Nursing 250 Quizzes
What is the primary focus of communication during the nurse-client relationship? A. The client and the client's needs B. The environment of the client C. The nursing activity to be performed D. The time available to the nurse
A. The client and the client's needs
The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that apply. A. "Does it hurt when I touch you here?" B. "Is there any chance you might be pregnant?" C. "Do you smoke cigarettes?" D. "Are you ready to get out of bed?" E. "What sorts of things do you do for fun?" F. "What plans do you have after you are discharged?"
A. "Does it hurt when I touch you here?" B. "Is there any chance you might be pregnant?" C. "Do you smoke cigarettes?" D. "Are you ready to get out of bed?"
A client expresses worry about upcoming surgery. Which response by the nurse is a cliché? A. "Don't worry, everything will be fine." B. "Do you want to cancel your surgery?" C. "Have you spoken to your family about your concerns?" D. "Tell me what you are worried about."
A. "Don't worry, everything will be fine."
A nurse caring for a client who was recently diagnosed with metastatic lung cancer finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy? A. "I see you are upset. Would you like to talk?" B. "Do you want me to call someone for you?" C. "I am sorry to hear you have cancer." D. "Don't worry, I have seen lots of people with cancer do fine."
A. "I see you are upset. Would you like to talk?"
When the preoperative client tells the nurse that the client cannot sleep because the client keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is: A. "The thought of having surgery is keeping you awake." B. "You shouldn't be nervous. We perform this procedure every day." C. "You have a great surgeon. You have nothing to worry about." D. "It sounds as if your surgery is a pretty scary procedure."
A. "The thought of having surgery is keeping you awake."
The nurse must use appropriate interviewing techniques to elicit accurate and complete health information. Which statement is an example of an open-ended question or comment? A. "What brought you to the hospital this morning?" B. "Are you having pain right now?" C. "You seem upset today. Are you?" D. "I'll be back in 30 minutes to check on your pain relief."
A. "What brought you to the hospital this morning?"
The client is being discharge, and the nurse observes the client crying. What is the nurse's most appropriate response? A. "Would you like to talk about anything before you go home?" B. "Are you scared because you are going home?" C. "Let's discuss your discharge plan." D. "What is your pain level at this time?"
A. "Would you like to talk about anything before you go home?"
A nurse is completing a health history with a client being admitted for a mastectomy. During the interview, the client states, "I don't know what to do. I am not sure if I really need this surgery." Which response by the nurse demonstrates active listening? A. "You seem unsure. Tell me your concerns about your surgery." B. "Don't worry. I am sure your physician is competent to perform the surgery." C. "I agree. If I were you, I would get a second opinion before the surgery." D. "I can see this interview is making you uncomfortable. We can continue later."
A. "You seem unsure. Tell me your concerns about your surgery."
In which situation would the SBAR technique of communication be most appropriate? A. A nurse is calling a physician to report a client's new onset of chest pain. B. A nurse is facilitating a family meeting to coordinate a client's discharge planning. C. A nurse is explaining the process of bone marrow biopsy to a client who is scheduled for the procedure. D. A nurse is teaching a client about the benefits of smoking cessation and the risks of continuing to smoke.
A. A nurse is calling a physician to report a client's new onset of chest pain.
Which of the following is an example of a characteristic of Stage 2 illness? A. A person tells his family that he is sick and allows them to take care of him. B. A person visits a physician to receive treatment for symptoms of an infection. C. A person experiences a headache and sore throat and takes an aspirin. D. A person begins rehabilitation following a stroke that left him paralyzed on one side.
A. A person tells his family that he is sick and allows them to take care of him
The following statement(s) is/are true regarding the HITECH ACT: A. All of the above B. It addresses the development, adoption, and implementation of health information technology policies C. It is a component of the American Recovery and Reinvestment Act D. It provides funding for eligible health care professionals and hospitals for development and maintenance of EHR's if they demonstrate meaningful use
A. All of the above
Which of the following explains why the demand for nurses is increasing? A. All of the above B. Advances in the health care field require more nurses. C. There is an increase in life expectancy as well as chronic illnesses. D. There is an increase in the acuity of hospitalized patients
A. All of the above
A nurse is discharging a client and thus terminating the nurse-client relationship. Which action should the nurse perform in this phase? A. Examine goals of the relationship to determine whether they were achieved B. Make formal introductions C. Provide assistance to achieve goals D. Create a contract regarding the relationship
A. Examine goals of the relationship to determine whether they were achieved
A client rings the call bell to request pain medication. Upon performing the pain assessment, the nurse informs the client that she will return with the pain medication. The nurse's promise to return with the pain medication is an example of which principle of bioethics? A. Fidelity B. Autonomy C. Nonmaleficence D. Justice
A. Fidelity
The nurse and the physical therapist discuss the therapy schedule and goals for a client on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist? A. Interpersonal B. Intrapersonal C. Small-group D. Organizational
A. Interpersonal
Which action by the nurse would facilitate the nurse-client relationship during the orientation phase? A. Introducing oneself to the client by name B. Designing a specific education plan of care C. Preparing for termination of the relationship D. Providing assistance to meet activities of daily living
A. Introducing oneself to the client by name
Which of the following is not a characteristic of a chronic disease? A. It requires short term support and care. B. It requires patient education for rehabilitation. C. It is a permanent change. D. It causes irreversible alterations in normal functioning.
