NU111

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- A 13-year-old girl is admitted to the adolescent unit with acute leukemia. The patient has a support system that includes her brother, sister, mother, father, and grandmother as well as members of her local community. Which component of her support system is considered a suprasystem? 1) The community 2) The parents 3) Her mother 4) Her sister

- A 36-year-old mother of three small children has had nausea, vomiting, and extreme fatigue for the past 2 days. She calls her mother and tells her she is ill and asks if her mother can care for the children. Which stage of illness behavior is she experiencing? Choose all that apply. 1) Sick-role behavior 2) Dependence on others 3) Seeking professional care 4) Experiencing symptoms

- A 56-year-old man is hospitalized because of poorly controlled diabetes and a leg ulcer that developed as a complication of diabetes. He is awake, alert, and oriented but fatigued and in need of wound care. In the hospital, he was placed on insulin and started on a variety of oral medications. He is learning how to check his blood sugar and administer insulin. He has never given himself insulin, and he does not understand how to interpret his blood sugar readings. The physician has prescribed discharge from the hospital with home health follow-up. Is this an appropriate referral? 1)Yes; the patient is in need of skilled services and, therefore, is eligible for home care services. 2)Yes; the patient has been unable to control his diabetes, is noncompliant, and needs to be monitored. 3)No; the patient should remain hospitalized; he has too many needs for home care services. 4)No; the patient is relatively young and oriented; he should be able to provide his own care.

- A 56-year-old woman provides care to her 91-year-old widowed father. She says she is frequently fatigued and that she no longer socializes with her friends. "I'm so busy taking care of my dad. It's really hard work because he is bedridden. Sometimes it breaks my heart when I have to feed and bathe him. He always seemed so strong when I was a child." The most appropriate nursing diagnosis for this woman is: 1)Caregiver Role Strain 2)Impaired Home Maintenance 3)interrupted Family Processes 4)Risk for Caregiver Role Strain

- A Hispanic patient is frustrated because the healthcare team does not understand the importance of hot and cold therapies. Which nursing diagnosis is most appropriate for this patient? 1)Powerlessness 2)Impaired Verbal Communication 3)Spiritual Distress 4)Risk for Noncompliance

- A community health nurse is evaluating the current health programs in the community. Which of these outcomes would indicate a healthy community? 1)Ninety percent of members report adequate access to primary care services. 2)Immunization services are available at hospitals and clinics. 3)Affordable housing in the community is under construction. 4)Mortality rates have been stable over the past 5 years.

- A family caregiver is learning to administer insulin injections to her homebound sister. What should the nurse advise her to do with the used needles? 1)Discard the needle and syringe in a thick plastic milk jug with a lid. 2)Securely recap them and place them a paper bag in the household trash. 3)Remove the needle and put it in a coffee can with a lid; put the syringe in the trash. 4)Do not recap the needle; break it by bending it on the tabletop.

- A health center that is interested in purchasing IV infusion pumps organizes a group of nurses to evaluate pumps provided by a variety of vendors. Which type of group has been organized? 1) Short term 2) Ongoing 3) Self-help 4) Work-related social support

- A home health nurse has called his patient to arrange an initial home visit and has driven to the home. What is the nurse's objective in the first few minutes of the visit? 1)Develop rapport and trust with the patient and family. 2)Gather demographic data and complete the referral form. 3)Assess the patient's most important health needs. 4)Determine the patient's needs for ongoing care.

- A patient experiences expressive aphasia after a stroke. Which expected outcome is appropriate for this patient? 1) Uses alternative methods of communication 2) Communicates effectively using a translator 3) Interprets messages accurately 4) Follows commands when asked

- A patient of Scandinavian heritage is admitted for observation after sustaining injuries in a motor vehicle accident. The nurse expects that he may endure pain stoically, without grimacing or vocalizing. The nurse's thinking is an example of a/an 1)Archetype 2)Bias 3)Prejudice 4)Stereotype

- A patient reports experiencing gas, abdominal bloating, and diarrhea after consuming milk or cheese. Lactose intolerance might immediately be suspected if the patient is of which heritage? 1)African American 2)Mexican American 3)European American 4)Arab American

- A patient who came from Central America is admitted with diabetes mellitus. The nurse is collecting biographical information. Which information provided by the patient represents his ethnicity? 1)Latino 2)Catholic 3)White 4)Teacher

- A patient who has been hospitalized for weeks becomes angry and tells the nurse who is caring for him, "I hate this place; nobody knows how to take care of me or I'd be home by now." Which response by the nurse is best in this situation? 1)"You seem angry; what's going on that makes you hate this place?" 2)"I'm sorry that we aren't caring for you according to your expectations." 3)"You were very sick; don't be angry; you're lucky to be alive." 4)"You shouldn't be angry with us; we're trying to help you."

- A patient who speaks little English is admitted to the hospital after experiencing severe abdominal pain. Which nursing diagnosis is preferred for this patient? 1) Impaired Communication 2) Readiness for Enhanced Communication 3) Impaired Verbal Communication 4) Sensory Alteration

- At the end of a guided imagery session, which physical assessment finding would suggest that the relaxation technique was successful? 1)Decreased blood pressure 2)Decreased peripheral skin temperature 3)Increased heart rate 4)Increased respiratory rate

- Before entering the room of a patient who is angry and yelling, the nurse removes her stethoscope from around her neck. The best rationale for doing so is that the stethoscope 1)Could be used by the patient to hurt her 2)Might cause the patient not to trust her 3)Would distract her from focusing on the patient 4)Will function as another stressor for the patient

- In the Leavell and Clark model of health protection, the chief distinction between the levels of prevention is: 1) The point in the disease process at which they occur. 2) Placement on the Wheels of Wellness. 3) The level of activity required to achieve them. 4) Placement in the Model of Change.

- The community health nurse has gathered data about the community. She identifies many weaknesses in the community health system that contribute to poor health outcomes. What should be her next step? 1)Prioritize the list of problems. 2)Validate the data. 3)Evaluate the effectiveness of the interventions. 4)Plan the care.

- The nurse is caring for a patient with unresolved anger. For which associated complication should the nurse assess? 1)Depression 2)Hypochondriasis 3)Somatization 4)Malingering

- What is the function of antidiuretic hormone when released in the alarm stage of the general adaptation syndrome? 1)Promotes fluid retention by increasing the reabsorption of water by kidney tubules 2)Increases efficiency of cellular metabolism and fat conversion to energy for cells and muscle 3)Increases the use of fats and proteins for energy and conserves glucose for use by the brain 4)Promotes fluid excretion by causing the kidneys to reabsorb more sodium

- When developing goals, which guideline should the nurse keep in mind? Goals should be 1) Realistic so that progress is recognized by the patient 2) Developed solely by the healthcare team 3) Developed without family input, to maintain confidentiality 4) Valued by the multidisciplinary care providers

- When transferring a patient from a hospital to a long-term care facility, which of the following is most helpful in facilitating the patient's planning and emotional adjustment? 1) Notify the patient and family as much in advance of the transfer as possible. 2) Send a complete copy of the patient's medical records to the new facility. 3) Carefully coordinate the transfer with the long-term facility to keep it smooth. 4) Help arrange for transportation and accompany the patient to the transport vehicle.

- Which of the following is an example of an ongoing assessment? 1)Taking the patient's temperature 1 hour after giving acetaminophen (Tylenol) 2)Examining the patient's mouth at the time she complains of a sore throat 3)Requesting the patient to rate intensity on a pain scale with the first perception of pain 4)Asking the patient in detail how he will return to his normal exercise activities

- Which of the following is considered a "practice" (as opposed to a belief or value)? 1)Always drinking water after exercise 2)Thinking often about cleanliness 3)Emphasis on success 4)Maintaining youth

- Which of the following is known to be a healthy strategy for coping with stress? 1) Performing meaningful work 2) Consuming simple carbohydrates 3) Drinking three glasses of red wine each day 4) Weight training

- Which statement by the nurse manager demonstrates an assertive approach when communicating with the staff nurse about a patient care issue? 1) "You must assess and document pain status for every patient." 2) "Why haven't you been assessing and documenting pain for every patient?" 3) "Will you please assess and document pain status for every patient?" 4) "Explain why you haven't been assessing and documenting pain for every patient."

- You are caring for a patient who suddenly experiences a cardiac arrest. As you respond to this emergency, which substance will your body secrete in large amounts to help prepare you to react in this situation? 1)Epinephrine 2)Corticotrophin-releasing hormone 3)Aldosterone 4)Antidiuretic hormone

A 38-year-old client comes into the clinic for a health examination. Knowing the psychosocial development tasks and common health problems for this age group, it would be most important for the nurse to ask - 1) If the client has episodes of feeling depressed 2) Whether the client practices safe sex 3) About the client's exercise habits 4) About the health history of the client's parents

A 65-year-old patient is admitted to the hospital with heart failure. The patient's best friend accompanies her on admission. They have been sharing a home since they each were widowed 3 years ago. Both women have grown children who live out of state. Using the family nursing approach, how can the nurse best intervene? 1) Involve the friend and children in the patient's care, discharge planning, and home care. 2) Encourage the friend to wait until discharge to provide care for the patient at home. 3) Explain to the friend that for confidentiality reasons she cannot be involved in the patient's care. 4) Encourage liberal visiting hours by the friend and the patient's children

A homeless patient is admitted with an infected leg wound. According to Maslow's hierarchy of needs, which nursing intervention meets one of his basic physiological needs? 1)Providing the patient with a dinner tray 2)Administering antibiotics as prescribed 3)Irrigating a wound with normal saline solution 4)Encouraging the patient to express his feelings

A mother comes to the healthcare clinic for a regular health examination for her 5-year-old son prior to kindergarten admission. Which comment by the mother would indicate the need for follow-up questions to the mother? - 1) "He's not a good boy like my other son." 2) "I've had to treat him for lice a couple of times." 3) "He has an imaginary friend he calls Buddy." 4) "He's so funny when he imitates his dad doing things."

