Foundations of Nursing Practice Exam Recent

A nurse is caring for an adolescent who is diagnosed with mononucleosis, commonly called the kissing disease. The nurse explains that the organisms causing this disease were transmitted by: A) direct contact. B) indirect contact. C) airborne route. D) vectors.

A) direct contact.

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 caring for a patient in a long-term health care facility measures his intake and output and weighs him to assess water balance. These actions help to meet which of Maslow's hierarchy of needs? A) physiologic B) safety and security C) love and belonging D) self-actualization

A) physiologic

Which of the following illustrates the activity of acting in values clarification? A) respecting the human dignity of all patients B) seeking public affirmation for actions C) disregarding several alternatives when choosing D) considering consequences of actions

A) respecting the human dignity of all patients

Which of the nursing roles is primarily performed during the working phase of the helping relationship? A) teacher and counselor B) provider of care C) leader and manager D) researcher

A) teacher and counselor

Nurses use new resources for healthcare practices to promote health and serve as an advocate for patients and families in all settings. Which one of the following resources has been most instrumental in improving access to care for people living in rural or underserved areas of the nation? A) telehealth practice B) industrial programs C) community centers D) nontraditional healthcare sites

A) telehealth practice

Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health? A) the health promotion model B) the health belief model C) the health illness continuum D) the agenthostenvironment model

A) the health promotion model

Who provides physicians with the authority to admit and provide care to patients requiring hospitalization? A) the healthcare institution itself B) Board of Healing Arts C) American Medical Association D) State Board of Nursing

A) the healthcare institution itself

A nurse is providing patient care in a hospital setting. Who has full legal responsibility and accountability for the nurses actions? A) the nurse B) the head nurse C) the physician D) the hospital

A) the nurse

Which of the following most accurately defines an infection? A) an illness resulting from living in an unclean environment B) the result of lack of knowledge about food preparation C) a disease resulting from pathogens in or on the body D) an acute or chronic illness resulting from traumatic injury

C) a disease resulting from pathogens in or on the body

Which of the following is the most frequent reason for revocation or suspension of a nurses license? A) fraud B) mental impairment C) alcohol or drug abuse D) criminal acts

C) alcohol or drug abuse

A nurse in a walk-in healthcare setting provides technical services, such as, administering medications, determines the priority of care needs, and provides patient teaching on all aspects of care. Which of the following terms best describes this type of healthcare setting? A) hospital B) physicians office C) ambulatory center D) long-term care

C) ambulatory center

A nurse in a women's health clinic values abstinence as the best method of birth control. However, she offers compassionate care to unmarried pregnant adolescents. What is the nurse demonstrating? A) modeling of value transmission B) conflict in values acceptance C) nonjudgmental value neutral care D) values conflict that may lead to stress

C) nonjudgmental value neutral care

What manifestation is the most significant symptom indicating an illness? A) bleeding B) runny nose C) pain D) itching

C) pain

What is the primary focus of communication during the nurse patient relationship? A) time available to the nurse B) nursing activity to be performed C) patient and patient needs D) environment of the patient

C) patient and patient needs

Of all possible nursing interventions to break the chain of infection, which is the most effective? A) administering medications B) providing good skin care C) practicing hand hygiene D) wearing gloves at all times

C) practicing hand hygiene

Medicare uses a prospective payment plan based on diagnosis-related groups (DRGs). What are DRGs? A) locally supported healthcare financing, usually by donations B) a public assistance program for low-income individuals C) predetermined payment for services based on medical diagnoses D) a private insurance plan for subscribers who pay a copayment

C) predetermined payment for services based on medical diagnoses

A 75-year-old man is being discharged to his home following a fall in his kitchen that resulted in a fractured pelvis. The home health nurse makes a home assessment that will be used to design interventions to meet which priority need? A) sleep and rest B) support from family members C) protection from potential harm D) feeling a sense of accomplishment

C) protection from potential harm

What is the purpose of the affective and coping function of the family? A) providing a safe environment for growth and development B) ensuring financial assistance for family members C) providing emotional comfort and identity D) transmitting values, attitudes, and beliefs

C) providing emotional comfort and identity

A man is scheduled for hospital outpatient surgery. He tells the nurse, I don't know what that word, outpatient, means. How would the nurse respond? A) It means you will have surgery in the hospital and stay for 2 days. B) It means the surgeon will come to your home to do the surgery. C) Why would you ask such a question? Don't worry about it. D) You will have surgery and go home that same day.

D) You will have surgery and go home that same day.

Which of the following questions asked by the nurse when taking a patients health history would collect data about infection control? A) Tell me what you eat in each 24-hour period. B) Do you sleep well and wake up feeling healthy? C) What were the causes of death for your family members? D) When did you complete your immunizations?

D) When did you complete your immunizations?

A nurse observes that certain patients have less pain after procedures than do others, and forms a theory of why this happens. What is a theory? A) a concept used to directly prove a fact or a group of facts B) an understanding borrowed from other disciplines C) a best guess based on intangible ideas D) a statement of an occurrence based on observed facts

D) a statement of an occurrence based on observed facts

Which of the following is a criteria that defines nursing as profession? A) an undefined body of knowledge B) a dependence on the medical profession C) an ability to diagnose medical problems D) a strong service orientation

D) a strong service orientation

Nurses use the nursing process to focus care on human responses to what? A) interactions with the environment B) physical effects of disease C) outcomes of medical or surgical treatment D) actual or potential health problems

D) actual or potential health problems

A man on an airplane is sitting by a woman who is coughing and sneezing. If she has an infection, what is the most likely means of transmission from the woman to the man? A) direct contact B) indirect contact C) vectors D) airborne route

D) airborne route

A beginning student is reading a published research article. Where in the article would the student find the abstract? A) in the introduction B) in the methods section C) after the references D) at the beginning

D) at the beginning

A nurse has been named as a defendant in a lawsuit. With whom should the nurse discuss the case? A) colleagues B) reporters C) plaintiff D) attorney

D) attorney

A patient makes a decision to quit smoking and joins a smoking cessation class. This is an example of which of Dunn's processes that help a person know who and what he or she is? A) being B) belonging C) becoming D) befitting

D) befitting

Which of the following definitions best describes community-based nursing? A) a focus on populations within the community B) a focus on older adults living in nursing homes C) care provided in the patients home for chronic illnesses D) care centered on individual and family healthcare needs

D) care centered on individual and family healthcare needs

What word or phrase best describes an effective counselor? A) technically skilled B) knowledgeable C) practical D) caring

D) caring

A father, mother, grandmother, and three school-aged children have immigrated to the United States from Thailand. Which member(s) of the family are likely to learn to speak English more rapidly? A) unemployed father B) stay-at-home mother C) grandmother D) children

D) children

Nurses who are employed in home care have a variety of responsibilities. Which of the following is one of those responsibilities? A) provide all care and services B) maintain a clean home environment C) advise patients on financial matters D) collaborate with other care providers

D) collaborate with other care providers

Two children need a kidney transplant. One is the child of a famous sports figure, whereas the other child comes from a low-income family. What ethically relevant consideration is important to the nurse as an advocate for these patients? A) balance between benefits and harms in patient care B) norms of family life C) considerations of power D) cost-effectiveness and allocation

D) cost-effectiveness and allocation

A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? A) civil B) private C) public D) criminal

D) criminal

A 20-year-old housekeeper, born and educated in Iraq, wears her traditional clothing and head covering. A 50-year-old patient tells the nurse, They are in America and should dress like we do. What is this statement an example of? A) cultural assimilation B) cultural blindness C) cultural conflict D) cultural imposition

D) cultural imposition

Which of the following is a trend to watch in healthcare delivery? A) decreasing diversity B) lower costs of healthcare C) uneducated consumers D) current nursing shortage

D) current nursing shortage

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

What term describes a nurse who is sensitive to the patients feelings but remains objective enough to help the patient achieve positive outcomes? A) competent B) caring C) honest D) empathic

D) empathic

An 80-year-old woman states, I have successfully raised my family and had a good life. This statement illustrates meeting which basic human need? A) safety and security B) love and belonging C) self-esteem D) self-actualization

D) self-actualization

A nursing faculty member is teaching a class of second-degree students who have an average age of 32. What is important to remember when teaching adult learners? A) a focus on the immediate application of new material B) a need for support to reduce anxiety about new learning C) older students may feel inferior in terms of new learning D) all students, regardless of age, learn the same

A) a focus on the immediate application of new material

A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate? A) a reservoir B) an infectious agent C) a portal of exit D) a portal of entry

A) a reservoir

A nurse has seen several patients at a community health center. Which of the patients would be most at risk for developing an infection? A) an older adult with several chronic illnesses B) an infant who has just received first immunizations C) an adolescent who had a basketball physical D) a middle-aged adult with joint pain and stiffness

A) an older adult with several chronic illnesses

Breaking the healthcare community into separate entities (such as the medical community, the nursing staff, management, support staff) and analyzing how they work as a whole together is an example of which nursing theory? A) general systems theory B) adaptation theory C) developmental theory D) compartment theory

A) general systems theory

What was one barrier to the development of the nursing profession in the United States after the Civil War? A) lack of educational standards B) hospital-based schools of nursing C) lack of influence from nursing leaders D) independence of nursing orders

A) lack of educational standards

Mrs. Jones always thanks clerks at the grocery store. Her 6-year-old daughter echoes her 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 patient care seeks to avoid causing harm to patients in all situations. This principle is known as: A) nonmaleficence B) justice C) fidelity D) autonomy

