Concept 35: Professionalism My Nursing Test Banks

Concept 35: Professionalism

Test Bank

MULTIPLE CHOICE

1. The scope of professional nursing practice is determined by the rules promulgated by which organization?

a.

American Nurses Association (ANA)

b.

Institute of Medicine (IOM)

c.

States Board of Nursing

d.

States Nursing Association

ANS: C

Professional nursing practice is regulated by each states Board of Nursing. The ANA is the professional organization of registered nursing in the United States and may influence, but it does not regulate. The IOM collaborated with the Robert Wood Johnson Foundation to improve the fractured health care system in the United States, and it makes recommendations, not rules. The state nursing associations are state organizations of the ANA and may collaborate with the public and boards of nursing to promote nursing rules which improve health care.

REF: 361

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

2. A new registered nurse asks the registered nurse (RN) preceptor what could be done to become more professional. The best response of the preceptor is

a.

Attend nursing educational meetings.

b.

Listen to other nurses.

c.

Read the agency newsletter.

d.

Pass the licensing exam.

ANS: A

Knowledge and commitment are essential components of professionalism. Attending nursing educational meetings can promote collaborative learning with peers and maintenance of competence in an ever-changing health care environment. Listening can promote professionalism, and communication is certainly a component of professionalism; however, there is also a social sense to listening, and without the educational/learning component, this is not the best answer. An agency newsletter could include information about professional opportunities, but it is not the best answer. The new nurse would have already passed the licensing exam, the legal requirement to be considered a nurse.

REF: 361

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

3. The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong learning would describe a nurse who is a(n)

a.

administrator.

b.

certified nurse specialist.

c.

practitioner.

d.

professional.

ANS: D

The qualities listed are those of a professional nurse. The other options are all nurses who may have these qualities, but the focus of their title includes qualities not essential for the professional nurse. The administrator would have management qualities; the clinical nurse specialist would have specialty area knowledge; and the practitioner would meet legal requirements as a health care provider.

REF: 362

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

4. The ANA outlines expectations of the nursing profession in the

a.

Gallup poll.

b.

Goldman report.

c.

Social Policy Statement.

d.

social identity theory.

ANS: C

The ANAs Nursings Social Policy Statement outlines expectations of nurses. The national Gallup poll has found nursing to be one of the most trusted professions for their honesty and ethical standards almost every year, but it does not outline expectations. Emma Goldman was a radical anarchist nurse who advocated and cared for indigent women in New York. She demonstrated the expectations of a professional nurse. Social identity theory posits that social identity is derived from group membership and that most people work to attain a positive social identity, and it not specific to nursing.

REF: 359

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

5. Recommendations published in the IOMs report The future of nursing: Leading change, advancing health include that nurses

a.

teach, advocate, assess, and nurture.

b.

should have a graduate degree to practice.

c.

diagnose and recommend treatments.

d.

must have continuing education.

ANS: A

Professional nurses teach, advocate, assess, and nurture. The IOM recommends that 80% of nurses have a minimum baccalaureate degree (not graduate degree) by 2020. Physicians diagnose and recommend treatments, and nurses provide the majority of these treatments. Lifelong learning is recommended, and some, not all, states require continuing education.

REF: 361

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

6. Nursing demonstrates dedication to improving public health through

a.

changing health care standards.

b.

legal regulations.

c.

scope of practice.

d.

technology.

ANS: C

Through the scope of practice, specialized knowledge, and code of ethics, the discipline of nursing has demonstrated its dedication to improving public health. The changing health care environment is one of the challenges to nursing, not an indicator of dedication. Legal regulations are generally promulgated by legislators rather than nurses to protect the public. A highly technological environment is considered a challenge to nursing rather than an indicator of dedication.

REF: 359-360

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

MULTIPLE RESPONSE

1. Components of a professional identity in nursing include which of the following? (Select all that apply.)

a.

Accountability

b.

Advocacy

c.

Autonomy

d.

Competence

e.

Culture

ANS: A, B, C, D

The scope of professional identity in nursing includes: autonomy, knowledge, competence, professionalism, accountability, advocacy, collaborative practice, and commitment. Cultural sensitivity is important to professional nursing; however, culture is an inherent quality of nurses and patients, not a component of the professional identity.

REF: 359

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

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