Nurs 250 Final

What type of leader shares decisions and activities with group participants? A. Democratic B. Autocratic C. Laissez-faire D. Situational

A. Democratic

The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that apply. A. "Are you ready to get out of bed?" B. "What sorts of things do you do for fun?" C. "What plans do you have after you are discharged?" D. "Do you smoke cigarettes?" E. "Is there any chance you might be pregnant?" F. "Does it hurt when I touch you here?"

A. "Are you ready to get out of bed?" D. "Do you smoke cigarettes?" E. "Is there any chance you might be pregnant?" F. "Does it hurt when I touch you here?"

A client, who has just been diagnosed with a chronic condition, asks the nurse what a"chronic condition" means. What would be the nurse's best response? A. "Chronic conditions usually come on slowly and may have periods of remission and exacerbation." B. "Chronic conditions are diseases that come and go." C. "Chronic conditions involve disabilities that require hospitalization." D. "Chronic conditions require short-term management in extended-care facilities."

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

A nurse is assessing a client's nutritional intake prior to admission the client has lost 10 lb (4.5 kg) over the last 2 months. Which example best represents therapeutic communication technique? A. "Tell me about the type of foods you like to eat." B. "Do you eat breakfast every morning?" C. "You know eating according to the MyPlate food recommendations is important, correct?" D. "How often do you snack between meals?"

A. "Tell me about the type of foods you like to eat."

A nurse has developed strong rapport with the spouse of a client who has been receiving rehabilitation following a debilitating stroke. The spouse has just been informed that the client is unlikely to return home and requires care that can only be provided in a facility with constant nursing care. The client's spouse tells the nurse, "I can't believe it's come to this." How should the nurse best respond? A. "This must be very difficult for you to hear. How do you feel right now?" B. "Why do you think that the care team has made this recommendation?" C. "Do you understand that everyone here has your spouse's best interest at heart?" D. "What would help you accept that this is best for both of you?"

A. "This must be very difficult for you to hear. How do you feel right now?"

Which statement is an example of an open-ended question or comment? A. "What brought you to the hospital this morning?" B. "Are you having pain right now?" C. "You seem upset today. Are you?" D. "I'll be back in 30 minutes to check on your pain relief."

A. "what brought you to the hospital this morning?"

Which nurse leader most clearly exemplifies transformational leadership? A. A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions B. A leader who is careful to thoughtfully assess the issues and priorities surrounding a problem prior to acting C. A leader who prioritizes the delegation of leadership to the individual members of the group D. A leader who prioritizes the fact that every member of the team is considered valuable and equal

A. A leader who is dynamic and inspiring and promotes change by the power of the leader's convictions

Which scenario is an example of certification? A. A nurse who demonstrates advanced expertise in a content area of nursing through special testing B. A hospital that meets the standards of the Joint Commission C. An education program that meets the standards of the National League for Nursing D. A graduate of a nursing education program who passes the NCLEX-RN

A. A nurse who demonstrates advanced expertise in a content area of nursing through special testing

A nurse is assigned the care of a client who speaks a nondominant language. The nurse does not understand the client's language. Which agency resource is best for the nurse to use in this case? A. A professional interpreter. B. A family member C. A hospital employee who speaks the client's language D. The hospital social worker.

A. A professional interpreter.

Which word is best described as protection and support of another's rights? A. Advocacy B. Paternalism C. Autonomy D. Ethics

A. Advocacy

Which action constitutes battery? A. An older adult client refuses an intramuscular injection, but the nurse administers it. B. The nurse threatens to restrain a client if the client does not take a medication. C. While bathing a client behind pulled curtains, two nurses discuss a different client. D. The nurse tells a client that the client cannot leave the hospital because the client is seriously ill.

A. An older adult client refuses an intramuscular injection, but the nurse administers it.

Which ethical principle is related to the idea of self-determination? A. Autonomy B. Beneficence C. Confidentiality D. Nonmaleficence

A. Autonomy

Which behavior by the nurse is stereotyping? A. Avoiding older adult clients because their care is time consuming B. Openly ridiculing the practice of acupuncture C. Explaining to others that Western medicine is always superior D. Grouping care assignments to allow ample time to care for complex clients

A. Avoiding older adult clients because their care is time consuming

The registered nurse on a busy telemetry floor is delegating tasks to an unlicensed assistive person (UAP). Which task is appropriate for the UAP to complete? A. Bathing a combative client B. Inserting an indwelling urinary catheter C. Taking an order over the telephone from a physician D. Assessing a client's wound

A. Bathing a combative client

An RN enters a client's room and observes the unlicensed assistive personnel (UAP) forcefully pushing a client down on the bed. The client starts crying and informs the UAP of the need to go to the bathroom. What action is the RN witnessing that should be immediately reported to the supervisor? A. Battery B. Assault C. Fraud D. Defamation of character

A. Battery

Having recently completed a specialty nursing program in neonatal care, a nurse is now preparing to leave the medical unit and begin providing care in the hospital's neonatal intensive care unit (NICU). The nurse has completed which process of credentialing? A. Certification B. Licensure C. Accreditation D. Validation

A. Certification

A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning? A. Cognitive B. Affective C. Psychomotor D. Interpersonal

A. Cognitive

When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall? A. Cognitive B. Affective C. Psychomotor D. Interpersonal

A. Cognitive

A client states, "I understand when the nurse explains the possible complications of my illness. I am appreciative of what insulin does to my body, and I can now give myself insulin." Which domains of learning does the nurse identify for this client as having been successfully addressed by education? A. Cognitive, affective, and psychomotor B. Cognitive, pedagogical, and psychomotor C. Gerogogical, cognitive, and andragogical D. Gerogogical, andragogical, and pedagogical

A. Cognitive, affective, and psychomotor

A nurse is sitting with friends in a coffee shop while working on a plan of care for a client. The client's name is written at the top of the plan. Which ethical responsibility is the nurse violating? A. Confidentiality B. Accountability C. Trust D. Informed consent

A. Confidentiality

A nurse assesses a client with psychotic symptoms and determines that the client needs vest restraints. However, the client asks the nurse not to put on vest restraints. What would be the best nursing action? A. Contact the physician and obtain necessary orders. B. Restrain the client with vest restraints. C. Apply restraints after giving a sedative. D. Apply wrist restraints instead of vest restraints.

