Module 42 Accountability

Module 42   Accountability

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

The Concept of Accountability

1) A nurse educator is teaching a group of students about professionalism. The educator teaches the students that a profession is distinguished from other kinds of occupations through which of the following methods?

Select all that apply.

1. A) By being economically responsible
2. B) By participating in ongoing research
3. C) By acquiring specialized education
4. D) By being autonomous
5. E) By socializing with other nurses

Answer:  B, C, D

Explanation:

1. A) A profession is generally distinguished from other kinds of occupations by (a) its requirement of prolonged, specialized training to acquire a body of knowledge that supports the role to be performed; (b) an orientation of the individual toward service, either to a community or to an organization; (c) ongoing research; (d) a code of ethics; (e) autonomy; and (f) a professional organization. Socializing with other nurses and being economically responsible are not included in the criteria for distinguishing nursing as a profession.
2. B) A profession is generally distinguished from other kinds of occupations by (a) its requirement of prolonged, specialized training to acquire a body of knowledge that supports the role to be performed; (b) an orientation of the individual toward service, either to a community or to an organization; (c) ongoing research; (d) a code of ethics; (e) autonomy; and (f) a professional organization. Socializing with other nurses and being economically responsible are not included in the criteria for distinguishing nursing as a profession.
3. C) A profession is generally distinguished from other kinds of occupations by (a) its requirement of prolonged, specialized training to acquire a body of knowledge that supports the role to be performed; (b) an orientation of the individual toward service, either to a community or to an organization; (c) ongoing research; (d) a code of ethics; (e) autonomy; and (f) a professional organization. Socializing with other nurses and being economically responsible are not included in the criteria for distinguishing nursing as a profession.
4. D) A profession is generally distinguished from other kinds of occupations by (a) its requirement of prolonged, specialized training to acquire a body of knowledge that supports the role to be performed; (b) an orientation of the individual toward service, either to a community or to an organization; (c) ongoing research; (d) a code of ethics; (e) autonomy; and (f) a professional organization. Socializing with other nurses and being economically responsible are not included in the criteria for distinguishing nursing as a profession.

1. E) A profession is generally distinguished from other kinds of occupations by (a) its requirement of prolonged, specialized training to acquire a body of knowledge that supports the role to be performed; (b) an orientation of the individual toward service, either to a community or to an organization; (c) ongoing research; (d) a code of ethics; (e) autonomy; and (f) a professional organization. Socializing with other nurses and being economically responsible are not included in the criteria for distinguishing nursing as a profession.

Page Ref: 2357

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  1. Examine the criteria of the profession and the professionalization of nursing.

2) A nurse would like to implement an evidenced-based practice change that will influence client care on the medical-surgical unit. The nurse works with the nurse manager and other members of leadership to write a new policy and produce education for the staff and clients. The nurse is practicing which of the standards of professional performance?

1. A) Leadership
2. B) Collaboration
3. C) Evaluation
4. D) Collegiality

Answer:  B

Explanation:

1. A) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one’s own nursing practice and professional practice standards.
2. B) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one’s own nursing practice and professional practice standards.
3. C) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one’s own nursing practice and professional practice standards.
4. D) The nurse is practicing collaboration by working with the other staff members to implement a policy change. Collaboration involves working with the client, the family, and others in the conduct of nursing practice. Collegiality describes interaction with and contributions to the professional development of peers and colleagues, which is what a mentoring relationship would involve. Leadership provides direction in a professional practice setting. Evaluation involves a comparison between one’s own nursing practice and professional practice standards.

Page Ref: 2536

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  2. Explore the essential nursing values concerning attitudes, personal qualities, and professional behaviors.

3) A nurse faculty member is speaking to prospective students of the BSN program at their educational institution. Which of the following is a major incentive for students to select a BSN program over an ADN program?

Select all that apply.

1. A) Greater autonomy in the practice setting
2. B) Liberal arts education
3. C) Easier transition to graduate school
4. D) Ability to work in critical care areas
5. E) Better opportunity for career advancement

Answer:  A, E

Explanation:

1. A) The nurse who holds a baccalaureate degree enjoys greater autonomy, responsibility, participation in institutional decision making, and career advancement. RNs, regardless of their education level, can work in critical care areas. There are some programs offering RN to MSN completion studies, but the ease of transition is not the ultimate incentive, which is career advancement. Having a liberal arts education is also a plus, although not as major an incentive for career advancement.
2. B) The nurse who holds a baccalaureate degree enjoys greater autonomy, responsibility, participation in institutional decision making, and career advancement. RNs, regardless of their education level, can work in critical care areas. There are some programs offering RN to MSN completion studies, but the ease of transition is not the ultimate incentive, which is career advancement. Having a liberal arts education is also a plus, although not as major an incentive for career advancement.
3. C) The nurse who holds a baccalaureate degree enjoys greater autonomy, responsibility, participation in institutional decision making, and career advancement. RNs, regardless of their education level, can work in critical care areas. There are some programs offering RN to MSN completion studies, but the ease of transition is not the ultimate incentive, which is career advancement. Having a liberal arts education is also a plus, although not as major an incentive for career advancement.
4. D) The nurse who holds a baccalaureate degree enjoys greater autonomy, responsibility, participation in institutional decision making, and career advancement. RNs, regardless of their education level, can work in critical care areas. There are some programs offering RN to MSN completion studies, but the ease of transition is not the ultimate incentive, which is career advancement. Having a liberal arts education is also a plus, although not as major an incentive for career advancement.
5. E) The nurse who holds a baccalaureate degree enjoys greater autonomy, responsibility, participation in institutional decision making, and career advancement. RNs, regardless of their education level, can work in critical care areas. There are some programs offering RN to MSN completion studies, but the ease of transition is not the ultimate incentive, which is career advancement. Having a liberal arts education is also a plus, although not as major an incentive for career advancement.

