Mental Health Studies Exam Preparation Guide - 2346 Verified Questions

Mental Health Studies Exam Preparation

Guide

Course Introduction

Mental Health Studies explores the psychological, biological, and social factors that contribute to mental well-being and the development of mental health disorders. Students examine foundational theories of mental health, the classification and diagnosis of common mental illnesses, and contemporary approaches to prevention, treatment, and recovery. The course also addresses the importance of stigma reduction, mental health policy, and the promotion of resilience and psychological wellness within diverse populations. Through case studies and current research, learners gain insights into the evolving field of mental health and its significance in individual and community contexts.

Recommended Textbook

Clinical Psychology Science Practice and Culture 3rd Edition by Andrew M. (Mark) Pomerantz

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95 Chapters

2346 Verified Questions

2346 Flashcards

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Chapter 1: Health and Wellness

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Sample Questions

Q1) Which of the following has been identified as the greatest determinant of health affecting Canadians?

A) Education

B) Health services

C) Social support networks

D) Income and social status

Answer: D

Q2) What is the greatest internal client factor for the nurse to consider when educating an adult client concerning health promotion activities?

A) Emotional wellness

B) Developmental stage

C) Professed spirituality

D) Levels of education and literacy

Answer: D

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3

Chapter 2: The Canadian Health Care Delivery System

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Sample Questions

Q1) Which of the following factors is contributing to the shortage of nurses in Canada?

A) Increased birth rate creating a greater demand for nursing services

B) New technology replacing nurses at the bedside

C) Fewer people wishing to practice as nurses because health trends are focusing on natural and alternative therapies

D) A large percentage of nurses retiring

Answer: D

Q2) Child immunizations,support groups for adolescent parents,and chlorinated water are examples of which level of health care?

A) Health promotion

B) Disease and injury prevention

C) Supportive care

D) Rehabilitation

Answer: B

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4

Chapter 3: The Development of Nursing in Canada

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Q1) Which province was the first in Canada to gain legislation related to nursing registration?

A) Ontario

B) Nova Scotia

C) New Brunswick

D) British Columbia

Answer: B

Q2) What is the primary purpose of licensure laws for the nursing profession?

A) To protect the public against unqualified and incompetent practitioners

B) To enhance the quality of nursing care and improve Canadians' health outcomes

C) To ensure that nurses demonstrate knowledge and skills in a variety of professional roles

D) To provide an opportunity for practitioners to validate their expertise in a specialty Answer: A

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Chapter 4: Community Health Nursing Practice

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Sample Questions

Q1) Which of the following clients presents the highest risk for health-related concerns?

A) Ms. Madison, a 25-year-old woman living in a woman's shelter

B) Mr. Saliman, a 62-year-old man taking medication for chronic hypertension and diabetes

C) Mr. Joseph, a 17-year-old man attending an outpatient mental health clinic

D) Ms. Tray, a 31-year-old woman addicted to cocaine

Q2) Which of the following statements describes a population?

A) A group of people who live in a given community

B) Geographic groupings, such as individuals, who live in neighbourhoods

C) A collection of individuals who have personal and environmental characteristics in common

D) A group of individuals who are engaged in collective relationships that create a supportive living environment

Q3) Which of the following is an example of a harm reduction program?

A) A nutrition clinic

B) A prenatal clinic

C) A needle exchange program

D) An exercise program

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Chapter 5: Theoretical Foundations of Nursing Practice

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Sample Questions

Q1) Although similarities exist in the different nursing theories,key elements distinguish one from another.Which of the following is the emphasis of Jean Watson's conceptual model?

A) Self-care maintains wholeness.

B) Subsystems exist in dynamic stability.

C) Stimuli disrupt an adaptive system.

D) Caring is central to the essence of nursing.

Q2) Which of the following is a characteristic of complexity science?

A) Patterns of knowledge application

B) A rigid approach for describing experiences

C) Reducing phenomena to smallest properties

D) Orientation to studying the nature of people's needs

Q3) Which of the following elements is key to the framework for practice in Martha Rogers's theory?

A) Human becoming

B) Manipulation of the patient's environment

C) Seven categories of behaviour and behavioural balance

D) Focus upon the life process of a human being along a time-space continuum

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Chapter 6: Research As a Basis for Practice

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Q1) A nurse researcher desires to conduct an experimental research study.Which of the following subjects best lends itself to this process?

A) The effects of therapeutic touch on a geriatric client with Alzheimer's disease

B) Using humour as an intervention with patients in a sample group who are recovering from orthopedic surgery

C) Determining the blood pressure patterns of a patient who recently had a cerebrovascular accident (i.e., stroke)

D) Ranking three nursing diagnoses for a newly admitted patient with diabetes mellitus

Q2) Which of the following patterns of knowledge in nursing allows change to occur?

A) Esthetics

B) Empirics

C) Personal knowledge

D) Emancipatory knowing

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8

Chapter 7: Nursing Values and Ethics

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Q1) Which of the following themes is a theme of relational ethics?

A) Apathy

B) Compassion

C) Embodiment

D) Accountability

Q2) Which of the following is an example of a nurse's use of the ethical principle of autonomy in a situation with a patient?

A) Learning how to do a procedure safely and effectively

B) Returning to speak to the patient at a mutually agreed time

C) Preparing the patient's room for comfort and privacy

D) Supporting the patient's decision to refuse therapy

Q3) Which one of the following is an example of ethical responsibility?

A) Delivery of competent care

B) Formation of interpersonal relationships

C) Application of the nursing process

D) Evaluation of new computerized technologies

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Chapter 8: Legal Implications in Nursing Practice

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Sample Questions

Q1) On admission to the hospital,a patient with terminal cancer says that he has a living will.Which of the following does this document state as the patient's desire?

A) Receive all means of mechanical assistance to prolong life.

B) Have his wife make decisions regarding his care.

C) Be allowed to die and not be subject to life-prolonging measures.

D) Have a lethal injection administered to free him from his suffering.

Q2) The nurse is about to obtain consent from a patient who is scheduled to undergo a surgical procedure the next morning.What does the nurse's signature as a witness on the informed consent form indicate?

A) The patient fully understands the procedure.

B) The patient agrees with the choice of the procedure to be performed.

C) The patient has voluntarily signed the form.

D) The patient has authorized the physician to continue with the treatment.

Q3) What is the purpose of a pretrial conference?

A) To outline what the defendant did wrong

B) To allow the defendant to deliver the statement of defence

C) To explain and interpret all of the evidence as it emerges

D) To identify points of contention and narrow down the issues

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10

Chapter 9: Global Health, culture, and Diversity

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Sample Questions

Q1) An older Chinese woman refuses to perform the range-of-motion and breathing exercises required after a surgical procedure.She also is hesitant to undertake her own hygienic care and grooming.The nurse who is culturally aware recognizes that which of the following may be true for this patient?

A) She is dependent on health care providers.

B) She relies on family members to assist with her care.

C) She lacks motivation to participate in self-care.

D) She is in denial of traditional medical treatment.

Q2) Which of the following statements is true in regard to health inequity?

A) Health differences are unavoidable.

B) Poverty is not a root cause of health inequity.

C) Health inequity is the absence of systematic disparities in health.

D) Health inequity refers to unnecessary and unfair differences in health.

Q3) What are the three major health issues presently afflicting Aboriginal communities in Canada?

A) Diabetes, HIV/AIDS, suicide

B) Depression, smoking, unprotected sexual practices

C) Sexually transmitted infections, environmental pollution, malnutrition

D) Sedentary lifestyle, teenage pregnancies, high-calorie diets

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Page 11

Chapter 10: Nursing Leadership, management, and Collaborative Practice

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Sample Questions

Q1) In anticipation of a nursing shortage,the nursing management in a facility is investigating a nursing care delivery model that involves staff members working under the direction of an RN leader.What is this model called?

A) Team nursing

B) Primary nursing

C) Functional nursing

D) Total patient care

Q2) The nurse on the unit is determining which activities may be delegated to a UCP.A number of factors are included in the nurse's decision.Assuming that the UCP is competent,which one of the following activities may be safely delegated by the RN?

A) Ambulating stable patients

B) Preparing an admission history on a new patient

C) Performing the initial transfer of a postoperative patient

D) Administering medications prepared by the nurse

Q3) Which of the following is the nursing manager's greatest challenge?

A) Delegation

B) Communication

C) Time management

D) Clinical decision making

12

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Chapter 11: Critical Thinking in Nursing Practice

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Sample Questions

Q1) Which of the following denotes a principle for rational thought?

A) Code of ethics

B) Intellectual standards

C) Nursing judgements

D) Complex critical thinking

Q2) Which of the following frequently occurs in complex critical thinking?

A) The active seeking of new knowledge

B) Determination of the significance of a problem

C) Learning what is actually happening in a situation

D) Awareness that conflicting solutions to a problem exist

Q3) The nurse is working with a patient who has recently had a colostomy.The patient is having difficulty using the supplies that are provided for the ostomy care.The nurse investigates the other types of available supplies and works with the patient to see which ones work best for him or her.This is an example of which type of critical thinking strategy?

A) Inference

B) Management

C) Problem solving

D) Diagnostic reasoning

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Page 13

Chapter 12: Nursing Assessment and Diagnosis

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Sample Questions

Q1) Readiness for enhanced coping related to successful cancer treatment is an example of which type of nursing diagnosis?

A) A risk nursing diagnosis

B) A wellness nursing diagnosis

C) A health promotion nursing diagnosis

D) An incorrectly worded nursing diagnosis, according to NANDA

Q2) When documenting a comprehensive nursing health history,under which variable would the nurse document the client's number of children?

A) Spiritual

B) Developmental

C) Psychological

D) Sociocultural

Q3) After visiting with a client,the nurse documents the assessment data.Both objective and subjective information have been obtained during the assessment.Which of the following is classified as objective data?

A) Pain in the left leg

B) Elevated BP

C) Fear of surgery

D) Discomfort with breathing

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Page 14

Chapter 13: Planning and Implementing Nursing Care

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Sample Questions

Q1) What is the first step in the implementation process?

