A patient is admitted with possible methicillin-resistant Staphylococcus aureus (MRSA) and is placed in isolation until cultures can be obtained and declared noninfectious. During the isolation process, the nurse encourages family visits. Which level of Maslow’s hierarchy of needs is the nurse promoting when the family is encouraged to visit?
a. First level
b. Second level
c. Third level
d. Fourth level
C
A nurse provides care that is receptive to patients' and families'
perceptions of caring. Which action will the nurse take?
a.
Provides clear, accurate information
b. Just performs nursing
tasks competently
c. Does as much for the patient as
possible
d. Focuses solely on the patient's diagnosis
A
A nurse is providing presence to a patient and the family. Which
nursing action does this involve?
a. Focusing on the task that
needs to be done
b. Providing closeness and a sense of
caring
c. Jumping in to provide patient comfort
d. Being
there without an identified goal
B
Which action indicates a nurse is using caring touch with a
patient?
a. Inserts a catheter
b. Rubs a patient's
back
c. Prevents a patient from falling
d. Administers an injection
B
The nurse is caring for a patient who has been sullen and quiet for the past three days. Suddenly, the patient says, “I’m really nervous about surgery tomorrow, but I’m more worried about how it will affect my family.” What should the nurse do first?
a. Assure the patient that everything will be all right.
b. Tell the patient that there is no need to worry.
c. Listen to the patient’s concerns and fears.
d. Inform the patient a social worker is available.
C
An elderly patient is admitted to a hospital for management of
depression. The patient asks the nurse for permission to do meditation
and breathing exercises for 15 minutes in the evening. The nurse has
given the permission to do so. Which health model is reflected in this
situation?
1
Holistic health model
2
Restoration
and rehabilitation model
3
Health belief
model
4
Health promotion model
1
The nurse is developing a health promotion program on healthy eating
and exercise for high school students using the health belief model as
a framework. Which statement is related to the perception of
susceptibility to an illness?
1
"I've decided to start
a walking club at school for interested
students."
2
"The statistics of how many teenagers
are overweight is scary."
3
"I'm worried about
becoming overweight and getting diabetes because my father has
diabetes."
4
"I don't have time to exercise
because I have to work after school every night."
3
patient with a 20-year history of diabetes mellitus had a lower leg
amputation. Which statement made by the patient indicates that the
patient is experiencing a problem with body image?
1
"I
don't go out very much because everyone stares at
me."
2
"My wife has taken over paying the bills
since I've been in the hospital."
3
"I've been
attending church regularly with my wife since I got out of the
hospital."
4
"I just don't have any energy to get
out of bed in the morning."
1
The nurse works in a special care unit for children with severe
immunology problems and is caring for a 3-year-old boy from Greece.
The boy's father is with him while his mother and sister are back in
Greece. The nurse is having difficulty communicating with the father.
Which action should the nurse take?
1
Search for help with
language interpretation and develop an understanding of the cultural
differences.
2
Have another nurse care for the boy because
maybe that nurse will do better with the father.
3
Ask the
manager to talk with the father and keep him out of the
unit.
4
Care for the boy using hand gestures as if he were
from the local community.
1
Which intervention comes under active strategies of health
promotion?
1
Fortification of cereals with vitamin
A
2
A weight reduction program for obese
people
3
Fluoridation of municipal drinking
water
4
Fortification of milk with vitamin D
2
The nurse is conducting a home visit with an older adult couple. She
assesses that the lighting in the home is poor and there are throw
rugs throughout the home and a low footstool in the living room. She
discusses removing the rugs and footstool and improving the lighting
with the couple. Which level of need is the nurse addressing,
according to Maslow?
1
Self-actualization
2
Love
and belonging
3
Safety and security
4
Physiological
3
A patient wishes to join a relaxation therapy class after going
through a period of prolonged stress due to a recent divorce.
Initially the patient was reluctant to join the class, but after
repeated sessions of counselling, the patient agreed. Arrange the
stages of change that the patient experienced in the correct
order.
1.
Action
2.
Preparation
3.
Precontemplation
4.
Contemplation
3,4,2,1
When illness occurs, different attitudes about the illness cause
people to react in different ways. What do medical sociologists call
this reaction to illness?
1
Illness
prevention
2
Health promotion
3
Illness
behavior
4
Health belief
3
Based on the transtheoretical model of change, which is the most
appropriate response to a patient who states, "Me, exercise? I
haven't done that since junior high gym class, and I hated it
then!"
1
"I'd like you to ride your bike three
times this week and eat at least four fruits and vegetables every
day."
2
"I understand. Can you think of one reason
why being more active would be helpful for
you?"
3
"OI want you to walk 3 miles four times a
week, and I'll see you in 1 month."
4
"That's
fine. I don't exercise either because I hate it, too, and I don't
think it's helpful."
2
Which intervention comes under active strategies of health
promotion?
1
Fortification of cereals with vitamin
A
2
A weight reduction program for obese
people
3
Fluoridation of municipal drinking
water
4
Fortification of milk with vitamin D
2
The nurse is conducting a home visit with an older adult couple. She
assesses that the lighting in the home is poor and there are throw
rugs throughout the home and a low footstool in the living room. She
discusses removing the rugs and footstool and improving the lighting
with the couple. Which level of need is the nurse addressing,
according to Maslow?
1
Self-actualization
2
Love
and belonging
3
Safety and security
4
Physiological
3
According to the World Health Organization (WHO), what is the
definition of health?
1
Total absence of all diseases,
disorders, and syndromes
2
Absence of symptoms and signs
with normal lab reports
3
Complete physical, mental, and
social well-being
4
Being free from illness or injury
3
When illness occurs, different attitudes about the illness cause
people to react in different ways. What do medical sociologists call
this reaction to illness?
1
Illness
prevention
2
Health promotion
3
Illness
behavior
4
Health belief
3
When taking care of patients, the nurse routinely asks them if they
take any vitamins or herbal medications, encourages family members to
bring in music that the patient likes to help the patient relax, and
frequently prays with her patients if that is important to them. Which
model of health and illness is the nurse
practicing?
1
Health
promotion
2
Transtheoretical
3
Health belief
4
Holistic
4
A patient became disfigured in a car accident. Arrange the five
phases of adjustment to the change in body image in correct
order.
1.
Acknowledgment
2.
Acceptance
3.
Withdrawal
4.
Rehabilitation
5.
Shock
5,3,1,2,4
Which are components of the health belief model? Select all that
apply.
1
The likelihood that a person will take preventive
action
2
Individual's perception of the seriousness of an
illness
3
Individual's perception of susceptibility to an
illness
4
Individual characteristics and experiences
5
Behavior-specific knowledge and affect
1,2,3
Which activity represents secondary prevention?
1
A patient
attends cardiac rehabilitation sessions weekly.
2
The school
health nurse provides a program to the first-year students on healthy
eating.
3
A 50-year-old patient with no history of disease
attends the local health fair and has blood pressure
checked.
4
A home health care nurse visits a patient's home
to change a wound dressing.
4
The nurse is teaching juniors about the health promotion model (HPM).
Which components belong to the health promotion model? Select all that
apply.