A. Contact the physician and obtain necessary orders.

An obstetrical nurse wishes to identify whether clients' perceptions of a high level of support from their partner is associated with a decreased length of the second stage of labor. Which type of quantitative research is most appropriate for this research question? A. Correlational research B. Descriptive research C. Quasi-experimental research D. Experimental research

A. Correlational research

A family has recently immigrated. All members are quickly learning the language and the children are all in public school. Both parents are working and adapting to the new culture. What is this family demonstrating? A. Cultural assimilation B. Culture shock C. Cultural blindness D. Cultural imposition

A. Cultural assimilation

A family recently immigrated to a new country. The parent reports that the teenager is showing signs of fear, has vague reports of stomach pain, and feels humiliated by peers because of their culture. What is the priority assessment for the nurse? A. Culture shock B. Cultural assimilation C. Cultural imposition D. Cultural blindness

A. Culture shock

The nurse is having an exceptionally busy shift on an obstetrical unit. Which task is the nurse justified in delegating to an unlicensed care provider? A. Emptying a client's Foley catheter bag and reporting the volume to the nurse B. Helping a first-time mother achieve a good latch when breastfeeding the infant C. Assessing the size and quantity of clots that are in a client's bedpan and informing the nurse D. Giving an anti-inflammatory medication to a client who is eight hours postdelivery

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

A nurse researcher is examining the cause-and-effect relationship between the consumption of tap water containing minimal amounts of bleach, and the incidence of cancer in rats. The research is taking place in a laboratory setting. What type of quantitative research is being used based upon this description? A. Experimental research B. Descriptive research C. Correlational research D. Quasi-experimental research

A. Experimental research

A client rings the call bell to request pain medication. On performing the pain assessment, the nurse informs the client that the nurse will return with the pain medication. After a few moments, the nurse returns with the pain medication. The nurse's returning with the pain medication is an example of which principle of bioethics? A. Fidelity B. Autonomy C. Nonmaleficence D. Justice

A. Fidelity

Nurse researchers have predicted that a newly created mentorship program will result in decreased absenteeism, increased retention, and decreased attrition among a hospital's nursing staff. What does this predicted relationship represent? A. Hypothesis B. Dependent variable C. Abstract D. Methodology

A. Hypothesis

The statement, "More frequent handwashing will significantly lower the rate of infection in hospitalized clients," is an example of what research component? A. Hypothesis B. Proposal C. Research question D. Implication

A. Hypothesis

A nurse researcher is involved in an experimental research study. Which component would the nurse researcher manipulate? A. Independent variable B. Dependent variable C. Research design D. Data analysis

A. Independent variable

A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the coworker could be held liable for committing which act? A. Invasion of privacy B. Negligence C. Assault D. Defamation of character

A. Invasion of privacy

A nurse talks with family members about an AIDS client from the clinic where the nurse works. Which tort has the nurse committed? A. Invasion of privacy B. Fraud C. Assault D. Slander

A. Invasion of privacy

A nurse is providing care to two clients who are sharing the same room. The nurse is preparing to give one of the clients a complete bed bath. Which action by the nurse would suggest liability related to invasion of the client's privacy? A. Keeping the curtain between the two clients in the room open B. Documenting a belief that the client was arrested C. Removing the client's clothing with some force D. Applying restraints to the client's arms to keep the client in bed

A. Keeping the curtain between the two clients in the room open

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? A. Know the client's cultural personal space preferences. B. Realize that sitting close to the client is an indication of warmth and caring. C. Sit 3 to 6 ft (0.90 to 1.80 m) away from the client in an attempt to not offend. D. Remember not to intrude into the personal space of the older adult.

A. Know the client's cultural personal space preferences.

What is the ultimate goal of expanding nursing knowledge through nursing research? A. Learn improved ways to promote and maintain health B. Develop technology to provide hands-on nursing care C. Apply knowledge to become independent practitioners D. Become full-fledged partners with other care providers

A. Learn improved ways to promote and maintain health

A nurse is assessing a client and determines that the client belongs to a minority group. Based on the nurse's understanding about minority groups, the nurse would anticipate that the client would likely experience which effects? Select all that apply. A. Less power B. Health disparities C. Greater advantages D. Improved access to care E. Increased economic privileges

A. Less power B. Health disparities

A woman always thanks clerks at the grocery store. The woman's daughter, age 6 years, echoes the thank you. The child is demonstrating what mode of value transmission? A. Modeling B. Moralizing C. Reward and punishment D. Responsible choice

A. Modeling

A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as? A. Nonmaleficence B. Justice C. Fidelity D. Autonomy

A. Nonmaleficence

A nurse is developing a foreground question for nursing research using the PICO model. Which component would be represented by the statement, "a 45-year-old male with coronary heart disease and atrial fibrillation"? A. P B. I C. C D. O

A. P (patient)

Which of the four concepts common in all nursing theories is the most important to nursing? A. Person B. Environment C. Health D. Nursing

A. Person

A group of nurses is planning to investigate the effectiveness of turning immobilized stroke clients more frequently in order to prevent skin breakdown. The team has begun by formulating a PICO question. Which element will the "O" in the team's PICO question refer to? A. Preventing skin breakdown B. Clients who have experienced a stroke C. Turning clients more frequently D. The currently used turning schedule

A. Preventing skin breakdown

A nurse researcher is collecting nominal data. What type of research is being conducted? A. Quantitative research B. Qualitative research C. Interval research D. Experimental research

A. Quantitative research

A nurse researcher must decide on the method for conducting the research. The researcher that plans to emphasize collection of numerical data and analysis would select which method of research? A. Quantitative research B. Qualitative research C. Basic research D. Applied research

A. Quantitative research

Which statement best conveys the relationship between race and ethnicity? A. Race denotes physical characteristics, while ethnicity is rooted in a common heritage. B. Race and ethnicity can be considered to be synonymous in the context of health care. C. Race and ethnicity are both culturally determined concepts. D. Race is based on an individual's cultural history and is independent of ethnicity.