A) Providing care

B) Reassessing the client

C) Reviewing and revising the existing nursing care plan

D) Organizing resources and care delivery before delivering an intervention

Q2) A number of different types of nursing interventions may be incorporated into the plan of care.Which of the following interventions is an example of a specific life-saving measure that the nurse may implement?

A) Restraining a violent client

B) Administering analgesics

C) Initiating stress-reduction therapy

D) Teaching the client how to take his or her pulse

Q3) Which of the following is measurable along a continuum in response to a nursing intervention?

A) Client goal

B) Nursing diagnosis

C) Time-limited nursing intervention

D) Nursing-sensitive client outcome

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15

Chapter 14: Evaluation of Nursing Care

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Sample Questions

Q1) For the most part,evaluative measures are equivalent to which of the following?

A) Planning

B) Outcome indicators

C) Assessment skills and techniques

D) Enactment of the entire nursing process

Q2) The nurse has determined the following outcome for a client with a skin impairment: "Erythema will be reduced in three days." On what will the evaluation specifically focus?

A) Selection of appropriate wound care

B) Notation of the odour and colour of drainage

C) Inspection of the colour and condition of the area

D) Measurement of the diameter of the ulceration daily

Q3) The client is able to ambulate without signs or symptoms of shortness of breath.Which of the following statements by the nurse is the best example of an objective evaluation of the client's goal attainment?

A) "Client has no pain after ambulating."

B) "Client has no manifestations of nausea while up in hall."

C) "Client has no evidence of respiratory distress when ambulating."

D) "Client walked well and did not have any problem when up."

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Chapter 15: Documenting and Reporting

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Sample Questions

Q1) The nurse is documenting on the patient's record and notes that he or she has made an error.What action should the nurse take?

A) Draw a line through the error, and initial and date it.

B) Erase the error, and write over the material in the same spot.

C) Use a dark-coloured marker to cover the error, and continue immediately after that point.

D) Footnote the error at the bottom of the page, including initials and the date.

Q2) Which of the following terms describes an unexpected occurrence when the unit documentation is a critical pathway?

A) Incident

B) Variance

C) Deviation

D) Charting by exception

Q3) Which of the following is true in regard to a source record?

A) Interprofessional documentation is involved.

B) Content is organized by discipline.

C) It documents deviations from the norm.

D) It documents the source of the patient problem.

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Chapter 16: Nursing Informatics and Canadian Nursing Practice

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Sample Questions

Q1) The Management Information System (MIS)Group was an important event in Canadian health care information management.What information was not collected by this group?

A) Demographic data

B) Clinical nursing data

C) Statistical medical data

D) Resource utilization data

Q2) Nursing has been identified as being invisible in health care.What is the most urgent issue in establishing a standardized nursing language in relation to value and necessity?

A) Health policy decisions

B) Contracts and service specifications

C) Patient safety and professionals' accountability

D) Creating a visible definition of professional practice

Q3) Which of the following institutes was developed as a result of the Wilk Report?

A) Hospital Medical Records Institute (HMRI)

B) Statistics Canada and Health and Welfare Institute

C) Canadian Nursing Informatics Association

D) Canadian Institute for Health Information (CIHI)

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Chapter 17: Communication

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Sample Questions

Q1) A faculty member is reviewing a process recording with the student nurse.The student has been working with a patient who has had an amputation of the lower left leg and is emotionally fragile.Which of the following responses made by the student to the patient receives positive feedback from the faculty member?

A) "Why are you so upset today?"

B) "I'm sure that everything will be all right."

C) "You shouldn't cry. The wound will heal soon."

D) "It must be very difficult to have this happen to you."

Q2) The nurse tells an advanced nurse practitioner that the patient is "slipping a little" in reference to hemodynamic pressures.Which communication technique is the nurse using?

A) Brevity

B) Relevance

C) Pacing and control

D) Connotative meaning

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19

Chapter 18: Caring in Nursing Practice

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Sample Questions

Q1) To best improve the bathing care provided by a student nurse,what should the nurse teacher do?

A) Tell the student how to correctly give baths to patients.

B) Provide the student with good resources to read on bathing patients.

C) Ask another student nurse to provide the bathing care on the next shift.

D) Assist and observe the student in the bathing care of the patient.

Q2) Which of the following is the most important aspect of knowing a patient for a beginning nurse to recognize?

A) Interconnectedness between the nurse and the patient

B) Caring social process that results in bonding

C) Clinical signs and symptoms

D) Abnormal lab data

Q3) A number of nursing theorists discuss and describe the concept of caring in nursing practice.According to Benner,how is "caring" defined?

A) The central, unifying, and dominant domain necessary for health and survival

B) Preserving human dignity in the technological, cure-dominated health care system

C) Knowing, being with, doing for, enabling, and maintaining belief

D) A person, event, project, or thing that matters to a person

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Page 20

Chapter 19: Family Nursing

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Sample Questions

Q1) The nurse suspects that there is physical abuse present after visiting an older patient in her home.She has been receiving care from her family for several months.In recognition of the pattern of family violence,which of the following does the nurse know is true?

A) Mental illness is a major cause of abuse.

B) Abuse is primarily seen in lower income families.

C) Spouses are the most frequent abusers.

D) Family members and family caregivers are the most frequent abusers of older adults.

Q2) The nurse is identifying a sketch of which of the following when he or she creates a family's ecomap?

A) The region where the family resides

B) The most influential health determinants on the family's health

C) The family's contact with those outside the family

D) The family structure and relevant information about family members

Q3) Which of the following two subcategories compose a functional assessment?

A) History and physical assessment

B) Instrumental and expressive functioning

C) Developmental and emotional assessment

D) Family functioning and use of defence mechanisms

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Page 21

Chapter 20: Patient Education

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Sample Questions

Q1) Which of the following reflects an appropriate teaching method for the affective domain of learning?

A) Storytelling

B) Role playing

C) Demonstration

D) A question-and-answer session

Q2) The nurse selects a variety of teaching methods to use with patients.Which one of the following methods should the nurse use with a toddler?

A) Role playing

B) Problem solving

C) Independent learning

D) Simple explanations and pictures

Q3) The patient continues to ask questions about a surgical wound and states,"I think I would like help the first time I look at my wound." This is an example of which of the following?

A) Guided response

B) Adaptation

C) Perception

D) Organizing

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Page 22

Chapter 21: Developmental Theories

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Sample Questions

Q1) A child is assessed as being extremely active,requiring a highly structured environment,and irregular in her habits.According to Chess and Thomas (1995),which category of temperament would be an accurate interpretation of this child's behaviour?

A) Easy child

B) Difficult child

C) Hyperactive child

D) Slow-to-warm up child

Q2) The nurse recognizes that Freud's theory approaches development by looking at which one of the following?

A) Cognitive development

B) Moral reasoning

C) Maturational development

D) Psychosexual aspects

Q3) According to Piaget,which one of the following characterizes the infant in the first period of development?

A) Sensorimotor intelligence

B) Concrete operations

C) Identity versus role confusion

D) Preoperational thought

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Page 23

Chapter 22: Conception Through Adolescence

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Sample Questions

Q1) The nurse works in a pediatric medical day care centre.An important aspect of his role is to determine whether the children are achieving developmental milestones.Which of the following does the nurse anticipate a 12-month-old child will just be able to do?

A) Child creeps on all four extremities.

B) Child ambulates independently.

C) Child picks up small objects and uses pincer grasp.

D) Child grasps and manipulates small objects.

Q2) A 6-month-old is seen for a well-baby examination.On evaluation of the infant's developmental status,which of the following does the nurse expect that the child at this age will be able to do?

A) Assume a sitting position independently.

B) Pull self to a standing position.

C) Roll completely over.

D) Creep on all four extremities.

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Chapter 23: Young to Middle Adulthood

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Sample Questions

Q1) The nurse is performing a physical examination on a 40-year-old patient.The nurse will most likely find that the patient of this age is experiencing which one of the following physiological changes related to normal aging?

A) Decreased heart rate

B) Decreased sense of smell

C) Decreased strength of abdominal muscles

D) Decreased function of the cranial nerves

Q2) Which of the following is an expected finding in the physical assessment of the middle-aged adult?

A) Increased skin turgor

B) Limited extraocular movement

C) Respiratory rate of 12 to 20 breaths per minute

D) Regular heart rate between 80 and 120 beats per minute

Q3) In what percentage of affected couples is the cause of infertility unknown?

A) 10%

B) 15%

C) 20%

D) 25%

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25

Chapter 24: Older Adulthood

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Sample Questions

Q1) Which one of the following nutritional deficiencies is most common for an older adult with reduced financial resources living in a remote rural community?

A) Fat

B) Salt

C) Protein

D) Carbohydrate

Q2) The nurse recognizes that factors associated with aging influence the musculoskeletal system.Which one of the following statements does the nurse recognize as being correct?

A) Older men have a greater problem with osteoporosis.

B) Muscle fibres increase in size and become tight.

C) Exercise reduces the loss of bone mass.

D) Muscle strength does not diminish as much as muscle mass does.

Q3) According to Erikson,which of the following is a developmental task for the older adult?

A) Accepting cognitive decline

B) Redefining the relationship with one's spouse

C) Changing living arrangements for security

D) Adjusting to decreasing health and physical strength

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Page 26

Chapter 25: Self-Concept

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Sample Questions

Q1) The nurse is working with a client who is manifesting behaviours that are consistent with a negative self-concept.The nurse has observed that the client demonstrates which of the following behaviours?

A) Frequent eye contact

B) A passive attitude

C) Independence in self-care

D) An interest in the surroundings

Q2) A client who has developed an intimate relationship is most concerned about the interactions that she has with her family,and is in the process of establishing a positive view of herself.This client is meeting the developmental needs of which of the following age groups?

A) 12- to 20-year-olds

B) Early 20s to mid-40s

C) Mid-40s to mid-60s

D) Late 60s and older

Q3) Which age group is most likely to engage in practices harmful to their health?

