Diagnosis and Treatment Planning Test
Questions
Course Introduction
This course provides students with foundational knowledge and practical skills in diagnosing various dental and oral health conditions and developing comprehensive treatment plans. Emphasizing a systematic approach, students learn to collect and interpret patient histories, conduct thorough clinical examinations, and utilize diagnostic tools such as radiographs and laboratory tests. The course covers the integration of clinical findings with patient needs and evidence-based guidelines to formulate effective, individualized treatment strategies. Through lectures, case studies, and hands-on exercises, students gain experience in making informed decisions, prioritizing care, and coordinating with other healthcare professionals to ensure optimal patient outcomes.
Recommended Textbook
Clinical Psychology Science Practice and Culture 3rd Edition by Andrew M. (Mark) Pomerantz
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Chapter 1: Health and Wellness
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Q1) Which one of the following is an example of tertiary prevention?
A) Reduction of risk factors, such as smoking
B) Breast self-examination and testicular self-examination
C) Cardiac rehabilitation programs
D) Blood pressure screening to detect hypertension
Answer: C
Q2) A paraplegic patient is in the hospital for an electrolyte imbalance.At which level of prevention is the patient receiving care?
A) Primary prevention level
B) Secondary prevention level
C) Tertiary prevention level
D) Health promotion level
Answer: B
Q3) Which type of data does the population health approach emphasize to determine health and disease?
A) Physical
B) Psychological
C) Experiential
D) Epidemiological
Answer: D
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Chapter 2: The Canadian Health Care Delivery System
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Sample Questions
Q1) Which of the following is the fastest growing component of the health care system?
A) Primary care
B) Respite care
C) Home care
D) Palliative care
Answer: C
Q2) Which of the following is an appropriate referral for an older client who requires some assistance with daily activities within a partially protective environment?
A) Respite care
B) Rehabilitative care
C) Assisted living
D) Extended care
Answer: C
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Chapter 3: The Development of Nursing in Canada
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Sample Questions
Q1) Which one of the following people decried the exploitation of nurses in schools of nursing in the early 1920s?
A) Mary Agnes Snively
B) Lady Ishbel Aberdeen
C) Jean I. Gunn
D) Ethel Gordon Bedford Fenwick
Answer: C
Q2) Which province opened the first hospital diploma school in Canada?
A) Manitoba
B) Ontario
C) Quebec
D) Newfoundland
Answer: B
Q3) 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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Chapter 4: Community Health Nursing Practice
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Sample Questions
Q1) A client is being discharged home from an acute care facility following a total hip replacement.She will require follow-up for health care and also exercise.In addition to a home health nurse,what other service will this client require?
A) Dietitian
B) Social worker
C) Physiotherapist
D) Respiratory therapist
Q2) Which of the following is a key characteristic of a healthy community?
A) A collective capacity to solve problems
B) Proximity to lakes and forests
C) Access to recreational facilities
D) Government interventions to solve community problems
Q3) 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.
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Chapter 5: Theoretical Foundations of Nursing Practice
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Q1) Which of the following correctly defines the theorizing term proposition?
A) A purposeful set of assumptions
B) A declarative assertion
C) The process of formulating concepts
D) The structure that links concepts together
Q2) A community health nurse is working with a variety of clients and decides to use a systems theory approach to help them to meet their health care needs.When using systems theory,on which of the following should the nurse focus?
A) The client's interaction with his or her environment
B) The hierarchy of the client's human needs
C) The client's attitudes toward health behaviours
D) The response of the client to the process of growth and development
Q3) Which of the following elements is key to the framework for practice in Martha Rogers's theory?
A) Human becoming
B) Manipulation of the patient's environment
C) Seven categories of behaviour and behavioural balance
D) Focus upon the life process of a human being along a time-space continuum
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Chapter 6: Research As a Basis for Practice
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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) Carper (1978)has identified four patterns of "knowing" upon which nursing practice is founded.Which pattern describes the ability of the nurse to assist a patient in reaching health goals through the rapport established with this individual?
A) Empirics
B) Esthetics
C) Personal knowledge
D) Ethics
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Chapter 7: Nursing Values and Ethics
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Sample Questions
Q1) A patient who recently immigrated to Canada believes that she has been made to wait in the emergency department longer than the other individuals because she has not yet qualified for provincial health coverage.Which one of the following ethical principles is involved in this particular situation?
A) Justice
B) Autonomy
C) Beneficence
D) Nonmaleficence
Q2) 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
Q3) Which of the following themes is a theme of relational ethics?
A) Apathy
B) Compassion
C) Embodiment
D) Accountability
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Chapter 8: Legal Implications in Nursing Practice
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Sample Questions
Q1) Because of an influenza epidemic among the nursing staff,a nurse has been moved from the ophthalmology unit to the general surgery unit.The supervisor recognizes that the nurse is inexperienced in this specialty.What would be the nurse's initial recourse?
A) Politely refuse to move, take the day off, and go home.
B) Ask to work with an experienced general surgery nurse.
C) Submit a report noting his dissatisfaction.
D) Notify the Canadian Nurses Association (CNA) of the issue.
Q2) 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.
Q3) The nurse is about to obtain consent from a patient who is scheduled to undergo a surgical procedure the next morning.What does the nurse's signature as a witness on the informed consent form indicate?
A) The patient fully understands the procedure.
B) The patient agrees with the choice of the procedure to be performed.
C) The patient has voluntarily signed the form.
D) The patient has authorized the physician to continue with the treatment.
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Page 10
Chapter 9: Global Health, culture, and Diversity
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Sample Questions
Q1) The nurse is completing an assessment of a First Nations client.Recognizing the commonly seen health problems in Aboriginal peoples,the nurse observes for particular signs and symptoms of which one of the following conditions?
A) Hypertension
B) Parasitic infections
C) Tay-Sachs disease
D) Diabetes mellitus
Q2) An older Chinese woman refuses to perform the range-of-motion and breathing exercises required after a surgical procedure.She also is hesitant to undertake her own hygienic care and grooming.The nurse who is culturally aware recognizes that which of the following may be true for this patient?
A) She is dependent on health care providers.
B) She relies on family members to assist with her care.
C) She lacks motivation to participate in self-care.
D) She is in denial of traditional medical treatment.
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Chapter 10: Nursing Leadership, management, and Collaborative Practice
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Q1) Accountability is a critical aspect of nursing care.Which one of the following is an example of a specific decision-making process of accountability?
A) Selecting the medication schedule for the patient
B) Implementing discharge teaching plans that meet individual patients' needs
C) Evaluating the patient's outcomes after implementation of care
D) Promoting participation of all staff members in unit meetings
Q2) The medical centre has changed its overall management philosophy from centralized to decentralized management.What is one advantage of a decentralized management structure over a centralized structure for the nursing units?
A) Staff members are not responsible for defining their roles.
B) Managers handle the difficult decisions.
C) Communication pathways are simplified.
D) Each staff member is actively involved.
Q3) Which of the following is one of the four elements of decision making?
A) Justice
B) Responsibility
C) Accessibility
D) Resource allocation
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Chapter 11: Critical Thinking in Nursing Practice
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Sample Questions
Q1) What is the primary factor that distinguishes a professional nurse's care from care provided by ancillary nursing staff?
A) Critical thinking
B) Years of education
C) Professional licensure
D) Complexity of the task
Q2) Which of the following levels of critical thinking is an example of critical thinking at the complex level?
A) Following a procedure for catheterization step by step
B) Giving medication at the time ordered
C) Discussing alternative pain management techniques
D) Reviewing the patient's medical records thoroughly
Q3) Which one of the following is an example of a nurse's statement that reflects using the scientific method in the nursing process?
A) "My instincts tell me that the patient is getting depressed."
B) "The patient doesn't look the same today. I think something is wrong."
C) "The patient's husband told me that the patient is feeling uncomfortable."
D) "The patient seems to be having more pain today than yesterday, and her blood pressure (BP) is elevated."
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Chapter 12: Nursing Assessment and Diagnosis
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Q1) What is the first step the nurse should take upon beginning the process of data collection?
