Nursing 250 Midterm Questions

The health belief model is useful when education individuals about health and illness. Why would this be?

It allows you to assess the client;s beliefs and structure goals so he can meet health needs

The nurse is attempting to develop therapeutic nurse-client relationship with a newly admitted clientl . What expectations does the nurse have when developing the relationship

The nurse is accountable for the outcome

A nurse is sitting near a client while conduction a health history. The client keeps edging away from the nurse. What might this mean in terms of personal space?

The nurse is in the client's personal space

The family of a client in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this?

Interpersonal

Which of the following nurse leaders most clearly exemplifies transformational leadership?

A leader who is dynamic, inspiring, and promotes change by the power of her convictions

A community health nurse is providing care to a group of Hispanic people living in an area that is heavily populated by waitpeople. What are the Hispanic people in this community an example of?

A minority

In which way can nurses develop cultural self-awareness?

Objectively examine one's own beliefs, values, and practices.

The registered nurse (RN) is preparing to delegate tasks to an unlicensed assisted personnel (UAP) for a client who recently had a stroke. Which task would be inappropriate for the RN to delegate to the UAP?

Obtaining vital signs

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established?

Orientation phase

A nurse is caring for a client from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the client's pain?

Pain is what the client says it is

A nurse is preparing a care plan for a black man aged 68 years who was recently diagnosed with hypertension. Age, race, gender, and genetic inheritance are examples of what human dimension?

Physical

The delivery of culturally competent nursing practice incorporates the concept of

Planning and implementing care in a way that is sensitive to the needs of individuals, families, and groups from diverse cultural populations.

A nurse has a recently completed administration of seasonal influenza vaccinations for the residents of a long-term care facility. Which aim of nursing has the nurse most clearly demonstrated?

Preventing illness

The nurses community outreach class is giving a presentation on seatbelts and child safety says a the local firehouse very weekend in October. What level(s) of health promotion is this an example of?

Primary

A nurse is educating women on the needs for calcium to prevent bone loss. What level of prevention does this represent?

Primary prevention

A client 36 years of age is able to understand the health education when she is given the opportunity to put the education into practice. The nurse helps the client to self-administer the medication dosage before he client is discharged from the health care facility. Which domain correctly identifies the client's learning style?

Psychomotor domain

When caring for a diabetic client, the nurse notes that the client learns better when he practices the self-administration of the insulin injection by himself. In which domain foes this client's learning style fall?

Psychomotor domain

Which statement best conveys the relationship between race and ethnicity?

Race denotes physical characteristics while ethnicity is rooted in a common heritage.

A female client has been having yearly Pap smears and yearly mammograms for more than 10 years. According to Lewin, this is an example of what type of change?

Refreezing

Which is an example of tertiary health promotion?

Rehabilitation

A nurse is caring for a client with myasthenia graves. The client is having difficulty forming words and his tone is nasal. Which communication strategy is an effective one for this client?

Repeat what the client had aid to verify the meaning

A nurse evaluates whether a middle-age client with chronic back pain had been preforming the different exercises and physiotherapy procedures recommended by the physician. What would the nurse most likely use to evaluate the client?

Return demonstration

What characteristic is used to describe racial categories?

Skin color

A client tells the nurse that her doctor just told her that she has a "chronic condition." She asks the nurse what does the "chronic condition" mean. What would be the nurse's best response.

"Chronic conditions usually come on slowly and may have periods of remission and exacerbation."

A client tells the nurse that he is very worried about his surgery. Which response by the nurse is a cliché?

"Don't worry, everything will be fine."

A client has been recently diagnosed with diabetes. The client is seen in the emergency room everyday with high blood sugar. The client apologized to the nurses for bothering staff every day, but does notes that he cannot give himself insulin injections. What should the nurse respond?

"Has someone taught you ho to take them?"

A registered nurse assigns the task of tracheostomy suctioning of a client to the LPN. The LPN informs the nurse that she has never preformed the procedure practically on a client. What should be the most appropriate response from the registered nurse?

"I will help you in performing the procedure on the client"

The nurse is providing home care for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea?

"Let me check with the doctor to make sure it is okay to drink the tea with your medicines."

A female client reports to her primary care physician with aggravated chest pain. The physician orders a stress chest. The client tells the nurse that she does not want to take the test and feels she should instead continue with the medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse?

"Tell me more about how you are feeling"

The nurse has been working with a client for several days during the client's recovery from a femoral head fracture. How should a nurse best evaluate whether client education regarding the prevention of falls in the home has beens affective?

"What changes will you make around your house to reduce the chance of future falls?"

