Fundamentals of Nursing Test Bank - 10th Edition (2023-2024) PDF

1 Test Bank for Fundamentals of 10th Edition by Taylor Chapter 1-47 with NGN complete solutions| Latest Version 2023-2024|Scored A+ Chapter 01: Introduction to Nursing 1. Which of the following statements accurately describe an element of nursing? Select all that apply....

1 Test Bank for Fundamentals of 10th Edition by Taylor Chapter 1-47 with NGN complete solutions| Latest Version 2023-2024|Scored A+ Chapter 01: Introduction to Nursing 1. Which of the following statements accurately describe an element of nursing? Select all that apply. A) The skills involved in nursing are primarily technical in nature. B) The primary focus of nursing is to assist individuals to recover from illness. C) The science of nursing is the knowledge base for the care that is given. D) The art of nursing is the collection of knowledge through research. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills. 2. Which of the following set of terms best describes nursing at the end of the Middle Ages? A) continuity, caring, critical thinking B) purpose, direction, leadership C) assessment, interventions, outcomes D) advocacy, research, education 3. Which of the following is a characteristic of nursing practiced from early civilization to the 16th century? A) Most early civilizations believed that illness had supernatural causes. B) The physician was the priest who treated disease with prayer. C) The nurse was a nun committed to caring for the needy and homeless.  2 D) Nursing changed from a spiritual focus to an emphasis on knowledge expansion. 4. In what time period did nursing care as we now know it begin? A) pre-civilization B) early civilization to 16th century  C) 16th to 17th century D) 18th to 19th century 5. Who is considered to be the founder of professional nursing? A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Clara Barton 6. Which of the following nursing pioneers established the Red Cross in the United States in 1882? A) Florence Nightingale B) Clara Barton C) Dorothea Dix D) Jane Addams 7. What was one barrier to the development of the nursing profession in the United States after the Civil War? A) lack of educational standards B) hospital-based schools of nursing C) lack of influence from nursing leaders D) independence of nursing orders 8. Which of the following individuals provided community-based care and founded public health nursing? A) Adelaide Nutting B) Lillian Wald C) Sojourner Truth  D) Clara Barton 9. Which of the following nursing groups provides a definition and scope of practice for nursing? A) ICN B) AAN C) ANA D) The Joint Commission 10. Teaching a woman about breast self-examination is an example of what broad aim of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping with disability and death 11. What nursing activity would meet the broad nursing aim of facilitating coping with disability and death? Select all that apply. A) conducting a blood pressure screening program B) teaching testicular self-examination C) referring to a community diabetic support group D) administering intravenous fluids E) admitting a patient to a hospice program F) performing a physical assessment on a patient 12. A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises interventions to accomplish the desired outcomes. This is an example of using which of the following type of nursing skills? A) Technical  B) Cognitive C) Interpersonal D) Ethical/Legal 13. Which one of the following examples of nursing actions would be considered an ethical/legal skill? A) A nurse helps a patient prepare a living will. B) A nurse obtains a urine sample for a urinalysis. C) A nurse explains the rationale for a patients plan of care. D) A nurse holds the hand of a woman whose baby died in childbirth. 14. A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Downs Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role? A) Teacher/Educator B) Leader C) Counselor D) Collaborator 15. A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the following actions is the best example of using the collaborator role as a nurse? A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family B) Searching the Internet for information on child care for the teens who wish to return to school C) Conducting a patient interview and documenting the information on the patients chart D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist 16. A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being? A) Health is a state of optimal functioning.  B) Health is an absence of illness. C) Health is always an objective state. D) Health is not determined by the patient. 17. A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy People 2010. Which of the following is a health indicator discussed in this document? A) cancer B) obesity C) diabetes D) hypertension 18. A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is an example of which of the following aims of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping with disability or death 19. Which of the following is a criteria that defines nursing as profession? A) an undefined body of knowledge B) a dependence on the medical profession C) an ability to diagnose medical problems D) a strong service orientation 20. Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree? A) providing direct physical care  B) using research findings to improve practice C) administering medications as prescribed D) collaborating with other healthcare providers 21. Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree will she need to attain this goal? A) licensed practical nurse B) associate degree C) baccalaureate degree D) masters degree 22. Why are nursing organizations important for the continued development and improvement of nursing as a whole? A) to provide socialization and networking for members B) to regulate work activities for members C) to set standards for nursing education and practice D) to provide information to nurses about legal requirements 23. Which of the following organizations has established standards for clinical nursing practice? A) American Nurses Association B) National League for Nursing C) International Council of Nurses D) State Board of Nursing 24. What is the primary purpose of standards of nursing practice? A) to provide a method by which nurses perform skills safely B) to ensure knowledgeable, safe, comprehensive nursing care  C) to establish nursing as a profession and a discipline D) to enable nurses to have a voice in healthcare policy 25. After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice? A) enrolling in an advanced degree program B) filing NCLEX results in the county of residence C) being licensed by the State Board of Nursing D) having a signed letter confirming graduation 26. A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurses license to practice nursing? A) It will have no effect on the ability to practice nursing. B) The nurse can practice nursing at a less-skilled level. C) The license may be revoked or suspended. D) The license will permanently carry the felony conviction. 27. Nurses use the nursing process to focus care on human responses to what? A) interactions with the environment B) physical effects of disease C) outcomes of medical or surgical treatment D) actual or potential health problems 28. Which age group in the population is expanding most rapidly, resulting in changes in the delivery of healthcare? A) older adults B) young adults C) school-aged children  D) newborns 29. Which of the following is a current trend affecting nursing education and practice? A) over abundance of graduating nurses B) office-based care delivery systems C) increase in length of hospital stay D) increase in chronic health conditions Answer Key 1. C, E, F 2. B 3. A 4. D 5. C 6. B 7. A 8. B 9. B 10. B 11. C, E 12. B 13. A 14. C 15. D 16. A 17. B 18. B 19. D 20. B 21. D 22. C 23. A 24. B 25. C 26. C 27. D 28. A 29. D Chapter 02: Theory, Research, and Evidence-Based Practice 1. What phrase best describes the science of nursing? A) application of clinical skills B) body of nursing knowledge C) holistic patient care D) art of individualized nursing 2. The practice of changing patients bedclothes each day in acute care settings is an example of what type of knowledge? A) authoritative B) traditional C) scientific D) applied 3. A student nurse learns how to give injections from the nurse manager. This is an example of the acquisition of what type of knowledge? A) authoritative B) traditional C) scientific D) applied 4. Which of the following sources of knowledge is based on objective data? A) authoritative B) traditional C) scientific  D) applied 5. A patient undergoing chemotherapy for a brain tumor believes that having a good attitude will help in the healing process. This is an example of what type of knowledge? A) science B) philosophy C) process D) virtue 6. Which of the following examples represents the type of knowledge known as process? Select all that apply. A) A nurse dispenses medications to patients. B) A nurse changes the linens on a patients bed. C) A nurse studies a nursing journal article on infection control. D) A nurse consults an ethics committee regarding an ethical dilemma. E) A nurse believes in providing culturally competent nursing care. F) A nurse monitors the vital signs of a postoperative patient. 7. Which of the following accurately describes Florence Nightingales influence on nursing knowledge? A) She defined nursing practice as the continuation of medical practice. B) She differentiated between health nursing and illness nursing. C) She established training for nurses under the direction of the medical profession. D) She established a theoretical base for nursing that originated outside the profession. 8. During the first half of the 20th century, a change in the structure of society resulted in changed roles for women and, in turn, for nursing. What was one of these changes? A) More women retired from the workforce to raise families. B) Women became more dependent and sought higher education.  C) The focus of nursing changed to hands-on training. D) Nursing research was conducted and published. 