Leddy Professionalism Practice Questions

The nursing director attends a workshop and is presenting information on the ANA's seven essential features in Nursing's Social Policy Statement (2010). Which one of the seven essential features of nursing is included in the publication? A) Application of professional judgment and critical thinking to assess and implement treatment based on human responses and experiences. B) Use public policy of current legislature to shape the future of the nursing profession. C) Use scientific knowledge to ration care to those individuals with noncomplex diagnoses and simple treatment options. D) Use assessment as the guide in order to treat the full range of human responses "within the physical environment." Chapter 1.

A) Application of professional judgment and critical thinking to assess and implement

In current nursing times, when a client has a fever, nurses usually remove blankets, keep room temperature lower and force fluids. These same concepts were developed by which ancient health care provider in Greece? A) Aretaeus B) Hippocrates C) Galen D) Herophilos Chapter 2.

A) Aretaeus

In giving a lecture to nursing students at a university, a professor discusses goals from the measurement category of general health status as part of the Healthy People 2020 objectives. Which overarching goal best addresses the measurement category of general health status? A) Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death B) Achieve health equality, eliminate disparities, and improve the health of all groups C) Create social and physical environments that promote good health for all D) Promote quality of life, healthy development, and healthy behaviors across all life stages. Chapter 8.

A) Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death

A nurse is listening to one of her peers talk about her beliefs related to the human race. This peer basically believes the mind, body, soul, and environment unite with souls not confined to the physical world but exist following actual physical death. The nurse recognizes that their peer is practicing the concepts from which nursing theorists? A) Jean Watson B) Rosemarie Parse C) Callista Roy D) Dorothea Orem Chapter 6.

A) Jean Watson

The nurse who has been having difficulty sleeping has investigated techniques to assist in consistently getting a good night's sleep as a method of taking care of oneself. Which strategy will help with sleep? Select all that apply. A) Keeping a regular sleep schedule consisting of 7 to 8 hours per night. B) Avoiding eating any fast food. C) Providing a bedroom with optimal darkness before bedtime. D) Exercise right before bedtime so you will fall asleep quicker. E) A cocktail right before bedtime helps one relax and fall asleep faster. Chapter 8.

A) Keeping a regular sleep schedule consisting of 7 to 8 hours per night. C) Providing a bedroom with optimal darkness before bedtime.

During post-conference, the clinical instructor reviews theories that utilize the nursing process and how they differ in their approach to the nursing process. Which theory includes perception, communication, and interaction of the nurse and the client in the definition of the assessment phase? A) King's theory of goal attainment B) Paterson and Zderad's humanistic theory C) Newman's theory of health as expanding consciousness D) Parse's human becoming theory Chapter 7.

A) King's theory of goal attainment

After a nursing student does poorly on a test, the student's professor requests a conference to discuss the matter. During the discussion, the student comments, "I didn't have time to read all those chapters." While discussing strategies to help with reading effectiveness, the professor suggests that after reading a passage, the student should take a break and do which activity? A) Paraphrase the major concepts they just read. B) Listen to classical music. C) Visit with their peers about their study habits. D) Get a caffeinated beverage. Chapter 1.

A) Paraphrase the major concepts they just read.

"Patterning nursing processes use energy to enhance health and well-being" is what the student reads in the textbook. As the student inquired as to what theories use patterning, the student began to read about appraisal and deliberative phases. Which theory highlights these concepts and is considered a patterning process? A) Rogers' science of unitary human beings B) Parse's human becoming theory C) Paterson and Zderad's humanistic theory D) Peplau's interpersonal relations model Chapter 7.

A) Rogers' science of unitary human beings

A nurse is working a night shift on an oncology unit. One of their clients is experiencing excruciating pain unrelieved with medication. The nurse, who practices therapeutic touch, asks the client if they are open to this holistic care. The nurse believes human beings are "a unitary energy field that continuously interacts with an environmental universal essence field." The nurse is primarily utilizing which nurse theorist's model? A) Susan Leddy's Human Energy Model B) Rosemarie Parse's Human Becoming Theory C) Jean Watson's Human Science and Human Care Theory D) Margaret Newman's Theory of Health as Expanding Consciousness Chapter 6.

A) Susan Leddy's Human Energy Model

A professional organization has called for abstracts for a conference where the theme is "theory in practice." The nurse sends in the abstract using a model in which the purpose of nursing is to facilitate the harmonious pattern of the essence fields of both client and nurse. Which theory is inclusive of this concept of nursing? A) Susan Leddy's human energy model B) Margaret Newman's theory of health as expanding consciousness C) Rosemarie Parse's human becoming theory D) Jean Watson's human science and human care theory Chapter 6.

A) Susan Leddy's human energy model

The nurses working in a highly stressful neurotrauma ICU had a meeting about the importance of developing support among themselves. Which actions by team members demonstrate their commitment to building a supportive work environment and should be encouraged to continue? Select all that apply. A) Verbally give praise when one observes their peer giving comfort to a distraught family member. B) Refer a colleague to the manager for reprimand when one observes them being rude to a visitor who gets in their way of providing care. C) Invite new nurses into one of your rooms to observe while you are assisting in performing a skill that is rarely done in the unit. D) Demonstrate to peers how to stop a family from pressing the call light for minor things like water or food. E) Ignore peer requests for help when you are tired and just want a break. Chapter 8.

A) Verbally give praise when one observes their peer giving comfort to a distraught family member. C) Invite new nurses into one of your rooms to observe while you are assisting in performing a skill that is rarely done in the unit.

A nurse arrives to the unit and receives report from the night shift nurse. The nurse identifies what medications are necessary for the client before going to the client's room. Upon entering the room, the nurse introduces themselves and takes a blood pressure and then listens to the client lungs, heart, and abdomen before checking pedal pulses and inquiring about pain. Which step in the nursing process has the nurse just performed? A) assessment B) diagnosis C) planning D) implementation Chapter 7.

A) assessment

A nurse is admitting a client to the unit and collects relevant regarding the client's personal habits, communication styles, and cultural influences to provide individualized care. Which step in the nursing process is the nurse implementing? A) assessment B) diagnosis C) planning D) implementation Chapter 7.