A) Toddlers

B) Adolescents

C) Young adults

D) Older adults

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Chapter 26: Sexuality

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Sample Questions

Q1) On completing an assessment of a patient in the medical clinic,the nurse documents that the patient has dyspareunia.This is based on the patient's experience of which of the following symptoms?

A) Delay or absence of an orgasm

B) Deficient or absent sexual desire

C) Involuntary constriction of the vagina

D) Genital pain during intercourse

Q2) Which one of the following provinces does not have a hospital that will provide women with the option of an abortion?

A) Quebec

B) New Brunswick

C) British Columbia

D) Prince Edward Island

Q3) Which of the following STIs does Canadian law require to be reported?

A) Gonorrhea

B) Genital warts

C) Genital herpes

D) Human papillomavirus

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Chapter 27: Spiritual Health

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Sample Questions

Q1) The nurse anticipates the gender-related needs of the patients and tries to accommodate those needs whenever possible.A female nurse is arranged for the female patient who practises which of the following?

A) The Sikh religion

B) Judaism

C) Ojibway (Anishinabe)

D) Buddhism

Q2) Who created a nursing model that was derived from Western Christian religious perspectives?

A) Parse

B) Rogers

C) Newman

D) Bradshaw

Q3) Which of the following is an intervention to facilitate hope?

A) Life-review therapy

B) Providing access to nature

C) Engaging in small talk as safe entry

D) Talking about things that are meaningful

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Chapter 28: The Experience of Loss, death, and Grief

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Sample Questions

Q1) An identified outcome for the family of the patient with a terminal illness is that they will be able to provide psychological support to the dying patient.To assist the family to meet this outcome,which of the following should the nurse plan to include in the teaching plan?

A) Demonstration of bathing techniques

B) Application of oxygen devices

C) Recognition of patient needs and fears

D) Information on when to contact the hospice nurse

Q2) The nurse is assigned to a patient who was recently diagnosed with a terminal illness.During morning care,the patient asks about organ donation.How should the nurse respond?

A) Have the patient first discuss the subject with the family.

B) Suggest that the patient delay making a decision at this time.

C) Assist the patient to obtain the necessary information to make this decision.

D) Contact the physician so that consent can be obtained from the family.

Q3) Which of the following is one of Bowlby's phases of mourning?

A) Acceptance

B) Reorganization

C) Accepting reality of loss

D) Emotionally relocating and moving on

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Chapter 29: Stress and Adaptation

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Sample Questions

Q1) Which of the following is part of the fight-or-flight response?

A) Decreased heart rate

B) Increased respiratory rate

C) Decreased blood pressure

D) Elevated temperature

Q2) The nurse is working with patients in an outpatient health care setting.One of the patients is experiencing job-related stress.Which of the following factors may indicate chronic stress?

A) Avoiding discussion of job problems

B) Saying negative things about other colleagues

C) Experiencing chronic pain and irritable bowel syndrome

D) Blaming the boss for being unreasonably demanding

Q3) Which of the following is an example of a situational factor that affects the types of potential stressors and coping mechanisms?

A) Divorce

B) Death of a parent

C) Employment promotion

D) Living with continued violence

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Chapter 30: Vital Signs

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/36972

Sample Questions

Q1) Which of the following describes the correct placement of a blood pressure cuff on an adult patient?

A) 1.5 cm below the antecubital space

B) Over the elbow

C) 2.5 cm above the popliteal space

D) Over clothes and above the level of the heart

Q2) A patient is being monitored with pulse oximetry.Which of the following does the nurse know will influence the values?

A) Placement of the sensor on the arm

B) Patient's diagnosis of peripheral vascular disease

C) Reduced amount of light in the room

D) Increased temperature of the room

Q3) Which of the following is a normal respiratory rate (breaths per minute)for a toddler?

A) 14

B) 18

C) 22

D) 26

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Chapter 31: Health Assessment and Physical Examination

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32 Verified Questions

32 Flashcards

Source URL: https://quizplus.com/quiz/36974

Sample Questions

Q1) The student nurse is working with a patient who has asthma.The primary nurse tells the student that wheezes can be heard on auscultation.Which of the following should the student expect to hear?

A) Coarse crackles and bubbling

B) High-pitched musical sounds

C) Dry, grating noises

D) Loud, low-pitched rumbling

Q2) A female patient is seen in the outpatient clinic for numerous cuts,bruises,and apparent burns.In a discussion with the patient,the nurse finds that the injuries are inconsistent with the stated cause.The patient also states that she is having trouble sleeping,and she appears anxious.Based on these findings,which of the following does the nurse suspect the patient may be experiencing?

A) Substance abuse

B) Domestic violence

C) Vascular disease

D) Mental illness

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Chapter 32: Infection Control

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/36976

Sample Questions

Q1) Which of the following stages of infection is characterized by the onset of nonspecific signs and symptoms progressing to more specific symptoms?

A) Illness stage

B) Prodromal stage

C) Incubation period

D) Convalescence

Q2) Which one of the following indicates that the nurse is using surgical aseptic technique?

A) Inserting an intravenous catheter

B) Placing soiled linen in moisture-resistant bags

C) Disposing of syringes in puncture-proof containers

D) Washing hands before changing a dressing

Q3) Which of the following is true in regard to documentation of hand hygiene?

A) Presence of dermatitis should be documented.

B) Document use of soap versus alcohol-based solution.

C) It is not necessary to record anything about hand hygiene.

D) Evaluate the handwashing facilities available if they are inadequate.

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34

Chapter 33: Medication Administration

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/36978

Sample Questions

Q1) The patient receiving an intravenous (IV)infusion of morphine sulphate begins to experience respiratory depression and decreased urine output.How is this effect described?

A) Therapeutic

B) Toxic

C) Idiosyncratic

D) Allergic

Q2) The patient has a prescription for a medication that is administered via an inhaler.Which of the following will allow the nurse to determine whether the patient requires a spacer for the inhaler?

A) The dosage of medication required

B) The coordination of the patient

C) The schedule of administration

D) The use of a dry powder inhaler

Q3) After the nurse has administered ear drops to the patient's left ear,how should the nurse position the patient?

A) Prone

B) Upright

C) Right lateral

D) Dorsal recumbent with hyperextension of the neck

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Chapter 34: Complementary and Alternative Therapies

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36980

Sample Questions

Q1) In selecting an appropriate alternative therapy,the nurse knows that the patient who has migraine headaches may benefit the most from which of the following therapies?

A) Meditation

B) Imagery

C) Biofeedback

D) Relaxation therapy

Q2) In selecting alternative therapies,for which of the following patients does the nurse recognize that therapeutic touch may be most effective?

A) Premature infant

B) Headache sufferer

C) Debilitated patient

D) Psychiatric patient

Q3) Which of the following is thought to promote strength,balance,and optimal body functioning?

A) Yoga

B) Qigong

C) Reiki therapy

D) Therapeutic touch

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36

Chapter 35: Activity and Exercise

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36982

Sample Questions

Q1) An exercise for abdominal strengthening,known as the plank,is an example of which of the following forms of exercise?

A) Isotonic

B) Isometric

C) Conditioning

D) Resistive isometric

Q2) The nurse is assessing the body alignment of an alert and mobile patient.Which one of the following is the first action the nurse should take?

A) Observe gait.

B) Put the patient at ease.

C) Determine activity tolerance.

D) Determine range of joint motion.

Q3) The nurse uses balance to maintain proper body alignment and posture by using which of the following techniques?

A) Keeping feet wide apart and bending the knees

B) Assuming a position far enough away from the patient

C) Twisting the body in the direction of movement

D) Using the strong back muscles for lifting or moving

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Chapter 36: Safety

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36984

Sample Questions

Q1) Which of the following assessment findings is most critical for a patient who is currently being restrained with mechanical wrist restraints?

A) Angry, loud crying

B) Urinary incontinence

C) Reddened areas on wrists

D) Hands cool to the touch

Q2) A 1-year-old child is scheduled to receive an intravenous (IV)line.What is the most appropriate type of restraint to use for this patient to prevent removal of the IV line?

A) Wrist restraint

B) Jacket restraint

C) Elbow restraint

D) Mummy restraint

Q3) According to the Hendrich II Fall Risk Model,a patient with a risk score of 6 is considered to be at which of the following risk levels?

A) No risk

B) Low risk

C) Medium risk

D) High risk

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Chapter 37: Hygiene

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36986

Sample Questions

Q1) The nurse is instructing the patient with peripheral vascular disease about daily foot care.Which of the following is included in the nurse's instruction for the patient?

A) Soaking the feet for 5 to 10 minutes each day

B) Filing the nails into a curved shape

C) Using commercial corn removers if needed

D) Thoroughly inspecting the feet daily

Q2) Which of the following instructions should the nurse give an adolescent patient with acne?

A) Apply moisturizing lotions or creams.

B) Wash the face and hair daily with very warm water and soap.

C) Apply warm or cold soaks.

D) Add moisture to the air with the use of a humidifier.

Q3) The nurse is completing a bed bath for a dependent adult male patient.During the perineal care,the patient has an erection.Which of the following actions should the nurse take?

A) Continue with the perineal care.

B) Tell the patient it's okay, and ask him to relax.

C) Ask the patient to try to do the care by himself as well as he can.

D) Defer the perineal care until a little later in the bath.

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Page 39

Chapter 38: Cardiopulmonary Functioning and Oxygenation

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26 Verified Questions

26 Flashcards

Source URL: https://quizplus.com/quiz/36988

Sample Questions

Q1) The nurse has reviewed information about the cardiovascular system before caring for a patient with heart disease.The nurse knows that which of the following statements is true concerning the physiology of the cardiovascular system?

A) Stimulating the parasympathetic system would cause the heart rate to increase.

B) When a person has heart muscle disease, the heart muscles stretch as far as is necessary to maintain function.

C) The QRS interval on the electrocardiogram represents the electrical impulses passing through the ventricles.

D) When stroke volume decreases, a resultant decrease in heart rate occurs.

Q2) The patient experiencing which of the following would have an increased metabolic rate and tissue oxygen demand?

