Introduction to Professional Nursing Question
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Course Introduction
Introduction to Professional Nursing offers students a foundational understanding of the nursing profession, emphasizing its history, roles, ethical standards, and scope within the healthcare system. This course explores the evolution of nursing practice, the professional values guiding care, and the legal responsibilities nurses uphold. Students will examine current trends and issues affecting healthcare delivery, interprofessional communication, patient advocacy, and the essentials of safe, patient-centered care. Through case studies and reflective activities, learners will begin to develop their professional identity, preparing them for more advanced nursing coursework and clinical experiences.
Recommended Textbook
Concepts for Nursing Practice 2nd Edition by Giddens
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58 Chapters
459 Verified Questions
459 Flashcards
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Page 2
Chapter 1: Development
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Sample Questions
Q1) A 17-year-old girl is hospitalized for appendicitis, and her mother asks the nurse why she is so needy and acting like a child. The best response of the nurse is that in the hospital, adolescents
A) have separation anxiety.
B) rebel against rules.
C) regress because of stress.
D) want to know everything.
Answer: C
Q2) A mother complains to the nurse at the pediatric clinic that her 4-year-old child always talks to her toys and makes up stories. The mother wants her child to have a psychological evaluation. The nurse's best initial response is to
A) refer the child to a psychologist immediately.
B) explain that playing make believe is normal at this age.
C) complete a developmental screening using a validated tool.
D) separate the child from the mother to get more information.
Answer: B
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3
Chapter 2: Functional Ability
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Sample Questions
Q1) The nurse is assessing a patient's functional ability. Which patient best demonstrates the definition of functional ability?
A) Considers self as a healthy individual; uses cane for stability
B) College educated; travels frequently; can balance a checkbook
C) Works out daily, reads well, cooks, and cleans house on the weekends
D) Healthy individual, volunteers at church, works part time, takes care of family and house
Answer: D
Q2) The nurse is assessing a patient with a mobility dysfunction and wants to gain insight into the patient's functional ability. What question would be the most appropriate?
A) "Are you able to shop for yourself?"
B) "Do you use a cane, walker, or wheelchair to ambulate?"
C) "Do you know what today's date is?"
D) "Were you sad or depressed more than once in the last 3 days?"
Answer: B
Q3) Bathes daily
A)for instrumental activities of daily living (IADLs)
B)for basic activities of daily living (BADLs)
Answer: B
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Chapter 3: Family Dynamics
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Sample Questions
Q1) Two women have an established long-term relationship and are attending parenting classes in anticipation of finalizing adoption of a baby. The nurse identifies them as which type of family?
A) Cohabiting
B) Nuclear
C) Same-sex
D) Single parent
Answer: C
Q2) The nurse identifies the family with a child graduating from college as being in which family life cycle?
A) Single young adult leaving home
B) New couple joins their families through marriage or living together
C) Families with young children
D) Launching children and moving on
Answer: D
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5
Chapter 4: Culture
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Sample Questions
Q1) When teaching an Asian patient with newly diagnosed diabetes, the nurse notes the patient nodding yes to everything that is being said. With a better understanding of cultural interdependence in self-Chapter, a nurse should immediately
A) write everything down for the patient to refer to later.
B) prompt further to elicit additional questions or concerns.
C) call the recognized elder for this patient.
D) call the oldest male relative for help with decision making.
Q2) The emphasis on understanding cultural influence on health care is important because of
A) disability entitlements.
B) HIPAA requirements.
C) increasing global diversity.
D) litigious society.
Q3) What interrelated constructs facilitate a nurse to become culturally competent?
A) Cultural diversity, self-awareness, cultural skill, and cultural knowledge
B) Cultural desire, self-awareness, cultural knowledge, and cultural identity
C) Cultural desire, self-awareness, cultural knowledge, and cultural diversity
D) Cultural desire, self-awareness, cultural knowledge, and cultural skill
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6
Chapter 5: Spirituality
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Sample Questions
Q1) Which are true statements about the definition of spirituality in nursing? (Select all that apply.)
A) Patient's quality of life, health, and sense of wholeness are affected by spirituality
B) An exact definition was developed and adopted in the late 1980s
C) Encompasses principle, an experience, attitudes, and belief regarding God
D) Head knowledge affects spirituality more than heart knowledge
E) Mind, body, spirit, love, and caring are interconnected
Q2) When developing a plan of care, the nurse should consider which attribute of the Chapter of spirituality?
A) Spirituality is not a well-known universal concept
B) Chronic versus acute illnesses affect spirituality
C) Convincing patients to pray is a priority intervention
D) Referrals may be needed to spiritual counselors
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Chapter 6: Adherence
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Sample Questions
Q1) A patient with hypertension is prescribed a low-sodium diet. The patient's teaching plan includes this goal: "The patient will select a 2-gram sodium diet from the hospital menu for the next 3 days." Which intervention would be most effective at increasing the patient's compliance with the diet?
A) Check the sodium content of the patient's menu choices over the next 3 days.
B) Ask the patient to identify which foods on the hospital menus are high in sodium.
C) Have the patient list favorite foods that are high in sodium and foods that could be substituted for these favorites.
D) Compare the patient's sodium intake over the next 3 days with the sodium intake before the teaching was implemented.
Q2) A 73-year-old male patient is seen in the home setting for a routine physical. The nurse notes which behavior as the most reassuring sign that the patient has been following the treatment plan for the diagnoses of hypertension, diabetes, and hyperlipidemia?
A) The patient has a list of glucose readings for the past 10 days.
B) The patient has a list of medications along with newly refilled meds.
C) The patient has a list of all foods and beverages for a 3-day period.
D) The patient verbalizes the side effects of all his medications.