1
Likelihood that a person will take preventive
action
2
Individual's perception of susceptibility to
illness
3
Behavior-specific knowledge and affect
4
Individual characteristics and experiences
5
Behavioral outcomes
3,4,5
Which is the desired outcome of the health promotion
model?
1
Improving the physical, mental, and social health
of all age groups
2
Modifying the personality of a
person
3
Encouraging health-promoting
behavior
4
Healthy People 2020
3
A professor at a nursing school asks students to give examples of
secondary prevention. Which examples would the professor expect from
the students? Select all that apply.
1
Immunization for
influenza
2
Rehabilitation activities
3
Wellness
education activities
4
Treating diseases at an early
stage
5
Screening techniques of diseases
4,5
Which statement by a patient supports the nurse's conclusion that the
patient follows a holistic approach of healing?
1
"I am
following prescribed medical therapies to lower the risk of heart
attack."
2
"I am also using guided imagery and
relaxation therapy for treatment."
3
"I am
following a perfect regimen of diet and exercise every
day."
4
"I am implementing changes in my behavior
for better health."
2
The nurse is providing information to a group of adolescents about
contraception and the risk of human immunodeficiency virus (HIV)
infection. What is the nurse teaching in this
instance?
1
The holistic approach model
2
The
health belief model
3
Secondary
prevention
4
Primary prevention
4
The nurse is participating at a health fair at the local mall giving
influenza vaccines to senior citizens. Which level of prevention is
the nurse practicing?
1
Primary
2
Quaternary
3
Tertiary
4
Secondary
1
Stroke is a lifestyle disease. Which lifestyle factors may increase
the risk of developing a stroke? Select all that apply.
1
Lack of immunizations
2
Tobacco use
3
Excessive sun exposure
4
Physical inactivity
5
Fast foods
2,4,5
The nurse is attending to patients in a postoperative unit. Based on
the holistic model of care, which activities should the nurse
encourage the patients to perform? Select all that apply.
1
Maintaining proper body image
2
Fulfilling
psychosocial need
3
Relaxation therapy
4
Breathing exercises
5
Praying with family
3,4,5
The nurse is teaching a group of student nurses about health belief
models. Which components of the health belief model address the
relationship between a person's beliefs and behaviors? Select all that
apply.
1
Individual's perception of the seriousness of an
illness
2
Likelihood that a person will take preventive
action against a disease
3
Individual's perception of
management of an illness
4
Individual's perception of
duration of an illness
5
Individual's perception of
susceptibility to an illness
1,2,5
The nurse has conducted an immunization program for physically
challenged children in a rehabilitation center. Pneumonia vaccine was
administered to the children as a part of the program. Which level of
prevention is this?
1
Early diagnosis
2
Secondary
3
Tertiary
4
Primary
4
A patient suffering from chronic obstructive pulmonary disease (COPD)
refuses to meet anyone, including family members. Which impact of the
illness is the patient showing? Select all that apply.
1
Impact on family role
2
Changed self-concept
3
Health prevention
4
Coping
5
Illness symptom
1,2
A nurse is teaching about the goals of Healthy People 2020. Which
information should the nurse include in the teaching session?
a. Eliminate health disparities in America.
b. Eliminate
health behaviors in America.
c. Eliminate quality of life in
America.
d. Eliminate healthy life in America.
A
A nurse is following the goals of Healthy People 2020 to provide
care. Which action should the nurse take?
a. Allow people
to continue current behaviors to reduce the stress of change.
b.
Focus only on health changes that will lead to better local
communities.
c. Create social and physical environments that
promote good health.
d. Focus on illness treatment to provide
fast recuperation.
C
nurse is using the World Health Organization definition of health to
provide care. Which area will the nurse focus on while providing
care?
a. Making sure the patients are disease
free
b. Making sure to involve the whole person
c. Making
sure care is strictly personal in nature
d. Making sure to focus
only on the pathological state
B
The nurse is preparing a smoking cessation class for family members
of patients with lung cancer. The nurse believes that the class will
convert many smokers to nonsmokers once they realize the benefits of
not smoking. Which health care model is the nurse following?
a. Health belief model
b. Holistic health model
c.
Health promotion model
d. Maslow's hierarchy of needs
A
A nurse is using Maslow's hierarchy to prioritize care for an anxious
patient that is not eating and will not see family members. Which area
should the nurse address first?
a. Anxiety
b. Not
eating
c. Mental health
d. Not seeing family members
B
The patient is reporting moderate incisional pain that was not
relieved by the last dose of pain medication. The patient is not due
for another dose of medication for another 2 1/2 hours. The nurse
repositions the patient, asks what type of music the patient likes,
and sets the television to the channel playing that type of music.
Which health care model is the nurse using?
a. Health
belief model
b. Holistic health model
c. Health promotion
model
d. Maslow's hierarchy
A
A nurse is assessing internal variables that are affecting the
patient's health status. Which area should the nurse assess?
a. Perception of functioning
b. Socioeconomic
Factors
c. Cultural background
d. Family practices
A
The nurse is working on a committee to evaluate the need for
increasing the levels of fluoride in the drinking water of the
community. Which concept is the nurse fostering?
a.
Illness prevention
b. Wellness education
c. Active health
promotion
d. Passive health promotion
D
The nurse is working in a clinic that is designed to provide health
education and immunizations. Which type of preventive care is the
nurse providing?
a. Primary Prevention
b. Secondary
Prevention
c. Tertiary Prevention
d. Risk factor Prevention
A
The patient is admitted to the emergency department of the local
hospital from home with reports of chest discomfort and shortness of
breath. The patient is placed on oxygen, has labs and blood gases
drawn, and is given an electrocardiogram and breathing treatments.
Which level of preventive care is this patient receiving?
a. Primary Prevention
b. Secondary Prevention
c.
Tertiary Prevention
d. Health Promotion
B
A patient is admitted to a rehabilitation facility following a
stroke. The patient has right-sided paralysis and is unable to speak.
The patient will be receiving physical therapy and speech therapy.
Which level of preventive care is the patient receiving?
a. Primary prevention
b. Secondary prevention
c.
Tertiary prevention
d. Health Promotion
C
Upon completing a history, the nurse finds that a patient has risk
factors for lung disease. How should the nurse interpret this
finding?
a. A person with the risk will get the
disease
b. The chances of getting the disease are
increased.
c. Risk modification will have no effect on disease
prevention.
d. The disease is guaranteed not to develop if the
risk factor is controlled.
B
he nurse is working in a drug rehabilitation clinic and is in the
process of admitting a patient for "detox." What should the
nurse do next?
a. Identify the patient's stage of
change.
b. Realize that the patient is ready to change.
c.
Teach the patient that choices will have to change.
d. Instruct
the patient that relapses will not be tolerated.
A
Upon completion of the assessment, the nurse finds that the patient
has quit drinking and has been alcohol free for the past 2 years.
Which stage best describes the nurse's assessment finding?
a. Contemplation
b Maintenance
c. Preparation
d. Action
B
A female patient has been overweight for most of her life. She has
tried dieting in the past and has lost weight, only to regain it when
she stopped dieting. The patient is visiting the weight loss
clinic/health club because she has decided to do it. She states that
she will join right after the holidays, in 3 months. Which stage is
the patient displaying?
a. Precontemplation
b.