9. Who was the first nurse to develop a nursing theory? A) Clara Barton B) Dorothea Dix C) Florence Nightingale D) Virginia Henderson 10. A nurse observes that certain patients have less pain after procedures than do others, and forms a theory of why this happens. What is a theory? A) a concept used to directly prove a fact or a group of facts B) an understanding borrowed from other disciplines C) a best guess based on intangible ideas D) a statement of an occurrence based on observed facts 11. A staff nurse asks a student, Why in the world are you studying nursing theory? How would the student best respond? A) Our school requires we take it before we can graduate. B) We do it so we know more than your generation did. C) I think it explains how we should collaborate with others. D) It helps explain how nursing is different from medicine. 12. Why are the developmental theories important to nursing practice? A) They describe how parts work together as a system. B) They outline the process of human growth and development.  C) They define human adaptation to others and to the environment. D) They explain the importance of legal and ethical care. 13. Breaking the healthcare community into separate entities (such as the medical community, the nursing staff, management, support staff) and analyzing how they work as a whole together is an example of which nursing theory? A) general systems theory B) adaptation theory C) developmental theory D) compartment theory 14. There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing? A) person B) environment C) health D) nursing 15. Which of the following are characteristics of nursing theories? Select all that apply. A) They provide rational reasons for nursing interventions. B) They are based on descriptions of what nursing should be. C) They provide a knowledge base for appropriate nursing responses. D) They provide a base for discussion of nursing issues. E) They help resolve current nursing issues and establish trends. F) They use complex terminology to resolve specific nursing issues. 16. What is the ultimate goal of expanding nursing knowledge through nursing research? A) learn improved ways to promote and maintain health  B) develop technology to provide hands-on nursing care C) apply knowledge to become independent practitioners D) become full-fledged partners with other care providers 17. What was significant about the promotion of the National Center for Nursing Research to the current National Institute of Nursing Research (NINR)? A) Increased numbers of articles are published in research journals. B) NINR gained equal status with all other National Institutes of Health. C) NINR became the major research body of the International Council of Nurses. D) It decreased emphasis on clinical research as an important area for nursing. 18. Which of the following terms are part of quantitative research? A) process B) concept C) ethnography D) variable 19. A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired pneumonia in her hospital. The statement of what the researcher expects to find in these studies is called the: A) variable B) data C) hypothesis D) instrument 20. Information is collected for analysis in both quantitative and qualitative research. What is the information called? A) surveys  B) answers C) interviews D) data 21. A patient in a clinical research study has given informed consent. This means that the patient has certain rights. These rights include which of the following? Select all that apply. A) confidentiality B) free medical care C) refusal to participate D) protection from harm E) guarantee of treatment F) consent knowledgeably 22. Which of the following represents the basic framework of the research process? A) Qualitative data B) Quantitative data C) Nursing Process D) Nursing Theory 23. Which of the following is a responsibility of an institutional review board (IRB)? A) secure informed consent for researchers B) review written accuracy of research proposals C) determine risk status of all studies D) secure funding for institutional research 24. Before developing a procedure, a nurse reviews all current research-based literature on insertion of a  nasogastric tube. What type of nursing will be practiced based on this review? A) institutional practice B) authoritative nursing C) evidence-based nursing D) factual-based nursing 25. Which of the following are examples of characteristics of evidence-based practice? Select all that apply. A) It is a problem-solving approach. B) It uses the best evidence available. C) It is generally accepted in clinical practice. D) It is based on current institutional protocols. E) It blends the science and art of nursing. F) It is not concerned with patient preferences. 26. One step in implementing evidence-based practice is to ask a question about a clinical area of interest or an intervention. The most common method is the PICO format. Which of the following accurately defines the letters in the PICO acronym? A) P = population B) I = institution C) C = compromise D) O = output 27. A beginning student is reading a published research article. Where in the article would the student find the abstract? A) in the introduction B) in the methods section  C) after the references D) at the beginning Answer Key 1. B 2. B 3. A 4. A 5. B 6. A, B, F 7. B 8. D 9. C 10. D 11. D 12. B 13. A 14. A 15. A, C, D, E 16. A 17. B 18. D 19. C 20. D 21. A, C, D, F 22. C 23. C 24. C 25. A, B, E 26. A 27. D Chapter 03: Health, Wellness, and Health Disparities 1. What phrase best describes health? A) individually defined by each person B) experienced by each person in exactly the same way C) the opposite of illness D) the absence of disease 2. Which of the following most accurately defines illness? A) the inability to carry out normal activities of living B) a pathologic change in mind or body structure or function C) the response of a person to a disease D) achieving maximum potential and quality of life 3. A patient makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunns processes that help a person know who and what he or she is? A) being B) belonging C) becoming D) befitting 4. Which of the following statements accurately describes the concepts of disease and illness? A) A disease is traditionally diagnosed and treated by a nurse. B) The focus of nurses is the person with an illness. C) A person with an illness cannot be considered healthy. D) Illness is a normal process that affects level of functioning. 5. A rapid onset of symptoms that last a relatively short time indicates what health problem? A) a chronic illness B) an acute illness C) actual risk factor D) potential for wellness 6. A nurse caring for patients with diabetes knows that the following is a characteristic of a chronic illness: A) It is a temporary change. B) It causes reversible alterations in A&P. C) It requires special patient education for rehabilitation. D) It requires a short period of care or support. 7. What manifestation is the most significant symptom indicating an illness? A) bleeding B) runny nose C) pain D) itching 8. A nurse calls in to his unit to report he has the flu and will not be at work. What stage of illness behavior is he exhibiting? A) experiencing symptoms B) assuming the sick role C) assuming a dependent role D) achieving recovery and rehabilitation 9. A patient accepts the fact that he needs bypass surgery for a blocked artery and is admitted into the hospital. Which one of the following stages of illness is this patient experiencing? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4 10. Which of the following is an example of a characteristic of the Stage 2 of illness? A) A person tells his family that he is sick and allows them to take care of him. B) A person experiences a headache and sore throat and takes an aspirin. C) A person visits a physician to receive treatment for symptoms of an infection. D) A person begins rehabilitation following a stroke that left him paralyzed on one side. 11. A 4-year-old child has leukemia but is now in remission. What does it mean to be in remission when one has a chronic illness? A) The chronic disease has been cured. B) Nothing further can be done in terms of treatment. C) Severe symptoms of the chronic illness have reappeared. D) The disease is present, but symptoms are not experienced. 12. What may happen to the family when an illness occurs in one of the family members? A) alterations in values and religious beliefs B) more public displays of affection C) changes in roles for the patient and family  D) increased resistance to stress 13. A baby is born with Down syndrome, which influences his healthillness status. This is an example of which of the following human dimensions?  A) Physical B) Emotional C) Environmental D) Sociocultural 14. Which of the following is an example of the sociocultural dimension influencing a persons healthillness status? A) A family lives in a city environment where the air pollution levels are high. B) A father who is a practicing Jehovahs Witness refuses a blood transfusion for his son. C) A teenager who was in an automobile accident worries that his scars will cause him to lose friends. D) A single mother of two applies for food stamps in order to feed her family. 15. A nurse is caring for a 17-year-old female patient whose left leg was amputated after being crushed in a motor vehicle accident. Which of the following interventions might the nurse perform to accommodate the patients intellectual dimension? A) considering the patients developmental stage when planning nursing care B) encouraging friends and relatives to visit often and bring games to distract her C) teaching her how to care for the stump and explaining the rehabilitation program D) providing the opportunity for a counselor to come in and talk to her about her loss 16. Which of the following statements accurately describe how risk factors may increase a persons chances for illness or injury? Select all that apply. A) Risks factors are unrelated to the person or event. B) All risk factors are modifiable. C) An increase in risk factors increases the possibility of illness. D) A family history of breast cancer is not a modifiable risk factor. E) School-aged children are at high risk for communicable diseases.  F) Multiple sexual relationships increase the risk for sexually transmitted diseases. 17. Which of the following nursing interventions are examples of health promotion and preventive care on the primary level? Select all that apply. A) A nurse counsels a teenager to stop smoking. B) A nurse conducts a health fair for high blood pressure screening. C) A nurse counsels the family of a patient diagnosed with lung cancer. D) A home healthcare nurse arranges for rehabilitation services for a patient. E) A school nurse arranges for a career seminar for graduating seniors. F) A nurse devises a low-calorie diet for an obese teenager. 