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Chapter 7: Self-Management
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Sample Questions
Q1) The nurse is developing a plan of care for a newly diagnosed hypertensive patient who is being discharged on medications and given the Dietary Approaches to Stop Hypertension (DASH) diet to follow. What statement by the patient signals to the nurse that the patient is motivated to learn?
A) "I am sure the medications will help to bring down my blood pressure."
B) "I can't wait to try the new recipes, and I'm hopeful I will lose weight."
C) "Do I really need to follow the diet and take medications?"
D) "I have my parents to blame for this. They both have high blood pressure."
Q2) An 8-year-old child is newly diagnosed with asthma. Which nursing intervention best promotes self-efficacy for the parents to help the child follow the prescribed treatments?
A) Ask parents to list all possible triggers for asthma
B) Requesting a spacer for the metered dose inhaler
C) Suggest the parents enforce a strict exercise regimen
D) Recommend replacing carpeting in the home with wood flooring
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Chapter 8: Fluid and Electrolyte Balance
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Sample Questions
Q1) The patient has recent bilateral, above-the-knee amputations and has developed C. difficile diarrhea. What assessments should the nurse use to detect ECV deficit in this patient? (Select all that apply.)
A) Test for skin tenting.
B) Measure rate and character of pulse.
C) Measure postural blood pressure and heart rate.
D) Check Trousseau's sign.
E) Observe for flatness of neck veins when upright.
F) Observe for flatness of neck veins when supine.
Q2) At change-of-shift report, the nurse learns the medical diagnoses for four patients. Which patient should the nurse assess most carefully for development of hyponatremia?
A) Vomiting all day and not replacing any fluid
B) Tumor that secretes excessive antidiuretic hormone (ADH)
C) Tumor that secretes excessive aldosterone
D) Tumor that destroyed the posterior pituitary gland
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10
Chapter 9: Acid-Base Balance
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Sample Questions
Q1) The patient is hyperventilating from anxiety and abdominal pain. Which assessment findings should the nurse attribute to respiratory alkalosis? (Select all that apply.)
A) Skin pale and cold
B) Tingling of fingertips
C) Heart rate of 102
D) Numbness around mouth
E) Cramping in feet
Q2) The patient had diarrhea for 5 days and developed an acid-base imbalance. Which statement would indicate that the nurse's teaching about the acid-base imbalance has been effective?
A) "To prevent another problem, I should eat less sodium during diarrhea."
B) "My blood became too acid because I lost some base in the diarrhea fluid."
C) "Diarrhea removes fluid from the body, so I should drink more ice water."
D) "I should try to slow my breathing so my acids and bases will be balanced."
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Chapter 10: Thermoregulation
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Sample Questions
Q1) The nurse planning care for a patient with hypothermia should consider what similar exemplar?
A) Heat exhaustion
B) Heat stroke
C) Infection
D) Prematurity
Q2) What is the priority nursing action for a patient suspected to be hypothermic?
A) Assess vital signs.
B) Hydrate with intravenous (IV) fluids.
C) Provide a warm blanket.
D) Remove wet clothes.
Q3) During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?
A) Impaired cognition
B) Occupational exposure
C) Physical agility
D) Temperature extremes
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Chapter 11: Sleep
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Sample Questions
Q1) A patient tells the nurse that he experiences daytime fatigue even after 7-8 hours of sleep each night. What is the best assessment question for the nurse to ask?
A) Have you tried getting 10 hours of sleep instead of 8 hours?
B) How long are you in the rapid eye movement (REM) stage?
C) Do you also have any recent lifestyle or behavior changes?
D) Do any of your close relatives have any sleep disorders?
Q2) A patient complains of not being able to fall asleep at night and asks the nurse if there is a safe, non-prescription medication he can try. After consulting the healthcare provider, the nurse should recommend which naturally occurring hormone?
A) Melatonin
B) Cortisol
C) Leutinizing hormone
D) Estrogen
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13
Chapter 12: Cellular Regulation
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Sample Questions
Q1) In caring for a patient following lobectomy for lung cancer, which of the following should the nurse include in the plan of care?
A) Position the patient on the operative side only.
B) Avoid administering narcotic pain medications.
C) Keep the patient on strict bed rest.
D) Instruct the patient to cough and deep breathe.
Q2) What is the priority nursing diagnosis for a patient experiencing chemotherapy-induced anemia?
A) Risk for injury related to poor blood clotting
B) Fatigue related to decreased cellular oxygenation
C) Disturbed body image related to skin color changes
D) Imbalanced nutrition, less than body requirements related to anorexia
Q3) While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is the most appropriate nursing intervention?
A) Prioritization and administration of nursing care throughout the day
B) Completing all nursing care in the morning so the patient can rest the remainder of the day
C) Completing all nursing care in the evening when the patient is more rested
D) Limiting visitors, thus promoting the maximal amount of hours for sleep
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Page 14
Chapter 13: Intracranial Regulation
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Sample Questions
Q1) The nurse preparing to care for a patient after a suspected stroke would question which order?
A) Antihypertensive
B) Antipyretic
C) Osmotic diuretic
D) Sedative
Q2) Components of the Glasgow Coma Scale (GCS) the nurse would use to assess a patient after a head injury include which assessment?
A) Blood pressure
B) Cranial nerve function
C) Head circumference
D) Verbal responsiveness
Q3) After shunt procedure, the nurse would monitor the patient's neurologic status by using which test?
A) Electroencephalogram
B) Glasgow Coma Scale
C) National Institutes of Health Stroke Scale
D) Monro-Kellie doctrine
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15
Chapter 14: Hormonal Regulation
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Sample Questions
Q1) Which important teaching point should the nurse include in the plan of care for a patient diagnosed with Cushing's disease?
