Clinical Psychology Exam Review
Course Introduction
Clinical Psychology is a branch of psychology focused on the assessment, diagnosis, treatment, and prevention of mental health disorders and psychological distress. This course explores theoretical foundations, evidence-based intervention strategies, and ethical practices in working with individuals, families, and groups. Students will learn about various psychological disorders, methods of clinical assessment, psychotherapeutic techniques, and the role of clinical psychologists within multidisciplinary teams. Practical case studies and current research are integrated to provide a comprehensive understanding of the challenges and responsibilities in clinical practice.
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
Source URL: https://quizplus.com/quiz/36914
Sample Questions
Q1) Since the early 1990s,which group has had the highest amount of absenteeism of all workers in Canada?
A) "White collar sector" workers
B) Nurses
C) Workers in the trades
D) Transport and equipment operators
Answer: B
Q2) According to research about nutrition in Canada,which one of the following statements is true?
A) Canadians have increased their total fat and salt consumption.
B) Canadians report that their children eat the recommended daily number of fruits and vegetables.
C) Fifty percent of children aged 2 to 17 years were overweight or obese.
D) The 2004 Canadian Community Health Survey (CCHS) revealed that 40% of adult Canadians were obese (body mass index of 30 or more) and 50% were overweight.
Answer: A
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Chapter 2: The Canadian Health Care Delivery System
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The Canadian Patient Safety Institute (CPSI)provides leadership in building and advancing a safer health care system.According to the CPSI,how many clients contract an infection while in hospital?
A) 1 in 20 clients
B) 1 in 9 clients
C) 1 in 4 clients
D) 1 in 50 clients
Answer: B
Q2) "Residents temporarily absent from their home province are to have their incurred services paid for by the home province,in the same amount that would have been paid by the home province." This statement describes which principle of the Canada Health Act (1984)?
A) Portability
B) Universality
C) Public administration
D) Accessibility
Answer: A
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Page 4
Chapter 3: The Development of Nursing in Canada
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) Whose definition of nursing,which was adopted by the International Council of Nurses (ICN),is the current primary description of the role of the nurse?
A) Jeanne Mance
B) Virginia Henderson
C) Florence Nightingale
D) Mary Agnes Snively
Answer: B
Q2) Which province was the first in Canada to gain legislation related to nursing registration?
A) Ontario
B) Nova Scotia
C) New Brunswick
D) British Columbia
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) When assessing members of a vulnerable population,which of the following should the community health nurse realize is their primary need?
A) Obtaining a culturally competent assessment
B) Receiving food security
C) Providing a comfortable, nonthreatening environment
D) Assessing for indications of mental or physical abuse
Q2) Which of the following is true in regard to public health nursing?
A) The main focus of public health nursing is on political processes for healthy public policy.
B) Public health nursing is the same as community health nursing.
C) Public health nursing focuses on the incidence of disease.
D) Public health nursing includes direct care and services to various populations.
Q3) Which of the following is true in regard to social justice?
A) The focus of social justice is on disease prevention.
B) Social justice is used only with people in precarious situations.
C) Social justice is rooted in societal responsibility and fairness.
D) Social justice is a process to exercise the ability to enhance control.
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Chapter 5: Theoretical Foundations of Nursing Practice
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13 Verified Questions
13 Flashcards
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Sample Questions
Q1) While working on a postoperative unit,the nurse is applying elements of self-care theory,and is assisting a patient to attain and manage self-care in wound management.Which one of the following nursing pioneers developed this theory?
A) Florence Nightingale
B) Virginia Henderson
C) Dorothea Orem
D) Hildegard Peplau
Q2) Which of the following is referred to as a body of knowledge that encompasses definitions of person,environment,health,and nursing?
A) Family nursing practice
B) Prescriptive nursing theory
C) Advanced nursing practice
D) Metaparadigm of nursing
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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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse identified a level II question for a research study.Which of the following questions exemplifies this level?
A) What are the health-promoting behaviours of older adults living in subsidized housing?
B) What is the relationship between ethnicity and suicide among university students?
C) Why does postoperative anxiety decrease when structured preoperative teaching is done?
D) What is the experience of people who assume the role of surrogate decision makers?
Q2) The nurse is studying the impact on emergency nurses who care for failed suicide patients.The goal of the study is to describe the lived experience of nurses' perceptions and behaviours related to caring for patients who have attempted suicide.Which of the following types of research design is the nurse using?
A) Ethnography
B) Grounded theory
C) Descriptive survey
D) Phenomenology
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Chapter 7: Nursing Values and Ethics
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following is an example of a nurse's use of the ethical principle of autonomy in a situation with a patient?
A) Learning how to do a procedure safely and effectively
B) Returning to speak to the patient at a mutually agreed time
C) Preparing the patient's room for comfort and privacy
D) Supporting the patient's decision to refuse therapy
Q2) The patient states that she needs to exercise regularly,watch her weight,and reduce her fat intake.What does this demonstrate about the patient?
A) She believes she will have a heart attack.
B) She values health promotion activities.
C) She believes she will not become sick.
D) She has unrealistic expectations for herself.
Q3) The nurse is investigating the process for resolving an ethical problem.Which of the following is the correct sequence for resolving ethical problems?
A) Examining one's own values; evaluating; identifying the problem
B) Evaluating the outcomes; gathering data; considering actions
C) Gathering facts; verbalizing the problem; considering actions
D) Recognizing the dilemma; evaluating; gathering information
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Chapter 8: Legal Implications in Nursing Practice
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following statements is true,regarding standards of care?
A) Standards of care are legal documents.
B) Standards of care are created by practicing nurses.
C) Standards of care apply only to nursing in institutional settings.
D) Standards of care are not used in negligence lawsuits to establish prudency.
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
Q3) What is the purpose of a pretrial conference?
A) To outline what the defendant did wrong
B) To allow the defendant to deliver the statement of defence
C) To explain and interpret all of the evidence as it emerges
D) To identify points of contention and narrow down the issues
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Chapter 9: Global Health, culture, and Diversity
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) What are the three major health issues presently afflicting Aboriginal communities in Canada?
A) Diabetes, HIV/AIDS, suicide
B) Depression, smoking, unprotected sexual practices
C) Sexually transmitted infections, environmental pollution, malnutrition
D) Sedentary lifestyle, teenage pregnancies, high-calorie diets
Q2) Regardless of which cultural assessment model the nurse uses,how would the nurse begin a cultural assessment?
A) Identify the dominant culture.
B) Become aware of the population demographic changes within the practice setting.
C) Assess care expressions as well as patterns and practices of health.
D) Ensure biocultural ecology and health risks of the dominant culture.
Q3) Which of the following statements is true in regard to ethnocentrism?
A) Ethnocentrism involves adopting the attitudes and customs of another culture.
B) Ethnocentrism involves many cultures coexisting and maintaining differences.
C) Ethnocentrism involves viewing one's own way of life as more valuable than other ways.
D) Ethnocentrism involves an appreciation of cultural differences and rejects assumptions of superiority.
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Page 11
Chapter 10: Nursing Leadership, management, and Collaborative Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse on the unit is determining which activities may be delegated to a UCP.A number of factors are included in the nurse's decision.Assuming that the UCP is competent,which one of the following activities may be safely delegated by the RN?
A) Ambulating stable patients
B) Preparing an admission history on a new patient
C) Performing the initial transfer of a postoperative patient
D) Administering medications prepared by the nurse
Q2) In anticipation of a nursing shortage,the nursing management in a facility is investigating a nursing care delivery model that involves the division of tasks,with one nurse assuming the responsibility for particular tasks.What is this model called?
A) Total patient care
B) Functional nursing
C) Team nursing
D) Primary nursing
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Chapter 11: Critical Thinking in Nursing Practice
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following denotes a principle for rational thought?
A) Code of ethics
B) Intellectual standards
C) Nursing judgements
D) Complex critical thinking
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
Q3) The nurse decides to administer tablets of acetaminophen (Tylenol)instead of the ibuprofen she has been giving one of her orthopedic patients,in accordance with the prescriber's order.Which step of the nursing process does this address?
A) Assessment
B) Nursing diagnosis
C) Planning
D) Implementation
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Page 13
Chapter 12: Nursing Assessment and Diagnosis
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15 Verified Questions
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Sample Questions
Q1) What is the link between the nursing diagnosis and the medical diagnosis?
A) The time frame of awareness
B) Potential mobility problems
C) Client's chief medical diagnosis and priority assessments
D) Health promotion activities and education to motivate for wellness
Q2) Nursing diagnoses meet specific criteria so they accurately reflect both the client's problem and the possible etiology involved.Which one of the following statements is an example of an appropriately written nursing diagnosis?
A) Cardiac output decreased related to motor vehicle accident
B) Potential for injury related to improper teaching in the use of crutches
C) Ineffective airway clearance related to increased secretions
D) Risk for change in body image related to cancer
Q3) When documenting a comprehensive nursing health history,under which variable would the nurse document the client's number of children?
A) Spiritual
B) Developmental
C) Psychological
D) Sociocultural
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14
Chapter 13: Planning and Implementing Nursing Care
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse may use a concept map when implementing a plan of care.What is the purpose and distinction of a concept map?
