Foundations of Nursing Exam Review
Course Introduction
Foundations of Nursing introduces students to the fundamental concepts, skills, and values necessary for professional nursing practice. The course covers the history and philosophy of nursing, roles and responsibilities of the nurse, and the core principles of patient-centered care. Emphasis is placed on basic nursing skills, safety, ethical and legal considerations, communication, and the nursing process as a systematic approach to patient care. Students will begin to develop clinical reasoning, therapeutic communication techniques, and an understanding of cultural competence, laying the groundwork for further study and practical experience in the nursing field.
Recommended Textbook
Conceptual Foundations The Bridge to Professional Nursing Practice 6th Edition by Elizabeth E. Friberg
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20 Chapters
472 Verified Questions
472 Flashcards
Source URL: https://quizplus.com/study-set/1014 Page 2
Chapter 1: A Brief History of Professional Nursing in the
United States
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/20106
Sample Questions
Q1) Mildred Montag's major contribution to nursing is considered to be
A)encouraging minority women and men to enter nursing.
B)establishing associate degree nursing programs.
C)fighting for improved wages and recognition for nurses.
D)paving the way for the military to use trained nurses.
Answer: B
Q2) Benefits of the apprenticeship model of nursing education included (Select all that apply. )
A)a well-trained graduate nursing hospital staff.
B)opportunities for further education in nursing.
C)providing a skilled but inexpensive workforce.
D)providing working-class women employment.
E)reforms in the care of sick and injured individuals.
Answer: C,D,E
Q3) Florence Nightingale's views about trained nurses were most influenced by her A)experiences in wartime.
B)ideas about sanitation.
C)relationships with physicians.
D)view of education.
Answer: A
Page 3
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Chapter 2: Pathways of Nursing Education
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/20107
Sample Questions
Q1) A high school guidance counselor is working with a student who wants to attend a baccalaureate nursing school.The counselor explains that the main considerations when choosing a nursing program are (Select all that apply. )
A)accessibility.
B)cost.
C)location.
D)program length.
E)quality.
Answer: A,B,E
Q2) In analyzing trends within the profession that are correlated to the rise in baccalaureate nursing (BSN)programs,the nurse historian would outline that A)degree inflation is contributing to the demand for BSN programs.
B)increased social status and pay correspond to education at the college level. C)men in nursing demand an increase in BSN programs compared with other programs. D)the rise in doctorally prepared nurses corresponds to an increase in BSN programs.
Answer: D
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Chapter 3: Beyond Professional Socialization
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/20108
Sample Questions
Q1) An astute practitioner recognizes that the dynamic process of nursing includes which possibilities? (Select all that apply. )
A)Engaged stakeholder: speaking up and establishing leadership within the system
B)Expert learner: engaging in lifelong learning and synthesizing learning into practice
C)Innovation catalyst: developing new technologies and conducting research
D)Interprofessional collaborator: being an advocate to promote systems-level change
E)Reflective practitioner: reflecting on whether or not new knowledge is relevant
Answer: A,B,D
Q2) The faculty member understands that nursing schools contribute strongly to the process of socialization in which ways? (Select all that apply. )
A)Assisting students to commit to nursing values
B)Developing students' understanding of ethics
C)Grading students on professional socialization
D)Helping students develop professional identities
E)Requiring participation in professional organizations
Answer: A,B,D
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Chapter 4: Professional Nursing Roles
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/20109
Sample Questions
Q1) A new nursing manager has created a template for working with role-related problems.The manager's mentor does not feel this is an effective approach to solving these issues.Which statement by the mentor would best explain this position?
A)"As a new manager,you should not be dealing with role stress by yourself."
B)"If you assume role problems will occur,you are inviting them to happen."
C)"Interventions need to be based on specific stresses,not a generic template."
D)"Role problems are usually due to a poor fit between employee and the job."
Q2) In describing what it means to be a nurse,a student tells friends and family that caring in nursing
A)only includes using nonscientific methods when choosing appropriate interventions.
B)is easy to teach by experienced mentors for whom it comes naturally.
C)is overlooked when judging a student's clinical performance.
D)means much more than physically caring for someone's needs.
Q3) The emotional response to an occurrence of role stress is called role
A)ambiguity.
B)conflict.
C)overload.
D)strain.
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Chapter 5: Theories and Frameworks for Professional
Nursing Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20110
Sample Questions
Q1) A nursing student is explaining to his or her family that nursing differs from medicine primarily in that nursing
A)does not consider the patient's environment.
B)is concerned with the wholeness of human beings.
C)primarily involves following doctors' orders.
D)revolves completely around systems theory.
Q2) Using Maslow's hierarchy of needs,which patient should the nurse assess first?
