Fundamentals Unit 1

A nursing student want to take up an advanced specialty nursing role. Which role is included in advanced speciality nursing? a) Nurse midwives care for women with complicated pregnancies. b) Nurse midwives are licensed practice nurses. c) Nurse anesthetists can have independent practices. d) Nurse anesthetists are registered nurses.

d) Nurse anesthetists are registered nurses.

A community health nurse is providing education for a group of individuals on the topic of practicing meditation as a lifestyle modification. The nurse understands that lifestyle modification skills focus on which of the following? a) treating diseases at early stage b) identifying signs and symptoms c) rehabilitating effectively d) increasing energy levels

d) increasing energy levels

A group of nursing students is reviewing information about the various nursing theorists in preparation for a class exam. The students demonstrate understanding of the material when they identify which theorist as emphasizing the interpersonal interaction between the clients and nurse? a) Dorothea Orem b) Hildegard Peplau c) Florence Nightingale d) Virginia Henderson

b) Hildegard Peplau

A nurse is teaching a client how to perform meditation. Which would the nurse emphasize that the client do first? a) "belly-breathe" b) straighten the spine c) Select an appropriate location d) Count silently from 1 to 4

c) Select an appropriate locaton

A registered nurse adheres to the American Nurses Association's standard of professional performance by engaging in: a) diagnosis b) evaluation c) collaboration d) assessment

c) collaboration

A nurse is thinking about pursuing a master's degree in nursing (MSN) and is reviewing information about various programs. What would the nurse expect to find about such programs? a) Nurses pursing such programs require solid scholastic abilities. b) Master's degree nursing education began in the late 18th century. c) Such degrees can be attained only in a certain specific area of interest. d) Students need to take the licensure examination after the course.

a) Nurses pursuing such programs require solid scholastic abilities.

A nurse is working with a client who has a history of alcohol abuse. The nurse's goal is to change the client's behaviors and encourage more life-affirming choices. The client expresses his desire to stop consumption of alcohol. The nurse identifies this client as being n which stage of change? a) Preparation b) Contemplation c) Maintenance d) Termination

a) Preparation

In response to a client's question about botanicals and herbs, the nurse explains that these terms are often used interchangeable. The client asks the nurse about how to make sure that the product is safe. The nurse would emphasize the need for the client to check what when purchasing herbal products? a) Quality seal b) Amount of the ingredient c) Date of expiration d) Type of herb

a) Quality seal

A nurse is interviewing a client at the health care facility. What would the nurse assess as a physical measure for determining a baseline measure of the body? a) Rest and sleep b) Coping c) Interactions d) Self-concept

a) Rest and sleep

A nurse is working at a community health center that follows the clinical model of health as its framework. Which would the nurse expect to assess as a key component based on this model? a) absence of symptoms b) wellness activities c) lifestyle factos d) health expectations

a) absence of symptoms

While assessing a client, the client tells the nurse that he is a follower of traditional Chinese medicine and the concept of qi. Based on the nurse's understanding of this concept, which treatment modality would the nurse expect the client to mention? a) acupuncture b) allopathy c) therapeutic touch d) physiotherapy

a) acupuncture

During the clinical rotation, a nurse documents the vital signs of a client on the bedside chart. What role is the nurse playing in such a situation? a) Communicator b) Client advocate c) Coordinator d) Decision-maker

a) communicator

A registered nurse who is a member of the American Nurses Association (ANA) demonstrates adherence to the ANA's standards of care by participating in: a) outcome identification b) performance appraisal c) use of resources d) quality of care

a) outcome identification

A client visits the health care facility, where the nurse provides primary health care. Which service would the nurse most likely provide? a) screening b) rehabilitation c) acute care d) treatment

a) screening

A student has complete a nursing program accredited by the Commission on Collegiate Nursing Education (CCNE). Which is true about the organization? a) It uses state-recognized standards to evaluate the programs. b) It fosters continued improvement in nursing education programs. c) It ensures the quality and integrity of diploma nursing programs. d) Accreditation is by governmental peer review process.

b) It fosters continued improvement in nursing education programs.

A licensed practice nurse (LPN) is working as a staff nurse. What role do the LPNs working as staff nurses play? a) work only as care providers, team members, and communicators b) provide direct nursing care to the clients in the health care facility c) supervise the work of charge nurses working in different units d) work only in long-term care facilities and at client's homes

b) Provide direct nursing care to the clients in the health care facility

A group of nursing students has attended a presentation about the National Student Nurses' Association (NSNA). Which statement by the group indicates that they have understood the information presented? A) The organization is funded by the national government. B) The organization provides programs of current professional interest. C) The NSNA contributes to the improvement of public health. D) The NSNA is run by a group of registered nurses.

b) The organization provides programs of current professional interest.

