Basic Nursing Skills
Midterm Exam
Course Introduction
Basic Nursing Skills introduces students to the fundamental concepts and essential hands-on techniques required in the nursing profession. The course covers topics such as infection control, vital signs measurement, patient hygiene, safe patient mobility and positioning, basic wound care, and communication with patients and healthcare teams. Emphasis is placed on developing clinical competence, adhering to ethical and professional standards, and fostering a caring approach towards patients. Through a combination of classroom instruction and laboratory practice, students gain the foundational skills necessary for providing high-quality, safe, and compassionate care in a variety of healthcare settings.
Recommended Textbook Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
Source URL: https://quizplus.com/study-set/2375 Page 2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47122
Sample Questions
Q1) The registered nurse is discharging a patient to an assisted living facility.Which instruction below is most appropriate for the patient?
A) "Therapists will be working with you daily to ensure that you regain functional abilities."
B) "You will have 24-hour nursing care for the next 6 weeks."
C) "You will have assistance with meals and housekeeping tasks."
D) "A nurse will come to your home and provide you with nursing care."
Answer: C
Q2) Which of the following is the most important reason to develop a definition of nursing?
A) Recruit more informed people into the nursing profession
B) Evaluate the degree of role satisfaction
C) Dispel the stereotypical images of nurses and nursing
D) Differentiate nursing activities from those of other health professionals
Answer: D
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3
Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) What is the best description of the Nursing Process? The Nursing Process is:
A) A way to create nursing knowledge for use in practice
B) A systematic view of a specific phenomenon in nursing
C) A linear process for providing nursing care
D) A systematic process for the delivery of nursing care
Answer: D
Q2) The nurse developed a care plan for a patient to help prevent Impaired Skin Integrity.She has made sure that nursing assistive personnel change the patient's position every 2 hours.In the evaluation phase of the Nursing Process,which of the following would the nurse do first?
A) Determine whether she has gathered enough assessment data
B) Judge whether the interventions achieved the stated outcomes
C) Follow up to verify that care for the nursing diagnosis was given
D) Decide whether the nursing diagnosis was accurate for the patient's condition
Answer: B
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Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) For which of the following purposes is a graphic flowsheet superior to other methods of recording data?
A) Providing easy documentation of routine vital signs
B) Seeing the patterns of a patient's fever
C) Describing the symptoms accompanying a rising temperature
D) Checking to make sure vitals signs were taken
Answer: B
Q2) The most obvious reason for using a framework when assessing a patient is to:
A) Prioritize assessment data
B) Organize and cluster data
C) Separate subjective data from objective data
D) Identify both primary and secondary data
Answer: B
Q3) A patient has left-sided weakness because of a recent stroke.Which type of special needs assessment would be most important to perform?
A) Family
B) Functional
C) Community
D) Psychosocial
Answer: B
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Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Using Maslow's Hierarchy of Needs,rank the following nursing diagnoses in order of importance,beginning with the highest-priority diagnosis.(Enter using the following format: A,B,C,D)
A)Anxiety
B)Risk for infection
C)Disturbed body image
D)Sleep deprivation
Q2) The diagnostic label,or patient problem,is used primarily to suggest:
A) Client goals
B) Cue clusters
C) Interventions
D) Etiology
Q3) Which of the following describes the most important use of making a nursing diagnosis? Assume all are true.
A) Differentiates the nurse's role from that of the physician
B) Identifies a body of knowledge unique to nursing
C) Helps nursing develop a more professional image
D) Describes the client's needs for nursing care
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6
Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is the best example of an outcome statement? The patient will:
A) Use the incentive spirometer when awake
B) Walk two times during day and evening shift
C) Maintain oxygen saturation above 92% while performing ADLs each morning
D) Tolerate 10 sets of range-of-motion exercises with physical therapy
Q2) Which of the following is true for goals/outcomes for collaborative problems?
A) They are monitored only by other disciplines.
B) They are usually sensitive to nursing interventions.
C) They state that a complication will not occur.
D) They state only broad performance criteria.
Q3) How are critical pathways and standardized nursing care plans similar? Both:
A) Specify daily, or even hourly, outcomes and interventions
B) Prescribe minimal care needed to meet recommended lengths of stay
C) Describe care common to all patients with a certain condition or situation
D) Emphasize medical problems and interventions
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Chapter 6: Nursing Process: Planning Interventions
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nurse is caring for a 55-year-old male smoker on the medical-surgical unit.The patient states,"I'd really like some help in quitting smoking." As part of her intervention plan she includes a smoking cessation class.What type of intervention is the nurse performing?
A) Wellness
B) Prevention
C) Assessment
D) Treatment
Q2) Which definition best describes a critical pathway?
A) Standardized plan of care for frequently occurring conditions
B) Systematically developed statement to assist practitioners and patients in decision making
C) Systematic review of clinical evidence for an intervention
D) Set of interrelated concepts that describes or explains something
Q3) Who is the primary decision maker when caring for healthy adult clients?
