Applied Psychology Exam Review - 2346 Verified Questions

Applied Psychology

Exam Review

Course Introduction

Applied Psychology explores how psychological theories, methods, and principles are used to solve real-world problems in diverse fields such as health, education, business, and community settings. Students will examine the practical application of psychological concepts to improve individual and organizational outcomes, address social issues, and enhance well-being. The course emphasizes evidence-based strategies for assessment, intervention, and evaluation, offering both theoretical understanding and hands-on skills relevant to various professional domains.

Recommended Textbook

Clinical Psychology Science Practice and Culture 3rd Edition by Andrew M. (Mark) Pomerantz

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95 Chapters

2346 Verified Questions

2346 Flashcards

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Page 2

Chapter 1: Health and Wellness

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) Which one of the following is an example of tertiary prevention?

A) Reduction of risk factors, such as smoking

B) Breast self-examination and testicular self-examination

C) Cardiac rehabilitation programs

D) Blood pressure screening to detect hypertension

Answer: C

Q2) The population health promotion model aims to develop actions for improving health.In addition to asking "On what should we take action?" "How should we take action?" and "Why should we take action?",what is the fourth major question explored by the model?

A) "With whom should we act?"

B) "When should we take action?"

C) "Which government should take action?"

D) "Where should we first act?"

Answer: A

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3

Chapter 2: The Canadian Health Care Delivery System

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17 Verified Questions

17 Flashcards

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Sample Questions

Q1) Which of the following concepts is discussed in the Kirby Report (The Health of Canadians-The federal role,2002)?

A) The private sector should not be involved in health care delivery.

B) The present Medicare system is sustainable and must be preserved.

C) Accountability is important for services and funding.

D) A National Health Council is required.

Answer: C

Q2) Nurses use levels of prevention to provide a framework or guide for nursing interventions.Focus is based on the client's needs and the care or service provided.Which of the following is an example of a true health promotion service?

A) An immunization clinic

B) A diabetic support group

C) A prenatal nutrition class

D) A smoking cessation clinic

Answer: C

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4

Chapter 3: The Development of Nursing in Canada

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Sample Questions

Q1) During the eighteenth-century British regime,which of the following was the main health reason for the increased need for health care facilities in the British colonies?

A) Scurvy

B) Bubonic plague

C) Increased birth rate

D) Infectious diseases

Answer: D

Q2) Which of the following is the primary motivator of nursing?

A) Money

B) Altruism

C) Self-efficacy

D) A curative model of care

Answer: B

Q3) Which province opened the first hospital diploma school in Canada?

A) Manitoba

B) Ontario

C) Quebec

D) Newfoundland

Answer: B

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Page 5

Chapter 4: Community Health Nursing Practice

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15 Verified Questions

15 Flashcards

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Sample Questions

Q1) The nurse is working in a free clinic and caring for a homeless client diagnosed with paranoid schizophrenia.The client reports,"I hurt my foot running away from them.It hurts so bad I can hardly walk now." On assessment,the nurse notices bruising on the client's back,arms,and thighs,a red rash on her neck and face,and poor personal hygiene,in addition to edema of the left ankle.Which of the following pose a risk to this client?

A) Physical abuse and assault

B) Drug addiction relating to pain

C) Communicable immune disorders

D) Hospitalization due to a mental disorder

Q2) Among the following nursing skills,which one must be demonstrated to successfully fulfill the role of facilitator?

A) Advocacy

B) Paternalism

C) Autonomy

D) Negotiation

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Chapter 5: Theoretical Foundations of Nursing Practice

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Sample Questions

Q1) Although similarities exist in the different nursing theories,key elements distinguish one from another.Which of the following is the emphasis of Jean Watson's conceptual model?

A) Self-care maintains wholeness.

B) Subsystems exist in dynamic stability.

C) Stimuli disrupt an adaptive system.

D) Caring is central to the essence of nursing.

Q2) Which of the following is a characteristic of complexity science?

A) Patterns of knowledge application

B) A rigid approach for describing experiences

C) Reducing phenomena to smallest properties

D) Orientation to studying the nature of people's needs

Q3) Which of the following definitions best explains the idea of a theory?

A) "Mental maps" that make sense of information and decisional processes

B) Mental formulations of objects or events

C) Aspects of reality that can be consciously sensed

D) A purposeful set of assumptions that identify relationships between concepts

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Chapter 6: Research As a Basis for Practice

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Sample Questions

Q1) In which type of research design are relationships between two or more variables studied?

A) Experimental

B) Descriptive survey

C) Scientific nursing

D) Exploratory descriptive

Q2) Creativity,with its artistic or expressive component,is an example of which of the following fundamental patterns of knowing in nursing?

A) Ethics

B) Esthetics

C) Personal knowledge

D) Emancipatory knowledge

Q3) The nurse takes on ethical responsibilities when conducting research with human subjects.Which of the following violates an ethical responsibility associated with informed consent?

A) Providing alternatives, including the right of refusal and standard practices

B) Using data obtained before the initiation of the study

C) Explaining the possibility of unknown risks

D) Adhering to verbal and written agreements

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Page 8

Chapter 7: Nursing Values and Ethics

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Sample Questions

Q1) A student nurse realizes that she has administered the wrong dose of medication to a patient and immediately informs her clinical instructor of this error.How is this student nurse best described as a professional?

A) Confident

B) Trustworthy

C) Compliant

D) Accountable

Q2) A secondary schoolteacher with advanced multiple sclerosis teaches from her wheelchair but insists on being treated the same as other colleagues.Which of the following is the teacher demonstrating?

A) Preserving dignity

B) Choosing from alternatives

C) Considering all consequences

D) Acting with a pattern of consistency

Q3) Which one of the following is an example of ethical responsibility?

A) Delivery of competent care

B) Formation of interpersonal relationships

C) Application of the nursing process

D) Evaluation of new computerized technologies

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Page 9

Chapter 8: Legal Implications in Nursing Practice

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Sample Questions

Q1) A patient has an order for intramuscular morphine sulphate,as needed,for pain,and the nurse accidentally administers an incorrect dosage.Which law best addresses this situation?

A) Civil law

B) Criminal law

C) Human rights law

D) Statute law

Q2) The nurse has just obtained the licence to practice and is determining whether individual malpractice insurance is necessary.Which of the following is the most important factor in the nurse's decision to carry malpractice insurance?

A) The amount of the malpractice insurance provided by the employer

B) Working in a critical area of nursing where patients have higher morbidity and mortality rates

C) Employment status and professional liability coverage

D) The nurse's knowledge level of Good Samaritan laws

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Chapter 9: Global Health, culture, and Diversity

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18 Verified Questions

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Sample Questions

Q1) The nurse is discussing with an Aboriginal patient long-term goals for a diet and exercise regimen to manage his diabetes.The nurse notices that he does not appear concerned about discussing his future needs.Which of the following is a possible reason for this behaviour?

A) His cultural time orientation is to the past.

B) He believes in living day by day.

C) He believes that there is no point in worrying about what has not yet happened.

D) His belief is that time will heal his condition.

Q2) Gender-appropriate care is an important factor in nursing practice.The nurse recognizes that patients of different cultures may react differently to health care providers of the opposite sex.Modesty is an especially important issue for women from which of the following backgrounds?

A) Black Canadian

B) Aboriginal

C) Egyptian Canadian

D) Filipino Canadian

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Chapter 10: Nursing Leadership, management, and Collaborative Practice

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15 Verified Questions

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Sample Questions

Q1) The medical centre has changed its overall management philosophy from centralized to decentralized management.What is one advantage of a decentralized management structure over a centralized structure for the nursing units?

A) Staff members are not responsible for defining their roles.

B) Managers handle the difficult decisions.

C) Communication pathways are simplified.

D) Each staff member is actively involved.

Q2) Which of the following is the nursing manager's greatest challenge?

A) Delegation

B) Communication

C) Time management

D) Clinical decision making

Q3) Under which of the following circumstances are UCPs allowed to perform tasks with patients?

A) When delegated by another UCP

B) When asked by the patient

C) When they perform tasks with another UCP

D) When tasks are delegated by an RN

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Chapter 11: Critical Thinking in Nursing Practice

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Sample Questions

Q1) The nurse is working with a patient who has recently had a colostomy.The patient is having difficulty using the supplies that are provided for the ostomy care.The nurse investigates the other types of available supplies and works with the patient to see which ones work best for him or her.This is an example of which type of critical thinking strategy?

A) Inference

B) Management

C) Problem solving

D) Diagnostic reasoning

Q2) The nurse enters the room of a patient who has a history of heart disease.On looking at the patient,the nurse feels that something is "not right" with the patient,and proceeds to take the vital signs.What is this nurse acting on?

A) Intuition

B) Reflection

C) Knowledge

D) Scientific method

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Chapter 12: Nursing Assessment and Diagnosis

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Sample Questions

Q1) What is the first step the nurse should take upon beginning the process of data collection?

A) Physical examination

B) Client interview

C) Review of medical records

D) Discussion with other health team members

Q2) An alert,oriented adult client is admitted to the medical centre for diagnostic testing.What is the primary source of information when completing an assessment for this client?

A) Client

B) Physician

C) Family member

D) Experienced nurse on the unit

Q3) After visiting with a client,the nurse documents the assessment data.Both objective and subjective information have been obtained during the assessment.Which of the following is classified as objective data?

A) Pain in the left leg

B) Elevated BP

C) Fear of surgery

D) Discomfort with breathing

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Chapter 13: Planning and Implementing Nursing Care

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Sample Questions

Q1) In documentation of nursing care plans,how do critical pathways differ from traditional nursing care plans?