A) Physical examination
B) Client interview
C) Review of medical records
D) Discussion with other health team members
Q2) A client states,"I am so depressed." Which of the following interview questions will best elicit more information from the client?
A) "How long have you felt this way?"
B) "Have you ever felt this sad before now?"
C) "What do you think is the cause of your feeling depressed?"
D) "When did you start having feelings of depression?"
Q3) An alert,oriented adult client is admitted to the medical centre for diagnostic testing.What is the primary source of information when completing an assessment for this client?
A) Client
B) Physician
C) Family member
D) Experienced nurse on the unit
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Page 14
Chapter 13: Planning and Implementing Nursing Care
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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) The nurse is working with a client who is being prepared for a diagnostic test this afternoon.The client tells the nurse that she wants to have her hair shampooed.Which of the following is the most appropriate label with regard to assigning a priority for the client's request?
A) Low priority
B) An unmet need
C) Intermediate priority
D) A safety and security need
Q3) Which of the following processes is an example of indirect care?
A) Documentation
B) Medication administration
C) Catheterization
D) Grief counselling
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Chapter 14: Evaluation of Nursing Care
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Q1) The goal identified in the nursing care plan is that "The client will be able to wash himself after a four-week therapy session." When should the nurse evaluate the client's progress toward this goal?
A) On an ongoing basis
B) At the end of four weeks
C) Weekly
D) Before the client's discharge
Q2) Which of the following provides the best example of a nursing-sensitive client outcome?
A) Collaboration
B) Decrease in pain
C) Medication compliance
D) Attending psychiatric outpatient appointments
Q3) What is the primary source of data for evaluation?
A) The chart
B) The client
C) The end-of-shift report
D) Interprofessional team meetings
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Chapter 15: Documenting and Reporting
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Sample Questions
Q1) When documenting care that has been implemented by the nurse,what is the term used to describe an older adult who is living in a long-term care or residential facility?
A) Client
B) Patient
C) Resident
D) Individual
Q2) Which of the following types of documentation is represented by the statement,"Patient is wheezing and experiencing some dyspnea on exertion"?
A) The "S" in SOAP documentation
B) Focus documentation
C) The "P" of PIE documentation
D) The "R" in DAR documentation
Q3) What does the final "R" represent when using the I-SBAR-R communication technique?
A) Recovery
B) Repeat back
C) Reorganization
D) Reintegration
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Chapter 16: Nursing Informatics and Canadian Nursing Practice
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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) According to the ICNP,which of the following terms refers to the manner or method of accomplishing an intervention?
A) Focus
B) Means
C) Action
D) Judgement
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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Sample Questions
Q1) In which of the following communication techniques is the nurse making an error when he or she discusses the patient's follow-up dietary needs immediately after the surgery when the patient is experiencing discomfort?
A) Pacing
B) Intonation
C) Timing and relevance
D) Denotative meaning
Q2) Which of the following would be an appropriate method of communicating with an older adult who has a communication barrier?
A) Shout.
B) Use elderspeak.
C) Speak at a very slow rate.
D) Allow time for the patient to respond.
Q3) During which phase of the helping relationship does the nurse assess a patient's health status?
A) Pre-interaction
B) Orientation
C) Working
D) Termination
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Page 19
Chapter 18: Caring in Nursing Practice
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Sample Questions
Q1) According to Watson's theory of caring,a conscious intention to care promotes which of the following?
A) Health
B) Healing and wholeness
C) The nurse-patient relationship
D) Positive differences in well-being outcomes
Q2) The nurse is reading about different theories of caring and wants to adopt Leininger's theory as an approach for her patients.Which of the following is a key element in this theory?
A) Five categories or processes of caring
B) Connectedness with others
C) Spiritual dimensions and healing
D) Transcultural perspectives
Q3) 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
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Page 20
Chapter 19: Family Nursing
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Sample Questions
Q1) Which of the following terms is given to a conversational statement emphasizing family strengths and abilities?
A) Linear
B) Circular
C) Commendation
D) Normalization
Q2) Which dimension of the family assessment includes assessing the whole situation or background relevant to the family?
A) Structural
B) Functional
C) Instrumental
D) Developmental
Q3) In assessing the family,how should the nurse define "family"?
A) Identifying those members who are related biologically
B) Applying one of the family forms that are recognized by society
C) Referring to family forms that social scientists and legislators have identified
D) Accepting that "family" is defined by individuals
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21
Chapter 20: Patient Education
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Sample Questions
Q1) In planning to teach an older adult patient,the nurse should incorporate which of the following teaching methods or principles into the plan?
A) Keeping teaching sessions short
B) Teaching in the early morning or late evening
C) Putting as much as possible into each teaching session
D) Focusing on teaching a family member instead
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) The nurse has completed an assessment of the patient and identified the following nursing diagnoses.Which one indicates a need to postpone teaching that was planned?
A) Knowledge deficit regarding impending surgery
B) Activity intolerance related to pain
C) Ineffective management of treatment regimen
D) Noncompliance with prescribed exercise plan
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Chapter 21: Developmental Theories
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Sample Questions
Q1) The nurse working in an assisted-living facility,who has done a lot of reading on the developmental changes associated with older adults,knows that which of the following is a common behavioural task or critical event for the older adult resident?
A) Selecting a mate
B) Rearing children
C) Finding a congenial social group
D) Adjusting to decreasing physical strength
Q2) Which of the following theories is included in the tradition of organicism?
A) Psychosocial
B) Psychosexual
C) Developmental health
D) Biophysical developmental
Q3) The nurse is working in a children's psychiatric hospital.Which of the following theorists would the nurse investigate for possible use with this patient population?
A) Piaget
B) Freud
C) Bowlby
D) Havighurst
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23
Chapter 22: Conception Through Adolescence
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Sample Questions
Q1) A patient in her first trimester of pregnancy asks the nurse about how the baby is growing.Which of the following responses by the nurse is correct?
A) "The organ systems are beginning to develop."
B) "Fingers and toes are differentiated clearly."
C) "The sex of the baby can be determined."
D) "Fine hair covers the body."
Q2) 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
Q3) On average,how many hours would the nurse expect a normal preschooler to sleep at night?
A) 8
B) 10
C) 12
D) 14
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Page 24
Chapter 23: Young to Middle Adulthood
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Sample Questions
Q1) Lack of which of the following is considered an external barrier to changing negative health habits?
A) Motivation
B) Knowledge
C) Social supports
D) Financial means
Q2) The nurse is preparing an education program on safety for a young adult group.Based on the major cause of the mortality and morbidity for this age group,on which of the following should the nurse focus?
A) Birth control
B) Automobile safety
C) Occupational hazards
D) Prevention of heart disease
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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Page 25
Chapter 24: Older Adulthood
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Sample Questions
Q1) For older adults,a number of health-related concerns should be addressed.The nurse incorporates this information to meet the needs of the older adult patient.Which of the following statements accurately reflects data that the nurse should use in planning care?
A) Approximately 50% of adults older than 65 years have two chronic health problems.
B) Cancer is the most common cause of death among older adults.
C) The nutritional needs of older adults are affected by older adults' levels of activity and by clinical conditions.
D) Adults older than 65 years make up the lowest percentage of users of prescription medications.
Q2) A patient has been recently diagnosed with Alzheimer's disease.When teaching the family about the prognosis,what must the nurse explain?
A) The disease usually progresses gradually, with a deterioration of function.
B) Many individuals can be cured if the diagnosis is made early.
C) Diet and exercise can slow the process considerably.
D) Few patients live more than three years after the diagnosis.
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Chapter 25: Self-Concept
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Sample Questions
Q1) The nurse is working with a client who is manifesting behaviours that are consistent with a negative self-concept.The nurse has observed that the client demonstrates which of the following behaviours?
A) Frequent eye contact
B) A passive attitude
C) Independence in self-care
D) An interest in the surroundings
Q2) Which of the following terms refers to an individual's overall sense of self-worth?
A) Self-concept
B) Body image
C) Self-esteem
D) Identification
Q3) Which of the following assessment findings would alert the nurse that a client may have an altered self-concept?
