NUR PrepU 1-6

Place the following nursing interventions in order of priority according to Maslow's hierarchy of basic needs. 1 The nurse assists the client in making a phone call to the client's daughter. 2 The nurse teaches the client about foods high in fiber. 3 The nurse teaches the daughter how to administer the client's insulin. 4 The nurse positions the bed of the Muslim client who is bedfast toward Mecca.

2, 3, 1 ,4

Which scenario is the best example of a nurse in the role of counselor? A nurse telling a client the side effects of a medication A nurse ensuring that a client has follow-up care at a free clinic A nurse allowing a crying client to verbalize fears of death A nurse providing the physician a client's test results

A nurse allowing a crying client to verbalize fears of death

Why are health promotion and illness prevention a key responsibility of nurses?

Chronic illnesses are the leading health problem in the world.

A nurse who works in a pediatric practice assesses the developmental level of children of various ages to determine their psychosocial development. These assessments are based on the work of: Rogers. Maslow. Erikson. Watson.

Erikson

Which definition of health is the best? Health is the lack of physical symptoms. Health is a state of complete well-being. Health is the absence of disease. Health is how people feel.

Health is a state of complete well-being.

A nurse refers an HIV-positive client to a local support group. This is an example of what level of preventive care?

Tertiary

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

chronic illness

A community is defined as a social group that may or may not share common geographic boundaries yet interact because of

common interests

A nurse is developing a plan of care for a client to meet the client's self-actualization needs. The nurse would focus on which area as most important?

emphasizing the clients strengths

What nursing activity forms the bridge between theory and practice?

evidence based research

The nurse is assessing a family parented by a 60-year-old grandmother and three school-age grandchildren. The nurse is aware that which problem may occur in a single-parent family at a greater level than in other types of families?

increased financial concerns

A nurse wishes to pursue a degree as a nurse practitioner. What is the minimal degree needed by the nurse?

master's

A nurse knows that the expression "Do not cause harm" refers to which ethical principle?

nonmalificence

A nurse identifies a client's health care needs and devises a plan of care to meet those needs. Which guideline is being followed in this case?

nursing process

Which theory describes, explains, predicts, and controls outcomes in nursing practice?

nursing theory

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 client's response to illness?

personality characteristics

A nurse is providing care to an older adult client who was just diagnosed with cancer. The client together with the immediate family discuss their preferences with the health care providers involved. The health care providers offer their clinical recommendations about possible treatments. Utlimately, the group arrives at a decision. The nurse interprets this decision-making process as reflecting which type? Shared Clinical Paternalistic Patient sovereignty

shared

Which lifestyle factor is associated with an increased risk for chronic diseases? Smoking Exercise Eustress Gastrointestinal disease

smoking

Parents raising two school-aged children incorporate their religious beliefs into the family's daily life. The family's beliefs regarding religion include dietary considerations, worship practices, attitudes, and values. This is an example of which function of the family?

socialization

Evidence-based care emphasizes decision making based on the best available evidence and:

use of outcome studies to guid decisions

A nurse is reading a research article from a nursing journal. The nurse is aware that the opening paragraph summarizing the article and the research findings is a good place to start. What part of the article is the nurse reading?

abstract

Which word is best described as protection and support of another's rights?

advocacy

What is the definition of wellness? An active state of being healthy Being without disease Maximizing the state in which you live A desire to be without disease

an active state of being healthy

Which ethical principle is related to the idea of self-determination

autonomy

A client has been admitted to the unit for chest pain. A nurse told the family that they could not be with the client. The family became very upset, and now the client wants to leave. What is the most culturally appropriate response by the charge nurse?

"Would you feel more comfortable with your family with you?"

The unlicensed assistive personnel reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond? (A) "What type of food did your family prepare for you, and does it have special meaning?" (B) "You can only eat the food that we serve you." (C) "Do you understand that you are on a strict diet and any variation can cause you harm?" (D) "I will need to get permission from your health care provider for you to eat the food your family brought in."

(A) "What type of food did your family prepare for you, and does it have special meaning?"