A)Complains of pain of 6 on a scale of 1 to 10
B)Crying after receiving a terminal diagnosis
C)Disoriented and agitated
D)Waiting for discharge teaching
Q3) A nurse in the oncology clinic uses Aguilera's theory of coping to work with patients.After assessing the patient's usual coping strategies and the patient's perception of the event,what action should the nurse take next?
A)Assess for available situational coping supports.
B)Determine if there are concurrent developmental crises.
C)Question the patient's readiness to make needed changes.
D)Work to reduce the perceived threat to the patient.
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Chapter 6: Health Policy and Planning and the Nursing
Practice Environment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/20111
Sample Questions
Q1) A bill has passed both Houses.Before it gets sent to the president,it must be
A)approved by appropriate party chairs.
B)fully financed with appropriations.
C)registered as a pending law to sign.
D)resolved in conference committee.
Q2) A nurse is able to correlate Medicare regulations with which major trend in health care? Medicare has influenced decisions regarding
A)creation of policies related to genetic privacy acts.
B)inclusion of women and children in research studies.
C)purchasing prescription drugs from foreign countries.
D)reimbursement through capitated cost agreements.
Q3) Today's nurse understands that the mission of political action committees (PACs)has changed over the years to become more A)invested in social and corporate agendas.
B)involved at the state rather than the national level.
C)fiscally responsible to the general population.
D)responsive to needs of underserved groups.
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Page 8
Chapter 7: Economic Issues in Nursing and Health Care
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/20112
Sample Questions
Q1) A nurse realizes that nurse-run clinics demonstrate increasing economic value in nursing because they
A)allow these nurses to set their own salaries.
B)create value by filling unmet health needs.
C)focus on nurses' economic competitiveness.
D)provide new job opportunities for nurses.
Q2) A chief nursing officer (CNO)wants to respond to a threatened reduction in nursing positions in a hospital where financial conditions are poor.Which action by the CNO would be best?
A)Compare nurse-patient ratios nationwide,describing the impact of layoffs.
B)Hire a lobbyist to put political pressure on the hospital's administration.
C)Prepare a cost-benefit analysis of the effect of nursing care in that hospital.
D)Use a cost-minimization strategy to show how nursing costs can decrease.
Q3) A nurse performing a technology assessment understands that the results of the assessment will be used to
A)compare different brands of equipment.
B)determine whether up-to-date items are being used.
C)distribute technology evenly across units.
D)make decisions on resource allocation.
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Page 9
Chapter 8: Effective Communication
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20113
Sample Questions
Q1) A nurse and client have been working together for many months,and all goals for their relationship have been met.The nurse notes that the client has cancelled two appointments in a row.In assessing this situation,which statement by the nurse would gather the most important information?
A)"I see you keep cancelling appointments.Is this time inconvenient?"
B)"I'd like to know what you think will happen when you stop seeing me."
C)"Why do you feel uncomfortable talking to me after all this time?"
D)"Would you please explain to me why you keep cancelling appointments?"
Q2) A nurse talking with a patient about a new diagnosis of advanced cancer wishes to encourage the patient to continue speaking without asking direct questions.The patient has not decided whether to have treatment or go on hospice.Which statement by the nurse would best accomplish this goal?
A)"My brother had the same thing,and he did well with treatment."
B)"So you are not sure if you want to try the treatment or not."
C)"Tell me more about what you are thinking about your options."
D)"Uh huh,I see you are having a conflict about having treatment."
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Chapter 9: Think Like a Nurse: Essential Thinking Skills for Professional Nurses
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20114
Sample Questions
Q1) A nurse studying critical thinking theories can generalize the process as A)a reflective process of gathering and evaluating data to choose a course of action. B)one conceptual mechanism for critiquing ideas and establishing goal-oriented care.
C)researching best-practice literature to create care pathways for certain populations. D)using the nursing process to design individualized and specific nursing care plans.
Q2) A preceptor nurse is critiquing the student nurse's outcome statements on a patient's care plan.The preceptor tells the student the most well-written outcome statement is "The patient will
A)ambulate 50 feet with walker by Tuesday."
B)dress self with correct assistive devices."
C)eat majority of meals by 3:00 PM."
D)give self insulin injections as instructed."
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11
Chapter 10: Teaching and Learning in the 21st Century
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/20115
Sample Questions
Q1) A faculty member is experienced and has taught the same material successfully for several semesters.This year's class is having more difficulty than usual.The faculty member would most likely conclude that A)admissions standards may have been relaxed recently.
B)students are less prepared for college than in the past.
C)texts should be updated to reflect enhanced technology. D)unknown barriers exist that are hindering the learning.