Contemplation
c. Preparation
d. Action
B
The patient had a colostomy placed 1 week ago. When approached by the
nurse, the patient and spouse refuse to talk about it and refuse to be
taught about how to care for it. How will the nurse evaluate this
couple's stage of adjustment?
a. Shock
b.
Withdrawal
c. Acceptance
d. Rehabilitation
B
A nurse is teaching about the transtheoretical model of change. In
which order will the nurse place the progression of the stages from
beginning to end?
1. Action
2. Preparation
3.
Maintenance
4. Contemplation
5. Precontemplation
a. 5, 4, 2, 1, 3
b. 2, 5, 4, 3, 1
c. 4, 5, 3, 1,
2
d. 1, 5, 2, 3, 4
A
Which areas should the nurse assess to determine the effects of
external variables on a patient's illness? (Select all that
apply.)
a. Patient's perception of the illness
b.
Patient's coping skills
c. Socioeconomic status
d. Cultural
background
e. Social support
C,D,E
A nurse meets the following goals: helps a patient maintain health
and helps a patient with an illness. Which factors assist the nurse in
achieving these goals? (Select all that apply.)
a.
Understands the challenges of today's health care system
b.
Identifies actual and potential risk factors
c. Has coined the
term "illness behavior"
d. Minimizes the effects of
illnesses
e. Experiences compassion fatigue
A,B,D
Public health nursing differs from community health nursing in that
public health nursing
a. Focuses on individuals and
families.
b. Understands the needs of a population.
c.
Ignores political processes.
d. Considers the individual as one
member of a group.
B
A specialist in public health nursing requires
a. The same level
of education as the community health nurse.
b. Preparation at the
basic entry level.
c. An advanced degree regardless of public
health experience.
d. A graduate level education with a focus in
public health science.
D
The community health nurse differs from the community-based nurse in
that the community health nurse
a. Understands the needs of the
population.
b. Focuses on the needs of the individual.
c. Is
the first level of contact in the health care system.
d. Involves
the family in decision making
A
The type of nursing that focuses on acute and chronic care of
individuals and families while enhancing patient autonomy is
known
as _____ nursing.
a. Public health
b. Community
health
c. Community-based
d. Community-focused
C
The community health nurse is administering flu shots to children at
a local playground. In doing so, the nurse's focus is on
a.
Preventing individual illness.
b. Preventing community outbreak
of illness.
c. Preventing outbreak of illness in the
family.
d. The needs of the individual or family.
B
The community health nurse is providing counseling to a group of
teenage girls related to birth control and disease prevention.
The
nurse does this because
a. Focusing on subpopulations
leads to community health.
b. Community health nursing focuses on
individuals only.
c. Community health nursing excludes direct
care to subpopulations.
d. The focus is on preventing illness and
unwanted pregnancy.
A
Community-based nursing care takes place in community settings such
as the home or a clinic. Ideally, this is done to
a. Exert
greater control over individual or family decisions.
b. Provide
services close to where patients live.
c. Isolate patients and
prevent the spread of disease.
d. Reduce the need for self-care.
B
The community-based nurse is caring for a patient who is home bound
by arthritis and chronic lung problems. The patient, however, receives
many visitors from the neighborhood and from former coworkers, as well
as frequent phone calls from extended family. When concerned about how
the large number of visitors may be fatiguing the patient, the nurse
should
a. Restrict the number of visitors for the patient's
welfare.
b. Voice concerns to the patient and proceed according
to the patient's wishes.
c. Allow visitors to come and go freely
as they have been.
d. Create visiting hours when the patient may
see non-family members.
B
Vulnerable populations include those patients who are more likely to
develop health problems
a. Pregnancy.
b. Nontraditional
healing practices.
c. Excessive risk.
d. Unlimited access to
health care.
C
The instructor is teaching student nurses about identifying members
of vulnerable populations when the nursing student asks, "Why is
it that not all poor people are considered members of vulnerable
populations?" The instructor's best answer would be
a.
"All poor people are members of a vulnerable
population."
b. "Poor people are members of a
vulnerable population only if they take drugs."
c.
"Poor people are members of a vulnerable population only if they
are homeless."
d. "Members of vulnerable groups
frequently have a combination of risk factors."
D
The nurse is making a home visit to a Korean family whose daughter
gave birth 6 weeks earlier. She finds the daughter in bed with a
severe headache. The daughter's father is holding her hand and is
pressing different parts of the hand and lower arm. The mother
explains that the father is trying to cure the headache by using
pressure points. The nurse's best response would be to
a. Tell
the father to stop and give the daughter Tylenol.
b. Ask the
mother and/or father to explain the procedure.
c. Explain to the
father that what he is doing will not work.
d. Let the father
finish and then give the daughter Tylenol
B
The nurse is working in a community clinic when a man and woman bring
a 12 year-old boy in, stating that the child fell down a flight of
stairs and hurt his arm. The nurse notices several other bruises on
the child's body at varying stages of healing. The boy is placed on
the stretcher. When asked how he hurt himself, he states that he does
not remember. However, the nurse notices that the boy continuously
avoids looking at the man, while the man stares at him constantly. The
nurse should
a. Ask the boy if the man hurt him.
b. Confront
the man directly.
c. Ask the man and woman to step out.
d.
Ask the woman if the man hurt the boy.
C
The nurse is working with a 16-year-old pregnant female who tells the
nurse that she needs an abortion. The nurse provides the patient with
information on alternatives to abortion, but after several sessions,
the patient still insists on having the abortion. The competency of
the counselor requires the nurse to
a. Insist that the patient
speak with a "Right-to-Life" advocate.
b. Provide a
referral to an abortion service.
c. Refuse to provide referral to
an abortion service.
d. Delay referral to an abortion service.
B
The patient is in the hospital with the diagnosis of early-onset
Alzheimer's disease. Before the patient is discharged, the
community-based nurse is making a visit to the patient's home, where
he lives with his daughter and her family. A major focus of this visit
will be to
a. Demonstrate caregiver techniques for providing
care.
b. Stress to the family how difficult it will be to provide
care at home.
c. Encourage the family to send the patient to an
extended care facility.
d. Teach the family how to have the
patient declared incompetent. .
A
The community has three components: structure or locale, the people,
and the social systems. While doing a community assessment,the nurse
seeks data on the average household income and the number of residents
on public assistance. In doing so, the nurse is evaluating which of
the following?
a. Structure
b. Population
c. Welfare
system
d. Social system
A
An argument for passing "universal health care" legislation
is that it would help fulfill the Healthy People 2020 goal of
a.
Increasing quality of life in America.
b. Prolonging healthy life
in America.
c. Eliminating health disparities in America.
d.
Promoting healthy behaviors.
C
To increase quality and years of healthy life, Healthy People 2020
focuses on four areas. One of those areas is
a. Allowing people
to continue current behaviors to reduce the stress of change.
b.
Focusing only on individual health changes that will lead to better
communities.
c. Creating social and physical environments that
promote good health.
d. Focusing on illness treatment to provide
fast recuperation.
