Course Introduction
Nursing Practice I Practice Questions
Nursing Practice I introduces students to the foundational concepts and skills necessary for beginning professional nursing practice. This course emphasizes the development of basic clinical competencies such as patient assessment, communication, safety, infection control, and documentation, while reinforcing the principles of ethical and person-centered care. Through a combination of classroom instruction, laboratory simulations, and supervised clinical experiences, students learn to apply theoretical knowledge to real-world patient care situations, fostering critical thinking and problem-solving abilities essential for future nursing roles.
Recommended Textbook
Fundamentals of Nursing Two Volume Set 3rd Edition by Judith M. Wilkinson
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46 Chapters
1461 Verified Questions
1461 Flashcards
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Page 2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Each U.S.state has its own state board of nursing responsible for protecting the health,safety,and welfare of the general public.The state board of nursing meets these responsibilities by performing which of the following functions? Select all that apply.
A) Advocating for nursing student issues
B) Determining the nurse's scope of practice
C) Enforcing the rules that govern nursing
D) Writing the laws that regulate nursing
Answer: B,C
Q2) The patient post-total knee replacement is preparing to be discharged.The patient tells the case manager,"I feel pretty good,but I am having a hard time getting in and out of the bathroom." What is the case manager's most appropriate response?
A) "I'll be sure to teach your family how to help you with this."
B) "Once you are home for a while, it will get easier."
C) "I can have a recreational therapist help you take your mind off your concerns."
D) "An occupational therapist can be ordered to assist you in this area."
Answer: D
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3
Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The nurse enters a room to find the client sitting up in the chair,crying.The nurse best displays a critical-thinking attitude,as well as a caring attitude,by:
A) Telling the client that she'll be back to chat after she sees her other clients
B) Calling the family to come and sit with the client
C) Trying to determine the reasons for the client's crying
D) Placing a "do not disturb" sign on the door to protect the client's privacy
Answer: C
Q2) Which of the following characteristics do the various definitions of critical thinking have in common? Critical thinking:
A) Requires reasoned thought
B) Asks the questions "why" or "how"
C) Is a hierarchical process
D) Demands specialized thinking skills
Answer: A
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4
Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) What makes a nursing history different from a medical history?
A) A nursing history focuses on the patient's responses to the health problem.
B) The same information is gathered in both; the difference is in who obtains the information.
C) A nursing history is gathered using a specific format.
D) A medical history collects more in-depth information.
Answer: A
Q2) The certified nursing assistant (CNA)tells the nurse: "I can help you with your assessment." What is the most appropriate response by the nurse?
A) "Thank you. I am having a busy day and I can use your help."
B) "I'm sorry, but nurses are responsible for all patient assessment."
C) "How long have you been a CNA?"
D) "If you will obtain the vital signs and place them in the chart then that would be a big help."
Answer: D
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Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
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Sample Questions
Q1) Which of the following reflects the most accurate use of an etiology?
A) Knowledge deficit related to abdominal ultrasound
B) Knowledge deficit related to incorrect use of walker
C) Knowledge deficit related to diabetes
D) Knowledge deficit related to age
Q2) Which of the following is a criticism of standardized nursing diagnoses developed by NANDA-I?
A) There is little research to support nursing diagnosis labels.
B) A perfect nursing diagnosis must be written for it to be useful.
C) Standardized diagnoses are not included in all states' nurse practice acts.
D) Other professions do not recognize nursing diagnoses.
Q3) When making a diagnosis using NANDA-I,which of the following provides support for the diagnostic label you choose?
A) Etiology
B) Related factors
C) Diagnostic label
D) Defining characteristics
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Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following outcome statements contains the best example of performance criteria? The patient will:
A) Turn herself in bed frequently while awake
B) Understand how to use crutches by day two
C) State that pain is decreased after being medicated
D) Eat 75% of each meal without complaint of nausea
Q2) How are standardized (model)care plans similar to unit standards of care? Standardized (model)care plans :
A) Describe the care needed by patients in defined situations
B) Include specific goals and nursing orders
C) Become a part of the patient's comprehensive care plan
D) Usually describe ideal nursing care
Q3) How is NOC different from the Omaha System?
A) NOC can be used to write health restoration outcomes.
B) NOC can be used in all specialty and practice areas.
C) NOC can be used for individuals, families, or groups.
D) NOC formulates goals based on nursing diagnoses.
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Chapter 6: Nursing Process: Planning Interventions
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) Which of the following best describes evidence-based practice?
A) Tool developed by a healthcare organization for its own use to guide best nursing practice
B) An approach that uses the best scientific data to guide nursing practice
C) Nurses who uses clinical judgment and expertise to guide nursing practice
D) A method of practice that uses tradition and folklore interventions to guide practice
Q2) Which of the following is the best example of a well-written nursing order?
A) Administer pain medication 30 minutes prior to physical therapy exercises.
B) Teach patient how to give insulin injections prior to discharge.
C) The nurse will assess vital signs and report changes as needed.
D) Consider patient and family cultural preferences in diet order.
Q3) Which definition best describes a critical pathway?