A) nonmaleficence

Mrs. Treem is on isolation because she acquired a methicillin-resistant S. aureus (MRSA) infection after hospitalization for hip replacement surgery. What name is given to this type of infection? A) nosocomial B) viral C) iatrogenic D) antimicrobial

A) nosocomial

David and Susan are in a committed relationship and live together with their adopted twin boys. Which of the following best describes this type of family? A) nuclear family B) extended family C) blended family D) adoptive family

A) nuclear family

Which age group in the population is expanding most rapidly, resulting in changes in the delivery of healthcare? A) older adults B) young adults C) school-aged children D) newborns

A) older adults

On which of the following components is Rosenstock's health belief model based? Select all that apply. A) perceived susceptibility to a disease B) perceived consequences of treating disease C) perceived seriousness of a disease D) perceived benefits of action E) perceived immunity to disease F) perceived benefits of health insurance

A) perceived susceptibility to a disease C) perceived seriousness of a disease D) perceived benefits of action

A patient is suing a nurse for malpractice. What is the term for the person bringing suit? A) plaintiff B) defendant C) litigator D) witness

A) plaintiff

A camp nurse is teaching a group of adolescent girls about the importance of monthly breast self- examination. What level of preventive care does this activity represent? A) primary B) secondary C) tertiary D) restorative

A) primary

Which of the following topics is important when teaching teens and young adults? A) safer sex practices B) blood pressure control C) immunization for measles D) effective hand hygiene

A) safer sex practices

A nurse is doing preoperative teaching for an African American man before he has abdominal surgery. What topic should be included in the teaching? A) the possibility of developing a keloid over the healed incision B) the increased risk of developing an infection in the incision C) his racial characteristics that will slow healing D) cultural influences on his response to surgery

A) the possibility of developing a keloid over the healed incision

A diabetes nurse educator is teaching a patient, newly diagnosed with diabetes, about his disease process, diet, exercise, and medications. What is the goal of this teaching? A) to help the patient develop self-care abilities B) to ensure the patient will return for follow-up care C) to facilitate complete recovery from the disease D) to implement ordered teaching and counseling

A) to help the patient develop self-care abilities

According to HIPPA regulations, which of the following is a patient right regarding the patients medical record? Select all that apply. A) to see the health record B) to copy the health record C) to make additions to the health record D) to cross out sections of the health record E) to restrict certain disclosures of the health record F) to destroy the health record

A) to see the health record B) to copy the health record E) to restrict certain disclosures of the health record

A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how can they be added to the sterile field? A) with sterile forceps or hands wearing sterile gloves B) by carefully handling them with clean hands C) with clean forceps that touch only the outermost part of the item D) by clean hands wearing clean latex gloves

A) with sterile forceps or hands wearing sterile gloves

A patient tells the nurse that he does not want to have a painful procedure. By respecting and supporting the patients right to make decisions, what is the nurse demonstrating? A) confidentiality B) advocacy C) altruism D) justice

B) advocacy

Which of the following is an example of a community factor that may affect health? A) rural setting B) air and water quality C) number of residents D) educational level

B) air and water quality

A rapid onset of symptoms that last a relatively short time indicates what health problem? A) a chronic illness B) an acute illness C) actual risk factor D) potential for wellness

B) an acute illness

A nurse calls in to his unit to report he has the flu and will not be at work. What stage of illness behavior is he exhibiting? A) experiencing symptoms B) assuming the sick role C) assuming a dependent role D) achieving recovery and rehabilitation

B) assuming the sick role

A patient who has had abdominal surgery develops an infection in the wound while still hospitalized. Which of the following agents is most likely the cause of the infection? A) virus B) bacteria C) fungi D) spores

B) bacteria

What phrase best describes the science of nursing? A) application of clinical skills B) body of nursing knowledge C) holistic patient care D) art of individualized nursing

B) body of nursing knowledge

What are the recommended cleansing agents for hand hygiene in any setting when the risk of infection is high? A) liquid or bar hand soap B) cold water C) hot water D) antimicrobial products

B) cold water

Developing a teaching plan is comparable to what other nursing activity? A) documenting in the nurses notes B) formulating a nursing care plan C) performing a complex technical skill D) using a standardized form or format

B) formulating a nursing care plan

What action by the nurse will facilitate the helping relationship during the orientation phase? A) providing assistance to meet activities of daily living B) introducing himself or herself to the patient by name C) designing a specific teaching plan of care D) preparing for termination of the relationship

B) introducing himself or herself to the patient by name

Two nurses are discussing a patients condition in an elevator full of visitors. With what crime might the nurses be charged? A) defamation of character B) invasion of privacy C) unintentional negligence D) intentional negligence

B) invasion of privacy

A nurse uses the SBAR method to hand off the communication to the healthcare team. Which of the following might be listed under the B of the acronym? A) vital signs B) mental status C) patient problem D) further testing

B) mental status

A nurse incorporates the health promotion guidelines established by the U.S. Department of Health document: Healthy People 2010. Which of the following is a health indicator discussed in this document? A) cancer B) obesity C) diabetes D) hypertension

B) obesity

A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. What type of insurance is most likely involved? A) Medicaid B) preferred provider organization C) health maintenance organization D) long-term care insurance

B) preferred provider organization

A nurse conducts a smoking-cessation program for patients of a neighborhood clinic. This is an example of which of the following aims of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping with disability or death

B) preventing illness

A nurse in a neighborhood clinic is conducting educational sessions on weight loss. What aim of nursing is met by these educational programs? A) practicing advocacy B) preventing illness C) restoring health D) facilitating coping

B) preventing illness

Teaching a woman about breast self-examination is an example of what broad aim of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping with disability and death

B) preventing illness

A college-aged student has influenza. At what stage of the infection is the student most infectious? A) incubation period B) prodromal stage C) full stage of illness D) convalescent period

B) prodromal stage

A nurse has taken a telephone order from a physician for an emergency medication. The 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

After a stroke, a patient is having difficulty swallowing. The nurse may make a referral to what member of the healthcare team? A) physical therapist B) speech therapist C) social worker D) respiratory therapist

B) speech therapist

What is the primary purpose of standards of nursing practice? A) to provide a method by which nurses perform skills safely B) to ensure knowledgeable, safe, comprehensive nursing care C) to establish nursing as a profession and a discipline D) to enable nurses to have a voice in healthcare policy

B) to ensure knowledgeable, safe, comprehensive nursing care

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree? A) providing direct physical care B) using research findings to improve practice C) administering medications as prescribed D) collaborating with other healthcare providers

B) using research findings to improve practice

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

B) Objectively examine own beliefs, values, and practices.

Which of the following accurately describes Florence Nightingales influence on nursing knowledge? A) She defined nursing practice as the continuation of medical practice. B) She differentiated between health nursing and illness nursing. C) She established training for nurses under the direction of the medical profession. D) She established a theoretical base for nursing that originated outside the profession.

B) She differentiated between health nursing and illness nursing.

Which of the following statements accurately describes the concepts of disease and illness? A) A disease is traditionally diagnosed and treated by a nurse. B) The focus of nurses is the person with an illness. C) A person with an illness cannot be considered healthy. D) Illness is a normal process that affects level of functioning.

B) The focus of nurses is the person with an illness.

A nurse is sitting near a patient while conducting a health history. The patient keeps edging away from the nurse. What might this mean in terms of personal space? A) The nurse is too far away from the patient. B) The nurse is in the patients personal space. C) The patient does not like the nurse. D) The patient has concerns about the questions.

B) The nurse is in the patients personal space.

A nurse in a large metropolitan city enjoys working in a health clinic that primarily serves Hispanic patients. What does this statement imply about the nurse? A) The nurses knowledge and skills are not adequate to care for patients with acute illnesses. B) The nurse respects and values providing culturally competent care. C) The nurse is attempting to overcome cultural blindness. D) This employment makes the nurse feel superior to a minority group of people.

B) The nurse respects and values providing culturally competent care.

Which of the following is an example of nonverbal communication? A) A nurse says, I am going to help you walk now. B) A nurse presents information to a group of patients. C) A patients face is contorted with pain. D) A patient asks the nurse for a pain shot.

C) A patients face is contorted with pain.

Which of the following nursing groups provides a definition and scope of practice for nursing? A) ICN B) AAN C) ANA D) The Joint Commission

C) ANA

Which component of nursing care is central to the care-based approach to bioethics? A) provision of physical care B) relationships with healthcare providers C) nurse patient relationship D) management of care

C) nurse patient relationship

What is the correct rationale for using body substance precautions? A) The risk of transmitting HIV in sputum and urine is nonexistent. B) Disease-specific isolation procedures are adequate protection. C) Only actively infected patients are considered contagious. D) All body substances are considered potentially infectious

D) All body substances are considered potentially infectious

What document was developed to improve workplaces and ensure nurses ability to provide safe, quality patient care? A) Code of Ethics for Nurses B) Standards of Clinical Nursing Practice C) Bioethics Clinical Guidelines D) Bill of Rights for Registered Nurses

D) Bill of Rights for Registered Nurses

A student nurse is performing a urinary catheterization for the first time and inadvertently contaminates the catheter by touching the bed linens. What should the nurse do to maintain surgical asepsis for this procedure? A) Nothing, because the patient is on antibiotics. B) Complete the procedure and then report what happened. C) Apologize to the patient and complete the procedure. D) Gather new sterile supplies and start over.

D) Gather new sterile supplies and start over.

