front 1 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 | back 1 C |
front 2 A nurse provides care that is receptive to patients' and families'
perceptions of caring. Which action will the nurse take? | back 2 A |
front 3 A nurse is providing presence to a patient and the family. Which
nursing action does this involve? | back 3 B |
front 4 Which action indicates a nurse is using caring touch with a
patient? | back 4 B |
front 5 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. | back 5 C |
front 6 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? | back 6 1 |
front 7 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? | back 7 3 |
front 8 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? | back 8 1 |
front 9 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? | back 9 1 |
front 10 Which intervention comes under active strategies of health
promotion? | back 10 2 |
front 11 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? | back 11 3 |
front 12 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. | back 12 3,4,2,1 |
front 13 When illness occurs, different attitudes about the illness cause
people to react in different ways. What do medical sociologists call
this reaction to illness? | back 13 3 |
front 14 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!" | back 14 2 |
front 15 Which intervention comes under active strategies of health
promotion? | back 15 2 |
front 16 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? | back 16 3 |
front 17 According to the World Health Organization (WHO), what is the
definition of health? | back 17 3 |
front 18 When illness occurs, different attitudes about the illness cause
people to react in different ways. What do medical sociologists call
this reaction to illness? | back 18 3 |
front 19 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? | back 19 4 |
front 20 A patient became disfigured in a car accident. Arrange the five
phases of adjustment to the change in body image in correct
order. | back 20 5,3,1,2,4 |
front 21 Which are components of the health belief model? Select all that
apply. | back 21 1,2,3 |
front 22 Which activity represents secondary prevention? | back 22 4 |
front 23 The nurse is teaching juniors about the health promotion model (HPM).
Which components belong to the health promotion model? Select all that
apply. | back 23 3,4,5 |
front 24 Which is the desired outcome of the health promotion
model? | back 24 3 |
front 25 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. | back 25 4,5 |
front 26 Which statement by a patient supports the nurse's conclusion that the
patient follows a holistic approach of healing? | back 26 2 |
front 27 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? | back 27 4 |
front 28 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? | back 28 1 |
front 29 Stroke is a lifestyle disease. Which lifestyle factors may increase
the risk of developing a stroke? Select all that apply. | back 29 2,4,5 |
front 30 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. | back 30 3,4,5 |
front 31 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. | back 31 1,2,5 |
front 32 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? | back 32 4 |
front 33 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. | back 33 1,2 |
front 34 A nurse is teaching about the goals of Healthy People 2020. Which
information should the nurse include in the teaching session? | back 34 A |
front 35 A nurse is following the goals of Healthy People 2020 to provide
care. Which action should the nurse take? | back 35 C |
front 36 nurse is using the World Health Organization definition of health to
provide care. Which area will the nurse focus on while providing
care? | back 36 B |
front 37 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? | back 37 A |
front 38 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? | back 38 B |
front 39 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? | back 39 A |
front 40 A nurse is assessing internal variables that are affecting the
patient's health status. Which area should the nurse assess? | back 40 A |
front 41 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? | back 41 D |
front 42 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? | back 42 A |
front 43 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? | back 43 B |
front 44 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? | back 44 C |
front 45 Upon completing a history, the nurse finds that a patient has risk
factors for lung disease. How should the nurse interpret this
finding? | back 45 B |
front 46 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? | back 46 A |
front 47 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? | back 47 B |
front 48 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? | back 48 B |
front 49 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? | back 49 B |
front 50 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? | back 50 A |
front 51 Which areas should the nurse assess to determine the effects of
external variables on a patient's illness? (Select all that
apply.) | back 51 C,D,E |
front 52 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.) | back 52 A,B,D |
front 53 Public health nursing differs from community health nursing in that
public health nursing | back 53 B |
front 54 A specialist in public health nursing requires | back 54 D |
front 55 The community health nurse differs from the community-based nurse in
that the community health nurse | back 55 A |
front 56 The type of nursing that focuses on acute and chronic care of
individuals and families while enhancing patient autonomy is
known | back 56 C |
front 57 The community health nurse is administering flu shots to children at
a local playground. In doing so, the nurse's focus is on | back 57 B |
front 58 The community health nurse is providing counseling to a group of
teenage girls related to birth control and disease prevention.
