Adult Health Nursing Review Questions
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing acute and chronic health conditions across diverse healthcare settings. This course emphasizes holistic assessment, evidence-based interventions, and collaborative care planning to promote optimal health and recovery. Students examine pathophysiologic processes, pharmacological management, health promotion, and patient education strategies tailored to the unique needs of adults. The development of clinical reasoning, communication, and advocacy skills are central to preparing nursing students for the complexities of adult health care.
Recommended Textbook
Concepts for Nursing Practice 2nd Edition by Giddens
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58 Chapters
459 Verified Questions
459 Flashcards
Source URL: https://quizplus.com/study-set/174 Page 2
Chapter 1: Development
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
A) have separation anxiety.
B) rebel against rules.
C) regress because of stress.
D) want to know everything.
Answer: C
Q2) The nurse preparing a teaching plan for a preschooler knows that, according to Piaget, the expected stage of development for a preschooler is A) concrete operational.
B) formal operational.
C) preoperational.
D) sensorimotor.
Answer: C
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Chapter 2: Functional Ability
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) Cleans the house
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: A
Q2) The nurse is developing an interdisciplinary plan of care using the Roper-Logan-Tierney Model of Nursing for a patient who is currently unconscious. Which interventions would be most critical to developing a plan of care for this patient?
A) Eating and drinking, personal cleansing and dressing, working and playing
B) Toileting, transferring, dressing, and bathing activities
C) Sleeping, expressing sexuality, socializing with peers
D) Maintaining a safe environment, breathing, maintaining temperature
Answer: D
Q3) Dresses self
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
Q4) Takes medications as prescribed
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: A
Page 4
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Chapter 3: Family Dynamics
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) Two women have an established long-term relationship and are attending parenting classes in anticipation of finalizing adoption of a baby. The nurse identifies them as which type of family?
A) Cohabiting
B) Nuclear
C) Same-sex
D) Single parent
Answer: C
Q2) The most appropriate initial nursing intervention when the nurse notes dysfunctional interactions and lack of family support for a patient would be to
A) enforce hospital visiting policies.
B) monitor the dysfunctional interactions.
C) notify the primary care provider.
D) role model appropriate support.
Answer: D
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Chapter 4: Culture
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7 Verified Questions
7 Flashcards
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Sample Questions
Q1) When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-Chapter, a nurse should immediately A) write everything down for the patient to refer to later.
B) prompt further to elicit additional questions or concerns.
C) call the recognized elder for this patient.
D) call the oldest male relative for help with decision making.
Q2) Understanding cultural differences in health care is important because it will help the nurse to understand the manner in which people decide on obtaining treatments and medical care. In independent cultures an individual will
A) put himself first.
B) consult family members for advice.
C) ask for a second opinion.
D) travel great distances to receive the best care.
Q3) What interrelated constructs facilitate a nurse to become culturally competent?
A) Cultural diversity, self-awareness, cultural skill, and cultural knowledge
B) Cultural desire, self-awareness, cultural knowledge, and cultural identity
C) Cultural desire, self-awareness, cultural knowledge, and cultural diversity
D) Cultural desire, self-awareness, cultural knowledge, and cultural skill
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Page 6
Chapter 5: Spirituality
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7 Flashcards
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Sample Questions
Q1) When developing a plan of care, the nurse should consider which attribute of the Chapter of spirituality?
A) Spirituality is not a well-known universal concept
B) Chronic versus acute illnesses affect spirituality
C) Convincing patients to pray is a priority intervention
D) Referrals may be needed to spiritual counselors
Q2) The nurse is assessing a patient's spirituality and observes the patient meditating before any treatments. What is the nurse's best action?
A) Document that the patient is not religious
B) Offer the patient a copy of the bible to read
C) Arrange for quiet time for the patient as needed
D) Limit the time patient can meditate before procedures
Q3) When completing the FICA tool for spiritual assessment, which questions should the nurse ask the patient? (Select all that apply.)
A) What things do you believe in that give meaning to life?
B) Are you connected with a faith center in your community?
C) How has your illness affected your personal beliefs?
D) When was the last time you have been to church?
E) What can I do for you?
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Page 7
Chapter 6: Adherence
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Sample Questions
Q1) After the nurse implements a teaching plan for a newly diagnosed patient with hypertension, the patient can explain the information but fails to take the medications as prescribed. What is the nurse's next action?
A) Reeducate the patient, because learning did not occur because the patient's behavior did not change.
B) Assess the patient's perception and attitude towards the risks associated with not taking their anti-hypertensives.
C) Take full responsibility for helping the patient make dietary changes.
D) Ask the provider to prescribe a different medication, because the patient does not want to take this medication.
Q2) A 73-year-old male patient is seen in the home setting for a routine physical. The nurse notes which behavior as the most reassuring sign that the patient has been following the treatment plan for the diagnoses of hypertension, diabetes, and hyperlipidemia?
A) The patient has a list of glucose readings for the past 10 days.
B) The patient has a list of medications along with newly refilled meds.
C) The patient has a list of all foods and beverages for a 3-day period.
D) The patient verbalizes the side effects of all his medications.
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Chapter 7: Self-Management
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Sample Questions
Q1) An 8-year-old child is newly diagnosed with asthma. Which nursing intervention best promotes self-efficacy for the parents to help the child follow the prescribed treatments?
A) Ask parents to list all possible triggers for asthma
B) Requesting a spacer for the metered dose inhaler
C) Suggest the parents enforce a strict exercise regimen
D) Recommend replacing carpeting in the home with wood flooring
Q2) The nurse is developing a teaching plan for a patient diagnosed with congestive heart failure. Which are the most appropriate teaching points to include that will assist in self-management of the disease? (Select all that apply.)
