Nursing Communication Techniques PDF

Stuvia.com - The Marketplace to Buy and Sell your Study Material d. minimal encouraging. ANS: D The nurse uses minimal encouragement to lead the patient to provide more information. DIF: Cognitive Level: Application REF: 66 OBJ: 5 TOP: Communicati...

Stuvia.com - The Marketplace to Buy and Sell your Study Material d. minimal encouraging. ANS: D The nurse uses minimal encouragement to lead the patient to provide more information. DIF: Cognitive Level: Application REF: 66 OBJ: 5 TOP: Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 23. A nurse is communicating with an older adult. How might the nurse enhance communication? a. Speak in a rapid manner to accommodate the patient’s short attention span. b. Speak in a lower voice tone to accommodate hearing loss. c. Speak in a simple manner as if speaking to a child. d. Speak in a loud voice directly at ear level. ANS: B Older adults lose their ability to hear higher frequency sound. Speaking in a lower tone enhances communication. Speaking overly loud and as if to a child may be irritating and demeaning. Rapid speech may be difficult for older adults to understand. DIF: Cognitive Level: Application REF: 73 OBJ: 6 TOP: Physiologic factors affecting communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 24. What does maintaining eye contact for 2 to 6 seconds during communication with a patient do? a. Keeps the nurse’s attention on the conversation b. Counteracts shyness in the patient c. Indicates continuous focused attention d. Assesses if the patient is involved in the conversation ANS: C Maintaining eye contact for 2 to 6 seconds involves the person in what is being said, is indicative of continued interest, and conveys to the patient an accepting attitude. DIF: Cognitive Level: Comprehension REF: 62 OBJ: 2 TOP: Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 25. The nurse recognizes that a patient experiencing stress feels vulnerable. What would be the most appropriate way for the nurse to intervene? a. Use technical language. b. Direct the conversation. c. Modify communication methods. d. Offer all the information. ANS: C WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material When the patient is experiencing stress, the nurse should modify communication methods. DIF: Cognitive Level: Application REF: 73 OBJ: 6 TOP: Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 26. A nurse communicates with a patient by maintaining eye contact and through the use of touch. What type of communication technique is the nurse demonstrating? a. Verbal b. Persuasive c. Directive d. Nonverbal ANS: D Messages transmitted without the use of words (either oral or written) constitute nonverbal communication. Nonverbal cues include tone and rate of voice, volume of speech, eye contact, physical appearance, and use of touch. DIF: Cognitive Level: Comprehension REF: 61 OBJ: 5 TOP: Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 27. A nurse frequently looks at her watch when giving a patient a bed bath. What message is most likely conveyed to the patient from the nurse? a. She desires to spend more time with the patient. b. She is anxious to listen to the patient’s concerns. c. She is feeling hurried. d. She likes her watch. ANS: C Frequently looking at one’s watch while interacting with a patient conveys to the patient that the nurse is in a hurry and really has no desire to spend time with him or her. DIF: Cognitive Level: Application REF: 62 | 66 OBJ: 8 TOP: Gestures KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 28. When listening to a patient, what action by the nurse demonstrates disinterest and coldness? a. Tightly crossing her arms b. Uncrossing her arms c. Uncrossing her legs d. Facing the patient ANS: A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material The way that an individual sits, stands, and moves is called posture. Posture has the potential to convey warmth and acceptance, or distance and disinterest. An open posture is demonstrated with a relaxed stance with uncrossed arms and legs while facing the other individual. A slight shift in body position toward an individual, a smile, and direct eye contact are all consistent with open posturing and convey warmth and caring. Closed posture is a more formal, distant stance, generally with the arms, and possibly the legs, tightly crossed. A person will often interpret closed posture as disinterest, coldness, and even nonacceptance. DIF: Cognitive Level: Comprehension REF: 62 OBJ: 1 | 7 | 8 TOP: Posture KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 29. How can the nurse demonstrate warmth and acceptance when listening to a patient? a. Tightly crossing her arms b. Uncrossing her arms c. Tightly crossing her legs d. Facing away from the patient ANS: B The way that an individual sits, stands, and moves is called posture. Posture has the potential to convey warmth and acceptance, or distance and disinterest. An open posture is demonstrated with a relaxed stance with uncrossed arms and legs while facing the other individual. A slight shift in body position toward an individual, a smile, and direct eye contact are all consistent with open posturing and convey warmth and caring. Closed posture is a more formal, distant stance, generally with the arms, and possibly the legs, tightly crossed. A person will often interpret closed posture as disinterest, coldness, and even nonacceptance. DIF: Cognitive Level: Application REF: 62 OBJ: 1 | 5 | 8 TOP: Posture KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 30. How may a nurse caring for a pediatric patient best be perceived as nonthreatening? a. Tightly crossing her arms b. Maintaining an open posture c. Maintaining a tense posture d. Standing at the bedside ANS: B Standing at the bedside looking down at the patient in the bed places the nurse in a position of authority and control. The patient is likely to experience this as intimidating and condescending. Whenever possible, the nurse should be level with the patient; this is especially important with pediatric patients. Sitting at the bedside in a relaxed and open posture is one example. DIF: Cognitive Level: Application REF: 62-63 OBJ: 1 | 5 TOP: Posture KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 31. A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication? a. “Please let me know when you start to have pain.” b. “Let’s practice some guided imagery.” c. “Let’s try repositioning you.” d. “I will only medicate you every 4 hours.” ANS: D Aggressive communication is when a person interacts with another in an overpowering and forceful manner to meet his or her own personal needs at the expense of the other. By only medicating a patient every 4 hours for excruciating pain, the nurse meets his or her own needs at the expense of the patient. DIF: Cognitive Level: Application REF: 63 OBJ: 7 TOP: Communication KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 32. A nurse is caring for a newly admitted diabetic patient and is performing the initial assessment. What statement made by the nurse demonstrates the use of a closed question? a. “What time do you take your insulin?” b. “How do you feel about taking insulin?’ c. “Tell me about your support system.” d. “How do you feel about having diabetes?” ANS: A Much of the information gathered from a patient comes from questioning them directly. A closed question is focused and seeks a particular answer. For example, when interviewing a newly admitted patient with diabetes, the nurse asks, “What time do you take your insulin?” A specific question with a specific answer is a typical closed question, which generally requires only one or two words in response. DIF: Cognitive Level: Application REF: 67 OBJ: 7 TOP: Closed questioning KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 33. A nurse is caring for a patient experiencing respiratory distress. The health care provider places an endotracheal tube. What is the most appropriate patient problem for this patient? a. Ineffective coping b. Risk for infection c. Altered nutrition: less than body requirements d. Impaired verbal communication ANS: D Because of the placement of an endotracheal tube, the patient is unable to speak. The patient problem of impaired verbal communication is most appropriate. WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Application REF: 74 OBJ: 9 TOP: Patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Psychosocial Integrity 34. A nurse examines whether patient interventions have been appropriate and expected outcomes have been met. The nurse is demonstrating which step in the nursing process? a. Assessment b. Planning c. Implementation d. Evaluation ANS: D A nurse evaluates the effectiveness of interventions based on the patient’s ability to meet established goals and outcomes. DIF: Cognitive Level: Application REF: 74 OBJ: 9 TOP: Nursing process KEY: Nursing Process Step: Evaluation MSC: NCLEX: Evaluation 35. Which question below is