A) assessment

A client, who is dying of cancer, wishes to have hospital personnel provide only comfort measures. Respecting the client's request, the nurse is implementing which moral principle central to nursing? A) beneficence (to do good) B) compassion (caring) C) double effect (lesser evil) D) principalism (orientation) Chapter 3.

A) beneficence (to do good)

A nurse works in the medical-surgical unit of a suburban hospital and is taking care of a client who has many complex physiologic processes going on at the same time. The nurse exhibits flexibility, inquisitiveness, and open mindedness in caring for the client as their condition changes from day-to-day. The nurse is primarily exhibiting which type of thinking? A) critical thinking B) creative thinking C) reflective thinking D) independent thinking Chapter 1.

A) critical thinking

A nurse working on an oncology unit has administered a high dose of narcotics to a terminally ill client with pancreatic cancer metastasized to the brain, liver, and bone. Shortly after the administration of the narcotic, the client passes away. During discussions with the hospital's ethics committee, the nurse notes that this decision was the lesser of two evils. Which ethical decision-making principle is the nurse using in this situation? A) double effect B) client advocacy C) principalism D) beneficence Chapter 3.

A) double effect

A nurse is caring for a homeless client with a history of diabetes who has a large foot wound. The health care provider prescribes sterile dressing changes and other treatments to prevent progression of the wound. Which contextual element may apply to this client's ability to obtain supplies and to have access to health care to prevent future amputation? A) economic elements B) cultural elements C) demographic elements D) subcultural elements Chapter 3.

A) economic elements

A nursing student attends a capstone lecture related to the central concepts of nursing. Following the lecture, the student's preceptor asks what was learned. Which answer represents the four major concepts of nursing central to work of the profession? A) human being, environment, health, and nursing B) human being, theory, health, and environment C) theory, health, environment, and nursing D) environment, health, theory, and nursing Chapter 5.

A) human being, environment, health, and nursing

A conference is presented on world views of health, and the first breakout session discusses the human being conceptualized as a whole comprised of parts who interacts with a physically separate environment. The environment exerts stressors on people to which they must react. There is a belief in linear, predictable, and quantifiable cause-and-effect relationships. What world view is depicted by this scenario? A) interaction worldview B) integration worldview C) partiality worldview D) simultaneity worldview Chapter 8.

A) interaction worldview

The nurse, is caring for Client A, who is scheduled for surgery the next day and has a bowel prep prescribed, beginning tonight. The nurse discusses the bowel prep with the client as one step in getting ready for surgery. The prep was delivered, and by 6 AM the next morning, both the nurse and the client feel they have met the physiological and psychological readiness for surgery. Which term best describes this scenario? A) mutuality B) respect C) reciprocity D) helper relationship Chapter 4.

A) mutuality

A student nurse gathers a client's medication and administers them without notifying the clinical faculty. In doing so, the student did not utilize the electronic scan prior to giving the client their medications. When the student does scan the medications under supervision of the faculty, the device elicits an "Error....Wrong Client" warning. The faculty will likely document that the student violated which ethical principle? A) nonmaleficence B) beneficence C) autonomy D) justice Chapter 3.

A) nonmaleficence

A nurse is trying to figure out why a certain COPD client keeps having exacerbations about the same time every month which requires admission to the hospital for IV steroids. This is an example of which aspect of intuitive judgment? A) pattern recognition B) commonsense understanding C) skilled know-how D) deliberative rationality Chapter 5.

A) pattern recognition

A nurse applies for a position on the cardiac care unit of a major suburban hospital. The nurse shares with the manager their nursing philosophy stating that, "A client is a human being in need of care while in the hospital. It is my hope that I can provide quality nursing care with attention to the body, mind, and spirit of the individual, moving him or her on a continuum to a state of health, and working with the environment to accomplish this task." What four elements are included in the nurse's philosophy? A) person, health, nursing, and environment B) personal knowledge, empirics, aesthetics, and ethics C) individual, environment, mission, and reflective thinking D) health, empirics, environment, and personal knowledge Chapter 3.

A) person, health, nursing, and environment

A new graduate nurse enters the profession and begins the work of developing a personal nursing philosophy. The efforts they make to intellectually and effectively grow in this arena involves self-discovery. According to Carper as one of the patterns of knowing, which characteristic will this nurse continue to develop over time? A) personal knowledge B) values C) beliefs D) feelings Chapter 3.

A) personal knowledge

A nurse educator watches a student nurse walk across the stage to receive their diploma. After the program, the nurse educator discusses with the student about their plans for work. The student expresses uncertainty, but definitely does not wish to work in the obstetrical area. The student nurse is using which type of knowledge to make this decision? A) personal knowledge B) aesthetic knowledge C) empirical knowledge D) ethical knowledge Chapter 5.

A) personal knowledge

A wellness class is taught by a nurse in the outpatient clinic of a large suburban hospital. In discussing the clinical model related to health, what factor would the nurse say contributes to individual variability in wellness? A) physiological interrelatedness B) psychological standards C) social influence D) self-actualization Chapter 8.

A) physiological interrelatedness

A nurse relies on R. Leddy's theories to assist with client education. Which health-patterning strategy, suggested by R. Leddy can be used in the clinical setting to promote health and healing by specifically restoring energy field harmony? A) prayer B) self-massage C) aromatherapy D) Tai Chi Chapter 8

A) prayer

While providing nursing care in Turkey in the 1850s, Florence Nightingale implemented which measures, still in practice today, which lowered the mortality rate of 40% to 2%. Select all that apply. A) proper room ventilation B) applying herbs on open wounds. C) nutritious meals D) cleaning of the facility rooms E) incorporation of prayer and meditation at the bedside Chapter 2.

A) proper room ventilation C) nutritious meals D) cleaning of the facility rooms

A nurse approaches a client who is from another country, and the client backs away. The nurse realizes that the client may have space issues that make the client uncomfortable when the nurse gets too close. When giving report to the oncoming team, the nurse will utilize which term to convey the client's uncomfortable expression when someone gets too close? A) proxemics B) kinesics C) object association D) tactile stimulation Chapter 4.