A) Fever

B) Anemia

C) Toxic inhalant

D) Airway obstruction

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Chapter

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24 Verified Questions

24 Flashcards

Source URL: https://quizplus.com/quiz/36990

Sample Questions

Q1) The nurse knows that older adults are more prone to fluid volume alterations for which of the following reasons?

A) They have decreased thirst sensation.

B) Their kidneys have an increase in glomerular filtration.

C) They are at risk for increased excretion of medications.

D) They have decreased stomach-emptying time.

Q2) A rapid infusion of blood has been given to the patient.The nurse assesses the patient for which one of the following?

A) Diaphoresis

B) Anxiety

C) Hypertension and tachycardia

D) Nausea and vomiting

Q3) A patient complains of a headache and chills during a blood transfusion.Which one of the following actions should the nurse take immediately?

A) Check the vital signs.

B) Stop the blood transfusion.

C) Slow the rate of blood flow.

D) Notify the physician and blood bank personnel.

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Chapter 40: Sleep

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36992

Sample Questions

Q1) Which of the following instructions does the nurse give the patient in teaching methods to promote positive sleep habits at home?

A) Use the bedroom only for sleep or sexual activity.

B) Eat a large meal one to two hours before bedtime.

C) Exercise vigorously before bedtime.

D) Stay in bed if sleep does not come after 30 minutes.

Q2) An 11-year-old child in middle school is currently experiencing sleep-related fatigue during classes.Which of the following responses by the school nurse is the most appropriate one when counselling the child's parents regarding this assessment?

A) "What are the child's usual sleep patterns?"

B) "Establish bedtimes for the child, and withhold his allowance whenever he does not adhere to those bedtimes."

C) "We need to explore other health-related problems, as sleep problems are probably not the cause of the child's fatigue."

D) "The bulbar synchronizing region of the child's central nervous system (CNS) is causing these insomniac problems."

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Chapter 41: Pain Assessment and Management

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36994

Sample Questions

Q1) What is the greatest barrier to a 3-year-old patient's ability to assess her pain?

A) Understanding procedures that cause pain

B) Increased separation anxiety

C) Reluctance to talk to strangers

D) Expressing pain on a scale of 0 to 10

Q2) The nurse consults with the primary physician of a patient who is experiencing continuous,severe pain.In planning for the patient's treatment,the nurse is aware of the principles of pain management.It is appropriate for the nurse to expect treatment to include which of the following?

A) Focusing on intramuscular administration of analgesics

B) Waiting for pain to become more intense before administering opioids

C) Administering opioid with nonopioid analgesics for severe pain experiences

D) Administering large doses of opioids initially to patients who have not taken the medications before

Q3) Which of the following statements is true about pain in infants?

A) Infants are capable of feeling pain.

B) Infants lack memory of pain.

C) Pain cannot be accurately assessed.

D) Infants are incapable of expressing pain.

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Page 43

Chapter 42: Nutrition

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36996

Sample Questions

Q1) Food safety is a concern presented by a group of adults attending the community health clinic.The participants tell the nurse that they have seen a lot of reports on television about Escherichia coli and how dangerous it can be.When asked where the bacteria come from,which one of the following does the nurse identify as a potential source of E.coli?

A) Sausage

B) Soft cheeses

C) Milk products

D) Ground beef

Q2) When menu planning for a newly diagnosed diabetic patient who practises Judaism,the nurse should avoid which of the following dishes?

A) Vegetable soup

B) Chicken pot pie

C) Beef lasagna

D) Scrambled eggs

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Chapter 43: Urinary Elimination

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65 Verified Questions

65 Flashcards

Source URL: https://quizplus.com/quiz/36998

Sample Questions

Q1) The patient is an 80-year-old male who is visiting the clinic today for his routine physical examination.The patient's skin turgor is fair,but he has been complaining of fatigue and weakness.The skin is warm and dry,pulse rate is 126 beats per minute,and urinary sodium level is slightly elevated.After assessment,the nurse should recommend that the patient

A) Decrease his intake of milk and dairy products to decrease the risk of osteoporosis.

B) Drink more grapefruit juice to enhance vitamin C intake and medication absorption.

C) Drink more water to prevent further dehydration.

D) Eat more meat because meat is the only source of usable protein.

Q2) In determining kcal expenditure,the nurse knows that carbohydrates and proteins provide 4 kcal of energy per gram ingested.The nurse also knows that fats provide _____ kcal per gram.

A) 3

B) 4

C) 6

D) 9

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Chapter 44: Bowel Elimination

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64 Verified Questions

64 Flashcards

Source URL: https://quizplus.com/quiz/36999

Sample Questions

Q1) The nurse is caring for patients on a postoperative unit in the medical centre.The nurse is alert to the possibility that for 24 to 48 hours of the postoperative period,patients may experience which of the following symptoms as a result of the anaesthetic used during the surgery?

A) Colitis

B) Stomatitis

C) Paralytic ileus

D) Gastrocolic reflex

Q2) The nurse properly obtains a 24-hour urine specimen collection by

A) Asking the patient to void and to discard the first sample.

B) Keeping the urine collection container on ice.

C) Withholding all patient medications for the day.

D) Asking the patient to notify the staff before and after every void.

Q3) Upon palpation,the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate.The nurse should follow up by asking

A) "When was the last time you voided?"

B) "Do you lose urine when you cough or sneeze?"

C) "Have you noticed any change in your urination patterns?"

D) "Do you have a fever or chills?"

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Page 46

Chapter 45: Mobility and Immobility

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60 Verified Questions

60 Flashcards

Source URL: https://quizplus.com/quiz/37000

Sample Questions

Q1) The nurse is assessing a patient 2 hours after a colonoscopy.Based on the procedure done,what focused assessment will the nurse include?

A) Bowel sounds

B) Presence of flatulence

C) Bowel movements

D) Nausea

Q2) The nurse,who is caring for a 73-year-old female patient who has been hospitalized with a stroke,instructs the patient's daughter to continue to do passive ROM exercises with her mother on her affected side to prevent contractures.The nurse explains to the daughter that this is very important in an immobile older adult patient because contractures can form how quickly?

A) Within 8 hours

B) Within 24 hours

C) Within 1 week

D) Within 1 month

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Chapter 46: Skin Integrity and Wound Care

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28 Verified Questions

28 Flashcards

Source URL: https://quizplus.com/quiz/37001

Sample Questions

Q1) What role does protein play in wound healing?

A) Provides fuel for cell energy

B) Promotes collagen synthesis and capillary wall integrity

C) Promotes epithelialization and collagen formation

D) Fibroplasia and angiogenesis

Q2) On inspection of the patient's wound,the nurse notes that it appears infected and has a large amount of exudate.Which of the following is an appropriate dressing for the nurse to select based on this wound assessment?

A) Foam

B) Hydrogel

C) Hydrocolloid

D) Transparent film

Q3) Which of the following statements is true for wounds that heal by primary intention?

A) They will probably have minimal scarring.

B) They will probably contain infected tissue.

C) They will probably present with ragged edges.

D) They will probably have portions of missing tissue.

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Chapter 47: Sensory Alterations

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/37003

Sample Questions

Q1) A patient has hyperesthesia apparently associated with a neurological trauma.Which one of the following is an appropriate nursing intervention in regard to the patient's sense of touch?

A) Reminding the patient of the need to have frequent tactile contact

B) Keeping the patient loosely covered with sheets and blankets

C) Allowing the patient to lie motionless

D) Using touch as a form of therapy

Q2) The patient is legally blind in both eyes.Which of the following statements is most appropriate for the nurse to make to the patient regarding providing the patient with assistance?

A) "I will walk in front of you, and you can hold onto my belt."

B) "I know that you must need me to be your sighted guide to get around in this facility."

C) "I will warn you of upcoming curbs or stairs."

D) "I will get you a wheelchair so that I can move you around safely."

Q3) Which normal physiological change in sensory function occurs with advancing age?

A) Decreased sensitivity to glare

B) Increased number of taste buds

C) Difficulty discriminating vowel sounds

D) Decreased sensitivity to pain

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Page 49

Chapter 48: Care of Surgical Patients

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/37004

Sample Questions

Q1) A 43-year-old patient is scheduled to have a gastrectomy.Which one of the following is a major preoperative concern?

A) The patient's brother had a tonsillectomy at 11 years of age.

B) The patient smokes a pack of cigarettes a day.

C) An intravenous (IV) infusion is present.

D) The patient has a history of employment as a computer programmer.

Q2) The patient is scheduled for abdominal surgery and has just received the preoperative medications.Which of the following actions should the nurse take to assure the patient's safety?

A) Keep the patient quiet.

B) Obtain the consent.

C) Prepare the skin at the surgical site.

D) Raise the side rails on the bed or stretcher.

Q3) Coughing postoperatively is contraindicated following which type of surgery?

A) Eye surgery

B) Chest surgery

C) Thoracic surgery

D) Perineal surgery

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Chapter 50: the Health Care Delivery System

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36915

Sample Questions

Q1) The nurse is serving on the hospital's Quality Improvement Committee.As the nursing representative,the nurse focuses quality improvement measures on

A) Outcomes unrelated to patient satisfaction.

B) Desired health outcomes.

C) Factors solely affecting inpatients.

D) Increasing patient-to-nurse ratios.

Q2) The nurse is evaluating the Falls Program instituted on the medical unit to decrease the number of falls.The number of falls has decreased in the last month.The nurse realizes that

A) The program has been successful and can be terminated.

B) Policies for the program need to be developed or evaluated further.

C) The program evaluation is a nursing-sensitive outcome that can enhance safety.

D) The program results need to be reported to the QI Committee only.

Q3) Health promotion programs focus on

A) Reducing the cost of health care.

B) Controlling risk factors for disease.

C) Immunizations.

D) Occupational health programs.

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Chapter 51: Community-Based Nursing Practice

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36917

Sample Questions

Q1) The community health nurse is providing counseling to a group of teenage girls related to birth control and disease prevention.The nurse does this because

A) Focusing on subpopulations leads to community health.

B) Community health nursing focuses on individuals only.

C) Community health nursing excludes direct care to subpopulations.

