Nursing Process and Critical Thinking Test Preparation
Course Introduction
This course introduces students to the fundamental principles of the nursing process and the development of critical thinking skills essential for effective clinical decision-making. Emphasizing a systematic and scientific approach, the course explores each step of the nursing process: assessment, diagnosis, planning, implementation, and evaluation. Students will learn how to collect and analyze patient data, identify health problems, establish care priorities, and implement evidence-based interventions. Through case studies, simulations, and reflective exercises, learners will enhance their problem-solving abilities and cultivate the judgment required for safe, patient-centered care across diverse healthcare settings.
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
Source URL: https://quizplus.com/study-set/2375
2
Chapter 1: Evolution of Nursing Thought Action
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47122
Sample Questions
Q1) The nursing student is preparing a presentation on health promotion.Which of the following activities are included in the presentation? Select all that apply.
A) Teaching a group of 75-year-old adults about the influenza vaccine
B) Administering a pain medication to a patient after surgery
C) Developing a list of stress-management strategies
D) Identifying calorie counts on all food choices in restaurants
Answer: C,D
Q2) The nurse is working at a hospice organization in her area.Which of the following best describes the patients for whom she will be caring?
A) Patients who are terminally ill and their family members
B) Patients who require long-term rehabilitation
C) Patients who are unable to independently meet hygiene and nutrition needs
D) Patients who have undergone a complex surgical procedure
Answer: A
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3
Chapter 2: Critical Thinking: Nursing Process
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47123
Sample Questions
Q1) Which of the following is the most important reason for nurses to be critical thinkers?
A) Nurses need to follow policies and procedures.
B) Nurses work with other healthcare team members.
C) Nurses care for clients who have multiple health problems.
D) Nurses have to be flexible and work variable schedules.
Answer: C
Q2) In caring for a patient with both diabetes and Impaired Skin Integrity (comorbidity),the nurse draws on her knowledge of diabetes and skin integrity.In a spirit of inquiry,she looks up the latest guidelines for providing skin care and includes them in the plan of care.The nurse provides skin care according to the procedural guidelines and begins regular monitoring to evaluate the effectiveness of the interventions.The nurse has demonstrated:
A) Full-spectrum nursing
B) Critical thinking
C) Nursing Process
D) Nursing knowledge
Answer: A
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4
Chapter 3: Nursing Process: Assessment
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47124
Sample Questions
Q1) The Joint Commission requires which type of assessment to be performed on all patients?
A) Functional ability
B) Pain
C) Cultural
D) Wellness
Answer: B
Q2) Which of the following is an example of an active listening behavior?
A) Taking frequent notes
B) Asking for more details
C) Leaning toward the patient
D) Sitting comfortably with legs crossed
Answer: C
Q3) Which of the following are examples of objective data? Select all that apply.
A) Blood pressure reading 120/80 mm Hg
B) Pain rated as 6 on a pain scale of 0 to 10
C) Moderate amount of yellow drainage from right ear
D) Wife states, "He has not been sleeping well at night."
E) Patient states, "I have a stomach ache."
Answer: A,C
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Chapter 4: Nursing Process: Diagnosis
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/47125
Sample Questions
Q1) The patient shows the necessary defining characteristics,and the nurse has diagnosed Decisional Conflict related to unclear personal values and beliefs.What essential action should the nurse take to help ensure the accuracy of this diagnosis?
A) Ask a more experienced nurse to confirm it.
B) Request a social worker interview the patient.
C) Ask the patient to confirm the diagnosis.
D) Read about Decisional Conflict in the NANDA-I handbook.
Q2) The benefits for nursing practice in using a standardized nursing language include which of the following? Select all that apply.
A) Define and communicate nursing knowledge
B) Assist the nurse in understanding medical diagnoses
C) Facilitate nursing research
D) Help nurses provide consistent interventions for all patients
Q3) 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
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Chapter 5: Nursing Process: Planning Outcomes
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/47126
Sample Questions
Q1) Which of the following is true for goals/outcomes for collaborative problems?
A) They are monitored only by other disciplines.
B) They are usually sensitive to nursing interventions.
C) They state that a complication will not occur.
D) They state only broad performance criteria.
Q2) The nurse is planning care for a patient.She is using a standardized care plan for Impaired Walking related to left-side weakness.Which of the following activities will the nurse perform when individualizing the plan for the patient?
A) Validating conflicting data with the patient
B) Transcribing medical orders
C) Stating the frequency for ambulation
D) Performing a comprehensive assessment
Q3) 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
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Chapter 6: Nursing Process: Planning Interventions
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/47127
Sample Questions
Q1) The nurse has completed the plan of care for her patient with a medical diagnosis of Gall Bladder Disease.In selecting nursing interventions that will best serve to help the patient achieve the desired goals,the nurse will consider which of the following? Select all that apply.