A) Daily weight using same scale
B) Wash hands frequently
C) Use exfoliating soaps when bathing
D) Avoid yearly influenza vaccine
Q2) The nurse is caring for a patient diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What is the nurse's best action?
A) Encourage increased fluid and water intake
B) Teach about risk for malignancies
C) Monitor for changes in level of consciousness
D) Assess labwork for potassium level changes
Q3) The nurse is caring for a patient who has undergone a thyroidectomy. Which patient complaint is highest priority requiring further evaluation?
A) Pain at surgical site
B) Thirst
C) Hoarseness
D) Nausea
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Chapter 15: Glucose Regulation
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Sample Questions
Q1) The nurse instructs a patient with type 1 diabetes mellitus to avoid which of the following drugs while taking insulin?
A) Furosemide (Lasix)
B) Dicumarol (Bishydroxycoumarin)
C) Reserpine (Serpasil)
D) Cimetidine (Tagamet)
Q2) A diabetic patient is brought into the emergency department unresponsive. The arterial pH is 7.28. Besides the blood pH, which clinical manifestation is seen in uncontrolled diabetes mellitus and ketoacidosis?
A) Decreased hunger sensation
B) Report of no urine output
C) Increased respiratory rate
D) Decreased thirst
Q3) The nurse recognizes which patient as having the greatest risk for undiagnosed diabetes mellitus?
A) Young white man
B) Middle-aged African-American man
C) Young African-American woman
D) Middle-aged Native American woman
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Page 17
Chapter 16: Nutrition
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Sample Questions
Q1) During a physical examination, the nurse notes that the patient's skin is dry and flaking. What additional data would the nurse expect to find to confirm the suspicion of a nutritional deficiency?
A) Hair loss and hair that is easily removed from the scalp
B) Inflammation of the tongue and fissured tongue
C) Inflammation of peripheral nerves and numbness and tingling in extremities
D) Fissures and inflammation of the mouth
Q2) During a nutritional assessment, the nurse calculates that a female patient's BMI is 27. The nurse would advise the patient to follow which of these recommendations?
A) This measurement indicates that the patient is overweight and should follow a plan of diet and exercise to lose weight.
B) This measurement indicates that the patient is underweight and will need to take measures to gain weight.
C) This measurement indicates that the patient is morbidly obese and may be a candidate for bariatric surgery.
D) This measurement indicates that the patient is of normal weight and should continue with current lifestyle.
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Chapter 17: Elimination
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Sample Questions
Q1) The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the patient's elimination status. What is the nurse's best action?
A) Speak with the patient's family about food choices.
B) Establish a bowel and bladder program for the patient.
C) Speak with the patient about past elimination habits.
D) Establish a bedtime ritual for the patient.
Q2) During an assessment, the patient states that his bowel movements cause discomfort because the stool is hard and difficult to pass. As the nurse, you make which of the following suggestions to assist the patient with improving the quality of his bowel movement? (Select all that apply.)
A) Increase fiber intake.
B) Increase water consumption.
C) Decrease physical exercise.
D) Refrain from alcohol.
E) Refrain from smoking.
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19
Chapter 18: Perfusion
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Sample Questions
Q1) A patient's serum electrolytes are being monitored. The nurse notices that the potassium level is low. What should the nurse monitor for in this patient?
A) Tissue ischemia
B) Brain malformations
C) Intestinal blockage
D) Cardiac dysrhythmia
Q2) A nurse is explaining to a student nurse about perfusion. The nurse knows the student understands the Chapter of perfusion when the student makes which statement?
A) "Perfusion is a normal function of the body, and I don't have to be concerned about it."
B) "Perfusion is monitored by the physician."
C) "Perfusion is monitored by vital signs and capillary refill."
D) "Perfusion varies as a person ages, so I would expect changes in the body."
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Chapter 19: Gas Exchange
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Sample Questions
Q1) The acid-base status of a patient is dependent on normal gas exchange. Which patient would the nurse identify as having an increased risk for the development of respiratory acidosis?
A) Chronic lung disease with increased carbon dioxide retention
B) Acute anxiety, hyperventilation, and decreased carbon dioxide retention
C) Decreased cardiac output with increased serum lactic acid production
D) Gastric drainage with increased removal of gastric acid
Q2) Which clinical management prevention Chapter would the nurse identify as representative of secondary prevention?
A) Decreasing venous stasis and risk for pulmonary emboli
B) Implementation of strict hand washing routines
C) Maintaining current vaccination schedules
D) Prevention of pneumonia in patients with chronic lung disease
Q3) The nurse would identify which patient condition as a problem of impaired gas exchange secondary to a perfusion problem?
A) Peripheral arterial disease of the lower extremities
B) Chronic obstructive pulmonary disease (COPD)
C) Chronic asthma
D) Severe anemia secondary to chemotherapy
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Page 21
Chapter 20: Clotting
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Sample Questions
Q1) Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?
A) An INR (international normalize ratio) of 1.8
B) An INR of 4.8
C) A partial thromboplastin time (APTT) level of 25 seconds
D) An APTT level of 35 seconds
Q2) The nurse is making a home visit to a patient who was discharged from the hospital on Lovenox and warfarin following replacement of the patient's pacemaker. Which observation indicates excessive bleeding? (Select all that apply.)
A) New ecchymosis on the abdomen
B) A nosebleed that does not stop with pressure
C) Pain of the lower extremity with flexion
D) Extreme fatigue
E) Pallor
F) Sudden onset of severe headache
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22
Chapter 21: Reproduction
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Sample Questions
Q1) The nurse at the family planning clinic conducts a male history for infertility evaluation. Which finding has the greatest implication for this patient's care?
