instead
of patient care. After a week in the new job, the nurse experiences pain in the right wrist and
an ache around the shoulders and back. What is the most likely cause of these discomforts?
1. A stressful work environment
2. Lack of management skills
3. Poor body mechanics when using the computer
4. Lack of cooperation from staff
Multiple Response
23. What advantages does the nurse identify in providing patient care using an electronic
medical record? (Select all that apply.)
1. Accessibility of medical record by multiple people
2. Faster reporting of diagnostic study results
3. Easier readability of documentation
4. Improved privacy of information
5. Error reduction
24. How do computers and nursing informatics improve patient care? (Select all that apply.)
1. Learning more about best practices
2. Acting as a monitor to protect patient safety
3. Providing easy access to new knowledge
4. Delivering hands-on care
5. Using critical thinking to plan care
25. The nurse specializing in nursing informatics uses the computer for what tasks? (Select all
that apply.)
1. Documenting patient care
2. Learning about medication side effects
3. Finding evidence-based research related to patient care
4. Scheduling staff work shifts
5. Programming new software

Chapter 5: Nursing and Informatics Answer
Section
MULTIPLE CHOICE
1. ANSWER: 2
Mistakes can result when handwriting needs to be interpreted because it may be interpreted
incorrectly. Neat, easy-to-read documentation improves the safety of care delivery.
KEY: Content Area: Nursing Informatics | Integrated Processes: Communication and Documentation |
2. ANSWER: 1
HIPAA regulates the confidentiality of patient information. Logging off the computer before
walking away protects patient privacy by preventing others from looking at information.
KEY: Content Area: Nursing Informatics | Integrated Processes: Communication andDocumentation |
3. ANSWER: 4
Maintaining good body mechanics when sitting at the computer prevents repetitive movement
injuries, improves concentration, and prevents poor posture.
4. ANSWER: 1
It is important to clean the mouse and keyboard regularly because many people will be touching
this equipment. Keeping the equipment clean will prevent infection for the nurse and the
patients.
5. ANSWER: 1
The presentation cannot be developed until its main points are determined and set down as a
guideline.
6. ANSWER: 2
The purpose of the introduction is to grab the audience’s attention and explain what the
presentation will involve.
7. ANSWER: 1

For a change to be evidence-based means either that it has been researched and found to be
more effective or that reliable evidence is available to support the change.
8. ANSWER: 1
Health literacy is determined by assessing not only the patient’s ability to read but also to
understand and make decisions based on what they have learned.
9. ANSWER: 3
Spreadsheets are tables with columns and rows that allow for entry and management of
numbers, including complex calculations when needed.
Client Need: Safe, Effective Care Environment | Cognitive Level: Understanding
10. ANSWER: 4
A spreadsheet is a table with columns and rows that manages numerical data and allows for
simple to complex computations.
11. ANSWER: 4
Care will be documented on a facility form specifically designed for downtime documentation.
Knowing and following facility procedures is most important.
12. ANSWER: 2
Writing emails should involve getting to the point and avoiding long rambling letters.
13. ANSWER: 4
Spell-check should be run on all business communication, and the letter should be reviewed for
tone, grammar, and understanding.
14. ANSWER: 2

The nurse’s desk on the unit is a good spot because it will allow the nurses to protect the
privacy of information arriving via fax and will also be in a place where someone will notice
when a new fax arrives.
15. ANSWER: 2
Emails can be addressed to many different people, and one email can be seen by as many
recipients as the author desires.
16. ANSWER: 4
Every facility has a policy for documentation during downtime. It should be followed to
maintain patient safety.
17. ANSWER: 1
Many teleconferences anticipate multiple nurses will participate and will give out CEUs to a
limited number of people. This reduces the cost because multiple nurses can split the charge.
18. ANSWER: 1
There is a speaker’s note section under the actual slide for notes to remind the speaker of what
to say. This section is unseen by the audience.
19. ANSWER: 3
A spreadsheet was designed for managing numbers such as a nursing-unit budget.
20. ANSWER: 3
Saying it cannot be read until one gets his or her glasses could be an indication that the patient
does not know how to read. Further assessment is needed to determine if this is true.
KEY: Content Area: Nursing Informatics | Integrated Processes: Nursing Process: Assessment | Client
Need: Safe, Effective Care Environment | Cognitive Level: Analyzing
21. ANSWER: 1

The most important reason for reading nursing research is to provide optimal nursing care in
the form of evidence-based nursing practice.
22. ANSWER: 3
Poor body mechanics when sitting at the computer can result in muscle aches, carpal tunnel
syndrome, and headaches.
MULTIPLE RESPONSE
23. ANSWER: 1, 2, 3, 5
Electronic medical records allow multiple team members to access the patient’s records at the
same time, eliminating the need to wait for the paper chart to be available. Diagnostic study
results are available as soon as they are entered into the computer, eliminating the need to wait
for printouts to be delivered to the patient’s unit. Struggling to read sloppy handwriting is
eliminated by use of electronic medical records. Prompts, warning messages, and the free
access to information has helped to reduce errors and improve the safety of healthcare delivery.
One of the disadvantages of electronic medical records is the availability of information to
those with no need to know. Staff must be taught to read only the records of those for whom
they are providing care.
24. ANSWER: 1, 2, 3
Computers improve access to information regarding best practices and promote networking of
nurses to maintain best practices. They are also excellent at monitoring, whether monitoring
patient vital signs or monitoring nursing documentation, to improve patient safety. There is so
much information available quickly on the Internet that providing access to new information is
perhaps one of the computer’s greatest strengths.
25. ANSWER: 1, 2, 3, 4
A common use of nursing informatics includes documenting nursing assessments and patient
care. Consulting databases for information about medications is a convenient use of nursing
informatics that improves safety. Maintaining currency in the provision of patient care requires
keeping up with the most common evidence-based research. Computers are also useful for
creating staff work schedules, representing a good use of nursing informatics. Computer
programming is not a part of nursing informatics.

Chapter 6: Fulfill Your Role as a Student
Multiple Choice
1. How does the student nurse best prepare for the clinical experience?
1. Practice and review procedure for performing skills
2. Review class notes for the past week
3. Walk through the clinical facility
4. Show up for clinical 1 hour early
2. The student nurse is working in the clinical facility and learns a family member has been
admitted to the same facility. What statement is true about the student’s access to the family
member’s medical record?
1. The student may access the family member’s medical record as a nurse in
the facility.
2. The student nurse should not access the family member’s record until obtaining
instructor’s approval.
3. The student may access the family member’s medical record because of the
family relationship.
4. The student nurse should not view the record unless they are providing care for
the family member.
3. The student nurse is able to perform at his or her physical and emotional best by taking what action?
1. Get adequate exercise.
2. Eat plenty of carbohydrates the day before.
3. Drink caffeinated beverages before clinical.
4. Study late into the night to be prepared.
4. The nurse demonstrates therapeutic use of self when performing what nursing intervention?
1. Sitting with a dying patient
2. Attending class
3. Studying for a test
4. Learning the nursing code of ethics
5. The student nurse gains what type of knowledge in the pathophysiology classroom?
1. Aesthetic
2. Empirical
3. Ethical
4. Personal
6. What is the primary way the student nurse gains personal knowing?
1. Arriving at every class on time
2. Never missing a clinical experience
3. Taking religious classes
4. Self-evaluation and conscious examination
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TEST BANK For Nursing Leadership, Management, and Professional Practice for the LPNLVN, 7th Edition by Tamara R. Dahlkemper, Verified Chapters 1 - 20, Complete Newest Version.pdf

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