Introduction to Nursing
Textbook Exam Questions
Course Introduction
Introduction to Nursing provides an overview of the foundational concepts, roles, and responsibilities central to the nursing profession. This course explores the history and evolution of nursing, key ethical and legal principles, basic patient care skills, and communication strategies vital to effective practice. Students will become familiar with healthcare systems, interdisciplinary teamwork, and the diverse settings in which nurses work. Through lectures and interactive activities, learners will begin to develop critical thinking, professionalism, and a commitment to lifelong learning essential for a successful nursing career.
Recommended Textbook
Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition by Arnold
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26 Chapters
424 Verified Questions
424 Flashcards
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Page 2
Chapter 1: Theory Based Perspectives and Contemporary Dynamics
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Sample Questions
Q1) Abraham Maslow's needs theory is a framework that A) begins with meeting basic psychosocial needs first.
B) ensures essential needs are satisfied, then people move into higher physiological areas of development.
C) proposes that people are motivated to meet their needs in a descending order.
D) nurses use to prioritize client needs and develop relevant nursing approaches.
Answer: D
Q2) When describing nursing to a group of nursing students,the nursing instructor lists all of the following characteristics of nursing except A) historically nursing is as old as mankind.
B) nursing was originally practiced informally by religious orders dedicated to care of the sick.
C) nursing was later practiced in the home by female caregivers with no formal education.
D) nursing has always been identifiable as a distinct occupation.
Answer: A
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Chapter 2: Professional Guides for Nursing Communication
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Sample Questions
Q1) The nurse demonstrates effective communication by ensuring all of the following except
A) two-way exchange of information among clients and health providers.
B) making sure that unilateral information is exchanged between clients and nurses.
C) making sure that the expectations and responsibilities of all are clearly understood.
D) recognizing that effective communication is an active process for all involved.
Answer: B
Q2) A preoperative assessment shows that a client's hemoglobin level is dropping.The anesthetist orders 3 units of blood to be administered.The nurse administers the first unit before discovering that the client is a Jehovah's Witness,as documented in the record.This is an example of
A) professional conduct.
B) a negligent act.
C) physical abuse.
D) breaching client confidentiality.
Answer: B
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4
Chapter 3: Clinical Judgment and Ethical Decision Making
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Sample Questions
Q1) Which of the following case examples represents the ethical concept of distributive justice?
A) A famous baseball player receives a heart transplant.
B) An older adult who has government insurance is denied standard cancer treatment.
C) During a visit to his physician's office, a client demands antibiotics for his cold and is given a prescription.
D) A client suffering from cirrhosis of the liver is placed on a transplant list.
Answer: B
Q2) The client's values
A) must coincide with those of the nurse.
B) are only considered during assessment.
C) influence the nurse's interventions.
D) are not influenced by culture.
Answer: C
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Chapter 4: Clarity and Safety in Communication
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Sample Questions
Q1) When educating a newly diagnosed client about management of diabetes mellitus,the nurse recognizes that health care-related communication
A) does not lead to errors within the hospital.
B) is generally well understood by most clients.
C) is not an important component of client care.
D) can cause clients to misunderstand information.
Q2) The nurse manager sets a goal to establish a new safety culture on a hospital unit.The nurse manager recognizes that basic components in establishing a new safety culture include
A) support of effective health care teamwork.
B) encouragement of individualism.
C) discouragement of new concepts.
D) promotion of a hierarchical system.
Q3) A nurse recognizes that strategies for clear,accurate communication to promote client safety include which of the following?
A) Establishing a safe environment
B) Maintaining a climate of closed communication
C) Using unique interdisciplinary communication tools
D) Using communication tools that promote vague communication
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Page 6
Chapter 5: Developing Therapeutic Communication Skills
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Sample Questions
Q1) When communicating with clients,the nurse actively uses listening responses.Which of the following types of listening response should the nurse use?
A) Moralizing
B) Giving advice
C) False reassurance
D) Paraphrasing
Q2) When caring for a hospitalized client,the nurse demonstrates effective communication when
A) presenting several ideas at a time.
B) using vocabulary that is unfamiliar to the client.
C) stating key ideas only once.
D) putting ideas in a logical sequence of related material.
Q3) When therapeutically communicating with a client who has just found out he is HIVpositive,the nurse should focus on
A) professional needs.
