TEST BANK FOR FUNDAMENTALS OF NURSING 8TH EDITION BY CAROL TAYLOR
PHD MSN RN, CAROL LILLIS MSN RN, PAMELA LYNN MSN RN
IF You Want To Purchase A+ Work Then
Click The Link Below , Instant Download
Chapter 1, Introduction to
Nursing
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1.
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An oncology nurse with
15 years of experience, certification in the area of oncology nursing, and a
master’s degree is considered to be an expert in her area of practice and
works on an oncology unit in a large teaching hospital. Based upon this
description, which of the following career roles best describes this nurse’s
role, taking into account her qualifications and experience?
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A)
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Clinical nurse
specialist
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B)
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Nurse entrepreneur
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C)
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Nurse practitioner
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D)
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Nurse educator
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2.
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What guidelines do
nurses follow to identify the patient’s health care needs and strengths, to
establish and carry out a plan of care to meet those needs, and to evaluate
the effectiveness of the plan to meet established outcomes?
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A)
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Nursing process
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B)
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ANA Standards of
Professional Performance
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C)
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Evidence-based
practice guidelines
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D)
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Nurse Practice Acts
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3.
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Which of the
following organizations is the best source of information when a nurse wishes
to determine whether an action is within the scope of nursing practice?
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A)
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American Nurses
Association (ANA)
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B)
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American Association
of Colleges in Nursing (AACN)
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C)
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National League for
Nursing (NLN)
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D)
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International
Council of Nurses (ICN)
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4.
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Who is considered to
be the founder of professional nursing?
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A)
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Dorothea Dix
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B)
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Lillian Wald
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C)
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Florence Nightingale
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D)
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Clara Barton
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5.
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Which of the
following nursing pioneers established the Red Cross in the United States in
1882?
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A)
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Florence Nightingale
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B)
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Clara Barton
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C)
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Dorothea Dix
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D)
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Jane Addams
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6.
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A nurse practitioner
is caring for a couple who are the parents of an infant diagnosed with Down
Syndrome. The nurse makes referrals for a parent support group for the
family. This is an example of which nursing role?
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A)
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Teacher/Educator
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B)
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Leader
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C)
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Counselor
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D)
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Collaborator
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7.
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A nurse is providing
nursing care in a neighborhood clinic to single, pregnant teens. Which of the
following actions is the best example of using the counselor role as a nurse?
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A)
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Discussing the legal
aspects of adoption for teens wishing to place their infants with a family
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B)
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Searching the
Internet for information on child care for the teens who wish to return to
school
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C)
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Conducting a client
interview and documenting the information on the client’s chart
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D)
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Referring a teen who
admits having suicidal thoughts to a mental health care specialist
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8.
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A nurse instructor
explains the concept of health to her students. Which of the following
statements accurately describes this state of being?
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A)
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Health is a state of
optimal functioning.
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B)
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Health is an absence
of illness.
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C)
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Health is always an
objective state.
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D)
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Health is not
determined by the patient.
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9.
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A nurse incorporates
the health promotion guidelines established by the U.S. Department of Health
document: Healthy People 2010. Which of the
following is a health indicator discussed in this document?
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A)
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Cancer
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B)
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Obesity
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C)
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Diabetes
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D)
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Hypertension
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10.
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Which of the
following is a criteria that defines nursing as profession?
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A)
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an undefined body of
knowledge
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B)
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a dependence on the
medical profession
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C)
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an ability to
diagnose medical problems
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D)
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a strong service
orientation
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11.
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After graduation
from an accredited program in nursing and successfully passing the NCLEX,
what gives the nurse a legal right to practice?
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A)
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Enrolling in an
advanced degree program
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B)
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Filing NCLEX results
in the county of residence
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C)
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Being licensed by
the State Board of Nursing
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D)
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Having a signed
letter confirming graduation
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12.
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A health care
facility determined that a nurse employed on a medical unit was documenting
care that was not being given, and subsequently reported the action to the
State Board of Nursing. How might this affect the nurse’s license to practice
nursing?
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A)
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It will have no
effect on the ability to practice nursing.
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B)
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The nurse can
practice nursing at a less-skilled level.
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C)
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The nurse’s license
may be revoked or suspended.
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D)
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The nurse’s license
will permanently carry a felony conviction.
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13.
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While providing care
to the diabetic patient the nurse determines that the patient has a knowledge
deficit regarding insulin administration. This nursing action is described in
which phase of the nursing process?
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A)
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evaluation
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B)
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implementation
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C)
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planning
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D)
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nursing diagnosis
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14.
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A nurse is caring
for a client who is a chronic alcoholic. The nurse educates the client about
the harmful effects of alcohol and educates the family on how to cope with
the client and his alcohol addiction. Which of the following skills is the
nurse using?
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A)
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Caring
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B)
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Comforting
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C)
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Counseling
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D)
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Assessment
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15.