A) Quality assurance in the health care facility
B) Multidisciplinary communication
C) Provision of a standardized format for client problems
D) Identification of the relation of client problems and interventions
Q2) 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
Q3) During which aspect of the nursing process will the nurse most likely consult with other health professionals?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
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15
Chapter 14: Evaluation of Nursing Care
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Sample Questions
Q1) The client is able to ambulate without signs or symptoms of shortness of breath.Which of the following statements by the nurse is the best example of an objective evaluation of the client's goal attainment?
A) "Client has no pain after ambulating."
B) "Client has no manifestations of nausea while up in hall."
C) "Client has no evidence of respiratory distress when ambulating."
D) "Client walked well and did not have any problem when up."
Q2) Which of the following abilities on the part of the client will the nurse evaluate based on the following outcome criterion determined by the nurse: "Client will independently complete necessary assessments before administration of digoxin"?
A) Assessing the respiratory rate
B) Palpating the radial pulse
C) Reviewing dietary habits
D) Inspecting colour of the skin
Q3) For the most part,evaluative measures are equivalent to which of the following?
A) Planning
B) Outcome indicators
C) Assessment skills and techniques
D) Enactment of the entire nursing process
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Page 16
Chapter 15: Documenting and Reporting
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Sample Questions
Q1) Which of the following terms describes an unexpected occurrence when the unit documentation is a critical pathway?
A) Incident
B) Variance
C) Deviation
D) Charting by exception
Q2) The nurse is documenting on the patient's record and notes that he or she has made an error.What action should the nurse take?
A) Draw a line through the error, and initial and date it.
B) Erase the error, and write over the material in the same spot.
C) Use a dark-coloured marker to cover the error, and continue immediately after that point.
D) Footnote the error at the bottom of the page, including initials and the date.
Q3) Which of the following is true in regard to a source record?
A) Interprofessional documentation is involved.
B) Content is organized by discipline.
C) It documents deviations from the norm.
D) It documents the source of the patient problem.
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Chapter 16: Nursing Informatics and Canadian Nursing Practice
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36944
Sample Questions
Q1) Which of the following statements is true in relation to Canadian privacy legislation?
A) All privacy legislation is developed at the provincial level.
B) Privacy legislation only addresses protection of personal health information.
C) Privacy legislation cannot be violated if a nurse is practising within his or her standards of practice.
D) An understanding of the privacy legislation can assist nurses in upholding their Code of Ethics.
Q2) Which of the following is one of the three fundamental directions for the CNA's e-Nursing Strategy?
A) Assessment
B) Participation
C) Collaborative care
D) Nursing practice integration
Q3) Which of the following institutes was developed as a result of the Wilk Report?
A) Hospital Medical Records Institute (HMRI)
B) Statistics Canada and Health and Welfare Institute
C) Canadian Nursing Informatics Association
D) Canadian Institute for Health Information (CIHI)
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Chapter 17: Communication
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which patient zone of touch would be demonstrated when the nurse is administering eye drops to a patient?
A) Social
B) Consent
C) Intimate
D) Vulnerable
Q2) The nurse is aware of the patient's zones of personal space when planning interactions.Which of the following zones of personal space and touch is the one that extends the greatest amount of distance from an individual?
A) Personal zone
B) Social zone
C) Consent zone
D) Vulnerable zone
Q3) A parent tells the pediatric nurse practitioner,"I've never told anyone this information about my son." This statement is an example of what?
A) Identifying problems and goals
B) Building trust
C) Clarifying roles
D) Revealing
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Page 19
Chapter 18: Caring in Nursing Practice
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) 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
Q2) Which of the following is the most important aspect of knowing a patient for a beginning nurse to recognize?
A) Interconnectedness between the nurse and the patient
B) Caring social process that results in bonding
C) Clinical signs and symptoms
D) Abnormal lab data
Q3) According to Watson,which of the following "carative" processes refers to being authentically present?
A) Humanistic-altruistic values
B) Instilling or enabling faith
C) Promoting expression of feelings
D) Assisting with gratification of human needs
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Chapter 19: Family Nursing
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following communication patterns between father and child reflects circular communication?
A) The father and child are engaged in a game of catch.
B) The father uses rewards to encourage the child to go to bed.
C) The father comforts the crying child.
D) The child disobeys his father.
Q2) In the structural assessment of the family,the nurse determines which one of the following?
A) How household tasks are shared among the family members
B) The stage of life at which the family finds itself presently
C) The emotional links between family dyads
D) Which factors influence the roles and behaviours within the family
Q3) 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
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21
Chapter 20: Patient Education
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20 Flashcards
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Sample Questions
Q1) The nurse selects a variety of teaching methods to use with patients.Which one of the following methods should the nurse use with a toddler?
A) Role playing
B) Problem solving
C) Independent learning
D) Simple explanations and pictures
Q2) 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
Q3) 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."
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22
Chapter 21: Developmental Theories
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Sample Questions
Q1) In Kohlberg's theory of moral development,an individual who reaches level II,the conventional level,is expected to exhibit which one of the following?
A) Absolute obedience to authority
B) Reasoning based on personal gain
C) Personal internalization of others' expectations
D) Self-chosen ethical principles, universality, and impartiality
Q2) The nurse working in a pediatric clinic uses Piaget's theory for assessment of her patients' developmental status.According to Piaget,a preschool child (3 to 5 years old)who comes to the clinic is expected by the nurse to exhibit which of the following behaviours?
A) Exploration of the environment
B) Thinking with the use of symbols and images
C) Cooperation and sharing
D) Organization of thoughts and far-reaching problem solving
Q3) Which of the following theories is included in the tradition of organicism?
A) Psychosocial
B) Psychosexual
C) Developmental health
D) Biophysical developmental
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Page 23
Chapter 22: Conception Through Adolescence
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) When newborns are lying supine,they reflexively turn the head to one side,extend the arm on the side to which the head is turned,and flex the other arm.Which normal newborn reflex does this describe?
A) Grasping
B) Rooting
C) Startling
D) Tonic neck
Q2) The parents of a 3-month-old ask the nurse what behaviour they should expect.The nurse informs the parents that the child will be able to do which one of the following?
A) Say "Da-da."
B) Smile responsively.
C) Distinguish between a stranger and a familiar person.
D) Play peek-a-boo games.
Q3) Which of the following is one of the leading causes of death or injury,from the age of 1 year to adulthood?
A) Burns
B) Poisoning
C) Motor vehicle accidents
D) Sudden infant death syndrome
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Page 24
Chapter 23: Young to Middle Adulthood
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Sample Questions
Q1) In Canada,which of the following is the leading cause of death?
A) Cancer
B) Suicide
C) Homicide
D) Motor vehicle accidents
Q2) A patient thinks that she might be pregnant.Which first-trimester physiological changes would most likely indicate this?
A) Amenorrhea and nausea
B) Braxton-Hicks contractions
C) Shortness of breath
D) Increased colostrum
Q3) 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
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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) Which of the following describes the branch of medicine that deals with the physiological and psychological aspects of aging?
A) Gerontic medicine
B) Geriatrics
C) Gerontology
D) Anthropology
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26
Chapter 25: Self-Concept
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Sample Questions
Q1) A school-age client has just been diagnosed with juvenile diabetes.The client is very angry about the new disease.Which of the following statements is most appropriate for the nurse counselor working with this client to make?
A) "Try not to be angry because you are receiving the best care possible."
B) "It is all right to be angry with your friends, but try not to be angry with your parents."
C) "You appear upset about the diagnosis. Let's talk about your feelings."
D) "You learn quickly and will probably handle the difficult treatments very well."
Q2) 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
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Chapter 26: Sexuality
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Sample Questions
Q1) In the critical thinking model for sexuality assessment,which of the following is an example of a quality?
A) Display curiosity.
B) Apply ethic of care.
C) Accept sexual orientation acceptance.
D) Determine the patient`s sexual concerns.
Q2) On completing an assessment of a patient in the medical clinic,the nurse documents that the patient has dyspareunia.This is based on the patient's experience of which of the following symptoms?
A) Delay or absence of an orgasm
B) Deficient or absent sexual desire
C) Involuntary constriction of the vagina
D) Genital pain during intercourse
Q3) Which of the following available contraceptives has the lowest initial rate of effectiveness?
A) Male condom
B) Tubal ligation
C) Female condom
D) Vaginal contraceptive ring
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Page 28
Chapter 27: Spiritual Health
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Sample Questions
Q1) 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."
Q2) Which of the following should the nurse do first while working with a patient to assess and support the patient's spirituality?
A) Refer the patient to the agency chaplain.
B) Assist the patient to use faith to get well.
C) Provide a variety of religious literature.
D) Determine the patient's perceptions and belief system.
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Chapter 28: The Experience of Loss, death, and Grief
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Sample Questions
Q1) The nurse recognizes that anticipatory grieving can be most beneficial to a patient or family for which of the following reasons?
A) It can be done in private.
B) It can be discussed with others.
C) It can promote separation of the ill patient from the family.
D) It allows time to say goodbye and complete life affairs before death.