A home health nurse is completing a health history for a patient. What is one question that is important to ask to identify a latex allergy for this patient? A) Have you ever had an allergic reaction to shellfish or iodine? B) Tell me what you use to wash your hands after toileting. C) When you were a child, did you have frequent infections? D) Have you had any unusual symptoms after blowing up balloons?

D) Have you had any unusual symptoms after blowing up balloons?

A nurse touches a patients hand to indicate caring and support. What channel of communication is the nurse using? A) auditory B) visual C) olfactory D) kinesthetic

D) kinesthetic

What phrase best describes health? A) individually defined by each person B) experienced by each person in exactly the same way C) the opposite of illness D) the absence of disease

a.) Individually defined by each person.

Which of the following terms are part of quantitative research? A) process B) concept C) ethnography D) variable

D) variable

Which of the following words is most closely associated with the term ethics? A) values B) modeling C) reward D) conduct

D) conduct

In what time period did nursing care as we now know it begin? A) pre-civilization B) early civilization to 16th century C) 16th to 17th century D) 18th to 19th century

D) 18th to 19th century

How long should a healthcare worker scrub hands that are not visibly soiled for effective hand hygiene? A) 15 seconds B) 30 seconds C) 1 minute D) 5 minutes

A) 15 seconds

Which of the following statements accurately describes how Maslow's theory can be applied to nursing practice? A) Nurses can apply this theory to the nursing process. B) Nurses can identify met needs as healthcare needs. C) Nurses cannot use the theory on infants or children. D) Nurses use the theory for ill, as opposed to healthy patients.

A) Nurses can apply this theory to the nursing process.

Which of the following nursing actions would be considered a violation of HIPPA regulations? Select all that apply. A) A nurse ambulates a patient through a hospital hallway in a hospital gown that is open in the back. B) A nurse shoves a confused bedridden patient into bed after he made several attempts to get up. C) A nurse inadvertently administers the wrong dose of morphine to a patient in the ICU. D) A nurse uses a patients chart as a sample teaching case without changing the patients name. E) A nurse reports the condition of a patient to the patients employer. F) A nurse misrepresents herself to obtain a license to practice nursing

A) A nurse ambulates a patient through a hospital hallway in a hospital gown that is open in the back. D) A nurse uses a patients chart as a sample teaching case without changing the patients name. E) A nurse reports the condition of a patient to the patients employer.

Which of the following nursing interventions are examples of health promotion and preventive care on the primary level? Select all that apply. A) A nurse counsels a teenager to stop smoking. B) A nurse conducts a health fair for high blood pressure screening. C) A nurse counsels the family of a patient diagnosed with lung cancer. D) A home healthcare nurse arranges for rehabilitation services for a patient. E) A school nurse arranges for a career seminar for graduating seniors. F) A nurse devises a low-calorie diet for an obese teenager.

A) A nurse counsels a teenager to stop smoking. F) A nurse devises a low-calorie diet for an obese teenager.

Which of the following examples represents the type of knowledge known as process? Select all that apply. A) A nurse dispenses medications to patients. B) A nurse changes the linens on a patients bed. C) A nurse studies a nursing journal article on infection control. D) A nurse consults an ethics committee regarding an ethical dilemma. E) A nurse believes in providing culturally competent nursing care. F) A nurse monitors the vital signs of a postoperative patient.

A) A nurse dispenses medications to patients. B) A nurse changes the linens on a patient's bed. F) A nurse monitors the vital signs of a postoperative patient.

Which one of the following examples of nursing actions would be considered an ethical/legal skill? A) A nurse helps a patient prepare a living will. B) A nurse obtains a urine sample for a urinalysis. C) A nurse explains the rationale for a patients plan of care. D) A nurse holds the hand of a woman whose baby died in childbirth.

A) A nurse helps a patient prepare a living will.

Which of the following is an example of a characteristic of the Stage 2 of illness? A) A person tells his family that he is sick and allows them to take care of him. B) A person experiences a headache and sore throat and takes an aspirin. C) A person visits a physician to receive treatment for symptoms of an infection. D) A person begins rehabilitation following a stroke that left him paralyzed on one side.

A) A person tells his family that he is sick and allows them to take care of him.

A nurse is accused of malpractice by a patient. Place all of the steps in the malpractice litigation listed below in the order in which they normally occur. Use all options. A) All parties named as defendants work toward a fair settlement. B) Trial takes place and a decision or verdict is reached. C) Pretrial discovery activities occur including review of medical record. D) The defendant contests allegations believing there is no basis for them. E) The case is presented to a malpractice arbitration pane and is accepted or rejected. F) If the verdict is not accepted by both sides, it may be appealed to an appellate court.

A) All parties named as defendants work toward a fair settlement. E) The case is presented to a malpractice arbitration pane and is accepted or rejected. C) Pretrial discovery activities occur including review of medical record. D) The defendant contests allegations believing there is no basis for them. B) Trial takes place and a decision or verdict is reached. F) If the verdict is not accepted by both sides, it may be appealed to an appellate court.

Which of the following organizations has established standards for clinical nursing practice? A) American Nurses Association B) National League for Nursing C) International Council of Nurses D) State Board of Nursing

A) American Nurses Association

A patient with an upper respiratory infection (common cold) tells the nurse, I am so angry with the nurse practitioner because he would not give me any antibiotics. What would be the most accurate response by the nurse? A) Antibiotics have no effect on viruses. B) Let me talk to him and see what we can do. C) Why do you think you need an antibiotic? D) I know what you mean; you need an antibiotic.

A) Antibiotics have no effect on viruses.

A nurse provides patient care within a philosophy of ethical decision making and professional expectations. What is the nurse using as a framework for practice? A) Code of Ethics B) Standards of Care C) Definition of Nursing D) Values Clarification

A) Code of Ethics

A patient in a clinical research study has given informed consent. This means that the patient has certain rights. These rights include which of the following? Select all that apply. A) confidentiality B) free medical care C) refusal to participate D) protection from harm E) guarantee of treatment F) consent knowledgeably

A) Confidentiality C) refusal to participate D) protection from harm F) consent knowledgeably

Which of the following statements accurately describe an aspect of the credentialing process used in nursing practice? Select all that apply. A) Credentialing refers to the way in which professional competence is ensured and maintained. B) Accreditation is the process by which the state determines a person meets minimum requirements to practice nursing. C) Certification grants recognition in a specified practice area to people who meet certain criteria. D) Legal accreditation of a school preparing nursing personnel by the state Board of Nursing is voluntary. E) Once earned, a license to practice is a property right and may not be revoked without due process. F) A nurse must be licensed by the state board of nursing in each state in which he or she desires to practice.

A) Credentialing refers to the way in which professional competence is ensured and maintained. C) Certification grants recognition in a specified practice area to people who meet certain criteria. E) Once earned, a license to practice is a property right and may not be revoked without due process

One step in implementing evidence-based practice is to ask a question about a clinical area of interest or an intervention. The most common method is the PICO format. Which of the following accurately defines the letters in the PICO acronym? A) P = population B) I = institution C) C = compromise D) O = output

A) P = population

A nurse caring for patients in a culturally diverse neighborhood knows that culture affects the nurses interactions with patients. Which of the following is a characteristic of culture? Select all that apply. A) Culture guides what is acceptable behavior for people in a specific group. B) Modeling behavior is the primary means of transmitting culture. C) Culture is generally not affected by the groups social and physical environment. D) Cultural practices and beliefs mainly remain constant as long as they satisfy a groups needs. E) Culture influences the way people of a group view themselves, have expectations, and behave. F) Because of individual influences, there are differences both within and among cultures.

A) Culture guides what is acceptable behavior for people in a specific group. D) Cultural practices and beliefs mainly remain constant as long as they satisfy a groups needs. E) Culture influences the way people of a group view themselves, have expectations, and behave. F) Because of individual influences, there are differences both within and among cultures.

A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which of the following are elements of this consent form? Select all that apply. A) Disclosure B) Organ donation C) DNR orders D) Comprehension E) Competence F) Voluntariness

A) Disclosure D) Comprehension E) Competence F) Voluntariness

Which of the following statements accurately describe the relationship between therapeutic communication and the nursing process? Select all that apply. A) Effective communication techniques, as well as observational skills, are used extensively during the assessment step. B) Only the written word in the form of a medical record is used during the diagnosing step of the nursing process. C) The implementing step requires communication among the patient, nurse, and other team members to develop interventions and outcomes. D) Verbal and nonverbal communication are used to teach, counsel, and support patients and their families during the implementation phase. E) Nurses rely on the verbal and nonverbal cues they receive from their patients to evaluate whether patient objectives or goals have been achieved. F) Because one nurse cannot provide 24-hour coverage for patients, significant information must be passed on to others through implementation.

A) Effective communication techniques, as well as observational skills, are used extensively during the assessment step. D) Verbal and nonverbal communication are used to teach, counsel, and support patients and their families during the implementation phase. E) Nurses rely on the verbal and nonverbal cues they receive from their patients to evaluate whether patient objectives or goals have been achieved.

Which of the following statements is true of healthcare personnel and good hand hygiene? A) Hand hygiene is carefully followed. B) Compliance is difficult to achieve. C) Only nurses need to practice hand hygiene. D) Wearing gloves reduces the need for hand hygiene.

A) Hand hygiene is carefully followed.

A nurse instructor explains the concept of health to her students. Which of the following statements accurately describes this state of being? A) Health is a state of optimal functioning. B) Health is an absence of illness. C) Health is always an objective state. D) Health is not determined by the patient

A) Health is a state of optimal functioning.