A) Side effects of medications
B) Activity restrictions
C) Daily weights
D) Increased sodium intake
E) Blood pressure monitoring
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9
Chapter 8: Fluid and Electrolyte Balance
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Sample Questions
Q1) The home health nurse is caring for a patient with a diagnosis of acute immunodeficiency syndrome (AIDS) who has chronic diarrhea. Which assessments should the nurse use to detect the fluid and electrolyte imbalances for which the patient has high risk? (Select all that apply.)
A) Bilateral ankle edema
B) Weaker leg muscles than usual
C) Postural blood pressure and heart rate
D) Positive Trousseau's sign
E) Flat neck veins when upright
F) Decreased patellar reflexes
Q2) The patient is receiving tube feedings due to a jaw surgery. What change in assessment findings should prompt the nurse to request an order for serum sodium concentration?
A) Development of ankle or sacral edema
B) Increased skin tenting and dry mouth
C) Postural hypotension and tachycardia
D) Decreased level of consciousness
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Chapter 9: Acid-Base Balance
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Sample Questions
Q1) The nurse has telephone messages from four patients who requested information and assistance. Which one should the nurse refer to a social worker or community agency first?
A) "Is there a place that I can dispose of my unused morphine pills?"
B) "I want to lose at least 20 pounds without getting sick this time."
C) "I think I have asthma because I cough when dogs are near."
D) "I ran out of money and am cutting my insulin dose in half."
Q2) The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective?
A) "To prevent another problem, I should eat less sodium during diarrhea."
B) "My blood became too acid because I lost some base in the diarrhea fluid."
C) "Diarrhea removes fluid from the body, so I should drink more ice water."
D) "I should try to slow my breathing so my acids and bases will be balanced."
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11
Chapter 10: Thermoregulation
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8 Flashcards
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Sample Questions
Q1) What is the priority nursing action for a patient suspected to be hypothermic?
A) Assess vital signs.
B) Hydrate with intravenous (IV) fluids.
C) Provide a warm blanket.
D) Remove wet clothes.
Q2) What is the most appropriate measure for a nurse to use in assessing core body temperature when there are suspected problems with thermoregulation?
A) Oral thermometer
B) Rectal thermometer
C) Temporal thermometer scan
D) Tympanic membrane sensor
Q3) During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?
A) Impaired cognition
B) Occupational exposure
C) Physical agility
D) Temperature extremes
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Chapter 11: Sleep
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Sample Questions
Q1) A patient complains of not being able to fall asleep at night and asks the nurse if there is a safe, non-prescription medication he can try. After consulting the healthcare provider, the nurse should recommend which naturally occurring hormone?
A) Melatonin
B) Cortisol
C) Leutinizing hormone
D) Estrogen
Q2) A mother tells the nurse she is concerned because her 8 month old infant sleeps all day and night and is only awake about 2-3 hours per day. What is the nurse's best response?
A) "This sleep pattern is very normal for an infant at this age."
B) "Adding an additional feeding will keep the child awake more."
C) "I recommend that you notify the child's pediatrician."
D) "Be sure you are laying the child on his back to sleep at night."
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13
Chapter 12: Cellular Regulation
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Sample Questions
Q1) While collecting a health history on a patient admitted for colon cancer, which of the following questions would be a priority to ask this patient?
A) "Have you noticed any blood in your stool?"
B) "Have you been experiencing nausea?"
C) "Do you have back pain?"
D) "Have you noticed any swelling in your abdomen?"
Q2) The nurse is caring for a patient who received a bone marrow transplant 10 days ago. The nurse would monitor for which of the following clinical manifestations that could indicate a potentially life-threatening situation?
A) Mucositis
B) Confusion
C) Depression
D) Mild temperature elevation
Q3) What is the priority nursing diagnosis for a patient experiencing chemotherapy-induced anemia?
A) Risk for injury related to poor blood clotting
B) Fatigue related to decreased cellular oxygenation
C) Disturbed body image related to skin color changes
D) Imbalanced nutrition, less than body requirements related to anorexia
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Page 14
Chapter 13: Intracranial Regulation
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Sample Questions
Q1) The nurse should teach a patient that which is a primary prevention strategy to reduce the occurrence of head injuries?
A) Blood pressure control
B) Smoking cessation
C) Maintaining a healthy weight
D) Violence prevention
Q2) The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe?
A) Aligning the neck with the body
B) Clustering many nursing activities
C) Elevating the head of the bed 30 degrees
D) Providing stool softeners or laxatives as ordered
Q3) Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?
A) Blood pressure
B) Cranial nerve function
C) Head circumference
D) Verbal responsiveness
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15
Chapter 14: Hormonal Regulation
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Sample Questions
Q1) Radioactive iodine is indicated for the treatment of hyperthyroidism. The nurse should include which teaching in this patient's plan of care?
A) Isolation is required for 6-8 weeks
B) An additional dose may be needed
C) Thyroid replacement therapy is prescribed
D) An overnight hospital stay is required
Q2) Which statement made by a student nurse indicates the need for further teaching about pituitary insufficiency?
A) "Synthetic human growth hormone may be prescribed for children who are small for gestational age."
B) "Testosterone supplements may be prescribed for women with gonadotropin deficiency."
C) "Estrogen is known to regulate the action of growth hormone in men and women."
D) "Chronic kidney disease treatment may include synthetic growth hormone replacement."
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16
Chapter 15: Glucose Regulation
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Sample Questions
Q1) The nurse recognizes which patient as having the greatest risk for undiagnosed diabetes mellitus?