Q2) The nurse is working with a patient on an inpatient hospice unit.Which of the following actions should the nurse take in order to maintain the patient's sense of self-worth during the end of life?
A) Leaving the patient alone to deal with final affairs
B) Calling on the patient's spiritual advisor to take over care
C) Spending time with the patient and allowing him or her to share life experiences
D) Having a grief counsellor visit
Q3) 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
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30
Chapter 29: Stress and Adaptation
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Source URL: https://quizplus.com/quiz/36970
Sample Questions
Q1) Which of the following terms reflects stress that protects health?
A) Distress
B) Eustress
C) Good stress
D) Response stress
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) The nurse is involved in crisis intervention with a family in which the father has just lost his job and is experiencing periods of depression.The mother has a chronic debilitating illness that has put added responsibilities on the adolescent child,who is having behavioural problems.How does the nurse help the family focus on their feelings?
A) Pointing out the connection between the situation and their responses
B) Encouraging the use of the family's usual coping skills
C) Working on time management skills
D) Discussing past experiences
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Chapter 30: Vital Signs
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/36972
Sample Questions
Q1) The patient has bilateral casts on the upper extremities,so the nurse will be measuring the blood pressure in the legs.Which of the following does the nurse expect the diastolic pressure to be?
A) 10 to 40 mm Hg higher than in the brachial artery
B) 20 to 30 mm Hg lower than in the brachial artery
C) 50 mm Hg higher than in the brachial artery
D) Essentially the same as in the brachial artery
Q2) An 84-year-old diabetic patient is admitted for insulin regulation.Which of the following sets of blood pressure (mm Hg),pulse (beats per minute),and respiration (breaths per minute)measurements,respectively,is considered to be within the expected limits for a patient of this age?
A) Blood pressure 138/88, pulse 68, respirations 16
B) Blood pressure 94/52, pulse 68, respirations 30
C) Blood pressure 108/80, pulse 112, respirations 15
D) Blood pressure 132/74, pulse 90, respirations 24
Q3) The nurse is alert to which of the following factors that lowers blood pressure?
A) Anxiety
B) Heavy alcohol consumption
C) Cigarette smoking
D) Diuretic administration
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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) A 21-year-old female patient asks the nurse what is the best time for performing breast self-examination (BSE).Which of the following should the nurse tell the patient?
A) "Any time you think of it."
B) "At the same time each month."
C) "On the first day of your menstrual period."
D) "Two to three days after your menstrual period ends."
Q2) The nurse uses a goniometer to assess which of the following?
A) Abdominal tone
B) Muscle strength
C) The degree of motion in a joint
D) The angle of wrist flexion and hyperextension
Q3) The nurse will be assessing position sense with cerebellar tests.Which of the following tests relates to testing cerebellar function?
A) Weber test
B) Allen test
C) Romberg test
D) Rinne test
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33
Chapter 32: Infection Control
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36976
Sample Questions
Q1) The nurse recognizes that special care must be taken in the handling of which of the following bodily fluids to prevent the transmission of hepatitis A?
A) Blood
B) Feces
C) Saliva
D) Vaginal secretions
Q2) The nurse works in a small rural hospital with a wide variety of patients.Of the patients admitted this afternoon,the nurse recognizes that the individual with which of the following conditions is most susceptible to infection?
A) Burns
B) Diabetes
C) Pulmonary emphysema
D) Peripheral vascular disease
Q3) A vaginal speculum used for a Pap smear would be classified into which sterilization category?
A) Critical item
B) Semicritical item
C) Noncritical item
D) Not classified within the sterilization categories
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Page 34
Chapter 33: Medication Administration
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/36978
Sample Questions
Q1) The physician has ordered that the patient have eye drops administered daily to both eyes.On which part of the eye should eye drops be instilled?
A) Cornea
B) Outer canthus
C) Lower conjunctival sac
D) Opening of the lacrimal duct
Q2) Which of the following is the most effective way in the acute care environment to determine the patient's identity before administering medications?
A) Ask the patient's name.
B) Check the name on the chart.
C) Ask the other caregivers.
D) Check the patient's name band.
Q3) An order is written for 80 mg of a medication in elixir form.The medication is available in 80 mg/tsp strength.Which of the following does the nurse prepare to administer?
A) 2 mL
B) 5 mL
C) 10 mL
D) 15 mL
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Page 35
Chapter 34: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36980
Sample Questions
Q1) The nurse must be alert to possible negative responses to meditation.Patients who have reacted negatively to meditation have most often experienced which one of the following?
A) Aggressive behaviours
B) Delusions
C) Insomnia
D) Loss-of-control sensations
Q2) A patient at the clinic informs the nurse during an examination that he has been taking comfrey as an anticancer agent.The patient asks if there is any reason why this remedy should not be taken.The nurse responds accurately when telling the patient which of the following about comfrey?
A) It should not be taken with coffee or other caffeinated beverages.
B) It may induce veno-occlusive disease.
C) It does not contain a carcinogenic substance.
D) It is associated with liver toxicity.
Q3) Which of the following is an indication for use of meditation?
A) Diabetes
B) Chronic pain
C) Major depression
D) Hypotension
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Chapter 35: Activity and Exercise
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36982
Sample Questions
Q1) After an assessment of the patient,the nurse identifies the nursing diagnosis,"Activity intolerance related to increased weight gain and inactivity." Based on this diagnosis,which of the following is an outcome that should be identified by the nurse?
A) Resting heart rate will be 90 to 100 beats per minute.
B) Blood pressure will be maintained between 140/80 and 160/90 mm Hg.
C) Exercise will be performed three to four times over the next two-week period.
D) Patient will report enjoying exercise.
Q2) The nurse recognizes that the older adult patient's tendency to take smaller steps with feet kept closer together will most likely result in which one of the following?
A) It will increase the patient's risk of injury resulting from falls.
B) It will result in less stress on the patient's knees, hips, and ankles.
C) It will decrease the amount of energy the patient expends on movement.
D) It will allow for mobility despite the effects of aging on the patient's joints.
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Chapter 36: Safety
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36984
Sample Questions
Q1) Some workers accidentally cause an electrical fire when installing a new piece of equipment in the intensive care unit.A patient is on a ventilator in the next room.What is the nurse's priority action?
A) Pull the fire alarm.
B) Attempt to extinguish the fire.
C) Call the physician to obtain orders to take the patient off the ventilator.
D) Use an Ambu-bag and remove the patient from the area.
Q2) Which of the following assessment findings is most critical for a patient who is currently being restrained with mechanical wrist restraints?
A) Angry, loud crying
B) Urinary incontinence
C) Reddened areas on wrists
D) Hands cool to the touch
Q3) Which of the following is an age-related musculoskeletal change that predisposes the older adult to accidents?
A) Increase in muscle function
B) Increase in joint mobility
C) Increase in nocturia
D) Decrease in muscle strength
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Page 38
Chapter 37: Hygiene
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36986
Sample Questions
Q1) After an initial treatment with a medicated shampoo for head lice,when should the nurse instruct the patient to complete a repeat application of the shampoo?
A) 24 hours later
B) 72 hours later
C) 7 to 10 days later
D) 2 weeks later
Q2) A 61-year-old patient with diabetes mellitus has a physician's order for meticulous foot care.Which of the following rationales is most appropriate with respect to the physician's order?
A) The aging process causes increased skin breakdown.
B) Increased neuropathy occurs with diabetes mellitus and places the patient at risk.
C) The patient probably has a history of poor hygienic care.
D) The lower extremities are difficult to see and therefore more prone to inadequate hygiene.
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Chapter 38: Cardiopulmonary Functioning and Oxygenation
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/36988
Sample Questions
Q1) A 64-year-old patient is seen in the emergency department for palpitations and mild shortness of breath.The electrocardiogram reveals a normal P wave,P-R interval,and QRS complex with a regular rhythm and a rate of 108 beats per minute.The nurse should recognize this as which type of cardiac dysrhythmia?
A) Sinus dysrhythmia
B) Sinus tachycardia
C) Supraventricular tachycardia
D) Ventricular tachycardia
Q2) Which of the following is responsible for the voluntary control of respirations?
A) Chemoreceptors
B) Cerebral cortex
C) Medulla oblongata
D) Chemical regulation
Q3) The patient is admitted to the emergency department with a pneumothorax.Which of the following does the nurse anticipate the patient will be experiencing?
A) Dyspnea
B) Eupnea
C) Fremitus
D) Orthopnea
Page 40
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Chapter 39: Fluid, electrolyte, and Acid-base Balances
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/36990
Sample Questions
Q1) When a deficit of body fluid exists in the intravascular compartment,which of the following signs can be expected?
A) Crackles
B) Hypertension
C) Neck vein distension
D) An elevated hematocrit
Q2) On the infiltration scale for assessing a peripheral intravenous (IV)site,what grade would the nurse document when the assessment indicates the skin is blanched with 4.5 cm of edema,and the area is cool to touch?
A) 1
B) 2
C) 3
D) 4
Q3) A patient complains of a headache and chills during a blood transfusion.Which one of the following actions should the nurse take immediately?
A) Check the vital signs.
B) Stop the blood transfusion.