B) an unlimited time frame for communication.
C) verbal communication only between the client and the nurse.
D) achieving identified health-related goals.
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7
Chapter 6: Variation in Communication Styles
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Sample Questions
Q1) Social cognitive competency refers to
A) the ability to use verbal and nonverbal interventions.
B) understanding the relationships between the roles of the sender and receiver.
C) the ability to interpret message content within interactions from the point of view of each participant.
D) interpreting emotional content by observing body language.
Q2) Message competency refers to which phase of the nursing process?
A) Assessment
B) Planning
C) Intervention
D) Evaluation
Q3) The nurse is assigned to care for a client who has been diagnosed with multiple sclerosis.Which communication behavior will have the most impact on the client?
A) What is said
B) Tone of voice
C) Sense of confidence
D) Verbal message
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Chapter 7: Intercultural Communication
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Sample Questions
Q1) When performing a newborn bath demonstration for the mother of a Native American infant,the nurse should
A) maintain constant eye contact with the mother.
B) anticipate answering many of the mother's questions.
C) ask the mother to stand next to the nurse.
D) deliver verbal instructions in a story-telling format.
Q2) When communicating with a client from Thailand who speaks limited English,the nurse should
A) use technical jargon and complex sentences.
B) recognize nodding as an indicator the client agrees with what the nurse is saying.
C) speak quickly and concisely, using complex words.
D) provide advice in a matter-of-fact, concise manner.
Q3) The nurse is assigned to provide a bed bath to a client who cannot speak English.Which of the following communication tools or strategies should the nurse use?
A) Nonverbal communication
B) Trained interpreter
C) Family member as interpreter
D) Other staff member who speaks the same language
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Chapter 8: Therapeutic Communication in Groups
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Sample Questions
Q1) The group leader states,"Today we discussed some of the issues about taking medications,and each one of you developed a goal in relation to some of the problems you were experiencing.I think it was helpful that some of you were able to share your experiences with other group members." The leader is using the technique of
A) harmonizing.
B) summarizing.
C) encouraging.
D) compromising.
Q2) When a group leader encourages the group members to express their feelings about one another with the stipulation that any concerns the group may have about an individual member or suggestions for future growth should be stated in a constructive way and the group leader summarizes goal achievement,the group has reached which phase of group development?
A) Formative phase
B) Engagement
C) Active intervention
D) Termination
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Chapter 9: Self Concept in Professional Interpersonal
Relationships
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Sample Questions
Q1) The nurse is caring for a client who is anxious about a new diagnosis of cancer.When discussing chemotherapy with the client,the nurse understands that
A) the client will need to be given instructions only once.
B) the client may only hear part of the instructions.
C) emotions obey the rules of logic.
D) a cognitive lack of understanding may occur.
Q2) The nurse is caring for an adolescent client who has had an amputation of his right leg.The client states,"I'm really worried my girlfriend might not want to be with me anymore.I don't look the same." Which of the following concepts is represented in this situation?
A) Role performance
B) Body image
C) Self-esteem
D) Personal identity
Q3) When directing the behavior of clients,it is important for the nurse to A) understand the dimensions of self-concept.
B) become personally involved with each client.
C) learn to control one's feelings.
D) offer limited guidance and support.
Page 11
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Chapter 10: Developing Therapeutic Relationships
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Sample Questions
Q1) The client becomes more self-directed during which of the following phases of the nurse-client relationship?
A) Orientation
B) Preinteraction
C) Identification
D) Working
Q2) Which of the following examples indicates adherence to client confidentiality?
A) Talking about the client's symptoms in front of family members
B) Using the client's name in a social conversation
C) Sharing client information with other members of the health care team as needed
D) Reading a friend's chart on another hospital unit
Q3) The nurse has been working in a long-term care facility for several years.The nurse has decided to leave the facility to work elsewhere.When terminating her relationship with clients,the nurse should
A) prepare clients for termination.
B) inform clients that she will "keep in touch."
C) inform clients that they have benefited from the relationship.
D) discuss feelings with clients during the last encounter.
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Chapter 11: Bridges and Barriers in Therapeutic Relationships
16
16
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Sample Questions
Q1) The nurse knocks on the client's door and waits for the client to answer before entering the room.The nurse is demonstrating
A) nonverbal communication skills.