A) Young white man
B) Middle-aged African-American man
C) Young African-American woman
D) Middle-aged Native American woman
Q2) When a diabetic patient asks about maintaining adequate blood glucose levels, which of the following statements by the nurse relates most directly to the necessity of maintaining blood glucose levels no lower than about 74 mg/dL?
A) "Glucose is the only type of fuel used by body cells to produce the energy needed for physiologic activity."
B) "The central nervous system cannot store glucose and needs a continuous supply of glucose for fuel."
C) "Without a minimum level of glucose circulating in the blood, erythrocytes cannot produce ATP."
D) "The presence of glucose in the blood counteracts the formation of lactic acid and prevents acidosis."
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Chapter 16: Nutrition
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Sample Questions
Q1) During a nutritional assessment, the nurse calculates that a female patient's BMI is 27. The nurse would advise the patient to follow which of these recommendations?
A) This measurement indicates that the patient is overweight and should follow a plan of diet and exercise to lose weight.
B) This measurement indicates that the patient is underweight and will need to take measures to gain weight.
C) This measurement indicates that the patient is morbidly obese and may be a candidate for bariatric surgery.
D) This measurement indicates that the patient is of normal weight and should continue with current lifestyle.
Q2) During a physical examination, the nurse notes that the patient's skin is dry and flaking, with patches of eczema. Which nutritional deficiency might be present?
A) Vitamin C
B) Vitamin B
C) Essential fatty acid
D) Protein
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18
Chapter 17: Elimination
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Sample Questions
Q1) The process of digestion is important for every living organism for the purpose of nourishment. Where does most digestion take place in the body?
A) Large intestine
B) Stomach
C) Small intestine
D) Pancreas
Q2) What is a primary prevention tool used for colon cancer screening?
A) Abdominal x-rays
B) Blood, urea, and nitrogen (BUN) testing
C) Serum electrolytes
D) Occult blood testing
Q3) The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the patient's elimination status. What is the nurse's best action?
A) Speak with the patient's family about food choices.
B) Establish a bowel and bladder program for the patient.
C) Speak with the patient about past elimination habits.
D) Establish a bedtime ritual for the patient.
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19
Chapter 18: Perfusion
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Sample Questions
Q1) A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?
A) Tissue ischemia
B) Brain malformations
C) Intestinal blockage
D) Cardiac dysrhythmia
Q2) The patient asks the nurse to explain the function of the sinoatrial node in the heart. What is the nurse's best response?
A) "The sinoatrial node stimulates the heart to beat in a normal rhythm."
B) "The sinoatrial node protects the heart from atherosclerotic changes."
C) "The sinoatrial node provides the heart with oxygenated blood."
D) "The sinoatrial node protects the heart from infection."
Q3) The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows the student understands this problem when the student makes which statement?
A) "Central perfusion is monitored only by the physician."
B) "Central perfusion involves the entire body."
C) "Central perfusion is decreased with hypertension."
D) "Central perfusion is toxic to the cardiac system."
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Page 20
Chapter 19: Gas Exchange
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Sample Questions
Q1) The nurse is assigned a group of patients. Which patient finding would the nurse identify as a factor leading to increased risk for impaired gas exchange?
A) Blood glucose of 350 mg/dL
B) Anticoagulant therapy for 10 days
C) Hemoglobin of 8.5 g/dL
D) Heart rate of 100 beats/min and blood pressure of 100/60
Q2) Which patient finding would the nurse identify as being a risk factor for altered transport of oxygen?
A) Hemoglobin level of 8.0
B) Bronchoconstriction and mucus
C) Peripheral arterial disease
D) Decreased thoracic expansion
Q3) The nurse would identify which patient condition as a problem of impaired gas exchange secondary to a perfusion problem?
A) Peripheral arterial disease of the lower extremities
B) Chronic obstructive pulmonary disease (COPD)
C) Chronic asthma
D) Severe anemia secondary to chemotherapy
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Chapter 20: Clotting
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Sample Questions
Q1) Which statement by a patient indicates additional teaching is required about the medication warfarin?
A) "I will continue my diabetic diet and restrict sugar."
B) "I will increase the intake of green, leafy vegetables for a more healthful diet."
C) "I will restrict the intake of foods high in vitamin C."
D) "I will increase the amount of protein in my diet to protect my kidneys."
Q2) The nurse would anticipate that which of the following patient conditions will be treated with the collaborative treatment of regular phlebotomies?
A) Hemophilia
B) Thrombocytopenia
C) Eosinophilia
D) Polycythemia
Q3) Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?
A) An INR (international normalize ratio) of 1.8
B) An INR of 4.8
C) A partial thromboplastin time (APTT) level of 25 seconds
D) An APTT level of 35 seconds
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Chapter 21: Reproduction
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Sample Questions
Q1) A female college student is planning to become sexually active. She is considering birth control options and desires a method in which ovulation will be prevented. To prevent ovulation while reaching 99% effectiveness in preventing pregnancy, which option should be given the strongest consideration?
A) Intrauterine device
B) Coitus interruptus
C) Natural family planning
D) Oral contraceptive pills
Q2) The nurse at the family planning clinic conducts a male history for infertility evaluation. Which finding has the greatest implication for this patient's care?
A) Practice of nightly masturbation
B) Primary anovulation
C) High testosterone levels
D) Impotence due to alcohol ingestion
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Chapter 22: Sexuality
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Sample Questions
Q1) In order to fully assess the patient and plan appropriate care including health teaching regarding sexuality the nurse should realize that which patient is most at risk for sexual abuse?