C) Slow the rate of blood flow.
D) Notify the physician and blood bank personnel.
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Chapter 40: Sleep
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36992
Sample Questions
Q1) In describing the sleep patterns of older adults,the nurse recognizes that which of the following statements is true?
A) Older adults are more difficult to arouse.
B) Older adults require more sleep than middle-aged adults.
C) Older adults take less time to fall asleep.
D) Older adults have a decline in stage 4 sleep.
Q2) The mother of a preschooler tells the nurse that the child has started crying and resisting going to sleep at the scheduled bedtime.Which of the following actions should the nurse advise the parent to take?
A) Offer the child a bedtime snack.
B) Eliminate one of the naps during the day.
C) Allow the child to sleep longer in the mornings.
D) Maintain consistency in the same bedtime ritual.
Q3) A 74-year-old patient reports having sleeping difficulties.To have a better idea of the patient's problem,how should the nurse respond?
A) "What do you do just before going to bed?"
B) "Let's make sure that your bedroom is completely darkened at night."
C) "Why don't you try napping more during the daytime?"
D) "You should always eat something just before bedtime."
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Page 42
Chapter 41: Pain Assessment and Management
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36994
Sample Questions
Q1) What subtype of breakthrough pain would the nurse document when the cause of the pain is not readily identifiable?
A) Idiopathic
B) End-of-dose
C) Predictable incident
D) Unpredictable incident
Q2) Which of the following is a nonpharmacological approach that the nurse may implement for patients experiencing pain and that focuses on promoting pleasurable and meaningful stimuli?
A) Acupuncture
B) Distraction
C) Biofeedback
D) Ice pack
Q3) Which of the following is true in relation to pain in the older adult?
A) Pain is natural when growing old.
B) Pain sensitivity decreases with age.
C) Opioids are safe for use with the older adult.
D) Patients with cognitive impairments do not feel pain.
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43
Chapter 42: Nutrition
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20 Flashcards
Source URL: https://quizplus.com/quiz/36996
Sample Questions
Q1) The nurse is aware that some patients are taking medications that alter their sense of taste and may influence their dietary intake.In reviewing the medications taken by patients on the unit,the nurse will consult with the nutritionist to develop a palatable meal plan for the patient taking which of the following medications?
A) Antihypertensives
B) Anti-inflammatories
C) Diuretics
D) Analgesics
Q2) Once a nasoenteric tube has been inserted,which of the following procedures is done to verify placement,before beginning enteral feedings?
A) X-ray
B) Auscultate abdomen
C) Measure pH of aspirated fluid
D) Bolus 10 mL of sterile water and listen for "swoosh" in abdomen
Q3) How many degrees should the nurse rotate a nasoenteric tube during insertion?
A) 45 degrees
B) 90 degrees
C) 180 degrees
D) 360 degrees
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Page 44
Chapter 43: Urinary Elimination
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65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/36998
Sample Questions
Q1) The patient has just started on enteral feedings but is complaining of abdominal cramping.The nurse should
A) Slow the rate of tube feeding.
B) Instill cold formula to "numb" the stomach.
C) Place the patient in a supine position.
D) Change the tube feeding to a high-fat formula.
Q2) Which of the following processes are used in hemodialysis to help cleanse a patient's blood?
A) Osmosis
B) Pinocytosis
C) Active transport
D) Passive transport
Q3) In general,when energy requirements are completely met by kilocalorie (kcal)intake in food
A) Weight increases.
B) Weight decreases.
C) Weight does not change.
D) Kilocalories are not a factor.
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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) When caring for a hospitalized patient with a urinary catheter,which nursing action best prevents the patient from acquiring an infection?
A) Inserting the catheter using strict clean technique
B) Performing hand hygiene before and after providing perineal care
C) Fully inflating the catheter's balloon according to the manufacturer's recommendation
D) Disconnecting and replacing the catheter drainage bag once per shift
Q2) A patient is to have a stool test for occult blood.The nurse is instructing the nursing assistant in the correct procedure for the test.The nursing assistant is correctly informed when the nurse explains which one of the following?
A) Sterile technique is used for collection.
B) Stool should be collected over a three-day period.
C) The specimen should be kept warm.
D) A 2.5-cm sample of formed stool is needed.
Q3) To reduce patient discomfort during closed catheter irrigation,the nurse should
A) Use room temperature irrigation solution.
B) Administer the solution as quickly as possible.
C) Allow the solution to sit in the bladder for at least 1 hour.
D) Raise the bag of irrigation solution at least 12 inches above the bladder.
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Page 46
Chapter 45: Mobility and Immobility
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/37000
Sample Questions
Q1) A patient informs the nurse that she was using laxatives three times daily to lose weight.After stopping use of the laxative,the patient had difficulty with constipation and wonders if she needs to take laxatives again.The nurse educates the patient that
A) Long-term laxative use causes the bowel to become less responsive to stimuli, and constipation may occur.
B) Laxatives can cause trauma to the intestinal lining and scarring may result, leading to decreased peristalsis.
C) Natural laxatives such as mineral oil are safer than chemical laxatives for relieving constipation.
D) Laxatives cause the body to become malnourished, so when the patient begins eating again, the body absorbs all of the food, and no waste products are produced.
Q2) Which of the following is an abnormal anteroposterior and lateral curvature of the spine?
A) Lordosis
B) Kyphosis
C) Scoliosis
D) Kyphoscoliosis
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Chapter 46: Skin Integrity and Wound Care
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/37001
Sample Questions
Q1) The patient is scheduled for a dressing change.When removing the adhesive tape used to secure the dressing,the nurse should lift the edge and hold the tape in which manner?
A) At a 45-degree angle to the skin surface while pulling away from the dressing
B) At a right angle to the skin surface while pulling toward the dressing
C) At a right angle to the skin surface while pulling away from the dressing
D) Parallel to the skin surface while pulling toward the dressing
Q2) The nurse determines that the patient's wound may be infected.In order to perform a quantitative swab for wound culture,which of the following actions should the nurse take?
A) Collect the superficial drainage.
B) Collect the culture before cleansing the wound.
C) Obtain a culturette tube and use sterile technique.
D) Use the same technique as for collecting an anaerobic culture.
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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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/37003
Sample Questions
Q1) The nurse is working with a patient who has a moderate hearing impairment.Which of the following actions should the nurse take to promote communication with this patient?
A) Use a louder than normal tone of voice.
B) Use visual aids such as the hands and eyes when speaking to the patient.
C) Approach a patient quietly from behind before speaking.
D) Select a public area to have a conversation with the patient.
Q2) The nurse in the pediatric clinic is checking the basic visual acuity of a 4-year-old child.What should the nurse ask the child to do as part of this assessment?
A) Use the standard Snellen chart.
B) Read a few lines from a children's book.
C) Follow the peripheral movement of an object.
D) Identify crayon colours.
Q3) The nurse recommends follow-up auditory testing for a child who was exposed in utero to which one of the following?
A) Excessive oxygen
B) Diabetes
C) Respiratory infection
D) Rubella
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Page 49
Chapter 48: Care of Surgical Patients
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/37004
Sample Questions
Q1) The nurse is completing the preoperative checklist for an adult female patient who is scheduled for an operative procedure later in the morning.Which preoperative assessment finding would the nurse report to the surgeon?
A) Hemoglobin 90 g/L
B) Creatinine 50 mcmol/L
C) Blood urea nitrogen (BUN) 3.0 mmol/L
D) Platelets 200 ´ 109 cells/L
Q2) The patient is in the PACU recovering from a hysterectomy.Which one of the following is a normal expectation for the patient in this stage of recovery?
A) Returned normal bowel sounds on auscultation
B) Pain that is relieved with noninvasive comfort measures
C) Voluntary bladder control and function
D) A subdued level of consciousness and neurological function
Q3) Coughing postoperatively is contraindicated following which type of surgery?
A) Eye surgery
B) Chest surgery
C) Thoracic surgery
D) Perineal surgery
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Chapter 50: the Health Care Delivery System
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36915
Sample Questions
Q1) When the nurse first meets the patient,it is important to establish a dialogue if possible; patient-centered care stresses that it is important for the nurse to recognize that
A) Patients usually want to rely on the nurse for patient care.
B) Patients usually want to keep their fears and concerns to themselves.
C) It is important to identify patient expectations.
D) Patients usually have insurance and do not worry about finances.
Q2) Primary health care focus includes
A) Individual health screenings.
B) Community health promotion programs.
C) Development of health policies.
D) Disease prevention in communities.
E) Discharge planning for individual patients.
Q3) Nurses who work in a skilled nursing facility need nursing expertise in which of the following areas?
A) Gerontological nursing
B) IV fluid management
C) Ventilator management
D) Depression/violent behavior management
E) Wound care management
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Chapter 51: Community-Based Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36917
Sample Questions
Q1) The community health nurse is providing counseling to a group of teenage girls related to birth control and disease prevention.The nurse does this because
A) Focusing on subpopulations leads to community health.
B) Community health nursing focuses on individuals only.
C) Community health nursing excludes direct care to subpopulations.
D) The focus is on preventing illness and unwanted pregnancy.