A) Practice of nightly masturbation
B) Primary anovulation
C) High testosterone levels
D) Impotence due to alcohol ingestion
Q2) A female patient comes to the clinic after missing one menstrual period. She lives in a house beneath electrical power lines which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care?
A) Electrical power lines are a potential hazard to the woman and her fetus.
B) Living near an oil field may mean the water supply is polluted.
C) Alcohol exposure should be avoided during pregnancy due to teratogenicity.
D) Eating sweets may cause gestational diabetes or miscarriage.
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Chapter 22: Sexuality
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Sample Questions
Q1) The nurse is caring for a 44-year-old married woman who is complaining of painful intercourse and incontinence due to prolapse of reproductive organs. Clinical evaluation reveals that the patient has a cystocele. Which treatment option is most appropriate for this patient?
A) Pelvic floor training
B) Vaginal pessaries
C) Surgical correction
D) Lifestyle changes
Q2) A 55-year-old male patient post-myocardial infarction (MI) asks the nurse whether he will be healthy enough for sexual activity after discharge from the hospital. The patient has been prescribed anti-hypertensives and beta-blockers. During health teaching, the nurse understands that the three phases of the four-stage model of the human sexual response cycle that are of concern for this patient include which phases?
A) Excitement, plateau, and orgasmic
B) Plateau, orgasmic, and resolution
C) Excitement, orgasmic, and resolution
D) Arousal, excitement, and plateau
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Chapter 23: Immunity
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Sample Questions
Q1) The nurse is preparing to administer medications to a patient with rheumatoid arthritis (RA). The nurse should explain which goal of treatment to the patient?
A) Eradicate the disease
B) Enhance immune response
C) Control inflammation
D) Manage pain
Q2) The nurse is caring for a patient who is being discharged home after a splenectomy. What information on immune function needs to be included in this patient's discharge planning?
A) The mechanisms of the inflammatory response
B) Basic infection control techniques
C) The importance of wearing a face mask in public
D) Limiting contact with the general population
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25
Chapter 24: Inflammation
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Sample Questions
Q1) A patient is diagnosed with a sprain to her right ankle after a fall. The patient asks the nurse about using ice on her injured ankle. What is the nurse's best response?
A) "Use ice only when the ankle hurts."
B) "Ice should be applied for 15 to 20 minutes every 2 to 3 hours over the next 1 to 2 days."
C) "Wrap an ice pack around the injured ankle for the next 24 to 48 hours."
D) "Ice is not recommended for use on the sprain because it would inhibit the inflammatory response."
Q2) A patient comes to the clinic with a complaint of painful, itchy feet. On interview, the patient tells the nurse that he is a college student living in a dormitory apartment that he shares with five other students. What teaching should the nurse provide for this patient?
A) "Don't eat with the other students."
B) "Avoid sharing razors and other personal items."
C) "Have a complete blood count (CBC) checked monthly."
D) "Disinfect showers and bathroom floors weekly after use."
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Chapter 25: Infection
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Q1) Which set of assessment data is consistent for a patient with severe infection that could lead to system failure?
A) Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine output 1200 mL in past 24 hours
B) BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
C) BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
D) BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours
Q2) While reviewing the complete blood count (CBC) of a patient on her unit, the nurse notes elevated basophil and eosinophil readings. The nurse realizes that this is most indicative of which type of infection?
A) Bacterial
B) Fungal
C) Parasitic
D) Viral
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Chapter 26: Mobility
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Q1) The nurse and a student nurse are discussing the effects of bed immobility on patients. The nurse knows that the student nurse understands the Chapter of mobility when making which statement?
A) "Patients with impaired bed mobility have an increased risk for pressure ulcers."
B) "Patients with impaired bed mobility like to have extra visitors."
C) "Patients with impaired bed mobility need to have a mechanical soft diet."
D) "Patients with impaired bed mobility are prone to constipation."
Q2) The nurse is talking to the unlicensed assistive personnel about moving a patient in bed. The nurse knows the unlicensed assistive personnel understands the Chapter of mobility and proper moving techniques when making which statement?
A) "Patients must have a trapeze over the bed to move properly."
B) "Patients should move themselves in bed to prevent immobility."
C) "Patients should always have a two-person assist to move in bed."
D) "Patients must be moved correctly in bed to prevent shearing."
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Chapter 27: Tissue Integrity
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Sample Questions
Q1) A nurse is educating a 21-year-old lifeguard about the risk of skin cancer and the need to wear sunscreen. Which statement by the patient indicates that the need for further teaching?
A) "I wear a hat and sit under the umbrella when not in the water."
B) "I don't bother with sunscreen on overcast days."
C) "I use a sunscreen with the highest SPF number."
D) "I wear a UV shirt and limit exposure to the sun by covering up."
Q2) An older patient has developed age spots and is concerned about skin cancer. How would the nurse instruct the patient to perform skin checks to assess for signs of skin cancer?
A) "Limit the time you spend in the sun."
B) "Monitor for signs of infection."
C) "Monitor spots for color change."
D) "Use skin creams to prevent drying."
Q3) A patient is to receive phototherapy for the treatment of psoriasis. What is the nursing priority for this patient?
A) Obtaining a complete blood count (CBC)
B) Protection from excessive heat
C) Protection from excessive ultraviolet (UV) exposure
D) Instructing the patient to take their multivitamin prior to treatment
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Chapter 28: Sensory Perception
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Sample Questions
Q1) A 75-year-old woman walks into the emergency department with complaints of "not feeling well." Her blood pressure is 145/95, pulse 85 beats/min, respirations 24 breaths/min, and blood sugar 300. Upon inspection, the nurse notices that the woman has an open wound on the bottom of her foot, but the patient states she is not aware of this. How should the nurse interpret these findings?