18. Which of the following topics is important when teaching teens and young adults? A) safer sex practices B) blood pressure control C) immunization for measles D) effective hand hygiene 19. Which of the following statements illustrates the effect of the sociocultural dimension on health and illness? A) Why shouldnt I drink and drive? Everyone else does. B) My mother has sickle cell anemia, and so do I. C) I know I have heart problems, so I have changed my diet. D) I used biofeedback to lower my blood pressure. 20. A middle-aged woman is 40 pounds over her ideal weight. Which of the following statements best illustrates the effect of her self-concept on health and illness? A) I am just too busy with my kids to bother about a diet.  B) Why should I lose weight? Ill still be fat. C) My sister is thin, but I dont think she looks that good. D) My husband loves me this way. 21. A camp nurse is teaching a group of adolescent girls about the importance of monthly breast self- examination. What level of preventive care does this activity represent? A) primary B) secondary C) tertiary D) restorative 22. On which of the following components is Rosenstocks health belief model based? Select all that apply. A) perceived susceptibility to a disease B) perceived consequences of treating disease C) perceived seriousness of a disease D) perceived benefits of action E) perceived immunity to disease F) perceived benefits of health insurance 23. A nurse refers a 67-year-old male patient to group counseling for alcohol cessation. According to Rosenstocks health belief model, the patients knowledge of the diseases that may occur with alcoholism is a: A) demographic variable B) sociopsychological variable C) structural variable D) intellectual variable 24. Which of the following models of health promotion and illness prevention was developed to illustrate  how people interact with their environment as they pursue health? A) the health promotion model B) the health belief model C) the healthillness continuum D) the agenthostenvironment model 25. Which of the following factors constitute the environment component of the agenthostenvironment model of health and illness (Leavell and Clark, 1965)? Select all that apply. A) bacteria/viruses B) chemical substances C) health habits D) family history E) cultural factors F) biologic factors 26. Nurses use new resources for healthcare practices to promote health and serve as an advocate for patients and families in all settings. Which one of the following resources has been most instrumental in improving access to care for people living in rural or underserved areas of the nation? A) telehealth practice B) industrial programs C) community centers D) nontraditional healthcare sites 27. Which of the following statements explain why models of health promotion and illness prevention are useful when planning healthcare? Select all that apply. A) They help healthcare providers understand health-related behaviors. B) They are useful for adapting care to people from diverse backgrounds.  C) They help overcome barriers related to increased number of people without healthcare. D) They overcome barriers to care for the predicted downward trend in minority populations. E) They overcome barriers to care for low-income and rural populations. F) They explain why people take advantage of low-cost screens and healthcare information. 28. What is the nurses primary role in promoting health? A) educating others about health promotion activities B) avoiding smoking or drinking in public C) being a role model for health promotion D) implementing stress reduction activities Answer Key 1. A 2. C 3. D 4. B 5. B 6. C 7. C 8. B 9. C 10. A 11. D 12. C 13. A 14. D 15. C 16. C, D, E, F 17. A, F 18. A 19. A 20. B 21. A 22. A, C, D 23. C 24. A 25. E, F 26. A 27. A, B, C, E 28. C  Chapter 04: Health of the Individual, Family, and Community 1. According to Maslows basic human needs hierarchy, which needs are the most basic? A) physiologic B) safety and security C) love and belonging D) self-esteem 2. Which of the following is a tenant of Maslows basic human needs hierarchy? A) A need that is unmet prompts a person to seek a higher level of wellness. B) A person feels ambivalence when a need is successfully met. C) Certain needs are more basic than others and must be met first. D) People have many needs and should strive to meet them simultaneously. 3. An 80-year-old woman states, I have successfully raised my family and had a good life. This statement illustrates meeting which basic human need? A) safety and security B) love and belonging C) self-esteem D) self-actualization 4. A 2-year-old boy arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention? A) giving him his favorite stuffed animal to hold B) assessing respirations and administering oxygen C) raising the side rails and restraining his arms  D) asking his mother what are his favorite foods 5. A 75-year-old man is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need? A) sleep and rest B) support from family members C) protection from potential harm D) feeling a sense of accomplishment 6. A nurse caring for a patient in a long-term health care facility measures his intake and output and weighs him to assess water balance. These actions help to meet which of Maslows hierarchy of needs? A) physiologic B) safety and security C) love and belonging D) self-actualization 7. What action by a nurse will help a patient meet self-esteem needs? A) verbally negate the patients negative self-perceptions B) freely give compliments to increase positive self-regard C) independently establish goals to improve self-esteem D) respect the patients values and belief systems 8. A nurse caring for a female patient with TB who is in isolation is aware that the patients love and belonging needs may not be properly met. Which of the following nursing action would help to meet these needs? A) respecting the patients values and beliefs B) focusing on the patients strengths rather than problems C) using hand hygiene and sterile technique to prevent infection  D) encouraging family to visit and help in the care of the patient 9. Which of the following statements accurately describes how Maslows theory can be applied to nursing practice? A) Nurses can apply this theory to the nursing process. B) Nurses can identify met needs as healthcare needs. C) Nurses cannot use the theory on infants or children. D) Nurses use the theory for ill, as opposed to healthy patients. 10. Jim and Alice were recently married. Each has previously been married and had two children. What name is given to this type of family? A) extended family B) nuclear family C) blended family D) cohabiting family 11. Which of the following groups involves all parts of a persons life and is concerned with meeting basic human needs to promote health? A) peers B) family C) community D) healthcare providers 12. David and Susan are in a committed relationship and live together with their adopted twin boys. Which of the following best describes this type of family? A) nuclear family B) extended family C) blended family  D) adoptive family 13. When providing nursing care to a patient, the nurse provides family-centered nursing care. What is one rationale for this nursing action? A) The nurse does not want the patient to feel lonely. B) The patient will be more compliant with medical instructions. C) The family will be more willing to listen to instructions. D) Illness in one family member affects all family members. 14. A mother teaches her son to respect his elders. This is an example of which of the following family functions? A) physical B) economic C) affective and coping D) socialization 15. What is the purpose of the affective and coping function of the family? A) providing a safe environment for growth and development B) ensuring financial assistance for family members C) providing emotional comfort and identity D) transmitting values, attitudes, and beliefs 16. A nurse provides health promotion and accident prevention programs for a family with adolescents and young adults. Which of the following is a task of a family at this stage? A) Establish a mutually satisfying marriage. B) Adjust to cost of family life. C) Maintain supportive home base.  D) Maintain ties with younger and older generations. 17. Friedman, Bowden, and Jones (2003) identified the importance of family- centered nursing care, based on four rationales. Which of the following is one of these rationales? A) The family is composed of dependent members who affect one another. B) If a family member is ill, it does not necessarily affect other family members. C) A strong relationship exists between the family and health status of members. D) The level of health of the family is established early and is not influenced by health promotion. 18. Which of the following individuals would the nurse assess as being most at risk for altered family health? A) an unmarried adolescent with a newborn B) a newly married couple who ask about birth control C) a middle-aged man and woman with no children D) an older adult, living in an assisted-living community 19. What is the major effect of a health crisis on family structure? A) adaptation to stress B) change in roles of family members C) respect for family values D) loss of individual identities 20. Mrs. Dunn has cared for her husband with Alzheimers disease for 2 years. She comes to a local health center because she is feeling worn out and stressed. What might be an appropriate nursing diagnosis for Mrs. Dunn? A) Dysfunctional Family Processes B) Health-Seeking Behaviors C) Risk for Caregiver Burden  D) Risk for Anxiety 21. Which of the following statements accurately describes a characteristic of a community? A) Communities do not exist in rural areas. B) Communities are formed by the characteristics of people and other factors. C) Communities are not limited by geographic boundaries. D) Communities have little or no effect of the health of residents. 