A) Standardized plan of care for frequently occurring conditions
B) Systematically developed statement to assist practitioners and patients in decision making
C) Systematic review of clinical evidence for an intervention
D) Set of interrelated concepts that describes or explains something
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8
Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) Which type of client-centered evaluation is performed at specific,scheduled times?
A) Intermittent
B) Ongoing
C) Terminal
D) Process
Q2) A psychiatrist prescribes oral aripiprazole 10 mg daily for a client with schizophrenia.This medication is unfamiliar to the nurse,and she cannot find it in the hospital formulary or other references.How should she proceed?
A) Administer the medication as ordered.
B) Hold the medication and notify the prescriber.
C) Consult with a pharmacist before administering it.
D) Ask the patient's RN for information about the medication.
Q3) Which task can be delegated to nursing assistive personnel (NAP)?
A) Turn and reposition the patient every 2 hours.
B) Assess the patient's skin condition.
C) Change pressure ulcer dressings every shift.
D) Apply hydrocolloid dressing to the pressure ulcer.
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Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which commonly accepted practice came out of the Framingham study? Use of:
A) Mammography in breast cancer screening
B) Colonoscopy in colon cancer screening
C) Pap testing in cervical cancer screening
D) Digital rectal examination in prostate cancer screening
Q2) A 56-year-old patient diagnosed with an acute myocardial infarction (heart attack)makes inappropriate sexual comments to the licensed practical nurse (LPN).The LPN is visibly upset.The registered nurse (RN)assigned to the patient informs the patient his behavior is unacceptable and will not be tolerated.Is the RN demonstrating holistic or mechanistic nursing? ____________________
Q3) After suffering an acute myocardial infarction,a patient attends cardiac rehabilitation.This will help to gradually build his exercise tolerance.According to Maslow's Hierarchy of Needs,cardiac rehabilitation most directly addresses which need?
A) Safety and security
B) Physiological
C) Self-actualization
D) Self-esteem
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Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The nurse is talking to a class of children,aged 9 to 11 years.For this age group,it would be most important for the nurse to discuss:
A) Safe sex practices
B) Healthy food choices
C) Use of seat belts and safety equipment
D) The importance of getting enough sleep
Q2) The 17-year-old single mother of a 2-month-old infant comes to the clinic and tells the nurse,"Sometimes no matter what I do my baby won't stop crying.I hold him up in the air and shake him until he stops." Based on these statements by the mother,what is the first action by the nurse?
A) Teach the mother about the dangers of shaking a baby
B) Report child abuse to the appropriate authorities
C) Teach the mother other methods to stop the baby from crying
D) Encourage the mother to obtain more support from a significant other
Q3) Which behavior by the mother is most likely to help the infant to develop trust?
A) Talking to the infant
B) Breastfeeding instead of bottle feeding
C) Promptly responding to the infant's crying
D) Having the infant sleep in the same room with the parent
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Page 11
Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) Which nursing intervention is most helpful for a client with Alzheimer's disease who has cognitive impairment?
A) Attempt humor to elevate the client's mood
B) Explore reasons for the client's altered cognitive function
C) Increase environmental stimuli to redirect the client's attention
D) Use reminiscence to help the client recall memories and maintain social interaction
Q2) Which of the following reflects an understanding of the characteristics of older adults?
A) Fewer than 5% of all older adults live in nursing homes.
B) Average life expectancy at birth has declined slightly during the past 10 years.
C) In general, males tend to live longer than do females.
D) Black men have the lowest life expectancy, but the gap decreases as a person ages.
Q3) Which of the following is the most common major challenge for older adults?
A) Dealing with the needs of their children
B) Chronic health problems leading to the loss of independence
C) Loss of the ability to reminisce about the past
D) Decline of intellectual abilities
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Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) The nursing student is working with a primary nurse on the oncology unit.She says to the nurse,"How can I best help my patients' and to make their hospital stay a better experience?" What is the most appropriate response for the nurse to make? Select all that apply.
A) "This takes time. Once you have your nursing license, it will become clear to you."
B) "Find your best approach to patient care and then use this approach with every patient.
C) "One of the very best ways is to listen to your patient and be attentive."
D) "It is good to think about your own strengths and weaknesses and how you cope with illness."
Q2) Having someone physically present during times of illness removes the sense of aloneness during the illness.
A)True
B)False
Q3) Health is defined as the absence of illness related to mind,body,and spirit.
A)True
B)False
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Chapter 12: Stress Adaptation
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient complains of a vague,uneasy feeling of dread,and his heart rate is elevated.Which of the following nursing diagnoses is most appropriate for this patient?
A) Anger
B) Fear
C) Anxiety
D) Hopelessness
Q2) You are caring for a patient with numerous physiological complaints.A family member tells you that the patient is pretending to have the symptoms of a stomach ulcer to avoid going to work.Which somatoform disorder is this patient most likely experiencing?
A) Hypochondriasis
B) Somatization
C) Somatoform pain disorder
D) Malingering
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14
Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) The nursing diagnosis Disturbed Personal Identity is identified for a newly admitted patient.Which of the following is an example of an individualized goal for that patient?