A) Normal in the older adult
B) A need for the patient to be evaluated for cognitive impairment
C) A side effect of anti-hypertensive medication
D) Pathologic impairment of sensory responses
Q2) During the examination of the ear, a dark yellow substance is noted in the ear canal. The tympanic membrane is not visible. The patient's wife complains that he never hears what she says lately. These findings would suggest that the nurse prepare the patient for which procedure?
A) Tympanoplasty
B) Irrigation of the ear
C) Pure tone test
D) Otoscopic exam by a specialist
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Page 30
Chapter 29: Pain
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Sample Questions
Q1) Controlling pain is important to promoting wellness. Unrelieved pain has been associated with complication?
A) Prolonged stress response and a cascade of harmful effects system-wide
B) Large tidal volumes and decreased lung capacity
C) Decreased tumor growth and longevity
D) Decreased carbohydrate, protein, and fat destruction
Q2) An 80-year-old male patient is in the intensive care unit has suffered a fractured femur. You are making rounds and notice he is somnolent, with no response to verbal or physical stimulation. He has been on round the clock opioid doses q 4 hours. What is the nurse's first action?
A) Call the rapid response team to care for the patient immediately.
B) Discontinue the opioids on the medication administration record.
C) Assess the patient's blood pressure and pain level.
D) Start a second intravenous line with a large bore catheter.
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Chapter 30: Fatigue
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Sample Questions
Q1) The nurse is caring for a patient diagnosed with amyotrophic lateral sclerosis. The nurse should assess for which priority problem?
A) Fatigue
B) Bradypnea
C) Hypertension
D) Fall risk
Q2) A patient presents to the clinic complaining of nausea, vomiting, and fatigue. Lab results reveal elevated BUN and creatinine levels. Which acute condition is this patient at most risk for developing?
A) Influenza
B) Mononucleosis
C) Acute renal failure
D) Pneumonia
Q3) Which are treatment related causes of fatigue? (Select all that apply.)
A) Blood transfusion
B) Chemotherapy
C) Radiation therapy
D) Surgery
E) Side effects of medications
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Page 32
Chapter 31: Stress
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Q1) The nurse is planning to teach a patient how to use relaxation techniques to prevent elevation of blood pressure and heart rate. The nurse is teaching the patient to control which physiological function?
A) Switch from the sympathetic mode of the autonomic nervous system to the parasympathetic mode.
B) Alter the internal state by modifying electronic signals related to physiologic processes.
C) Replace stress-producing thoughts and activities with daily stress-reducing thoughts and activities.
D) Reduce catecholamine production and promote the production of additional beta-endorphins.
Q2) Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)
A) Assess for bradycardia.
B) Ask about epigastric pain.
C) Observe for increased appetite.
D) Check for elevated blood glucose levels.
E) Monitor for a decrease in respiratory rate.
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Chapter 32: Coping
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Q1) The school nurse is assessing coping skills of high school students who attend an alternative school for students at high risk to not graduate. What is the priority concern that the nurse has for this student population?
A) Altered vital sign readings
B) Inaccurate perceptions of stressors
C) Increased risk for suicide
D) Decreased access to alcoholic beverages
Q2) The nurse has been asked to administer a coping measurement instrument to a patient. What education would the nurse present to the patient related to this tool?
A) "This tool will let us compare your stress to other patients in the hospital."
B) "This tool is short because it only measures the negative stressors you are experiencing."
C) "You will need to ask your parents about stressors you had as a child to complete this tool."
D) "This tool will help assess recent positive and negative events you are experiencing."
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Chapter 33: Mood and Affect
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Q1) A patient with a diagnosis of depression and suicidal ideation was started on an antidepressant 1 month ago. When the patient comes to the community health clinic for a follow-up appointment he is cheerful and talkative. What priority assessment must the nurse consider for this patient?
A) The medication dose needs to be decreased.
B) Treatment is successful, and medication can be stopped.
C) The patient is ready to return to work.
D) Specific assessment for suicide plan must be evaluated.
Q2) A patient who has been diagnosed with depression is scheduled for cognitive therapy in addition to receiving prescribed antidepressant medication. The nurse understands that the goal of cognitive therapy will be met when what is reported by the patient?
A) "I will tell myself that I am a good person when things don't go well at work."
B) "My medications will make my problems go away."
C) "My family will help take care of my children while I am in the hospital."
D) "This therapy will improve my response to neurotransmitter impulses."
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Chapter 34: Anxiety
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Q1) A patient reports that he is overwhelmed with anxiety. Which question would be most important to use in assessing the patient during your first meeting?
A) "What kinds of things do you do to reduce or cope with your stress?"
B) "Tell me about your family history-do any relatives have problems with stress?"
C) "Tell me about exercise-how far do you typically run when you go jogging?"
D) "Stress can interfere with sleep. How much did you sleep last night?"
Q2) A patient is newly diagnosed with anxiety and placed on a selective serotonin reuptake inhibitors (SSRIs). The nurse is developing the plan of care for this patient. How long will it take for this medication to become effective?
A) The medication will become effective immediately.
B) The medication may take up to 12 weeks to become effective.
C) The medication may take up to 6 weeks to become effective.
D) The medication may take up to 4 weeks to become effective.
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Chapter 35: Cognition
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Q1) The nurse is teaching primary prevention of cognitive impairment at a community health fair. Which topics would be included in the presentation? (Select all that apply.)
A) Do not use substances such as cannabis and alcohol.
B) Wear helmets when riding bicycles and motorcycles.
C) Complete a Mini Mental Status Exam (MMSE) yearly.
D) Correct acid-base imbalances related to underlying disease processes.
E) Wear a seat belt whenever riding in a motorized vehicle.
F) Complete a Confusion Assessment Method (CAM) scale yearly.