Q2) A student nurse is teaching a patient from an unfamiliar culture about diabetic self-care.The patient is willing and able to take blood glucose readings and give insulin injections but will not use the sliding scale insulin protocol the physician has ordered.Which action by the student would be most beneficial?
A)Ask why the patient is unwilling to follow the scale.
B)Assess the patient's health-related value system.
C)Call the physician and ask for a simplified regimen.
D)Have someone else try to teach the sliding scale.
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Chapter 11: Legal Aspects of Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/20116
Sample Questions
Q1) A nurse has been fired for refusing to work the designated number of weekend and holiday shifts each quarter.The nurse protests to the human resources department,saying that unit managers modified this requirement because this nurse has the most seniority on the floor and that therefore,they cannot fire him or her for this.Which statement by the human resources officer best explains the situation?
A)"A court of law will uphold your written contract,not verbal promises."
B)"It doesn't matter how long you have worked here;the rules apply equally."
C)"Unit management does not have the authority to allow these alterations."
D)"You should not have been fired;I would suggest getting a lawyer."
Q2) A nurse is considering becoming an advanced practice nurse (APRN).After studying practice requirements,the nurse concludes that for the RN and the APRN,licensure
A)differs because the APRN license is granted state by state.
B)does not exist for advanced practice nurses.
C)is exactly the same for both types of nurses.
D)varies depending on the region of practice.
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Page 13
Chapter 12: Ethical Dimensions of Nursing and Health Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/20117
Sample Questions
Q1) The nurse explains to a co-worker that in order to practice in an ethical manner,the first thing the nurse must do is to
A)clarify one's own values to be sure they can be helpful in ethical dilemmas
B)find an employer with organizational goals consistent with ethical practice.
C)follow an established set of rules when confronted with an ethics dilemma.
D)understand nursing's role in meeting the professional goals of nursing.
Q2) A nurse is assessing factors that may influence a patient's decision-making ability.Which assessment by the nurse would provide the most useful information?
A)Financial ability to pay for care
B)How long the patient has to decide
C)The patient's current pain level
D)What information is available
Q3) A nursing instructor tells the class the most important ethical principle involved in informed consent is
A)autonomy.
B)beneficence.
C)confidentiality.
D)veracity.
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Chapter 13: Information Management
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20118
Sample Questions
Q1) The student is investigating the use of a citation management program.What advantages do these programs offer? (Select all that apply. )
A)Automatic formatting of citations
B)Creation of a personal database
C)Editing papers written by the student
D)Sharing citations with others
E)Storing and organizing citations
Q2) A student explains to a classmate using an electronic database that the scope note describes
A)best searching strategies for this topic.
B)how far back in time the topic is covered.
C)the breadth of scope of the topic searched.
D)the definition of the term being searched.
Q3) A patient has researched a medical condition on the Internet.The nurse's best response to the patient's questions and concerns is
A)"Have you verified this information with your doctor?"
B)"Quality health information is not available on the web."
C)"What websites did you visit to get this information?"
D)"You can't really trust what you find on the Internet."
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Page 15
Chapter 14: Diversity in Health and Illness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20119
Sample Questions
Q1) A nurse is working with a third-generation Iraqi American and is frustrated that the patient continues to rely on folk healing practices and neglects to take prescribed medication.Another nurse explains that this most likely reflects
A)a lack of understanding on the patient's part about treatment.
B)mistrust of the health system by members of this community.
C)poor language skills despite the patient's third-generation status.
D)the effect of transgenerational transmission of cultural beliefs.
Q2) A nurse is planning a community teaching event on women's health for members of an unfamiliar culture.To create an event that is successful,the best action by the nurse would be to
A)arrange the event at a location that is convenient to attend.
B)have activities for children who attend with their mothers.
C)plan to provide culturally appropriate food and beverages.
D)read about common health problems in this particular group.
Q3) The nurse practicing in a diverse society can consider culture to be A)a society or group that existed in a specific period of time.
B)a learned systems of beliefs,customs,language,and rituals.
C)practices or behaviors associated with specific racial groups.
D)transgenerational world views shared by diverse groups.
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Page 16
Chapter 15: Health and Health Promotion
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/20120
Sample Questions
Q1) A patient needs to lose weight.The nurse has assessed the patient to be in the contemplation stage of Prochaska's transtheoretical model of change.Which intervention by the nurse would be most appropriate?
A)Give the patient a referral to a dietician for teaching.
B)Help the patient devise a log to record all food eaten.
C)Provide information on the benefits of losing weight.
D)Teach the patient small,simple steps for weight loss.
Q2) A patient who smokes has decided to cut down on the number of cigarettes smoked each day and not to go outside with other smokers during work breaks.The nurse can conclude,according to Prochaska's transtheoretical model of change,that this patient is in the stage of A)action.