The | back 58 A |
front 59 Community-based nursing care takes place in community settings such
as the home or a clinic. Ideally, this is done to | back 59 B |
front 60 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 | back 60 B |
front 61 Vulnerable populations include those patients who are more likely to
develop health problems | back 61 C |
front 62 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 | back 62 D |
front 63 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 | back 63 B |
front 64 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 | back 64 C |
front 65 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 | back 65 B |
front 66 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 | back 66 A |
front 67 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? | back 67 A |
front 68 An argument for passing "universal health care" legislation
is that it would help fulfill the Healthy People 2020 goal of | back 68 C |
front 69 To increase quality and years of healthy life, Healthy People 2020
focuses on four areas. One of those areas is | back 69 C |
front 70 According to the World Health Organization, what is the best
definition for "health"? | back 70 B |
front 71 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? | back 71 A |
front 72 The health care model that utilizes Maslow's hierarchy as its base is
the _____ Model. | back 72 C |
front 73 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? | back 73 D |
front 74 Many variables influence a patient's health beliefs and practices.
Internal and external variables influence how a person thinks
and | back 74 A |
front 75 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? | back 75 B |
front 76 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? | back 76 C |
front 77 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 | back 77 B |
front 78 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 | back 78 A |
front 79 Caring in Nursing Practice | back 79 D |
front 80 Of the five caring processes described by Swanson, which describes
"knowing the patient"? | back 80 C |
front 81 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?" | back 81 B |
front 82 Helping a new mother through the birthing experience demonstrates
which of the Swanson's five caring processes? | back 82 B |
front 83 Which of the following is a strategy for creating work environments
that enable nurses to demonstrate more caring behaviors? | back 83 C |
front 84 When a nurse helps a patient find the meaning of cancer by supporting
beliefs about life, this is an example of: | back 84 A |
front 85 A nurse demonstrates caring by helping family members: | back 85 A |
front 86 Listening is not only "taking in" what a patient says; it
also includes: | back 86 D |
front 87 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? | back 87 C |
front 88 Presence involves a person-to-person encounter that: | back 88 C |
front 89 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? | back 89 A |
front 90 Caring is central to nursing practice, but technological advances for
rapid diagnosis and treatment should lead the nurse to realize
that: | back 90 C |
front 91 Caring is a universal phenomenon that involves: | back 91 D |
front 92 With respect to the concept of caring, most nursing theories: | back 92 C |
front 93 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? | back 93 C |
front 94 In trying to determine patients' perception of caring, several
studies have suggested that: | back 94 D |
front 95 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? | back 95 C |
front 96 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: | back 96 B |
front 97 Providing "presence" involves "being there" and
"being with." What does this involve? | back 97 A |
front 98 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? | back 98 A |
front 99 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? | back 99 C |
front 100 When dealing with the concept of "touch," the nurse
realizes what with regard to contact touch? | back 100 A |
front 101 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: | back 101 A |
front 102 Using Healthy People 2020 as a guide, which of the following would
improve delivery of care to a community? (Select all that
apply.) | back 102 1,2,3,4 |
front 103 A community nurse in a diverse community is working with health care
professionals to provide prenatal care for underemployed and
underinsured South African women. | back 103 4 |
front 104 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. | back 104 1,2,4 |
front 105 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 | back 105 1,2,4 |
front 106 Which of the following are major public health problems commonly
affecting older adults? (Select all that apply.) | back 106 1,2,3,5 |
front 107 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? | back 107 Tertiary intervention |
front 108 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? | back 108 Secondary intervention |
front 109 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.) | back 109 1,3 |
front 110 In the community clinic the nurse provides care for a 40-year old
woman who takes insulin to manage her diabetes. | back 110 1,2,4 |
front 111 The nurse in a new community-based clinic is requested to complete a
community assessment. Order the steps for completing this
assessment. | back 111 1,2,3 |
front 112 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.) | back 112 1,2,3,4 |
front 113 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.) | back 113 1,2,3 |
front 114 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? | back 114 D |
front 115 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!" | back 115 C |
front 116 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? | back 116 C |
front 117 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? | back 117 D |
front 118 An example of a nurse caring behavior that families of acutely ill
patients perceive as important to patients' well-being is: | back 118 D |
front 119 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? | back 119 C |
front 120 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? | back 120 A |
front 121 Caring is a universal phenomenon that influences the ways in which
people (Select all that apply.) | back 121 B,D,E |
front 122 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. | back 122 Madeline Leininger |
front 123 Which theorist offers nurses a rich, holistic understanding of nursing practice and caring through the interpretation of expert stories? | back 123 benner |
front 124 Caring involves 5 processes, KNOWING, BEING WITH, DOING FOR, ENABLING and MAINTAINING BELIEF. | back 124 swanson |
front 125 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. | back 125 benner |
front 126 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. | back 126 watson |
front 127 Caring is the essence and central unifying, a dominant domain that distinguishes nursing from other health disciplines. Care is an essential human need. | back 127 leninger |
front 128 What are the basic concepts of nursing? | back 128 nursing, person, health, environment |
front 129 Which of the following statements is related to Florence Nightingale? | back 129 The role of nursing is to facilitate "the body's reparative processes" by manipulating client's environment. |
front 130 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? | back 130 watson |
front 131 What is the highest Maslow Human Needs Theory? | back 131 Self-Actualization: achieving maximum potential |
front 132 Specific assumptions about caring in Watson's Science of Human Caring Theory, include (select all that apply): | back 132 Caring promotes health more than curing; Caring involves consequences |
front 133 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 | back 133 C |
front 134 With respect to the concept of caring, most nursing theories
| back 134 C |
front 135 In trying to determine patients’ perception of caring, several studies have suggested that
| back 135 D |
front 136 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?