D) The focus is on preventing illness and unwanted pregnancy.

Q2) The nurse is working in a community clinic when a man and woman bring a 12 year-old boy in,stating that the child fell down a flight of stairs and hurt his arm.The nurse notices several other bruises on the child's body at varying stages of healing.The boy is placed on the stretcher.When asked how he hurt himself,he states that he does not remember.However,the nurse notices that the boy continuously avoids looking at the man,while the man stares at him constantly.The nurse should

A) Ask the boy if the man hurt him.

B) Confront the man directly.

C) Ask the man and woman to step out.

D) Ask the woman if the man hurt the boy.

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Chapter 52: Theoretical Foundations of Nursing Practice

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Source URL: https://quizplus.com/quiz/36919

Sample Questions

Q1) Nursing has its own body of knowledge that is both theoretical and practical.Which of the following is an example of theoretical knowledge?

A) Reflection on care experiences

B) Synthesis and integration of the art and science of nursing

C) Reflection on basic values and principles

D) Creating a narrow understanding of nursing practice

Q2) A paradigm is useful in describing the domain of a discipline.Nursing's paradigm includes which of the following?

A) Person

B) Disease

C) Health

D) Environment

E) Nursing

Q3) Many aspects of nursing theory are based on developmental theories because human growth and development is believed to be

A) Erratic and difficult to predict.

B) An orderly predictive process.

C) An orderly process until adulthood.

D) Unpredictable during childhood.

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Page 53

Chapter 53: Evidence-Based Practice

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22 Verified Questions

22 Flashcards

Source URL: https://quizplus.com/quiz/36921

Sample Questions

Q1) The first step in evidence-based practice is to ask a clinical question.In doing so,the nurse needs to realize that in researching interventions,the question

A) Is more important than its format.

B) Will lead you to hundreds of articles that must be read.

C) May be easier if in PICO format.

D) May be more useful the more general it is.

Q2) To provide patient care of the highest quality,nurses utilize an evidence-based practice approach because evidence-based practice is

A) A guide for nurses in making clinical decisions.

B) Based on the latest textbook information.

C) Easily attained at the bedside.

D) Always right for all situations.

Q3) The quality improvement committee is examining an increase in medication errors on a particular unit.In conducting its analysis,what should be the committee's primary focus?

A) Nurses who administer the medications

B) Pharmacy that prepares the medications

C) Secretaries who enter the orders

D) None of the above

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Page 54

Chapter 54: Health and Wellness

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21 Verified Questions

21 Flashcards

Source URL: https://quizplus.com/quiz/36923

Sample Questions

Q1) The patient has quit smoking and has been smoke free for the past 2 years.Of the following stages,which best fits her current stage of change?

A) Contemplation

B) Preparation

C) Action

D) Maintenance

Q2) The nurse is working on a committee to evaluate the need for increasing the levels of fluoride in the drinking water of the community.In doing so,the nurse is fostering the concept of

A) Illness prevention.

B) Active health promotion.

C) Wellness education.

D) Passive health promotion.

Q3) An argument for passing "universal health care" legislation is that it would help fulfill the Healthy People 2020 goal of

A) Increasing quality of life in America.

B) Prolonging healthy life in America.

C) Eliminating health disparities in America.

D) Promoting healthy behaviors.

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Page 55

Chapter 55: Caring in Nursing Practice

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16 Flashcards

Source URL: https://quizplus.com/quiz/36925

Sample Questions

Q1) The concept of "knowing" the patient comprises both the nurse's understanding of a specific patient and the nurse's subsequent selection of interventions.To know a patient means that the nurse

A) Avoids assumptions.

B) Focuses on the patient.

C) Engages in a caring relationship.

D) Forms the relationship quickly.

Q2) Caring is central to nursing practice,but technological advances for rapid diagnosis and treatment should lead the nurse to realize that

A) Technology has replaced caring as nurses' primary focus.

B) Technology and caring cannot coexist when related to patient care.

C) Technology becomes a powerful tool when it works with caring.

D) Caring is the essence of nursing and is isolated from technology.

Q3) When dealing with the concept of "touch," the nurse realizes what with regard to contact touch?

A) Involves only skin-to-skin contact

B) Involves eye contact

C) Occurs only when tasks are being performed

D) Is used only to protect the patient

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Page 56

Chapter 56: Caring for the Cancer Survivor

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15 Verified Questions

15 Flashcards

Source URL: https://quizplus.com/quiz/36927

Sample Questions

Q1) The patient has lung cancer and voices concerns about his cancer treatment.He wants to know how chemotherapy will affect his sexuality.What is the nurse's best reply?

A) "Chemotherapy will work in the lungs and should have no effect on your sexuality."

B) "That is something that you should ask your doctor. He can direct you."

C) "Sexual changes are common with cancer therapy. Let me get someone who can answer your questions."

D) "How cancer treatment affects sexuality depends on how active you are and your age."

Q2) The nurse is caring for a young woman with breast cancer.The stress between the woman and her husband is obvious,as is anxiety among the children.What is the nurse's best action in this situation?

A) Help find or develop an educational program for the patient and her husband.

B) Encourage the patient to agree with her husband even if she disagrees.

C) Support the husband, and explain that the husband knows what's best.

D) Take the children away and recommend foster care.

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57

Chapter 57: Culture and Ethnicity

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Source URL: https://quizplus.com/quiz/36929

Sample Questions

Q1) When caring for a patient of a different culture,it is important for the nurse to understand that

A) The nurse should protect the patient from family intrusion in her health care decisions.

B) Working within the established family hierarchy produces better outcomes.

C) Women as primary caregivers make independent health decisions.

D) Gender is not a factor when it comes to role expectations.

Q2) Despite significant improvements in the overall health status of the U.S.population over the past few decades,disparities among ethnic and racial minorities have

A) Decreased as education levels equal those of non-Hispanic whites.

B) Disappeared in relation to non-Hispanic white populations.

C) Remained a serious challenge locally and nationally.

D) Decreased faster than anticipated.

Q3) Which statement is true relative to caring for a Hindu patient who is dying?

A) The family will turn his head eastward or to the right.

B) A close kin will stay with the patient to hear his last wishes.

C) Anointing of the sick is a common right of the dying.

D) The family will place a drop of water on the patient's lips.

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Page 58

Chapter 58: Caring for Families

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16 Verified Questions

16 Flashcards

Source URL: https://quizplus.com/quiz/36931

Sample Questions

Q1) Different approaches may be taken to family nursing practice.When the nurse is caring for a patient who needs constant care in the home setting and for whom most of the care is provided by the patient's family,what is the best approach for the nurse to take?

A) Family as context

B) Family as patient

C) Family as system

D) Patient as individual

Q2) Although the family as a whole differs from individual members,the measure of family health is more than a summary of the health of all members.Of the following,what areas are unique to family assessment?

A) Family form

B) Family structure

C) Family function

D) Family health

E) Individual health

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Chapter 59: Developmental Theories

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20 Flashcards

Source URL: https://quizplus.com/quiz/36933

Sample Questions

Q1) According to Piaget's theory of cognitive development,the nurse should allow a hospitalized 4-year-old patient to safely play with

A) The pump administering intravenous fluids.

B) The blood pressure cuff.

C) A baseball bat.

D) A book to read alone in a quiet place.

Q2) The nurse knows that a priority reason for being knowledgeable about biophysical developmental theories is to

A) Understand how the physical body grows.

B) Predict definite patterns of cognitive development.

C) Anticipate how patients' social behaviors develop.

D) Describe the process of psychological development.

Q3) According to Piaget's formal operations level,a 13-year-old adolescent will likely

A) Hit other students to deal with environmental change.

B) Use play to understand her surroundings.

C) Question her parents about an upcoming presidential election.

D) Question where the ice is hiding when ice has melted in her drink.

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Chapter 60: Conception Through Adolescence

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Source URL: https://quizplus.com/quiz/36935

Sample Questions

Q1) The nursing student is preparing a teaching project for parents of school-aged children.Which statement correctly identifies health risks in this age group?

A) "School-aged children are more likely to suffer from unintentional injury."

B) "The risk for infection is not a major concern of this age group as immunity develops."

C) "Mental retardation, learning disorders, and malnutrition are prevalent across all socioeconomic categories."

D) "Poor nutrition and lack of immunizations continue to be health concerns for children of the poor."

Q2) Which of these manifestations,if identified in a school-aged child during a routine assessment,should a nurse associate with a possible developmental delay or problem?

A) Withdrawn demeanor and verbalizes that he has no friends

B) Absence of secondary sex characteristics

C) Lack of peer relationships

D) Curiosity about his or her sexuality

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Chapter 61: Young and Middle Adults

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Source URL: https://quizplus.com/quiz/36937

Sample Questions

Q1) When providing prenatal care,what information does the nurse expect to provide?

A) Protecting against urinary infection

B) No longer needing condoms

C) Exercise patterns

D) Proper diet

E) Physical assessments only during the last trimester

Q2) According to some developmental theorists,intellectual development and moral development differ between men and women.What did Gilligan propose?

A) As women progress toward adulthood, concepts, morals, and responsibility remain unchanged.

B) Providing and protecting remain the sole responsibilities of men in today's society.

C) Women continue to play a minor role in the financial well-being of their families.

D) Women struggle with issues of care and responsibility.

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Chapter 62: Older Adults

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Source URL: https://quizplus.com/quiz/36939

Sample Questions

Q1) A recently widowed 80-year-old male is dehydrated and is admitted to the hospital for intravenous fluid replacement.During the evening shift,the patient becomes acutely confused.The nurse's best action is to assess the patient for which of the following reversible causes?

A) Electrolyte imbalance

B) Hypoglycemia

C) Drug effects

D) Dementia

E) Cerebral anoxia

Q2) A 70-year-old patient who suffers from worsening dementia is no longer able to live alone.When discussing health care services and possible long-term living arrangements with the patient's only son,what should the nurse suggest?