A) Distorted Thought Control
B) Anxiety Level
C) Self-Mutilation Restraint
D) No Self-Injury, Consistently Demonstrated
Q2) An elderly patient admitted from a skilled nursing residence to a medical-surgical unit is exhibiting confusion,distractibility,memory loss,and irritability.She has a medical diagnosis of Dehydration.Which of the following should lead the nurse to suspect that dementia,rather than depression or dehydration,is the source of the symptoms?
A) Rambles, speaks incoherently, answers questions inappropriately
B) Speaks slowly with delayed response to questions, but responds appropriately
C) Awakens early in the day yet sleeps almost constantly during the day
D) Sometimes has difficulty concentrating on details of the present situation
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15
Chapter 14: The Family
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) The nurse is working with a wife who is caring for her chronically ill husband who requires around-the-clock care.The nurse notices that the wife often speaks to her husband sharply.The bed linens are soiled with food and the patient has a strong body odor.Both the house and the wife are unkempt.When encouraged to talk,the wife says,"I just drag around.I can't make myself do anything.I'm so tired of it all." What nursing diagnosis best fits these defining characteristics?
A) Dysfunctional Family Processes
B) Caregiver Role Strain
C) Defensive coping
D) Impaired Verbal Communication
Q2) A nurse is caring for a patient who was newly diagnosed with type 1 diabetes.The patient's wife states,"We are a family of diabetics." The nurse advises the couple to attend the free nutrition,cooking,and exercise classes at the health center near their neighborhood.She also gives them the name of the public health nurse for their area.Which perspective of family nursing is the nurse practicing?
A) Family as a unit of care
B) Family as a system
C) Family as the context of care
D) Family as a resource and stressor
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Page 16
Chapter 15: Culture Ethnicity
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24 Verified Questions
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Sample Questions
Q1) The nurse is caring for a Native American in a rural rehabilitation facility.The nurse notices that the patient has eaten very little since his admission 10 days ago.When she asks the patient about his eating,he states,"I can't eat any of this food.It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission.Based on this scenario,what is/are the most appropriate nursing diagnosis(es)for this patient? Select all that apply.
A) Noncompliance related to difficulty adhering to the medical regimen
B) Possible Knowledge deficit related to disease process
C) Imbalanced nutrition: less than body requirement related to cultural dietary practices
D) Decreased appetite related to anxiety secondary having a heart attack
Q2) A client incorporates alternative healthcare into her regular health practices.For which alternative therapy should the patient visit a formally trained practitioner?
A) Use of herbs and roots
B) Application of oils and poultices
C) Burning of dried plants
D) Acupuncture
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Chapter 16: Spirituality
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Over the past few centuries,nurses have placed less attention on spiritual care primarily because:
A) Nurses providing care are less religious and spiritual now
B) Spirituality and religion are unproven with regard to influencing health
C) Greater emphasis has been placed on science and scientific evidence
D) Nurses are uncomfortable when discussing spiritual aspects of care
Q2) A patient has a nursing diagnosis of Noncompliance with medication regimen related to a belief that God will heal her and that it would show a lack of faith to take the medications.The nurse and a clergyman have spent some time discussing spiritual and treatment issues with the patient.Which of the following statements made by the patient would indicate that progress is being made toward achieving compliance with healthcare therapy? Select all that apply.
A) "I will try to pray more often for stronger faith that God will heal me."
B) "Let me think about it until tomorrow; I may see my way to taking those pills then."
C) "You know, I've known some very holy people who were not cured by God."
D) "There is no confusion in my mind as to the right thing for me to do."
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Chapter 17: Loss,Grief, Dying
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A patient dying of heart failure has changed his choice about his end-of-life treatment measures several times.He says,"I just can't make up my mind about it." Which nursing diagnosis is most appropriate for this patient?
A) Deficient Knowledge
B) Spiritual Distress
C) Decisional Conflict
D) Death Anxiety
Q2) The nurse has been explaining advance directives to a patient.Which response by the patient would indicate that he has correctly understood the information? "An advance directive is a document
A) Specifying your healthcare intentions should you become unable to make self-directed decisions"
B) Identifying the activities considered to be evidence of quality care"
C) Verifying your understanding of the risks and benefits associated with a procedure"
D) Allowing you the autonomy to leave the hospital when you decide, even if it is against medical advice"
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Chapter 18: Documenting Reporting
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33 Flashcards
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Sample Questions
Q1) The instructor is teaching the nursing students about electronic health records (EHR).Which student statement indicates the need for further instruction?
A) "I have had EHR instruction and understand the basics of the system. If I need assistance, I will ask for it."
B) "The EHR integrates the patient's health information documented by the entire healthcare team into one electronic system."
C) "The EHR can track problems and errors, which can direct quality improvement efforts in a given institution."
D) "I am proficient with a computer; therefore, I am completely prepared to use the EHR in any institution."
Q2) Why might a healthcare provider choose narrative charting instead of using forms or checklists?
