exam 1 Flashcards


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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

C

2

A nurse provides care that is receptive to patients' and families' perceptions of caring. Which action will the nurse take?
a. Provides clear, accurate information
b. Just performs nursing tasks competently
c. Does as much for the patient as possible
d. Focuses solely on the patient's diagnosis

A

3

A nurse is providing presence to a patient and the family. Which nursing action does this involve?
a. Focusing on the task that needs to be done
b. Providing closeness and a sense of caring
c. Jumping in to provide patient comfort
d. Being there without an identified goal

B

4

Which action indicates a nurse is using caring touch with a patient?
a. Inserts a catheter
b. Rubs a patient's back
c. Prevents a patient from falling
d. Administers an injection

B

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.

C

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?
1
Holistic health model
2
Restoration and rehabilitation model
3
Health belief model
4
Health promotion model

1

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?
1
"I've decided to start a walking club at school for interested students."
2
"The statistics of how many teenagers are overweight is scary."
3
"I'm worried about becoming overweight and getting diabetes because my father has diabetes."
4
"I don't have time to exercise because I have to work after school every night."

3

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?
1
"I don't go out very much because everyone stares at me."
2
"My wife has taken over paying the bills since I've been in the hospital."
3
"I've been attending church regularly with my wife since I got out of the hospital."
4
"I just don't have any energy to get out of bed in the morning."

1

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?
1
Search for help with language interpretation and develop an understanding of the cultural differences.
2
Have another nurse care for the boy because maybe that nurse will do better with the father.
3
Ask the manager to talk with the father and keep him out of the unit.
4
Care for the boy using hand gestures as if he were from the local community.

1

10

Which intervention comes under active strategies of health promotion?
1
Fortification of cereals with vitamin A
2
A weight reduction program for obese people
3
Fluoridation of municipal drinking water
4
Fortification of milk with vitamin D

2

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?
1
Self-actualization
2
Love and belonging
3
Safety and security
4
Physiological

3

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.
1.
Action

2.
Preparation

3.
Precontemplation

4.
Contemplation

3,4,2,1

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?
1
Illness prevention
2
Health promotion
3
Illness behavior
4
Health belief

3

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!"
1
"I'd like you to ride your bike three times this week and eat at least four fruits and vegetables every day."
2
"I understand. Can you think of one reason why being more active would be helpful for you?"
3
"OI want you to walk 3 miles four times a week, and I'll see you in 1 month."
4
"That's fine. I don't exercise either because I hate it, too, and I don't think it's helpful."

2

15

Which intervention comes under active strategies of health promotion?
1
Fortification of cereals with vitamin A
2
A weight reduction program for obese people
3
Fluoridation of municipal drinking water
4
Fortification of milk with vitamin D

2

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?
1
Self-actualization
2
Love and belonging
3
Safety and security
4
Physiological

3

17

According to the World Health Organization (WHO), what is the definition of health?
1
Total absence of all diseases, disorders, and syndromes
2
Absence of symptoms and signs with normal lab reports
3
Complete physical, mental, and social well-being
4
Being free from illness or injury

3

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?
1
Illness prevention
2
Health promotion
3
Illness behavior
4
Health belief

3

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?
1
Health promotion
2
Transtheoretical
3
Health belief
4
Holistic

4

20

A patient became disfigured in a car accident. Arrange the five phases of adjustment to the change in body image in correct order.
1.
Acknowledgment

2.
Acceptance

3.
Withdrawal

4.
Rehabilitation

5.
Shock

5,3,1,2,4

21

Which are components of the health belief model? Select all that apply.
1
The likelihood that a person will take preventive action
2
Individual's perception of the seriousness of an illness
3
Individual's perception of susceptibility to an illness
4
Individual characteristics and experiences
5
Behavior-specific knowledge and affect

1,2,3

22

Which activity represents secondary prevention?
1
A patient attends cardiac rehabilitation sessions weekly.
2
The school health nurse provides a program to the first-year students on healthy eating.
3
A 50-year-old patient with no history of disease attends the local health fair and has blood pressure checked.
4
A home health care nurse visits a patient's home to change a wound dressing.