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

Which strategy should the nurse use when providing education to the older adult client? A. Remain calm and conduct the teaching session in a quiet environment. B. Avoid the use of colorful materials and keep the session short. C. Teach in a monotone voice in a quiet environment. D. Teach from books only and remain calm.

A. Remain calm and conduct the teaching session in a quiet environment.

After reviewing several research articles, the clinical nurse specialist on a medical surgical unit rewrites the procedure on assessing placement of a nasogastric tube. What source of nursing knowledge did the nurse use in this situation? A. Scientific knowledge B. Traditional knowledge C. Authoritative knowledge D. Philosophical knowledge

A. Scientific knowledge

A nurse overhears another nurse make a statement that indicates racism. The nurse makes this determination based on which characteristic indicative of social value? A. Skin color B. Size C. Language D. Dress

A. Skin color

A nurse witnesses a traffic accident and dresses the open wounds sustained by a child. Later, in the hospital, the child develops complications from an infection in the wound. The family holds the nurse responsible for the complications and attempts to file a lawsuit. Which statement is true regarding how the Good Samaritan law applies to this case? A. The Good Samaritan law will provide legal immunity to the nurse. B. The Good Samaritan law will not protect the nurse because the nurse did not accept compensation. C. The Good Samaritan law is not applicable to health care workers. D. The Good Samaritan law will provide absolute exemption from prosecution.

A. The Good Samaritan law will provide legal immunity to the nurse.

Which organization has established safety standards about the use of electrical equipment, isolation techniques, and toxic chemicals? A. The Occupational Safety and Health Administration (OSHA) B. The Nurse Practitioner Data Bank Equal Employment C. Opportunity Commission (EEOC) D. The Centers for Disease Control and Prevention (CDC)

A. The Occupational Safety and Health Administration (OSHA)

The nurse is advising a client about health problems related to being overweight. The client acknowledges the need to lose weight. The nurse provides education on how to count calories in food and the importance of daily exercise. The client states an intention to begin counting calories with the next meal. The client also states an intention to begin an exercise program with friends. Which statement associated with this scenario illustrates Lewin's stage of unfreezing? A. The client acknowledges the need to lose weight. B. The client also states an intention to begin an exercise program with friends. C. The client states an intention to begin counting calories with the next meal. D. The nurse provides education on how to count calories in food and the importance of daily exercise.

A. The client acknowledges the need to lose weight.

The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has assessed the client's communication abilities? A. The nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe. B. The nurse continues with the instructions and makes a mental note to repeat the initial instructions at the end of the training. C. The nurse stops the instruction and tells the client that a call will be placed to the health care provider to get an order to have a home health nurse administer the medication. D. The nurse asks the client if he or she is worried about giving oneself an injection.

A. The nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe.

The nurse enters a client's room after receiving a morning report. The nurse rapidly assesses the client's airway, breathing, and circulation and greets the client by saying "Good morning." The client makes no reciprocal response to the nurse. How should the nurse best respond to the client's silence? A. The nurse should ask appropriate questions to understand the reasons for the client's silence. B. The nurse should apologize for bothering the client, perform necessary assessments efficiently, and leave the room. C. The nurse should document the client's withdrawal and diminished mood in the nurse's notes. D. The nurse should ask the client whether the client feels afraid or angry.

A. The nurse should ask appropriate questions to understand the reasons for the client's silence.

A nurse working in a long-established hospital learned a specific approach to administering intravenous injections from the previous generation of nurses at the hospital. This is an example of which type of knowledge? A. Traditional knowledge B. Authoritative knowledge C. Scientific knowledge D. Philosophy knowledge

A. Traditional knowledge

Which definition of culture is most accurate? A. A belief system that guides behavior B. Altruistic grouping C. A cluster of individuals D. Complete uniformity of members

A. a belief system that guides behavior

In which situation would the SBAR technique of communication be most appropriate? A. A nurse is calling a physician to report a client's new onset of chest pain. B. A nurse is facilitating a family meeting to coordinate a client's discharge planning. C. A nurse is explaining the process of bone marrow biopsy to a client who is scheduled for the procedure. D. A nurse is teaching a client about the benefits of smoking cessation and the risks of continuing to smoke.

A. a nurse is calling a physician to report a client's new onset of chest pain

A nurse is reading a research article. What is the opening paragraph summarizing the ARTICLE AND THE RESEARCH FINDINGS A. Abstract B. Review of the literature C. Results D. Conclusions

A. abstract

Which process evaluates and recognizes education programs as having met certain standards? A. Accreditation B. Credentialing C. Licensure D. Certification

A. accreditation

Which intervention could not be delegated to a UAP? A. Assess the client with difficulty breathing B. Obtain a postprandial blood sugar reading C. Measure the client's blood pressure D. Assist the client with turning in bed

A. assess the client with difficulty breathing

Which nursing care task is acceptable for a registered nurse to delegate to an unlicensed assistive personnel (UAP)? A. Assisting a client with ambulation B. Evaluation of nursing care delivered to a client C. Initial and ongoing assessments D. Development of a client teaching plan

A. assisting a client with ambulation

A nurse is in charge of a large group of employees on a busy surgical floor. Today's care must be completed early due to a special event involving most of the employees. Which management style would work best in this situation? A. Authoritarian B. Coercive C. Democratic D. Laissez-faire

A. authoritarian

Each of the following facilitates a therapeutic nurse-client relationship except: A. closed-ended questions. B. rephrasing. C. active listening. D. reflection.