A. It requires short term support and care
Which of the following is not an ideal strategy to use to retain older nurses in the workforce? A. Limit shift options to shorter shifts B. Benefit packages that recognize the needs of mature workers C. Use lift teams, special beds and equipment to reduce work related injuries and strains. D. Work redesign to limit physical energy expenditure
A. Limit shift options to shorter shifts
Which of the following activities would the nurse consider to be lifestyle risk factors for the development of health problems? Select all that apply. A. Maintaining a stressful job B. Family history of hypertension C. Avoiding exercise D. Participating in extreme sports E. Living in an area with high smog levels
A. Maintaining a stressful job C. Avoiding exercise D. Participating in extreme sports
A nurse gives a speech on nutrition to a group of pregnant women. Within the model of the communication process, what is the speech itself known as? A. Message B. Channel C. Source D. Stimulus
A. Message
All of the following agencies, initiatives, foundations, and/or academic institutions have a component of diversity mentioned except: A. Nanda-I nursing diagnosis B. PSU college of nursing philosophy C. Healthy people 2020 D. QSEN
A. Nanda-I nursing diagnosis
What manifestation is the most significant symptom indicating an illness? A. Pain B. Runny Nose C. Itching D. Bleeding
A. Pain
As nurses we can volunteer to participate in influenza injection clinics locally and on campus. What level of health promotion and preventive care is this an example of? A. Primary B. Tertiary C. Secondary
A. Primary
Based on Dunn's high level wellness model, the nurse plans care to achieve what patient goal? A. Striving to reach maximum potential in all dimensions. B. Changing to a more healthy lifestyle. C. Believing that one has the ability to prevent disease. D. Providing effective self care
A. Striving to reach. maximum potential in all dimensions
Which statement accurately describes the concepts of disease and illness? A. The focus of nurses is the person with an illness. B. Illness is a normal process that affects level of functioning. C. A disease is traditionally diagnosed and treated by a nurse. D. A person with an illness cannot be considered healthy.
A. The focus of nurses is the person with an illness
What is the goal of the nurse in a helping relationship with a client? A. To assist the client to identify and achieve goals B. To facilitate the client's interactions with others C. To ensure safety while caring for the client D. To provide hands-on physical care
A. To assist the client to identify and achieve goals
Each of the following facilitates a therapeutic nurse-client relationship except: A. closed-ended questions B. reflection. C. active listening. D. rephrasing.
A. closed-ended questions
In comparison with licensure, which measures entry-level competence, what does certification validate? A. specialty knowledge and clinical judgment B. more than 10 years of nursing practice C. ability to practice in more than one area D. innocence of any disciplinary violation
A. specialty knowledge and clinical judgment
A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next? A. Refuse to administer the medication B. Question the order for the medication C. Administer the medication based on the order D. Document concerns about the order
B. Question the order for the medication
Facebook is an example of A. Professional Network B. Social Network C. Cloud D. GPS
B. Social Network
Developing standardized terminologies in Nursing Informatics is driven by the following demands: A. Accessibility, ubiquity, dissemination and longevity B. Accessibility, reliability, longevity and reusability C. Accessibility, ubiquity, longevity, and reusability D. Accessibility, conformance, longevity, and reusability
C. Accessibility, ubiquity, longevity, and reusability
The greatest shortage of nursing is seen in which of the following specialty areas? A. Assisted Living Care B. Long Term Care C. Acute Care D. Home Care
C. Acute Care
Functions of the electronic health record include which of the following? A. Provides a single access point for health care providers managing care of a patient B. Provides a single location for long term data repository C. All of the above D. Provides communication among heath care team members
C. All of the above
The rapid onset of symptoms that last a relatively short time indicates what health problem? A. An actual risk factor B. A potential for wellness C. An acute illness D. A chronic illness
C. An acute illness
What phrase best describes the term HEALTH? A. The opposite of disease B. The opposite of illness C. Individually defined by each person D. Experienced by each person in exactly the same way
C. Individually defined by each person
Structured languages, also called taxonomies, are critical tools for nursing. Which of these is NOT an example of a currently recognized nursing taxonomy? A. Nursing Intervention Classification B. Clinical Care Classification C. International Statistical Classification of Diseases and Related Health Problems (ICD 10) D. International Classification of Nursing Practice (ICNP)
C. International Statistical Classification of Diseases and Related Health Problems (ICD 10)
Which of the following modes of value transmission is most likely to lead to confusion and conflict? A. Moralizing B. Modeling C. Laissez-faire D. Responsible Choice
C. Laissez-faire
A nurse knows the ethical term "do not cause harm" is an example of: A. Fidelity B. Justice C. Nonmaleficence D. Beneficence
C. Nonmaleficence
Nurses are aware that there is a current trend of an increase in the number of older adults resulting in an increase in the incidence of chronic illnesses. The nurse recognizes that some of the things that are necessary in order for a person to successfully adapt to a chronic illness include which of the following? A. One must maintain a sense of fear. B. One must accept dependence and adjust to it. C. One must maintain a positive self-concept. D. One must give up control of his or her life. E. One must learn to live as normally as possible.