Nursing instructor is preparing a presentation for a group of incoming nursing students. What would the instructor need to keep in mind when developing the presentation? a) Many of the students will be single parents. b) The student population is likely to be widely diverse. c) The majority of students will be recent high school graduates. d) A few students may have obtained degrees in other areas.

b) The student population is likely to be widely diverse.

A registered nurse wishes to work as a nurse researcher. Which is true regarding nurse researchers? a) They usually have a baccalaureate degree in nursing. b) They are responsible or the continued development and advancement of nursing. c) They tend to work in community health centers and long-term care units. d) They serve as liaisons between staff members and directors of nursing.

b) They are responsible for the continued development and advancement of nursing.

After teaching a class on the types of meditation, the nurse determines that the education was effective when the class identifies what as a method of practicing expressive meditation? a) by focusing on a chant b) by whirling, shaking, or dancing c) by focusing on a candle flame d) by reflecting to gain insight

b) by whirling, shaking or dancing

A group of students is reviewing the various levels of illness prevention. The students demonstrate understanding when they identify which of the following as a goal of tertiary prevention of illness? a) improving general well-being b) minimizin complications c) preventing disease or illness d) providing prompt treatment

b) minimizing complications

While providing client care, a nurse determines that a client adheres to the health belief model. What would the nurse need to assess as a factor possibly affecting the clients response to illness? a) stress management b) personality characteristics c) nutritional awareness d) environmental sensitivity

b) personality characteristics

A registered nurse is providing community-based health care for a client and family. What would be most important for the nurse to do? a: acknowledge that the client's health issues are independent of social issues. b: encourage active participation of the client and family in health care decisions. c: ensure that the client is categorized as healthy if no disease is detected. d: determine outcomes that are based primarily on technology imperatives.

b: encourage active participation of the client and family in health care decisions.

A new graduate is working with a registered nurse. The registered nurse demonstrates the use of intuition to focus on a client's problem. The registered nurse is functioning at which level of proficiency? a) Competent b) Proficient c) Expert d) Novice

c) Expert

A nurse is reviewing information on holistic health care about "Being" and "Doing" therapies. Which of the following would the nurse identify as a characteristic feature of "Being" therapy? a) It is unaffected by consciousness b) It is measurable c) It is a bridge between individuals d) It has linear outcomes

c) It is a bridge between individuals

A client has come to a health care facility for a routine Pap smear. Who is qualified to perform the smear? a) Nurse educator b) Nurse anesthetist c) Nurse midwife d) Nurse adminstrator

c) Nurse midwife

A group of students is reviewing information about traditional Chinese medicine as a complete healing system that includes acupuncture, massage, herbal treatments, nutrition, moxibustion, movement, and mediation. The students demonstrate understanding of this concept when they identify the core of traditional Chinese medicine as: a) Environment b) Mind c) Qi d) Body

c) Qi

Nursing students are reviewing information about the changes in the health care industry and the effects on the scope of nursing practice. The students demonstrate understanding of this information when they identify what as having significantly affected the delivery of home health care? a) reduced emphasis for self-care b) decreased expectations of lay care givers c) advances in technology d) emphasis on extensive reimbursement

c) advances in technology

Nursing has evolved throughout the ages. Nurses in the 21st century face a variety of challenges, and technology is in the forefront of the profession. Which force affects the current nurse most? a) the use of electronics (such as vital signs machines) to monitor clients b) the identification of super bugs (such as MRSA) that potentially harm the client c) client privacy issues within the social media realm d) Computerized Physician Order Entry (CPOE) challenges

c) client privacy issues within the social media realm

A nurse wishing to learn about techniques of therapeutic touch is referred to a trained practitioner to observe the technique. While the practitioner is in the centering stage, which activity would the nurse most likely observe? a) practitioner moves the hands 2 to 6 inches from the client's skin surface b) practitioner gather information about energy fields and energy flow c) practitioner brings attention inward to a peaceful state of consciousness d) practitioner modulates energy with the goal of restoring balance.

c) practitioner brings attention inward to a peaceful state of consciousness

A group of nursing students is reviewing the changes that have occurred in the provision of health care services over the years. The students demonstrate understanding of the information when they identify which as a current trend? a: health care providers have assumed a greater responsibility for care. b: institutional authority for decision making has significantly increased. c: equal partnerships with communities are key. d: acute care facilities are the primary means for the delivery of health care.

c: Equal partnerships with communities are key.