B) respect for the client's personal space.
C) respect for the client's confidentiality.
D) respect for the client's gender difference.
Q2) Which of the following demonstrates the use of the caring process?
A) Respecting the uniqueness of every client
B) Problem solving for the client
C) Performing tasks for the client
D) Communicating expectations of the health care team
Q3) Which of the following describes caring?
A) It is difficult to demonstrate professionally.
B) It is an ethical responsibility.
C) It is an intuitive process.
D) It is not influenced by past experience.
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13
Chapter 12: Communicating With Families
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Sample Questions
Q1) Regardless of how uniquely they are defined,strong emotional ties and durability of membership characterize
A) family function.
B) family process.
C) family relationships.
D) family ecomap.
Q2) When interviewing the family of a client newly diagnosed with Alzheimer disease,the nurse's primary goal is to help the family members sort out their personal fears and identify family strengths through the use of
A) interventive questioning.
B) genogram.
C) ecomap.
D) offering commendations.
Q3) The nurse-family relationship in client care depends on what type of relationship between the nurse and the family?
A) A dependent relationship
B) A relationship that begins informally
C) A reciprocal relationship
D) A relationship that promotes inequality between the nurse and family
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Page 14
Chapter 13: Resolving Conflicts Between Nurse and Client
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Q1) The nurse's first response in dealing with a conflict situation that involves a client is to
A) understand the context of the situation.
B) impose more controls on the client.
C) gain a clear understanding of one's own personal response.
D) encourage the client to discount statements made by the nurse.
Q2) After fasting from 10 p.m.the previous evening,a client learns that the procedure has been cancelled.The client curses at the nurse and accuses the nurse of being incompetent.The nurse's best response would be
A) "You have no right to say that to me. You are nasty."
B) "I can understand that you're upset, but I feel uncomfortable when I am cursed at."
C) "Perhaps we shouldn't get so angry when things don't work out the way we think they should."
D) to leave the room and refuse to return to answer the call light when the client calls.
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Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of Disease
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Sample Questions
Q1) The personal values and beliefs in one's ability to achieve health behavior changes is known as
A) social incentive.
B) self-efficacy.
C) cognitive motivator.
D) physical motivator.
Q2) The nurse is caring for an older adult client who is newly diagnosed with diabetes and has a low literacy level.Which of the following guidelines for teaching low-literacy clients should the nurse use when working with this client?
A) Teach the largest amount possible in each teaching session.
B) Sequence key behavior information last when teaching the client.
C) Use symbols and images with which the client is familiar.
D) Use words that are abstract and provide teaching in long sentences.
Q3) Which of the following strategies in health education does the U.S.Preventive Services Task Force recommend?
A) Using a standardized teaching format
B) Eliminating established behaviors
C) Offering limited information regarding the purpose of interventions
D) Suggesting small changes rather than large ones
Page 16
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Chapter 15: Health Teaching and Coaching
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Sample Questions
Q1) When the nurse formulates a goal that "the client will be able to accurately draw up the correct dose of insulin," the nurse recognizes this goal as referring primarily to health teaching in which domain?
A) Changing attitudes
B) Psychomotor
C) Understanding content
D) Promoting acceptance
Q2) When initiating health teaching,the nurse recognizes that readiness to learn A) is the same as the cognitive ability to learn.
B) involves a smooth and linear developmental process.
C) requires the nurse to consistently challenge the client's learning pattern.
D) involves incorporation of the client's learning pattern into new opportunities for learning.
Q3) Which of the following is an effective teaching objective? The client will be able to A) ambulate short distances around the nursing unit.
B) learn subcutaneous self-administration of insulin.
C) understand diabetes and its lifestyle implications.
D) perform foot care correctly after three teaching sessions.
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17
Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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Sample Questions
Q1) Current research suggests that men and women respond to stress in which of the following ways?
A) Men use nurturing activities to reduce stress.
B) Women use a "tend and befriend" approach to stress.
C) Men and women respond to stress in a similar manner.
D) Women respond to stress with patterns of "fight or flight."
Q2) A client who has been diagnosed with cancer asks the nurse,"If I take the chemotherapy,will I be cured,or am I going to die anyway?" The nurse's best response is
A) "Tell me what prompted your question."