A. closed-ended questions.

Despite the presence of a large number of older adult residents of Asian heritage, a long-term care facility has not integrated the Asian concepts of hot and cold into meal planning. The nurses at the facility should recognize this as an example of: A. cultural blindness. B. stereotyping. C. cultural assimilation. D. cultural imposition.

A. cultural blindness.

When looking at a model for EBP, what is the final step of the process? A. Evaluating practice change B. Searching the literature C. Appraising evidence D. Formulating a clinical question

A. evaluating practice change

Which strategy might a nurse use to increase compliance with education? A. Include the client and family as partners. B. Use short, simple sentences for all ages. C. Provide verbal instruction at all times D. Maintain a clear role as the authority.

A. include client and family members as partners

The focus of nursing is always on which of the four common concepts in nursing theory A. Person B. Environment C. Health D. Nursing

A. person

Which law was intended to reduce work-related injuries and illnesses? A. The Occupational Safety and Health Act of 1970 B. The Health Care Quality Improvement Act of 1986 C. Title VII of the Civil Rights Act of 1964 D. Americans with Disabilities Act of 1990

A. the occupational safety and health act of 1970

Chronic illness may be characterized by periods of remission. Remission is best defined as: A. the presence of a disease with the absence of symptoms. B. the reappearance of symptoms of a disease. C. the response of a person to a disease. D. a pathologic change in the structure of function of the body or mind.

A. the presence of a disease with the absence of symptoms.

Which definition best describes acute illness? A. The rapid onset of symptoms lasting a relatively short time B. A medical condition that is life-threatening and requires surgery C. A condition that causes a permanent change and requires a long period of care D. The leading health problem in the world

A. the rapid onset of symptoms lasting a relatively short period of time

A rapid onset of symptoms that lasts a relatively short time indicates which condition? A. A chronic illness B. An acute illness C. An actual risk factor D. A potential for wellness

B. An acute illness

The nurse is providing education for a client who will be providing self-care at home. The client states, "I just do not think I can do all of this. It is too much to learn." What is the best response by the nurse? A. "I understand that you are frustrated and a bit overwhelmed with all of the information, but if you do not learn how to do it, who will take care of you?" B. "I understand that you feel overwhelmed with all of the information. Tell me what I can do to help." C. "I understand that you are frustrated and a bit overwhelmed with all of the information, but it is not difficult information; this is why I am providing education." D. "I understand that you feel overwhelmed with all of the information, but you will be just fine."

B. "I understand that you feel overwhelmed with all of the information. Tell me what I can do to help."

The nurse is caring for a 70-year-old client with a fractured wrist. Which is the best method to determine whether the client has retained the information taught? A. Observe the change in client's behavior for a month. B. Ask the client to recall after approximately 15 minutes. C. Test the client on the health education and information imparted. D. Ask the client to administer the doses of drug himself.

B. Ask the client to recall after approximately 15 minutes.

The nurse is caring for a client who is postoperative 24 hours from an appendectomy. The client is hesitant to get out of bed. How should the nurse respond? A. "You need to get up and walk to prevent complications." B. "Can you describe what you are feeling when you try to move?" C. "I will come back later and help you get up." D. "Would like to wait until your family arrives to get out of bed?"

B. "Can you describe what you are feeling when you try to move?"

The nurse is performing an admission interview with a new client diagnosed with acute coronary syndrome. For the nurse to obtain information and allow the client free verbalization, which question would elicit the most information? A. "Have you ever had chest pain prior to this admission?" B. "Could you tell me more about how you are feeling right now?" C. "I have had chest pain before, and it is really scary!" D. "Did you take any medication when you had the pain?"

B. "Could you tell me more about how you are feeling right now?"

While a client admitted to the medical-surgical unit is in the radiology department, a visitor claiming to be the client's cousin arrives on the medical-surgical unit and asks the nurse to provide a brief outline of the client's illness. Which response by the nurse would be most appropriate, both legally and professionally? A. "I will call the client and ask for permission to share this infomation with you." B. "I cannot give you that information due to client confidentiality." C. "Do you have any identification proving that you are related to the client?" D. "I'm busy right now but can talk later."

B. "I cannot give you that information due to client confidentiality."

A client with diabetes who is taking daily insulin and follows a strict diet needs further teaching when he/she states: A. "I can achieve a maximum level of functioning." B. "I cannot possibly ever be considered as healthy." C. "I can achieve a high quality of health and life." D. "I have an illness, but I can feel as if I am healthy."

B. "I cannot possibly ever be considered as healthy"

The nurse is teaching an 80-year-old client how to instill eye drops for glaucoma. The client's daughter asks, "How do you know that my mother understands what to do?" What is the appropriate nursing response? A. "After I demonstrate it once, your mother will be able to do it." B. "When 15 minutes have passed, I will ask your mother to show me how to instill the drops." C. "We can never be completely sure that your mother understands instructions." D. "I will have you bring your mother back next week to see how things are going."

B. "When 15 minutes have passed, I will ask your mother to show me how to instill the drops."

A client 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? A. Believing that the client has no pain B. Assessing for nonverbal expressions of pain C. Inspecting the incision site for any abnormality D. Asking the client if the client is feeling hungry

B. Assessing for nonverbal expressions of pain

The nurse has recently been promoted to nurse manager on an oncology unit and has decided to be the sole decision maker regarding issues that concern the unit. Which type of leadership style is the nurse embodying? A. Quantum B. Autocratic C. Democratic D. Laissez-faire

B. Autocratic

A nurse manager is trying to resolve a conflict between the day and night shifts. The nurse manager wants to convince the involved persons to set aside their differences, determine a priority common goal having to do with improved client care, and accept mutual responsibility for achieving this goal. The nurse manager is using which type of conflict resolution? A. Avoiding B. Collaborating C. Competing D. Compromising

B. Collaborating

Which activity best helps the nurse apply theory to practice? A. Theory development B. Evidence-based research C. Client-focused care D. Case management