A nurse interviews a client who reports pain in the abdomen. A family member informs the nurse that the client uses acupuncture, but the client himself has not informed the health care team. Which of the following techniques should the nurse adopt to foster the client's confidence for sharing information? a) Inform him that allopathic treatment interferes with acupuncture. b) Discourage the use of allopathic treatment c) Tell him that acupuncture is not safe and effective d) Covey an open and non-judgmental attitude

d) Convey and open and non-judgmental attitude

A client asks the nurse about using acupuncture as a treatment for various conditions. For which condition would the nurse most likely recommend its use? a) Gout b) Myocardial infarction c) Stroke d) Osteoarthritis

d) Osteoarthritis

A registered nurse plans to return to the nursing profession after a long hiatus. Which statement about the trend in health care services would be most important for the nurse to keep in mind? A) Nurses rely on intuition to make decisions today. B) Clients enter the health care system acutely ill. C) Health care delivery systems are less controversial now. D) Hospital stays are much longer these days.

B) Clients enter the health care system acutely ill.

While interviewing a client during a routine health visit, the client informs the nurse that he meditates regularly to combat stress. The demonstrates understanding that this technique involves: a) stimulating the meridians. b) balancing Yin and Yang c) engaging in deep personal thought and reflection d) consciously directing energy exchange

c) engaging in deep personal thought and reflection

After hearing a presentation about the American Nurses Association (ANA), a nurse decides to join the organization based on the understanding that a) ANA aims at fostering high standards of nursing in the United States. b) Members include nurses, other health care providers, and lay people. c) ANA invites students showing excellence in scholarship to become members. d) membership to open to all nurses in the United States.

a) ANA aims at fostering high standards of nursing in the United States.

When providing care to a client, the nurse integrates knowledge that a client's beliefs and actions are related and influenced by his personal expectations in relation to health and illness. The nurse is demonstrating understanding of which health model? a) Health belief model b) Clinical model c) High-level wellness model d) Holistic health model

a) Health belief model

A nurse is developing discharge plans for several clients on the unit. The nurse determines that home health care would be most appropriate for which client? a: a female with diabetes age 78 years who requires wound care for a leg ulcer b: a client age 55 years diagnosed with dehydration secondary to a gastrointestinal virus c: a client age 45 years who had abdominal surgery approximately five days ago d: a male client age 65 years with the osteoarthritis who lives alone with his wife age 62 years

a: a female with diabetes age 78 years who requires wound care for a leg ulcer

After teaching a class of nursing students about home health care, the nursing instructor determines that the education was successful when the class identifies what as a goal of home health care? a: functioning within limitations b: treatment of illness c: prevention of disease d: provision of palliative care

a: functioning within limitations

A group of students are reviewing information about the different domains of complementary and alternative practices. The students demonstrate understanding of this information when they identify which examples of mind-body interventions? Select all that apply. a) Therapeutic touch b) Art therapy c) Reiki d) Meditation e) Prayer

b) Art therapy d) Meditation e) Prayer

A nurse is gathering information about a person's culture and beliefs related to health and how these beliefs influence the person. The nurse is evaluating which functional health pattern? a) Cognition and perception b) Health perception and health management c) Coping and stress tolerance d) Sleep and rest

b) Health perception and health management

A community health nurse arranges for a dental checkup camp for the local children in the school district. Which of the following would most likely be the nurse's goal for this health camp? a) illness prevention b) high-level wellness c) health promotion d) reversal of self-care deficit

c) health promotion

A community health nurse is preparing to conduct an education session on lifestyle modification to promote health. Which activity should the nurse consider an example of a self-care activity to promote health? a) physiotherapy for arthritis b) using an insulin pump c) improving nutrition d) chiropractic

c) improving nutrition

A mother of two children has been diagnosed with terminal breast cancer and will be requiring assistance with her own care as well as the care of her children. When planning the client's discharge, the nurse interprets this change in role functioning as: a: coordination b: facilitation c: negotiation d: transition

d: transition

A nurse is preparing to provide care to a client, prioritizing and organizing the care using Maslow's hierarchy of human needs. Place the following needs in the order in which the nurse would prioritize them. 1. Predictable routine 2. Maximizing potential 3. Avoidance of loneliness 4. Elimination 5. Respect

4. Elimination 1. Predictable routine 3. Avoidance of loneliness 5. Respect 2. Maximizing potential