A) Age of the patient
B) Patient abilities and preferences
C) Education levels of the nursing staff
D) Medical orders
E) None of the above
Q2) A nurse makes a nursing diagnosis of Acute Pain related to the postoperative abdominal incision.She writes a nursing order to reposition the client in a comfortable position using pillows to splint or support the painful areas.What type of nursing intervention did the nurse write?
A) Collaborative
B) Interdependent
C) Dependent
D) Independent
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Chapter 7: Nursing Process: Implementation Evaluation
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47128
Sample Questions
Q1) The nurse reviews a nursing order for a patient who is 4 days post-operative after hip surgery.It reads: Assist patient in bathing each morning.The nurse assesses the patient and notes that the patient is independent in bathing.What should the nurse do next?
A) Assist with the bath as ordered
B) Delegate the bath to the nursing assistant
C) Discontinue the nursing order on the plan of care
D) Collaborate with the nurse who originally wrote the order
Q2) Which statement by the nurse best demonstrates clear communication to nursing assistive personnel (NAP)about delegating a task?
A) "Record how the patient's intake and output of fluids, please"
B) "Take the patient's temperature, pulse, respirations, and blood pressure every 2 hours today."
C) "Take the patient's temperature every 4 hours; notify me if it is greater than 100.5°F (38.1°C)."
D) "Assist the patient with all of her meals so she will take in more calories."
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9
Chapter 8: Evidence-Based Practice: Theory Research
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47129
Sample Questions
Q1) A patient who emigrated from India is admitted to the medical step-down unit with a bowel obstruction.A nasogastric (NG)tube is inserted to decompress her stomach.She asks the nurse whether her daughter can bring in garlic to administer through her NG tube.The nurse tells the patient that she will ask the physician when she makes rounds.This nurse is using the theory developed by which nurse theorist?
A) Betty Neuman
B) Dorothea Orem
C) Callista Roy
D) Madeline Leininger
Q2) 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
Q3) 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?
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Page 10
Chapter 9: Life Span: Infancy Through Middle Adulthood
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32 Verified Questions
32 Flashcards
Source URL: https://quizplus.com/quiz/47130
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) A 16-year-old male tells the nurse that he is not in the mood to do anything with his friends.He states,"For weeks now I am just not interested in doing anything and I've stopped all my sports activities.I just feel sad all the time and I just don't want to go on." The nurse completes her assessment and begins her plan of care.What is the most appropriate nursing intervention at this time?
A) Inform the patient you will be contacting his parents
B) Inform the patient you are completing a mental health referral
C) Teach the male coping strategies
D) Contact the patient's teachers for further information
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Chapter 10: Life Span: Older Adults
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47131
Sample Questions
Q1) An 80-year-old healthy male sees the nurse practitioner at the doctor's office.He states,"I sit around a lot and now I notice my legs seem to get tired when I walk." What is the most appropriate response by the nurse?
A) "You don't have as good circulation as you did when you were younger. Be sure you take rests."
B) "How do you feel about joining a regular exercise program at the senior center?"
C) "You will need to speak to the doctor about this."
D) "Have you thought about using a cane or walker?"
Q2) A 78-year-old couple is moving out of state to be closer to family members.Which of the following residences is most appropriate for this couple?
A) Second story apartment with safety bars in the bathrooms
B) Small two-bedroom home close to shopping center and church
C) One-level living area condominium with good lighting inside and outside
D) Two-level living area condominium close to family members
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12
Chapter 11: Experiencing Health Illness
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47132
Sample Questions
Q1) A 30-year-old male patient who has been experiencing joint pain for several months is diagnosed with rheumatoid arthritis.He tells the nurse,"This can't be happening to me.I don't understand this." Which statement below best describes the nurse's primary understanding of the patient statements?
A) The patient is too young to cope with this diagnosis.
B) The patient is in the illness stage of denial.
C) Developmental stage influences a person's ability to cope with stressors.
D) The patient will not be able to accept his ongoing illness.
Q2) An 80-year-old man arrives in the emergency department after suffering a severe heart attack.His condition is deteriorating and the physician informs the wife,also an older adult,that they do not expect him to live.The wife begins to cry uncontrollably and tells the nurse,"We have been married for 60 years.What am I going to do?" What is the most appropriate response by the nurse?
A) "You had a good life together. You just need to understand that death is part of life too."
B) "I understand how you feel but he did live to 80 years old. That's a good long life."
C) "I will get a social worker to see you for some help you may need at home."
D) "I understand that this is an incredible and unexpected loss for you."
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Chapter 12: Stress Adaptation
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/47133
Sample Questions
Q1) Two days after a patient undergoes abdominal surgery,his surgical incision is red and slightly edematous; it is oozing a small amount of serosanguineous (pink-tinged serous)fluid.On the basis of these data,what can you conclude? Select all that apply.
A) The wound is most likely infected.
B) This is a vascular response to inflammation.