A) A recently divorced 50-year-old woman
B) A Hispanic teenage girl
C) A 30-year-old African-American male
D) An individual with intellectual or developmental disabilities
Q2) The school nurse is developing a curriculum for a junior human sexuality class. In order to provide the most up-to-date information, the nurse should be aware that which is the single most effective primary prevention strategy for preventing sexually transmitted infections (STIs)?
A) A vaccine to prevent HPV infection
B) HIV screening
C) Abstinence
D) The male condom
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24
Chapter 23: Immunity
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Sample Questions
Q1) The nurse is caring for a patient who is being discharged home after a splenectomy. What information on immune function needs to be included in this patient's discharge planning?
A) The mechanisms of the inflammatory response
B) Basic infection control techniques
C) The importance of wearing a face mask in public
D) Limiting contact with the general population
Q2) While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching on immunosuppression when she makes which statement?
A) "My body will treat the new kidney like my original kidney."
B) "I will have to make sure that I avoid being around people."
C) "The medications that I take will help prevent my body from attacking my new kidney."
D) "My body will only have a problem with my new kidney if the donor is not directly related to me."
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Chapter 24: Inflammation
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Sample Questions
Q1) The nurse reviews the patient's complete blood count (CBC) results and notes that the neutrophil levels are elevated, but monocytes are still within normal limits. This indicates what type of inflammatory response?
A) Chronic
B) Resolved
C) Early stage acute
D) Late stage acute
Q2) The nurse assesses the patient and notes all of the following. Select all of the findings that indicate the systemic manifestations of inflammation.
A) Oral temperature 38.6° C/101.5° F
B) Thick, green nasal discharge
C) Patient complaint of pain at 6 on a 0 to 10 scale on palpation of frontal and maxillary sinuses
D) WBC 20 cells/McL \(\times\) 10<sup>9</sup>/L
E) Patient reports, "I'm tired all the time. I haven't felt like myself in days."
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Chapter 25: Infection
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Sample Questions
Q1) While reviewing the complete blood count (CBC) of a patient on her unit, the nurse notes elevated basophil and eosinophil readings. The nurse realizes that this is most indicative of which type of infection?
A) Bacterial
B) Fungal
C) Parasitic
D) Viral
Q2) A nurse is teaching a group of business people about disease transmission. He knows that he needs to reeducate when one of the participants states which of the following?
A) "When traveling outside of the country, I need to be sure that I receive appropriate vaccinations."
B) "Food and water supplies in foreign countries can contain microorganisms to which my body is not accustomed and has no resistance."
C) "If I don't feel sick, then I don't have to worry about transmitted diseases."
D) "I need to be sure to have good hygiene practices when traveling in crowded planes and trains."
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Chapter 26: Mobility
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Sample Questions
Q1) A patient who has been in the hospital for several weeks is about to be discharged. The patient is weak from the hospitalization and asks the nurse to explain why this is happening. What is the nurse's best response?
A) "Your iron level is low. This is known as anemia."
B) "Your immobility in the hospital is known as deconditioning."
C) "Your poor appetite is known as malnutrition."
D) "Your medications have caused drug induced weakness."
Q2) An older patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. What is the nurse's best response?
A) "Walk at least 5 miles every day for exercise."
B) "Wear proper fitting shoes to prevent tripping."
C) "Talk with your physician about a calcium supplement."
D) "Stand up slowly so you don't feel faint."
Q3) The lack of weight bearing leads to what effects on the skeletal system?
A) Demineralization, calcium loss
B) Thickened bones
C) Increased range of motion
D) Increased calcium deposition in the bones
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28
Chapter 27: Tissue Integrity
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Sample Questions
Q1) A patient in the outpatient setting was diagnosed with atopic dermatitis. What interventions will the plan of care focus primarily on?
A) Decreasing pain
B) Decreasing pruritus
C) Preventing infection
D) Promoting drying of lesions
Q2) An older patient has developed age spots and is concerned about skin cancer. How would the nurse instruct the patient to perform skin checks to assess for signs of skin cancer?
A) "Limit the time you spend in the sun."
B) "Monitor for signs of infection."
C) "Monitor spots for color change."
D) "Use skin creams to prevent drying."
Q3) A patient has cellulitis on the right forearm. The nurse would anticipate orders to administer medications to eradicate which organism?
A) Candida albicans
B) Group A beta-hemolytic streptococci
C) Staphylococcus aureus
D) E. Coli
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Chapter 28: Sensory Perception
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Sample Questions
Q1) The nurse requests that a mother give permission for a hearing test in a newborn infant. The mother questions the importance of such a test. The nurse correctly responds with which of the following statements?
A) "This will help us to identify your baby's risk for ear infections the first year of life."
B) "Hearing is important so your baby hears and responds to your voice, which makes you feel like a mother."
C) "Socialization skills include the need to hear in order to interpret the emotional aspect of the words that are spoken to your child."
D) "Imitation of sounds is the first step in language development, and it is important to identify alterations early."
Q2) The patient who had a hip replacement yesterday has a visual acuity of 20/200 after correction. What is the nurse's best action to provide recreational activities during the rehabilitation phase?
A) Place the television to the left or right of patient's visual field.
B) Encourage the patient to learn braille.
C) Suggest use of talking books.
D) Provide headphones for listening to music.
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Chapter 29: Pain
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Q1) A 70-year-old retired nurse is interested in nondrug, mind-body therapies, self-management, and alternative strategies to deal with joint discomfort from rheumatoid arthritis. What options should you consider in her plan of care considering her expressed wishes?
A) Stationary exercise bicycle, free weights, and spinning class
B) Mind-body therapies such as music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques, and pet therapy
C) Chamomile tea and IcyHot gel
D) Acupuncture and attending church services
Q2) Controlling pain is important to promoting wellness. Unrelieved pain has been associated with complication?