A) Upright posture
B) Prolonged eye contact
C) Difficulty with decision making
D) Openly expressing views and opinions
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Chapter 26: Sexuality
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Sample Questions
Q1) The nurse is conducting a sexual history with a patient who is scheduled for cardiac surgery.The patient tells the nurse that he is nervous about resuming sexual activities.Which of the following responses by the nurse indicates that he or she is using therapeutic communication with the patient?
A) "You can have sexual intercourse after your surgery, but there are serious risks."
B) "Your partner will be nervous about resuming sexual activities, but that is normal."
C) "Don't worry. In about two months you will be able to return to your normal sexual patterns."
D) "You are expressing a very normal concern; perhaps we could discuss your feelings further."
Q2) 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.
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Chapter 27: Spiritual Health
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Sample Questions
Q1) Which of the following is an intervention that will facilitate connectedness?
A) Restrict visits from pets.
B) Place memorabilia in the patient's view.
C) Avoid physical touch and massage.
D) Implement relevant rituals and traditions.
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.
Q3) Hope may be used effectively with patients who have terminal diseases.Hope is a common theme with which of the following?
A) A relationship with a divinity
B) A system of organized beliefs
C) Cultural connectedness
D) Meaning and purpose
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Chapter 28: The Experience of Loss, death, and Grief
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Sample Questions
Q1) 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
Q2) Which of the following is the primary concern of the nurse in providing care to a dying patient?
A) Promoting optimism in the patient and being a source of encouragement
B) Intervening in the patient's activities of daily living to allow the patient to focus on his or her emotional state
C) Allowing the patient to be alone and expecting isolation on the part of the dying person
D) Selecting interventions designed to maintain the patient's dignity and self-esteem
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Chapter 29: Stress and Adaptation
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Sample Questions
Q1) Which of the following is an example of a situational factor that affects the types of potential stressors and coping mechanisms?
A) Divorce
B) Death of a parent
C) Employment promotion
D) Living with continued violence
Q2) 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
Q3) PTSD is diagnosed when symptoms have lasted for at least how long?
A) One week
B) One month
C) Six months
D) One year
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Page 31
Chapter 30: Vital Signs
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/36972
Sample Questions
Q1) Which of the following describes the correct placement of a blood pressure cuff on an adult patient?
A) 1.5 cm below the antecubital space
B) Over the elbow
C) 2.5 cm above the popliteal space
D) Over clothes and above the level of the heart
Q2) What is the ideal site to use to measure oxygen saturation in a patient with tremors?
A) Thumb
B) Earlobe
C) Middle digit
D) Single-use skin probe taped to the abdomen
Q3) The patient comes to the emergency department after having been in the sun for an extended period.The nurse also determines that the patient is taking a diuretic.Heatstroke is suspected.For which of the following does the nurse observe?
A) Diaphoresis
B) Confusion
C) Temperature of 36ºC
D) Decreased heart rate
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Chapter 31: Health Assessment and Physical Examination
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/36974
Sample Questions
Q1) The nurse instructs the male patient that which one of the following is the protocol for testicular self-examination?
A) Perform the examination annually after age 35 years.
B) Using both hands, roll the testicles and feel the consistency.
C) Perform the examination before bathing or showering.
D) Contact the physician if a cordlike structure is felt on the top and back of the testicle.
Q2) During an assessment of the patient's integument,the nurse notes a flat,nonpalpable change in skin colour that is smaller than 1 cm.How is this finding documented by the nurse?
A) Macule
B) Papule
C) Vesicle
D) Nodule
Q3) 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
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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) Which of the following is true in regard to documentation of hand hygiene?
A) Presence of dermatitis should be documented.
B) Document use of soap versus alcohol-based solution.
C) It is not necessary to record anything about hand hygiene.
D) Evaluate the handwashing facilities available if they are inadequate.
Q2) The nurse is observing a new staff member work with the patient.Of the following activities,which one has the greatest possibility of contributing to a nosocomial infection and requires correction?
A) Washing hands before applying a dressing
B) Taping a plastic bag to the bed rail for tissue disposal
C) Placing a Foley catheter bag on the bed when transferring a patient
D) Using alcohol to cleanse the skin before starting an intravenous line
Q3) Which of the following stages of infection is characterized by the onset of nonspecific signs and symptoms progressing to more specific symptoms?
A) Illness stage
B) Prodromal stage
C) Incubation period
D) Convalescence
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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 patient receiving an intravenous (IV)infusion of morphine sulphate begins to experience respiratory depression and decreased urine output.How is this effect described?
A) Therapeutic
B) Toxic
C) Idiosyncratic
D) Allergic
Q2) The nurse administers the IM medication of iron by the Z-track method.Why was this method used?
A) To provide faster absorption of the medication
B) To reduce discomfort from the needle
C) To provide a more even absorption of the drug
D) To prevent the drug from irritating sensitive tissue
Q3) The nurse is documenting administration of a medication that is given at 10:00 A.m., 2:00 p.m., and 6:00 p.m. Which of the following medications is the nurse documenting?
A) Morphine sulphate, 10 mg q4h prn
B) Propranolol (Inderal), 10 mg orally BID
C) Diazepam, 5 mg orally TID
D) Cephalexin (Keflex), 500 mg orally q8h
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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) In selecting an appropriate alternative therapy,the nurse knows that the patient who has migraine headaches may benefit the most from which of the following therapies?
A) Meditation
B) Imagery
C) Biofeedback
D) Relaxation therapy
Q2) When teaching a patient how to do modified autogenic relaxation,the nurse says to the patient,"Say to yourself,'My abdomen' while you are breathing in." What does the nurse tell the patient to say to him- or herself when breathing out?
A) "Is cool."
B) "Is free and easy."
C) "Is quiet and still."
D) "Is loose and warm."
Q3) Which of the following is considered a whole medical system?
A) Ayurveda
B) Herbal remedies
C) Homeopathic medicine
D) Vitamin and mineral therapy
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36
Chapter 35: Activity and Exercise
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36982
Sample Questions
Q1) During a musculoskeletal assessment of a 20-month-old toddler,which of the following does the nurse expect to observe?
A) A swayback and outwardly turned feet
B) A spine that is flexed and lacking anteroposterior curves
C) Widened hips and fat deposits on the thighs and buttocks
D) A stance with moderately spaced foot placement and a slightly rounded abdomen
Q2) 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.
Q3) Which of the following is a physiological factor that may affect physical activity tolerance?
A) Pain
B) Anxiety
C) Gender
D) Chemical addiction
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Page 37
Chapter 36: Safety
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36984
Sample Questions
Q1) An older adult patient in a long-term care facility drops his burning cigarette in a garbage can and starts a fire.What is the most appropriate type of fire extinguisher for the nurse to use in this instance?
A) Type A
B) Type B
C) Type C
D) Type D
Q2) 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
Q3) 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
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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) To administer oral care to a semicomatose patient,the nurse should place the patient in which of the following positions?
A) Reverse Trendelenburg's
B) High Fowler's with the head to the side
C) Side-lying with the head turned toward the dependent side
D) Supine with the neck slightly forward
Q2) The nurse notes that the older adult patient in his or her care has dry,flaky skin on her hands,face,arms,and legs.Which of the following does the nurse know is true about bathing older adult patients?
A) They may require bathing more frequently because they tend to keep their surrounding environment quite warm.
B) They may require bathing less frequently than younger patients because of dry skin.
C) They require bathing with strong soap due to issues with incontinence.
D) They require bathing with very hot water and vigorous rubbing to remove dead skin cells.
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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) The nurse is working on a respiratory care unit in the hospital.On entering the room of a patient with emphysema,the nurse notes that the patient is experiencing respiratory distress.Which of the following actions should the nurse take?
A) Instruct the patient to breathe rapidly.
B) Provide oxygen at 2 L per minute via nasal cannula.
C) Immediately place the patient in the supine position.
D) Contact the physician.
Q2) The patient with a chronic obstructive respiratory disease is receiving oxygen via a nasal cannula.The nurse plans to include which of the following interventions in the patient's care?