C) Damaged cells are being regenerated.
D) Exudate formation is occurring.
Q2) What is the function of antidiuretic hormone when released in the alarm stage of the general adaptation syndrome?
A) Promotes fluid retention by increasing the reabsorption of water by kidney tubules
B) Increases efficiency of cellular metabolism and fat conversion to energy for cells and muscle
C) Increases the use of fats and proteins for energy and conserves glucose for use by the brain
D) Promotes fluid excretion by causing the kidneys to reabsorb more sodium
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14
Chapter 13: Psychosocial Health Illness
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/47134
Sample Questions
Q1) The nurse on a psychiatric unit is caring for a client with severe depression.The client states,"I just cannot go on.It is hopeless for me and there is no end in sight.My family would be better off without me burdening them." The nurse recognizes that this client is most at risk for:
A) Ineffective coping
B) Denial
C) Impaired recovery
D) Suicide
Q2) Which intervention(s)by the nurse might help the patient maintain a sense of personhood during hospitalization? Assume that all are culturally appropriate.Select all that apply.
A) Addressing the patient by his first name
B) Making eye contact if it is comfortable for the patient
C) Always offering an explanation before beginning a procedure
D) Speaking to others about the patient so that the patient can hear you
Q3) Which response by the patient demonstrates an internal locus of control?
A) "My blood sugar wouldn't be out of control if my wife prepared better foods."
B) "I knew I shouldn't have come to this hospital; I'd be better if I hadn't."
C) "God must be getting even with me for my past behavior."
D) "I'm just glad to be alive; the accident could've been a lot worse."
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Chapter 14: The Family
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/47135
Sample Questions
Q1) The nurse has scheduled a meeting with a family to assess and assist with improving the family's communication patterns.What is of primary importance for the nurse to focus on during the assessment?
A) Identifying how family decisions are made
B) Documenting the number of family members attending the meeting
C) Assessing for the most frequently used means of communication between family members
D) Making careful observations of body language and nonverbal expressions during the meeting
Q2) Which situation below best depicts a mid-life crisis?
A) A 22-year-old college graduate moves in with her parents because she cannot find employment.
B) The parents enroll their two toddlers in day care because two incomes are needed to meet the household's financial demands.
C) After the couple's daughter leaves for college, the husband quits his job and decides to "see the world."
D) A 70-year-old widower rejects the children's advice to move into an assisted living facility.
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Page 16
Chapter 15: Culture Ethnicity
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/47136
Sample Questions
Q1) The nurse is caring for a patient who emigrated from Puerto Rico.She can best care for this patient by learning about the:
A) Practices of the patient's ethnic group
B) Patient's individual cultural beliefs
C) Values of her own culture
D) Spanish-speaking community
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
Q3) Which of the following is considered a "practice" (as opposed to a belief or value)?
A) Always drinking water after exercise
B) Thinking often about cleanliness
C) Placing an emphasis on success
D) Maintaining youth
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Chapter 16: Spirituality
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/47137
Sample Questions
Q1) The nurse is working in a pediatric intensive care unit.A young couple has just been informed that their 6-year-old son has died after being in the unit for 1 month.The couple is grief stricken and says to the nurse,"We can't believe this has happened.He was too young.God is watching over him.Do you believe in God?" What is the most appropriate response by the nurse?
A) "It was his time. He is in a better place."
B) "He suffered enough. He is in peace now."
C) "I believe he is with angels, but what you think is most important."
D) "It doesn't matter what I think. It is only important what you think."
Q2) What is meant by the nurse's being "present" with a patient? Select all that apply.
A) Being open to patient's beliefs and concerns
B) Setting the agenda and leading discussions
C) Allowing the patient to tell stories about his illness
D) Using active listening skills
Q3) Which type of medicine do those of the Hindu faith typically practice?
A) Ayurvedic medicine
B) Western medicine
C) Chiropractic medicine
D) Tribal medicine
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Page 18
Chapter 17: Loss,Grief, Dying
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47138
Sample Questions
Q1) Which dysrhythmia confirms death?
A) Asystole (absence of heart activity)
B) Pulseless electrical activity
C) Ventricular fibrillation
D) Ventricular tachycardia
Q2) A patient with a history of chronic obstructive pulmonary disease has a living will that states he does not want endotracheal intubation and mechanical ventilation as a means of respiratory resuscitation.As the patient's condition deteriorates,the patient asks whether he can change his decision.Which response by the nurse is best?
A) "I'll call your physician right away so he can discuss this with you."
B) "You have the right to change your decision about treatment at any time."
C) "Are you sure you want to change your decision?"
D) "We must follow whatever is written in your living will."
Q3) Which intervention takes priority for the patient receiving hospice care?