4

23

The nurse is teaching juniors about the health promotion model (HPM). Which components belong to the health promotion model? Select all that apply.
1
Likelihood that a person will take preventive action
2
Individual's perception of susceptibility to illness
3
Behavior-specific knowledge and affect
4
Individual characteristics and experiences
5
Behavioral outcomes

3,4,5

24

Which is the desired outcome of the health promotion model?
1
Improving the physical, mental, and social health of all age groups
2
Modifying the personality of a person
3
Encouraging health-promoting behavior
4
Healthy People 2020

3

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.
1
Immunization for influenza
2
Rehabilitation activities
3
Wellness education activities
4
Treating diseases at an early stage
5
Screening techniques of diseases

4,5

26

Which statement by a patient supports the nurse's conclusion that the patient follows a holistic approach of healing?
1
"I am following prescribed medical therapies to lower the risk of heart attack."
2
"I am also using guided imagery and relaxation therapy for treatment."
3
"I am following a perfect regimen of diet and exercise every day."
4
"I am implementing changes in my behavior for better health."

2

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?
1
The holistic approach model
2
The health belief model
3
Secondary prevention
4
Primary prevention

4

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?
1
Primary
2
Quaternary
3
Tertiary
4
Secondary

1

29

Stroke is a lifestyle disease. Which lifestyle factors may increase the risk of developing a stroke? Select all that apply.
1
Lack of immunizations
2
Tobacco use
3
Excessive sun exposure
4
Physical inactivity
5
Fast foods

2,4,5

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.
1
Maintaining proper body image
2
Fulfilling psychosocial need
3
Relaxation therapy
4
Breathing exercises
5
Praying with family

3,4,5

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.
1
Individual's perception of the seriousness of an illness
2
Likelihood that a person will take preventive action against a disease
3
Individual's perception of management of an illness
4
Individual's perception of duration of an illness
5
Individual's perception of susceptibility to an illness

1,2,5

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?
1
Early diagnosis
2
Secondary
3
Tertiary
4
Primary

4

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.
1
Impact on family role
2
Changed self-concept
3
Health prevention
4
Coping
5
Illness symptom

1,2

34

A nurse is teaching about the goals of Healthy People 2020. Which information should the nurse include in the teaching session?

a. Eliminate health disparities in America.
b. Eliminate health behaviors in America.
c. Eliminate quality of life in America.
d. Eliminate healthy life in America.

A

35

A nurse is following the goals of Healthy People 2020 to provide care. Which action should the nurse take?

a. Allow people to continue current behaviors to reduce the stress of change.
b. Focus only on health changes that will lead to better local communities.
c. Create social and physical environments that promote good health.
d. Focus on illness treatment to provide fast recuperation.

C

36

nurse is using the World Health Organization definition of health to provide care. Which area will the nurse focus on while providing care?

a. Making sure the patients are disease free
b. Making sure to involve the whole person
c. Making sure care is strictly personal in nature
d. Making sure to focus only on the pathological state

B

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?

a. Health belief model
b. Holistic health model
c. Health promotion model
d. Maslow's hierarchy of needs

A

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?

a. Anxiety
b. Not eating
c. Mental health
d. Not seeing family members

B

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?

a. Health belief model
b. Holistic health model
c. Health promotion model
d. Maslow's hierarchy

A

40

A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?

a. Perception of functioning
b. Socioeconomic Factors
c. Cultural background
d. Family practices

A

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?

a. Illness prevention
b. Wellness education
c. Active health promotion
d. Passive health promotion

D

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?

a. Primary Prevention
b. Secondary Prevention
c. Tertiary Prevention
d. Risk factor Prevention

A

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?

a. Primary Prevention
b. Secondary Prevention
c. Tertiary Prevention
d. Health Promotion

B

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?

a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health Promotion

C

45

Upon completing a history, the nurse finds that a patient has risk factors for lung disease. How should the nurse interpret this finding?

a. A person with the risk will get the disease
b. The chances of getting the disease are increased.
c. Risk modification will have no effect on disease prevention.
d. The disease is guaranteed not to develop if the risk factor is controlled.

B

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?

a. Identify the patient's stage of change.
b. Realize that the patient is ready to change.
c. Teach the patient that choices will have to change.
d. Instruct the patient that relapses will not be tolerated.

A

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?

a. Contemplation
b Maintenance
c. Preparation
d. Action

B

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?

a. Precontemplation
b. Contemplation
c. Preparation
d. Action

B

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?

a. Shock
b. Withdrawal
c. Acceptance
d. Rehabilitation

B

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?