open-ended? a. “Are you going to Europe this fall?” b. “Are you sailing to Europe?” c. “What are you most looking forward to in Europe?” d. “Have you been to Europe before?” e. “Where in Europe are you going?” ANS: C Only the question “What are you most looking forward to in Europe?” allows an unlimited answer. DIF: Cognitive Level: Comprehension REF: 67 OBJ: 5 TOP: Open-ended communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A MULTIPLE RESPONSE 1. Which are true regarding communicating while using eye contact? (Select all that apply.) a. Eye contact is responsible for much communication. b. Eye contact is responsible for much miscommunication. c. Making eye contact generally indicates an intention to interact. d. Eye contact always results in a positive outcome. e. Extended eye contact can imply aggression. f. Extended eye contact can lead to heightened anxiety. ANS: A, B, C, E, F WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Eye contact is responsible for much communication and much miscommunication. Generally, making eye contact communicates an intention to interact. However, the nature of the interaction and the results of eye contact are not necessarily always positive. Extended eye contact sometimes implies aggression and arouses anxiety. DIF: Cognitive Level: Comprehension REF: 61 OBJ: 3 TOP: Eye contact KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 2. Which are examples of passive listening? (Select all that apply.) a. The nurse nods frequently while the patient speaks. b. The nurse maintains eye contact while listening to the patient. c. The nurse occasionally interjects, “I see,” when listening to the patient. d. The nurse gives verbal feedback to the patient. e. The nurse verbally interprets the meaning of what the patient has said. ANS: A, B, C, D Listening is sometimes active and sometimes passive. Active listening requires full attention to what the patient is saying. The message is heard, its meaning is interpreted, and the patient is given feedback, indicating understanding of the message. Verbally interpreting the meaning of what the patient has said is an example of active listening. In passive listening, the nurse indicates that they are listening to what the patient is saying either nonverbally, through eye contact and nodding, or verbally through encouraging phrases such as “Uh-huh” and “I see.” All of the other options are examples of passive listening. DIF: Cognitive Level: Comprehension REF: 65 OBJ: 5 TOP: Listening KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 3. What is true about the use of touch in therapeutic communication? (Select all that apply.) a. Touch is a form of nonverbal communication. b. Touch is a form of verbal communication. c. Touch should be used with indiscretion. d. Touch can convey warmth and caring. e. Touch can convey support and understanding. f. Touch should be used sincerely and genuinely. ANS: A, D, E, F Touch is a form of nonverbal communication that is inherent in the practice of nursing. Nearly every nursing intervention for the purpose of providing physical care calls for touch. Touch is frequently highly personal or of an intimate nature (e.g., giving a bed bath, assisting a patient on or off a bedpan, inserting a urinary catheter). Because of the intimate nature of touch in the nursing context, it is necessary to use it with great discretion to fit into sociocultural norms and guidelines. Some nurses are uncomfortable with touch because of a fear of it seeming inappropriate or being misinterpreted. When a nurse feels comfortable with physical contact with a patient, touch has great potential for conveying warmth, caring, support, and understanding. For the nurse to convey warmth, it is absolutely necessary for the nature of their touch to be sincere and genuine. WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Comprehension REF: 65-66 OBJ: 5 TOP: Touch KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 4. When speaking to a person of a different culture, how should the nurse consider modifying his or her communication style? (Select all that apply.) a. Speak slowly and with increased volume b. Use of touch c. Use of eye contact d. Reference of address e. Meaning of gestures ANS: B, C, D, E Use of touch, eye contact, reference of address, and meaning of gestures all may have cultural significance and connotation. Slow, loud speech would not assist with speaking to a person of a different culture. DIF: Cognitive Level: Application REF: 66 OBJ: 7 TOP: Culture KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 5. Which defining characteristics support the patient problem of impaired verbal communication? (Select all that apply.) a. Aphasia b. Geriatric patients c. Profoundly deaf d. Legally blind e. Severe COPD ANS: A, C, D, E Difficulty speaking, attending, disorientation, dyspnea, and sensory deficits are all defining characteristics that warrant a diagnosis of impaired verbal communication. Being a geriatric patient does not necessarily support the patient problem of impaired verbal communication. DIF: Cognitive Level: Application REF: 73 OBJ: 9 TOP: Impaired communication KEY: Nursing Process Step: Assessment MSC: NCLEX: Psychosocial Integrity 6. What is true about the use of silence in therapeutic communication? (Select all that apply.) a. Maintaining silence is an effective therapeutic communication technique. b. Maintaining silence is generally overused in therapeutic communication. c. The sender often becomes uncomfortable when using silence. d. The ability to use silence effectively requires skill and timing. e. Prolonged periods of misunderstood silence can cause tension. f. Purposeful use of silence often conveys lack of respect. ANS: A, C, D, E WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Maintaining silence is an extremely effective therapeutic communication technique, and yet tends to be quite underused. Because silence often feels awkward in American society, people tend to feel the need to “fill” it. This impulse does not always allow the people involved in an interaction time to organize their thoughts sufficiently to communicate what they would like. It is common for a person to need several seconds after hearing a verbal message to interpret what has been stated and to formulate the most appropriate response. Unfortunately, the receiver often does not get this amount of time before a response is necessary. In many cases, the sender becomes uncomfortable with the silence and begins speaking again before the receiver has had an opportunity to formulate a response and is really ready to deliver it. The ability to use silence effectively requires skill and timing. It is easy for prolonged periods of misunderstood silence to cause uneasiness and tension. However, in many cases, purposeful use of silence conveys respect, understanding, caring, and support, and it is often used in conjunction with therapeutic touch. DIF: Cognitive Level: Comprehension REF: 65 OBJ: 5 TOP: Silence KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity COMPLETION 1. The nurse explains to a patient that based on the description of “personal space,” the area within 18 in of the patient is designated as the ____________ zone. ANS: intimate Personal space zones: 0 to 18 in = intimate, 18 in to 4 ft = personal zone, 4 to 12 ft = social zone, more than 12 ft = public zone. DIF: Cognitive Level: Knowledge REF: 70 OBJ: 8 TOP: Space and territoriality KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 2. A patient with aphasia who cannot understand a spoken or written message is said to have ___________ aphasia. ANS: receptive Aphasic patients who do not understand verbal exchanges are classified as receptive aphasics. DIF: Cognitive Level: Comprehension REF: 76 OBJ: 7 TOP: Aphasia KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. The term that describes an individual’s perception or understanding of a particular word or phrase is _____________. WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material ANS: connotation Connotation is the meaning an individual applies to a word or phrase. DIF: Cognitive Level: Knowledge REF: 61 OBJ: 2 TOP: Connotation KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. When a nurse lectures to a large group, the method of communication is usually in the form of ____________ communication. ANS: one-way One-way communication allows the sender to be in control with little expectation of or desire for feedback. DIF: Cognitive Level: Comprehension REF: 61 OBJ: 5 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. As the nurse listens to a supervisor, the nurse has a smile on her face but has crossed her arms in front of her chest and has crossed her legs. This is an example of a __________ posture. ANS: closed A posture with crossed limbs frequently is indicative of nonacceptance. DIF: Cognitive Level: Comprehension REF: 62 OBJ: 6 | 7 TOP: Posture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 