A nurse admits a patient to the unit after completing a comprehensive interview and physical examination. To develop a nursing diagnosis, the nurse must now - 1)Analyze the assessment data 2)Consult standards of care 3)Decide which interventions are appropriate 4)Ask the client's perceptions of her health problem

A nurse researcher is designing a research project. After identifying and stating the problem, the nurse researcher clarifies the purpose of the study. Which step in the research process should she complete next? 1) Perform a literature review. 2) Develop a conceptual framework. 3) Formulate the hypothesis. 4) Define the study variables.

A nurse serving the community in a public health role would likely perform which of the following functions within a particular community? 1)Tracking the prevalence of gonorrhea between January and June 2)Screening for scoliosis among 12- to 14-year-old girls in middle school 3)Weighing premature infants receiving phototherapy at home 4)Giving the H1N1 vaccine to fire and police personnel

A patient comes to the emergency department complaining of severe, substernal chest pain. He is restless and anxious. Which statement by the nurse appropriately offers reassurance? 1) "I'll give you some medication to help relieve the pain." 2) "If you lie still and relax, you'll be fine in a little while." 3) "Please try not to think about the pain as best as you can." 4) "Don't worry; we're going to take good care of you."

A patient who underwent a total abdominal hysterectomy is assisted out of bed as soon as her vital signs are stable. This intervention is most likely being directed by a 1)Critical pathway 2)Nursing care plan 3)Case manager 4)Traditional care model

According to Erikson, a behavior demonstrating an important psychosocial task for a toddler would be for the child to- 1) Act defiantly by refusing to hold her mother's hand while crossing the street 2) Recognize that it is wrong to take a toy away from someone else 3) Be able to understand the concept of time in hours 4) Express to his parents and playmates that he does not like something

All of the following are aspects of the full-spectrum nursing role. Which one is essential for the nurse to do in order to successfully carry out all the others? 1)Thinking and reasoning about the client's care 2)Providing hands-on client care 3)Carrying out physician orders 4)Delegating to assistive personnel

Health screening activities are designed to: 1) Detect disease at an early stage. 2) Determine treatment options. 3) Assess lifestyle habits. 4) Identify healthcare beliefs.

In caring for a patient with comorbidities, the nurse draws upon her knowledge of diabetes and skin integrity. In a spirit of inquiry, she looks up the latest guidelines for providing skin care and includes them in the plan of care. The nurse provides skin care according to the procedural guidelines and begins regular monitoring to evaluate the effectiveness of the interventions. These activities are best described as 1)Full-spectrum nursing 2)Critical thinking 3)Nursing process 4)Nursing knowledge

In his later work, Maslow identified growth needs that must be met before reaching self-actualization. These needs include . 1) Cognitive and aesthetic needs 2) Love and belonging needs 3) Safety and security needs 4) Physiological and self-esteem needs

The nurse is interviewing a patient who has a recent onset of migraine headaches. The patient is highly anxious and cannot seem to focus on what the nurse is saying. Which of the following questions would be best for the nurse to use to begin gathering data about the headaches? - 1) "When did your migraines begin?" 2) "Tell me about your family history of migraines." 3) "What are the types of things that trigger your headaches?" 4) "Describe what your headaches feel like."

The wife of an elderly patient begins crying after she is informed that he has a terminal illness. Which intervention by the nurse is best? 1) Sit quietly with the patient's wife while she composes her thoughts. 2) Inform his wife that a chaplain is available if she would like to speak to him. 3) Remind his wife that her husband has lived a long and happy life. 4) Tell his wife there are always options and suggest she not give up hope.

What do the nursing assessment models have in common? 1) They assess and cluster data into model categories. 2) They organize assessment data according to body systems. 3) They specify use of the nursing process to collect data. 4) They are based on the ANA Standards of Care.

What makes a nursing history different from a medical history? 1) A nursing history focuses on the patient's responses to the health problem. 2) The same information is gathered; the difference is in who obtains the information. 3) A nursing history is gathered using a specific format. 4) A medical history collects more in-depth information.

Which commonly accepted practice came out of the Framingham study? 1)Mammography in breast cancer screening 2)Colonoscopy in colon cancer screening 3)Pap testing in cervical cancer screening 4)Digital rectal examination in prostate cancer screening

Which individuals should receive annual lipid screening? 1) All overweight children 2) All adults 20 years and older 3) Persons with total cholesterol greater than 150 mg/dL 4) Persons with HDL less than 40 mg/dL

Which of the following characteristics do the various definitions of critical thinking have in common? 1)Requires reasoned thought 2)Asks the questions "why?" or "how?" 3)Is a hierarchical process 4)Demands specialized thinking skills

Which of the following nursing activities represent direct care? Choose all that apply. 1)Bathing a patient 2)Administering a medication 3)Documenting an assessment 4)Making work assignments for the shift

Which of the following reflects an understanding of the characteristics of older adults? 1) Fewer than 5% of all older adults live in nursing homes. 2) Average life expectancy at birth has declined slightly over the past 10 years. 3) In general, males tend to live longer than do females. 4) Black men have the lowest life expectancy, but the gap decreases as a person ages.

Which of the following would be the most important health assessment focus for middle adulthood? - 1) Cancer screening with the annual health examinations 2) Seeking information about consistent use of seat belts 3) Screening for eating disorders 4) Mental status exam for cognitive changes

Which of the following would be the most important health assessment focus for older adulthood? 1) Cancer screening with the annual health examinations 2) Seeking information about consistent use of seat belts 3) Screening for eating disorders 4) A bone scan (DEXA test) for osteoporosis

Which of the following would indicate a 4-year-old child has successfully gone through Erikson's Stage 3 (Initiative Versus Guilt)? The child . 1) Refrains from hitting a friend 2) Plays cooperatively with friends 3) Is able to develop friendships 4) Is able to express his feelings

While reading a journal article, the nurse asks herself these questions: "What is this about overall? Is it true in whole or in part? Does it matter to my practice?" What is this nurse doing?1)Reading the article analytically 2)Performing a literature review 3)Formulating a searchable question 4)Determining the soundness of the article

- A community health nurse is assigned to work in a different area of the city. Which of the following assessment techniques would she likely use to develop an overview of the community? Choose all that apply. 1)Windshield survey 2)Review of demographic data 3)Physical assessment of a sample of the inhabitants 4)Review of the records of area providers

1 and 2

A family assessment should include the following areas. Choose all that apply. 1) Coping patterns 2) Health beliefs 3) Medical history 4) Physical exam

1 and 2

When interpreting a population pyramid, which of the following do you need to know? Select all that apply. 1) The youngest age group makes up the base of the pyramid. 2) Men are on the left side of the pyramid and women on the right. 3) The length of a bar indicates how many people are in that age category. 4) Adolescents are the youngest group on the pyramid.

1 and 2

A community health nurse prepares for a new assignment. She has been assigned census tracts 131 and 132. This large area crosses the border of two towns and includes 4,000 people. As a community health nurse, she recognizes that assignments are based on census tracts because census tracts do which of the following? Choose all that apply. 1)Define the geopolitical boundaries of a community. 2)Are made up of persons who share a common heritage and customs. 3)Divide populations into smaller groups that can be assessed more readily

1 and 3

Goals for Healthy People 2020 include which of the following? Choose all that apply. 1) Eliminate health disparities among various groups. 2) Decrease the cost of healthcare related to tobacco use. 3) Increase the quality and years of healthy life.

1 and 3

- Home healthcare and home hospice care are two different types of home health services. What are the differences between these services? Choose all that apply. 1)Home healthcare promotes independence in clients; home hospice care promotes comfort and quality of life. 2)Home healthcare promotes comfort and symptom management; hospice care promotes self-care. 3)Home healthcare is focused on teaching self-care; home hospice care is focused on teaching skilled care to caregivers. 4)Home hospice care is focused on managing symptoms; home healthcare is focused on fostering independence.

1 and 4

- Which family function(s) is/are outlined in the structural-functional family theory? Select all that apply. 1) Meeting the emotional needs of family members 2) Reinforcing ethical and moral values 3) Promoting joint decision making among parents and children 4) Being productive members of society

1 and 4

- Which of the following are examples of a health-promotion activity? Select all that apply. 1)Helping a client develop a plan for a low-fat, low-cholesterol diet 2)Disinfecting an abraded knee after a child falls off a bicycle 3)Administering a tetanus vaccination after an injury from a car accident 4)Distributing educational brochures about the benefits of exercise

1 and 4

A nurse with a large caseload of patients needs to delegate some assessment tasks to other members of the health team. The nurse is unsure which tasks can be delegated to nursing assistive personnel (NAP) and which are appropriate for a licensed practical nurse (LPN) or a registered nurse (RN). To which sources should the nurse turn for the answer to his question? Choose all that are appropriate. - 1) The nurse practice act of his state 2) The American Medical Association guidelines 3) The Code of Ethics for Nurses 4) The American Nurses Association's Scope and Standards of Practice

1 and 4

- The nurse is visiting a patient who lives alone in a two-room house. The patient requires wound care and medication management, but his health is not expected to improve much, even with care. There is no running water in the house, and the bathroom is in disrepair and filthy. At the first home visit, which of the following should the nurse assess? Choose all that apply. 1)Wound status 2)Patient concerns 3)Ability to perform care independently 4)End-of-life planning

1,2,3

- The nurse working in an ambulatory care program asks questions about the client's locus of control as a part of his assessment because of which of the following? Choose all that apply. 1) People who feel in charge of their own health are the easiest to motivate toward change. 2) People who feel powerless about preventing illness are least likely to engage in health promotion activities. 3) People who respond to direction from respected authorities often prefer a health promotion program supervised by a health provider. 4) People who feel in charge of their own health are less motivated by health promotion activities.