A) Narrative charting tracks the client's changing health status as it occurs.
B) Free form documentation is inconsistent among healthcare providers.
C) Less charting time by healthcare provider is needed for narrative charting.
D) Less interdisciplinary discussion occurs with the narrative style of charting.
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Chapter 19: Teaching Learning
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) The nurse explains to a patient that dressing changes will improve healing and decrease infection and then demonstrates the correct aseptic technique to the patient.The patient is asked to return a demonstration of this dressing change and to describe the reasons for it to the nurse.This example includes what learning domain(s)? Select all that apply.
A) Affective
B) Active
C) Cognitive
D) Psychomotor
E) Passive
Q2) A mother tells the nurse she is worried that her 20-year-old daughter lacks the understanding regarding the need for follow-up care after her discharge.Which of the following behaviors suggests that the patient needs further discharge teaching? Select all that apply.The patient:
A) States she will be on time for her scheduled appointment
B) Asks the nurse many questions about her discharge care
C) States she does not understand much English
D) Watches television while the nurse is speaking to her
E) Plans to get medications from the pharmacy on her way home
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Chapter 20: Measuring Vital Signs
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44 Verified Questions
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Sample Questions
Q1) The nurse is teaching a client how to use a portable blood pressure device to monitor his blood pressure at home.It would be most important for the nurse to:
A) Ask the client to demonstrate the use of the blood pressure device
B) Explain the importance of frequent calibration of the device
C) Give the client a chart to record his blood pressure readings
D) Provide written instructions of the information taught
Q2) The nurse is instructing a client how to appropriately dress an infant in cold weather.Which of the following instructions would be most important for the nurse to include?
A) Be sure to put on mittens.
B) Layer the infant's clothing.
C) Place a cap on the head.
D) Put on warm booties.
Q3) Which of the following procedure techniques has the most effect on the accuracy of an apical pulse count?
A) Counting the rate for 1 full minute
B) Exposing only the left side of the chest
C) Determining why assessment of apical pulse is indicated
D) Using your ring finger to palpate the intercostal spaces
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Page 22
Chapter 21: Communication Therapeutic Relationships
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Sample Questions
Q1) The primary purpose of communication is to
A) Exchange information
B) Form relationships
C) Establish therapeutic rapport
D) Meet psychosocial needs
Q2) The nurse caring for a patient with recurrent abdominal pain of unknown origin addresses the patient by name and puts her hand on her shoulder and offers reassuring words: "You'll be okay.Try not to think about things too much,if you can." How would you evaluate the nurse's verbal and nonverbal communication?
A) Words offer hope and consolation
B) Nurse's interaction is comforting
C) Response builds nurse-patient trust
D) Message provides false reassurance
Q3) A patient experiences expressive aphasia after a stroke.Which expected outcome is appropriate for this patient?
A) Uses alternative methods of communication
B) Communicates effectively using a translator
C) Interprets messages accurately
D) Follows commands when asked
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Page 23
Chapter 22: Health Assessment
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Sample Questions
Q1) The nurse asks the patient to spread his fingers and then bring them together again.Which of the following is the nurse testing when asking him to bring his fingers together?
A) Abduction
B) Adduction
C) Flexion
D) Extension
Q2) While the nurse assesses a newborn of African American descent,the mother points out a blue-black Mongolian spot on the newborn's back and asks,"What's that? Is something wrong with my baby?" Which response by the nurse is best?
A) "I'll ask the physician to look at the spot."
B) "Those spots are quite common and typically fade with time."
C) "You may want a plastic surgeon to look at that."
D) "That spot is benign so it's nothing you need to worry about."
Q3) High-pitched breath sounds produced by airway narrowing are known as:
A) Rales
B) Crackles
C) Rhonchi
D) Wheezing
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Page 24
Chapter 23: Promoting Asepsis Preventing Infection
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Sample Questions
Q1) As a general rule,how much liquid soap should the nurse use for effective handwashing? At least:
A) 2 mL
B) 3 mL
C) 6 mL
D) 7 mL
Q2) A patient admitted to the hospital with pneumonia has been receiving antibiotics for 2 days.His condition has stabilized,and his temperature has returned to normal.Which stage of infection is the patient most likely experiencing?
A) Incubation
B) Prodromal
C) Decline
D) Convalescence
Q3) A patient asks the nurse why there is no vaccine available for the common cold.Which response by the nurse is correct?"
A) "The virus mutates too rapidly to develop a vaccine."
B) "Vaccines are developed only for very serious illnesses."
C) "Researchers are focusing efforts on an HIV vaccine."
D) "The virus for the common cold has not been identified."
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Page 25
Chapter 24: Promoting Safety
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Sample Questions
Q1) The home health nurse is performing an initial assessment in the home of her 80-year-old client.Which of the following instructions will the nurse provide to minimize and prevent bathroom accidents? Select all that apply.
A) Install grab bars in the bathtub or shower.
B) Use a shower curtain instead of a sliding door.
C) Use a nonskid mat in the bathtub.
D) Install a raised toilet seat.