A) proxemics

An individual has anorexia nervosa and is in a partial hospitalization program. The individual tells friends about the illness. On learning of their hospitalization, friends condone this individuals dependent behaviors that were unacceptable prior to the hospitalization for anorexia nervosa. What is the best term that describes this individual? A) sickness B) well-being C) illness D) disease Chapter 8.

A) sickness

A client is being sent to interventional radiology to have their hemodialysis access re-opened. As the nurse transporting the client to radiology, they give an overview of the client's history, especially related to their current fluid and electrolyte status. Utilizing SBAR as the method to report critical information to other staff, the nurse has just provided which piece of information to the radiology nurse? A) situation B) before admission C) assessment D) recommendation Chapter 4.

A) situation

A nursing student is in the senior semester of nursing school. In addition to going to clinical sessions, didactic lectures, and applying for nursing position, the student is reviewing for the NCLEX exam. Which of these intellectual characteristics of a nursing student is involved with licensure? A) specialized education B) body of knowledge C) the ability to think critically D) the ability to manage colleagues Chapter 1.

A) specialized education

As a nurse who promotes health and wellness in the community, what characteristics would the nurse use to define wellness when teaching to a group of parents at the YMCA? A) state of perceived well-being B) minimally functional but able to care for self C) maladaptive with environment but needs minimal assistance D) subjectively states functionality Chapter 8

A) state of perceived well-being

A nurse who practices on the floor utilizes the theory concerned with elements and interactions among all the factors (variables) in a situation. A cardiac client with heart failure is experiencing coldness in their lower extremities. Their pedal pulses are also very weak due to decrease in blood supply to the tissues. Which theory is the nurse using in the assessment of this client? A) systems theory B) stress/adaptation theory C) caring theory D) complexity theory Chapter 6.

A) systems theory

A nursing student attends a lecture on the central concepts of nursing. Which answer represents the concept of health? A) well-being and illness B) alive or inanimate C) an individual nurse or client, a family, a group, or a community D) all the interactions among the nurse, client, and the environment in the pursuit of health; as well as what nurses do Chapter 5.

A) well-being and illness

A nurse is working on a unit that primarily cares for clients with alcohol and substance abuse withdrawal. Which statement by the nurse would be considered an example that they are experiencing compassion fatigue? A) "I just know that after a few days, this client will see the benefits of changing their addictive behaviors." B) "I go home and think about these clients all the time and I get angry because they are doing this to themselves." C) "Helping these clients to slowly withdraw from these substances is my way of making the world a better place to live." D) "I go to the gym at least 4 to 5 times every week so I can relieve my stress and refocus on my job to help my fellow mankind." Chapter 8.

B) "I go home and think about these clients all the time and I get angry because they are doing this to themselves."

To improve test results by decreasing anxiety, a faculty member may recommend which strategies to assist with anxiety on the actual test day? Select all that apply. A) Re-read all notes taken from the textbook and classroom lectures the a few hours before the actual test. B) Arrive at the test site early. C) Practice relaxation techniques like deep-breathing. D) Quiz fellow nursing students on concepts one has learned. E) Light an incense burner in the room to evoke calmness among all students. F) Keep room lights off and direct peers to meditate using a powerful mantra to chant. Chapter 1.

B) Arrive at the test site early. C) Practice relaxation techniques like deep-breathing.

A nurse currently working in an ICU is studying to obtain certification in critical care. When looking at further one's education, the nurse should also consider obtaining which collegial degree if the nurse wants to impact client outcomes? A) Associate degree in Nursing (ADN) B) Bachelor degree in Nursing (BSN) C) Master's degree in Nursing (MSN) D) Doctorate in Nursing Practice (DNP) Chapter 2.

B) Bachelor degree in Nursing (BSN)

Which scenario would be considered a breach of a common ethical principle for nurses? A) Keeping clients' gender identity confidential. B) Deciding to forego renewal of CPR certification when one's card expires since "nothing ever changes." C) Attending nursing standards committee meeting and relaying information back to the nursing unit. D) Pulling drapes around a client and their family to give them privacy to make a decision about their care. Chapter 1.

B) Deciding to forego renewal of CPR certification when one's card expires since "nothing ever changes."

In giving a presentation to graduate students at the university, a professor discusses goals from the United Nations millennium development program as well as Healthy People 2020 objectives. Which goals are considered missions of Healthy People 2020? Select all that apply. A) Identify priorities for world health improvement B) Identify and provide measurable and applicable goals and objectives for all levels of government C) Engage single sector nurses of society to improve policies and practices to use the best available knowledge and evidence for health promotion D) Identify the critical areas for data collection, research, and evaluation. Chapter 8.

B) Identify and provide measurable and applicable goals and objectives for all levels of government. D) Identify the critical areas for data collection, research, and evaluation.

The health care provider (along with the nurse) has just informed a client that she has uterine cancer and will need a total hysterectomy. The client is all alone and very tearful. She expresses concern about telling her family "the news." The nurse tries help this client process the new information. This nurse's belief in helping people through mutual goal-setting is best illustrated using which nursing theory? A) Susan Leddy's Human Energy Model B) Imogene King's Systems Interaction Model C) Martha Rogers Science of Unitary Human Beings D) Rosemarie Parse's Human Becoming Theory Chapter 6.

B) Imogene King's Systems Interaction Model

When a client is in pain and extremely uncomfortable, some nurses may read to them stories the client enjoys, recite calming hymns, or sing/play musical instruments to help distract the clients focus on their pain. Looking back in history, which ancient civilization began these holistic nursing practices? A) Egypt B) India C) Babylonia D) Persia Chapter 2.

B) India

Which nursing diagnosis would be considered the priority for a client who was brought to the ED following a bee sting which has resulted in a severe reaction? A) Risk for activity intolerance related to difficulty breathing from bee stings. B) Ineffective breathing pattern related to edema of tissues in response to allergic reaction. C) Risk for aspiration due to excessive fluid in tissues making it difficult to swallow liquids. D) Anxiety related to feelings of impending doom due to fear of bees. Chapter 7.