A) Assess nares for skin breakdown every 6 hours.
B) Check patency of the cannula every 2 hours.
C) Inspect the mouth every 6 hours.
D) Check oxygen flow every 24 hours.
Q3) Which of the following is responsible for the voluntary control of respirations?
A) Chemoreceptors
B) Cerebral cortex
C) Medulla oblongata
D) Chemical regulation
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) Which of the following is of great importance for the nurse to check before administering an IV solution with potassium that is prescribed for the patient?
A) Check for weakness.
B) Assess renal function.
C) Evaluate deep tendon reflexes.
D) Initiate seizure precautions.
Q2) When initiating peripheral IV therapy,where does the nurse place the tourniquet in relation to the proposed insertion site?
A) 5 to 10 cm above
B) 5 to 10 cm below
C) 10 to 15 cm above
D) 10 to 15 cm below
Q3) When inserting a butterfly needle to initiate peripheral IV therapy in a patient,at what angle,in relation to the patient's skin,would the nurse place the needle before insertion?
A) 5 to 10 degrees
B) 10 to 30 degrees
C) 30 to 45 degrees
D) 45 to 60 degrees
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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) The nurse is discussing sleep habits with the patient in the sleep assessment clinic.Of the following activities performed before sleeping,the nurse informs the patient that which one of the following can potentially interfere with the patient's sleep?
A) Listening to classical music
B) Finishing office work
C) Reading novels
D) Drinking warm milk
Q2) A patient who is currently taking a diuretic should be informed by the nurse that he or she may experience which of the following effects?
A) Nocturia
B) Nightmares
C) Increased daytime sleepiness
D) Reduced REM sleep
Q3) Which of the following is an effective brief method for assessing sleep quality?
A) Sleep history
B) Sleep monitor
C) Visual analogue scale
D) Sleep questionnaire diary
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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) The nurse working with patients in pain needs to recognize and avoid common misconceptions and myths about pain.With respect to the pain experience,which of the following is correct?
A) The patient is the best authority on the pain experience.
B) Chronic pain is mostly psychological in nature.
C) Regular use of analgesics leads to drug addiction.
D) The amount of tissue damage is accurately reflected in the degree of pain perceived.
Q2) Which of the following is true regarding chronic pain?
A) It cannot be intermittent pain.
B) Is not experienced in childhood.
C) It can lead to great personal suffering.
D) It is usually experienced with all forms of cancer.
Q3) Which of the following does the nurse realize is a frequent response of patients to chronic pain?
A) Depression
B) Hypertension
C) Nausea and vomiting
D) Pallor
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43
Chapter 42: Nutrition
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36996
Sample Questions
Q1) When advancing the rate of enteral tube feedings,what is the incremental volume used to achieve the required nutritional intake in six to eight feedings per day?
A) 25 mL
B) 50 mL
C) 75 mL
D) 100 mL
Q2) Food safety is a concern presented by a group of adults attending the community health clinic.The participants tell the nurse that they have seen a lot of reports on television about Escherichia coli and how dangerous it can be.When asked where the bacteria come from,which one of the following does the nurse identify as a potential source of E.coli?
A) Sausage
B) Soft cheeses
C) Milk products
D) Ground beef
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Chapter 43: Urinary Elimination
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65 Verified Questions
65 Flashcards
Source URL: https://quizplus.com/quiz/36998
Sample Questions
Q1) Which of the following methods is most appropriate to assist a cognitively impaired older adult with bladder training?
A) Self-catheterization
B) Prompted voiding
C) Urinary diary
D) Adult diapers
Q2) The patient is having at least 75% of his nutritional needs met by enteral feeding,so the physician has ordered the PN to be discontinued.However,the nurse notices that the PN infusion has fallen behind.The nurse should
A) Increase the rate to get the volume caught up before discontinuing.
B) Stop the infusion and hang a normal saline drip in place.
C) Taper the PN infusion gradually.
D) Hang 5% dextrose if the PN runs out.
Q3) Which of the following inhibits the release of antidiuretic hormone (ADH)?
A) Tea
B) Cola
C) Coffee
D) Alcohol
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Chapter 44: Bowel Elimination
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64 Verified Questions
64 Flashcards
Source URL: https://quizplus.com/quiz/36999
Sample Questions
Q1) A patient requests the nurse's assistance to the bedside commode and becomes frustrated when unable to void in front of the nurse.The nurse understands the patient's inability to void because
A) Anxiety can make it difficult for abdominal and perineal muscles to relax enough to void.
B) The patient does not recognize the physiological signals that indicate a need to void.
C) The patient is lonely, and calling the nurse in under false pretenses is a way to get attention.
D) The patient is not drinking enough fluids to produce adequate urine output.
Q2) If obstructed,which component of the urination system would cause peristaltic waves?
A) Kidney
B) Ureters
C) Bladder
D) Urethra
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Chapter 45: Mobility and Immobility
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60 Verified Questions
60 Flashcards
Source URL: https://quizplus.com/quiz/37000
Sample Questions
Q1) The patient is getting up for the first time after a period of bed rest.Which of the following actions should the nurse take first?
A) Assess respiratory function.
B) Obtain a baseline blood pressure.
C) Assist the patient to sit at the edge of the bed.
D) Ask the patient if he or she feels lightheaded.
Q2) To reduce the chance of external hip rotation in a patient on prolonged bed rest,the nurse should implement the use of which following device?
A) Footboard
B) Trochanter roll
C) Trapeze bar
D) Bed board
Q3) The nurse knows that the ideal time to change an ostomy pouch is
A) Before eating a meal, when the patient is comfortable.
B) When the patient feels that he needs to have a bowel movement.
C) When ordered in the patient's chart.
D) After the patient has ambulated the length of the hallway.
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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 has a large,deep wound on the sacral region.The nurse correctly packs the wound by doing which one of the following?
A) Filling two-thirds of the wound cavity
B) Leaving saline-soaked folded gauze squares in place
C) Putting the dressing in very tightly
D) Extending only to the surface of the wound
Q2) The patient has rheumatoid arthritis,is prone to skin breakdown,and is also somewhat immobile because of arthritic discomfort.Which of the following interventions is the best one for this patient's skin integrity?
A) Having the patient sit up in a chair for four-hour intervals
B) Keeping the head of the bed in a high Fowler's position to increase circulation
C) Repositioning the patient at least every two hours
D) Encouraging the patient to perform pelvic muscle training exercises several times a day
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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) Which of the following is a common progressive hearing disorder in older adults that results in the inability to hear high-pitched sounds?
A) Otosclerosis
B) Otitis media
C) Presbycusis
D) Meniére's disease
Q2) 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
Q3) Which part of the ear is responsible for transmitting sound to the inner ear?
A) Auditory canal
B) Middle ear
C) External ear
D) Labyrinth
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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) When speaking with the patient,the nurse discovers that the patient does not have a complete understanding of the surgical procedure.Which of the following courses of action should the nurse take?
A) Obtain the consent, as this is expected with preoperative anxiety.
B) Teach the patient all about the procedure.
C) Ask the unit manager to assist with a teaching plan.
D) Inform the surgeon, so that necessary information can be provided to the patient.
Q2) The nurse is evaluating the patient in the hospital's postanaesthesia care unit (PACU)and determines that the Aldrete score is 8.Based on this assessment,which of the following does the nurse anticipate will happen?
A) The patient will be sent to the intensive care unit.
B) The patient will be discharged back to his room on the nursing unit.
C) The patient will remain in the PACU until the score improves.
D) The patient will return to the operating room for surgical evaluation.
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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) 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.
Q2) 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.
Q3) The advent of diagnosis-related groups (DRGs)and capitation has brought about many changes in how health care is provided and paid for.Because of these changes,the nurse is aware that today's managed care system has
A) Insured full coverage of health care costs.
B) Assumed all of the financial risk involved.
C) Allowed providers to focus on illness care.
D) Caused providers to focus on illness prevention.
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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 student nurse is trying to determine what type of nurse she wants to be after graduation.In class,she states that community health nursing is probably not for her because community nursing focuses only on community issues such as preventing epidemics.The instructor's most appropriate response would be that community health nursing
A) Focuses on the health care of individuals, families, and groups in a community.