A) Provider
B) Family
C) Client
D) Nurse
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Page 8
Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which of the following is the most appropriate task(s)to be delegated to the licensed practical nurse (LPN)? Select all that apply.
A) Administer oral pain medications
B) Insert an indwelling (e.g., Foley) catheter
C) Perform an admission assessment on a new patient
D) Establish a new teaching plan for a diabetic patient
Q2) The certified nursing assistant (CNA)is feeding a patient and notes that the patient is having difficulty swallowing.She reports this to the primary registered nurse.What should the nurse do first?
A) Assign the task to a more experienced CNA
B) Feed the patient herself
C) Assess the patient and place on NPO status
D) Call the primary care provider
Q3) Which of the following is a client outcome criterion?
A) Central venous catheter site infection does not occur (90% of cases).
B) Client will sit out of bed in the chair for 20 minutes three times per day.
C) Postoperative phlebitis does not occur (95% of cases).
D) Falls in the facility will reduce by 2% this quarter.
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Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse researcher decides to conduct a research study on the association between aging male populations and their development of prostate cancer.She uses a sample size from her community of 50 males aged more than 80 years,a quantitative research design,and finds that many of these participants developed cancer after the age of 80.She reports in her findings: All male patients over the age of 80 years old will most likely develop prostate cancer.Based on the information given above,what is flawed in this research?
A) The problem statement does not provide enough information.
B) Sample size is too small to make a generalization.
C) The research is only valuable to those working with aging males.
D) A quantitative research design is most likely inappropriate for this type of study.
Q2) The nurse educator in the local hospital is developing a plan to implement research into nursing care practices.What are some of the barriers she may encounter in this implementation process? Select all that apply.
A) Not enough nursing research has been published.
B) There is a negative attitude toward research.
C) There is a lack of support from the employing hospital.
D) Most nursing research is not relevant to hospital practice.
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10
Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The pediatric nurse is going to a preschooler class to do a presentation on teeth brushing.Prior to the start of class,she spends some time meeting and talking with the students.Which of the following statement(s)by the preschoolers indicates normal development for this group? Select all that apply.
A) "After our class, I am going to read my book. I love my book."
B) "You should never steal anything from anyone."
C) "Water is really the same as ice."
D) "I can count to 20."
Q2) According to Erikson,which of the following must a middle-aged adult do to be prepared for the final stages of life? The adult must:
A) Accept the fact that she is getting older
B) Reconcile that death is a part of life
C) Feel she has made a contribution to society
D) Have had a meaningful and intimate relationship
Q3) Which behavior by the mother is most likely to help the infant to develop trust?
A) Talking to the infant
B) Breastfeeding instead of bottle feeding
C) Promptly responding to the infant's crying
D) Having the infant sleep in the same room with the parent
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Page 11
Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Many older adults suffer from chronic health problems.Which of the following are the most common and costly chronic problems in the older adult? Select all that apply.
A) Heart disease
B) Diabetes
C) Alzheimer's disease
D) Pneumonia
Q2) The primary nursing intervention for an older adult who is a victim of abuse is to:
A) Assess the scope of the problem
B) Analyze the family dynamics
C) Ensure the safety of the victim
D) Teach the victim coping skills
Q3) The nurse suspects that an older adult patient may have difficulty hearing.What strategies will the nurse use in communicating with this patient until he is certain that there is hearing loss? Select all that apply.
A) Look directly at the patient when speaking
B) Speak more slowly than usual
C) Speak loudly toward the patient's ears
D) Allow some extra time for the patient to respond
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12
Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The client is a 76-year-old man who is experiencing chronic illness.He has a genetic-linked anemia.He says he does not eat a balanced diet,as he prefers sweets to meat and vegetables.Which of the following dimensions of health can the nurse most likely influence by teaching and counseling him?
A) Age-related changes
B) Genetic anemia
C) Eating habits
D) Gender-related issues
Q2) Health is defined as the absence of illness related to mind,body,and spirit.
A)True
B)False
Q3) Having someone physically present during times of illness removes the sense of aloneness during the illness.
A)True
B)False
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13
Chapter 12: Stress Adaptation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A client approaches the nurse in the health clinic and states,"I have been dealing with my husband's illnesses for years.Now my children want me to start babysitting for my grandchildren.I don't know whether I can handle all this." What is the nurse's interpretation of this woman's statements?
A) Some events are producing more stress for her than other events.
B) Her coping abilities are extended to her limit and she is unable to cope.
C) When there are many stressors or when stressors continue for a long period of time, adaptation is more likely to fail.
D) Coping strategies that she has used in the past are no longer successful for her now.
Q2) A patient sustains a laceration of the thigh in an industrial accident.Which step in the inflammatory process will the patient experience first?