1. Action
2. Preparation
3. Maintenance
4. Contemplation
5. Precontemplation

a. 5, 4, 2, 1, 3
b. 2, 5, 4, 3, 1
c. 4, 5, 3, 1, 2
d. 1, 5, 2, 3, 4

A

51

Which areas should the nurse assess to determine the effects of external variables on a patient's illness? (Select all that apply.)

a. Patient's perception of the illness
b. Patient's coping skills
c. Socioeconomic status
d. Cultural background
e. Social support

C,D,E

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.)

a. Understands the challenges of today's health care system
b. Identifies actual and potential risk factors
c. Has coined the term "illness behavior"
d. Minimizes the effects of illnesses
e. Experiences compassion fatigue

A,B,D

53

Public health nursing differs from community health nursing in that public health nursing
a. Focuses on individuals and families.
b. Understands the needs of a population.
c. Ignores political processes.
d. Considers the individual as one member of a group.

B

54

A specialist in public health nursing requires
a. The same level of education as the community health nurse.
b. Preparation at the basic entry level.
c. An advanced degree regardless of public health experience.
d. A graduate level education with a focus in public health science.

D

55

The community health nurse differs from the community-based nurse in that the community health nurse
a. Understands the needs of the population.
b. Focuses on the needs of the individual.
c. Is the first level of contact in the health care system.
d. Involves the family in decision making

A

56

The type of nursing that focuses on acute and chronic care of individuals and families while enhancing patient autonomy is known
as _____ nursing.
a. Public health
b. Community health
c. Community-based
d. Community-focused

C

57

The community health nurse is administering flu shots to children at a local playground. In doing so, the nurse's focus is on
a. Preventing individual illness.
b. Preventing community outbreak of illness.
c. Preventing outbreak of illness in the family.
d. The needs of the individual or family.

B

58

The community health nurse is providing counseling to a group of teenage girls related to birth control and disease prevention. The
nurse does this because
a. Focusing on subpopulations leads to community health.
b. Community health nursing focuses on individuals only.
c. Community health nursing excludes direct care to subpopulations.
d. The focus is on preventing illness and unwanted pregnancy.

A

59

Community-based nursing care takes place in community settings such as the home or a clinic. Ideally, this is done to
a. Exert greater control over individual or family decisions.
b. Provide services close to where patients live.
c. Isolate patients and prevent the spread of disease.
d. Reduce the need for self-care.

B

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
a. Restrict the number of visitors for the patient's welfare.
b. Voice concerns to the patient and proceed according to the patient's wishes.
c. Allow visitors to come and go freely as they have been.
d. Create visiting hours when the patient may see non-family members.

B

61

Vulnerable populations include those patients who are more likely to develop health problems
a. Pregnancy.
b. Nontraditional healing practices.
c. Excessive risk.
d. Unlimited access to health care.

C

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
a. "All poor people are members of a vulnerable population."
b. "Poor people are members of a vulnerable population only if they take drugs."
c. "Poor people are members of a vulnerable population only if they are homeless."
d. "Members of vulnerable groups frequently have a combination of risk factors."

D

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
a. Tell the father to stop and give the daughter Tylenol.
b. Ask the mother and/or father to explain the procedure.
c. Explain to the father that what he is doing will not work.
d. Let the father finish and then give the daughter Tylenol

B

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
a. Ask the boy if the man hurt him.
b. Confront the man directly.
c. Ask the man and woman to step out.
d. Ask the woman if the man hurt the boy.

C

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
a. Insist that the patient speak with a "Right-to-Life" advocate.
b. Provide a referral to an abortion service.
c. Refuse to provide referral to an abortion service.
d. Delay referral to an abortion service.

B

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
a. Demonstrate caregiver techniques for providing care.
b. Stress to the family how difficult it will be to provide care at home.
c. Encourage the family to send the patient to an extended care facility.
d. Teach the family how to have the patient declared incompetent. .

A

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?
a. Structure
b. Population
c. Welfare system
d. Social system

A

68

An argument for passing "universal health care" legislation is that it would help fulfill the Healthy People 2020 goal of
a. Increasing quality of life in America.
b. Prolonging healthy life in America.
c. Eliminating health disparities in America.
d. Promoting healthy behaviors.

C

69

To increase quality and years of healthy life, Healthy People 2020 focuses on four areas. One of those areas is
a. Allowing people to continue current behaviors to reduce the stress of change.
b. Focusing only on individual health changes that will lead to better communities.
c. Creating social and physical environments that promote good health.
d. Focusing on illness treatment to provide fast recuperation.