B) Focuses only on the health of a specific subgroup in a community.
C) Requires an advanced nursing degree, so the student need not worry.
D) Focuses only on maintaining the health of the community.
Q2) 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.
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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) Many aspects of nursing theory are based on developmental theories because human growth and development is believed to be
A) Erratic and difficult to predict.
B) An orderly predictive process.
C) An orderly process until adulthood.
D) Unpredictable during childhood.
Q2) The student nurse is learning nursing theories but fails to see how they relate to the nursing process.The professional nurse realizes that nursing theory
A) Has a minor role in professional nursing.
B) Requires the nursing process to develop knowledge.
C) Can direct how a nurse uses the nursing process.
D) is specific to certain patients only.
Q3) As the initial model for nursing,Nightingale's "descriptive theory" encouraged nurses to
A) Know all about the disease processes affecting their patient.
B) Think about their patients and patients' environment.
C) Combine nursing knowledge with medicine.
D) Focus on medication administration and treatments.
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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 first step in evidence-based practice is to ask a clinical question.In doing so,the nurse needs to realize that in researching interventions,the question
A) Is more important than its format.
B) Will lead you to hundreds of articles that must be read.
C) May be easier if in PICO format.
D) May be more useful the more general it is.
Q2) The nurse is trying to identify common general themes relative to the effectiveness of cardiac rehabilitation for patients who have had heart attacks and have gone through cardiac rehabilitation programs.The nurse conducts interviews and focus groups.What type of research is the nurse conducting?
A) Evaluation research
B) Experimental research
C) Qualitative research
D) Nonexperimental research
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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Page 54
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 patient had a colostomy placed 1 week ago.When approached by the nurse,the patient and his wife refuse to talk about it and refuse to be taught about how to care for it.The nurse realizes that the patient and his wife are in which stage of adjustment?
A) Shock
B) Withdrawal
C) Acceptance
D) Rehabilitation
Q2) The nurse is preparing a smoking cessation class and is amazed at how many people still smoke even with the information on lung cancer so readily available.She believes that her class will convert many smokers to nonsmokers once they get all the latest information.The nurse is a believer in which of the following health care models?
A) Health Belief Model
B) Health Promotion Model
C) Basic Human Needs Model
D) Holistic Health Model
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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 patient is to have thoracentesis at the bedside but tells the nurse that he is afraid and would like to cancel.The nurse sits with the patient and asks him to describe his fears.She then explains the procedure and assures the patient that she will be with him during the procedure.The patient agrees to have the procedure,and during the procedure,the nurse stays with the patient,explaining each step and providing encouragement.How has the nurse helped this patient?
A) Providing a presence
B) Listening
C) Providing touch
D) Providing family care
Q2) The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis.The nurse caring for the patient underwent a similar procedure a few years earlier and stops to listen to the patient's concerns.Which of the following responses by the nurse may be most beneficial?
A) "I had a similar procedure last year and I can tell you what I went through."
B) "I don't think you have anything to worry about. They do lots of these."
C) "If you're really concerned, I can call the doctor and cancel the procedure."
D) "Of course there are no guarantees, but I think you'll be all right."
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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 young woman with breast cancer.The stress between the woman and her husband is obvious,as is anxiety among the children.What is the nurse's best action in this situation?
A) Help find or develop an educational program for the patient and her husband.
B) Encourage the patient to agree with her husband even if she disagrees.
C) Support the husband, and explain that the husband knows what's best.
D) Take the children away and recommend foster care.
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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Chapter 57: Culture and Ethnicity
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20 Flashcards
Source URL: https://quizplus.com/quiz/36929
Sample Questions
Q1) The nurse is caring for a Native American who has had recent surgery.In the patient's culture,it is a sign of weakness to complain of pain.In the nurse's culture,people who are having pain ask for pain medicine.The nurse has assumed that the patient has not been having pain and does not need medication because he has not complained of pain.What is the nurse doing?
A) Utilizing cultural imposition by not asking the patient about his pain
B) Striving to provide culturally congruent care by allowing the patient to suffer
C) Operating from an emic worldview of the patient's cultural beliefs
D) Practicing discrimination by not giving the patient pain medicine
Q2) The nurse is caring for a Chinese patient who is reluctant to answer questions about her health background.The nurse asks the patient if she would like her husband present when health questions are asked.The nurse does this knowing that the Chinese culture is a collectivistic and patrilineal culture.What does this mean?
A) Kinship extends to both the father's side and the mother's side of the family.
B) Kinship is limited to the side of the father.
C) Kinship is limited to the side of the mother.
D) The husband becomes part of the wife's clan after marriage.
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Page 58
Chapter 58: Caring for Families
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16 Flashcards
Source URL: https://quizplus.com/quiz/36931
Sample Questions
Q1) Although the family as a whole differs from individual members,the measure of family health is more than a summary of the health of all members.Of the following,what areas are unique to family assessment?
A) Family form
B) Family structure
C) Family function
D) Family health
E) Individual health
Q2) 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.
Q3) 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.
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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) While assessing an 18-month-old toddler,the nurse distinguishes normal from abnormal findings by remembering that Gesell's theory of development states
A) "The developmental stage of the toddler is affected solely by environmental influence."
B) "Developmental patterns are not affected by gene activity."
C) "Skill development should be identical to that of other toddlers in the playroom."
D) "Environmental influence does not affect the sequence of development."
Q2) Which of these statements would be most appropriate for a nurse to state when assessing an adult patient for growth and developmental delays?
A) "How many times per week do you exercise?"
B) "Are you able to stand on one foot for 5 seconds?"
C) "Would you please describe your usual activities during the day?"
D) "How many hours a day do you spend watching television or sitting in front of a computer?"
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Chapter 60: Conception Through Adolescence
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/36935
Sample Questions
Q1) The nurse should instruct the parents of an adolescent about which of the following health concerns?
A) Signs of substance abuse
B) Suicide prevention
C) Safe sex practices
D) Pregnancy
E) Gonadotropic hormone stimulation
F) Voice changes
Q2) The nurse is observing his 2-year-old hospitalized patient in the playroom.The nurse is most likely to observe the child
A) Participating as the leader of a small group activity.
B) Sitting beside another child while playing with blocks.
C) Separating building blocks into groups by size and color.
D) Seeking out same sex children to play with.
Q3) The priority assessment immediately after birth is to
A) Assess infant-parent interactions.
B) Promote parent-newborn physical contact.
C) Open the airway.
D) Assess gestational age.
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Page 61
Chapter 61: Young and Middle Adults
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20 Verified Questions
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) When providing prenatal care,what information does the nurse expect to provide?
A) Protecting against urinary infection
B) No longer needing condoms
C) Exercise patterns
D) Proper diet
E) Physical assessments only during the last trimester
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Chapter 62: Older Adults
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/36939
Sample Questions
Q1) An outcome for an older adult patient living alone is to be free from falls.Which of these statements by a patient indicates that teaching on safety concerns has been effective?
A) "I'll leave my throw rugs in place so that my feet won't touch the cold tile."
B) "I'll take my time getting up from the bed or chair."
C) "I should wear my favorite smooth bottom socks to protect my feet when walking around."
D) "I will have my son dim the lighting outside to decrease the glare in my eyes."
Q2) 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.
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63
Chapter 63: Critical Thinking in Nursing Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36941
Sample Questions
Q1) Professional standards influence a nurse's clinical decisions by
A) Bypassing the patient's feelings to promote ethical standards.
B) Establishing minimal passing standards for testing.
C) Requiring the nurse to use critical thinking for the highest level of quality nursing care.
D) Utilizing evidence-based practice based on nurses' needs.
Q2) A new nurse is pulled from the surgical unit to work on the oncology unit.The nurse displays the critical thinking attitudes of humility and responsibility by
A) Refusing the assignment.
B) Asking for an orientation to the unit.
C) Assuming that patient care will be the same as on the other units.
D) Admitting lack of knowledge and going home.