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

A) Include the patient and family as partners.

A nurse is caring for an Appalachian patient following her hysterectomy. Which of the following Appalachian values and beliefs should be considered when planning nursing care for this patient? Select all that apply. A) Isolation is considered as a way of life. B) Dependence and self-determination are valued. C) Lifestyle is more revered than compliance with healthcare issues. D) They may be fatalistic about losses and deaths. E) There is a deep love, respect, and affection between people and the land. F) Death is seen as a part of life and not feared.

A) Isolation is considered as a way of life. B) Dependence and self-determination are valued. D) They may be fatalistic about losses and deaths.

Which of the following are examples of characteristics of evidence-based practice? Select all that apply. A) It is a problem-solving approach. B) It uses the best evidence available. C) It is generally accepted in clinical practice. D) It is based on current institutional protocols. E) It blends the science and art of nursing. F) It is not concerned with patient preferences.

A) It is a problem-solving approach. B) It uses the best evidence available. E) It blends the science and art of nursing.

Which of the following is a characteristic of primary healthcare? Select all that apply. A) It is essential healthcare based on sound methods and technology. B) It is made universally accessible to individuals and families in the community. C) It does not require the full participation of the individual and family. D) It brings healthcare as close as possible to where people live and work. E) It is the same concept as primary healthcare in that it refers to the delivery of healthcare. F) The concept was developed based on an increase in illness and death in third-world countries.

A) It is essential healthcare based on sound methods and technology. B) It is made universally accessible to individuals and families in the community. D) It brings healthcare as close as possible to where people live and work.

Which of the following is a characteristic of nursing practiced from early civilization to the 16th century? A) Most early civilizations believed that illness had supernatural causes. B) The physician was the priest who treated disease with prayer. C) The nurse was a nun committed to caring for the needy and homeless. D) Nursing changed from a spiritual focus to an emphasis on knowledge expansion.

A) Most early civilizations believed that illness had supernatural causes.

Which of the following statements is true of cultural assimilation? A) Mutual cultural assimilation occurs when characteristics from two groups are traded. B) Cultural assimilation is the integration of a majority group with a minority group. C) Moving to a different culture may result in psychological discomfort. D) Cultural assimilation is identifying with a collective cultural group, primarily based on common heritage.

A) Mutual cultural assimilation occurs when characteristics from two groups are traded.

A student nurse is working in the library on her plan of care for a clinical assignment. The patients name is written at the top of her plan. What ethical responsibility is the student violating? A) confidentiality B) accountability C) trust D) informed consent

A) confidentiality

According to Rosenstock, which of the following are health beliefs critical for patient motivation? Select all that apply. A) Patients view themselves as susceptible to the disease in question. B) Patients view the disease as a serious threat. C) Patients believe there are actions they can take to reduce the probability of contracting the disease. D) Patients believe the threat of taking these actions is greater than the disease itself. E) Patients view themselves as victims of the disease in question. F) Patients feel powerless to modify their perception of disease susceptibility

A) Patients view themselves as susceptible to the disease in question. B) Patients view the disease as a serious threat. C) Patients believe there are actions they can take to reduce the probability of contracting the disease.

There are four concepts common in all nursing theories. Which one of the four concepts is the focus of nursing? A) person B) environment C) health D) nursing

A) Person

A baby is born with Down syndrome, which influences his health illness status. This is an example of which of the following human dimensions? A) Physical B) Emotional C) Environmental D) Sociocultural

A) Physical

A nurse is using motivational interviewing to find out why a patient refuses to participate in the recommended rehabilitation program. Which of the following is an example of using the skill of reflective listening to help motivate this patient? A) So, you feel that you are not ready to start a program this week? B) Why do you feel that you are not ready to start rehabilitation? C) I understand that you are afraid to start rehabilitation; where do you see yourself in a week? D) Remember we discussed what needs to be done to get you back on your feet. How do you feel about getting started?

A) So, you feel that you are not ready to start a program this week?

In which of the following ways have cost-containment issues affected the delivery of healthcare in the U.S.? Select all that apply. A) The U.S. healthcare system has been experiencing a financial crisis. B) The cost of healthcare in the United States has decreased dramatically. C) Short- and long-term results of cost-containment measures are undetermined. D) Historically, payment for healthcare services encouraged the use of expensive services. E) In the past, healthcare focused primarily on prevention of illnesses since it was covered by insurance. F) Competition among hospitals has further fueled the increase in health costs.

A) The U.S. healthcare system has been experiencing a financial crisis. C) Short- and long-term results of cost-containment measures are undetermined. D) Historically, payment for healthcare services encouraged the use of expensive services. F) Competition among hospitals has further fueled the increase in health costs.

Which of the following statements accurately describe a characteristic of ethics? Select all that apply. A) The ability to be ethical begins in young adulthood B) Ethics cannot be defined as a code of professional conduct. C) Ethics usually refers to personal or communal standards of right and wrong. D) It is important to distinguish ethics from religion, law, custom, and institutional practices. E) Values are intimately related to, and direct, ethical conduct. F) Ethics is a systematic inquiry into principles of right and wrong conduct.

A) The ability to be ethical begins in young adulthood C) Ethics usually refers to personal or communal standards of right and wrong. D) It is important to distinguish ethics from religion, law, custom, and institutional practices. E) Values are intimately related to, and direct, ethical conduct. F) Ethics is a systematic inquiry into principles of right and wrong conduct.

Which of the following statements accurately describe a component of the inflammatory response? Select all that apply. A) The inflammatory response is a protective mechanism that eliminates the invading pathogen and allows for tissue repair to occur. B) Inflammation helps the body to neutralize, control, or eliminate the offending agent and to prepare the site for repair. C) The inflammatory response involves specific body responses to an invading foreign protein, such as bacteria, or in some cases, to the body's own proteins. D) The antigen antibody reaction, also known as humoral immunity, is one component of the overall inflammatory response. E) The vascular and cellular stages are the main components of the inflammatory process and these physiological processes are responsible for the appearance of the cardinal signs. F) One of the first lines of defense against infection is the inflammatory response, which helps to keep potentially harmful bacteria from invading the body.

A) The inflammatory response is a protective mechanism that eliminates the invading pathogen and allows for tissue repair to occur. B) Inflammation helps the body to neutralize, control, or eliminate the offending agent and to prepare the site for repair. E) The vascular and cellular stages are the main components of the inflammatory process and these physiological processes are responsible for the appearance of the cardinal signs.

A patient has a private insurance policy that pays for most healthcare costs and services. Why is this plan called a third-party payer? A) The insurance company pays all or most of the costs. B) The family of the patient is required to pay costs. C) The patient gets the bill and pays out-of-pocket costs. D) Medicare and Medicaid will pay most of the costs

A) The insurance company pays all or most of the costs.

Why is communication important to the assessing step of the nursing process? A) The major focus of assessing is to gather information. B) Assessing is primarily focused on physical findings. C) Assessing involves only nonverbal cues. D) Written information is rarely used in assessment.

A) The major focus of assessing is to gather information.

A nurse is teaching a home care patient how to administer a topical medication. The patient is watching television while the nurse is talking. What might be the result of this interaction? A) The message will likely be misunderstood. B) The stimulus for communication is unclear. C) The receiver will accurately interpret the message. D) The communication will be reciprocal.

A) The message will likely be misunderstood.

A nurse walks by a patients room and observes a Shaman performing a healing ritual for the patient. The nurse then remarks to a coworker that the ritual is a waste of time and disruptive to the other patients on the floor. This nurse is displaying the feelings associated with: A) culture conflict B) cultural blindness C) stereotyping D) cultural shock

A) culture conflict

A lawsuit has been brought against a nurse for malpractice. The patient fell and suffered a skull fracture, resulting in a longer hospital stay and need for rehabilitation. What does the description of the patient represent as proof of malpractice? A) damages B) causation C) duty D) breach of duty

A) damages

Which of the following are examples of a nurse demonstrating the professional value of altruism? Select all that apply. A) The nurse arranges for an interpreter for a patient whose primary language is Spanish. B) The nurse calls the physician of a patient whose pain medication is not strong enough. C) The nurse provides information for a patient so he is capable of participating in planning his care. D) The nurse reviews a patient chart to determine who may be informed of the patients condition. E) The nurse documents patient care accurately and honestly and reviews the entry to ensure there are no errors. F) The nurse encourages legislation for nationalized healthcare insurance for low-income families.

A) The nurse arranges for an interpreter for a patient whose primary language is Spanish. B) The nurse calls the physician of a patient whose pain medication is not strong enough.

A nurse is caring for an African American in an acute care setting. Which one of the following might be a special nursing consideration for this patient? A) The patient might request a visit from a folk healer. B) The patient may be upset by drawing blood for a test. C) The patient may perceive illness as a punishment from God. D) The patient may expect the caregiver to deduce the problem by instinct.

A) The patient might request a visit from a folk healer.

Which of the following statements explain why models of health promotion and illness prevention are useful when planning healthcare? Select all that apply. A) They help healthcare providers understand health-related behaviors. B) They are useful for adapting care to people from diverse backgrounds. C) They help overcome barriers related to increased number of people without healthcare. D) They overcome barriers to care for the predicted downward trend in minority populations. E) They overcome barriers to care for low-income and rural populations. F) They explain why people take advantage of low-cost screens and healthcare information.

A) They help healthcare providers understand health-related behaviors. B) They are useful for adapting care to people from diverse backgrounds. C) They help overcome barriers related to increased number of people without healthcare. E) They overcome barriers to care for low-income and rural populations.