C

70

According to the World Health Organization, what is the best definition for "health"?
a. Simply the absence of disease
b. Involving the total person and environment
c. Strictly personal in nature
d. Status of pathological state

B

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?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model

A

72

The health care model that utilizes Maslow's hierarchy as its base is the _____ Model.
a. Health Belief
b. Health Promotion
c. Basic Human Needs
d. Holistic Health

C

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?
a. Health Belief Model
b. Health Promotion Model
c. Basic Human Needs Model
d. Holistic Health Model

D

74

Many variables influence a patient's health beliefs and practices. Internal and external variables influence how a person thinks and
acts. An example of an internal variable would be
a. Perception of functioning.
b. Family practices.
c. Socioeconomic factors.
d. Cultural background.

A

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?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion

B

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?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion

C

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
a. A person with the risk factor will get the disease.
b. The chances of getting the disease are increased.
c. The disease is guaranteed not to develop if the risk factor is controlled.
d. Risk modification will have no effect on disease prevention.

B

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
"detoxified." It is important for the nurse to
a. Identify the patient's stage of change.
b. Realize that the patient is ready to change.
c. Instruct the patient that she will have to change her lifestyle.
d. Instruct the patient that relapses are not tolerated.

A

79

Caring in Nursing Practice
A nurse hears a colleague tell a nursing student that she never touches a patient unless she is performing a procedure or doing an assessment. The nurse tells the student that from a caring perspective:

A. She does not touch the patients either.
B. Touch is a type of verbal communication.
C. There is never a problem with using touch.
D. Touch forms a connection between nurse and patient.

D

80

Of the five caring processes described by Swanson, which describes "knowing the patient"?

A. Anticipating the patient's cultural preferences.
B. Determining the patient's physician preference.
C. Establishing an understanding of a specific patient.
D. Gathering task-oriented information during assessment.

C

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?"

A. Sharing feelings about the importance of having regular woman's health examinations.
B. Gaining and understanding of what a woman's health examination means to the patient.
C. Recognizing that the patient is modest; obtaining gender-congruent caregiver.
D. Explaining the risk factors for cervical cancer.

B

82

Helping a new mother through the birthing experience demonstrates which of the Swanson's five caring processes?

A. Knowing.
B. Enabling.
C. Doing for.
D. Being with.

B

83

Which of the following is a strategy for creating work environments that enable nurses to demonstrate more caring behaviors?

A. Increasing the working hours of the staff.
B. Increasing salary benefits of the staff.
C. Creating a setting that allows flexibility and autonomy for staff.
D. Encouraging increased input concerning nursing functions from physicians.

C

84

When a nurse helps a patient find the meaning of cancer by supporting beliefs about life, this is an example of:

A. Instilling hope and faith.
B. Forming a human-altruistic value system.
C. Cultural caring.
D. Being with.

A

85

A nurse demonstrates caring by helping family members:

A. Become active participants in care.
B. Provide activities of daily living (ADLs).
C. Remove themselves from personal care.
D. Make health care decisions for the patient.

A

86

Listening is not only "taking in" what a patient says; it also includes:

A. Incorporating the views of the physician.
B. Correcting any errors in the patient's understanding.
C. Injecting the nurse's personal views and statements.
D. Interpreting and understanding what the patient means.

D

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?

A. The nurse encourages the patient to talk about his concerns while reviewing the computer screen in the room.
B. The nurse sits at the patient's bedside, listens as he relays his fear of never seeing his home again, and then asks if he wants anything to eat.
C. The nurse listens to the patient's story while sitting on the side of the bed then summarizes the story.
D. The nurse listens to the patient talk about his fears of not returning home and then tells him to think positively.

C

88

Presence involves a person-to-person encounter that:

A. Enables patients to care for self.
B. Provides personal care to a patient.
C. Conveys a closeness and a sense of caring.
D. Describes being in close contact with a patient.

C

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?

A. Caring touch.
B. Protective touch.
C. Task-oriented touch.
D. Interpersonal touch.

A

90

Caring is central to nursing practice, but technological advances for rapid diagnosis and treatment should lead the nurse to realize that:

A. Technology has replaced caring as nurses' primary focus.
B. Technology and caring cannot coexist when related to patient care.
C. Technology becomes a powerful tool when it works with caring.
D. Caring is the essence of nursing and is isolated from technology.

C

91

Caring is a universal phenomenon that involves:

A. Being disconnected.
B. Excluding outside phenomena in favor of family relationships.
C. Focusing only on human relationships with one another.
D. What matters to a person.