Q2) The patient is being readmitted to an inner city hospital for chest pain after being discharged 3 months earlier after having a heart attack.The patient was referred to the hospital's cardiac rehabilitation program after her previous admission.The patient states that she began going to cardiac rehabilitation and liked it but stopped.When asked why,she states that,at the beginning,the classes were at 9 AM,but then got switched to 7 PM,when it's dark.The cardiac rehabilitation program was within walking distance of the patient's home.What is the most likely cause of the patient's unwillingness to go to cardiac rehabilitation?
A) Lack of transportation
B) Fear of walking at night
C) Reimbursement issues
D) Noncompliance
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Chapter 52: Theoretical Foundations of Nursing Practice
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20 Flashcards
Source URL: https://quizplus.com/quiz/36919
Sample Questions
Q1) The nurse is caring for a patient diagnosed with essential hypertension.The physician orders blood pressure medication that the nurse administers.The nurse then monitors the patient's blood pressure for several days to help determine the effectiveness of the administration.In doing so,the nurse evaluates which of the following system components?
A) Input
B) Output
C) Feedback
D) Content
Q2) A paradigm is useful in describing the domain of a discipline.Nursing's paradigm includes which of the following?
A) Person
B) Disease
C) Health
D) Environment
E) Nursing
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Chapter 53: Evidence-Based Practice
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/36921
Sample Questions
Q1) The nurse is doing a literature review related to a potential problem that has been identified on the nursing unit.The nurse realizes that nursing research is important in that it is designed to
A) Enhance the nurse's chance at promotion.
B) Identify new knowledge.
C) Improve professional practice.
D) Enhance effective use of resources.
E) Lead to decreases in budget expenditures.
Q2) The quality improvement committee is examining an increase in medication errors on a particular unit.In conducting its analysis,what should be the committee's primary focus?
A) Nurses who administer the medications
B) Pharmacy that prepares the medications
C) Secretaries who enter the orders
D) None of the above
Q3) Qualitative nursing research is valuable in that it
A) Excludes all bias.
B) Uses randomization in structure.
C) Determines associations between variables and conditions.
D) Studies phenomena that are difficult to quantify.
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Chapter 54: Health and Wellness
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/36923
Sample Questions
Q1) The nurse is admitting a patient with uncontrolled diabetes mellitus.It is the fourth time the patient is being admitted in the last 6 months for high blood sugars.During the admission process,the nurse asks the patient about her employment status and displays a nonjudgmental attitude.Why does the nurse do this?
A) Noncompliant patients thrive on the disapproval of authority figures.
B) External variables have little effect on compliance.
C) A person's compliance is affected by economic status.
D) Employment status is an internal variable that impacts compliance.
Q2) The nurse is caring for a patient who has been trying to quit smoking.She has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning.What should the nurse anticipate?
A) The patient does not want to and never will quit smoking.
B) The patient will return to the contemplation or precontemplation phase.
C) The patient will need to adopt a new lifestyle for change to be effective.
D) The patient must pick up her attempt right where she left off.
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55
Chapter 55: Caring in Nursing Practice
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36925
Sample Questions
Q1) The nurse has cared for a patient for several days.The patient is terminal and is very near death.The nurse notices the heart rate on the monitor decreasing and then the absence of a pattern.The family is standing at the patient's bed,and when the nurse checks the patient and finds no pulse or blood pressure,the family begins sobbing and hugging each other.Some hold the patient's hand.The nurse is overwhelmed by the presence of grief and leaves the room to cry in the nurses' lounge.What is the nurse demonstrating?
A) Task-oriented touch
B) Caring touch
C) Protective touch
D) None of the above
Q2) The patient has had a colostomy placed but has not yet been able to look at it.The nurse is given the task of teaching the patient how to care for it.The nurse sits with the patient,and together they form a plan on how to approach dealing with colostomy care.Which caring process is the nurse performing?
A) Knowing
B) Doing for
C) Enabling
D) Maintaining belief
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Page 56
Chapter 56: Caring for the Cancer Survivor
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/36927
Sample Questions
Q1) When working with cancer survivors,the nurse must understand that cancer survivors
A) Face depression that is devastating and destroys one's sense of life.
B) Seek a balance between independence and interdependence.
C) Experience similar long-term impact regardless of cultural beliefs.
D) Are at much lower risk for developing a new cancer.
Q2) The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer.What should the nurse do?
A) Focus her assessment on the cancer diagnosis because it is the newer diagnosis.
B) Ask questions about cardiac symptoms and their relationship to the cancer.
C) Ignore symptom management and focus on palliative care.
D) Say nothing because cancer survivors dislike prying.
Q3) The National Coalition for Cancer Survivorship has defined a cancer survivor as a person who has
A) Been cancer free for 5 years after diagnosis.
B) Been cancer free for 3 years after diagnosis.
C) Had cancer until he or she dies.
D) Had cancer but is declared cancer free.
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Page 57
Chapter 57: Culture and Ethnicity
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20 Flashcards
Source URL: https://quizplus.com/quiz/36929
Sample Questions
Q1) Which statement is true relative to caring for a Hindu patient who is dying?
A) The family will turn his head eastward or to the right.
B) A close kin will stay with the patient to hear his last wishes.
C) Anointing of the sick is a common right of the dying.
D) The family will place a drop of water on the patient's lips.
Q2) The nurse is providing diabetic diet teaching to a Hispanic man and his wife.When the nurse is discussing foods that are acceptable,the wife continues to interrupt with statements like,"Oh,he doesn't eat that," or,"All he eats is rice and beans." What should the nurse do?
A) Ask the wife to leave so he/she can focus on teaching the patient.
B) Explain how "rice and beans" are not acceptable foods on a diabetic diet.
C) Provide a diet plan with only food alternatives selected by the patient.
D) Refer the patient and his wife to a dietitian familiar with Spanish food choices.
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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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/36931
Sample Questions
Q1) The nurse is interviewing a patient who is being admitted to the hospital.The patient's family went home before the nurse's interview.The nurse asks the patient,"Who decides where to go on vacation?" In asking this,what is the nurse trying to do?
A) Assess the family structure.
B) Assess the family form.
C) Assess the family function.
D) Make a categorical generalization.
Q2) When initiating the care of families,one factor that helps organize the family approach to the nursing process is that the nurse
A) Views all patients as unique individuals.
B) Realizes that families have little impact on individuals.
C) Understands that individuals have little impact on families.
D) Realizes that individuals have an impact on families.
Q3) When focusing on older adults,the nurse must be aware that
A) Elder abuse happens in lower socioeconomic classes only.
B) Elders have the same social networks as younger people.
C) Caregivers may be spouses or middle-age children.
D) Caregiver stress is minimal when caring for a parent.
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Page 59
Chapter 59: Developmental Theories
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36933
Sample Questions
Q1) When developing a plan of care concerning growth and development for a hospitalized adolescent,what should the nurse do?
A) Stick with one developmental theory for consistency.
B) Apply developmental theories when making observations of the individual's patterns of growth and development.
C) Compare the individual's assessment findings versus established normal findings.
D) Recognize his/her own moral developmental level.
E) Apply a unidimensional life span perspective.
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.
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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) Immediate intervention is needed when the newborn exhibits A) A soft, protuberant abdomen.
B) Molding.
C) Lack of reflexes.
D) Cyanotic hands and feet.
Q2) The nursing student is preparing a teaching project for parents of school-aged children.Which statement correctly identifies health risks in this age group?
A) "School-aged children are more likely to suffer from unintentional injury."
B) "The risk for infection is not a major concern of this age group as immunity develops."
C) "Mental retardation, learning disorders, and malnutrition are prevalent across all socioeconomic categories."
D) "Poor nutrition and lack of immunizations continue to be health concerns for children of the poor."
Q3) 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.
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Chapter 61: Young and Middle Adults
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20 Flashcards
Source URL: https://quizplus.com/quiz/36937
Sample Questions
Q1) According to some developmental theorists,intellectual development and moral development differ between men and women.What did Gilligan propose?
A) As women progress toward adulthood, concepts, morals, and responsibility remain unchanged.
B) Providing and protecting remain the sole responsibilities of men in today's society.
C) Women continue to play a minor role in the financial well-being of their families.
D) Women struggle with issues of care and responsibility.
Q2) The nurse is caring for a hospitalized young adult male who is uninsured even though he works as a dishwasher at a local restaurant.He states that he would like to get a better job,but he has no education.How can the nurse best assist this patient psychosocially?
A) By providing information and referrals
B) By telling the patient that he needs to go back to school
C) By focusing on the patient's medical diagnoses
D) By expecting the patient to be flexible in his decision making
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Chapter 62: Older Adults
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26 Flashcards
Source URL: https://quizplus.com/quiz/36939
Sample Questions
Q1) An older adult patient in no acute distress reports being less able to taste and smell.What is the nurse's best response to this information?
A) Notify the physician immediately to rule out cranial nerve damage.
B) Perform testing on the vestibulocochlear nerve and a hearing test.
C) Schedule the patient for an appointment at a smell and taste disorders clinic.
D) Explain to the patient that diminished senses are normal findings.
Q2) During assessment of an older adult's skin integrity,expected findings include which of the following?