A) An apartment setting with neighbors close by

B) Having the patient utilize weekly home health visits

C) A nursing center because home care is no longer safe

D) That placement is irrelevant because the patient is retreating to a place of inactivity

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Chapter 63: Critical Thinking in Nursing Practice

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20 Flashcards

Source URL: https://quizplus.com/quiz/36941

Sample Questions

Q1) Which of the following demonstrates a nurse utilizing self-reflection to improve clinical decision making?

A) Uses an objective approach in all situations

B) Obtains data in an orderly fashion

C) Improves a plan of care while thinking back on interventions performed

D) Provides evidence-based explanations for all nursing interventions

Q2) The nurse enters a room to find the patient sitting up in bed crying.How would the nurse display a critical thinking attitude in this situation?

A) Tell the patient she'll be back in 30 minutes.

B) Set a box of tissues at the patient's bedside before leaving the room.

C) Ask the patient why she is crying.

D) Limit visitors while the patient is upset.

Q3) What is the first component of the critical thinking model for clinical decision making?

A) Experience

B) Nursing process

C) Attitude

D) A scientific knowledge base

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Chapter 64: Nursing Assessment

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Source URL: https://quizplus.com/quiz/36943

Sample Questions

Q1) The nurse is assessing a patient with a hearing deficit.Where is the best place to conduct this interview?

A) The patient's room with the door closed

B) The waiting area with the television turned off

C) The patient's room before administration of pain medication

D) The patient's room while the occupational therapist is working on leg exercises

Q2) Subjective data include

A) A patient's feelings, perceptions, and reported symptoms.

B) A description of the patient's behavior.

C) Observations of a patient's health status.

D) Measurements of a patient's health status.

Q3) The nurse begins a shift assessment by examining a surgical dressing that is saturated with serosanguineous drainage on a patient who had open abdominal surgery yesterday (or 1 day ago).The nurse is performing what type of assessment approach in this situation?

A) Comprehensive assessment using Gordon's Functional Health Patterns

B) General to specific assessment

C) Activity-exercise pattern assessment

D) Problem-oriented assessment

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Page 65

Chapter 65: Nursing Diagnosis

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Source URL: https://quizplus.com/quiz/36945

Sample Questions

Q1) Which of these questions would be most appropriate for a nurse to ask a patient to assist in establishing a nursing diagnosis of Diarrhea?

A) "What types of foods do you think caused your upset stomach?"

B) "How many bowel movements a day have you had?"

C) "Are you able to get to the bathroom in time?"

D) "What medications are you currently taking?"

Q2) A patient with a spinal cord injury is seeking to enhance his urinary elimination abilities by learning self-catheterization versus assisted catheterization by home health nurses and family members.The nursing diagnosis Readiness for enhanced urinary elimination is which type of diagnosis?

A) Actual

B) Risk

C) Health promotion

D) Wellness

Q3) Which diagnosis below is NANDA-I approved?

A) Sleep disorder

B) Acute pain

C) Sore throat

D) High blood pressure

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Page 66

Chapter 66: Planning Nursing Care

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Source URL: https://quizplus.com/quiz/36947

Sample Questions

Q1) When planning patient care,a goal can be described as

A) A statement describing the patient's accomplishments without a time restriction.

B) A realistic statement predicting any negative responses to treatments.

C) A broad statement describing a desired change in patient behavior.

D) An identified long-term nursing diagnosis.

Q2) The nurse recognizes that another term for a collaborative nursing intervention is _____ intervention.

A) Dependent

B) Independent

C) Interdependent

D) Physician-initiated

Q3) Which of these outcomes would be most appropriate for a patient with a nursing diagnosis of Constipation related to slowed gastrointestinal motility secondary to pain medications?

A) Patient will have one soft, formed bowel movement by end of shift.

B) Patient will not take any pain medications this shift.

C) Patient will walk unassisted to bathroom by the end of shift.

D) Patient will not take laxatives or stool softeners this shift.

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Chapter 67: Implementing Nursing Care

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Source URL: https://quizplus.com/quiz/36949

Sample Questions

Q1) Which of these interventions,to be included in the plan of care,is appropriate for the patient outcome that states,"The patient will verbalize a pain level at 3 or below on a 0 to 10 scale throughout this shift."?

A) Medicate the patient immediately after all procedures.

B) Discuss only nonpharmacological methods of pain relief.

C) Teach the patient about side effects of pain medications.

D) Medicate the patient based on previous shift assessment findings.

Q2) Before implementing care,the nurse needs to ensure that which resources are available?

A) Equipment

B) Safe environment

C) Patient readiness

D) Assistive personnel

E) Creativity

Q3) Which intervention is most appropriate for a patient who has a new onset of chest pain?

A) Administer a prn medication for pain.

B) Reassess the patient because of the change in condition.

C) Notify the health care provider.

D) Call radiology for a portable chest x-ray.

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Chapter 68: Evaluation

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Source URL: https://quizplus.com/quiz/36951

Sample Questions

Q1) A nurse is providing education to a patient about self-administering subcutaneous injections.Which of these patient statements indicates that the patient understands the instructions?

A) "I need to use a needle 1/2 inch longer than my thumb."

B) "I will give the medicine deep into my deltoid."

C) "My belly is a good place to give my injection."

D) "I need to throw the syringe and needle into the garbage when I am done giving myself my shot."

Q2) A goal for a patient with a diagnosis of Ineffective coping is to demonstrate effective coping skills.Which of these patient behaviors indicates that interventions performed to meet this outcome have been successful?

A) States he feels better after talking with his family and friends

B) Continues to consume several alcoholic beverages a day

C) Dislikes the support group meetings

D) Spends most of the day in bed

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Chapter 69: Managing Patient Care

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Source URL: https://quizplus.com/quiz/36953

Sample Questions

Q1) A nurse manager sent one of the staff nurses on the unit to a conference about new,evidence-based wound care techniques.The nurse manager asks the staff nurse to prepare a poster to present at the next unit meeting,which will be mandatory for all nursing staff on the unit.The nurse manager is providing a learning opportunity in this situation through

A) Nurse/physician collaborative practice.

B) Interdisciplinary collaboration.

C) Staff education.

D) Establishing a nursing practice committee.

Q2) A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant.The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus.The best next action of this nurse is to

A) Ask the nursing assistant to observe while the nurse performs catheter care.

B) Leave the room and ask the nursing assistant to go back and perform proper catheter care.

C) Discontinue the catheter.

D) Document the incident in the patient's chart.

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Chapter 70: Ethics and Values

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18 Flashcards

Source URL: https://quizplus.com/quiz/36955

Sample Questions

Q1) Which philosophy of health care ethics would be particularly useful when making ethical decisions about vulnerable populations?

A) Feminist ethics

B) Deontology

C) Bioethics

D) Utilitarianism

Q2) Which patient is most likely to have difficulty with the ethical concept of autonomy?

A) 18-year-old patient in labor

B) 35-year-old patient with appendicitis

C) 53-year-old patient with pancreatitis

D) 78-year-old patient with rheumatoid arthritis

Q3) The nurse has become aware of missing narcotics in the patient care area.Which ethical principle obligates the nurse to report the missing medications?

A) Advocacy

B) Responsibility

C) Confidentiality

D) Accountability

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71

Chapter 71: Legal Implications in Nursing Practice

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20 Verified Questions

20 Flashcards

Source URL: https://quizplus.com/quiz/36957

Sample Questions

Q1) A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier.The nursing student says,"I don't understand what the big deal is.As my instructor,you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor?

A) "You are expected to perform at the level of a professional nurse."

B) "You are expected to perform at the level of a nursing student."

C) "You are practicing under the license of the nurse assigned to the patient."

D) "You are expected to perform at the level of a skilled nursing assistant."

Q2) A 17-year-old patient,dying of heart failure,wants to have his organs removed for transplantation after his death.What action by the nurse is correct?

A) Prepare the organ donation form for the patient to sign while he is still oriented.

B) Instruct the patient to talk with his parents about his desire to donate his organs.

C) Notify the physician about the patient's desire to donate his organs.

D) Contact the United Network for Organ Sharing after talking with the patient.

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Chapter 72: Communication

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28 Flashcards

Source URL: https://quizplus.com/quiz/36959

Sample Questions

Q1) A confused older adult patient is wearing thick glasses and a hearing aid.Which intervention is priority to facilitate communication?

A) Focus on tasks to be completed.

B) Allow time for the patient to respond.

C) Limit conversations with the patient.

D) Use gestures and other nonverbal cues.

Q2) A nurse wants to present information about flu immunizations to the elderly in the community.Which type of communication should the nurse use?

A) Interpersonal

B) Public

C) Transpersonal

D) Small group

Q3) A nurse and patient take action to meet health-related goals.The nurse is in which phase of the helping relationship?

A) Pre-interaction

B) Orientation

C) Working

D) Termination

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73

Chapter 73: Patient Education

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Source URL: https://quizplus.com/quiz/36961

Sample Questions

Q1) A nurse is teaching a culturally diverse patient about nutritional needs.What must the nurse do first before starting the teaching session?

A) Obtain pictures of food.

B) Get an interpreter.

C) Establish a rapport.

D) Refer to a dietitian.

Q2) A nurse has taught a patient about healthy eating habits.Which learning objective/outcome is most appropriate for the affective domain?

A) The patient will state three facts about healthy eating.

B) The patient will identify two foods for a healthy snack.

C) The patient will verbalize the value of eating healthy.

D) The patient will cook a meal with low-fat oil.

Q3) A student nurse learns that a normal adult heartbeat is 60 to 100 beats/minute.In which domain did learning take place?

A) Kinesthetic

B) Cognitive

C) Affective

D) Psychomotor

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Chapter 74: Documentation and Informatics

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31 Verified Questions

31 Flashcards

Source URL: https://quizplus.com/quiz/36963

Sample Questions

Q1) A nurse is charting on a patient's record.Which action is most accurate legally?

A) Charts legibly

B) States the patient is belligerent

C) Uses correction fluid to correct error

D) Writes entry for another nurse

Q2) A preceptor is working with a new nurse on documentation.Which situation will cause the preceptor to intervene?

A) The new nurse uses a black ink pen to chart.

B) The new nurse charts consecutively on every other line.