A) Cellular inflammation
B) Exudate formation
C) Tissue regeneration
D) Vascular response
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14
Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Which assessment finding(s)might suggest that the patient has low self-esteem and requires more in-depth assessment? Select all that apply.
A) Infrequent eye contact
B) Straight posture
C) Overly critical of others
D) Careful grooming
Q2) An elderly patient admitted from a skilled nursing residence to a medical-surgical unit is exhibiting confusion,distractibility,memory loss,and irritability.She has a medical diagnosis of Dehydration.Which of the following should lead the nurse to suspect that dementia,rather than depression or dehydration,is the source of the symptoms?
A) Rambles, speaks incoherently, answers questions inappropriately
B) Speaks slowly with delayed response to questions, but responds appropriately
C) Awakens early in the day yet sleeps almost constantly during the day
D) Sometimes has difficulty concentrating on details of the present situation
Q3) Which statement best describes self-esteem?
A) View of oneself as a unique human being
B) One's mental image of one's physical self
C) One's overall view of oneself
D) How well one likes oneself
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Page 15
Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) A nurse is caring for a patient who was newly diagnosed with type 1 diabetes.The patient's wife states,"We are a family of diabetics." The nurse advises the couple to attend the free nutrition,cooking,and exercise classes at the health center near their neighborhood.She also gives them the name of the public health nurse for their area.Which perspective of family nursing is the nurse practicing?
A) Family as a unit of care
B) Family as a system
C) Family as the context of care
D) Family as a resource and stressor
Q2) The nurse is developing a teaching plan on coping strategies for an extended family of a severely disabled 11-year-old child.What step should the nurse take first in developing this plan?
A) Assess the current coping patterns.
B) Establish each member's role.
C) Assign specific tasks and deadlines for each member.
D) Assess which family member has the most ineffective coping patterns.
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Chapter 15: Culture Ethnicity
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A client incorporates alternative healthcare into her regular health practices.For which alternative therapy should the patient visit a formally trained practitioner?
A) Use of herbs and roots
B) Application of oils and poultices
C) Burning of dried plants
D) Acupuncture
Q2) The nurse is caring for a Native American in a rural rehabilitation facility.The nurse notices that the patient has eaten very little since his admission 10 days ago.When she asks the patient about his eating,he states,"I can't eat any of this food.It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission.Based on this scenario,what is/are the most appropriate nursing diagnosis(es)for this patient? Select all that apply.
A) Noncompliance related to difficulty adhering to the medical regimen
B) Possible Knowledge deficit related to disease process
C) Imbalanced nutrition: less than body requirement related to cultural dietary practices
D) Decreased appetite related to anxiety secondary having a heart attack
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Chapter 16: Spirituality
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) The nurse is a Christian.She is caring for a Jewish patient who has asked her to offer a prayer at the bedside.The nurse feels comfortable doing so.Which of the following actions by the nurse is appropriate?
A) Offer a prayer for healing using the nurse's usual words and format.
B) Begin the prayer with "Jehovah God," as she always does, while avoiding the name of Jesus.
C) Avoid saying any name for the Supreme Being while praying, and quote an Old Testament Bible scripture as the prayer.
D) Say, "What name would you like for me to use to address the Supreme Being when I am praying for you?"
Q2) Which type of medicine do those of the Hindu faith typically practice?
A) Ayurvedic medicine
B) Western medicine
C) Chiropractic medicine
D) Tribal medicine
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18
Chapter 17: Loss,Grief, Dying
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which of the following patient goals is most appropriate when managing the patient dying of cancer? The patient will
A) Request pain medication when needed
B) Report or demonstrate satisfactory pain control
C) Use only nonpharmacological measures to control pain
D) Verbalize understanding that it may not be possible to control his pain
Q2) When providing postmortem care,the nurse places dentures in the mouth and closes the eyes and mouth of the patient within 2 to 4 hours after death.Why is the timing of the action so important?
A) To prevent blood from settling in the head, neck, and shoulders
B) To perform these actions more easily before rigor mortis develops
C) To set the mouth in a natural position for viewing by the family
D) To prevent discoloration caused by blood settling in the facial area
Q3) Which intervention should be included in the plan of care for a patient in the end-stage death process?
A) Encourage the patient to accept as much help as possible.
B) Avoid administering laxatives.
C) Wet the lips and mouth frequently.
D) Administer pain medication on an as-needed basis.
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Page 19
Chapter 18: Documenting Reporting
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) The department of nursing at a local hospital is considering changing to charting by exception (CBE).A major disadvantage of CBE is that it:
A) Increases the time nurses spend on charting in narrative format
B) Does not clearly identify deviations from normal expectations
C) Requires all providers to document in the same sections of the chart
D) Can increase the risk of omissions in patient care
Q2) The implementation of electronic health records (EHRs)allows the nurse to do which of the following? Select all that apply.