A) Decreased elasticity
B) Oily skin
C) Increased facial hair in men
D) Faster nail growth
Q3) Several theories on aging have been put forth,and the nurse should use these theories to
A) Guide nursing care.
B) Explain the stochastic view of genetically programmed physiological changes.
C) Select one theory to guide nursing care for all geriatric patients.
D) Understand the nonstochastic views of aging as the result of cellular damage.
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63
Chapter 63: Critical Thinking in Nursing Practice
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20 Flashcards
Source URL: https://quizplus.com/quiz/36941
Sample Questions
Q1) The patient appears to be in no apparent distress,but vital signs taken by assistive personnel reveal an extremely low pulse.The nurse then auscultates an apical pulse and asks the patient whether he has any complaints or a history of heart problems.The nurse is utilizing which critical thinking skill?
A) Interpretation
B) Evaluation
C) Self-regulation
D) Explanation
Q2) 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.
Q3) The critical thinking skill of evaluation in nursing practice can be best described as
A) Examining the meaning of data.
B) Reviewing the effectiveness of nursing actions.
C) Supporting findings and conclusions.
D) Searching for links between data and the nurse's assumptions.
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Chapter 64: Nursing Assessment
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Source URL: https://quizplus.com/quiz/36943
Sample Questions
Q1) Which of the following methods of data collection is utilized to establish a patient's nursing database?
A) Reviewing the current literature to determine evidence-based nursing actions
B) Orders for diagnostic and laboratory tests
C) Physical examination
D) Anticipated medications to be ordered
Q2) Which scenario best illustrates the use of data validation when making an independent nursing clinical decision?
A) The nurse determines that she needs to remove a wound dressing when the patient reveals the time of the last dressing change, and she notices that the present dressing is saturated with fresh and old blood.
B) The nurse administers pain medicine due at 1700 at 1600 because the patient complains of increased pain.
C) The nurse removes a leg cast when the patient complains of decreased mobility.
D) The nurse administers potassium when a patient complains of leg cramps.
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Chapter 65: Nursing Diagnosis
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Source URL: https://quizplus.com/quiz/36945
Sample Questions
Q1) A patient exhibits the following symptoms: tachycardia,increased thirst,headache,decreased urine output,and increased body temperature.After analyzing these data,the nurse assigns which of the following nursing diagnoses?
A) Adult failure to thrive
B) Hypothermia
C) Deficient fluid volume
D) Nausea
Q2) After completing a thorough assessment to formulate a patient database,the nurse should proceed to which step of the nursing process?
A) Diagnosis
B) Planning
C) Implementation
D) Evaluation
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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Page 66
Chapter 66: Planning Nursing Care
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Source URL: https://quizplus.com/quiz/36947
Sample Questions
Q1) The following statements are on a patient's nursing care plan.Which of the following statements is written as an outcome?
A) The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift.
B) The patient will demonstrate increased mobility in 2 days.
C) The patient will demonstrate increased tolerance to activity over the next month.
D) The patient will understand needed dietary changes by discharge.
Q2) When planning patient care,a goal can be described as
A) A statement describing the patient's accomplishments without a time restriction.
B) A realistic statement predicting any negative responses to treatments.
C) A broad statement describing a desired change in patient behavior.
D) An identified long-term nursing diagnosis.
Q3) The nurse describes evidence-based practice as
A) Practice based on the evidence presented in court.
B) Implementing interventions based on scientific rationale.
C) Using standardized care plans.
D) Planning care based on tradition.
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Chapter 67: Implementing Nursing Care
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Source URL: https://quizplus.com/quiz/36949
Sample Questions
Q1) A patient visiting with family members in the waiting area tells the nurse that his stomach is not feeling good.Before intervening,what should the nurse do?
A) Ask the patient to return to his room so the nurse can inspect his abdomen.
B) Request that the family leave, so the patient can rest.
C) Ask the patient when his last bowel movement was and to lie down on the sofa.
D) Tell the patient that his dinner tray will be ready in 15 minutes.
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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20 Flashcards
Source URL: https://quizplus.com/quiz/36951
Sample Questions
Q1) A patient was recently diagnosed with pneumonia.The nurse and the patient have established a goal that the patient will not experience shortness of breath with activity in 3 days with an expected outcome of having no secretions present in the lungs in 48 hours.Which of the following is an appropriate evaluative measure demonstrating progress toward this goal?
A) Nonproductive cough present in 4 days
B) Scattered rhonchi throughout all lung fields in 2 days
C) Respirations 30/minute in 1 day
D) Lungs clear to auscultation following use of inhaler
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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Source URL: https://quizplus.com/quiz/36953
Sample Questions
Q1) A nursing assistant reports seeing a reddened area on the patient's hip while bathing the patient.The nurse should
A) Go to the patient's room to assess the patient's skin.
B) Document the finding per the nursing assistant's report.
C) Request a wound nurse consult.
D) Ask the nursing assistant to apply a dressing over the reddened area.
Q2) 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.
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Chapter 70: Ethics and Values
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18 Flashcards
Source URL: https://quizplus.com/quiz/36955
Sample Questions
Q1) The patient's son requests to view the documentation in his mother's medical record.What is the nurse's best response to this request?
A) "I'll be happy to get that for you."
B) "You will have to talk to the physician about that."
C) "You will need your mother's permission."
D) "You are not allowed to see it."
Q2) Which philosophy of health care ethics would be particularly useful when making ethical decisions about vulnerable populations?
A) Feminist ethics
B) Deontology
C) Bioethics
D) Utilitarianism
Q3) When people work together to solve ethical dilemmas,individuals must examine their own values.This step is crucial to ensure that
A) The group identifies the one correct solution.
B) Fact is separated from opinion.
C) Judgmental attitudes are not provoked.
D) Different perspectives are respected.
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Chapter 71: Legal Implications in Nursing Practice
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20 Flashcards
Source URL: https://quizplus.com/quiz/36957
Sample Questions
Q1) The nurse calculates the medication dose for an infant on the pediatric unit and determines that the dose is twice what it should be.The pediatrician is contacted and says to administer the medication as ordered.What is the next action that the nurse should take?
A) Notify the nursing supervisor.
B) Check the chain of command policy for such situations.
C) Give the medication as ordered.
D) Give the amount calculated to be correct.
E) Contact the pharmacy for clarification.
Q2) A newly hired experienced nurse is preparing to change a patient's abdominal dressing and hasn't done it before at this hospital.Which action by the nurse is best?
A) Ask another nurse to do it so the correct method can be viewed.
B) Check the policy and procedure manual for the agency's method.
C) Change the dressing using the method taught in nursing school.
D) Ask the patient how the dressing change has been recently done.
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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) When making rounds,the nurse finds a patient who is not able to sleep because of surgery in the morning.Which therapeutic response is most appropriate?
A) "It will be okay. Your surgeon will talk to you in the morning."
B) "Why can't you sleep? You have the best surgeon in the hospital."
C) "Don't worry. The surgeon ordered a sleeping pill to help you sleep."
D) "It must be difficult not to know what the surgeon will find. What can I do to help?"
Q2) A nurse is sitting at the patient's bedside taking a nursing history.Which zone of personal space is the nurse using?
A) Intimate
B) Personal
C) Social
D) Public
Q3) Nurses who make the best communicators
A) Develop critical thinking skills.
B) Like different kinds of people.
C) Learn effective psychomotor skills.
D) Maintain perceptual biases.
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Chapter 73: Patient Education
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/36961
Sample Questions
Q1) After a teaching session on taking blood pressures,the nurse tells the patient,"You took that blood pressure like an experienced nurse." What type of reinforcement did the nurse use?
A) Material
B) Activity
C) Social
D) Entrusting
Q2) A patient had a stroke and must use a cane for support.A nurse is preparing to teach the patient about the cane.Which learning objective/outcome is most appropriate?
A) The patient will walk to the bathroom and back to bed using a cane.
B) The patient will understand the importance of using a cane.
C) The patient will learn how to use a cane.
D) The patient will know the correct use of a cane.
Q3) A nurse is teaching a patient about the Speak Up Initiatives.Which information should the nurse include?
A) The nurse is the center of the health care team.
B) If you still do not understand, ask again.
C) Ask a nurse to be your advocate or supporter.
D) Inappropriate medical tests are the most common mistakes.
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Chapter 74: Documentation and Informatics
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31 Flashcards
Source URL: https://quizplus.com/quiz/36963
Sample Questions
Q1) A nurse in a long-term care setting that is funded by Medicare and Medicaid is completing standardized protocols for assessment and care planning and for meeting quality improvement within and across facilities.Which task did the nurse just complete?
A) A focused assessment/specific body system
B) The Resident Assessment Instrument/Minimum Data Set
C) An admission assessment and acuity level
D) An intake assessment form and auditing phase
Q2) A nurse has provided care to a patient.Which entry should the nurse document in the patient's record?
A) "Patient seems to be in pain and states, 'I feel uncomfortable.'"
B) Status unchanged, doing well
C) Left abdominal incision 1 inch in length without redness, drainage, or edema
D) Patient is hard to care for and refuses all treatments and medications. Family present.