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

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

The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment? (A) asking the client, "How are you today? I am really worried about you." (B) organizing the work for the day and evaluating how the day went (C) talking about diabetes and teaching the client how to do foot care (D) telling the client, "I will be back in 15 minutes to change your dressing."

(A) asking the client, "How are you today? I am really worried about you."

The nurse is collecting the health history of a client and notes the client is apprehensive in answering questions. The client states, "My spiritual healer will be here soon." What is the best response by the nurse? (A)"I can wait until your spiritual healer arrives, but you are the only one who can answer these questions." (B) "We can wait until your spiritual healer arrives and work together to answer these questions." (C) "These questions need to be answered so we can provide you with the best care." (D) "I will leave the questionnaire here. Please fill it out when your spiritual healer arrives."

(B) "We can wait until your spiritual healer arrives and work together to answer these questions."

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

(B) Deciding whether to perform cardiac compressions against a client's wishes

Which action would cause a charge nurse to have concerns about a nurse's moral agency? (A) The nurse was unable to pass a required dosage calculation examination. (B) The nurse was seen at a grocery store after calling in sick. (C) The nurse often must stay after shift change to complete documentation. (D) A family member complained that the nurse was slow answering call lights.

(B) The nurse was seen at a grocery store after calling in sick.

Which statement is true regarding Friedman's theory of family-centered nursing care? (A) The family is composed of independent members who live and function individually. (B) The role of the family is essential in every level of nursing practice. (C) Illness of one family member strengthens the roles of the sick member in the family structure. (D) The focus on health should be directed at improving the health of the sickest member of the family.

(B) The role of the family is essential in every level of nursing practice.

The nurse just attended a seminar on cultural diversity. Which statement by the nurse would require further education? (A) "People of the same ethnicity share many of the same cultural and social beliefs." (B) "Ethnicity can often determine dialect and political interests." (C) "Ethnicity begins at birth or through adoption of characteristics." (D) "Ethnicity and race are the same thing and are affected by cultural practice."

(D) "Ethnicity and race are the same thing and are affected by cultural practice."

A client is distraught because a recent computed tomography (CT) scan shows that the client's colon cancer has metastasized to the lungs. Which nursing aim should the nurse prioritize in the immediate care of this client? Restoring health Preventing illness Facilitating coping Promoting health

facilitating coping

Nurses in an ICU noticed that their clients required fewer interventions for pain when the ICU was quiet. They then asked a researcher to design a study about the effects of noise on the pain levels of hospitalized clients. How does this demonstrate the ultimate goal of expanding the nursing body of knowledge?

Nursing research helps improve ways to promote and maintain health.

A nurse is orienting a group of nurses who will be helping to collect data for the nurse's research study. The nurse is explaining the study's theoretical framework, likening it to:

an architectural blueprint

A nurse researcher who plans to collect and analyze data for the purpose of creating a new theory should select which type of research?

basic research

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing:

ethnic identity

When looking at a model for evidence-based practice, what is the final step of the process? Appraising evidence Formulating a clinical question Searching the literature Evaluating practice change

evaluating practice change

The nurse is assessing the family structure of the client. The family household comprises two parents, three children, and one grandparent. The nurse recognizes that this is a(n):

extended family

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

help them maintain independence

A nurse is immunizing children against measles. This is an example of what level of preventive care?

primary

A nurse researcher must decide on the method for conducting the research. The researcher that plans to emphasize collection of numerical data and analysis would select which method of research?

quantitative research

A nurse is implementing interventions that focus on protecting a client from physical and emotional harm. Which category of needs is the nurse addressing?

safety and security

Although each care plan is individualized, clients undergoing similar medical or surgical treatments often have certain risks and health problems in common and therefore can benefit from a common care plan. What name is given to this type of care plan?

standardized

A nurse is discussing dietary issues with a Latino client in the clinic. The client states, "My grandmother always told me that I needed to include beans in my diet so that my muscles would grow." The information that the client is expressing is known as what?

traditional knowledge

The nursing researcher is studying so-called "unnatural illnesses." What cause of such illnesses would be included in the study?

witch craft