A) Use trend data to facilitate evidence-based nursing practice
B) Promote efficient use of time spent charting
C) Reduce the opportunity for interdisciplinary collaboration
D) Activate the system's safeguards to promote client safety
Q3) A resident in a long-term care facility is unable to provide self-care owing to dementia and is receiving Medicare funds.How often must the nurse document this resident's care?
A) Every 2 weeks
B) Every shift
C) Every week
D) Every 3 months
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Page 20
Chapter 19: Teaching Learning
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse knows that iron deficiency anemia is caused by low levels of iron in the body that can be improved by a diet high in iron.Based on this information,the best nursing diagnosis is:
A) Imbalanced nutrition: less than body requirements for iron r/t possible Deficient Recall of dietary needs
B) Deficient Recall r/t imbalanced nutrition due to less than body requirements of iron
C) Imbalanced nutrition: less than body requirements r/t inability to access information
D) Inability to access information r/t Deficient Recall about dietary needs for iron
Q2) For which patient is the nursing diagnosis Deficient Recall most appropriate?
A) Adolescent with Down syndrome and newly diagnosed with cardiac problem
B) Young adult admitted with acute renal failure who requires hemodialysis
C) Middle-aged woman with breast cancer receiving the last round of chemotherapy
D) Older adult with a long-standing history of type 1 diabetes admitted with a foot ulcer
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Chapter 20: Measuring Vital Signs
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) Which of these steps in taking a blood pressure is/are correct? Select all that apply.
A) Use a bladder that encircles 40% of the arm.
B) Wrap the cuff snugly around the client's arm.
C) Ask the client to hold the arm at heart level.
D) Have the client sit with feet flat on the floor.
Q2) The nurse palpates a radial pulse on her 80-year-old patient and notes that it feels irregular.What is the most appropriate method to count this patient's pulse?
A) Count for 15 seconds, multiply by 4.
B) Count for 30 seconds, multiply by 2.
C) Count for 1 full minute.
D) Count for 10 seconds multiply by 6.
Q3) The nurse hears rhonchi when auscultating a client's lungs.Which nursing intervention would be appropriate for the nurse to implement before reassessing lung sounds?
A) Have the client take several deep breaths.
B) Request the client take a deep breath and cough.
C) Take the client's blood pressure and apical pulse readings.
D) Count the client's respiratory rate for 1 minute.
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Chapter 21: Communication Therapeutic Relationships
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40 Verified Questions
40 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient who suffered a stroke and now has expressive aphasia.The nurse is having a difficult time communicating and the patient is becoming angry and frustrated.In developing the plan of care,what is the most appropriate outcome for this patient?
A) Patient will use alternative methods of communication.
B) Patient will learn to communicate needs without becoming frustrated.
C) Patient will learn sign language to communicate effectively.
D) Patient will have family members present for communication.
Q2) A patient who speaks only French was admitted to the hospital after a motor vehicle accident.Assuming that the nurse does not speak French,what is the best way to communicate with this patient?
A) Use sign language for communicating.
B) Ask a family member to serve as a translator.
C) Request the services of a hospital translator.
D) Speak in English, but speak very slowly.
Q3) Which of the following is a nonverbal behavior that enhances communication?
A) Keeping a neutral expression on the face
B) Maintaining a distance of 6 to 12 inches
C) Sitting down to speak with the patient
D) Asking mostly open-ended questions
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Chapter 22: Health Assessment
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57 Verified Questions
57 Flashcards
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Sample Questions
Q1) The admission assessment form indicates that the patient has pedal pulses that are rated 1 in amplitude.This documentation indicates that the patient's pulses are:
A) Bounding
B) Normal
C) Full
D) Diminished
Q2) When testing near vision,the nurse should position printed text how many inches away from the patient?
A) 20
B) 18
C) 16
D) 14
Q3) A father brings his 18-month-old child to the pediatric clinic for a well-baby checkup.The father tells the nurse that he is concerned because his child's legs are bowed.Which response by the nurse is appropriate?
A) "Your child will most likely require physical therapy."
B) "You should consider having your child seen by an orthopedic surgeon."
C) "This is a normal finding in children for 1 year after they begin walking."
D) "Your child is walking fine, so you don't need to worry."
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Page 24
Chapter 23: Promoting Asepsis Preventing Infection
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) What is the most frequent cause of the spread of infection among institutionalized patients?
A) Airborne microbes from other patients
B) Contact with contaminated equipment
C) Hands of healthcare workers
D) Exposure from family members
Q2) A patient asks the nurse why there is no vaccine available for the common cold.Which response by the nurse is correct?"
A) "The virus mutates too rapidly to develop a vaccine."
B) "Vaccines are developed only for very serious illnesses."
C) "Researchers are focusing efforts on an HIV vaccine."
D) "The virus for the common cold has not been identified."