| back 136 C |
front 137 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
| back 137 B |
front 138 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?
| back 138 A |
front 139 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?
| back 139 C |
front 140 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?
| back 140 A |
front 141 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 | back 141 C |
front 142 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 | back 142 D |
front 143 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 | back 143 D |
front 144 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 | back 144 C |
front 145 Which action should the nurse take when using critical thinking to
make clinical decisions? | back 145 C |
front 146 Which patient scenario of a surgical patient in pain is most
indicative of critical thinking? | back 146 C |
front 147 Which action indicates a registered nurse is being responsible for
making clinical decisions? | back 147 B |
front 148 A charge nurse is supervising the care of a new nurse. Which action
by a new nurse indicates the | back 148 D |
front 149 Which action demonstrates a nurse utilizing reflection to improve
clinical decision making? | back 149 C |
front 150 A nursing instructor needs to evaluate students' abilities to
synthesize data and identify | back 150 A |
front 151 A nurse is using a critical thinking model to provide care. Which
component is first that helps a | back 151 D |
front 152 Which action by a nurse indicates application of the critical
thinking model to make | back 152 D |
front 153 A nurse is using the critical thinking skill of evaluation. Which
action will the nurse take? | back 153 C |
front 154 The patient appears to be in no apparent distress, but vital signs
taken by assistive personnel | back 154 C |
front 155 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? | back 155 A |
front 156 Which action should the nurse take to best develop critical thinking
skills? | back 156 C |
front 157 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? | back 157 B |
front 158 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? | back 158 D |
front 159 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? | back 159 B |
front 160 A nurse is pulled from the surgical unit to work on the oncology
unit. Which action by the nurse displays humility and
responsibility? | back 160 B |
front 161 A nurse is using professional standards to influence clinical
decisions. What is the rationale for the nurse's actions? | back 161 D |
front 162 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? | back 162 D |
front 163 A nurse is reviewing care plans. Which finding, if identified in a
plan of care, should the registered nurse revise? | back 163 B |
front 164 In which order will the nurse use the nursing process steps during
the clinical decision-making process? | back 164 A |
front 165 While preparing medications for a patient, the nurse | back 165 1 |
front 166 A nurse asks a student nurse to irrigate a patient's
feeding | back 166 2 |
front 167 A patient has regularly visited the outpatient wound | back 167 3 |
front 168 While preparing medications for a patient, the nurse | back 168 1 |
front 169 A patient has regularly visited the outpatient wound | back 169 3 |
front 170 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: | back 170 4 |
front 171 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: | back 171 4 |
front 172 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: | back 172 1 |
front 173 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? | back 173 3 |
front 174 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: | back 174 1 |
front 175 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? | back 175 3 |
front 176 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: | back 176 D |
front 177 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? | back 177 D |
front 178 Which nursing intervention indicates a protective touch for a patient
with a major injury after an accident? | back 178 D |
front 179 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? | back 179 C |
front 180 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? | back 180 D |
front 181 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? | back 181 C |
front 182 The nurse is following Swanson's theory in caring for a patient.
Which actions are included in knowing the patient? | back 182 C |
front 183 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? | back 183 B |
front 184 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? | back 184 B |