A) Turning and repositioning the patient every 2 hours
B) Assisting the patient out of bed into a chair twice a day
C) Administering pain medication to keep the patient comfortable
D) Providing the patient with small frequent, nutritious meals
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19
Chapter 18: Documenting Reporting
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47139
Sample Questions
Q1) A client is admitted to a long-term care facility.The nurse knows that federal law requires the use of:
A) The Minimum Data Set (MDS) for assessment
B) Situation-Background-Assessment-Recommendation (SBAR) for reporting
C) Health Care Financing Administration guidelines prior to surgery
D) The Joint Commission guidelines for discharge planning
Q2) Which prescription below is not consistent with the standards established by The Joint Commission?
A) Administer Lasix 20 mg PO daily at 1000.
B) Administer Lasix 10.0 mg PO daily at 1000.
C) Administer digoxin 10 mg PO daily at 1000.
D) Administer digoxin 0.3 mg IV daily at 1000.
Q3) A patient refuses a dose of medication.How should the nurse document the event?
A) Patient is uncooperative and refuses the prescribed dose of digoxin.
B) Patient refuses the 0900 dose of digoxin.
C) Patient is belligerent, argumentative, and refuses the 0900 dose of digoxin.
D) 0900 dose of digoxin not given.
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Page 20
Chapter 19: Teaching Learning
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/47140
Sample Questions
Q1) Which statement by the patient demonstrates health literacy?
A) "I speak and understand little English but will do what I am told."
B) "I will take my medications after I ask the nurse a few questions."
C) "I have not taken my prescribed antibiotics because I can't read the labels."
D) "I stopped my medications when I started feeling better."
Q2) Which phrase is stated as a teaching goal (as compared with an objective)for a patient who had bowel resection with creation of a colostomy? The patient
A) Empties the colostomy appliance when half filled
B) Performs skin care around the stoma site
C) Will perform ostomy self-care within 3 days after surgery
D) Applies a new ostomy appliance, making sure it adheres properly
Q3) A preschool-age child is scheduled for a tonsillectomy.Which strategy might help lessen the child's anxiety before surgery?
A) Show the child a short, animated video (DVD) about the hospital visit and procedure.
B) Give the child a tour of the hospital a week before the surgery is scheduled.
C) Allow the child to use online sources of information to teach him about the procedure.
D) Provide one-to-one instruction about the care he will need after surgery.
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Chapter 20: Measuring Vital Signs
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/47141
Sample Questions
Q1) The nurse is obtaining vital signs on a newborn infant and notes respirations at 56 breaths/min.What is the most appropriate action by the nurse?
A) Apply oxygen immediately.
B) Document the finding and continue the assessment.
C) Contact the obstetrician for orders.
D) Compare the finding with other infants in the nursery.
Q2) The nurse enters the client's room and before he can take vital signs,he hears a piercing,high-pitched sound coming from the client when he breathes.The nurse's initial next best action is to:
A) Document the finding and continue with the assessment
B) Ask the client to take several deep breaths over the next 24 hours
C) Give the client extra fluids to loosen the secretions of mucus
D) Assess the client's airway patency
Q3) Which blood pressure reading has a pulse pressure within normal limits? Select all that apply.
A) 104/50 mm Hg
B) 120/62 mm Hg
C) 120/80 mm Hg
D) 130/86 mm Hg
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Page 22
Chapter 21: Communication Therapeutic Relationships
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47142
Sample Questions
Q1) The wife of an elderly patient begins crying after she is informed that he is has a terminal illness.Which intervention by the nurse is best?
A) Sit quietly with the patient's wife while she composes her thoughts.
B) Inform his wife that a chaplain is available if she would like to speak to him.
C) Remind his wife that her husband has lived a long and good life.
D) Tell his wife there are always options and suggest she not give up hope.
Q2) In the communication process,which of the following best describes characteristics of an effective oral message? Select all that apply.
A) Age appropriate
B) Developmental level appropriate
C) Short and simple
D) Delivered at an appropriate time
E) Congruent nonverbal cues
Q3) The primary purpose of communication is to
A) Exchange information
B) Form relationships
C) Establish therapeutic rapport
D) Meet psychosocial needs
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Chapter 22: Health Assessment
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57 Verified Questions
57 Flashcards
Source URL: https://quizplus.com/quiz/47143
Sample Questions
Q1) Which of the following is a correct developmental outcome for an infant? The infant's anterior fontanel (soft spot)typically fuses:
A) At about 8 weeks
B) At about 14 months
C) By 6 months of age
D) Before 1 year of age
Q2) The nursing student is performing an otoscopic examination on her patient.In assessing the tympanic membrane,the student assesses for what normal findings in appearance? Select all that apply.
A) Light red
B) Pearly gray
C) Shiny
D) Translucent
Q3) A patient's jugular venous pressure measures 5 cm.This finding indicates:
A) A normal finding
B) Hypovolemia
C) Heart failure
D) Dehydration
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24
Chapter 23: Promoting Asepsis Preventing Infection
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47144
Sample Questions
Q1) What type of immunity is provided by intravenous (IV)administration of immunoglobulin G?