A nurse is assessing a client's nutritional intake prior to admission based upon information that indicates the client has lost 10 lb (4.5kg) over the last 2 months. Which therapeutic communication technique is appropriate to gain information?

"What factors have contributed to your wight loss over the last few months?"

A client has just been given a diagnosis of cirrhosis of the liver. Which statements by the nurse should be avoided because they could impede communication? Select all that apply.

- "Your doctor knows best." - "Everything will be alright." - "Don't worry. You will be just fine in another day or two." - "Cheer up. Tomorrow is another day."

The definition of chronic conditions can be complex. Which factors would a nurse expect to be included in the definition of chronic conditions? (Select all that apply.)

- Diseases where complete cures are rare - Diseases that do not resolve spontaneously - Diseases that have a prolonged course

The nursing student is working to improve his time management. Which of the following would assist the nursing student in accomplishing his goal? Choose all that apply.

- Establish a reasonable timeline - Identify priorities for the day - Evaluate time management at the end of the day

The nurse is a manager on an orthopedic unit. The unit changed to a new computer documentation system three days ago. One of the night nurses has called in sick every shift since the new system started. The nursing manager is aware that this situation has to do with resistance to change. Which of the following are common reasons why people resist change? Choose all that apply.

- Lack of understanding - Feel threatened - See no benefits to the change - Fear increased responsibility

Which of the following statements accurately describes recommended guidelines for overcoming resistance to change? Select all that apply.

- List the advantages of the proposed change for members of the group - If possible, introduce change gradually

A nurse is considering applying for a leadership role on her medical unit. She asks her colleagues what they consider to be good personal leadership skills. Which of the following would be appropriate? Choose all that apply.

- Self-evaluation - Communication - Problem solving

Which activity takes place during the working phase of the nurse-client relationship? Select all that apply.

- The client genuinely expresses concerns to the nurse - The client participates actively in the relationship

A nurse is providing teaching to clients in a short-term rehabilitation facility. Which examples are common teaching mistakes made by health care professionals? Select all that apply

- The nurse fails to accept that clients have the right to change their minds - The nurse uses medical jargon frequently when discussing the teaching plan - The nurse ignore the restrictions of the client's environment

A nursing instructor is discussing differences between nurse-client relationships and social relationships with a group of nursing students. Which statement is a characteristic of a person-centered or helping relationship?

A person-centered or helping relationship is characterized by an unequal sharing of information

The nurse has just graduated with a Bachelor of Science in Nursing and is eager to find a mentor at this early stage in her career. Which of the following individuals is most likely to be an appropriate mentor for the nurse?

An experienced nurse who was a preceptor in a previous clinical placement

Which organization is the best source of information when a nurse wishes to determine whether an action is within the scope of nursing practice?

American Nurses Association ANA

Which of the following nursing groups provides a definition and scope of practice for nursing?

ANA

A client admitted to the telemetry floor informs the nurse that he has an advanced directive and does not wish to be resuscitated if his heart stops beating. The client takes a copy of the advance directive from his wallet and hands it to the nurse. The nurse documents on the electronic chart that if the client has an advanced directive, makes a copy of the advance directive, and immediately informs the client's physician. In this situation, what is the nurse role demonstrated by the nurse?

Advocate

A nurse manager informs the staff members during a meeting that unlicensed assistive personnel will no longer be allowed to check patients' blood glucose levels. The nurse manager informs the group this was a new policy on the unit, and discussions will not change the enforcement of this policy. What type of leadership style is the nurse manager demonstrating?

Autocratic

What is the primary focus of communication during the nurse-client relationship?

Client and client needs

Which nursing interventions an example of tertiary preventive care?

Assisting with speech therapy for a client with a traumatic brain injury

A male client of Asian descent is operated on for gallstones. On the postoperative night, the nurse finds that the client is not sleeping and is tossing and turning. When asked about analgesics, the client denies having pain. Which nursing action is most appropriate?

Assessing for nonverbal expressions of pain

A nurse plans the nursing activities for the shift. Which of the following activities should the nurse assign to the nursing assistance

Assist a client to ambulate and sit on a bedside chair

A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?

Autocratic

The parents of an infant suffering from apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents?

Baseline knowledge of these concepts

After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice?

Being licensed by the State Board of Nursing

A nursing student is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

Belief system that guides behavior

A nurse who provides care in a large, inner-city hospital is aware of the large influence of culture on health. The nurse recognizes that culture is best understood as a shared system that encompasses:

Beliefs, values, and practices

A nurse develops a care plan for a diabetic patient that focuses on the patient's knowledge deficit of insulin administration, and devises interventions to accomplish desired outcomes. This is an example of using which of the following type of nursing skills?