B. Evidence-based research

The client is an 18-month-old in the pediatric intensive care unit. The client is scheduled to have a subgaleal shunt placed tomorrow, and the client's mother is quite nervous about the procedure. The nurse tells the client's mother, "The surgeon has done this a million times. Your son will be fine." This is an example of what type of nontherapeutic communication? A. Rescue feelings B. False reassurance C. Giving advice D. Being moralistic

B. False reassurance

A nurse who obtains a license to practice nursing through self-misrepresentation is guilty of what tort? A. Slander B. Fraud C. Libel D. Assault

B. Fraud

A registered nurse is delegating activities to unlicensed assistive personnel (UAP) on a hospital unit. Which activities could this nurse normally delegate? Select all that apply. A. The determination of a nursing diagnosis for a client with breast cancer B. Giving a bed bath to a client C. Planning education for a client with a colostomy D. Taking routine vital signs E. Administering medications to clients F. Transferring a client to another floor

B. Giving a bed bath to a client D. Taking routine vital signs F. Transferring a client to another floor

Which is true of the Occupational Safety and Health Act? A. It requires nurses to report abuse of infants, children, and adults of all ages. B. It helps to reduce workforce injuries and illness in the workplace. C. It establishes an information clearinghouse for nurses who engage in unprofessional conduct. D. It protects nurses who are recovering from drug or alcohol addiction or have communicable diseases.

B. It helps to reduce workforce injuries and illness in the workplace.

While caring for an infant, the nurse hears another child screaming in the next room and rushes there, forgetting to put the side rails up on the infant's crib. The nuse returns to the room to find that the infant has fallen out of the crib and sustained a head injury. Based on the nurse's action, which tort is the nurse liable for? A. Defamation B. Malpractice C. Assault D. Battery

B. Malpractice

A charge nurse is always careful to listen carefully to clients and to be respectful of their privacy and care needs. The nurse says, "I want the staff on this unit to see me interacting with clients in the manner I would like for them to interact with clients." The nurse is using which technique to guide value development of the staff? A. Moralizing B. Modeling C. Laissez-faire D. Responsible choice

B. Modeling

In which way can nurses develop cultural self-awareness? A. Ask peers and colleagues about practicing cultural competence. B. Objectively examine one's own beliefs, values, and practices. C. Realize nothing can be done to change one's values and beliefs. D. Assert to others that personal biases cannot be changed.

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

What type of research study would a hospital conduct to explore clients' and families' perceptions of receiving care? A. Quantitative B. Qualitative C. Ordinal D. Nonscientific

B. Qualitative

A client refuses to allow any healthcare worker of Asian descent to provide care. This client is demonstrating what practice? A. Ethnocentrism B. Racism C. Stereotyping D. Ethnic identification

B. Racism

Nurses must maintain the privacy of clients. Which example is a breach in privacy and would pose an ethical problem? A. Documenting the care in the client's record B. Taking a picture of a client with the nurse's cell phone C. Talking to the family when they visit the client D. Participating in a hand-off report at the end of the shift

B. Taking a picture of a client with the nurse's cell phone

Which type of skills is not needed for nursing leadership? A. Communication skills B. Technical skills C. Problem-solving skills D. Self-evaluation skills

B. Technical skills

Which of these statements regarding a nurse manager role is accurate? A. The nurse manager's main role in the nursing unit is to manage the unit budget. B. To effectively manage the nursing unit, the nurse manager should also be a leader. C. A healthy work environment is not within the scope of the nurse manager's role. D. The nurse manager will decide on the financial targets for the nursing unit.

B. To effectively manage the nursing unit, the nurse manager should also be a leader.

Which statement is most applicable to EBP? A. It emphasizes personal experience over science. B. Clinical expertise is integrated with external evidence. C. It involves gaining solutions to problems. D. The purpose is to learn about a specific problem.

B. clinical expertise is integrated with external evidence

The nurse manager who asks staff members to give suggestions on how to improve collaboration between nurses and physicians is exhibiting what style of leadership? A. Laissez-faire B. Democratic C. Autocratic D. Transactional

B. democratic

Which is an example of a closed-ended question or statement? A. "How did that make you feel?" B. "Did you take those drugs?" C. "What medications do you take at home?" D. "Describe the type of pain you have."

B. did you take those drugs?

When chronic illnesses and disabilities are present, individuals benefit most from activities that: A. help them eat well. B. help them maintain independence. C. preserve their social interactions. D. accomplish financial stability.

B. help them maintain independence.

The nurse researcher is aware that the type of variable that can be manipulated in a study is which type of variable? A. Dependent B. Independent C. Quantitative D. Qualitative

B. independent

A nurse knows that the expression "Do not cause harm" refers to which ethical principal? A. Justice B. Nonmaleficence C. Fidelity D. Beneficence

B. nonmaleficence

While taking a telephone order, the ordered dose of the medication is abnormally high. What should the nurse do next? A. Administer the medication based on the order. B. Question the order for the medication. C. Refuse to administer the medication. D. Document concerns about the order.

B. question the order for the medication

A nurse says that a surgeon is rude and that the surgeon's clients always end up with infections. This is an example of: A. Libel B. Slander C. Negligence D. Assault

B. slander

A preconceived and untested belief about an individual or group of individuals is: A. racism. B. stereotyping. C. culturally competent care. D. cultural relativity.

B. stereotyping

The registered nurse (RN) has received orders to perform an unsafe practice on a client. The RN voices concern with the physician who gave the order, but the physician refuses to change the order. Whom should the nurse consult next regarding the order? A. The client B. The charge nurse C. The nurse manager D. The licensed practice nurse (LPN)

B. the charge nurse

What is the term for the beliefs held by the individuals about what matters? A. Ethics B. Values C. Morals D. Bioethics

B. values

The child of a client who just died in a hospice unit arrives and asks, "May I please stay and sit at the bedside? I really wanted to be here so my dad would not die alone." Which statement made by the nurse best demonstrates the use of empathy? A. "You are too late for that, but you may stay for a while if you would like." B. "I tried to contact you earlier, but you did not answer your phone." C. "I will close the door so you can spend some quiet time at the bedside." D. "I understand. I lost my dad last year, and he died alone."