1,2,3

- Which of the following is a primary intervention? Choose all that apply. 1)Immunization for meningitis of college-bound students 2)Safer sex education for high school students 3)Lobbying for health education in the schools 4)Tuberculosis screening via PPD testing

1,2,3

A client is concerned about the age-related changes of her mother, who is 80 years old. Which statement(s) made by the client would likely represent a normal change of aging? Select all that apply 1) "My mother seems to get cold very easily." 2) "My mother complains of her mouth being dry." 3) "Mother goes around the house turning on all the lights." 4) "Mother complains of leaking urine when she coughs."

1,2,3

- A 75-year-old patient is tearful, shaky, and withdrawn. She tells you that she is "worrying herself to death" about losing her aging husband and being "all alone." You recognize this reaction as Anxiety rather than Fear because (choose all that apply) 1)It concerns future or anticipated events 2)It concerns anticipation of danger rather than a present danger 3)There is no shakiness or tearfulness present 4)There is a psychological rather than a physical threat

1,2,4

- Health promotion programs assist a person to advance toward optimal health. Which of the following activities might such programs include? Choose all that apply. 1) Disseminating information 2) Changing lifestyle and behavior 3) Prescribing medications to treat underlying disorders 4) Environmental control programs

1,2,4

- Which of the following groups represents a vulnerable population? Choose all that apply. 1)Homeless persons with no known illnesses 2)Women who have experienced domestic violence 3)Fifth-grade students at the local elementary school 4)Persons with type 1 diabetes mellitus

1,2,4

- Which of the following services are provided by home health agencies? Choose all that apply. 1)Direct care of clients in the home, performing treatments 2)Indirect care such as provision of medication and supplies 3)Acute care services for clients with complex diseases 4)Respite care of clients to relieve family caregivers

1,2,4

Which of the following questions would be effective for obtaining information from a patient? Choose all that apply. 1) "How did this happen to you?" 2) "What was your first symptom?" 3) "Why didn't you seek healthcare earlier?" 4) "When did you start having symptoms?"

1,2,4

Which aspects of healthcare are affected by a client's culture? Select all that apply. 1)How the clients views healthcare 2)How the client views illness 3)How the client will pay for healthcare services 4)The types of treatments the client will accept 5)When the client will seek healthcare services

1,2,4,5

- According to Pender's health promotion model, which variables must be considered when planning a health promotion program for a client? Choose all that apply. 1) Individual characteristics and experiences 2) Levels of prevention 3) Behavioral outcomes 4) Behavior-specific cognition and affect

1,3, and 4

- Which statement about communication is true? (Choose all that apply.) Communication is 1) Used to meet physical and psychosocial needs 2) Most basically described as talking and listening 3) The process of sending and receiving information 4) The basis for forming relationships

1,3,4

- Which statement(s) about culture is/are true? Choose all that apply. 1)Culture exists on both material and nonmaterial levels. 2)Culture mainly influences food choices and special holidays. 3)Cultural customs change over time at different rates. 4)Culture is learned through life experiences shared by other cultural members.

1,3,4

A client lives alone. He is very weak, stays in bed most of the time, and becomes fatigued after taking only two or three steps with a walker. His personal hygiene is poor. He moves very slowly when doing even small tasks, such as eating a meal. Which of the following are appropriate interventions for this patient? Choose all that apply; assume all are possible. 1) Arrange for a home aide to assist with activities of daily living. 2) Refer the client to a senior center for an adapted physical activity (APA) program. 3) Assess the patient for symptoms of depression and memory loss. 4) Arrange for nutritious meals to be delivered to the patient's home.

1,3,4

How can the nurse facilitate communication with an older adult? Select all that apply. 1) Assess for hearing deficit at the beginning of the interaction. 2) Speak in a more loudly than normal, and at a slightly higher pitch. 3) Pay special attention to cues from body language. 4) Speak slowly, allowing time for the patient to word his answers

1,3,4

Which of the following are cues rather than inferences? Choose all correct answers. 1) Ate 50% of his meal 2) Patient feels better today 3) States, "I slept well" 4) White blood cell count 15,000/mm3

1,3,4

- A client with a history of schizophrenia is diagnosed with a urinary tract infection. What is probably the most significant barrier this patient faces? 1) Chronic urinary incontinence 2) Stigma associated with mental illness 3) Risk for recurring infections 4) Auditory hallucinations ("hearing things")

- A community health nurse prepares for a new assignment. She has been assigned census tracts 131 and 132. This large area crosses the border of two towns and includes 4,000 people. What components of the community must the community health nurse assess prior to beginning her new assignment? 1)Income levels, health status, and relationships among groups 2)Structure of the tracts, effectiveness of the community, and current status 3)Number of clients with health problems compared to the number of healthcare providers 4)Community organizations and beliefs about their role in the community

- A mother of three young children is newly diagnosed with breast cancer. She is intensely committed to fighting the cancer. She believes she can control her cancer to some degree with a positive attitude and feelings of inner strength. Which of the following traits is she demonstrating that is linked to health and healing? 1) Invincibility 2) Hardiness 3) Baseline strength 4) Vulnerability

- A patient and his wife are 2 years from retirement when he is diagnosed with lung cancer. Although with delayed childbearing, developmental stages can vary among families, which typical stage of family development is this couple likely experiencing? 1) Family launching young adults 2) Postparental family 3) Family with frail elderly 4) Family with teenagers and young adults

- A patient being admitted in hypertensive crisis informs the nurse that he stopped taking his blood pressure medication 3 weeks ago. Which response by the nurse is best? 1) "You're lucky you didn't have a stroke; you really need to take your medication." 2) "Tell me more about your experience with your high blood pressure medication." 3) "Why did you stop taking your high blood pressure medication?" 4) "It's very important to take your blood pressure medication."

- A patient newly diagnosed with breast cancer tells the nurse, "I'm worried I won't live to see my children grow up." Which response by the nurse best conveys concern and active listening? 1) "There have been many advances in breast cancer treatment; hope for the best." 2) "Breast cancer is a serious disease; I can understand why you're worried." 3) "You're strong and have youth on your side to fight the breast cancer." 4) "I'd be worried, too; I've seen a lot of patients die from breast cancer."

- A patient who had surgery 8 hours ago has not voided. The nurse notifies the physician for an order to insert an indwelling urinary catheter. Which of the following statements should the nurse use to describe the procedure to the patient? 1)"I need to put a Foley in you because you haven't voided since your surgical procedure." 2)"I need to insert a tube into your bladder to drain the urine because you haven't urinated since surgery." 3)"I need to catheterize you because you haven't urinated since having your surgery." 4)"I need to place a catheter in your bladder because you haven't voided since surgery."

- A young adult with a severe episode of asthma bronchoconstriction comes to the emergency department with signs of respiratory distress. When the nurse performs the admission assessment, she notes that the patient is not able to say where she is or the time. Which nursing diagnosis is probably most suitable for this patient? 1) Chronic Confusion 2) Acute Confusion 3) Impaired Verbal Communication 4) Readiness for Enhanced Communication

- After a patient has an argument with her husband, she becomes verbally abusive to the nurse who is caring for her. Which coping mechanism is this patient exhibiting? 1)Reaction formation 2)Displacement 3)Denial 4)Conversion

- For which of the following purposes is a graphic flow sheet superior to other methods of recording data? 1) Easy documentation of routine vital signs 2) Seeing the patterns of a patient's fever 3) Describing the symptoms accompanying a rising temperature 4) Checking to make sure vital signs were taken

- Many health providers define illness as pathology; however, people experience, rather than define, illness. Which of the following is how most people experience illness? 1) "Feeling lousy," a true sense of not being all right 2) A change in the way they feel or a disruption in their typical life 3) Something to be dreaded and avoided if at all possible 4) An experience that offers the potential for learning and spiritual growth

- North American healthcare culture typically reflects which culture? 1)Asian 2)European American 3)Latino 4)African American

- Of the following, the biggest disadvantage of having nursing assistive personnel (NAP) help nurses is that the nurse 1)Must know what aspects of care can legally and safely be delegated to the NAP 2)May rely too heavily on information gathered by the NAP when making patient care decisions 3)Is removed from many components of direct patient care that have been delegated to the NAP 4)Still maintains responsibility for the patient care given by the NAP

- The nurse is caring for a 42-year-old Chinese American patient who underwent emergency coronary artery bypass graft surgery. He is self-employed and has no health insurance. Each day members of his family spend hours at his bedside. Which is the most important factor for the nurse to focus on when planning the patient's discharge? 1)Ethnic background 2)Family support 3)Employment status 4)Healthcare coverage

- The nurse is caring for a patient who emigrated from Puerto Rico. She can best care for this patient by learning about the 1)Practices of the patient's ethnic group 2)Patient's individual cultural beliefs 3)Values of her own culture 4)Spanish-speaking community

- The nurse is developing a teaching plan for an older adult patient with Alzheimer disease and her family. Which point should the nurse include in the teaching plan before discharge? 1) Importance of quitting smoking 2) Availability of community resources 3) Adherence to a low-fat diet 4) Importance of physical exercise

- The nurse is preparing a patient for a computed tomography (CT) scan of the abdomen. Which statement by the nurse is best (all contain correct information)? 1) "You will need to remain NPO for the 4 hours prior to your CT scan." 2) "You cannot have anything to eat or drink for 4 hours before your test." 3) "You will need to be NPO and drink this contrast media before your test." 4) "You may need to void before you go down to the department for your CT scan

- The nurse manager of the medical intensive care unit formed a group to help her staff cope with stress more effectively. Which of the comments by group members will lead the manager to evaluate the group as successful? 1) "This was a good idea to form a group; I've been wanting to get to know some of the people working the other shifts." 2) "It really helps me to share feelings about how hard it is to see pain and suffering every day." 3) "I now have a group to help me when I need to work through situations in my own life causing me stress." 4) "It feels good to have a chance to get away from the unit and talk on a regular basis."