22. Which of the following is an example of a community factor that may affect health? A) rural setting B) air and water quality C) number of residents D) educational level 23. Which of the following factors may be a barrier to healthcare services for those living in rural areas? A) inadequate healthcare insurance B) lack of knowledge about needed care C) living long distances from services D) decreased interest in health promotion 24. Which of the following definitions best describes community-based nursing? A) a focus on populations within the community B) a focus on older adults living in nursing homes C) care provided in the patients home for chronic illnesses D) care centered on individual and family healthcare needs 25. What is one method by which a nurse can be a role model to promote health in the community?  A) by demonstrating a healthy lifestyle B) by becoming a member of a family C) by meeting own basic needs D) by exhibiting self-actualization Answer Key 1. A 2. C 3. D 4. B 5. C 6. A 7. D 8. D 9. A 10. C 11. B 12. A 13. D 14. D 15. C 16. C 17. C 18. A 19. B 20. C 21. B 22. B 23. C 24. D 25. A Chapter 05: Cultural Diversity 1. How is culture learned by each new generation? A) ethnic heritage B) involvement in religious activities C) formal and informal experiences D) belonging to a subculture 2. A nurse caring for patients in a culturally diverse neighborhood knows that culture affects the nurses interactions with patients. Which of the following is a characteristic of culture? Select all that apply. A) Culture guides what is acceptable behavior for people in a specific group. B) Modeling behavior is the primary means of transmitting culture. C) Culture is generally not affected by the groups social and physical environment. D) Cultural practices and beliefs mainly remain constant as long as they satisfy a groups needs. E) Culture influences the way people of a group view themselves, have expectations, and behave. F) Because of individual influences, there are differences both within and among cultures. 3. Which of the following statements is true of cultural assimilation? A) Mutual cultural assimilation occurs when characteristics from two groups are traded. B) Cultural assimilation is the integration of a majority group with a minority group. C) Moving to a different culture may result in psychological discomfort. D) Cultural assimilation is identifying with a collective cultural group, primarily based on common heritage. 4. Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives. He is taken to the ER following a fall at work and is admitted to the hospital for observation. Which of the following is the nurse caring for Mr. Perez aware that he is at risk for?  A) cultural assimilation B) cultural shock C) cultural imposition D) cultural blindness 5. What characteristic is used to describe racial categories? A) language B) skin color C) music preferences D) food likes and dislikes 6. A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and head covering. A 50-year-old patient tells the nurse, They are in America and should dress like we do. What is this statement an example of? A) cultural assimilation B) cultural blindness C) cultural conflict D) cultural imposition 7. A nurse walks by a patients room and observes a Shaman performing a healing ritual for the patient. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other patients on the floor. This nurse is displaying the feelings associated with: A) culture conflict B) cultural blindness C) stereotyping D) cultural shock 8. Which of the following statements accurately describe cultural factors that may influence healthcare? Select all that apply.  A) Nurses and patients generally agree upon the health practices that are being instituted. B) Certain racial and ethnic groups are more prone to developing specific diseases and conditions. C) Although pain affects people differently, most people react to pain in the same manner. D) Most mental health norms are based on research and observations made of white, middle-class people. E) In many cultures, the man is the dominant figure and generally makes decisions for all family members. F) When people move to the United States, they may speak their own language fluently but have difficulty speaking English. 9. A nurse is doing preoperative teaching for an African American man before he has abdominal surgery. What topic should be included in the teaching? A) the possibility of developing a keloid over the healed incision B) the increased risk of developing an infection in the incision C) his racial characteristics that will slow healing D) cultural influences on his response to surgery 10. A nurse is caring for a patient from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the patients pain? A) Most people react to pain in the same way. B) Pain in adults in less intense than pain in children. C) The patient is a constant complainer. D) Pain is what the patient says it is. 11. A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly? A) unemployed father B) stay-at-home mother  C) grandmother D) children 12. A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior? A) The patient is embarrassed by the questions. B) This is culturally appropriate behavior. C) The patient dislikes the nurse. D) The patient does not understand what is being asked. 13. An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, Im just not hungry. What factors should the staff assess for this problem? A) The woman does not like to eat with other residents of the home. B) The woman is using this as a means of going home. C) The food served may not be culturally appropriate. D) The food served may violate religious beliefs. 14. Although all of the following are factors to consider when caring for patients with limited income, which one is the most important? A) basic human needs may go unmet B) limited access to reliable transportation C) decreased access to healthcare services D) risk for increased incidence of disease 15. The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea? A) We do not allow our patients to drink herbal tea. B) Why in the world would you want to drink that stuff?  C) Let me check with the doctor to make sure it is okay with your medicines. D) I have to fill out a lot of forms that you will have to sign before I can do that. 16. A nurse in a large metropolitan city enjoys working in a health clinic that primarily serves Hispanic patients. What does this statement imply about the nurse? A) The nurses knowledge and skills are not adequate to care for patients with acute illnesses. B) The nurse respects and values providing culturally competent care. C) The nurse is attempting to overcome cultural blindness. D) This employment makes the nurse feel superior to a minority group of people. 17. A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and walk whether you want to or not. What is this statement an example of? A) culture shock B) stereotyping C) cultural imposition D) cultural competence 18. Which of the following are considered cultural norms of the healthcare system? Select all that apply. A) inability to define health and illness B) frequent use of jargon and documentation C) professional deference to pecking order D) use of a problem-solving methodology E) belief in the fallibility of technology F) use of certain procedures for birth and death 19. A nurse is caring for an African American in an acute care setting. Which one of the following might be a special nursing consideration for this patient? A) The patient might request a visit from a folk healer.  B) The patient may be upset by drawing blood for a test. C) The patient may perceive illness as a punishment from God. D) The patient may expect the caregiver to deduce the problem by instinct. 20. In which of the following populations should the nurse carefully assess the patients use of over-the- counter medications? A) African American B) Hispanic C) White middle class D) Asian 21. A nurse is caring for an Appalachian patient following her hysterectomy. Which of the following Appalachian values and beliefs should be considered when planning nursing care for this patient? Select all that apply. A) Isolation is considered as a way of life. B) Dependence and self-determination are valued. C) Lifestyle is more revered than compliance with healthcare issues. D) They may be fatalistic about losses and deaths. E) There is a deep love, respect, and affection between people and the land. F) Death is seen as a part of life and not feared. 22. What is one way in which nurses can develop cultural self-awareness? A) Ask peers and colleagues about practicing cultural competence. B) Objectively examine own beliefs, values, and practices. C) Realize nothing can be done to change ones values and beliefs. D) Assert to others that personal biases cannot be changed. 23. A home health nurse is visiting a 60-year-old patient. During the initial visit, the patients husband answers all of the questions. What would the nurse assess based on this behavior? A) The patient does not want the nurse to visit. B) The husband does not trust his wife to answer questions. C) The patient is not able to answer the questions. D) The husband is the dominant member of the family. Answer Key 1. C 2. A, D, E, F 3. A 4. B 5. B 6. D 7. A 8. B, D, E, F 9. A 10. D 11. D 12. B 13. C 14. A 15. C 16. B 17. C 18. B, C, D, F 19. A 20. C 21. A, B, D 22. B 23. D Chapter 06: Values, Ethics, and Advocacy 1. Which of the following phrases best describes a value? A) questions about how one should act and live B) the process by which one decides what is important in life C) a belief about the worth of something to guide behavior D) dispositions of character that motivate goodness 2. Mrs. Jones always thanks clerks at the grocery store. Her 6-year-old daughter echoes her thank you. The child is demonstrating what mode of value transmission? A) modeling B) moralizing C) reward and punishment D) responsible choice 3. What is one negative aspect for children of learning values through the moralizing mode of transmission? A) little likelihood of developing acceptable behaviors B) can lead to confusion and conflict C) unacceptable behaviors are punished D) not much opportunity to weigh values 4. Which of the following modes of value transmission is most likely to lead to confusion and conflict? A) modeling B) moralizing C) laissez-faire  D) responsible choice 5. A nurse in a womens health clinic values abstinence as the best method of birth control. However, she offers compassionate care to unmarried pregnant adolescents. What is the nurse demonstrating? A) modeling of value transmission B) conflict in values acceptance C) nonjudgmental value neutral care D) values conflict that may lead to stress 6. Which of the following are examples of a nurse demonstrating the professional value of altruism? Select all that apply. A) The nurse arranges for an interpreter for a patient whose primary language is Spanish. B) The nurse calls the physician of a patient whose pain medication is not strong enough. C) The nurse provides information for a patient so he is capable of participating in planning his care. D) The nurse reviews a patient chart to determine who may be informed of the patients condition. E) The nurse documents patient care accurately and honestly and reviews the entry to ensure there are no errors. F) The nurse encourages legislation for nationalized healthcare insurance for low- income families. 