C. "I will close the door so you can spend some quiet time at the bedside."

The nurse is using teach-back to evaluate the client's understanding of new information given during discharge. Which statement indicates the use of this technique? A. "Will you promise to read these instructions when you go home?" B. "Is someone able to review the instructions with you?" C. "Please repeat to me the different signs and symptoms of stroke." D. "Use the instructions on this paper to clean your wounds at home."

C. "Please repeat to me the different signs and symptoms of stroke."

A nurse visits a female victim of sexual assault. During the visit the client expresses that she is unable to cope with the trauma. Even though the assault occurred quite some time ago, she feels as if it just happened yesterday. What is the most appropriate response by the nurse? A. "We should move on from the strong feelings associated with this incident." B. "In reality, the sexual assault did not occur yesterday; it has been over one month now." C. "Tell me more about the aspects that make you feel as if it happened yesterday." D. "Can you do something to alleviate the fear of being assaulted again?"

C. "Tell me more about the aspects that make you feel as if it happened yesterday."

A client is questioning the need for surgery. The client asks the nurse, "What should I do?" Which answer by the nurse is based on advocacy? A. "If I were you, I would not have this surgical procedure." B. "You should ask some of the more experienced nurses this question." C. "Tell me why you do not want the surgery." D. "Let me talk to your doctor, and I will let you know what I find out."

C. "Tell me why you do not want the surgery."

A 56-year-old client meets with the nurse for education about a recently diagnosed atrial fibrillation. The client verbalizes concerns about being away from work too long and doubts about the necessity of having blood tests every week, as the client has no symptoms. Which is the best motivational statement by the nurse for this client? A. "Your doctor wants you to take your warfarin every day, go to the clinic every week to have blood drawn, and then wait for any dosage change. Do you understand?" B. "You have to take your warfarin and go to the clinic every week for a blood draw. It's not the most convenient way to live, but you have to do it." C. "The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?" D. "Atrial fibrillation is when your upper heart beats ineffectively and blood clots can go to your brain. Would you like some printed information about this?"

C. "The medicine and blood work can help prevent blood clots, which can lead to strokes. What do you know about warfarin therapy?"

The client is being discharged, and the nurse observes the client crying. What is the nurse's most appropriate response? A. "Let's discuss your discharge plan." B. "What is your pain level at this time?" C. "Would you like to talk about anything before you go home?" D. "Are you scared because you are going home?"

C. "Would you like to talk about anything before you go home?"

The nurse is completing an admission assessment with a client. The client looked down and became tearful when asked about feeling safe at home. How would the nurse respond to the nonverbal communication displayed by the client? A. "I am glad that you feel safe at home; everyone should feel safe at home." B. "Is someone abusing you at home? I need to report this to the police." C. "You seem upset. You are safe here and can talk to me confidentially." D. "Do you want me to call the police for you? You seem scared to be at home."

C. "You seem upset. You are safe here and can talk to me confidentially."

The nurse identifies a need for further teaching when a client makes which statement? A. "Health is more than just the absence of illness." B. "Health is an active process." C. "Health means the same to every person." D. "Health is dynamic and ever-changing."

C. "health means the same to every person"

A pre-op client states, "I am so scared of the surgery and of the anesthetic." What is the best response for the nurse? A. "Your wife will be in the surgery waiting room the entire time." B. "What will happen if you don't have surgery?" C. "What questions do you have about the surgery?" D. "You really don't have anything to worry about."

C. "what questions do you have about the surgery?"

A community health nurse is providing care to a group of Hispanic people living in an area that is predominantly populated by white people. What are the Hispanic people in this community an example of? A. A subculture B. A subgroup C. A minority D. A majority

C. A minority

Which nursing student would most likely be held liable for negligence? A. A nursing student performs a dressing change using sterile technique and documents the presence of necrotic tissue in the wound. B. A nursing student reports that insulin was not administered to the client by the nurse on the previous shift. C. A nursing student administers medication to a resident while working as an unlicensed assistive personnel (UAP) at a local nursing home. D. A nursing student completes an incident report after administering a medication to a client who then experienced an adverse reaction to the medication.

C. A nursing student administers medication to a resident while working as an unlicensed assistive personnel (UAP) at a local nursing home.

A nurse threatens to restrain a verbally abusive client if the abuse continues. Which legal tort has the nurse committed? A. Invasion of privacy B. Negligence C. Assault D. Defamation of character

C. Assault

A client aged 83 years who has suffered a cerebrovascular accident and is unable to swallow refuses the insertion of a feeding tube. The nurse communicates the client's wish to the family and health care team. This is an example of what ethical principle? A. Nonmaleficence B. Veracity C. Autonomy D. Justice

C. Autonomy

In general, how do most people view change? A. By how it affects the cohesiveness of the group B. By how much it will cost in time and resources C. By how they are affected personally D. By how it will affect others on the staff

C. By how they are affected personally

The nurse has educated the client on the pathophysiology of osteoarthritis and degenerative joint disease. This type of teaching best illustrates which learning theory? A. Adaptive learning theory B. Behavioral learning theory C. Cognitive learning theory D. Developmental learning theory

C. Cognitive learning theory

The nurse has recently been promoted to nurse manager on a pediatric unit and has decided to accept input from staff regarding changes they would like to see on the unit. Which type of leadership style is the nurse embodying? A. Quantum B. Autocratic C. Democratic D. Laissez-faire

C. Democratic

Before developing a procedure, a nurse reviews all current research-based literature on insertion of a nasogastric tube. What type of nursing will be practiced based on this review? A. Institutional practice B. Authoritative nursing C. Evidence-based practice D. Fact-based nursing

C. Evidence-based practice

A nurse is caring for a client who is visually impaired. Which action is a recommended guideline for communication with this client? A. Ease into the room without announcing your presence until you can touch the client. B. Speak in a louder voice to make up for the client's inability to perceive visual cues. C. Explain the reason for touching the client before doing so. D. Keep communication simple and concrete.