C) The new nurse ends each entry with signature and title.

D) The new nurse keeps the password secure.

Q3) A nurse wants to reduce data entry errors on the computer system.Which behavior should the nurse implement?

A) Use the same password all the time.

B) Share password with only one other staff member.

C) Print out and review computer nursing notes at home.

D) Chart on the computer immediately after care is provided.

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Chapter 75: Patient Safety

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44 Verified Questions

44 Flashcards

Source URL: https://quizplus.com/quiz/36965

Sample Questions

Q1) The nurse is caring for an older adult who presents to the clinic after a fall.The nurse reviews fall prevention in the home.Which of the following should the patient avoid?

A) Watering outdoor plants with a nozzle and hose

B) Purchasing light bulbs with strength greater than 60 watts

C) Missing yearly eye examinations

D) Using bathtubs without safety strips

E) Unsecured rugs throughout the home

F) Walking to the mailbox in the summer

Q2) Which of the following concepts are important to utilize when evaluating orders for restraints?

A) Behaviors that necessitate the use of restraint are part of the nursing plan of care.

B) A physician's order is required for restraint and includes a face-to-face evaluation.

C) The physician's preference for the format of the order can override agency policy.

D) Orders are time limited. Restraints are not ordered prn (as needed).

E) It should be specified that restraints are to be removed periodically.

F) Restraint orders are time dated and signed by the physician.

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Chapter 76: Infection Prevention and Control

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46 Verified Questions

46 Flashcards

Source URL: https://quizplus.com/quiz/36967

Sample Questions

Q1) A diabetic patient presents to the clinic for a dressing change.The wound is located on the right foot and has purulent yellow drainage.Which of these interventions would be most appropriate for the nurse to provide?

A) Position the patient comfortably on the stretcher.

B) Explain the procedure for dressing change to the patient.

C) Don gloves and other appropriate personal protective equipment.

D) Review the medication list that the patient brought from home.

Q2) The nurse is providing an educational session for a group of preschool workers.The nurse reminds the group that the most important thing to do to prevent the spread of infection is to

A) Encourage preschool children to eat a nutritious diet.

B) Encourage parents to provide a multivitamin to the children.

C) Clean the toys every afternoon before putting them away.

D) Wash their hands between each interaction with children.

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Chapter 77: Vital Signs

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Source URL: https://quizplus.com/quiz/36969

Sample Questions

Q1) The nurse is caring for a patient who has a pulse rate of 44.His blood pressure is within normal limits.In trying to determine the cause of the patient's low heart rate,the nurse would suspect

A) That the patient would have a fever.

B) Possible hemorrhage or bleeding.

C) Calcium channel blockers or digitalis medications.

D) Chronic obstructive pulmonary disease (COPD).

Q2) The incidence of hypertension is greater in which of the following?

A) Non-Hispanic Caucasians

B) African Americans

C) Asian Americans

D) Native Americans

Q3) The patient is being admitted to the emergency department following a motor vehicle accident.His jaw is broken,and he has several broken teeth.He is ashen,and his skin is cool and diaphoretic.To obtain an accurate temperature,the nurse uses which of the following routes?

A) Oral

B) Axillary

C) Rectal

D) Temporal

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Chapter 78: Health Assessment and Physical Examination

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Source URL: https://quizplus.com/quiz/36971

Sample Questions

Q1) A school nurse recognizes a belt buckle-shaped ecchymosis on a 7-year-old student.When privately asked about how the injury occurred,the student described falling on the playground.Upon suspecting abuse,the school nurse's best next action is which of the following?

A) Interviewing the patient in the presence of his/her teacher

B) Ignoring the findings because child abuse is a declining problem

C) Realizing that abuse victims usually report abusive situations

D) Contacting Social Services and reporting suspected abuse

Q2) A febrile preschool-aged child presents to the after-hours clinic.Varicella is diagnosed on the basis of the illness history and the presence of small,circumscribed skin lesions filled with serous fluid.The nurse documents the varicellar lesions as which type of skin lesion?

A) Vesicle

B) Wheal

C) Papule

D) Pustule

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Chapter 79: Medication Administration

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Source URL: https://quizplus.com/quiz/36973

Sample Questions

Q1) The nurse is preparing to administer medications to two patients with the same last name.After the administration,the nurse realizes that she did not check the identification of the patient before administering medication.Which of the following actions should the nurse complete first?

A) Return to the room to check and assess the patient.

B) Administer the antidote to the patient immediately.

C) Alert the charge nurse that a medication error has occurred.

D) Complete proper documentation of the medication error in the patient's chart.

Q2) The prescriber wrote for a 40-kg child to receive 25 mg of medication 4 times a day.The therapeutic range is 5 to 10 mg/kg/day.What is the nurse's priority?

A) Administer the medication because it is within the therapeutic range.

B) Notify the physician that the prescribed dose is in the toxic range.

C) Notify the physician that the prescribed dose is below the therapeutic range.

D) Change the dose to one that is within range.

Q3) Which patient using an inhaler would benefit most from using a spacer?

A) 3-year-old with a cleft palate

B) 25-year-old with multiple sclerosis

C) 50-year-old with hearing impairment

D) 72-year-old with left-sided hemiparesis

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Page 80

Chapter 80: Complementary and Alternative Therapies

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Source URL: https://quizplus.com/quiz/36975

Sample Questions

Q1) A therapeutic touch practitioner scans the patient's body to identify what?

A) Blocked chakra

B) Accumulated tension

C) The flow of Qi

D) Structural and functional imbalance

Q2) The complementary and alternative therapy that is known to alter immune function is which of the following?

A) Biofeedback

B) Imagery

C) Breath work

D) Acupuncture

Q3) During a relaxation therapy skills group,the instructor discusses the cognitive skill of learning to tolerate uncertain and unfamiliar experiences.This best describes the skill of

A) Mindfulness.

B) Focusing.

C) Passivity.

D) Receptivity.

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Chapter 81: Self-Concept

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Source URL: https://quizplus.com/quiz/36977

Sample Questions

Q1) Children learn to live an authentic lifestyle through culturally accepted behaviors,values,and role modeling.A child who does this is attempting to create his or her own

A) Body image.

B) Self-esteem.

C) Identity.

D) Role performance.

Q2) "I'm such a loser.I only had that job for a month." Identify appropriate nursing outcome criteria for this individual.

A) The patient will verbalize two life areas in which he or she functions well.

B) The patient will find new employment before the next clinic visit.

C) The patient will confront his or her former boss about work problems.

D) The patient will identify why he or she is considered a bad employee.

Q3) The nurse can best assess the patient's self-concept by evaluating the patient's

A) Drug abuse history.

B) Nonverbal behavior.

C) Personal journal.

D) Social networking site.

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Chapter 82: Sexuality

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Source URL: https://quizplus.com/quiz/36979

Sample Questions

Q1) A woman who has been in a monogamous relationship for the past 6 months presents to clinic with herpes on her labia.The patient is distraught because her partner must have cheated on her.Which response by the nurse is most effective in establishing an open rapport with a patient?

A) Share an anecdote.

B) Inform the patient that all encounters are confidential.

C) Tell the patient that she must be honest about every sexual experience she has had.

D) Ask the patient what concerns or fears she has related to the visit.

Q2) The nurse is leading a seminar about menopause and age-related changes.The nurse knows that a patient does not fully understand the changes of aging when the patient says

A) "I will no longer ovulate after menopause."

B) "Orgasms are no longer achievable after menopause."

C) "Hormones of sexual regulation such as estrogen decrease with age."

D) "As men age, their ability to sexually perform may decrease."

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Chapter 83: Spiritual Health

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Source URL: https://quizplus.com/quiz/36981

Sample Questions

Q1) The patient is admitted with chronic back pain.The nurse who is caring for this patient should

A) Focus on finding quick remedies for the back pain.

B) Look at how pain influences the patient's ability to function.

C) Realize that the patient's only goal is relief of the back pain.

D) Help the patient realize that there is little hope of relief from chronic pain.

Q2) The nurse is admitting a patient to the hospital.The patient states that he is a very spiritual person but does not practice any specific religion.The nurse understands that these statements

A) Are contradictory.

B) Indicate a strong religious affiliation.

C) Indicate a lack of faith.

D) Are reasonable.

Q3) In caring for the patient's spiritual needs,the nurse understands that

A) Establishing presence is part of the art of nursing.

B) Presence involves "doing for" the patient.

C) A caring presence involves listening to the patient's wishes only.

D) The nurse must use her expertise to make decisions for the patient.

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84

Chapter 84: the Experience of Loss, death, and Grief

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Source URL: https://quizplus.com/quiz/36983

Sample Questions

Q1) Mrs.Harrison's father died a week ago.Mr.Harrison is experiencing headaches and fatigue,and keeps shouting at his wife to turn down the television,although he has not done so in the past.Mrs.Harrison is having trouble sleeping,has no appetite,and says she feels like she is choking all the time.How should the nurse interpret these assessment findings as the basis for a follow-up assessment?

A) Mrs. Harrison is grieving and Mr. Harrison is angry.

B) Mrs. Harrison is ill and Mr. Harrison is grieving.

C) Both Mr. and Mrs. Harrison likely are in denial.

D) Both Mr. and Mr. Harrison likely are grieving.

Q2) A couple is informed that their fetus' condition is incompatible with life after birth.Nurses can best help the couple with their end-of-life decision making by offering them which of the following?

A) An advance directive to complete

B) Brief discussion and funeral guidance

C) Time and careful explanations

D) Instructions on how to proceed

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85

Chapter 85: Stress and Coping

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Source URL: https://quizplus.com/quiz/36985

Sample Questions

Q1) A teen with celiac disease continues to eat food she knows will make her ill several hours after ingestion.Given appropriate tertiary level interventions,the nursing intervention would be to

A) Teach the patient about the food pyramid.

B) Administer antidiarrheal medications with meals.

C) Assist the teen in meeting dietary restrictions while eating foods similar to those eaten by her friends.

D) Admonish the teen and her parents regarding her consistently poor diet choices.