Cognitive

What may happen to the family when one of the family members suffers an illness?

Changes in roles for the client and family

A father, mother, grandmother, and three school-aged children have immigrated from Thailand. Which member(s) of the family are likely to learn to speak the dominant language more rapidly?

Children

An exacerbation refers to the reactivation of a disease. Which condition is associated with exacerbation?

Chronic illness

What is a misconception about chronic disease?

Chronic illness cannot be prevented

A nurse instructs a client to tell her about the side affects of a medication. What learning domain is the nurse evaluating?

Cognitive

When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which of the following learning domains does the client's learning style fall?

Cognitive domain

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative join disease. This is an example what learning theory?

Cognitive learning theory?

A nurse receives an x-ray report on a newly admitted client suspected of having a fractured tibia. The nurse contacts the physician to report the findings. What role is the nurse engaged in?

Communicator

During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation?

Communicator

A nurse is caring for a client who is a chronic alcoholic. The nurse educated the client about the harmful affects of alcohol and educated the family on how to cope with the client and his alcohol addiction. Which type of skill is the nurse using?

Counseling

Despite the presence of a large number of older adult residents of Asian heritage, a long-term care facility has to integrated the Asian concepts of hot and cold into meal planning. The nurses at the facility should recognize this as an example of:

Cultural blindness

A nurse is providing care for a client from Cambodia. The nurse says, "You have to get up and walk whether you want to or not," This statement is an example of:

Cultural imposition

Which term describes the tendency to impose one's cultural beliefs, values, and patterns of behavior on a person from a different culture?

Cultural imposition

Which statement is true of factors that influence communication?

Culture and lifestyle influence the communication process

Upon moving to china, a North American college student is experiencing many new feelings that the student associates with placement in a different culture. What are he feelings experiences by this student?

Culture shock

Developing an education plan is comparable to what other nursing activity?

Formulating a nursing care plan

A staff nurse works on a medical unit where staff retention is very high. There is a a sense of equality between the leader and the staff nurses. The unit decisions and activities are shared between the leader and the group. The designated nurse leader practices which of the following leadership styles?

Democratic

What type of leader shares decisions and actives with group participants?

Democratic

The nurse is having an exceptionally busy sift on an obstetrical unit. Which of the following tasks is the nurse justified in delegating to an unlicensed care provider?

Emptying a client's Foley catheter bag and reporting the volume to the nurse

Which nursing action best exemplifies the nurse's role in promoting health?

Encouraging a group of junior high school student to engage in regular physical activity.

Risk factors for illness are divided into six categories. Working with carcinogenic chemicals is an example of which type of risk factor?

Environmental risk factor

A nurse is caring for an older adult from a far eastern culture. How does the nurse demonstrate awareness of culturally competent care?

Establishing effective communication

When a client states, "I only want a white doctor," the client is expressing cultural:

Ethnocentrism

A nurse who is discharging a client is terminating the nurse-client relationship. Which action might the nurse perform in this phase?

Examining goals of the relationship to determine their achievement

A nurse is caring for a postoperative client of Asian descent after knee arthroplasty. The nurse plans to help the client ambulate, but is ware that the client may feel threatened due to physical closeness. What would be the most appropriate nursing action?

Explain the purpose and need for assistance during ambulation.

A senior nursing student has been elected class president. What type of power will the student have in this position?

Explicit power

A man age 61 years is distraught because he has just learned that his most recent computed tomography (CT) scan shows that his colon cancer has metastasized to his lungs. Which aim in nursing should the nurse prioritize in the immediate care of this client?

Facilitated coping

A nurse is caring for an older adult client with arthritis. Which action is the priority for the nurse when conducting the health education for the client?

Find out what the client wants to know

Which factor is not one of the six general types of risk factors in regard to increasing an individual's chances for illness and injury

Gender

A nurse who is preparing to administer an injection to the client states, "The injection will not be painful." Th e nurse has used with communication technique?

Giving false reassurance

The Standards of Practice provides nurses with:

Guidelines for providing care

A nursing instructor is working with a class of first semester nursing students. The instructor explains the interrelatedness of health and wellness. What would be the best definition the nursing instructor could give of health?

Health is a state of complete physical, mental, and social well-being, not merely the absence of disease of infirmity

A nurse educator uses models of health and illness when teaching. Which model of health and illness places high-level health and death on opposite ends of a graduated scale?