C. Explain the reason for touching the client before doing so.

Which quality is essential to being a nurse leader? A. Physical stamina B. Vulnerability C. Flexibility D. Independence

C. Flexibility

Which is the most accurate definition of health? A. Health is a state of maximal wellness. B. Health is a lack of disease. C. Health is a state of complete physical, mental, and social well-being. D. Health is a reflection of wellness and requires a conscious and deliberate effort to maintain.

C. Health is a state of complete physical, mental, and social well-being.

During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. What type of communication is the manager exhibiting? A. Consistent B. Verbal C. Nonverbal D. Clarifying

C. Nonverbal

What is the best explanation for the way evidence-based practice (EBP) has changed the way nursing care is delivered? A. Nurses now spend time looking up the best way to give nursing care. B. Nurses now have to take part in research. C. Nursing care now uses EBP as a means of ensuring quality care. D. Nursing care now incorporates research studies into client care.

C. Nursing care now uses EBP as a means of ensuring quality care.

Which represents the basic framework of the research process? A. Qualitative data B. Quantitative data C. Nursing process D. Nursing theory

C. Nursing process

A nurse has a duty of nonmaleficence. Which action would be considered a contradiction to that duty? A. Providing comfort measures for a terminally ill client B. Assisting the client with activities of daily living C. Refusing to administer pain medication as prescribed D. Providing all information related to procedures

C. Refusing to administer pain medication as prescribed

Which best exemplifies malpractice? A. The nurse applies an ice pack to a client's lower back without an order and the client feels better. B. The nurse, using proper body mechanics, assists a client into a locked bed. The client slips and breaks a femur. C. The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest. D. The nurse administers the wrong medication to a client, who then has one episode of vomiting 5 minutes later but no further adverse reactions.

C. The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.

While walking through a park, the nurse encounters a child with a swollen and reddened arm that hurts to move due to being struck with a baseball bat. The nurse splints the arm using two baseball bats. The child is transported to the hospital and later develops compartmental syndrome in the arm. Which statement regarding the nurse's liability in this case is accurate? A. The nurse was negligent because the client developed compartmental syndrome due to the nurse's treatment at the scene. B. The nurse should have waited for help because the Good Samaritan Act states that the nurse is not obligated to assist. C. The nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment. D. The nurse is not protected by the Good Samaritan Act because the nurse was negligent in the care rendered.

C. The nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment.

A client is unhappy with the health care provided and informs the nurse that the client is leaving the facility. The client has not been discharged by the physician. The nurse finds that the client has dressed and is ready to go. What should the nurse's action be in this situation? A. The nurse should have the client restrained and call the physician. B. The nurse should let the client go because the nurse cannot do anything. C. The nurse should call and inform the nursing supervisor of the situation. D. The nurse should warn the client that the client cannot come to the hospital again.

C. The nurse should call and inform the nursing supervisor of the situation.

Which statement best explains the importance of theoretic frameworks? A. Theoretic frameworks guide physiologic nursing care. B. Theoretic frameworks guide psychosocial nursing care. C. Theoretic frameworks advance nursing knowledge and practice. D. Theoretic frameworks advance the ethical aspects of practice.

C. Theoretic frameworks advance nursing knowledge and practice.

A client who does not speak the dominant language is admitted to the hospital;? Which intervention is MOST appropriate? A. Ask the closest family member to interpret. B. Speak loudly and slowly so that the client can better understand. C. Call for an interpreter who is familiar with health care. D. Minimize eye contact to avoid being offensive.

C. call for an interpreter who is familiar with health care

Which term describes the tendency to impose ones cultural beliefs, values, and patterns of behavior on another person? A. Acculturation B. Cultural blindness C. Cultural imposition D. Cultural taboos

C. cultural imposition

A nurse is providing care for a client who recently immigrated from another country. The nurse says, "You have to get up and walk whether you want to or not." This statement is an example of: A. culture shock. B. stereotyping. C. cultural imposition. D. cultural competence.

C. cultural imposition.

Which nursing situation is an example of an ethical dilemma? A. Administering pain medication as ordered B. Transferring a client to a step-down unit C. Deciding whether to perform cardiac compressions against a client's wishes D. Discussing care of a comatose client with the family

C. deciding whether to perform cardiac compressions against a client's wishes

One of the primary reasons for conducting nursing research is to: A. quantify outcomes related to clients. B. determine outcomes for clients. C. generate knowledge to guide practice. D. prevent further disease and death.

C. generate knowledge to guide practice.

Persistent gaps between the health status of minorities and non-minorities are defined as: A. racism B. ethnocentrism. C. health disparities. D. cultural relativity.

C. health disparities

A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired pneumonia in the nurse's hospital. The statement of what the researcher expects to find in these studies is called the: A. variable. B. data. C. hypothesis. D. instrument.

C. hypothesis.

When the nurse informs a client's employer of the client's autoimmune deficiency disease, the nurse is committing the tort of: A. breach of contract. B. assault. C. invasion of privacy. D. battery.

C. invasion of privacy.

Which is a characteristic of mentorship? A. It is a paid position to orient new nurses to the workplace. B. It involves membership in a professional organization. C. It is a link to a protégé with common interests. D. It is not encouraged in health care settings.

C. it is a link to a protégé with common interests

A client learns better when practicing the self-administration on the insulin injection. Which learning domain is this? A. Cognitive B. Affective C. Psychomotor D. Interpersonal

C. psychomotor

Nurses complete incident reports following agency protocol. What is the primary reason to fill out an incident report? A. To document everyday occurrences B. To document the need for disciplinary action C. To improve quality of care D. To initiate litigation

C. to improve quality of care

A client's weight is decreasing each day, and the nutrition intake is declining. Which is the best assessment question? A. "Why aren't you eating your food?" B. "Are you aware that you are losing weight?" C. "What type of food do you eat at home?" D. "Don't you like what is on your food tray?"