Which of the following are characteristics of nursing theories? Select all that apply. A) They provide rational reasons for nursing interventions. B) They are based on descriptions of what nursing should be. C) They provide a knowledge base for appropriate nursing responses. D) They provide a base for discussion of nursing issues. E) They help resolve current nursing issues and establish trends. F) They use complex terminology to resolve specific nursing issues.

A) They provide rational reasons for nursing interventions. C) They provide a knowledge base for appropriate nursing responses. D) They provide a base for discussion of nursing issues. E) They help resolve current nursing issues and establish trends.

A nurse is positioning a sterile drape to extend the working area when performing a urinary catheterization. Which of the following is an appropriate technique for this procedure? A) Use sterile gloves to handle the entire drape surface. B) Fold the lower edges of the drape over the sterile-gloved hands. C) Touch only the outer 2 inches of the drape when not wearing sterile gloves. D) When reaching over the drape do not allow clothing to touch the drape.

A) Use sterile gloves to handle the entire drape surface.

Which of the following best describes voluntary standards? A) Voluntary standards are guidelines for peer review, guided by the publics expectation of nursing. B) Voluntary standards set requirements for licensure and nursing education. C) Voluntary standards meet criteria for recognition, specified area of practice. D) Voluntary standards determine violations for discipline and who may practice.

A) Voluntary standards are guidelines for peer review, guided by the publics expectation of nursing.

Which of the following statements illustrates the effect of the sociocultural dimension on health and illness? A) Why shouldn't I drink and drive? Everyone else does. B) My mother has sickle cell anemia, and so do I. C) I know I have heart problems, so I have changed my diet. D) I used biofeedback to lower my blood pressure.

A) Why shouldn't I drink and drive? Everyone else does.

Which of the following individuals would the nurse assess as being most at risk for altered family health? A) an unmarried adolescent with a newborn B) a newly married couple who ask about birth control C) a middle-aged man and woman with no children D) an older adult, living in an assisted-living community

A) an unmarried adolescent with a newborn

A patient refuses to have a pain medication administered by injection. A nurse says, If you don't let me give you the shot, I will get help to hold you down and give it. With what crime might the nurse be charged? A) assault B) battery C) negligence D) defamation

A) assault

A nurse is writing learning outcomes for a patient recovering from severe burns. Which of the following verbs would be good choices to use when preparing outcomes related to learning how to change dressings? Select all that apply. A) assembles B) demonstrates C) gives examples D) identifies E) chooses F) values

A) assembles B) demonstrates

A student nurse learns how to give injections from the nurse manager. This is an example of the acquisition of what type of knowledge? A) authoritative B) traditional C) scientific D) applied

A) authoritative

Which of the following sources of knowledge is based on objective data? A) authoritative B) traditional C) scientific D) applied

A) authoritative

Although all of the following are factors to consider when caring for patients with limited income, which one is the most important? A) basic human needs may go unmet B) limited access to reliable transportation C) decreased access to healthcare services D) risk for increased incidence of disease

A) basic human needs may go unmet

What is one method by which a nurse can be a role model to promote health in the community? A) by demonstrating a healthy lifestyle B) by becoming a member of a family C) by meeting own basic needs D) by exhibiting self-actualization

A) by demonstrating a healthy lifestyle

Values theorists describe the process of valuing as focusing on three main activities. What is the first activity in the valuing process? A) choosing B) prizing C) acting D) doing

A) choosing

Which of the following statements accurately describe cultural factors that may influence healthcare? Select all that apply. A) Nurses and patients generally agree upon the health practices that are being instituted. B) Certain racial and ethnic groups are more prone to developing specific diseases and conditions. C) Although pain affects people differently, most people react to pain in the same manner. D) Most mental health norms are based on research and observations made of white, middle-class people. E) In many cultures, the man is the dominant figure and generally makes decisions for all family members. F) When people move to the United States, they may speak their own language fluently but have difficulty speaking English.

B) Certain racial and ethnic groups are more prone to developing specific diseases and conditions. D) Most mental health norms are based on research and observations made of white, middle-class people. E) In many cultures, the man is the dominant figure and generally makes decisions for all family members. F) When people move to the United States, they may speak their own language fluently but have difficulty speaking English.

Which of the following nursing pioneers established the Red Cross in the United States in 1882? A) Florence Nightingale B) Clara Barton C) Dorothea Dix D) Jane Addams

B) Clara Barton

A nurse caring for a patient with diabetes chooses an appropriate plan of care and devises interventions to accomplish the desired outcomes. This is an example of using which of the following type of nursing skills? A) Technical B) Cognitive C) Interpersonal D) Ethical/Legal

B) Cognitive

Which of the following statements accurately describes a characteristic of a community? A) Communities do not exist in rural areas. B) Communities are formed by the characteristics of people and other factors. C) Communities are not limited by geographic boundaries. D) Communities have little or no effect of the health of residents.

B) Communities are formed by the characteristics of people and other factors.

Which of the following 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?

A nurse teaching a new mother how to bathe her infant uses the acronym TEACH to maximize the effectiveness of the teaching plan. Which of the following are guidelines based on this acronym? Select all that apply. A) Tune out the individual patient. B) Edit patient information. C) Act on every teaching moment. D) Always refer a patient to counseling. E) Clarify often. F) Honestly answer patient questions.

B) Edit patient information. C) Act on every teaching moment. E) Clarify often.

A nurse is teaching adolescents how to prevent infections. What statement by one of the adolescents indicates that more teaching is needed? A) I will wash my hands before and after going to the bathroom. B) I dont wear a condom when I have sex, but I know my partners. C) I always eat fruits and vegetables, and I sleep 8 hours a night. D) When I have an infection, I rest and take my medications.

B) I dont wear a condom when I have sex, but I know my partners.

A nurse moves from Ohio to Missouri. Where can a copy of the Nurse Practice Act in Missouri be obtained? A) Ohio State Board of Nursing B) Missouri State Board of Nursing C) federal government nursing guidelines D) National League for Nursing

B) Missouri State Board of Nursing

What was significant about the promotion of the National Center for Nursing Research to the current National Institute of Nursing Research (NINR)? A) Increased numbers of articles are published in research journals. B) NINR gained equal status with all other National Institutes of Health. C) NINR became the major research body of the International Council of Nurses. D) It decreased emphasis on clinical research as an important area for nursing

B) NINR gained equal status with all other National Institutes of Health.

Which of the following statements accurately describe an aspect of managed care? Select all that apply. A) Managed care systems control the cost of care with a lower quality of care. B) The care of the patient is carefully planned and monitored by the primary care provider. C) The nurse is considered the gatekeeper in the managed care system. D) The managed care system expands the choice of care providers. E) The managed care system may required approval for specialty care. F) Planning and monitoring are conducted to ensure standards are followed.

B) The care of the patient is carefully planned and monitored by the primary care provider. E) The managed care system may required approval for specialty care. F) Planning and monitoring are conducted to ensure standards are followed.

Which of the following best describes the utilitarian theory of ethics? A) If an action is useful, it is ethically correct. B) The consequences of an action determine if it is right or wrong. C) All actions are either right or wrong, regardless of consequences. D) There is no way to determine whether an action is ethical or not.

B) The consequences of an action determine if it is right or wrong.

Which of the following are ANA standards of clinical nursing practice? Select all that apply. A) The nurses practice and actions are guided by hospital policy and regulations. B) The nurse maintains patient confidentiality within legal and regulatory parameters. C) The nurse is the patient advocate and discourages patients to advocate for themselves. D) The nurse delivers care in a nonjudgmental manner that is sensitive to patient diversity E) The nurse delivers care in a manner that preserves or protects patient dependency, dignity, and rights. F) The nurse seeks available resources to help formulate ethical decisions and use them in practice.

B) The nurse maintains patient confidentiality within legal and regulatory parameters. D) The nurse delivers care in a nonjudgmental manner that is sensitive to patient diversity F) The nurse seeks available resources to help formulate ethical decisions and use them in practice.

Which of the following are characteristics of the stage of infection known as full stage of illness? Select all that apply. A) It is the interval between the pathogens invasion of the body and the appearance of symptoms of infection . B) The presence of specific signs and symptoms indicates the full stage of illness. C) During the full stage of illness, the organisms are growing and multiplying. D) The signs and symptoms disappear, and the person returns to a healthy state. E) Early signs and symptoms of disease are present, but these are often vague and nonspecific. F) The type of infection determines the length of the illness and the severity of the manifestations.

B) The presence of specific signs and symptoms indicates the full stage of illness. F) The type of infection determines the length of the illness and the severity of the manifestations.

Why are the developmental theories important to nursing practice? A) They describe how parts work together as a system. B) They outline the process of human growth and development. C) They define human adaptation to others and to the environment. D) They explain the importance of legal and ethical care.

B) They outline the process of human growth and development.

A 40-year-old nurse is taking a health history from a 20-year-old Hispanic man and notes that he looks down at the floor when he answers questions. What should the nurse understand about this behavior? A) The patient is embarrassed by the questions. B) This is culturally appropriate behavior. C) The patient dislikes the nurse. D) The patient does not understand what is being asked.

B) This is culturally appropriate behavior.

The National Patient Safety Foundation recently collaborated with the Partnership for Clear Health Communication (2007) to create awareness of the need for improved health literacy and developed the Ask Me 3 tool. Which of the following is an Ask Me 3 question? Select all that apply. A) Who will be my healthcare provider? B) What is my main problem? C) What do I need to do? D) Where will I get help? E) Why is it important for me to do this? F) When will I start my program?