A) Multidisciplinary approach

B) Nursing interventions

C) Client outcomes

D) Client assessment

Q2) Which of the following processes is an example of indirect care?

A) Documentation

B) Medication administration

C) Catheterization

D) Grief counselling

Q3) Which of the following is often missing when writing nursing interventions and is acknowledged as a frequent error?

A) Etiology

B) Frequency

C) Action verbs

D) Purpose of the intervention

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Chapter 14: Evaluation of Nursing Care

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15 Flashcards

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Sample Questions

Q1) The client has a nursing diagnosis of Impaired gas exchange as a result of excess secretions.An outcome for the client is that the airways will be free of secretions.A positive evaluation will focus on which of the following client indicators?

A) Ability to perform incentive spirometry

B) Lungs clearing bilaterally on auscultation

C) Complaint of chest pain

D) Respiratory rate

Q2) What is the primary purpose of the nursing evaluation process?

A) To determine the effectiveness of the nursing care provided

B) To identify interventions that are ineffective in achieving client goals

C) To establish the progress the client is making toward health and wellness

D) To critique the nurse's ability to implement appropriate nursing interventions

Q3) Which of the following provides the best example of a nursing-sensitive client outcome?

A) Collaboration

B) Decrease in pain

C) Medication compliance

D) Attending psychiatric outpatient appointments

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16

Chapter 15: Documenting and Reporting

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Sample Questions

Q1) Where does the nurse record a description of the teaching provided to the patient on performance of self-medication administration?

A) Kardex form

B) Incident report

C) Nursing history form

D) Discharge summary form

Q2) Which of the following types of documentation is represented by the statement,"Patient is wheezing and experiencing some dyspnea on exertion"?

A) The "S" in SOAP documentation

B) Focus documentation

C) The "P" of PIE documentation

D) The "R" in DAR documentation

Q3) The nurse is preparing the information that will be provided to the staff on the next shift.Which of the following should the nurse include in the change-of-shift report to nursing colleagues?

A) A description of the steps of procedures done

B) A review of routine care for the patient

C) All routine care procedures required by the patient

D) Essential background information about the patient

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Page 17

Chapter 16: Nursing Informatics and Canadian Nursing Practice

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Sample Questions

Q1) Canada Health Infoway was a key outcome of the federal-provincial-territorial partnership.What was its mandate?

A) Create an EHR.

B) Unify international terminology for recording nursing practice.

C) Advocate for effective health policy.

D) Implement provincial standards.

Q2) Which of the following is a Health Information: Nursing Component?

A) Patient diagnosis

B) Educational background

C) Primary nurse identifier

D) Independent nursing judgement

Q3) The CIHI disseminates essential data and analysis on Canada's health care system and the health of Canadians.The CIHI influenced issues directly related to nursing by including issues related to which of the following?

A) Nursing science and information science to support clients

B) Nursing workforce recruitment and retention

C) Clinical practice, administration, research, and education

D) Advocating for health policy

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Chapter 17: Communication

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19 Verified Questions

19 Flashcards

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Sample Questions

Q1) A patient is admitted for a computed tomography scan of the cranium.As the nurse explains this diagnostic test,the patient moves away from the nurse.This is an example of what influencing factor in communication?

A) Space

B) Gender

C) Environment

D) Sociocultural background

Q2) Active listening and body language work together.Which of the following actions does the nurse take in addition to actively listening to the patient?

A) Sits facing the patient

B) Keeps arms and legs crossed

C) Leans back in the chair away from the patient

D) Avoids eye contact as much as possible

Q3) Which of the following refers to all factors that influence how a message is perceived by other people?

A) Symbolic communication

B) Metacommunication

C) Active expression

D) Contextual action

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Page 19

Chapter 18: Caring in Nursing Practice

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Sample Questions

Q1) To best improve the bathing care provided by a student nurse,what should the nurse teacher do?

A) Tell the student how to correctly give baths to patients.

B) Provide the student with good resources to read on bathing patients.

C) Ask another student nurse to provide the bathing care on the next shift.

D) Assist and observe the student in the bathing care of the patient.

Q2) How can the nurse best demonstrate caring to family members of a terminally ill patient?

A) Providing the family with the proposed plan of care

B) Explaining all procedures before they are executed

C) Exploring with the family how they see their role in caring for the patient

D) Suggesting to the family appropriate support systems

Q3) Which of the following codes or practices was Sister Simone Roach,a Canadian nursing theorist,instrumental in developing for the Canadian Nurses Association (CNA)?

A) Code of Competence

B) Code of Ethics

C) Code of Conduct

D) Practice standards

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Chapter 19: Family Nursing

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Sample Questions

Q1) Which of the following two subcategories compose a functional assessment?

A) History and physical assessment

B) Instrumental and expressive functioning

C) Developmental and emotional assessment

D) Family functioning and use of defence mechanisms

Q2) The nurse is identifying a sketch of which of the following when he or she creates a family's ecomap?

A) The region where the family resides

B) The most influential health determinants on the family's health

C) The family's contact with those outside the family

D) The family structure and relevant information about family members

Q3) The nurse is observing for the signs of a healthy family.While assessing a healthy family,what would the nurse expect to find?

A) Change is viewed as detrimental to family processes.

B) A passive response exists to stressors.

C) The structure is flexible enough to adapt to crises.

D) Minimal influence is exerted on the environment.

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21

Chapter 20: Patient Education

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Sample Questions

Q1) Which of the following statements from a patient does the nurse evaluate as an indication that the patient is not ready to learn at this time?

A) "I need to understand more about the reason for the colostomy."

B) "I will find out when the support group meets."

C) "There's no sense in showing me. I'm too sick right now."

D) "Tell me if I am doing this correctly."

Q2) The patient has been informed that he can be discharged once he can irrigate his colostomy independently.The patient asks the nurse to observe his irrigation technique.Which of the following learning motives is the patient displaying?

A) Physical motive

B) Social motive

C) Task mastery

D) Evaluation stance

Q3) Which of the following is an example of affective learning?

A) Skill acquisition

B) Values clarification

C) Emotional capability

D) Learning control of blood glucose levels

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Chapter 21: Developmental Theories

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Sample Questions

Q1) The nurse recognizes that Freud's theory approaches development by looking at which one of the following?

A) Cognitive development

B) Moral reasoning

C) Maturational development

D) Psychosexual aspects

Q2) Which of the following theories is included in the tradition of organicism?

A) Psychosocial

B) Psychosexual

C) Developmental health

D) Biophysical developmental

Q3) According to Piaget,which of the following processes is the correct definition of assimilation?

A) Making sense out of new experiences

B) Interpreting "goodness of fit" with one's immediate environment

C) Integrating ways of thinking in relation to what one already is aware of

D) Recognizing biological distinctness and emergence from dependent thinking

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23

Chapter 22: Conception Through Adolescence

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Sample Questions

Q1) In the nursery,the nurse is taking the newborn's vital signs.The nurse compares the newborn's measurements with which of the following expected values for this age group?

A) Heart rate, 140 beats per minute; blood pressure, 72/44 mm Hg; respiratory rate, 46 breaths per minute

B) Heart rate, 100 beats per minute; blood pressure, 90/50 mm Hg; respiratory rate, 24 breaths per minute

C) Heart rate, 90 beats per minute; blood pressure, 100/60 mm Hg; respiratory rate, 20 breaths per minute

D) Heart rate, 80 beats per minute; blood pressure, 100/70 mm Hg; respiratory rate, 16 breaths per minute

Q2) The nurse assists the family of a 9-year-old with nutritional information.Which one of the following is a recommended after-school snack for a child of this age?

A) Chocolate bars

B) Thick milkshakes

C) Potato chips

D) Plain popcorn

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Chapter 23: Young to Middle Adulthood

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Sample Questions

Q1) Which of the following is an expected finding in the physical assessment of the middle-aged adult?

A) Increased skin turgor

B) Limited extraocular movement

C) Respiratory rate of 12 to 20 breaths per minute

D) Regular heart rate between 80 and 120 beats per minute

Q2) In reviewing the developmental patterns of young adults,the nurse is aware that individuals at this point in their life usually tend to do which one of the following?

A) Continue their physical growth.

B) Experience severe illnesses.

C) Ignore physical symptoms.

D) Seek frequent medical care.

Q3) Lack of which of the following is considered an external barrier to changing negative health habits?

A) Motivation

B) Knowledge

C) Social supports

D) Financial means

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25

Chapter 24: Older Adulthood

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Sample Questions

Q1) The nurse works with older adult patients in a wellness-screening clinic on a weekly basis.Which of the following is the best statement made by the nurse to patients in the older adult age group?

A) "Your shoulder pain is normal for your age."

B) "Regular exercise will maintain and strengthen your functional ability."

C) "Don't worry about taking that combination of medications because your doctor has prescribed them."

D) "Why don't you begin walking three to four kilometres per day, and we'll evaluate how you feel next week?"

Q2) A patient has been recently diagnosed with Alzheimer's disease.When teaching the family about the prognosis,what must the nurse explain?

A) The disease usually progresses gradually, with a deterioration of function.

B) Many individuals can be cured if the diagnosis is made early.

C) Diet and exercise can slow the process considerably.

D) Few patients live more than three years after the diagnosis.

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Chapter 25: Self-Concept

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Sample Questions

Q1) Which of the following is the most important factor in determining an individual's response to a real or perceived stressor?

A) Number of stressors

B) Magnitude of the stressors

C) The individual's perception of the stressor

D) The stressor's effect on the individual's health status

Q2) The client has his left leg amputated following a motorcycle accident.Which of the following does the nurse need to assess when helping this client form realistic goals and strategies?