C. One must maintain a positive self-concept E. One must learn to live as normally as possible
Which of the following statements accurately describe how risk factors may increase a person's chances for illness or injury? Select all that apply. A. All risk factors are modifiable B. Risk factors are unrelated to the person or event C. School-aged children are at high risk for communicable diseases. D. An increase in risk factors increases the possibility of illness E. A family history of breast cancer is not a modifiable risk factor F. Multiple sexual relationships increase the risk for sexually transmitted diseases.
C. School-aged children are at high risk for communicable diseases. D. An increase in risk factors increases the possibility of illness E. A family history of breast cancer is not a modifiable risk factor F. Multiple sexual relationships increase the risk for sexually transmitted diseases.
Which of the following factors have been identified as contributing to the cause of the current nursing shortage? A. Decrease in the elderly population B. A relatively unhealthy economy of the late 1990's and early 2000's. C. Selection of fields other than nursing as a career D. High ceiling wages for RN's without advanced degrees.
C. Selection of fields other than nursing as a career
When making client rounds, the charge nurse observes which action by a staff nurse that would constitute battery? A. The nurse tells the client she cannot leave the hospital because she is seriously ill. B. The staff nurse threatens to restrain the client if she did not take her medication. C. The elderly client refuses the intramuscular injection, but the staff nurse administered it.
C. The elderly client refuses the intramuscular injection, but the staff nurse administered it.
Which of the following most accurately defines the term ILLNESS? A. A pathological change in mind or body structure or function. B. The inability to carry out normal activities of living. C. The response of a person to a disease D. Achieving maximum potential and quality of life.
C. The response of a person to a disease
Which of the following models of health promotion and illness prevention was developed to illustrate how people interact with their environment as they pursue health? A. The health belief model B. The health-illness continuum C. The Agent-Host-Environment Model D. The health Promotion Model
D. The health promotion model
What is the nurse's primary role in promoting health? A. Educating others about health promotion activities B. Implementing stress reduction activities C. Avoiding smoking or drinking in public D. Being a role model for health promotion
D. Being a role model for health promotion
A mother always thanks clerks at the grocery store. Her daughter, age 6 years, echoes her thank you. The child is demonstrating what mode of value transmission? A. Moralizing B. Reward and Punishment C. Responsible Choice D. Modeling
D. Modeling
Perception is the key focus of health model developed by: A. Pender in 1996 B. Leavell and Clark in 1965 C. Dunn in 1961 D. Rosenstock in 1974
D. Rosenstock in 1974
A client on a surgical unit asks for the nurse's opinion of the surgeon. The nurse replies, "He is rude. His clients always end up with infections." The nurse is at risk of being accused of which of the following? A. Negligence B. Assault C. Libel D. Slander/Defamation
D. Slander/Defamation
High levels of turnover are effective tools in maintaining organizational functioning and quality patient care. (T/F)
False
New younger nurses are ideal prospects to act as expert mentors in specialty areas of a hospital. (T/F)
False
Nursing activities on a secondary level include teaching a patient with diabetes how to recognize and prevent potential complications. (T/F)
False
The discussion regarding a nation-wide health information infrastructure for electronic health records began with the enactment of the 2010 Affordable Care Act. (T/F)
False
The health promotion model views health as a constantly changing state, with high level wellness and death being on opposite ends of the continuum. (T/F)
False
Who believed there was a difference between nursing and medicine?
Florence Nightingale
Who was the first trained nurse in the US and established the practice of record keeping?
Linda Richards
Who published 4 volumes called the "History of Nursing"?
Mary Adelaide Nutting
Who establish one of the first midwifery schools in the US?
Mary Breckenridge
Who was America's first African American nurse, graduating from the New England Hospital?
Mary Elizabeth Mahoney
Who established the first 3 year nursing program in North America?
Nora Gertrude Livingston
A free agent nurse makes a higher hourly wage than other full time or part time nurses in the health care organization. (T/F)
True
Dorothea Dix was the pioneer for the reform of the treatment of the mentally ill. (T/F)
True
Nursing informatics integrates nursing science and information science. (T/F)
True
Patient outcomes are sensitive to nursing interventions and as a result, nursing staffing affects patient outcomes. (T/F)
True
Rural areas of the country have a greater shortage of nurses than urban areas of the country. (T/F)
True
Wisdom is the application of knowledge to an appropriate situation. (T/F)
True