Q3) Why is a lotion without petroleum preferred over a petroleum-based product as a skin protectant? It:
A) Prevents microorganisms from adhering to the skin
B) Facilitates the absorption of latex proteins through the skin
C) Decreases the risk of latex allergies
D) Prevents the skin from drying and chaffing.
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25
Chapter 24: Promoting Safety
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Sample Questions
Q1) The nurse on the pediatric unit is preparing a teaching plan related to children and drowning.Which of the following sources of drowning will the nurse include in her plan? Select all that apply.
A) Bathtub
B) Child wading pool
C) Toilet
D) Mop bucket filled with water
E) None of the above
Q2) While teaching a session at the local library,the nurse emphasizes that according to the National Weather Service,which of the following is the leading cause of weather-related fatalities?
A) Floods
B) Lightning strikes
C) Hurricanes
D) Tornadoes
Q3) Which is the most commonly reported incident in hospitals?
A) Equipment malfunction
B) Patient falls
C) Laboratory specimen errors
D) Treatment delays
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Chapter 25: Facilitating Hygiene
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Bath water should be prepared at which temperature to prevent chilling and excess drying of the skin?
A) 99°F (37.2°C)
B) 102°F (38.9°C)
C) 103°F (39.4°C)
D) 105°F (40.6°C)
Q2) Which area(s)should the nurse inspect when assessing for cyanosis in a dark-skinned patient? Select all that apply.
A) Buccal mucosa
B) Around the lips
C) Palms
D) Tongue
Q3) Which action should the nurse be sure to take when preparing a patient for a bed bath?
A) Place the nurse call device within reach.
B) Cover the patient with the top linens from the bed.
C) Have the patient completely bathe himself to promote independence.
D) Wash the patient's body without assistance from the patient.
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Chapter 26: Administering Medications
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Sample Questions
Q1) The nurse educator in the local hospital is preparing a teaching plan for staff nurses on using medication abbreviations in nursing documentation.What is most important for the nurse to include in the teaching plan concerning acceptable abbreviations? Select all that apply.
A) They are based on Joint Commission recommendations.
B) They are commonly used by the pharmacy department.
C) They are most commonly used by nurses.
D) They are based on policies of the facility.
Q2) Which term refers to the movement of a drug from the site of administration to the bloodstream?
A) Absorption
B) Distribution
C) Metabolism
D) Excretion
Q3) What is/are the primary roles of the Food and Drug Administration (FDA)? Select all that apply.
A) Regulate the testing, manufacture, and sale of all medications
B) Monitor safety and effectiveness of medications available to consumers
C) Manage the storage and handling of controlled substances
D) Manage the sale and regulation of all herbal remedies
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Chapter 27: Nutrition
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Sample Questions
Q1) The pediatric nurse is preparing a teaching plan about vitamins for parents of school-age children.What vital information will the nurse include in the plan? Select all that apply.
A) Vitamins are needed for cellular metabolism.
B) Vitamins are necessary for preventing particular deficiency diseases.
C) Because the body does not make vitamins, they must be supplied by the foods we eat.
D) The most important vitamin for children is vitamin C.
E) Vitamin C toxicity occurs in people with liver dysfunction.
Q2) A group of pediatric nurses accepts an international assignment in an underdeveloped country.The nurses are informed that they will be caring for many children with kwashiorkor.The nurses will create a care plan focusing on which primary nutrient for these children?
A) Calories
B) Protein
C) Lipids
D) Glucose
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Chapter 28: Urinary Elimination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47149
Sample Questions
Q1) What type of indwelling catheter is most suitable for long-term use?
A) Silver-alloy catheter
B) Polyvinyl chloride (PVC) catheter
C) Silicone catheter
D) Triple-lumen catheter
Q2) The nurse is planning care for a renal patient who is prescribed a diuretic medication.In planning care,what is the most appropriate time of day to administer this medication?
A) In the morning
B) In the afternoon
C) In the evening before bedtime
D) After meals
Q3) The nurse measures the urine output of a patient who requires a bedpan to void.Which action should the nurse take first? Put on gloves and:
A) Have the patient void directly into the bedpan
B) Pour the urine into a graduated container
C) Read the volume with the container on a flat surface at eye level
D) Observe the color and clarity of the urine in the bedpan
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Chapter 29: Bowel Elimination
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Sample Questions
Q1) Older adults are more likely to use laxatives with regularity.In advising an older adult practicing this habit,the nurse would identify which of the following factors? Select all that apply.
A) Consistent use of laxatives inhibits natural defecation reflexes, and is thought to cause rather that cure constipation.
B) Habitual use of laxatives may lead to the need for ever-increasing dosages until the intestine fails to work properly.
C) Laxatives may interfere with fluid and electrolyte balance.
D) Laxatives increase the absorption of certain vitamins.