C
According to the World Health Organization, what is the best
definition for "health"?
a. Simply the absence of
disease
b. Involving the total person and environment
c.
Strictly personal in nature
d. Status of pathological state
B
The nurse is preparing a smoking cessation class and is amazed at how
many people still smoke even with the information on lung cancer so
readily available. She believes that her class will convert many
smokers to nonsmokers once they get all the latest information. The
nurse is a believer in which of the following health care
models?
a. Health Belief Model
b. Health Promotion
Model
c. Basic Human Needs Model
d. Holistic Health Model
A
The health care model that utilizes Maslow's hierarchy as its base is
the _____ Model.
a. Health Belief
b. Health
Promotion
c. Basic Human Needs
d. Holistic Health
C
The patient is describing moderate incisional pain that was not
relieved by the last dose of hydromorphone (Dilaudid) given 90 minutes
earlier. The patient is not due for another dose of medication for
another 2 1/2 hours. The nurse repositions the patient, asks what type
of music she likes, and puts on the music channel on the television,
setting it to play that type of music. The nurse is attempting to
utilize which health care model?
a. Health Belief Model
b.
Health Promotion Model
c. Basic Human Needs Model
d.
Holistic Health Model
D
Many variables influence a patient's health beliefs and practices.
Internal and external variables influence how a person thinks
and
acts. An example of an internal variable would be
a.
Perception of functioning.
b. Family practices.
c.
Socioeconomic factors.
d. Cultural background.
A
The patient is admitted to the emergency department of the local
hospital from home with reports of chest discomfort and shortness of
breath. She is placed on oxygen, has labs and blood gases drawn, and
is given an electrocardiogram and breathing treatments. What level of
preventive care is this patient receiving?
a. Primary
prevention
b. Secondary prevention
c. Tertiary
prevention
d. Health promotion
B
A patient is admitted to a rehabilitation facility following a
stroke. The patient has right-sided paralysis and is unable to speak.
The patient will be receiving physical therapy and speech therapy.
What are these examples of?
a. Primary prevention
b.
Secondary prevention
c. Tertiary prevention
d. Health promotion
C
Risk factors can be placed in the following interrelated categories:
genetic and physiological factors, age, physical environment, and
lifestyle. The presence of any of these risk factors means
that
a. A person with the risk factor will get the
disease.
b. The chances of getting the disease are
increased.
c. The disease is guaranteed not to develop if the
risk factor is controlled.
d. Risk modification will have no
effect on disease prevention.
B
The nurse is working in a drug rehabilitation clinic and is in the
process of admitting a patient who says that she wants to
be
"detoxified." It is important for the nurse
to
a. Identify the patient's stage of change.
b. Realize
that the patient is ready to change.
c. Instruct the patient that
she will have to change her lifestyle.
d. Instruct the patient
that relapses are not tolerated.
A
Caring in Nursing Practice
A nurse hears a colleague tell a
nursing student that she never touches a patient unless she is
performing a procedure or doing an assessment. The nurse tells the
student that from a caring perspective:
A. She does not
touch the patients either.
B. Touch is a type of verbal
communication.
C. There is never a problem with using
touch.
D. Touch forms a connection between nurse and patient.
D
Of the five caring processes described by Swanson, which describes
"knowing the patient"?
A. Anticipating the
patient's cultural preferences.
B. Determining the patient's
physician preference.
C. Establishing an understanding of a
specific patient.
D. Gathering task-oriented information during assessment.
C
A Muslim woman enters the clinic to have a woman's health examination
for the first time. Which nursing behavior applies Swanson's caring
process of "knowing the patient?"
A. Sharing
feelings about the importance of having regular woman's health
examinations.
B. Gaining and understanding of what a woman's
health examination means to the patient.
C. Recognizing that the
patient is modest; obtaining gender-congruent caregiver.
D.
Explaining the risk factors for cervical cancer.
B
Helping a new mother through the birthing experience demonstrates
which of the Swanson's five caring processes?
A.
Knowing.
B. Enabling.
C. Doing for.
D. Being with.
B
Which of the following is a strategy for creating work environments
that enable nurses to demonstrate more caring behaviors?
A. Increasing the working hours of the staff.
B. Increasing
salary benefits of the staff.
C. Creating a setting that allows
flexibility and autonomy for staff.
D. Encouraging increased
input concerning nursing functions from physicians.
C
When a nurse helps a patient find the meaning of cancer by supporting
beliefs about life, this is an example of:
A. Instilling
hope and faith.
B. Forming a human-altruistic value
system.
C. Cultural caring.
D. Being with.
A
A nurse demonstrates caring by helping family members:
A. Become active participants in care.
B. Provide
activities of daily living (ADLs).
C. Remove themselves from
personal care.
D. Make health care decisions for the patient.
A
Listening is not only "taking in" what a patient says; it
also includes:
A. Incorporating the views of the
physician.
B. Correcting any errors in the patient's
understanding.
C. Injecting the nurse's personal views and
statements.
D. Interpreting and understanding what the patient means.
D
A nurse is caring for an older adult who needs to enter an
assisted-living facility following discharge from the hospital. Which
of the following is an example of listening that displays
caring?
A. The nurse encourages the patient to talk about
his concerns while reviewing the computer screen in the room.
B.
The nurse sits at the patient's bedside, listens as he relays his fear
of never seeing his home again, and then asks if he wants anything to
eat.
C. The nurse listens to the patient's story while sitting on
the side of the bed then summarizes the story.
D. The nurse
listens to the patient talk about his fears of not returning home and
then tells him to think positively.
C
Presence involves a person-to-person encounter that:
A.
Enables patients to care for self.
B. Provides personal care to
a patient.
C. Conveys a closeness and a sense of caring.
D.
Describes being in close contact with a patient.
C
A hospice nurse sits at the bedside of a male patient in the final
stages of cancer. He and his parents made the decision that he would
move home and they would help him in the final stages of his disease.
The family participates in his care, but lately the nurse has
increased the amount of time she spends with the family. Whenever she
enters the room or approaches the patient to give care, she touches
his shoulder and tells him that she is present. This is an example of
what type of touch?
A. Caring touch.
B. Protective
touch.
C. Task-oriented touch.
D. Interpersonal touch.
A
Caring is central to nursing practice, but technological advances for
rapid diagnosis and treatment should lead the nurse to realize
that:
A. Technology has replaced caring as nurses'
primary focus.
B. Technology and caring cannot coexist when
related to patient care.
C. Technology becomes a powerful tool
when it works with caring.
D. Caring is the essence of nursing
and is isolated from technology.
C
Caring is a universal phenomenon that involves:
A. Being
disconnected.
B. Excluding outside phenomena in favor of family
relationships.
C. Focusing only on human relationships with one
another.
D. What matters to a person.
D
With respect to the concept of caring, most nursing theories:
A. Embrace the disease oriented to health care as Watson
does.
B. Recognize Leininger's theory and reject culture as a
caring force.
C. Identify caring as highly relational involving
patient and nurse.