D

92

With respect to the concept of caring, most nursing theories:

A. Embrace the disease oriented to health care as Watson does.
B. Recognize Leininger's theory and reject culture as a caring force.
C. Identify caring as highly relational involving patient and nurse.
D. Stress the universality of the express of caring.

C

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?

A. Knowing.
B. Doing for.
C. Enabling.
D. Maintaining belief.

C

94

In trying to determine patients' perception of caring, several studies have suggested that:

A. The nurse's effectiveness in performing tasks defines her profession.
B. The affective dimension of nursing care is of primary importance.
C. All patients have the same needs and similar personalities.
D. Patients value both task performance and the affective dimension of nursing.

D

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?

A. It is hospital protocol and part of the admission process.
B. The nurse is trying to make the patient more comfortable.
C. This will help the nurse provide better care for the patient.
D. The nurse needs the time to give a detailed description of what to expect.

C

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:

A. Must make decisions for the patient solely using intellectual principles.
B. Must become the patient's advocate based on the patient's wishes.
C. Uses only analytical principles to determine what is best for the patient.
D. Must ignore unequal family relationships because they are personal

B

97

Providing "presence" involves "being there" and "being with." What does this involve?

A. Closeness and a sense of caring.
B. Focusing on the task that needs to be done.
C. Jumping in to provide patient comfort.
D. Being there without an identified goal.

A

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?

A. Providing a presence.
B. Listening.
C. Providing touch.
D. Providing family care.

A

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?

A. Task-oriented touch.
B. Caring touch.
C. Protective touch.
D. None of the above.

C

100

When dealing with the concept of "touch," the nurse realizes what with regard to contact touch?

A. Involves only skin-to-skin contact.
B. Involves eye contact.
C. Occurs only when tasks are being performed.
D. Is used only to protect the patient.

A

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:

A. Choose the most appropriate time to give the medication.
B. Explain to the patient that he will not get his medication at his usual time.
C. Know what information to put on the medication error report form.
D. Evaluate whether or not the patient is taking his medication correctly at home

A

102

Using Healthy People 2020 as a guide, which of the following would improve delivery of care to a community? (Select all that apply.)
1. Community assessment
2. Implementing public health policies
3. Increasing access to care
4. Determining rates of specific illnesses
5. Reducing the number of fast food restaurants in the community

1,2,3,4

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.

Which overall goal of Healthy People 2020 does this represent?
1. Assess the health care needs of individuals, families, or communities
2. Develop and implement public health policies and improve access to care
3. Gather information on incident rates of certain diseases and social problems
4. Increase life expectancy and quality of life and eliminate health disparities

4

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.

What is the focus of the community health nurse in this clinic setting? (Select all that apply.)
1. Decreasing the incidence of asthma attacks in the community
2. Increasing healthy food choices for school lunches
3. Assessing for factors that contribute to asthmatic attacks in the community
4. Providing asthma education programs for the teachers in the local schools

1,2,4

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
radius. The nurse meets with the community leaders and explains the need for immunizations, the location of the
clinic, and the process of accessing health care resources.

Which of the following practices is the nurse providing? (Select all that apply.)
1. Educating about community resources
2. Teaching the community about illness prevention
3. Promoting autonomy in decision making
4. Improving the health care of the children in the community

1,2,4

106

Which of the following are major public health problems commonly affecting older adults? (Select all that apply.)
1. Substance abuse
2. Dementia
3. Financial limitations
4. Communicable diseases
5. Chronic physical illnesses

1,2,3,5

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?

Tertiary intervention

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?

Secondary intervention

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.)
1. Epidemiologist
2. Counselor
3. Collaborator
4. Case manager

1,3

110

In the community clinic the nurse provides care for a 40-year old woman who takes insulin to manage her diabetes.
The patient is having increased difficulty managing her disease, and the nurse wants her to consider a new insulin pump to help her control it. Which of the following increases the likelihood that the patient will accept this new insulin pump? (Select all that apply.)
1. Supporting the patient as she tries the insulin pump on a limited basis
2. Identifying why the patient is reluctant to use the insulin pump
3. Telling the patient that many other patients you know use the insulin pump successfully
4. The patient's perception that the insulin pump is more consistent with her health care goals than insulin administration

1,2,4

111

The nurse in a new community-based clinic is requested to complete a community assessment. Order the steps for completing this assessment.
1. Structure or locale
2. Social systems
3. Population