- The similarities between the Omaha System and the NANDA-I taxonomy are that both contain which of the following? 1)Evaluation tools expressed in standardized language 2)Nursing diagnoses expressed in standardized language 3)Diagnoses, outcomes, and interventions 4)Labels that are intended for use in any healthcare setting

- What type of loss is most common among patients who are hospitalized for complex health conditions? 1) Privacy 2) Dignity 3) Functional 4) Identity

- When preparing a room to receive a newly admitted patient, which of the following should the nursing assistive personnel (NAP) do? 1) Mop the floor with an approved disinfecting solution. 2) Fold the top bed linens back to "open" the bed. 3) Hook up the suction machine and check to see that it is working. 4) Position the bed in its lowest position.

- When using the SBAR model to communicate with a physician, what information does the nurse offer first? 1) Statement of the problem and its probable cause 2) Nurse's name, patient's name, and reason for the communication 3) History of information related to and leading up to the situation 4) A solution to the problem or what is needed from the physician

- Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment? 1) Small group 2) Interpersonal 3) Group 4) Intrapersona

- Which of the following best explains why it is difficult for the profession to develop a definition of nursing? 1)There are too many different and conflicting images of nurses. 2)There are constant changes in healthcare and the activities of nurses. 3)There is disagreement among the different nursing organizations. 4)There are different education pathways and levels of practice.

- Which of the following can the nurse assess using Erik Erikson's theory? 1)Moral development 2)Developmental tasks 3)Social identity 4)Self-esteem

- Which of the following is an example of the most basic motivation in Maslow's hierarchy of needs? 1)Experiencing loving relationships 2)Having adequate housing 3)Receiving education 4)Living in a crime-free neighborhood

- Which statement pertaining to Benner's practice model for clinical competence is true? 1)Progression through the stages is constant, with most nurses reaching the proficient stage. 2)Progression through the stages involves continual development of thinking and technical skills. 3)The nurse must have experience in many areas before being considered an expert. 4)The nurse's progress through the stages is determined by years of experience and skills.

A community health nurse planning a new program for teen pregnancy prevention designs a community assessment covering the structure of her target. Which of the following areas would she include? 1)Number of residential and commercial buildings 2)Demographic data of the residents 3)Morbidity and mortality rates of the population 4)Common strategies for conflict resolution

A couple is planning to move to a housing development that has been built to provide elder-friendly dwellings and environments for independent living. The houses are smaller and on a single level. Their purchase includes home maintenance and repair, snow and trash removal, a pool, and a walking track. Only people 60 years and older qualify to buy a house in this community. Medical and nursing care are not a part of the purchase. How would their living situation be described? 1) Naturally occurring retirement community 2) Retirement community 3) Continuing care retirement community 4) Assisted living facilities

A few nurses on a unit have proposed to the nurse manager that the process for documenting care on the unit be changed. They have described a completely new system. Why is it important for the nurse manager to have a critical attitude? It will help the manager to 1)Consider all the possible advantages and disadvantages 2)Maintain an open mind about the proposed change 3)Apply the nursing process to the situation 4)Make a decision based on past experience with documentation

A patient complains of pain after undergoing surgery. The nurse forms a mental image of pain based on her own experiences with pain. This mental image is known as a(n) 1) Phenomenon 2) Concept 3) Assumption 4) Definition

A patient has left-sided weakness because of a recent stroke. Which type of special needs assessment would it be most important to perform? 1) Family 2) Functional 3) Community 4) Psychosocial

After suffering an acute myocardial infarction, a patient attends cardiac rehabilitation. This will help to gradually build his exercise tolerance. According to Maslow's hierarchy of needs, cardiac rehabilitation most directly addresses which need? 1) Safety and security 2) Physiological 3) Self-actualization 4) Self-esteem

An 80-year-old patient fell and fractured her hip and is in the hospital. Before the fall, she lived at home with her husband and managed their activities of daily living very well. The goal is for the patient to recover from the injury and return to her home. The hospital is ready to discharge her because she has exceeded the recommended length of stay in a hospital. However, she cannot walk or care for herself yet, and she will require lengthy physical therapy and further monitoring of her medications and her physical and mental status. To which type of facility should she be transferred? 1)Nursing home 2)Rehabilitation center 3)Outpatient therapy center 4)None of these; she should receive home healthcare

During adolescence, it would be most important to encourage the teen to eat plenty of - 1) Grains 2) Dairy products 3) Vegetables 4) Fruit

The most obvious reason for using a framework when assessing a patient is to - 1) Prioritize assessment data 2) Organize and cluster data 3) Separate subjective and objective data 4) Identify primary from secondary data

The mother of a child participating in a research study that uses high-dose steroids wishes to withdraw her child from the study. Despite reassurance that adverse reactions to steroids in children are uncommon, the mother still wishes to withdraw. By withdrawing from the study, the mother is exercising which right? The right- 1) Not to be harmed 2) To self-determination 3) To full disclosure 4) Of confidentiality

The nurse conducts a class on health promotion to a group of young adults. Which of the following comments would indicate the teaching was effective? - 1) "I need to get screened for colon cancer." 2) "I'll start doing testicular self-exams." 3) "I have to have my prostate checked." 4) "I don't need to do breast self-exams until I am 40."

The nurse developed a care plan for a patient to help prevent Impaired Skin Integrity. She has made sure that nursing assistive personnel change the patient's position every 2 hours. In the evaluation phase of the nursing process, which of the following would the nurse do first? 1)Determine whether she has gathered enough assessment data. 2)Judge whether the interventions achieved the stated outcomes. 3)Follow up to verify that care for the nursing diagnosis was given. 4)Decide whether the nursing diagnosis was accurate for the patient's condition.

The nurse is developing a plan of care for a patient of Aleut descent who sustained a hip fracture. Which intervention by the nurse recognizes the patient's indigenous healthcare system and should be included in the plan of care? 1)Asking the family to bring in medals and amulets 2)Scheduling a visit from the shaman 3)Providing the patient with her favorite herbal tea 4)Requesting that the physician consult the patient's acupuncturist

The nurse is preparing to admit a patient from the emergency department. The transferring nurse reports that the patient is obese. The nurse has been overweight at one time and works very hard now to maintain a healthy weight. She immediately thinks, "I know I tend to feel negatively about obese people; I figure if I can stop eating, they should be able to. I must remember how very difficult that is and be very careful not to be judgmental of this patient." This best illustrates - 1)Theoretical knowledge 2)Self-knowledge 3)Using reliable resources 4)Use of the nursing process

The nurse is preparing to assess a toddler. To make the assessment go smoothly, before examining the child the nurse should first- 1) Talk to the mother before talking to the child 2) Ask the child about his favorite toy 3) Get the child's height and weight 4) Ask the mother to undress the child

The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction. Before inserting the tube, the nurse must explain the procedure to the patient. Which explanation by the nurse is best, assuming that all provide correct information? 1) "I'm going to insert an NG tube and connect it to low Gomco to keep your stomach empty." 2) "I'm going to insert a tube through your nose into your stomach to prevent you from vomiting." 3) "I'm going to insert an NG tube through your nares to suction your secretions and prevent emesis."

What do critical thinking and the nursing process have in common? 1)They are both linear processes used to guide one's thinking. 2)They are both thinking methods used to solve a problem. 3)They both use specific steps to solve a problem. 4)They both use similar steps to solve a problem.

Which family would most likely be helpful in encouraging the client to experience a high level of wellness? A family who 1) Controls feelings to avoid conflict 2) Teaches negotiation skills and independence 3) Encourages risk taking and adventure 4) Views themselves as helpless victims

Which is one of the greatest concerns with heavy and chronic use of alcohol in teens and young adults? 1) Liver damage 2) Unintentional death 3) Tobacco use 4) Obesity

Which of the following examples includes both objective and subjective data? 1)The client's blood pressure is 132/68 and her heart rate is 88. 2)The client's cholesterol is elevated, and he states he likes fried food. 3)The client states she has trouble sleeping and that she drinks coffee in the evening. 4)The client states he gets frequent headaches and that he takes aspirin for the pain. 1)The client's blood pressure is 132/68 and her heart rate is 88. 2)The client's cholesterol is elevated, and he states he likes fried food. 3)The client states she has trouble sleeping and that she drinks coffee in the evening. 4)The client states he gets frequent headaches and that he takes aspirin for the pain.