Q2) The healthcare team suspects that a patient has an intestinal infection.Which action should the nurse take to help confirm the diagnosis?
A) Prepare the patient for an abdominal flat plate.
B) Collect a stool specimen that contains 20 to 30 mL of liquid stool.
C) Administer a laxative to prepare the patient for a colonoscopy.
D) Test the patient's stool using a fecal occult test.
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Chapter 30: Sensation,Perception, Cognition
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39 Flashcards
Source URL: https://quizplus.com/quiz/47151
Sample Questions
Q1) The nurse caring for a fussy newborn uses which of the following interventions to calm the baby and reduce sensory overload?
A) Rubbing the baby's back
B) Singing and rocking the baby
C) Hanging a black and white mobile
D) Swaddling the baby tightly
Q2) The 80-year-old patient on the medical-surgical unit says to the nurse,"My vision is blurry and I see halos around lights.The glare from the sun really bothers me." Upon assessment,the nurse notes a cloudy film over the lens of the eye.Based on the patient's complaints and the nurse's assessment,the nurse associates these findings with which of the following?
A) Strabismus
B) Cataracts
C) Glaucoma
D) Presbyopia
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32
Chapter 31: Pain
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Sample Questions
Q1) The nurse is teaching a client who sustained an ankle injury about cold application.Which instruction should the nurse include in the teaching plan?
A) Place the cold pack directly on the skin over the ankle.
B) Apply the cold pack to the ankle for 30 minutes at a time.
C) Check the skin frequently for extreme redness.
D) Keep the cold pack in place for at least 24 hours.
Q2) A 64-year-old patient just returned from surgery.She is breathing rapidly and moving constantly in bed.She states,"I am scared and I hurt so much." What would be an appropriate intervention? Select all that apply.
A) Immediately notify the surgeon of these data (physical symptoms and patient's statement).
B) State calmly, "I am going to do everything I can to make you more comfortable."
C) Tell the patient you would like to help her calm down and take some deep breaths.
D) Ask the nursing assistive personnel to stay with the patient while you get an analgesic for her.
E) Turn on the television to distract her from the pain and anxiety.
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Chapter 32: Physical Activity Mobility
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37 Flashcards
Source URL: https://quizplus.com/quiz/47153
Sample Questions
Q1) A patient is on strict bedrest for 5 days.During this time,she has not had a bowel movement,although she normally passes stool daily.She describes feeling bloated and uncomfortable.A nursing diagnosis that would best address a patient who is on bed rest is Constipation related to:
A) Change in previous pattern
B) Immobility
C) Dietary intake
D) Change in environment
Q2) The nurse is helping an 82-year-old patient to ambulate in the hallway.Suddenly she states,"I feel so light-headed and weak," as her knees begin to buckle.The nurse's best action at this time would be to:
A) Assist the patient to slide down his leg as he guides her to a seated or lying position
B) Grab her under the arms and hold her up as he calls for assistance
C) Immediately release the transfer device and place a wheelchair behind the patient to prevent a fall
D) Instruct the patient to grab the rail in the hallway while he calls for assistance
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34
Chapter 33: Sexual Health
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33 Flashcards
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Sample Questions
Q1) When caring for a woman who was sexually assaulted,what is your best approach for collecting information surrounding the event? Select all that apply.
A) Use a calm, reassuring voice when asking questions of your patient.
B) Ask only close family members to describe events related to the incident.
C) Provide privacy by asking questions behind a closed curtain.
D) Document the details using the patient's own words.
Q2) A parent of a 10-year-old calls the clinic and tells you that she recently found out that a convicted sex offender is living in their neighborhood.She asks your advice on how to protect her child.What is your best response?
A) "Keep the child indoors to prevent any contact with the sex offender."
B) "Discuss your concerns with the sex offender."
C) "Teach your child to stay away from strangers and never let another person touch her private parts."
D) "Teach your child to walk on the opposite side of the street and away from the house of the known sex offender."
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35
Chapter 34: Sleep and Rest
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Sample Questions
Q1) Select the factors known to affect sleep.Choose all that apply.
A) Age
B) Environment
C) Lifestyle
D) State of health
E) Ethnicity
Q2) Patterns of waking behavior that appear during sleep are known as:
A) Parasomnias.
B) Dyssomnias.
C) Insomnia.
D) Hypersomnia.
Q3) During which of the following developmental stages does a person tend to need the most hours of sleep?
A) Toddler
B) Adolescence
C) Middle adulthood
D) Older adulthood
Q4) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
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Chapter 35: Skin Integrity-Wound Healing
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48 Flashcards
Source URL: https://quizplus.com/quiz/47156
Sample Questions
Q1) A patient had a CVA (stroke)2 days ago,resulting in decreased mobility to her left side.During the assessment,the nurse discovers a stage I pressure area on the patient's left heel.What is the initial treatment for this pressure ulcer?