1,2,3

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.)
1. Identify which two health needs the immigrant population views as most important
2. Apply information from Healthy People 2020
3. Determine how the population uses available health care resources
4. Identify perceived barriers for health care
5. Implement an exercise program to help with weight loss

1,2,3,4

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.)
1. Assesses the health care resources within the community
2. Assesses the existing health care programs offered by the county health department
3. Compares existing resources and programs with Healthy People 2020 goals
4. Initiates new programs to meet Healthy People 2020 goals

1,2,3

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?

a. Contemplation

b. Preparation

c. Action

d. Maintenance

D

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!"

a. "That's fine. Exercise is bad for you anyway."

b. "OK. I want you to walk 3 miles 4 times a week, and I'll see you in 1 month."

c. "I understand. Can you think of one reason why being more active would be helpful for you?"

d. "I'd like you to ride your bike 3 times this week and eat at least four fruits and vegetables every day."

C

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?

a. Primary prevention

b. Secondary prevention

c. Tertiary prevention

d. Quaternary prevention

C

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?

a. Perceived threat of the disease

b. Likelihood of taking preventative health action

c. Analysis of perceived benefits of prevention action

d. Perceived susceptibility to the disease

D

118

An example of a nurse caring behavior that families of acutely ill patients perceive as important to patients' well-being is:

A. Making health care decisions for patients.
B. Having family members provide a patient's total personal hygiene.
C. Injecting the nurse's perceptions about the level of care provided.
D. Asking permission before performing a procedure on the patient.

D

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?

A. Caring touch.
B. Protective touch.
C. Task-oriented touch.
D. Interpersonal touch.

C

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?

A. "I had a similar procedure last year and I can tell you what I went through."
B. "I don't think you have anything to worry about. They do lots of these."
C. "If you're really concerned, I can call the doctor and cancel the procedure."
D. "Of course there are no guarantees, but I think you'll be all right."

A

121

Caring is a universal phenomenon that influences the ways in which people (Select all that apply.)

A. Learn.
B. Think.
C. Believe.
D. Feel.
E. Behave.

B,D,E

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.

Madeline Leininger

123

Which theorist offers nurses a rich, holistic understanding of nursing practice and caring through the interpretation of expert stories?

benner

124

Caring involves 5 processes, KNOWING, BEING WITH, DOING FOR, ENABLING and MAINTAINING BELIEF.

swanson

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.

benner

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.

watson

127

Caring is the essence and central unifying, a dominant domain that distinguishes nursing from other health disciplines. Care is an essential human need.

leninger

128

What are the basic concepts of nursing?

nursing, person, health, environment

129

Which of the following statements is related to Florence Nightingale?

The role of nursing is to facilitate "the body's reparative processes" by manipulating client's environment.

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?

watson

131

What is the highest Maslow Human Needs Theory?

Self-Actualization: achieving maximum potential

132

Specific assumptions about caring in Watson's Science of Human Caring Theory, include (select all that apply):

Caring promotes health more than curing; Caring involves consequences

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

C

134

With respect to the concept of caring, most nursing theories

  1. Embrace the disease orientation to health care as Watson does.
  2. Recognize Leininger’s theory and reject culture as a caring force.
  3. Identify caring as highly relational involving patient and nurse.
  4. Stress the universality of the expression of caring.

C

135

In trying to determine patients’ perception of caring, several studies have suggested that

  1. The nurse’s effectiveness in performing tasks defines her profession.
  2. The affective dimension of nursing care is of primary importance.
  3. All patients have the same needs and similar personalities.
  4. Patients value both task performance and the affective dimension of nursing.

D

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?

  1. It is hospital protocol and part of the admission process.
  2. The nurse is trying to make the patient more comfortable.
  3. This will help the nurse provide better care for the patient.
  4. The nurse needs the time to give a detailed description of what to expect.

C

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

  1. Must make decisions for the patient solely using intellectual principles.
  2. Must become the patient’s advocate based on the patient’s wishes.
  3. Uses only analytical principles to determine what is best for the patient.
  4. Must ignore unequal family relationships because they are personal.

B

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?

  1. Providing a presence
  2. Listening
  3. Providing touch
  4. Providing family care

A

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?

  1. Task-oriented touch
  2. Caring touch
  3. Protective touch
  4. None of the above

C

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?

  1. “I had a similar procedure last year and I can tell you what I went through.”
  2. “I don’t think you have anything to worry about. They do lots of these.”
  3. “If you’re really concerned, I can call the doctor and cancel the procedure.”
  4. “Of course there are no guarantees, but I think you’ll be all right.”