A) Cell mediated
B) Passive
C) Humoral
D) Active
Q2) The nurse caring for several patients on the intermediate care unit considers which of the following patients to be most at risk for developing an infection? A patient with a/an:
A) Centrally venous catheter
B) Indwelling urinary catheter
C) Colostomy
D) Nasoenteric feeding tube
Q3) 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
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Page 25
Chapter 24: Promoting Safety
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47145
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) 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
Q3) While eating in the hospital cafeteria,the nurse sees a visitor display the "universal sign of choking." Her first action is to:
A) Page a "Code Blue" emergency.
B) Immediately perform five abdominal thrusts.
C) Assess for ineffective breathing by asking, "Are you choking?"
D) Deliver four sharp back blows between the scapulae.
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Page 26
Chapter 25: Facilitating Hygiene
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47146
Sample Questions
Q1) For which patient(s)should the nurse avoid using back massage? Select all that apply.
A) One who underwent heart surgery 3 days ago
B) One who sustained rib fractures from a fall
C) One who underwent a lumbar laminectomy
D) One who sustained a leg fracture in a sledding accident
Q2) The nurse has been teaching a student how to perform mouth care for her unconscious patient.The student will show evidence of learning if she places the patient in which position for this care?
A) Supine
B) Prone
C) Semi-Fowler's
D) Side-lying
Q3) The nurse is caring for a patient admitted with a closed head injury.Which action by the nurse is appropriate when providing hygiene for this patient?
A) Avoid bathing the patient.
B) Use cool water for bathing.
C) Provide care in short intervals.
D) Rub briskly when towel drying.
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Chapter 26: Administering Medications
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/47147
Sample Questions
Q1) The nursing student is preparing to administer lisinopril to her patient but does not know what lisinopril is used for.What is the most appropriate action by the student to obtain the information?
A) Consult the pharmacist.
B) Ask the primary nurse.
C) Ask her nursing instructor.
D) Look up lisinopril in a medication reference text.
Q2) The nurse educator in the local hospital is preparing a teaching plan for staff nurses on using medication abbreviations in nursing documentation.What is most important for the nurse to include in the teaching plan concerning acceptable abbreviations? Select all that apply.
A) They are based on Joint Commission recommendations.
B) They are commonly used by the pharmacy department.
C) They are most commonly used by nurses.
D) They are based on policies of the facility.
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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Chapter 27: Nutrition
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44 Verified Questions
44 Flashcards
Source URL: https://quizplus.com/quiz/47148
Sample Questions
Q1) The nurse is caring for a patient with a significant history of hypertension and cardiovascular disease.The nurse would be most interested in the findings of which laboratory results?
A) Low-density lipoproteins (LDL) and high-density lipoproteins (HDL)
B) Fatty acids such as alpha-linolenic acid (omega-3)
C) B-complex vitamins
D) Vitamin K
Q2) For an elderly client who is experiencing chronic nausea and weight loss,which laboratory result would the nurse recognize as being most consistent with a diagnosis of
Imbalanced Nutrition: Less Than Body Requirements?
A) Serum glucose of 78 mg/dL
B) Serum albumin of 3.2 g/dL
C) Creatinine of 1.0 mg/dL
D) Potassium of 4.1 g/dL
Q3) Which class of nutrients is the body's primary source of energy?
A) Proteins
B) Carbohydrates
C) Lipids
D) Vitamins
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Page 29
Chapter 28: Urinary Elimination
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40 Verified Questions
40 Flashcards
Source URL: https://quizplus.com/quiz/47149
Sample Questions
Q1) The nurse is preparing a young adult,female patient for intravenous pyelogram (IVP).What are the priority actions by the nurse prior to this procedure? Select all that apply.
A) Obtain an informed consent prior to the procedure.
B) Ask whether the patient has an allergy to shellfish.
C) Check laboratory results for serum BUN and creatinine.
D) Encourage increased fluid intake prior to the procedure.
E) Determine whether the patient has had a barium enema in the past 4 days.
Q2) A patient who sustained a spinal cord injury will perform intermittent self-catheterization after discharge.After discharge teaching,which statement by the patient would indicate correct understanding of the procedure?
A) "I will need to replace the catheter weekly."
B) "I can use clean, rather than sterile, technique at home."
C) "I will remember to inflate the catheter balloon after insertion."
D) "I will dispose of the catheter after use and get a new one each time."
Q3) Which task can the nurse safely delegate to the nursing assistive personnel?
A) Palpating the bladder of a patient who is unable to void
B) Administering a continuous bladder irrigation
C) Providing indwelling urinary catheter care
D) Obtaining the patient's history and physical assessment
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Chapter 29: Bowel Elimination
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/47150
Sample Questions
Q1) A day after abdominal surgery,a postoperative patient on a surgical unit says to the nurse,"I'm having a problem with a lot of gas.Maybe it's the food I'm eating." What is the appropriate response by the nurse? Select all that apply.