Q3) A nurse is charting on a patient's record.Which action is most accurate legally?
A) Charts legibly
B) States the patient is belligerent
C) Uses correction fluid to correct error
D) Writes entry for another nurse
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Chapter 75: Patient Safety
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/36965
Sample Questions
Q1) The older patient presents to the emergency department after stepping in front of a car at a crosswalk.After the patient has been triaged,the nurse interviews the patient.Which of the following comments would require follow-up by the nurse?
A) "I try to exercise, so I walk that block almost every day."
B) "I waited and stepped out when the traffic sign said go."
C) "The car was going too fast, the speed limit is 20."
D) "I was so surprised; I didn't see or hear the car coming."
Q2) The nurse is caring for a patient in restraints.Which of the following pieces of information about restraints requires nursing documentation in the medical record?
A) The patient states that her gown is soiled and needs changing.
B) Attempts to distract the patient with television are unsuccessful.
C) The patient has been placed in bilateral wrist restraints at 0815.
D) One family member has gone to lunch.
E) Bilateral radial pulses present, 2+, hands warm to touch
F) Released from restraints, active range-of-motion exercises complete
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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 admitting a patient with an infectious disease process.What question would be appropriate for a nurse to ask this patient?
A) "Do you have a chronic disease, and how long have you had it?"
B) "Do you have any children living in the home?"
C) "What is your marital status-single, married, or divorced?"
D) "Do you have any cultural or religious beliefs that will influence your care?"
Q2) The nurse is caring for a home health patient.After completing an assessment,the nurse has diagnosed the patient as being at risk for infection.Which of the following orders would the nurse question?
A) Urinary catheter to bedside drainage bag. May change to leg bag during the day.
B) May reuse nebulizer equipment. Clean with mild soap and warm water, and allow to dry.
C) Prepare enough enteral feedings for 12 hours. Rinse feeding bag and tubing daily.
D) Call for temperature greater than 100.5, heart rate greater than 100, and respiratory rate greater than 24.
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Chapter 77: Vital Signs
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Source URL: https://quizplus.com/quiz/36969
Sample Questions
Q1) When taking the pulse of an infant,the nurse notices that the rate is 145 beats/min and the rhythm is regular.The nurse realizes that his rate is
A) Normal for an infant.
B) The proper rate for a toddler.
C) Too slow for an infant.
D) The same as that of a normal adult.
Q2) The nurse is assessing the patient and his family for probable familial causes of the patient's hypertension.The nurse begins by analyzing the patient's personal history,as well as family history and current lifestyle situation.Which of the following issues would be considered risk factors?
A) Obesity
B) Cigarette smoking
C) Recent weight loss
D) Heavy alcohol consumption
E) Low blood cholesterol levels
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Chapter 78: Health Assessment and Physical Examination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/36971
Sample Questions
Q1) Which is the best examination position for a complete geriatric physical examination on a weak patient with bilateral basilar pneumonia?
A) Prone position
B) Sims' position
C) Supine position
D) Lateral recumbent
Q2) An elderly patient has been on high doses of antibiotics and is experiencing a sudden loss of hearing.The nurse should contact the health care provider and
A) Stop antibiotic use until the physician responds.
B) Tell the patient that older patients often lose low-frequency hearing.
C) Explain that hearing loss usually occurs with thinning of the eardrum.
D) Assure the patient that rapid hearing loss is normal in the elderly.
Q3) Asking an adult what the statement "A stitch in time saves nine" means to him is a mental status examination technique used to assess
A) Knowledge.
B) Long-term memory.
C) Abstract thinking.
D) Recent memory.
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Chapter 79: Medication Administration
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Sample Questions
Q1) A patient is in need of immediate pain relief for a severe headache.The nurse knows that which medication will be absorbed the quickest?
A) Tylenol 650 mg PO
B) Morphine 4 mg SQ
C) Ketorolac (Toradol) 8 mg IM
D) Hydromorphone (Dilaudid) 4 mg IV
Q2) A patient needs assistance excreting a gaseous medication.What is the correct nursing action?
A) Encourage the patient to cough and deep-breathe.
B) Suction the patient's respiratory secretions.
C) Administer the antidote via inhalation.
D) Administer 100% FiO via simple face mask.
Q3) The physician orders 4 mg of oxycodone to be delivered every 6 hours.After 4 hours,the patient is complaining that she is in more pain.The nurse advises the physician to make which medication adjustment?
A) Add an additional narcotic on top of the oxycodone.
B) Divide the dose in half and administer 2 mg every 3 hours.
C) Give another 4 mg of oxycodone after 4 hours.
D) Change the medication being administered for pain relief.
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Page 80
Chapter 80: Complementary and Alternative Therapies
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Source URL: https://quizplus.com/quiz/36975
Sample Questions
Q1) During a relaxation therapy skills group,the instructor discusses the cognitive skill of learning to tolerate uncertain and unfamiliar experiences.This best describes the skill of
A) Mindfulness.
B) Focusing.
C) Passivity.
D) Receptivity.
Q2) A long-term outcome for an individual who is learning relaxation therapy is
A) Identifying tension in his body and consciously releasing the tension.
B) Having no tension in his life.
C) Increasing delta brain activity.
D) Increasing the focus on himself.
Q3) The organization that facilitates the evaluation of alternative medical treatments is the
A) National Center for Complementary and Alternative Medicine.
B) American Holistic Nurses Association.
C) Food and Drug Administration.
D) U.S. Department of Health and Human Services.
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Chapter 81: Self-Concept
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20 Flashcards
Source URL: https://quizplus.com/quiz/36977
Sample Questions
Q1) The developmental self-concept task known as initiative versus guilt would occur in which person?
A) 3-week-old neonate
B) 5-year-old kindergarten student
C) 11-year-old student
D) 15-year-old high school student
Q2) A newly hired nurse is struggling with night shift work and caring for multiple family members at home.The nurse manager calls the new nurse in to talk about how the nurse is negatively affecting patient self-concept by ignoring patients' concerns.The nurse manager should focus on the new nurse's
A) Role overload.
B) Self-esteem.
C) Ego integrity.
D) Ethics and morals.
Q3) The nurse can assist the patient in becoming more self-aware by using which technique?
A) Setting up an appointment to allow the patient to vent
B) Allowing the patient to openly explore thoughts and feelings
C) Assisting the patient to physically punch a pillow when upset
D) Providing materials for the patient to write complaint letters
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Chapter 82: Sexuality
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/36979
Sample Questions
Q1) A patient asks the nurse what signs and symptoms are associated with chlamydia.How should the nurse respond?
A) The first signs that chlamydia presents are frequency and burning upon urination.
B) Symptoms of chlamydia usually affect only women.
C) Small red blisters appear first and then multiply.
D) Dementia results if chlamydia goes untreated too long.
Q2) A male patient with diabetes who is taking medication for erectile dysfunction is experiencing pain and discomfort related to the side effect of priapism.The nurse knows that this patient is at greatest risk for
A) Sexual dysfunction related to low self-esteem.
B) Impaired circulation due to medication.
C) Anxiety related to erectile dysfunction.
D) Ineffective coping related to chronic illness.
Q3) Which patient is most in need of a nurse's referral to adoption services?
A) A patient considering abortion for an unwanted pregnancy
B) An infertile couple religiously opposed to artificial insemination
C) A woman who suffered miscarriage during her first pregnancy
D) A couple who has been attempting conception for 3 months
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Chapter 83: Spiritual Health
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Source URL: https://quizplus.com/quiz/36981
Sample Questions
Q1) 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.
Q2) The nurse is caring for a patient who is terminally ill with very little time left to live.The patient states,"I always believed that there was life after death.Now,I'm not so sure.Do you think there is?" The nurse states,"I believe there is." The nurse has attempted to
A) Strengthen the patient's religion.
B) Provide hope.
C) Support the patient's agnostic beliefs.
D) Support the horizontal dimension of spiritual well-being.
Q3) Which of the following statement about religion and spirituality is true?
A) Religion is a unifying theme in people's lives.
B) Spirituality is unique to the individual.
C) Spirituality encompasses religion.
D) Religion and spirituality are synonymous.
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Page 84
Chapter 84: the Experience of Loss, death, and Grief
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Q1) The father has recently begun to attend his children's school functions since the death of his wife.This would best be described as which task in the Worden Grief Tasks Model?
A) Task I
B) Task II
C) Task III
D) Task IV
Q2) A cancer patient asks the nurse what the criteria are for hospice care.What should the nurse answer?
A) Having a terminal illness, such as cancer
B) Needing assistance with pain management
C) Expected to live less than 6 to 12 more months
D) Completion of an advance directive
Q3) Validation of a dying person's life would be demonstrated by which nursing action?
A) Taking pictures of visitors
B) Calling the organ donation coordinator
C) Listening to family stories about the person
D) Providing quiet visiting time
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Chapter 85: Stress and Coping
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Q1) In a natural disaster relief facility,the nurse observes that an elderly man has a recovery plan,while a 25-year-old man is still overwhelmed by the disaster situation.These different reactions to the same situation would be explained best by which of the following?