7. Values theorists describe the process of valuing as focusing on three main activities. What is the first activity in the valuing process? A) choosing B) prizing C) acting D) doing 8. Which of the following illustrates the activity of acting in values clarification? A) respecting the human dignity of all patients  B) seeking public affirmation for actions C) disregarding several alternatives when choosing D) considering consequences of actions 9. While at lunch, a nurse heard other nurses at a nearby table talking about a patient they did not like. When they asked him what he thought, he politely refused to join in the conversation. What value was the nurse demonstrating? A) the importance of food in meeting a basic human need B) basic respect for human dignity C) men do not gossip with women D) a low value on collegiality and friendship 10. A middle-aged man is having increasing difficulty breathing. He never exercises, eats fast food regularly, and smokes two packs of cigarettes a day. He tells the nurse practitioner that he wants to change the way he lives. What is one means of helping him change behaviors? A) ethical change strategy B) values neutrality choices C) values transmission D) values clarification 11. Which of the following words is most closely associated with the term ethics? A) values B) modeling C) reward D) conduct 12. Which of the following statements accurately describe a characteristic of ethics? Select all that apply. A) The ability to be ethical begins in young adulthood.  B) Ethics cannot be defined as a code of professional conduct. C) Ethics usually refers to personal or communal standards of right and wrong. D) It is important to distinguish ethics from religion, law, custom, and institutional practices. E) Values are intimately related to, and direct, ethical conduct. F) Ethics is a systematic inquiry into principles of right and wrong conduct. 13. Which branch of bioethics is most concerned with ethical problems that arise within the context of caring for patients wherever they are found? A) moral development B) clinical ethics C) bioethics D) nursing ethics 14. Which of the following best describes the utilitarian theory of ethics? A) If an action is useful, it is ethically correct. B) The consequences of an action determine if it is right or wrong. C) All actions are either right or wrong, regardless of consequences. D) There is no way to determine whether an action is ethical or not. 15. Which component of nursing care is central to the care-based approach to bioethics? A) provision of physical care B) relationships with healthcare providers C) nursepatient relationship D) management of care 16. A nurse using the principle-based approach to patient care seeks to avoid causing harm to patients in all situations. This principle is known as:  A) nonmaleficence B) justice C) fidelity D) autonomy 17. A nurse provides patient care within a philosophy of ethical decision making and professional expectations. What is the nurse using as a framework for practice? A) Code of Ethics B) Standards of Care C) Definition of Nursing D) Values Clarification 18. Which of the following are ANA standards of clinical nursing practice? Select all that apply. A) The nurses practice and actions are guided by hospital policy and regulations. B) The nurse maintains patient confidentiality within legal and regulatory parameters. C) The nurse is the patient advocate and discourages patients to advocate for themselves. D) The nurse delivers care in a nonjudgmental manner that is sensitive to patient diversity E) The nurse delivers care in a manner that preserves or protects patient dependency, dignity, and rights. F) The nurse seeks available resources to help formulate ethical decisions and use them in practice. 19. What document was developed to improve workplaces and ensure nurses ability to provide safe, quality patient care? A) Code of Ethics for Nurses B) Standards of Clinical Nursing Practice C) Bioethics Clinical Guidelines D) Bill of Rights for Registered Nurses 20. A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care? A) nurse must follow the physicians orders B) an inability to provide care for the patient C) an ethical dilemma about inconsistent courses of action D) a barrier to establishing an effective nursepatient relationship 21. A nurse who forgets to give a patient her medication throws away the medicine and documents that it was dispensed on the patient chart. The nurse then becomes uneasy about her action and vows never to falsify a record again. This is an example of which of the following? A) ethical uncertainty B) ethical distress C) ethical residue D) ethical disengagement 22. Two children need a kidney transplant. One is the child of a famous sports figure, whereas the other child comes from a low-income family. What ethically relevant consideration is important to the nurse as an advocate for these patients? A) balance between benefits and harms in patient care B) norms of family life C) considerations of power D) cost-effectiveness and allocation 23. Which of the following is an example of paternalistic behavior? A) telling a patient that a painful procedure will not hurt B) intercepting a visitors gift of candy to a patient with diabetes C) deciding to close the intensive care unit when all beds are full  D) discussing a patients condition with the patients roommate 24. A student nurse is working in the library on her plan of care for a clinical assignment. The patients name is written at the top of her plan. What ethical responsibility is the student violating? A) confidentiality B) accountability C) trust D) informed consent 25. A nurse is concerned about the practice of routinely ordering a battery of laboratory tests for patients who are admitted to the hospital from a long-term care facility. An appropriate source in handling this ethical dilemma would be which of the following? A) the patients family B) the admitting physician C) the nurse in charge of the unit D) the institutional ethics committee 26. A patient tells the nurse that he does not want to have a painful procedure. By respecting and supporting the patients right to make decisions, what is the nurse demonstrating? A) confidentiality B) advocacy C) altruism D) justice 27. A patient, unsure of the need for surgery, asks the nurse, What should I do? What answer by the nurse is based on advocacy? A) If I were you, I sure would not have this surgical procedure. B) Gosh, I dont know what I would do if I were you. C) Tell me more about what makes you think you dont want surgery.  D) Let me talk to your doctor and I will get back to you as soon as I can. Answer Key 1. C 2. A 3. D 4. C 5. C 6. A, B 7. A 8. A 9. B 10. D 11. D 12. A, C, D, E, F 13. B 14. B 15. C 16. A 17. A 18. B, D, F 19. D 20. C 21. C 22. D 23. B 24. A 25. D 26. B 27. C Chapter 07: Legal Dimensions of Nursing Practice 1. A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? A) civil B) private C) public D) criminal 2. A lawyer quotes a precedent for punishment of a crime committed by the defendant in a trial. What is court-made law is known as? A) public law B) statutory law C) common law D) administrative law 3. A patient is suing a nurse for malpractice. What is the term for the person bringing suit? A) plaintiff B) defendant C) litigator D) witness 4. A nurse is providing patient care in a hospital setting. Who has full legal responsibility and accountability for the nurses actions? A) the nurse B) the head nurse C) the physician  D) the hospital 5. What type of law regulates the practice of nursing? A) common law B) public law C) civil law D) criminal law 6. What is the legal source of rules of conduct for nurses? A) agency policies and protocols B) constitution of the United States C) American Nurses Association D) Nurse Practice Acts 7. A nurse moves from Ohio to Missouri. Where can a copy of the Nurse Practice Act in Missouri be obtained? A) Ohio State Board of Nursing B) Missouri State Board of Nursing C) federal government nursing guidelines D) National League for Nursing 8. Which of the following best describes voluntary standards? A) Voluntary standards are guidelines for peer review, guided by the publics expectation of nursing. B) Voluntary standards set requirements for licensure and nursing education. C) Voluntary standards meet criteria for recognition, specified area of practice. D) Voluntary standards determine violations for discipline and who may practice. 9. Which of the following statements accurately describe an aspect of the credentialing process used in nursing practice? Select all that apply. A) Credentialing refers to the way in which professional competence is ensured and maintained. B) Accreditation is the process by which the state determines a person meets minimum requirements to practice nursing. C) Certification grants recognition in a specified practice area to people who meet certain criteria. D) Legal accreditation of a school preparing nursing personnel by the state Board of Nursing is voluntary. E) Once earned, a license to practice is a property right and may not be revoked without due process. F) A nurse must be licensed by the state board of nursing in each state in which he or she desires to practice. 