D. Stress the universality of the express of caring.
C
The patient has had a colostomy placed but has not yet been able to
look at it. The nurse is given the task of teaching the patient how to
care for it. The nurse sits with the patient, and together they form a
plan on how to approach dealing with colostomy care. Which caring
process is the nurse performing?
A. Knowing.
B.
Doing for.
C. Enabling.
D. Maintaining belief.
C
In trying to determine patients' perception of caring, several
studies have suggested that:
A. The nurse's effectiveness
in performing tasks defines her profession.
B. The affective
dimension of nursing care is of primary importance.
C. All
patients have the same needs and similar personalities.
D.
Patients value both task performance and the affective dimension of nursing.
D
The nurse is admitting a patient who will be having elective surgery.
The nurse spends over an hour asking the patient questions as part of
the admission process. What is the nurse's primary reason for doing
this?
A. It is hospital protocol and part of the admission
process.
B. The nurse is trying to make the patient more
comfortable.
C. This will help the nurse provide better care for
the patient.
D. The nurse needs the time to give a detailed
description of what to expect.
C
he term "ethics" refers to the ideals of right and wrong
behavior. As such, the "ethics of care" creates a
professional relationship in which the nurse:
A. Must make
decisions for the patient solely using intellectual
principles.
B. Must become the patient's advocate based on the
patient's wishes.
C. Uses only analytical principles to determine
what is best for the patient.
D. Must ignore unequal family
relationships because they are personal
B
Providing "presence" involves "being there" and
"being with." What does this involve?
A.
Closeness and a sense of caring.
B. Focusing on the task that
needs to be done.
C. Jumping in to provide patient
comfort.
D. Being there without an identified goal.
A
The patient is to have thoracentesis at the bedside but tells the
nurse that he is afraid and would like to cancel. The nurse sits with
the patient and asks him to describe his fears. She then explains the
procedure and assures the patient that she will be with him during the
procedure. The patient agrees to have the procedure, and during the
procedure, the nurse stays with the patient, explaining each step and
providing encouragement. How has the nurse helped this patient?
A. Providing a presence.
B. Listening.
C. Providing
touch.
D. Providing family care.
A
The nurse has cared for a patient for several days. The patient is
terminal and is very near death. The nurse notices the heart rate on
the monitor decreasing and then the absence of a pattern. The family
is standing at the patient's bed, and when the nurse checks the
patient and finds no pulse or blood pressure, the family begins
sobbing and hugging each other. Some hold the patient's hand. The
nurse is overwhelmed by the presence of grief and leaves the room to
cry in the nurses' lounge. What is the nurse demonstrating?
A. Task-oriented touch.
B. Caring touch.
C. Protective
touch.
D. None of the above.
C
When dealing with the concept of "touch," the nurse
realizes what with regard to contact touch?
A. Involves
only skin-to-skin contact.
B. Involves eye contact.
C.
Occurs only when tasks are being performed.
D. Is used only to
protect the patient.
A
The nurse is making her first set of rounds in the morning. In doing
so, she meets a patient whom she has never worked with before. She
introduces herself and explains the plan of the day. She also asks the
patient how he normally takes his morning medications, such as before
breakfast, after breakfast, or during breakfast. She does this because
most of the morning medications in that institution are scheduled by
pharmacy for 0900. Getting to know her patient will allow her
to:
A. Choose the most appropriate time to give the
medication.
B. Explain to the patient that he will not get his
medication at his usual time.
C. Know what information to put on
the medication error report form.
D. Evaluate whether or not the
patient is taking his medication correctly at home
A
Using Healthy People 2020 as a guide, which of the following would
improve delivery of care to a community? (Select all that
apply.)
1. Community assessment
2. Implementing public
health policies
3. Increasing access to care
4. Determining
rates of specific illnesses
5. Reducing the number of fast food
restaurants in the community
1,2,3,4
A community nurse in a diverse community is working with health care
professionals to provide prenatal care for underemployed and
underinsured South African women.
Which overall goal of
Healthy People 2020 does this represent?
1. Assess the health
care needs of individuals, families, or communities
2. Develop
and implement public health policies and improve access to
care
3. Gather information on incident rates of certain diseases
and social problems
4. Increase life expectancy and quality of
life and eliminate health disparities
4
A nursing student in the last semester of the baccalaureate nursing
program is beginning the community health practicum and will be
working in a community-based clinic with a focus on asthma and
allergies.
What is the focus of the community health
nurse in this clinic setting? (Select all that apply.)
1.
Decreasing the incidence of asthma attacks in the community
2.
Increasing healthy food choices for school lunches
3. Assessing
for factors that contribute to asthmatic attacks in the
community
4. Providing asthma education programs for the
teachers in the local schools
1,2,4
A nurse caring for a Bosnian community identifies that the children
are undervaccinated and the community is unaware of resources. The
nurse assesses the community and determines that there is a health
clinic within a 5-mile
radius. The nurse meets with the community
leaders and explains the need for immunizations, the location of
the
clinic, and the process of accessing health care
resources.
Which of the following practices is the nurse
providing? (Select all that apply.)
1. Educating about community
resources
2. Teaching the community about illness
prevention
3. Promoting autonomy in decision making
4.
Improving the health care of the children in the community
1,2,4
Which of the following are major public health problems commonly
affecting older adults? (Select all that apply.)
1. Substance
abuse
2. Dementia
3. Financial limitations
4.
Communicable diseases
5. Chronic physical illnesses
1,2,3,5
The local health department received information from the Centers for Disease Control and Prevention that the flu was expected to be very contagious this season. The nurses set up flu vaccine clinics in local churches and senior citizen centers. This activity is an example of which level of prevention?
Tertiary intervention
A neighborhood with old homes is undergoing a lot of restoration. Lead paint was used in the buildings. The clinic is initiating a lead screening program. This activity is an example of which level of prevention?
Secondary intervention
The nurse in a community health clinic notices an increase in the
number of positive tuberculosis skin tests from students in a local
high school during the most recent academic year. After comparing
these numbers to the previous years, a 10% increase in positive tests
was found. The nurse contacts the school nurse and the director of the
health department. Together they begin to expand their assessment to
all students and employees of the school district. The community
health nurse is acting in which nursing role(s)? (Select all that
apply.)
1. Epidemiologist
2. Counselor
3.
Collaborator
4. Case manager
1,3
In the community clinic the nurse provides care for a 40-year old
woman who takes insulin to manage her diabetes.
The patient is
having increased difficulty managing her disease, and the nurse wants
her to consider a new insulin pump to help her control it. Which of
the following increases the likelihood that the patient will accept
this new insulin pump? (Select all that apply.)
1. Supporting the
patient as she tries the insulin pump on a limited basis
2.
Identifying why the patient is reluctant to use the insulin
pump
3. Telling the patient that many other patients you know use
the insulin pump successfully
4. The patient's perception that
the insulin pump is more consistent with her health care goals than
insulin administration
1,2,4
The nurse in a new community-based clinic is requested to complete a
community assessment. Order the steps for completing this
assessment.
1. Structure or locale
2. Social systems
3. Population
1,2,3
On the basis of an assessment, the nurse identifies an increase in
the immigrant population group in the community. How would he or she
determine some of the health needs of this population? (Select all
that apply.)