Which of the following is an example of theoretical knowledge? 1)A nurse uses sterile technique to catheterize a patient. 2)Room air has an oxygen concentration of 21%. 3)Glucose monitoring machines should be calibrated daily. 4)An irregular apical heart rate should be compared with the radial pulse.

Which of the following is particularly valuable in helping a patient with a terminal illness maintain a sense of self? 1) Family relationships 2) Spirituality 3) Nutrition 4) Sleep and rest

Which of the following is the most common major challenge for older adults? 1) Dealing with the needs of their children 2) Chronic health problems leading to the loss of independence 3) Loss of the ability to reminisce about the past 4) The decline of intellectual abilities

Which question helps the nurse to assess family structure? 1) "Where does your family live?" 2) "How are family decisions made?" 3) "With which religious affiliation is your family associated?" 4) "What is your ethnic background?"

Which statement about the nursing process is correct? 1)It was developed from the ANA Standards of Care. 2)It is a problem-solving method to guide nursing activities. 3)It is a linear process with separate, distinct steps. 4)It involves care that only the nurse will give.

Which statement best describes the health/illness continuum? 1) Health is the absence of disease; illness is the presence of disease. 2) Health and illness are along a continuum that cannot be divided. 3) Health is remission of disease; illness is exacerbation of disease. 4) Health is not having illness; illness is not having health

- The nurse is caring for a patient of Japanese heritage who refuses pain medication despite the nurse's explaining its importance in the healing process. Which intervention(s) by the nurse is/are appropriate for this patient? Select all that apply. 1)Assess the patient's pain levels at less frequent intervals. 2)Document in the patient's record that the patient does not want to take opioids. 3)Utilize nonpharmacological measures to help control the patient's pain. 4)Notify the primary care provider of the patient's noncompliance.

2 and 3

- Which of the following suggest that a family health problem may exist? Select all that apply. Family members 1) Respect each other's need for privacy 2) Enact decisions made by the most powerful member 3) Do not consider a conflict resolved until everyone agrees 4) Set boundaries between family members

2 and 3

- Which older adult is experiencing normal aging changes of the urinary system? Select all that apply. 1) A man who has difficulty voiding, especially when starting his stream 2) A woman who wakes up to void once during the night 3) A man who has difficulty getting a hard erection 4) A man who says he has burning when he urinates

2 and 3

The nurse has been assigned to a caseload of home health clients. Before making home visits, which two planning activities must she perform first? 1)Order supplies for the home care services. 2)Review the cases to determine the reasons for the visits. 3)Contact the clients to arrange for the visits. 4)Develop a schedule for the day so that all visits can be made

2 and 3

Which of the following interventions has a public health focus? Choose all that apply. 1)Controlling the blood sugar of a diabetic client with cardiovascular disease 2)Assisting with the launch of an after-school program in a high-crime neighborhood 3)Providing an influenza vaccination program for seniors and persons with chronic illness

2 and 3

- A patient tells the nurse, "I'm having a lot of pain in my hip." Which response by the nurse is open-ended and would stimulate the patient to provide the most complete data? Choose all that are correct. 1) "Is your pain severe?" 2) "Tell me about your pain." 3) "When did you first notice this pain?" 4) "How would you describe your pain?"

2 and 4

- Two days after a patient undergoes abdominal surgery, his surgical incision is red and slightly edematous; it is oozing a small amount of serosanguineous (pink-tinged serous) fluid. On the basis of these data, what can you conclude? Choose all that apply. 1)The wound is most likely infected. 2)This is a vascular response to inflammation. 3)Damaged cells are being regenerated. 4)Exudate formation is occurring.

2 and 4

- Which statement by the nurse demonstrates that active listening has occurred? Choose all that apply. 1) "I listened to my patient while I was changing his IV site." 2) "I made eye contact and listened to my patient to find out his concerns." 3) "I took notes when I listened to my patient describe his symptoms." 4) "I sat with my patient and his wife to talk about their fears before the surgery."

2 and 4

During the alarm stage of the general adaptation syndrome, which metabolic change(s) occur(s)? Choose all that apply. 1)Rate of metabolism decreases. 2)Liver converts more glycogen to glucose. 3)Use of amino acids decreases. 4)Amino acids and fats are more available for energy

2 and 4

The World Health Organization's definition of health includes which of the following? Choose all that apply. 1) Absence of disease 2) Physical well-being 3) Mental well-being 4) Social well-being

2,3, and 4

- A 26-year-old man of Mexican heritage is admitted for observation after sustaining injuries in a motor vehicle accident. When assessing this patient, the nurse must consider that he may possess which view of pain? 1)A belief in taboos against narcotic use to relieve pain 2)Expectation of immediate treatment for relief of pain 3)Endurance of pain longer and report it less frequently than some patients do 4)Use of herbal teas, heat application, and prayers to manage his pain

- A 55-year-old man suffered a myocardial infarction (heart attack) 3 months ago. During his hospitalization, he had stents inserted in two sites in the coronary arteries. He was also placed on a cholesterol-lowering agent and two antihypertensives. What type of care is he receiving? 1) Primary prevention 2) Secondary prevention 3) Tertiary prevention 4) Health promotion

- A community health nurse gathers information about how individuals in a low-income neighborhood perceive the community and its state of health. Which of the following assessment strategies would be appropriate? 1)Conducting a windshield survey while driving 2)Reviewing a multitude of community databases 3)Interviewing residents living on every fifth block 4)Analyzing demographic data on the community

- A nurse identifies the nursing diagnosis Diarrhea related to stress for a patient. Which nursing intervention should be included in the nursing care plan to help the patient relieve the cause of the diarrhea? 1)Monitor and record the frequency of stools on the graphic record. 2)Administer prescribed antidiarrheal medications as needed. 3)Encourage the patient to verbalize about stressors and anxiety. 4)Provide oral fluids on a regular schedule.

- A patient complains of a vague, uneasy feeling of dread, and his heart rate is elevated. Which of the following nursing diagnoses is most appropriate for this patient? 1)Anger 2)Fear 3)Anxiety 4)Hopelessness

- A patient had surgery 6 hours ago. When the nurse enters the room to turn him, she notes that he is restless and grimacing. Considering the patient's nonverbal communication, what action should the nurse take first? 1) Administer pain medication to the patient. 2) Turn and reposition the patient. 3) Assess to determine the cause of the grimacing. 4) Leave the patient's room so he can rest quietly.

- A patient who moved to the United States from Italy comes to the clinic for medical care. The patient has been in this country for several years and has adopted some elements of her new country. Yet she still retains some customs from her homeland. This patient is experiencing 1)Assimilation 2)Socialization 3)Acculturation 4)Immigration

- A patient who speaks only French was admitted to the hospital after a motor vehicle accident. Assuming that the nurse does not speak French, what is the best way to communicate with this patient? 1) Use sign language for communicating. 2) Ask a family member to serve as a translator. 3) Request the services of a hospital translator. 4) Speak in English, but speak very slowly.

- A patient with morbid obesity was enrolled in a weight loss program last month and has attended four weekly meetings. But now he believes he no longer needs to attend meetings because he has "learned what to do." He informs the nurse facilitator about his decision to quit the program. What should the nurse tell him? 1) "By now you have successfully completed the steps of the change process. You should be able to successfully lose the rest of the weight on your own." 2) "Although you have learned some healthy habits, you will need at least another 6 weeks before you can quit the program and have success." 3) "You have done well in this program. However, it is important to continue in the program to learn how to maintain weight loss. Otherwise, you are likely to return to your previous lifestyle." 4) "You have entered the 'determination stage' and are ready to make positive changes that you can keep for the rest of your life. If you need additional help, you can come back at a later time."

- After sustaining injuries in a motor vehicle accident, a patient experiences a decrease in blood pressure and an increase in heart rate and respiratory rate despite surgical intervention and fluid resuscitation. Which stage of the general adaptation syndrome is the patient most likely experiencing? 1)Alarm 2)Resistance 3)Exhaustion 4)Recovery

- An elderly patient tells the charge nurse that she wants another nurse to take care of her. When the charge nurse questions the patient, she states "I don't want a man taking care of me." Which cultural barrier is this patient exhibiting? 1)Ethnocentrism 2)Racism 3)Sexism 4)Chauvinism

- Documentation in home healthcare may take many forms. Some nurses use NANDA-I terminology for diagnoses, whereas others use the Clinical Care Classification (CCC) system. The chief benefit of the CCC system is that it: 1)Contains diagnoses specific to home care, whereas NANDA-I does not. 2)Is simpler to use and more readily understood by other disciplines. 3)Is linked to the OASIS reporting forms required by Medicare. 4)Uses standardized terminology, whereas NANDA-I does not.