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A nurse is caring
for a client with quadriplegia who is fully conscious and able to
communicate. What skills of the nurse would be the most important for this
client?
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A)
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Comforting
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B)
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Assessment
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C)
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Counseling
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D)
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Caring
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16.
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A nurse is assigned
the care of a client who has been admitted to the health care facility with
high fever. Which nursing skill should be put into practice at the first
contact with the client?
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A)
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Assessment
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B)
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Caring
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C)
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Comforting
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D)
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Counseling
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17.
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A nurse is caring
for a client with a hernia. Which of the following statements should the
nurse use while counseling the client about his condition?
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A)
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“Open hernioplasty
is the best surgery for you.”
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B)
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“Open and
laparoscopic hernioplasty are available.”
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C)
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“You are not a
suitable candidate for hernioplasty.”
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D)
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“I had a bad experience
when I underwent hernioplasty.”
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18.
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A registered nurse
assigns the task of tracheostomy suctioning of a client to the LPN. The LPN
informs the nurse that she has never done the procedure practically on a
client. What should be the most appropriate response from the registered
nurse?
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A)
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“You are through
with your theory class, so you should know.”
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B)
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“Take the help of
the nurse who knows to perform the procedure.”
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C)
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“Take the help of
the procedure manual and act accordingly.”
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D)
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“I will help you in
performing the procedure on the client.”
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19.
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A nurse at a health
care facility provides information, assistance, and encouragement to clients
during the various phases of nursing care. In which of the following
activities does the nurse use counseling skills?
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A)
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Educating a group of
young girls about AIDS
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B)
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Telling a client to
localize the pain in his abdomen
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C)
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Encouraging a client
to walk without support
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D)
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Assisting a
lactating mother in feeding her child
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20.
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A student wants to
join a nursing program that provides flexibility in working at both staff and
managerial positions. Which nursing program should the nurse suggest for this
student?
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A)
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Hospital-based
diplomas
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B)
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Baccalaureate
nursing programs
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C)
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Associate degree
programs
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D)
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Continuing nursing
programs
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21.
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Training schools for
nurses were established in the United States after the Civil War. The
standards of U.S. schools deviated from those of the Nightingale paradigm.
Which of the following statements is true about U.S. training schools?
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A)
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Training schools
were affiliated with a few select hospitals.
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B)
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Training of nurses
provided no financial advantages to the hospital.
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C)
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Training was formal,
based on nursing care.
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D)
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Training schools
eliminated the need to pay employees.
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22.
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A student has
completed a nursing program accredited by the Commission on Collegiate
Nursing Education. Which of the following is true about the organization?
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A)
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It fosters continued
improvement in nursing education programs.
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B)
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Accreditation is by
governmental peer review process.
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C)
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It ensures the
quality and integrity of diploma nursing programs.
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D)
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It uses
state-recognized standards to evaluate the programs.
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23.
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A registered nurse
adheres to the American Nurses Association’s standard of professional
performance by engaging in which of the following?
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A)
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Assessment
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B)
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Diagnosis
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C)
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Evaluation
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D)
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Collaboration
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24.
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During the clinical
rotation, a nurse documents the vital signs of a client on the bedside chart.
What role is the nurse playing in such a situation?
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A)
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Decision maker
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B)
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Communicator
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C)
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Coordinator
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D)
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Client advocate
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25.
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A licensed practice
nurse (LPN) is working as a staff nurse. What role do the LPNs working as
staff nurses play?
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A)
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Work only in
long-term care facilities and at client’s homes
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B)
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Provide direct
nursing care to the clients in the health care facility
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C)
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Work only as care
providers, team members, and communicators
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D)
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Supervise the work
of charge nurses working in different units
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26.
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The Nurse Corps of
the United States Army was established by whom?
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A)
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Dorothea Dix
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B)
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Lillian Wald
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C)
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Florence Nightingale
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D)
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Isabel Hampton Robb
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27.
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The director of
nursing (DON) of a major hospital is seeking to hire a nurse with a strong
technical background to care for patients on a busy surgical unit. The DON is
most likely going to hire a nurse prepared at which level of nursing?
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A)
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Doctoral level
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B)
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Master’s level
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C)
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Baccalaureate level
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D)
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Associate level
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28.
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A student is
choosing her educational path and desires a nursing degree with a track that
contains community nursing and leadership, as well as liberal arts. The
student would best be suited in which type of program?
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A)
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Licensed practical
nursing program
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B)
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Certification in a
nursing specialty
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C)
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Diploma nursing
program
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D)
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Baccalaureate
program
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29.
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A nurse is caring
for a young victim of a terrorist attack. During the rehabilitative process,
the nurse assists the client in bathing and dressing. What role the nurse is
engaged in?
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A)
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Advocate
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B)
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Caregiver
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C)
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Counselor
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D)
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Educator
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30.
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A nurse receives an
x-ray report on a newly admitted patient suspected of having a fractured
tibia. The nurse contacts the physician to report the findings. What role is
the nurse engaged in?