B) "I don't think you should have chemotherapy; it will harm you more than help you."
C) "Let's not talk about dying; I'm sure you will be cured."
D) "I really don't think you should worry about such things; it isn't something you can control."
Q3) Which of the following is true in relation to stress?
A) Men and women respond to stress in the same fashion.
B) Culture does not affect the stress experience.
C) Stress is always a negative experience.
D) Stress can have protective and adaptive functions.
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Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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Sample Questions
Q1) When attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be
A) speak distinctly while exaggerating words.
B) attempt to use sign language.
C) use pictographs.
D) explain what is happening in complex terms.
Q2) The nurse is caring for a client who has experienced a stroke.The client has aphasia.The nurse recognizes that aphasia is a
A) neurological linguistic deficit.
B) cognitive comprehension deficit.
C) sensory deprivation deficit.
D) mental disorder deficit.
Q3) The nurse is caring for a client who has experienced global aphasia secondary to a stroke.Which of the following interventions is most appropriate for this client?
A) Refrain from exploiting any language skills that are preserved
B) Frequently remind the client they cannot be understood
C) Encourage short, positive sessions to communicate
D) Spend long periods of time talking with the client to provide stimulation
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Chapter 18: Communicating With Children
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Sample Questions
Q1) The nurse is caring for a 2-year-old child on a pediatric unit.The child's parents have just left the unit for the night.The child is standing at the edge of the crib and crying.Which of the following interventions is most appropriate for the nurse to use?
A) Limit the use of kinesthetic approaches when caring for the child.
B) Talk to the child about Mommy and Daddy and how much the child cares for them.
C) Maintain a flat affect when interacting with the child.
D) At first maintain a distance of 8 feet from the child.
Q2) Which of the following is true in relation to the stress of having an ill child?
A) Coping with uncertainty over the outcome is the most stressful factor for parents.
B) Factors connected with the child's illness causes more stress than alleviation of the child's pain.
C) Uncertainty about a critically ill child's current condition is considered to be a minor source of stress.
D) The parents' inability to comfort the child is more stressful than factors connected with the illness.
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Chapter 19: Communicating With Older Adults
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Sample Questions
Q1) When assessing an older adult client,the nurse notes that the client demonstrates an inability to take purposeful action even when the muscles,senses,and vocabulary appear to be intact.The client appears to register on a command but acts in a way that suggests little understanding of what transpired verbally.The nurse recognizes these assessment findings as consistent with which of the following conditions?
A) Presbycusis
B) Somatization
C) Apraxia
D) Polypharmacy
Q2) When performing a mental status examination on an older adult client,the nurse discovers that the client is illiterate and only has a third-grade education.How should the nurse assess the client's cognition?
A) Have the client spell the word "world" backwards.
B) Have the client spell the word "world" forwards.
C) Ask the client to perform serial 7s.
D) Instruct the client to state the days of the week backwards.
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Chapter 20: Communicating With Clients in Crisis
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Q1) When a disaster strikes within a community,the shock of the disaster pulls people together and outside resources are brought in.This is known as which phase of the community response to disaster?
A) Reconstruction
B) Honeymoon
C) Heroic
D) Disillusionment
Q2) The nurse is communicating with a client who is experiencing a crisis related to marital difficulties.Which of the following statements made by the nurse is the best example of therapeutic communication when working with this client?
A) "I think we should work toward fixing your marital difficulties immediately."
B) "I'm going to call the counselor and make an appointment for you."
C) "What would happen if you chose to go for counseling compared to seeking a divorce?"
D) "I think you and your spouse need to go for counseling as soon as possible."
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22
Chapter 21: Communicating With Clients and Families at the End of Life
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Sample Questions
Q1) The nurse is caring for an 8-year-old child in the school nurse's office because the child received a bloody nose in a scuffle with another child during recess.The nurse discovers that the child's parents have recently divorced.The nurse recognizes that the child
A) still has both parents and should not be experiencing a sense of loss.
B) has gotten over his grief because he is able to play outside.
C) needs to be referred for grief counseling.
D) demonstrates behavior that is a common response when grieving.
Q2) Which of the following best describes anticipatory grief?
A) It occurs after the actual death.
B) It occurs when death was sudden and unexpected.
C) Only the family of the dying client experiences it.