A) "If the problem continues after you go home, you'll need to avoid gas-producing foods such as beans."
B) "Let's get you out of bed and walking more. This can help with your gas."
C) "When was your last bowel movement? You may be a bit constipated."
D) "I understand. I'll have to call the doctor for an insertion of a rectal tube."
Q2) A mother of a school-age child seeks healthcare because her child has had diarrhea after being ill with a viral infection.The patient states that after vomiting for 24 hours,his appetite has returned.Which recommendation should the nurse make to this mother?
A) Consume a diet consisting of bananas, white rice, applesauce, and toast.
B) Drink large quantities of water regularly to prevent dehydration.
C) Take loperamide [an antidiarrheal] as needed to control diarrhea.
D) Increase the consumption of raw fruits and vegetables.
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Chapter 30: Sensation,Perception, Cognition
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39 Verified Questions
39 Flashcards
Source URL: https://quizplus.com/quiz/47151
Sample Questions
Q1) A patient comes to the clinic complaining of a taste disturbance.Which medication that the patient is currently prescribed is most likely responsible for this disturbance?
A) Furosemide, a diuretic
B) Phenytoin, an anticonvulsant
C) Glyburide, an antidiabetic
D) Heparin, an anticoagulant
Q2) The 80-year-old patient on the medical-surgical unit says to the nurse,"My vision is blurry and I see halos around lights.The glare from the sun really bothers me." Upon assessment,the nurse notes a cloudy film over the lens of the eye.Based on the patient's complaints and the nurse's assessment,the nurse associates these findings with which of the following?
A) Strabismus
B) Cataracts
C) Glaucoma
D) Presbyopia
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Chapter 31: Pain
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/47152
Sample Questions
Q1) A patient with a history of mitral valve replacement,hypertension,and type 2 diabetes mellitus undergoes emergency surgery to remove an embolus in her right leg.Which factor contraindicates the use of epidural analgesia in this patient?
A) Anticoagulant therapy
B) Diabetes mellitus
C) Hypertension
D) Embolectomy
Q2) Which of the following actions would the nurse prioritize for the patient who is experiencing chronic back pain that interferes with activities of daily living (ADLs)?
A) Maintain a pain journal to document quality of his pain experience.
B) Meet with the healthcare team to discuss a pain management plan.
C) Attempt to take only analgesic medication when absolutely needed.
D) Suggest use of a deep-pressure back massage with effleurage technique.
Q3) What physiological process causes the severe pain of menstrual cramps?
A) Mechanical stimuli
B) Thermal stimuli
C) Prostaglandin activity
D) Histamine activity
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Chapter 32: Physical Activity Mobility
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47153
Sample Questions
Q1) To achieve balance,body mass must be distributed around which point?
A) Center of body alignment
B) Center of balance
C) Center of gravity
D) Base of support
Q2) 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
Q3) The nurse teaching a patient about ways to regain strength after a period of prolonged immobility advises the patient to seek assistance from a physical therapist.Which type of exercise is performed using specialized apparatuses that use resistance at a constant,preset speed?
A) Isokinetic
B) Isometric
C) Isotonic
D) Isomorphic
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Chapter 33: Sexual Health
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33 Verified Questions
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 emergency room nurse receives a male patient experiencing an acute myocardial infarction (heart attack)who is dressed in his wife's bra,panties,and nightgown.What is the most accurate inference the nurse can make about the patient with this data? The patient:
A) is transsexual
B) is a transvestite
C) is homosexual
D) has gender confusion
Q3) Which is the third stage of sexual arousal?
A) Desire
B) Excitement
C) Plateau
D) Orgasm
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Chapter 34: Sleep and Rest
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/47155
Sample Questions
Q1) 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.
Q2) What is the purpose of using a sleep diary?
A) Identify sleep-rest patterns over a 1-year period.
B) Note the trend in sleep-wakefulness patterns over a 2-week period.
C) Note typical sleep habits and most common daily routines.
D) Examine the patterns of sleep during the night and naps during the day.
Q3) Select the factors known to affect sleep.Choose all that apply.
A) Age
B) Environment
C) Lifestyle
D) State of health
E) Ethnicity
Q4) ____________________ disorders are those that occur when signs and symptoms of a disease appear or become worse during sleep.
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Chapter 35: Skin Integrity-Wound Healing
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/47156
Sample Questions
Q1) Which of the following describes the difference between dehiscence and evisceration?
A) With dehiscence, there is a separation of one or more layers of wound tissue; evisceration involves the protrusion of internal viscera from the incision site.
B) Dehiscence is an urgent complication that requires surgery as soon as possible; evisceration is not as urgent.
C) Dehiscence involves the protrusion of internal viscera from the incision site; with evisceration, there is a separation of one or more layers of wound tissue.