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A)
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Communicator
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B)
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Advocate
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C)
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Caregiver
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D)
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Researcher
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31.
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The client’s plan of
care is created by the nurse using which guideline for nursing practice?
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A)
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Nursing process
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B)
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Nursing’s Social
Policy Statement
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C)
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Nurse practice act
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D)
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ANA Standards of
Nursing Practice
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32.
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The nurse is
administering immunizations to a group of teens in a county health clinic.
The nurse correctly identifies this action as:
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A)
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Illness prevention
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B)
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Restorative care
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C)
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Treatment of disease
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D)
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Supportive nursing
care
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33.
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Which nursing role
is the nurse exhibiting when collecting data about the number of urinary
tract infections on the nursing unit?
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A)
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Advocate
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B)
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Leader
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C)
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Counselor
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D)
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Researcher
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34.
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A client reports to
the emergency department with ankle pain from a minor road accident. The
nurse asks the client to fully describe the circumstances of the accident.
Which ANA standard of nursing practice is best demonstrated by the nurse’s
action?
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A)
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Assessment
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B)
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Diagnosis
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C)
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Ethics
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D)
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Caring
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35.
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Organize these
events in chronological order, beginning with the earliest (1) and ending
with the most recent (5).
1) During the Crusades, religious orders
provided nursing care to the sick.
2) Florence Nightingale administered care to
British soldiers during the Crimean War.
3) Clara Barton organized the American Red
Cross.
4) Mary Elizabeth Mahoney graduated from the New
England Hospital for Women and Children in 1879 as America’s first African
American nurse.
5) Margaret Sanger advocated for contraception
and family planning in the United States.
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A)
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1, 2, 3, 4, 5
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B)
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1, 2, 4, 3, 5
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C)
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1, 2, 4, 5, 3
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D)
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1, 2, 3, 5, 4
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E)
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2, 1, 4, 3, 5
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Chapter 2, Theory,
Research, and Evidence-Based Practice
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1.
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After reviewing
several research articles, the clinical nurse specialist on a medical
surgical unit rewrites the procedure on assessing placement of a nasogastric
tube. What source of nursing knowledge did the nurse use in this situation?
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A)
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Scientific knowledge
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B)
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Traditional
knowledge
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C)
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Authoritative
knowledge
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D)
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Philosophical
knowledge
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2.
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Which of the
following theories emphasizes the relationships between the whole and the
parts, and describes how parts function and behave?
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A)
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General systems
theory
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B)
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Nursing theory
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C)
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Adaptation theory
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D)
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Developmental theory
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3.
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A nurse researcher
is studying perceptions of vocational rehabilitation for clients after a
spinal cord injury. What type of research method will be used to study the
perceptions of this group of individuals?
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A)
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Qualitative research
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B)
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Quantitative
research
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C)
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Basic research
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D)
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Applied research
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4.
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A staff development
nurse is asking a group of new staff nurses to read and be prepared to
discuss a qualitative study that focuses on nursing events of the past. This
is done in an attempt to increase understanding of the nursing profession
today. What method of qualitative research is used in this article?
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A)
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Historical
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B)
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Phenomenology
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C)
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Grounded theory
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D)
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Ethnography
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5.
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In understanding the
historical influences on nursing knowledge, nursing as a profession struggled
for years to establish its own identify and to receive recognition for its
contributions to health care. Why?
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A)
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The conceptual and
theoretical basis for nursing practice came from outside the profession.
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B)
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Nurses were too busy
working in practice to increase the public awareness associated with the role
of the nurse.
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C)
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Nurses spent most of
their time in laboratory settings conducting research.
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D)
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Women were
independent and refused to work collectively.
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6.
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An obstetrical nurse
wishes to identify whether clients’ perceptions of a high level of support
from their partner is associated with a decreased length of the second stage
of labor. Which type of quantitative research is most appropriate for this
research question?
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A)
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Correlational
research
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B)
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Descriptive research
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C)
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Quasi-experimental
research
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D)
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Experimental
research
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7.
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Nurse researchers
have predicted that a newly created mentorship program will result in
decreased absenteeism, increased retention, and decreased attrition among a
hospital’s nursing staff. Which of the following does this predicted
relationship represent?
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A)
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Hypothesis
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B)
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Dependent variable
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C)
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Abstract
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D)
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Methodology
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8.
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The practice of
changing patients’ bedclothes each day in acute care settings is an example
of what type of knowledge?
|
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A)
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Authoritative
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B)
|
Traditional
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C)
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Scientific
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D)
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Applied
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9.
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A student nurse
learns how to give injections from the nurse manager. This is an example of
the acquisition of what type of knowledge?
|
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A)
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Authoritative
|
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B)
|
Traditional
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C)
|
Scientific
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D)
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Applied
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10.
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A client undergoing
chemotherapy for a brain tumor believes that having a good attitude will help
in the healing process. This is an example of what type of knowledge?