A) Interests and past accomplishments

B) Spiritual strengths

C) Involvement with significant others

D) Self-concept

Q3) Which age group is most likely to engage in practices harmful to their health?

A) Toddlers

B) Adolescents

C) Young adults

D) Older adults

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Chapter 26: Sexuality

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Sample Questions

Q1) The nurse is conducting a sexual history with a patient who is scheduled for cardiac surgery.The patient tells the nurse that he is nervous about resuming sexual activities.Which of the following responses by the nurse indicates that he or she is using therapeutic communication with the patient?

A) "You can have sexual intercourse after your surgery, but there are serious risks."

B) "Your partner will be nervous about resuming sexual activities, but that is normal."

C) "Don't worry. In about two months you will be able to return to your normal sexual patterns."

D) "You are expressing a very normal concern; perhaps we could discuss your feelings further."

Q2) What is the maximum time frame after intercourse that most emergency contraception pills (ECPs)are effective?

A) 6 hours

B) 24 hours

C) 48 hours

D) 72 hours

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Chapter 27: Spiritual Health

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Sample Questions

Q1) Who created a nursing model that was derived from Western Christian religious perspectives?

A) Parse

B) Rogers

C) Newman

D) Bradshaw

Q2) Which of the following statements made by the nurse regarding spiritual support displays an inappropriate intervention or attitude?

A) "I offer to pray with my patients as I prepare them for transport to surgery."

B) "When patients ask where the chapel is, I tell them where it is."

C) "When caring for a patient for the first time, I always check to see their religious affiliation."

D) "I'm not very comfortable interviewing a patient concerning their religious beliefs or practices."

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Chapter 28: The Experience of Loss, death, and Grief

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Sample Questions

Q1) A patient has been diagnosed with terminal cancer of the liver and is receiving chemotherapy on a medical unit.In an in-depth conversation with the nurse,the patient states,"It can't be happening to me." According to Kübler-Ross,with which of the following is this stage of dying associated?

A) Anxiety

B) Denial

C) Confrontation

D) Depression

Q2) Which of the following is one of Bowlby's phases of mourning?

A) Acceptance

B) Reorganization

C) Accepting reality of loss

D) Emotionally relocating and moving on

Q3) Which of the following is a positive way to assist the nurse in coping with the death of a patient?

A) Avoiding attending the patient's funeral

B) Avoiding being present at the time of death

C) Writing a letter of sympathy to the family

D) Focusing on providing palliative care to the next patient

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Page 30

Chapter 29: Stress and Adaptation

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Sample Questions

Q1) Which of the following is part of the fight-or-flight response?

A) Decreased heart rate

B) Increased respiratory rate

C) Decreased blood pressure

D) Elevated temperature

Q2) What is the role of endorphins in the stress response?

A) Control appetite

B) Regulate electrolyte balance

C) Produce a sense of well-being and reduce pain

D) Play a major role in sleep regulation and mood states

Q3) PTSD is diagnosed when symptoms have lasted for at least how long?

A) One week

B) One month

C) Six months

D) One year

Q4) Which of the following terms reflects stress that protects health?

A) Distress

B) Eustress

C) Good stress

D) Response stress

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Chapter 30: Vital Signs

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Sample Questions

Q1) A mercury-in-glass thermometer is being used in the extended care facility.While the nurse is taking the patient's temperature,the thermometer falls and breaks on the floor without coming into contact with the nurse or patient.Which of the following should be the nurse's first action?

A) Remove the patient from the area.

B) Remove the patient's clothing.

C) Wash his or her hands, and bathe the patient.

D) Notify the environmental services department.

Q2) A construction worker is seen in the emergency department with low blood pressure,normal pulse,diaphoresis,and weakness.These are clinical signs of which of the following conditions?

A) Heat exhaustion

B) Heatstroke

C) Heat cramps

D) Hypothermia

Q3) Which of the following vital signs is said to have a circadian rhythm?

A) Pulse

B) Respiration

C) Temperature

D) Blood pressure

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Chapter 31: Health Assessment and Physical Examination

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/36974

Sample Questions

Q1) The nurse is preparing to perform a physical examination on a patient who has cardiopulmonary disease.Knowing this about the patient,the nurse is alert for the presence of which of the following when checking the patient's nails?

A) Clubbing

B) Bands in nail beds

C) Yellow discoloration

D) Splinter hemorrhages

Q2) The nurse uses olfaction during a patient assessment.If a sweet,fruity smell is noticed in the patient's oral cavity,which of the following should the nurse suspect?

A) Diabetic acidosis

B) Gum disease

C) Urinary tract infection

D) Malabsorption syndrome

Q3) Which abnormality of the nail bed can be caused by iron deficiency anemia?

A) Beau's lines

B) Paronychia

C) Koilonychia

D) Splinter hemorrhages

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Chapter 32: Infection Control

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/36976

Sample Questions

Q1) Which of the following is true in regard to documentation of hand hygiene?

A) Presence of dermatitis should be documented.

B) Document use of soap versus alcohol-based solution.

C) It is not necessary to record anything about hand hygiene.

D) Evaluate the handwashing facilities available if they are inadequate.

Q2) The nurse is observing a new staff member work with the patient.Of the following activities,which one has the greatest possibility of contributing to a nosocomial infection and requires correction?

A) Washing hands before applying a dressing

B) Taping a plastic bag to the bed rail for tissue disposal

C) Placing a Foley catheter bag on the bed when transferring a patient

D) Using alcohol to cleanse the skin before starting an intravenous line

Q3) The patient has a 15-cm laceration on his right forearm,and an infection develops.Which of the following is a sign of an acute inflammatory process?

A) A blanching of the skin

B) A decrease in temperature at the site

C) A decrease in the number of white blood cells (WBCs)

D) A release of histamine that adds to the pain response

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Chapter 33: Medication Administration

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/36978

Sample Questions

Q1) A medication is prescribed for the patient and is to be administered by IV bolus injection.Which of the following is a priority for the nurse before administering the medication via this route?

A) Set the rate of the IV infusion.

B) Check the patient's mental alertness.

C) Confirm placement of the IV line.

D) Determine the amount of IV fluid to be administered.

Q2) Which of the following is a priority for the nurse in the administration of oral medications and prevention of aspiration?

A) Checking for a gag reflex

B) Allowing the patient to self-administer

C) Assessing the ability to cough

D) Using straws and extra water for administration

Q3) The nurse knows that which of the following medications absorb most quickly?

A) Tablets

B) Capsules

C) Suspensions

D) Medications with a base pH

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Chapter 34: Complementary and Alternative Therapies

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Source URL: https://quizplus.com/quiz/36980

Sample Questions

Q1) Which of the following is thought to promote strength,balance,and optimal body functioning?

A) Yoga

B) Qigong

C) Reiki therapy

D) Therapeutic touch

Q2) The nurse recognizes that which of the following statements is correct concerning complementary and alternative medicine?

A) Among Canadians, 74% have used complementary alternative medicine at some point in their lives.

B) Insurance coverage for alternative therapies is available at the same amount as for traditional medicine.

C) Use of alternative therapies is still not incorporated into medical journals.

D) More men than women use alternative therapies.

Q3) With which of the following patients should the nurse not use therapeutic touch?

A) A cancer patient

B) A bereaved patient

C) A teenager with acne

D) A physically abused patient

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Page 36

Chapter 35: Activity and Exercise

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Source URL: https://quizplus.com/quiz/36982

Sample Questions

Q1) Who coordinates the efforts of a lift team when moving a patient?

A) The patient's primary nurse

B) The person who has come to offer assistance

C) The person who has the heaviest load when lifting

D) The assistant who is positioned at the head of the patient's bed

Q2) The nurse is assessing the body alignment of an alert and mobile patient.Which one of the following is the first action the nurse should take?

A) Observe gait.

B) Put the patient at ease.

C) Determine activity tolerance.

D) Determine range of joint motion.

Q3) The nurse is helping the patient to walk.Which of the following actions should the nurse take first?

A) Help the patient to sit at the side of the bed for one or two minutes.

B) Support the patient by using a gait belt.

C) Assess the patient's activity tolerance, strength, and balance.

D) Ask a second nurse to be nearby.

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Chapter 36: Safety

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Source URL: https://quizplus.com/quiz/36984

Sample Questions

Q1) On entering the patient's room,the nurse sees a fire burning in the garbage can next to the bed.The nurse removes the patient and calls to report the fire.Which of the following should be the nurse's next action?

A) Extinguish the fire.

B) Remove all of the other patients from the unit.

C) Close all the doors of patient rooms.

D) Move the garbage can into the bathroom.

Q2) The nurse has investigated safety hazards and recognizes that which of the following statements is accurate regarding safety needs?

A) Bacterial contamination of foods is uncontrollable.

B) Fire is the greatest cause of unintentional death.

C) Carbon monoxide levels should be monitored in home settings.

D) Temperature extremes seldom affect the safety of patients in acute care facilities.

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Chapter 37: Hygiene

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Source URL: https://quizplus.com/quiz/36986

Sample Questions

Q1) The nurse is preparing to assist the adult female patient with perineal care.Which of the following is the best position for this patient?

A) Dorsal recumbent

B) Side-lying

C) Supine

D) Prone

Q2) The nurse is caring for a patient who has right-sided paralysis after a cerebrovascular accident (stroke).Which of the following factors would be most likely to result in pressure ulcer formation for this patient?

A) Poor nutrition

B) Immobility

C) Reduced hydration

D) Skin secretions

Q3) Which of the following is an age-related change that may require an adaptation of personal hygiene?