D) Dehiscence involves rupture of subcutaneous tissue; evisceration involves damage to dermal tissue.
Q2) What is the primary difference between acute and chronic wounds? Chronic wounds:
A) Are full-thickness wounds, but acute wounds are superficial
B) Result from pressure, but acute wounds result from surgery
C) Are usually infected, whereas acute wounds are contaminated
D) Exceed the typical healing time, but acute wounds heal readily
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Chapter 36: Oxygenation
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/47157
Sample Questions
Q1) The nurse is caring for a 6-month-old infant diagnosed with RSV,a viral infection causing copious airway secretions.What consideration will influence the nurse's plan of care most?
A) Infants breathe more rapidly than adults.
B) Infants' airways are narrower and more easily obstructed.
C) Infants have lower hemoglobin levels reducing oxygenation.
D) Infants have larger tonsils and adenoids.
Q2) The nurse administers intravenous morphine sulfate to a patient for pain control.She will need to monitor her patient for which of the following adverse effects?
A) Decreased heart rate
B) Muscle weakness
C) Decreased urine output
D) Respiratory depression
Q3) For which patient could the nurse collect a sputum specimen without using a suction catheter?
A) The patient with a newly placed tracheostomy
B) The patient with an endotracheal tube
C) The patient with late-stage amyotrophic lateral sclerosis
D) The patient admitted with chronic bronchitis
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Page 38
Chapter 37: Circulation
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The nurse is assessing a male patient diagnosed with chronic heart failure 10 years ago.Which finding would indicate poor perfusion to the tissues?
A) Blood pressure reading of 102/64
B) Absence of hair on the lower legs and feet
C) Pulse rate of 104 beats/min
D) Shortness of breath when supine
Q2) The nurse analyzes the patient's ECG and compares it with a baseline ECG recorded before the patient began having chest pain.What finding indicates a problem with the ventricle?
A) Prolonged QRS segment
B) Elevated P wave
C) Absence of T wave
D) Prolonged PR interval
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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39
Chapter 38: Fluids,Electrolytes, Acidbase Balance
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49 Verified Questions
49 Flashcards
Source URL: https://quizplus.com/quiz/47159
Sample Questions
Q1) Which of the following older adult patients needs to increase his daily fluid intake?
One who typically drinks (assume three meals per day):
A) 200 mL at each meal, plus 1,000 mL throughout the day
B) 250 mL at each meal, plus 600 mL throughout the day
C) 300 mL at each meal, plus 1,000 mL throughout the day
D) 400 mL at each meal, plus 500 mL throughout the day
Q2) A patient's arterial blood gas results are as follows: pH = 7.30; PCO<sub>2</sub> = 40; HCO<sub>3</sub> = 19 mEq/L; PO<sub>2</sub> = 80.An appropriate nursing diagnosis for the patient is which of the following?
A) Impaired Gas Exchange
B) Metabolic Acidosis
C) Risk for Impaired Gas Exchange
D) Risk for Acid-Base Imbalance
Q3) Which laboratory result on a client's health record should alert the nurse to a potential problem?
A) Na+ = 137 mEq/L
B) K+ = 5.2 mEq/L
C) Ca2+ = 9.2 mg/dL
D) Mg2+ = 1.8 mg/dL
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Page 40
Chapter 39: Perioperative Care
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/47160
Sample Questions
Q1) Which patient does the nurse classify as facing the highest surgical risk?
A) 40-year-old with hepatitis secondary to past IV drug use
B) 83-year-old with medically controlled hypertension
C) 6-month-old with congenital heart anomaly and early stage liver disease
D) 28-year-old taking anticoagulants secondary to mitral valve prolapse
Q2) The nurse is caring for a patient who is wearing antiembolism compression stockings.The patient repeatedly complains of discomfort caused by the stockings.What actions will the nurse take to improve comfort? Select all that apply.
A) Assess to determine whether the stockings are the correct size.
B) Remove the stockings for the remainder of the shift.
C) Ensure there are no wrinkles or rolled areas in the stockings.
D) Check that the stockings are on straight and the heel is in the right place.
E) Make sure the closed toe is molded to the toes.
Q3) A patient has chronic confusion secondary to dementia.As a result,he is unable to sign an informed consent for surgery.In this situation:
A) An informed consent is not needed
B) Two nurses may sign the informed consent for the patient
C) The surgeon must sign the informed consent
D) A family member will be asked to sign the informed consent
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Page 41
Chapter 40: Leading Managing
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) A nurse observes a nursing assistant (NAP)fail to wash her hands before and after placing a patient on a bedpan.When giving negative feedback to the NAP,the nurse should:
A) Be certain to offer constructive criticism about the task and do so in private
B) Ask the unit manager to be present to document responses of both parties
C) Call a meeting of all NAPs and stress handwashing to the entire group
D) Keep a record of the NAP's actions and save them for her annual formal review
Q2) What actions might a new nurse take to increase feelings of empowerment? Select all that apply.