10. Which of the following accreditations is a legal requirement for a school of nursing to exist? A) National League for Nursing Accrediting Commission B) American Association of Colleges of Nursing accreditation C) State Board of Nursing accreditation D) educational institution accreditation 11. In comparison with licensure, which measures entry-level competence, what does certification validate? A) innocence of any disciplinary violation B) specialty knowledge and clinical judgment C) more than 10 years of nursing practice D) ability to practice in more than one area 12. Which of the following is the most frequent reason for revocation or suspension of a nurses license? A) fraud B) mental impairment  C) alcohol or drug abuse D) criminal acts 13. A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse? A) assault B) battery C) fraud D) negligence 14. A patient refuses to have a pain medication administered by injection. A nurse says, If you dont let me give you the shot, I will get help to hold you down and give it. With what crime might the nurse be charged? A) assault B) battery C) negligence D) defamation 15. Two nurses are discussing a patients condition in an elevator full of visitors. With what crime might the nurses be charged? A) defamation of character B) invasion of privacy C) unintentional negligence D) intentional negligence 16. A lawsuit has been brought against a nurse for malpractice. The patient fell and suffered a skull fracture, resulting in a longer hospital stay and need for rehabilitation. What does the description of the patient represent as proof of malpractice? A) damages  B) causation C) duty D) breach of duty 17. Which of the following nursing actions would be considered a violation of HIPPA regulations? Select all that apply. A) A nurse ambulates a patient through a hospital hallway in a hospital gown that is open in the back. B) A nurse shoves a confused bedridden patient into bed after he made several attempts to get up. C) A nurse inadvertently administers the wrong dose of morphine to a patient in the ICU. D) A nurse uses a patients chart as a sample teaching case without changing the patients name. E) A nurse reports the condition of a patient to the patients employer. F) A nurse misrepresents herself to obtain a license to practice nursing. 18. According to HIPPA regulations, which of the following is a patient right regarding the patients medical record? Select all that apply. A) to see the health record B) to copy the health record C) to make additions to the health record D) to cross out sections of the health record E) to restrict certain disclosures of the health record F) to destroy the health record 19. A nurse has been named as a defendant in a lawsuit. With whom should the nurse discuss the case? A) colleagues B) reporters C) plaintiff  D) attorney 20. A nurse is accused of malpractice by a patient. Place all of the steps in the malpractice litigation listed below in the order in which they normally occur. Use all options. A) All parties named as defendants work toward a fair settlement. B) Trial takes place and a decision or verdict is reached. C) Pretrial discovery activities occur including review of medical record. D) The defendant contests allegations believing there is no basis for them. E) The case is presented to a malpractice arbitration pane and is accepted or rejected. F) If the verdict is not accepted by both sides, it may be appealed to an appellate court. 21. A competent adult patient is scheduled for surgery. Who signs the informed consent form to allow the surgery? A) a relative B) the physician C) a nurse D) the patient 22. A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which of the following are elements of this consent form? Select all that apply. A) Disclosure B) Organ donation C) DNR orders D) Comprehension E) Competence F) Voluntariness 23. Which of the following is the nurses best legal safeguard?  A) collective bargaining B) written or implied contracts C) competent practice D) patient education 24. A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next? A) administer the medication based on the order B) question the order for the medication C) refuse to administer the medication D) document concerns about the order 25. A patient gets out of bed following hip surgery and falls and re-injures her hip. The nurse caring for her knows that it is her duty to make sure an incident report is filed. Which of the following statements accurately describes the correct procedure for filing an incident report? A) The physician in charge should fill out the report. B) The names of the staff involved should not be included. C) The reports are used for disciplinary action against the staff. D) The report should contain all the variables related to the incident. Answer Key 1. D 2. C 3. A 4. A 5. C 6. D 7. B 8. A 9. A, C, E 10. C 11. B 12. C 13. D 14. A 15. B 16. A 17. A, D, E 18. A, B, E 19. D 20. A 21. D 22. A, D, E, F 23. C 24. B 25. D Chapter 08: Communication 1. A nurse touches a patients hand to indicate caring and support. What channel of communication is the nurse using? A) auditory B) visual C) olfactory D) kinesthetic 2. A nurse is teaching a home care patient how to administer a topical medication. The patient is watching television while the nurse is talking. What might be the result of this interaction? A) The message will likely be misunderstood. B) The stimulus for communication is unclear. C) The receiver will accurately interpret the message. D) The communication will be reciprocal. 3. A nurse gives a speech on nutrition to a group of pregnant women. What is the speech itself known as? A) stimulus B) source C) message D) channel 4. The family of a patient in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this? A) intrapersonal B) interpersonal C) organizational  D) focused 5. Which of the following is an example of nonverbal communication? A) A nurse says, I am going to help you walk now. B) A nurse presents information to a group of patients. C) A patients face is contorted with pain. D) A patient asks the nurse for a pain shot. 6. A student caring for an unconscious patient knows that communication is important even if the patient does not respond. Which nonverbal action by the student would communicate caring? A) making constant eye contact with the patient B) waving to the patient when entering the room C) sighing frequently while providing care D) holding the patients hand while talking 7. Which of the following statements is true of factors that influence communication? A) Nurses provide the same information to all patients, regardless of age. B) Men and women have similar communication styles. C) Culture and lifestyle influence the communication process. D) Distance from a patient has little effect on a nurses message. 8. A nurse is sitting near a patient while conducting a health history. The patient keeps edging away from the nurse. What might this mean in terms of personal space? A) The nurse is too far away from the patient. B) The nurse is in the patients personal space. C) The patient does not like the nurse. D) The patient has concerns about the questions. 9. Why is communication important to the assessing step of the nursing process? A) The major focus of assessing is to gather information. B) Assessing is primarily focused on physical findings. C) Assessing involves only nonverbal cues. D) Written information is rarely used in assessment. 10. Which of the following statements accurately describe the relationship between therapeutic communication and the nursing process? Select all that apply. A) Effective communication techniques, as well as observational skills, are used extensively during the assessment step. B) Only the written word in the form of a medical record is used during the diagnosing step of the nursing process. C) The implementing step requires communication among the patient, nurse, and other team members to develop interventions and outcomes. D) Verbal and nonverbal communication are used to teach, counsel, and support patients and their families during the implementation phase. E) Nurses rely on the verbal and nonverbal cues they receive from their patients to evaluate whether patient objectives or goals have been achieved. F) Because one nurse cannot provide 24-hour coverage for patients, significant information must be passed on to others through implementation. 11. A nurse uses the SBAR method to hand off the communication to the healthcare team. Which of the following might be listed under the B of the acronym? A) vital signs B) mental status C) patient problem D) further testing 12. What is the goal of the nurse in a helping relationship with a patient?  A) to provide hands-on physical care B) to ensure safety while caring for the patient C) to assist the patient to identify and achieve goals D) to facilitate the patients interactions with others 13. Which of the following is a characteristic of the helping relationship? A) it occurs spontaneously B) it is similar to a social relationship C) it is an unequal sharing of communication D) it is based on the needs of the nurse 14. What action by the nurse will facilitate the helping relationship during the orientation phase? A) providing assistance to meet activities of daily living B) introducing himself or herself to the patient by name C) designing a specific teaching plan of care D) preparing for termination of the relationship 15. Which of the nursing roles is primarily performed during the working phase of the helping relationship? A) teacher and counselor B) provider of care C) leader and manager D) researcher 16. A nurse who is discharging a patient is terminating the helping relationship. Which of the following actions might the nurse perform in this phase? Select all that apply. A) making formal introductions  B) making a contract regarding the relationship C) providing assistance to achieve goals D) helping patient perform activities of daily living E) examining goals of relationship for achievement F) helping patient establish helping relationship with another nurse 17. What term describes a nurse who is sensitive to the patients feelings but remains objective enough to help the patient achieve positive outcomes? A) competent B) caring C) honest D) empathic 18. What is the primary focus of communication during the nursepatient relationship? A) time available to the nurse B) nursing activity to be performed C) patient and patient needs D) environment of the patient 19. Which of the following is an example of a closed-ended question or statement? A) How did that make you feel? B) Did you take those drugs? C) What medications do you take at home? D) Describe the type of pain you have. 20. A patient tells the nurse that he is very worried about his surgery. Which of the following responses by the nurse is a clich?  