A) Strengthening of the periodontal membrane

B) Increased bony structure of the mouth

C) Increased saliva production

D) Weaker jaw muscles

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Page 39

Chapter 38: Cardiopulmonary Functioning and Oxygenation

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26 Verified Questions

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Source URL: https://quizplus.com/quiz/36988

Sample Questions

Q1) The patient experiencing which of the following would have an increased metabolic rate and tissue oxygen demand?

A) Fever

B) Anemia

C) Toxic inhalant

D) Airway obstruction

Q2) The patient has pneumonia in the left lobe.The nurse should encourage him to lie in which of the following positions?

A) With the unaffected lung down

B) On the affected side

C) On either side

D) Supine

Q3) The nurse is preparing to teach a group of adult women about the signs and symptoms of a myocardial infarction (heart attack).Which of the following will the nurse explain is a specific symptom of myocardial infarctions in women?

A) Angina

B) Visual difficulties

C) Loss of unilateral motor function

D) Right scapular discomfort and stiffness

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Chapter 39: Fluid, electrolyte, and Acid-base Balances

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Source URL: https://quizplus.com/quiz/36990

Sample Questions

Q1) An 8-year-old is admitted to the pediatric unit with pneumonia.On assessment,the nurse notes that the child is warm and flushed,is lethargic,has difficulty breathing,and has moist crackles.The nurse determines that the child has which one of the following?

A) Metabolic acidosis

B) Respiratory acidosis

C) Respiratory alkalosis

D) Metabolic alkalosis

Q2) Which of the following is of great importance for the nurse to check before administering an IV solution with potassium that is prescribed for the patient?

A) Check for weakness.

B) Assess renal function.

C) Evaluate deep tendon reflexes.

D) Initiate seizure precautions.

Q3) Which of the following is an example of a hypertonic solution?

A) Dextrose 5% in water

B) Dextrose 10% in water

C) 0.9% Sodium chloride

D) Lactated Ringer's solution

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Chapter 40: Sleep

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Source URL: https://quizplus.com/quiz/36992

Sample Questions

Q1) The parents of a newborn wonder when she should start to sleep through the night.The nurse's response should be that in infants,a nighttime pattern of sleep usually develops by which age?

A) 1 month

B) 2 months

C) 3 months

D) 6 months

Q2) Which of the following sleep disorders is a parasomnia disorder of arousal?

A) Sleep apnea

B) Narcolepsy

C) Sleepwalking

D) Early-morning awakening

Q3) The nurse is discussing sleep habits with the patient in the sleep assessment clinic.Of the following activities performed before sleeping,the nurse informs the patient that which one of the following can potentially interfere with the patient's sleep?

A) Listening to classical music

B) Finishing office work

C) Reading novels

D) Drinking warm milk

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Page 42

Chapter 41: Pain Assessment and Management

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Source URL: https://quizplus.com/quiz/36994

Sample Questions

Q1) Which of the following statements is true about pain in infants?

A) Infants are capable of feeling pain.

B) Infants lack memory of pain.

C) Pain cannot be accurately assessed.

D) Infants are incapable of expressing pain.

Q2) The patient tells the nurse about a burning sensation in the epigastric area.How should the nurse describe this type of pain when documenting the findings?

A) Referred

B) Radiating

C) Deep or visceral

D) Superficial or cutaneous

Q3) The nurse must frequently assess a patient experiencing pain.When assessing the intensity of the pain,which of the following actions should the nurse take?

A) Ask the patient about what precipitates the pain.

B) Ask the patient about the location of the pain.

C) Offer the patient a pain scale for more objectivity.

D) Use open-ended questions to find out about the sensation experienced.

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Chapter 42: Nutrition

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Source URL: https://quizplus.com/quiz/36996

Sample Questions

Q1) According to Eating Well with Canada's Food Guide,how many servings of milk products should an adult's diet include per day?

A) One

B) Two

C) Three

D) Four

Q2) The school nurse in a high school is reviewing the nutritional needs of adolescents.The nurse is aware that in this age group,which of the following statements is true?

A) Girls require less protein.

B) Boys require adequate iron.

C) Vitamin B needs are decreased.

D) Energy and caloric needs are decreased.

Q3) Which enteral formula consists of single-macronutrient preparations and is not nutritionally complete?

A) Polymeric

B) Modular

C) Elemental

D) Specialty

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Page 44

Chapter 43: Urinary Elimination

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65 Flashcards

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Sample Questions

Q1) The ChooseMyPlate program was developed to replace MyFoodPyramid as a basic guide for buying food and meal preparations.This system was developed by the

A) Food and Drug Administration.

B) 1990 Nutrition Labeling and Education Act.

C) Referenced daily intakes (RDIs).

D) U.S. Department of Agriculture.

Q2) What is the average normal capacity of an adult bladder?

A) 250 mL

B) 500 mL

C) 750 mL

D) 1000 mL

Q3) To create a new nutritional plan of care for a patient,the nurse needs to do which of the following?

A) Utilize the characteristics of a normal nutritional status.

B) Evaluate previous patient responses to nursing interventions.

C) Exclude established expected outcomes to evaluate patient responses.

D) Design innovative interventions to meet the patient's needs.

E) Follow through with evaluation and counseling.

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Chapter 44: Bowel Elimination

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64 Verified Questions

64 Flashcards

Source URL: https://quizplus.com/quiz/36999

Sample Questions

Q1) A nurse anticipates urodynamic testing for a patient with which symptom?

A) Involuntary urine leakage

B) Severe flank pain

C) Presence of blood in urine

D) Dysuria

Q2) The nurse would anticipate an order for which diagnostic test for a patient who has severe flank pain and calcium phosphate crystals revealed on urinalysis?

A) Renal ultrasound

B) Bladder scan

C) KUB x-ray

D) Intravenous pyelogram

Q3) An 86-year-old patient tells the nurse that she is experiencing uncontrollable leakage of urine.Which nursing diagnosis should the nurse include in the patient's plan of care?

A) Urinary retention

B) Hesitancy

C) Urgency

D) Urinary incontinence

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Chapter 45: Mobility and Immobility

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60 Verified Questions

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Source URL: https://quizplus.com/quiz/37000

Sample Questions

Q1) The nurse,who is caring for a 73-year-old female patient who has been hospitalized with a stroke,instructs the patient's daughter to continue to do passive ROM exercises with her mother on her affected side to prevent contractures.The nurse explains to the daughter that this is very important in an immobile older adult patient because contractures can form how quickly?

A) Within 8 hours

B) Within 24 hours

C) Within 1 week

D) Within 1 month

Q2) A 61-year-old patient recently had left-sided paralysis from a cerebrovascular accident (CVA,stroke).In planning care for this patient,the nurse implements which one of the following as an appropriate intervention?

A) Encouraging an even gait when walking in place

B) Assessing the extremities for unilateral swelling and muscle atrophy

C) Encouraging holding the breath frequently to hyperinflate the lungs

D) Teaching the use of a two-point crutch technique for ambulation

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Chapter 46: Skin Integrity and Wound Care

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Source URL: https://quizplus.com/quiz/37001

Sample Questions

Q1) Which nutrient has no known role in wound healing?

A) Vitamin A

B) Vitamin C

C) Vitamin E

D) Zinc

Q2) When turning a patient,the nurse notices a reddened area on the coccyx.Which of the following skin care interventions should the nurse use on this area?

A) Clean the area, dry it, and add a protective moisturizer.

B) Apply a diluted hydrogen peroxide and water mixture, and use a heat lamp on the area.

C) Soak the area in normal saline solution.

D) Wash the area with an astringent, and paint it with povidone-iodine (Betadine).

Q3) The patient requires support,and an abdominal binder is ordered.How does the nurse correctly implement the use of the binder?

A) By using it as a replacement for underlying dressings

B) By keeping it loose for patient comfort

C) By having the patient sit or stand when it is applied

D) By making sure the patient has adequate ventilatory capacity

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Chapter 47: Sensory Alterations

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Source URL: https://quizplus.com/quiz/37003

Sample Questions

Q1) Which of the following is a common progressive hearing disorder in older adults that results in the inability to hear high-pitched sounds?

A) Otosclerosis

B) Otitis media

C) Presbycusis

D) Meniére's disease

Q2) Which of the following is an age-related change that affects visual ability?

A) Increased peripheral vision

B) Decreased pupil size

C) Increased tear production

D) Decreased opaqueness of the cornea

Q3) Which of the following is an age-related change that affects the individual's hearing ability?

A) Decreased rigidity of the ossicles

B) Increased elasticity of the tympanic membrane

C) Decrease in number of neurons and blood vessels

D) Increased hair cells in the inner ear

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Chapter 48: Care of Surgical Patients

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Source URL: https://quizplus.com/quiz/37004

Sample Questions

Q1) Which of the following lab results would cause the nurse to prepare to administer preoperative IV fluid replacement?

A) Fasting glucose 3.3 mmol/L

B) Serum creatinine 62 mcmol/L

C) BUN 8.9 mmol/L

D) International normalized ratio 1.01

Q2) A 92-year-old patient is scheduled for a colectomy.Which of the following physiological changes accompanies the aging process and increases this patient's risk for surgery?

A) An increased tactile sensation

B) An increased metabolic rate

C) A relaxation of arterial walls

D) Reduced glomerular filtration

Q3) An appendectomy is appropriately documented by the nurse as which following type of surgery?

A) Diagnostic surgery

B) Palliative surgery

C) Ablative surgery

D) Reconstructive surgery

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Chapter 50: the Health Care Delivery System

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Source URL: https://quizplus.com/quiz/36915

Sample Questions

Q1) The nurse is trying to determine how well a certain health plan compares with other health plans.To gather this type of information,the nurse utilizes the

A) Healthcare Effectiveness Data and Information Set (HEDIS).

B) Centers for Medicaid and Medicare Services (CMS) standards.