A) Prolonged stress response and a cascade of harmful effects system-wide
B) Large tidal volumes and decreased lung capacity
C) Decreased tumor growth and longevity
D) Decreased carbohydrate, protein, and fat destruction
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Chapter 30: Fatigue
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Q1) A patient with chronic kidney disease is most likely to complain of which symptom?
A) Fatigue
B) Thirst
C) Constipation
D) Excess bleeding
Q2) The nurse recognizes that which patients are at highest risk for physiologic fatigue?
(Select all that apply.)
A) Parents of a newborn
B) Adolesent with anorexia
C) 25-year-old pregnant female
D)Grandmother who takes 1/2 mile walks
E) Businessman who consumes six cups coffee/day
Q3) A patient presents to the clinic complaining of nausea, vomiting, and fatigue. Lab results reveal elevated BUN and creatinine levels. Which acute condition is this patient at most risk for developing?
A) Influenza
B) Mononucleosis
C) Acute renal failure
D) Pneumonia
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Page 32
Chapter 31: Stress
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Sample Questions
Q1) The nurse is working with a patient who recently lost her spouse after a lengthy illness. The patient shares that she would like to sell her home and move to another state now that her spouse has passed away. Which of the following interventions would be considered a priority for this patient? (Select all that apply.)
A) Notify the provider to evaluate for antidepressant therapy.
B) Suggest that the patient consider a support group for widows.
C) Suggest that the patient learn stress reduction breathing exercises.
D) Suggest that the patient take prescribed antianxiety medications.
E) Assist the patient in identifying support systems.
F) Notify the provider to evaluate the need for antianxiety medications.
Q2) A patient has not been sleeping well because he is worried about losing his job and not being able to support his family. The nurse takes the patient's vital signs and notes a pulse rate of 112 beats/min, respirations are 26 breaths/min, and his blood pressure is 166/88 instead his usual 110-120/76-84 range. Which nursing intervention or recommendation should be used first?
A) Go to sleep 30 to 60 minutes earlier each night to increase rest.
B) Relax by spending more time playing with his pet dog.
C) Slow and deepen breathing via use of a positive, repeated word.
D) Consider that a new job might be better than his present one.
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Page 33
Chapter 32: Coping
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Q1) After a management decision to admit terminal care patients to a medical unit, the nursing manager notes that nursing staff on the unit appear tired and anxious. Staff absences from work are increasing. The nurse manager is concerned that staff may be experiencing stress and burnout at work. What action would be best for the manager to take that will help the staff?
A) Ask administration to require staff to meditate daily for at least 30 minutes.
B) Have a staff psychologist available on the unit once a week for required counseling.
C) Have training sessions to help the staff understand their new responsibilities.
D) Ask support staff from other disciplines to complete some nursing tasks to provide help.
Q2) The nurse is developing a care plan for a patient with ineffective coping skills. Which intervention would be an example of a problem-focused coping strategy?
A) Scheduling a regular exercise program
B) Attending a seminar on treatment options
C) Identifying a confidant to share feelings
D) Attending a support group for families
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Chapter 33: Mood and Affect
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Q1) A patient has been prescribed a selective serotonin reuptake inhibitor (SSRI) antidepressant. After taking the new medication, the patient states, "This medication isn't working. I don't feel any different." What is the best response by the nurse?
A) "I will call your care provider. Perhaps you need a different medication."
B) "Don't worry. You can try taking it at a different time of day to help it work better."
C) "It usually takes a few weeks for you to notice improvement from this medication."
D) "Your life is much better now. You will feel better soon."
Q2) A patient who has been diagnosed with depression is scheduled for cognitive therapy in addition to receiving prescribed antidepressant medication. The nurse understands that the goal of cognitive therapy will be met when what is reported by the patient?
A) "I will tell myself that I am a good person when things don't go well at work."
B) "My medications will make my problems go away."
C) "My family will help take care of my children while I am in the hospital."
D) "This therapy will improve my response to neurotransmitter impulses."
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Chapter 34: Anxiety
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Q1) A female patient is anxious after receiving the news that she needs a breast biopsy to rule out breast cancer. The nurse is assisting with a breast biopsy. Which relaxation technique will be best to use at this time?
A) Massage
B) Meditation
C) Guided imagery
D) Relaxation breathing
Q2) A patient reports that he is overwhelmed with anxiety. Which question would be most important to use in assessing the patient during your first meeting?
A) "What kinds of things do you do to reduce or cope with your stress?"
B) "Tell me about your family history-do any relatives have problems with stress?"
C) "Tell me about exercise-how far do you typically run when you go jogging?"
D) "Stress can interfere with sleep. How much did you sleep last night?"
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Chapter 35: Cognition
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Q1) A patient who is dehydrated has been experiencing confusion. The daughter is concerned about taking the patient home in a confused state. What statement by the nurse is correct?
A) "Don't worry; the patient should be fine once they are in a familiar environment."
B) "I can make a referral for a home health aide to assist with the patient."
C) "Once the dehydration is corrected, the patient's confusion should improve."
D) "I can show you how to care for the patient once you return home."
Q2) The nurse is developing a care plan for a patient newly admitted to a unit that cares for patients with cognitive impairment. What is an important component of care for the patients on this unit?
A) Allow food selections from a menu with several choices.
B) Schedule frequent field trips off the unit for cognitive stimulation.
C) Plan for attendance at activities with several other patients on the unit.
D) Plan for a structured daily routine of events and caregivers.