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A)
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Science
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B)
|
Philosophy
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C)
|
Process
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D)
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Virtue
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11.
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Which of the
following accurately describes Florence Nightingale’s influence on nursing
knowledge?
|
|
A)
|
She defined nursing
practice as the continuation of medical practice.
|
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B)
|
She differentiated
between health nursing and illness nursing.
|
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C)
|
She established
training for nurses under the direction of the medical profession.
|
|
D)
|
She established a
theoretical base for nursing that originated outside the profession.
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12.
|
During the first
half of the 20th century, a change in the structure of society resulted in
changed roles for women and, in turn, for nursing. What was one of these
changes?
|
|
A)
|
More women retired
from the workforce to raise families.
|
|
B)
|
Women became more dependent
and sought higher education.
|
|
C)
|
The focus of nursing
changed to “hands-on training.”
|
|
D)
|
Nursing research was
conducted and published.
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13.
|
A staff nurse asks a
student, “Why in the world are you studying nursing theory?” How would the student
best respond?
|
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A)
|
“Our school requires
we take it before we can graduate.”
|
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B)
|
“We do it so we know
more than your generation did.”
|
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C)
|
“I think it explains
how we should collaborate with others.”
|
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D)
|
“It helps explain
how nursing is different from medicine.”
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14.
|
Why are the
developmental theories important to nursing practice?
|
|
A)
|
They describe how
parts work together as a system.
|
|
B)
|
They outline the
process of human growth and development.
|
|
C)
|
They define human
adaptation to others and to the environment.
|
|
D)
|
They explain the
importance of legal and ethical care.
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15.
|
There are four
concepts common in all nursing theories. Which one of the four concepts is
the focus of nursing?
|
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A)
|
Person
|
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B)
|
Environment
|
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C)
|
Health
|
|
D)
|
Nursing
|
|
|
|
|
|
|
|
|
|
16.
|
What is the ultimate
goal of expanding nursing knowledge through nursing research?
|
|
A)
|
Learn improved ways
to promote and maintain health.
|
|
B)
|
Develop technology
to provide hands-on nursing care.
|
|
C)
|
Apply knowledge to
become independent practitioners.
|
|
D)
|
Become full-fledged
partners with other care providers.
|
|
|
|
|
|
|
17.
|
What was significant
about the promotion of the National Center for Nursing Research to the
current National Institute of Nursing Research (NINR)?
|
|
A)
|
Increased numbers of
articles are published in research journals.
|
|
B)
|
NINR gained equal
status with all other National Institutes of Health.
|
|
C)
|
NINR became the
major research body of the International Council of Nurses.
|
|
D)
|
It decreased
emphasis on clinical research as an important area for nursing.
|
|
|
|
|
|
|
18.
|
Which of the
following is a responsibility of an institutional review board (IRB)?
|
|
A)
|
Secure informed
consent for researchers
|
|
B)
|
Review written
accuracy of research proposals
|
|
C)
|
Determine risk
status of all studies
|
|
D)
|
Secure funding for
institutional research
|
|
|
|
|
|
|
|
|
|
19.
|
Before developing a
procedure, a nurse reviews all current research-based literature on insertion
of a nasogastric tube. What type of nursing will be practiced based on this
review?
|
|
A)
|
Institutional
practice
|
|
B)
|
Authoritative
nursing
|
|
C)
|
Evidence-based
nursing
|
|
D)
|
Factual-based
nursing
|
|
|
|
|
|
|
|
|
|
20.
|
One step in
implementing evidence-based practice is to ask a question about a clinical
area of interest or an intervention. The most common method is the PICO
format. Which of the following accurately defines the letters in the PICO
acronym?
|
|
A)
|
P = population
|
|
B)
|
I = institution
|
|
C)
|
C = compromise
|
|
D)
|
O = output
|
|
|
|
|
|
|
|
|
|
21.
|
The nurse
understands that general systems theory has important implications in
nursing. Which of the following is an assumption of the general systems
theory?
|
|
A)
|
Human systems are
open and dynamic.
|
|
B)
|
All humans are born
with instinctive needs.
|
|
C)
|
Human needs are
motivational forces.
|
|
D)
|
People grow and
change throughout their lives.
|
|
|
|
|
|
|
22.
|
A nursing student is
conducting a literature review via the Internet to identify a problem area
that may be applicable in scope for nursing. When conducting the search,
which of the following would be most important for the student to keep in
mind?
|
|
A)
|
The Internet should
be the last resort for scientific literature review.
|
|
B)
|
Very few nursing
sites are available through the Internet.
|
|
C)
|
Most websites that
provide nursing information are reliable.
|
|
D)
|
MedLine is a reputable
online database of nursing information.
|
|
|
|
|
|
|
23.
|
A group of students
is reviewing information about evidence-based practice in preparation for an
exam. The students demonstrate understanding of the information when they
identify which of the following as associated with evidence-based practice?
|
|
A)
|
It emphasizes
personal experience over science.