B) Ineffective breathing pattern related to edema of tissues in response to allergic reaction.

Scientific theory and the organization and development of human knowledge began in ancient times. What was the predominant belief during this era? A) Math and logic were important. B) Internal and external forces ruled. C) Internal forces ruled solely. D) Uncertainty was accepted. Chapter 5.

B) Internal and external forces ruled.

A nurse is involved in an ethical decision-making process involving a client who does not wish to receive blood products for religious reasons. The client's laboratory values are dangerously low and without the blood, the client likely will to go into shock. The nurse at the ethics committee meeting states that "The client should have the blood regardless of personal reasons as without it the client may die. The committee should recommend disregarding the client's wishes as they do not know what is best for them." This example represents what kind of fallacy? A) Arguing that because everybody does something, that something must be good. B) Making someone accept the conclusion of another based on force alone. C) Appealing to inappropriate authority to justify a decision. D) Refusing to allow evidence to be shared if it contradicts one's personal position. Chapter 3.

B) Making someone accept the conclusion of another based on force alone.

A nurse is working with a client recovering from a heart attack. The client is concerned they may not be able to work again since they have a stressful, labor intensive job. The nurse is describing their beliefs that health is a continuum with wellness on one end and illness on the other. The nurse beliefs that the client will gradually reach a level of wellness where they can function within their heart's capacity. This nurse is practicing which theorist's view of "health?" A) Susan Leddy B) Margaret Newman C) Dorothea Orem D) Jean Watson Chapter 6.

B) Margaret Newman

A nurse believes that nursing is a pattern of the whole, health is a pattern of the evolving whole with caring as a moral imperative. Which nursing theory is inclusive of this concept of nursing? A) Susan Leddy's human energy model B) Margaret Newman's theory of health as expanding consciousness C) Rosemarie Parse's human becoming theory D) Jean Watson's human science and human care theory Chapter 6.

B) Margaret Newman's theory of health as expanding consciousness

The nurse is caring for a medical-surgical client who has a history of COPD and is recovering from a thoracotomy due to lung cancer. As the nurse enters the room to give medications, they note the client is cyanotic with dyspnea and a respiratory rate of 38. The nurse increases the oxygen to 4 l pm and calls respiratory therapy (RT) to intervene. The client does not respond to the interventions and is transferred to ICU. Which action below corresponds to the final step to take when utilizing the clinical judgment model described by Tanner (2006)? A) Documents all details of the experience include RT actions. B) Reflects on actions taken as a learning process. C) Calls RT department to report inadequate care and treatment. D) Leave the unit for a short break to decrease anxiety. Chapter 7.

B) Reflects on actions taken as a learning process.

A nurse has been working on an oncology unit for many years. The nurse is experiencing some "burnout" attitudes. They have visited with the palliative care and parish nurses seeking guidance. Which recommended healing modalities may assist this nurse in rekindling a passion for working with cancer clients? Select all that apply. A) Keeping a humor log about clients and "funny" things one observed clients doing. B) Reviewing their diet to incorporate "healthy" food choices whenever possible. C) Attending a tai chi class when offered on the unit. D) When time permits, touching clients in a therapeutic, healing manner. E) Incorporate more sleep into their day to allow renewal from negative thoughts. Chapter 4.

B) Reviewing their diet to incorporate "healthy" food choices whenever possible. C) Attending a tai chi class when offered on the unit. D) When time permits, touching clients in a therapeutic, healing manner.

A nurse utilizing a theory to base practice engages the client in a conversation about energetic patterning. The nurse is discussing how working together, they can reestablish the clients "free flow of energy." Which nursing theorist included this concept as part of the nursing interventions to facilitate a better health pattern to promote healing? A) Margaret Newman B) Susan Leddy C) Callista Roy D) Dorothea Orem Chapter 6.

B) Susan Leddy

A nurse preceptor is reviewing the nursing process during the first day together with a new preceptee. The preceptor stresses that the process has the advantage of keeping nurses organized and provides structure for problem solving. While strengths were listed, what is one of the weaknesses of the nursing process that has been discussed in the literature? A) The nursing process is time efficient. B) The nursing process is inconsistent with real-world practice. C) The nursing process focuses on a client's strengths, not problems. D) The nursing process is controversial for beginning nursing practice. Chapter 7.

B) The nursing process is inconsistent with real-world practice.

A nurse enters a client's room and is concerned about the client's statement, "I feel funny but I can't explain why." The nurse assesses the client but cannot determine an actual scientific problem. However, the nurse calls the resident who comes to see the client and while being examined the client goes into cardiac arrest. The nurse utilized which type of knowledge in this situation? A) personal knowledge B) aesthetic knowledge C) empirical knowledge D) ethical knowledge Chapter 5.

B) aesthetic knowledge

A client wants to get washed before breakfast, but the nurse has a critical situation to attend to immediately. The nurse instructs the client to call the Unlicensed Assistive Personnel, but the client did not appreciate the unwillingness of the nurse to assist. What term describes the tension state resulting from the negative appraisal of the client in this communication process? A) apprehension B) anxiety C) defensiveness D) depression Chapter 4.

B) anxiety

A client with end-stage renal disease has decided to discontinue dialysis treatment. They have discussed this wish with their family. Which ethical principle is this client exercising? A) benevolence B) autonomy C) authority D) independence Chapter 3.

B) autonomy

A nurse and a client engage in communication about the client's length of stay as a result of having open heart surgery. The unit uses day-by-day specific instructions for nursing care on a form that is at the client's bedside. What is the cognitive tool that is used in this specific instance that has reduced variation of nursing care received by clients with the same clinical problem, streamlined care to reduce costs, reduced care errors and oversights, and decreased the time nurses spend in documentation? A) critical thinking B) client care paths C) nursing outcomes classification D) nursing interventions classification Chapter 7.

B) client care paths

A health care provider writes an order for a client on the unit to have a diuretic due to the medical diagnosis of congestive heart failure. As congestive heart failure is a disease to the client, which terminology defines "disease" as a part of the interrelated cause-effect in the treatment regime? A) dysfunction of the mind B) dysfunction of the body C) dysfunction treated by medication D) dysfunction treated by rest Chapter 8.