B)maintenance.
C)precontemplation.
D)preparation.
Q3) The word holism was first used in print by
A)Dorothea Orem.
B)Halbert Dunn.
C)Jan Smuts.
D)Martha Rogers.
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Chapter 16: Genetics and Genomics in Professional Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20121
Sample Questions
Q1) A patient comes to the clinic and is worried about developing a neurological condition seen in the patient's mother and aunt.The best action by the nurse is to
A)conduct a thorough neurological examination on the patient.
B)develop a multigenerational family health history (pedigree).
C)have the patient voice these concerns to the physician.
D)refer the patient to a genetic counselor immediately.
Q2) A patient wants to know where to find a certified genetic counselor.The best response by the nurse would be to refer the patient to
A)a private direct-to-consumer testing company.
B)the Internet to conduct a web-based search.
C)the National Society of Genetic Counselors.
D)the primary care physician for a formal referral.
Q3) The nurse studying genomics explains to another nurse that the era between the 1950s and 1980s was notable for
A)creation of medications tailored to genetics.
B)developing tests for some genetic conditions.
C)passage of a genetic nondiscrimination act.
D)the complete mapping of the human genome.
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Page 18
Chapter 17: Global Rural Nursing Practice
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20122
Sample Questions
Q1) A nurse works in a rural community.Concerning the minority population in rural regions,the best action by the nurse is to
A)determine which American Indian tribes are most populous in this area.
B)invest in a telephone translation service for different languages.
C)learn Spanish and aspects of Hispanic cultural beliefs and practices pertinent to health care.
D)investigate specific health care concerns of African Americans in the Midwest.
Q2) A community nurse working in a rural area is planning programming to meet community needs.Which program option should the nurse develop?
A)Adolescents who need after-school activities
B)Free or reduced cost immunizations for children
C)Mother-parent classes for expectant families
D)Older residents who have chronic illnesses
Q3) The nursing instructor explains that defining "rural" is often difficult because A)agencies use multiple different definitions.
B)everyone's ideas of "rural" are different.
C)there has been no need to define this population.
D)there is no interest in defining this population.
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Chapter 18: Violence Against Women: An Epidemic and a Health Issue
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/20123
Sample Questions
Q1) The nurse assessing women for their risks of becoming victims of intimate partner violence (IPV)knows that which factors increase this risk? (Select all that apply. )
A)Exposure to abuse as a child
B)Harmful use of alcohol
C)Lower educational levels
D)Single-parent family
E)Witnessing IPV between parents
Q2) A nurse has assessed that a woman is a victim of intimate partner violence (IPV).The woman feels safe to go home from the clinic.The priority action by the nurse would be to
A)give the woman resources she can keep with her at all times.
B)help the woman create a safety plan for her and her children.
C)let the woman make phone calls from the clinic telephones.
D)tell the woman that the nurse is available to help her if needed.
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20
Chapter 19: Telehealth
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20124
Sample Questions
Q1) An experienced intensive care unit (ICU)nurse is resisting the implementation of telehealth in the ICU because "we each only have one or two patients and are always available." What action by the manager is best?
A)Explain how telehealth can reduce specific adverse events in ICU patients.
B)Provide education on the advantages of telehealth in the ICU.
C)Remind the staff that telehealth is part of their health care environment.
D)Visit with the nurse and ask why the nurse is so against telehealth.
Q2) The nursing instructor explains different modes of telehealth technology to nursing students,including (Select all that apply. )
A)computer transmission.
B)interactive live videoconferencing.
C)store-and-forward images.
D)voice-only via telephone.
E)voice-over images.
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21
Chapter 20: Patient Safety
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/20125
Sample Questions
Q1) A nurse applying for a job in a hospital notes that administration promotes accurate and timely reporting of errors and near misses.The facility has a multidisciplinary team to analyze this information as it becomes available and design solutions to identified problems.This nurse could infer that
A)nurses in this facility have a high degree of ownership in patient safety.
B)nursing staff has been penalized in the past for reporting safety protocol violations.
C)the hospital has had some significant issues with patient safety in the past.
D)this facility's culture would be considered "immature" related to safety.
Q2) A nurse is explaining to a student that SBAR is a type of
A)format for conducting a debriefing.
B)process for multidisciplinary meetings.
C)standardized patient chart template.
D)structured communication strategy.
Q3) A nursing manager explains to the executive committee that reducing errors requires
A)disciplining staff members who continue to make errors.
B)focusing on systems problems and not blaming individuals.
C)having an anonymous error reporting procedure for staff.
D)holding individuals responsible for the errors they commit.
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