A) Tell me what you are worried about. B) What is it that you are worried about? C) Do you want to cancel your surgery? D) Dont worry, everything will be fine. 21. A nurse tells a patient, Why wont you get out of bed? Are you always this lazy? This is an example of which of the following barriers to communication? A) using comments that give advice B) using judgmental language C) using leading questions D) using probing questions 22. A nurse is caring for a patient who is visually impaired. Which of the following is a recommended guideline for communication with this patient? A) Ease into the room without acknowledging presence until the patient can be touched. B) Speak in a louder tone of voice to make up for lack of visual cues. C) Explain reason for touching patient before doing so. D) Keep communication simple and concrete. Answer Key 1. D 2. A 3. C 4. B 5. C 6. D 7. C 8. B 9. A 10. A, D, E 11. B 12. C 13. C 14. B 15. A 16. E, F 17. D 18. C 19. B 20. D 21. B 22. C Chapter 09: Teaching and Counseling 1. A diabetes nurse educator is teaching a patient, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this teaching? A) to help the patient develop self-care abilities B) to ensure the patient will return for follow-up care C) to facilitate complete recovery from the disease D) to implement ordered teaching and counseling 2. A nurse in a neighborhood clinic is conducting educational sessions on weight loss. What aim of nursing is met by these educational programs? A) practicing advocacy B) preventing illness C) restoring health D) facilitating coping 3. A nurse refers a patient with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping 4. Which of the following is an essential component of the definition of learning? A) increases self-esteem B) decreases stress C) can be measured  D) cannot be measured 5. A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners? A) a focus on the immediate application of new material B) a need for support to reduce anxiety about new learning C) older students may feel inferior in terms of new learning D) all students, regardless of age, learn the same 6. A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent patient teaching? A) Use materials developed previously for U.S. citizens. B) Use all visual materials when teaching content. C) Use a lecture format to teach content with few questions. D) Develop written materials in the patients native language. 7. What patient characteristic is important to assess when using the health belief model as the framework for teaching? A) developmental level B) source of information C) motivation to learn D) family support 8. According to Rosenstock, which of the following are health beliefs critical for patient motivation? Select all that apply. A) Patients view themselves as susceptible to the disease in question. B) Patients view the disease as a serious threat.  C) Patients believe there are actions they can take to reduce the probability of contracting the disease. D) Patients believe the threat of taking these actions is greater than the disease itself. E) Patients view themselves as victims of the disease in question. F) Patients feel powerless to modify their perception of disease susceptibility. 9. The National Patient Safety Foundation recently collaborated with the Partnership for Clear Health Communication (2007) to create awareness of the need for improved health literacy and developed the Ask Me 3 tool. Which of the following is an Ask Me 3 question? Select all that apply. A) Who will be my healthcare provider? B) What is my main problem? C) What do I need to do? D) Where will I get help? E) Why is it important for me to do this? F) When will I start my program? 10. Which of the following strategies might a nurse use to increase compliance with teaching? A) Include the patient and family as partners. B) Use short, simple sentences for all ages. C) Provide verbal instruction at all times. D) Maintain clear role as the authority. 11. A nurse teaching a new mother how to bathe her infant uses the acronym TEACH to maximize the effectiveness of the teaching plan. Which of the following are guidelines based on this acronym? Select all that apply. A) Tune out the individual patient. B) Edit patient information. C) Act on every teaching moment.  D) Always refer a patient to counseling. E) Clarify often. F) Honestly answer patient questions. 12. A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this patient? A) Knowledge Deficit: Infant care B) Impaired Health Maintenance C) Readiness for Enhanced Parenting D) Readiness for Enhanced Coping 13. Developing a teaching plan is comparable to what other nursing activity? A) documenting in the nurses notes B) formulating a nursing care plan C) performing a complex technical skill D) using a standardized form or format 14. A student is developing a teaching plan for her assigned patient. The student wants to teach the patient about what symptoms to report after chemotherapy. What would the student need to do first? A) Ask other students what should be included in content. B) Ask the patient what he or she wants to know. C) Tell the instructor that this topic hasnt been covered yet. D) Review information available in writing and on the Internet. 15. A nurse is writing learning outcomes for a patient recovering from severe burns. Which of the following verbs would be good choices to use when preparing outcomes related to learning how to change dressings? Select all that apply. A) assembles  B) demonstrates C) gives examples D) identifies E) chooses F) values 16. A mother of a toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn? A) lecture B) discussion C) demonstration D) discovery 17. A nurse asks a patient to tell him the side effects of a medication. What learning domain is the nurse evaluating? A) affective B) cognitive C) psychomotor D) emotional 18. When is the best time to evaluate ones own teaching effectiveness? A) during the teaching session B) immediately after a teaching session C) 1 week after the teaching session D) 1 month after the teaching session 19. A 42-year-old male patient recovering from a MI is having difficulty following the care plan to stop smoking and exercise. What is the nurses best response to this patient?  A) Praise him for any efforts he makes to improve his health. B) Tell him that he will have another MI and it will be his own fault. C) Tell him that his cigarettes will be taken away if he smokes again. D) Ignore the behavior and recommend a behavior modification program. 20. What is the most critical element of documentation of teaching? A) a summary of the teaching plan B) the implementation of the teaching plan C) the patient need for learning D) evidence that learning has occurred 21. What word or phrase best describes an effective counselor? A) technically skilled B) knowledgeable C) practical D) caring 22. An elderly patient is very stressed about who will care for his pets while he is hospitalized for a fall that caused a fractured hip and hospitalization. What type of counseling would the nurse conduct? A) none B) long-term C) short-term D) motivational 23. A nurse is using motivational interviewing to find out why a patient refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this patient?  A) So, you feel that you are not ready to start a program this week? B) Why do you feel that you are not ready to start rehabilitation? C) I understand that you are afraid to start rehabilitation; where do you see yourself in a week? D) Remember we discussed what needs to be done to get you back on your feetHow do you feel about getting started? Answer Key 1. A 2. B 3. D 4. C 5. A 6. D 7. C 8. A, B, C 9. B, C, E 10. A 11. B, C, E 12. C 13. B 14. D 15. A, B 16. C 17. B 18. B 19. D 20. D 21. D 22. C 23. A Chapter 10: Leading, Managing, and Delegating 1. A head nurse assumes the leadership role when directing and supervising coworkers. Which of the following are attributes of a leader? Select all that apply. A) philosophical B) task-oriented C) charismatic D) dynamic E) intimidating F) self-confident 2. A senior student nurse has been elected class president. What type of power will the student have in this position? A) explicit power B) assumed power C) absolute power D) implied power 3. A senior student has been elected president of the Student Nurses Association. Which of the following qualities is essential to being a nursing leader? A) physical stamina B) physical attractiveness C) flexibility D) independence 4. Which of the following types of skills is not needed for nursing leadership? A) communication skills  B) technical skills C) problem-solving skills D) self-evaluation skills 5. A nurse strives to establish trusting interpersonal relationships with patients, peers, subordinates, and superiors to facilitate goal achievement and personal growth of all participants. Which of the following skills is this nurse demonstrating? A) communication skills B) problem-solving skills C) management skills D) self-evaluation skills 6. A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action? A) democratic B) self-governance C) laissez-faire D) autocratic 7. What type of leader shares decisions and activities with group participants? A) democratic B) autocratic C) laissez-faire D) situational 8. A nurse leader is described as charismatic, motivational, and passionate. Communications are open and honest, and the nurse is willing to take risks. What type of leadership is the nurse practicing? A) democratic  B) autocratic C) quantum D) transformational 9. How is change viewed in the new quantum age currently experienced in society? A) constant and predictable B) dynamic and constantly unfolding C) evolving very slowly D) an entity needing planning 10. A nurse is described as a quantum leader. Which of the following actions characterize this type of leadership? A) A nurse conducts a blind survey to evaluate her leadership skills. B) A nurse relinquishes power to a group deciding hospital policy. C) A nurse makes policy decisions for coworkers without consulting them. D) A nurse sticks to the tried and true methods when implementing patient care. 11. A nurse working in a physicians office uses the managerial function known as organizing. What is involved in this function? A) resources B) problems C) workforce D) evaluation 12. A specific nursing unit practices functional nursing. What was the basis for this concept? A) individual patient care B) primary nursing  C) case management D) industrial assembly line 13. When comparing team nursing with functional nursing, what characteristic is found? A) Team nursing is very similar to functional nursing. B) Team nursing focuses on individual patient care. C) Functional nursing has a stronger focus on the patient. D) Functional nursing is based on total patient care. 14. A nurse believes in listening to patients and coworkers more than talking to them, allowing more personal control for all involved. This is a quality of which of the following managerial mind-sets? A) reflective B) analytical C) worldly D) collaborative 15. In which of the following conflict resolution strategies is the conflict rarely resolved? A) collaborating B) compromising C) competing D) smoothing 16. In Lewins classic theory of change, what happens during unfreezing? A) Planning is conducted. B) Change is initiated. C) Change becomes operational.  