A) Restorative care
B) Strong financial resources
C) Maturational and sociocultural factors
D) Immaturity and intelligence factors
Q2) 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
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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Page 86
Chapter 86: Activity and Exercise
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Q1) The nurse is developing an exercise program for elderly patients living in a nursing home.To develop a beneficial health promotion program,the nurse needs to understand that when dealing with the elderly
A) Exercise is of very little benefit because the patients are old.
B) It is important to disregard their current interests in favor of exercise.
C) No physical benefit can be gained without a formal exercise program.
D) Adjustments to exercise programs may have to be made to prevent problems.
Q2) Which of the following exercise activities would most likely provide the opportunity for mind-body awareness?
A) Warm-up activity
B) Resistance training
C) Aerobic exercise
D) Cool-down activity
Q3) Unlike arthritis,joint degeneration
A) Occurs only from noninflammatory disease.
B) Occurs only from inflammatory disease.
C) Involves overgrowth of bone at the articular ends.
D) Affects mostly non-weight-bearing joints
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Chapter 87: Hygiene
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Q1) When providing hygiene for an elderly patient,it is important for the nurse to closely assess the skin.This is because as the patient ages
A) Skin becomes more resilient.
B) Sweat glands become more active.
C) Skin becomes less subject to bruising.
D) Less frequent bathing may be required.
Q2) Patients with diabetes mellitus need special foot care to prevent the development of ulcers.Knowing this,the nurse
A) Trims the patient's toenails daily.
B) Has the patient soak his or her feet twice a day.
C) Requests a consult with a nail care specialist.
D) Assesses the brachial artery.
Q3) A self-sufficient bedridden patient unable to reach all body parts needs which type of bath?
A) Complete bed bath
B) Bag bath
C) Sponge bath
D) Partial bed bath
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Chapter 88: Oxygenation
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Q1) Upon auscultation,the nurse hears a whooshing sound at the fifth intercostal space.The nurse recognizes that this sound is
A) The beginning of the systolic phase.
B) The opening of the aortic valve.
C) S , the third heart sound.
D) Regurgitation of the mitral valve.
Q2) 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.
Q3) The nurse knows that the primary function of the alveoli is to
A) Carry out gas exchange.
B) Store oxygen.
C) Regulate tidal volume.
D) Produce hemoglobin.
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89
Chapter 89: Fluid, electrolyte, and Acid-Base Balance
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Q1) A nurse is caring for a cancer patient who presents with anorexia,blood pressure
100/60,elevated white blood cell count,and oral candidiasis.The nurse knows that the purpose of starting total parenteral nutrition (TPN)is to
A) Replace fluid, electrolytes, and nutrients in the patient.
B) Stimulate the patient's appetite to eat.
C) Provide medication to raise the patient's blood pressure.
D) Deliver antibiotics to fight off infection.
Q2) The nurse understands that administering a hypertonic solution to a patient will shift water from the _____ to the _____ space.
A) Intracellular; extracellular
B) Extracellular; intracellular
C) Intravascular; intracellular
D) Intravascular; interstitial
Q3) The nurse would expect a patient with respiratory acidosis to have an excessive amount of
A) Carbon dioxide.
B) Bicarbonate.
C) Oxygen.
D) Phosphate.
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Page 90
Chapter 90: Sleep
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Q1) The nurse is caring for a young adult patient on the medical-surgical unit.When doing midnight checks,she sees that the patient is awake and is doing a puzzle.What is the best explanation for the patient being awake?
A) The patient was waiting to talk with the nurse.
B) The patient misses his family and is lonely.
C) The patient's sleep-wake cycle preference is late evening.
D) The patient has been kept up with the noise on the unit.
Q2) Which nursing observation of the patient in intensive care indicates that the patient is sleeping comfortably?
A) Eyes closed, lying quietly, respirations 12, heart rate 60
B) Eyes closed, tossing in bed, respirations 18, heart rate 80
C) Eyes closed, mumbling to self, respirations 16, heart rate 68
D) Eyes closed, lying straight in bed, respirations 22, heart rate 66
Q3) The patient has just been diagnosed with narcolepsy.The nurse provides an educational session and teaches the patient to avoid
A) Antidepressant medications.
B) Naps shorter than 20 minutes.
C) Sitting in hot, stuffy rooms.
D) Chewing gum.
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Page 91
Chapter 91: Pain Management
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Q1) A patient who had a motor vehicle accident 2 days ago is experiencing pain and is receiving patient-controlled analgesia (PCA).How does the nurse know that the patient is experiencing effective pain management with the PCA?
A) The patient is sleeping and is difficult to arouse.
B) The patient rates pain at an acceptable level of 3 on a 0 to 10 scale.
C) Sufficient medication is left in the PCA syringe.
D) The patient presses the control button to deliver pain medication.
Q2) A nurse is caring for a patient who fell on the ice and has connective tissue damage in the wrist and hand.What does type of pain does the nurse document that the patient has?
A) Visceral pain
B) Somatic pain
C) Peripherally generated pain
D) Centrally generated pain
Q3) The nurse anticipates administering an opioid fentanyl patch to which patient?
A) A 15-year-old adolescent with a broken femur
B) A 30-year-old adult with cellulitis
C) A 50-year-old patient with prostate cancer
D) An 80-year-old patient with a broken hip
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Page 92
Chapter 92: Mobility and Immobility
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Q1) The nurse is admitting a patient who has been diagnosed as having had a stroke.The physician writes orders for "ROM as needed." The nurse understands that
A) The nurse will have to move all the patient's extremities.
B) The patient is unable to move his extremities.
C) Further assessment of the patient is needed.
D) The patient needs to restrict his mobility as much as possible.
Q2) The director of a nursing home has decided to institute ergonomic programs in the facility because these programs increase employee satisfaction and have been shown to
A) Be ineffective in reducing injury.
B) Be cost neutral in budgeting.
C) Enhance recruitment.
D) Decrease retention rates.
Q3) The nurse is aware that patients who are immobile are at increased risk of developing deep vein thromboses (DVTs).Because of this,the nurse should
A) Make sure that elastic stockings are not removed.
B) Measure the calf circumference of both legs.
C) Dorsiflex the foot while assessing for patient discomfort.
D) Measure both ankles to determine size.
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Page 93
Chapter 93: Skin Integrity and Wound Care
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Q1) The nurse is collaborating with the dietitian about a patient with a stage III pressure ulcer.After the collaboration,the nurse orders a meal plan that includes increased
A) Fat.
B) Carbohydrates.
C) Protein.
D) Vitamin E.
Q2) The nurse is caring for a patient with a healing stage III pressure ulcer.The wound is clean and granulating.Which of the following orders would the nurse question?
A) Use a low-air-loss therapy unit.
B) Consult a dietitian.
C) Irrigate with hydrogen peroxide.
D) Utilize hydrogel dressing.
Q3) Which of these findings if seen in a postoperative patient should the nurse associate with dehiscence?
A) Complaint by patient that something has given way
B) Protrusion of visceral organs through a wound opening
C) Chronic drainage of fluid through the incision site
D) Drainage that is odorous and purulent
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94
Chapter 94: Sensory Alterations
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Q1) The nurse is creating a plan of care for a patient with glaucoma.Which nursing diagnosis addresses the complication of the sensory deficit that places the patient at greatest risk for injury?
A) Risk for falls
B) Body image disturbance
C) Social isolation
D) Fear
Q2) A nurse is caring for a patient who is experiencing vertigo.Which nursing intervention would assist the patient in controlling the vertigo?
A) Increasing fluid intake to 3 liters a day
B) Watching television instead of reading books
C) Avoiding riding in vehicles and making sudden motions
D) Placing several antiemetic patches on the patient
Q3) What nursing action can the nurse implement to comfort an elderly patient with sensory deprivation to improve meaningful stimuli?
A) Placing a "Do not disturb" sign on the patient's door
B) Offering the patient a back rub
C) Asking the patient if he would like a newspaper to read
D) Placing the patient in the room farthest from the nurses' station
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Page 95
Chapter 49: Nursing Today
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Q1) Which concept means that the nurse is responsible,professionally and legally,for the type and quality of nursing care provided?
A) Autonomy
B) Accountability
C) Patient advocacy
D) Patient education
Q2) The nurse is caring for her patients and is focused on managing their care as opposed to managing and performing skills.This nurse demonstrates which level of proficiency according to Benner?
A) Novice
B) Competent
C) Proficient
D) Expert
Q3) Which of the following is (are)an example of an advanced practice nurse?
A) Nurse practitioner
B) Clinical nurse specialist
C) Patient advocate
D) Certified registered nurse anesthetist
E) Nurse midwife
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Page 96
Chapter 95: Care of Surgical Patients
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Q1) The nurse is completing a medication history for the surgical patient in preadmission testing.Which of the following medications should the nurse instruct the patient to hold in preparation for surgery?
A) Ibuprofen
B) Acetaminophen
C) Vitamin C
D) Miconazole
Q2) The nurse is using a preoperative checklist to assist in preparing a patient on the day of surgery.What will the checklist include?
A) Vital signs
B) Laboratory data
C) Living will
D) NPO
E) Identification (ID) band on
F) Family location
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