Health-Illness Continuum

When chronic illnesses and disabilities are present, individuals benefit most from the activities that

Help them maintain independence

The nurse is administering immunizations to a group of teens in a county health clinic. The nurse correctly identifies this actions as

Illness prevention

The nurse is educating a group of clients in the community about safe sex practices. When is the best time to evaluate teaching effectiveness?

Immediately after the education session

The designated charge nurse on the telemetry unit organizes and facilitates the unit meetings; however, during most of the meetings, another registered nurse runs the show and influences staff decisions just by her charisma and personality. Her power to lead is defined by which of the following terms?

Implied

When providing client education it is essential for the nurse to incorporate what actions so that learning can be optimized?

Include educational strategies that encourage clients to be active participants.

Which strategy might a nurse use to increase compliance with education?

Include the client and family as partners

A nurse touches a clients's hand to indicate caring and support. What channel of communication is the nurse using?

Kinesthetic

Personal space and distance is a cultural perspective that can impact nurse-client interactions. What is the best way for the nurse to interact physically with a client who has a different cultural perspective on space and distance?

Know the client's cultural personal space preferences.

What was one barrier to the development of the nursing profession in the united states after the Civil War?

Lack of educational standards

A registered nurse (RN) serves as the chair of the Nursing Practice Committee for the hospital. The meetings do not have a planned agenda; members of the committee who are interested in a particular topic feel free to suggest it and then to lead the subsequent discussion. This chairman's leadership style could be termed what?

Laissez-Faire

Staff nurse works on a surgical unit where the nurse leader allows the staff to make all decisions and direct themselves. The staff nurses fill out the work schedule and sometimes there are days where the unit is short staffed. The staff nurse feels the unit needs better leadership. The nurse leader is practicing which of the following leadership styles?

Laissez-Faire

How might one define leadership?

Leadership is the process of guiding, educations, motivating, and directing others

A client of English decent reports to the primary healthcare facility withs symtpoms of fever, cough, and running nose. While interviews the client, which point should the nurse keep in mind?

Maintain eye content while talking

A nurse uses the SBAR method to hand off the communication to the health care team. Which of the following might be listed under the "B" of the acronym?

Mental status (Situation, Background, Assessment, and Recommendations)

When a client says, "I don't care if I get better; I have nothing to live for, anyway," which type of counseling would be appropriate?

Motivational counseling

When a labor and delivery nurse tells a coworker that a client of Asian decent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a beliefs known as what?

Stereotype

Which type of skills is not needed for nursing leadership?

Technical skills

Which model is most useful in examining the cause of disease in an individual, based upon external factors?

The Agent-Host_Environment Model

A nurse is educating a client with a new diagnosis of diabetes. Which example demonstrates cognitive learning by the client?

The client describes signs and symptoms of hypoglycemia

In addressing health promotion for a client who is a member of another culture, the nurse should be guided by which principle?

The client may have a very different understanding of health promotion

Why is communication important to the "assessment" step of the nursing process?

The major focus of assessing is to gather information

In Lewin's theory of change, what happens during unfreezing?

The need for change is recognized

While applying dressing to a client's wound, the nurse teaches the client about his wound care. To promote the most effective teaching-learning relationship with this client, what would be most important for the nurse to keep in mind?

The nurse and client relationship is based on mutual sharing and negotiation

A client arrives at a health care facility complaining of pain in the abdomen and diarrhea. The physician diagnoses the client with colitis, an acute illness. Why is colitis considered an acute illness?

The onset is sudden

Chronic illness may be characterized by periods of remission. Remission is best defined as:

The presence of a disease with the absence of symptoms

Which definition best describes an acute illness

The rapid onset of symptoms lasting a relatively short time

A parish nurse is preparing to provide a health promotion class to a group of adults in the parish. In preparing to meet the learning needs of this group, the nurse recognizes which of the following as a characteristic of an adult learner?

Their readiness to learn is often related to a developmental task or social role

A diabetes nurse educator is teaching a client, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this education?

To help the client develop self-care abilities

Primary health promotion is an integral part of health care. What is the purpose of primary health promotion?

To promote health and prevent disease of injury

Why are nurse organizations important for the continues development and improvement of nursing as a whole?

To set standards for nursing education and practice

Which factor is most important in the development of rapport between nurse and client?

Trust

Following a myocardial infarction (heart attack), a client begins to recognize the need to increase exercise, eat a low-fat diet, and implement relaxation techniques. According to Lewin, this is an example of what type of change?

Unfreezing

The need for university-based nursing education programs was brought to light during which important historical time?

World War II