6. ____________ is described as the exchange of information. ANS: Communication Communication is described as the exchange of information. DIF: Cognitive Level: Knowledge REF: 60 OBJ: 1 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. The ___________ is the person conveying the message, whereas the receiver is the individual or individuals to whom the message is conveyed. ANS: WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material sender For communication to occur, a sender and a receiver of a message are both necessary. The sender is the person conveying the message, whereas the receiver is the individual or individuals to whom the message is conveyed. DIF: Cognitive Level: Knowledge REF: 60 OBJ: 1 TOP: Communication KEY: Nursing Process Step: N/A MSC: NCLEX: N/A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Chapter 05: Nursing Process and Critical Thinking Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. What best defines the nursing process? a. A method to ensure that the health care provider’s orders are implemented correctly. b. A series of assessments that isolate a patient’s health problem. c. A framework for the organization of individualized nursing care. d. A preset formula for the design of nursing care. ANS: C The nursing process is a framework by which to organize individualized nursing care. DIF: Cognitive Level: Comprehension REF: 80 OBJ: 1 TOP: Nursing process KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. All of the following patients have been admitted to the acute care setting. On admission, which patient should receive a focused assessment? a. 53-year-old admitted with a perforated ulcer b. 5-year-old admitted for the implant of grommets in the middle ear c. 76-year-old admitted for a knee replacement d. 40-year-old admitted for possible bowel obstruction ANS: A A patient with a perforated ulcer is considered to be critically ill. Therefore, this patient should receive a focused assessment. The remaining options are not considered critical illnesses. DIF: Cognitive Level: Application REF: 81 | 82 OBJ: 2 TOP: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 3. What subjective data does the nurse record following a head-to-toe examination? a. Rash on back b. Prolonged nausea c. Blood pressure of 190/100 d. White blood cell count of 19,000 ANS: B Another term for subjective data is symptoms, which cannot be observed or measured. This data must come from the patient. DIF: Cognitive Level: Application REF: 82 OBJ: 3 TOP: Subjective data KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 4. What objective data should the nurse include after a patient assessment? a. Headache of 3 days’ duration WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material b. Severe stomach cramps c. Flatulence d. Anxiety ANS: C Objective data are observable and measurable by people other than the patient. DIF: Cognitive Level: Application REF: 82 OBJ: 3 TOP: Objective data KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. What is classified as information provided by the family when a patient is unable to provide data during assessment? a. Primary b. Secondary c. Unreliable d. Biased ANS: B Secondary sources include family members. DIF: Cognitive Level: Comprehension REF: 82 OBJ: 3 TOP: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 6. What are the two primary methods used to collect data? a. Written report by patient and family b. Review of the chart and the nurse’s notes c. Interview and physical examination d. Review of the health care provider’s orders and the Kardex ANS: C The two primary methods of collecting data are interviewing and physical examination. DIF: Cognitive Level: Comprehension REF: 82 OBJ: 3 TOP: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 7. The nurse writes two patient problems: (1) inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2) risk for impaired skin integrity related to inadequate nutrition. What is the major difference between these diagnoses? a. The second diagnosis needs no defined nursing interventions. b. The second diagnosis needs medical intervention. c. The second diagnosis will not need to be evaluated. d. The second diagnosis reflects a problem that does not yet exist. ANS: D The actual patient problem represents a condition that is currently present. “Risk for” diagnoses are those that the patient is susceptible to, but not yet troubled by. DIF: Cognitive Level: Comprehension REF: 84 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 8. What framework does the establishment of priorities of care during the planning phase of the nursing process often use? a. Erikson’s developmental tasks b. Piaget’s cognitive table c. Maslow’s hierarchy of needs d. Freud’s classifications ANS: C A useful framework to guide prioritization is Maslow’s hierarchy of needs. DIF: Cognitive Level: Comprehension REF: 86 OBJ: 9 TOP: Priorities of care KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 9. What is an appropriate outcome statement for a patient with a patient problem of ineffective airway clearance related to thick secretions? a. The patient will increase intake to 1000 mL daily to liquefy secretions. b. The patient will cough more frequently within 3 days. c. The patient will breathe better within 3 days. d. The patient will perform deep-breathing exercises four times daily. ANS: A The patient goal would be to improve airway clearance. Coughing more frequently within 3 days and performing deep-breathing exercises four times daily do not directly relate to the problem of thick secretions. Breathing better within 3 days is too vague. DIF: Cognitive Level: Comprehension REF: 90 OBJ: 6 TOP: Patient problem KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 10. What is the primary purpose of nursing interventions? a. To support health care provider’s orders b. To provide direction for all caregivers c. To provide broad, general statements d. To clarify nursing principles ANS: B Nursing orders are necessary to provide instructions for all caregivers. DIF: Cognitive Level: Comprehension REF: 87 | 88 OBJ: 7 TOP: Nursing interventions KEY: Nursing Process Step: Planning MSC: NCLEX: N/A 11. What documentation reflects implementation? a. “Patient selected low-sugar snacks independently.” b. “Patient was medicated with Tylenol 500 mg PO for pain.” c. “Patient was ambulated for 15 minutes after lunch.” d. “Patient participated in group therapy session without reminder.” ANS: C Implementation is the nurse carrying out nursing orders to promote outcome achievement. WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Comprehension REF: 89 OBJ: 2 TOP: Implementation KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A 12. Which nursing intervention is complete and correct? a. “May 10: Unlicensed assistive personnel will ambulate patient. A. Nurse” b. “Day nurse will cleanse wound and change dressings every day. May 10, A. Nurse” c. “Unlicensed assistive personnel will serve 8 oz glass of juice at each meal, 5/10.” d. “P.M. nurse will ensure that heel protectors are in place before bedtime.” ANS: B Nursing orders must be signed, dated, and have specific designation as to who will perform intervention and specifics about time or frequency of the intervention. DIF: Cognitive Level: Application REF: 87 | 88 OBJ: 7 TOP: Nursing interventions KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 13. A patient with a urinary tract infection is assessed using a clinical pathway. When a projected outcome is not met by a predetermined date, it is determined that what has occurred? a. Omission b. Variance c. Failure d. Error ANS: B A variance occurs when a projected outcome is not met. DIF: Cognitive Level: Comprehension REF: 91 OBJ: 8 | 11 TOP: Critical pathways KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity 14. During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation. The nurse should treat this data as the basis of a patient problem plan. What does this data represent? a. Symptoms b. Data clustering c. Signs of fluid overload d. Urinary retention ANS: B The nurse organizes data, and those that are related are referred to as clustering. DIF: Cognitive Level: Comprehension REF: 82 OBJ: 3 | 12 TOP: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 15. What type of assessment is performed continuously throughout nurse-patient contact? a. Complete b. Body systems WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material c. Focused d. Subjective ANS: C Focused assessments are performed continuously throughout nurse-patient contact based on the nursing care plan. DIF: Cognitive Level: Comprehension REF: 81-82 OBJ: 1 TOP: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 16. What assists the nurse in the identification of patient problems? a. Objective data b. Subjective data c. Data clustering d. Validated data ANS: C Data clustering assists the nurse in determining patient problems. DIF: Cognitive Level: Comprehension REF: 82 