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Anderson’s Nursing Leadership, Management, and Professional Practice For The

LPN/LVN In Nursing School and Beyond 5th Edition – Test Bank




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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 what purpose?

1. To understand the professional choices open to the student
2. To prevent making medication errors in practice
3. To determine what geographical area is the best place to practice
4. To reduce the cost of delivering quality healthcare



____    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 what?

1. Pathogens and genetics
2. Evil spirits
3. Tides and planets
4. Plants and animals



____    3.   The person credited with making a written record of healthcare practices and removing the mythical aspect of healthcare is who?

1. Hammurabi
2. Florence Nightingale
3. Hippocrates
4. Apollo



____    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



____    5.   What is a crucial issue the nurse working in the late industrialization era would need to address in order to promote health?

1. Reducing spread of infection
2. Reducing sedentary lifestyle
3. Teaching proper use of medications
4. Teaching use of car seats



____    6.   What types of skills would a nursing student learn while attending Kaiserworth Deaconess Institution in 1836?

1. Administering immunizations
2. Assisting in surgery
3. Washing and changing bed linens
4. Developing a plan of care



____    7.   The nurse demonstrates Florence Nightingale’s theory of nursing with what 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.



____    8.   What 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 describe his or her condition



____    9.   After graduating from nursing school, the graduate takes a licensure examination as the result of what nurse’s contribution?

1. Florence Nightingale
2. Mary Adelaid Nutting
3. Lavinia L. Dock
4. Isabel Hampton Robb



____  10.   In addition to caring for the sick, what other skills would the first LPN students learn when attending the Ballard School in New York in 1893?

1. Political advocacy
2. Homemaking
3. Communication
4. Carpentry



____  11.   The nurse responds to an alarm on a pulse oximeter and sees 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 the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?

1. Annie Goodrich
2. Lillian D. Wald
3. Florence Nightingale
4. Linda Richards



____  12.   What statement describes Florence Nightingale’s beliefs about nursing?

1. Practicing nurses should be licensed.
2. Promotion of good health and treating the ill are nursing priorities.
3. Nurses could simultaneously have a career and a marriage.
4. Organisms cause infection.



____  13.   What was Mary Eliza Mahoney’s contribution to nursing?

1. She organized the first visiting nurse association.
2. She founded the American Journal of Nursing.
3. She founded the National League of Nursing.
4. She worked for the acceptance of African Americans into the nursing profession.



____  14.   What 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)



____  15.   What 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 healthcare field.



____  16.   What organizations represent only LPNs/LVNs?

1. ANA and NLN
2. NFLPN and NLN



____  17.   The nurse working in mental health nursing honors what historical nurse for working to improve care of the mentally ill?

1. Clara Barton
2. Florence Nightingale
3. Dorothea Dix
4. Lillian D. Wald



____  18.   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 while LVNs are not.



____  19.   What mythical god was believed to promote healthcare in ancient times?

1. Apollo
2. Zeus
3. Isis
4. Ares



____  20.   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



____  21.   What health condition is classified as a World Health Organization priority and a focus of health promotion for nurses?

1. HIV
3. Natural disasters
4. Terrorism



____  22.   What trend in healthcare has only existed for the past decade and has changed nursing education to prepare student nurses for practice after graduation?

1. Technology
2. Cultural diversity
3. HIV
4. Nursing shortage



Multiple Response

Identify one or more choices that best complete the statement or answer the question.


____  23.   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



____  24.   The newly licensed LPN joins a professional organization for what benefits? (Select all that apply.)

1. Opportunities to maintain current nursing knowledge
2. Most facilities mandate membership before hiring a nurse.
3. Organizations offer a way for the LPN’s voice to be heard regarding concerns.
4. They advocate for the LPN in professional matters.
5. It is a requirement for licensure in most states.



____  25.   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

Chapter 2: Caring as a Personal and Professional Behavior


Multiple Choice

Identify the choice that best completes the statement or answers the question.


____    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

Identify one or more choices that best complete the statement or answer the question.


____  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
5. Nursing model

Chapter 3: Understanding the Changing Roles in Nursing


Multiple Choice

Identify the choice that best completes the statement or answers the question.


____    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. A nurse’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. A shifting 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
2. Love and belonging
3. Safety
4. Self-actualization



____  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
2. Love and belonging
3. Safety
4. Self-actualization



____  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
2. Love and belonging
3. Safety
4. Self-actualization



____  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

Identify one or more choices that best complete the statement or answer the question.


____  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.