A

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

C

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

D

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

D

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

C

145

Which action should the nurse take when using critical thinking to make clinical decisions?

a. Make decisions based on intuition.
b. Accept one established way to provide care.
c. Consider what is important in a given situation.
d. Read and follow the heath care provider's orders.

C

146

Which patient scenario of a surgical patient in pain is most indicative of critical thinking?

a. Administering pain-relief medication according to what was given last shift
b. Offering pain-relief medication based on the health care provider's orders
c. Asking the patient what pain-relief methods, pharmacological and nonpharmacological, have worked in the
d. Explaining to the patient that self-reporting of severe pain is not consistent with the minor procedure that performed

C

147

Which action indicates a registered nurse is being responsible for making clinical decisions?

a. Applies clear textbook solutions to patients' problems
b. Takes immediate action when a patient's condition worsens
c. Uses only traditional methods of providing care to patients
d. Formulates standardized care plans solely for groups of patients

B

148

A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates the
charge nurse needs to intervene?

a. Making an ethical clinical decision
b. Making an informed clinical decision
c. Making a clinical decision in the patient's best interest
d. Making a clinical decision based on previous shift assessments

D

149

Which action demonstrates a nurse utilizing reflection to improve clinical decision making?
a. Obtains data in an orderly fashion
b. Uses an objective approach in patient situations
c. Improves a plan of care while thinking back on interventions effectiveness
d. Provides evidence-based explanations and research for care of assigned patients

C

150

A nursing instructor needs to evaluate students' abilities to synthesize data and identify
relationships between nursing diagnoses. Which learning assignment is best suited for this
instructor's needs?

a. Concept mapping
b. Reflective journaling
c. Lecture and discussion
d. Reading assignment with a written summary

A

151

A nurse is using a critical thinking model to provide care. Which component is first that helps a
nurse make clinical decisions?

a. Attitude
b. Experience
c. Nursing process
d. Specific knowledge base

D

152

Which action by a nurse indicates application of the critical thinking model to make
the best clinical decisions?

a. Drawing on past clinical experiences to formulate standardized care plans
b. Relying on recall of information from past lectures and textbooks
c. Depending on the charge nurse to determine priorities of care
d. Using the nursing process

D

153

A nurse is using the critical thinking skill of evaluation. Which action will the nurse take?

a. Examine the meaning of data.
b. Support findings and conclusions.
c. Review the effectiveness of nursing actions.
d. Search for links between the data and the nurse's assumptions.

C

154

The patient appears to be in no apparent distress, but vital signs taken by assistive personnel
reveal an extremely low pulse. The nurse then auscultates an apical pulse and asks the patient
whether there is any history of heart problems. The nurse is utilizing which critical thinking skill?

a. Evaluation
b. Explanation
c. Interpretation
d. Self-regulation

C

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?

a.Explore other options for pain relief.

b.Discuss the surgical procedure and reason for the pain.

c.Explain to the patient that nothing else has been ordered.

d.Offer to notify the health care provider after morning rounds are completed.

A

156

Which action should the nurse take to best develop critical thinking skills?

a.Study 3 hours more each night.
b.Attend all inservice opportunities.
c.Actively participate in clinical experiences.
d.Interview staff nurses about their nursing experiences.

C

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?

a.Postpone catheter insertion until the next shift.

b.Adapt the positioning technique to the situation.

c.Notify the health care provider for a urologist consult.

d.Follow textbook procedure with contraindicated position.

B

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?

a.Provide privacy and check on the patient 30 minutes later.

b.Set a box of tissues at the patient's bedside before leaving the room.

c.Limit visitors while the patient is upset.

d.Ask the patient about the crying.

D

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?

a.Humility
b.Creativity
c.Risk taking
d.Confidence

B

160

A nurse is pulled from the surgical unit to work on the oncology unit. Which action by the nurse displays humility and responsibility?

a.Refusing the assignment

b.Asking for an orientation to the unit

c.Admitting lack of knowledge and going home

d.Assuming that patient care will be the same as on the other units

B

161

A nurse is using professional standards to influence clinical decisions. What is the rationale for the nurse's actions?

a.Establishes minimal passing standards for testing

b.Utilizes evidence-based practice based on nurses' needs

c.Bypasses the patient's feelings to promote ethical standards

d.Uses critical thinking for the highest level of quality nursing care

D

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?

a.Fairness
b.Intellectual standards
c.Independent reasoning
d.Institutional practice guidelines

D

163

A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?

a.Patient's outcomes for learning
b.Nurse's assumptions about hospital discharge
c.Identification of several actual health problems
d.Documentation of patient's ability to meet the goal

B

164

In which order will the nurse use the nursing process steps during the clinical decision-making process?