- Dunn believes that an individual's state of health should be evaluated in the context of the person's environment. This approach illustrates that 1) An unhealthy physical environment, characterized by poor living conditions, always has a negative effect on an individual's health 2) Adequate income, food, and shelter create a healthful environment and always improve physical health status 3) Physical environment, family, and social support may help or hinder the health status of an individual 4) The environment that should always be assessed is the client's immediate surroundings; extended boundaries do not apply in an ill state

- The community health nurse is working with the residents of government-subsidized senior housing. She meets with them regularly to discuss concerns and evaluate whether they receive healthcare that meets their needs. Which of the following nursing roles best describes these actions? 1)Case manager 2)Client advocate 3)Collaborator 4)Counselor 5)Educator

- The muscle strength of a woman weighing 132 pounds who is able to lift 72 pounds would be recorded as 0.55. The nurse explains this to the client as the 1) Ratio of weight lifted divided by body weight 2) Measure of weight pushed divided by BMI 3) Ability of a muscle to perform repeated movements 4) Ability to move a joint through its range of motion

- The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows she should use touch cautiously, especially when communicating with which patient? 1) Middle-aged woman just diagnosed with terminal lung cancer 2) Middle-aged man experiencing the acute phase of myocardial infarction 3) Older adult with a history of dementia admitted for dehydration 4) Young adult in the rehabilitative phase after arthroscopic surgery

- The nurse is teaching a clinic patient about hypertension. Which statement by the patient suggests that he is present oriented? 1)"I know I need to lose weight; I'll have to begin an exercise program right away." 2)"If I change my diet and begin exercising, maybe I can control my blood pressure without medications." 3)"I know I need to give up foods that contain a lot of salt, but with teenagers in the house it is very difficult." 4)"I will reduce the amount of calories, salt, and fat that I eat; I certainly do not want to have a stroke."

- The school nurse at a local elementary school is performing physical fitness assessments on the third-grade children. When assessing students' cardiorespiratory fitness, the most appropriate test is to have the students: 1) Step up and down on a 12-inch bench. 2) Perform the sit-and-reach test. 3) Run a mile without stopping, if they can. 4) Perform range-of-motion exercises.

- When counseling a patient about behaviors to reduce stress, which of the following goals should the nurse put on the care plan? 1)"The patient will limit his intake of fat to no more than 15% of the daily calories consumed." 2)"The patient will eat three meals per day at approximately the same time each day." 3)"The patient will limit his intake of sugar and salt, as well as sweet and salty foods." 4)"The patient will consume no more than three alcoholic beverages a day."

- When released in response to alarm, which of the following substances promotes a sense of well-being? 1)Aldosterone 2)Thyroid-stimulating hormone 3)Endorphins 4)Adrenocorticotropic hormone

- Which of the following helps the body release growth hormone (growth hormone assists in tissue regeneration, synthesis of bone, and formation of red blood cells)? 1) A healthy diet 2) Physical activity 3) Restful sleep 4) Comfortable room temperature

- Which of the following is a nonverbal behavior that enhances communication? 1) Keeping a neutral expression on the face 2) Maintaining a distance of 6 to 12 inches 3) Sitting down to speak with the patient 4) Asking mostly open-ended questions

- Which of the following is an example of an illness prevention activity? Select all that apply. 1)Encouraging the use of a food diary 2)Joining a cancer support group 3)Administering immunization for HPV 4)Teaching a diabetic patient about his diet

- Which of the following is considered a strength of the nursing profession? 1)Biomedical focus 2)Psychosocial focus 3)Biopsychosocial focus 4)Physical focus

- Which of the following provides evidence-based support for the contribution that advanced practice nurses (APNs) make within healthcare? 1)Reduced usage of diagnostics using advanced technology 2)Decreased number of unnecessary visits to the emergency department 3)Improved patient compliance with prescribed treatments 4)Increased usage of complementary alternative therapies

- Which of the following unique aspects of home care do Medicare reimbursement regulations require that the nurse include in documentation? 1)Patient assessment data and interventions performed 2)Patient response to care and assessment of environment 3)Evidence of homebound status and continued need for skilled care 4)Skilled care delivered and communication with other providers

- Which statement best describes self-concept? An individual's 1)Understanding of how others perceive him 2)Evaluation of himself 3)Overall view of himself 4)Perspective of his role in society

- Which statement by the nurse indicates that the nurse-patient relationship is entering the termination phase? 1) "I'll be admitting you to our nursing unit as soon as I obtain your health history." 2) "You seem upset today. Would you like to talk about whatever is bothering you?" 3) "I'm leaving for the day. Is there anything I can do for you before I leave?" 4) "Hello. My name is Leslie, and I'm going to be your nurse today."

A 12-year-old patient's mother recently married a man who has a 13-year-old daughter. The nurse recognizes that the patient belongs to which type of family? 1) Extended 2) Traditional 3) Blended 4) Nuclear

A 75-year-old white female patient says, "I've heard that women live to an older age than men do. My husband and I are the same age, so I am afraid I will have to spend some years without him. That really worries me." Which response is based on correct information? 1) "That is a realistic concern, as women do have a longer life expectancy than men. But many things can happen to change that." 2) "You need not worry, because both you and your husband are white. That statistic is true only for black men and women." 3) "It is true that women have a longer life expectancy at birth. However, life expectancy measured at age 65 is almost the same for both sexes. You are both well past 65." 4) "That is true only in certain geographical areas, such as those with a high population of newly retired persons."

A mother and father have brought their school-age child to the emergency department with injuries that cause the nurse to suspect child abuse. The nurse wishes to assess further for abuse and neglect. Which of the following should the nurse do? 1) Interview the parents together and the child separately. 2) Have one parent in the room to reassure the child during the interview. 3) Interview the child and each parent separately. 4) Request that a sexual assault nurse examiner (SANE) interview the family members.

A mother comes to the clinic with her infant for a newborn checkup at 1 week of age. The mother tells the nurse, "My baby looks yellow to me." The nurse's best response is which of the following?- 1) "What type of detergent are you using to wash the baby clothes?" 2) "Is there a possibility you had hepatitis during your pregnancy?" 3) "The color is from the breakdown of maternal red blood cells." 4) "There is a cream you can use to reduce the yellowing."

A mother watches the nurse perform an assessment on her newborn and asks the nurse why she is doing things like "stroking the bottom of his feet." The nurse should respond in which of the following ways? 1) "I'm checking the blood flow to your baby's feet to make sure it's normal." 2) "I'm testing to see if your baby's neuromuscular system is fully developed." 3) "I'm checking to see if your baby has the reflex responses we anticipate." 4) "I'm testing to see if your baby has normal sensation in his feet."

A patient comes to the urgent care clinic because he stepped on a rusty nail. What type of assessment would the nurse perform? 1) Comprehensive 2) Ongoing 3) Initial focused 4) Special needs

A patient was involved in a motor vehicle accident that resulted in multiple traumatic injuries. He was hospitalized for 8 days in the intensive care unit and 3 days on the surgical floor. He has been discharged home with home health support. Identify the primary goal of his home care: 1)Provide comprehensive direct care. 2)Promote sleep and rest for healing. 3)Teach the patient and family how to provide care. 4)Explain how home care differs from hospital care

According to Erikson, which of the following must a middle-aged adult do to be prepared for the final stages of life?1) Accept the fact that she is getting older. 2) Reconcile that death is a part of life. 3) Feel she has made a contribution to society. 4) Have had a meaningful and intimate relationship

According to Maslow's hierarchy of needs, which patient need should the nurse address first? 1) Protecting the patient against falls 2) Protecting the patient from an abusive spouse 3) Promoting rest in the critically ill patient 4) Promoting self-esteem after a body image change

An 86-year-old patient had prostate surgery 2 days ago. Which nursing action best meets his developmental needs? 1) Perform a spiritual assessment and make referrals as needed. 2) Provide a complete bed bath and other hygiene needs. 3) Encourage the patient to perform self-care as much as possible. 4) Administer pain medications to keep the patient comfortable

Hildegard Peplau was a nursing theorist whose major contribution to nursing was 1) Transcultural nursing 2) Health promotion 3) Nurse-patient relationship 4) Holistic comfort

In an effort to promote health, the home health nurse opens the client's bedroom windows to let in fresh air and sunlight, washes her hands often, and teaches the patient and family about the importance of hygiene and cleanliness. This most closely illustrates the ideas of which of the following people? 1) Jean Watson 2) Jurgen Moltmann 3) Florence Nightingale 4) Robert Louis Stevenson

Nondirective interviewing is a useful technique because it 1) Allows the nurse to have control of the interview 2) Is an efficient way to interview a patient 3) Facilitates open communication 4) Helps focus patients who are anxious

Nursing was described as a distinct occupation in the sacred books of which faith? 1)Buddhism 2)Christianity 3)Hinduism 4)Judaism

The client is a 76-year-old man who is experiencing chronic illness. He has a genetic-linked anemia. He says he does not eat a balanced diet, as he prefers sweets to meat and vegetables. Which of the following dimensions of health can the nurse most likely influence by teaching and counseling him? 1) Age-related changes 2) Genetic anemia 3) Eating habits 4) Gender-related issues

The inhabitants of Yulupa, California, form which of the following? 1)Aggregate 2)Community 3)Population 4)Vulnerable population

The nurse in the intensive care unit is providing care for only one patient, who was admitted in septic shock. Based on this information, which care delivery model can you infer that this nurse is following? 1)Functional 2)Primary 3)Case method 4)Team

The nurse is talking to a class of children, ages 9 to 11 years. For this age group, it would be most important for the nurse to discuss - 1) Safe sex practices 2) Healthy food choices 3) Use of seat belts and safety equipment 4) The importance of getting enough sleep

The nurse teaches a mother of a preschool-age child about expected development. Which comment by the parent indicates that she understands the information? 1) "She understands the monsters in books are not real." 2) "When I mention that her birthday is in a week, she understands." 3) "I am saving to buy her the roller skates she's been asking for." 4) "I can't expect her to understand when a friend doesn't agree with her."