Q2) An 82-year-old patient who is in the hospital awakens from sleep and is disoriented to where she is at the present time. The nurse reorients the patient to her surroundings and helps the patient return to sleep. What data does the nurse consider as a probable cause of the patient's confusion?
A) Pain medication received earlier in the night
B) The death of the patient's spouse 2 years ago
C) The patient's history of diabetes
D) The age of the patient
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Chapter 36: Psychosis
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Q1) The nurse is planning discharge teaching for a patient taking clozapine. Which information is essential to include in the teaching plan?
A) Caution about sunlight exposure
B) Reminder to call the clinic if fever, sore throat, or malaise develops
C) Instructions regarding dietary restrictions
D) A chart to record patient weight
Q2) A client previously diagnosed as psychotic expresses to the nurse that he is seeing spiders climbing up the walls in his room and he is concerned that they will get into his bed. What is the nurse's best response?
A) Ignore his remarks and remain silent when providing care.
B) Express doubt that there are spiders on the wall.
C) Ask the client if he also sees spiders in the day room.
D) Tell the client there are no spiders and he should stop worrying about it.
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Chapter 37: Addiction
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Q1) The nurse is caring for a patient who is experiencing alcohol withdrawal. What is the highest priority for this patient?
A) Describe how the alcohol is causing the withdrawal effects.
B) Leave the patient by him/herself so as not to cause agitation.
C) Promote a safe, calm, and comfortable environment.
D) Refer the patient to an alcohol-abuse counselor.
Q2) The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?
A) "I go to meetings once a day and still drink."
B) "My family and friends have been avoiding me lately."
C) "I don't have a problem with alcohol. I can quit anytime I want to."
D) "I know it will be hard to quit, but I am willing to try."
Q3) To prevent Wernicke's encephalopathy from heavy alcohol use, the nurse anticipates an order for which medications?
A) Benzodiazepine
B) Thiamine and B complex
C) Vitamins C and D<sub>3</sub>
D) Klonopin
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Page 39
Chapter 38: Interpersonal Violence
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Q1) The nurse is admitting a child with a history of abuse. The nurse understands that the child may exhibit what behaviors that are consequences of being in an abusive environment? (Select all that apply.)
A) Reliving abuse incidents
B) Sleep disturbance
C) Overeating
D) Acting out behaviors
E) Intermittent fever
Q2) The nurse is counseling women at a crisis shelter about risk factors for increased intimate partner violence. What event is most likely to trigger an increase in abusive behaviors?
A) Moving to a new community
B) Starting a new job
C) Becoming pregnant
D) The death of a grandfather
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Chapter 39: Professional Identity
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Q1) The qualities of leadership, clinical expertise and judgment, mentorship, and lifelong learning would best describe which type of nurse?
A) Administrator
B) Certified nurse specialist
C) Practitioner
D) Professional
Q2) Components of a professional identity in nursing include which attributes? (Select all that apply.)
A) Accountability
B) Advocacy
C) Autonomy
D) Competence
E) Culture
Q3) What nursing recommendations are published in the Institute of Medicine (IOM's) report The future of nursing: Leading change, advancing health?
A) Teach, advocate, assess, and nurture.
B) Should have a graduate degree to practice.
C) Diagnose and recommend treatments.
D) Must have continuing education.
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Page 41
Chapter 40: Clinical Judgment
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Q1) A student nurse is studying clinical judgment theories and is working with Tanner's Model of Clinical Judgment. How can the student nurse best generalize this model?
A) A reflective process where the nurse notices, interprets, responds, and reflects in 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) Assessing, diagnosing, implementing, and evaluating the nursing care plans
Q2) A patient has been admitted for a skin graft following third degree burns to the bilateral calves. The plan of care involves 3 days inpatient and 6 months outpatient treatment, to include home care and dressing changes. When should the nurse initiate the educational plan?
A) After the operation and the patient is awake
B) On admission, along with the initial assessment
C) The day before the patient is to be discharged
D) When narcotics are no longer needed routinely
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Chapter 41: Leadership
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Q1) The clinical nurse leader needs to identify the staff who must go home due to low census. Which answer below describes a democratic style of decision making?
A) The clinical nurse leader identifies the staff person with the most vacation and asks them to go home.
B) The clinical nurse leader tells the last person to show up for their shift to go home.
C) The clinical nurse leader decides not to send anyone home because it is too difficult to decide who should lose hours.
D) The clinical nurse leader asks the group if any of them would like the opportunity to go home and selects staff who volunteer.
Q2) According to situational and contingency theory, which statement is true?
A) The theory challenges the concept that one leadership style is always best.
B) The theory supports employee feelings, morale, and feedback during the change process.
C) Motivation through inspiration and recognition is the focus for transforming employee behavior.
D) A leader is someone who possesses great intelligence and decision-making authority.
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Chapter 42: Ethics
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Q1) A nursing student is conducting a survey of fellow nursing students. Which ethical Chapter is the student following when calculating the risk-to-benefit ratio and concluding that no harmful effects were associated with a survey?
A) Beneficence
B) Human dignity
C) Justice
D) Human rights
Q2) A patient suffered a brain injury from a motor vehicle accident and has no brain activity. The patient has a living will which states no heroic measures. The family requests that no additional heroic measures be instituted for their son. The nurse respects this decision in keeping with which principle?
A) Accountability
B) Autonomy
C) Nonmaleficence
D) Veracity
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Chapter 43: Patient Education
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Q1) Strategies to include in a teaching plan for an adult who has repeatedly not followed the written discharge instructions would include which information source?
A) Individualized handout
B) Instructional videos
C) Internet resources
D) Self-help books
Q2) Interrelated Chapters to the professional nursing role a nurse manager would consider when addressing concerns about the quality of patient education include which factor?