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 17. What organized approach might the nurse use when performing a complete physical examination? a. Maslow’s hierarchy of needs b. A head-to-toe assessment c. Subjective data collection d. Objective data collection ANS: B A head-to-toe format provides a systematic approach. DIF: Cognitive Level: Application REF: 82 OBJ: 3 TOP: Assessment KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 18. Who is the person responsible for analyzing and interpreting data to arrive at a patient problem? a. Health care provider b. LPN/LVN c. RN d. Technician ANS: C The RN is responsible for analyzing and interpreting data. DIF: Cognitive Level: Knowledge REF: 81 OBJ: 4 TOP: Role responsibility KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 19. What is the basis for designing and selecting nursing interventions to meet patient needs? a. Patient problem b. Care plan WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material c. Health care provider’s orders d. Nurse’s notes ANS: A The patient problem is the basis for developing nursing interventions. DIF: Cognitive Level: Knowledge REF: 87 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Planning MSC: NCLEX: N/A 20. The patient is confined to bed rest, which contributes to immobility. What is bed rest considered in this situation? a. Contributing to the patient’s recovery b. A risk factor c. Difficult to maintain d. A nursing responsibility ANS: B Risk factors are those that increase the susceptibility of a patient to a problem. DIF: Cognitive Level: Application REF: 84 OBJ: 5 TOP: Risk factors KEY: Nursing Process Step: Evaluation MSC: NCLEX: Physiological Integrity 21. What is a patient problem considered when a problem is suspected but data to support it are lacking? a. A syndrome patient problem b. An actual patient problem c. A “risk for” diagnosis d. A possible patient problem ANS: D A possible patient problem requires additional data to confirm a problem or to complete a data cluster so that it can be related to a NANDA-I label. DIF: Cognitive Level: Comprehension REF: 81 | 86 OBJ: 4 | 10 TOP: Patient problem KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 22. When a nurse selects interventions to assist the patient to meet the needs demonstrated, the nurse is in which phase of the nursing process? a. Assessment b. Planning c. Implementation d. Evaluation ANS: B During the planning phase, the nurse connects nursing interventions to nursing orders. DIF: Cognitive Level: Comprehension REF: 86 OBJ: 2 TOP: Nursing process KEY: Nursing Process Step: Planning MSC: NCLEX: N/A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 23. What is an important consideration when developing the care plan? a. Ensure the number of interventions is limited. b. Ensure the patient is involved in the process. c. Ensure interventions will be easy to implement. d. Ensure evaluation of the patient problems is possible. ANS: B Plans are more effective when the patient is involved in the process. The care plan is not limited in terms of the number of interventions, nor do they have to be easy. The patient problems are not evaluated; the patient’s progress toward the outcome is. DIF: Cognitive Level: Comprehension REF: 86 OBJ: 6 | 9 TOP: Care plan KEY: Nursing Process Step: Planning MSC: NCLEX: N/A 24. From where are the “risk for” patient problems identified? a. The care plan b. The interventions c. The assessment d. The evaluation ANS: C Patient problems should be identified from the assessment. DIF: Cognitive Level: Knowledge REF: 80-81 OBJ: 2 TOP: Nursing process KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 25. What expected outcome exemplifies accepted criteria? a. Nurse will assess vital signs every day b. Resident will observe safety guidelines while smoking c. Resident will take part in one activity daily for the next 90 days d. Nurse will monitor O2 saturation to maintain at greater than 90% ANS: C Expected outcomes must be patient-centered, measurable, and refer to a time frame. DIF: Cognitive Level: Application REF: 85 OBJ: 6 TOP: Nursing process KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 26. During an admission assessment, the nurse collects objective and subjective data. What is an example of subjective data? a. The patient complains of nausea. b. The patient is vomiting. c. The patient experiences tachycardia. d. The patent is pacing the halls. ANS: A Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Complaining of nausea is an example of subjective data. All other options are examples of objective data. WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Application REF: 82 OBJ: 1 | 3 TOP: Subjective data KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 27. During an admission assessment, the nurse collects objective and subjective data. What is an example of subjective data? a. The patient is asleep. b. The patient is tearful. c. The patient has facial grimacing. d. The patient states, “I hurt all over.” ANS: D Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Stating “I hurt all over” is an example of subjective data. All other options are examples of objective data. DIF: Cognitive Level: Application REF: 82 OBJ: 1 | 3 TOP: Nursing process KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 28. During an admission assessment, the nurse collects objective and subjective data. What is an example of subjective data? a. The patient is coughing. b. The patient has cyanosis of the lips. c. The patient experiences tachypnea. d. The patient complains of generalized discomfort. ANS: D Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Complaining of generalized discomfort is an example of subjective data. All other options are examples of objective data. DIF: Cognitive Level: Application REF: 82 OBJ: 1 | 3 TOP: Subjective data KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 29. During an admission assessment, the nurse collects objective and subjective data. What is an example of objective data? a. The patient complains of chest pain. b. The patient states, “I feel nauseous.” c. The patient complains of feeling faint. d. The patient is short of breath on exertion. ANS: D Objective data are observable and measurable signs. Objective data can be recorded. A camera can record a rash, a skin lesion, or puffy eyes. A tape recorder can give evidence of crying or slurred speech. A thermometer can record a temperature elevation. Other terms for objective data are signs and objective cues. Shortness of breath on exertion is an example of objective data. All other options are examples of subjective data. WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Application REF: 82 OBJ: 1 | 3 TOP: Objective data KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 30. During an admission assessment, the nurse collects objective and subjective data. What is an example of objective data? a. The patient is jaundiced. b. The patient states, “I am nervous.” c. The patient complains of palpitations. d. The patient denies dizziness when ambulating. ANS: A Objective data are observable and measurable signs. Objective data can be recorded. A camera can record a rash, a skin lesion, or puffy eyes. A tape recorder can give evidence of crying or slurred speech. A thermometer can record a temperature elevation. Other terms for objective data are signs and objective cues. The patient is jaundiced is an example of objective data. All other options are examples of subjective data. DIF: Cognitive Level: Application REF: 82 OBJ: 1 | 3 TOP: Objective data KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 31. During an admission assessment, the nurse collects objective and subjective data. What is an example of objective data? a. The patient complains of feeling depressed. b. The patient states, “I hear voices in my head.” c. The patient complains of auditory hallucinations. d. The patient is pacing back and forth while chanting. ANS: D Objective data are observable and measurable signs. Objective data can be recorded. A camera can record a rash, a skin lesion, or puffy eyes. A tape recorder can give evidence of crying or slurred speech. A thermometer can record a temperature elevation. Other terms for objective data are signs and objective cues. Pacing back and forth while chanting is an example of objective data. All other options are examples of subjective data. DIF: Cognitive Level: Application REF: 82 OBJ: 1 | 3 TOP: Objective data KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 32. What is an example of an appropriate Patient problem? a. Impaired skin integrity b. Skin breakdown noted c. Turn patient every 2 hours d. The patient has scabies on his back ANS: A “Impaired skin integrity” is an example of a patient problem. “Skin breakdown noted” is an example of a charting entry, “turn patient every 2 hours” is a nursing intervention, and “scabies” is a medical diagnosis. WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material