1. Identify which two health needs the immigrant
population views as most important
2. Apply information from
Healthy People 2020
3. Determine how the population uses
available health care resources
4. Identify perceived barriers
for health care
5. Implement an exercise program to help with
weight loss
1,2,3,4
The nurse is working with the county health department on a task
force to fully integrate the goals of Healthy People 2020. How does
the nurse determine which goals need to be included or updated?
(Select all that apply.)
1. Assesses the health care resources
within the community
2. Assesses the existing health care
programs offered by the county health department
3. Compares
existing resources and programs with Healthy People 2020 goals
4.
Initiates new programs to meet Healthy People 2020 goals
1,2,3
The patient has quit smoking and has been smoke free for the past 2
years. Of the following stages, which best fits her current stage of
change?
a. Contemplation
b. Preparation
c. Action
d. Maintenance
D
Based on the transtheoretical model of change, what is the most
appropriate response to a patient who states: "Me, exercise? I
haven't done that since junior high gym class, and I hated it
then!"
a. "That's fine. Exercise is bad for you
anyway."
b. "OK. I want you to walk 3 miles 4
times a week, and I'll see you in 1 month."
c.
"I understand. Can you think of one reason why being more active
would be helpful for you?"
d. "I'd like you to
ride your bike 3 times this week and eat at least four fruits and
vegetables every day."
C
A patient experienced a myocardial infarction 2 weeks ago and is
currently participating in the daily cardiac rehabilitation sessions
at the local fitness center. In what level of prevention is the
patient participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary
prevention
d. Quaternary prevention
C
A patient at the community clinic asks the nurse about health
promotion activities that she can do because she is concerned about
getting diabetes mellitus since her grandfather and father both have
the disease. This statements reflects that the patient is in what
stage of the health belief model?
a. Perceived threat of
the disease
b. Likelihood of taking preventative health
action
c. Analysis of perceived benefits of prevention
action
d. Perceived susceptibility to the disease
D
An example of a nurse caring behavior that families of acutely ill
patients perceive as important to patients' well-being is:
A. Making health care decisions for patients.
B. Having
family members provide a patient's total personal hygiene.
C.
Injecting the nurse's perceptions about the level of care
provided.
D. Asking permission before performing a procedure on
the patient.
D
A nurse enters a patient's room, arranges the supplies for a Foley
catheter insertion, and explains the procedure to the patient. She
tells the patient what to expect; just before inserting the catheter,
she tells the patient to relax and that, once the catheter is in
place, she will not feel the bladder pressure. The nurse then proceeds
to skillfully insert the Foley catheter. This is an example of what
type of touch?
A. Caring touch.
B. Protective
touch.
C. Task-oriented touch.
D. Interpersonal touch.
C
The patient is about to undergo a certain procedure and has voiced
concern about outcomes and prognosis. The nurse caring for the patient
underwent a similar procedure a few years earlier and stops to listen
to the patient's concerns. Which of the following responses by the
nurse may be most beneficial?
A. "I had a similar
procedure last year and I can tell you what I went
through."
B. "I don't think you have anything to worry
about. They do lots of these."
C. "If you're really
concerned, I can call the doctor and cancel the
procedure."
D. "Of course there are no guarantees, but
I think you'll be all right."
A
Caring is a universal phenomenon that influences the ways in which
people (Select all that apply.)
A. Learn.
B.
Think.
C. Believe.
D. Feel.
E. Behave.
B,D,E
Which theorist describes the concept of care as the essence and central, unifying, and dominant domain that distinguishes nursing from other health disciplines? She stresses the importance of nurses' understanding cultural caring behaviors.
Madeline Leininger
Which theorist offers nurses a rich, holistic understanding of nursing practice and caring through the interpretation of expert stories?
benner
Caring involves 5 processes, KNOWING, BEING WITH, DOING FOR, ENABLING and MAINTAINING BELIEF.
swanson
Caring means that person, events, projects and things matter to people. It reveals stress and coping options. Caring creates responsibility. It is an inherent feature of nursing practice. It helps the nurse assist clients to recover in the face of the illness.
benner
Caring is healing, it is communicated through the consciousness of the nurse to the individual being cared for. It allows access to higher human spirit.
watson
Caring is the essence and central unifying, a dominant domain that distinguishes nursing from other health disciplines. Care is an essential human need.
leninger
What are the basic concepts of nursing?
nursing, person, health, environment
Which of the following statements is related to Florence Nightingale?
The role of nursing is to facilitate "the body's reparative processes" by manipulating client's environment.
A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?
watson
What is the highest Maslow Human Needs Theory?
Self-Actualization: achieving maximum potential
Specific assumptions about caring in Watson's Science of Human Caring Theory, include (select all that apply):
Caring promotes health more than curing; Caring involves consequences
Caring is central to nursing practice, but technological advances for rapid diagnosis andtreatment should lead the nurse to realize thata.Technology has replaced caring as nurses’ primary focus.b.Technology and caring cannot coexist when related to patient care.c.Technology becomes a powerful tool when it works with caring.d.Caring is the essence of nursing and is isolated from technology
C
With respect to the concept of caring, most nursing theories
- Embrace the disease orientation to health care as Watson does.
- Recognize Leininger’s theory and reject culture as a caring force.
- Identify caring as highly relational involving patient and nurse.
- Stress the universality of the expression of caring.
C
In trying to determine patients’ perception of caring, several studies have suggested that
- The nurse’s effectiveness in performing tasks defines her profession.
- The affective dimension of nursing care is of primary importance.
- All patients have the same needs and similar personalities.
- Patients value both task performance and the affective dimension of nursing.
D
The nurse is admitting a patient who will be having elective surgery. The nurse spends over an hour asking the patient questions as part of the admission process. What is the nurse’s primary reason for doing this?
- It is hospital protocol and part of the admission process.
- The nurse is trying to make the patient more comfortable.
- This will help the nurse provide better care for the patient.
- The nurse needs the time to give a detailed description of what to expect.
C
The term “ethics” refers to the ideals of right and wrong behavior. As such, the “ethics of
care” creates a professional relationship in which the nurse
- Must make decisions for the patient solely using intellectual principles.
- Must become the patient’s advocate based on the patient’s wishes.
- Uses only analytical principles to determine what is best for the patient.
- Must ignore unequal family relationships because they are personal.
B
The patient is to have thoracentesis at the bedside but tells the nurse that he is afraid and would like to cancel. The nurse sits with the patient and asks him to describe his fears. She then explains the procedure and assures the patient that she will be with him during the procedure. The patient agrees to have the procedure, and during the procedure, the nurse stays with the patient, explaining each step and providing encouragement. How has the nurse helped this patient?
- Providing a presence
- Listening
- Providing touch
- Providing family care
A
The nurse has cared for a patient for several days. The patient is terminal and is very near death. The nurse notices the heart rate on the monitor decreasing and then the absence of a pattern. The family is standing at the patient’s bed, and when the nurse checks the patient and finds no pulse or blood pressure, the family begins sobbing and hugging each other. Some hold the patient’s hand. The nurse is overwhelmed by the presence of grief and leaves the room to cry in the nurses’ lounge. What is the nurse demonstrating?