A) Adherence
B) Developmental level
C) Motivation
D) Technology
Q3) Barriers to patient education the nurse considers in implementing a teaching plan include which factor?
A) Family resources
B) High school education
C) Hunger and pain
D) Need perceived by patient
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Page 45
Chapter 44: Health Promotion
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Q1) At the well-child clinic, how does the nurse correctly teach a mother about health promotion activities and describe immunizations?
A) Unique for children
B) Primary prevention
C) Secondary prevention
D) Tertiary prevention
Q2) When teaching a patient with a family history of hypertension about health promotion, the nurse describes blood pressure screening as which type of prevention?
A) Illness
B) Primary
C) Secondary
D) Tertiary
Q3) The primary health care nurse would recommend screening based on known risk factors, because of which action?
A) Eliminate the possibility of developing a condition.
B) Identify appropriate treatment guidelines.
C) Initiate treatment of a condition or disease.
D) Make a substantial difference in morbidity and mortality.
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46
Chapter 45: Communication
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Q1) A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?
A) "How shall we start today?"
B) "Shall we talk about losing your privileges yesterday?"
C) "Let's get started discussing your marital relationship."
D) "What happened when your family visited yesterday?"
Q2) A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?
A) "It sounds as though you were uncomfortable with the content of your dream."
B) "I understand what you're saying. Bad dreams leave me feeling tired, too."
C) "So, all in all, you feel as though you had a rather poor night's sleep?"
D) "Can you give me an example of what you mean by a 'bad nightmare'?"
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Chapter 46: Collaboration
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Q1) Which statement correctly describes the nurses' role in collaboration?
A) State boards of nursing mandate that collaboration can only occur in hospitals.
B) Collaboration should occur only with physicians.
C) Collaboration occurs only between nurses with the same level of education.
D) Collaboration may occur in health-related research.
Q2) The management of a community hospital is trying to encourage a more collaborative environment among staff members. Which Chapter is most important for management to develop first?
A) Post educational posters about how well collaboration is being performed
B) Highlight that no single profession can meet the needs of all patients
C) Provide meetings for each department on how their role affects patients
D) Begin implementing evaluations of collaborative skills on annual performance reviews
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Chapter 47: Safety
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Q1) To promote safety, the nurse manager sensitive to point of care (sharp end) and systems level (blunt end) exemplars works closely with staff to address which point of care exemplar?
A) Care coordination
B) Documentation
C) Electronic records
D) Fall prevention
Q2) A sentinel event refers to which situation?
A) An event that could have harmed a patient, but serious harm didn't occur because of chance.
B) An event that harms a patient as a result of underlying disease or condition.
C) An event that harms a patient by omission or commission, not an underlying disease or condition.
D) An event that signals the need for immediate investigation and response.
Q3) Which is an essential element of a standard order set to verify a medication order?
A) Volume only
B) Number of tablets
C) Metric dose/strength
D) Hour of administration
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Page 49
Chapter 48: Technology and Informatics
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Q1) The application of information processing that deals with the storage, retrieval sharing, and use of health care data, information, and knowledge for communication and decision making is the definition of which area?
A) Computer science
B) Health informatics
C) Health information technology
D) Nursing informatics
Q2) The staff nurse who uses informatics in promoting quality patient care is most likely to access data in which domain?
A) Certified clinical information systems (CIS)
B) Clinical health care informatics
C) Public health/population informatics
D) Translational bioinformatics
Q3) Which are exemplars of the health informatics Chapter?
A) Clinical research informatics
B) Hardware and software
C) Privacy and security
D) Standard terminology
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Chapter 49: Evidence
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Q1) The nurse in the psychiatric unit is involved in a research study for a depression medication. In the study, patients are randomly assigned to one depression medication and the other group is receiving no medication to treat the depression. What method of research are the patients involved with?
A) Descriptive
B) Correlational
C) Quasi-experimental
D) Experimental
Q2) The nurse in the outpatient setting would like to conduct a research study that compares patients who take tramadol (Ultracet) to patients who take oxycodone hydrochloride and acetaminophen (Percocet) for managing back pain. Which quantitative research method should yield the best results?
A) Longitude study
B) Controlled study
C) Systematic reviews/meta-analysis
D) Survey study
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Chapter 50: Health Care Quality
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Q1) A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student makes which statement?
A) "Quality is apparent in all health care."
B) "Quality is an outcome of health care."
C) "Quality is seen and unseen in health care."
D) "Quality is achieved by collaboration in health care."
Q2) What are two major foci of The Joint Commission (TJC) in the delivery of health care?
A) Cost containment; safety
B) Safety; quality
C) Quality; assessment
D) Assessment; evaluation
Q3) A student nurse is talking with his instructor. The student asks how quality of care is evaluated. What is the best response by the instructor?
A) "Quality of care is evaluated by the patient getting well."
B) "Quality of care is evaluated on the basis of process and outcomes."
C) "Quality of care is evaluated by the physician's assessment."
D) "Quality of care is evaluated by the patient's satisfaction."
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Chapter 51: Care Coordination
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Q1) The nurse is discussing care coordination with a patient. The patient asks the nurse to explain care coordination. What is the nurse's best response?
A) "Care coordination is a cost effective method created by the community."
B) "Care coordination forces the health care facilities in the community to work together."
C) "Care coordination exists for the children and uninsured in the community."
D) "Care coordination allows health care services to work together in the community."
Q2) A nursing instructor is talking about care coordination with nursing students. The instructor stresses which of the following to the students concerning care coordination?
A) "A patient must ask for what they need in order to coordinate care."
B) "The nurse does most of the work in care coordination."
C) "Medical diagnoses are an integral part of care coordination."