B) dysfunction of the body

A nurse instructs a client, originally from India, to call the health care provider's office if the client develops signs of infection such as a fever of 101°F (38.3°C), redness, swelling at the incision site, and any drainage from the incision site. While giving these directions, the client does not look at the nurse. What cultural difference may have caused this perceived barrier to nonverbal communication in this scenario? A) proximity B) eye contact C) silence D) touch Chapter 4.

B) eye contact

A nurse in the busy orthopedic unit develops symptoms of stress related to staff shortages and employer's frequent requests to work extra shifts. Which symptoms are indications that the nurse is under stress? Select all that apply. A) increased ability to concentrate B) increased smoking C) sleep disturbances D) overeating E) increased gossiping with peers Chapter 8.

B) increased smoking C) sleep disturbances D) overeating

On admission, the nurse obtains the client's history and begin discussing the plans outlined to prepare the client for their upcoming surgical intervention. The nurse also asks the client what they want to achieve with this experience. According to Northouse and Northouse, which phase of the nurse-client relationship are the client and nurse experiencing? A) trust formation B) initiation C) resolution D) rapport Chapter 4.

B) initiation

The nurse is reflecting on how the first month in community health could have been improved pertaining to documenting the visits. Which tools could help the nurse to develop skills in reflection? Select all that apply. A) write a biography about a nursing leader B) keep professional logs C) audit the mentor's performance D) construct criteria for role model profiles E) ask nurse manager for daily feedback Chapter 7.

B) keep professional logs D) construct criteria for role model profiles

A student nurse, who is in the second semester of nursing school, is experiencing an unsettled feeling. The nurse notes a lack of confidence in knowing how to act or what questions to ask. According to Bridges' Managing Transitions theory, what phase of transition is this student experiencing? A) new beginning B) neutral zone C) transition one D) letting go Chapter 1.

B) neutral zone

A graduate nurse is working on a busy inpatient medical floor. The nurse has been taught to do a central catheter dressing change one way but cannot handle changing the procedure to accommodate the supplies that are readily available. In addition, the nurse will not go to lunch until all charting is complete since, "Those are the rules." According to Benner's Novice-to-Expert Model, in which stage of the model is the nurse currently performing? A) expert practitioner B) novice practitioner C) advanced beginner D) Competent practitioner Chapter 1.

B) novice practitioner

A client returns to the unit following surgery. The nurse admits the client to the room and describes how to use the call light. After the shift is over, the nurse gives report to the next shift RN and reviews the client's care plan that has been written to identify the necessary plans for the client throughout the next shift. What step of the nursing process identifies nursing interventions to be implemented in the oncoming shift? A) assessment B) planning C) implementation D) evaluation Chapter 7.

B) planning

A nursing unit assigns their RN staff to plan individualized care for each client and actually implement the plan, along with providing health education for their assigned group of clients/families. What type of nursing care delivery model is being practiced on this nursing unit? A) team nursing B) primary nursing C) progressive client care D) skilled nursing Chapter 2.

B) primary nursing

A nurse recognizes the signs and symptoms of burnout and enrolls in a class that teaches health-enhancing techniques. Which emotive, health-enhancing technique will help the nurse develop resilience so they can "bounce back" to their usual self? A) stress-management techniques like meditation B) refuting irrational ideas C) utilizing behavior modification techniques D) values clarification Chapter 8.

B) refuting irrational ideas

The nurse receives a phone report on a client being transferred to the intensive care unit. This nurse will take care of the client for the rest of the shift. Upon arriving to the unit, the nurse follows a series of steps to get the client admitted. What kind of thinking does the nurse exhibit if the nurse recognizes the interconnectedness of the results of the admission process, getting the client a food tray for dinner, and administering medications once the client is admitted? A) whole-systems thinking B) relational thinking C) quantum science thinking D) holistic thinking Chapter 3.

B) relational thinking

Nursing research in the postmodern era of nursing has discovered which entity plays a key role in health and healing? A) consilience B) spirituality C) alternative interventions D) complementary therapy Chapter 2.

B) spirituality

The characteristics of a profession are many, and nursing is delineated as an emerging profession because of the absence of what characteristic? A) use of a specialized database B) standardized educational entry C) specialized competencies D) autonomy and control over work Chapter 1.

B) standardized educational entry

A staff nurse is providing education to the unlicensed assistive personnel (UAP) on the unit about safe gowning and gloving when caring for clients with MRSA. Which role will the staff nurse undertake when providing this education? A) caregiver B) teacher C) coordinator D) counselor Chapter 1.

B) teacher

A client in the medical-surgical unit of a hospital asks the nurse how long it will take to psychologically feel well after her hysterectomy. The nurse replies that in some studies in the nursing literature, women feel their best 6 to 8 weeks postoperatively. Which type of nursing practice has the nurse displayed? A) stereotypical-based nursing practice B) theoretically based nursing practice C) rote-based nursing practice D) typical-based nursing practice Chapter 6.

B) theoretically based nursing practice

A nurse in a busy cardiac surgery intensive care unit has been working for the past 7 hours without a break. The nurse notices the assistant nurse manager sitting in the nursing station visiting with other nurses who are not as busy as this nurse. Which statement by the nurse is an example of a claiming (clarifying role/concerns/issues) affirmation statement? A) "I can't believe my peers are sitting around visiting when they see how busy I have been." B) "My peers are not treating me as a valid team member when they ignore my needs. I need to report this." C) "I am going to talk with the assistant manager about my need for a break so that I can provide better care to my clients." D) "I am going to inform the assistant nurse manager that I am going to terminate my employment since no one ever offers me coverage for breaks." Chapter 8

C) "I am going to talk with the assistant manager about my need for a break so that I can provide better care to my clients."

As part of the admission assessment procedure at a local rehabilitation center, the nurse begins collecting data related to a client's "stressors." They explore the client's feelings about being in a rehab center following surgery for a fractured hip, what their role expectations are; usual support system they have available, financial concerns from lost wages, etc. This rehab center is utilizing which nursing system model as they gather this data? A) Callista Roy's adaptation model B) Rosemarie Parse's human becoming theory C) Betty Neuman's health care systems model D) Jean Watson's human science and human care theory Chapter 6.