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Chapter 36: Psychosis
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Q1) Which side effect is highest priority for the nurse to assess for when diphenhydramine is administered to a patient also taking antipsychotic medication?
A) Increased pychosis
B) Cognitive impairment
C) Respiratory depression
D) Impaired memory
Q2) A client with schizophrenia has relapsed and has been identified as being in stage four of relapse. The nurse expects to observe which behavior that most consistent with this stage of relapse?
A) Expressing feelings of anxiety
B) Expressing feelings of being overwhelmed
C) Bizarre behaviors and speech
D) Presence of hallucinations
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Chapter 37: Addiction
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Q1) The nurse recognizes a potential health threat to an alcoholic patient who is using the drug disulfiram when the nurse reads in the health record that the patient is also taking which of the following? (Select all that apply.)
A) Blood thinners
B) Diphenhydramine
C) Alcohol
D) Penicillin
E) Mouthwash
Q2) The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?
A) "I go to meetings once a day and still drink."
B) "My family and friends have been avoiding me lately."
C) "I don't have a problem with alcohol. I can quit anytime I want to."
D) "I know it will be hard to quit, but I am willing to try."
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Chapter 38: Interpersonal Violence
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Q1) The nurse is reviewing case files for children at risk for injury resulting in brain injury. Which child is at most risk for experiencing this type of violence?
A) A Caucasian, 6-month-old infant living with a single mother
B) An African-American, 24-month-old child living with her grandmother
C) A Mexican, 3-year-old child living in an inner city apartment
D) A Japanese, 8-year-old child living in a home with three generations of family
Q2) A nurse is caring for a patient in the emergency department who has been a victim of intimate partner violence. What is most important for the nurse to include in the plan of care?
A) Medication to calm the perpetrator of the violence
B) A list of community resources
C) A referral for self-defense training
D) A referral to the victim's religious advisor
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Chapter 39: Professional Identity
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Questions
Q1) What nursing recommendations are published in the Institute of Medicine (IOM's) report The future of nursing: Leading change, advancing health?
A) Teach, advocate, assess, and nurture.
B) Should have a graduate degree to practice.
C) Diagnose and recommend treatments.
D) Must have continuing education.
Q2) The scope of professional nursing practice is determined by the rules promulgated by which organization?
A) American Nurses' Association (ANA)
B) Institute of Medicine (IOM)
C) State Board of Nursing
D) State Nursing Association
Q3) The American Nurses' Association (ANA) outlines expectations of the nursing profession in which type of documentation?
A) Gallup poll
B) Goldman report
C) Social Policy Statement
D) Social identity theory
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Chapter 40: Clinical Judgment
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Q1) A student nurse is studying clinical judgment theories and is working with Tanner's Model of Clinical Judgment. How can the student nurse best generalize this model?
A) A reflective process where the nurse notices, interprets, responds, and reflects in action
B) One conceptual mechanism for critiquing ideas and establishing goal-oriented care
C) Researching best practice literature to create care pathways for certain populations
D) Assessing, diagnosing, implementing, and evaluating the nursing care plans
Q2) A nurse has committed a serious medication error and has reported the error to the hospital's adverse medication error hotline as well as to the unit manager. The manager is a firm believer in developing critical thinking skills. From this standpoint, what action by the manager would best nurture this ability in the nurse who made the error?
A) Have the nurse present an in-service related to the cause of the error.
B) Instruct the nurse to write a paper on how to avoid this type of error.
C) Let the nurse work with more experienced nurses when giving medications.
D) Send the nurse to refresher courses on medication administration.
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Chapter 41: Leadership
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Sample Questions
Q1) To be an effective nursing leader today requires effective collaboration, which is modeled by which answer below?
A) The nursing manager of the observation unit was certain the psychology department would assist the unit with a motivational plan, so she did not request their assistance.
B) The nursing manager of the observation unit worked with the psychology department and physical therapy to develop a motivational plan for patients on the unit.
C) The nursing director of behavioral health services followed the administrative directive to reduce services and refused to provide services for patients on other units.
D) Frustrated by the trend of patients unwilling to work with therapy, the unit manager recommended that these patients be placed on another unit.
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Chapter 42: Ethics
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Q1) A nurse on the unit makes an error in the calculation of the dose of medication for a critically ill patient. The patient suffered no ill consequences from the administration. The nurse decides not to report the error or file an incident report. The nurse is violating which principle of ethics?
A) Fidelity
B) Individuality
C) Justice
D) Values clarification
Q2) A drug-addicted nurse switches a patient's morphine injection with normal saline so that the nurse can use the morphine. The nurse is violating which principles of ethics? (Select all that apply.)
A) Autonomy
B) Utilitarianism
C) Beneficence
D) Dilemmas
E) Veracity
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Chapter 43: Patient Education
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Q1) Barriers to patient education the nurse considers in implementing a teaching plan include which factor?
A) Family resources
B) High school education
C) Hunger and pain
D) Need perceived by patient
Q2) The nurse educator would identify a need for further teaching when the student lists which example as a type of learning?
A) Affective
B) Cognitive
C) Psychomotor
D) Self-directed
Q3) Interrelated Chapters to the professional nursing role a nurse manager would consider when addressing concerns about the quality of patient education include which factor?
A) Adherence
B) Developmental level
C) Motivation
D) Technology
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Chapter 44: Health Promotion
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Sample Questions
Q1) At the well-child clinic, how does the nurse correctly teach a mother about health promotion activities and describe immunizations?
A) Unique for children
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
Q2) Which tertiary prevention measure should be included in the health promotion plan of care for a patient newly diagnosed with diabetes?
A) Avoiding carcinogens
B) Foot screening techniques
C) Glaucoma screening
D) Seat belt use
Q3) The primary health care nurse would recommend screening based on known risk factors, because of which action?