What is the most influential factor that has shaped the nursing profession? 1)Physicians' need for handmaidens 2)Societal need for healthcare outside the home 3)Military demand for nurses in the field 4)Germ theory influence on sanitation

Which behavior by the mother is most likely to help the infant to develop trust? 1) Talking to the infant 2) Breastfeeding instead of bottle-feeding 3) Promptly responding to the infant's crying 4) Having the infant sleep in the same room with the parent

Which factor is related to the increased risk of acquiring polio in the United States after the disease was thought to be eradicated? 1) Lack of health insurance 2) Bioterrorism 3) Reduced compliance with vaccinations 4) Drug resistance

Which of the following is an example of an active listening behavior? 1) Taking frequent notes 2) Asking for more details 3) Leaning toward the patient 4) Sitting with legs crossed

Which of the following is an example of an open-ended question? 1)Have you had surgery before? 2)When was your last menstrual period? 3)What happens when you have a headache? 4)Do you have a family history of heart disease?

Which of the following is an example of practical knowledge? 1)The tricuspid valve is between the right atrium and ventricle of the heart. 2)The pancreas does not produce enough insulin in type 1 diabetes. 3)When assessing the abdomen, you should auscultate before palpating. 4)Research shows pain medication given intravenously acts faster than by other routes.

Which of the following is an example of self-knowledge? The nurse thinks, "I know that 1)Should take the client's apical pulse for 1 minute before giving digoxin" 2)Should follow the client's wishes even though it is not what I would want" 3)Have religious beliefs that may make it difficult to take care of some clients" - 4)Need to honor the client's request not to discuss his health concern with the family"

Which of the following is the most important reason for nurses to be critical thinkers? 1)Nurses need to follow policies and procedures. 2)Nurses work with other healthcare team members. 3)Nurses care for clients who have multiple health problems. 4)Nurses have to be flexible and work variable schedules.

Which of the following would be the priority for most adolescents? Being - 1) A good student 2) Sexually active 3) Picked to be on the soccer team 4) Able to function independently

Which situation is the most conducive to conducting a successful interview of an elderly woman whose husband and two children are in the hospital room visiting and watching television? The woman is alert and oriented. 1) Provide enough chairs so the family and you are able to sit facing the client. 2) Introduce yourself and ask, "Dear, what name do you prefer to go by?" before asking any questions. 3) After the family leaves ask the client if she is comfortable and willing to answer a few questions. 4) Ask the client if you can talk with her while her family is watching the television.

Which theorist developed the nursing theory known as the science of human caring? 1)Florence Nightingale 2)patricia Benner 3)Jean Watson 4)Nola Pender

Which type of managed care allows patients the greatest choice of providers, medications, and medical devices? 1)Health maintenance organization 2)Integrated delivery network 3)Preferred provider organization 4)Employment-based private insurance

- The nurse is visiting a client who resides in a single-room occupancy hotel. Groups of people are leaning against the building and smoking on the steps. There is obvious drug abuse occurring in the lobby and halls of the building. There is no running water in the room, and the bathroom down the hall is in disrepair and filthy. A primary concern that the nurse must consider when making this visit is safety. Which of the following actions are appropriate safety measures? Choose all that apply. 1)Notify the police that the nurse plans to visit this site. 2)Carry something that can be used as a weapon if necessary. 3)Inform the home health agency of the nurse's route and time of visit. 4)Do not visit if the nurse senses danger when he arrives at the site.

3 and 4

- A client incorporates alternative healthcare into her regular health practices. For which alternative therapy should the patient visit a formally trained practitioner? 1)Use of herbs and roots 2)Application of oils and poultices 3)Burning of dried plants 4)Acupuncture

- A client informs the nurse that he has quit smoking because his father died from lung cancer 3 months ago. Based on his motivation, smoking cessation should be recognized as an example of which of the following? 1) Healthy living 2) Health promotion 3) Wellness behaviors 4) Health protection

- A home health nurse is working with a physical therapist and home health aides to work out a schedule for their visits that will best address the patient's needs. Which nursing role does this demonstrate? 1)Direct care provider 2)Client and family educator 3)Client advocate 4)Care coordinator

- A nurse has sound, scientific evidence to support changing a procedure that would reduce catheter-related infections on the unit. The unit manager states, nevertheless, that she is unwilling to make the change because it would be too costly. Which response by the nurse represents assertive communication? 1) "This is a widely used practice. If you read more research, you'd probably wonder why we aren't already doing it." 2) "There is extensive evidence to support the new method, but I don't want to create an issue." 3) "Is the budget more important to the hospital than reducing infections and patient suffering?" 4) "I'd like to help gather information regarding the cost of new materials versus the savings in treating infections."

- A patient is in crisis. After assessing the situation, what should the nurse do first? 1)Determine the imminent cause of the crisis. 2)Intervene to relieve the patient's anxiety. 3)Decide on the type of help the patient needs. 4)Ensure the safety of both the nurse and patient.

- A patient of Japanese heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of "Pain related to reluctance to take medication secondary to cultural beliefs." If the cultural archetype is true for this particular patient, this probably means that the patient views pain as 1)A punishment for immoral behavior 2)A part of life 3)Best treated with herbal teas and prayer 4)A virtue and a matter of family honor

- A patient sustains a laceration of the thigh in an industrial accident. Which step in the inflammatory process will the patient experience first? 1)Cellular inflammation 2)Exudate formation 3)Tissue regeneration 4)Vascular response

- After a physician discusses cancer treatment options with a patient, the patient asks the nurse which treatment he should choose. Which response by the nurse is best? 1) "If I were you, I'd go with chemotherapy." 2) "What do you think about radiation therapy?" 3) "Why don't you see what your wife thinks." 4) "I'll give you some information about each option."

- At a home visit, the nurse asks the patient, "Have you taken your blood pressure medicine today?" The patient replies, "I don't remember. Maybe." On the table are several bottles of medication, some open, some not. They have all been prescribed for the patient. The patient cannot say how often to take each one, when asked. A compartmentalized medication organizer is on the table, with a few capsules in it, and some compartments left open. What should the nurse do? 1)Show the patient how to put the medications in the organizer for the next 2 days, and observe while he fills the rest of the organizer. 2)Arrange for a home health aide to come each day to show the patient which pills to take. 3)Administer today's medications and arrange for the pharmacy to put medications in easy-to-open containers in the future. 4)Fill the organizer for each day of the week, explain how to use it, and return in a day or two to evaluate

- During admission to the unit, a patient states, "I'm not worried about the results of my tests. I'm sure I'll be all right." As he observes the patient, the nurse notes that the patient is shaky and tearful and does not make eye contact. Unfortunately, the nurse is called away to an emergency before he has time to complete this discussion. Which of the following actions is most appropriate for the nurse to establish when returning to the patient? Patient will 1) Explain the reason for his incongruent statements 2) Engage in diversional activities to cope with stress 3) Express his concerns to his primary care provider 4) Discuss his concerns and fears with the nurse

- Some people readily become ill when under stress. Others are able to deal with tremendous stress and remain physically and mentally healthy. This disparity is affected by a person's level of hardiness. How can you apply this knowledge to your nursing care? 1) You cannot use this information at all. People are innately hardy or not. This is something that you must merely recognize. 2) You should encourage all people to develop some level of hardiness in order to get through difficult physical and emotional times. 3) You should assess for your own level of hardiness: If you are hardy, you will be a better nurse; if you are not, you can learn more about hardiness. 4) You can assess for hardiness in patients; you can encourage hardy patients to learn about their illness as a means for them to be more comfortable.

- Today is the last day of work on the medical-surgical unit for a nurse who has decided to work in home care. A patient asks her why she is going to home care. Select a response that best illustrates the advantages of home care. 1)"Care is much more comprehensive and unhurried in the home; it is more enjoyable for nurses to work in home care." 2)"Home care is much more organized than hospital care; you have access to the whole team, and there is less interference from others." 3)"A home health nurse has more autonomy and skills than a hospital nurse; I'll get to do more." 4)"In home care I can see my patients in their personal environment; this will help me understand them more and allow me to give personalized care.

- What is the type of nursing with a focus on the community as a whole and the health status of individuals as an aggregate? 1)School nursing 2)Community health nursing 3)Community-oriented nursing 4)Public health nursing

- Which response by the patient demonstrates an internal locus of control? 1)"My blood sugar wouldn't be out of control if my wife prepared better foods." 2)"I knew I shouldn't have come to this hospital; I'd be better if I hadn't." 3)"God must be getting even with me for my past behavior." 4)"I'm just glad to be alive; the accident could've been a lot worse."

- Which statement best describes self-esteem? 1)View of oneself as a unique human being 2)One's mental image of one's physical self 3)One's overall view of oneself 4)How well one likes oneself

A 62-year-old patient is admitted to the hospital with hypertension. Which question by the nurse is most important when performing the initial assessment interview? 1) "What medications do you take at home?" 2) "Do you have any environmental, food, or drug allergies?" 3) "Do you have an advance directive?" 4) "What is the greatest concern you are dealing with today?"

A 76-year-old patient is admitted with an acute myocardial infarction (heart attack). The doctor tells the patient that an angioplasty is necessary. The patient agrees and signs the informed consent. This patient is experiencing which stage of illness behavior? 1) Sick-role behavior 2) Seeking professional care 3) Experiencing symptoms 4) Dependence on others

A client has been hospitalized for 6 weeks. All of the following interventions are good ones, but which intervention is specifically focused on helping the patient cope with the emotional responses to prolonged hospitalization? 1) Providing skin care every shift to prevent skin breakdown 2) Encouraging the patient to get up in a chair to eat meals 3) Assisting the patient to ambulate in the hallway for several minutes each day 4) Designating a corner of the patient's room to display personal mementos

A client tells the nurse, "I can't see well enough to read anymore. I have new glasses, but it's still hard." What should the nurse advise her to do first? 1) "Go back to the eye doctor and have him check your glasses." 2) "Buy some audio books and listen to those." 3) "Adapt to reading less and find a new leisure activity." 4) "Install a bright but glare-free light near where you read."