DIF: Cognitive Level: Comprehension REF: 81 | 83 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Physiological Integrity 33. What is an example of an appropriate patient problem? a. Constipation b. Patient complains of constipation c. Need for laxatives d. Patient has a duodenal ulcer ANS: A Constipation is an example of a patient problem, a patient complaining of constipation is an example of a charting entry, a need for laxatives is an example of a patient need, and a patient has a duodenal ulcer is an example of a medical diagnosis. DIF: Cognitive Level: Comprehension REF: 84 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Physiological Integrity 34. A nurse is formulating a patient problem. What is an example of an appropriately written patient problem? a. Risk for impaired skin integrity related to physical immobilization b. Physical immobilization secondary to risk for impaired skin integrity c. Risk for impaired skin integrity related to diagnosis of decubitus ulcers d. Physical immobilization secondary to decreased cognitive ability ANS: A Risk for impaired skin integrity related to physical immobilization is the only appropriately written patient problem. All other options are not listed as NANDA-I approved patient problems. DIF: Cognitive Level: Application REF: 83-85 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Physiological Integrity 35. Which is an example of a patient problem? a. Pneumonia b. Diabetes mellitus c. Impaired skin integrity d. Congestive heart failure ANS: C Impaired skin integrity is the only example of a patient problem; all other options are examples of medical diagnoses. DIF: Cognitive Level: Comprehension REF: 83-85 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Physiological Integrity 36. Which is an example of a medical diagnosis? a. Constipation b. Diabetes mellitus WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material c. Impaired skin integrity d. Altered nutrition: less than body requirements ANS: B Diabetes mellitus is the only example of a medical diagnosis; all other options are examples of patient problems. DIF: Cognitive Level: Comprehension REF: 85 OBJ: 4 TOP: Medical diagnosis KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Physiological Integrity 37. Which is an example of a medical diagnosis? a. Pain b. Anxiety c. Pneumonia d. Impaired skin integrity ANS: C Pneumonia is the only example of a medical diagnosis; all other options are examples of patient problems. DIF: Cognitive Level: Comprehension REF: 85 OBJ: 4 TOP: Medical diagnosis KEY: Nursing Process Step: Diagnosis MSC: NCLEX: Physiological Integrity MULTIPLE RESPONSE 1. Which are acceptable secondary sources for data? (Select all that apply.) a. Patient b. Family members c. Other health professionals d. Diagnostic reports e. Textbooks ANS: B, C, D, E A patient is not a secondary source. The patient is the primary data source. DIF: Cognitive Level: Comprehension REF: 82 OBJ: 3 TOP: Data sources KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. Which are official categories of patient problems? (Select all that apply.) a. Actual b. Risk c. Wellness d. Syndrome e. Potential ANS: A, B, C, D Actual, risk, wellness, and syndrome are the four categories of patient problems. DIF: Cognitive Level: Comprehension REF: NIT OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: N/A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material MSC: NCLEX: N/A 3. Which are considered phases of the nursing process? (Select all that apply.) a. Diagnosis b. Prediction c. Assessment d. Evaluation e. Implementation f. Outcome identification ANS: A, C, D, E, F The nursing process consists of six dynamic and interrelated phases: diagnosis, assessment, outcome identification, planning, implementation, and evaluation. Prediction is not a phase of the nursing process. DIF: Cognitive Level: Comprehension REF: 89 OBJ: 2 TOP: Nursing process KEY: Nursing Process Step: All MSC: NCLEX: N/A COMPLETION 1. NANDA International meets to reorganize diagnosis labels and language every 2 ____________. ANS: years NANDA International meets every two years to revise language, form, and diagnosis labels. DIF: Cognitive Level: Knowledge REF: 83 OBJ: 10 TOP: NANDA KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. The standards that name and measure patient ________ are referred to as NOC (Nursing Outcome Classification). ANS: outcomes NOC sets up outcome criteria based on a patient problem. DIF: Cognitive Level: Knowledge REF: 90 OBJ: 10 TOP: NOC KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. The document that outlines a _________________ plan for care interventions over a specified time frame is called a clinical pathway, critical path, action plan, or care map. ANS: multidisciplinary WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material A clinical pathway is an organized multidisciplinary plan over a specified time frame, which outlines aspects of patient care. They are also called critical paths, action plans, and care maps. DIF: Cognitive Level: Knowledge REF: 91 OBJ: 11 TOP: Clinical pathways KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. A systematic method by which nurses plan and provide care for patients is known as the nursing ____________. ANS: process The nursing process serves as the organizational framework for the practice of nursing. It is a systematic method by which nurses plan and provide care for patients. DIF: Cognitive Level: Knowledge REF: 80 OBJ: 2 TOP: Nursing process KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. A systemic, dynamic way to collect and analyze data about a patient that includes physiologic data as well as psychological, sociocultural, spiritual, economic, and lifestyle factors is known as ______________________. ANS: assessment The American Nurses Association (ANA) defines assessment as “a systematic, dynamic way to collect and analyze data about a patient, the first step in delivering nursing care. Assessment includes not only physiologic data, but also psychological, sociocultural, spiritual, economic, and lifestyle factors as well.” DIF: Cognitive Level: Knowledge REF: 80 OBJ: 2 TOP: Nursing process KEY: Nursing Process Step: Assessment MSC: NCLEX: N/A 6. Any health care condition that requires diagnostic, therapeutic, or educational actions is known as a ______________. ANS: problem A problem is any health care condition that requires diagnostic, therapeutic, or educational actions. DIF: Cognitive Level: Knowledge REF: 83 OBJ: 2 TOP: A problem KEY: Nursing Process Step: N/A MSC: NCLEX: N/A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 7. A clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community is known as a nursing ___________. ANS: diagnosis A patient problem is a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. DIF: Cognitive Level: Knowledge REF: 83 OBJ: 4 TOP: Patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: N/A 8. The human responses to health conditions/life processes that exist in an individual, family, or community are known as a(n) _________ patient problem. ANS: actual An actual patient problem is described as the human responses to health conditions/life processes that exist in an individual, family, or community. DIF: Cognitive Level: Knowledge REF: 84 OBJ: 4 TOP: Actual patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: N/A 9. Human responses to health conditions and life processes that may develop in a vulnerable individual, family, or community are known as a(n) __________ patient problem. ANS: risk A risk patient problem is defined as the human responses to health conditions/life processes that may develop in a vulnerable individual, family, or community. DIF: Cognitive Level: Knowledge REF: 84 OBJ: 4 TOP: Risk patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: N/A 10. Human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement are known as a _____________ patient problem ANS: wellness A wellness patient problem is defined as human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement. DIF: Cognitive Level: Knowledge REF: 83 OBJ: 4 WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material TOP: Wellness patient problem KEY: Nursing Process Step: Diagnosis MSC: NCLEX: N/A 11. The identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures is known as a _________ diagnosis. ANS: medical A medical diagnosis is the identification of a disease or condition by a scientific evaluation of physical signs, symptoms, history, laboratory tests, and procedures. DIF: Cognitive Level: Knowledge REF: 85 OBJ: 4 TOP: Medical diagnosis KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 12. A health care system that provides control over health care services for a specific group of individuals in an attempt to control cost is known as ___________ care. ANS: managed Managed care is a health care system that provides control over health care services for a specific group of individuals in attempts to