|
|
B)
|
Clinical expertise
is integrated with external evidence.
|
|
C)
|
It involves gaining
solutions to problems.
|
|
D)
|
The purpose is to
learn about a specific problem.
|
|
|
|
|
|
|
|
|
|
24.
|
A nurse researcher
decides to conduct a qualitative research study. With which of the following
would the researcher be involved?
|
|
A)
|
Collection of
numerical data
|
|
B)
|
Determination of
cause and effect
|
|
C)
|
Controlling personal
biases
|
|
D)
|
Real world data
collection
|
|
|
|
|
|
|
25.
|
In what way can a
nurse differentiate strong research from poor research?
|
|
A)
|
By conducting the
research
|
|
B)
|
Through author
dialogue
|
|
C)
|
By critiquing the
study
|
|
D)
|
Through the nurse’s
own informal investigation
|
|
|
|
|
|
|
26.
|
Nursing research is
linked most closely to what?
|
|
A)
|
Propositions
|
|
B)
|
Outcome measures
|
|
C)
|
Treatments
|
|
D)
|
Nursing process
|
|
|
|
|
|
|
|
|
|
27.
|
Which of the
following research studies would be of most interest to a nurse manager?
|
|
A)
|
Sister Callista
Roy’s theory on adaptation
|
|
B)
|
Patricia Benner’s
From Novice to Expert
|
|
C)
|
Kleinpell and
Ferrans’ older intensive-care clients
|
|
D)
|
Madeleine
Leininger’s transcultural nursing theory
|
|
|
|
|
|
|
|
|
|
28.
|
How are the first
stages of the nursing process and nursing research linked?
|
|
A)
|
They will answer a
posed question.
|
|
B)
|
Each begins with
goal development.
|
|
C)
|
The nurse assesses
problems initially.
|
|
D)
|
There is a period of
evaluation.
|
|
|
|
|
|
|
|
|
|
29.
|
A nursing instructor
would like to study the effect peer tutoring has on student success. What is
the independent variable?
|
|
A)
|
Nursing student
|
|
B)
|
Nursing education
|
|
C)
|
Peer tutoring
|
|
D)
|
Student success
|
|
|
|
|
|
|
|
|
|
30.
|
A nursing student
has been asked to correlate her clinical experiences with two different
theories of nursing. The student will recognize that which of the following
concepts are common to all theories of nursing? Select all that apply.
|
|
A)
|
The client
|
|
B)
|
The environment
|
|
C)
|
Illness
|
|
D)
|
Needs
|
|
E)
|
Nursing
|
|
|
|
|
|
|
31.
|
Which of the following
are examples of characteristics of evidence-based practice? Select all that
apply.
|
|
A)
|
It is a
problem-solving approach.
|
|
B)
|
It uses the best
evidence available.
|
|
C)
|
It is generally
accepted in clinical practice.
|
|
D)
|
It is based on
current institutional protocols.
|
|
E)
|
It blends the
science and art of nursing.
|
|
|
|
|
|
|
|
|
|
32.
|
Which of the
following are characteristics of nursing theories? Select all that apply.
|
|
A)
|
They provide
rational reasons for nursing interventions.
|
|
B)
|
They are based on descriptions
of what nursing should be.
|
|
C)
|
They provide a
knowledge base for appropriate nursing responses.
|
|
D)
|
They provide a base
for discussion of nursing issues.
|
|
E)
|
They help resolve
current nursing issues and establish trends.
|
|
|
|
|
|
|
33.
|
Which of the
following examples represents the type of knowledge known as process? Select
all that apply.
|
|
A)
|
A nurse dispenses
medications to clients.
|
|
B)
|
A nurse changes the
linens on a client’s bed.
|
|
C)
|
A nurse studies a
nursing journal article on infection control.
|
|
D)
|
A nurse consults an
ethics committee regarding an ethical dilemma.
|
|
E)
|
A nurse believes in
providing culturally competent nursing care.
|
|
|
|
|
|
|
34.
|
Which qualitative
research method is described as follows: to describe experiences as they are lived
by the subjects being studied?
|
|
A)
|
Historical
|
|
B)
|
Ethnography
|
|
C)
|
Grounded theory
|
|
D)
|
Phenomenology
|
|
|
|
|
|
|
35.
|
The nurse working in
research correctly identifies which of the following to be mandatory for the
ethical conduction of research in a hospital setting?
|
|
A)
|
Clients must grant
informed consent if they are to participate.
|
|
B)
|
All interventions
must benefit all clients.
|
|
C)
|
The client must
directly and personally benefit from the research.
|
|
D)
|
Descriptive studies
are more ethical than experimental studies.
|
Chapter 3, Health,
Illness, and Disparities
|
1.
|
The nurse is
preparing a care plan for an African American man age 68 years who was
recently diagnosed with hypertension. Age, race, gender, and genetic
inheritance are examples of what human dimension?