Q3) Critical thinking characteristics include
A) Considering what is important in a given situation.
B) Accepting one, established way to provide patient care.
C) Making decisions based on intuition.
D) Being able to read and follow physician's orders.
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Chapter 64: Nursing Assessment
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Source URL: https://quizplus.com/quiz/36943
Sample Questions
Q1) Which of the following are examples of subjective data?
A) Patient describing excitement about discharge
B) Patient's wound appearance
C) Patient's expression of fear regarding upcoming surgery
D) Patient pacing the floor while awaiting test results
E) Patient's temperature
Q2) The nurse begins a shift assessment by examining a surgical dressing that is saturated with serosanguineous drainage on a patient who had open abdominal surgery yesterday (or 1 day ago).The nurse is performing what type of assessment approach in this situation?
A) Comprehensive assessment using Gordon's Functional Health Patterns
B) General to specific assessment
C) Activity-exercise pattern assessment
D) Problem-oriented assessment
Q3) Components of a nursing health history include
A) Current treatment orders.
B) Nurse's concerns.
C) Nurse's goals for the patient.
D) Patient expectations.
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Page 65
Chapter 65: Nursing Diagnosis
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19 Flashcards
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) A patient of Middle Eastern descent has lost 5 lbs during hospitalization and states that the food offered is not allowed in his diet owing to religious preferences.Based on this information,an appropriate nursing diagnostic statement is Imbalanced nutrition: less than body requirements related to
A) Religious preferences.
B) Decreased oral intake.
C) Weight loss.
D) Race and ethnicity.
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66
Chapter 66: Planning Nursing Care
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Source URL: https://quizplus.com/quiz/36947
Sample Questions
Q1) Which of the following options correctly explains what the nurse should do with the plan of care for a patient after it is developed?
A) Place the original copy in the chart, so it cannot be tampered with or revised.
B) Communicate the plan of care to all health care professionals involved in the patient's care.
C) Send the plan of care to the administration office to be filed.
D) Send the plan of care to quality assurance for review.
Q2) Which of these outcomes would be most appropriate for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications?
A) Patient will have one soft, formed bowel movement by end of shift.
B) Patient will not take any pain medications this shift.
C) Patient will walk unassisted to bathroom by the end of shift.
D) Patient will not take laxatives or stool softeners this shift.
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Chapter 67: Implementing Nursing Care
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Source URL: https://quizplus.com/quiz/36949
Sample Questions
Q1) Before implementing care,the nurse needs to ensure that which resources are available?
A) Equipment
B) Safe environment
C) Patient readiness
D) Assistive personnel
E) Creativity
Q2) The nurse inserts an intravenous catheter using the correct technique and following the recommended steps according to standards of care and hospital policy.This is demonstrating which type of implementation skill?
A) Cognitive
B) Interpersonal
C) Psychomotor
D) Judgmental
Q3) Which intervention is most appropriate for a patient who has a new onset of chest pain?
A) Administer a prn medication for pain.
B) Reassess the patient because of the change in condition.
C) Notify the health care provider.
D) Call radiology for a portable chest x-ray.
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Chapter 68: Evaluation
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Source URL: https://quizplus.com/quiz/36951
Sample Questions
Q1) The nurse is caring for a patient who has an open wound.When evaluating the progress of wound healing,what is the nurse's priority action?
A) Ask the nursing assistive personnel if the wound looks better.
B) Document the progress of wound healing as "better" in the patient's chart.
C) Measure the wound and observe for redness, swelling, or drainage.
D) Leave the dressing off the wound for easier access and more frequent assessments.
Q2) The nurse is caring for a patient who has an order to change a dressing twice a day,at 0600 and 1800.At 1400,the nurse notices that the dressing is saturated.What is the nurse's next action?
A) Wait and change the dressing at 1800 as ordered.
B) Revise the plan of care and change the dressing now.
C) Reassess the dressing and the wound in 1 hour.
D) Discontinue the plan of care.
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Chapter 69: Managing Patient Care
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Source URL: https://quizplus.com/quiz/36953
Sample Questions
Q1) Which of these approaches would be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?
A) Evaluate the effectiveness of all tasks when all tasks are completed.
B) Delegate tasks the nurse does not like doing.
C) Do as much as possible by oneself before seeking assistance from others.
D) Complete one task before starting another task.
Q2) A charge nurse should instruct a new nurse taking care of a patient with hypercholesterolemia to make which of these lifestyle modifications?
A) High-protein, high-fat diet
B) Decreased walking frequency from three times to two times a week
C) Discontinuation of antihypertensive medications
D) Smoking cessation
Q3) In which nursing care model is the RN usually appointed the position of group leader?
A) Total patient care
B) Primary nursing
C) Team nursing
D) Case management
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Chapter 70: Ethics and Values
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Source URL: https://quizplus.com/quiz/36955
Sample Questions
Q1) The patient tells the nurse that she is afraid to speak up regarding her desire to end care for fear of upsetting her husband and children.Which principle in the nursing code of ethics ensures that the nurse will promote the patient's cause?
A) Responsibility
B) Advocacy
C) Confidentiality
D) Accountability
Q2) 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) Determinations regarding quality of life are
A) Based on a person's ability to act according to ethical principles.
B) Based on a patient's self-determination.
C) Value judgments that can vary from person to person.
D) Consistent and stable over the course of one's lifetime.
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Chapter 71: Legal Implications in Nursing Practice
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Source URL: https://quizplus.com/quiz/36957
Sample Questions
Q1) A patient has just been told that he has approximately six months to live and asks about advance directives.Which statements by the nurse give the patient correct information?
A) "You have the right to refuse treatment at any time."
B) "If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at the time, you need to complete documents ahead of time that give your health care provider this information."
C) "You will be resuscitated at any time to allow you the longest length of survival."
D) "You might want to think about choosing someone who will make medical decisions for you in the event that you are unable to make your desires known."
E) "We will get someone who knows the state's guidelines to assist you in setting up your living will."
F) "If you travel to another state, your living will should cover your wishes."
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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) 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.
Q2) A nurse wants to present information about flu immunizations to the elderly in the community.Which type of communication should the nurse use?
A) Interpersonal
B) Public
C) Transpersonal
D) Small group
Q3) A nurse and patient take action to meet health-related goals.The nurse is in which phase of the helping relationship?
A) Pre-interaction
B) Orientation
C) Working
D) Termination
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73
Chapter 73: Patient Education
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/36961
Sample Questions
Q1) Which situation indicates to the nurse that the patient is ready to learn?
A) A patient has sufficient upper body strength to move from a bed to a wheelchair.
B) A patient has the ability to grasp and apply the elastic bandage.
C) A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.
D) A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.
Q2) While preparing a teaching plan,the nurse described what the learner will be able to accomplish after the teaching session.Which action did the nurse complete?
A) Developed learning objectives
B) Provided positive reinforcement
C) Implemented interpersonal communication
D) Presented facts and knowledge
Q3) Which action best indicates that learning has occurred?
A) A nurse presents information about diabetes.
B) A patient demonstrates how to inject insulin.
C) A family member listens to a lecture on diabetes.
D) A primary care provider hands a diabetes pamphlet to the patient.
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Chapter 74: Documentation and Informatics
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/36963
Sample Questions
Q1) A nurse 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
Q2) A nurse has taught the staff about informatics.Which statement indicates that the staff needs more education?
A) If a nurse has computer competency, the nurse is competent in informatics.
B) To be proficient in informatics, a nurse should be able to discover, retrieve, and use information in practice.
C) A nurse needs to know how to acquire, critique, and apply scientific evidence from literature databases.
D) Nursing informatics integrates nursing science, computer science, and information science to manage and communicate information in nursing practice.
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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 nurse is instructing the student nurse regarding discharge teaching and medications.Which response by the student would indicate that learning has occurred?
A) "I need to be precise when teaching a patient about Zyprexa (olanzapine) and Zyrtec (cetirizine)."
B) "The medications can be picked up at the pharmacy on the way out of the hospital."
C) "I need to be sure to give the patient leftover medications from the medication drawer."
D) "I need to remember to teach the patient to take all medications at the same time of the day."