Q2) A patient is brought to the emergency department after inhaling mercury.The nurse should be alert for which acute adverse effects associated with mercury inhalation?
A) Chest pain, pneumonitis, and inflammation of the mouth
B) Intestinal obstruction and numbness of the hands
C) Hypotension, oliguria, and tingling of the feet
D) Tachycardia, hematuria, and diaphoresis
Q3) Which aspect of restraint use can the nurse delegate to the nursing assistive personnel?
A) Assessing the patient's status
B) Determining the need for restraint
C) Evaluating the patient's response to restraints
D) Applying and removing the restraints
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Page 26
Chapter 25: Facilitating Hygiene
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Sample Questions
Q1) During morning care,the patient asks the nurse to shave him with a disposable razor.Before shaving him,the nurse should:
A) Have him sign a permission form
B) Check to see whether the patient is taking anticoagulants
C) Tell him that only a family member may shave a patient
D) Position him flat in bed
Q2) A patient with a history of seizures who takes phenytoin is at risk for which oral problem?
A) Dryness of the mouth
B) Bitter taste
C) Demineralization of the tooth enamel
D) Gingival hyperplasia
Q3) The nurse is teaching nursing assistive personnel (NAP)how to give a complete bed bath.Which instruction should the nurse include?
A) "Cleanse only those areas likely to cause odor."
B) "Provide the patient with warm water for washing his perineum."
C) "Wash the patient's back, buttocks, and perineum first."
D) "Bathe the patient from head to toe, cleanest areas first."
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Chapter 26: Administering Medications
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Sample Questions
Q1) Laboratory test results indicate that warfarin anticoagulant therapy is suddenly ineffective in a patient who has been taking the drug for an extended period of time.The nurse suspects an interaction with herbal medications.What type of interaction does she suspect?
A) Antagonistic drug interaction
B) Synergistic drug interaction
C) Idiosyncratic reaction
D) Drug incompatibility
Q2) Which action should the nurse take to relax the vastus lateralis muscle before administering an intramuscular injection into the site?
A) Apply a warm compress.
B) Massage the site in a circular motion.
C) Apply a soothing lotion.
D) Have the client assume a sitting position.
Q3) The nurse must administer ear drops to an infant.How should she proceed?
A) Pull the pinna down and back before instilling the drops.
B) Pull the pinna upward and outward before instilling the drops.
C) Instill the drops directly; no special positioning is necessary.
D) Position the patient supine with the head of the bed elevated 30°.
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Page 28
Chapter 27: Nutrition
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Sample Questions
Q1) After inserting a nasogastric tube,what would be the nurse's priority action prior to starting the first tube feeding?
A) Auscultate bowel sounds over the abdomen.
B) Aspirate gastric contents and obtain a pH reading.
C) Obtain radiographic verification (x-ray).
D) Mix the feeding with water for the first feeding only.
Q2) Which patient is most likely experiencing positive nitrogen balance? A patient admitted:
A) With third-degree burns of his legs
B) In the sixth month of a healthy pregnancy
C) From a nursing home who has been refusing to eat
D) With acute pancreatitis
Q3) A patient who was prescribed furosemide (Lasix)is deficient in potassium.Which of the following is an appropriate nutritional goal for this patient? The patient will increase his consumption of:
A) Bananas, peaches, molasses, and potatoes
B) Eggs, baking soda, and baking powder
C) Wheat bran, chocolate, eggs, and sardines
D) Egg yolks, nuts, and sardines
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Page 29
Chapter 28: Urinary Elimination
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40 Flashcards
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Sample Questions
Q1) While performing a physical assessment,the student nurse tells her instructor that she cannot palpate her patient's bladder.Which statement by the instructor is best?
A) "Try to palpate it again; it takes practice but you will locate it."
B) "Palpate the patient's bladder only when it is distended by urine."
C) "Document this abnormal finding on the patient's chart."
D) "Immediately notify the nurse assigned to the care of your patient."
Q2) What is the best technique for obtaining a sterile urine specimen from an indwelling urinary catheter?
A) Use antiseptic wipes to cleanse the meatus prior to obtaining the sample.
B) Briefly disconnect the catheter from the drainage tube to obtain sample.
C) Withdraw urine through the port using a needleless access device.
D) Obtain the urine specimen directly from the collection bag.
Q3) What type of indwelling catheter is most suitable for long-term use?
A) Silver-alloy catheter
B) Polyvinyl chloride (PVC) catheter
C) Silicone catheter
D) Triple-lumen catheter
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Page 30
Chapter 29: Bowel Elimination
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Sample Questions
Q1) A bowel prep "until clear" is prescribed for the female client scheduled for a colonoscopy.The client begins to experience diarrhea following administration of the solution.What action by the nurse is appropriate?
A) Start an IV infusion.
B) Administer an enema.
C) Cancel the diagnostic test.
D) Explain that diarrhea is expected.
Q2) The nurse is performing a focused bowel assessment on an older adult.Which of the following physiological changes of aging should alert the nurse to an increased risk for problems associated with bowel elimination? Select all that apply.