- Task-oriented touch
- Caring touch
- Protective touch
- None of the above
C
The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis. The nurse caring for the patient underwent a similar procedure a few years earlier and stops to listen to the patient’s concerns. Which of the following responses by the nurse may be most beneficial?
- “I had a similar procedure last year and I can tell you what I went through.”
- “I don’t think you have anything to worry about. They do lots of these.”
- “If you’re really concerned, I can call the doctor and cancel the procedure.”
- “Of course there are no guarantees, but I think you’ll be all right.”
A
Which of the following would be the best way to determine the health of a community?
a. Ask a firefighter which neighborhoods have the fewest fires. b. Ask a realtor which neighborhoods have the most expensive houses.
c. Ask people living in the neighborhood if they are happy with where they live.
d. Ask the police department which neighborhoods have the lowest crime rates
C
Which of the following characteristics would be most indicative of a healthy community?
a. Excellent private schools and superb fire and police systems
b. A United Way that receives large donations each year
c. An extensive array of services offered by private physicians
d. Clean air and water and a sense of community cohesion
D
A nurse was assessing the neighborhood near the health agency. The nurse drove around observing the condition of the buildings, sidewalks, and the people in the community. Which of the following best describes the actions of the nurse?
a. A drive-through
b. A neighborhood observation
c. A quick overview
d. A windshield survey
D
Which of the following would be the best definition of a community?
a. People with open boundaries living in a particular area
b. People gathered together to solve a particular problem
c. People with a sense of belonging or common identity
d. People with at least one common demographic characteristic
C
Which action should the nurse take when using critical thinking to
make clinical decisions?
a. Make decisions based on
intuition.
b. Accept one established way to provide
care.
c. Consider what is important in a given
situation.
d. Read and follow the heath care provider's orders.
C
Which patient scenario of a surgical patient in pain is most
indicative of critical thinking?
a. Administering
pain-relief medication according to what was given last shift
b.
Offering pain-relief medication based on the health care provider's
orders
c. Asking the patient what pain-relief methods,
pharmacological and nonpharmacological, have worked in the
d.
Explaining to the patient that self-reporting of severe pain is not
consistent with the minor procedure that performed
C
Which action indicates a registered nurse is being responsible for
making clinical decisions?
a. Applies clear textbook
solutions to patients' problems
b. Takes immediate action when a
patient's condition worsens
c. Uses only traditional methods of
providing care to patients
d. Formulates standardized care plans
solely for groups of patients
B
A charge nurse is supervising the care of a new nurse. Which action
by a new nurse indicates the
charge nurse needs to
intervene?
a. Making an ethical clinical decision
b.
Making an informed clinical decision
c. Making a clinical
decision in the patient's best interest
d. Making a clinical
decision based on previous shift assessments
D
Which action demonstrates a nurse utilizing reflection to improve
clinical decision making?
a. Obtains data in an orderly
fashion
b. Uses an objective approach in patient
situations
c. Improves a plan of care while thinking back on
interventions effectiveness
d. Provides evidence-based
explanations and research for care of assigned patients
C
A nursing instructor needs to evaluate students' abilities to
synthesize data and identify
relationships between nursing
diagnoses. Which learning assignment is best suited for
this
instructor's needs?
a. Concept mapping
b.
Reflective journaling
c. Lecture and discussion
d. Reading
assignment with a written summary
A
A nurse is using a critical thinking model to provide care. Which
component is first that helps a
nurse make clinical
decisions?
a. Attitude
b. Experience
c. Nursing
process
d. Specific knowledge base
D
Which action by a nurse indicates application of the critical
thinking model to make
the best clinical decisions?
a. Drawing on past clinical experiences to formulate
standardized care plans
b. Relying on recall of information from
past lectures and textbooks
c. Depending on the charge nurse to
determine priorities of care
d. Using the nursing process
D
A nurse is using the critical thinking skill of evaluation. Which
action will the nurse take?
a. Examine the meaning of
data.
b. Support findings and conclusions.
c. Review the
effectiveness of nursing actions.
d. Search for links between
the data and the nurse's assumptions.
C
The patient appears to be in no apparent distress, but vital signs
taken by assistive personnel
reveal an extremely low pulse. The
nurse then auscultates an apical pulse and asks the
patient
whether there is any history of heart problems. The nurse
is utilizing which critical thinking skill?
a.
Evaluation
b. Explanation
c. Interpretation
d. Self-regulation
C
A patient continues to report postsurgical incision pain at a level
of 9 out of 10 after pain medicine is given. The next dose of pain
medicine is not due for another hour. What should the critically
thinking nurse do first?
a.Explore other options for pain
relief.
b.Discuss the surgical procedure and reason for
the pain.
c.Explain to the patient that nothing else has
been ordered.
d.Offer to notify the health care provider
after morning rounds are completed.
A
Which action should the nurse take to best develop critical thinking
skills?
a.Study 3 hours more each night.
b.Attend
all inservice opportunities.
c.Actively participate in clinical
experiences.
d.Interview staff nurses about their nursing experiences.
C
While caring for a hospitalized older-adult female post hip surgery,
the nurse is faced with the task of inserting an indwelling urinary
catheter, which involves rotating the hip into a contraindicated
position. Which action should the nurse take?
a.Postpone
catheter insertion until the next shift.
b.Adapt the
positioning technique to the situation.
c.Notify the
health care provider for a urologist consult.
d.Follow
textbook procedure with contraindicated position.
B
The nurse enters a room to find the patient sitting up in bed crying.
How will the nurse display a critical thinking attitude in this
situation?
a.Provide privacy and check on the patient 30
minutes later.
b.Set a box of tissues at the patient's
bedside before leaving the room.
c.Limit visitors while
the patient is upset.
d.Ask the patient about the crying.
D
A patient is having trouble reaching the water fountain while holding
on to crutches. The nurse suggests that the patient place the crutches
against the wall while stabilizing him or herself with two hands on
the water fountain. Which critical thinking attitude did the nurse use
in this situation?
a.Humility
b.Creativity
c.Risk taking
d.Confidence
B
A nurse is pulled from the surgical unit to work on the oncology
unit. Which action by the nurse displays humility and
responsibility?
a.Refusing the assignment
b.Asking for an orientation to the unit
c.Admitting
lack of knowledge and going home
d.Assuming that patient
care will be the same as on the other units
B
A nurse is using professional standards to influence clinical
decisions. What is the rationale for the nurse's actions?
a.Establishes minimal passing standards for testing
b.Utilizes evidence-based practice based on nurses' needs
c.Bypasses the patient's feelings to promote ethical
standards
d.Uses critical thinking for the highest level
of quality nursing care
D
A nurse who is caring for a patient with a pressure ulcer applies the
recommended dressing according to hospital policy. Which standard is
the nurse following?
a.Fairness
b.Intellectual
standards
c.Independent reasoning
d.Institutional practice guidelines
D
A nurse is reviewing care plans. Which finding, if identified in a
plan of care, should the registered nurse revise?
a.Patient's outcomes for learning
b.Nurse's assumptions
about hospital discharge
c.Identification of several actual
health problems
d.Documentation of patient's ability to meet the goal
B
In which order will the nurse use the nursing process steps during
the clinical decision-making process?