Q2) A homeless adult patient presents to the emergency department.The nurse obtains the following vital signs: temperature 94.8° F,blood pressure 100/56,apical pulse
56,respiratory rate 12.Which of the vital signs should be addressed immediately?
A) Respiratory rate
B) Temperature
C) Apical pulse
D) Blood pressure
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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 has been caring for a patient in the perioperative area for several hours.The surgical mask the nurse is wearing has become moist.The nurse's best next step is to
A) Change the mask when relieved.
B) Air-dry the mask while at lunch, and reapply.
C) Ask for relief, step out of the surgical area, and apply a new mask.
D) Not change the mask, if the nurse is comfortable.
Q2) The nurse is caring for a patient in labor and delivery.When near completing an assessment of the patient for dilatation and effacement,the electronic infusion device being used on the intravenous infusion alarms.Which of these actions is most appropriate for the nurse to take?
A) Complete the assessment, remove gloves, and silence the alarm.
B) Discontinue the assessment, and assess the intravenous infusion.
C) Complete the assessment, remove gloves, wash hands, and assess the intravenous infusion.
D) Discontinue the assessment, remove gloves, use hand gel, and assess the intravenous infusion.
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Chapter 77: Vital Signs
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46 Flashcards
Source URL: https://quizplus.com/quiz/36969
Sample Questions
Q1) The patient is admitted with shortness of breath and chest discomfort.Which of the following laboratory values could account for the patient's symptoms?
A) Hemoglobin level of 8.0
B) Hematocrit level of 45%
C) Red blood cell count of 5.0 million/mm3
D) Pulse oximetry of 90%
Q2) When focusing on temperature regulation of newborns and infants,the nurse understands that
A) Temperatures are basically the same for infants and older adults.
B) Infants have well-developed temperature-regulating mechanisms.
C) The normal temperature range gradually increases as the person ages.
D) Newborns need to wear a cap to prevent heat loss.
Q3) The nurse is caring for an elderly patient and notes that his temperature is 96.8° F (36° C).She understands that this patient is
A) Suffering from hypothermia.
B) Expressing a normal temperature.
C) Hyperthermic relative to his age.
D) Demonstrating the increased metabolism that accompanies aging.
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Chapter 78: Health Assessment and Physical Examination
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40 Flashcards
Source URL: https://quizplus.com/quiz/36971
Sample Questions
Q1) An elderly patient is being seen for a chronic entropion.The nurse realizes that entropion places the patient at risk for which of the following?
A) Ectropion
B) Infection
C) Exophthalmos
D) Strabismus
Q2) A nurse identifies Pediculosis humananus capitis.Considering the possible complications of treatment,the nurse knows to not use which of the following treatment products?
A) Fine-toothed comb
B) Pediculicide
C) Lindane-based shampoo
D) Vinegar hair rinse
Q3) The patient is a 54-year-old male with a medium frame.He weighs 148 pounds and is 5 feet 8 inches tall.The nurse realizes that this patient is
A) Overweight.
B) Underweight.
C) At his desired weight.
D) Obese.
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Page 79
Chapter 79: Medication Administration
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Sample Questions
Q1) A provider has ordered a STAT medication to be administered.The nurse knows that the best route of administration is
A) IV.
B) IM.
C) SQ.
D) PO.
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 nurse realizes which patient is at greatest risk for an unintended synergistic effect?
A) 72-year-old who is seeing four different specialists
B) 4-year-old who has mistakenly taken the entire packet of his mother's birth control pills
C) 50-year-old who was prescribed a second blood pressure medication
D) 35-year-old drug addict who has ingested meth mixed with several household chemicals
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Chapter 80: Complementary and Alternative Therapies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/36975
Sample Questions
Q1) A patient describes practicing a complementary and alternative therapy involving concentrating and controlling his respiratory rate and pattern,recognizing that breath work is to yoga as
A) The "zone" is to acupressure.
B) Massage therapy is to Ayurveda.
C) Reiki therapy is to therapeutic touch.
D) Prayer is to tai chi.
Q2) The complementary and alternative therapy that is known to alter immune function is which of the following?
A) Biofeedback
B) Imagery
C) Breath work
D) Acupuncture
Q3) The 1994 Dietary Supplement Health and Education Act impacted herbal therapies in what way?
A) Allowed for labeling of herbal medicines as safe
B) Allowed herbs to be sold as dietary supplements
C) Classified herbs as beneficial, harmful, or neutral
D) Classified herbs as "natural" foods
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Page 81
Chapter 81: Self-Concept
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Sample Questions
Q1) While gathering an adolescent's health history,the nurse recognizes that the patient began to act out behaviorally and engage in risky behavior when her parents divorced.In considering an altered self-concept nursing diagnosis,the nurse would gather what information?
A) How long the parents were married
B) How the patient views her behaviors
C) Why the parents are divorcing
D) Why she is acting out of control
Q2) 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
Q3) The nursing student can help geriatric patients' self-concept by using which technique?
A) Discussing current weather
B) Reviewing old photos with patients
C) Encouraging patients to sing
D) Allowing patients extra computer time
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Chapter 82: Sexuality
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23 Flashcards
Source URL: https://quizplus.com/quiz/36979
Sample Questions
Q1) The nurse is leading a seminar about menopause and age-related changes.The nurse knows that a patient does not fully understand the changes of aging when the patient says
A) "I will no longer ovulate after menopause."
B) "Orgasms are no longer achievable after menopause."
C) "Hormones of sexual regulation such as estrogen decrease with age."
D) "As men age, their ability to sexually perform may decrease."
Q2) A nurse is caring for a 35-year-old female patient who recently started taking antidepressants after repeated attempts at fertility treatment.The patient tells the nurse,"I feel happier,but my sex drive is gone." Which nursing diagnosis has the highest priority?
A) Sexual dysfunction
B) Ineffective coping
C) Deficient knowledge about contraception
D) Risk for self-directed violence
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) A complex concept that is unique to each individual; is dependent upon a person's culture,development,life experiences,beliefs,and ideas about life; and is a unifying theme in peoples' lives is called
A) Spirituality.
B) Religion.
C) Self-transcendence.
D) Faith.
Q2) 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.
Q3) In discussing spiritual well-being,the nurse identifies that the vertical dimension involves
A) The positive relationships and connections people have with others.
B) The transcendent relationship between a person and God.
C) Confidence in something for which there is no proof.
D) Providing an attitude of something to live for and look forward to.
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84
Chapter 84: the Experience of Loss, death, and Grief
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Source URL: https://quizplus.com/quiz/36983
Sample Questions
Q1) The palliative team's primary obligation to a patient in severe pain includes which of the following?
A) Supporting the patient's nurse in her grief
B) Providing postmortem care for the patient
C) Teaching the patient the stages of grief
D) Enhancing the patient's quality of life
Q2) A man is hospitalized after surgery that amputated both lower extremities owing to injuries sustained during military service.The nurse should recognize his need to grieve for what type of loss?
A) Maturational loss
B) Situational loss
C) Perceived loss
D) Uncomplicated loss
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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20 Flashcards
Source URL: https://quizplus.com/quiz/36985
Sample Questions
Q1) A woman who was sexually assaulted a month ago presents to the emergency department with complaints of recurrent nightmares,fear of going to sleep,repeated vivid memories of the sexual assault,and inability to feel much emotion.The nurse recognizes the signs and symptoms of which medical problem?
A) General adaptation syndrome
B) Posttraumatic stress disorder
C) Developmental crisis
D) Alarm reaction
Q2) An adult male reports new-onset seizurelike activity.An EEG and a neurology consultant's report rule out a seizure disorder.When considering the ego defense mechanism of conversion,the nurse's next best action would be to
A) Recommend acupuncture.
B) Confront the patient on malingering.
C) Obtain history of any recent life stressors.
D) Recommend a regular exercise program.
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Chapter 86: Activity and Exercise
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/36987
Sample Questions
Q1) The patient has been in bed for several days and needs to be ambulated.Before ambulation,the nurse
A) Removes the gait belt to allow for unrestricted movement.