D) The need for change is recognized. 17. Planned change is a purposeful, systematic effort to alter or bring about change. What occurs next after alternative solutions to a problem are determined and analyzed? A) All of the alternative solutions are implemented. B) A course of action is chosen from among the alternatives. C) The effects of the change are evaluated. D) The change is stabilized and established. 18. A nurse is attempting to change the method for documenting patient care in a hospital setting. Which of the following should be considered before planning change? Select all that apply. A) What is amenable to change? B) How does the group function as a unit? C) Is the group ready for change? D) Are the changes major or minor? E) What are the consequences of change? F) Who should institute change? 19. Which of the following statements accurately describe recommended guidelines for overcoming resistance to change? Select all that apply. A) Explain the proposed changes only to the managers of the people involved. B) Whenever possible, use technical language to describe the changes. C) List the advantages of the proposed change for members of the group. D) Avoid relating the change to the groups existing beliefs and values. E) If possible, introduce change gradually. F) Provide incentives for commitment to change. 20. In general, how do most people view change? A) by how it affects the cohesiveness of the group B) by how much it will cost in time and resources C) by how they are affected personally D) by how it will affect others on the staff 21. A nurse manager has encountered resistance to a planned change. What is one way the nurse can overcome the resistance? A) Tell the staff that if they dont like it, they can quit. B) Implement change rapidly and all at once. C) Encourage open communication and feedback. D) Let the staff know that the change is mandated. 22. Which of the following statements accurately describes the use of power by change agents? A) They know that power comes from one sourcemanagement. B) When introducing change they do not enlist the support of key power players. C) They are often accomplished professional women. D) They do not recognize their own strengths and weaknesses. 23. A nurse working on leadership skills should keep in mind the following accurate statement regarding leaders: A) People are born leaders. B) Leadership should be approached quickly. C) Leaders develop leadership skills in undefined situations. D) All nurse leaders began as inexperienced nurses. 24. Andrew has just graduated with a baccalaureate degree in nursing. What type of nursing leadership will he be expected to provide?  A) nursing care of the individual patient B) demonstration of selected critical skills C) ability to be a follower rather than a leader D) nursing care of groups of patients 25. A nurse is considering the delegation of administering medications to an unskilled assistant. What is the first question the nurse must ask herself before doing so? A) Has the assistant been trained to perform the task? B) Have I evaluated the patients response to this task? C) Is the delegated task permitted by law? D) Is appropriate supervision available? 26. The ANA, which is committed to monitoring the regulation, education, and use of NAPs, recommends adherence to which one of the following principles: A) It is the nursing profession that determines the scope of nursing practice. B) It is the RN who defines and supervises the education, training, and use of any unlicensed assistant roles. C) It is the assigned NAP who is responsible and accountable for his or her nursing practice. D) It is the purpose of the RN to work in a supportive role to the assistive personnel. 27. Which of the following tasks could be delegated to unlicensed assistive personnel? A) an initial assessment of a patient B) determination of a nursing diagnosis C) evaluation of patient progress with the nursing care plan D) assisting patients with hygiene 28. Which of the following is a characteristic of mentorship?  A) It is a paid position to orient new nurses to the workplace. B) It involves membership in a professional organization. C) It is a link to a protg with common interests. D) It is not encouraged in healthcare settings Answer Key 1. A, C, D, F 2. A 3. C 4. B 5. A 6. D 7. A 8. D 9. B 10. A 11. A 12. D 13. B 14. D 15. D 16. D 17. B 18. A, B, C, D 19. C, E, F 20. C 21. C 22. C 23. D 24. A 25. C 26. A 27. D 28. C Chapter 11: The Health Care Delivery System 1. Which of the following statements accurately describe an aspect of managed care? Select all that apply. A) Managed care systems control the cost of care with a lower quality of care. B) The care of the patient is carefully planned and monitored by the primary care provider. C) The nurse is considered the gatekeeper in the managed care system. D) The managed care system expands the choice of care providers. E) The managed care system may required approval for specialty care. F) Planning and monitoring are conducted to ensure standards are followed. 2. Which of the following is a characteristic of primary healthcare? Select all that apply. A) It is essential healthcare based on sound methods and technology. B) It is made universally accessible to individuals and families in the community. C) It does not require the full participation of the individual and family. D) It brings healthcare as close as possible to where people live and work. E) It is the same concept as primary healthcare in that it refers to the delivery of healthcare. F) The concept was developed based on an increase in illness and death in third- world countries. 3. Which of the following phrases is characteristic of case management as a method of healthcare delivery? A) brings healthcare to where people live and work B) essentially the same method as primary care C) planned and monitored by patients themselves  D) maximize positive outcomes and contain costs 4. Which of the following phrases best describes hospitals today?  A) focus on chronic illnesses B) focus on acute care needs C) primary care centers D) voluntary agencies 5. A man is scheduled for hospital outpatient surgery. He tells the nurse, I dont know what that word, outpatient, means. How would the nurse respond? A) It means you will have surgery in the hospital and stay for 2 days. B) It means the surgeon will come to your home to do the surgery. C) Why would you ask such a question? Dont worry about it. D) You will have surgery and go home that same day. 6. What is one responsibility of nurses who work in physicians offices? A) prescribing medications B) conducting health assessments C) performing minor surgery D) making independent home visits 7. A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. Which of the following terms best describes this type of healthcare setting? A) hospital B) physicians office C) ambulatory center D) long-term care 8. Nurses who are employed in home care have a variety of responsibilities. Which of the following is one of those responsibilities?  A) provide all care and services B) maintain a clean home environment C) advise patients on financial matters D) collaborate with other care providers 9. Which of the following is true of long-term care facilities? A) They provide care only to older adults. B) They provide care for homeless adults. C) They provide care to people of any age. D) They care for people only with dementia. 10. A grade school is preparing a series of classes on the dangers of smoking. Who would be most likely to teach the classes? A) the principal B) an outside consultant C) a teacher D) the school nurse 11. An elderly woman has total care of her husband with Alzheimers disease. What type of care might the nurse suggest to give her some much-needed time of her own? A) primary care B) respite care C) bereavement care D) palliative care 12. What population do hospice nurses provide with care?  A) those requiring care to improve health B) children with chronic illnesses C) dying persons and their loved ones D) older adults requiring long-term care 13. Who provides physicians with the authority to admit and provide care to patients requiring hospitalization? A) the healthcare institution itself B) Board of Healing Arts C) American Medical Association D) State Board of Nursing 14. After a stroke, a patient is having difficulty swallowing. The nurse may make a referral to what member of the healthcare team? A) physical therapist B) speech therapist C) social worker D) respiratory therapist 15. Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). What are DRGs? A) locally supported healthcare financing, usually by donations B) a public assistance program for low-income individuals C) predetermined payment for services based on medical diagnoses D) a private insurance plan for subscribers who pay a copayment 16. A patient has a private insurance policy that pays for most healthcare costs and services. Why is this plan called a third-party payer? A) The insurance company pays all or most of the costs.  B) The family of the patient is required to pay costs. C) The patient gets the bill and pays out-of-pocket costs. D) Medicare and Medicaid will pay most of the costs. 17. A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. What type of insurance is most likely involved? A) Medicaid B) preferred provider organization C) health maintenance organization D) long-term care insurance 18. What is the primary focus of healthcare today? A) care of acute illnesses B) care of chronic illnesses C) health promotion D) he