A) Eliminate the possibility of developing a condition.
B) Identify appropriate treatment guidelines.
C) Initiate treatment of a condition or disease.
D) Make a substantial difference in morbidity and mortality.
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Chapter 45: Communication
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Sample Questions
Q1) The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?
A) "What are the common elements here?"
B) "Tell me again about your experiences."
C) "Am I correct in understanding that "
D) "Tell me everything from the beginning."
Q2) A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?
A) "How shall we start today?"
B) "Shall we talk about losing your privileges yesterday?"
C) "Let's get started discussing your marital relationship."
D) "What happened when your family visited yesterday?"
Q3) The nurse and the patient are conversing face to face. What communication technique is being demonstrated?
A) Linguistic
B) Paralinguistic
C) Explicit
D) Metacommunication
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Chapter 46: Collaboration
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Sample Questions
Q1) The management of a community hospital is trying to encourage a more collaborative environment among staff members. Which Chapter is most important for management to develop first?
A) Post educational posters about how well collaboration is being performed
B) Highlight that no single profession can meet the needs of all patients
C) Provide meetings for each department on how their role affects patients
D) Begin implementing evaluations of collaborative skills on annual performance reviews
Q2) A patient has been admitted to an acute care hospital unit. The nurse explains the hospital philosophy that the patient be an active part of planning their care. The patient verbalizes understanding of this request when they make which statement?
A) "I will have to do whatever the physician says I need to do."
B) "Once a plan is developed, it cannot be changed."
C) "My insurance will not pay if I don't do what you want me to do."
D) "We can work together to adjust my plan as we need to."
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Chapter 47: Safety
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Q1) A sentinel event refers to which situation?
A) An event that could have harmed a patient, but serious harm didn't occur because of chance.
B) An event that harms a patient as a result of underlying disease or condition.
C) An event that harms a patient by omission or commission, not an underlying disease or condition.
D) An event that signals the need for immediate investigation and response.
Q2) The strategy to avoid medication errors endorsed by the Institute for Safe Medication Practices (ISMP) to differentiate products with look-alike names is referred to as which term?
A) Automatic alerts
B) Bar coding
C) Computer order entry
D) Tallman lettering
Q3) Which is an essential element of a standard order set to verify a medication order?
A) Volume only
B) Number of tablets
C) Metric dose/strength
D) Hour of administration
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Page 49
Chapter 48: Technology and Informatics
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Q1) The application of information processing that deals with the storage, retrieval sharing, and use of health care data, information, and knowledge for communication and decision making is the definition of which area?
A) Computer science
B) Health informatics
C) Health information technology
D) Nursing informatics
Q2) Which are exemplars of the health informatics Chapter?
A) Clinical research informatics
B) Hardware and software
C) Privacy and security
D) Standard terminology
Q3) The nurse manager of a medical/surgical unit wants to increase the use of health care technology on the unit and is working with an ANA-certified informatics nurse to reduce which barriers to health information exchange?
A) Basic informatics knowledge and skills
B) Offering the best set of tools
C) Privacy and security policies
D) Unit-specific terminology
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Page 50
Chapter 49: Evidence
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Q1) Which statements are true about the Iowa model of EBP? (Select all that apply.)
A) It addresses utilization of research findings at an individual level.
B) It prioritizes pressing items of interest related to quality of care.
C) Individual nurses enact an Iowa decision tree when they examine risk management data.
D) It identifies triggers capable of posing hazard or benefit.
E) It reiterates that innovators embrace change far earlier than laggards.
Q2) The nurse administrator is doing a study that entails gathering data about new employees over a 10-year period. Which research method would be the best one to use for this type of study?
A) Quantitative longitude cohort
B) Qualitative longitudinal
C) Qualitative interview
D) Qualitative case study
Q3) How does the Iowa model transcend mere nursing care? (Select all that apply.)
A) It includes formalized internal feedback loops.
B) Its triggers can have their origins practically anywhere.
C) It generates change in practice solely through research.
D) It implies a layer of policy development.
E) It addresses multiple disciplines' impacts on quality.
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Chapter 50: Health Care Quality
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Q1) A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student makes which statement?
A) "Quality is apparent in all health care."
B) "Quality is an outcome of health care."
C) "Quality is seen and unseen in health care."
D) "Quality is achieved by collaboration in health care."
Q2) Which statement is true regarding the patient's perception of his or her care?
A) Patent perception is just as important as the outcome of care.
B) Patient perception is insignificant compared to the outcome of care.
C) Patient satisfaction has no relation to quality of care.
D) Patient satisfaction is insignificant compared to the outcome of care.
Q3) What are the major attributes of health care quality? (Select all that apply.)
A) Conforms to standards
B) Sound decision making
C) High acuity patients
D) Low health care costs
E) Identifies adverse events
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Chapter 51: Care Coordination
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Q1) Care coordination models should be adopted in health care facilities. If models are not put into practice, the shortcomings of the health care system may display which of the following items? (Select all that apply.)
A) Decrease in patients
B) Fragmented services
C) Low birth weight newborns
D) Cost inefficiencies
E) Poor health outcomes
F) Increased pharmacy costs
Q2) Nurses work to serve the population, and they know that which priority population needs to be served by care coordination?
A) Most vulnerable and the frail
B) Uninsured and the very young
C) Underinsured and the elderly population
D) Whole population of the community
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Chapter 52: Caregiving
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Q1) The nurse is counseling a woman who is caring for her 83-year-old father. The father has had mental changes and is becoming more confused. The father lives with the daughter in her home. The nurse knows the daughter understands the father's care needs when she states which of the following?