C) Pew Health Professions Commission Report.

D) American Nurses Credentialing Center (ANCC) Magnet Recognition Program.

Q2) The nurse is applying for a position with a home care organization that specializes in spinal cord injury.In doing so,the nurse is applying for a position in _____care.

A) Secondary acute

B) Tertiary

C) Continuing

D) Restorative

Q3) Care designed to prevent further progression of a disease is termed

A) Primary prevention.

B) Secondary prevention.

C) Tertiary prevention.

D) Health promotion.

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Chapter 51: Community-Based Nursing Practice

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Source URL: https://quizplus.com/quiz/36917

Sample Questions

Q1) 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

Q2) Vulnerable populations include those patients who are more likely to develop health problems as a result of

A) Pregnancy.

B) Nontraditional healing practices.

C) Excessive risk.

D) Unlimited access to health care.

Q3) 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.

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Chapter 52: Theoretical Foundations of Nursing Practice

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Sample Questions

Q1) The nurse is making rounds and finds her older adult patient sobbing and obviously upset.She states that her doctor told her that she has cancer,and she does not want to die."What's the sense?" she says."I might as well die.I'm going to anyway.I guess that shows how useless I really am.Nobody wants an old lady around." The nurse notices that the patient's respirations have increased,and the tip of her nose and ear lobes are becoming cyanotic.The nurse assesses the patient and finds that the patient's pulse rate is over 150 beats per minute.According to Maslow's hierarchy of needs,the nurse should first

A) Call the physician to request a psychiatric consult.

B) Reassure the patient that she has value as a human being.

C) Place the patient on oxygen and try to calm her.

D) Call the patient's family to help her realize that she is wanted.

Q2) The nurse researcher is evaluating whether holding pressure at an injection site after injecting the anticoagulant enoxaparin (Lovenox)will reduce bruising at the injection site.This study involves a prescriptive theory because it

A) Tests a specific nursing intervention.

B) Explains why bruising occurs.

C) Is broad in scope and complex.

D) Reflects a wide variety of nursing care situations.

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Page 53

Chapter 53: Evidence-Based Practice

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Source URL: https://quizplus.com/quiz/36921

Sample Questions

Q1) The nurse has used her PICO question to develop an evidence-based change in protocol for a certain nursing procedure.However,to make these changes throughout the entire institution would require more support staff than is available at this time.What is the nurse's best option?

A) Drop the idea of making the change at this time.

B) Insist that management hire the needed staff to facilitate the change.

C) Seek employment in another institution that may have the staff needed.

D) Conduct a pilot study to develop evidence to support the change.

Q2) In conducting a research study,the researcher must guarantee that any information the subject provides will not be reported in any manner that identifies the subject and will not be accessible to people outside the research team.This concept is known as

A) Anonymity.

B) Confidentiality.

C) Informed consent.

D) The research process.

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Chapter 54: Health and Wellness

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Source URL: https://quizplus.com/quiz/36923

Sample Questions

Q1) Models of health offer a perspective by which to understand the relationships between the concepts of health,wellness,and illness.Nurses are in a unique position to assist patients in achieving and maintaining optimal levels of health because nurses

A) Understand the challenges of today's health care system.

B) Identify actual and potential risk factors.

C) Have coined the term "illness behavior."

D) Can minimize the effects of illness and assist to the return of optimal health

Q2) The 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.She 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.The nurse recognizes that the patient is in which stage of the change process?

A) Precontemplation

B) Contemplation

C) Preparation

D) Action

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Chapter 55: Caring in Nursing Practice

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16 Flashcards

Source URL: https://quizplus.com/quiz/36925

Sample Questions

Q1) Caring is a universal phenomenon that influences the ways in which people

A) Learn.

B) Think.

C) Believe.

D) Feel.

E) Behave.

Q2) 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.

Q3) 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

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56

Chapter 56: Caring for the Cancer Survivor

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Source URL: https://quizplus.com/quiz/36927

Sample Questions

Q1) The patient has lung cancer and voices concerns about his cancer treatment.He wants to know how chemotherapy will affect his sexuality.What is the nurse's best reply?

A) "Chemotherapy will work in the lungs and should have no effect on your sexuality."

B) "That is something that you should ask your doctor. He can direct you."

C) "Sexual changes are common with cancer therapy. Let me get someone who can answer your questions."

D) "How cancer treatment affects sexuality depends on how active you are and your age."

Q2) The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer.The patient says that he can't wait until the therapy is done so that he can feel stronger,and asks the nurse about the value of cancer screening when his course of therapy is over.The nurse should inform the patient that cancer screening

A) Should be done on an ongoing schedule.

B) Probably will not be needed because the patient has been cured.

C) Usually is not done even if recommended by the health care provider.

D) Is not something that the health care provider should recommend.

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Chapter 57: Culture and Ethnicity

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Source URL: https://quizplus.com/quiz/36929

Sample Questions

Q1) Providing culturally congruent care means providing care that

A) Fits the patient's valued life patterns and set of meanings.

B) Is based on meanings generated by predetermined criteria.

C) Is the same as the values of the professional health care system.

D) Holds one's own way of life as superior to those of others.

Q2) Foster (1976)identified two distinct categories of healers cross-culturally.Of the following characteristics,which are congruent with the healing practices of naturalistic practitioners?

A) Illness is impersonal and is due to biological forces.

B) Illness is caused by alterations in the body equilibrium.

C) Sorcerers can cause health and illness.

D) Human relationships should be emphasized.

E) Healing modalities include herbs, massage, and surgery.

Q3) In comparing American culture with Asian cultures,which of the following statements is true?

A) American culture supports collectivism.

B) Asian communication can be ambiguous.

C) American communication patterns downplay autonomy.

D) Asian communication is direct to avoid conflict.

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Page 58

Chapter 58: Caring for Families

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Sample Questions

Q1) It is essential for family members to realize that a family's beliefs,values,and practices strongly influence the health-promoting behaviors of its members,and to understand that

A) American families are part of the same culture with the same values and beliefs.

B) Economic status has little effect on a family's ability to access adequate health care.

C) Family environment in early life has a strong influence on later health practices.

D) All families place a high value on good health and health practices.

Q2) A husband brings his children in to visit their mother in the hospital.The nurse asks how the family is getting along at home without their mom around.The husband states,"None of her jobs are getting done,and I don't do those jobs,so the house and the kids are falling apart." The nurse suspects that this family structure is

A) Very flexible.

B) Quite rigid.

C) Extremely open.

D) Hardy.

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Chapter 59: Developmental Theories

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Source URL: https://quizplus.com/quiz/36933

Sample Questions

Q1) The nurse is planning playroom activities for a hospitalized 6-year-old patient.Which of the following age appropriate items that the nurse should ensure are available?

A) Crayons and paper

B) Children's books

C) 500-piece puzzle

D) Building blocks

E) Magazines and newspapers

Q2) The nurse knows that a priority reason for being knowledgeable about biophysical developmental theories is to

A) Understand how the physical body grows.

B) Predict definite patterns of cognitive development.

C) Anticipate how patients' social behaviors develop.

D) Describe the process of psychological development.

Q3) According to Piaget's formal operations level,a 13-year-old adolescent will likely

A) Hit other students to deal with environmental change.

B) Use play to understand her surroundings.

C) Question her parents about an upcoming presidential election.

D) Question where the ice is hiding when ice has melted in her drink.

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Chapter 60: Conception Through Adolescence

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25 Verified Questions

25 Flashcards

Source URL: https://quizplus.com/quiz/36935

Sample Questions

Q1) The nurse is observing his 2-year-old hospitalized patient in the playroom.The nurse is most likely to observe the child

A) Participating as the leader of a small group activity.

B) Sitting beside another child while playing with blocks.

C) Separating building blocks into groups by size and color.

D) Seeking out same sex children to play with.

Q2) Normal physical findings in a healthy newborn include

A) Sporadic motor movements.

B) Cyanosis of the feet and hands for the first 48 hours.

C) Triangle-shaped anterior fontanel.

D) Weight of 4800 grams.

Q3) A mother expresses concern because her 5-year-old child frequently talks about friends who don't exist.What is the nurse's best response to this mother's concern?

A) "Have you considered a child psychological evaluation?"

B) "It's very normal for a 5-year-old child to have imaginary playmates."

C) "You should stop your child from playing electronic games."

D) "Pretend play is a sign your child watches too much television."

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Chapter 61: Young and Middle Adults

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Source URL: https://quizplus.com/quiz/36937

Sample Questions

Q1) A 61-year-old obese patient is diagnosed with type 2 diabetes and high blood pressure.The patient states that he is upset about the diet restrictions imposed by the treatment regimen.What is the nurse's best approach?

A) Tell the patient that he must do what the doctor tells him.

B) Offer counseling on nutrition and exercise.

C) Tell the patient about what happened to other patients who did not change their lifestyle.

D) Explain that he needs to accept the care provider's advice without question if he wants to get better.

Q2) When describing relevant family psychosocial factors in middle adulthood that cause stress,the nurse would not include

A) Singlehood and feeling isolated.

B) Choices stemming from marital changes.

C) Financial security and certainty.

D) Planning for the future when children leave home.

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Chapter 62: Older Adults

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/36939

Sample Questions

Q1) What is the best suggestion a nurse could make to a family requesting help in selecting a local nursing center?

A) Suggest choosing a nursing center that is as sanitary as possible. The closer the center is to hospital standards, the better.

B) Have family members evaluate nursing home staff according to their ability to get tasks done efficiently.

C) Make sure that nursing home staff members get patients out of bed every day for the entire day.

D) Explain that it is probably best for the family to visit the center and inspect it personally.