A) Antibiotic treatment for 2 weeks
B) Normal saline irrigation of the ulcer daily
C) Debridement to the left heel
D) Elevation of the left heel off the bed
Q2) Which client does the nurse recognize as being at greatest risk for pressure ulcers?
A) Infant with skin excoriations in the diaper region
B) Young adult with diabetes in skeletal traction
C) Middle-aged adult with quadriplegia
D) Older adult requiring use of assistive device for ambulation
Q3) The nurse assesses assigned patients and determines which patient is at highest risk for altered skin integrity?
A) Young adult in traction who has a low-protein diet and dehydration
B) Elderly patient diagnosed with well-controlled type 2 diabetes
C) Middle-aged adult with metabolic syndrome taking antihypertensives
D) Adolescent in bed with influenza having periods of high fever and diaphoresis
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Chapter 36: Oxygenation
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36 Flashcards
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Sample Questions
Q1) The nurse is caring for a patient with an acute asthma event.What classification of medications would the nurse anticipate administering to this patient? Select all that apply.
A) Expectorant
B) Corticosteroid
C) Bronchodilator
D) Cough suppressant
E) Antibiotic
Q2) The nurse is caring for a patient admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs.What nursing diagnosis would be most appropriate for this patient?
A) Ineffective Breathing Pattern
B) Ineffective Airway Clearance
C) Impaired Gas Exchange
D) Impaired Spontaneous Ventilation
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Chapter 37: Circulation
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Sample Questions
Q1) The nurse is assessing a patient who is complaining of chest pain,clutching his chest,and is short of breath.Which assessment question would be appropriate for the nurse to ask?
A) "Please describe your pain, its location, and what you've done to treat it."
B) "Does the pain radiate to your arm, jaw, or shoulder?"
C) "What are your current medications including supplements or vitamins?"
D) "What is your medical history beginning with most recent?"
Q2) The nurse administers a beta-adrenergic agent to a patient with congestive heart failure.What assessment findings would indicate the drug was working?
A) Heart rate changes from 92 beats/min to 76 beats/min.
B) Cardiac monitor shows narrowing of the QRS segment.
C) There is tingling in the fingers and toes.
D) There is increased urine output.
Q3) Chronic stress may lead directly to cardiovascular disease because of the repeated release of which of the following?
A) Histamine
B) Catecholamines
C) Cortisol
D) Protease
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Page 39
Chapter 38: Fluids,Electrolytes, Acidbase Balance
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Sample Questions
Q1) Which of the following older adult patients needs to increase his daily fluid intake? One who typically drinks (assume three meals per day):
A) 200 mL at each meal, plus 1,000 mL throughout the day
B) 250 mL at each meal, plus 600 mL throughout the day
C) 300 mL at each meal, plus 1,000 mL throughout the day
D) 400 mL at each meal, plus 500 mL throughout the day
Q2) The nurse assesses that her patient's intravenous solution has infiltrated into the tissues.What action should she take first?
A) Aspirate, then inject 0.5 mL normal saline.
B) Restart the IV line in a different vein.
C) Stop the infusion immediately.
D) Notify the primary care provider.
Q3) In order to evaluate a patient's acid-base balance,the primary provider has prescribed diagnostic tests to measure pH,PCO<sub>2</sub>,and HCO<sub>3</sub> -
.The nurse realizes that the patient will:
A) Have a venous blood sample drawn
B) Have an arterial blood sample taken
C) Need to provide a fresh voided urine sample
D) Need to provide a 24-hour urine sample
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Page 40
Chapter 39: Perioperative Care
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Sample Questions
Q1) A patient had a hiatal hernia repair earlier today and is now in the postanesthesia care unit (PACU).The family asks the nurse why the patient is in the PACU rather than back in his room on the postsurgical unit.The nurse should inform the family that:
A) Patients who have had surgical complications are observed in the PACU until they are stable enough to return to the floor
B) Patients recover from the effects of anesthesia in the PACU and then return to the postsurgical unit for further care
C) The PACU is a holding area for patients awaiting a surgical unit bed or awaiting adequate staff to provide care on the postsurgical unit
D) The nurse will ask the surgeon to explain to them why the patient is not on the postsurgical unit as per usual procedure
Q2) The focus of nursing activities in the preoperative phase is to:
A) Admit the patient to the surgical suite
B) Prepare the patient mentally and physically for surgery
C) Set up the sterile field in the operating room
D) Perform the primary surgical scrub to the surgical site
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Chapter 40: Leading Managing
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24 Flashcards
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Sample Questions
Q1) The unit nurse manager notices that nurse retention has steadily declined since she assumed the management position.What is the most appropriate action for the nurse manager to take?
A) Assess the staff's perception of the manager's leadership style.
B) Throw monthly pizza parties for the unit.
C) Give all of the nurses on the unit a 5% raise in pay.