control cost. DIF: Cognitive Level: Knowledge REF: 91 OBJ: 6 | 11 TOP: Risk managed care KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 13. A multidisciplinary plan that schedules clinical ____________ over an anticipated time frame for high-risk, high-volume, and high-cost types of cases is known as a critical pathway. ANS: interventions A critical pathway is a multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-volume, and high-cost types of cases. DIF: Cognitive Level: Knowledge REF: 91 OBJ: 11 TOP: Clinical pathways KEY: Nursing Process Step: N/A MSC: NCLEX: N/A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Chapter 06: Cultural and Ethnic Considerations Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. Culture varies from patient to patient. Why is it important that the nurse understand and accept each person as an individual? a. To develop a plan of care b. To provide holistic care c. To identify differences d. To support each patient ANS: B Accepting each person as an individual is the first step in providing holistic care. DIF: Cognitive Level: Comprehension REF: 95 OBJ: 2 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. What is a fixed concept of how all members of an ethnic group act or think? a. Variations within a cultural group b. Identical practices c. Holistic nursing d. Ethnic stereotypes ANS: D Ethnic stereotypes are fixed concepts of how all members of an ethnic group act or think. DIF: Cognitive Level: Knowledge REF: 96 OBJ: 4 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. All nurses should work to provide culturally appropriate nursing care. What is the integration of cultural knowledge into all aspects of care? a. Cultural competence b. Transcultural nursing c. Nursing process d. Team nursing ANS: B All nurses should provide transcultural nursing, which is the integration of cultural knowledge into all aspects of care. DIF: Cognitive Level: Knowledge REF: 96 OBJ: 1 | 2 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. What is the term for when members of a particular ethnic group believe that their beliefs and practices are the best? a. Prejudice b. Separatism c. Ethnocentrism d. Bias WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material ANS: C When members of a particular ethnic group believe that their practices and beliefs are the best, it is referred to as ethnocentrism. DIF: Cognitive Level: Knowledge REF: 96 OBJ: 4 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. What is the term used to describe cultures in which women make decisions about health care and provide the care and discipline to the children? a. Biological b. Matriarchal c. Cultural d. Patriarchal ANS: B In a matriarchal society, women make the decisions about health care. In patriarchal society, the men make decisions about health care. There is no such thing as biological or cultural cultures. DIF: Cognitive Level: Knowledge REF: 101 OBJ: 4 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 6. What basic philosophy in the United States is relevant to health care? a. Folk remedies b. Biomedical therapy c. Holistic therapy d. Spiritual intervention ANS: B Most people in the United States believe biomedical therapy is the best way to treat disease. DIF: Cognitive Level: Comprehension REF: 106 OBJ: 4 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. What is a set of learned values, beliefs, customs, and practices shared by a group? a. Race b. Ethnicity c. Culture d. Religion ANS: C Culture is a set of learned values, beliefs, customs, and practices shared by a group. DIF: Cognitive Level: Knowledge REF: 95 OBJ: 4 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 8. A nurse is American-born and works in a large hospital with patients from many cultures. What must this nurse develop to provide the best care? a. Another language b. Assessment skills c. Cultural competence WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material d. Care planning ability ANS: C To provide care to patients from different cultures, the nurse must develop cultural competence. DIF: Cognitive Level: Comprehension REF: 96 OBJ: 3 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 9. The nurse from New York City is caring for a patient from Atlanta, Georgia. What difference between the nurse and patient may cause them to experience difficulty in communicating? a. Race b. Subculture c. Ethnic group d. Culture ANS: B Subcultures have characteristic patterns that distinguish them from the rest of the culture. DIF: Cognitive Level: Comprehension REF: 95 OBJ: 2 TOP: Subculture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 10. The father of an American Indian has just died. What should the nurse do immediately after death? a. Provide privacy so that the family may touch and kiss the deceased goodbye b. Ask about providing help with the death ceremony c. Carefully wrap the deceased’s clothing for the family to take home d. Mention the deceased by name frequently ANS: B In the American Indian culture it is taboo to touch the deceased or any of the belongings of the deceased. After death, the name of the deceased is not spoken. DIF: Cognitive Level: Application REF: 113 OBJ: 1 | 4 | 6 TOP: American Indian KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 11. What is the term for a generalization about a form of behavior, an individual, or a group? a. Dialect b. Religion c. Ethnicity d. Stereotype ANS: D A stereotype is a generalization about a form of behavior, an individual, or a group. DIF: Cognitive Level: Knowledge REF: 96 OBJ: 4 TOP: Stereotype KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 12. What is the term for a group of people who share biological physical characteristics? a. Race WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material b. Culture c. Religion d. Social organization ANS: A A race is a group of people who share biological physical characteristics. DIF: Cognitive Level: Knowledge REF: 96-97 OBJ: 4 TOP: Race KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 13. What is the term for a group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biological characteristics? a. Race b. Culture c. Religion d. Ethnicity ANS: D Ethnicity refers to a group of people who share a common social and cultural heritage based on shared traditions, national origin, and physical and biological characteristics. DIF: Cognitive Level: Knowledge REF: 96-97 OBJ: 4 TOP: Ethnicity KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 14. A nurse is caring for a neonate born to observant Orthodox Jewish parents. Who can the nurse anticipate will name the neonate? a. Father b. Mother c. Grandfather d. Grandmother ANS: A For observant Jews, babies are named by the father. DIF: Cognitive Level: Knowledge REF: 104 OBJ: 2 | 3 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 15. A nurse is caring for a male neonate born to observant Orthodox Jewish parents. Who will the nurse anticipate will circumcise the neonate? a. A bishop b. A mohel c. His father d. His health care provider ANS: B Male children are named 8 days after birth, when ritual circumcision is done. A mohel performs the circumcision. DIF: Cognitive Level: Knowledge REF: 104 OBJ: 2 | 4 TOP: Religious practices KEY: Nursing Process Step: N/A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material MSC: NCLEX: Psychosocial Integrity 16. A nurse is caring for a female neonate born to observant Orthodox Jewish parents. What book does the nurse know will be used when naming this neonate? a. Bible b. Koran c. Holy Torah d. Book of Mormon ANS: C For observant Jews, female babies are usually named during a reading of the Holy Torah. DIF: Cognitive Level: Knowledge REF: 104 OBJ: 2 | 4 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 17. A nurse is caring for an Orthodox Jewish woman immediately after she has given birth. What can the nurse expect regarding the spouse’s participation in his wife’s care? a. He will share a bed with the patient. b. He will ask to bathe with the patient. c. He will touch the patient frequently. d. He will avoid physical contact with the patient. ANS: D For observant Jews, a woman is considered to be in a ritual state of impurity whenever blood is coming from her uterus, such as during menstrual periods and after the birth of a child. During this time, her husband will not have physical contact with her. When this time is completed, she will bathe herself in a pool called a mikvah. Nurses need to be aware of this practice and be sensitive to the husband and wife because the husband will not touch his wife. DIF: Cognitive Level: Comprehension REF: 104 OBJ: 4 | 5 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 18. A nurse is caring for an Orthodox Jewish patient. What is the most appropriate dietary requirement for the nurse to implement? a. Mixing of milk and meat at a meal b. Use of separate cooking utensils for meat and milk products c. Use of one set of cooking utensils for meat and milk products