Q2) As a patient ages,the nursing plan of care

A) Should be standardized because all geriatric patients have the same needs.

B) Needs to be individualized to the patient's unique needs.

C) Should be based on chronological age alone.

D) Focuses on the disabilities that all aging persons face.

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Chapter 63: Critical Thinking in Nursing Practice

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36941

Sample Questions

Q1) Professional standards influence a nurse's clinical decisions by

A) Bypassing the patient's feelings to promote ethical standards.

B) Establishing minimal passing standards for testing.

C) Requiring the nurse to use critical thinking for the highest level of quality nursing care.

D) Utilizing evidence-based practice based on nurses' needs.

Q2) 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 himself with two hands on the water fountain.Which critical thinking attitude is utilized in this situation?

A) Humility

B) Confidence

C) Risk taking

D) Creativity

Q3) Critical thinking characteristics include

A) Considering what is important in a given situation.

B) Accepting one, established way to provide patient care.

C) Making decisions based on intuition.

D) Being able to read and follow physician's orders.

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64

Chapter 64: Nursing Assessment

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Source URL: https://quizplus.com/quiz/36943

Sample Questions

Q1) While completing an admission database,the nurse is interviewing a patient who states that he is allergic to latex.The most appropriate nursing action is to first

A) Leave the room and place the patient in isolation.

B) Ask the patient to describe the type of reaction.

C) Proceed to the termination phase of the interview.

D) Document the latex allergy on the medication administration record.

Q2) A patient expresses fear of going home and being alone.Her vital signs are stable and her incision is nearly completely healed.The nurse can infer from the subjective data that

A) The patient can now perform the dressing changes herself.

B) The patient can begin retaking all her previous medications.

C) The patient is apprehensive about discharge.

D) Surgery was not successful.

Q3) After setting the agenda during a patient-centered interview,what will the nurse do?

A) Begin by introducing himself.

B) Conduct a nursing health history.

C) Explain that the interview will be over in a few more minutes.

D) Tell the patient that he'll be back to administer medications in 1 hour.

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65

Chapter 65: Nursing Diagnosis

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19 Verified Questions

19 Flashcards

Source URL: https://quizplus.com/quiz/36945

Sample Questions

Q1) Which of these questions would be most appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?

A) "What types of foods do you think caused your upset stomach?"

B) "How many bowel movements a day have you had?"

C) "Are you able to get to the bathroom in time?"

D) "What medications are you currently taking?"

Q2) A nurse assesses that a patient has not voided in 6 hours.Which question should the nurse ask to assist in establishing a nursing diagnosis of Urinary retention?

A) "Do you feel like you need to use the bathroom?"

B) "Are you able to walk to the bathroom by yourself?"

C) "When was the last time you took your medicine?"

D) "Do you have a safety rail in your bathroom at home?"

Q3) Which of these selections is an etiology for Acute pain versus a defining characteristic?

A) Complaint of pain as a 7 on a 0 to 10 scale

B) Disruption of tissue integrity

C) Dull headache

D) Discomfort while changing position

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Chapter 66: Planning Nursing Care

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Source URL: https://quizplus.com/quiz/36947

Sample Questions

Q1) A patient's son decides to stay at the bedside while his father is confused.When developing the plan of care for this patient,what should the nurse do?

A) Individualize the care plan only according to the patient's needs.

B) Request that the son leave at bedtime, so the patient can rest.

C) Suggest that a female member of the family stay with the patient.

D) Involve the son in the plan of care as much as possible.

Q2) The nurse is caring for seven patients this shift.After completing their assessments,the nurse states that he doesn't know where to begin in developing care plans for these patients.Which of the following is an appropriate suggestion by another nurse?

A) "Choose all the interventions and perform them in order of time needed for each one."

B) "Make sure you identify the scientific rationale for each intervention first."

C) "Decide on goals and outcomes you have chosen for the patients."

D) "Begin with the highest priority diagnoses, then select appropriate interventions."

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Chapter 67: Implementing Nursing Care

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Source URL: https://quizplus.com/quiz/36949

Sample Questions

Q1) A newly admitted patient who is morbidly obese asks the nurse to assist her to the bathroom for the first time.What should the nurse do first?

A) Ask for at least two other assistive personnel to come to the room.

B) Medicate the patient to alleviate discomfort while ambulating.

C) Offer the patient a walker.

D) Review the patient's activity orders.

Q2) Which of these interventions,to be included in the plan of care,is appropriate for the patient outcome that states,"The patient will verbalize a pain level at 3 or below on a 0 to 10 scale throughout this shift."?

A) Medicate the patient immediately after all procedures.

B) Discuss only nonpharmacological methods of pain relief.

C) Teach the patient about side effects of pain medications.

D) Medicate the patient based on previous shift assessment findings.

Q3) Which of the following are nursing interventions?

A) Order chest x-ray for suspected humerus fracture.

B) Order antibiotics for a respiratory infection.

C) Reposition a patient who is on bed rest.

D) Remind a patient to cough and deep breathe after surgery.

E) Write transfer orders to move a patient to another hospital unit.

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Page 68

Chapter 68: Evaluation

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Source URL: https://quizplus.com/quiz/36951

Sample Questions

Q1) After completing a thorough database and carrying out nursing interventions based on priority diagnoses,the nurse proceeds to which step of the nursing process?

A) Assessment

B) Planning

C) Implementation

D) Evaluation

Q2) Which of the following are examples of evaluative measures that a nurse should utilize when determining the patient's response to nursing care?

A) Observations of wound healing

B) Assessment of respiratory rate and depth

C) Blood pressure measurement

D) Implementation of nursing interventions

E) Patient's subjective report of feelings about a new diagnosis of cancer

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Chapter 69: Managing Patient Care

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20 Verified Questions

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Source URL: https://quizplus.com/quiz/36953

Sample Questions

Q1) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant.The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus.The best next action of this nurse is to

A) Ask the nursing assistant to observe while the nurse performs catheter care.

B) Leave the room and ask the nursing assistant to go back and perform proper catheter care.

C) Discontinue the catheter.

D) Document the incident in the patient's chart.

Q2) Which organizational structure approach has fewer directors with managers accountable 24 hours for staff,budget,and day-to-day management?

A) Centralized management

B) Decentralized management

C) Business unit management

D) Matrix

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Chapter 70: Ethics and Values

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18 Verified Questions

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Source URL: https://quizplus.com/quiz/36955

Sample Questions

Q1) The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of upsetting her husband and children.Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause?

A) Responsibility

B) Advocacy

C) Confidentiality

D) Accountability

Q2) During a severe respiratory epidemic,the local health care organizations decide to give health care providers priority access to ventilators over other members of the community who also need that resource.Which philosophy would give the strongest support for this decision?

A) Feminist ethics

B) Utilitarianism

C) Deontology

D) Ethics of care

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Chapter 71: Legal Implications in Nursing Practice

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Source URL: https://quizplus.com/quiz/36957

Sample Questions

Q1) A nurse performs cardiopulmonary resuscitation (CPR)on a 92-year-old with brittle bones and breaks a rib during the procedure,which then punctures a lung.The patient recovers completely without any residual problems and sues the nurse for pain and suffering,and for malpractice.What key point will the prosecution attempt to prove?

A) The CPR procedure was done incorrectly.

B) The patient would have died if nothing was done.

C) The patient was resuscitated according to policy.

D) Patients with brittle bones might sustain fractures when chest compressions are done.

Q2) A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital.A full code was conducted without success.The patient had a urinary catheter,an intravenous line,an oxygen cannula,and a nasogastric tube.What question is priority for the nurse to ask the family before beginning postmortem care?

A) "Do you want to assist in bathing your loved one?"

B) "Is an autopsy going to be done?"

C) "To which funeral home do you want your loved one transported?"

D) "Do you want me to remove the lines and tubes before you see your loved one?"

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Chapter 72: Communication

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/36959

Sample Questions

Q1) The staff is having a hard time getting an older adult patient to communicate.Which technique should the nurse suggest the staff use?

A) Allow the patient to reminisce.

B) Try changing topics often.

C) Involve only the patient in conversations.

D) Ask the patient for explanations.

Q2) Before meeting the patient,a nurse talks to other caregivers about the patient.The nurse is in which phase of the helping relationship?

A) Pre-interaction

B) Orientation

C) Working

D) Termination

Q3) During the initial home visit,a home health nurse lets the patient know that the visits are expected to end in about a month.The nurse is in which phase of the helping relationship?

A) Pre-interaction

B) Orientation

C) Working

D) Termination

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Page 73

Chapter 73: Patient Education

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/36961

Sample Questions

Q1) Which factors should the nurse assess to determine a patient's ability to learn?

A) Developmental capabilities and physical capabilities

B) Sociocultural background and motivation

C) Psychosocial adaptation to illness and active participation

D) Stage of grieving and overall physical health

Q2) Which situation will cause the nurse to postpone a teaching session?

A) The patient is mildly anxious.

B) The patient is fatigued.

C) The patient is asking questions.

D) The patient is hurting.

E) The patient is febrile (high fever).

F) The patient is in the acceptance phase.

Q3) A nurse teaches a patient with heart failure healthy food choices.The patient states that eating yogurt is better than eating cake.In this situation,which element represents feedback?

A) The nurse

B) The patient

C) The nurse teaching about healthy food choices

D) The patient stating that eating yogurt is better than eating cake

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Chapter 74: Documentation and Informatics

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/36963

Sample Questions

Q1) A nurse has taught the patient how to use crutches.The patient went up and down the stairs using crutches with no difficulties.Which information will the nurse use for the "I" in PIE charting?