B) What is my main problem? C) What do I need to do? E) Why is it important for me to do this?

A middle-aged woman is 40 pounds over her ideal weight. Which of the following statements best illustrates the effect of her self-concept on health and illness? A) I am just too busy with my kids to bother about a diet. B) Why should I lose weight? Ill still be fat. C) My sister is thin, but I don't think she looks that good. D) My husband loves me this way

B) Why should I lose weight? Ill still be fat.

A 2-year-old boy arrives at the emergency department of a local hospital with difficulty breathing from an asthmatic attack. Which of the following would be the priority nursing intervention? A) giving him his favorite stuffed animal to hold B) assessing respirations and administering oxygen C) raising the side rails and restraining his arms D) asking his mother what are his favorite foods

B) assessing respirations and administering oxygen

While at lunch, a nurse heard other nurses at a nearby table talking about a patient they did not like. When they asked him what he thought, he politely refused to join in the conversation. What value was the nurse demonstrating? A) the importance of food in meeting a basic human need B) basic respect for human dignity C) men do not gossip with women D) a low value on collegiality and friendship

B) basic respect for human dignity

What is the major effect of a health crisis on family structure? A) adaptation to stress B) change in roles of family members C) respect for family values D) loss of individual identities

B) change in roles of family members

Which branch of bioethics is most concerned with ethical problems that arise within the context of caring for patients wherever they are found? A) moral development B) clinical ethics C) bioethics D) nursing ethics

B) clinical ethics

A nurse asks a patient to tell him the side effects of a medication. What learning domain is the nurse evaluating? A) affective B) cognitive C) psychomotor D) emotional

B) cognitive

What is one responsibility of nurses who work in physicians offices? A) prescribing medications B) conducting health assessments C) performing minor surgery D) making independent home visits

B) conducting health assessments

Mr. Perez is a Mexican immigrant who migrated to the United States and lives in a Spanish-speaking community with other relatives. He is taken to the ER following a fall at work and is admitted to the hospital for observation. Which of the following is the nurse caring for Mr. Perez aware that he is at risk for? A) cultural assimilation B) cultural shock C) cultural imposition D) cultural blindness

B) cultural shock

Which of the following groups involves all parts of a persons life and is concerned with meeting basic human needs to promote health? A) peers B) family C) community D) healthcare providers

B) family

Which of the following phrases best describes hospitals today? A) focus on chronic illnesses B) focus on acute care needs C) primary care centers D) voluntary agencies

B) focus on acute care needs

A patient who requires treatment for breast cancer is referred to an oncologist. She is receiving chemotherapy at a hospital and interacts with many other healthcare providers in the course of her treatment. What is the confusion that might arise concerning her treatment and care is a problem known as? A) cost containment B) fragmentation of care C) healthcare rationing D) knowledgeable consumers

B) fragmentation of care

Which of the following are considered cultural norms of the healthcare system? Select all that apply. A) inability to define health and illness B) frequent use of jargon and documentation C) professional deference to pecking order D) use of a problem-solving methodology E) belief in the fallibility of technology F) use of certain procedures for birth and death

B) frequent use of jargon and documentation C) professional deference to pecking order D) use of a problem-solving methodology F) use of certain procedures for birth and death

When is the best time to evaluate ones own teaching effectiveness? A) during the teaching session B) immediately after a teaching session C) 1 week after the teaching session D) 1 month after the teaching session

B) immediately after a teaching session

Which of the following is an example of paternalistic behavior? A) telling a patient that a painful procedure will not hurt B) intercepting a visitors gift of candy to a patient with diabetes C) deciding to close the intensive care unit when all beds are full D) discussing a patients condition with the patients roommate

B) intercepting a visitors gift of candy to a patient with diabetes

The family of a patient in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this? A) intrapersonal B) interpersonal C) organizational D) focused

B) interpersonal

A patient undergoing chemotherapy for a brain tumor believes that having a good attitude will help in the healing process. This is an example of what type of knowledge? A) science B) philosophy C) process D) virtue

B) philosophy

Which of the following set of terms best describes nursing at the end of the Middle Ages? A) continuity, caring, critical thinking B) purpose, direction, leadership C) assessment, interventions, outcomes D) advocacy, research, education

B) purpose, direction, leadership

An elderly woman has total care of her husband with Alzheimer's disease. What type of care might the nurse suggest to give her some much-needed time of her own? A) primary care B) respite care C) bereavement care D) palliative care

B) respite care

What characteristic is used to describe racial categories? A) language B) skin color C) music preferences D) food likes and dislikes

B) skin color

In comparison with licensure, which measures entry-level competence, what does certification validate? A) innocence of any disciplinary violation B) specialty knowledge and clinical judgment C) more than 10 years of nursing practice D) ability to practice in more than one area

B) specialty knowledge and clinical judgment

The practice of changing patients bedclothes each day in acute care settings is an example of what type of knowledge? A) authoritative B) traditional C) scientific D) applied

B) traditional

A nurse tells a patient, Why wont you get out of bed? Are you always this lazy? This is an example of which of the following barriers to communication? A) using comments that give advice B) using judgmental language C) using leading questions D) using probing questions

B) using judgmental language

Friedman, Bowden, and Jones identified the importance of family-centered nursing care, based on four rationales. Which of the following is one of these rationales? A) The family is composed of dependent members who affect one another. B) If a family member is ill, it does not necessarily affect other family members. C) A strong relationship exists between the family and health status of members. D) The level of health of the family is established early and is not influenced by health promotion

C) A strong relationship exists between the family and health status of members.

Which of the following statements accurately describe how risk factors may increase a persons chances for illness or injury? Select all that apply. A) Risks factors are unrelated to the person or event. B) All risk factors are modifiable. C) An increase in risk factors increases the possibility of illness. D) A family history of breast cancer is not a modifiable risk factor. E) School-aged children are at high risk for communicable diseases. F) Multiple sexual relationships increase the risk for sexually transmitted diseases.

C) An increase in risk factors increases the possibility of illness. D) A family history of breast cancer is not a modifiable risk factor. E) School-aged children are at high risk for communicable diseases. F) Multiple sexual relationships increase the risk for sexually transmitted diseases.

Which of the following is a tenant of Maslow's basic human needs hierarchy? A) A need that is unmet prompts a person to seek a higher level of wellness. B) A person feels ambivalence when a need is successfully met. C) Certain needs are more basic than others and must be met first. D) People have many needs and should strive to meet them simultaneously.

C) Certain needs are more basic than others and must be met first.

A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Downs Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role? A) Teacher/Educator B) Leader C) Counselor D) Collaborator

C) Counselor

Which of the following statements is true of factors that influence communication? A) Nurses provide the same information to all patients, regardless of age. B) Men and women have similar communication styles. C) Culture and lifestyle influence the communication process. D) Distance from a patient has little effect on a nurses message.

C) Culture and lifestyle influence the communication process.

A nurse is caring for a patient who is visually impaired. Which of the following is a recommended guideline for communication with this patient? A) Ease into the room without acknowledging presence until the patient can be touched. B) Speak in a louder tone of voice to make up for lack of visual cues. C) Explain reason for touching patient before doing so. D) Keep communication simple and concrete

C) Explain reason for touching patient before doing so.

Who is considered to be the founder of professional nursing? A) Dorothea Dix B) Lillian Wald C) Florence Nightingale D) Clara Barton

C) Florence Nightingale

Who was the first nurse to develop a nursing theory? A) Clara Barton B) Dorothea Dix C) Florence Nightingale D) Virginia Henderson

C) Florence Nightingale

A patient comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection? A) Stress may adversely affect normal defense mechanisms. B) White blood cells provide resistance to certain pathogens. C) Intact skin and mucous membranes protect against microbial invasion. D) Age, race, sex, and hereditary factors influence susceptibility to infection.

C) Intact skin and mucous membranes protect against microbial invasion.

A nurse caring for patients with diabetes knows that the following is a characteristic of a chronic illness: A) It is a temporary change. B) It causes reversible alterations in A&P. C) It requires special patient education for rehabilitation. D) It requires a short period of care or support.

C) It requires special patient education for rehabilitation.

The nurse is providing home care for a patient who traditionally drinks herbal tea to treat an illness. How should the nurse respond to a request for the herbal tea? A) We do not allow our patients to drink herbal tea. B) Why in the world would you want to drink that stuff? C) Let me check with the doctor to make sure it is okay with your medicines. D) I have to fill out a lot of forms that you will have to sign before I can do that.

C) Let me check with the doctor to make sure it is okay with your medicines.