d. Consumption of food not slaughtered in accordance with Jewish law ANS: B For observant Jews, Kosher dietary laws include the following: no mixing of milk and meat at a meal; no consumption of food or any derivative thereof from animals not slaughtered in accordance with Jewish law; use of separate cooking utensils for meat and milk products; if a patient requires milk and meat products for a meal, the dairy foods should be served first, followed later by the meat. DIF: Cognitive Level: Application REF: 104 OBJ: 4 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 19. The nurse is preparing an Orthodox Jewish patient’s tray during Passover. What intervention is appropriate for this patient? a. Avoid fish dishes. b. Encourage time for prayer. c. Offer the patient leavened products. d. Encourage the use of loud music in celebration. ANS: B Orthodox Jews say prayers over the bread and wine before meals. Time and a quiet environment should be provided for this. During Passover, no leavened products are eaten. DIF: Cognitive Level: Application REF: 104 OBJ: 4 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 20. A nurse is preparing to discuss birth control options for a Roman Catholic patient. What is the most appropriate method for the nurse to discuss with this patient? a. Abstinence b. Vasectomy c. Tubal ligation d. Oral contraceptives ANS: A Birth control for Roman Catholics is prohibited except for abstinence or natural family planning. Referral to a priest for questions about this can be of great help. Nurses can teach the techniques of natural family planning if they are familiar with them; otherwise, this should be referred to the health care provider or to a support group of the Church that instructs couples in this method of birth control. Sterilization is prohibited unless there is an overriding medical reason. DIF: Cognitive Level: Application REF: 104 OBJ: 3 | 5 | 7 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 21. A nurse is preparing a meal tray for a patient who is a Latter-Day Saint. What beverage should the nurse prepare? a. Tea with all meals b. Coffee each morning c. Cola beverages d. Fruit juice ANS: D For observant Latter-Day Saints, beverages with caffeine such as cola, coffee, and tea; alcohol; and other substances are considered injurious. DIF: Cognitive Level: Application REF: 102 OBJ: 4 | 7 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 22. A nurse is caring for a patient who is a Latter-Day Saint. The nurse is aware members of this faith may wear sacred undergarments. What intervention is appropriate for the nurse caring for this patient? a. Instruct the patient to remove the undergarments. b. Allow the patient to wear the undergarments only at night. c. Allow the patient to wear the undergarments only during the day. d. Remove the undergarments in emergency situations only. ANS: D For observant Latter-Day Saints, a sacred undergarment may be worn at all times and should be removed only in emergency situations. DIF: Cognitive Level: Application REF: 102 OBJ: 4 | 5 TOP: Religious practices KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 23. Which statement about the biomedical health belief system is true? a. Life processes can be manipulated by humans by mechanical interventions. b. Life processes cannot be manipulated by humans by mechanical interventions. c. Disease has a nonspecific cause, onset, course, and treatment. d. Disease is only caused by failure of body parts and chemical imbalances. ANS: A Characteristic of the biomedical health belief system includes the beliefs that life is regulated by biomedical and physical processes. Life processes can be manipulated by humans by mechanical interventions. Health is the absence of disease or signs and symptoms of disease. Disease is an alteration of the structure and function of the body. Disease has a specific cause, onset, course, and treatment. It is caused by trauma, pathogens, chemical imbalances, or failure of body parts. Treatment focuses on the use of physical and chemical treatments. DIF: Cognitive Level: Comprehension REF: 106-108 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 24. Which health belief system is commonly referred to as “third-world” beliefs and practices? a. Folk health belief system b. Holistic health belief system c. Biomedical health belief system d. Alternative/complementary belief system ANS: A The folk health belief system is commonly referred to as “third-world” beliefs and practices. It is often called strange or weird by nurses and other health professionals who are unfamiliar with folk medicine beliefs. DIF: Cognitive Level: Knowledge REF: 108 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 25. Which health belief system includes a belief of a supernatural force exerting influence to cause health or illness? WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material a. Folk b. Holistic c. Biomedical d. Alternative/complementary ANS: A The folk health belief system is commonly referred to as “third-world” beliefs and practices. It is often called strange by nurses and other health professionals who are unfamiliar with folk medicine beliefs. DIF: Cognitive Level: Knowledge REF: 108 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 26. Which health belief system focuses on restoring balance with physical, social, and metaphysical worlds? a. Folk health belief system b. Holistic health belief system c. Biomedical health belief system d. Alternative/complementary belief system ANS: B The treatment based on the holistic health belief system is designed to restore balance with physical, social, and metaphysical worlds. DIF: Cognitive Level: Knowledge REF: 108 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 27. The nurse is caring for a patient who fasts during daylight hours during Ramadan. The nurse recognizes that the patient is adhering to the cultural beliefs of which culture? a. Muslims b. African Americans c. Chinese Americans d. Mexican Americans ANS: A Muslims practice fasting during daylight hours during Ramadan. DIF: Cognitive Level: Knowledge REF: 103 | 113 | 114 OBJ: 4 | 5 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 28. The nurse is caring for a Muslim patient. What dietary selection should the nurse serve to this patient? a. Bacon, eggs, and toast b. Pork fried rice c. Ham and cheese sandwich d. Chicken and rice ANS: D WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Muslims practice avoidance of foods that include pork products. Bacon, pork, and ham are all pork products. Only the chicken and rice meal does not include a pork product. DIF: Cognitive Level: Application REF: 114 OBJ: 1 | 2 | 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 29. A patient requests a consultation between the health care provider and a religious leader known as an Imam. What is this patient’s cultural belief? a. Muslim b. African American c. Chinese American d. Mexican American ANS: A Muslims may wish to have their health care provider consult with an Imam, a religious leader. DIF: Cognitive Level: Comprehension REF: 111 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 30. The nurse is delivering a meal tray to a female Muslim patient. What intervention is most appropriate for this patient? a. Offering her a ham and cheese sandwich b. Providing her with a male nurse c. Providing her with a female nurse d. Offering her bacon and eggs ANS: C When caring for Muslims, same-sex health care providers should be used if at all possible. Ham and bacon are not appropriate items to offer a Muslim patient, since they do not consume pork products. DIF: Cognitive Level: Application REF: 111 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 31. The nurse is caring for a Chinese American patient. How should this nurse demonstrate cultural awareness? a. Maintain eye contact with the patient. b. Hold the patient’s hand while conversing. c. Touch the patient’s arm when speaking to the patient. d. Sit side-to-side when speaking with the patient. ANS: D Chinese Americans view maintaining eye contact as ill-mannered and disrespectful. They are uncomfortable when face-to-face, and prefer to sit side-to-side or at a right angle to carry on conversation. Touching is not usual during conversation; it is regarded as disrespectful or impolite. DIF: Cognitive Level: Application REF: 112 OBJ: 4 | 5 WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 32. The nurse is caring for a Mexican American patient. What nursing intervention would best demonstrate cultural sensitivity? a. Encouraging consultation of male members of the family regarding health care decisions b. Discouraging consultation of male members of the family regarding health care decisions c. Insisting on providing all personal care required by the patient d. Asking only female family members about health care decisions ANS: A When caring for Mexican Americans, families may expect to help care for the patient. Male family members usually