A) Patient went up and down stairs

B) Deficient knowledge regarding crutches

C) Demonstrated use of crutches

D) Used crutches with no difficulties

Q2) A nurse is preparing a change-of-shift report for a patient who had chest pain.Which information is critical for the nurse to include?

A) Pupils equal and reactive to light

B) The family is a "pain"

C) Had poor results from the pain medication

D) Sharp pain of 8 on a scale of 1 to 10

Q3) A preceptor is working with a new nurse on documentation.Which situation will cause the preceptor to intervene?

A) The new nurse uses a black ink pen to chart.

B) The new nurse charts consecutively on every other line.

C) The new nurse ends each entry with signature and title.

D) The new nurse keeps the password secure.

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Page 75

Chapter 75: Patient Safety

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/36965

Sample Questions

Q1) The nurse is caring for a patient with a urinary catheter.After the nurse empties the collection bag and disposes of the urine,the next step is to

A) Use alcohol-based gel on hands.

B) Wash hands with soap and water.

C) Remove eye protection and dispose of in garbage.

D) Remove gloves and dispose of in garbage.

Q2) A patient has been admitted and placed on fall precautions.The nurse explains to the patient that interventions for the precautions include

A) Encouraging visitors in the early evening.

B) Placing all four side rails in the "up" position.

C) Checking on the patient once a shift.

D) Placing a high risk for falls armband on the patient.

Q3) Equipment-related accidents are risks in the health care agency.The nurse assesses for this risk when using

A) Sequential compression devices.

B) A measuring device that measures urine.

C) Computer-based documentation.

D) A manual medication-dispensing device.

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Chapter 76: Infection Prevention and Control

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/36967

Sample Questions

Q1) The nurse is caring for a school-aged child who has injured his leg after a bicycle accident.To determine whether the child is experiencing a localized inflammatory response,the nurse should assess for which of these signs and symptoms?

A) Fever, malaise, anorexia, and nausea and vomiting

B) Chest pain, shortness of breath, and nausea and vomiting

C) Dizziness and disorientation to time, date, and place

D) Edema, redness, tenderness, and loss of function

Q2) The nurse is caring for a patient with a nursing diagnosis of risk for infection.Aware of the need for Standard Precautions,the nurse is careful to

A) Teach the patient about good nutrition.

B) Wear eyewear when emptying a urinary drainage bag.

C) Avoid contact with intact skin without wearing gloves.

D) Don gloves when wearing artificial nails.

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Chapter 77: Vital Signs

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/36969

Sample Questions

Q1) After taking the patient's temperature,the nurse documents the value and the route used to obtain the reading.Why is this done?

A) Temperatures are the same regardless of the route used.

B) Temperatures vary depending on the route used.

C) Temperatures are cooler when taken rectally than when taken orally.

D) Axillary temperatures are higher than oral temperatures.

Q2) When recording the patient's respiratory status,what must be recorded?

A) Respiratory rate

B) Character of respirations

C) Amount of oxygen therapy

D) Only normal findings

E) Only in the graphic section

Q3) The thickness or viscosity of the blood affects the ease with which blood flows through small vessels.The nurse examines what value,which might help determine the amount of blood viscosity?

A) Hematocrit

B) Cardiac output

C) Arterial size

D) Blood volume

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Chapter 78: Health Assessment and Physical Examination

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Source URL: https://quizplus.com/quiz/36971

Sample Questions

Q1) A parent calls the school nurse with questions regarding the recent school vision screening.Snellen chart examination revealed 20/60 for both eyes.Considering the visual acuity results,the nurse informs the parent that the child

A) Should have an optometric examination.

B) Is suffering from strabismus.

C) May have presbyopia.

D) Has vision issues most likely due to cataracts.

Q2) During a sexually transmitted illness presentation to high school students,the nurse recommends the HPV vaccine series to prevent A) Cervical cancer.

B) Genital lesions.

C) Vaginal discharge.

D) Swollen perianal tissues.

Q3) The best term for breath sounds created by air moving through large lung airways is A) Bronchovesicular.

B) Rhonchi.

C) Bronchial.

D) Vesicular.

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Chapter 79: Medication Administration

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Sample Questions

Q1) The nurse knows that the purpose of aspiration on IM injections is to

A) Ensure proper placement of the needle.

B) Increase the force of the injection.

C) Reduce the discomfort of the injection.

D) Prolong the absorption time of the medication.

Q2) The nurse is preparing to administer medications to two patients with the same last name.After the administration,the nurse realizes that she did not check the identification of the patient before administering medication.Which of the following actions should the nurse complete first?

A) Return to the room to check and assess the patient.

B) Administer the antidote to the patient immediately.

C) Alert the charge nurse that a medication error has occurred.

D) Complete proper documentation of the medication error in the patient's chart.

Q3) A provider has ordered a STAT medication to be administered.The nurse knows that the best route of administration is

A) IV.

B) IM.

C) SQ.

D) PO.

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Page 80

Chapter 80: Complementary and Alternative Therapies

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Sample Questions

Q1) A patient describes practicing a complementary and alternative therapy involving concentrating and controlling his respiratory rate and pattern,recognizing that breath work is to yoga as

A) The "zone" is to acupressure.

B) Massage therapy is to Ayurveda.

C) Reiki therapy is to therapeutic touch.

D) Prayer is to tai chi.

Q2) Which medication could cause an abnormal drug interaction in a patient taking an antidepressant medication?

A) Digoxin

B) Aspirin

C) Chamomile

D) Ginger

Q3) In a cardiac dysrhythmia clinic,a patient inquires about using acupuncture to help alleviate stress.The nurse's best answer is which of the following?

A) "It is acceptable, but do not use electro-acupuncture."

B) "It is very clearly contraindicated."

C) "Do not allow needles near the heart."

D) "You do not look like you have an infection, so it will be OK."

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Page 81

Chapter 81: Self-Concept

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Sample Questions

Q1) Based on the following data,which person is likely to have the highest self-esteem?

A) Latino adolescent female who has strong ethnic pride

B) Caucasian boy who lives below federal poverty level

C) African American adolescent male who has severe acne

D) Adolescent who was suspended twice from high school

Q2) Potential predictors for suicidal thoughts and behaviors in adolescents are

A) Stressful life events and a scholarship.

B) Very high self-esteem and work failure.

C) Health problems and developmental milestones.

D) Negative body image and low self-esteem.

Q3) A nurse who grimaces when seeing a patient's colostomy opening while changing the colostomy bag is most likely to have what effect on the patient?

A) Assist recovery by using honest communication.

B) Motivate the patient to increase physical activity.

C) Promote development of a negative body image.

D) Develop a kind nickname for the colostomy opening.

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Chapter 82: Sexuality

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Source URL: https://quizplus.com/quiz/36979

Sample Questions

Q1) A nursing student is providing education to a group of older adults who are in an independent living retirement village.Which of the following statements made by the nursing student requires the nursing professor to intervene?

A) "Avoiding alcohol use will enhance your sexual functioning."

B) "You do not need to worry about getting a sexually transmitted infection at this point in your life."

C) "You need to tell your partner how you feel about sex and any fears you may have."

D) "Using pillows and taking pain medication if needed before having sexual intercourse often helps alleviate pain associated with intercourse and improves sexual functioning."

Q2) A nurse is caring for a patient who expresses a desire to have an elective abortion.The nurse's religious and ethical values are strongly opposed.How should the nurse best handle the situation?

A) Continue to care for the patient, and limit conversation as much as possible.

B) Refer the patient to a family planning center or health professional.

C) Attempt to educate the patient about the consequences of abortion.

D) Inform the patient that because of moral issues, another nurse will have to care for her.

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Page 83

Chapter 83: Spiritual Health

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Sample Questions

Q1) A complex concept that is unique to each individual; is dependent upon a person's culture,development,life experiences,beliefs,and ideas about life; and is a unifying theme in peoples' lives is called

A) Spirituality.

B) Religion.

C) Self-transcendence.

D) Faith.

Q2) The patient is in the intensive care unit (ICU),which has strict posted visiting hours and limits the number of visitors to two per patient at any one time.The patient is asking to see his wife and two daughters.The nurse should

A) Tell the patient that they will be allowed to visit at the appropriate time.

B) Allow the wife and one daughter to enter the ICU, but not the other daughter.

C) Allow the two daughters to visit, and let the wife visit when they leave.

D) Allow the wife and daughters to visit at the patient's request.

Q3) In assessing the spiritual health of her patients,the nurse understands that A) Spiritual beliefs change as patients grow and develop.

B) Spiritual health in older adults leads to peace and acceptance of others.

C) Older adults often express spirituality by focusing on themselves.

D) The basis of beliefs among older people is focused on one or two factors.

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Page 84

Chapter 84: the Experience of Loss, death, and Grief

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Sample Questions

Q1) A woman is called into her supervisor's office regarding her deteriorating work performance since the loss of her husband 2 years ago.The woman begins sobbing and saying that she is "falling apart" at home as well.The woman is escorted to the nurse's office,where the nurse recognizes the woman's symptoms as which of the following?

A) Normal grief

B) Complicated grief

C) Disenfranchised grief

D) Perceived grief

Q2) "I know it seems strange,but I feel guilty being pregnant after the death of my son last year," said a woman during her routine obstetrical examination.The nurse spends extra time with this woman,helping her to better bond with her unborn child.This demonstrates which nursing technique?

A) Facilitating mourning

B) Providing curative therapy

C) Promoting spirituality

D) Eradicating grief

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Chapter 85: Stress and Coping

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Source URL: https://quizplus.com/quiz/36985

Sample Questions

Q1) Pediatric stressors related to self-esteem and changes in family structure reflect which maturational school age category?