A) Decreased sphincter control
B) Decreased peristalsis
C) Increased intestinal muscle tone
D) Decreased physical activity
Q3) Which factors place the patient at risk for constipation? Select all that apply.
A) Sedentary lifestyle
B) High-dose calcium therapy
C) Lactose intolerance
D) Spicy food consumption
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31
Chapter 30: Sensation,Perception, Cognition
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39 Flashcards
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Sample Questions
Q1) The pediatric nurse educator is preparing a teaching plan for seizure prevention for parents of children with seizures.Which of the following can trigger seizures? Select all that apply.
A) Fever
B) Video games
C) Sleep deprivation
D) Food allergens
E) Mood-altering substances
F) None of the above
Q2) Which instruction should the nurse be certain to include when providing discharge teaching for a patient who has a serious visual deficit?
A) Install blinking lights to alert an incoming phone call.
B) Have gas appliances inspected regularly to detect gas leaks.
C) Wear properly fitting shoes and socks.
D) Avoid using throw rugs on the floors.
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32
Chapter 31: Pain
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Sample Questions
Q1) The nurse administers acetaminophen 325 mg and codeine 30 mg orally to a patient reporting a severe headache.When should the nurse reassess the patient's pain?
A) 15 minutes after administration
B) 60 minutes after administration
C) 90 minutes after administration
D) Immediately before the next dose is due
Q2) Which characteristic about pain would the nurse most consider when developing a pain management plan for a patient with chronic lower back pain?
A) An objective experience that disrupts daily living that can be measured with altered vital signs
B) An unpleasant sensory and emotional experience association with actual or potential tissue damage, or described in terms of such damage
C) A generalized response of the body as a result of trauma or damage to the tissues resulting in discomfort
D) An emotional response to tissue damage that differs significantly from one individual to another
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Chapter 32: Physical Activity Mobility
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37 Flashcards
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Sample Questions
Q1) An older patient with newly diagnosed osteoporosis asks the nurse to explain her health problem.Which of the following is the correct description of osteoporosis?
A) Loss of bone density that increases the risk of fracture
B) Degenerative joint disease that produces pain and decreased function
C) Chronic inflammatory joint disease that must be treated with steroids
D) Acute infection in the bone that must be treated with antibiotics
Q2) Identify the most appropriate nursing diagnosis for promoting the safety of a frail,elderly patient after hip replacement surgery who also has a history of emphysema.
A) Impaired Mobility related to weakness
B) Ineffective Breathing Pattern related to disease process
C) Activity Intolerance related to injury
D) Risk for Injury related to medical condition
Q3) Which of the following is true of synarthroses? Joints are:
A) Freely movable
B) Capable of only limited movement
C) Immovable
D) Painful with movement
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Chapter 33: Sexual Health
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33 Flashcards
Source URL: https://quizplus.com/quiz/47154
Sample Questions
Q1) The nurse is performing a sexual assessment on a newly admitted married 60-year-old female patient.Which question should the nurse omit from the nursing assessment?
A) "Are you sexually active?"
B) "How often do you have sexual intercourse?"
C) "Do you experience any discomfort during sex?"
D) "What method of birth control are you currently using?"
Q2) The nurse teaching 8th grade girls addresses common myths about sexuality and body functions.Which statement by a student is an indication that teaching was effective?
A) "After the first time I have sex, I need to begin some form of birth control to avoid pregnancy."
B) "Condoms are the most effective birth control and it is the only way I can be sure I won't get pregnant."
C) "I only have to worry about being infected with a sexually transmitted infection if I see a sore or have pain."
D) "Enjoyable sexual relationships or reaching orgasm simultaneously does not indicate the quality of the relationship."
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Chapter 34: Sleep and Rest
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Sample Questions
Q1) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
Q2) The patient is diagnosed with obstructive sleep apnea.Identify the symptoms you would expect the client to exhibit.Choose all that apply.
A) Bruxism
B) Enuresis
C) Daytime fatigue
D) Snoring
E) Drooling
Q3) Which patient teaching would be most therapeutic for someone with sleep disturbance?
A) Give yourself at least 60 minutes to fall asleep.
B) Avoid eating carbohydrates before going to sleep.
C) Catch up on sleep by napping or sleeping in when possible.
D) Do not go to bed feeling upset about a conflict.
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36
Chapter 35: Skin Integrity-Wound Healing
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48 Flashcards
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Sample Questions
Q1) A patient had abdominal surgery.The incision has been closed by primary intention,and the staples are intact.To provide more support to the incision site and decrease the risk of dehiscence,it would be appropriate to apply which of the following?
A) Steri-Strips
B) Abdominal binder
C) T-binder
D) Paper tape
Q2) While assessing a new wound,the nurse notes red,watery drainage.How should the nurse describe this type of drainage when documenting?
A) Sanguineous
B) Serosanguineous
C) Serous
D) Purosanguineous
Q3) What is the function of the stratum corneum?