|
|
A)
|
Physical
|
|
B)
|
Emotional
|
|
C)
|
Environmental
|
|
D)
|
Sociocultural
|
|
|
|
|
|
|
2.
|
The mother of a
toddler with asthma seeks support from the parents of other children with
asthma. The nurse recognizes that seeking and utilizing support systems is an
example of which human dimension?
|
|
A)
|
Sociocultural
dimension
|
|
B)
|
Physical dimension
|
|
C)
|
Environmental
dimension
|
|
D)
|
Intellectual and
spiritual dimension
|
|
|
|
|
|
|
3.
|
A nurse educator
uses models of health and illness when teaching. Which model of health and
illness places high-level health and death on opposite ends of a graduated
scale?
|
|
A)
|
Health-Illness
Continuum
|
|
B)
|
Agent-Host-Environment
Model
|
|
C)
|
Health Belief Model
|
|
D)
|
Health Promotion
Model
|
|
|
|
|
|
|
4.
|
A homeless client
has been brought to the emergency department (ED) by ambulance after being
found unresponsive outside a mall. The client is known to the ED staff as
having bipolar disorder, and assessment reveals likely cellulitis on his left
ankle. He is febrile with a productive cough, and the care team suspects
pneumonia. A sputum culture for tuberculosis has been obtained and sent to
the laboratory. Which of the following aspects of the client’s medical
condition would be considered a chronic condition?
|
|
A)
|
Bipolar disorder
|
|
B)
|
Pneumonia
|
|
C)
|
Cellulitis
|
|
D)
|
Tuberculosis
|
|
|
|
|
|
|
|
|
|
5.
|
Which of the
following activities related to respiratory health is an example of tertiary
health promotion and illness prevention?
|
|
A)
|
Administering a
nebulized bronchodilator to a client who is short of breath
|
|
B)
|
Assisting with lung
function testing of a client to help determine a diagnosis
|
|
C)
|
Teaching a client
that “light” cigarettes do not prevent lung disease
|
|
D)
|
Advocating
politically for more explicit warning labels on cigarette packages
|
|
|
|
|
|
|
6.
|
An elderly resident
of a long-term care facility has developed diarrhea and dehydration as a
result of exposure to clostridium difficile during
a recent outbreak. The resident’s primary care provider has consequently
prescribed the antibiotic metronidazole (Flagyl). Which model of health
promotion and illness prevention is most clearly evident in these events?
|
|
A)
|
The
Agent-Host-Environment Model
|
|
B)
|
The Health-Illness
Continuum
|
|
C)
|
The Health Promotion
Model
|
|
D)
|
The Health Belief
Model
|
|
|
|
|
|
|
7.
|
The nurse is
performing a routine assessment of a male client who has an artificial arm as
a result of a small plane crash many years earlier. How should the nurse best
understand this client’s health?
|
|
A)
|
Despite the loss of
his limb, the client may consider himself to be healthy.
|
|
B)
|
The client may be
well, but his loss of limb means that he is unhealthy.
|
|
C)
|
The loss of his limb
prevents the client from achieving wellness, though he may be healthy.
|
|
D)
|
Because the client’s
injury is far in the past, it does not have a bearing on his health or
wellness.
|
|
|
|
|
|
|
8.
|
What phrase best
describes health?
|
|
A)
|
Individually defined
by each person
|
|
B)
|
Experienced by each
person in exactly the same way
|
|
C)
|
The opposite of
illness
|
|
D)
|
The absence of
disease
|
|
|
|
|
|
|
|
|
|
9.
|
Which of the
following most accurately defines “illness”?
|
|
A)
|
The inability to
carry out normal activities of living
|
|
B)
|
A pathologic change
in mind or body structure or function
|
|
C)
|
The response of a
person to a disease
|
|
D)
|
Achieving maximum
potential and quality of life
|
|
|
|
|
|
|
10.
|
Which of the
following statements accurately describes the concepts of disease and
illness?
|
|
A)
|
A disease is
traditionally diagnosed and treated by a nurse.
|
|
B)
|
The focus of nurses
is the person with an illness.
|
|
C)
|
A person with an illness
cannot be considered healthy.
|
|
D)
|
Illness is a normal
process that affects level of functioning.
|
|
|
|
|
|
|
11.
|
A nurse calls in to
his unit to report he has the flu and will not be at work. What stage of
illness behavior is he exhibiting?
|
|
A)
|
Experiencing
symptoms
|
|
B)
|
Assuming the sick
role
|
|
C)
|
Assuming a dependent
role
|
|
D)
|
Achieving recovery
and rehabilitation
|
|
|
|
|
|
|
|
|
|
12.
|
A cleint accepts the
fact that he needs bypass surgery for a blocked artery and is admitted into
the hospital. Which one of the following stages of illness is this client
experiencing?
|
|
A)
|
Stage 1
|
|
B)
|
Stage 2
|
|
C)
|
Stage 3
|
|
D)
|
Stage 4
|
|
|
|
|
|
|
|
|
|
13.