1. Evaluating goals
2. Assessing patient needs
3. Planning priorities of care
4. Determining nursing diagnoses
5. Implementing nursing interventions

a.2, 4, 3, 5, 1
b.4, 3, 2, 1, 5
c.1, 2, 4, 5, 3
d.5, 1, 2, 3, 4

A

165

While preparing medications for a patient, the nurse
compares the name of the medication on the label with
the name of the medication on the physician's order.
At the bedside, the nurse checks the patient's name
against the order as well. The nurse is following which
critical thinking attitude?
1. Responsible
2. Complete
3. Accurate
4. Broad

1

166

A nurse asks a student nurse to irrigate a patient's feeding
tube. The student has not performed the procedure other
than in simulation laboratory. The student approaches
her clinical instructor and asks a clarifying question
about the amount of saline to use in the procedure. This
is an example of which critical thinking attitude?
1. Risk taking
2. Confidence
3. Consistency
4. Curiosity

2

167

A patient has regularly visited the outpatient wound
clinic over the last 2 months for treatment of a foot ulcer.
The nurses have tried two types of dressings, but the
wound shows little improvement. During the patient's
next visit, a nurse recommends a hydrocolloid dressing
and use of a foot boot to reduce pressure on the ulcer
when the patient walks. This approach to selecting an
intervention employs which critical thinking attitude?
1. Significance
2. Curiosity
3. Perseverance
4. Logic

3

168

While preparing medications for a patient, the nurse
compares the name of the medication on the label with
the name of the medication on the physician's order.
At the bedside, the nurse checks the patient's name
against the order as well. The nurse is following which
critical thinking attitude?
1. Responsible
2. Complete
3. Accurate
4. Broad

1

169

A patient has regularly visited the outpatient wound
clinic over the last 2 months for treatment of a foot ulcer.
The nurses have tried two types of dressings, but the
wound shows little improvement. During the patient's
next visit, a nurse recommends a hydrocolloid dressing
and use of a foot boot to reduce pressure on the ulcer
when the patient walks. This approach to selecting an
intervention employs which critical thinking attitude?
1. Significance
2. Curiosity
3. Perseverance
4. Logic

3

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:

1. Creativity.
2. Fairness.
3. Clinical reasoning.
4. Applying ethical criteria.

4

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:

1. Accuracy
2. Reflection
3. Risk taking
4. Basic critical thinking

4

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:

1. Responsible
2. Complete
3. Accurate
4. Broad

1

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?
1. Curiosity
2. Adequacy
3. Discipline
4. Thinking independently

3

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:

A. Reflection.
B. Perseverance.
C. Intuition.
D. Problem solving.

1

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?
1. Working in multiple health care settings
2. Learning good communication skills
3. Spending time establishing relationships with patients
4. Relying on evidence in practice

3

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:

A. Inference.
B. Basic critical thinking.
C. Evaluation.
D. Diagnostic reasoning.

D

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?

a. continue caring for the patient

b. comfort and instill belief in the patient

c. encourage the patient to distract self from the symptoms

d. distance oneself from this patient

D

178

Which nursing intervention indicates a protective touch for a patient with a major injury after an accident?

a. shaking the patient's hand while meeting for the first time

b. touching the patient's shoulder while explaining a medication

c. holding the patient's hand while starting an intravenous catheter

d. holding the patient while assisting with walking

D

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?

a. it may distract the nurse from important nursing tasks

b. it will have no impact on the patient's healing

c. it will help to assist the patient in using social resources

d. it will make the patient uncomfortable to reveal personal information

C

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?

a. knowing

b. doing for

c. being with

d. maintaining belief

D

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?

a. enabling

b. doing for

c. being with

d. maintaining belief

C

182

The nurse is following Swanson's theory in caring for a patient. Which actions are included in knowing the patient?

a. Instilling faith in this patient.

b. Helping the patient perform daily activities.

c. Understanding the patient and the patient's suffering as a whole.

d. Knowing the interventions that should be performed with the patient

C

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?

a. Enabling

b. Knowing

c. Doing for

d. Being with

B

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?

a. Intention to cure

b. Intention to care

c. Management by conventional means

d. Brief conversation with the patient

B