C. what type of food do you eat at home

A 70-year-old client had a cholecystectomy 4 days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask to assess the client's orientation? A. "Is your name Evelyn?" B. "Are you in a hospital?" C. "Is today the first day of the month?" D. "What day of the week is it?"

D. "What day of the week is it?"

The new nurse is evaluating the effectiveness of the assigned nurse mentor. Which characteristic should the new nurse recognize as being inappropriate for the nurse mentor to role model? A. Providing daily feedback to the new nurse B. Introducing the new nurse to members of the interdisciplinary team C. Encouraging the new nurse to enroll in continuing education courses D. Advising the new nurse to consult the nurse mentor before making decisions regarding client care

D. Advising the new nurse to consult the nurse mentor before making decisions regarding client care

Where in a research journal article is the abstract located? A. In the introduction B. In the methods section C. After the references D. At the beginning

D. At the beginning

The parents of an infant with apnea need to be educated on the apnea monitor and cardiopulmonary resuscitation. What should the nurse assess first regarding the parents? A. Educational levels B. Home environment C. Infant bonding D. Baseline knowledge of these concepts

D. Baseline knowledge of these concepts

Information is collected for analysis in both quantitative and qualitative research. What is the information called A. Surveys B. Answers C. Interviews D. Data

D. Data

A nurse is working with an older adult client, educating the client on how to ambulate with the aid of a walker. The nurse notes that the client appears to lack the motivation to learn how to use the device. The client states, "I'm just too old to learn." What would be most appropriate for the nurse to do to motivate this client? A. Tell the client how to move the walker as the client ambulates. B. Explain how the walker supports the client's lower extremities. C. Fully discuss the rationale for using the walker. D. Describe how the walker can improve the client's quality of life.

D. Describe how the walker can improve the client's quality of life.

Which is the theory that describes the maturation of humans through stages? A. Nursing theory B. Systems theory C. Theory D. Developmental theory

D. Developmental theory

A nurse caring for an unconscious client knows that communication is important even if the client does not respond. Which nonverbal action by the nurse would communicate caring? A. Making constant eye contact with the client B. Waving to the client when entering the room C. Sighing frequently while providing care D. Holding the client's hand while talking

D. Holding the client's hand while talking

A nurse does not assist with ambulation a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse? A. Assault B. Battery C. Fraud D. Negligence

D. Negligence

A client who is scheduled for hernioplasty needs clarification regarding the procedure. The nurse calls the physician at the client's insistence. The physician, who is in a bad mood, is overheard telling the client that the nurse does not know anything. Which legal tort has the physician committed? A. Libel B. Battery C. Assault D. Slander

D. Slander

When a labor and delivery nurse tells a coworker that a client of Asian descent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what? A. Stigma B. Ethnic slur C. Bias D. Stereotype

D. Stereotype

A client is reluctant to learn to do finger sticks for home international normalized ratio (INR) monitoring. What is the best statement by the nurse? A. Are you worried about the pain? B. Why don't you want to do this? C. Most people are afraid of sticking themselves. D. Tell me what you know about these tests.

D. Tell me what you know about these tests.

On finding multiple bruises on a client's arms and back, the nurse suspects that the client is being abused by a daughter who lives with the client. When questioned, the client denies any abuse. Despite the client's denial, the nurse should report the suspected abuse on the basis of which rationale? A. The client does not want anyone to know what is happening in the client's home. B. The client is ashamed to admit to the abuse by the daughter. C. The nurse wants peers to see the nurse as a hero. D. The nurse has a legal and ethical responsibility to report the suspected abuse.

D. The nurse has a legal and ethical responsibility to report the suspected abuse.

The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate? A. The medical practice act website B. A nurse mentor or a nurse preceptor C. A more experienced nurse working on the same unit D. The nurse practice act or facility's policy and procedures

D. The nurse practice act or facility's policy and procedures

A client gets out of bed following hip surgery, falls, and re-injures the hip. The nurse caring for the client knows that it is the nurse's duty to make sure an incident report is filed. Which statement accurately describes the correct procedure for filing an incident report? A. The physician in charge should fill out the report. B. The names of the staff involved should not be included. C. The reports are used for disciplinary action against the staff. D. The report should contain all the variables related to the incident.

D. The report should contain all the variables related to the incident.

A home health nurse is visiting a client who is 60 years of age. During the initial visit, the client's spouse answers all of the questions. What would the nurse assess based on this behavior? A. The client does not want the nurse to visit. B. The spouse does not trust the client to answer questions. C. The client is not able to answer the questions. D. The spouse is the dominant member of the family.

D. The spouse is the dominant member of the family.

Which term is most closely associated with quantitative research? A. Process B. Concept C. Ethnography D. Variable

D. Variable

A nurse manager makes all of the decision for staff activities. What type of leadership is demonstrated by this action? A. Democratic B. Self-governance C. Laissez-faire D. Autocratic

D. autocratic

Nursing research is linked most closely to: A. propositions. B. outcome measures. C. treatments. D. nursing process.

D. nursing process.

A client constantly request pain medication. What should the nurse consider when assessing the client's pain? A. Most people react to pain in the same way. B. Pain in adults is less intense than pain in children. C. The client has a low pain tolerance. D. Pain is what the client says it is.

D. pain is what the client says it is

A child, age 4 years, has leukemia but is now in remission. What does it mean to be in remission with a chronic illness? A. The chronic disease has been cured. B. Nothing further can be done in terms of treatment. C. Severe symptoms of the chronic illness have reappeared. D. The disease is present, but symptoms are not experienced.

D. the disease is present, but symptoms are not experienced

In Lewin's classic theory of change, what happens during unfreezing? A. Planning is conducted. B. Change is initiated. C. Change becomes operational. D. The need for change is recognized.

D. the need for change is recognized