|
A child age 4 years
has leukemia but is now in remission. What does it mean to be in remission
when one has a chronic illness?
|
|
A)
|
The chronic disease
has been cured.
|
|
B)
|
Nothing further can
be done in terms of treatment.
|
|
C)
|
Severe symptoms of
the chronic illness have reappeared.
|
|
D)
|
The disease is
present, but symptoms are not experienced.
|
|
|
|
|
|
|
14.
|
What may happen to
the family when one of the family members suffers an illness?
|
|
A)
|
Alterations in
values and religious beliefs
|
|
B)
|
More public displays
of affection
|
|
C)
|
Changes in roles for
the client and family
|
|
D)
|
Increased resistance
to stress
|
|
|
|
|
|
|
|
|
|
15.
|
A baby is born with
Down syndrome, which influences his health–illness status. This is an example
of which of the following human dimensions?
|
|
A)
|
Physical
|
|
B)
|
Emotional
|
|
C)
|
Environmental
|
|
D)
|
Sociocultural
|
|
|
|
|
|
|
|
|
|
16.
|
Which of the
following statements illustrates the effect of the sociocultural dimension on
health and illness?
|
|
A)
|
“Why shouldn’t I
drink and drive? Everyone else does.”
|
|
B)
|
“My mother has
sickle cell anemia, and so do I.”
|
|
C)
|
“I know I have heart
problems, so I have changed my diet.”
|
|
D)
|
“I used biofeedback
to lower my blood pressure.”
|
|
|
|
|
|
|
|
|
|
17.
|
A middle-aged woman
is 40 pounds over her ideal weight. Which of the following statements best
illustrates the effect of her self-concept on health and illness?
|
|
A)
|
“I am just too busy
with my kids to bother about a diet.”
|
|
B)
|
“Why should I lose
weight? I’ll still be fat.”
|
|
C)
|
“My sister is thin,
but I don’t think she looks that good.”
|
|
D)
|
“My husband loves me
this way.”
|
|
|
|
|
|
|
18.
|
A camp nurse is
teaching a group of adolescent girls about the importance of monthly breast
self-examination. What level of preventive care does this activity represent?
|
|
A)
|
Primary
|
|
B)
|
Secondary
|
|
C)
|
Tertiary
|
|
D)
|
Restorative
|
|
|
|
|
|
|
|
|
|
19.
|
Which of the
following models of health promotion and illness prevention was developed to
illustrate how people interact with their environment as they pursue health?
|
|
A)
|
The health promotion
model
|
|
B)
|
The health belief
model
|
|
C)
|
The health–illness
continuum
|
|
D)
|
The
agent–host–environment model
|
|
|
|
|
|
|
20.
|
A nurse is caring
for a client who is in the remission state of leukemia. The client expresses
anxiety about the recurrence of leukemia. The client feels depressed when
thinking about the outcome of leukemia. Which aspect of health is the client
talking about?
|
|
A)
|
Physical health
|
|
B)
|
Emotional health
|
|
C)
|
Social health
|
|
D)
|
Spiritual health
|
|
|
|
|
|
|
|
|
|
21.
|
A nurse is educating
women on the need for calcium to prevent bone loss. What level of prevention
does this represent?
|
|
A)
|
Primary prevention
|
|
B)
|
Secondary prevention
|
|
C)
|
Tertiary prevention
|
|
D)
|
Residual prevention
|
|
|
|
|
|
|
|
|
|
22.
|
A client states, “I
must be in poor health because I am a senior citizen. That’s what my neighbor
says and she is older than I am.” This statement is based on which of the
following factors?
|
|
A)
|
Age
|
|
B)
|
Gender
|
|
C)
|
Peer influence
|
|
D)
|
Illness factors
|
|
|
|
|
|
|
23.
|
An woman 80 years of
age has had a cerebrovascular accident. She has flaccidity of her right side
with aphasia. For this client, which of the following activities constitutes
tertiary prevention?
|
|
A)
|
Assessment of her
blood pressure
|
|
B)
|
Daily bleeding and
clotting times
|
|
C)
|
Gait training and
speech therapy
|
|
D)
|
Education on the
symptoms of a CVA
|
|
|
|
|
|
|
24.
|
Which of the
following statements accurately describes how risk factors may increase a person’s
chances for illness or injury? Select all that apply.
|
|
A)
|
Risk factors are
unrelated to the person or event.
|
|
B)
|
All risk factors are
modifiable.
|
|
C)
|
An increase in risk
factors increases the possibility of illness.
|
|
D)
|
A family history of
breast cancer is not a modifiable risk factor.
|
|
E)
|
School-aged children
are at high risk for communicable diseases.
|
|
|
|
25.
|
Which of the
following statements explains why models of health promotion and illness
prevention are useful when planning health care? Select all that apply.
|
|
A)
|
They help health
care providers understand health-related behaviors.