A father brings his toddler to the clinic for well-child care. Which of the following would be most important for the nurse to assess?- 1) How successful the child is with potty training 2) How the child acts when you enter the room 3) Whether the child is using eating utensils 4) Whether the home is child-proofed

A mother has brought her 8-month-old daughter to the healthcare clinic for a well-child appointment and any needed immunizations. To assess the child's physical development with age-appropriate norms, which of the following questions should the nurse ask? - 1) "Is your child able to walk while holding onto furniture?" 2) "Is your child able to crawl on her hands and knees?" 3) "Is your child able to pick up food with her fingers?" 4) "Is your child able to sit up without support?"

A nursing instructor asked his nursing students to discuss their experiences with charting assessment data. Which comment by the student indicates the need for further teaching? 1) "I find it difficult to avoid using phrases like, 'The patient tolerated the procedure well.'" 2) "It's confusing to have to remember which abbreviations this hospital allows." 3) "I need to work on charting assessments and interventions right after they are done." 4) "My patient was really quiet and didn't say much, so I charted that he acted depressed."

A nursing instructor is guiding nursing students on best practices for interviewing patients. Which of the following comments by a student would indicate the need for further instruction? 1) "My patient is a young adult, so I plan to talk to her without her parents in the room." 2) "Because my patient is old enough to be my grandfather, I will call him 'Mr.'" 3) "When reading my patient's health record, I thought of a few questions to ask." 4) "When I give my patient his pain medication, I will have time to ask questions."

A patient who emigrated from India is admitted to the medical step-down unit with a bowel obstruction. A nasogastric (NG) tube is inserted to decompress her stomach. She asks the nurse if her daughter can bring in garlic to administer through her NG tube. The nurse tells the patient that she will ask the physician when she makes rounds. This nurse is utilizing the theory developed by which nurse theorist? 1) Betty Neuman 2) Dorothea Orem 3) Callista Roy 4) Madeline Leininger

A patient who has been diagnosed with breast cancer decides on a treatment plan and feels positive about her prognosis. Assuming the cancer diagnosis represents a crisis, this patient is most likely experiencing which phase of crisis? 1) Precrisis 2) Impact 3) Crisis 4)Adaptive

An older adult has type 1 diabetes. He can perform self-care activities but needs help with shopping and meal preparation as well as with blood glucose monitoring and insulin administration. Which type of healthcare facility would be most appropriate for him? 1)Acute care facility 2)Ambulatory care facility 3)Extended care facility 4)Assisted living facility

How does nursing diagnosis differ from a medical diagnosis? A nursing diagnosis is 1)Terminology for the client's disease or injury 2)A part of the client's medical diagnosis 3)The client's presenting signs and symptoms 4)A client's response to a health problem

Of the following recommended interviewing techniques, which one is the most basic? (That is, without that intervention, the others will all be less effective.) 1)Beginning with neutral topics 2)Individualizing your approach 3)Minimizing note taking 4)Using active listening

The PICO question reads, "Is TENS effective in the management of chronic low-back pain in adults?" Which part of this question comes from the "I" in PICO?- 1)Adults 2)Management 3)Pain 4)TENS

The nurse administering pain medication every 4 hours is an example of which aspect of patient care? 1)Assessment data 2)Nursing diagnosis 3)Patient outcome 4)Nursing intervention

The nurse and other hospital personnel strive to keep the patient care area clean. This most directly illustrates the ideas of which nursing theorist?- 1) Virginia Henderson 2) Imogene Rigdon 3) Katherine Kolcaba 4) Florence Nightingale

The nurse has instructed a group of parents on common adolescent behavior. Which comment by the parent would indicate the most urgent need for further discussion? - 1) "I guess my daughter won't be asking my opinion very much." 2) "I'm really going to watch my daughter's eating habits." 3) "We are really going to have to think about rules we want to enforce after he gets his driver's license." 4) "We don't keep alcohol in the house, so that's at least one thing we don't need to worry about."

The nurse is providing prenatal counseling for a couple who is trying to become pregnant. The priority for the nurse is to include which of the following pieces of information?- 1) Stages of growth and development of the fetus 2) Recommended schedule of visits to her healthcare provider 3)Recommended average weight gain during pregnancy 4) Healthy eating habits before and during pregnancy

The nurse is visiting a patient who lives in a single-room occupancy hotel. The patient requires wound care and medication management. There is no running water in the room, and the bathroom down the hall is in disrepair and filthy. The patient's room is not clean. What supplies would be essential for the nurse to bring with him when visiting this client? 1)All wound care supplies needed for the duration of the care 2)Reclosable plastic bags for disposal of old dressings 3)Small, biohazard sharps container to be left in the room 4)Waterless, antibacterial hand sanitizer solution

To which age group do most hospitalized patients belong? 1) Infants 2) Young adults 3) Middle adults 4) Older adults

What is the role of the Joint Commission in regard to patient assessment? 1)States what assessments are collected by individuals with different credentials 2)Regulates the time frames for when assessments should be completed 3)Identifies how data are to be collected and documented 4)Sets standards for what and when to assess the patients

When should the nurse make systematic observations about a patient? 1)When the patient has specific complaints 2)With the first assessment of the shift 3)Each time the nurse gives medications to the patient 4)Each time the nurse interacts with the patient

Which comment made by a woman in her early 50s would be a cue indicating the need for further assessment for a problem? 1) "My skin is so dry I need to use lotion every day after I bathe." 2) "I have episodes when I feel really hot even when others are not." 3) "It's getting harder to lift those big bags of dog food." 4) "I have to write myself notes because I'm getting so forgetful."

Which family member is most likely to be disabled? 1) 60-year-old African American male 2) 65-year-old Asian male 3) 70-year-old Caucasian female 4) 75-year-old Native American female

Which intervention by the nurse first helps to establish a trusting nurse-patient relationship? 1) Avoiding topics that may provoke emotional responses from the patient 2) Listening to the patient while performing care activities 3) Performing care interventions quietly and respectfully 4) Greeting the patient by name whenever entering the patient's room

Which of the following is an example of a school-aged child's meeting psychosocial development tasks? The child - 1) Wants to show off the latest trick he can do on his bike 2) Becomes interested in friendships with the opposite sex 3) Starts to see the value of making good decisions 4) Wants to buy the same jacket his friend has

Which of the following is an example of data that should be validated? 1)The client's weight measures 185 lb at the clinic. 2)The client's liver function test results are elevated. 3)The client's blood pressure is 160/94 mm Hg; he states that that is typical for him. 4)The client states she eats a low-sodium diet and reports eating processed food.

Which one of the following important nursing actions is a hospitalized patient likely to experience on an emotional level and remember long after this hospitalization has ended? 1) Administering her medications according to schedule 2) Allowing flexible visitation by her family and friends 3) Explaining treatment options in terms she can understand 4) Providing a healing presence by listening and being attentive

Why is it important to obtain information about nutritional and herbal supplements as well as about complementary and alternative therapies? 1) To determine what type of therapies are acceptable to the client 2) To identify whether the client has a nutrition deficiency 3) To help you to understand cultural and spiritual beliefs 4) To identify potential interaction with prescribed medication and therapies

You are caring for a patient with numerous physiological complaints. A family member tells you that the patient is pretending to have the symptoms of a stomach ulcer to avoid going to work. Which somatoform disorder is this patient most likely experiencing? 1)Hypochondriasis 2)Somatization 3)Somatoform pain disorder 4)Malingering

- Identify the nurse who is acting as a community health nurse. Choose all that apply. 1)School nurse who provides screening and direct care in the elementary school 2)Parish nurse who offers health education after services each Sunday 3)Nurse who works for the Red Cross by providing disaster relief 4)A nurse administering vaccines to inmates in a correctional facility

all 4

- The nurse is implementing a wellness program based on data gathered from a group of low-income seniors living in a housing project. He is using the Wheels of Wellness as a model for his planned interventions. Which of the following interventions would be appropriate based on this model? Choose all that apply. 1) Creating a weekly discussion group focused on contemporary news 2) Facilitating a relationship between local pastors and residents of subsidized housing 3) Coordinating a senior tutorial program for local children at the housing center 4) Establishing an on-site healthcare clinic operating one day per week

all 4

- Which of the following actions demonstrate how nurses promote health? 1) Role modeling 2) Educating patients and families 3) Counseling 4) Providing support

all 4

A 56-year-old patient diagnosed with an acute myocardial infarction (heart attack) makes inappropriate sexual comments to the licensed practical nurse (LPN). The LPN is visibly upset. The registered nurse (RN) assigned to the patient informs the patient that his behavior is unacceptable and will not be tolerated. Is the RN demonstrating holistic or mechanistic nursing?

mechanistic

- The unit council in the intensive care unit is designing a research study to see if they are meeting the spiritual needs of their patients. The study will involve patient interviews after discharge. After the interview process, the staff will examine patient statements for recurring themes. The unit council is conducting ____________________ research

qualititative

Nursing research is based on the ____________________ method.

scientific

A 23-year-old athlete decides to donate bone marrow for a child who requires a bone marrow transplant to fight leukemia. According to Maslow's later work, this athlete is fulfilling his need for ____________________.

NU111

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