B) Has the patient get up from bed before he has a chance to get dizzy.
C) Has the patient look down to watch his feet to prevent tripping.
D) Dangles the patient on the side of the bed.
Q2) The patient is admitted with a stroke.The outcome of this disorder is uncertain,but the patient is unable to move his right arm and leg.The nurse understands that
A) Active range of motion is the only thing that will prevent contractures from forming.
B) Passive range of motion must be instituted to help prevent contracture formation.
C) Range-of-motion exercises should be started 2 days after the patient is stable.
D) Range-of-motion exercises should be done on major joints only.
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Chapter 87: Hygiene
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Sample Questions
Q1) The patient has been brought to the emergency department following a motor vehicle accident.The patient is unresponsive.His driver's license states that he needs glasses to operate a motor vehicle,but no glasses were brought in with the patient.The nurse should
A) Assume that the glasses were lost during the accident.
B) Stand to the side of the patient's eye and observe the cornea.
C) Assume that the patient was not wearing glasses while driving.
D) Assume that the ambulance personnel have them.
Q2) The nurse is caring for an unresponsive patient who has a nasogastric tube in place for continuous tube feedings.The nurse assesses the patient's oral hygiene because good oral hygiene
A) Helps prevent gingivitis.
B) May cause glossitis.
C) May lead to halitosis.
D) Causes tongue coating.
Q3) In providing perineal care to a female patient,the nurse should wash
A) Upward from rectum to pubic area.
B) From back to front.
C) From pubic area to rectum.
D) In a circular motion.
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Chapter 88: Oxygenation
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Sample Questions
Q1) The nurse is caring for an African American patient with COPD.The nurse knows that the best location to assess for hypoxia is the
A) Nailbeds.
B) Oral mucosa.
C) Earlobe.
D) Lower extremities.
Q2) Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an elderly patient?
A) Assist patient to cough, turn, and deep breathe every 2 hours.
B) Encourage patient to drink through a straw to prevent aspiration.
C) Discontinue humidification delivery device to keep excess fluid from lungs.
D) Monitor oxygen saturation, and frequently assess lung bases.
Q3) The nurse expects a patient with angina pectoris to
A) Experience feelings of indigestion after eating a heavy meal.
B) Have decreased oxygen saturation during rest.
C) Hypoventilate during periods of acute stress.
D) Complain of tingling in the left arm that lasts throughout the morning.
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Chapter 89: Fluid, electrolyte, and Acid-Base Balance
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Sample Questions
Q1) Which patient is most at risk for sensible water loss?
A) A 7-year-old child with asthma
B) A 24-year-old adult with constipation
C) A 56-year-old patient with gastroenteritis
D) An 80-year-old patient with pneumonia
Q2) 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.
Q3) The nurse is caring for a patient with hyperkalemia.Which body system would be most important for the nurse plan to monitor closely?
A) Gastrointestinal
B) Neurological
C) Cardiac
D) Respiratory
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Chapter 90: Sleep
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Sample Questions
Q1) The nurse is caring for a patient who is having trouble sleeping.To encourage decreased stimulus to the reticular activating system and activation of the bulbar synchronizing region,which actions would the nurse implement?
A) Encourage television for distraction.
B) Encourage relaxed positions.
C) Walk with the patient.
D) Provide a favorite beverage.
Q2) The nurse is caring for a postpartum patient.The patient's labor has lasted over 28 hours within the hospital; the patient has not slept and is disoriented to date and time.What is the most appropriate nursing diagnosis?
A) Impaired parenting
B) Insomnia
C) Ineffective coping
D) Sleep deprivation
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Chapter 91: Pain Management
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Sample Questions
Q1) The nurse is caring for a patient who recently had surgery to repair a hernia.The patient's pain was 7 out of 10 before receiving pain medication.One hour after receiving an oral opioid,the patient ranks his pain at 3 out of 10.The patient asks the nurse why he isn't receiving more pain medication.Which is the nurse's best response?
A) "This medication can be given only every 4 hours. It is not time for you to have any other pain medication right now."
B) "I will notify the health care provider to come perform an assessment if your pain doesn't improve in 30 minutes."
C) "If the pain becomes severe, we may need to transfer you to an intensive care unit."
D) "It can take 2 hours for oral pain medication to work, and your pain is going down. Let's try boosting you up in bed and putting an ice pack on the incision to see if that helps."
Q2) 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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Chapter 92: Mobility and Immobility
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Sample Questions
Q1) Although isometric contractions do not result in muscle shortening,the nurse understands that isometric contractions
A) Result in decreased energy expenditure.
B) Are always desirable regardless of patient condition.
C) Are necessary for the active movement of muscles.
D) Result in increased energy expenditure.
Q2) Correct body alignment reduces strain on musculoskeletal structures and contributes to balance.Balance control is attained by
A) Keeping the body's center of gravity high.
B) Maintaining a wide base of support.
C) Keeping the body's center of gravity low.
D) Maintaining correct body posture.
E) Maintaining immobility to prevent falls.
Q3) What is meant by "concentric tension" of muscles?
A) Increased muscle contraction results in movement.
B) The speed and direction of movement are controlled.
C) Tension causes no shortening or active movement.
D) Tension does not result in isotonic contraction.
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93
Chapter 93: Skin Integrity and Wound Care
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Sample Questions
Q1) The nurse is caring for a patient with a stage II pressure ulcer and as the coordinator of care understands the need for a multidisciplinary approach.The nurse evaluates the need for several consults.Which of the following should always be included in the consults?
A) Registered dietitian
B) Enterostomal and wound care nurse
C) Physical therapist
D) Case management personnel
E) Chaplain
F) Pharmacist
Q2) The wound care nurse visits a patient in the long-term care unit.The nurse is monitoring a patient with a stage III pressure ulcer.The wound seems to be healing,and healthy tissue is observed.How would the nurse stage this ulcer?
A) Stage I pressure ulcer
B) Healing stage II pressure ulcer
C) Healing stage III pressure ulcer
D) Stage III pressure ulcer
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Chapter 94: Sensory Alterations
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Sample Questions
Q1) A new nurse is caring for a patient who is undergoing chemotherapy for cancer.The patient is becoming malnourished because nothing tastes good.Which recommendation by the nurse would be most appropriate for this patient?
A) "Rinse your mouth several times a day to hydrate your taste buds."
B) "Blend foods together in interesting flavor combinations."
C) "Eat soft foods that are easy to chew and swallow."
D) "Avoid adding spices or aromatic ingredients to food to prevent nausea."
Q2) The nurse is caring for a patient with expressive aphasia from a traumatic brain injury.Which desired outcome should be included in the plan of care?
A) Patient will recover full use of speech vocabulary in 1 week.
B) Patient will carry a pen and a pad of paper around for communication.
C) Patient will thicken drinks to prevent aspiration.
D) Patient will communicate nonverbally.
Q3) What is the involuntary motion of retracting the body from painful stimuli?
A) Sensation
B) Reception
C) Perception
D) Reaction
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95
Chapter 49: Nursing Today
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Sample Questions
Q1) 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
Q2) The student nurse has a goal of becoming a certified registered nurse anesthetist (CRNA).It is important for the student to understand that the CRNA
A) Works under the guidance of an anesthesiologist.
B) Manages acute medical conditions.
C) Manages gynecological services such as PAP smears.
D) Must have a PhD degree in anesthesiology.
Q3) The first practicing nurse epidemiologist was
A) Florence Nightingale.
B) Mildred Montag.
C) Clara Barton.
D) Mary Agnes Snively.
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96
Chapter 95: Care of Surgical Patients
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Sample Questions
Q1) The nurse is caring for a postoperative patient with an abdominal incision.A pillow is used during coughing to provide
A) Pain relief.
B) Splinting.
C) Distraction.
D) Anxiety reduction.
Q2) The nurse is preparing for a patient who will be going to surgery.The nurse screens for risk factors that can increase a person's risks in surgery.What risk factors are included in the nurse's screening?
A) Age
B) Nutrition
C) Race
D) Obesity
E) Pregnancy
F) Ambulatory surgery
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