Nursing Test 1
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 patient's plan of care. D) A nurse holds the hand of a woman whose baby died in childbirth.
A) A nurse helps a patient prepare a living will.
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
A) American Nurses Association
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.
A) Health is a state of optimal functioning.
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. D) Nursing changed from a spiritual focus to an emphasis on knowledge expansion.
A) Most early civilizations believed that illness had supernatural causes.
Which of the following statements accurately describes how Maslow's 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.
A) Nurses can apply this theory to the nursing process.
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
A) an unmarried adolescent with a newborn
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
A) by demonstrating a healthy lifestyle
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
A) lack of educational standards
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
C) blended family
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
A) nuclear family
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
A) older adults
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 Maslow's hierarchy of needs? A) physiologic B) safety and security C) love and belonging D) self-actualization
A) physiologic
According to Maslow's basic human needs hierarchy, which needs are the most basic? A) physiologic B) safety and security C) love and belonging D) self-esteem
A) physiologic
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
B) Cognitive
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
B) Clara Barton
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.
B) Communities are formed by the characteristics of people and other factors.
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
B) Lillian Wald
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
B) air and water quality
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
B) assessing respirations and administering oxygen
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
B) change in roles of family members
Which of the following groups involves all parts of a person's life and is concerned with meeting basic human needs to promote health? A) peers B) family C) community D) healthcare providers
B) family
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
B) obesity
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
B) preventing illness
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
B) preventing illness
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
B) purpose, direction, leadership
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
B) to ensure knowledgeable, safe, comprehensive nursing care
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
B) using research findings to improve practice
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.
C) A strong relationship exists between the family and health status of members.
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
C) ANA
Which of the following is a tenant of Maslow's 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.
C) Certain needs are more basic than others and must be met first.
A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down's 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
C) Counselor
Who is considered to be the founder of professional nursing? A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Clara Barton
C) Florence Nightingale
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.
C) Maintain supportive home base.
Mrs. Dunn has cared for her husband with Alzheimer's 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
C) Risk for Caregiver Burden
A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurse's 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.
C) The license may be revoked or suspended.
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.
C) The science of nursing is the knowledge base for the care that is given. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills.
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
C) being licensed by the State Board of Nursing
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
C) living long distances from services
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
C) protection from potential harm
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
C) providing emotional comfort and identity
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
C) referring to a community diabetic support group E) admitting a patient to a hospice program
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
C) to set standards for nursing education and practice
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
D) 18th to 19th century
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.
D) Illness in one family member affects all family members.
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 patient's chart D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist
D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist
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
D) a strong service orientation
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
D) actual or potential health problems
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 patient's home for chronic illnesses D) care centered on individual and family healthcare needs
D) care centered on individual and family healthcare needs
A nurse caring for a female patient with TB who is in isolation is aware that the patient's love and belonging needs may not be properly met. Which of the following nursing action would help to meet these needs? A) respecting the patient's values and beliefs B) focusing on the patient's 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
D) encouraging family to visit and help in the care of the patient
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
D) increase in chronic health conditions
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) master's degree
D) master's degree
What action by a nurse will help a patient meet self-esteem needs? A) verbally negate the patient's negative self-perceptions B) freely give compliments to increase positive self-regard C) independently establish goals to improve self-esteem D) respect the patient's values and belief systems
D) respect the patient's values and belief systems
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
D) self-actualization
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
D) socialization