D) Consult the manager's supervisor for guidance.
Q2) What source of power can an experienced staff nurse effectively use to convince other nurses to follow her?
A) Authority
B) Reward
C) Expert
D) Coercion
Q3) The nurse manager has evaluated a staff nurse who needs to improve attendance.What strategy can the nurse manager use to correct this staff nurse's attendance?
A) Provide recognition.
B) Reinforce constructive behavior.
C) Discourage unproductive behavior.
D) Assign someone to monitor attendance.
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Chapter 41: Nursing Informatics
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25 Flashcards
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Sample Questions
Q1) What database would the nurse use to restrict the search to nursing articles only?
A) MEDLINE
B) CINAHL
C) PsycINFO
D) ProQuest
Q2) Which of the following health information is protected in the electronic health record? Select all that apply.
A) Social Security number
B) Insurance information
C) Physician's name
D) Laboratory results
Q3) The nurse is preparing to conduct a literature search to find evidence related to care of a patient with diabetes experiencing neuropathy.Which of the following keywords would the nurse use to best identify the information searched for?
A) Caring for diabetics
B) Nursing care of neuropathy
C) Diabetic neuropathy
D) Complications of diabetes
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43
Chapter 42: Promoting Health
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27 Flashcards
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Sample Questions
Q1) What teaching points will the nurse develop to address Healthy People 2020 goals? Select all that apply
A) How to assess developmental milestones
B) How to file for Medicaid
C) How to maintaining a safe home and neighborhood
D) How to develop and maintain a healthy lifestyle
E) How to develop a low-fat, low-calorie diet
Q2) Hardiness is a quality in which an individual experiences high levels of stress yet does not fall ill.What are the general characteristics of a hardy person? Select all that apply.
A) Contemplation
B) Control
C) Commitment
D) Challenge
Q3) The nurse working in an acute care setting provides what level of health prevention most often?
A) Primary
B) Secondary
C) Tertiary
D) Assessment
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Chapter 43: Community-Home Health Nursing
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Sample Questions
Q1) The community health nurse is working with the residents of government-subsidized senior housing.She meets with them regularly to discuss concerns and evaluate whether they receive healthcare that meets their needs.Which of the following nursing roles best describes these actions?
A) Case manager
B) Client advocate
C) Collaborator
D) Counselor
E) Educator
Q2) The nurse has been assigned to a caseload of home health clients.Before making home visits,which two planning activities must she perform first?
A) Order supplies for the home care services.
B) Review the cases to determine the reasons for the visits.
C) Contact the clients to arrange for the visits.
D) Develop a schedule for the day so that all visits can be made.
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Chapter 44: Ethics Values
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Source URL: https://quizplus.com/quiz/47165
Sample Questions
Q1) An alert,oriented,and competent frail older adult man has been told that he is dying and has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and asks the healthcare team to ignore the request.The healthcare team does not comply with the family's wishes,and after several days the family takes the matter to court.The court sides with the family and orders the healthcare team to remove the DNAR (AND)prescription.This is an example of which of the following?
A) An integrity-producing (good) compromise
B) An ethically sound compromise
C) Settlement of an issue by force
D) An effort to keep peace on the unit
Q2) The nurse's obligations in ethical decisions include which of the following? Select all that apply.
A) Be a patient advocate.
B) Involve institutional ethics committees.
C) Improve one's own ethical decision making.
D) Respect patient confidentiality.
E) None of the above
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Chapter 45: Legal Accountability
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Source URL: https://quizplus.com/quiz/47166
Sample Questions
Q1) Upon initial assessment of a 75-year-old patient,you identify bruises and scratches on the patient's arms,legs,and trunk in various stages of healing.You notify your supervisor when you suspect the patient may be a victim of physical abuse.You are complying with which of the following state laws?
A) Good Samaritan Law
B) Mandatory Reporting Law
C) Nurse Practice Act
D) Nursing Standards of Practice
Q2) The unit manager stops you in the hallway to discuss your inability to give safe patient care.The conversation is overheard by other nurses.The manager's comments are based on false information reported to her by a patient.This is an example of:
A) Collaboration
B) Assault and battery
C) Slander
D) Libel
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Chapter 46: Holistic Healing
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Sample Questions
Q1) A client has a diagnosis of chronic pain.The physician has prescribed tramadol hydrochloride (Ultram)for the pain.The patient also receives therapeutic touch (TT)from a practitioner three times a week.In this situation,TT is considered to be which of the following?
A) A complementary modality
B) An alternative modality
C) A placebo response
D) Holistic healthcare
Q2) The health and well-being of a holistic nurse in relation to helping patients constitute an important part of the healing process.A method that would be helpful to nurses in fostering their own health and the health of their patients is:
A) Role modeling healthy behaviors
B) Avoiding discussions on personal behaviors
C) Working and acting in isolation
D) Setting goals for the patient
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