|
|
B)
|
They are useful for
adapting care to people from diverse backgrounds.
|
|
C)
|
They help overcome
barriers related to increased number of people without health care.
|
|
D)
|
They overcome
barriers to care for the predicted downward trend in minority populations.
|
|
E)
|
They overcome
barriers to care for low-income and rural populations.
|
|
|
|
|
|
|
|
|
|
26.
|
On which of the
following components is Rosenstock’s health belief model based? Select all
that apply.
|
|
A)
|
Perceived
susceptibility to a disease
|
|
B)
|
Perceived
consequences of treating disease
|
|
C)
|
Perceived
seriousness of a disease
|
|
D)
|
Perceived benefits
of action
|
|
E)
|
Perceived immunity
to disease
|
|
|
|
27.
|
Which of the following
nursing interventions is an example of health promotion and preventive care
on the primary level? Select all that apply.
|
|
A)
|
A nurse counsels a
teenager to stop smoking.
|
|
B)
|
A nurse conducts a
health fair for high blood pressure screening.
|
|
C)
|
A nurse counsels the
family of a client diagnosed with lung cancer.
|
|
D)
|
A home health care
nurse arranges for rehabilitation services for a patient.
|
|
E)
|
A school nurse
arranges for a career seminar for graduating seniors.
|
|
|
|
28.
|
The nursing
instructor has given an assignment to a group of nurse practitioner students.
They are to break into groups of four and complete a health-promotion
teaching project, then present a report back to their fellow students. What
project is the best example of health-promotion teaching?
|
|
A)
|
Demonstrating an
injection technique to a client for anticoagulant therapy
|
|
B)
|
Explaining the side
effects of a medication to an adult client
|
|
C)
|
Discussing the
importance of preventing sexually transmitted disease to a group of
12th-grade students
|
|
D)
|
Instructing an
adolescent client about safe food preparation
|
|
|
|
29.
|
A nurse is providing
an educational event to a local group of disabled citizens. What would be
important for the nurse to be aware of when planning this event?
|
|
A)
|
The health promotion
needs of the group the nurse is speaking to
|
|
B)
|
What the disability
of each person is
|
|
C)
|
Wellness needs of
each individual person
|
|
D)
|
What the families
want you to talk about
|
|
|
|
|
|
|
|
|
|
30.
|
Which of the
following is not one of the six general types of risk factors in regard to
increasing an individual ‘s chances for illness and injury?
|
|
A)
|
Gender
|
|
B)
|
Age
|
|
C)
|
Environment
|
|
D)
|
Lifestyle
|
|
|
|
|
|
|
|
|
|
31.
|
After teaching the
students about health and wellness, the nursing instructor identifies a need
for further instruction when one of the students makes which of the following
statements?
|
|
A)
|
“Health is more than
just the absence of illness.”
|
|
B)
|
“Health is an active
process.”
|
|
C)
|
“Health means the
same to every person.”
|
|
D)
|
“Health is dynamic and
ever-changing.”
|
|
|
|
|
|
|
32.
|
A client is admitted
to the hospital with abrupt symptoms of increasing shortness of breath,
fever, and a productive cough with green sputum. Upon further exam the client
is diagnosed with chronic obstructive pulmonary disease (COPD) exacerbation.
The nurse identifies this as which type of illness?
|
|
A)
|
Acute
|
|
B)
|
Chronic
|
|
C)
|
Terminal
|
|
D)
|
Contagious
|
|
|
|
|
|
|
|
|
|
33.
|
A nurse is giving a
talk to a local community group on the importance of proper diet and regular
exercise. This is an example of which type of health promotion?
|
|
A)
|
Primary health
promotion
|
|
B)
|
Secondary health
promotion
|
|
C)
|
Tertiary health
promotion
|
|
D)
|
Chronic health
promotion
|
|
|
|
|
|
|
|
|
|
34.
|
An older adult male
client is admitted to the cardiac ICU after suffering a heart attack. Upon
taking a history after the client is stable, the nurse charts that he weighs
over 275 pounds, has a history of heart disease in his family, suffers
frequent stress at work, drinks alcohol daily, and smokes two packs of
cigarettes daily. What are some modifiable risks factors for this client that
has attributed to his heart attack? Select all that apply.
|
|
A)
|
Alcohol intake
|
|
B)
|
Smoking
|
|
C)
|
Stress
|
|
D)
|
Age
|
|
E)
|
Family history
|
|
F)
|
Sex
|
|
|
|
|
|
|
|
|
|
35.
|
A nurse is giving a
talk to a local community group on health promotion and illness prevention.
The nurse explains the different levels of promotion. Which of the following does
the nurse include when talking about primary promotion? Select all that
apply.
|
|
A)
|
Immunization clinics
|
|
B)
|
Poison control
information
|
|
C)
|
Screenings for blood
pressure
|
|
D)
|
Recommending
mammograms for women
|
|
E)
|
Teaching about a
healthy diet
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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