A) Provides insulation for temperature regulation
B) Provides strength and elasticity to the skin
C) Protects the body against the entry of pathogens
D) Continually produces new skin cells
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Chapter 36: Oxygenation
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36 Flashcards
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Sample Questions
Q1) The nurse is teaching a patient about her chest drainage system.Which of the following should the nurse include in the teaching? Select all that apply.
A) Perform frequent coughing and deep-breathing exercises.
B) Sit up in a chair but do not walk while the drainage system is in place.
C) Get out of bed without assistance as often as possible.
D) Immediately notify the nurse if she experiences increased shortness of breath.
Q2) Which of the following factors influence normal lung volumes and capacities? Select all that apply.
A) Age
B) Race
C) Body size
D) Activity level
Q3) A nurse is preparing to obtain a sputum specimen from a male client.Which of the following nursing actions will facilitate obtaining the specimen?
A) Limiting fluid
B) Having the client take deep breaths
C) Asking the client to spit into the collection container
D) Asking the client to obtain the specimen after eating
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Chapter 37: Circulation
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Sample Questions
Q1) The nurse is planning care for an elderly patient diagnosed with end-stage heart failure and a nursing diagnosis of Decreased Cardiac Output secondary to ineffective left ventricular function.What outcome would the nurse plan for this patient to measure improvement in cardiac output?
A) Brisk capillary refill in feet bilaterally.
B) Heart rate within expected range
C) Breath sounds clear with no shortness of breath
D) Regular pulse rhythm
Q2) Which outcome statement is related to Decreased Cardiac Output? Select all that apply.
A) No dyspnea or shortness of breath with exertion
B) Normal skin color
C) Respiratory rate less than 16 breaths/min
D) Brisk capillary refill
Q3) The nurse is preparing to apply a cardiac monitor to a patient.Where should the nurse place the electrodes?
A) Over the indicated rib
B) Near the indicated rib
C) On soft spongy areas
D) On the abdomen
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Chapter 38: Fluids,Electrolytes, Acidbase Balance
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49 Flashcards
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Sample Questions
Q1) The nurse is to administer an intravenous solution to a patient with diffuse edema.This will pull fluid from the interstitial space to the intravascular space.Which prescription would the nurse question for this patient? A prescription for:
A) 5% Dextrose in water (D<sub>5</sub>W)
B) 10% Dextrose in water (D<sub>10</sub>W)
C) 5% Dextrose in normal saline (D<sub>5</sub> 0.9% NaCl)
D) 5% Dextrose lactated Ringer's (D<sub>5</sub>LR)
Q2) At a first aid station on a marathon route,a patient after the race complains of headache,muscle cramps,weakness,nausea,and confusion.Which statement made by the patient might explain these symptoms?
A) "I was really thirsty after the race. I drank several large bottles of water."
B) "I perspired quite a bit during the race so I drank sports drinks when I finished."
C) "I take steroids regularly and did not stop taking them for the race."
D) "I am diabetic and checked my blood sugar after the race. It was normal."
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Chapter 39: Perioperative Care
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37 Flashcards
Source URL: https://quizplus.com/quiz/47160
Sample Questions
Q1) A patient had a hiatal hernia repair earlier today and is now in the postanesthesia care unit (PACU).The family asks the nurse why the patient is in the PACU rather than back in his room on the postsurgical unit.The nurse should inform the family that:
A) Patients who have had surgical complications are observed in the PACU until they are stable enough to return to the floor
B) Patients recover from the effects of anesthesia in the PACU and then return to the postsurgical unit for further care
C) The PACU is a holding area for patients awaiting a surgical unit bed or awaiting adequate staff to provide care on the postsurgical unit
D) The nurse will ask the surgeon to explain to them why the patient is not on the postsurgical unit as per usual procedure
Q2) Identify the type of surgery a terminally ill patient will undergo if the purpose is removal of tissue to relieve pain.
A) Procurement
B) Ablative
C) Palliative
D) Diagnostic
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Chapter 40: Leading Managing
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24 Flashcards
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Sample Questions
Q1) Which of the following types of followers may best enhance a leader's performance?
A) Followers demonstrating high critical thinking and who passively contribute
B) Followers who are dependent and passive when they disagree
C) Followers who are active contributors but who may not contribute to idea development
D) Followers who are active contributors and who participate in developing and analyzing ideas
Q2) The student nurse sits down to plan goals for the future.Which goal would the nurse identify as a long-term goal?
A) Study every night from 8 to 10 p.m.
B) Find a babysitter for clinical days
C) Dress professionally for clinical
D) Specialize in care of sick newborns
Q3) Which of the following are characteristics of an effective nurse manager? Select all that apply.
A) Clinical expertise
B) Business sense
C) Master's degree
D) Leadership skills
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Page 42
Chapter 41: Nursing Informatics
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25 Flashcards
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Sample Questions
Q1) The nurse organizing an Evidence-Based Practice Committee has a computer with Internet access.What else would be most important to the committee when searching for the most current scientific evidence?
A) Medical and nursing textbooks
B) Database of health journals
C) Subscriptions to scholarly journals
D) Librarian in the facility
Q2) Which of the following are main functions of a computer? Select all that apply.