1. Evaluating
goals
2. Assessing patient needs
3. Planning priorities of
care
4. Determining nursing diagnoses
5. Implementing
nursing interventions
a.2, 4, 3, 5, 1
b.4, 3, 2, 1,
5
c.1, 2, 4, 5, 3
d.5, 1, 2, 3, 4
A
While preparing medications for a patient, the nurse
compares
the name of the medication on the label with
the name of the
medication on the physician's order.
At the bedside, the nurse
checks the patient's name
against the order as well. The nurse is
following which
critical thinking attitude?
1.
Responsible
2. Complete
3. Accurate
4. Broad
1
A nurse asks a student nurse to irrigate a patient's
feeding
tube. The student has not performed the procedure
other
than in simulation laboratory. The student
approaches
her clinical instructor and asks a clarifying
question
about the amount of saline to use in the procedure.
This
is an example of which critical thinking attitude?
1.
Risk taking
2. Confidence
3. Consistency
4. Curiosity
2
A patient has regularly visited the outpatient wound
clinic over
the last 2 months for treatment of a foot ulcer.
The nurses have
tried two types of dressings, but the
wound shows little
improvement. During the patient's
next visit, a nurse recommends
a hydrocolloid dressing
and use of a foot boot to reduce pressure
on the ulcer
when the patient walks. This approach to selecting
an
intervention employs which critical thinking attitude?
1.
Significance
2. Curiosity
3. Perseverance
4. Logic
3
While preparing medications for a patient, the nurse
compares
the name of the medication on the label with
the name of the
medication on the physician's order.
At the bedside, the nurse
checks the patient's name
against the order as well. The nurse is
following which
critical thinking attitude?
1.
Responsible
2. Complete
3. Accurate
4. Broad
1
A patient has regularly visited the outpatient wound
clinic over
the last 2 months for treatment of a foot ulcer.
The nurses have
tried two types of dressings, but the
wound shows little
improvement. During the patient's
next visit, a nurse recommends
a hydrocolloid dressing
and use of a foot boot to reduce pressure
on the ulcer
when the patient walks. This approach to selecting
an
intervention employs which critical thinking attitude?
1.
Significance
2. Curiosity
3. Perseverance
4. Logic
3
A nurse has seen many cancer patients struggle with pain management
because they are afraid of becoming addicted to the medicine. Pain
control is a priority for cancer care. By helping patients focus on
their values and beliefs about pain control, a nurse can best make
clinical decisions. This is an example of:
1.
Creativity.
2. Fairness.
3. Clinical reasoning.
4.
Applying ethical criteria.
4
A nurse prepares to insert a Foley catheter. The procedure manual
calls for the patient to lie in the dorsal recumbent position. The
patient complains of having back pain when lying on her back. Despite
this, the nurse positions the patient supine with knees flexed as the
manual recommends and begins to insert the catheter. This is an
example of:
1. Accuracy
2. Reflection
3. Risk
taking
4. Basic critical thinking
4
A nurse is preparing medication for a patient. The nurse checks the
name of the medication on the lab with the name of the medication on
the doctor's order. At the bedside the nurse checks the patients name
against the medication order as well. The nurse is following which
critical thinking attitude:
1. Responsible
2.
Complete
3. Accurate
4. Broad
1
By using known criteria in conducting an assessment such as reviewing
with a patient the typical characteristics of pain, a nurse is
demonstrating which critical thinking attitude?
1.
Curiosity
2. Adequacy
3. Discipline
4. Thinking independently
3
A nurse just started working at a well-baby clinic. One of her recent
experiences was to help a mother learn the steps of breastfeeding.
During the first clinic visit the mother had difficulty positioning
the baby during feeding. After the visit the nurse considers what
affected the inability of the mother to breastfeed, including the
mother's obesity and inexperience. The nurse's review of the situation
is called:
A. Reflection.
B. Perseverance.
C.
Intuition.
D. Problem solving.
1
An aspect of clinical decision making is knowing the patient. Which
of the following is the most critical aspect of developing the ability
to know the patient?
1. Working in multiple health care
settings
2. Learning good communication skills
3. Spending
time establishing relationships with patients
4. Relying on
evidence in practice
3
A nurse enters a 72-year-old patient's home and begins to observe her
behaviors and examine her physical condition. The nurse learns that
the patient lives alone and notices bruising on the patient's leg.
When watching the patient walk, the nurse notes that she has an
unsteady gait and leans to one side. The patient admits to having
fallen in the past. The nurse identifies the patient as having the
nursing diagnosis of Risk for Falls. This scenario is an example
of:
A. Inference.
B. Basic critical
thinking.
C. Evaluation.
D. Diagnostic reasoning.
D
The nurse is caring for a patient who is in the terminal stage of a
fatal disease. This is taking a toll on the nurse's emotional
well-being. Which action is an example of protective touch that nurses
can employ for their own well-being?
a. continue caring for the patient
b. comfort and instill belief in the patient
c. encourage the patient to distract self from the symptoms
d. distance oneself from this patient
D
Which nursing intervention indicates a protective touch for a patient
with a major injury after an accident?
a. shaking the patient's hand while meeting for the first time
b. touching the patient's shoulder while explaining a medication
c. holding the patient's hand while starting an intravenous
catheter
d. holding the patient while assisting with walking
D
he nurse has long conversations with a patient about the patient's
health, family, religious, and cultural practices. What impact will
such a conversation likely have on the healing relationship?
a. it may distract the nurse from important nursing tasks
b. it will have no impact on the patient's healing
c. it will help to assist the patient in using social resources
d. it will make the patient uncomfortable to reveal personal information
C
A patient is suffering from a hormonal disorder. The nurse tries to
retain a hope-filled positive attitude for this patient. The nurse
also offers realistic optimism to the patient. Which component of
Swanson's caring theory is the nurse applying?
a. knowing
b. doing for
c. being with
d. maintaining belief
D
A patient is talking to the nurse about being upset after receiving a
cancer diagnosis. The nurse attentively listens and touches the
patient gently. Which component of Swanson's theory does this action fulfill?
a. enabling
b. doing for
c. being with
d. maintaining belief
C
The nurse is following Swanson's theory in caring for a patient.
Which actions are included in knowing the patient?
a. Instilling faith in this patient.
b. Helping the patient perform daily activities.
c. Understanding the patient and the patient's suffering as a
whole.
d. Knowing the interventions that should be performed with the patient
C
A patient is undergoing treatment for lung cancer and is depressed
due to the diagnosis. The nurse tries to understand the patient's
feelings without making any assumptions. Which caring process is this,
according to Swanson's theory?
a. Enabling
b. Knowing
c. Doing for
d. Being with
B
If the nurse only practices the curative regimen prescribed by the
health care provider while dealing with patients, which aspect of
Watson's transpersonal caring theory does the nurse fail to apply?
a. Intention to cure
b. Intention to care
c. Management by conventional means
d. Brief conversation with the patient
B