D) "Collaboration is a significant part of care coordination."
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Chapter 52: Caregiving
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Q1) Many grandparents today are caring for grandchildren in place of a parent. Identify the reasons why this phenomenon is happening. (Select all that apply.)
A) Children prefer living with their grandparents.
B) Parents are incarcerated.
C) Parents are deceased.
D) Grandparents are better caregivers.
E) Parents are mentally ill.
F) Parents are substance abusers.
Q2) The nurse is counseling a woman who is caring for her 83-year-old father. The father has had mental changes and is becoming more confused. The father lives with the daughter in her home. The nurse knows the daughter understands the father's care needs when she states which of the following?
A) "Dad will only need my help for a short time, and then he will get better."
B) "I can leave dad alone during the day; I'll just deadbolt the door."
C) "I can send dad to the adult daycare; that way I can work and care for him at night."
D) "Dad misses mom since she passed; he will be okay in a few weeks."
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Chapter 53: Palliation
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Q1) What is the most prominent goal of palliative care?
A) Integrate into chronic disease management sooner rather than later.
B) Enroll the patient into the Medicare Hospice Benefit.
C) Ensure that the patient has a 6-month prognosis.
D) Reserve this type of care until the patient is actively dying.
Q2) The student demonstrates a lack of understanding of palliative care when making which statement?
A) "Palliative care is designed to promote comfort."
B) "Palliative care is designed to reduce disease exacerbations."
C) "Palliative care is designed to decrease acute care hospital admissions."
D) "Palliative care is designed to promote a cure for chronic disease."
Q3) Today most patients are living for several years before dying with multiple chronic conditions, such as COPD, congestive heart failure, diabetes, and obesity. These concomitant diseases contribute to multiple symptoms that interfere with the patient's quality of life. What type of care would you consider for this patient?
A) End-of-life care
B) Supportive care
C) Comfort care
D) Palliative care
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Page 55
Chapter 54: Health Disparities
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Q1) An experienced nurse tells the student nurse, "I have found that most Hispanic immigrants live in unsanitary conditions but are hard workers." How should the student nurse best classify this statement?
A) Stereotyping
B) Prejudice
C) Discrimination
D) Misinformed
Q2) The nurse is caring for a Chinese patient diagnosed with cancer who is suffering from pain, yet refuses analgesia administration. What type of health disparities is this patient exhibiting?
A) Avoidable and acceptable
B) Avoidable and unacceptable
C) Unavoidable and acceptable
D) Unavoidable and unacceptable
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56
Chapter 55: Health Care Organizations
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Q1) The annual report for a hospital shows that external environment factors are affecting the amount of new staff hired. What is a likely factor contributing to this outcome?
A) The recent implementation of becoming a not-for-profit institution
B) The implementation of a hospital electronic medical record system
C) A national recession that has been occurring for 3 years
D) The closure of a hospital-based school of nursing due to lack of funding
Q2) A quality improvement committee is reviewing discharge surveys. Results show that patients and their families have difficulty finding departments and areas of the hospital. What action by the committee would best address this concern for the organization?
A) Continue to review future surveys to monitor the situation.
B) Give additional training to the receptionists and switchboard personnel to give better directions.
C) Form a multidisciplinary committee to identify options to help travel through the hospital.
D) Send a work order to the maintenance department requesting that brighter lights be installed.
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Chapter 56: Health Care Economics
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Q1) Which of the following statements is true about health care in the US?
A) The US spends more money on health care than any other nation.
B) The US provides health care to every citizen.
C) The US relies on government funding to treat most citizens.
D) The US spends less money on pediatric care than other nations.
Q2) What do the economics of health care include?
A) Medicare and Medicaid dollars
B) Patients' rights
C) Equal distribution of health care
D) Nurse salaries
Q3) An accountable care organization (ACO) seeks to deliver which of the following aspects of health care? (Select all that apply.)
A) Lessen Medicare payments
B) Integrate care
C) Enhance evidence-based practices
D) Manage acute conditions
E) Support hospice charges
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Chapter 57: Health Policy
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Q1) A nursing student is preparing a care plan for an assigned patient. When accessing the electronic medical record, what is acceptable information to view? (Select all that apply.)
A) Laboratory data of the assigned patient
B) Admission diagnosis for a patient who is a former neighbor
C) The patient's age, date of birth, and gender
D) The history and physical of the assigned patient
E) A classmate's brother's chest x-ray report
Q2) A definition of health policy includes which of the following elements?
A) Funding for public education
B) Appropriation of funds for roadwork
C) Selection of congressional members of committees
D) Public policy made to support health-related goals
Q3) Which branch of government is responsible for the execution of laws passed by legislatures?
A) Legislative
B) Judicial
C) Executive
D) Local
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Chapter 58: Health Care Law
Available Study Resources on Quizplus for this Chatper
8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/2379
Sample Questions
Q1) In which of the following answers is the hospital in compliance with the Consolidated Omnibus Budget Reconciliation Act and Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)?
A) The emergency department staff asks a patient to stay in the waiting room until the patients with insurance are treated.
B) The emergency registration personnel explain to a patient that they must have proper identification to receive treatment.
C) A patient with chest pain is triaged directly to a room for evaluation and registration information is obtained after the patient is stabilized.
D) The emergency department physician discharges and instructs a patient who is actively suicidal to go the neighbor facility that has psychiatric services.
Q2) The new nurse correctly defines a law when stating which information?
A) "Law is a fundamental concept for health care professionals."
B) "Law's rule is developed by the employee's organization."
C) "Law's rule is enacted by a government agency that defines what must be done in a given circumstance."
D) "Law is a mandate from the Joint Commission or other accrediting agency."
To view all questions and flashcards with answers, click on the resource link above.
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