A) Elementary school age

B) Preadolescence

C) Adolescence

D) Early adulthood

Q2) Despite working in a highly stressful nursing unit and accepting additional shifts,a new nursing graduate has a strategy to prevent burnout.The best strategy would be for the new nurse to

A) Identify limits and scope of work responsibilities.

B) Write for 10 minutes in a journal every day.

C) Use progressive muscle relaxation.

D) Delegate complex nursing tasks to licensed professional nurses.

Q3) Identify a sociocultural factor that can lead to developmental problems.

A) Family relocation

B) Childhood obesity

C) Prolonged poverty

D) Loss of stamina

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Chapter 86: Activity and Exercise

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/36987

Sample Questions

Q1) Bones perform five functions in the body: support,protection,movement,mineral storage,and hematopoiesis.In the discussion of body mechanics,which are the most important?

A) Support

B) Protection

C) Movement

D) Mineral storage

E) Hematopoiesis

Q2) The nurse is examining a patient who is admitted to the emergency department with severe elbow pain.Of the following situations,which would cause the nurse to suspect a ligament tear or joint fracture?

A) Range of motion of the elbow is limited.

B) Joint motion is greater than normal.

C) The patient has arthritis.

D) The elbow cannot be moved (frozen).

Q3) In assisting the patient to exercise,the nurse should

A) Expect that pain will occur with exercise of unused muscle groups.

B) Set the pace for the exercise class.

C) Force muscles or joints to go just beyond resistance.

D) Stop the exercise if pain is experienced.

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Chapter 87: Hygiene

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Q1) The nurse is caring for a patient who is immobile.The nurse is aware that the patient is at risk for Impaired skin integrity because

A) Pressure reduces circulation to affected tissue.

B) Patients with limited caloric intake develop thicker skin.

C) Inadequate blood flow leads to decreased tissue ischemia.

D) Local nerve damage leads to pain sensation.

Q2) When providing basic eye care,the nurse

A) Cleanses the eye with soap and water.

B) Applies pressure directly to the eyeball.

C) Cleanses from inner canthus to outer canthus.

D) Provides less frequent care to unconscious patients.

Q3) The patient is being treated for cancer with weekly radiation and chemotherapy treatments.The nurse is aware that the patient's oral mucosa needs to be assessed because chemotherapy and radiation can

A) Increase saliva production.

B) Decrease the risk of oral inflammation.

C) Decrease drying of oral mucosa.

D) Lead to oral problems.

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88

Chapter 88: Oxygenation

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Q1) A nurse caring for a patient who was in a motor vehicle accident that resulted in trauma to C4 would expect to find

A) Decreased tidal volumes.

B) Increased perfusion.

C) Increased use of accessory muscles.

D) Decreased hemoglobin.

Q2) The nurse is assessing a patient with a right pneumothorax.Which finding would the nurse expect?

A) Bilateral expiratory crackles

B) Absence of breath sounds on the right side

C) Right-sided wheezes on inspiration

D) Trachea deviated to the right

Q3) The nurse is careful to monitor a patient's cardiac output because this helps the nurse to determine

A) Peripheral extremity circulation.

B) Oxygenation requirements.

C) Cardiac arrhythmias.

D) Ventilation status.

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89

Chapter 89: Fluid, electrolyte, and Acid-Base Balance

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Sample Questions

Q1) Which organ system is responsible for compensation of respiratory acidosis?

A) Respiratory

B) Renal

C) Gastrointestinal

D) Endocrine

Q2) A patient was admitted for a bowel obstruction and has had a nasogastric tube set to low intermittent suction for the past 3 days.The patient's respiratory rate has decreased to 12 breaths per minute.The nurse would expect the patient to have which of the following arterial blood gas values?

A) pH 7.78, PaCO 40 mm Hg, HCO - 30 mEq/L

B) pH 7.52, PaCO 48 mm Hg, HCO - 28 mEq/L

C) pH 7.35, PaCO 35 mm Hg, HCO - 26 mEq/L

D) pH 7.25, PaCO 47 mm Hg, HCO - 29 mEq/L

Q3) The nurse knows that the most abundant cation in the blood is

A) Sodium.

B) Potassium.

C) Chloride.

D) Magnesium.

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Chapter 90: Sleep

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Q1) The nurse is discussing with a new mother the sleep requirements of a neonate.Which of these comments would indicate that the patient has an understanding of the neonate's sleeping pattern?

A) "I can't wait to get the baby home to play with the brothers and sisters."

B) "I will ask my mom to come after the first week, when the baby is more alert."

C) "I will get the baby on a sleeping schedule the first week while my mom is here."

D) "I won't be able to nap during the day because the baby will be awake."

Q2) The nurse is preparing an older patient's evening medications.Which of the following does the nurse recognize as relatively safe for difficulty sleeping?

A) Benadryl (diphenhydramine)

B) Melatonin

C) Valerian

D) Lorazepam

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Chapter 91: Pain Management

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Q1) A nurse is caring for a patient who recently had an abdominal hysterectomy and states that she is experiencing severe pain.The patient's blood pressure is 110/60,and her heart rate is 60.Additionally,the patient does not appear to be in any distress.Which response by the nurse is most therapeutic?

A) "Your vitals do not show that you are having pain; can you describe your pain?"

B) "You do not look like you are in pain."

C) "OK, I will go get you some narcotic pain relievers immediately."

D) "What would you like to try to alleviate your pain?"

Q2) The nurse is administering pain medication for several patients.Which patient does the nurse administer medication to first?

A) The patient who needs to take a scheduled dose of maintenance pain medication

B) The patient who needs to be premedicated before walking

C) The patient with a PCA running who needs to have the syringe replaced

D) The patient who is experiencing 8/10 pain and has a STAT order for pain medication

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92

Chapter 92: Mobility and Immobility

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Q1) Although isometric contractions do not result in muscle shortening,the nurse understands that isometric contractions

A) Result in decreased energy expenditure.

B) Are always desirable regardless of patient condition.

C) Are necessary for the active movement of muscles.

D) Result in increased energy expenditure.

Q2) In caring for immobile patients,the nurse understands that back injuries occur

A) Only when lifting patients.

B) Only when transferring patients.

C) Only when providing direct patient care.

D) With many clinical activities.

Q3) The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a tendency to rotate externally when the patient is supine.To help prevent injury secondary to this rotation,the nurse can use

A) A trochanter roll.

B) The trapeze bar.

C) Hand rolls.

D) Hand-wrist splints.

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Chapter 93: Skin Integrity and Wound Care

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Q1) The nurse is caring for a patient who has experienced a total hysterectomy.Which nursing observation would indicate that the patient was experiencing a complication of wound healing?

A) The incision site has started to itch.

B) The incision site is approximated.

C) The patient has pain at the incision site.

D) The incision has a mass, bluish in color.

Q2) The nurse is caring for a patient with a large abrasion from a motorcycle accident.The nurse recalls that if the wound is kept moist,it can resurface in _____ day(s).

A) 4

B) 2

C) 1

D) 7

Q3) The nurse is caring for a patient who has experienced a laparoscopic appendectomy.The nurse recalls that this type of wound heals by

A) Tertiary intention.

B) Secondary intention.

C) Partial-thickness repair.

D) Primary intention.

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Chapter 94: Sensory Alterations

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Q1) The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except her location.Which nursing intervention would be effective in orienting a patient with neurological deficit?

A) Assessing the patient's level of consciousness and documenting every 4 hours

B) Keeping a day-by-day calendar at the patient's bedside and having the patient manage it

C) Placing a patient observer in the patient's room for safety

D) Informing the patient that she cannot be discharged unless she is awake, alert, and oriented

Q2) Often blindness occurs during childhood.Which health preventative measure is most appropriate to prevent vision impairment?

A) Screen young children early for visual impairments.

B) Instruct parents to report reduced eye contact from their child immediately.

C) Include rubella and syphilis screening in the preconception care plan.

D) Administer prophylactic antibiotics to all newborns.

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Chapter 49: Nursing Today

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Q1) In 1923,the Goldmark Report was an important study that

A) Formed formal nurse midwifery programs.

B) Established the Center for Ethics and Human Rights.

C) Revised the ANA code of ethics.

D) Led to the development of the Yale School of Nursing.

Q2) The patient requires routine gynecological services after giving birth to her son,and while seeing the nurse midwife,she asks for a referral to a pediatrician for the newborn.The nurse midwife should

A) Provide the referral as requested.

B) Offer to provide the newborn care.

C) Refer the patient to the supervising physician.

D) Tell the patient that she cannot make referrals.

Q3) The student nurse has a goal of becoming a certified registered nurse anesthetist (CRNA).It is important for the student to understand that the CRNA

A) Works under the guidance of an anesthesiologist.

B) Manages acute medical conditions.

C) Manages gynecological services such as PAP smears.

D) Must have a PhD degree in anesthesiology.

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Chapter 95: Care of Surgical Patients

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Q1) The nurse is caring for a potential surgical patient in the preadmission testing unit.The medication history indicates that the patient is currently taking warfarin (Coumadin).Which of the following actions should the nurse take?

A) Consult with the physician regarding a radiological examination of the chest.

B) Consult with the physician regarding an international normalized ratio (INR).

C) Consult with the physician regarding blood urea nitrogen (BUN).

D) Consult with the physician regarding a complete blood count (CBC).

Q2) Which nursing assessment would indicate that the patient is performing diaphragmatic breathing correctly?

A) Hands placed on border of rib cage with fingers extended will touch as chest wall contracts.

B) Hands placed on chest wall with fingers extended will separate as chest wall contracts.

C) The patient will feel upward movement of the diaphragm during inspiration.

D) The patient will feel downward movement of the diaphragm during expiration.

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