A) Process
B) Storage
C) Memory
D) Output
Q3) The nurse is preparing to conduct a literature search to find evidence related to care of a patient with diabetes experiencing neuropathy.Which of the following keywords would the nurse use to best identify the information searched for?
A) Caring for diabetics
B) Nursing care of neuropathy
C) Diabetic neuropathy
D) Complications of diabetes
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Page 43
Chapter 42: Promoting Health
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Sample Questions
Q1) A client informs the nurse that he has quit smoking because his father died of lung cancer 3 months ago.Based on his motivation,smoking cessation should be recognized as an example of which of the following?
A) Healthy living
B) Health promotion
C) Wellness behaviors
D) Health protection
Q2) What teaching points will the nurse develop to address Healthy People 2020 goals? Select all that apply
A) How to assess developmental milestones
B) How to file for Medicaid
C) How to maintaining a safe home and neighborhood
D) How to develop and maintain a healthy lifestyle
E) How to develop a low-fat, low-calorie diet
Q3) Goals for Healthy People 2020 include which of the following? Select all that apply.
A) Eliminate health disparities among various groups.
B) Decrease the cost of healthcare related to tobacco use.
C) Increase the quality and years of healthy life.
D) Decrease the number of inpatient days annually.
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Page 44
Chapter 43: Community-Home Health Nursing
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Sample Questions
Q1) At a home visit,the nurse asks the patient,"Have you taken your blood pressure medicine today?" The patient replies,"I don't remember.Maybe." On the table are several bottles of medication,some open,some not.They have all been prescribed for the patient.The patient cannot say how often to take each one,when asked.A compartmentalized medication organizer is on the table,with a few capsules in it,and some compartments left open.What should the nurse do?
A) Show the patient how to put the medications in the organizer for the next 2 days; observe while he fills the rest of the organizer.
B) Arrange for a home health aide to come each day to show the patient which pills to take.
C) Administer today's medications and arrange for the pharmacy to put medications in easy-to-open containers in the future.
D) Fill the organizer for each day of the week; explain how to use it; and return in a day or two to evaluate.
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Chapter 44: Ethics Values
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Sample
Questions
Q1) The parents of a 12-year-old boy refuse chemotherapy to treat the child's leukemia,saying they will not ruin what is left of his life with drugs that will make him feel sicker.Which solution to this ethical dilemma would demonstrate compromise,maintaining the integrity of all involved?
A) Agreeing to allow the child to avoid chemotherapy
B) Explaining to the parents that without chemotherapy the child will die.
C) Obtaining a court order to require the parents to allow chemotherapy.
D) Agreeing to administer the chemotherapy agent with the fewest side effects.
Q2) An alert,oriented,and competent frail older adult man has been told that he is dying and has asked to have a DNAR (AND)prescription put on his chart.The patient's family does not agree with his decision and asks the healthcare team to ignore the request.After a great deal of discussion among the physician,nurse,and family,they are no closer to resolution of the conflict.The nurse asks the hospital chaplain to come and help the family and the team understand each other's opposing views.Which step of the MORAL model does this illustrate?
A) M-Massage the dilemma
B) O-Outline the options
C) R-Resolve the dilemma
D) L-Look back and evaluate
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Chapter 45: Legal Accountability
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Sample Questions
Q1) What do negligence and malpractice have in common? Select all that apply.
A) Negligence and malpractice are unintentional torts.
B) Negligence and malpractice are felonies.
C) Malpractice is the professional form of negligence.
D) Negligence and malpractice involve the intent to do harm to a patient.
Q2) The nurse cares for a patient who is diagnosed with a sexually transmitted infection (STI).The patient is upset and asks the nurse not to share this information with anyone.The nurse explains to the patient that this must be reported to the local Health department based on which regulation?
A) Americans with Disabilities Act (ADA)
B) Whistleblower's law
C) Good Samaritan Law
D) Mandatory reporting
Q3) The charge nurse uses a whiteboard located at the nurse's station to write the nurses' patient assignments and the patients' diagnoses.This is a violation of which of the following?
A) Americans with Disabilities Act (ADA)
B) Patient Self-Determination Act (PSDA)
C) Health Insurance Portability and Accountability Act (HIPAA)
D) Health Emergency Medical Treatment and Active Labor Act (EMTALA)
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Chapter 46: Holistic Healing
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Sample Questions
Q1) Through the use of the nursing process,holistic healthcare implemented by nurses includes which of the stated activities? Select all that apply.
A) Health promotion
B) Illness accentuation
C) Health maintenance
D) Education
Q2) Which of the following are reasons for the popularity of biologically based therapies,such as dietary supplements and herbal products? Select all that apply.
A) They are almost all readily available to consumers.
B) They can be practiced as self-care measures.
C) It is easy to know what dosage is being obtained from a product.
D) Products on the market have been proved to be safe to use.
Q3) A patient is receiving healthcare focused on his illness and counteracting his symptoms.What type of healthcare is he receiving?
A) Holistic
B) Integrative
C) Complementary
D) Allopathic
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