A nurse provides health promotion and accident prevention programs for a family with adolescents and young adults. Which of the following is a task of a family at this stage? A) Establish a mutually satisfying marriage. B) Adjust to cost of family life. C) Maintain supportive home base D) Maintain ties with younger and older generations

C) Maintain supportive home base

Which of the following represents the basic framework of the research process? A) Qualitative data B) Quantitative data C) Nursing Process D) Nursing Theory

C) Nursing Process

A young mother asks the nurse in a pediatric office for information about safety, diet, and immunizations for her baby. Which nursing diagnosis would be appropriate for this patient? A) Knowledge Deficit: Infant care B) Impaired Health Maintenance C) Readiness for Enhanced Parenting D) Readiness for Enhanced Coping

C) Readiness for Enhanced Parenting

Mrs. Dunn has cared for her husband with Alzheimer's disease for 2 years. She comes to a local health center because she is feeling worn out and stressed. What might be an appropriate nursing diagnosis for Mrs. Dunn? A) Dysfunctional Family Processes B) Health-Seeking Behaviors C) Risk for Caregiver Burden D) Risk for Anxiety

C) Risk for Caregiver Burden

A nurse is caring for a patient with a serious bacterial infection. The patient is dehydrated. Knowledge of the physical effects of the infection would support which of the following nursing diagnoses? A) High Risk for Infection B) Excess Fluid Volume C) Risk for Imbalanced Body Temperature D) Risk for Latex Allergy Response

C) Risk for Imbalanced Body Temperature

A patient accepts the fact that he needs bypass surgery for a blocked artery and is admitted into the hospital. Which one of the following stages of illness is this patient experiencing? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4

C) Stage 3

Which of the following accreditations is a legal requirement for a school of nursing to exist? A) National League for Nursing Accrediting Commission B) American Association of Colleges of Nursing accreditation C) State Board of Nursing accreditation D) educational institution accreditation

C) State Board of Nursing accreditation

A patient, unsure of the need for surgery, asks the nurse, What should I do? What answer by the nurse is based on advocacy? A) If I were you, I sure would not have this surgical procedure. B) Gosh, I don't know what I would do if I were you. C) Tell me more about what makes you think you don't want surgery. D) Let me talk to your doctor and I will get back to you as soon as I can

C) Tell me more about what makes you think you don't want surgery.

An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, I'm just not hungry. What factors should the staff assess for this problem? A) The woman does not like to eat with other residents of the home. B) The woman is using this as a means of going home. C) The food served may not be culturally appropriate. D) The food served may violate religious beliefs.

C) The food served may not be culturally appropriate.

A nurse has been tried and found guilty of the felony crime of forgery. How might this affect the nurses license to practice nursing? A) It will have no effect on the ability to practice nursing. B) The nurse can practice nursing at a less-skilled level. C) The license may be revoked or suspended. D) The license will permanently carry the felony conviction.

C) The license may be revoked or suspended.

Which of the following statements accurately describe an element of nursing? Select all that apply. A) The skills involved in nursing are primarily technical in nature. B) The primary focus of nursing is to assist individuals to recover from illness. C) The science of nursing is the knowledge base for the care that is given. D) The art of nursing is the collection of knowledge through research. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills.

C) The science of nursing is the knowledge base for the care that is given. E) Nursing is considered to be both an art and a science. F) Nursing is a profession that used specialized knowledge and skills.

Which of the following is true of long-term care facilities? A) They provide care only to older adults. B) They provide care for homeless adults. C) They provide care to people of any age. D) They care for people only with dementia.

C) They provide care to people of any age.

In which of the following populations should the nurse carefully assess the patients use of over-the- counter medications? A) African American B) Hispanic C) White middle class D) Asian

C) White middle class

Which of the following phrases best describes a value? A) questions about how one should act and live B) the process by which one decides what is important in life C) a belief about the worth of something to guide behavior D) dispositions of character that motivate goodness

C) a belief about the worth of something to guide behavior

A patient nearing the end of life requests that he be given no food or fluids. The physician orders the insertion of a nasogastric tube to feed the patient. What situation does this create for the nurse providing care? A) nurse must follow the physicians orders B) an inability to provide care for the patient C) an ethical dilemma about inconsistent courses of action D) a barrier to establishing an effective nurse patient relationship

C) an ethical dilemma about inconsistent courses of action

What is the nurses primary role in promoting health? A) educating others about health promotion activities B) avoiding smoking or drinking in public C) being a role model for health promotion D) implementing stress reduction activities

C) being a role model for health promotion

After graduation from an accredited program in nursing and successfully passing the NCLEX, what gives the nurse a legal right to practice? A) enrolling in an advanced degree program B) filing NCLEX results in the county of residence C) being licensed by the State Board of Nursing D) having a signed letter confirming graduation

C) being licensed by the State Board of Nursing

Jim and Alice were recently married. Each has previously been married and had two children. What name is given to this type of family? A) extended family B) nuclear family C) blended family D) cohabiting family

C) blended family

Which of the following is an essential component of the definition of learning? A) increases self-esteem B) decreases stress C) can be measured D) cannot be measured

C) can be measured

What may happen to the family when an illness occurs in one of the family members? A) alterations in values and religious beliefs B) more public displays of affection C) changes in roles for the patient and family D) increased resistance to stress

C) changes in roles for the patient and family

What type of law regulates the practice of nursing? A) common law B) public law C) civil law D) criminal law

C) civil law

A lawyer quotes a precedent for punishment of a crime committed by the defendant in a trial. What is court-made law is known as? A) public law B) statutory law C) common law D) administrative law

C) common law

Which of the following is the nurses best legal safeguard? A) collective bargaining B) written or implied contracts C) competent practice D) patient education

C) competent practice

A nurse is providing care for a Cambodian patient. The nurse says, You have to get up and walk whether you want to or not. What is this statement an example of? A) culture shock B) stereotyping C) cultural imposition D) cultural competence

C) cultural imposition

A mother of a toddler wants to learn how to do CPR. What teaching strategy would be most effective in helping her learn? A) lecture B) discussion C) demonstration D) discovery

C) demonstration

Which of the following is a responsibility of an institutional review board (IRB)? A) secure informed consent for researchers B) review written accuracy of research proposals C) determine risk status of all studies D) secure funding for institutional research

C) determine risk status of all studies

What population do hospice nurses provide with care? A) those requiring care to improve health B) children with chronic illnesses C) dying persons and their loved ones D) older adults requiring long-term care

C) dying persons and their loved ones

A nurse who forgets to give a patient her medication throws away the medicine and documents that it was dispensed on the patient chart. The nurse then becomes uneasy about her action and vows never to falsify a record again. This is an example of which of the following? A) ethical uncertainty B) ethical distress C) ethical residue D) ethical disengagement

C) ethical residue

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 nursing D) factual-based nursing

C) evidence-based nursing

How is culture learned by each new generation? A) ethnic heritage B) involvement in religious activities C) formal and informal experiences D) belonging to a subculture

C) formal and informal experiences

What is the primary focus of healthcare today? A) care of acute illnesses B) care of chronic illnesses C) health promotion D) health restoration

C) health promotion

A nurse uses the process of quantitative research to study the incidence and causes of hospital-acquired pneumonia in her 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

Which of the following is an example of the body's defense against infection? A) racial characteristics B) body shape and size C) immune response D) level of susceptibility

C) immune response

Which of the following is a characteristic of the helping relationship? A) it occurs spontaneously B) it is similar to a social relationship C) it is an unequal sharing of communication D) it is based on the needs of the nurse

C) it is an unequal sharing of communication

Which of the following modes of value transmission is most likely to lead to confusion and conflict? A) modeling B) moralizing C) laissez-faire D) responsible choice

C) laissez-faire

Which of the following factors may be a barrier to healthcare services for those living in rural areas? A) inadequate healthcare insurance B) lack of knowledge about needed care C) living long distances from services D) decreased interest in health promotion

C) living long distances from services

A nurse gives a speech on nutrition to a group of pregnant women. What is the speech itself known as? A) stimulus B) source C) message D) channel

C) message

What patient characteristic is important to assess when using the health belief model as the framework for teaching? A) developmental level B) source of information C) motivation to learn D) family support

C) motivation to learn

What nursing activity would meet the broad nursing aim of facilitating coping with disability and death? Select all that apply. A) conducting a blood pressure screening program B) teaching testicular self-examination C) referring to a community diabetic support group D) administering intravenous fluids E) admitting a patient to a hospice program F) performing a physical assessment on a patient

C) referring to a community diabetic support group E) admitting a patient to a hospice program

An elderly patient is very stressed about who will care for his pets while he is hospitalized for a fall that caused a fractured hip and hospitalization. What type of counseling would the nurse conduct? A) none B) long-term C) short-term D) motivational

C) short-term

A nurse caring for a patient who has gas gangrene knows that this infection originated in which of the following reservoirs? A) other people B) food C) soil D) animals

C) soil

A nurse refers a 67-year-old male patient to group counseling for alcohol cessation. According to Rosenstock's health belief model, the patients knowledge of the diseases that may occur with alcoholism is a: A) demographic variable B) sociopsychological variable C) structural variable D) intellectual variable

C) structural variable

What is one way in which nurses can help shape healthcare reform? A) do their job and do it well B) refuse to participate in organizations C) support legislation to improve care D) become a member of a support group

C) support legislation to improve care

The latest CDC guidelines designate standard precautions for all substances except which of the following? A) urine B) blood C) sweat D) vomitus

C) sweat

A nurse is caring for a 17-year-old female patient whose left leg was amputated after being crushed in a motor vehicle accident. Which of the following interventions might the nurse perform to accommodate the patients intellectual dimension? A) considering the patients developmental stage when planning nursing care B) encouraging friends and relatives to visit often and bring games to distract her C) teaching her how to care for the stump and explaining the rehabilitation program D) providing the opportunity for a counselor to come in and talk to her about her loss

C) teaching her how to care for the stump and explaining the rehabilitation program

Which of the following most accurately defines illness? A) the inability to carry out normal activities of living B) a pathologic change in mind or body structure or function C) the response of a person to a disease D) achieving maximum potential and quality of life

C) the response of a person to a disease

What is the goal of the nurse in a helping relationship with a patient? A) to provide hands-on physical care B) to ensure safety while caring for the patient C) to assist the patient to identify and achieve goals D) to facilitate the patients interactions with others

C) to assist the patient to identify and achieve goals

Why are nursing organizations important for the continued development and improvement of nursing as a whole? A) to provide socialization and networking for members B) to regulate work activities for members C) to set standards for nursing education and practice D) to provide information to nurses about legal requirements

C) to set standards for nursing education and practice

Which of the following is an example of the sociocultural dimension influencing a persons health illness status? A) A family lives in a city environment where the air pollution levels are high. B) A father who is a practicing Jehovah's Witness refuses a blood transfusion for his son. C) A teenager who was in an automobile accident worries that his scars will cause him to lose friends. D) A single mother of two applies for food stamps in order to feed her family.