Page Ref: 2357

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Evaluation

Learning Outcome:  3. Explore the different types of educational nursing programs.

4) The ANA’s proposal for entry level for professional practice initiated debate among nurses. Which would be most at risk if the ANA proposal were implemented?

1. A) An RN with a diploma who works in a critical care area
2. B) An RN with a BSN who is a staff nurse
3. C) An RN with an associate degree who is currently in school
4. D) An RN with an associate degree who is a nurse manager

Answer:  D

Explanation:

1. A) According to the ANA’s proposal, only the baccalaureate graduate would be licensed under the legal title of registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal is implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance meets established standards. If an institution required a minimum of a baccalaureate degree for the position of a nurse manager, an RN who is currently employed as a head nurse but who does not hold the baccalaureate degree would have no guarantee of retaining that position.
2. B) According to the ANA’s proposal, only the baccalaureate graduate would be licensed under the legal title of registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal is implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance meets established standards. If an institution required a minimum of a baccalaureate degree for the position of a nurse manager, an RN who is currently employed as a head nurse but who does not hold the baccalaureate degree would have no guarantee of retaining that position.
3. C) According to the ANA’s proposal, only the baccalaureate graduate would be licensed under the legal title of registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal is implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance meets established standards. If an institution required a minimum of a baccalaureate degree for the position of a nurse manager, an RN who is currently employed as a head nurse but who does not hold the baccalaureate degree would have no guarantee of retaining that position.
4. D) According to the ANA’s proposal, only the baccalaureate graduate would be licensed under the legal title of registered nurse. The graduate with an associate degree or diploma would be considered a technical nurse. If the ANA proposal is implemented, nurses who are currently licensed and educated in associate degree or diploma programs would have to be considered under a grandfather clause, provided that their performance meets established standards. If an institution required a minimum of a baccalaureate degree for the position of a nurse manager, an RN who is currently employed as a head nurse but who does not hold the baccalaureate degree would have no guarantee of retaining that position.

Page Ref: 2536

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  4. Examine aspects of entry into professional nursing practice.

5) A nurse educator is conducting a continuing education in-service for the nurses in a pediatric intensive care unit. A staff nurse practicing on the unit considers attending the in-service an important aspect of being a professional nurse for which of the following reasons?

1. A) Most states require it to maintain licensure.
2. B) It is a good way to receive overtime by coming in on a day off.
3. C) Research and new technology demand that the nurse stay current.
4. D) New diseases are discovered every day.

Answer:  C

Explanation:

1. A) Research and technology are constantly changing and improving client care. The nurse should stay abreast of new information by attending continuing education courses. Receiving overtime pay is not a reason to attend continuing education courses. It is not new diseases that are discovered every day, but new ways of treating diseases, requiring that the nurse keep abreast of new information. Many states do require continuing education to keep nurses competent in client care, but new technology and research are the most important reasons for staying current and the reasons that continuing education is required by most states.
2. B) Research and technology are constantly changing and improving client care. The nurse should stay abreast of new information by attending continuing education courses. Receiving overtime pay is not a reason to attend continuing education courses. It is not new diseases that are discovered every day, but new ways of treating diseases, requiring that the nurse keep abreast of new information. Many states do require continuing education to keep nurses competent in client care, but new technology and research are the most important reasons for staying current and the reasons that continuing education is required by most states.
3. C) Research and technology are constantly changing and improving client care. The nurse should stay abreast of new information by attending continuing education courses. Receiving overtime pay is not a reason to attend continuing education courses. It is not new diseases that are discovered every day, but new ways of treating diseases, requiring that the nurse keep abreast of new information. Many states do require continuing education to keep nurses competent in client care, but new technology and research are the most important reasons for staying current and the reasons that continuing education is required by most states.
4. D) Research and technology are constantly changing and improving client care. The nurse should stay abreast of new information by attending continuing education courses. Receiving overtime pay is not a reason to attend continuing education courses. It is not new diseases that are discovered every day, but new ways of treating diseases, requiring that the nurse keep abreast of new information. Many states do require continuing education to keep nurses competent in client care, but new technology and research are the most important reasons for staying current and the reasons that continuing education is required by most states.

Page Ref: 2537

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  5. Critically examine the importance of continuing nursing education.