D) It can be colored by ambivalent feelings.
Q3) When evaluating care of dying clients,the nurse recognizes that interventions have been unsuccessful if the
A) client does not get past the stage of denial.
B) client dies in peace surrounded by loved ones.
C) client dies while experiencing pain.
D) nurse refuses to allow the client to be sad.
Page 23
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Chapter 22: Role Relationships and Interprofessional Communication
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Q1) When documenting nursing care in the client's chart,the nurse does so accurately and honestly.The nurse is demonstrating which essential value of professionalism in nursing?
A) Altruism
B) Integrity
C) Human dignity
D) Asepsis
Q2) A novice nurse decides to attend a diabetes workshop after a client was admitted to the unit with an insulin pump that the nurse was not familiar with.This is an example of A) role performance.
B) client advocacy.
C) collaboration.
D) professional self-awareness.
Q3) Essential components of interprofessional professionalism are clear communication,caring,professional ethics,and
A) aesthetics.
B) altruism.
C) justice.
D) truth.
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Chapter 23: Communicating With Other Health Professionals
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Q1) When modifying barriers to professional communication,the nurse manager focuses on which of the following?
A) Collaboration and coordination
B) Negotiation and conflict resolution
C) Coordination and networking
D) Collaboration and negotiation
Q2) The nurse manager recognizes a need to take steps to promote conflict resolution among health care team members on a nursing unit.In order to promote conflict resolution,the nurse manager should
A) solicit the perspectives of only the nurses.
B) encourage manipulation among group members.
C) promote criticism of individuals within the group.
D) depersonalize conflict situations.
Q3) The nurse manager is working with staff members to promote conflict resolution.The nurse manager recognizes that additional teaching is warranted when a staff member states,
A) "I will solicit the perspectives of others."
B) "I will remember to criticize ideas, not people."
C) "I will demonstrate manipulation when working with others."
Page 25
D) "I will avoid becoming emotional when discussing the conflict."
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Chapter 24: Communicating for Continuity of Care
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Q1) The nurse recognizes that a potential barrier to effective team communication includes which of the following?
A) Team role clarity
B) Lack of territoriality
C) Professional rivalries
D) Transparent job responsibilities
Q2) A client asks a nurse to explain the Affordable Care Act.When explaining it to the client,the nurse tells the client
A) it will begin in the year 2018.
B) it is state legislation for health care.
C) it emphasizes disease promotion and health prevention.
D) it provides new consumer protections.
Q3) The nurse is working within an interdisciplinary team.The nurse recognizes that interdisciplinary teams are characterized by
A) only formal interactions.
B) individual problem solving.
C) absence of overlapping of professional roles.
D) a common mission of working together to resolve complex clinical problems.
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26
Chapter 25: Documentation in an Electronic Era
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Q1) One major advantage of an electronic health information technology system is A) lack of integration.
B) accessibility of health records.
C) it is not easily transferable.
D) it consists of imaging files that allow for delayed access.
Q2) When documenting client care,the nurse recognizes that which of the following is true about documentation of care?
A) Every nurse should anticipate having clients' records subpoenaed at some time during his or her nursing career.
B) There is a need for quicker documentation that does not reflect the nursing process.
C) The legal assumption is that care was given even if it is not documented.
D) Any method of documentation that provides comprehensive, factual information is legally unacceptable.
Q3) Which of the following is a disadvantage of computerized charting?
A) Ability to aggregate data
B) Improved access to health record
C) Standardized charting
D) Preset activities that can be coded
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Chapter 26: Communicating at the Point of Care:
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Q1) A group of clients is signing up for a Telehealth company called ISelectMD.The nurse educates them about ISelectMD by telling them which of the following?
A) The employer's health insurance charges a minimal additional health premium fee monthly.
B) Each employee has 24/7 access to a physician via Telemedicine by signing onto a website and entering his symptoms, and paying a "visit" fee.
C) A follow-up call is made 2 days later to determine whether the health issue was resolved.
D) The physician "on call" reviews client's medical history and current symptoms, makes a diagnosis, and e-mails in a prescription, if needed.
E) Minor conditions such as urinary tract infections or respiratory illness can be treated in this remote technology fashion.
F) Acute conditions such as chest pain or deep vein thrombosis can be treated in this remote technology fashion.
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