D) A single mother of two applies for food stamps in order to feed her family.

A nurse is designing a teaching program for individuals who have recently immigrated to the United States from Iraq. Which of the following considerations is necessary for culturally competent patient teaching? A) Use materials developed previously for U.S. citizens. B) Use all visual materials when teaching content. C) Use a lecture format to teach content with few questions. D) Develop written materials in the patients native language.

D) Develop written materials in the patients native language.

A patient tells the nurse that he is very worried about his surgery. Which of the following responses by the nurse is a cliché? A) Tell me what you are worried about. B) What is it that you are worried about? C) Do you want to cancel your surgery? D) Don't worry, everything will be fine.

D) Don't worry, everything will be fine.

A 42-year-old male patient recovering from a MI is having difficulty following the care plan to stop smoking and exercise. What is the nurses best response to this patient? A) Praise him for any efforts he makes to improve his health. B) Tell him that he will have another MI and it will be his own fault. C) Tell him that his cigarettes will be taken away if he smokes again. D) Ignore the behavior and recommend a behavior modification program

D) Ignore the behavior and recommend a behavior modification program

When providing nursing care to a patient, the nurse provides family-centered nursing care. What is one rationale for this nursing action? A) The nurse does not want the patient to feel lonely. B) The patient will be more compliant with medical instructions. C) The family will be more willing to listen to instructions. D) Illness in one family member affects all family members.

D) Illness in one family member affects all family members.

A staff nurse asks a student, Why in the world are you studying nursing theory? How would the student best respond? A) Our school requires we take it before we can graduate. B) We do it so we know more than your generation did. C) I think it explains how we should collaborate with others. D) It helps explain how nursing is different from medicine.

D) It helps explain how nursing is different from medicine.

What is the legal source of rules of conduct for nurses? A) agency policies and protocols B) constitution of the United States C) American Nurses Association D) Nurse Practice Acts

D) Nurse Practice Acts

During the first half of the 20th century, a change in the structure of society resulted in changed roles for women and, in turn, for nursing. What was one of these changes? A) More women retired from the workforce to raise families. B) Women became more dependent and sought higher education. C) The focus of nursing changed to hands-on training. D) Nursing research was conducted and published.

D) Nursing research was conducted and published.

A nurse is caring for a patient from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the patients pain? A) Most people react to pain in the same way. B) Pain in adults in less intense than pain in children. C) The patient is a constant complainer. D) Pain is what the patient says it is

D) Pain is what the patient says it is

A nurse is providing nursing care in a neighborhood clinic to single pregnant teens. Which of the following actions is the best example of using the collaborator role as a nurse? A) Discussing the legal aspects of adoption for teens wishing to place their infants with a family B) Searching the Internet for information on child care for the teens who wish to return to school C) Conducting a patient interview and documenting the information on the patients chart D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist

D) Referring a teen who admits having suicidal thoughts to a mental healthcare specialist

A student is developing a teaching plan for her assigned patient. The student wants to teach the patient about what symptoms to report after chemotherapy. What would the student need to do first? A) Ask other students what should be included in content. B) Ask the patient what he or she wants to know. C) Tell the instructor that this topic hasn't been covered yet. D) Review information available in writing and on the Internet.

D) Review information available in writing and on the Internet.

A 4-year-old child has leukemia but is now in remission. What does it mean to be in remission when one has 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.

A home health nurse is visiting a 60-year-old patient. During the initial visit, the patients husband answers all of the questions. What would the nurse assess based on this behavior? A) The patient does not want the nurse to visit. B) The husband does not trust his wife to answer questions. C) The patient is not able to answer the questions. D) The husband is the dominant member of the family.

D) The husband is the dominant member of the family.

A patient gets out of bed following hip surgery and falls and re-injures her hip. The nurse caring for her knows that it is her duty to make sure an incident report is filed. Which of the following statements 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 nurse has completed morning care for a patient. There is no visible soiling on her hands. What type of technique is recommended by the CDC for hand hygiene? A) Do not wash hands, apply clean gloves. B) Wash hands with soap and water. C) Clean hands with an alcohol-based handrub. D) Wash hands with soap and water, follow with handrub.

D) Wash hands with soap and water, follow with handrub.

A nurse caring for a female patient with TB who is in isolation is aware that the patients love and belonging needs may not be properly met. Which of the following nursing action would help to meet these needs? A) respecting the patients values and beliefs B) focusing on the patients strengths rather than problems C) using hand hygiene and sterile technique to prevent infection D) encouraging family to visit and help in the care of the patient

D) encouraging family to visit and help in the care of the patient

What is the most critical element of documentation of teaching? A) a summary of the teaching plan B) the implementation of the teaching plan C) the patient need for learning D) evidence that learning has occurred

D) evidence that learning has occurred

A nurse refers a patient with a new colostomy to a support group. This nurse is practicing which of the following aims of nursing? A) promoting health B) preventing illness C) restoring health D) facilitating coping

D) facilitating coping

A student caring for an unconscious patient knows that communication is important even if the patient does not respond. Which nonverbal action by the student would communicate caring? A) making constant eye contact with the patient B) waving to the patient when entering the room C) sighing frequently while providing care D) holding the patients hand while talking

D) holding the patients hand while talking

Which of the following is a current trend affecting nursing education and practice? A) over abundance of graduating nurses B) office-based care delivery systems C) increase in length of hospital stay D) increase in chronic health conditions

D) increase in chronic health conditions

Amy Jones, a high school senior, wants to become a geriatric nurse practitioner. What nursing degree will she need to attain this goal? A) licensed practical nurse B) associate degree C) baccalaureate degree D) masters degree

D) masters degree

Which of the following phrases is characteristic of case management as a method of healthcare delivery? A) brings healthcare to where people live and work B) essentially the same method as primary care C) planned and monitored by patients themselves D) maximize positive outcomes and contain costs

D) maximize positive outcomes and contain costs

A nurse does not assist with ambulation for a postoperative patient on the first day after surgery. The patient falls and fractures a hip. What charge might be brought against the nurse? A) assault B) battery C) fraud D) negligence

D) negligence

What is one negative aspect for children of learning values through the moralizing mode of transmission? A) little likelihood of developing acceptable behaviors B) can lead to confusion and conflict C) unacceptable behaviors are punished D) not much opportunity to weigh values

D) not much opportunity to weigh values

What action by a nurse will help a patient meet self-esteem needs? A) verbally negate the patients negative self-perceptions B) freely give compliments to increase positive self-regard C) independently establish goals to improve self-esteem D) respect the patients values and belief systems

D) respect the patients values and belief systems

A nursing home recently has had a significant number of nosocomial infections. Which of the following measures might be instituted to decrease this trend? A) mandating antibiotics for all nursing home residents B) having written infection-prevention practices for all employees C) requiring all employees to have monthly screenings for skin flora D) restricting visitors and community activities for residents

D) restricting visitors and community activities for residents

A mother teaches her son to respect his elders. This is an example of which of the following family functions? A) physical B) economic C) affective and coping D) socialization

D) socialization

A nurse is concerned about the practice of routinely ordering a battery of laboratory tests for patients who are admitted to the hospital from a long-term care facility. An appropriate source in handling this ethical dilemma would be which of the following? A) the patients family B) the admitting physician C) the nurse in charge of the unit D) the institutional ethics committee

D) the institutional ethics committee

A competent adult patient is scheduled for surgery. Who signs the informed consent form to allow the surgery? A) a relative B) the physician C) a nurse D) the patient

D) the patient

A grade school is preparing a series of classes on the dangers of smoking. Who would be most likely to teach the classes? A) the principal B) an outside consultant C) a teacher D) the school nurse

D) the school nurse

A middle-aged man is having increasing difficulty breathing. He never exercises, eats fast food regularly, and smokes two packs of cigarettes a day. He tells the nurse practitioner that he wants to change the way he lives. What is one means of helping him change behaviors? A) ethical change strategy B) values neutrality choices C) values transmission D) values clarification

D) values clarification

A nurse teaches a rural community group how to avoid contracting West Nile virus by using approved insect repellant and wearing proper coverings when outdoors. By what means is the pathogen involved in West Nile virus transmitted? A) direct contact B) indirect contact C) airborne route D) vectors

D) vectors

Which of the following factors constitute the environment component of the agenthostenvironment model of health and illness (Leavell and Clark, 1965)? Select all that apply. A) bacteria/viruses B) chemical substances C) health habits D) family history E) cultural factors F) biologic factors

E) cultural factors F) biologic factors

A nurse who is discharging a patient is terminating the helping relationship. Which of the following actions might the nurse perform in this phase? Select all that apply. A) making formal introductions B) making a contract regarding the relationship C) providing assistance to achieve goals D) helping patient perform activities of daily living E) examining goals of relationship for achievement F) helping patient establish helping relationship with another nurse

E) examining goals of relationship for achievement F) helping patient establish helping relationship with another nurse