Q2) Despite working in a highly stressful nursing unit and accepting additional shifts,a new nursing graduate has a strategy to prevent burnout.The best strategy would be for the new nurse to

A) Identify limits and scope of work responsibilities.

B) Write for 10 minutes in a journal every day.

C) Use progressive muscle relaxation.

D) Delegate complex nursing tasks to licensed professional nurses.

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Chapter 86: Activity and Exercise

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30 Verified Questions

30 Flashcards

Source URL: https://quizplus.com/quiz/36987

Sample Questions

Q1) Which of the following exercise activities would most likely provide the opportunity for mind-body awareness?

A) Warm-up activity

B) Resistance training

C) Aerobic exercise

D) Cool-down activity

Q2) In planning a physical activity program for a patient,the nurse must understand that

A) Isotonic exercises cause contraction without changing muscle length.

B) The best program includes a combination of exercises.

C) Isometric contraction involves the movement of body parts.

D) Resistive isometric exercises can lead to bone wasting.

Q3) In developing a nursing care plan for increasing activity tolerance in a patient,the nurse should

A) Use generalized therapies because they work for everyone.

B) Consult with members of the health care team.

C) Avoid goals published by the American College of Sports Medicine.

D) Involve the patient and the patient's family in designing an exercise plan.

E) Consider the patient's ability to increase activity level.

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Chapter 87: Hygiene

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Source URL: https://quizplus.com/quiz/36989

Sample Questions

Q1) Of the following hearing aids,which interferes the most with wearing eyeglasses and using a phone?

A) In-the-canal hearing aid

B) In- the-ear hearing aid

C) Behind-the-ear hearing aid

D) They are all equally useful.

Q2) The patient is being fitted with a hearing aid.In teaching the patient how to care for the hearing aid,the nurse instructs the patient to

A) Wear the hearing aid 24 hours per day except when sleeping.

B) Change the battery every day or as needed.

C) Avoid the use of hairspray, but aerosol perfumes are allowed.

D) Adjust the volume for a talking distance of 1 yard.

Q3) The nurse is teaching the patient about flossing and oral hygiene.The nurse teaches the patient that

A) Flossing needs to be done at least three times a day.

B) To prevent bleeding, the patient should use waxed floss.

C) Flossing removes plaque and tartar from the teeth.

D) Applying toothpaste to the teeth before flossing is harmful.

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Chapter 88: Oxygenation

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Source URL: https://quizplus.com/quiz/36991

Sample Questions

Q1) A patient's heart rate increased from 80 bpm to 160 bpm.The nurse knows that what will follow is a(n)

A) Increase in diastolic filling time.

B) Decrease in cardiac output.

C) Increase in stroke volume.

D) Increase in contractility.

Q2) A 5-year-old who has strep throat was given aspirin for fever.The nurse knows to expect which change in the child's respiratory pattern?

A) Hyperventilation to decrease serum levels of carbon dioxide

B) Hypoventilation to compensate for metabolic alkalosis

C) Flail chest to decrease the work of breathing

D) Shallow respirations to decrease serum pH

Q3) Myocardial blood flow is unidirectional; the nurse knows that the correct pathway is which of the following?

A) Right atrium, right ventricle, left ventricle, left atrium

B) Right atrium, left atrium, right ventricle, left ventricle

C) Right atrium, right ventricle, left atrium, left ventricle

D) Right atrium, left atrium, left ventricle, right ventricle

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89

Chapter 89: Fluid, electrolyte, and Acid-Base Balance

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Source URL: https://quizplus.com/quiz/36993

Sample Questions

Q1) A patient had an acute intravascular hemolytic reaction to a blood transfusion.After discontinuing the blood transfusion,what is the nurse's next action?

A) Run normal saline through the existing tubing.

B) Start normal saline at TKO rate using new tubing.

C) Discontinue the IV catheter.

D) Return the blood to the blood bank.

Q2) A nurse is caring for a patient who is in hypertensive crisis.When the nurse is flushing the patient's peripheral IV,the patient complains of pain.Upon assessment,the nurse notices a red streak that is warm to the touch.What is the nurse's initial action?

A) Notify the physician.

B) Administer pain medication.

C) Discontinue the IV.

D) Start a new IV line.

Q3) The nurse knows that the most abundant cation in the blood is

A) Sodium.

B) Potassium.

C) Chloride.

D) Magnesium.

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90

Chapter 90: Sleep

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Sample Questions

Q1) A patient has received a nursing diagnosis of sleep deprivation.Which of the following statements by the patient would indicate that outcomes are being met?

A) "I wake up only once a night to go the bathroom."

B) "I feel rested when I wake up in the morning."

C) "I go to sleep within 30 minutes of lying down."

D) "I only take a 20-minute nap during the day."

Q2) The nurse is caring for a patient in the intensive care unit who is having trouble sleeping.The nurse explains the purpose of sleep and its benefits.What points should the nurse include in her teaching?

A) NREM sleep contributes to body tissue restoration.

B) During NREM sleep, biological functions increase.

C) Restful sleep preserves cardiac function.

D) Sleep contributes to cognitive restoration.

E) REM sleep decreases cortical activity.

F) REM sleep assists with memory storage and learning.

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Chapter 91: Pain Management

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Sample Questions

Q1) A nurse is caring for a patient who recently had spinal surgery.The nurse knows that patients usually experience acute pain following this type of surgery.The patient refuses to get up and walk and is not moving around in the bed.However,the patient is stoic and denies experiencing pain at this time.What most likely explains this patient's behavior and response to surgery?

A) The surgery successfully cured the patient's pain.

B) The patient's culture is possibly influencing the patient's experience of pain.

C) The patient is experiencing urinary retention because of manipulation of the spine during surgery; this is preventing the patient from experiencing pain.

D) The nurse is allowing personal beliefs about pain to influence pain management at this time.

Q2) What is the most appropriate way to assess the pain of a patient who is oriented and has recently had surgery?

A) Assess the patient's body language.

B) Observe cardiac monitor for increased heart rate.

C) Ask the patient to rate the level of pain.

D) Ask the patient to describe the effect of pain on the ability to cope.

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Chapter 92: Mobility and Immobility

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Source URL: https://quizplus.com/quiz/37002

Sample Questions

Q1) While performing passive ROM exercises,the nurse stands at the side of the bed closest to the joint being exercised and

A) Forces the joint just a bit beyond the point of resistance.

B) Moves the joint until the patient complains of pain.

C) Repeats each movement twice.

D) Carries out movements slowly and smoothly.

Q2) In preparing to create a nursing diagnosis for a patient who is immobile,it is important for the nurse to understand that

A) Physiological issues should be the major focus.

B) Psychosocial issues should be the major focus.

C) Developmental issues should be the major focus.

D) All dimensions are important to health.

Q3) The nurse is caring for a patient who has been diagnosed with a stroke.As part of her ongoing care,the nurse should

A) Encourage the patient to perform as many self-care activities as possible.

B) Provide a complete bed bath to promote patient comfort.

C) Place the patient on bed rest to prevent fatigue.

D) Understand that the patient will not eat owing to a decreased energy need.

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Chapter 93: Skin Integrity and Wound Care

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Source URL: https://quizplus.com/quiz/37005

Sample Questions

Q1) The nurse is completing an assessment on an individual who has a stage IV pressure ulcer.The wound is odorous,and a drain is currently in place.The nurse determines that the patient is experiencing issues with self-concept when the patient states which of the following?

A) "I think I will be ready to go home early next week."

B) "I am so weak and tired, I want to feel better."

C) "I am ready for my bath and linen change as soon as possible."

D) "I am hoping there will be something good for dinner tonight."

Q2) The nurse is caring for a patient who has suffered a stroke and has residual mobility problems.The patient is at risk for skin impairment.Which initial interventions should the nurse select to decrease this risk?

A) Gentle cleaners and thorough drying of the skin

B) Absorbent pads and garments

C) Positioning with use of pillows

D) Therapeutic beds and mattresses

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Chapter 94: Sensory Alterations

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Source URL: https://quizplus.com/quiz/37006

Sample Questions

Q1) The nurse is creating a plan of care for a patient with glaucoma.Which nursing diagnosis addresses the complication of the sensory deficit that places the patient at greatest risk for injury?

A) Risk for falls

B) Body image disturbance

C) Social isolation

D) Fear

Q2) What is the involuntary motion of retracting the body from painful stimuli?

A) Sensation

B) Reception

C) Perception

D) Reaction

Q3) A nurse is caring for a patient who is experiencing vertigo.Which nursing intervention would assist the patient in controlling the vertigo?

A) Increasing fluid intake to 3 liters a day

B) Watching television instead of reading books

C) Avoiding riding in vehicles and making sudden motions

D) Placing several antiemetic patches on the patient

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Chapter 49: Nursing Today

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Source URL: https://quizplus.com/quiz/36913

Sample Questions

Q1) The nurse in the twenty-first century is facing an extremely complex profession with multiple external forces affecting the nursing profession.Factors influencing the nursing profession include which of the following?

A) Demography

B) Women's health care

C) Human rights

D) The threat of bioterrorism

E) The medically underserved

Q2) A bill has been submitted to the State House of Representatives that is designed to reduce the cost of health care by increasing the patient-to-nurse ratio from a maximum of 2:1 in intensive care units to 3:1.The nurse realizes that

A) Legislation is politics beyond the nurse's control.

B) National programs have no bearing on state politics.

C) The individual nurse can influence legislative decisions.

D) Focusing on nursing care provides the best patient benefit.

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Chapter 95: Care of Surgical Patients

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Source URL: https://quizplus.com/quiz/37007

Sample Questions

Q1) The nurse is using a preoperative checklist to assist in preparing a patient on the day of surgery.What will the checklist include?

A) Vital signs

B) Laboratory data

C) Living will

D) NPO

E) Identification (ID) band on

F) Family location

Q2) The nurse is caring for a patient who will undergo a coronary artery bypass graft procedure.What level of care will the patient require immediately post procedure?

A) Acute care-medical-surgical unit

B) Acute care-intensive care unit

C) Ambulatory surgery

D) Ambulatory surgery-extended stay

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