C) Betty Neuman's health care systems model

A public health nurse is considering offering an educational program for a fairly large group of Hispanic members of the community. This group speaks Spanish primarily. While researching and planning the program, the nurse will need to consider which contextual elements about this Hispanic group? A) Money, they have available for healthcare and their ability to access healthcare. B) Limited work opportunities impacting their ability to purchase food and medicine. C) Biophysiologic variations related to specific health problems and medication metabolism of this ethnic group. D) How worried the group is when it comes to no social security available for retirement since they are immigrants. Chapter 3.

C) Biophysiologic variations related to specific health problems and medication metabolism of this ethnic group.

In reviewing the history of the nursing profession, how can students and nurses alike utilize the past to assist in solving future nursing issues? A) Utilize strategies that have been unsuccessful in the past to support nursing professionalism B) Work alone in solving nursing issues with nursing colleagues not taking account of past history C) Collaborate with other professionals to assist in solving current nursing issues D) Reinvent nursing from a philosophical standpoint Chapter 2.

C) Collaborate with other professionals to assist in solving current nursing issues

A nurse is working in a rehabilitation center, and in defining the concept of environment, they go beyond just the physical environment but also incorporate chemical, biologic, and social contexts. Given this, the nurse recognizes this facility uses which nursing theorist in their definition for environment? A) Jean Watson B) Martha Rogers C) Dorothea Orem D) Martha Newman Chapter 6.

C) Dorothea Orem

In looking through the history of nursing, which geographical area was noted for paving the way for sanitation and public hygiene? A) East B) China C) Egypt D) Babylon Chapter 2.

C) Egypt

Which geographical area was instrumental in food inspection techniques, vital statistics, and infectious disease quarantine procedures? A) Greece B) East C) Palestine D) Assyria Chapter 2.

C) Palestine

A nurse enters a client's room and introduces themselves as the nurse who will be taking care of them today. The client informs the nurse they have been sick to stomach for the last several hours. After discussing the client's nausea, the nurse and the client decide that medication might be helpful to alleviate the client symptoms. Which nursing theorist focuses on the interpersonal relationship between the client to facilitate useful transformation of the client's energy or anxiety? A) Parse's human becoming theory B) Paterson and Zderad's humanistic theory C) Peplau's interpersonal relations model D) Newman's theory of health as expanding consciousness Chapter 7.

C) Peplau's interpersonal relations model

In order to attain professional status, which nursing role will nursing personnel need to be performing on a regular basis? A) Work individually to showcase contributions to society. B) Maintain three levels of education for nurses collectively. C) Work together to collaborate through professional organizations. D) Ethically maintain standards of care for clients. Chapter 1.

C) Work together to collaborate through professional organizations.

A male graduate student is carrying on a discussion with his peer female students. He is "black and white" oriented and believes client choices are either right or wrong, there is no "gray" area. He also believes that their nurse manager passes on information that is always truthful and that the manager's subordinates, the nursing staff should be passive. Which concept is he demonstrating? A) full relativism B) relative subordinate position C) basic dualism D) constructed knowledge Chapter 5.

C) basic dualism

A woman is admitted to the postpartum area in premature labor. The client, who is a practicing Jehovah Witness, progresses to active labor and delivers a premature infant. The client begins to hemorrhage and does not respond to IV Pitocin or fundal massage. Sadly, the client dies having refused blood products for religious reasons. This is an example of a clash with which major contextual element of professional nursing practice? A) demographic elements B) economic elements C) cultural elements D) environmental elements Chapter 3.

C) cultural elements

A graduate nursing student has been researching whether administering IV antibiotics through the upper access port or the lower port closest to the insertion site makes a difference in clients' antibiotic therapeutic blood levels. This student is primarily utilizing which type of knowledge that is verifiable for accurate findings? A) personal knowledge B) aesthetic knowledge C) empirical knowledge D) ethical knowledge Chapter 5.

C) empirical knowledge

Nurses on the floor of a general medical-surgical unit do not get along, and the clients on the floor have noticed. Customer satisfaction reports have been low, and the nurse manager has asked all members of the unit to participate in the upcoming staff meeting. The nurse manager will begin by addressing the observations and then present communication strategies to assist staff to engage in meaningful conversations. Which communication strategy is the nurse manager utilizing by having a safe place for the team members to foster collaborative learning and to share and listen to the thinking of others? A) listening B) advocacy C) intention D) silence Chapter 4.

C) intention

Nurses routinely check the telemetry monitors while at the desk looking for abnormal arrhythmias on the monitor. A nurse looks at the strip in Room 1030 and has a feeling to check the client. She does so, and notes the client is cyanotic and having difficulty breathing. What term best identifies the feeling that the nurse had to go assess the client? A) critical thinking B) negative thinking C) intuition D) reflection Chapter 7.

C) intuition

A group of nursing students have been assigned to work on a group project. Every student has different working schedules making it difficult to meet in person. One student has volunteered to organize a timeline and edit the final project for consistent writing style. This student is fulfilling which role in the group? A) helper B) recorder C) leader D) gatekeeper Chapter 1.

C) leader

A nurse is working on a unit caring for neurologic clients. The nurse notices one of the clients is struggling to feed themselves and immediately intervenes by providing a weighted utensil with a good grip. Since the nurse was able to look at the whole situation and intervene without the need for step-by-step plans of action, this nurse is functioning at which level of Benner's Novice-to-Expert Model? A) novice B) advanced Beginner C) proficient D) expert Chapter 1.

C) proficient

A client was admitted through the ED with hyperglycemia. They have been diagnosed with new onset diabetes. In addition to developing priority nursing diagnoses, the nurse will identify diagnoses for enhancing client wellness and prevention of potential complications. Which diagnosis would be considered a "wellness" nursing diagnosis? A) imbalanced nutrition: more than body requirements B) risk for infection. C) readiness for enhanced knowledge D) risk for disturbed sensory perception Chapter 7.