A) Attend seminars
B) Join a unit-based committee
C) Serve as a mentor to a student nurse
D) Obtain psychological counseling
E) Direct others' work assignments
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42
Chapter 41: Nursing Informatics
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/47162
Sample Questions
Q1) The Health Information Technology for Economic and Clinical Health (HITECH)encouraged implementation of electronic health records (EHR)by what means?
A) Fining facilities that did not convert to EHRs by 2015
B) Mandating that all facilities implement EHRs within the year
C) Providing incentive payments to facilities that converted to EHRs
D) Restricting providers' access to traditional patient health records
Q2) The nurse reviews the patient's laboratory results.What component of informatics is the nurse viewing?
A) Data
B) Information
C) Knowledge
D) Wisdom
Q3) The nurse is using an EHR system.Which feature does not improve the safety of patient care delivered by the nurse?
A) Physician order entry
B) Decision support tools
C) Elimination of poor handwriting
D) Improved accessibility
E) None of the above
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Page 43
Chapter 42: Promoting Health
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) The nurse working in an acute care setting provides what level of health prevention most often?
A) Primary
B) Secondary
C) Tertiary
D) Assessment
Q2) The nurse talks to a patient about the health risks related to smoking and the patient says,"My husband has been nagging me about that,but I really don't smoke all that much and don't see it as much of a problem in my case." Within what transtheoretical stage of change would the nurse classify this patient as operating?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action Stage
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Chapter 43: Community-Home Health Nursing
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/47164
Sample Questions
Q1) Home healthcare and home hospice care are two different types of home health services.What are the differences between these services? Select all that apply.
A) Home healthcare promotes independence in clients; home hospice care promotes comfort and quality of life.
B) Home healthcare promotes comfort and symptom management; hospice care promotes self-care.
C) Home healthcare is focused on teaching self-care; home hospice care is focused on teaching skilled care to caregivers.
D) Home hospice care is focused on managing symptoms; home healthcare is focused on fostering independence.
Q2) A community health nurse is evaluating the current health programs in the community.Which of these outcomes would indicate a healthy community?
A) Ninety percent of members report adequate access to primary care services.
B) Immunization services are available at hospitals and clinics.
C) Affordable housing in the community is under construction.
D) Mortality rates have been stable over the past 5 years.
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Chapter 44: Ethics Values
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/47165
Sample Questions
Q1) The nurse overhears a coworker say,"How can an overweight nurse teach proper nutrition? That nurse should practice what is taught." Which concept best describes what the coworker is expressing?
A) Morals
B) Ethics
C) Values
D) Compromise
Q2) The nurse is facing a moral dilemma and applies the MORAL model to decision making.After writing down all the possible options to solve the problem,what will the nurse do next?
A) Consider all the options and choose the best one.
B) Implement the chosen option.
C) Evaluate the effectiveness of the action.
D) Consider the dilemma and whom it involves.
Q3) Confidentiality will be maintained by a nurse who believes in and values the ethical principle of:
A) Fidelity
B) Veracity
C) Beneficence
D) Autonomy
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Chapter 45: Legal Accountability
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/47166
Sample Questions
Q1) The American Nurses Association (ANA)believes nurses should not participate in active euthanasia (and assisted suicide)because such acts violate ____.
A) the Patient Self-Determination Act
B) civil laws
C) the Good Samaritan laws
D) the Code of Ethics for Nurse
Q2) An 87-year-old patient has just been diagnosed with cancer.Her durable power of attorney names her son as her surrogate decision maker.He arrives at the patient's bedside to discuss treatment options with her.The patient is alert and oriented.Her son tells you that he does not want her to receive any treatment (chemotherapy)because of the side effects and her age.The patient tells you that she wants to try the treatment.Which decision should be followed by the nurse?
A) The patient's son's
B) The patient's
C) Both-initially the patient's; then the son's when the medication's side effects become severe
D) Neither; this is a legal decision and should be made by a court of law
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Page 47
Chapter 46: Holistic Healing
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23 Flashcards
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Sample Questions
Q1) Which groups of people choose CAM more often than do others? Select all that apply.
A) Men
B) Women
C) People younger than 18 years of age and older than 70 years of age
D) People older than 18 years of age and younger than 70 years of age
E) Caucasians
Q2) A client wishes to avoid taking blood pressure medications.He is watching his diet and exercising.In addition,a CAM therapist has recommended an alternative therapy that will allow him to learn voluntary control over his blood pressure.What type of therapy is the therapist probably recommending?
A) Homeopathy
B) Naturopathy
C) Biofeedback
D) Hypnosis
Q3) The concept of holism focuses on which of the following?
A) Relationship between nurse and patient
B) Practice of spiritualism
C) Relationships among all living things
D) Totality of the body
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