A) "Dad will only need my help for a short time, and then he will get better."
B) "I can leave dad alone during the day; I'll just deadbolt the door."
C) "I can send dad to the adult daycare; that way I can work and care for him at night."
D) "Dad misses mom since she passed; he will be okay in a few weeks."
Q2) Many middle-aged adults are called the "sandwich" generation because they are caring for their children and their aging parents. What is the priority reason for aging parents needing care?
A) Mental clarity
B) Immobility
C) Blindness
D) Multiple chronic illnesses
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Chapter 53: Palliation
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Q1) The student demonstrates a lack of understanding of palliative care when making which statement?
A) "Palliative care is designed to promote comfort."
B) "Palliative care is designed to reduce disease exacerbations."
C) "Palliative care is designed to decrease acute care hospital admissions."
D) "Palliative care is designed to promote a cure for chronic disease."
Q2) The interprofessional core team includes members from which disciplines?
A) Nursing, medicine, volunteers, and nutrition
B) Medicine, nursing, social work, and clergy
C) Medicine, nursing, physical therapists, and volunteers
D) Nursing, home health aides, volunteers, and clergy
Q3) What is the most prominent goal of palliative care?
A) Integrate into chronic disease management sooner rather than later.
B) Enroll the patient into the Medicare Hospice Benefit.
C) Ensure that the patient has a 6-month prognosis.
D) Reserve this type of care until the patient is actively dying.
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Chapter 54: Health Disparities
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Q1) The nurse is caring for a Chinese patient diagnosed with cancer who is suffering from pain, yet refuses analgesia administration. What type of health disparities is this patient exhibiting?
A) Avoidable and acceptable
B) Avoidable and unacceptable
C) Unavoidable and acceptable
D) Unavoidable and unacceptable
Q2) A new nurse requires further teaching when failing to identify which practice as a health disparity?
A) Annual mammogram
B) Early prenatal care
C) Blood pressure screening
D) Frequent fast food meals
Q3) The nurse is caring for diverse population groups at a health clinic. Which of the following patients demonstrates a potential health disparity group?
A) A 26-year-old woman who is receiving follow-up after a car accident.
B) A 30-year-old immigrant who does not speak English.
C) A 28-year-old man who needs a tetanus booster.
D) A 12-month-old with an appointment for immunizations.
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Page 56
Chapter 55: Health Care Organizations
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Q1) A hospital is experiencing a drop in patient admissions, resulting in the implementation of a hiring freeze. What is a potential critical consequence of this internal organizational decision?
A) A decrease in the availability of future nurses to hire
B) A savings of salaries and benefits
C) Increased scholarships to nursing students from the local high school
D) Increased cross-training of current staff
Q2) A nurse manager finds an unsigned note reporting that patient care standards are not consistently being followed. Within the organizational structure, what is the best action for the manager?
A) Schedule a staff meeting to ask staff who left the note.
B) Send an email reminder that all staff need to review the policy and procedure book.
C) Wait for a staff member to come forward who is willing to be identified.
D) Form a small group to explore why staff are not comfortable reporting errors.
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Chapter 56: Health Care Economics
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Q1) Two nurses are discussing health care in the past and the present. The two nurses know which to be true about health care in the present?
A) Health care in the present is mostly provided by nurses.
B) Health care in the present is controlled by third party payers.
C) Health care in the present is controlled by physicians.
D) Health care in the present is dictated by the patient.
Q2) A student asks the instructor about health care economics. The instructor knows the student understands when the student makes which statement?
A) "The elderly population uses most of the health care services."
B) "Everyone should have health insurance to obtain services."
C) "Health care dollars should be partitioned by the government."
D) "Resources will be needed to serve health care issues."
Q3) What do the economics of health care include?
A) Medicare and Medicaid dollars
B) Patients' rights
C) Equal distribution of health care
D) Nurse salaries
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Chapter 57: Health Policy
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Q1) A nursing student is preparing a care plan for an assigned patient. When accessing the electronic medical record, what is acceptable information to view? (Select all that apply.)
A) Laboratory data of the assigned patient
B) Admission diagnosis for a patient who is a former neighbor
C) The patient's age, date of birth, and gender
D) The history and physical of the assigned patient
E) A classmate's brother's chest x-ray report
Q2) Nurses can be health advocates in which of the following ways? (Select all that apply.)
A) Supporting their professional nursing organization when discussing upcoming legislation
B) Discussing the upcoming classes with a neighbor
C) Rallying for coverage for childhood immunizations
D) Arranging for a patient to meet with case management for home health care
E) Discussing a patient they are concerned about with a fellow student in the public cafeteria
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Chapter 58: Health Care Law
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Source URL: https://quizplus.com/quiz/2379
Sample Questions
Q1) The admission personnel working to comply with the Patient Self Determination Act of 1991 would do which of the following?
A) Request identification from the patient to complete the registration process.
B) Ask the patient if they would like a private or semi-private room.
C) Inquire about the patient's reason for their visit.
D) Ask the patient or representative if the patient has an advanced directive and inform them of their right to participate in their medical decisions.
Q2) What is one of the major attributes of health care law?
A) It defines the expected behavior of persons in the business of health care.
B) The law or rule is easy to interpret and comply with.
C) It is established by any health care authority.
D) The creator must be an expert in health care.
Q3) The new nurse correctly defines a law when stating which information?
A) "Law is a fundamental concept for health care professionals."
B) "Law's rule is developed by the employee's organization."
C) "Law's rule is enacted by a government agency that defines what must be done in a given circumstance."
D) "Law is a mandate from the Joint Commission or other accrediting agency."
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