C) readiness for enhanced knowledge

A nurse enters the room of a client and teaches about pain medication while simultaneously relieving stress with therapeutic massage. The nurse is also able to determine what theories pertain to the nursing actions. Which type of thinking is the nurse exhibiting when he/she processes caring for the pain of this client? A) independent thinking B) critical thinking C) reflective thinking D) creative thinking Chapter 1.

C) reflective thinking

A nurse returns to school to complete an advanced nursing degree and is finding it difficult to meet all expectations of her life. The nurse is a new parent, a student, a spouse, and a full-time employee. The nurse is experiencing what type of issue? A) value conflict B) behavioral conflict C) role conflict D) attitude conflict Chapter 1.

C) role conflict

An infant is taken to its parents for the first time, and the mother holds the baby. The mother caresses the baby's cheek and observes the baby sleeping. The nurse watching this exchange understands that the most primitive sensory process developed by humans is which of the following? A) apprehensiveness B) verbal communication C) tactile stimulation D) listening for audible cues Chapter 4.

C) tactile stimulation

A graduate nurse (GN) has been taking note how quickly the experienced nurse is able to process data and make clinical decisions. The GN recognizes that they still go step-by-step through the nursing process but the experienced nurse bypass some steps. Which model should the GN review to get a better understanding of what they (GN) are experiencing? A) Peplau's interpersonal relations model B) Paterson and Zderad's humanistic theory C) Tanner's model of clinical judgment D) Benner's novice-to-expert model Chapter 7.

D) Benner's novice-to-expert model

The nurse manager is working on "team building" among their nursing staff. Basically, the managers want their team to communicate effectively so that all members share their concerns about any given client situation. Which technique may provide the staff the best opportunities to master essential communication skills? A) Write a memo to the entire staff and place it in the "communication" notebook on the unit. B) Ask every team member to report an incident where they felt like communication could have been more effective. C) Ask peers to give feedback to their co-workers about "good" communication they have observed and examples when they felt their co-workers could have done better. D) Borrow a clinical simulation mannequin and provide opportunities for the team to practice communication and team building skills through role play. Chapter 4.

D) Borrow a clinical simulation mannequin and provide opportunities for the team to practice communication and team building skills through role play.

A nurse is talking to a client about the client's history of abuse as a child. The nurse is engaged in the conversation and nonverbally supporting the client as they share this information. This interaction allows the nurse to develop a helping relationship with the client and would be classified as displaying which principle of communication? A) Getting client to relax. B) Helping the client to move on to more positive interactions. C) Encouraging the client to make a profound change from within. D) Displaying empathy by trying to understand and accept the client's feelings. Chapter 4.

D) Displaying empathy by trying to understand and accept the client's feelings.

A nurse practitioner is working with a client who has multiple chronic disease processes. They ask the client, "What health goals would you like to improve to maintain or improve your overall health?" Which systems theory is the nurse utilizing that focuses on being able to help people attain, maintain, or restore health, primarily by mutual goal setting? A) Dorothea Orem's self-care deficit theory B) Betty Neuman's health care systems model C) Jean Watson's human science and human care theory D) Imogene King's systems interaction model (theory of goal attainment) Chapter 6.

D) Imogene King's systems interaction model (theory of goal attainment)

A community is in need of a program that looks at the development of goals to improve single mothers' quality of life. A focus group has been developed involving 20 single mothers. A nurse working in the community is leading the focus group and has asked for input on setting the goals for the program. Which theory can be most closely related to this scenario? A) Susan Leddy's human energy model B) Margaret Newman's theory of health as expanding consciousness C) Rosemarie Parse's human becoming theory D) Imogene King's theory of goal attainment Chapter 6.

D) Imogene King's theory of goal attainment

When reviewing the literature for model theories, the nurse comes across several specific theories. Which best describes Jean Watson's human science and human care theory? A) Nursing is helping to attain, maintain, or restore health, and the action necessary is goal setting B) Caring for client as a whole in a given situation C) Interaction of the client from a systems standpoint, not a goal attainment standpoint D) Incorporates caring philosophies that include the past, present, and future influences on an individual Chapter 6.

D) Incorporates caring philosophies that include the past, present, and future influences on an individual

Palestinians developed sick houses that were connected to rest houses that cared for travelers and the destitute that are the equivalent to what types of current facilities? A) Places of worship B) Hospitals C) Surgical centers D) Long-term care facilities Chapter 2.

D) Long-term care facilities

Which practice can be traced back to the Chinese and is used in the current practice of nursing? A) Bathing and bandaging wounds B) Obstetrical care C) Medication administration D) Physical examination Chapter 2.

D) Physical examination

A hospice nurse is caring for a terminally ill client who is requesting minimal pain medication be administered while their family is visiting. Which ethical principle is designed to avoid using fallacies in ethical decision making? A) Not allowing the client to share in the health care decision. B) Serving the client in a manner that promotes harm. C) Devaluing the client's self-determination. D) Respecting the client's rights and treatment options. Chapter 3.

D) Respecting the client's rights and treatment options.

During a graduate research and theories class, the professor discusses the integration worldview. Which nursing view has integrated this integration worldview into their nursing practice? A) The client is not necessarily responsible for their health since many times their genetic makeup supersedes their choices. B) Environmental factors play a significant part in one's overall health. C) Not only the client, but all friends and family members are responsible for the client's current state of health. D) The nurse helps the client focus on their strengths while getting them to acknowledge factors impeding growth to maximal health. Chapter 8.

D) The nurse helps the client focus on their strengths while getting them to acknowledge factors impeding growth to maximal health.

A client is very motivated to lose weight. They plan on starting an exercise program. This client is displaying which model for motivational readiness for lifestyle behavior change? A) Revised Pender model B) Health belief model C) The transtheoretical model D) The stages-of-change model Chapter 8.

D) The stages-of-change model

A nurse manager has been asked to relate a particular theory to the care given on the unit. The nurse manager states, "I'm not sure we utilize a single model but a variety of many models." What is a potential weakness this nurse manager verbalized as to models being utilized in nursing practice? A) Agreement exists about how professional nursing is described. B) The nursing profession has a cohesive approach to use one model. C) More models are needed to determine a unified approach. D) There is a failure to use models in nursing research that then can be related to practice. Chapter 6.