are consulted before health care decisions are made. DIF: Cognitive Level: Application REF: 112 OBJ: 4 | 5 | 7 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 33. The nurse is caring for an African-American patient. Who would the nurse expect to be the primary decision maker in the patient’s family? a. Men b. Women c. Clergy d. Grandparents ANS: B When caring for African Americans, women are primarily the decision makers in the family and are frequently the head of the household. DIF: Cognitive Level: Comprehension REF: 112 OBJ: 1 | 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity 34. The nurse is caring for a Mexican American patient who is in labor. How can this nurse best demonstrate cultural sensitivity? a. Encouraging female family members to be present for the delivery b. Encouraging the patient’s spouse to be present for the delivery c. Asking the patient’s spouse to see his baby before cutting the umbilical cord d. Asking the patient’s spouse to hold the neonate before bathing the neonate ANS: A When caring for Mexican Americans, it is considered inappropriate for the husband to be present during birth. The father is not expected to see his wife or baby until both are cleaned and dressed. DIF: Cognitive Level: Application REF: 113 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 35. The nurse is caring for a postpartum patient who requests to dry and bury the umbilical cord near an object or in a place that symbolizes what the parents want for the child’s future. Which cultural beliefs does the nurse recognize this patient adhering to? a. American Indian b. African American c. Chinese American d. Mexican American ANS: A After delivery, American Indians practice taking the umbilical cord from the newborn, drying and burying it near an object or place that symbolizes what the parents want for the child’s future. DIF: Cognitive Level: Comprehension REF: 113 OBJ: 4 TOP: Health belief systems KEY: Nursing Process Step: N/A MSC: NCLEX: Psychosocial Integrity MULTIPLE RESPONSE 1. What are some characteristics that cultures have in common? (Select all that apply.) a. Economic practices b. Survival modes c. Transportation systems d. Language e. Family systems ANS: A, B, C, E Language may differ within cultures; the rest are shared characteristics. DIF: Cognitive Level: Comprehension REF: 97 OBJ: 1 | 4 TOP: Common traits KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. What should the culturally sensitive nurse do for a Muslim woman being treated in the hospital? (Select all that apply.) a. Assign only female staff to care for her. b. Keep her head and extremities covered as much as possible. c. Arrange for family to bring specially prepared pork dishes. d. Let her make decisions relative to her care. e. Allow privacy for prayer. ANS: A, B, E Muslim women are not accustomed to making decisions, leaving it to the head of the house or the family as a whole. Muslims do not eat pork. DIF: Cognitive Level: Application REF: 111-114 OBJ: 4 | 5 TOP: Muslims KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material 3. A nurse working in a long-term care facility is admitting an 85-year-old resident of Hispanic descent diagnosed with Alzheimer’s disease. What should this nurse take into consideration when caring for the resident? (Select all that apply.) a. Cultural background has an important role in determining the resident’s status b. The resident will be culturally sensitive to caregivers c. Home remedies may have value even if harmful d. The resident will have a strong sense of trust for health care workers e. Communication should involve gesturing whenever possible ANS: A, C Cultural background has an impact on family dynamics and plays an important role in determining the role and the status of the older person. Some older adults are less tolerant of other cultures as a result of influences or experiences early in their lives, which raises the possibility of misunderstandings and distrust when the caregiver is of a cultural group different than that of the older person. Communication should suit the individual needs of the resident and does not necessarily involve gesturing. DIF: Cognitive Level: Application REF: 98 OBJ: 6 TOP: Older adult KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity COMPLETION 1. The nurse should not maintain eye contact with a Korean patient because many Asians believe prolonged eye contact is _____________ or rude. ANS: impolite Many Asians avoid eye contact, believing it to be impolite or rude. DIF: Cognitive Level: Comprehension REF: 112 OBJ: 2 | 4 TOP: Asians KEY: Nursing Process Step: Implementation MSC: NCLEX: N/A 2. The cultural characteristic of unwillingness to leave a current activity—which may result in late or missed appointments—is called ____________. ANS: elasticity Elasticity is the ethnic characteristic of being late or missing an appointment altogether because of involvement in a current activity. DIF: Cognitive Level: Knowledge REF: 101 OBJ: 4 TOP: Elasticity KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. Following the death of a Presbyterian infant, the nurse should help arrange for __________. ANS: WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material baptism Presbyterians believe in infant baptism. DIF: Cognitive Level: Application REF: 105 OBJ: 4 TOP: Infant baptism KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 4. While caring for a Mexican American family in the home, the home health nurse recognizes that the family may also consult the curandero or _____________ for health advice. ANS: folk healer The curandero or folk healer is an important figure in the health care of Mexican Americans. DIF: Cognitive Level: Application REF: 109 OBJ: 4 TOP: Mexican Americans KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity 5. A nation, community, or broad group of people who establish particular aims, beliefs, or standards of living and conduct is known as a _____________. ANS: society A society is a nation, community, or broad group of people who establish particular aims, beliefs, or standards of living and conduct. DIF: Cognitive Level: Knowledge REF: 95 OBJ: 4 TOP: Society KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 6. A set of learned values, beliefs, customs, and practices that are shared by a group and are passed from one generation to another is known as ________________. ANS: culture Culture is a set of learned values, beliefs, customs, and practices that are shared by a group and are passed from one generation to another. DIF: Cognitive Level: Knowledge REF: 96 OBJ: 4 TOP: Culture KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. A generalization about a form of behavior, an individual, or a group is known as a _________________. ANS: stereotype WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material A stereotype is a generalization about a form of behavior, an individual, or a group. DIF: Cognitive Level: Knowledge REF: 96 OBJ: 4 TOP: Stereotype KEY: Nursing Process Step: N/A MSC: NCLEX: N/A WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected] Want to earn $1.236 Distribution of this document is illegal extra per year?  Stuvia.com - The Marketplace to Buy and Sell your Study Material Chapter 07: Asepsis and Infection Control Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. What is true regarding surgical asepsis? a. It inhibits growth of pathogenic organisms. b. It is known as a cleaning technique. c. It includes hand hygiene. d. It is known as a sterile technique. ANS: D Surgical asepsis is known as a sterile technique. DIF: Cognitive Level: Knowledge REF: 118 OBJ: 1 TOP: Infection KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. What action exemplifies a nurse practicing medical asepsis in performing daily care? a. Lifting a sterile swab from a sterile field b. Using disposable sterile gowns c. Washing hands for 5 minutes between patients d. Keeping bed linens off the floor ANS: D Keeping the bed linens off the floor is an example of medical asepsis; all other options are examples of surgical asepsis. DIF: Cognitive Level: Comprehension REF: 123 OBJ: 1 | 2 TOP: Infection KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 3. What bacteria can lie dormant when conditions for growth are not favorable? a. Residue b. Capsules c. Spores d. Flagella ANS: C Spore formation occurs when conditions are unfavorable, causing the bacteria to take a dormant form. DIF: Cognitive Level: Comprehension REF: 119 OBJ: 2 | 4 TOP: Bacteria KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment 4. A patient with a respiratory infection reports that he is not yet on an antibiotic. The nurse explains that the health care provider is waiting on the results of the culture and sensitivity. What does this test determine? a. What media the bacteria requires to grow b. How fast the bacteria grow c. Which antibiotics stop bacterial growth WWW.THENURSINGMASTERY.COM Downloaded by: janmcbride57 | [email protected]