D) There is a failure to use models in nursing research that then can be related to practice.

A nurse working in the hospice area has recently noticed that it is taking longer amounts of time to complete simple nursing tasks, is irritable and moody at work and at home, is having difficulty getting a good nights' sleep, and has made some medication errors recently. When stepping back and looking at the big picture, the nurse will likely recognize that he or she is experiencing which work-related problem? A) decrease in energy B) crisis C) role overload D) burnout Chapter 8.

D) burnout

A nurse is admitting a client who has multiple complaints primarily centering around their abdominal region following laparoscopic removal of their gallbladder four days previously. The nurse notes an elevation in liver enzymes and development of a jaundice color on skin. They notify the health care provider about these assessments. Which helping role best defines the actions this nurse has just taken? A) teacher B) resource person C) leader D) critical thinker Chapter 4.

D) critical thinker

The implementation of the use of clinical pathways in hospitals had what effect on current nursing practice? A) decreased the autonomy of nurses in practice B) increased the variance of care in nursing practice C) increased the complexity of nursing care D) decreased the individualization of nursing care plans Chapter 2.

D) decreased the individualization of nursing care plans

A 75-year-old client comes to the clinic to be examined for a decreased sensation in their right foot. The client is an insulin-dependent diabetic and was diagnosed with the condition 15 years ago. Which contextual element applies to this client and affects nursing practice? A) subcultural elements B) economic elements C) cultural elements D) demographic elements Chapter 3.

D) demographic elements

A nurse working in a busy ED is assessing a female who has injuries consistent with spousal abuse. Having just returned from an in-service, the nurse is struggling to provide the knowledge and courage to take action in this situation. The nurse encourages the woman to go to a shelter for battered women and seek legal counsel. However, the woman refuses help and plans to return home with her spouse. This nurse is trying to implement which concept related to ethical decision making? A) deontology B) principalism C) utilitarianism D) ethical competence Chapter 3.

D) ethical competence

An ICU nurse has been asked to testify in court related to the death of a client on a ventilator who died as a result of a clogged endotracheal tube. The nurse testifies in court that standards of practice drive the nursing profession and that a client's care was substandard since there was no suction tubing available on the unit which delayed treatment by at least 5 minutes. What type of knowledge is the nurse using for this testimony? A) personal knowledge B) aesthetic knowledge C) empirical knowledge D) ethical knowledge Chapter 5.

D) ethical knowledge

A client requests pain medication as a result of incisional pain following a Cesarean birth. The client's pain level is 5 on a 10-point scale with 10 being the worst pain the client has ever had. Thirty minutes after receiving the pain medication, the client states her pain is a 2 on the 10-point scale. What is the name of this portion of the nursing process? A) diagnosis B) planning C) implementation D) evaluation Chapter 7.

D) evaluation

A nurse in the long-term care facility has decided to return to nursing school to earn a higher degree. The nurse is full of positive thoughts and energy when contemplates all the new things to learn. According to Shane's returning-to-school syndrome, which phase is this nurse experiencing? A) conflict phase B) reintegration phase C) integration phase D) honeymoon phase Chapter 1.

D) honeymoon phase

A client has been diagnosed with cancer and is alone (without family) when receiving the diagnosis. After the healthcare provider leaves, the nurse sits down at the client's bedside and engages in therapeutic communication. What is the most effective therapeutic communication technique to effectively use in this situation? A) authenticity B) empathy C) clarification D) listening Chapter 4.

D) listening

A nurse arrives on the unit having a prescribed set of values and beliefs and begins the assessment on the assigned client. These values and beliefs influence thoughts, feelings, and which quality of the nurse provides care to the client? A) ideas B) views C) communication D) perception Chapter 3.

D) perception

A nurse on a busy cardiac unit experiences their first code (cardiac arrest), and the client is sent to the coronary care intensive care unit for further care. The nurse feels their participation in the code could have been performed in a more efficient manner. The next time, the nurse will perform essential actions faster with more confidence. What type of thinking was utilized in this scenario? A) critical thinking B) negative thinking C) intuition D) reflection Chapter 7.

D) reflection

A client with chronic pain has started practicing subconscious mind power techniques like visualization and hypnosis. They are also working on resolving negative mental and emotional patterns to release stress to free up healing energy. What is the theme of scientific thought this client is practicing that is a manifestation of current times? A) reduction of humans into separate psyche and soma B) machine ruled by the same laws as all of nature C) comfortable with uncertainty and work toward processes D) reflection of body-mind-soul Chapter 5.

D) reflection of body-mind-soul

A nurse who has worked on the medical-surgical unit for 25 years discusses with a colleague the way learning took place in nursing school. There is a new policy that has been implemented, and the nurse is having difficulty adjusting to the new procedure. Which type of nursing-based practice is the nurse themselves performing at this time? A) conceptual practice B) theoretical practice C) stereotypical practice D) rote practice Chapter 6.

D) rote practice

A health promotion program attempts to help smokers quit. Which strategy for changing lifestyle behaviors would be a priority for clients with this addiction? A) conditioning B) medication C) psychotherapy D) stimulus control Chapter 8

D) stimulus control

A neighbor of a nurse comes to the clinic complaining of fever, malaise, cough, and night sweats. The neighbor is given directions to rest, drink plenty of fluids, and take medication to relieve the fever. The neighbor complains to the nurse over the backyard fence of still not feeling their best and asks whether they should go back to the clinic next week. Which description of illness best covers how this neighbor is feeling? A) subjective feeling of needing assistance B) objective observation of abnormality C) objective observation of normalcy D) subjective feeling of being unhealthy Chapter 8.

D) subjective feeling of being unhealthy

When dealing with an ethical decision regarding a complex client care issue, the nurse uses a traditional approach instead of a theoretical approach to assist in decision making. Which concept is used frequently in the traditional approach to ethical decision making that focuses on bringing about the greatest good? A) contextualism B) principalism C) deontology D) utilitarianism Chapter 3.

D) utilitarianism